"hcpcs","shortdescriptor","labelername","ndc","ndcdash","drugname","hcpcsdosage","pkgsize","pkgqty","billunits","billunitspkg"
"J0130","Abciximab injection","Eli Lilly and Company","00002714001","00002-7140-01","Reopro","10 MG",5,1,1,1
"J9201","Gemcitabine hcl injection","Eli Lilly and Company","00002750101","00002-7501-01","Gemzar","200 MG",1,1,1,1
"J9201","Gemcitabine hcl injection","Eli Lilly and Company","00002750201","00002-7502-01","Gemzar","200 MG",1,1,5,5
"J1815","Insulin injection","Eli Lilly and Company","00002751001","00002-7510-01","Humalog","5 UNITS",10,1,200,200
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002751001","00002-7510-01","Humalog","50 UNITS",10,1,20,20
"J1815","Insulin injection","Eli Lilly and Company","00002751017","00002-7510-17","HUMALOG","5 UNITS",3,1,60,60
"J1815","Insulin injection","Eli Lilly and Company","00002751101","00002-7511-01","Humalog Mix 75/25","5 UNITS",10,1,200,200
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002751101","00002-7511-01","Humalog Mix 75/25","50 UNITS",10,1,20,20
"J1815","Insulin injection","Eli Lilly and Company","00002751659","00002-7516-59","Humalog","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002751659","00002-7516-59","Humalog","50 UNITS",3,5,6,30
"J9305","Pemetrexed injection","Eli Lilly and Company","00002762301","00002-7623-01","Alimta","10 MG",1,1,50,50
"J2358","Olanzapine long-acting inj","Eli Lilly and Company","00002763511","00002-7635-11","ZYPREXA RELPREVV","1 MG",1,1,210,210
"J2358","Olanzapine long-acting inj","Eli Lilly and Company","00002763611","00002-7636-11","ZYPREXA RELPREVV","1 MG",1,1,300,300
"J2358","Olanzapine long-acting inj","Eli Lilly and Company","00002763711","00002-7637-11","ZYPREXA RELPREVV","1 MG",1,1,405,405
"J9305","Pemetrexed injection","Eli Lilly and Company","00002764001","00002-7640-01","Alimta","10 MG",1,1,10,10
"J1610","Glucagon hydrochloride/1 MG","Eli Lilly and Company","00002803101","00002-8031-01","Glucagon Emergency","1 MG",1,1,1,1
"J1815","Insulin injection","Eli Lilly and Company","00002821501","00002-8215-01","Humulin R","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002821501","00002-8215-01","Humulin R","50 UNITS",10,1,20,20
"J1815","Insulin injection","Eli Lilly and Company","00002821517","00002-8215-17","HUMULIN R ","5 UNITS",3,1,60,60
"J1815","Insulin injection","Eli Lilly and Company","00002821591","00002-8215-91","Humulin R","5 UNITS",10,1,200,200
"J1815","Insulin injection","Eli Lilly and Company","00002831501","00002-8315-01","Humulin N","5 UNITS",10,1,200,200
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002831501","00002-8315-01","Humulin N","50 UNITS",10,1,20,20
"J1815","Insulin injection","Eli Lilly and Company","00002831517","00002-8315-17","HUMULIN N","5 UNITS",3,1,60,60
"J1815","Insulin injection","Eli Lilly and Company","00002831591","00002-8315-91","HUMULIN N","5 UNITS",10,1,200,200
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002831591","00002-8315-91","HUMULIN N","50 UNITS",10,1,20,20
"J1815","Insulin injection","Eli Lilly and Company","00002850101","00002-8501-01","Humulin R","5 UNITS",20,1,2000,2000
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002850101","00002-8501-01","Humulin R","50 UNITS",20,1,200,200
"J1815","Insulin injection","Eli Lilly and Company","00002871501","00002-8715-01","Humulin 70/30","5 UNITS",10,1,200,200
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002871501","00002-8715-01","Humulin 70/30","50 UNITS",10,1,20,20
"J1815","Insulin injection","Eli Lilly and Company","00002871517","00002-8715-17","HUMULIN 70/30","5 UNITS",3,1,60,60
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002871517","00002-8715-17","HUMULIN 70/30","50 UNITS",3,1,6,6
"J1815","Insulin injection","Eli Lilly and Company","00002871591","00002-8715-91","HUMULIN 70/30","50 UNITS",10,1,20,20
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002871591","00002-8715-91","HUMULIN 70/30","50 UNITS",10,1,20,20
"J1815","Insulin injection","Eli Lilly and Company","00002872559","00002-8725-59","Humalog Pen","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002872559","00002-8725-59","Humalog Pen","50 UNITS",3,5,6,30
"J1815","Insulin injection","Eli Lilly and Company","00002873059","00002-8730-59","Humulin N Pen","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002873059","00002-8730-59","Humulin N Pen","50 UNITS",3,5,6,30
"J1815","Insulin injection","Eli Lilly and Company","00002877059","00002-8770-59","Humulin 70/30 Pen","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002877059","00002-8770-59","Humulin 70/30 Pen","50 UNITS",3,5,6,30
"J1815","Insulin injection","Eli Lilly and Company","00002879459","00002-8794-59","Humalog Mix 75/25 Pen","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002879459","00002-8794-59","Humalog Mix 75/25 Pen","50 UNITS",3,5,6,30
"J1815","Insulin injection","Eli Lilly and Company","00002951501","00002-9515-01","Humulin 50/50","5 UNITS",10,1,200,200
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002951501","00002-9515-01","Humulin 50/50","50 UNITS",10,1,20,20
"J3301","Triamcinolone acet inj NOS","Bristol-Myers Squibb Company","00003029305","00003-0293-05","Kenalog","10 MG",1,1,4,4
"J3301","Triamcinolone acet inj NOS","Bristol-Myers Squibb Company","00003029320","00003-0293-20","Kenalog","10 MG",5,1,20,20
"J3301","Triamcinolone acet inj NOS","Bristol-Myers Squibb Company","00003029328","00003-0293-28","Kenalog","10 MG",10,1,40,40
"J3301","Triamcinolone acet inj NOS","Bristol-Myers Squibb Company","00003049420","00003-0494-20","Kenalog","10 MG",5,1,5,5
"J0129","Abatacept injection","Bristol-Myers Squibb Company","00003218710","00003-2187-10","Abatacept","10 MG",1,1,25,25
"J9228","Ipilimumab injection","Bristol-Myers Squibb Company","00003232711","00003-2327-11","YERVOY","1 mg",10,1,50,50
"J9228","Ipilimumab injection","Bristol-Myers Squibb Company","00003232822","00003-2328-22","YERVOY","1 mg",40,1,200,200
"J1740","Ibandronate sodium injection","Genentech, Inc.","00004018809","00004-0188-09","Ibandronate sodium","1 MG",3,1,3,3
"J1740","Ibandronate sodium injection","Genentech, Inc.","00004019109","00004-0191-09","BONIVA","1 MG",3,1,3,3
"J1626","Granisetron hcl injection","Genentech, Inc.","00004024009","00004-0240-09","Kytril","100 MCG",4,1,40,40
"Q0166","Granisetron hcl 1 mg oral","Roche Laboratories, Inc.","00004024126","00004-0241-26","Kytril","1 MG",20,1,20,20
"J7517","Mycophenolate mofetil oral","Genentech, Inc.","00004025901","00004-0259-01","Cellcept","250 MG",100,1,100,100
"J7517","Mycophenolate mofetil oral","Genentech, Inc.","00004025905","00004-0259-05","Cellcept","250 MG",120,12,120,1440
"J7517","Mycophenolate mofetil oral","Genentech, Inc.","00004025943","00004-0259-43","Cellcept","250 MG",500,1,500,500
"J7517","Mycophenolate mofetil oral","Genentech, Inc.","00004026001","00004-0260-01","Cellcept","250 MG",100,1,200,200
"J7517","Mycophenolate mofetil oral","Genentech, Inc.","00004026043","00004-0260-43","Cellcept","250 MG",500,1,1000,1000
"J7517","Mycophenolate mofetil oral","Genentech, Inc.","00004026129","00004-0261-29","Cellcept","250 MG",175,1,140,140
"J7513","Daclizumab, parenteral","Genentech, Inc.","00004050109","00004-0501-09","Zenapax","25 MG",5,1,1,1
"J8520","Capecitabine, oral, 150 mg","Genentech, Inc.","00004110020","00004-1100-20","Xeloda","150 MG",60,1,60,60
"J8521","Capecitabine, oral, 500 mg","Genentech, Inc.","00004110150","00004-1101-50","Xeloda","500 MG",120,1,120,120
"J8521","Capecitabine, oral, 500 mg","Genentech, Inc.","00004110175","00004-1101-75","Xeloda","500 MG",120,1,120,120
"J0696","Ceftriaxone sodium injection","Genentech, Inc.","00004196301","00004-1963-01","Rocephin","250 MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","Genentech, Inc.","00004196302","00004-1963-02","Rocephin","250 MG",1,1,2,2
"J0696","Ceftriaxone sodium injection","Genentech, Inc.","00004196401","00004-1964-01","Rocephin","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","Genentech, Inc.","00004196404","00004-1964-04","Rocephin","250 MG",1,1,4,4
"J1570","Ganciclovir sodium injection","Genentech, Inc.","00004694003","00004-6940-03","Cytovene","500 MG",1,25,1,25
"J8501","Oral aprepitant","Merck Sharp & Dohme Corp.","00006046102","00006-0461-02","Emend Bi-pack","5 MG",1,2,16,32
"J8501","Oral aprepitant","Merck Sharp & Dohme Corp.","00006046106","00006-0461-06","Emend","5 MG",1,6,16,96
"J8501","Oral aprepitant","Merck Sharp & Dohme Corp.","00006046206","00006-0462-06","Emend","5 MG",1,6,25,150
"J8501","Oral aprepitant","Merck Sharp & Dohme Corp.","00006046405","00006-0464-05","Emend","5 MG",1,5,8,40
"J8501","Oral aprepitant","Merck Sharp & Dohme Corp.","00006046410","00006-0464-10","Emend","5 MG",1,1,8,8
"J0743","Cilastatin sodium injection","Merck Sharp & Dohme Corp.","00006351458","00006-3514-58","Primaxin Iv","250 MG",1,25,1,25
"J0743","Cilastatin sodium injection","Merck Sharp & Dohme Corp.","00006351659","00006-3516-59","Primaxin Iv","250 MG",1,25,2,50
"J0743","Cilastatin sodium injection","Merck Sharp & Dohme Corp.","00006355158","00006-3551-58","Primaxin Iv","250 MG",1,25,1,25
"J0743","Cilastatin sodium injection","Merck Sharp & Dohme Corp.","00006355259","00006-3552-59","Primaxin IV","250 MG",1,25,2,50
"J0743","Cilastatin sodium injection","Merck Sharp & Dohme Corp.","00006358275","00006-3582-75","Primaxin Iv","250 MG",1,10,2,20
"J0637","Caspofungin acetate","Merck Sharp & Dohme Corp.","00006382210","00006-3822-10","Cancidas","5 MG",1,1,10,10
"J0637","Caspofungin acetate","Merck Sharp & Dohme Corp.","00006382310","00006-3823-10","Cancidas","5 MG",1,1,14,14
"J1335","Ertapenem injection","Merck Sharp & Dohme Corp.","00006384371","00006-3843-71","Invanz","500 MG",1,10,2,20
"J1335","Ertapenem injection","Merck Sharp & Dohme Corp.","00006384571","00006-3845-71","Invanz","500 MG",1,10,2,20
"J8501","Oral aprepitant","Merck Sharp & Dohme Corp.","00006386203","00006-3862-03","Emend Tri-Fold","5 MG",1,3,57,57
"J1453","Fosaprepitant injection","Merck Sharp & Dohme Corp.","00006388432","00006-3884-32","EMEND FOR INJECTION","1 MG",1,1,115,115
"J1453","Fosaprepitant injection","Merck Sharp & Dohme Corp.","00006394132","00006-3941-32","EMEND FOR INJECTION 150MG","1 MG",1,1,150,150
"90718","Td vaccine >/= 7 yo, im","Merck Sharp & Dohme Corp.","00006413341","00006-4133-41","Tetanus-Diphtheria Toxoids Td","0.5 ML",0.5,10,1,10
"90632","Hep a vaccine, adult im","Merck Sharp & Dohme Corp.","00006484100","00006-4841-00","Vaqta","1 ML",1,1,1,1
"90632","Hep a vaccine, adult im","Merck Sharp & Dohme Corp.","00006484141","00006-4841-41","Vaqta","1 ML",1,10,1,10
"J1652","Fondaparinux sodium","GlaxoSmithkline","00007323002","00007-3230-02","Arixtra","0.5 MG",0.5,2,5,10
"J1652","Fondaparinux sodium","GlaxoSmithkline","00007323011","00007-3230-11","Arixtra","0.5 MG",0.5,10,5,50
"J1652","Fondaparinux sodium","GlaxoSmithkline","00007323202","00007-3232-02","Arixtra","0.5 MG",0.4,2,10,20
"J1652","Fondaparinux sodium","GlaxoSmithkline","00007323211","00007-3232-11","Arixtra","0.5 MG",0.4,10,10,100
"J1652","Fondaparinux sodium","GlaxoSmithkline","00007323402","00007-3234-02","Arixtra","0.5 MG",0.6,2,15,30
"J1652","Fondaparinux sodium","GlaxoSmithkline","00007323411","00007-3234-11","Arixtra","0.5 MG",0.6,10,15,150
"J1652","Fondaparinux sodium","GlaxoSmithkline","00007323602","00007-3236-02","Arixtra","0.5 MG",0.8,2,20,40
"J1652","Fondaparinux sodium","GlaxoSmithkline","00007323611","00007-3236-11","Arixtra","0.5 MG",0.8,10,20,200
"J9351","Topotecan injection","GlaxoSmithkline","00007420101","00007-4201-01","Hycamtin","0.1 MG",1,1,40,40
"J9351","Topotecan injection","GlaxoSmithkline","00007420105","00007-4201-05","Hycamtin","0.1 MG",1,5,40,200
"J8705","Topotecan oral","GlaxoSmithkline","00007420511","00007-4205-11","Topotecan, oral ","0.25 mg",1,10,1,10
"J8705","Topotecan oral","GlaxoSmithkline","00007420711","00007-4207-11","Topotecan, oral ","0.25 mg",1,10,4,40
"J9261","Nelarabine injection","GlaxoSmithkline","00007440106","00007-4401-06","ARRANON","50 MG",50,6,5,30
"J7520","Sirolimus, oral","WYETH LLC","00008103006","00008-1030-06","Rapamune","1 MG",60,1,60,60
"J7520","Sirolimus, oral","WYETH LLC","00008104005","00008-1040-05","Rapamune","1 MG",100,1,50,50
"J7520","Sirolimus, oral","WYETH LLC","00008104010","00008-1040-10","Rapamune","1 MG",100,1,50,50
"J7520","Sirolimus, oral","WYETH LLC","00008104105","00008-1041-05","Rapamune","1 MG",100,1,100,100
"J7520","Sirolimus, oral","WYETH LLC","00008104110","00008-1041-10","Rapamune","1 MG",100,1,100,100
"J7520","Sirolimus, oral","WYETH LLC","00008104205","00008-1042-05","Rapamune","1 MG",100,1,200,200
"J9330","Temsirolimus injection","WYETH LLC","00008117901","00008-1179-01","TEMSIROLIMUS","1 MG",1,1,25,25
"J9300","Gemtuzumab ozogamicin inj","WYETH LLC","00008451001","00008-4510-01","Mylotarg","5 MG",1,1,1,1
"J3243","Tigecycline injection","WYETH LLC","00008499002","00008-4990-02","Tigecycline","1 MG",1,10,50,500
"J3243","Tigecycline injection","WYETH LLC","00008499020","00008-4990-20","Tigecycline","1 MG",1,10,50,500
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009000302","00009-0003-02","Solu-Medrol","125 MG",1,1,4,4
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009000501","00009-0005-01","Solu-Cortef","100 MG",1,1,10,10
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009001103","00009-0011-03","Solu-Cortef","100 MG",1,1,1,1
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009001104","00009-0011-04","Solu-Cortef","100 MG",1,25,1,25
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009001305","00009-0013-05","Solu-Cortef","100 MG",1,1,2.5,2.5
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009001306","00009-0013-06","Solu-Cortef","100 MG",1,25,2.5,62.5
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009001612","00009-0016-12","Solu-Cortef 500mg 4ml","100MG",1,1,5,5
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009001820","00009-0018-20","Solu-Medrol","125 MG",1,1,8,8
"J7509","Methylprednisolone oral","Pfizer, Inc.","00009002201","00009-0022-01","Medrol","4 MG",25,1,50,50
"J2920","Methylprednisolone injection","Pfizer, Inc.","00009003928","00009-0039-28","Solu-Medrol","40 MG",1,25,1,25
"J2920","Methylprednisolone injection","Pfizer, Inc.","00009003932","00009-0039-32","Solu-Medrol","40 MG",1,25,1,25
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009004722","00009-0047-22","Solu-Medrol","125 MG",1,25,1,25
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009004726","00009-0047-26","Solu-Medrol","125 MG",1,25,1,25
"J7509","Methylprednisolone oral","Pfizer, Inc.","00009004902","00009-0049-02","Medrol","4 MG",100,1,50,50
"J7509","Methylprednisolone oral","Pfizer, Inc.","00009005602","00009-0056-02","Medrol","4 MG",100,1,100,100
"J7509","Methylprednisolone oral","Pfizer, Inc.","00009005604","00009-0056-04","Medrol (Pak)","4 MG",21,1,21,21
"J7509","Methylprednisolone oral","Pfizer, Inc.","00009007301","00009-0073-01","Medrol","4 MG",50,1,200,200
"J2920","Methylprednisolone injection","Pfizer, Inc.","00009011319","00009-0113-19","Solu-Medrol","40 MG",1,25,1,25
"J7509","Methylprednisolone oral","Pfizer, Inc.","00009017601","00009-0176-01","Medrol","4 MG",25,1,200,200
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009019009","00009-0190-09","Solu-Medrol","125 MG",1,1,1,1
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009019016","00009-0190-16","Solu-Medrol","125 MG",1,25,1,25
"J1000","Depo-estradiol cypionate inj","Pfizer, Inc.","00009027101","00009-0271-01","Depo-Estradiol","5 MG",5,1,5,5
"J1020","Methylprednisolone 20 MG inj","Pfizer, Inc.","00009027401","00009-0274-01","Depo-Medrol","20 MG",5,1,5,5
"J1030","Methylprednisolone 40 MG inj","Pfizer, Inc.","00009028002","00009-0280-02","Depo-Medrol","40 MG",5,1,5,5
"J1030","Methylprednisolone 40 MG inj","Pfizer, Inc.","00009028003","00009-0280-03","Depo-Medrol","40 MG",10,1,10,10
"J1030","Methylprednisolone 40 MG inj","Pfizer, Inc.","00009028051","00009-0280-51","Depo-Medrol","40 MG",5,25,5,125
"J1030","Methylprednisolone 40 MG inj","Pfizer, Inc.","00009028052","00009-0280-52","Depo-Medrol","40 MG",10,25,10,250
"J1040","Methylprednisolone 80 MG inj","Pfizer, Inc.","00009030602","00009-0306-02","Depo-Medrol","80 MG",5,1,5,5
"J1040","Methylprednisolone 80 MG inj","Pfizer, Inc.","00009030612","00009-0306-12","Depo-Medrol","80 MG",5,25,5,125
"J1070","Testosterone cypionat 100 MG","Pfizer, Inc.","00009034702","00009-0347-02","Depo-Testosterone","100 MG",10,1,10,10
"J1080","Testosterone cypionat 200 MG","Pfizer, Inc.","00009041701","00009-0417-01","Depo-Testosterone","200 MG",1,1,1,1
"J1080","Testosterone cypionat 200 MG","Pfizer, Inc.","00009041702","00009-0417-02","Depo-Testosterone","200 MG",10,1,10,10
"J2010","Lincomycin injection","Pfizer, Inc.","00009055501","00009-0555-01","Lincocin","300 MG",2,1,2,2
"J2010","Lincomycin injection","Pfizer, Inc.","00009055502","00009-0555-02","Lincocin","300 MG",10,1,10,10
"J1051","Medroxyprogesterone inj","Pfizer, Inc.","00009062601","00009-0626-01","Depo-Provera","50 MG",2.5,1,20,20
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009069801","00009-0698-01","Solu-Medrol","125 MG",1,1,8,8
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009075801","00009-0758-01","Solu-Medrol","125 MG",1,1,4,4
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009076502","00009-0765-02","Solu-Medrol","125 MG",1,1,4,4
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009079601","00009-0796-01","Solu-Medrol","125 MG",1,1,16,16
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009082501","00009-0825-01","Solu-Cortef","100 MG",1,1,1,1
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009090013","00009-0900-13","Solu-Cortef","100 MG",1,1,1,1
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009090020","00009-0900-20","Solu-Cortef","100 MG",1,25,1,25
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009090908","00009-0909-08","Solu-Cortef","100 MG",1,1,2.5,2.5
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009090916","00009-0909-16","Solu-Cortef","100 MG",1,25,2.5,62.5
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009091205","00009-0912-05","Solu-Cortef","100 MG",1,1,5,5
"J1720","Hydrocortisone sodium succ i","Pfizer, Inc.","00009092003","00009-0920-03","Solu-Cortef","100 MG",1,1,10,10
"J1030","Methylprednisolone 40 MG inj","Pfizer, Inc.","00009307301","00009-3073-01","Depo-Medrol","40 MG",1,1,1,1
"J1030","Methylprednisolone 40 MG inj","Pfizer, Inc.","00009307303","00009-3073-03","Depo-Medrol","40 MG",1,25,1,25
"J1030","Methylprednisolone 40 MG inj","Pfizer, Inc.","00009307322","00009-3073-22","Depo-Medrol","40 MG",1,1,1,1
"J1030","Methylprednisolone 40 MG inj","Pfizer, Inc.","00009307323","00009-3073-23","Depo-Medrol","40 MG",1,25,1,25
"J0270","Alprostadil for injection","Pfizer, Inc.","00009316906","00009-3169-06","Prostin Vr","1.25 MCG",1,5,400,2000
"J2930","Methylprednisolone injection","Pfizer, Inc.","00009338901","00009-3389-01","Solu-Medrol","125 MG",1,1,8,8
"J1040","Methylprednisolone 80 MG inj","Pfizer, Inc.","00009347501","00009-3475-01","Depo-Medrol","80 MG",1,1,1,1
"J1040","Methylprednisolone 80 MG inj","Pfizer, Inc.","00009347503","00009-3475-03","Depo-Medrol","80 MG",1,25,1,25
"J1040","Methylprednisolone 80 MG inj","Pfizer, Inc.","00009347522","00009-3475-22","Depo-Medrol","80 MG",1,1,1,1
"J1040","Methylprednisolone 80 MG inj","Pfizer, Inc.","00009347523","00009-3475-23","Depo-Medrol","80 MG",1,25,1,25
"J0270","Alprostadil for injection","Pfizer, Inc.","00009370105","00009-3701-05","Caverject","1.25 MCG",1,6,16,96
"J1742","Ibutilide fumarate injection","Pfizer, Inc.","00009379401","00009-3794-01","Corvert","1 MG",10,1,1,1
"J1742","Ibutilide fumarate injection","Pfizer, Inc.","00009379422","00009-3794-22","Corvert","1 MG",10,1,1,1
"J1742","Ibutilide fumarate injection","Pfizer, Inc.","00009379444","00009-3794-44","Corvert","1 MG",10,1,1,1
"J9178","Inj, epirubicin hcl, 2 mg","Pfizer, Inc.","00009509101","00009-5091-01","Ellence","2 MG",25,1,25,25
"J9178","Inj, epirubicin hcl, 2 mg","Pfizer, Inc.","00009509301","00009-5093-01","Ellence","2 MG",100,1,100,100
"J2020","Linezolid injection","Pfizer, Inc.","00009513701","00009-5137-01","Zyvox","200 MG",100,1,1,1
"J2020","Linezolid injection","Pfizer, Inc.","00009514001","00009-5140-01","Zyvox","200 MG",300,1,3,3
"J0270","Alprostadil for injection","Pfizer, Inc.","00009518101","00009-5181-01","Caverject Impulse","1.25 MCG",1,2,8,16
"J0270","Alprostadil for injection","Pfizer, Inc.","00009518201","00009-5182-01","Caverject Impulse","1.25 MCG",1,2,16,32
"J7504","Lymphocyte immune globulin","Pfizer, Inc.","00009722402","00009-7224-02","Atgam","250 MG",5,5,1,5
"J9206","Irinotecan injection","Pfizer, Inc.","00009752901","00009-7529-01","Camptosar","20 MG",5,1,5,5
"J9206","Irinotecan injection","Pfizer, Inc.","00009752902","00009-7529-02","Camptosar","20 MG",2,1,2,2
"J9206","Irinotecan injection","Pfizer, Inc.","00009752903","00009-7529-03","Camptosar","20 MG",5,1,5,5
"J9206","Irinotecan injection","Pfizer, Inc.","00009752904","00009-7529-04","Camptosar","20 MG",2,1,2,2
"J9206","Irinotecan injection","Pfizer, Inc.","00009752905","00009-7529-05","Camptosar","20 MG",15,1,15,15
"J0270","Alprostadil for injection","Pfizer, Inc.","00009768604","00009-7686-04","Caverject","1.25 MCG",1,6,32,192
"J9211","Idarubicin hcl injection","Pfizer, Inc.","00013257691","00013-2576-91","Idamycin Pfs","5 MG",5,1,1,1
"J9211","Idarubicin hcl injection","Pfizer, Inc.","00013258691","00013-2586-91","Idamycin Pfs","5 MG",10,1,2,2
"J9211","Idarubicin hcl injection","Pfizer, Inc.","00013259691","00013-2596-91","Idamycin Pfs","5 MG",20,1,4,4
"J1190","Dexrazoxane HCl injection","Pfizer, Inc.","00013871562","00013-8715-62","Zinecard","250 MG",1,1,1,1
"J1190","Dexrazoxane HCl injection","Pfizer, Inc.","00013871762","00013-8717-62","Zinecard","250 MG",1,1,1,1
"J1190","Dexrazoxane HCl injection","Pfizer, Inc.","00013872589","00013-8725-89","Zinecard","250 MG",1,1,2,2
"J1190","Dexrazoxane HCl injection","Pfizer, Inc.","00013872789","00013-8727-89","Zinecard","250 MG",1,1,2,2
"J9070","Cyclophosphamide 100 MG inj","Bristol-Myers Squibb Company","00015050241","00015-0502-41","Cytoxan","100 MG",1,1,5,0.25
"J9070","Cyclophosphamide 100 MG inj","Bristol-Myers Squibb Company","00015050541","00015-0505-41","Cytoxan","100 MG",1,1,10,0.5
"J9070","Cyclophosphamide 100 MG inj","Bristol-Myers Squibb Company","00015050641","00015-0506-41","Cytoxan","100 MG",1,1,20,20
"J9208","Ifosfamide injection","Bristol-Myers Squibb Company","00015055605","00015-0556-05","Ifex","1 GM",1,1,1,1
"J9208","Ifosfamide injection","Bristol-Myers Squibb Company","00015055741","00015-0557-41","Ifex","1 GM",1,1,3,3
"J9207","Ixabepilone injection","Bristol-Myers Squibb Company","00015191012","00015-1910-12","IXABEPILONE","1 MG",1,1,15,15
"J9207","Ixabepilone injection","Bristol-Myers Squibb Company","00015191113","00015-1911-13","IXABEPILONE","1 MG",1,1,45,45
"J9050","Carmustine injection","Bristol-Myers Squibb Company","00015301260","00015-3012-60","BICNU","100 MG",1,1,1,1
"Q2017","Teniposide, 50 mg","Bristol-Myers Squibb Company","00015307519","00015-3075-19","Vumon","50 MG",5,1,1,1
"J9181","Etoposide injection","Bristol-Myers Squibb Company","00015340420","00015-3404-20","Etopophos","10 MG",1,5,10,50
"J9265","Paclitaxel injection","Bristol-Myers Squibb Company","00015347630","00015-3476-30","Taxol","30 MG",16.7,1,3.34,3.34
"J9265","Paclitaxel injection","Bristol-Myers Squibb Company","00015347911","00015-3479-11","Taxol","30 MG",50,1,10,10
"J9209","Mesna injection","Bristol-Myers Squibb Company","00015356302","00015-3563-02","Mesnex","200 MG",10,1,5,5
"J9209","Mesna injection","Bristol-Myers Squibb Company","00015356303","00015-3563-03","Mesnex","200 MG",10,10,5,50
"Q9958","HOCM <=149 mg/ml iodine, 1ml","Mallinckrodt","00019086207","00019-0862-07","Cysto-Conray Ii","1 ML",250,1,250,250
"Q9958","HOCM <=149 mg/ml iodine, 1ml","Mallinckrodt","00019086209","00019-0862-09","Cysto-Conray Ii","1 ML",500,1,500,500
"Q9958","HOCM <=149 mg/ml iodine, 1ml","Mallinckrodt","00019095211","00019-0952-11","Conray 30","1 ML",150,1,150,150
"Q9958","HOCM <=149 mg/ml iodine, 1ml","Mallinckrodt","00019095215","00019-0952-15","Conray 30","1 ML",50,50,50,2500
"Q9961","HOCM 250-299mg/ml iodine,1ml","Mallinckrodt","00019095309","00019-0953-09","Conray","1 ML",100,1,100,100
"Q9961","HOCM 250-299mg/ml iodine,1ml","Mallinckrodt","00019095311","00019-0953-11","Conray","1 ML",150,1,150,150
"Q9961","HOCM 250-299mg/ml iodine,1ml","Mallinckrodt","00019095313","00019-0953-13","Conray","1 ML",30,1,30,30
"Q9961","HOCM 250-299mg/ml iodine,1ml","Mallinckrodt","00019095315","00019-0953-15","Conray","1 ML",50,1,50,50
"Q9954","Oral MR contrast, 100 ml","Mallinckrodt","00019112006","00019-1120-06","Gastromark","100 ML",300,1,3,3
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117702","00019-1177-02","Optimark","1 ML",5,1,5,5
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117704","00019-1177-04","Optimark","1 ML",10,1,10,10
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117706","00019-1177-06","Optimark","1 ML",15,1,15,15
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117708","00019-1177-08","Optimark","1 ML",20,1,20,20
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117710","00019-1177-10","Optimark","1 ML",10,1,10,10
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117715","00019-1177-15","Optimark","1 ML",15,1,15,15
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117720","00019-1177-20","Optimark","1 ML",20,1,20,20
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117730","00019-1177-30","Optimark","1 ML",30,1,30,30
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117750","00019-1177-50","Optimark","1 ML",50,1,50,50
"Q9963","HOCM 350-399mg/ml iodine,1ml","Mallinckrodt","00019131707","00019-1317-07","Md-76R","1 ML",100,1,100,100
"Q9963","HOCM 350-399mg/ml iodine,1ml","Mallinckrodt","00019131709","00019-1317-09","Md-76R","1 ML",200,1,200,200
"Q9963","HOCM 350-399mg/ml iodine,1ml","Mallinckrodt","00019131715","00019-1317-15","Md-76R","1 ML",50,1,50,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132300","00019-1323-00","Optiray 320","1 ML",100,1,100,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132302","00019-1323-02","Optiray 320","1 ML",20,1,20,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132304","00019-1323-04","Optiray 320","1 ML",30,1,30,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132306","00019-1323-06","Optiray 320","1 ML",50,1,50,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132311","00019-1323-11","Optiray 320","1 ML",100,1,100,150
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132316","00019-1323-16","Optiray 320","1 ML",150,1,150,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132321","00019-1323-21","Optiray 320","1 ML",200,1,200,150
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132327","00019-1323-27","Optiray 320","1 ML",125,1,125,125
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132341","00019-1323-41","Optiray 320","1 ML",75,1,75,200
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132355","00019-1323-55","Optiray 320","1 ML",50,1,50,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132361","00019-1323-61","Optiray 320","1 ML",500,1,500,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132373","00019-1323-73","Optiray 320","1 ML",30,1,30,200
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132375","00019-1323-75","Optiray 320","1 ML",50,1,50,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132377","00019-1323-77","Optiray 320","1 ML",50,1,50,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132381","00019-1323-81","Optiray 320","1 ML",125,1,125,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132383","00019-1323-83","Optiray 320","1 ML",100,1,100,125
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132385","00019-1323-85","Optiray 320","1 ML",75,1,75,75
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132391","00019-1323-91","Optiray 320","1 ML",75,1,75,50
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132406","00019-1324-06","Optiray 240","1 ML",50,1,50,50
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132411","00019-1324-11","Optiray 240","1 ML",100,1,100,100
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132416","00019-1324-16","Optiray 240","1 ML",150,1,150,150
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132421","00019-1324-21","Optiray 240","1 ML",200,1,200,200
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132427","00019-1324-27","Optiray 240","1 ML",125,1,125,125
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132475","00019-1324-75","Optiray 240","1 ML",50,1,50,50
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132481","00019-1324-81","Optiray 240","1 ML",125,1,125,125
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133200","00019-1332-00","Optiray 300","1 ML",100,1,100,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133206","00019-1332-06","Optiray 300","1 ML",50,1,50,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133211","00019-1332-11","Optiray 300","1 ML",100,1,100,75
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133216","00019-1332-16","Optiray 300","1 ML",150,1,150,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133221","00019-1332-21","Optiray 300","1 ML",200,1,200,20
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133261","00019-1332-61","Optiray 300","1 ML",500,1,500,75
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133275","00019-1332-75","Optiray 300","1 ML",50,1,50,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133283","00019-1332-83","Optiray 300","1 ML",100,1,100,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133300","00019-1333-00","Oxilan 350","1 ML",100,1,100,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133306","00019-1333-06","Optiray 350","1 ML",50,1,50,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133311","00019-1333-11","Optiray 350","1 ML",100,1,100,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133316","00019-1333-16","Optiray 350","1 ML",150,1,150,250
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133321","00019-1333-21","Optiray 350","1 ML",200,1,200,200
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133327","00019-1333-27","Oxilan 350","1 ML",125,1,125,125
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133341","00019-1333-41","Optiray 350","1 ML",75,1,75,150
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133351","00019-1333-51","Optiray 350","1 ML",250,1,250,30
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133355","00019-1333-55","Oxilan 350","1 ML",250,1,250,250
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133361","00019-1333-61","Optiray 350","1 ML",500,1,500,200
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133375","00019-1333-75","Optiray 350","1 ML",50,1,50,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133377","00019-1333-77","Optiray 350","1 ML",50,1,50,75
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133381","00019-1333-81","Optiray 350","1 ML",125,1,125,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133383","00019-1333-83","Optiray 350","1 ML",100,1,100,125
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133385","00019-1333-85","Oxilan 350","1 ML",100,1,100,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133391","00019-1333-91","Optiray 350","1 ML",75,1,75,30
"Q9960","HOCM 200-249mg/ml iodine,1ml","Mallinckrodt","00019318309","00019-3183-09","Conray 43","1 ML",250,1,250,250
"Q9960","HOCM 200-249mg/ml iodine,1ml","Mallinckrodt","00019318315","00019-3183-15","Conray 43","1 ML",50,1,50,50
"Q9963","HOCM 350-399mg/ml iodine,1ml","Mallinckrodt","00019481604","00019-4816-04","Md GastrovieW","1 ML",30,1,30,30
"Q9963","HOCM 350-399mg/ml iodine,1ml","Mallinckrodt","00019481605","00019-4816-05","Md GastrovieW","1 ML",120,1,120,120
"Q9963","HOCM 350-399mg/ml iodine,1ml","Mallinckrodt","00019481606","00019-4816-06","Md GastrovieW","1 ML",240,1,240,240
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019550506","00019-5505-06","Hexabrix 320","1 ML",50,1,50,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019550508","00019-5505-08","Hexabrix 320","1 ML",100,1,100,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019550521","00019-5505-21","Hexabrix 320","1 ML",200,1,200,200
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019550551","00019-5505-51","Hexabrix 320","1 ML",20,1,20,20
"J0585","Injection,onabotulinumtoxinA","Allergan Sales, LLC","00023114501","00023-1145-01","Botox","1 UNIT",1,1,100,100
"J7312","Dexamethasone intra implant","Allergan Sales, LLC","00023334807","00023-3348-07","Ozurdex","0.1 mg",0.7,1,7,7
"J0585","Injection,onabotulinumtoxinA","Allergan Sales, LLC","00023391950","00023-3919-50","Botox Cosmetic","1 UNIT",1,1,50,50
"J0585","Injection,onabotulinumtoxinA","Allergan Sales, LLC","00023392102","00023-3921-02","Botox","1 UNIT",1,1,200,200
"J0585","Injection,onabotulinumtoxinA","Allergan Sales, LLC","00023923201","00023-9232-01","Botox","1 UNIT",1,1,100,100
"J9217","Leuprolide acetate suspnsion","SANOFI-AVENTIS","00024022205","00024-0222-05","Eligard","7.5 MG",1,1,3,3
"J9263","Oxaliplatin","SANOFI-AVENTIS","00024059010","00024-0590-10","Eloxatin","0.5 MG",10,1,100,100
"J9263","Oxaliplatin","SANOFI-AVENTIS","00024059120","00024-0591-20","Eloxatin","0.5 MG",20,1,200,200
"J9263","Oxaliplatin","SANOFI-AVENTIS","00024059240","00024-0592-40","Eloxatin","0.5 MG",40,1,400,400
"J9217","Leuprolide acetate suspnsion","SANOFI-AVENTIS","00024060545","00024-0605-45","Eligard","7.5 MG",1,1,6,6
"J9217","Leuprolide acetate suspnsion","SANOFI-AVENTIS","00024061030","00024-0610-30","Eligard","7.5 MG",1,1,4,4
"J9217","Leuprolide acetate suspnsion","SANOFI-AVENTIS","00024079375","00024-0793-75","Eligard","7.5 MG",1,1,1,1
"J2916","Na ferric gluconate complex","SANOFI-AVENTIS","00024279150","00024-2791-50","Ferrlecit","12.5 MG",5,10,5,50
"J2916","Na ferric gluconate complex","SANOFI-AVENTIS","00024279210","00024-2792-10","Ferrlecit","12.5 MG",5,10,5,50
"J2783","Rasburicase","SANOFI-AVENTIS","00024515010","00024-5150-10","Elitek","0.5 MG",1,3,3,9
"J2783","Rasburicase","SANOFI-AVENTIS","00024515175","00024-5151-75","Elitek","0.5 MG",7.5,1,15,15
"J8562","Oral fludarabine phosphate","SANOFI-AVENTIS","00024582020","00024-5820-20","OFORTA","10 MG",20,1,20,20
"J9043","Cabazitaxel injection","SANOFI-AVENTIS","00024582411","00024-5824-11","JEVTANA","1 MG",1,1,60,60
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026037220","00026-0372-20","Kogenate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026037230","00026-0372-30","Kogenate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026037250","00026-0372-50","Kogenate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026037920","00026-0379-20","KOGENATE FS BIO-SET","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026037930","00026-0379-30","KOGENATE FS BIO-SET","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026037950","00026-0379-50","KOGENATE FS BIO-SET","1 IU",1,1,1,1
"J7197","Antithrombin iii injection","Talecris Biotherapeutics, Inc.","00026060330","00026-0603-30","Thrombate Iii","1 IU",1,1,1,1
"90371","Hep b ig, im","Talecris Biotherapeutics, Inc.","00026063601","00026-0636-01","Bayhep B","1 ML",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026378220","00026-3782-20","KOGENATE FS FIXED POLY CLASSIC","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026378330","00026-3783-30","Kogenate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026378550","00026-3785-50","Kogenate FS","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026378660","00026-3786-60","Kogenate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026378770","00026-3787-70","KOGENATE FS 3000 ","1 I.U.",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026379220","00026-3792-20","KOGENATE FS FIXED POLY BIO-SET","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026379330","00026-3793-30","KOGENATE FS FIXED POLY BIO-SET","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026379550","00026-3795-50","KOGENATE FS BIO-SET","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026379660","00026-3796-60","Kogenate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Bayer HealthCare Pharmaceuticals Inc.","00026379770","00026-3797-70","KOGENATE FS 3000  BIO-SET","1 I.U.",1,1,1,1
"J0365","Aprotonin, 10,000 kiu","Bayer HealthCare Pharmaceuticals Inc.","00026819636","00026-8196-36","Trasylol","10000 KIU",100,1,100,100
"J0365","Aprotonin, 10,000 kiu","Bayer HealthCare Pharmaceuticals Inc.","00026819763","00026-8197-63","Trasylol","10000 KIU",200,1,200,200
"J9219","Leuprolide acetate implant","Bayer HealthCare Pharmaceuticals Inc.","00026971101","00026-9711-01","Viadur","65 MG",1,1,1,1
"J0698","Cefotaxime sodium injection","Baxter Healthcare Corporation   ","00039003705","00039-0037-05","Claforan In D5W","1 GM",50,1,1,1
"J0698","Cefotaxime sodium injection","Baxter Healthcare Corporation   ","00039003805","00039-0038-05","Claforan In D5W","1 GM",50,1,2,2
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","00045006555","00045-0065-55","Levaquin","250 MG",30,1,3,3
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","00045006601","00045-0066-01","Levaquin","250 MG",150,1,3,3
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","00045006701","00045-0067-01","Levaquin","250 MG",50,1,1,1
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","00045006801","00045-0068-01","Levaquin","250 MG",100,1,2,2
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","00045006951","00045-0069-51","Levaquin","250 MG",20,1,2,2
"J1631","Haloperidol decanoate inj","Janssen Pharmaceuticals, Inc","00045025301","00045-0253-01","Haldol Decanoate","50 MG",1,10,1,10
"J1631","Haloperidol decanoate inj","Janssen Pharmaceuticals, Inc","00045025303","00045-0253-03","Haldol Decanoate","50 MG",1,3,1,3
"J1631","Haloperidol decanoate inj","Janssen Pharmaceuticals, Inc","00045025414","00045-0254-14","Haldol Decanoate","50 MG",1,5,2,10
"J1630","Haloperidol injection","Janssen Pharmaceuticals, Inc","00045025501","00045-0255-01","Haldol","5 MG",1,10,1,10
"J1410","Inj estrogen conjugate 25 MG","WYETH LLC","00046074905","00046-0749-05","Premarin","25 MG",1,1,1,1
"J0295","Ampicillin sodium per 1.5 gm","Pfizer, Inc.","00049001383","00049-0013-83","Unasyn 1.5Gm","1.5 GM",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","Pfizer, Inc.","00049001483","00049-0014-83","Unasyn 3Gm","1.5 GM",1,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","Pfizer, Inc.","00049002283","00049-0022-83","Unasyn 1.5Gm Piggyback","1.5 GM",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","Pfizer, Inc.","00049002383","00049-0023-83","Unasyn 3Gm Piggyback","1.5 GM",1,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","Pfizer, Inc.","00049002428","00049-0024-28","Unasyn 15Gm","1.5 GM",1,1,10,10
"J0295","Ampicillin sodium per 1.5 gm","Pfizer, Inc.","00049003183","00049-0031-83","Unasyn 1.5Gm","1.5 GM",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","Pfizer, Inc.","00049003283","00049-0032-83","Unasyn 3Gm","1.5 GM",1,10,2,20
"J0348","Anidulafungin injection","Pfizer, Inc.","00049011428","00049-0114-28","ERAXIS","1 MG",1,1,50,50
"J0348","Anidulafungin injection","Pfizer, Inc.","00049011528","00049-0115-28","ANIDULAFUNGIN","1 MG",1,1,100,100
"J0348","Anidulafungin injection","Pfizer, Inc.","00049011628","00049-0116-28","ERAXIS","1 MG",1,1,100,100
"J2540","Penicillin g potassium inj","Pfizer, Inc.","00049052022","00049-0520-22","Pfizerpen-G","600000 UNITS",1,10,8.33,83.3
"J2540","Penicillin g potassium inj","Pfizer, Inc.","00049052044","00049-0520-44","Pfizerpen-G","600000 UNITS",1,10,8.33,83.3
"J2540","Penicillin g potassium inj","Pfizer, Inc.","00049052083","00049-0520-83","Pfizerpen-G","600000 UNITS",1,10,8.33,83.3
"J2540","Penicillin g potassium inj","Pfizer, Inc.","00049053022","00049-0530-22","Pfizerpen-G","600000 UNITS",1,1,33.33,33.33
"J2540","Penicillin g potassium inj","Pfizer, Inc.","00049053028","00049-0530-28","Pfizerpen-G","600000 UNITS",1,1,33.33,33.33
"J2540","Penicillin g potassium inj","Pfizer, Inc.","00049053044","00049-0530-44","Pfizerpen-G","600000 UNITS",1,1,33.33,33.33
"J0348","Anidulafungin injection","Pfizer, Inc.","00049101028","00049-1010-28","ANIDULAFUNGIN","1 MG",1,1,50,50
"J3465","Injection, voriconazole","Pfizer, Inc.","00049319028","00049-3190-28","Vfend Iv","10 MG",1,1,20,20
"J1450","Fluconazole","Pfizer, Inc.","00049337126","00049-3371-26","Diflucan In Sodium Chloride","200 MG",100,6,1,6
"J1450","Fluconazole","Pfizer, Inc.","00049337226","00049-3372-26","Diflucan In Sodium Chloride","200 MG",200,6,2,12
"J1450","Fluconazole","Pfizer, Inc.","00049343526","00049-3435-26","Diflucan In Sodium Chloride","200 MG",100,6,1,6
"J1450","Fluconazole","Pfizer, Inc.","00049343626","00049-3436-26","Diflucan In Sodium Chloride","200 MG",200,6,2,12
"J1450","Fluconazole","Pfizer, Inc.","00049343726","00049-3437-26","DIFLUCAN IV","200 MG",100,6,1,6
"J1450","Fluconazole","Pfizer, Inc.","00049343826","00049-3438-26","DIFLUCAN IV","200 MG",200,6,2,12
"J3486","Ziprasidone mesylate","Pfizer, Inc.","00049392083","00049-3920-83","Geodon","10 MG",1,10,2,20
"Q0167","Dronabinol 2.5mg oral","Abbott Laboratories, Inc.","00051002121","00051-0021-21","Marinol","2.5 MG",60,1,60,60
"Q0168","Dronabinol 5mg oral","Abbott Laboratories, Inc.","00051002221","00051-0022-21","Marinol","5 MG",60,1,60,60
"Q0168","Dronabinol 5mg oral","Abbott Laboratories, Inc.","00051002321","00051-0023-21","Marinol","5 MG",60,1,120,120
"90585","Bcg vaccine, percut","Organon USA, Inc.","00052060202","00052-0602-02","Tice Bcg","50 MG",1,1,1,1
"90586","Bcg vaccine, intravesical","Organon USA, Inc.","00052060202","00052-0602-02","Tice Bcg","1 EACH",1,1,1,1
"J9031","Bcg live intravesical vac","Organon USA, Inc.","00052060202","00052-0602-02","Tice Bcg","1 EA",1,1,1,1
"90585","Bcg vaccine, percut","Organon USA, Inc.","00052060302","00052-0603-02","Tice Bcg","50 MG",1,1,1,1
"90586","Bcg vaccine, intravesical","Organon USA, Inc.","00052060302","00052-0603-02","Tice Bcg","1 EACH",1,1,1,1
"J9031","Bcg live intravesical vac","Organon USA, Inc.","00052060302","00052-0603-02","Tice Bcg","1 EA",1,1,1,1
"J7193","Factor IX non-recombinant","CSL Behring","00053623302","00053-6233-02","Mononine","1 IU",1,1,1,1
"J0256","Alpha 1 proteinase inhibitor","CSL Behring","00053720102","00053-7201-02","Zemaira","10 MG",1,1,0.1,0.1
"J7187","Humate-P, inj","CSL Behring","00053761505","00053-7615-05","Humate-P","1 IU",1,1,1,1
"J7187","Humate-P, inj","CSL Behring","00053761510","00053-7615-10","Humate-P","1 IU",1,1,1,1
"J7187","Humate-P, inj","CSL Behring","00053761520","00053-7615-20","Humate-P","1 IU",1,1,1,1
"J7190","Factor viii","CSL Behring","00053763302","00053-7633-02","MONOCLATE-P","1 IU",1,1,1,1
"J7190","Factor viii","CSL Behring","00053763402","00053-7634-02","MONOCLATE-P","1 IU",1,1,1,1
"J7190","Factor viii","CSL Behring","00053765604","00053-7656-04","Monoclate-P","1 IU",1,1,1,1
"J7190","Factor viii","CSL Behring","00053765605","00053-7656-05","Monoclate-P","1 IU",1,1,1,1
"J7193","Factor IX non-recombinant","CSL Behring","00053766804","00053-7668-04","Mononine","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","CSL Behring","00053813001","00053-8130-01","Helixate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","CSL Behring","00053813002","00053-8130-02","Helixate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","CSL Behring","00053813004","00053-8130-04","Helixate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","CSL Behring","00053813005","00053-8130-05","Helixate Fs","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","CSL Behring","00053813102","00053-8131-02","HELIXATE FS","1 iu",1,1,1,1
"J7192","Factor viii recombinant NOS","CSL Behring","00053813202","00053-8132-02","HELIXATE FS","1 iu",1,1,1,1
"J7192","Factor viii recombinant NOS","CSL Behring","00053813302","00053-8133-02","HELIXATE FS","1 iu",1,1,1,1
"J7192","Factor viii recombinant NOS","CSL Behring","00053813402","00053-8134-02","HELIXATE FS","1 iu",1,1,1,1
"J7192","Factor viii recombinant NOS","CSL Behring","00053813502","00053-8135-02","Helixate FS 3000","1 I.U.",1,1,1,1
"J7608","Acetylcysteine non-comp unit","Roxane Laboratories, Inc.","00054302502","00054-3025-02","Acetylcysteine","1 GM",30,3,3,9
"J7608","Acetylcysteine non-comp unit","Roxane Laboratories, Inc.","00054302602","00054-3026-02","Acetylcysteine","1 GM",30,3,6,18
"J7608","Acetylcysteine non-comp unit","Roxane Laboratories, Inc.","00054302702","00054-3027-02","Acetylcysteine","1 GM",10,3,1,3
"J7608","Acetylcysteine non-comp unit","Roxane Laboratories, Inc.","00054302802","00054-3028-02","Acetylcysteine","1 GM",10,3,2,6
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054372144","00054-3721-44","Prednisone Intensol","5 MG",30,1,30,30
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054372250","00054-3722-50","Prednisone","5 MG",120,1,24,24
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054372263","00054-3722-63","Prednisone","5 MG",500,1,100,100
"J7500","Azathioprine oral 50mg","Roxane Laboratories, Inc.","00054408425","00054-4084-25","Azathioprine","50 MG",100,1,100,100
"J8530","Cyclophosphamide oral 25 MG","Roxane Laboratories, Inc.","00054412925","00054-4129-25","Cyclophosphamide","25 MG",100,1,100,100
"J8530","Cyclophosphamide oral 25 MG","Roxane Laboratories, Inc.","00054413025","00054-4130-25","Cyclophosphamide","25 MG",100,1,200,200
"J8610","Methotrexate oral 2.5 MG","Roxane Laboratories, Inc.","00054455015","00054-4550-15","Methotrexate","2.5 MG",36,1,36,36
"J8610","Methotrexate oral 2.5 MG","Roxane Laboratories, Inc.","00054455025","00054-4550-25","Methotrexate","2.5 MG",100,1,100,100
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054472825","00054-4728-25","Prednisone","5 MG",100,1,100,100
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054472831","00054-4728-31","Prednisone","5 MG",1000,1,1000,1000
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054474125","00054-4741-25","Prednisone","5 MG",100,1,20,20
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054474131","00054-4741-31","Prednisone","5 MG",1000,1,200,200
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054474225","00054-4742-25","Prednisone","5 MG",100,1,50,50
"J7500","Azathioprine oral 50mg","Roxane Laboratories, Inc.","00054808425","00054-8084-25","Azathioprine","50 MG",100,1,100,100
"J8610","Methotrexate oral 2.5 MG","Roxane Laboratories, Inc.","00054855025","00054-8550-25","Methotrexate","2.5 MG",100,1,100,100
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054872216","00054-8722-16","Prednisone","5 MG",5,40,1,40
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054872425","00054-8724-25","Prednisone","5 MG",100,1,100,100
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054873925","00054-8739-25","Prednisone","5 MG",100,1,20,20
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054874025","00054-8740-25","Prednisone","5 MG",100,1,50,50
"J1267","Doripenem injection","ORTHO MCNEIL JANSSEN","00062401002","00062-4010-02","Doripenem ","10 MG",1,10,50,500
"J3300","Triamcinolone A inj PRS-free","Alcon Laboratories","00065054301","00065-0543-01","Triamcinolone Acetonide, Preservative Free","1 MG",1,1,40,40
"J0698","Cefotaxime sodium injection","Pfizer, Inc.","00069000302","00069-0003-02","Cefotaxime for Injection","1 GM",1,10,0.5,5
"J0713","Inj ceftazidime per 500 mg","Pfizer, Inc.","00069001101","00069-0011-01","CEFTAZIDIME","500 MG",1,10,2,20
"J0713","Inj ceftazidime per 500 mg","Pfizer, Inc.","00069001201","00069-0012-01","CEFTAZIDIME","500 MG",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","Pfizer, Inc.","00069001301","00069-0013-01","Ceftazidime","500 MG",1,10,1,10
"J0713","Inj ceftazidime per 500 mg","Pfizer, Inc.","00069001401","00069-0014-01","CEFTAZIDIME","500 MG",1,10,12,120
"J0698","Cefotaxime sodium injection","Pfizer, Inc.","00069002801","00069-0028-01","Cefotaxime for Injection","1 GM",1,10,10,100
"J0698","Cefotaxime sodium injection","Pfizer, Inc.","00069003721","00069-0037-21","Cefotaxime for Injection","1 GM",1,10,2,20
"J1644","Inj heparin sodium per 1000u","Pfizer, Inc.","00069004301","00069-0043-01","Heparin Sodium (Porcine)","1000 UNITS",2,25,2,50
"J0698","Cefotaxime sodium injection","Pfizer, Inc.","00069004404","00069-0044-04","Cefotaxime for Injection","1 GM",1,10,1,10
"J1644","Inj heparin sodium per 1000u","Pfizer, Inc.","00069005801","00069-0058-01","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250
"J1644","Inj heparin sodium per 1000u","Pfizer, Inc.","00069005901","00069-0059-01","Heparin Sodium (Porcine)","1000 UNITS",10,25,50,1250
"J1644","Inj heparin sodium per 1000u","Pfizer, Inc.","00069005903","00069-0059-03","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125
"J1644","Inj heparin sodium per 1000u","Pfizer, Inc.","00069006201","00069-0062-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250
"J3260","Tobramycin sulfate injection","Pfizer, Inc.","00069008802","00069-0088-02","Tobramycin Injection","80 MG",2,25,1,25
"J3260","Tobramycin sulfate injection","Pfizer, Inc.","00069009103","00069-0091-03","Tobramycin Injection","80 MG",30,10,15,150
"J2430","Pamidronate disodium /30 MG","Pfizer, Inc.","00069010701","00069-0107-01","Pamidronate Disodium","30 MG",10,1,1,1
"J2430","Pamidronate disodium /30 MG","Pfizer, Inc.","00069010901","00069-0109-01","Pamidronate Disodium","30 MG",10,1,3,3
"J0690","Cefazolin sodium injection","Pfizer, Inc.","00069031020","00069-0310-20","Cefazolin for Injection USP","500MG",1,25,1,25
"J0690","Cefazolin sodium injection","Pfizer, Inc.","00069031220","00069-0312-20","Cefazolin for Injection USP","500MG",1,25,2,50
"J2405","Ondansetron hcl injection","Pfizer, Inc.","00069070012","00069-0700-12","ONDANSETRON HCL","1 MG",50,6,32,192
"J3370","Vancomycin hcl injection","Pfizer, Inc.","00069258710","00069-2587-10","Vancomycin HCl","500 MG",1,10,1,10
"J3370","Vancomycin hcl injection","Pfizer, Inc.","00069258910","00069-2589-10","Vancomycin HCl","500 MG",1,10,2,20
"J3370","Vancomycin hcl injection","Pfizer, Inc.","00069259001","00069-2590-01","Vancomycin HCl","500 MG",1,1,10,10
"J9000","Doxorubicin hcl injection","Pfizer, Inc.","00069303020","00069-3030-20","Doxorubicin Hcl","10 MG",5,1,1,1
"J9000","Doxorubicin hcl injection","Pfizer, Inc.","00069303120","00069-3031-20","Doxorubicin Hcl","10 MG",10,1,2,2
"J9000","Doxorubicin hcl injection","Pfizer, Inc.","00069303220","00069-3032-20","Doxorubicin Hcl","10 MG",25,1,5,5
"J9000","Doxorubicin hcl injection","Pfizer, Inc.","00069303320","00069-3033-20","Doxorubicin Hcl","10 MG",75,1,15,15
"J9000","Doxorubicin hcl injection","Pfizer, Inc.","00069303420","00069-3034-20","Doxorubicin Hcl","10 MG",100,1,20,20
"J0456","Azithromycin","Pfizer, Inc.","00069315014","00069-3150-14","Zithromax","500 MG",10,1,10,10
"J0456","Azithromycin","Pfizer, Inc.","00069315083","00069-3150-83","Zithromax","500 MG",1,10,1,10
"J0744","Ciprofloxacin iv","Pfizer, Inc.","00069324122","00069-3241-22","CIPROFLOXACIN","200 MG",20,10,1,10
"J0744","Ciprofloxacin iv","Pfizer, Inc.","00069334222","00069-3342-22","CIPROFLOXACIN","200 MG",40,10,2,20
"J9201","Gemcitabine hcl injection","Pfizer, Inc.","00069385710","00069-3857-10","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1
"J9201","Gemcitabine hcl injection","Pfizer, Inc.","00069385810","00069-3858-10","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5
"J9201","Gemcitabine hcl injection","Pfizer, Inc.","00069385910","00069-3859-10","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,10,10
"J0744","Ciprofloxacin iv","Pfizer, Inc.","00069439519","00069-4395-19","CIPROFLOXACIN IN DEXTROSE","200 MG",100,24,1,24
"J0744","Ciprofloxacin iv","Pfizer, Inc.","00069439627","00069-4396-27","CIPROFLOXACIN IN DEXTROSE","200 MG",200,24,2,48
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448003","00069-4480-03","Ceftriaxone for Injection USP","250MG",1,1,1,1
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448010","00069-4480-10","Ceftriaxone for Injection USP","250MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448103","00069-4481-03","Ceftriaxone for Injection USP","250MG",1,1,2,2
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448110","00069-4481-10","Ceftriaxone for Injection USP","250MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448203","00069-4482-03","Ceftriaxone for Injection USP","250MG",1,1,4,4
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448210","00069-4482-10","Ceftriaxone for Injection USP","250MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448303","00069-4483-03","Ceftriaxone for Injection USP","250MG",1,1,8,8
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448310","00069-4483-10","Ceftriaxone for Injection USP","250MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448401","00069-4484-01","CEFTRIAXONE ","250 MG",1,1,40,40
"J1100","Dexamethasone sodium phos","Pfizer, Inc.","00069454102","00069-4541-02","Dexamethasone Sodium Phosphate","1 MG",10,10,100,1000
"J1100","Dexamethasone sodium phos","Pfizer, Inc.","00069454302","00069-4543-02","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500
"J1100","Dexamethasone sodium phos","Pfizer, Inc.","00069454502","00069-4545-02","Dexamethasone Sodium Phosphate","1 MG",30,25,120,3000
"J1100","Dexamethasone sodium phos","Pfizer, Inc.","00069454702","00069-4547-02","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100
"Q2009","Fosphenytoin inj PE","Pfizer, Inc.","00071400705","00071-4007-05","Cerebyx","50 MG PE/ML",2,25,2,50
"Q2009","Fosphenytoin inj PE","Pfizer, Inc.","00071400810","00071-4008-10","Cerebyx","50 MG PE/ML",10,10,10,100
"J7110","Dextran 75 infusion","HOSPIRA, INC","00074150703","00074-1507-03","Dextran 75 In D5W","500 ML",500,12,1,12
"J2501","Paricalcitol","Abbott Laboratories, Inc.","00074165801","00074-1658-01","Zemplar","1 MCG",1,100,5,500
"J2501","Paricalcitol","Abbott Laboratories, Inc.","00074165802","00074-1658-02","Zemplar","1 MCG",2,100,10,1000
"J2501","Paricalcitol","Abbott Laboratories, Inc.","00074165805","00074-1658-05","Zemplar","1 MCG",2,100,10,1000
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00074210803","00074-2108-03","Lupron Depot-Ped 7.5mg","7.5 MG",1,1,1,1
"J1950","Leuprolide acetate /3.75 MG","Abbott Laboratories, Inc.","00074228203","00074-2282-03","Lupron Depot-Ped 11.25mg","3.75 MG",1,1,3,3
"J1170","Hydromorphone injection","Abbott Laboratories, Inc.","00074233211","00074-2332-11","Dilaudid","4 MG",1,10,0.25,2.5
"J1170","Hydromorphone injection","Abbott Laboratories, Inc.","00074233311","00074-2333-11","Dilaudid","4 MG",1,10,0.5,5
"J1170","Hydromorphone injection","Abbott Laboratories, Inc.","00074233326","00074-2333-26","Dilaudid","4 MG",1,25,0.5,12.5
"J1170","Hydromorphone injection","Abbott Laboratories, Inc.","00074233411","00074-2334-11","Dilaudid","4 MG",1,10,1,10
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00074244003","00074-2440-03","Lupron Depot-Ped 15mg","7.5 MG",1,1,2,2
"J1170","Hydromorphone injection","Abbott Laboratories, Inc.","00074245311","00074-2453-11","Dilaudid-Hp","10 MG",1,10,1,10
"J1170","Hydromorphone injection","Abbott Laboratories, Inc.","00074245327","00074-2453-27","Dilaudid-Hp","10 MG",5,10,1,50
"J1170","Hydromorphone injection","Abbott Laboratories, Inc.","00074245531","00074-2455-31","Dilaudid-Hp","10 MG",1,1,25,25
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00074334603","00074-3346-03","Lupron Depot-3 month 22.5mg kit","7.5 MG",1,1,3,3
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00074347303","00074-3473-03","LUPRON DEPOT 6-MONTH, 45MG ","7.5 MG",1,1,6,6
"J1950","Leuprolide acetate /3.75 MG","Abbott Laboratories, Inc.","00074364103","00074-3641-03","LUPRON DEPOT 3.75MG ","3.75 MG",1,1,1,1
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00074364203","00074-3642-03","Lupron Depot 7.5 mg kit","7.5 MG",1,1,1,1
"J1950","Leuprolide acetate /3.75 MG","Abbott Laboratories, Inc.","00074366303","00074-3663-03","LUPRON DEPOT 3-MONTH, 11.25MG ","3.75 MG",1,1,3,3
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00074368303","00074-3683-03","LUPRON DEPOT 4-MONTH, 30MG ","7.5 MG",1,1,4,4
"J1950","Leuprolide acetate /3.75 MG","Abbott Laboratories, Inc.","00074377903","00074-3779-03","LUPRON DEPOT-PED 3-MONTH, 11.25MG ","3.75 mg",1,1,3,3
"J0135","Adalimumab injection","Abbott Laboratories, Inc.","00074379902","00074-3799-02","Humira","20 MG",0.8,2,2,4
"J0135","Adalimumab injection","Abbott Laboratories, Inc.","00074433902","00074-4339-02","Humira","20 MG",0.8,2,2,4
"J0135","Adalimumab injection","Abbott Laboratories, Inc.","00074433906","00074-4339-06","Humira","20 MG",0.8,6,2,12
"J0135","Adalimumab injection","Abbott Laboratories, Inc.","00074433907","00074-4339-07","Humira","20 MG",0.8,4,2,8
"J2501","Paricalcitol","Abbott Laboratories, Inc.","00074463701","00074-4637-01","Zemplar","1 MCG",25,4,50,200
"J7515","Cyclosporine oral 25 mg","Abbott Laboratories, Inc.","00074646332","00074-6463-32","Gengraf","25 MG",30,1,30,30
"J7502","Cyclosporine oral 100 mg","Abbott Laboratories, Inc.","00074647932","00074-6479-32","Gengraf","100 MG",30,1,30,30
"J7502","Cyclosporine oral 100 mg","Abbott Laboratories, Inc.","00074726950","00074-7269-50","Gengraf","100 MG",50,1,50,50
"J0636","Inj calcitriol per 0.1 mcg","Abbott Laboratories, Inc.","00074811031","00074-8110-31","Calcijex","0.1 MCG",1,100,10,1000
"J0135","Adalimumab injection","Abbott Laboratories, Inc.","00074937402","00074-9374-02","Humira","20 MG",0.4,2,1,2
"J1950","Leuprolide acetate /3.75 MG","Abbott Laboratories, Inc.","00074969403","00074-9694-03","LUPRON DEPOT-PED  3-MONTH, 30 MG ","3.75 mg",1,1,8,8
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062040","00075-0620-40","Lovenox","10 MG",0.4,10,4,40
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062041","00075-0620-41","Lovenox","10 MG",0.4,10,4,40
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062160","00075-0621-60","Lovenox","10 MG",0.6,10,6,60
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062161","00075-0621-61","Lovenox","10 MG",0.6,10,6,60
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062280","00075-0622-80","Lovenox","10 MG",0.8,10,8,80
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062281","00075-0622-81","Lovenox","10 MG",0.8,10,8,80
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062300","00075-0623-00","Lovenox","10 MG",1,10,10,100
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062301","00075-0623-01","Lovenox","10 MG",1,10,10,100
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062430","00075-0624-30","Lovenox","10 MG",0.3,10,3,30
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062431","00075-0624-31","Lovenox","10 MG",0.3,10,3,30
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062603","00075-0626-03","Lovenox","10 MG",3,1,30,30
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075062604","00075-0626-04","Lovenox","10 MG",3,1,30,30
"J2597","Inj desmopressin acetate","SANOFI-AVENTIS","00075245101","00075-2451-01","Ddavp","1 MCG",1,10,4,40
"J2597","Inj desmopressin acetate","SANOFI-AVENTIS","00075245153","00075-2451-53","Ddavp","1 MCG",10,1,40,40
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075291201","00075-2912-01","Lovenox","10 MG",0.8,10,12,120
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075291202","00075-2912-02","Lovenox","10 MG",0.8,10,12,120
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075291501","00075-2915-01","Lovenox","10 MG",1,10,15,150
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075291502","00075-2915-02","Lovenox","10 MG",1,10,15,150
"J9171","Docetaxel injection","SANOFI-AVENTIS","00075800120","00075-8001-20","Taxotere","1 MG",0.5,1,20,20
"J9171","Docetaxel injection","SANOFI-AVENTIS","00075800180","00075-8001-80","Taxotere","1 MG",2,1,80,80
"J9171","Docetaxel injection","SANOFI-AVENTIS","00075800301","00075-8003-01","Taxotere","1 MG",1,1,20,20
"J9171","Docetaxel injection","SANOFI-AVENTIS","00075800404","00075-8004-04","Taxotere","1 MG",4,1,80,80
"J2210","Methylergonovin maleate inj","Novartis Pharmaceuticals Corporation","00078005303","00078-0053-03","Methergine","0.2 MG",1,20,1,20
"J7516","Cyclosporin parenteral 250mg","Novartis Pharmaceuticals Corporation","00078010901","00078-0109-01","Sandimmune","250 MG",5,10,1,10
"J7502","Cyclosporine oral 100 mg","Novartis Pharmaceuticals Corporation","00078011022","00078-0110-22","Sandimmune","100 MG",50,1,50,50
"J0630","Calcitonin salmon injection","Novartis Pharmaceuticals Corporation","00078014923","00078-0149-23","Miacalcin","400 UNITS",2,1,1,1
"J2354","Octreotide inj, non-depot","Novartis Pharmaceuticals Corporation","00078018001","00078-0180-01","Sandostatin","25 MCG",1,10,2,20
"J2354","Octreotide inj, non-depot","Novartis Pharmaceuticals Corporation","00078018101","00078-0181-01","Sandostatin","25 MCG",1,10,4,40
"J2354","Octreotide inj, non-depot","Novartis Pharmaceuticals Corporation","00078018201","00078-0182-01","Sandostatin","25 MCG",1,10,20,200
"J2354","Octreotide inj, non-depot","Novartis Pharmaceuticals Corporation","00078018325","00078-0183-25","Sandostatin","25 MCG",5,1,40,40
"J2354","Octreotide inj, non-depot","Novartis Pharmaceuticals Corporation","00078018425","00078-0184-25","Sandostatin","25 MCG",5,1,200,200
"J7515","Cyclosporine oral 25 mg","Novartis Pharmaceuticals Corporation","00078024015","00078-0240-15","Sandimmune","25 MG",30,1,30,30
"J7502","Cyclosporine oral 100 mg","Novartis Pharmaceuticals Corporation","00078024115","00078-0241-15","Sandimmune","100 MG",30,1,30,30
"J7515","Cyclosporine oral 25 mg","Novartis Pharmaceuticals Corporation","00078024615","00078-0246-15","Neoral","25 MG",30,1,30,30
"J7502","Cyclosporine oral 100 mg","Novartis Pharmaceuticals Corporation","00078024815","00078-0248-15","Neoral","100 MG",30,1,30,30
"J7502","Cyclosporine oral 100 mg","Novartis Pharmaceuticals Corporation","00078027422","00078-0274-22","Neoral","100 MG",50,1,50,50
"J0480","Basiliximab","Novartis Pharmaceuticals Corporation","00078033184","00078-0331-84","Simulect","20 MG",1,1,1,1
"J2353","Octreotide injection, depot","Novartis Pharmaceuticals Corporation","00078034061","00078-0340-61","Sandostatin Lar Depot","1 MG",1,1,10,10
"J2353","Octreotide injection, depot","Novartis Pharmaceuticals Corporation","00078034161","00078-0341-61","Sandostatin Lar Depot","1 MG",1,1,20,20
"J2353","Octreotide injection, depot","Novartis Pharmaceuticals Corporation","00078034261","00078-0342-61","Sandostatin Lar Depot","1 MG",1,1,30,30
"J0895","Deferoxamine mesylate inj","Novartis Pharmaceuticals Corporation","00078034751","00078-0347-51","Desferal","500 MG",4,1,16,16
"J7518","Mycophenolic acid","Novartis Pharmaceuticals Corporation","00078038566","00078-0385-66","Myfortic","180 MG",120,1,120,120
"J7518","Mycophenolic acid","Novartis Pharmaceuticals Corporation","00078038666","00078-0386-66","Myfortic","180 MG",120,1,240,240
"J3487","Zoledronic acid","Novartis Pharmaceuticals Corporation","00078038725","00078-0387-25","Zometa","1 MG",5,1,4,4
"J0480","Basiliximab","Novartis Pharmaceuticals Corporation","00078039361","00078-0393-61","Simulect","20 MG",1,1,0.5,0.5
"J8561","Oral everolimus","Novartis Pharmaceuticals Corporation","00078041420","00078-0414-20","Zortress","0.25mg",60,1,120,120
"J8561","Oral everolimus","Novartis Pharmaceuticals Corporation","00078041520","00078-0415-20","Zortress","0.25mg",60,1,180,180
"J8561","Oral everolimus","Novartis Pharmaceuticals Corporation","00078041720","00078-0417-20","Zortress","0.25mg",60,1,60,60
"J3488","Reclast injection","Novartis Pharmaceuticals Corporation","00078043561","00078-0435-61","Reclast","1 MG",100,1,5,5
"J3396","Verteporfin injection","Novartis Pharmaceuticals Corporation","00078043761","00078-0437-61","Visudyne","0.1 MG",1,1,150,150
"J2430","Pamidronate disodium /30 MG","Novartis Pharmaceuticals Corporation","00078046391","00078-0463-91","Aredia","30 MG",1,4,1,4
"J2430","Pamidronate disodium /30 MG","Novartis Pharmaceuticals Corporation","00078046461","00078-0464-61","Aredia","30 MG",1,1,3,3
"J0895","Deferoxamine mesylate inj","Novartis Pharmaceuticals Corporation","00078046791","00078-0467-91","Desferal","500 MG",1,4,1,4
"J7682","Tobramycin non-comp unit","Novartis Pharmaceuticals Corporation","00078049471","00078-0494-71","TOBI","300 MG",5,56,1,56
"J9015","Aldesleukin injection","Novartis Pharmaceuticals Corporation","00078049561","00078-0495-61","Proleukin","1 EA",1,1,1,1
"J0638","Canakinumab injection","Novartis Pharmaceuticals Corporation","00078058261","00078-0582-61","ILARIS","1 MG",180,1,180,180
"J3487","Zoledronic acid","Novartis Pharmaceuticals Corporation","00078059061","00078-0590-61","Zometa","1 MG",100,1,4,4
"J9214","Interferon alfa-2b inj","Schering Corporation","00085053901","00085-0539-01","Intron-A","1 MIL UNITS",1,1,50,50
"J0702","Betamethasone acet&sod phosp","Schering Corporation","00085056605","00085-0566-05","Celestone Soluspan","3 MG + 3 MG",5,1,5,5
"J9214","Interferon alfa-2b inj","Schering Corporation","00085057102","00085-0571-02","Intron-A","1 MIL UNITS",1,1,10,10
"J9214","Interferon alfa-2b inj","Schering Corporation","00085111001","00085-1110-01","Intron-A","1 MIL UNITS",1,1,18,18
"J9214","Interferon alfa-2b inj","Schering Corporation","00085113301","00085-1133-01","Intron-A","1 MIL UNITS",2.5,1,25,25
"J1327","Eptifibatide injection","Schering Corporation","00085113601","00085-1136-01","Integrilin","5 MG",100,1,15,15
"J9214","Interferon alfa-2b inj","Schering Corporation","00085116801","00085-1168-01","Intron-A","1 MIL UNITS",3,1,18,18
"J1327","Eptifibatide injection","Schering Corporation","00085117701","00085-1177-01","Integrilin","5 MG",10,1,4,4
"J1327","Eptifibatide injection","Schering Corporation","00085117702","00085-1177-02","Integrilin","5 MG",100,1,40,40
"J9214","Interferon alfa-2b inj","Schering Corporation","00085123501","00085-1235-01","Intron-A","1 MIL UNITS",1.5,1,30,30
"J9214","Interferon alfa-2b inj","Schering Corporation","00085124201","00085-1242-01","Intron-A","1 MIL UNITS",1.5,1,18,18
"J8700","Temozolomide","Schering Corporation","00085124401","00085-1244-01","Temodar","5 MG",1,5,4,20
"J8700","Temozolomide","Schering Corporation","00085124402","00085-1244-02","Temodar","5 MG",1,20,4,80
"J8700","Temozolomide","Schering Corporation","00085124801","00085-1248-01","Temodar","5 MG",1,5,1,5
"J8700","Temozolomide","Schering Corporation","00085124802","00085-1248-02","Temodar","5 MG",1,20,1,20
"J8700","Temozolomide","Schering Corporation","00085124803","00085-1248-03","Temodar","5 MG",1,14,1,14
"J8700","Temozolomide","Schering Corporation","00085125201","00085-1252-01","Temodar","5 MG",1,5,50,250
"J8700","Temozolomide","Schering Corporation","00085125202","00085-1252-02","Temodar","5 MG",1,20,50,1000
"J9214","Interferon alfa-2b inj","Schering Corporation","00085125401","00085-1254-01","Intron-A","1 MIL UNITS",1.5,1,60,60
"J8700","Temozolomide","Schering Corporation","00085125901","00085-1259-01","Temodar","5 MG",1,5,20,100
"J8700","Temozolomide","Schering Corporation","00085125902","00085-1259-02","Temodar","5 MG",1,20,20,400
"J8700","Temozolomide","Schering Corporation","00085136601","00085-1366-01","Temodar","5 MG",1,14,20,280
"J8700","Temozolomide","Schering Corporation","00085136602","00085-1366-02","Temodar","5 MG",1,5,20,100
"J9328","Temozolomide injection","Schering Corporation","00085138101","00085-1381-01","TEMODAR IV","1 MG",1,1,100,100
"J8700","Temozolomide","Schering Corporation","00085141701","00085-1417-01","Temodar","5 MG",1,5,50,250
"J8700","Temozolomide","Schering Corporation","00085142501","00085-1425-01","Temodar","5 MG",1,5,28,140
"J8700","Temozolomide","Schering Corporation","00085142502","00085-1425-02","Temodar","5 MG",1,14,28,392
"J8700","Temozolomide","Schering Corporation","00085143001","00085-1430-01","Temodar","5 MG",1,5,36,180
"J8700","Temozolomide","Schering Corporation","00085143002","00085-1430-02","Temodar","5 MG",1,14,36,504
"J8700","Temozolomide","Schering Corporation","00085151901","00085-1519-01","Temodar","5 MG",1,14,4,56
"J8700","Temozolomide","Schering Corporation","00085151902","00085-1519-02","Temodar","5 MG",1,5,4,20
"J2280","Inj, moxifloxacin 100 mg","Schering Corporation","00085173701","00085-1737-01","Avelox","100 MG",250,12,4,48
"J0744","Ciprofloxacin iv","Schering Corporation","00085174102","00085-1741-02","CIPROFLOXACIN","200 MG",200,24,2,48
"J0744","Ciprofloxacin iv","Schering Corporation","00085175502","00085-1755-02","CIPROFLOXACIN","200 MG",100,24,1,24
"J0744","Ciprofloxacin iv","Schering Corporation","00085178201","00085-1782-01","CIPROFLOXACIN","200 MG",200,12,2,24
"J8700","Temozolomide","Schering Corporation","00085300401","00085-3004-01","Temodar","5 MG",1,14,1,14
"J8700","Temozolomide","Schering Corporation","00085300402","00085-3004-02","Temodar","5 MG",1,5,1,5
"Q0180","Dolasetron mesylate oral","SANOFI-AVENTIS","00088120205","00088-1202-05","Anzemet","100 MG",5,1,2.5,2.5
"Q0180","Dolasetron mesylate oral","SANOFI-AVENTIS","00088120243","00088-1202-43","Anzemet","100 MG",10,1,5,5
"Q0180","Dolasetron mesylate oral","SANOFI-AVENTIS","00088120305","00088-1203-05","Anzemet","100 MG",5,1,5,5
"Q0180","Dolasetron mesylate oral","SANOFI-AVENTIS","00088120343","00088-1203-43","Anzemet","100 MG",10,1,10,10
"J1260","Dolasetron mesylate","SANOFI-AVENTIS","00088120632","00088-1206-32","Anzemet","10 MG",5,1,10,10
"J1260","Dolasetron mesylate","SANOFI-AVENTIS","00088120806","00088-1208-06","Anzemet","10 MG",0.625,6,1.25,7.5
"J1260","Dolasetron mesylate","SANOFI-AVENTIS","00088120926","00088-1209-26","Anzemet","10 MG",25,1,50,50
"J0600","Edetate calcium disodium inj","Graceway Pharmaceuticals (formerly 3M Pharmaceuticals)","00089051006","00089-0510-06","Calcium Disodium Versenate","1000 MG",5,6,1,6
"J2360","Orphenadrine injection","Graceway Pharmaceuticals (formerly 3M Pharmaceuticals)","00089054006","00089-0540-06","Norflex","60 MG",2,6,1,6
"J0270","Alprostadil for injection","Schwarz Pharma","00091111016","00091-1110-16","Edex","1.25 MCG",2,1,16,16
"J0270","Alprostadil for injection","Schwarz Pharma","00091111020","00091-1110-20","Edex","1.25 MCG",6,1,48,48
"J0270","Alprostadil for injection","Schwarz Pharma","00091112016","00091-1120-16","Edex","1.25 MCG",2,1,32,32
"J0270","Alprostadil for injection","Schwarz Pharma","00091112020","00091-1120-20","Edex","1.25 MCG",6,1,96,96
"J0270","Alprostadil for injection","Schwarz Pharma","00091114016","00091-1140-16","Edex","1.25 MCG",2,1,64,64
"J0270","Alprostadil for injection","Schwarz Pharma","00091114020","00091-1140-20","Edex","1.25 MCG",6,1,192,192
"J1980","Hyoscyamine sulfate inj","Schwarz Pharma","00091153605","00091-1536-05","Levsin","0.25 MG",1,5,2,10
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093023333","00093-0233-33","Ondansetron HCl","1 MG",1,3,4,12
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093023356","00093-0233-56","Ondansetron HCl","1 MG",1,30,4,120
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093023393","00093-0233-93","ONDANSETRON HCL","1 MG",1,100,4,400
"J7620","Albuterol ipratrop non-comp","TEVA PHARMACEUTICALS USA, INC.","00093672373","00093-6723-73","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","TEVA PHARMACEUTICALS USA, INC.","00093672374","00093-6723-74","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60
"J7626","Budesonide non-comp unit","TEVA PHARMACEUTICALS USA, INC.","00093681573","00093-6815-73","Budesonide","UP TO 0.50 MG",2,30,1,30
"J7626","Budesonide non-comp unit","TEVA PHARMACEUTICALS USA, INC.","00093681673","00093-6816-73","Budesonide","UP TO 0.50 MG",2,30,1,30
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093723633","00093-7236-33","Ondansetron HCl","1 MG",1,3,8,24
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093723656","00093-7236-56","Ondansetron HCl","1 MG",1,30,8,240
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093723693","00093-7236-93","Ondansetron HCl","1 MG",1,100,8,800
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093730165","00093-7301-65","Ondansetron HCl","1 MG",1,30,4,120
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093730203","00093-7302-03","Ondansetron HCl","1 MG",1,10,8,80
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093730265","00093-7302-65","Ondansetron HCl","1 MG",1,30,8,240
"J7517","Mycophenolate mofetil oral","TEVA PHARMACEUTICALS USA, INC.","00093733401","00093-7334-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100
"J7517","Mycophenolate mofetil oral","TEVA PHARMACEUTICALS USA, INC.","00093733405","00093-7334-05","MYCOPHENOLATE MOFETIL","250 mg",1,500,500,500
"J7517","Mycophenolate mofetil oral","TEVA PHARMACEUTICALS USA, INC.","00093733493","00093-7334-93","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100
"J7517","Mycophenolate mofetil oral","TEVA PHARMACEUTICALS USA, INC.","00093747701","00093-7477-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200
"J7517","Mycophenolate mofetil oral","TEVA PHARMACEUTICALS USA, INC.","00093747705","00093-7477-05","MYCOPHENOLATE MOFETIL","250 mg",1,500,1000,1000
"Q0166","Granisetron hcl 1 mg oral","TEVA PHARMACEUTICALS USA, INC.","00093748512","00093-7485-12","Granisetron HCL","1 MG",1,2,1,2
"Q0166","Granisetron hcl 1 mg oral","TEVA PHARMACEUTICALS USA, INC.","00093748520","00093-7485-20","Granisetron HCL","1 MG",1,20,1,20
"Q0164","Prochlorperazine maleate 5mg","TEVA PHARMACEUTICALS USA, INC.","00093964301","00093-9643-01","Prochlorperazine Maleate","5 MG",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","TEVA PHARMACEUTICALS USA, INC.","00093965201","00093-9652-01","Prochlorperazine Maleate","10 MG",100,1,100,100
"J7506","Prednisone oral","West-Ward Pharmaceuticals Corp","00143147501","00143-1475-01","Prednisone","5 MG",100,1,100,100
"J7506","Prednisone oral","West-Ward Pharmaceuticals Corp","00143147510","00143-1475-10","Prednisone","5 MG",1000,1,1000,1000
"Q0162","Ondansetron oral","West-Ward Pharmaceuticals Corp","00143242230","00143-2422-30","ONDANSETRON","1 MG",1,30,4,120
"Q0162","Ondansetron oral","West-Ward Pharmaceuticals Corp","00143242330","00143-2423-30","ONDANSETRON","1 MG",1,30,8,240
"J0636","Inj calcitriol per 0.1 mcg","West-Ward Pharmaceuticals Corp","00143972805","00143-9728-05","Calcitriol","0.1 MCG",1,5,10,50
"J0515","Inj benztropine mesylate","West-Ward Pharmaceuticals Corp","00143972905","00143-9729-05","COGENTIN","1 MG",2,5,2,10
"J1626","Granisetron hcl injection","West-Ward Pharmaceuticals Corp","00143974410","00143-9744-10","Granisetron HCl","100 MCG",1,10,10,100
"J1626","Granisetron hcl injection","West-Ward Pharmaceuticals Corp","00143974505","00143-9745-05","Granisetron HCl","100 MCG",4,10,40,400
"J3105","Terbutaline sulfate inj","West-Ward Pharmaceuticals Corp","00143974610","00143-9746-10","TERBUTALINE","1 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","West-Ward Pharmaceuticals Corp","00143976801","00143-9768-01","CEFTRIAXONE","250 MG",1,1,40,40
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","00143977106","00143-9771-06","ZOFRAN","1 MG",50,6,32,192
"Q2009","Fosphenytoin inj PE","West-Ward Pharmaceuticals Corp","00143978210","00143-9782-10","FOSPHENYTOIN","50 MG PE/ML",10,10,10,100
"Q2009","Fosphenytoin inj PE","West-Ward Pharmaceuticals Corp","00143978825","00143-9788-25","FOSPHENYTOIN","50 MG PE/ML",2,25,2,50
"J0696","Ceftriaxone sodium injection","West-Ward Pharmaceuticals Corp","00143985625","00143-9856-25","CEFTRIAXONE","250 MG",1,25,8,200
"J0696","Ceftriaxone sodium injection","West-Ward Pharmaceuticals Corp","00143985725","00143-9857-25","CEFTRIAXONE","250 MG",1,25,4,100
"J0696","Ceftriaxone sodium injection","West-Ward Pharmaceuticals Corp","00143985825","00143-9858-25","CEFTRIAXONE","250 MG",1,25,2,50
"J0696","Ceftriaxone sodium injection","West-Ward Pharmaceuticals Corp","00143985925","00143-9859-25","CEFTRIAXONE","250 MG",1,25,1,25
"J0595","Butorphanol tartrate 1 mg","West-Ward Pharmaceuticals Corp","00143986410","00143-9864-10","STADOL","1 MG",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","West-Ward Pharmaceuticals Corp","00143986710","00143-9867-10","STADOL","1 MG",1,10,2,20
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00143986822","00143-9868-22","PROMETHAZINE","50 MG",1,25,1,25
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00143986922","00143-9869-22","PROMETHAZINE","50 MG",1,25,0.5,12.5
"J1800","Propranolol injection","West-Ward Pharmaceuticals Corp","00143987201","00143-9872-01","PROPRANOLOL","1 MG",1,10,1,10
"J0694","Cefoxitin sodium injection","West-Ward Pharmaceuticals Corp","00143987610","00143-9876-10","Cefoxitin Sodium","1 GM",10,1,100,100
"J0694","Cefoxitin sodium injection","West-Ward Pharmaceuticals Corp","00143987725","00143-9877-25","CEFOXITIN SODIUM","1 GM",1,25,2,50
"J0694","Cefoxitin sodium injection","West-Ward Pharmaceuticals Corp","00143987825","00143-9878-25","CEFOXITIN SODIUM","1 GM",1,25,1,25
"J1165","Phenytoin sodium injection","West-Ward Pharmaceuticals Corp","00143988125","00143-9881-25","PHENYTOIN","50 MG",5,25,5,125
"J1165","Phenytoin sodium injection","West-Ward Pharmaceuticals Corp","00143988225","00143-9882-25","PHENYTOIN","50 MG",2,25,2,50
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","00143989001","00143-9890-01","ZOFRAN","1 MG",20,1,40,40
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","00143989105","00143-9891-05","ZOFRAN","1 MG",2,5,4,20
"J1450","Fluconazole","West-Ward Pharmaceuticals Corp","00143989991","00143-9899-91","DIFLUCAN","200 MG",100,6,1,6
"J0690","Cefazolin sodium injection","West-Ward Pharmaceuticals Corp","00143992390","00143-9923-90","Cefazolin Sodium","500 MG",1,25,1,25
"J0690","Cefazolin sodium injection","West-Ward Pharmaceuticals Corp","00143992490","00143-9924-90","Cefazolin Sodium","500 MG",1,25,2,50
"J0698","Cefotaxime sodium injection","West-Ward Pharmaceuticals Corp","00143993003","00143-9930-03","CLAFORAN","1 GM",1,10,0.5,5
"J0698","Cefotaxime sodium injection","West-Ward Pharmaceuticals Corp","00143993122","00143-9931-22","CLAFORAN","1 GM",1,25,1,25
"J0698","Cefotaxime sodium injection","West-Ward Pharmaceuticals Corp","00143993322","00143-9933-22","CLAFORAN","1 GM",1,25,2,50
"J0698","Cefotaxime sodium injection","West-Ward Pharmaceuticals Corp","00143993591","00143-9935-91","CLAFORAN","1 GM",1,1,10,10
"J0697","Sterile cefuroxime injection","West-Ward Pharmaceuticals Corp","00143997603","00143-9976-03","ZINACEF","750 MG",1,10,10,100
"J0697","Sterile cefuroxime injection","West-Ward Pharmaceuticals Corp","00143997722","00143-9977-22","ZINACEF","750 MG",1,25,2,50
"J0697","Sterile cefuroxime injection","West-Ward Pharmaceuticals Corp","00143997922","00143-9979-22","ZINACEF","750 MG",1,25,1,25
"J0690","Cefazolin sodium injection","West-Ward Pharmaceuticals Corp","00143998303","00143-9983-03","Cefazolin Sodium","500 MG",1,10,20,200
"J0171","Adrenalin epinephrine inject","West-Ward Pharmaceuticals Corp","00143998490","00143-9984-90","EPINEPHRINE","0.1 MG",30,10,300,3000
"J1815","Insulin injection","Novo Nordisk® Inc.","00169183311","00169-1833-11","Novolin R","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169183311","00169-1833-11","Novolin R","50 UNITS",10,1,20,200
"J1815","Insulin injection","Novo Nordisk® Inc.","00169183411","00169-1834-11","Novolin N","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169183411","00169-1834-11","Novolin N","50 UNITS",10,1,20,20
"J1815","Insulin injection","Novo Nordisk® Inc.","00169183711","00169-1837-11","Novolin 70/30","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169183711","00169-1837-11","Novolin 70/30","50 UNITS",10,1,20,20
"J1815","Insulin injection","Novo Nordisk® Inc.","00169231321","00169-2313-21","Novolin R Innolet","5 UNITS",3,5,60,30
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169231321","00169-2313-21","Novolin R Innolet","50 UNITS",3,5,6,30
"J1815","Insulin injection","Novo Nordisk® Inc.","00169231421","00169-2314-21","Novolin N Innolet","5 UNITS",3,5,60,30
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169231421","00169-2314-21","Novolin N Innolet","50 UNITS",3,5,6,180
"J1815","Insulin injection","Novo Nordisk® Inc.","00169231721","00169-2317-21","Novolin 70/30 Innolet","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169231721","00169-2317-21","Novolin 70/30 Innolet","50 UNITS",3,5,6,30
"J1815","Insulin injection","Novo Nordisk® Inc.","00169330312","00169-3303-12","Novolog Penfill","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169330312","00169-3303-12","Novolog Penfill","50 UNITS",3,5,6,30
"J1815","Insulin injection","Novo Nordisk® Inc.","00169347318","00169-3473-18","Novolin R Penfill","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169347318","00169-3473-18","Novolin R Penfill","50 UNITS",3,5,6,30
"J1815","Insulin injection","Novo Nordisk® Inc.","00169347418","00169-3474-18","Novolin N Penfill","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169347418","00169-3474-18","Novolin N Penfill","50 UNITS",3,5,6,30
"J1815","Insulin injection","Novo Nordisk® Inc.","00169347718","00169-3477-18","Novolin 70/30 Penfill","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169347718","00169-3477-18","Novolin 70/30 Penfill","50 UNITS",3,5,6,30
"J1815","Insulin injection","Novo Nordisk® Inc.","00169368512","00169-3685-12","Novolog Mix 70/30","5 UNITS",10,1,200,200
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169368512","00169-3685-12","Novolog Mix 70/30","50 UNITS",10,1,20,20
"J1815","Insulin injection","Novo Nordisk® Inc.","00169369619","00169-3696-19","Novolog Mix 70/30 Flexpen","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169369619","00169-3696-19","Novolog Mix 70/30 Flexpen","50 UNITS",3,5,6,30
"J1815","Insulin injection","Novo Nordisk® Inc.","00169633910","00169-6339-10","Novolog Flexpen","5 UNITS",3,5,60,300
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169633910","00169-6339-10","Novolog Flexpen","50 UNITS",3,5,6,30
"J7189","Factor viia","Novo Nordisk® Inc.","00169701001","00169-7010-01","Novoseven RT","1 MCG",1,1,1000,1000
"J7189","Factor viia","Novo Nordisk® Inc.","00169702001","00169-7020-01","Novoseven RT","1 MCG",1,1,2000,2000
"J7189","Factor viia","Novo Nordisk® Inc.","00169704001","00169-7040-01","NOVOSEVEN RT","1 MCG",1,1,8000,8000
"J7189","Factor viia","Novo Nordisk® Inc.","00169705001","00169-7050-01","Novoseven RT","1 MCG",1,1,5000,5000
"J7189","Factor viia","Novo Nordisk® Inc.","00169706001","00169-7060-01","Novoseven","1 MCG",1,1,1200,1200
"J7189","Factor viia","Novo Nordisk® Inc.","00169706101","00169-7061-01","Novoseven","1 MCG",1,1,2400,2400
"J7189","Factor viia","Novo Nordisk® Inc.","00169706201","00169-7062-01","Novoseven","1 MCG",1,1,4800,4800
"J1815","Insulin injection","Novo Nordisk® Inc.","00169750111","00169-7501-11","Novolog","5 UNITS",10,1,200,200
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169750111","00169-7501-11","Novolog","50 UNITS",10,1,20,20
"J9265","Paclitaxel injection","IVAX PHARMACEUTICALS, INC.","00172375473","00172-3754-73","Onxol","30 MG",5,1,1,1
"J7631","Cromolyn sodium noncomp unit","IVAX PHARMACEUTICALS, INC.","00172640649","00172-6406-49","Cromolyn Sodium","10 MG",2,60,2,120
"J7631","Cromolyn sodium noncomp unit","IVAX PHARMACEUTICALS, INC.","00172640659","00172-6406-59","Cromolyn Sodium","10 MG",2,120,2,240
"J7515","Cyclosporine oral 25 mg","IVAX PHARMACEUTICALS, INC.","00172731046","00172-7310-46","Cyclosporine","25 MG",30,1,30,30
"J7515","Cyclosporine oral 25 mg","IVAX PHARMACEUTICALS, INC.","00172731146","00172-7311-46","Cyclosporine","25 MG",30,1,60,60
"J7502","Cyclosporine oral 100 mg","IVAX PHARMACEUTICALS, INC.","00172731246","00172-7312-46","Cyclosporine","100 MG",30,1,30,30
"J7502","Cyclosporine oral 100 mg","IVAX PHARMACEUTICALS, INC.","00172731320","00172-7313-20","Cyclosporine","100 MG",50,1,50,50
"J8600","Melphalan oral 2 MG","GlaxoSmithkline","00173004535","00173-0045-35","Alkeran","2 MG",50,1,50,50
"J3485","Zidovudine","GlaxoSmithkline","00173010793","00173-0107-93","Retrovir","10 MG",20,10,20,200
"J9245","Inj melphalan hydrochl 50 MG","GlaxoSmithkline","00173013093","00173-0130-93","Alkeran","50 MG",1,1,1,1
"J1162","Digoxin immune fab (ovine)","GlaxoSmithkline","00173023044","00173-0230-44","Digibind","PER VIAL",1,1,1,1
"J1160","Digoxin injection","GlaxoSmithkline","00173026010","00173-0260-10","Lanoxin","0.5 MG",2,10,1,10
"J1160","Digoxin injection","GlaxoSmithkline","00173026035","00173-0260-35","Lanoxin","0.5 MG",2,50,1,50
"J1160","Digoxin injection","GlaxoSmithkline","00173026210","00173-0262-10","Lanoxin","0.5 MG",1,10,0.2,2
"J0697","Sterile cefuroxime injection","GlaxoSmithkline","00173035210","00173-0352-10","Zinacef","750 MG",1,10,1,10
"J0697","Sterile cefuroxime injection","GlaxoSmithkline","00173035410","00173-0354-10","Zinacef","750 MG",1,10,2,20
"J2780","Ranitidine hydrochloride inj","GlaxoSmithkline","00173036238","00173-0362-38","Zantac","25 MG",2,10,2,20
"J2780","Ranitidine hydrochloride inj","GlaxoSmithkline","00173036300","00173-0363-00","Zantac","25 MG",40,1,40,40
"J2780","Ranitidine hydrochloride inj","GlaxoSmithkline","00173036301","00173-0363-01","Zantac","25 MG",6,1,6,6
"J0713","Inj ceftazidime per 500 mg","GlaxoSmithkline","00173037710","00173-0377-10","Fortaz","500 MG",1,10,1,10
"J0713","Inj ceftazidime per 500 mg","GlaxoSmithkline","00173037810","00173-0378-10","Fortaz","500 MG",1,10,2,20
"J0713","Inj ceftazidime per 500 mg","GlaxoSmithkline","00173037934","00173-0379-34","Fortaz","500 MG",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","GlaxoSmithkline","00173038237","00173-0382-37","Fortaz","500 MG",1,6,12,72
"J0697","Sterile cefuroxime injection","GlaxoSmithkline","00173040000","00173-0400-00","Zinacef","750 MG",1,6,10,60
"J0713","Inj ceftazidime per 500 mg","GlaxoSmithkline","00173041200","00173-0412-00","Fortaz In D5W","500 MG",50,24,2,48
"J0713","Inj ceftazidime per 500 mg","GlaxoSmithkline","00173041300","00173-0413-00","Fortaz In D5W","500 MG",50,24,4,96
"J0697","Sterile cefuroxime injection","GlaxoSmithkline","00173042400","00173-0424-00","Zinacef In D5W","750 MG",50,24,1,24
"J0697","Sterile cefuroxime injection","GlaxoSmithkline","00173042500","00173-0425-00","Zinacef In Sterile Water","750 MG",50,24,2,48
"J0713","Inj ceftazidime per 500 mg","GlaxoSmithkline","00173043400","00173-0434-00","Fortaz","500 MG",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","GlaxoSmithkline","00173043500","00173-0435-00","Fortaz","500 MG",1,10,4,40
"J0697","Sterile cefuroxime injection","GlaxoSmithkline","00173043600","00173-0436-00","Zinacef","750 MG",1,25,1,25
"J0697","Sterile cefuroxime injection","GlaxoSmithkline","00173043700","00173-0437-00","Zinacef","750 MG",1,10,2,20
"J2780","Ranitidine hydrochloride inj","GlaxoSmithkline","00173044100","00173-0441-00","Zantac In Nacl","25 MG",50,24,2,48
"J2405","Ondansetron hcl injection","GlaxoSmithkline","00173044200","00173-0442-00","Zofran","1 MG",20,1,40,40
"J2405","Ondansetron hcl injection","GlaxoSmithkline","00173044202","00173-0442-02","Zofran","1 MG",2,5,4,20
"Q0162","Ondansetron oral","GlaxoSmithkline","00173044600","00173-0446-00","Zofran","1 MG",1,30,4,120
"Q0162","Ondansetron oral","GlaxoSmithkline","00173044602","00173-0446-02","Zofran","1 MG",1,100,4,400
"Q0162","Ondansetron oral","GlaxoSmithkline","00173044700","00173-0447-00","Zofran","1 MG",1,30,8,240
"Q0162","Ondansetron oral","GlaxoSmithkline","00173044702","00173-0447-02","Zofran","1 MG",1,100,8,800
"Q0162","Ondansetron oral","GlaxoSmithkline","00173044704","00173-0447-04","Zofran","1 MG",1,3,8,24
"J3030","Sumatriptan succinate / 6 MG","GlaxoSmithkline","00173044902","00173-0449-02","Imitrex","6 MG",0.5,5,1,5
"J3030","Sumatriptan succinate / 6 MG","GlaxoSmithkline","00173047800","00173-0478-00","Imitrex Statdose","6 MG",0.5,2,1,2
"J3030","Sumatriptan succinate / 6 MG","GlaxoSmithkline","00173047900","00173-0479-00","Imitrex Statdose Pen","6 MG",0.5,2,1,2
"Q0162","Ondansetron oral","GlaxoSmithkline","00173048900","00173-0489-00","Zofran","1 MG",1,50,4,200
"J1325","Epoprostenol injection","GlaxoSmithkline","00173051700","00173-0517-00","Flolan","0.5 MG",1,1,1,1
"J1325","Epoprostenol injection","GlaxoSmithkline","00173051900","00173-0519-00","Flolan","0.5 MG",1,1,3,3
"Q0162","Ondansetron oral","GlaxoSmithkline","00173056900","00173-0569-00","Zofran Odt","1 MG",1,30,4,120
"Q0162","Ondansetron oral","GlaxoSmithkline","00173057000","00173-0570-00","Zofran Odt","1 MG",1,30,8,240
"Q0162","Ondansetron oral","GlaxoSmithkline","00173057004","00173-0570-04","Zofran Odt","1 MG",1,10,8,80
"J8510","Oral busulfan","GlaxoSmithkline","00173071325","00173-0713-25","Myleran","2 MG",25,1,25,25
"J3030","Sumatriptan succinate / 6 MG","GlaxoSmithkline","00173073900","00173-0739-00","Imitrex Statdose Pen","6 MG",0.5,2,0.67,1.34
"J3030","Sumatriptan succinate / 6 MG","GlaxoSmithkline","00173073902","00173-0739-02","Imitrex Statdose Pen","6 MG",0.5,2,0.67,1.34
"J9302","Ofatumumab injection","GlaxoSmithkline","00173080802","00173-0808-02","ARZERRA","10 MG",5,3,10,30
"J9302","Ofatumumab injection","GlaxoSmithkline","00173080805","00173-0808-05","ARZERRA","10 MG",5,10,10,100
"J9302","Ofatumumab injection","GlaxoSmithkline","00173082101","00173-0821-01","ARZERRA","10 MG",50,1,100,100
"J9302","Ofatumumab injection","GlaxoSmithkline","00173082133","00173-0821-33","ARZERRA","10 MG",5,3,10,30
"Q0163","Diphenhydramine HCl 50mg","EON LABORATORIES","00185064901","00185-0649-01","Diphenhydramine Hcl","50 MG",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","EON LABORATORIES","00185064910","00185-0649-10","Diphenhydramine Hcl","50 MG",1000,1,1000,1000
"J7515","Cyclosporine oral 25 mg","EON LABORATORIES","00185093230","00185-0932-30","Cyclosporine Modified","25 MG",30,1,30,30
"J7502","Cyclosporine oral 100 mg","EON LABORATORIES","00185093330","00185-0933-30","Cyclosporine Modified","100 MG",30,1,30,30
"J7620","Albuterol ipratrop non-comp","EON LABORATORIES","00185732230","00185-7322-30","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","EON LABORATORIES","00185732260","00185-7322-60","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60
"J9218","Leuprolide acetate injeciton","EON LABORATORIES","00185740085","00185-7400-85","Leuprolide Acetate","1 MG",1,1,14,14
"J0670","Inj mepivacaine HCL/10 ml","AstraZeneca LP","00186041001","00186-0410-01","Polocaine","10 ML",50,1,5,5
"J0670","Inj mepivacaine HCL/10 ml","AstraZeneca LP","00186041201","00186-0412-01","Polocaine-Mpf","10 ML",30,1,3,3
"J0670","Inj mepivacaine HCL/10 ml","AstraZeneca LP","00186041801","00186-0418-01","Polocaine-Mpf","10 ML",30,1,3,3
"J0670","Inj mepivacaine HCL/10 ml","AstraZeneca LP","00186042001","00186-0420-01","Polocaine","10 ML",50,1,5,5
"J0670","Inj mepivacaine HCL/10 ml","AstraZeneca LP","00186042201","00186-0422-01","Polocaine-Mpf","10 ML",20,1,2,2
"J7626","Budesonide non-comp unit","AstraZeneca LP","00186042504","00186-0425-04","Budesonide","UP TO 0.50 MG",2,30,1,30
"J7626","Budesonide non-comp unit","AstraZeneca LP","00186042604","00186-0426-04","Budesonide","UP TO 0.50 MG",2,30,1,30
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186085944","00186-0859-44","Naropin","1 MG",10,5,20,100
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186085954","00186-0859-54","Naropin","1 MG",20,5,40,200
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186085977","00186-0859-77","Naropin","1 MG",100,1,200,200
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186085981","00186-0859-81","Naropin","1 MG",100,1,200,200
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186085991","00186-0859-91","Naropin","1 MG",200,1,400,400
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086354","00186-0863-54","Naropin","1 MG",20,5,100,500
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086361","00186-0863-61","Naropin","1 MG",30,1,150,150
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086369","00186-0863-69","Naropin","1 MG",30,5,150,750
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086377","00186-0863-77","Naropin","1 MG",30,1,150,150
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086754","00186-0867-54","Naropin","1 MG",20,5,150,750
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086844","00186-0868-44","Naropin","1 MG",10,5,100,500
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086854","00186-0868-54","Naropin","1 MG",20,5,200,1000
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086877","00186-0868-77","Naropin","1 MG",20,5,200,1000
"J2400","Chloroprocaine hcl injection","AstraZeneca LP","00186097166","00186-0971-66","Nesacaine","30 ML",30,1,1,1
"J2400","Chloroprocaine hcl injection","AstraZeneca LP","00186097266","00186-0972-66","Nesacaine","30 ML",30,1,1,1
"J2400","Chloroprocaine hcl injection","AstraZeneca LP","00186099166","00186-0991-66","Nesacaine-Mpf","30 ML",20,1,0.667,0.667
"J2400","Chloroprocaine hcl injection","AstraZeneca LP","00186099266","00186-0992-66","Nesacaine-Mpf","30 ML",20,1,0.667,0.667
"J2275","Morphine sulfate injection","AstraZeneca LP","00186115002","00186-1150-02","Astramorph","10 MG",10,5,0.5,2.5
"J2275","Morphine sulfate injection","AstraZeneca LP","00186115102","00186-1151-02","Astramorph","10 MG",10,5,1,5
"J2275","Morphine sulfate injection","AstraZeneca LP","00186115212","00186-1152-12","Astramorph","10 MG",10,5,0.5,2.5
"J2275","Morphine sulfate injection","AstraZeneca LP","00186115312","00186-1153-12","Astramorph","10 MG",10,5,5,25
"J2275","Morphine sulfate injection","AstraZeneca LP","00186115903","00186-1159-03","Astramorph","10 MG",2,10,0.1,1
"J2275","Morphine sulfate injection","AstraZeneca LP","00186116003","00186-1160-03","Astramorph","10 MG",2,10,0.2,2
"J1455","Foscarnet sodium injection","AstraZeneca LP","00186190601","00186-1906-01","Foscavir","1000 MG",500,12,12,144
"J7626","Budesonide non-comp unit","AstraZeneca LP","00186198804","00186-1988-04","Pulmicort","UP TO 0.50 MG",2,30,1,30
"J7626","Budesonide non-comp unit","AstraZeneca LP","00186198904","00186-1989-04","Pulmicort","UP TO 0.50 MG",2,30,1,30
"J7626","Budesonide non-comp unit","AstraZeneca LP","00186199004","00186-1990-04","Pulmicort","UP TO 0.50 MG",2,30,2,60
"J2543","Piperacillin/tazobactam","WYETH LLC","00206240402","00206-2404-02","Zosyn","1 GRAM/0.125 GRAMS",1,10,2,20
"J2543","Piperacillin/tazobactam","WYETH LLC","00206240502","00206-2405-02","Zosyn","1 GRAM/0.125 GRAMS",1,10,3,30
"J2543","Piperacillin/tazobactam","WYETH LLC","00206240802","00206-2408-02","Zosyn","1 GRAM/0.125 GRAMS",1,1,4,40
"J2543","Piperacillin/tazobactam","WYETH LLC","00206240902","00206-2409-02","NOVAPLUS ZOSYN","1.125 GM",50,24,2,48
"J2543","Piperacillin/tazobactam","WYETH LLC","00206241102","00206-2411-02","NOVAPLUS ZOSYN","1.125 GM",50,24,3,72
"J2543","Piperacillin/tazobactam","WYETH LLC","00206241302","00206-2413-02","NOVAPLUS ZOSYN","1.125 GM",100,12,4,48
"J2543","Piperacillin/tazobactam","WYETH LLC","00206241601","00206-2416-01","Zosyn","1 GRAM/0.125 GRAMS",1,1,36,36
"J2543","Piperacillin/tazobactam","WYETH LLC","00206885216","00206-8852-16","Zosyn","1 GRAM/0.125 GRAMS",1,10,2,20
"J2543","Piperacillin/tazobactam","WYETH LLC","00206885416","00206-8854-16","Piperacillin Sodium-Tazobactam Sodium","1 GRAM/0.125 GRAMS",1,10,3,30
"J2543","Piperacillin/tazobactam","WYETH LLC","00206885516","00206-8855-16","Piperacillin Sodium-Tazobactam Sodium","1 GRAM/0.125 GRAMS",1,10,4,40
"J2543","Piperacillin/tazobactam","WYETH LLC","00206885910","00206-8859-10","Zosyn","1 GRAM/0.125 GRAMS",1,1,36,36
"J2543","Piperacillin/tazobactam","WYETH LLC","00206886002","00206-8860-02","Piperacillin Sodium-Tazobactam Sodium","1 GRAM/0.125 GRAMS",50,24,2,48
"J2543","Piperacillin/tazobactam","WYETH LLC","00206886102","00206-8861-02","Piperacillin Sodium-Tazobactam Sodium","1 GRAM/0.125 GRAMS",50,24,3,72
"J2543","Piperacillin/tazobactam","WYETH LLC","00206886202","00206-8862-02","Piperacillin Sodium-Tazobactam Sodium","1 GRAM/0.125 GRAMS",100,12,4,48
"J7506","Prednisone oral","Merz Pharmaceuticals","00259036421","00259-0364-21","Sterapred Ds","5 MG",21,1,42,42
"J7506","Prednisone oral","Merz Pharmaceuticals","00259038948","00259-0389-48","Sterapred Ds","5 MG",48,1,96,96
"J7506","Prednisone oral","Merz Pharmaceuticals","00259039021","00259-0390-21","Sterapred","5 MG",21,1,21,21
"J7506","Prednisone oral","Merz Pharmaceuticals","00259039148","00259-0391-48","Sterapred","5 MG",48,1,48,48
"J0588","Incobotulinumtoxin A","Merz Pharmaceuticals","00259160501","00259-1605-01","XEOMIN","1 UNIT",1,1,50,50
"J0588","Incobotulinumtoxin A","Merz Pharmaceuticals","00259161001","00259-1610-01","XEOMIN","1 UNIT",1,1,100,100
"J7060","5% dextrose/water","B. Braun Medical Inc.","00264110155","00264-1101-55","Dextrose","500 ML",500,12,1,12
"J1265","Dopamine injection","B. Braun Medical Inc.","00264144155","00264-1441-55","Dopamine In D5W","40 MG",500,1,10,10
"J1265","Dopamine injection","B. Braun Medical Inc.","00264148155","00264-1481-55","Dopamine In D5W","40 MG",500,1,20,20
"J1265","Dopamine injection","B. Braun Medical Inc.","00264148255","00264-1482-55","Dopamine In D5W","40 MG",250,12,10,120
"J1265","Dopamine injection","B. Braun Medical Inc.","00264149255","00264-1492-55","Dopamine In D5W","40 MG",250,1,20,20
"J3480","Inj potassium chloride","B. Braun Medical Inc.","00264194020","00264-1940-20","Potassium Chloride","2 MEQ",250,12,250,3000
"J0690","Cefazolin sodium injection","B. Braun Medical Inc.","00264310311","00264-3103-11","Cefazolin Sodium-Dextrose","500 MG",1,1,2,48
"J0697","Sterile cefuroxime injection","B. Braun Medical Inc.","00264311211","00264-3112-11","Cefuroxime Sodium","750 MG",1,1,1,24
"J0697","Sterile cefuroxime injection","B. Braun Medical Inc.","00264311411","00264-3114-11","Cefuroxime-Dextrose","750 MG",1,1,2,48
"J0694","Cefoxitin sodium injection","B. Braun Medical Inc.","00264312311","00264-3123-11","Cefoxitin Sodium","1 GM",1,24,1,24
"J0694","Cefoxitin sodium injection","B. Braun Medical Inc.","00264312511","00264-3125-11","Cefoxitin Sodium","1 GM",1,24,2,48
"J0713","Inj ceftazidime per 500 mg","B. Braun Medical Inc.","00264314311","00264-3143-11","CEFTAZIDIME","500 MG",1,24,2,48
"J0713","Inj ceftazidime per 500 mg","B. Braun Medical Inc.","00264314511","00264-3145-11","CEFTAZIDIME","500 MG",1,24,4,96
"J0696","Ceftriaxone sodium injection","B. Braun Medical Inc.","00264315311","00264-3153-11","CEFTRIAXONE IN D5W","250 MG",1,24,4,96
"J0696","Ceftriaxone sodium injection","B. Braun Medical Inc.","00264315511","00264-3155-11","CEFTRIAXONE IN D5W","250 MG",1,24,8,192
"J0692","Cefepime HCl for injection","B. Braun Medical Inc.","00264319311","00264-3193-11","Cefepime HCL in Dextrose","500 MG",1,24,2,48
"J0692","Cefepime HCl for injection","B. Braun Medical Inc.","00264319511","00264-3195-11","Cefepime HCL in Dextrose","500 MG",1,24,4,96
"J7030","Normal saline solution infus","B. Braun Medical Inc.","00264400055","00264-4000-55","Sodium Chloride","1000 ML",1000,6,1,6
"J7040","Normal saline solution infus","B. Braun Medical Inc.","00264400055","00264-4000-55","Sodium Chloride","500 ML",1000,6,2,12
"J7050","Normal saline solution infus","B. Braun Medical Inc.","00264400055","00264-4000-55","Sodium Chloride","250 ML",1000,6,4,24
"J7030","Normal saline solution infus","B. Braun Medical Inc.","00264400155","00264-4001-55","Sodium Chloride","1000 ML",500,12,0.5,6
"J7040","Normal saline solution infus","B. Braun Medical Inc.","00264400155","00264-4001-55","Sodium Chloride","500 ML",500,12,1,12
"J7050","Normal saline solution infus","B. Braun Medical Inc.","00264400155","00264-4001-55","Sodium Chloride","250 ML",500,12,2,24
"J7030","Normal saline solution infus","B. Braun Medical Inc.","00264400255","00264-4002-55","Sodium Chloride","1000 ML",250,12,0.25,3
"J7040","Normal saline solution infus","B. Braun Medical Inc.","00264400255","00264-4002-55","Sodium Chloride","500 ML",250,12,0.5,6
"J7050","Normal saline solution infus","B. Braun Medical Inc.","00264400255","00264-4002-55","Sodium Chloride","250 ML",250,12,1,12
"J1580","Garamycin gentamicin inj","B. Braun Medical Inc.","00264580632","00264-5806-32","Gentamicin Sulfate","80 MG",100,24,0.75,18
"J1580","Garamycin gentamicin inj","B. Braun Medical Inc.","00264580832","00264-5808-32","Gentamicin Sulfate","80 MG",100,24,1,24
"J1580","Garamycin gentamicin inj","B. Braun Medical Inc.","00264581032","00264-5810-32","Gentamicin Sulfate","80 MG",100,24,1.25,30
"J1580","Garamycin gentamicin inj","B. Braun Medical Inc.","00264581238","00264-5812-38","Gentamicin Sulfate","80 MG",50,24,0.75,18
"J1580","Garamycin gentamicin inj","B. Braun Medical Inc.","00264581638","00264-5816-38","Gentamicin Sulfate","80 MG",50,24,1,24
"J7060","5% dextrose/water","B. Braun Medical Inc.","00264751000","00264-7510-00","Dextrose","500 ML",1000,12,2,24
"J7070","D5w infusion","B. Braun Medical Inc.","00264751000","00264-7510-00","Dextrose","1000 CC",1000,12,1,12
"J7060","5% dextrose/water","B. Braun Medical Inc.","00264751010","00264-7510-10","Dextrose","500 ML",500,24,1,24
"J7070","D5w infusion","B. Braun Medical Inc.","00264751010","00264-7510-10","Dextrose","1000 CC",500,24,0.5,12
"J7060","5% dextrose/water","B. Braun Medical Inc.","00264751020","00264-7510-20","Dextrose","500 ML",250,24,0.5,12
"J7070","D5w infusion","B. Braun Medical Inc.","00264751020","00264-7510-20","Dextrose","1000 CC",250,24,0.25,6
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264760500","00264-7605-00","Dextrose-Nacl","500 ML",1000,12,2,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264760510","00264-7605-10","Dextrose-Nacl","500 ML",500,24,1,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761000","00264-7610-00","Dextrose-Nacl","500 ML",1000,12,2,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761010","00264-7610-10","Dextrose-Nacl","500 ML",500,24,1,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761020","00264-7610-20","Dextrose-Nacl","500 ML",250,24,0.5,12
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761200","00264-7612-00","Dextrose-Nacl","500 ML",1000,12,2,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761210","00264-7612-10","Dextrose-Nacl","500 ML",500,24,1,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761220","00264-7612-20","Dextrose-Nacl","500 ML",250,24,0.5,12
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761400","00264-7614-00","Dextrose-Nacl","500 ML",1000,12,2,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761410","00264-7614-10","Dextrose-Nacl","500 ML",500,24,1,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761600","00264-7616-00","Dextrose-Nacl","500 ML",1000,12,2,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761610","00264-7616-10","Dextrose-Nacl","500 ML",500,24,1,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264761620","00264-7616-20","Dextrose-Nacl","500 ML",250,24,0.5,12
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264762200","00264-7622-00","Dextrose-Nacl","500 ML",1000,12,2,24
"J7042","5% dextrose/normal saline","B. Braun Medical Inc.","00264762320","00264-7623-20","Dextrose-Nacl","500 ML",250,24,0.5,12
"J7120","Ringers lactate infusion","B. Braun Medical Inc.","00264775000","00264-7750-00","Lactated Ringers","1000 CC",1000,12,1,12
"J7120","Ringers lactate infusion","B. Braun Medical Inc.","00264775010","00264-7750-10","Lactated Ringers","1000 CC",500,24,0.5,12
"J7120","Ringers lactate infusion","B. Braun Medical Inc.","00264775020","00264-7750-20","Lactated Ringers","1000 CC",250,24,0.25,6
"J7030","Normal saline solution infus","B. Braun Medical Inc.","00264780000","00264-7800-00","Sodium Chloride","1000 ML",1000,12,1,12
"J7040","Normal saline solution infus","B. Braun Medical Inc.","00264780000","00264-7800-00","Sodium Chloride","500 ML",1000,12,2,24
"J7050","Normal saline solution infus","B. Braun Medical Inc.","00264780000","00264-7800-00","Sodium Chloride","250 ML",1000,12,4,48
"J7030","Normal saline solution infus","B. Braun Medical Inc.","00264780010","00264-7800-10","Sodium Chloride","1000 ML",500,24,0.5,12
"J7040","Normal saline solution infus","B. Braun Medical Inc.","00264780010","00264-7800-10","Sodium Chloride","500 ML",500,24,1,24
"J7050","Normal saline solution infus","B. Braun Medical Inc.","00264780010","00264-7800-10","Sodium Chloride","250 ML",500,24,2,48
"J7030","Normal saline solution infus","B. Braun Medical Inc.","00264780020","00264-7800-20","Sodium Chloride","1000 ML",250,24,0.25,6
"J7040","Normal saline solution infus","B. Braun Medical Inc.","00264780020","00264-7800-20","Sodium Chloride","500 ML",250,24,0.5,12
"J7050","Normal saline solution infus","B. Braun Medical Inc.","00264780020","00264-7800-20","Sodium Chloride","250 ML",250,24,1,24
"J3480","Inj potassium chloride","B. Braun Medical Inc.","00264786500","00264-7865-00","Potassium Chloride","2 MEQ",1000,12,1000,12000
"J2810","Inj theophylline per 40 MG","B. Braun Medical Inc.","00264955400","00264-9554-00","Theophylline In D5W","40 MG",1000,12,20,240
"J2810","Inj theophylline per 40 MG","B. Braun Medical Inc.","00264955410","00264-9554-10","Theophylline In D5W","40 MG",500,24,10,240
"J2810","Inj theophylline per 40 MG","B. Braun Medical Inc.","00264955810","00264-9558-10","Theophylline In D5W","40 MG",500,24,20,480
"J1644","Inj heparin sodium per 1000u","B. Braun Medical Inc.","00264956710","00264-9567-10","Heparin (Porcine) In D5W","1000 UNITS",500,24,20,480
"J1644","Inj heparin sodium per 1000u","B. Braun Medical Inc.","00264957710","00264-9577-10","Heparin (Porcine) In D5W","1000 UNITS",500,24,25,600
"J1644","Inj heparin sodium per 1000u","B. Braun Medical Inc.","00264958720","00264-9587-20","Heparin (Porcine) In D5W","1000 UNITS",250,24,25,600
"J2001","Lidocaine injection","B. Braun Medical Inc.","00264959410","00264-9594-10","Lidocaine In D5W","10 MG",500,24,200,4800
"J2001","Lidocaine injection","B. Braun Medical Inc.","00264959420","00264-9594-20","Lidocaine In D5W","10 MG",250,24,100,2400
"J2001","Lidocaine injection","B. Braun Medical Inc.","00264959810","00264-9598-10","Lidocaine In D5W","10 MG",500,24,400,9600
"J2001","Lidocaine injection","B. Braun Medical Inc.","00264959820","00264-9598-20","Lidocaine In D5W","10 MG",250,24,200,4800
"J1644","Inj heparin sodium per 1000u","B. Braun Medical Inc.","00264987210","00264-9872-10","Heparin (Porcine) In Nacl","1000 UNITS",500,24,1,24
"Q9958","HOCM <=149 mg/ml iodine, 1ml","BRACCO DIAGNOSTICS","00270014955","00270-0149-55","Cystografin","1 ML",300,6,300,1800
"Q9958","HOCM <=149 mg/ml iodine, 1ml","BRACCO DIAGNOSTICS","00270014957","00270-0149-57","Cystografin","1 ML",300,10,300,3000
"Q9958","HOCM <=149 mg/ml iodine, 1ml","BRACCO DIAGNOSTICS","00270014960","00270-0149-60","Cystografin","1 ML",100,10,100,1000
"Q9961","HOCM 250-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270026520","00270-0265-20","Cholografin Meglumine","1 ML",20,1,20,20
"Q9963","HOCM 350-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270044535","00270-0445-35","Gastrografin","1 ML",30,24,30,720
"Q9963","HOCM 350-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270044540","00270-0445-40","Gastrografin","1 ML",120,12,120,1440
"Q9963","HOCM 350-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270052330","00270-0523-30","Sinografin","1 ML",10,10,10,100
"J2805","Sincalide injection","BRACCO DIAGNOSTICS","00270055615","00270-0556-15","Sincalide Inj","5 MCG",1,10,1,10
"Q9961","HOCM 250-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270069649","00270-0696-49","Reno-M60","1 ML",50,10,50,500
"Q9961","HOCM 250-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270070749","00270-0707-49","Renografin-60","1 ML",50,10,50,500
"Q9958","HOCM <=149 mg/ml iodine, 1ml","BRACCO DIAGNOSTICS","00270080444","00270-0804-44","Reno-30","1 ML",50,10,50,500
"Q9958","HOCM <=149 mg/ml iodine, 1ml","BRACCO DIAGNOSTICS","00270080445","00270-0804-45","Reno-30","1 ML",50,25,50,1250
"Q9958","HOCM <=149 mg/ml iodine, 1ml","BRACCO DIAGNOSTICS","00270080975","00270-0809-75","Reno-Dip","1 ML",300,10,300,3000
"A9579","Gad-base MR contrast NOS,1ml","BRACCO DIAGNOSTICS","00270111101","00270-1111-01","Prohance","1 ML",10,5,10,50
"A9579","Gad-base MR contrast NOS,1ml","BRACCO DIAGNOSTICS","00270111102","00270-1111-02","Prohance","1 ML",15,5,15,75
"A9579","Gad-base MR contrast NOS,1ml","BRACCO DIAGNOSTICS","00270111103","00270-1111-03","Prohance","1 ML",20,5,20,100
"A9579","Gad-base MR contrast NOS,1ml","BRACCO DIAGNOSTICS","00270111104","00270-1111-04","Prohance","1 ML",5,5,5,25
"A9579","Gad-base MR contrast NOS,1ml","BRACCO DIAGNOSTICS","00270111116","00270-1111-16","Prohance Prefilled Syringes","1 ML",10,5,10,50
"A9579","Gad-base MR contrast NOS,1ml","BRACCO DIAGNOSTICS","00270111145","00270-1111-45","Prohance Prefilled Syringes","1 ML",17,5,17,85
"A9576","Inj prohance multipack","BRACCO DIAGNOSTICS","00270111170","00270-1111-70","Prohance Multipack","1 ML",50,5,50,250
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131415","00270-1314-15","ISOVUE-200","1 ML",200,10,200,2000
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131430","00270-1314-30","ISOVUE-200","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131525","00270-1315-25","Isovue-300","1 ML",30,10,30,300
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131530","00270-1315-30","Isovue-300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131535","00270-1315-35","Isovue-300","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131541","00270-1315-41","Isovue-300 Multi Pack","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131547","00270-1315-47","Isovue-300","1 ML",75,10,75,750
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131550","00270-1315-50","Isovue-300","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131557","00270-1315-57","Isovue-300 Prefilled Syringes","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131558","00270-1315-58","Isovue-300 Prefilled Syringes","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131559","00270-1315-59","Isovue-300 Prefilled Syringes","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131567","00270-1315-67","ISOVUE 300","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131568","00270-1315-68","ISOVUE 300 ","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131569","00270-1315-69","ISOVUE 300","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131598","00270-1315-98","Isovue-300 Multi Pack","1 ML",500,6,500,3000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131601","00270-1316-01","Isovue-370","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131604","00270-1316-04","Isovue-370","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131630","00270-1316-30","Isovue-370","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131635","00270-1316-35","Isovue-370","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131637","00270-1316-37","Isovue-370","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131640","00270-1316-40","Isovue-370","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131641","00270-1316-41","Isovue-370 Multi Pack","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131652","00270-1316-52","Isovue-370","1 ML",75,10,75,750
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131656","00270-1316-56","Isovue-370 Prefilled Syringes","1 ML",75,10,75,750
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131657","00270-1316-57","Isovue-370 Prefilled Syringes","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131659","00270-1316-59","Isovue-370 Prefilled Syringes","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131666","00270-1316-66","ISOVUE 370 ","1 ML",75,10,75,750
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131667","00270-1316-67","ISOVUE 370 ","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131668","00270-1316-68","ISOVUE 370 ","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131669","00270-1316-69","ISOVUE 370 ","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131698","00270-1316-98","Isovue-370 Multi Pack","1 ML",500,6,500,3000
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131702","00270-1317-02","Isovue-250","1 ML",100,10,100,1000
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131705","00270-1317-05","Isovue-250","1 ML",50,10,50,500
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131709","00270-1317-09","Isovue-250","1 ML",150,10,150,1500
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131741","00270-1317-41","Isovue-250 Multipack","1 ML",200,10,200,2000
"Q9958","HOCM <=149 mg/ml iodine, 1ml","BRACCO DIAGNOSTICS","00270141030","00270-1410-30","Cystografin-Dilute","1 ML",300,10,300,3000
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270141111","00270-1411-11","ISOVUE-M-200","1 ML",10,10,10,100
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270141125","00270-1411-25","ISOVUE-M-200","1 ML",20,10,20,200
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270141215","00270-1412-15","Isovue-M-300","1 ML",15,10,15,150
"A9577","Inj multihance","BRACCO DIAGNOSTICS","00270516412","00270-5164-12","Multihance","1 ML",5,5,5,25
"A9577","Inj multihance","BRACCO DIAGNOSTICS","00270516413","00270-5164-13","Multihance","1 ML",10,5,10,50
"A9577","Inj multihance","BRACCO DIAGNOSTICS","00270516414","00270-5164-14","Multihance","1 ML",15,5,15,75
"A9577","Inj multihance","BRACCO DIAGNOSTICS","00270516415","00270-5164-15","Multihance","1 ML",20,5,20,100
"A9577","Inj multihance","BRACCO DIAGNOSTICS","00270516418","00270-5164-18","Multihance","1 ML",10,5,10,50
"A9577","Inj multihance","BRACCO DIAGNOSTICS","00270516419","00270-5164-19","MULTIHANCE 5X15 ML SYRINGE","1 ML",15,5,15,75
"A9577","Inj multihance","BRACCO DIAGNOSTICS","00270516420","00270-5164-20","Multihance","1 ML",20,5,20,100
"A9578","Inj multihance multipack","BRACCO DIAGNOSTICS","00270526416","00270-5264-16","Multihance Multipack","1 ML",50,5,50,250
"A9578","Inj multihance multipack","BRACCO DIAGNOSTICS","00270526417","00270-5264-17","Multihance Multipack","1 ML",100,5,100,500
"J0840","Crotalidae poly immune fab","Savage Laboratories, Division of Nycomed US Inc.","00281033010","00281-0330-10","CROFAB POWDER FOR SOLUTION","UP TO 1 GM",1,2,1,2
"J1162","Digoxin immune fab (ovine)","Savage Laboratories, Division of Nycomed US Inc.","00281036510","00281-0365-10","Digifab","PER VIAL",1,1,1,1
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00300210801","00300-2108-01","Lupron Depot-Ped 7.5mg","7.5 MG",1,1,1,1
"J1950","Leuprolide acetate /3.75 MG","Abbott Laboratories, Inc.","00300228201","00300-2282-01","Lupron Depot-Ped 11.25mg","3.75 MG",1,1,3,3
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00300244001","00300-2440-01","Lupron Depot-Ped 15mg","7.5 MG",1,1,2,2
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00300334601","00300-3346-01","Lupron Depot-3 month 22.5mg kit","7.5 MG",1,1,3,3
"J1950","Leuprolide acetate /3.75 MG","Abbott Laboratories, Inc.","00300364101","00300-3641-01","LUPRON DEPOT 3.75MG ","3.75 MG",1,1,1,1
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00300364201","00300-3642-01","LUPRON DEPOT 7.5MG KIT","7.5 MG",1,1,1,1
"J1950","Leuprolide acetate /3.75 MG","Abbott Laboratories, Inc.","00300366301","00300-3663-01","LUPRON DEPOT 3-MONTH, 11.25MG ","3.75 MG",1,1,3,3
"J9217","Leuprolide acetate suspnsion","Abbott Laboratories, Inc.","00300368301","00300-3683-01","LUPRON DEPOT 4-MONTH, 30MG ","7.5 MG",1,1,4,4
"J2185","Meropenem","AstraZeneca Pharmaceuticals LP","00310032130","00310-0321-30","Merrem","100 MG",1,10,10,100
"J2185","Meropenem","AstraZeneca Pharmaceuticals LP","00310032165","00310-0321-65","NOVAPLUS Merrem","100 MG",1,10,10,100
"J2185","Meropenem","AstraZeneca Pharmaceuticals LP","00310032520","00310-0325-20","Merrem","100 MG",1,10,5,50
"J2185","Meropenem","AstraZeneca Pharmaceuticals LP","00310032564","00310-0325-64","NOVAPLUS Merrem","100 MG",1,10,5,50
"J9395","Injection, Fulvestrant","AstraZeneca Pharmaceuticals LP","00310072010","00310-0720-10","Faslodex","25 MG",5,2,10,20
"J9395","Injection, Fulvestrant","AstraZeneca Pharmaceuticals LP","00310072025","00310-0720-25","Faslodex","25 MG",2.5,2,5,10
"J9395","Injection, Fulvestrant","AstraZeneca Pharmaceuticals LP","00310072050","00310-0720-50","Faslodex","25 MG",5,1,10,10
"J9202","Goserelin acetate implant","AstraZeneca Pharmaceuticals LP","00310095036","00310-0950-36","Zoladex","3.6 MG",1,1,1,1
"J9202","Goserelin acetate implant","AstraZeneca Pharmaceuticals LP","00310095130","00310-0951-30","Zoladex","3.6 MG",1,1,3,3
"J7060","5% dextrose/water","Baxter Healthcare Corporation   ","00338001602","00338-0016-02","Dextrose","500 ML",250,1,0.5,0.5
"J7070","D5w infusion","Baxter Healthcare Corporation   ","00338001602","00338-0016-02","Dextrose","1000 CC",250,1,0.25,0.25
"J7060","5% dextrose/water","Baxter Healthcare Corporation   ","00338001603","00338-0016-03","Dextrose","500 ML",500,1,1,1
"J7070","D5w infusion","Baxter Healthcare Corporation   ","00338001603","00338-0016-03","Dextrose","1000 CC",500,1,0.5,0.5
"J7060","5% dextrose/water","Baxter Healthcare Corporation   ","00338001702","00338-0017-02","Dextrose","500 ML",250,1,0.5,0.5
"J7070","D5w infusion","Baxter Healthcare Corporation   ","00338001702","00338-0017-02","Dextrose","1000 CC",250,1,0.25,0.25
"J7060","5% dextrose/water","Baxter Healthcare Corporation   ","00338001703","00338-0017-03","Dextrose","500 ML",500,1,1,1
"J7070","D5w infusion","Baxter Healthcare Corporation   ","00338001703","00338-0017-03","Dextrose","1000 CC",500,1,0.5,0.5
"J7060","5% dextrose/water","Baxter Healthcare Corporation   ","00338001704","00338-0017-04","Dextrose","500 ML",1000,1,2,2
"J7070","D5w infusion","Baxter Healthcare Corporation   ","00338001704","00338-0017-04","Dextrose","1000 CC",1000,1,1,1
"J7030","Normal saline solution infus","Baxter Healthcare Corporation   ","00338004902","00338-0049-02","Sodium Chloride","1000 ML",250,1,0.25,0.25
"J7040","Normal saline solution infus","Baxter Healthcare Corporation   ","00338004902","00338-0049-02","Sodium Chloride","500 ML",250,1,0.5,0.5
"J7050","Normal saline solution infus","Baxter Healthcare Corporation   ","00338004902","00338-0049-02","Sodium Chloride","250 ML",250,1,1,1
"J7030","Normal saline solution infus","Baxter Healthcare Corporation   ","00338004903","00338-0049-03","Sodium Chloride","1000 ML",500,1,0.5,0.5
"J7040","Normal saline solution infus","Baxter Healthcare Corporation   ","00338004903","00338-0049-03","Sodium Chloride","500 ML",500,1,1,1
"J7050","Normal saline solution infus","Baxter Healthcare Corporation   ","00338004903","00338-0049-03","Sodium Chloride","250 ML",500,1,2,2
"J7030","Normal saline solution infus","Baxter Healthcare Corporation   ","00338004904","00338-0049-04","Sodium Chloride","1000 ML",1000,1,1,1
"J7040","Normal saline solution infus","Baxter Healthcare Corporation   ","00338004904","00338-0049-04","Sodium Chloride","500 ML",1000,1,2,2
"J7050","Normal saline solution infus","Baxter Healthcare Corporation   ","00338004904","00338-0049-04","Sodium Chloride","250 ML",1000,1,4,4
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338007303","00338-0073-03","Dextrose-Nacl","500 ML",500,24,1,24
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338007304","00338-0073-04","Dextrose-Nacl","500 ML",1000,12,2,24
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338007702","00338-0077-02","Dextrose-Nacl","500 ML",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338007703","00338-0077-03","Dextrose-Nacl","500 ML",500,1,1,24
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338007704","00338-0077-04","Dextrose-Nacl","500 ML",1000,1,2,2
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338008103","00338-0081-03","Dextrose-Nacl","500 ML",500,1,1,24
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338008502","00338-0085-02","Dextrose-Nacl","500 ML",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338008503","00338-0085-03","Dextrose-Nacl","500 ML",500,1,1,24
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338008504","00338-0085-04","Dextrose-Nacl","500 ML",1000,1,2,2
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338008902","00338-0089-02","Dextrose-Nacl","500 ML",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338008903","00338-0089-03","Dextrose-Nacl","500 ML",500,1,1,1
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338008904","00338-0089-04","Dextrose-Nacl","500 ML",1000,1,2,2
"J7120","Ringers lactate infusion","Baxter Healthcare Corporation   ","00338011702","00338-0117-02","Lactated Ringers","1000 CC",250,1,0.25,0.25
"J7120","Ringers lactate infusion","Baxter Healthcare Corporation   ","00338011703","00338-0117-03","Lactated Ringers","1000 CC",500,1,0.5,0.5
"J7120","Ringers lactate infusion","Baxter Healthcare Corporation   ","00338011704","00338-0117-04","Lactated Ringers","1000 CC",1000,1,1,1
"J7120","Ringers lactate infusion","Baxter Healthcare Corporation   ","00338012503","00338-0125-03","Lactated Ringer'S","1000 CC",500,1,0.5,0.5
"J7120","Ringers lactate infusion","Baxter Healthcare Corporation   ","00338012504","00338-0125-04","Lactated Ringer'S","1000 CC",1000,1,1,1
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338031802","00338-0318-02","Potassium Chloride","2 MEQ",250,1,250,250
"J2001","Lidocaine injection","Baxter Healthcare Corporation   ","00338040902","00338-0409-02","Lidocaine In D5W","10 MG",250,1,100,100
"J2001","Lidocaine injection","Baxter Healthcare Corporation   ","00338040903","00338-0409-03","Lidocaine In D5W","10 MG",500,1,200,200
"J2001","Lidocaine injection","Baxter Healthcare Corporation   ","00338041102","00338-0411-02","Lidocaine In D5W","10 MG",250,1,200,200
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00338043103","00338-0431-03","Heparin (Porcine) In Nacl","1000 UNITS",500,1,1,1
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00338043304","00338-0433-04","Heparin (Porcine) In Nacl","1000 UNITS",1000,1,2,2
"J2810","Inj theophylline per 40 MG","Baxter Healthcare Corporation   ","00338043903","00338-0439-03","Theophylline In D5W","40 MG",500,18,10,180
"J2810","Inj theophylline per 40 MG","Baxter Healthcare Corporation   ","00338044103","00338-0441-03","Theophylline In D5W","40 MG",500,18,20,360
"J1580","Garamycin gentamicin inj","Baxter Healthcare Corporation   ","00338050148","00338-0501-48","Gentamicin Sulfate","80 MG",100,1,0.75,0.75
"J1580","Garamycin gentamicin inj","Baxter Healthcare Corporation   ","00338050348","00338-0503-48","Gentamicin Sulfate","80 MG",100,1,1,1
"J1580","Garamycin gentamicin inj","Baxter Healthcare Corporation   ","00338050548","00338-0505-48","Gentamicin Sulfate","80 MG",100,1,1.25,1.25
"J1580","Garamycin gentamicin inj","Baxter Healthcare Corporation   ","00338050741","00338-0507-41","Gentamicin Sulfate","80 MG",50,1,0.75,0.75
"J1580","Garamycin gentamicin inj","Baxter Healthcare Corporation   ","00338050748","00338-0507-48","Gentamicin Sulfate","80 MG",100,1,1.5,1.5
"J1580","Garamycin gentamicin inj","Baxter Healthcare Corporation   ","00338050941","00338-0509-41","Gentamicin Sulfate","80 MG",50,1,1,1
"J1580","Garamycin gentamicin inj","Baxter Healthcare Corporation   ","00338051141","00338-0511-41","Gentamicin Sulfate","80 MG",50,1,1.25,1.25
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00338054903","00338-0549-03","Heparin (Porcine) In D5W","1000 UNITS",500,1,20,20
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00338055002","00338-0550-02","Heparin (Porcine) In D5W","1000 UNITS",250,1,25,25
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00338055003","00338-0550-03","Heparin (Porcine) In D5W","1000 UNITS",500,1,25,25
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338064002","00338-0640-02","Dextrose-Nacl","500 ML",250,12,0.5,6
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338068304","00338-0683-04","POTASSIUM CHLORIDE/DEXTROSE","2 MEQ",1000,1,10,10
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338069104","00338-0691-04","POTASSIUM CHLORIDE/SODIUM CHLORIDE","2 MEQ",1000,12,10,120
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338069504","00338-0695-04","Potassium Chloride","2 MEQ",1000,1,20,20
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338070341","00338-0703-41","Potassium Chloride","2 MEQ",50,24,10,240
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338070348","00338-0703-48","Potassium Chloride","2 MEQ",100,24,20,480
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338070434","00338-0704-34","POTASSIUM CHLORIDE/SODIUM CHLORIDE","2 MEQ",1000,1,10,10
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338070541","00338-0705-41","Potassium Chloride","2 MEQ",50,24,5,120
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338070548","00338-0705-48","Potassium Chloride","2 MEQ",100,24,10,240
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338070748","00338-0707-48","Potassium Chloride","2 MEQ",100,24,15,360
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338070948","00338-0709-48","Potassium Chloride","2 MEQ",100,24,5,120
"J0744","Ciprofloxacin iv","Baxter Healthcare Corporation   ","00338096037","00338-0960-37","CIPROFLOXACIN","200 MG",200,1,20,2
"J0744","Ciprofloxacin iv","Baxter Healthcare Corporation   ","00338096048","00338-0960-48","CIPROFLOXACIN","200 MG",100,1,10,1
"J1265","Dopamine injection","Baxter Healthcare Corporation   ","00338100502","00338-1005-02","Dopamine In D5W","40 MG",250,1,5,5
"J1265","Dopamine injection","Baxter Healthcare Corporation   ","00338100503","00338-1005-03","Dopamine In D5W","40 MG",500,1,10,10
"J1265","Dopamine injection","Baxter Healthcare Corporation   ","00338100702","00338-1007-02","Dopamine In D5W","40 MG",250,1,10,10
"J1265","Dopamine injection","Baxter Healthcare Corporation   ","00338100703","00338-1007-03","Dopamine In D5W","40 MG",500,1,20,20
"J1265","Dopamine injection","Baxter Healthcare Corporation   ","00338100902","00338-1009-02","Dopamine In D5W","40 MG",250,1,20,20
"J2700","Oxacillin sodium injeciton","Baxter Healthcare Corporation   ","00338101341","00338-1013-41","Bactocill In Dextrose","250 MG",50,1,4,4
"J2700","Oxacillin sodium injeciton","Baxter Healthcare Corporation   ","00338101541","00338-1015-41","Bactocill In Dextrose","250 MG",50,1,8,8
"J2540","Penicillin g potassium inj","Baxter Healthcare Corporation   ","00338102141","00338-1021-41","Penicillin G Pot In Dextrose","600000 UNITS",50,1,1.5,1.5
"J2540","Penicillin g potassium inj","Baxter Healthcare Corporation   ","00338102341","00338-1023-41","Penicillin G Pot In Dextrose","600000 UNITS",50,1,3,3
"J2540","Penicillin g potassium inj","Baxter Healthcare Corporation   ","00338102541","00338-1025-41","Penicillin G Pot In Dextrose","600000 UNITS",50,1,5,5
"J1250","Inj dobutamine HCL/250 mg","Baxter Healthcare Corporation   ","00338107302","00338-1073-02","Dobutamine Hcl","250 MG",250,1,1,1
"J1250","Inj dobutamine HCL/250 mg","Baxter Healthcare Corporation   ","00338107502","00338-1075-02","Dobutamine Hcl","250 MG",250,1,2,2
"J1250","Inj dobutamine HCL/250 mg","Baxter Healthcare Corporation   ","00338107702","00338-1077-02","Dobutamine Hcl","250 MG",250,1,1,1
"J0692","Cefepime HCl for injection","Baxter Healthcare Corporation   ","00338130141","00338-1301-41","Cefepime HCL","500 MG",50,1,1,1
"J0692","Cefepime HCl for injection","Baxter Healthcare Corporation   ","00338130148","00338-1301-48","Cefepime HCL","500 MG",100,1,2,2
"J9209","Mesna injection","Baxter Healthcare Corporation   ","00338130501","00338-1305-01","Mesnex","200 MG",10,1,5,5
"J9209","Mesna injection","Baxter Healthcare Corporation   ","00338130503","00338-1305-03","Mesnex","200 MG",10,10,5,50
"J2405","Ondansetron hcl injection","Baxter Healthcare Corporation   ","00338176241","00338-1762-41","ONDANSETRON HCL","1 MG",50,1,32,32
"J2270","Morphine sulfate injection","Baxter Healthcare Corporation   ","00338268975","00338-2689-75","Morphine Sulfate","10 MG",50,1,5,0.5
"J2271","Morphine so4 injection 100mg","Baxter Healthcare Corporation   ","00338268975","00338-2689-75","Morphine Sulfate","100 MG",50,1,0.5,0.5
"J2271","Morphine so4 injection 100mg","Baxter Healthcare Corporation   ","00338269075","00338-2690-75","Morphine Sulfate","100 MG",50,1,2.5,2.5
"J2175","Meperidine hydrochl /100 MG","Baxter Healthcare Corporation   ","00338269175","00338-2691-75","Meperidine Hcl","100 MG",50,1,5,5
"J0690","Cefazolin sodium injection","Baxter Healthcare Corporation   ","00338350341","00338-3503-41","Cefazolin Sodium","500 MG",50,1,2,2
"J3370","Vancomycin hcl injection","Baxter Healthcare Corporation   ","00338355148","00338-3551-48","Vancomycin Hcl","500 MG",100,1,1,1
"J3370","Vancomycin hcl injection","Baxter Healthcare Corporation   ","00338355248","00338-3552-48","Vancocin Hcl","500 MG",200,1,2,2
"J3370","Vancomycin hcl injection","Baxter Healthcare Corporation   ","00338358048","00338-3580-48","Vancomycin Hcl","500 MG",150,6,1.5,9
"J9208","Ifosfamide injection","Baxter Healthcare Corporation   ","00338399101","00338-3991-01","Ifex","1 GM",1,1,1,1
"J9208","Ifosfamide injection","Baxter Healthcare Corporation   ","00338399301","00338-3993-01","Ifex","1 GM",1,1,3,3
"J0696","Ceftriaxone sodium injection","Baxter Healthcare Corporation   ","00338500241","00338-5002-41","CEFTRIAXONE IN D5W","250 MG",50,1,4,4
"J0696","Ceftriaxone sodium injection","Baxter Healthcare Corporation   ","00338500341","00338-5003-41","CEFTRIAXONE IN D5W","250 MG",50,1,8,8
"J2260","Inj milrinone lactate / 5 MG","Baxter Healthcare Corporation   ","00338601048","00338-6010-48","Milrinone In Dextrose","5 MG",100,1,4,4
"J2260","Inj milrinone lactate / 5 MG","Baxter Healthcare Corporation   ","00338601137","00338-6011-37","Milrinone In Dextrose","5 MG",200,1,8,8
"J1450","Fluconazole","Baxter Healthcare Corporation   ","00338604537","00338-6045-37","Fluconazole In Sodium Chloride","200 MG",200,1,2,2
"J1450","Fluconazole","Baxter Healthcare Corporation   ","00338604648","00338-6046-48","Fluconazole In Sodium Chloride","200 MG",100,1,1,1
"J7030","Normal saline solution infus","Baxter Healthcare Corporation   ","00338630402","00338-6304-02","Sodium Chloride","1000 ML",250,1,0.25,0.25
"J7040","Normal saline solution infus","Baxter Healthcare Corporation   ","00338630402","00338-6304-02","Sodium Chloride","500 ML",250,1,0.5,0.5
"J7050","Normal saline solution infus","Baxter Healthcare Corporation   ","00338630402","00338-6304-02","Sodium Chloride","250 ML",250,1,1,1
"J7030","Normal saline solution infus","Baxter Healthcare Corporation   ","00338630403","00338-6304-03","Sodium Chloride","1000 ML",500,1,0.5,0.5
"J7040","Normal saline solution infus","Baxter Healthcare Corporation   ","00338630403","00338-6304-03","Sodium Chloride","500 ML",500,1,1,1
"J7050","Normal saline solution infus","Baxter Healthcare Corporation   ","00338630403","00338-6304-03","Sodium Chloride","250 ML",500,1,2,2
"J7030","Normal saline solution infus","Baxter Healthcare Corporation   ","00338630404","00338-6304-04","Sodium Chloride","1000 ML",1000,1,1,1
"J7040","Normal saline solution infus","Baxter Healthcare Corporation   ","00338630404","00338-6304-04","Sodium Chloride","500 ML",1000,1,2,2
"J7050","Normal saline solution infus","Baxter Healthcare Corporation   ","00338630404","00338-6304-04","Sodium Chloride","250 ML",1000,1,4,4
"J7120","Ringers lactate infusion","Baxter Healthcare Corporation   ","00338630702","00338-6307-02","Lactated Ringers","1000 CC",250,1,0.25,0.25
"J7120","Ringers lactate infusion","Baxter Healthcare Corporation   ","00338630703","00338-6307-03","Lactated Ringers","1000 CC",500,1,0.5,0.5
"J7120","Ringers lactate infusion","Baxter Healthcare Corporation   ","00338630704","00338-6307-04","Lactated Ringers","1000 CC",1000,1,1,1
"J7042","5% dextrose/normal saline","Baxter Healthcare Corporation   ","00338630803","00338-6308-03","Dextrose-Nacl","500 ML",500,1,1,1
"J7060","5% dextrose/water","Baxter Healthcare Corporation   ","00338634602","00338-6346-02","Dextrose","500 ML",250,1,0.5,0.5
"J7070","D5w infusion","Baxter Healthcare Corporation   ","00338634602","00338-6346-02","Dextrose","1000 CC",250,1,0.25,0.25
"J7060","5% dextrose/water","Baxter Healthcare Corporation   ","00338634603","00338-6346-03","Dextrose","500 ML",500,1,1,1
"J7070","D5w infusion","Baxter Healthcare Corporation   ","00338634603","00338-6346-03","Dextrose","1000 CC",500,1,0.5,0.5
"J8610","Methotrexate oral 2.5 MG","Mylan Pharmaceuticals, Inc","00378001401","00378-0014-01","Methotrexate","2.5 MG",100,1,100,100
"J8610","Methotrexate oral 2.5 MG","Mylan Pharmaceuticals, Inc","00378001450","00378-0014-50","Methotrexate","2.5 MG",5000,1,5000,5000
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378031553","00378-0315-53","Ondansetron","1 MG",1,3,4,12
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378031593","00378-0315-93","Ondansetron","1 MG",1,30,4,120
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378034453","00378-0344-53","Ondansetron","1 MG",1,3,8,24
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378034493","00378-0344-93","Ondansetron","1 MG",1,30,8,240
"Q0166","Granisetron hcl 1 mg oral","Mylan Pharmaceuticals, Inc","00378100394","00378-1003-94","Granisetron HCl","1 MG",20,1,20,20
"J7500","Azathioprine oral 50mg","Mylan Pharmaceuticals, Inc","00378100501","00378-1005-01","Azathioprine","50 MG",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","Mylan Pharmaceuticals, Inc","00378204501","00378-2045-01","TACROLIMUS","1MG",100,1,50,50
"J7507","Tacrolimus oral per 1 MG","Mylan Pharmaceuticals, Inc","00378204601","00378-2046-01","TACROLIMUS","1 MG",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","Mylan Pharmaceuticals, Inc","00378204605","00378-2046-05","TACROLIMUS","1 MG",500,1,500,500
"J7507","Tacrolimus oral per 1 MG","Mylan Pharmaceuticals, Inc","00378204701","00378-2047-01","TACROLIMUS","1 MG",100,1,500,500
"J7517","Mycophenolate mofetil oral","Mylan Pharmaceuticals, Inc","00378225001","00378-2250-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100
"J7517","Mycophenolate mofetil oral","Mylan Pharmaceuticals, Inc","00378225005","00378-2250-05","MYCOPHENOLATE MOFETIL","250 mg",1,500,500,500
"J8560","Etoposide oral 50 MG","Mylan Pharmaceuticals, Inc","00378326694","00378-3266-94","Etoposide","50 MG",20,1,20,20
"J7517","Mycophenolate mofetil oral","Mylan Pharmaceuticals, Inc","00378447201","00378-4472-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200
"J7517","Mycophenolate mofetil oral","Mylan Pharmaceuticals, Inc","00378447205","00378-4472-05","MYCOPHENOLATE MOFETIL","250 mg",1,500,1000,1000
"Q0164","Prochlorperazine maleate 5mg","Mylan Pharmaceuticals, Inc","00378510501","00378-5105-01","Prochlorperazine Maleate","5 MG",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","Mylan Pharmaceuticals, Inc","00378511001","00378-5110-01","Prochlorperazine Maleate","10 MG",100,1,100,100
"J7620","Albuterol ipratrop non-comp","Mylan Pharmaceuticals, Inc","00378698858","00378-6988-58","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","Mylan Pharmaceuticals, Inc","00378698891","00378-6988-91","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60
"J7620","Albuterol ipratrop non-comp","Mylan Pharmaceuticals, Inc","00378698893","00378-6988-93","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30
"J7644","Ipratropium bromide non-comp","Mylan Pharmaceuticals, Inc","00378698962","00378-6989-62","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5
"J7644","Ipratropium bromide non-comp","Mylan Pharmaceuticals, Inc","00378698964","00378-6989-64","Ipratropium Bromide","1 MG",2.5,30,0.5,15
"J7644","Ipratropium bromide non-comp","Mylan Pharmaceuticals, Inc","00378698966","00378-6989-66","Ipratropium Bromide","1 MG",2.5,60,0.5,30
"J7644","Ipratropium bromide non-comp","Mylan Pharmaceuticals, Inc","00378698993","00378-6989-93","Ipratropium Bromide","1 MG",2.5,30,0.5,15
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378699052","00378-6990-52","Albuterol Sulfate","1 MG",3,25,2.5,62.5
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378699058","00378-6990-58","Albuterol Sulfate","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378699091","00378-6990-91","Albuterol Sulfate","1 MG",3,60,2.5,150
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378699093","00378-6990-93","Albuterol Sulfate","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378699152","00378-6991-52","Albuterol Sulfate","1 MG",3,25,0.63,15.75
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378699252","00378-6992-52","Albuterol Sulfate","1 MG",3,25,1.25,31.25
"J7612","Levalbuterol non-comp con","Mylan Pharmaceuticals, Inc","00378699393","00378-6993-93","Levalbuterol Inhalation Solution Concentrated","0.5 MG",0.5,30,2.5,75
"Q0169","Promethazine HCl 12.5mg oral","Mylan Pharmaceuticals, Inc","00378702801","00378-7028-01","PROMETHAZINE HCL","12.5 MG",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","Mylan Pharmaceuticals, Inc","00378702901","00378-7029-01","PROMETHAZINE HCL","25 MG",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","Mylan Pharmaceuticals, Inc","00378702910","00378-7029-10","PROMETHAZINE HCL","25 MG",1000,1,1000,1000
"Q0170","Promethazine HCl 25 mg oral","Mylan Pharmaceuticals, Inc","00378703001","00378-7030-01","PROMETHAZINE HCL","25 MG",100,1,200,200
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378773293","00378-7732-93","Ondansetron ODT","1 MG",1,30,4,120
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378773493","00378-7734-93","Ondansetron ODT","1 MG",1,30,8,240
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378773497","00378-7734-97","Ondansetron ODT","1 MG",1,30,8,80
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069005","00407-0690-05","Omniscan","1 ML",5,10,5,50
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069010","00407-0690-10","Omniscan","1 ML",10,10,10,100
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069012","00407-0690-12","Omniscan","1 ML",10,10,10,100
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069015","00407-0690-15","Omniscan","1 ML",15,10,15,150
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069017","00407-0690-17","Omniscan","1 ML",15,10,15,150
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069020","00407-0690-20","Omniscan","1 ML",20,10,20,200
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069022","00407-0690-22","Omniscan","1 ML",20,10,20,200
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069030","00407-0690-30","NovaPlus® Omniscan","1 ML",10,10,10,100
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069040","00407-0690-40","NovaPlus® Omniscan","1 ML",15,10,15,150
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069042","00407-0690-42","NovaPlus® Omniscan","1 ML",15,10,15,150
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069043","00407-0690-43","NovaPlus® Omniscan","1 ML",20,10,20,200
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069050","00407-0690-50","NovaPlus® Omniscan","1 ML",20,10,20,200
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069055","00407-0690-55","Omniscan","1 ML",50,10,50,500
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069070","00407-0690-70","Omniscan","1 ML",100,10,100,1000
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069162","00407-0691-62","Omniscan","1 ML",15,10,15,150
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069163","00407-0691-63","Omniscan","1 ML",20,10,20,200
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069164","00407-0691-64","NovaPlus® Omniscan","1 ML",15,10,15,150
"A9579","Gad-base MR contrast NOS,1ml","GE Healthcare","00407069165","00407-0691-65","NovaPlus® Omniscan","1 ML",20,10,20,200
"Q9958","HOCM <=149 mg/ml iodine, 1ml","GE Healthcare","00407076901","00407-0769-01","Hypaque Sodium Oral","1 ML",100,250,100,2500
"Q9965","LOCM 100-199mg/ml iodine,1ml","GE Healthcare","00407140152","00407-1401-52","OMNIPAQUE 140","1 ML",50,10,50,500
"Q9965","LOCM 100-199mg/ml iodine,1ml","GE Healthcare","00407141110","00407-1411-10","Omnipaque 180","1 ML",10,10,10,100
"Q9965","LOCM 100-199mg/ml iodine,1ml","GE Healthcare","00407141120","00407-1411-20","Omnipaque 180","1 ML",20,10,20,200
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141210","00407-1412-10","Omnipaque 240","1 ML",10,10,10,100
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141220","00407-1412-20","Omnipaque 240","1 ML",20,10,20,200
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141226","00407-1412-26","Omnipaque","1 ML",100,10,100,1000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141227","00407-1412-27","Omnipaque","1 ML",150,10,150,1500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141228","00407-1412-28","Omnipaque","1 ML",200,10,200,2000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141229","00407-1412-29","Omnipaque","1 ML",50,10,50,500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141230","00407-1412-30","Omnipaque 240","1 ML",50,10,50,500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141233","00407-1412-33","Omnipaque 240","1 ML",100,10,100,1000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141234","00407-1412-34","Omnipaque 240","1 ML",150,10,150,1500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141235","00407-1412-35","Omnipaque 240","1 ML",200,10,200,2000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141238","00407-1412-38","Omnipaque 240","1 ML",500,10,500,5000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141239","00407-1412-39","Omnipaque 240","1 ML",100,10,100,1000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141240","00407-1412-40","Omnipaque 240","1 ML",150,10,150,1500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141249","00407-1412-49","Omnipaque 240","1 ML",150,10,150,1500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141250","00407-1412-50","Omnipaque 240","1 ML",50,10,50,500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141260","00407-1412-60","Omnipaque 240","1 ML",100,10,100,1000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407141284","00407-1412-84","Omnipaque 240","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141310","00407-1413-10","Omnipaque 300","1 ML",10,10,10,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141311","00407-1413-11","Omnipaque 300","1 ML",10,10,10,100
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141325","00407-1413-25","Omnipaque 300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141330","00407-1413-30","Omnipaque 300","1 ML",30,10,30,300
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141341","00407-1413-41","Omnipaque 300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141342","00407-1413-42","Omnipaque 300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141343","00407-1413-43","Omnipaque 300","1 ML",100,10,10,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141346","00407-1413-46","Omnipaque 300","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141347","00407-1413-47","Omnipaque 300","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141350","00407-1413-50","Omnipaque 300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141351","00407-1413-51","Omnipaque 300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141353","00407-1413-53","Omnipaque 300","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141359","00407-1413-59","Omnipaque 300","1 ML",30,10,30,300
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141360","00407-1413-60","Omnipaque 300","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141361","00407-1413-61","Omnipaque 300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141362","00407-1413-62","Omnipaque 300","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141363","00407-1413-63","Omnipaque 300","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141365","00407-1413-65","Omnipaque 300","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141366","00407-1413-66","Omnipaque 300","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141368","00407-1413-68","Omnipaque 300","1 ML",500,10,500,5000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141386","00407-1413-86","Omnipaque 300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141387","00407-1413-87","Omnipaque 300","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141388","00407-1413-88","Omnipaque 300","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141389","00407-1413-89","Omnipaque 300","1 ML",500,10,500,5000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141390","00407-1413-90","Omnipaque 300","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141391","00407-1413-91","Omnipaque","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141392","00407-1413-92","Omnipaque","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141393","00407-1413-93","Omnipaque","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141394","00407-1413-94","Omnipaque","1 ML",500,10,500,5000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141395","00407-1413-95","Omnipaque","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141398","00407-1413-98","Omnipaque","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141399","00407-1413-99","Omnipaque","1 ML",75,10,75,750
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141403","00407-1414-03","Omnipaque 350","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141404","00407-1414-04","Omnipaque 350","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141420","00407-1414-20","Omnipaque","1 ML",75,10,75,750
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141421","00407-1414-21","Omnipaque","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141422","00407-1414-22","Omnipaque","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141423","00407-1414-23","Omnipaque","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141424","00407-1414-24","Omnipaque","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141425","00407-1414-25","Omnipaque","1 ML",500,10,500,5000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141441","00407-1414-41","Omnipaque","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141442","00407-1414-42","Omnipaque","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141443","00407-1414-43","Omnipaque","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141444","00407-1414-44","Omnipaque","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141445","00407-1414-45","Omnipaque","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141450","00407-1414-50","Omnipaque 350","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141451","00407-1414-51","Omnipaque 350","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141452","00407-1414-52","Omnipaque","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141453","00407-1414-53","Omnipaque","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141460","00407-1414-60","Omnipaque 350","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141476","00407-1414-76","Omnipaque 350","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141480","00407-1414-80","Omnipaque 350","1 ML",250,10,250,2500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141482","00407-1414-82","Omnipaque 350","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141484","00407-1414-84","Omnipaque 350","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141485","00407-1414-85","Omnipaque 350","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141486","00407-1414-86","Omnipaque 350","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141487","00407-1414-87","Omnipaque 350","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141488","00407-1414-88","Omnipaque 350","1 ML",500,10,500,5000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141489","00407-1414-89","Omnipaque 350","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141490","00407-1414-90","Omnipaque 350","1 ML",75,10,75,750
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141491","00407-1414-91","Omnipaque 350","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141493","00407-1414-93","Omnipaque 350","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141494","00407-1414-94","Omnipaque 350","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141498","00407-1414-98","Omnipaque 350","1 ML",500,10,500,5000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222201","00407-2222-01","Visipaque 270","1 ML",50,10,50,500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222202","00407-2222-02","Visipaque 270","1 ML",100,10,100,1000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222203","00407-2222-03","Visipaque 270","1 ML",150,10,150,1500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222216","00407-2222-16","Visipaque 270","1 ML",50,10,50,500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222217","00407-2222-17","Visipaque 270","1 ML",100,10,100,1000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222219","00407-2222-19","Visipaque 270","1 ML",150,10,150,1500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222221","00407-2222-21","Visipaque 270","1 ML",200,10,200,2000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222223","00407-2222-23","Visipaque 270","1 ML",500,10,500,5000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222252","00407-2222-52","Visipaque","1 ML",50,10,50,500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222253","00407-2222-53","Visipaque","1 ML",100,10,100,1000
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222254","00407-2222-54","Visipaque","1 ML",150,10,150,1500
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE Healthcare","00407222255","00407-2222-55","Visipaque","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222301","00407-2223-01","Visipaque 320","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222302","00407-2223-02","Visipaque 320","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222303","00407-2223-03","Visipaque 320","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222304","00407-2223-04","Visipaque 320","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222306","00407-2223-06","Visipaque 320","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222316","00407-2223-16","Visipaque 320","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222317","00407-2223-17","Visipaque 320","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222319","00407-2223-19","Visipaque 320","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222321","00407-2223-21","Visipaque 320","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222323","00407-2223-23","Visipaque 320","1 ML",500,10,500,5000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222335","00407-2223-35","Visipaque 320","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222350","00407-2223-50","Visipaque","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222351","00407-2223-51","Visipaque","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222353","00407-2223-53","Visipaque","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222354","00407-2223-54","Visipaque","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222355","00407-2223-55","Visipaque","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222356","00407-2223-56","Visipaque","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222357","00407-2223-57","Visipaque","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222358","00407-2223-58","Visipaque","1 ML",500,10,500,5000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222360","00407-2223-60","Visipaque 320","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222361","00407-2223-61","Visipaque 320","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222362","00407-2223-62","Visipaque 320","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222363","00407-2223-63","Visipaque 320","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222364","00407-2223-64","Visipaque 320","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222365","00407-2223-65","Visipaque 320","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222366","00407-2223-66","Visipaque 320","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407222367","00407-2223-67","Visipaque 320","1 ML",200,10,200,2000
"Q9956","Inj octafluoropropane mic,ml","GE Healthcare","00407270703","00407-2707-03","Optison","1 ML",3,5,3,15
"J0456","Azithromycin","HOSPIRA, INC","00409014411","00409-0144-11","AZITHROMYCIN","500MG",1,10,1,10
"J9201","Gemcitabine hcl injection","HOSPIRA, INC","00409018101","00409-0181-01","GEMCITABINE","200 MG",26.3,1,5,5
"J9201","Gemcitabine hcl injection","HOSPIRA, INC","00409018201","00409-0182-01","GEMCITABINE","200 MG",52.6,1,10,10
"J9201","Gemcitabine hcl injection","HOSPIRA, INC","00409018301","00409-0183-01","GEMCITABINE","200 MG",5.26,1,1,1
"J9201","Gemcitabine hcl injection","HOSPIRA, INC","00409018501","00409-0185-01","GEMCITABINE","200 MG",1,1,1,1
"J9201","Gemcitabine hcl injection","HOSPIRA, INC","00409018601","00409-0186-01","GEMCITABINE","200 MG",1,1,5,5
"J9201","Gemcitabine hcl injection","HOSPIRA, INC","00409018701","00409-0187-01","GEMCITABINE","200 MG",1,1,10,10
"J9171","Docetaxel injection","HOSPIRA, INC","00409020102","00409-0201-02","DOCETAXEL","1 MG",2,1,20,20
"J9171","Docetaxel injection","HOSPIRA, INC","00409020110","00409-0201-10","DOCETAXEL","1 MG",8,1,80,80
"J9171","Docetaxel injection","HOSPIRA, INC","00409020120","00409-0201-20","DOCETAXEL","1 MG",16,1,160,160
"J9351","Topotecan injection","HOSPIRA, INC","00409030201","00409-0302-01","Topotecan","0.1 MG",1,1,40,40
"J9268","Pentostatin injection","HOSPIRA, INC","00409080101","00409-0801-01","Nipent","10 MG",1,1,1,1
"J0697","Sterile cefuroxime injection","HOSPIRA, INC","00409080201","00409-0802-01","CEFUROXIME SODIUM","750MG",1,25,2,50
"J0697","Sterile cefuroxime injection","HOSPIRA, INC","00409080301","00409-0803-01","Cefuroxime Sodium","750 MG",100,10,10,100
"J0690","Cefazolin sodium injection","HOSPIRA, INC","00409080501","00409-0805-01","Cefazolin Sodium","500 MG",1,25,2,50
"J0690","Cefazolin sodium injection","HOSPIRA, INC","00409080601","00409-0806-01","Cefazolin Sodium","500 MG",1,10,20,200
"J0745","Inj codeine phosphate /30 MG","HOSPIRA, INC","00409109732","00409-1097-32","Codeine Phosphate","30 MG",2,10,1,10
"J0745","Inj codeine phosphate /30 MG","HOSPIRA, INC","00409110232","00409-1102-32","Codeine Phosphate","30 MG",2,10,2,20
"J2405","Ondansetron hcl injection","HOSPIRA, INC","00409112062","00409-1120-62","ONDANSETRON HCL","1 MG",2,10,4,40
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409113403","00409-1134-03","Morphine Sulfate","100 MG",20,1,10,10
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409113405","00409-1134-05","Morphine Sulfate","100 MG",50,1,25,25
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409113502","00409-1135-02","Morphine Sulfate","100 MG",10,1,2.5,25
"J2275","Morphine sulfate injection","HOSPIRA, INC","00409113502","00409-1135-02","Morphine Sulfate (Pf)","10 MG",10,1,25,25
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409117630","00409-1176-30","Demerol","100 MG",1,10,0.25,2.5
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409117830","00409-1178-30","Demerol","100 MG",1,10,0.5,5
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409117930","00409-1179-30","Demerol","100 MG",1,10,0.75,7.5
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409118069","00409-1180-69","Demerol","100 MG",1,10,1,10
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409118130","00409-1181-30","Demerol","100 MG",30,1,15,15
"J1790","Droperidol injection","HOSPIRA, INC","00409118701","00409-1187-01","Droperidol","5 MG",2,10,1,10
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409120120","00409-1201-20","Demerol","100 MG",20,1,20,20
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409120301","00409-1203-01","Demerol","100 MG",0.5,25,0.25,6.25
"J1580","Garamycin gentamicin inj","HOSPIRA, INC","00409120703","00409-1207-03","Gentamicin Sulfate","80 MG",2,25,1,25
"J2310","Inj naloxone hydrochloride","HOSPIRA, INC","00409121501","00409-1215-01","Naloxone Hcl","1 MG",1,10,0.4,4
"J2310","Inj naloxone hydrochloride","HOSPIRA, INC","00409121901","00409-1219-01","Naloxone Hcl","1 MG",10,25,4,100
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409125301","00409-1253-01","Demerol","100 MG",1,25,0.5,12.5
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409125401","00409-1254-01","Demerol","100 MG",1.5,25,0.75,18.75
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409125502","00409-1255-02","Demerol","100 MG",2,25,1,25
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409125601","00409-1256-01","Demerol","100 MG",1,25,1,25
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409125830","00409-1258-30","Morphine Sulfate","10 MG",1,10,0.4,4
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409126069","00409-1260-69","Morphine Sulfate","10 MG",1,10,0.8,8
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409126130","00409-1261-30","Morphine Sulfate","10 MG",1,10,1,10
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409126431","00409-1264-31","Morphine Sulfate","10 MG",1,10,1.5,15
"J3360","Diazepam injection","HOSPIRA, INC","00409127305","00409-1273-05","Diazepam","5 MG",2,10,2,20
"J3360","Diazepam injection","HOSPIRA, INC","00409127332","00409-1273-32","DIAZEPAM","5 MG",2,10,2,20
"J3010","Fentanyl citrate injeciton","HOSPIRA, INC","00409127632","00409-1276-32","FENTANYL CITRATE","0.1 MG",2,10,1,10
"J1170","Hydromorphone injection","HOSPIRA, INC","00409128310","00409-1283-10","HYDROMORPHONE HYDROCHLORIDE","4 MG",1,10,0.25,2.5
"J1170","Hydromorphone injection","HOSPIRA, INC","00409128331","00409-1283-31","Hydromorphone Hcl","4 MG",1,10,0.25,2.5
"J1170","Hydromorphone injection","HOSPIRA, INC","00409130431","00409-1304-31","Hydromorphone Hcl","4 MG",1,10,1,10
"J1170","Hydromorphone injection","HOSPIRA, INC","00409131210","00409-1312-10","HYDROMORPHONE HYDROCHLORIDE","4 MG",1,10,0.5,5
"J1170","Hydromorphone injection","HOSPIRA, INC","00409131230","00409-1312-30","Hydromorphone Hcl","4 MG",1,10,0.5,5
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409131625","00409-1316-25","Heparin Sodium (Porcine)","1000 UNITS",0.5,10,5,50
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409131632","00409-1316-32","Heparin Sodium (Porcine)","1000 UNITS",0.5,50,5,250
"J1165","Phenytoin sodium injection","HOSPIRA, INC","00409131701","00409-1317-01","Phenytoin Sodium","50 MG",2,25,2,50
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409140212","00409-1402-12","Heparin Sodium","1000 UNITS",1,50,5,250
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409140231","00409-1402-31","Heparin Sodium (Porcine)","1000 UNITS",1,10,5,50
"J2300","Inj nalbuphine hydrochloride","HOSPIRA, INC","00409146301","00409-1463-01","Nalbuphine Hcl","10 MG",1,10,1,10
"J2300","Inj nalbuphine hydrochloride","HOSPIRA, INC","00409146349","00409-1463-49","Nalbuphine Hcl","10 MG",1,10,1,10
"J2300","Inj nalbuphine hydrochloride","HOSPIRA, INC","00409146401","00409-1464-01","Nalbuphine Hcl","10 MG",10,25,10,250
"J2300","Inj nalbuphine hydrochloride","HOSPIRA, INC","00409146501","00409-1465-01","Nalbuphine Hcl","10 MG",1,10,2,20
"J2300","Inj nalbuphine hydrochloride","HOSPIRA, INC","00409146549","00409-1465-49","Nalbuphine Hcl","10 MG",1,10,2,20
"J2300","Inj nalbuphine hydrochloride","HOSPIRA, INC","00409146701","00409-1467-01","Nalbuphine Hcl","10 MG",10,25,20,500
"J7110","Dextran 75 infusion","HOSPIRA, INC","00409150503","00409-1505-03","DEXTRAN-70 W/NACL","500 ML",500,12,1,12
"J3480","Inj potassium chloride","HOSPIRA, INC","00409151302","00409-1513-02","Potassium Chloride","2 MEQ",250,12,250,3000
"J7060","5% dextrose/water","HOSPIRA, INC","00409152202","00409-1522-02","Dextrose","500 ML",250,12,0.5,6
"J7070","D5w infusion","HOSPIRA, INC","00409152202","00409-1522-02","Dextrose","1000 CC",250,12,0.25,3
"J7060","5% dextrose/water","HOSPIRA, INC","00409152203","00409-1522-03","Dextrose","500 ML",500,12,1,12
"J7070","D5w infusion","HOSPIRA, INC","00409152203","00409-1522-03","Dextrose","1000 CC",500,12,0.5,6
"J0595","Butorphanol tartrate 1 mg","HOSPIRA, INC","00409162301","00409-1623-01","Butorphanol Tartrate","1 MG",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","HOSPIRA, INC","00409162601","00409-1626-01","Butorphanol Tartrate","1 MG",1,10,2,20
"J0595","Butorphanol tartrate 1 mg","HOSPIRA, INC","00409162602","00409-1626-02","Butorphanol Tartrate","1 MG",2,10,4,40
"J0461","Atropine sulfate injection","HOSPIRA, INC","00409163010","00409-1630-10","Atropine Sulfate","0.01 MG",10,10,100,1000
"J1940","Furosemide injection","HOSPIRA, INC","00409163910","00409-1639-10","Furosemide","20 MG",10,10,5,50
"J3475","Inj magnesium sulfate","HOSPIRA, INC","00409175410","00409-1754-10","Magnesium Sulfate","500 MG",10,10,10,100
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409176230","00409-1762-30","Morphine Sulfate","10 MG",1,10,0.2,2
"J2310","Inj naloxone hydrochloride","HOSPIRA, INC","00409178269","00409-1782-69","Naloxone Hcl","1 MG",1,10,0.4,4
"J1165","Phenytoin sodium injection","HOSPIRA, INC","00409184432","00409-1844-32","Phenytoin Sodium","50 MG",2,10,2,20
"J2690","Procainamide hcl injection","HOSPIRA, INC","00409190201","00409-1902-01","Procainamide Hcl","1 GM",10,25,1,25
"J2690","Procainamide hcl injection","HOSPIRA, INC","00409190301","00409-1903-01","Procainamide Hcl","1 GM",2,25,1,25
"J3070","Pentazocine injection","HOSPIRA, INC","00409192010","00409-1920-10","TalWin","30 MG",10,1,10,10
"J3070","Pentazocine injection","HOSPIRA, INC","00409194101","00409-1941-01","TALWIN LACTATE","30 MG",1,25,1,25
"J3250","Trimethobenzamide hcl inj","HOSPIRA, INC","00409195232","00409-1952-32","TRIMETHOBENZAMIDE HCL","200 MG",2,10,1,10
"J2060","Lorazepam injection","HOSPIRA, INC","00409198505","00409-1985-05","Lorazepam","2 MG",1,10,1,10
"J2060","Lorazepam injection","HOSPIRA, INC","00409198530","00409-1985-30","Lorazepam","2 MG",1,10,1,10
"J0592","Buprenorphine hydrochloride","HOSPIRA, INC","00409201232","00409-2012-32","Buprenorphine Hcl","0.1 MG",1,10,3,30
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA, INC","00409202520","00409-2025-20","Dobutamine Hcl","250 MG",20,10,1,10
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA, INC","00409202554","00409-2025-54","Dobutamine Hcl","250 MG",40,10,2,20
"J2275","Morphine sulfate injection","HOSPIRA, INC","00409202902","00409-2029-02","Morphine Sulfate (Pf)","10 MG",30,10,3,30
"J3475","Inj magnesium sulfate","HOSPIRA, INC","00409216802","00409-2168-02","Magnesium Sulfate","500 MG",20,25,20,500
"J2597","Inj desmopressin acetate","HOSPIRA, INC","00409226501","00409-2265-01","Desmopressin Acetate","1 MCG",1,10,4,40
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409228721","00409-2287-21","Ketorolac Tromethamine","15 MG",1,10,2,20
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409228722","00409-2287-22","Ketorolac Tromethamine","15 MG",2,10,4,40
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409228731","00409-2287-31","Ketorolac Tromethamine","15 MG",1,10,2,20
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409228761","00409-2287-61","Ketorolac Tromethamine","15 MG",2,10,4,40
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409228821","00409-2288-21","Ketorolac Tromethamine","15 MG",1,10,1,10
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409228831","00409-2288-31","Ketorolac Tromethamine","15 MG",1,10,1,10
"J1200","Diphenhydramine hcl injectio","HOSPIRA, INC","00409229031","00409-2290-31","Diphenhydramine Hcl","50 MG",1,10,1,10
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230502","00409-2305-02","Midazolam Hcl","1 MG",2,10,2,20
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230505","00409-2305-05","Midazolam Hcl","1 MG",5,10,5,50
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230517","00409-2305-17","Midazolam HCl","1 MG",2,25,2,50
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230521","00409-2305-21","Midazolam HCl","1 MG",2,25,2,50
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230549","00409-2305-49","Midazolam Hcl","1 MG",2,10,2,20
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230550","00409-2305-50","Midazolam Hcl","1 MG",5,10,5,50
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230612","00409-2306-12","Midazolam HCl","1 MG",2,10,2,20
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230622","00409-2306-22","Midazolam Hcl","1 MG",2,10,2,20
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230662","00409-2306-62","Midazolam Hcl","1 MG",2,10,2,20
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230721","00409-2307-21","Midazolam Hcl","1 MG",1,10,5,50
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230760","00409-2307-60","Midazolam Hcl","1 MG",1,10,5,50
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230801","00409-2308-01","Midazolam Hcl","1 MG",1,10,5,50
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230802","00409-2308-02","Midazolam Hcl","1 MG",2,10,10,100
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230849","00409-2308-49","Midazolam Hcl","1 MG",1,10,5,50
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409230850","00409-2308-50","Midazolam Hcl","1 MG",2,10,10,100
"J0895","Deferoxamine mesylate inj","HOSPIRA, INC","00409233610","00409-2336-10","Deferoxamine Mesylate","500 MG",1,4,1,4
"J0895","Deferoxamine mesylate inj","HOSPIRA, INC","00409233725","00409-2337-25","Deferoxamine Mesylate","500 MG",1,4,4,16
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA, INC","00409234401","00409-2344-01","Dobutamine Hcl","250 MG",20,1,1,1
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA, INC","00409234402","00409-2344-02","Dobutamine Hcl","250 MG",20,10,1,10
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA, INC","00409234488","00409-2344-88","Dobutamine Hcl","250 MG",20,10,1,10
"J1170","Hydromorphone injection","HOSPIRA, INC","00409254001","00409-2540-01","Hydromorphone Hcl","4 MG",1,10,1,10
"J1170","Hydromorphone injection","HOSPIRA, INC","00409255201","00409-2552-01","Hydromorphone Hcl","4 MG",1,10,0.25,2.5
"J0690","Cefazolin sodium injection","HOSPIRA, INC","00409258501","00409-2585-01","Cefazolin Sodium","500 MG",1,25,2,50
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409258705","00409-2587-05","Midazolam Hcl","1 MG",10,10,10,100
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409258753","00409-2587-53","Midazolam Hcl","1 MG",10,10,10,100
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409259603","00409-2596-03","Midazolam Hcl","1 MG",5,10,25,250
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409259605","00409-2596-05","Midazolam Hcl","1 MG",10,10,50,500
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409259652","00409-2596-52","Midazolam Hcl","1 MG",5,10,25,250
"J2250","Inj midazolam hydrochloride","HOSPIRA, INC","00409259653","00409-2596-53","Midazolam Hcl","1 MG",10,10,50,500
"J1170","Hydromorphone injection","HOSPIRA, INC","00409263401","00409-2634-01","Hydromorphone Hcl","4 MG",1,10,2.5,25
"J1170","Hydromorphone injection","HOSPIRA, INC","00409263405","00409-2634-05","Hydromorphone Hcl","4 MG",5,10,12.5,125
"J1170","Hydromorphone injection","HOSPIRA, INC","00409263450","00409-2634-50","Hydromorphone Hcl","4 MG",50,1,12.5,12.5
"J0295","Ampicillin sodium per 1.5 gm","HOSPIRA, INC","00409268715","00409-2687-15","Ampicillin-Sulbactam","1.5 GM",1,1,10,10
"J0295","Ampicillin sodium per 1.5 gm","HOSPIRA, INC","00409268901","00409-2689-01","Ampicillin-Sulbactam","1.5 GM",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","HOSPIRA, INC","00409268911","00409-2689-11","Ampicillin-Sulbactam","1.5 GM",1,10,1,10
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409272001","00409-2720-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,1,25
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409272002","00409-2720-02","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409272003","00409-2720-03","Heparin Sodium (Porcine)","1000 UNITS",30,25,30,750
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409272101","00409-2721-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409272301","00409-2723-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409272302","00409-2723-02","Heparin Sodium (Porcine)","1000 UNITS",10,25,50,1250
"J0295","Ampicillin sodium per 1.5 gm","HOSPIRA, INC","00409298703","00409-2987-03","Ampicillin-Sulbactam","1.5 GM",1,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","HOSPIRA, INC","00409298713","00409-2987-13","Ampicillin-Sulbactam","1.5 GM",1,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","HOSPIRA, INC","00409298801","00409-2988-01","Ampicillin-Sulbactam","1.5 GM",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","HOSPIRA, INC","00409299803","00409-2998-03","Ampicillin-Sulbactam","1.5 GM",1,10,2,20
"J3360","Diazepam injection","HOSPIRA, INC","00409321312","00409-3213-12","Diazepam","5 MG",10,5,10,50
"J7608","Acetylcysteine non-comp unit","HOSPIRA, INC","00409330703","00409-3307-03","Acetylcysteine","1 GM",30,3,3,9
"J7608","Acetylcysteine non-comp unit","HOSPIRA, INC","00409330803","00409-3308-03","Acetylcysteine","1 GM",30,3,6,18
"J1170","Hydromorphone injection","HOSPIRA, INC","00409335601","00409-3356-01","Hydromorphone Hcl","4 MG",1,10,0.5,5
"J1170","Hydromorphone injection","HOSPIRA, INC","00409336501","00409-3365-01","Hydromorphone Hcl","4 MG",1,25,0.5,12.5
"J2543","Piperacillin/tazobactam","HOSPIRA, INC","00409337402","00409-3374-02","PIPERACILLIN SODIUM/ TAZO (ADD-Vantage)","1.125 GM",1,10,2,20
"J2543","Piperacillin/tazobactam","HOSPIRA, INC","00409337813","00409-3378-13","PIPERACILLIN SODIUM/ TAZO (ADD-Vantage)","1.125 GM",1,10,3,30
"J2543","Piperacillin/tazobactam","HOSPIRA, INC","00409337904","00409-3379-04","PIPERACILLIN SODIUM/ TAZO (ADD-Vantage)","1.125 GM",1,10,4,40
"J2543","Piperacillin/tazobactam","HOSPIRA, INC","00409338302","00409-3383-02","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,2,20
"J2543","Piperacillin/tazobactam","HOSPIRA, INC","00409338513","00409-3385-13","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,3,30
"J2543","Piperacillin/tazobactam","HOSPIRA, INC","00409339004","00409-3390-04","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,4,40
"J1580","Garamycin gentamicin inj","HOSPIRA, INC","00409340201","00409-3402-01","Gentamicin Sulfate","80 MG",10,25,1.25,31.25
"J2765","Metoclopramide hcl injection","HOSPIRA, INC","00409341401","00409-3414-01","Metoclopramide HCl","10 MG",2,25,1,25
"J2765","Metoclopramide hcl injection","HOSPIRA, INC","00409341461","00409-3414-61","Metoclopramide Injection","10 MG",2,25,1,25
"J3260","Tobramycin sulfate injection","HOSPIRA, INC","00409346913","00409-3469-13","Tobramycin Sulfate In Saline","80 MG",50,24,0.75,18
"J3260","Tobramycin sulfate injection","HOSPIRA, INC","00409347023","00409-3470-23","Tobramycin Sulfate In Saline","80 MG",100,24,1,24
"J2185","Meropenem","HOSPIRA, INC","00409350501","00409-3505-01","MEROPENEM","100 MG",1,25,5,125
"J2185","Meropenem","HOSPIRA, INC","00409350601","00409-3506-01","MEROPENEM","100MG",1,25,10,250
"J3260","Tobramycin sulfate injection","HOSPIRA, INC","00409357701","00409-3577-01","Tobramycin Sulfate","80 MG",2,25,0.25,6.25
"J3260","Tobramycin sulfate injection","HOSPIRA, INC","00409357801","00409-3578-01","Tobramycin Sulfate","80 MG",2,25,1,25
"J3260","Tobramycin sulfate injection","HOSPIRA, INC","00409359002","00409-3590-02","Tobramycin Sulfate","80 MG",50,1,25,25
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409379301","00409-3793-01","Ketorolac Tromethamine","15 MG",1,25,1,25
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409379349","00409-3793-49","Ketorolac Tromethamine","15 MG",1,25,1,25
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409379501","00409-3795-01","Ketorolac Tromethamine","15 MG",1,25,2,50
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409379549","00409-3795-49","Ketorolac Tromethamine","15 MG",1,25,2,50
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409379601","00409-3796-01","Ketorolac Tromethamine","15 MG",2,25,4,100
"J1885","Ketorolac tromethamine inj","HOSPIRA, INC","00409379649","00409-3796-49","Ketorolac Tromethamine","15 MG",2,25,4,100
"J2275","Morphine sulfate injection","HOSPIRA, INC","00409381412","00409-3814-12","Morphine Sulfate (Pf)","10 MG",10,5,0.5,2.5
"J2275","Morphine sulfate injection","HOSPIRA, INC","00409381512","00409-3815-12","Morphine Sulfate (Pf)","10 MG",10,5,1,5
"J1455","Foscarnet sodium injection","HOSPIRA, INC","00409386302","00409-3863-02","FOSCARNET SODIUM","1000 MG",250,12,6,72
"J1455","Foscarnet sodium injection","HOSPIRA, INC","00409386305","00409-3863-05","FOSCARNET SODIUM","1000 MG",500,12,12,144
"J2150","Mannitol injection","HOSPIRA, INC","00409403101","00409-4031-01","Mannitol","50 ML",50,25,1,25
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409433201","00409-4332-01","VANCOMYCIN HCL","500 MG",1,10,1,10
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409433249","00409-4332-49","VANCOMYCIN HCL","500 MG",1,10,1,10
"J1450","Fluconazole","HOSPIRA, INC","00409468402","00409-4684-02","FLUCONAZOLE IN DEXTROSE","200 MG",250,6,1,6
"J1450","Fluconazole","HOSPIRA, INC","00409468423","00409-4684-23","FLUCONAZOLE IN DEXTROSE","200 MG",100,10,1,10
"J1450","Fluconazole","HOSPIRA, INC","00409468802","00409-4688-02","Fluconazole In Sodium Chloride","200 MG",200,6,2,12
"J1450","Fluconazole","HOSPIRA, INC","00409468823","00409-4688-23","Fluconazole In Sodium Chloride","200 MG",100,6,1,6
"J1450","Fluconazole","HOSPIRA, INC","00409468828","00409-4688-28","Fluconazole In Sodium Chloride","200 MG",100,6,1,6
"J1450","Fluconazole","HOSPIRA, INC","00409468833","00409-4688-33","Fluconazole In Sodium Chloride","200 MG",250,6,1,6
"J1450","Fluconazole","HOSPIRA, INC","00409468834","00409-4688-34","NOVAPLUS FLUCONAZOLE","200 MG",200,6,2,12
"J2405","Ondansetron hcl injection","HOSPIRA, INC","00409475503","00409-4755-03","ONDANSETRON HCL","1 MG",2,25,4,100
"J2405","Ondansetron hcl injection","HOSPIRA, INC","00409475901","00409-4759-01","ONDANSETRON HCL","1 MG",20,1,40,40
"J2405","Ondansetron hcl injection","HOSPIRA, INC","00409476013","00409-4760-13","ONDANSETRON HCL","1 MG",50,6,32,192
"J0744","Ciprofloxacin iv","HOSPIRA, INC","00409476586","00409-4765-86","CIPROFLOXACIN","200 MG",20,1,1,1
"J0744","Ciprofloxacin iv","HOSPIRA, INC","00409477702","00409-4777-02","CIPROFLOXACIN","200 MG",200,24,2,48
"J0744","Ciprofloxacin iv","HOSPIRA, INC","00409477723","00409-4777-23","CIPROFLOXACIN","200 MG",100,24,1,24
"J0744","Ciprofloxacin iv","HOSPIRA, INC","00409477749","00409-4777-49","CIPROFLOXACIN","200 MG",100,24,1,24
"J0744","Ciprofloxacin iv","HOSPIRA, INC","00409477750","00409-4777-50","CIPROFLOXACIN","200 MG",200,24,2,48
"J0744","Ciprofloxacin iv","HOSPIRA, INC","00409477761","00409-4777-61","CIPROFLOXACIN","200 MG",100,24,1,24
"J0744","Ciprofloxacin iv","HOSPIRA, INC","00409477886","00409-4778-86","CIPROFLOXACIN","200 MG",40,1,2,2
"J0461","Atropine sulfate injection","HOSPIRA, INC","00409491034","00409-4910-34","ATROPINE SULFATE","0.01 MG",5,10,50,500
"J0461","Atropine sulfate injection","HOSPIRA, INC","00409491134","00409-4911-34","Atropine Sulfate","0.01 MG",10,10,100,1000
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409508216","00409-5082-16","Tazicef","500 MG",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409508252","00409-5082-52","Ceftazidime","500 MG",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409508411","00409-5084-11","Tazicef","500 MG",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409508451","00409-5084-51","Tazicef","500 MG",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409508611","00409-5086-11","Tazicef","500 MG",1,10,12,120
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409508651","00409-5086-51","Tazicef","500 MG",1,10,12,120
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409509216","00409-5092-16","Tazicef","500 MG",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409509252","00409-5092-52","Tazicef","500 MG",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409509311","00409-5093-11","Tazicef","500 MG",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","HOSPIRA, INC","00409509351","00409-5093-51","Tazicef","500 MG",1,10,4,40
"J2920","Methylprednisolone injection","HOSPIRA, INC","00409568423","00409-5684-23","METHYLPRED SODIUM SUCCINATE","40 MG",1,10,1,10
"J2930","Methylprednisolone injection","HOSPIRA, INC","00409568523","00409-5685-23","METHYLPRED SODIUM SUCCINATE","125 MG",1,10,1,10
"J1265","Dopamine injection","HOSPIRA, INC","00409582001","00409-5820-01","DOPAMINE 200MG/5ML","40 MG",5,25,5,125
"J0280","Aminophyllin 250 MG inj","HOSPIRA, INC","00409592101","00409-5921-01","Aminophylline","250 MG",10,25,1,25
"J0280","Aminophyllin 250 MG inj","HOSPIRA, INC","00409592201","00409-5922-01","Aminophylline","250 MG",20,25,2,50
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409602804","00409-6028-04","Morphine Sulfate","10 MG",30,10,15,15
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409602804","00409-6028-04","Morphine Sulfate","100 MG",30,10,1.5,15
"J2175","Meperidine hydrochl /100 MG","HOSPIRA, INC","00409603004","00409-6030-04","Meperidine Hcl","100 MG",30,10,3,30
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409617714","00409-6177-14","Morphine Sulfate","100 MG",4,10,1,10
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409617914","00409-6179-14","MORPHINE SULFATE","100 MG",10,10,2.5,25
"J1364","Erythro lactobionate /500 MG","HOSPIRA, INC","00409647644","00409-6476-44","Erythromycin Lactobionate","500 MG",1,10,1,10
"J1364","Erythro lactobionate /500 MG","HOSPIRA, INC","00409648201","00409-6482-01","ERYTHROMYCIN","500 MG",10,1,10,10
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409650901","00409-6509-01","VANCOMYCIN HCL","500 MG",1,1,10,10
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409650949","00409-6509-49","Vancomycin Hcl","500 MG",1,1,10,10
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409651001","00409-6510-01","Vancomycin HCl","500 MG",1,1,20,20
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409651049","00409-6510-49","Vancomycin HCl","500 MG",1,1,20,20
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409653102","00409-6531-02","Vancomycin Hcl","500 MG",1,10,1.5,15
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409653301","00409-6533-01","Vancomycin Hcl","500 MG",1,10,2,20
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409653349","00409-6533-49","VANCOMYCIN HCL","500 MG",1,10,2,20
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409653401","00409-6534-01","Vancomycin Hcl","500 MG",1,10,1,10
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409653449","00409-6534-49","Vancomycin Hcl","500 MG",1,10,1,10
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409653501","00409-6535-01","VANCOMYCIN HCL","500 MG",1,10,2,20
"J3370","Vancomycin hcl injection","HOSPIRA, INC","00409653549","00409-6535-49","VANCOMYCIN HCL","500 MG",1,10,2,20
"J3480","Inj potassium chloride","HOSPIRA, INC","00409663501","00409-6635-01","Potassium Chloride","2 MEQ",5,25,5,125
"J3480","Inj potassium chloride","HOSPIRA, INC","00409663601","00409-6636-01","Potassium Chloride","2 MEQ",15,25,15,375
"J3480","Inj potassium chloride","HOSPIRA, INC","00409665106","00409-6651-06","POTASSIUM CHLORIDE","2 MEQ",10,25,10,250
"J3480","Inj potassium chloride","HOSPIRA, INC","00409665305","00409-6653-05","Potassium Chloride","2 MEQ",20,25,20,500
"J2060","Lorazepam injection","HOSPIRA, INC","00409677802","00409-6778-02","Lorazepam","2 MG",1,10,1,10
"J2060","Lorazepam injection","HOSPIRA, INC","00409677902","00409-6779-02","Lorazepam","2 MG",1,10,2,20
"J2060","Lorazepam injection","HOSPIRA, INC","00409678002","00409-6780-02","Lorazepam","2 MG",10,10,10,100
"J2060","Lorazepam injection","HOSPIRA, INC","00409678102","00409-6781-02","Lorazepam","2 MG",10,10,20,200
"J3480","Inj potassium chloride","HOSPIRA, INC","00409707426","00409-7074-26","Potassium Chloride","2 MEQ",100,24,5,120
"J3480","Inj potassium chloride","HOSPIRA, INC","00409707514","00409-7075-14","Potassium Chloride","2 MEQ",50,24,5,120
"J3480","Inj potassium chloride","HOSPIRA, INC","00409707526","00409-7075-26","Potassium Chloride","2 MEQ",100,24,10,240
"J3480","Inj potassium chloride","HOSPIRA, INC","00409707714","00409-7077-14","Potassium Chloride","2 MEQ",50,24,10,240
"J3480","Inj potassium chloride","HOSPIRA, INC","00409707726","00409-7077-26","Potassium Chloride","2 MEQ",100,24,20,480
"J7060","5% dextrose/water","HOSPIRA, INC","00409710002","00409-7100-02","Dextrose","500 ML",250,24,0.5,12
"J7070","D5w infusion","HOSPIRA, INC","00409710002","00409-7100-02","Dextrose","1000 CC",250,24,0.25,6
"J7042","5% dextrose/normal saline","HOSPIRA, INC","00409710067","00409-7100-67","Dextrose-Nacl","500 ML",100,50,0.2,10
"J7030","Normal saline solution infus","HOSPIRA, INC","00409710102","00409-7101-02","Sodium Chloride","1000 CC",250,24,0.25,6
"J7040","Normal saline solution infus","HOSPIRA, INC","00409710102","00409-7101-02","Sodium Chloride","500 ML",250,24,0.5,12
"J7050","Normal saline solution infus","HOSPIRA, INC","00409710102","00409-7101-02","Sodium Chloride","250 CC",250,24,1,24
"J0171","Adrenalin epinephrine inject","HOSPIRA, INC","00409724101","00409-7241-01","Epinephrine Hcl","0.1 MG",1,25,10,250
"J0171","Adrenalin epinephrine inject","HOSPIRA, INC","00409724161","00409-7241-61","Epinephrine Hcl","0.1 MG",1,800,10,8000
"J0696","Ceftriaxone sodium injection","HOSPIRA, INC","00409733201","00409-7332-01","CEFTRIAXONE","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","HOSPIRA, INC","00409733304","00409-7333-04","CEFTRIAXONE","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","HOSPIRA, INC","00409733349","00409-7333-49","CEFTRIAXONE","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","HOSPIRA, INC","00409733410","00409-7334-10","CEFTRIAXONE","250 MG",1,1,40,40
"J0696","Ceftriaxone sodium injection","HOSPIRA, INC","00409733503","00409-7335-03","CEFTRIAXONE","250 MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","HOSPIRA, INC","00409733604","00409-7336-04","CEFTRIAXONE","250 MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","HOSPIRA, INC","00409733649","00409-7336-49","CEFTRIAXONE","250 MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","HOSPIRA, INC","00409733701","00409-7337-01","CEFTRIAXONE","250 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","HOSPIRA, INC","00409733801","00409-7338-01","CEFTRIAXONE","250 MG",1,10,2,20
"J0280","Aminophyllin 250 MG inj","HOSPIRA, INC","00409738501","00409-7385-01","Aminophylline","250 MG",10,25,1,25
"J0280","Aminophyllin 250 MG inj","HOSPIRA, INC","00409738601","00409-7386-01","Aminophylline","250 MG",20,25,2,50
"J7100","Dextran 40 infusion","HOSPIRA, INC","00409741903","00409-7419-03","LMD 10% in 0.9% SODIUM CHL INJECTION 500ML","500 ML",500,12,1,12
"J0670","Inj mepivacaine HCL/10 ml","HOSPIRA, INC","00409755101","00409-7551-01","Mepivacaine Hcl","10 ML",1.8,50,0.18,9
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409762003","00409-7620-03","Heparin (Porcine) In Nacl","1000 UNITS",500,18,1,18
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409762059","00409-7620-59","Heparin Sodium in NaCl","1000 UNITS",1000,12,2,24
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409765062","00409-7650-62","Heparin (Porcine) In Nacl","1000 UNITS",250,24,25,600
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409765103","00409-7651-03","Heparin (Porcine) In Nacl","1000 UNITS",500,24,25,600
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409765162","00409-7651-62","Heparin (Porcine) In Nacl","1000 UNITS",250,24,12.5,300
"J2810","Inj theophylline per 40 MG","HOSPIRA, INC","00409766662","00409-7666-62","Theophylline In D5W","40 MG",250,24,10,240
"J2810","Inj theophylline per 40 MG","HOSPIRA, INC","00409770562","00409-7705-62","Theophylline In D5W","40 MG",250,24,20,480
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409776003","00409-7760-03","Heparin (Porcine) In D5W","1000 UNITS",500,24,20,480
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409776103","00409-7761-03","Heparin (Porcine) In D5W","1000 UNITS",500,24,25,600
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409779362","00409-7793-62","Heparin (Porcine) In D5W","1000 UNITS",250,24,25,600
"J1644","Inj heparin sodium per 1000u","HOSPIRA, INC","00409779462","00409-7794-62","Heparin (Porcine) In D5W","1000 UNITS",250,24,12.5,300
"J1265","Dopamine injection","HOSPIRA, INC","00409780822","00409-7808-22","DOPAMINE HCL 200MGIN 5% DEXTROSE    LIFECARE 250ML","40 MG",250,12,5,60
"J1265","Dopamine injection","HOSPIRA, INC","00409780824","00409-7808-24","DOPAMINE HCL 400MGIN 5% DEXTROSE    LIFECARE 500ML","40 MG",500,12,10,120
"J1265","Dopamine injection","HOSPIRA, INC","00409780922","00409-7809-22","DOPAMINE HCL 400MGIN 5% DEXTROSE    LIFECARE 250ML","40 MG",250,12,10,120
"J1265","Dopamine injection","HOSPIRA, INC","00409780924","00409-7809-24","Dopamine In D5W","40 MG",500,12,20,240
"J1265","Dopamine injection","HOSPIRA, INC","00409781022","00409-7810-22","DOPAMINE HCL 800MGIN 5% DEXTROSE    LIFECARE 250ML","40 MG",250,12,20,240
"J7060","5% dextrose/water","HOSPIRA, INC","00409792202","00409-7922-02","Dextrose","500 ML",250,24,0.5,12
"J7070","D5w infusion","HOSPIRA, INC","00409792202","00409-7922-02","Dextrose","1000 CC",250,24,0.25,6
"J7060","5% dextrose/water","HOSPIRA, INC","00409792203","00409-7922-03","Dextrose","500 ML",500,24,1,24
"J7070","D5w infusion","HOSPIRA, INC","00409792203","00409-7922-03","Dextrose","1000 CC",500,24,0.5,12
"J7060","5% dextrose/water","HOSPIRA, INC","00409792209","00409-7922-09","Dextrose","500 ML",1000,12,2,24
"J7070","D5w infusion","HOSPIRA, INC","00409792209","00409-7922-09","Dextrose","1000 CC",1000,12,1,12
"J7060","5% dextrose/water","HOSPIRA, INC","00409792225","00409-7922-25","DEXTROSE 5%","500ML",250,24,0.5,12
"J7060","5% dextrose/water","HOSPIRA, INC","00409792230","00409-7922-30","Dextrose","500 ML",500,24,1,24
"J7070","D5w infusion","HOSPIRA, INC","00409792230","00409-7922-30","Dextrose","1000 CC",500,24,0.5,12
"J7060","5% dextrose/water","HOSPIRA, INC","00409792248","00409-7922-48","Dextrose","500 ML",1000,12,2,24
"J7070","D5w infusion","HOSPIRA, INC","00409792248","00409-7922-48","Dextrose","1000 CC",1000,12,1,12
"J7060","5% dextrose/water","HOSPIRA, INC","00409792253","00409-7922-53","Dextrose","500 ML",250,24,0.5,12
"J7070","D5w infusion","HOSPIRA, INC","00409792253","00409-7922-53","Dextrose","1000 CC",250,24,0.25,6
"J7060","5% dextrose/water","HOSPIRA, INC","00409792255","00409-7922-55","Dextrose","500 ML",500,18,1,18
"J7070","D5w infusion","HOSPIRA, INC","00409792255","00409-7922-55","Dextrose","1000 CC",500,18,0.5,9
"J7042","5% dextrose/normal saline","HOSPIRA, INC","00409792602","00409-7926-02","Dextrose-Nacl","500 ML",250,24,0.5,12
"J7042","5% dextrose/normal saline","HOSPIRA, INC","00409792603","00409-7926-03","Dextrose-Nacl","500 ML",500,24,1,24
"J7042","5% dextrose/normal saline","HOSPIRA, INC","00409792609","00409-7926-09","Dextrose-Nacl","500 ML",1000,12,2,24
"J7042","5% dextrose/normal saline","HOSPIRA, INC","00409792630","00409-7926-30","Dextrose-Nacl","500 ML",500,24,1,24
"J7042","5% dextrose/normal saline","HOSPIRA, INC","00409792648","00409-7926-48","Dextrose-Nacl","500 ML",1000,12,2,24
"J2001","Lidocaine injection","HOSPIRA, INC","00409793932","00409-7939-32","Lidocaine In D5W","10 MG",250,12,200,2400
"J7042","5% dextrose/normal saline","HOSPIRA, INC","00409794102","00409-7941-02","Dextrose-Nacl","500 ML",250,24,0.5,12
"J7042","5% dextrose/normal saline","HOSPIRA, INC","00409794103","00409-7941-03","Dextrose-Nacl","500 ML",500,24,1,24
"J7042","5% dextrose/normal saline","HOSPIRA, INC","00409794109","00409-7941-09","Dextrose-Nacl","500 ML",1000,12,2,24
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409795302","00409-7953-02","Lactated Ringers","1000 CC",250,24,0.25,6
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409795303","00409-7953-03","Lactated Ringers","1000 CC",500,24,0.5,12
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409795309","00409-7953-09","Lactated Ringers","1000 CC",1000,12,1,12
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409795330","00409-7953-30","Lactated Ringers","1000 CC",500,24,0.5,12
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409795348","00409-7953-48","Lactated Ringers","1000 CC",1000,12,1,12
"J7030","Normal saline solution infus","HOSPIRA, INC","00409798302","00409-7983-02","Sodium Chloride","1000 ML",250,24,0.25,6
"J7040","Normal saline solution infus","HOSPIRA, INC","00409798302","00409-7983-02","Sodium Chloride","500 ML",250,24,0.5,12
"J7050","Normal saline solution infus","HOSPIRA, INC","00409798302","00409-7983-02","Sodium Chloride","250 ML",250,24,1,24
"J7030","Normal saline solution infus","HOSPIRA, INC","00409798303","00409-7983-03","Sodium Chloride","1000 ML",500,24,0.5,12
"J7040","Normal saline solution infus","HOSPIRA, INC","00409798303","00409-7983-03","Sodium Chloride","500 ML",500,24,1,24
"J7050","Normal saline solution infus","HOSPIRA, INC","00409798303","00409-7983-03","Sodium Chloride","250 ML",500,24,2,48
"J7030","Normal saline solution infus","HOSPIRA, INC","00409798309","00409-7983-09","Sodium Chloride","1000 ML",1000,12,1,12
"J7040","Normal saline solution infus","HOSPIRA, INC","00409798309","00409-7983-09","Sodium Chloride","500 ML",1000,12,2,24
"J7050","Normal saline solution infus","HOSPIRA, INC","00409798309","00409-7983-09","Sodium Chloride","250 ML",1000,12,4,48
"J7030","Normal saline solution infus","HOSPIRA, INC","00409798325","00409-7983-25","SODIUM CHLORIDE","1000 ML",250,24,0.25,6
"J7040","Normal saline solution infus","HOSPIRA, INC","00409798325","00409-7983-25","SODIUM CHLORIDE","500 ML",250,24,0.5,12
"J7050","Normal saline solution infus","HOSPIRA, INC","00409798325","00409-7983-25","SODIUM CHLORIDE","250 ML",250,24,1,24
"J7030","Normal saline solution infus","HOSPIRA, INC","00409798330","00409-7983-30","Sodium Chloride","1000 ML",500,24,0.5,12
"J7040","Normal saline solution infus","HOSPIRA, INC","00409798330","00409-7983-30","Sodium Chloride","500 ML",500,24,1,24
"J7050","Normal saline solution infus","HOSPIRA, INC","00409798330","00409-7983-30","Sodium Chloride","250 ML",500,24,2,48
"J7030","Normal saline solution infus","HOSPIRA, INC","00409798348","00409-7983-48","Sodium Chloride","1000 ML",1000,12,1,12
"J7040","Normal saline solution infus","HOSPIRA, INC","00409798348","00409-7983-48","Sodium Chloride","500 ML",1000,12,2,24
"J7050","Normal saline solution infus","HOSPIRA, INC","00409798348","00409-7983-48","Sodium Chloride","250 ML",1000,12,4,48
"J7030","Normal saline solution infus","HOSPIRA, INC","00409798353","00409-7983-53","Sodium Chloride","1000 ML",250,24,0.25,6
"J7040","Normal saline solution infus","HOSPIRA, INC","00409798353","00409-7983-53","Sodium Chloride","500 ML",250,24,0.5,12
"J7050","Normal saline solution infus","HOSPIRA, INC","00409798353","00409-7983-53","Sodium Chloride","250 ML",250,24,1,24
"J7030","Normal saline solution infus","HOSPIRA, INC","00409798355","00409-7983-55","Sodium Chloride","1000 ML",500,18,0.5,9
"J7040","Normal saline solution infus","HOSPIRA, INC","00409798355","00409-7983-55","Sodium Chloride","500 ML",500,18,1,18
"J7050","Normal saline solution infus","HOSPIRA, INC","00409798355","00409-7983-55","Sodium Chloride","250 ML",500,18,2,36
"J3010","Fentanyl citrate injeciton","HOSPIRA, INC","00409909332","00409-9093-32","FENTANYL CITRATE","0.1 MG",2,10,1,10
"J3010","Fentanyl citrate injeciton","HOSPIRA, INC","00409909335","00409-9093-35","FENTANYL CITRATE","0.1 MG",5,10,2.5,25
"J3010","Fentanyl citrate injeciton","HOSPIRA, INC","00409909338","00409-9093-38","Fentanyl Citrate","0.1 MG",20,5,10,50
"J3010","Fentanyl citrate injeciton","HOSPIRA, INC","00409909422","00409-9094-22","Fentanyl Citrate","0.1 MG",2,25,1,25
"J3010","Fentanyl citrate injeciton","HOSPIRA, INC","00409909425","00409-9094-25","FENTANYL CITRATE","0.1 MG",5,25,2.5,62.5
"J3010","Fentanyl citrate injeciton","HOSPIRA, INC","00409909428","00409-9094-28","Fentanyl Citrate","0.1 MG",10,25,5,125
"J3010","Fentanyl citrate injeciton","HOSPIRA, INC","00409909431","00409-9094-31","Fentanyl Citrate","0.1 MG",20,25,10,250
"J3010","Fentanyl citrate injeciton","HOSPIRA, INC","00409909461","00409-9094-61","FENTANYL CITRATE","0.1 MG",50,25,25,625
"J1265","Dopamine injection","HOSPIRA, INC","00409910420","00409-9104-20","DOPAMINE","40 MG",10,25,10,250
"J3430","Vitamin k phytonadione inj","HOSPIRA, INC","00409915701","00409-9157-01","Vitamin K1","1 MG",0.5,25,1,25
"J3430","Vitamin k phytonadione inj","HOSPIRA, INC","00409915801","00409-9158-01","Vitamin K1","1 MG",1,25,10,250
"J0461","Atropine sulfate injection","HOSPIRA, INC","00409963005","00409-9630-05","Atropine Sulfate","0.01 MG",5,10,25,250
"J1940","Furosemide injection","HOSPIRA, INC","00409963104","00409-9631-04","Furosemide","20 MG",4,10,2,20
"J0712","Ceftaroline fosamil inj","Forest Laboratories Inc.","00456040010","00456-0400-10","Teflaro","10MG",1,10,40,400
"J0712","Ceftaroline fosamil inj","Forest Laboratories Inc.","00456060010","00456-0600-10","Teflaro","10MG",1,10,60,600
"J0215","Alefacept","ASTELLAS PHARMA US, INC.","00469002103","00469-0021-03","Amevive","0.5 MG",1,4,30,120
"J0215","Alefacept","ASTELLAS PHARMA US, INC.","00469002104","00469-0021-04","Amevive","0.5 MG",1,1,30,30
"J7507","Tacrolimus oral per 1 MG","ASTELLAS PHARMA US, INC.","00469060773","00469-0607-73","Prograf","1 MG",100,1,100,50
"J7507","Tacrolimus oral per 1 MG","ASTELLAS PHARMA US, INC.","00469061711","00469-0617-11","Prograf","1 MG",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","ASTELLAS PHARMA US, INC.","00469061773","00469-0617-73","Prograf","1 MG",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","ASTELLAS PHARMA US, INC.","00469065711","00469-0657-11","Prograf","1 MG",100,5,100,500
"J7507","Tacrolimus oral per 1 MG","ASTELLAS PHARMA US, INC.","00469065773","00469-0657-73","Prograf","1 MG",100,5,100,500
"J0152","Adenosine injection","ASTELLAS PHARMA US, INC.","00469087120","00469-0871-20","Adenoscan","30 MG",20,1,2,2
"J0152","Adenosine injection","ASTELLAS PHARMA US, INC.","00469087130","00469-0871-30","Adenoscan","30 MG",30,1,3,3
"J7525","Tacrolimus injection","ASTELLAS PHARMA US, INC.","00469301601","00469-3016-01","Prograf","5 MG",1,1,1,1
"J0289","Amphotericin b liposome inj","ASTELLAS PHARMA US, INC.","00469305130","00469-3051-30","Ambisome","10 MG",1,1,5,5
"J2248","Micafungin sodium injection","ASTELLAS PHARMA US, INC.","00469321110","00469-3211-10","Micafungin sodium (Mycamine)","1 MG",1,1,100,100
"J2248","Micafungin sodium injection","ASTELLAS PHARMA US, INC.","00469325010","00469-3250-10","Micafungin sodium (Mycamine)","1 MG",1,1,50,50
"J3095","Telavancin injection","ASTELLAS PHARMA US, INC.","00469352530","00469-3525-30","VIBATIV","10MG",1,1,25,25
"J3095","Telavancin injection","ASTELLAS PHARMA US, INC.","00469357550","00469-3575-50","VIBATIV","10MG",1,1,75,75
"J2785","Regadenoson injection","ASTELLAS PHARMA US, INC.","00469650189","00469-6501-89","Regadenoson","0.1 MG",5,1,4,4
"J0150","Injection adenosine 6 MG","ASTELLAS PHARMA US, INC.","00469823412","00469-8234-12","Adenocard","6 MG",2,1,1,1
"J0150","Injection adenosine 6 MG","ASTELLAS PHARMA US, INC.","00469823414","00469-8234-14","Adenocard","6 MG",4,1,2,2
"J7620","Albuterol ipratrop non-comp","Nephron Pharmaceuticals Corp.","00487020101","00487-0201-01","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","Nephron Pharmaceuticals Corp.","00487020102","00487-0201-02","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","Nephron Pharmaceuticals Corp.","00487020103","00487-0201-03","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","Nephron Pharmaceuticals Corp.","00487020106","00487-0201-06","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60
"J7620","Albuterol ipratrop non-comp","Nephron Pharmaceuticals Corp.","00487020160","00487-0201-60","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487030101","00487-0301-01","Albuterol Sulfate","1 MG",3,30,0.63,19
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487950101","00487-9501-01","Albuterol Sulfate","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487950102","00487-9501-02","Albuterol Sulfate","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487950103","00487-9501-03","Albuterol Sulfate","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487950125","00487-9501-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487950160","00487-9501-60","Albuterol Sulfate","1 MG",3,60,2.5,150
"J7644","Ipratropium bromide non-comp","Nephron Pharmaceuticals Corp.","00487980101","00487-9801-01","Ipratropium Bromide","1 MG",2.5,30,0.5,15
"J7644","Ipratropium bromide non-comp","Nephron Pharmaceuticals Corp.","00487980102","00487-9801-02","Ipratropium Bromide","1 MG",2.5,30,0.5,15
"J7644","Ipratropium bromide non-comp","Nephron Pharmaceuticals Corp.","00487980125","00487-9801-25","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5
"J7644","Ipratropium bromide non-comp","Nephron Pharmaceuticals Corp.","00487980130","00487-9801-30","Ipratropium Bromide","1 MG",2.5,30,0.5,15
"J7644","Ipratropium bromide non-comp","Nephron Pharmaceuticals Corp.","00487980160","00487-9801-60","Ipratropium Bromide","1 MG",2.5,60,0.5,30
"J7611","Albuterol non-comp con","Nephron Pharmaceuticals Corp.","00487990102","00487-9901-02","Albuterol Sulfate","1 MG",0.5,30,2.5,75
"J7611","Albuterol non-comp con","Nephron Pharmaceuticals Corp.","00487990130","00487-9901-30","Albuterol Sulfate","1 MG",0.5,30,2.5,75
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487990401","00487-9904-01","Albuterol Sulfate","1 MG",3,30,1.25,37.5
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487990402","00487-9904-02","Albuterol Sulfate","1 MG",3,30,1.25,37.5
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487990425","00487-9904-25","Albuterol Sulfate","1 MG",3,25,1.25,31.25
"J0706","Caffeine citrate injection","AMERICAN REGENT LABORATORIES","00517002010","00517-0020-10","CAFFEINE CITRATE","5 MG",3,10,12,120
"J3420","Vitamin b12 injection","AMERICAN REGENT LABORATORIES","00517003125","00517-0031-25","Cyanocobalamin","1000 MCG",1,25,1,25
"J3420","Vitamin b12 injection","AMERICAN REGENT LABORATORIES","00517003225","00517-0032-25","Cyanocobalamin","1000 MCG",10,25,10,250
"J0461","Atropine sulfate injection","AMERICAN REGENT LABORATORIES","00517010125","00517-0101-25","Atropine Sulfate","0.01 MG",1,25,100,2500
"J3420","Vitamin b12 injection","AMERICAN REGENT LABORATORIES","00517013005","00517-0130-05","Cyanocobalamin","1000 MCG",30,5,30,150
"J0636","Inj calcitriol per 0.1 mcg","AMERICAN REGENT LABORATORIES","00517013225","00517-0132-25","Calcijex","0.1 MCG",1,25,10,250
"J1750","Inj iron dextran","AMERICAN REGENT LABORATORIES","00517013410","00517-0134-10","Dexferrum","50 MG",1,10,1,10
"J1750","Inj iron dextran","AMERICAN REGENT LABORATORIES","00517023410","00517-0234-10","Dexferrum","50 MG",2,10,2,20
"J2370","Phenylephrine hcl injection","AMERICAN REGENT LABORATORIES","00517029925","00517-0299-25","Phenylephrine Hcl","1 ML",1,25,1,25
"J0461","Atropine sulfate injection","AMERICAN REGENT LABORATORIES","00517040125","00517-0401-25","Atropine Sulfate","0.01 MG",1,25,40,1000
"J2370","Phenylephrine hcl injection","AMERICAN REGENT LABORATORIES","00517040525","00517-0405-25","Phenylephrine Hcl","1 ML",5,25,5,125
"J1885","Ketorolac tromethamine inj","AMERICAN REGENT LABORATORIES","00517060125","00517-0601-25","Ketorolac Tromethamine","15 MG",1,25,1,25
"J0702","Betamethasone acet&sod phosp","AMERICAN REGENT LABORATORIES","00517072001","00517-0720-01","Celestone Soluspan","3 MG + 3 MG",5,1,5,5
"J0592","Buprenorphine hydrochloride","AMERICAN REGENT LABORATORIES","00517072505","00517-0725-05","Buprenorphine HCl Injection","0.1 MG",1,5,3,15
"J0735","Clonidine hydrochloride","AMERICAN REGENT LABORATORIES","00517073001","00517-0730-01","Clonidine Hydrochloride Injection","1 MG",10,1,1,1
"J0735","Clonidine hydrochloride","AMERICAN REGENT LABORATORIES","00517073101","00517-0731-01","Clonidine Hydrochloride Injection","1 MG",10,1,5,5
"J2210","Methylergonovin maleate inj","AMERICAN REGENT LABORATORIES","00517074020","00517-0740-20","METHYLERGONOVINE MALEATE","0.2 MG",1,20,1,20
"J2430","Pamidronate disodium /30 MG","AMERICAN REGENT LABORATORIES","00517074501","00517-0745-01","Pamidronate Disodium","30 MG",1,1,1,1
"J2430","Pamidronate disodium /30 MG","AMERICAN REGENT LABORATORIES","00517074601","00517-0746-01","Pamidronate Disodium","30 MG",1,1,3,3
"J2675","Inj progesterone per 50 MG","AMERICAN REGENT LABORATORIES","00517075001","00517-0750-01","Progesterone","50 MG",10,1,10,10
"J1885","Ketorolac tromethamine inj","AMERICAN REGENT LABORATORIES","00517080125","00517-0801-25","Ketorolac Tromethamine","15 MG",1,25,2,50
"J0461","Atropine sulfate injection","AMERICAN REGENT LABORATORIES","00517080525","00517-0805-25","Atropine Sulfate","0.01 MG",0.5,25,40,1000
"J0360","Hydralazine hcl injection","AMERICAN REGENT LABORATORIES","00517090125","00517-0901-25","Hydralazine Hcl","20 MG",1,25,1,25
"J1885","Ketorolac tromethamine inj","AMERICAN REGENT LABORATORIES","00517090225","00517-0902-25","Ketorolac Tromethamine","15 MG",2,25,4,100
"J0461","Atropine sulfate injection","AMERICAN REGENT LABORATORIES","00517101025","00517-1010-25","Atropine Sulfate","0.01 MG",1,25,100,2500
"J1955","Inj levocarnitine per 1 gm","AMERICAN REGENT LABORATORIES","00517104525","00517-1045-25","Levocarnitine","1 GM",5,25,1,25
"J0171","Adrenalin epinephrine inject","AMERICAN REGENT LABORATORIES","00517107125","00517-1071-25","Epinephrine Hcl","0.1 MG",1,25,10,250
"J0171","Adrenalin epinephrine inject","AMERICAN REGENT LABORATORIES","00517113005","00517-1130-05","Epinephrine Hcl","0.1 MG",30,5,300,1500
"J1265","Dopamine injection","AMERICAN REGENT LABORATORIES","00517130525","00517-1305-25","Dopamine Hcl","40 MG",5,25,20,500
"J1265","Dopamine injection","AMERICAN REGENT LABORATORIES","00517180525","00517-1805-25","Dopamine Hcl","40 MG",5,25,5,125
"J1265","Dopamine injection","AMERICAN REGENT LABORATORIES","00517190525","00517-1905-25","Dopamine Hcl","40 MG",5,25,10,250
"J1756","Iron sucrose injection","AMERICAN REGENT LABORATORIES","00517231005","00517-2310-05","Venofer","1 MG",10,5,200,1000
"J1756","Iron sucrose injection","AMERICAN REGENT LABORATORIES","00517232510","00517-2325-10","Venofer","1 MG",2.5,10,50,500
"J1756","Iron sucrose injection","AMERICAN REGENT LABORATORIES","00517234010","00517-2340-10","Venofer","1 MG",5,10,100,1000
"J1756","Iron sucrose injection","AMERICAN REGENT LABORATORIES","00517234025","00517-2340-25","Venofer","1 MG",5,25,100,2500
"J3475","Inj magnesium sulfate","AMERICAN REGENT LABORATORIES","00517260225","00517-2602-25","Magnesium Sulfate","500 MG",2,25,2,50
"J3475","Inj magnesium sulfate","AMERICAN REGENT LABORATORIES","00517261025","00517-2610-25","Magnesium Sulfate","500 MG",10,25,10,250
"J3475","Inj magnesium sulfate","AMERICAN REGENT LABORATORIES","00517265025","00517-2650-25","Magnesium Sulfate","500 MG",50,25,50,1250
"J0280","Aminophyllin 250 MG inj","AMERICAN REGENT LABORATORIES","00517381025","00517-3810-25","Aminophylline","250 MG",10,25,1,25
"J0280","Aminophyllin 250 MG inj","AMERICAN REGENT LABORATORIES","00517382025","00517-3820-25","Aminophylline","250 MG",20,25,2,50
"J0610","Calcium gluconate injection","AMERICAN REGENT LABORATORIES","00517390025","00517-3900-25","Calcium Gluconate","10 ML",100,25,10,250
"J0610","Calcium gluconate injection","AMERICAN REGENT LABORATORIES","00517391025","00517-3910-25","Calcium Gluconate","10 ML",10,25,1,25
"J0610","Calcium gluconate injection","AMERICAN REGENT LABORATORIES","00517395025","00517-3950-25","Calcium Gluconate","10 ML",50,25,5,125
"J2440","Papaverin hcl injection","AMERICAN REGENT LABORATORIES","00517400225","00517-4002-25","Papaverine Hcl","60 MG",2,25,1,25
"J2440","Papaverin hcl injection","AMERICAN REGENT LABORATORIES","00517401001","00517-4010-01","Papaverine Hcl","60 MG",10,1,5,5
"J2150","Mannitol injection","AMERICAN REGENT LABORATORIES","00517405025","00517-4050-25","Mannitol","50 ML",50,25,1,25
"J3410","Hydroxyzine hcl injection","AMERICAN REGENT LABORATORIES","00517420125","00517-4201-25","Hydroxyzine Hcl","25 MG",1,25,1,25
"J1100","Dexamethasone sodium phos","AMERICAN REGENT LABORATORIES","00517490125","00517-4901-25","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100
"J1100","Dexamethasone sodium phos","AMERICAN REGENT LABORATORIES","00517490525","00517-4905-25","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500
"J1100","Dexamethasone sodium phos","AMERICAN REGENT LABORATORIES","00517493025","00517-4930-25","Dexamethasone Sodium Phosphate","1 MG",30,25,120,3000
"J3410","Hydroxyzine hcl injection","AMERICAN REGENT LABORATORIES","00517560125","00517-5601-25","Hydroxyzine Hcl","25 MG",1,25,2,50
"J3410","Hydroxyzine hcl injection","AMERICAN REGENT LABORATORIES","00517560225","00517-5602-25","Hydroxyzine Hcl","25 MG",2,25,4,100
"J3410","Hydroxyzine hcl injection","AMERICAN REGENT LABORATORIES","00517561025","00517-5610-25","Hydroxyzine Hcl","25 MG",10,25,20,500
"J1940","Furosemide injection","AMERICAN REGENT LABORATORIES","00517570225","00517-5702-25","Furosemide","20 MG",2,25,1,25
"J1940","Furosemide injection","AMERICAN REGENT LABORATORIES","00517570425","00517-5704-25","Furosemide","20 MG",4,25,2,50
"J1940","Furosemide injection","AMERICAN REGENT LABORATORIES","00517571025","00517-5710-25","Furosemide","20 MG",10,25,5,125
"Q2009","Fosphenytoin inj PE","AMERICAN REGENT LABORATORIES","00517690225","00517-6902-25","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50
"J7608","Acetylcysteine non-comp unit","AMERICAN REGENT LABORATORIES","00517750425","00517-7504-25","Acetylcysteine","1 GM",4,25,0.4,10
"J7608","Acetylcysteine non-comp unit","AMERICAN REGENT LABORATORIES","00517751003","00517-7510-03","Acetylcysteine","1 GM",10,3,1,3
"J7608","Acetylcysteine non-comp unit","AMERICAN REGENT LABORATORIES","00517760425","00517-7604-25","Acetylcysteine","1 GM",4,25,0.8,20
"J7608","Acetylcysteine non-comp unit","AMERICAN REGENT LABORATORIES","00517761003","00517-7610-03","Acetylcysteine","1 GM",10,3,2,6
"J7608","Acetylcysteine non-comp unit","AMERICAN REGENT LABORATORIES","00517763003","00517-7630-03","Acetylcysteine","1 GM",30,3,6,18
"J0696","Ceftriaxone sodium injection","AMERICAN REGENT LABORATORIES","00517871110","00517-8711-10","CEFTRIAXONE","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","AMERICAN REGENT LABORATORIES","00517872210","00517-8722-10","CEFTRIAXONE","250 MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","AMERICAN REGENT LABORATORIES","00517872510","00517-8725-10","CEFTRIAXONE","250 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","AMERICAN REGENT LABORATORIES","00517875010","00517-8750-10","CEFTRIAXONE","250 MG",1,10,2,20
"J0210","Methyldopate hcl injection","AMERICAN REGENT LABORATORIES","00517890510","00517-8905-10","Methyldopate Hcl","250 MG",5,10,1,10
"J1790","Droperidol injection","AMERICAN REGENT LABORATORIES","00517970225","00517-9702-25","Droperidol","5 MG",2,25,1,25
"J3430","Vitamin k phytonadione inj","Amphastar Pharmaceuticals, Inc.","00548114000","00548-1140-00","Phytonadione","1 MG",0.5,25,1,25
"J3430","Vitamin k phytonadione inj","Amphastar Pharmaceuticals, Inc.","00548124000","00548-1240-00","Phytonadione","1 MG",0.5,25,1,25
"J0834","Cosyntropin cortrosyn inj","Amphastar Pharmaceuticals, Inc.","00548590000","00548-5900-00","Cortrosyn","0.25 MG",1,10,1,10
"J3470","Hyaluronidase injection","Amphastar Pharmaceuticals, Inc.","00548909000","00548-9090-00","AMPHADASE","150 UNITS",1,25,1,25
"J3470","Hyaluronidase injection","Amphastar Pharmaceuticals, Inc.","00548909010","00548-9090-10","AMPHADASE","150 UNITS",1,10,1,10
"Q0163","Diphenhydramine HCl 50mg","BARR PHARMACEUTICALS, INC.","00555005902","00555-0059-02","Diphenhydramine Hcl","50 MG",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","BARR PHARMACEUTICALS, INC.","00555005905","00555-0059-05","Diphenhydramine Hcl","50 MG",1000,1,1000,1000
"J7509","Methylprednisolone oral","BARR PHARMACEUTICALS, INC.","00555030102","00555-0301-02","Methylprednisolone","4 MG",100,1,100,100
"J7509","Methylprednisolone oral","BARR PHARMACEUTICALS, INC.","00555030138","00555-0301-38","Methylprednisolone (Pak)","4 MG",21,1,21,21
"Q0164","Prochlorperazine maleate 5mg","BARR PHARMACEUTICALS, INC.","00555052102","00555-0521-02","Prochlorperazine Maleate","5 MG",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","BARR PHARMACEUTICALS, INC.","00555052202","00555-0522-02","Prochlorperazine Maleate","10 MG",100,1,100,100
"J8610","Methotrexate oral 2.5 MG","BARR PHARMACEUTICALS, INC.","00555057202","00555-0572-02","Methotrexate","2.5 MG",100,1,100,100
"J8610","Methotrexate oral 2.5 MG","BARR PHARMACEUTICALS, INC.","00555057235","00555-0572-35","Methotrexate","2.5 MG",36,1,36,36
"J1170","Hydromorphone injection","BARR PHARMACEUTICALS, INC.","00555111705","00555-1117-05","Hydromorphone Hcl","4 MG",1,10,2.5,25
"J1170","Hydromorphone injection","BARR PHARMACEUTICALS, INC.","00555111706","00555-1117-06","Hydromorphone Hcl","4 MG",5,10,12.5,125
"J1170","Hydromorphone injection","BARR PHARMACEUTICALS, INC.","00555111707","00555-1117-07","Hydromorphone Hcl","4 MG",50,1,125,125
"J2300","Inj nalbuphine hydrochloride","BARR PHARMACEUTICALS, INC.","00555111909","00555-1119-09","Nalbuphine Hcl","10 MG",10,25,10,250
"J2300","Inj nalbuphine hydrochloride","BARR PHARMACEUTICALS, INC.","00555112009","00555-1120-09","Nalbuphine Hcl","10 MG",10,25,20,500
"J2300","Inj nalbuphine hydrochloride","BARR PHARMACEUTICALS, INC.","00555112105","00555-1121-05","Nalbuphine Hcl","10 MG",1,10,1,10
"J2300","Inj nalbuphine hydrochloride","BARR PHARMACEUTICALS, INC.","00555112205","00555-1122-05","Nalbuphine Hcl","10 MG",1,10,2,20
"J2270","Morphine sulfate injection","BARR PHARMACEUTICALS, INC.","00555112710","00555-1127-10","Morphine Sulfate","10 MG",10,5,0.5,0.25
"J2271","Morphine so4 injection 100mg","BARR PHARMACEUTICALS, INC.","00555112710","00555-1127-10","Morphine Sulfate","100 MG",10,5,0.05,0.25
"J2275","Morphine sulfate injection","BARR PHARMACEUTICALS, INC.","00555112810","00555-1128-10","Morphine Sulfate (Pf)","10 MG",10,5,1,5
"J2270","Morphine sulfate injection","BARR PHARMACEUTICALS, INC.","00555112910","00555-1129-10","Morphine Sulfate","10 MG",10,5,0.5,0.25
"J2271","Morphine so4 injection 100mg","BARR PHARMACEUTICALS, INC.","00555112910","00555-1129-10","Morphine Sulfate","100 MG",10,5,0.05,0.25
"J2275","Morphine sulfate injection","BARR PHARMACEUTICALS, INC.","00555113010","00555-1130-10","Morphine Sulfate (Pf)","10 MG",10,5,1,5
"J0895","Deferoxamine mesylate inj","BARR PHARMACEUTICALS, INC.","00555113111","00555-1131-11","Deferoxamine Mesylate","500 MG",1,4,4,16
"J0895","Deferoxamine mesylate inj","BARR PHARMACEUTICALS, INC.","00555113212","00555-1132-12","Deferoxamine Mesylate","500 MG",1,4,1,4
"J2790","Rho d immune globulin inj","Ortho Clinical Diagnostics","00562780501","00562-7805-01","RHOGAM ULTRA-FILTERED PLUS","300 MCG",1,1,1,1
"J2790","Rho d immune globulin inj","Ortho Clinical Diagnostics","00562780505","00562-7805-05","RHOGAM ULTRA-FILTERED PLUS","300 MCG",1,5,1,5
"J2790","Rho d immune globulin inj","Ortho Clinical Diagnostics","00562780525","00562-7805-25","RHOGAM ULTRA-FILTERED PLUS","300 MCG",1,25,1,25
"J2788","Rho d immune globulin 50 mcg","Ortho Clinical Diagnostics","00562780601","00562-7806-01","MICRhoGAM","50 MCG",1,1,1,1
"J2788","Rho d immune globulin 50 mcg","Ortho Clinical Diagnostics","00562780605","00562-7806-05","MICRhoGAM UF Plus ","50 MCG",1,5,1,5
"J2788","Rho d immune globulin 50 mcg","Ortho Clinical Diagnostics","00562780625","00562-7806-25","MICRhoGAM UF Plus ","50 MCG",1,25,1,25
"J2790","Rho d immune globulin inj","Ortho Clinical Diagnostics","00562780701","00562-7807-01","Rhogam (Human)","300 MCG",1,1,1,1
"J2790","Rho d immune globulin inj","Ortho Clinical Diagnostics","00562780706","00562-7807-06","Rhogam (Human)","300 MCG",1,5,1,5
"J2790","Rho d immune globulin inj","Ortho Clinical Diagnostics","00562780726","00562-7807-26","Rhogam (Human)","300 MCG",1,25,1,25
"90385","Rh ig, minidose, im","Ortho Clinical Diagnostics","00562780806","00562-7808-06","Micrhogam","50 MCG",1,5,1,5
"J2788","Rho d immune globulin 50 mcg","Ortho Clinical Diagnostics","00562780806","00562-7808-06","Micrhogam","50 MCG",1,5,1,5
"90385","Rh ig, minidose, im","Ortho Clinical Diagnostics","00562780826","00562-7808-26","Micrhogam","50 MCG",1,25,1,25
"J2788","Rho d immune globulin 50 mcg","Ortho Clinical Diagnostics","00562780826","00562-7808-26","Micrhogam","50 MCG",1,25,1,25
"J1080","Testosterone cypionat 200 MG","Paddock Laboratories, Inc.","00574082001","00574-0820-01","Testosterone Cypionate","200 MG",1,1,1,1
"J1080","Testosterone cypionat 200 MG","Paddock Laboratories, Inc.","00574082010","00574-0820-10","Testosterone Cypionate","200 MG",10,1,10,10
"J3130","Testosterone enanthate inj","Paddock Laboratories, Inc.","00574082105","00574-0821-05","Delatestryl","200 MG",5,1,5,5
"J0706","Caffeine citrate injection","Paddock Laboratories, Inc.","00574082301","00574-0823-01","CAFFEINE CITRATE","5 MG",3,1,12,12
"J0706","Caffeine citrate injection","Paddock Laboratories, Inc.","00574082381","00574-0823-81","CAFFEINE CITRATE","5 MG",3,10,12,120
"J1742","Ibutilide fumarate injection","Paddock Laboratories, Inc.","00574084001","00574-0840-01","IBUTILIDE FUMARATE","1 MG",10,1,1,1
"J1110","Inj dihydroergotamine mesylt","Paddock Laboratories, Inc.","00574085005","00574-0850-05","Dihydroergotamine Mesylate","1 MG",1,5,1,5
"J1110","Inj dihydroergotamine mesylt","Paddock Laboratories, Inc.","00574085010","00574-0850-10","Dihydroergotamine Mesylate","1 MG",1,10,1,10
"J0770","Colistimethate sodium inj","Paddock Laboratories, Inc.","00574085801","00574-0858-01","Colistimethate Sodium","UP TO 150 MG",1,1,1,1
"J7516","Cyclosporin parenteral 250mg","Paddock Laboratories, Inc.","00574086610","00574-0866-10","CYCLOSPORINE","250 MG",5,10,1,10
"J1380","Estradiol valerate 10 MG inj","Paddock Laboratories, Inc.","00574087005","00574-0870-05","ESTRADIOL VALERATE","10 MG",5,1,10,10
"J1380","Estradiol valerate 10 MG inj","Paddock Laboratories, Inc.","00574087205","00574-0872-05","Estradiol Valerate","10 MG",5,1,5,20
"J9045","Carboplatin injection","Watson Pharmaceuticals","00591221911","00591-2219-11","Carboplatin for Injection PoWder","50 MG",1,1,1,1
"J9045","Carboplatin injection","Watson Pharmaceuticals","00591222011","00591-2220-11","Carboplatin for Injection PoWder","50 MG",1,1,3,3
"J2675","Inj progesterone per 50 MG","Watson Pharmaceuticals","00591312879","00591-3128-79","Progesterone","50 MG",10,1,10,10
"J3120","Testosterone enanthate inj","Watson Pharmaceuticals","00591322126","00591-3221-26","Testosterone Enanthate","100 MG",5,1,10,10
"J3130","Testosterone enanthate inj","Watson Pharmaceuticals","00591322126","00591-3221-26","Testosterone Enanthate","200 MG",5,1,5,5
"J2360","Orphenadrine injection","Watson Pharmaceuticals","00591322247","00591-3222-47","Orphenadrine Citrate","60 MG",2,10,1,10
"J1080","Testosterone cypionat 200 MG","Watson Pharmaceuticals","00591322379","00591-3223-79","Testosterone Cypionate","200 MG",10,1,10,10
"J7620","Albuterol ipratrop non-comp","Watson Pharmaceuticals","00591343330","00591-3433-30","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","Watson Pharmaceuticals","00591343360","00591-3433-60","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60
"J7613","Albuterol non-comp unit","Watson Pharmaceuticals","00591346753","00591-3467-53","Albuterol Sulfate","1 MG",3,25,0.63,15.75
"J7613","Albuterol non-comp unit","Watson Pharmaceuticals","00591346853","00591-3468-53","Albuterol Sulfate","1 MG",3,25,1.25,31.25
"J9045","Carboplatin injection","Watson Pharmaceuticals","00591368711","00591-3687-11","Carboplatin for Injection PoWder","50 MG",1,1,9,9
"J7613","Albuterol non-comp unit","Watson Pharmaceuticals","00591379730","00591-3797-30","ALBUTEROL SULFATE","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","Watson Pharmaceuticals","00591379760","00591-3797-60","ALBUTEROL SULFATE","1 MG",3,60,2.5,150
"J7613","Albuterol non-comp unit","Watson Pharmaceuticals","00591379783","00591-3797-83","ALBUTEROL SULFATE","1 MG",3,25,2.5,62.5
"J7644","Ipratropium bromide non-comp","Watson Pharmaceuticals","00591379830","00591-3798-30","Ipratropium Bromide","1 MG",2.5,30,0.5,15
"J7644","Ipratropium bromide non-comp","Watson Pharmaceuticals","00591379860","00591-3798-60","Ipratropium Bromide","1 MG",2.5,60,0.5,30
"J0895","Deferoxamine mesylate inj","Watson Pharmaceuticals","00591397404","00591-3974-04","DEFEROXAMINE MESYLATE","500 MG",1,1,1,4
"J0895","Deferoxamine mesylate inj","Watson Pharmaceuticals","00591397530","00591-3975-30","DEFEROXAMINE MESYLATE","500 MG",1,1,4,4
"J1170","Hydromorphone injection","West-Ward Pharmaceuticals Corp","00641012125","00641-0121-25","Hydromorphone Hcl","4 MG",1,25,0.5,12.5
"J1100","Dexamethasone sodium phos","West-Ward Pharmaceuticals Corp","00641036725","00641-0367-25","Dexamethasone Sodium Phosphate","1 MG",1,25,10,250
"J1200","Diphenhydramine hcl injectio","West-Ward Pharmaceuticals Corp","00641037625","00641-0376-25","Diphenhydramine Hcl","50 MG",1,25,1,25
"J1642","Inj heparin sodium per 10 u","Baxter Healthcare Corporation   ","00641038725","00641-0387-25","Hep-Lock Flush","10 UNITS",2,25,20,500
"J1642","Inj heparin sodium per 10 u","Baxter Healthcare Corporation   ","00641038925","00641-0389-25","Hep-Lock Flush","10 UNITS",1,25,10,250
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00641039102","00641-0391-02","Heparin Sodium (Porcine)","1000 UNITS",1,25,1,25
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00641039125","00641-0391-25","Heparin Sodium (Porcine)","1000 UNITS",1,25,1,25
"J1642","Inj heparin sodium per 10 u","Baxter Healthcare Corporation   ","00641039325","00641-0393-25","Hep-Lock","10 UNITS",2,25,2,50
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00641040002","00641-0400-02","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00641040025","00641-0400-25","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00641041002","00641-0410-02","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250
"J2560","Phenobarbital sodium inj","West-Ward Pharmaceuticals Corp","00641047625","00641-0476-25","Phenobarbital Sodium","120 MG",1,25,0.54,13.5
"J2560","Phenobarbital sodium inj","West-Ward Pharmaceuticals Corp","00641047725","00641-0477-25","Phenobarbital Sodium","120 MG",1,25,1.08,27
"J0780","Prochlorperazine injection","Baxter Healthcare Corporation   ","00641049125","00641-0491-25","Prochlorperazine Edisylate","10 MG",2,25,1,25
"J1165","Phenytoin sodium injection","West-Ward Pharmaceuticals Corp","00641049325","00641-0493-25","Phenytoin Sodium","50 MG",2,25,2,50
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641092825","00641-0928-25","Promethazine Hcl","50 MG",1,25,0.5,12.5
"J2550","Promethazine hcl injection","Baxter Healthcare Corporation   ","00641092925","00641-0929-25","Promethazine Hcl","50 MG",1,25,1,25
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641094835","00641-0948-35","Promethazine Hcl","50 MG",1,1,0.5,0.5
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641094935","00641-0949-35","Promethazine Hcl","50 MG",1,1,1,1
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641095525","00641-0955-25","Promethazine Hcl","50 MG",1,25,0.5,12.5
"J2550","Promethazine hcl injection","Baxter Healthcare Corporation   ","00641095625","00641-0956-25","Promethazine Hcl","50 MG",1,25,1,25
"J3230","Chlorpromazine hcl injection","West-Ward Pharmaceuticals Corp","00641139735","00641-1397-35","Chlorpromazine Hcl","50 MG",1,25,0.5,12.5
"J3230","Chlorpromazine hcl injection","West-Ward Pharmaceuticals Corp","00641139835","00641-1398-35","Chlorpromazine Hcl","50 MG",2,25,1,25
"J1160","Digoxin injection","West-Ward Pharmaceuticals Corp","00641141035","00641-1410-35","Digoxin","0.5 MG",2,25,1,25
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641149535","00641-1495-35","Promethazine Hcl","50 MG",1,25,0.5,12.5
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641149635","00641-1496-35","Promethazine Hcl","50 MG",1,25,1,25
"J1170","Hydromorphone injection","West-Ward Pharmaceuticals Corp","00641234141","00641-2341-41","Hydromorphone Hcl","4 MG",20,1,10,10
"J1642","Inj heparin sodium per 10 u","Baxter Healthcare Corporation   ","00641243645","00641-2436-45","Hep-Lock Flush","10 UNITS",10,25,100,2500
"J1642","Inj heparin sodium per 10 u","Baxter Healthcare Corporation   ","00641243845","00641-2438-45","Hep-Lock","10 UNITS",10,25,10,250
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00641244045","00641-2440-45","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250
"J1642","Inj heparin sodium per 10 u","Baxter Healthcare Corporation   ","00641244245","00641-2442-45","Hep-Lock","10 UNITS",30,25,30,750
"J1642","Inj heparin sodium per 10 u","Baxter Healthcare Corporation   ","00641244345","00641-2443-45","Hep-Lock Flush","10 UNITS",30,25,300,7500
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00641245045","00641-2450-45","Heparin Sodium (Porcine)","1000 UNITS",30,25,30,750
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00641246045","00641-2460-45","Heparin Sodium (Porcine)","1000 UNITS",10,25,50,1250
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation   ","00641247045","00641-2470-45","Heparin Sodium (Porcine)","1000 UNITS",4,25,40,1000
"J1165","Phenytoin sodium injection","West-Ward Pharmaceuticals Corp","00641255545","00641-2555-45","Phenytoin Sodium","50 MG",5,1,5,5
"J1245","Dipyridamole injection","West-Ward Pharmaceuticals Corp","00641256944","00641-2569-44","Dipyridamole","10 MG",10,5,5,25
"J1170","Hydromorphone injection","SICOR PHARMACEUTICALS, INC.","00703001801","00703-0018-01","HYDROMORPHONE HYDROCHLORIDE","4mg",50,1,125,125
"J1020","Methylprednisolone 20 MG inj","SICOR PHARMACEUTICALS, INC.","00703003101","00703-0031-01","Methylprednisolone Acetate Usp","20 MG",1,1,2,2
"J1030","Methylprednisolone 40 MG inj","SICOR PHARMACEUTICALS, INC.","00703003101","00703-0031-01","Methylprednisolone Acetate Usp","40 MG",1,1,1,1
"J1030","Methylprednisolone 40 MG inj","SICOR PHARMACEUTICALS, INC.","00703003104","00703-0031-04","Methylprednisolone Acetate Usp","40 MG",1,25,1,25
"J1030","Methylprednisolone 40 MG inj","SICOR PHARMACEUTICALS, INC.","00703004301","00703-0043-01","Methylprednisolone Acetate Usp","40 MG",5,1,5,5
"J1030","Methylprednisolone 40 MG inj","SICOR PHARMACEUTICALS, INC.","00703004501","00703-0045-01","Methylprednisolone Acetate Usp","40 MG",10,1,10,10
"J1040","Methylprednisolone 80 MG inj","SICOR PHARMACEUTICALS, INC.","00703005101","00703-0051-01","Methylprednisolone Acetate","80 MG",1,1,1,1
"J1040","Methylprednisolone 80 MG inj","SICOR PHARMACEUTICALS, INC.","00703005104","00703-0051-04","Methylprednisolone Acetate","80 MG",1,25,1,25
"J1040","Methylprednisolone 80 MG inj","SICOR PHARMACEUTICALS, INC.","00703006301","00703-0063-01","Methylprednisolone Acetate","80 MG",5,1,5,5
"J1170","Hydromorphone injection","SICOR PHARMACEUTICALS, INC.","00703011003","00703-0110-03","HYDROMORPHONE HYDROCHLORIDE","4 MG",1,10,2.5,25
"J1170","Hydromorphone injection","SICOR PHARMACEUTICALS, INC.","00703011303","00703-0113-03","HYDROMORPHONE HYDROCHLORIDE","4 MG",5,10,12.5,125
"J0696","Ceftriaxone sodium injection","SICOR PHARMACEUTICALS, INC.","00703031503","00703-0315-03","CEFTRIAXONE SODIUM","250 MG",1,1,1,1
"J0696","Ceftriaxone sodium injection","SICOR PHARMACEUTICALS, INC.","00703032503","00703-0325-03","CEFTRIAXONE ","250 MG",1,1,2,2
"J0696","Ceftriaxone sodium injection","SICOR PHARMACEUTICALS, INC.","00703033504","00703-0335-04","CEFTRIAXONE ","250 MG",1,1,4,4
"J0696","Ceftriaxone sodium injection","SICOR PHARMACEUTICALS, INC.","00703034603","00703-0346-03","CEFTRIAXONE ","250 MG",1,1,8,8
"J0696","Ceftriaxone sodium injection","SICOR PHARMACEUTICALS, INC.","00703035901","00703-0359-01","CEFTRIAXONE ","250 MG",1,1,40,40
"J1955","Inj levocarnitine per 1 gm","SICOR PHARMACEUTICALS, INC.","00703040402","00703-0404-02","Levocarnitine","1 GM",5,5,1,5
"J1955","Inj levocarnitine per 1 gm","SICOR PHARMACEUTICALS, INC.","00703040502","00703-0405-02","Levocarnitine","1 GM",12.5,5,2.5,12.5
"J0744","Ciprofloxacin iv","SICOR PHARMACEUTICALS, INC.","00703095603","00703-0956-03","CIPROFLOXACIN","200 MG",20,10,1,10
"J0744","Ciprofloxacin iv","SICOR PHARMACEUTICALS, INC.","00703095803","00703-0958-03","CIPROFLOXACIN","200 MG",40,10,2,20
"J0744","Ciprofloxacin iv","SICOR PHARMACEUTICALS, INC.","00703096036","00703-0960-36","CIPROFLOXACIN","200 MG",200,24,2,48
"J0744","Ciprofloxacin iv","SICOR PHARMACEUTICALS, INC.","00703096936","00703-0969-36","CIPROFLOXACIN","200 MG",100,24,1,24
"J1450","Fluconazole","SICOR PHARMACEUTICALS, INC.","00703101009","00703-1010-09","Fluconazole In Sodium Chloride","200 MG",200,6,2,12
"J1450","Fluconazole","SICOR PHARMACEUTICALS, INC.","00703101909","00703-1019-09","Fluconazole In Sodium Chloride","200 MG",100,6,1,6
"J1450","Fluconazole","SICOR PHARMACEUTICALS, INC.","00703102030","00703-1020-30","Fluconazole In Sodium Chloride","200 MG",200,6,2,12
"J1450","Fluconazole","SICOR PHARMACEUTICALS, INC.","00703102930","00703-1029-30","Fluconazole In Sodium Chloride","200 MG",100,6,1,6
"J3105","Terbutaline sulfate inj","SICOR PHARMACEUTICALS, INC.","00703127104","00703-1271-04","Terbutaline Sulfate","1 MG",1,25,1,25
"J0270","Alprostadil for injection","SICOR PHARMACEUTICALS, INC.","00703150102","00703-1501-02","Alprostadil","1.25 MCG",1,5,400,2000
"J1245","Dipyridamole injection","SICOR PHARMACEUTICALS, INC.","00703165202","00703-1652-02","Dipyridamole","10 MG",2,5,1,5
"J1245","Dipyridamole injection","SICOR PHARMACEUTICALS, INC.","00703165402","00703-1654-02","Dipyridamole","10 MG",10,5,5,25
"J1325","Epoprostenol injection","SICOR PHARMACEUTICALS, INC.","00703198501","00703-1985-01","Epoprostenol","0.5 MG",1,1,1,1
"J1325","Epoprostenol injection","SICOR PHARMACEUTICALS, INC.","00703199501","00703-1995-01","Epoprostenol","0.5 MG",1,1,3,3
"J2550","Promethazine hcl injection","SICOR PHARMACEUTICALS, INC.","00703219104","00703-2191-04","Promethazine Hcl","50 MG",1,25,0.5,12.5
"J2550","Promethazine hcl injection","SICOR PHARMACEUTICALS, INC.","00703220104","00703-2201-04","Promethazine Hcl","50 MG",1,25,1,25
"J0640","Leucovorin calcium injection","SICOR PHARMACEUTICALS, INC.","00703279301","00703-2793-01","CALCIUM FOLINATE  (HUNGARIAN IMPORT)","50 MG",30,1,1,2
"J0640","Leucovorin calcium injection","SICOR PHARMACEUTICALS, INC.","00703279701","00703-2797-01","CALCIUM FOLINATE  (HUNGARIAN IMPORT)","50 MG",10,1,1,6
"J9190","Fluorouracil injection","SICOR PHARMACEUTICALS, INC.","00703301513","00703-3015-13","Adrucil","500 MG",10,10,1,10
"J9190","Fluorouracil injection","SICOR PHARMACEUTICALS, INC.","00703301812","00703-3018-12","Adrucil","500 MG",50,5,5,25
"J9190","Fluorouracil injection","SICOR PHARMACEUTICALS, INC.","00703301912","00703-3019-12","Adrucil","500 MG",100,5,10,50
"J9178","Inj, epirubicin hcl, 2 mg","SICOR PHARMACEUTICALS, INC.","00703306711","00703-3067-11","Epirubicin","2 MG",25,1,25,25
"J9178","Inj, epirubicin hcl, 2 mg","SICOR PHARMACEUTICALS, INC.","00703306911","00703-3069-11","Epirubicin","2 MG",100,1,100,100
"J9040","Bleomycin sulfate injection","SICOR PHARMACEUTICALS, INC.","00703315401","00703-3154-01","Bleomycin Sulfate","15 UNITS",1,1,1,1
"J9040","Bleomycin sulfate injection","SICOR PHARMACEUTICALS, INC.","00703315501","00703-3155-01","Bleomycin Sulfate","15 UNITS",1,1,2,2
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703324911","00703-3249-11","Carboplatin","50 MG",60,1,12,12
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703327801","00703-3278-01","Carboplatin","50 MG",45,1,9,9
"J2354","Octreotide inj, non-depot","SICOR PHARMACEUTICALS, INC.","00703330104","00703-3301-04","OCTREOTIDE ACETATE","25 MCG",1,25,2,50
"J2354","Octreotide inj, non-depot","SICOR PHARMACEUTICALS, INC.","00703331104","00703-3311-04","OCTREOTIDE ACETATE","25 MCG",1,25,4,100
"J2354","Octreotide inj, non-depot","SICOR PHARMACEUTICALS, INC.","00703332104","00703-3321-04","OCTREOTIDE ACETATE","25 MCG",1,25,20,500
"J2354","Octreotide inj, non-depot","SICOR PHARMACEUTICALS, INC.","00703332194","00703-3321-94","OCTREOTIDE ACETATE","25 MCG",1,25,20,500
"J2354","Octreotide inj, non-depot","SICOR PHARMACEUTICALS, INC.","00703333301","00703-3333-01","OCTREOTIDE ACETATE","25 MCG",5,1,40,40
"J2354","Octreotide inj, non-depot","SICOR PHARMACEUTICALS, INC.","00703334301","00703-3343-01","OCTREOTIDE ACETATE","25 MCG",5,1,200,200
"J9208","Ifosfamide injection","SICOR PHARMACEUTICALS, INC.","00703342711","00703-3427-11","Ifosfamide","1 GM",1,1,1,1
"J9208","Ifosfamide injection","SICOR PHARMACEUTICALS, INC.","00703342911","00703-3429-11","Ifosfamide","1 GM",1,1,3,3
"J1100","Dexamethasone sodium phos","SICOR PHARMACEUTICALS, INC.","00703352403","00703-3524-03","Dexamethasone Sodium Phosphate","1 MG",10,10,100,1000
"J9263","Oxaliplatin","SICOR PHARMACEUTICALS, INC.","00703398501","00703-3985-01","OXALIPLATIN","0.5 mg",10,1,100,100
"J9263","Oxaliplatin","SICOR PHARMACEUTICALS, INC.","00703398601","00703-3986-01","OXALIPLATIN","0.5 mg",20,1,200,200
"J9218","Leuprolide acetate injeciton","SICOR PHARMACEUTICALS, INC.","00703401418","00703-4014-18","Leuprolide Acetate","1 MG",1,1,14,14
"J2430","Pamidronate disodium /30 MG","SICOR PHARMACEUTICALS, INC.","00703407559","00703-4075-59","Pamidronate Disodium","30 MG",10,4,1,4
"J2430","Pamidronate disodium /30 MG","SICOR PHARMACEUTICALS, INC.","00703408551","00703-4085-51","Pamidronate Disodium","30 MG",10,1,3,3
"J9211","Idarubicin hcl injection","SICOR PHARMACEUTICALS, INC.","00703415411","00703-4154-11","Idarubicin","5 MG",5,1,1,1
"J9211","Idarubicin hcl injection","SICOR PHARMACEUTICALS, INC.","00703415491","00703-4154-91","Idarubicin","5 MG",5,1,1,1
"J9211","Idarubicin hcl injection","SICOR PHARMACEUTICALS, INC.","00703415511","00703-4155-11","Idarubicin","5 MG",10,1,2,2
"J9211","Idarubicin hcl injection","SICOR PHARMACEUTICALS, INC.","00703415591","00703-4155-91","Idarubicin","5 MG",10,1,2,2
"J9211","Idarubicin hcl injection","SICOR PHARMACEUTICALS, INC.","00703415611","00703-4156-11","Idarubicin","5 MG",20,1,4,4
"J9211","Idarubicin hcl injection","SICOR PHARMACEUTICALS, INC.","00703415691","00703-4156-91","Idarubicin","5 MG",20,1,4,4
"J9390","Vinorelbine tartrate inj","SICOR PHARMACEUTICALS, INC.","00703418201","00703-4182-01","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","SICOR PHARMACEUTICALS, INC.","00703418281","00703-4182-81","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","SICOR PHARMACEUTICALS, INC.","00703418291","00703-4182-91","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","SICOR PHARMACEUTICALS, INC.","00703418301","00703-4183-01","Vinorelbine Tartrate","10 MG",5,1,5,5
"J9390","Vinorelbine tartrate inj","SICOR PHARMACEUTICALS, INC.","00703418381","00703-4183-81","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","SICOR PHARMACEUTICALS, INC.","00703418391","00703-4183-91","Vinorelbine Tartrate","10 MG",5,1,5,5
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703424401","00703-4244-01","Carboplatin","50 MG",5,1,1,1
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703424601","00703-4246-01","Carboplatin","50 MG",15,1,3,3
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703424801","00703-4248-01","Carboplatin","50 MG",45,1,9,9
"J9370","Vincristine sulfate 1 MG inj","SICOR PHARMACEUTICALS, INC.","00703440211","00703-4402-11","Vincristine Sulfate","1 MG",1,1,1,1
"J9370","Vincristine sulfate 1 MG inj","SICOR PHARMACEUTICALS, INC.","00703441211","00703-4412-11","Vincristine Sulfate","1 MG",2,1,2,2
"J9206","Irinotecan injection","SICOR PHARMACEUTICALS, INC.","00703443211","00703-4432-11","Irinotecan HCL","20 MG",2,1,2,2
"J9206","Irinotecan injection","SICOR PHARMACEUTICALS, INC.","00703443411","00703-4434-11","Irinotecan HCL","20 MG",5,1,5,5
"J9206","Irinotecan injection","SICOR PHARMACEUTICALS, INC.","00703443491","00703-4434-91","Irinotecan HCL","20 MG",5,1,5,5
"J9206","Irinotecan injection","SICOR PHARMACEUTICALS, INC.","00703443711","00703-4437-11","Irinotecan HCL","20 MG",25,1,25,25
"J2765","Metoclopramide hcl injection","SICOR PHARMACEUTICALS, INC.","00703450204","00703-4502-04","Metoclopramide Hcl","10 MG",2,25,1,25
"J9320","Streptozocin injection","SICOR PHARMACEUTICALS, INC.","00703463601","00703-4636-01","Zanosar","1 GM",1,1,1,1
"J9293","Mitoxantrone hydrochl / 5 MG","SICOR PHARMACEUTICALS, INC.","00703468001","00703-4680-01","MITOXANTRONE HYDROCHLORIDE","5 MG",12.5,1,5,5
"J9293","Mitoxantrone hydrochl / 5 MG","SICOR PHARMACEUTICALS, INC.","00703468501","00703-4685-01","MITOXANTRONE HYDROCHLORIDE","5 MG",10,1,4,4
"J9293","Mitoxantrone hydrochl / 5 MG","SICOR PHARMACEUTICALS, INC.","00703468601","00703-4686-01","MITOXANTRONE HYDROCHLORIDE","5 MG",15,1,6,6
"J9265","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476401","00703-4764-01","Paclitaxel","30 MG",5,1,1,1
"J9265","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476601","00703-4766-01","Paclitaxel","30 MG",16.7,1,3.34,3.34
"J9265","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476701","00703-4767-01","Paclitaxel","30 MG",25,1,5,5
"J9265","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476801","00703-4768-01","Paclitaxel","30 MG",16.7,1,3.34,3.34
"J9209","Mesna injection","SICOR PHARMACEUTICALS, INC.","00703480503","00703-4805-03","Mesna","200 MG",10,10,5,50
"J9185","Fludarabine phosphate inj","SICOR PHARMACEUTICALS, INC.","00703485211","00703-4852-11","Fludarabine Phosphate","50 MG",1,1,1,1
"J9185","Fludarabine phosphate inj","SICOR PHARMACEUTICALS, INC.","00703485291","00703-4852-91","Fludarabine Phosphate","50 MG",1,1,1,1
"J9000","Doxorubicin hcl injection","SICOR PHARMACEUTICALS, INC.","00703504001","00703-5040-01","Doxorubicin Hcl","10 MG",100,1,20,20
"J9000","Doxorubicin hcl injection","SICOR PHARMACEUTICALS, INC.","00703504303","00703-5043-03","Doxorubicin Hcl","10 MG",5,10,1,10
"J9000","Doxorubicin hcl injection","SICOR PHARMACEUTICALS, INC.","00703504601","00703-5046-01","Doxorubicin Hcl","10 MG",25,1,5,5
"J2597","Inj desmopressin acetate","SICOR PHARMACEUTICALS, INC.","00703505103","00703-5051-03","Desmopressin Acetate","1 MCG",1,10,4,40
"J2597","Inj desmopressin acetate","SICOR PHARMACEUTICALS, INC.","00703505401","00703-5054-01","Desmopressin Acetate","1 MCG",10,1,40,40
"J9130","Dacarbazine 100 mg inj","SICOR PHARMACEUTICALS, INC.","00703507501","00703-5075-01","Dacarbazine","100 MG",1,1,2,2
"J9130","Dacarbazine 100 mg inj","SICOR PHARMACEUTICALS, INC.","00703507503","00703-5075-03","Dacarbazine","100 MG",1,10,2,20
"J0640","Leucovorin calcium injection","SICOR PHARMACEUTICALS, INC.","00703514001","00703-5140-01","Leucovorin Calcium","50 MG",1,1,2,2
"J0640","Leucovorin calcium injection","SICOR PHARMACEUTICALS, INC.","00703514501","00703-5145-01","Leucovorin Calcium","50 MG",1,1,7,7
"J9150","Daunorubicin injection","SICOR PHARMACEUTICALS, INC.","00703523313","00703-5233-13","Daunorubicin Hcl","10 MG",1,10,2,20
"J9181","Etoposide injection","SICOR PHARMACEUTICALS, INC.","00703565301","00703-5653-01","Etoposide","10 MG",5,1,10,10
"J9181","Etoposide injection","SICOR PHARMACEUTICALS, INC.","00703565601","00703-5656-01","Etoposide","10 MG",25,1,50,50
"J9181","Etoposide injection","SICOR PHARMACEUTICALS, INC.","00703565701","00703-5657-01","Etoposide","10 MG",50,1,100,100
"J9060","Cisplatin 10 MG injection","SICOR PHARMACEUTICALS, INC.","00703574711","00703-5747-11","Cisplatin","10 MG",50,1,5,5
"J9060","Cisplatin 10 MG injection","SICOR PHARMACEUTICALS, INC.","00703574811","00703-5748-11","Cisplatin","10 MG",100,1,10,10
"J9201","Gemcitabine hcl injection","SICOR PHARMACEUTICALS, INC.","00703577501","00703-5775-01","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1
"J9201","Gemcitabine hcl injection","SICOR PHARMACEUTICALS, INC.","00703577801","00703-5778-01","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5
"J9185","Fludarabine phosphate inj","SICOR PHARMACEUTICALS, INC.","00703585401","00703-5854-01","Fludarabine Phosphate","50 MG",1,1,1,1
"J1080","Testosterone cypionat 200 MG","SICOR PHARMACEUTICALS, INC.","00703612101","00703-6121-01","Testosterone Cypionate","200 MG",1,1,1,1
"J1080","Testosterone cypionat 200 MG","SICOR PHARMACEUTICALS, INC.","00703612501","00703-6125-01","Testosterone Cypionate","200 MG",10,1,10,10
"J2590","Oxytocin injection","SICOR PHARMACEUTICALS, INC.","00703627104","00703-6271-04","Oxytocin","10 UNITS",1,25,1,25
"J2590","Oxytocin injection","SICOR PHARMACEUTICALS, INC.","00703627503","00703-6275-03","Oxytocin","10 UNITS",10,10,10,100
"J1631","Haloperidol decanoate inj","SICOR PHARMACEUTICALS, INC.","00703701103","00703-7011-03","Haloperidol Decanoate","50 MG",1,10,1,10
"J1631","Haloperidol decanoate inj","SICOR PHARMACEUTICALS, INC.","00703701301","00703-7013-01","Haloperidol Decanoate","50 MG",5,1,5,5
"J1631","Haloperidol decanoate inj","SICOR PHARMACEUTICALS, INC.","00703702103","00703-7021-03","Haloperidol Decanoate","50 MG",1,10,2,20
"J1631","Haloperidol decanoate inj","SICOR PHARMACEUTICALS, INC.","00703702301","00703-7023-01","Haloperidol Decanoate","50 MG",5,1,10,10
"J1630","Haloperidol injection","SICOR PHARMACEUTICALS, INC.","00703704103","00703-7041-03","Haloperidol Lactate","5 MG",1,10,1,10
"J1630","Haloperidol injection","SICOR PHARMACEUTICALS, INC.","00703704501","00703-7045-01","Haloperidol Lactate","5 MG",10,1,10,10
"Q2009","Fosphenytoin inj PE","SICOR PHARMACEUTICALS, INC.","00703710104","00703-7101-04","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50
"Q2009","Fosphenytoin inj PE","SICOR PHARMACEUTICALS, INC.","00703710503","00703-7105-03","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100
"J2405","Ondansetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703722102","00703-7221-02","ONDANSETRON HCL","1 MG",2,5,4,20
"J2405","Ondansetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703722104","00703-7221-04","ONDANSETRON HCL","1 MG",2,25,4,100
"J2405","Ondansetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703722601","00703-7226-01","ONDANSETRON HCL","1 MG",20,1,40,40
"J2405","Ondansetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703722603","00703-7226-03","ONDANSETRON HCL","1 MG",20,10,40,400
"J2405","Ondansetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703723939","00703-7239-39","ONDANSETRON HCL","1 MG",50,1,32,32
"J0636","Inj calcitriol per 0.1 mcg","SICOR PHARMACEUTICALS, INC.","00703731104","00703-7311-04","Calcijex","0.1 MCG",1,25,10,250
"J1626","Granisetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703787103","00703-7871-03","Granisetron HCl","100 MCG",1,10,10,100
"J1626","Granisetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703789101","00703-7891-01","Granisetron HCl","100 MCG",1,1,1,1
"J1626","Granisetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703789102","00703-7891-02","Granisetron HCl","100 MCG",1,5,1,5
"J1626","Granisetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703797103","00703-7971-03","Granisetron HCl","100 MCG",1,10,10,100
"J1626","Granisetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703797301","00703-7973-01","Granisetron HCl","100 MCG",4,1,40,40
"J0150","Injection adenosine 6 MG","SICOR PHARMACEUTICALS, INC.","00703877103","00703-8771-03","Adenosine","6 MG",2,10,1,10
"J0150","Injection adenosine 6 MG","SICOR PHARMACEUTICALS, INC.","00703877301","00703-8773-01","Adenosine","6 MG",4,1,2,2
"J0150","Injection adenosine 6 MG","SICOR PHARMACEUTICALS, INC.","00703878123","00703-8781-23","Adenosine","6 MG",2,10,1,10
"J0278","Amikacin sulfate injection","SICOR PHARMACEUTICALS, INC.","00703903203","00703-9032-03","Amikacin Sulfate","100 MG",2,10,5,50
"J0278","Amikacin sulfate injection","SICOR PHARMACEUTICALS, INC.","00703904003","00703-9040-03","Amikacin Sulfate","100 MG",4,10,10,100
"J0456","Azithromycin","SICOR PHARMACEUTICALS, INC.","00703908503","00703-9085-03","AZITHROMYCIN","500 MG",1,10,1,10
"J0456","Azithromycin","SICOR PHARMACEUTICALS, INC.","00703908901","00703-9089-01","AZITHROMYCIN","500 MG",1,1,5,5
"J3260","Tobramycin sulfate injection","SICOR PHARMACEUTICALS, INC.","00703940204","00703-9402-04","Tobramycin Sulfate","80 MG",2,25,1,25
"J3260","Tobramycin sulfate injection","SICOR PHARMACEUTICALS, INC.","00703941601","00703-9416-01","Tobramycin Sulfate","80 MG",30,1,15,15
"Q0162","Ondansetron oral","SANDOZ","00781167931","00781-1679-31","Ondansetron HCl","1 MG",1,30,4,120
"Q0162","Ondansetron oral","SANDOZ","00781167933","00781-1679-33","Ondansetron HCl","1 MG",1,3,4,12
"Q0162","Ondansetron oral","SANDOZ","00781168131","00781-1681-31","Ondansetron HCl","1 MG",1,30,8,240
"Q0162","Ondansetron oral","SANDOZ","00781168133","00781-1681-33","Ondansetron HCl","1 MG",1,3,8,24
"Q0170","Promethazine HCl 25 mg oral","SANDOZ","00781183001","00781-1830-01","Promethazine Hcl","25 MG",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","SANDOZ","00781183010","00781-1830-10","Promethazine Hcl","25 MG",1000,1,1000,1000
"Q0170","Promethazine HCl 25 mg oral","SANDOZ","00781183201","00781-1832-01","PROMETHAZINE HCL","25 MG",100,1,200,200
"J7517","Mycophenolate mofetil oral","SANDOZ","00781206701","00781-2067-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100
"J7517","Mycophenolate mofetil oral","SANDOZ","00781206705","00781-2067-05","MYCOPHENOLATE MOFETIL","250 mg",1,500,500,500
"J7517","Mycophenolate mofetil oral","SANDOZ","00781206789","00781-2067-89","MYCOPHENOLATE MOFETIL","250 mg",1,1440,1440,1440
"J7507","Tacrolimus oral per 1 MG","SANDOZ","00781210201","00781-2102-01","TACROLIMUS","1MG",100,1,50,50
"J7507","Tacrolimus oral per 1 MG","SANDOZ","00781210301","00781-2103-01","TACROLIMUS","1 MG",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","SANDOZ","00781210401","00781-2104-01","TACROLIMUS","1 MG",100,1,500,500
"J2405","Ondansetron hcl injection","SANDOZ","00781301095","00781-3010-95","ONDANSETRON HCL","1 MG",2,10,4,40
"J2405","Ondansetron hcl injection","SANDOZ","00781301180","00781-3011-80","ONDANSETRON HCL","1 MG",20,1,40,40
"J1380","Estradiol valerate 10 MG inj","SANDOZ","00781302975","00781-3029-75","Estradiol Valerate","10 MG",5,5,10,10
"J1380","Estradiol valerate 10 MG inj","SANDOZ","00781303075","00781-3030-75","Estradiol Valerate","10 MG",5,1,5,5
"J1380","Estradiol valerate 10 MG inj","SANDOZ","00781303175","00781-3031-75","Estradiol Valerate","10 MG",5,1,20,20
"J0295","Ampicillin sodium per 1.5 gm","SANDOZ","00781303295","00781-3032-95","Ampicillin-Sulbactam","1.5 GM",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","SANDOZ","00781303395","00781-3033-95","Ampicillin-Sulbactam","1.5 GM",1,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","SANDOZ","00781303446","00781-3034-46","Ampicillin-Sulbactam","1.5 GM",1,1,10,10
"J2405","Ondansetron hcl injection","SANDOZ","00781305714","00781-3057-14","ONDANSETRON HCL","1 MG",2,5,20,20
"J2405","Ondansetron hcl injection","SANDOZ","00781305780","00781-3057-80","ONDANSETRON HCL","1 MG",20,1,40,40
"J1160","Digoxin injection","SANDOZ","00781305995","00781-3059-95","Digoxin","0.5 MG",2,10,1,10
"J9206","Irinotecan injection","SANDOZ","00781306675","00781-3066-75","Irinotecan HCL","20 MG",5,1,5,5
"J1070","Testosterone cypionat 100 MG","SANDOZ","00781307370","00781-3073-70","Testosterone Cypionate Usp/Nf","100 MG",10,1,10,10
"J1080","Testosterone cypionat 200 MG","SANDOZ","00781307470","00781-3074-70","Testosterone Cypionate","200 MG",10,1,10,10
"J1080","Testosterone cypionat 200 MG","SANDOZ","00781307471","00781-3074-71","Testosterone Cypionate","200 MG",1,1,1,1
"J3303","Triamcinolone hexacetonl inj","SANDOZ","00781308475","00781-3084-75","Aristospan Intralesional","5 MG",5,1,5,5
"J3303","Triamcinolone hexacetonl inj","SANDOZ","00781308571","00781-3085-71","Aristospan Intra-Articular","5 MG",1,1,4,4
"J3303","Triamcinolone hexacetonl inj","SANDOZ","00781308575","00781-3085-75","Aristospan Intra-Articular","5 MG",5,1,20,20
"J2700","Oxacillin sodium injeciton","SANDOZ","00781309492","00781-3094-92","Oxacillin Sodium","250 MG",1,10,4,40
"J2700","Oxacillin sodium injeciton","SANDOZ","00781309592","00781-3095-92","Oxacillin Sodium","250 MG",1,10,8,80
"J2700","Oxacillin sodium injeciton","SANDOZ","00781309995","00781-3099-95","Oxacillin Sodium","250 MG",1,10,4,40
"J2700","Oxacillin sodium injeciton","SANDOZ","00781310195","00781-3101-95","Oxacillin Sodium","250 MG",1,10,8,80
"J2700","Oxacillin sodium injeciton","SANDOZ","00781310395","00781-3103-95","Oxacillin Sodium","250 MG",1,10,40,400
"J2543","Piperacillin/tazobactam","SANDOZ","00781311095","00781-3110-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,2,20
"J2543","Piperacillin/tazobactam","SANDOZ","00781311395","00781-3113-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,3,30
"J2543","Piperacillin/tazobactam","SANDOZ","00781311495","00781-3114-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,4,40
"J1030","Methylprednisolone 40 MG inj","SANDOZ","00781313171","00781-3131-71","Methylprednisolone Acetate Usp","40 MG",1,1,1,1
"J1030","Methylprednisolone 40 MG inj","SANDOZ","00781313195","00781-3131-95","Methylprednisolone Acetate Usp","40MG",10,10,10,100
"J1020","Methylprednisolone 20 MG inj","SANDOZ","00781313271","00781-3132-71","METHYLPRED ","20 MG",80,1,4,4
"J1020","Methylprednisolone 20 MG inj","SANDOZ","00781313295","00781-3132-95","METHYLPRED ","20 MG",80,10,4,40
"J1030","Methylprednisolone 40 MG inj","SANDOZ","00781313670","00781-3136-70","Methylprednisolone Acetate Usp","40 MG",10,1,10,10
"J1040","Methylprednisolone 80 MG inj","SANDOZ","00781313775","00781-3137-75","Methylprednisolone Acetate","80 MG",5,1,5,5
"J2430","Pamidronate disodium /30 MG","SANDOZ","00781314784","00781-3147-84","Pamidronate Disodium","30 MG",1,4,1,4
"J2430","Pamidronate disodium /30 MG","SANDOZ","00781314870","00781-3148-70","Pamidronate Disodium","30 MG",1,1,3,3
"J2354","Octreotide inj, non-depot","SANDOZ","00781316475","00781-3164-75","OCTREOTIDE ACETATE","25 MCG",5,1,200,200
"J2354","Octreotide inj, non-depot","SANDOZ","00781316575","00781-3165-75","OCTREOTIDE ACETATE","25 MCG",5,1,40,40
"J3030","Sumatriptan succinate / 6 MG","SANDOZ","00781317307","00781-3173-07","SUMATRIPTAN SUCCINATE","6 MG",0.5,2,1,2
"J3030","Sumatriptan succinate / 6 MG","SANDOZ","00781317414","00781-3174-14","SUMATRIPTAN SUCCINATE","6 MG",0.5,5,1,5
"J0713","Inj ceftazidime per 500 mg","SANDOZ","00781317796","00781-3177-96","Tazicef","500 MG",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","SANDOZ","00781317895","00781-3178-95","Ceftazidime","500 MG",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","SANDOZ","00781317986","00781-3179-86","Ceftazidime","500 MG",1,6,12,72
"J1451","Fomepizole, 15 mg","SANDOZ","00781318273","00781-3182-73","Fomepizole","15 MG",1.5,1,100,100
"J1451","Fomepizole, 15 mg","SANDOZ","00781318284","00781-3182-84","Fomepizole","15 MG",1.5,4,100,400
"J3370","Vancomycin hcl injection","SANDOZ","00781318795","00781-3187-95","VANCOMYCIN HCL","500 MG",1,10,1,10
"J3370","Vancomycin hcl injection","SANDOZ","00781318895","00781-3188-95","VANCOMYCIN HCL","500 MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","SANDOZ","00781320685","00781-3206-85","CEFTRIAXONE","250 MG",1,1,1,1
"J0696","Ceftriaxone sodium injection","SANDOZ","00781320695","00781-3206-95","CEFTRIAXONE ","250 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","SANDOZ","00781320785","00781-3207-85","CEFTRIAXONE","250 MG",1,1,2,2
"J0696","Ceftriaxone sodium injection","SANDOZ","00781320795","00781-3207-95","CEFTRIAXONE ","250 MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","SANDOZ","00781320885","00781-3208-85","CEFTRIAXONE","250 MG",1,1,4,4
"J0696","Ceftriaxone sodium injection","SANDOZ","00781320895","00781-3208-95","CEFTRIAXONE ","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","SANDOZ","00781320995","00781-3209-95","CEFTRIAXONE ","250 MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","SANDOZ","00781321046","00781-3210-46","CEFTRIAXONE ","250 MG",1,1,40,40
"J0692","Cefepime HCl for injection","SANDOZ","00781322295","00781-3222-95","Cefepime HCL","500 MG",1,10,2,20
"J0692","Cefepime HCl for injection","SANDOZ","00781322395","00781-3223-95","Cefepime HCL","500 MG",1,10,4,40
"J0744","Ciprofloxacin iv","SANDOZ","00781323909","00781-3239-09","CIPROFLOXACIN","200 MG",100,24,1,24
"J0744","Ciprofloxacin iv","SANDOZ","00781324009","00781-3240-09","CIPROFLOXACIN","200 MG",200,24,2,48
"J3301","Triamcinolone acet inj NOS","SANDOZ","00781324375","00781-3243-75","Triamcinolone Acetonide","10 MG",5,1,5,5
"J3301","Triamcinolone acet inj NOS","SANDOZ","00781324572","00781-3245-72","Triamcinolone Acetonide","10 MG",1,1,4,4
"J9201","Gemcitabine hcl injection","SANDOZ","00781328275","00781-3282-75","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1
"J9201","Gemcitabine hcl injection","SANDOZ","00781328379","00781-3283-79","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5
"J1956","Levofloxacin injection","SANDOZ","00781334109","00781-3341-09","LEVAQUIN","250 MG",50,24,1,24
"J1956","Levofloxacin injection","SANDOZ","00781334209","00781-3342-09","LEVAQUIN","250 MG",100,24,2,48
"J1956","Levofloxacin injection","SANDOZ","00781334309","00781-3343-09","LEVAQUIN","250 MG",150,24,3,72
"J0290","Ampicillin 500 MG inj","SANDOZ","00781340095","00781-3400-95","Ampicillin Sodium","500 MG",1,10,0.25,2.5
"J0290","Ampicillin 500 MG inj","SANDOZ","00781340295","00781-3402-95","Ampicillin Sodium","500 MG",1,10,0.5,5
"J0290","Ampicillin 500 MG inj","SANDOZ","00781340495","00781-3404-95","Ampicillin Sodium","500 MG",1,10,2,20
"J0290","Ampicillin 500 MG inj","SANDOZ","00781340795","00781-3407-95","Ampicillin Sodium","500 MG",1,10,1,10
"J0290","Ampicillin 500 MG inj","SANDOZ","00781340895","00781-3408-95","Ampicillin Sodium","500 MG",1,10,4,40
"J0290","Ampicillin 500 MG inj","SANDOZ","00781340995","00781-3409-95","Ampicillin Sodium","500 MG",1,10,20,200
"J0290","Ampicillin 500 MG inj","SANDOZ","00781341292","00781-3412-92","Ampicillin Sodium","500 MG",1,10,2,20
"J0290","Ampicillin 500 MG inj","SANDOZ","00781341392","00781-3413-92","Ampicillin Sodium","500 MG",1,10,4,40
"J0690","Cefazolin sodium injection","SANDOZ","00781345095","00781-3450-95","Cefazolin Sodium","500 MG",1,1,10,10
"J0690","Cefazolin sodium injection","SANDOZ","00781345196","00781-3451-96","Cefazolin Sodium","500 MG",10,25,2,50
"J0690","Cefazolin sodium injection","SANDOZ","00781345295","00781-3452-95","Cefazolin Sodium","500 MG",10,10,20,200
"J1800","Propranolol injection","SANDOZ","00781377795","00781-3777-95","Propranolol Hcl","1 MG",1,10,1,10
"Q0164","Prochlorperazine maleate 5mg","SANDOZ","00781502001","00781-5020-01","Prochlorperazine Maleate","5 MG",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","SANDOZ","00781502101","00781-5021-01","Prochlorperazine Maleate","10 MG",100,1,100,100
"J7509","Methylprednisolone oral","SANDOZ","00781502201","00781-5022-01","Methylprednisolone","4 MG",100,1,100,100
"J7509","Methylprednisolone oral","SANDOZ","00781502207","00781-5022-07","Methylprednisolone (Pak)","4 MG",21,1,21,21
"J7500","Azathioprine oral 50mg","SANDOZ","00781507501","00781-5075-01","Azathioprine","50 MG",100,1,100,100
"J7517","Mycophenolate mofetil oral","SANDOZ","00781517501","00781-5175-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200
"J7517","Mycophenolate mofetil oral","SANDOZ","00781517505","00781-5175-05","MYCOPHENOLATE MOFETIL","250 mg",1,500,1000,1000
"Q0162","Ondansetron oral","SANDOZ","00781523864","00781-5238-64","ONDANSETRON ODT","1 MG",1,30,4,120
"Q0162","Ondansetron oral","SANDOZ","00781523964","00781-5239-64","ONDANSETRON ODT","1 MG",1,30,8,240
"Q0162","Ondansetron oral","SANDOZ","00781523980","00781-5239-80","ONDANSETRON ODT","1 MG",1,10,8,80
"Q0162","Ondansetron oral","SANDOZ","00781525713","00781-5257-13","Ondansetron HCl","1 MG",1,100,4,400
"Q0162","Ondansetron oral","SANDOZ","00781525731","00781-5257-31","Ondansetron HCl","1 MG",1,30,4,120
"Q0162","Ondansetron oral","SANDOZ","00781525733","00781-5257-33","Ondansetron HCl","1 MG",1,3,4,12
"Q0162","Ondansetron oral","SANDOZ","00781525813","00781-5258-13","Ondansetron HCl","1 MG",1,100,8,800
"Q0162","Ondansetron oral","SANDOZ","00781525831","00781-5258-31","Ondansetron HCl","1 MG",1,30,8,240
"Q0162","Ondansetron oral","SANDOZ","00781525833","00781-5258-33","Ondansetron HCl","1 MG",1,3,8,24
"Q0162","Ondansetron oral","SANDOZ","00781526564","00781-5265-64","Ondansetron HCl","1 MG",1,30,4,120
"Q0162","Ondansetron oral","SANDOZ","00781526664","00781-5266-64","Ondansetron HCl","1 MG",1,30,8,240
"Q0162","Ondansetron oral","SANDOZ","00781526680","00781-5266-80","Ondansetron HCl","1 MG",1,10,8,80
"J2540","Penicillin g potassium inj","SANDOZ","00781613595","00781-6135-95","Penicillin G Potassium","600000 UNITS",1,10,8.33,83.3
"J2540","Penicillin g potassium inj","SANDOZ","00781613694","00781-6136-94","Penicillin G Potassium","600000 UNITS",1,1,33.33,33.33
"J7613","Albuterol non-comp unit","SANDOZ","00781715529","00781-7155-29","Albuterol Sulfate","1 MG",3,60,2.5,150
"J7613","Albuterol non-comp unit","SANDOZ","00781715564","00781-7155-64","Albuterol Sulfate","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","SANDOZ","00781715586","00781-7155-86","Albuterol Sulfate","1 MG",3,25,2.5,62.5
"J7644","Ipratropium bromide non-comp","SANDOZ","00781715729","00781-7157-29","Ipratropium Bromide","1 MG",2.5,60,0.5,30
"J2700","Oxacillin sodium injeciton","SANDOZ","00781910995","00781-9109-95","Oxacillin Sodium","250 MG",1,10,4,40
"J2700","Oxacillin sodium injeciton","SANDOZ","00781911015","00781-9110-15","Oxacillin Sodium","250 MG",1,1,4,4
"J2700","Oxacillin sodium injeciton","SANDOZ","00781911195","00781-9111-95","Oxacillin Sodium","250 MG",1,10,8,80
"J2700","Oxacillin sodium injeciton","SANDOZ","00781911215","00781-9112-15","Oxacillin Sodium","250 MG",1,1,8,8
"J2700","Oxacillin sodium injeciton","SANDOZ","00781911292","00781-9112-92","Oxacillin Sodium","250 MG",1,10,8,80
"J2700","Oxacillin sodium injeciton","SANDOZ","00781911395","00781-9113-95","Oxacillin Sodium","250 MG",1,10,40,400
"J2354","Octreotide inj, non-depot","SANDOZ","00781916475","00781-9164-75","OCTREOTIDE ACETATE","25 MCG",5,1,200,200
"J2354","Octreotide inj, non-depot","SANDOZ","00781916575","00781-9165-75","OCTREOTIDE ACETATE","25 MCG",5,1,40,40
"J2354","Octreotide inj, non-depot","SANDOZ","00781916695","00781-9166-95","OCTREOTIDE ACETATE","25 MCG",1,10,2,20
"J2354","Octreotide inj, non-depot","SANDOZ","00781916795","00781-9167-95","OCTREOTIDE ACETATE","25 MCG",1,10,4,40
"J2354","Octreotide inj, non-depot","SANDOZ","00781916895","00781-9168-95","OCTREOTIDE ACETATE","25 MCG",1,10,20,200
"J7507","Tacrolimus oral per 1 MG","SANDOZ","00781930201","00781-9302-01","TACROLIMUS, ORAL","1 MG",100,1,50,50
"J7507","Tacrolimus oral per 1 MG","SANDOZ","00781930301","00781-9303-01","TACROLIMUS, ORAL","1 MG",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","SANDOZ","00781930401","00781-9304-01","TACROLIMUS, ORAL","1 MG",100,1,500,500
"J0696","Ceftriaxone sodium injection","SANDOZ","00781932695","00781-9326-95","CEFTRIAXONE ","250 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","SANDOZ","00781932795","00781-9327-95","CEFTRIAXONE ","250 MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","SANDOZ","00781932895","00781-9328-95","CEFTRIAXONE ","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","SANDOZ","00781932995","00781-9329-95","CEFTRIAXONE ","250 MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","SANDOZ","00781933046","00781-9330-46","CEFTRIAXONE ","250 MG",1,1,40,40
"J0690","Cefazolin sodium injection","SANDOZ","00781933746","00781-9337-46","Cefazolin Sodium","500 MG",100,1,20,20
"J0690","Cefazolin sodium injection","SANDOZ","00781933795","00781-9337-95","Cefazolin Sodium","500 MG",1,10,20,200
"J0690","Cefazolin sodium injection","SANDOZ","00781933895","00781-9338-95","Cefazolin Sodium","500 MG",1,10,1,10
"J0690","Cefazolin sodium injection","SANDOZ","00781933996","00781-9339-96","Cefazolin Sodium","500 MG",10,25,2,50
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940195","00781-9401-95","Ampicillin Sodium","500 MG",1,10,0.25,2.5
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940295","00781-9402-95","Ampicillin Sodium","500 MG",1,10,0.5,5
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940495","00781-9404-95","Ampicillin Sodium","500 MG",1,10,2,20
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940795","00781-9407-95","Ampicillin Sodium","500 MG",1,10,1,10
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940895","00781-9408-95","Ampicillin Sodium","500 MG",1,10,4,40
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940995","00781-9409-95","Ampicillin Sodium","500 MG",1,10,20,200
"J0290","Ampicillin 500 MG inj","SANDOZ","00781941292","00781-9412-92","Ampicillin Sodium","500 MG",1,10,2,20
"J0290","Ampicillin 500 MG inj","SANDOZ","00781941392","00781-9413-92","Ampicillin Sodium","500 MG",1,10,4,40
"J8610","Methotrexate oral 2.5 MG","Major Pharmaceuticals","00904174960","00904-1749-60","Methotrexate","2.5 MG",100,1,100,100
"J7509","Methylprednisolone oral","Major Pharmaceuticals","00904217519","00904-2175-19","Methylprednisolone (Pak)","4 MG",21,1,21,21
"J8610","Methotrexate oral 2.5 MG","Major Pharmaceuticals","00904601260","00904-6012-60","Methotraxate","2.5 MG",100,1,100,100
"J7190","Factor viii","Baxter Healthcare Corporation","00944130110","00944-1301-10","Monarc-M","1 IU",1,1,1,1
"J7190","Factor viii","Baxter Healthcare Corporation","00944130210","00944-1302-10","Monarc-M","1 IU",1,1,1,1
"J7190","Factor viii","Baxter Healthcare Corporation","00944130310","00944-1303-10","Monarc-M","1 IU",1,1,1,1
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944262001","00944-2620-01","Gammagard S/D","500 MG",1,1,1,1
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944262002","00944-2620-02","Gammagard S/D","500 MG",1,1,5,5
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944262003","00944-2620-03","Gammagard S/D","500 MG",1,1,10,10
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944262004","00944-2620-04","Gammagard S/D","500 MG",1,1,20,20
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944265503","00944-2655-03","Gammagard S/D","500 MG",1,1,10,10
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944265504","00944-2655-04","Gammagard S/D","500 MG",1,1,20,20
"J1569","Gammagard liquid injection","Baxter Healthcare Corporation","00944270002","00944-2700-02","GAMMAGARD LIQUID","500 MG",10,1,2,2
"J1569","Gammagard liquid injection","Baxter Healthcare Corporation","00944270003","00944-2700-03","GAMMAGARD LIQUID","500 MG",25,1,5,5
"J1569","Gammagard liquid injection","Baxter Healthcare Corporation","00944270004","00944-2700-04","GAMMAGARD LIQUID","500 MG",50,1,10,10
"J1569","Gammagard liquid injection","Baxter Healthcare Corporation","00944270005","00944-2700-05","GAMMAGARD LIQUID","500 MG",100,1,20,20
"J1569","Gammagard liquid injection","Baxter Healthcare Corporation","00944270006","00944-2700-06","GAMMAGARD LIQUID","500 MG",200,1,40,40
"J1569","Gammagard liquid injection","Baxter Healthcare Corporation","00944270007","00944-2700-07","GAMMAGARD LIQUID","500 MG",300,1,60,60
"J0256","Alpha 1 proteinase inhibitor","Baxter Healthcare Corporation","00944280201","00944-2802-01","Aralast NP","10 MG",1,1,0.1,0.1
"J0256","Alpha 1 proteinase inhibitor","Baxter Healthcare Corporation","00944280202","00944-2802-02","Aralast NP","10 MG",1,1,0.1,0.1
"J0256","Alpha 1 proteinase inhibitor","Baxter Healthcare Corporation","00944281201","00944-2812-01","Aralast NP","10 MG",1,1,0.1,0.1
"J0256","Alpha 1 proteinase inhibitor","Baxter Healthcare Corporation","00944282202","00944-2822-02","Aralast NP","10 MG",1,1,0.1,0.1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944283110","00944-2831-10","Recombinate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944283210","00944-2832-10","Recombinate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944283310","00944-2833-10","Recombinate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944283410","00944-2834-10","RECOMBINATE","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944283510","00944-2835-10","RECOMBINATE","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944284110","00944-2841-10","RECOMBINATE","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944284210","00944-2842-10","RECOMBINATE","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944284310","00944-2843-10","RECOMBINATE","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944284410","00944-2844-10","RECOMBINATE","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944284510","00944-2845-10","RECOMBINATE","1 IU",1,1,1,1
"J0257","Glassia injection","Baxter Healthcare Corporation","00944288401","00944-2884-01","GLASSIA             ","10 MG",1,1,100,0.1
"J7190","Factor viii","Baxter Healthcare Corporation","00944293001","00944-2930-01","Hemofil M","1 IU",1,1,1,1
"J7190","Factor viii","Baxter Healthcare Corporation","00944293101","00944-2931-01","Hemofil M","1 IU",1,1,1,1
"J7190","Factor viii","Baxter Healthcare Corporation","00944293201","00944-2932-01","Hemofil M","1 IU",1,1,1,1
"J7190","Factor viii","Baxter Healthcare Corporation","00944293301","00944-2933-01","Hemofil M","1 IU",1,1,1,1
"J7190","Factor viii","Baxter Healthcare Corporation","00944293501","00944-2935-01","Hemofil M","1 IU",1,1,1,1
"J7190","Factor viii","Baxter Healthcare Corporation","00944293502","00944-2935-02","Hemofil M","1 IU",1,1,1,1
"J7190","Factor viii","Baxter Healthcare Corporation","00944293503","00944-2935-03","Hemofil M","1 IU",1,1,1,1
"J7190","Factor viii","Baxter Healthcare Corporation","00944293504","00944-2935-04","Hemofil M","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944293801","00944-2938-01","Recombinate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944293802","00944-2938-02","Recombinate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944293803","00944-2938-03","Recombinate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944294110","00944-2941-10","Advate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944294210","00944-2942-10","Advate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944294310","00944-2943-10","Advate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944294410","00944-2944-10","Advate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944294510","00944-2945-10","Advate","1 IU",1,1,1,1
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944294610","00944-2946-10","Advate","1 IU",1,1,1,1
"J2792","Rho(D) immune globulin h, sd","Baxter Healthcare Corporation","00944295002","00944-2950-02","Winrho Sdf","100 IU",1,1,6,6
"J2792","Rho(D) immune globulin h, sd","Baxter Healthcare Corporation","00944295004","00944-2950-04","Winrho Sdf","100 IU",1,1,15,15
"J2792","Rho(D) immune globulin h, sd","Baxter Healthcare Corporation","00944295006","00944-2950-06","Winrho Sdf","100 IU",1,1,50,50
"J2792","Rho(D) immune globulin h, sd","Baxter Healthcare Corporation","00944296701","00944-2967-01","Winrho Sdf","100 IU",1,1,6,6
"J2792","Rho(D) immune globulin h, sd","Baxter Healthcare Corporation","00944296703","00944-2967-03","Winrho Sdf","100 IU",1,1,15,15
"J2792","Rho(D) immune globulin h, sd","Baxter Healthcare Corporation","00944296705","00944-2967-05","Winrho Sdf","100 IU",1,1,50,50
"J2792","Rho(D) immune globulin h, sd","Baxter Healthcare Corporation","00944296707","00944-2967-07","Winrho Sdf","100 IU",1,1,25,25
"J2792","Rho(D) immune globulin h, sd","Baxter Healthcare Corporation","00944296709","00944-2967-09","Winrho Sdf","100 IU",1,1,150,150
"J2724","Protein c concentrate","Baxter Healthcare Corporation","00944417505","00944-4175-05","CEPROTIN","10 UNITS",1,1,0.1,0.1
"J2724","Protein c concentrate","Baxter Healthcare Corporation","00944417510","00944-4175-10","CEPROTIN","10 UNITS",1,1,0.1,0.1
"J9171","Docetaxel injection","SANOFI-AVENTIS","00955102001","00955-1020-01","Docetaxel","1 MG",1,1,20,20
"J9171","Docetaxel injection","SANOFI-AVENTIS","00955102104","00955-1021-04","Docetaxel","1 MG",4,1,80,80
"J7321","Hyalgan/supartz inj per dose","SANOFI-AVENTIS","08024072412","08024-0724-12","Hyalgan","PER DOSE",2,1,1,1
"J7321","Hyalgan/supartz inj per dose","SANOFI-AVENTIS","08024072420","08024-0724-20","Hyalgan","PER DOSE",2,1,1,1
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860024","08121-8600-24","Maxforce Thick","1 SQ CM",1,1,8,8
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860047","08121-8600-47","Maxforce Thick","1 SQ CM",1,1,28,28
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860055","08121-8600-55","Maxforce Thick","1 SQ CM",1,1,25,25
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860204","08121-8602-04","Handjacket Scaffold Thin","1 SQ CM",1,1,8,8
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860404","08121-8604-04","Ulcerjacket Scaffold","1 SQ CM",1,1,16,16
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860407","08121-8604-07","Ultra Maxforce","1 SQ CM",1,1,28,28
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860408","08121-8604-08","Ulcerjacket Scaffold","1 SQ CM",1,1,32,32
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860505","08121-8605-05","Graftjacket Std","1 SQ CM",1,1,25,25
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860510","08121-8605-10","Graftjacket Std","1 SQ CM",1,1,50,50
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860530","08121-8605-30","Graftjacket Small Ligament Repair Matrix","1 SQ CM",1,1,1.5,1.5
"Q4113","Graftjacket express allograf","Wright Medical Technology, Inc.","08181860200","08181-8602-00","GRAFTJACKET® FLOWABLE SOFT 2CC","1 CC",1,1,2,2
"Q4102","Oasis wound matrix skin sub","Cook (Healthpoint, Ltd)","08213100010","08213-1000-10","OASIS WOUND MATRIX","1 SQ CM",1,1,70,70
"Q4102","Oasis wound matrix skin sub","Cook (Healthpoint, Ltd)","08213100015","08213-1000-15","OASIS WOUND MATRIX","1 SQ CM",1,1,70,70
"Q4102","Oasis wound matrix skin sub","Cook (Healthpoint, Ltd)","08213100020","08213-1000-20","OASIS WOUND MATRIX","1 SQ CM",1,1,140,140
"Q4102","Oasis wound matrix skin sub","Cook (Healthpoint, Ltd)","08213100025","08213-1000-25","OASIS WOUND MATRIX","1 SQ CM",1,1,140,140
"Q4102","Oasis wound matrix skin sub","Cook (Healthpoint, Ltd)","08213100033","08213-1000-33","OASIS WOUND MATRIX","1 SQ CM",1,1,10.5,10.5
"Q4102","Oasis wound matrix skin sub","Cook (Healthpoint, Ltd)","08213100037","08213-1000-37","OASIS WOUND MATRIX","1 SQ CM",1,1,21,21
"Q4103","Oasis burn matrix skin sub","Cook (Healthpoint, Ltd)","08213300020","08213-3000-20","OASIS BURN MATRIX","1 SQ CM",1,1,140,140
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290034002","08290-0340-02","Heparin Lock Flush","10 UNITS",2,1,2,2
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290034003","08290-0340-03","Heparin Lock Flush","10 UNITS",3,1,3,3
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290035005","08290-0350-05","Heparin Lock Flush","10 UNITS",5,1,5,5
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290036003","08290-0360-03","Heparin Lock Flush","10 UNITS",3,1,3,3
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290036005","08290-0360-05","Heparin Lock Flush","10 UNITS",5,1,5,5
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290036006","08290-0360-06","Heparin Lock Flush","10 UNITS",6,1,6,6
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290036105","08290-0361-05","Heparin Lock Flush","10 UNITS",5,1,5,5
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290037002","08290-0370-02","Heparin Lock Flush","10 UNITS",2,1,2,2
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290037003","08290-0370-03","Heparin Lock Flush","10 UNITS",3,1,3,3
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290038003","08290-0380-03","Heparin Lock Flush","10 UNITS",3,1,3,3
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290038005","08290-0380-05","Heparin Lock Flush","10 UNITS",5,1,5,5
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290039003","08290-0390-03","Heparin Lock Flush","10 UNITS",3,1,3,3
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290039005","08290-0390-05","Heparin Lock Flush","10 UNITS",5,1,5,5
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290039105","08290-0391-05","Heparin Lock Flush","10 UNITS",5,1,5,5
"J1642","Inj heparin sodium per 10 u","Becton Dickinson & Co.","08290042005","08290-0420-05","Heparin Sodium Flush","10 UNITS",5,2,10,10
"J7321","Hyalgan/supartz inj per dose","Smith & Nephew","08363776101","08363-7761-01","Supartz","PER DOSE",2.5,1,1,1
"Q4104","Integra BMWD skin sub","Integra LifeSciences Corporation","08478400402","08478-4004-02","Integra - BmWd","1 SQ CM",1,1,25,25
"Q4104","Integra BMWD skin sub","Integra LifeSciences Corporation","08478400405","08478-4004-05","Integra - BmWd","1 SQ CM",1,1,125,125
"Q4104","Integra BMWD skin sub","Integra LifeSciences Corporation","08478400406","08478-4004-06","Integra - BmWd","1 SQ CM",1,1,250,250
"Q4104","Integra BMWD skin sub","Integra LifeSciences Corporation","08478400408","08478-4004-08","Integra - BmWd","1 SQ CM",1,1,500,500
"Q4108","Integra matrix skin sub","Integra LifeSciences Corporation","08478401402","08478-4014-02","Integra Matrix Wound Dressing","1 SQ CM",1,1,25,25
"Q4108","Integra matrix skin sub","Integra LifeSciences Corporation","08478401405","08478-4014-05","Integra Matrix Wound Dressing","1 SQ CM",1,1,125,125
"Q4108","Integra matrix skin sub","Integra LifeSciences Corporation","08478401406","08478-4014-06","Integra Matrix Wound Dressing","1 SQ CM",1,1,250,250
"Q4108","Integra matrix skin sub","Integra LifeSciences Corporation","08478401408","08478-4014-08","Integra Matrix Wound Dressing","1 SQ CM",1,1,500,500
"Q4114","Integra flowable wound matri","Integra LifeSciences Corporation","08478401601","08478-4016-01","FloWable Wound Matrix","1 CC",3,1,3,3
"Q4105","Integra DRT skin sub","Integra LifeSciences Corporation","08478800402","08478-8004-02","Integra - Drt","1 SQ CM",1,1,25,25
"Q4105","Integra DRT skin sub","Integra LifeSciences Corporation","08478800405","08478-8004-05","Integra - Drt","1 SQ CM",1,1,125,125
"Q4105","Integra DRT skin sub","Integra LifeSciences Corporation","08478800406","08478-8004-06","Integra - Drt","1 SQ CM",1,1,250,250
"Q4105","Integra DRT skin sub","Integra LifeSciences Corporation","08478800408","08478-8004-08","Integra - Drt","1 SQ CM",1,1,500,500
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607009","08533-6070-09","PriMatrix","1 SQ CM",53,3,53,159
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607112","08533-6071-12","PriMatrix","1 SQ CM",120,1,120,120
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607125","08533-6071-25","PriMatrix","1 SQ CM",250,1,250,250
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607225","08533-6072-25","PriMatrix","1 SQ CM",500,1,500,500
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607440","08533-6074-40","PriMatrix","1 SQ CM",16,1,16,16
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607660","08533-6076-60","PriMatrix","1 SQ CM",36,1,36,36
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607812","08533-6078-12","PriMatrix","1 SQ CM",96,1,96,96
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607880","08533-6078-80","PriMatrix","1 SQ CM",64,1,64,64
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533674440","08533-6744-40","PriMatrix","1 SQ CM",16,1,16,16
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533674660","08533-6746-60","PriMatrix","1 SQ CM",36,1,36,36
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533674880","08533-6748-80","PriMatrix","1 SQ CM",64,1,64,64
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533675440","08533-6754-40","PriMatrix 4 x 4 cm, Meshed; 1 each","1 sqcm",16,1,16,16
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533675660","08533-6756-60","PriMatrix 6 x 6 cm, Meshed; 1 each","1 sqcm",36,1,36,36
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533675880","08533-6758-80","PriMatrix 8 x 8 cm, Meshed; 1 each","1 sqcm",64,1,64,64
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08633675812","08633-6758-12","PriMatrix 8 x 12 cm, Meshed; 1 each","1 sqcm",96,1,96,96
"Q4101","Apligraf skin sub","Organogenesis, Inc.","09978000199","09978-0001-99","Apligraf","1 SQ CM",1,1,44,44
"J2250","Inj midazolam hydrochloride","Baxter Healthcare Corporation   ","10019002701","10019-0027-01","Midazolam Hcl","1 MG",1,10,5,50
"J2250","Inj midazolam hydrochloride","Baxter Healthcare Corporation   ","10019002702","10019-0027-02","Midazolam Hcl","1 MG",2,10,10,100
"J2250","Inj midazolam hydrochloride","Baxter Healthcare Corporation   ","10019002703","10019-0027-03","Midazolam Hcl","1 MG",1,25,5,125
"J2250","Inj midazolam hydrochloride","Baxter Healthcare Corporation   ","10019002704","10019-0027-04","Midazolam Hcl","1 MG",1,25,10,250
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","10019002706","10019-0027-06","Midazolam HCl","1 MG",1,10,5,50
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","10019002707","10019-0027-07","Midazolam HCl","1 MG",1,10,10,100
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","10019002708","10019-0027-08","Midazolam HCl","1 MG",1,25,10,250
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","10019002709","10019-0027-09","Midazolam HCl","1 MG",1,25,5,125
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","10019002710","10019-0027-10","Midazolam Hcl","1 MG",10,1,50,50
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","10019002801","10019-0028-01","Midazolam HCl","1 MG",1,10,2,10
"J2250","Inj midazolam hydrochloride","Baxter Healthcare Corporation   ","10019002802","10019-0028-02","Midazolam Hcl","1 MG",2,10,2,20
"J2250","Inj midazolam hydrochloride","Baxter Healthcare Corporation   ","10019002803","10019-0028-03","Midazolam Hcl","1 MG",2,25,2,50
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","10019002804","10019-0028-04","Midazolam Hcl","1 MG",1,25,2,50
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","10019002805","10019-0028-05","Midazolam Hcl","1 MG",5,10,5,50
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","10019002810","10019-0028-10","Midazolam Hcl","1 MG",10,10,10,100
"J1885","Ketorolac tromethamine inj","West-Ward Pharmaceuticals Corp","10019002902","10019-0029-02","Ketorolac Tromethamine","15 MG",1,25,1,25
"J1885","Ketorolac tromethamine inj","West-Ward Pharmaceuticals Corp","10019003003","10019-0030-03","Ketorolac Tromethamine","15 MG",1,25,2,50
"J1885","Ketorolac tromethamine inj","West-Ward Pharmaceuticals Corp","10019003004","10019-0030-04","Ketorolac Tromethamine","15 MG",2,25,4,100
"J3010","Fentanyl citrate injeciton","West-Ward Pharmaceuticals Corp","10019003372","10019-0033-72","Fentanyl Citrate","0.1 MG",5,10,2.5,25
"J3010","Fentanyl citrate injeciton","Baxter Healthcare Corporation   ","10019003473","10019-0034-73","Fentanyl Citrate","0.1 MG",10,5,5,25
"J3010","Fentanyl citrate injeciton","West-Ward Pharmaceuticals Corp","10019003574","10019-0035-74","Fentanyl Citrate","0.1 MG",20,5,10,50
"J3010","Fentanyl citrate injeciton","Baxter Healthcare Corporation   ","10019003682","10019-0036-82","Fentanyl Citrate","0.1 MG",30,1,15,15
"J3010","Fentanyl citrate injeciton","West-Ward Pharmaceuticals Corp","10019003725","10019-0037-25","Fentanyl Citrate","0.1 MG",20,1,10,10
"J3010","Fentanyl citrate injeciton","West-Ward Pharmaceuticals Corp","10019003727","10019-0037-27","Fentanyl Citrate","0.1 MG",2,1,1,1
"J3010","Fentanyl citrate injeciton","West-Ward Pharmaceuticals Corp","10019003730","10019-0037-30","Fentanyl Citrate","0.1 MG",5,1,2.5,2.5
"J3010","Fentanyl citrate injeciton","West-Ward Pharmaceuticals Corp","10019003783","10019-0037-83","Fentanyl Citrate","0.1 MG",50,1,25,25
"J3010","Fentanyl citrate injeciton","West-Ward Pharmaceuticals Corp","10019003867","10019-0038-67","Fentanyl Citrate","0.1 MG",2,10,1,10
"J1626","Granisetron hcl injection","Baxter Healthcare Corporation   ","10019005303","10019-0053-03","Granisetron HCl","100 MCG",4,1,40,40
"J0150","Injection adenosine 6 MG","West-Ward Pharmaceuticals Corp","10019006303","10019-0063-03","Adenosine","6 MG",2,10,1,10
"J0150","Injection adenosine 6 MG","Baxter Healthcare Corporation   ","10019006308","10019-0063-08","Adenosine","6 MG",2,10,1,10
"J2260","Inj milrinone lactate / 5 MG","West-Ward Pharmaceuticals Corp","10019007001","10019-0070-01","Milrinone Lactate","5 MG",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","West-Ward Pharmaceuticals Corp","10019007002","10019-0070-02","Milrinone Lactate","5 MG",20,10,4,40
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","10019009701","10019-0097-01","Promethazine Hcl","50 MG",1,25,0.5,12.5
"J0696","Ceftriaxone sodium injection","Baxter Healthcare Corporation   ","10019009801","10019-0098-01","CEFTRIAXONE","250 MG",1,10,4,40
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","10019010201","10019-0102-01","Lorazepam","2 MG",1,25,1,25
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","10019010210","10019-0102-10","Lorazepam","2 MG",10,10,10,100
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","10019010301","10019-0103-01","Lorazepam","2 MG",1,25,2,50
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","10019010310","10019-0103-10","Lorazepam","2 MG",10,10,20,200
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","10019010501","10019-0105-01","Lorazepam","2 MG",1,25,1,25
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","10019010502","10019-0105-02","Lorazepam","2 MG",10,10,10,100
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","10019010601","10019-0106-01","Lorazepam","2 MG",1,25,2,50
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","10019010602","10019-0106-02","Lorazepam","2 MG",10,10,20,200
"J1800","Propranolol injection","Baxter Healthcare Corporation   ","10019014501","10019-0145-01","Inderal","1 MG",1,10,1,10
"J2175","Meperidine hydrochl /100 MG","West-Ward Pharmaceuticals Corp","10019015901","10019-0159-01","Meperidine Hcl","100 MG",1,25,0.25,6.25
"J2175","Meperidine hydrochl /100 MG","West-Ward Pharmaceuticals Corp","10019016001","10019-0160-01","Meperidine Hcl","100 MG",1,25,0.5,12.5
"J2175","Meperidine hydrochl /100 MG","Baxter Healthcare Corporation   ","10019016101","10019-0161-01","Meperidine Hcl","100 MG",1,25,0.75,18.75
"J2175","Meperidine hydrochl /100 MG","West-Ward Pharmaceuticals Corp","10019016201","10019-0162-01","Meperidine Hcl","100 MG",1,25,1,25
"J2370","Phenylephrine hcl injection","Baxter Healthcare Corporation   ","10019016301","10019-0163-01","Phenylephrine Hcl","1 ML",5,25,5,125
"J2370","Phenylephrine hcl injection","West-Ward Pharmaceuticals Corp","10019016312","10019-0163-12","Phenylephrine Hcl","1 ML",1,1,1,1
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","10019017644","10019-0176-44","Morphine Sulfate","10 MG",1,25,0.5,12.5
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","10019017744","10019-0177-44","Morphine Sulfate","10 MG",1,25,0.8,20
"J2270","Morphine sulfate injection","Baxter Healthcare Corporation   ","10019017768","10019-0177-68","Morphine Sulfate","10 MG",1,25,0.8,20
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","10019017844","10019-0178-44","Morphine Sulfate","10 MG",1,25,1,25
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","10019017862","10019-0178-62","Morphine Sulfate","10 MG",10,1,10,10
"J2271","Morphine so4 injection 100mg","West-Ward Pharmaceuticals Corp","10019017862","10019-0178-62","Morphine Sulfate","100 MG",10,1,1,1
"J2270","Morphine sulfate injection","Baxter Healthcare Corporation   ","10019017868","10019-0178-68","Morphine Sulfate","10 MG",1,25,1,25
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","10019017944","10019-0179-44","Morphine Sulfate","10 MG",1,25,1.5,37.5
"J2271","Morphine so4 injection 100mg","West-Ward Pharmaceuticals Corp","10019017963","10019-0179-63","Morphine Sulfate","100 MG",20,1,3,3
"J0461","Atropine sulfate injection","Baxter Healthcare Corporation   ","10019025012","10019-0250-12","Atropine Sulfate","0.01 MG",1,25,40,1000
"J0461","Atropine sulfate injection","West-Ward Pharmaceuticals Corp","10019025020","10019-0250-20","Atropine Sulfate","0.01 MG",20,10,800,8000
"J0461","Atropine sulfate injection","Baxter Healthcare Corporation   ","10019025112","10019-0251-12","Atropine Sulfate","0.01 MG",1,25,100,2500
"Q2009","Fosphenytoin inj PE","Baxter Healthcare Corporation   ","10019026301","10019-0263-01","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50
"Q2009","Fosphenytoin inj PE","Baxter Healthcare Corporation   ","10019026303","10019-0263-03","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100
"J2590","Oxytocin injection","West-Ward Pharmaceuticals Corp","10019029102","10019-0291-02","Oxytocin","10 UNITS",1,25,1,25
"J2590","Oxytocin injection","West-Ward Pharmaceuticals Corp","10019029104","10019-0291-04","Oxytocin","10 UNITS",10,25,10,250
"J2765","Metoclopramide hcl injection","West-Ward Pharmaceuticals Corp","10019045002","10019-0450-02","Metoclopramide Hcl","10 MG",2,1,1,1
"J0690","Cefazolin sodium injection","Baxter Healthcare Corporation   ","10019061001","10019-0610-01","Cefazolin Sodium","500 MG",10,25,10,250
"J0690","Cefazolin sodium injection","Baxter Healthcare Corporation   ","10019061103","10019-0611-03","Cefazolin Sodium","500 MG",10,25,20,500
"J0690","Cefazolin sodium injection","Baxter Healthcare Corporation   ","10019061205","10019-0612-05","Cefazolin Sodium","500 MG",10,10,20,200
"J0697","Sterile cefuroxime injection","Baxter Healthcare Corporation   ","10019062001","10019-0620-01","Cefuroxime Sodium","750 MG",10,25,1,25
"J0697","Sterile cefuroxime injection","Baxter Healthcare Corporation   ","10019062103","10019-0621-03","Cefuroxime Sodium","750 MG",20,25,2,50
"J0697","Sterile cefuroxime injection","Baxter Healthcare Corporation   ","10019062205","10019-0622-05","Cefuroxime Sodium","750 MG",100,10,10,100
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","10019063002","10019-0630-02","Ampicillin-Sulbactam","1.5 GM",1,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","10019063101","10019-0631-01","Ampicillin-Sulbactam","1.5 GM",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","10019063203","10019-0632-03","Ampicillin-Sulbactam","1.5 GM",1,1,10,10
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","10019063302","10019-0633-02","Ampicillin-Sulbactam","1.5 GM",1,1,2,2
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","10019063401","10019-0634-01","Ampicillin-Sulbactam","1.5 GM",1,1,1,1
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","10019063503","10019-0635-03","Ampicillin-Sulbactam","1.5 GM",1,1,10,10
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","10019063601","10019-0636-01","Ampicillin-Sulbactam","1.5 GM",1,1,1,1
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","10019063702","10019-0637-02","Ampicillin-Sulbactam","1.5 GM",1,2,2,2
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","10019063803","10019-0638-03","Ampicillin-Sulbactam","1.5 GM",1,1,10,10
"J0456","Azithromycin","Baxter Healthcare Corporation   ","10019064802","10019-0648-02","AZITHROMYCIN","500 MG",1,10,10,10
"J0698","Cefotaxime sodium injection","West-Ward Pharmaceuticals Corp","10019068001","10019-0680-01","Cefotaxime Sodium","1 GM",1,10,0.5,5
"J0698","Cefotaxime sodium injection","West-Ward Pharmaceuticals Corp","10019068102","10019-0681-02","Cefotaxime Sodium","1 GM",1,10,1,10
"J0698","Cefotaxime sodium injection","West-Ward Pharmaceuticals Corp","10019068203","10019-0682-03","Cefotaxime Sodium","1 GM",1,10,2,20
"J0696","Ceftriaxone sodium injection","West-Ward Pharmaceuticals Corp","10019068501","10019-0685-01","CEFTRIAXONE SODIUM","250 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","Baxter Healthcare Corporation   ","10019068602","10019-0686-02","CEFTRIAXONE SODIUM","250 MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","West-Ward Pharmaceuticals Corp","10019068703","10019-0687-03","CEFTRIAXONE SODIUM","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","West-Ward Pharmaceuticals Corp","10019068804","10019-0688-04","CEFTRIAXONE SODIUM","250 MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","West-Ward Pharmaceuticals Corp","10019068905","10019-0689-05","CEFTRIAXONE SODIUM","250 MG",1,1,40,40
"J0713","Inj ceftazidime per 500 mg","Baxter Healthcare Corporation   ","10019069102","10019-0691-02","Ceftazidime","500 MG",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","Baxter Healthcare Corporation   ","10019069203","10019-0692-03","Ceftazidime","500 MG",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","Baxter Healthcare Corporation   ","10019069304","10019-0693-04","Ceftazidime","500 MG",1,6,12,72
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","10019090501","10019-0905-01","ONDANSETRON HCL","1 MG",2,1,4,4
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","10019090503","10019-0905-03","ONDANSETRON HCL","1 MG",2,1,4,4
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","10019090603","10019-0906-03","ONDANSETRON HCL","1 MG",20,1,40,40
"J2405","Ondansetron hcl injection","Baxter Healthcare Corporation   ","10019090604","10019-0906-04","Ondansetron HCl injection (NOVAPLUS)","1 MG",20,1,40,40
"J9208","Ifosfamide injection","Baxter Healthcare Corporation   ","10019092501","10019-0925-01","Ifosfamide","1 GM",1,1,1,1
"J9208","Ifosfamide injection","Baxter Healthcare Corporation   ","10019092602","10019-0926-02","Ifosfamide","1 GM",1,1,3,3
"J9206","Irinotecan injection","Baxter Healthcare Corporation   ","10019093401","10019-0934-01","Irinotecan HCL","20 MG",2,1,2,2
"J9206","Irinotecan injection","Baxter Healthcare Corporation   ","10019093402","10019-0934-02","Irinotecan HCL","20 MG",5,1,5,5
"J9209","Mesna injection","Baxter Healthcare Corporation   ","10019095301","10019-0953-01","Mesna","200 MG",10,1,5,5
"J9209","Mesna injection","Baxter Healthcare Corporation   ","10019095302","10019-0953-02","Mesna","200 MG",10,10,5,50
"J9070","Cyclophosphamide 100 MG inj","Baxter Healthcare Corporation   ","10019095501","10019-0955-01","Cyclophosphamide","100 MG",50,1,5,5
"J9070","Cyclophosphamide 100 MG inj","Baxter Healthcare Corporation   ","10019095601","10019-0956-01","Cyclophosphamide","100 MG",75,1,10,10
"J9070","Cyclophosphamide 100 MG inj","Baxter Healthcare Corporation   ","10019095701","10019-0957-01","Cyclophosphamide","100 MG",100,1,20,20
"Q4116","Alloderm skin sub","LifeCell Corporation","101010","101010","AlloDerm","1 SQ CM",1,1,1,1
"Q4116","Alloderm skin sub","LifeCell Corporation","101020","101020","AlloDerm","1 SQ CM",1,1,1,1
"J9250","Methotrexate sodium inj","Mylan Institutional","10139006202","10139-0062-02","Methotrexate Sodium","5 MG",2,1,10,10
"J9260","Methotrexate sodium inj","Mylan Institutional","10139006202","10139-0062-02","Methotrexate Sodium","50 MG",2,1,1,1
"J9250","Methotrexate sodium inj","Mylan Institutional","10139006210","10139-0062-10","Methotrexate Sodium","5 MG",10,1,25,25
"J9260","Methotrexate sodium inj","Mylan Institutional","10139006210","10139-0062-10","Methotrexate Sodium","50 MG",10,1,5,5
"J9250","Methotrexate sodium inj","Mylan Institutional","10139006240","10139-0062-40","Methotrexate Sodium","5 MG",40,1,200,200
"J9260","Methotrexate sodium inj","Mylan Institutional","10139006240","10139-0062-40","Methotrexate Sodium","50 MG",40,1,20,20
"J9190","Fluorouracil injection","Mylan Institutional","10139006301","10139-0063-01","Fluorouracil","500 MG",100,1,10,10
"J9190","Fluorouracil injection","Mylan Institutional","10139006311","10139-0063-11","Fluorouracil","500 MG",10,10,1,10
"J9190","Fluorouracil injection","Mylan Institutional","10139006312","10139-0063-12","Fluorouracil","500 MG",20,10,2,20
"J9190","Fluorouracil injection","Mylan Institutional","10139006350","10139-0063-50","Fluorouracil","500 MG",50,1,5,5
"J0295","Ampicillin sodium per 1.5 gm","Bioniche Pharma","10139007011","10139-0070-11","Ampicillin-Sulbactam","1.5 GM",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","Mylan Institutional","10139007110","10139-0071-10","Ampicillin-Sulbactam","1.5 GM",1,10,2,20
"J3370","Vancomycin hcl injection","Bioniche Pharma","10139050112","10139-0501-12","Vancomycin HCl","500 MG",1,10,2,20
"J0834","Cosyntropin cortrosyn inj","Mylan Institutional","10139090510","10139-0905-10","Cosyntropin","0.25 MG",1,10,1,10
"J1630","Haloperidol injection","Patriot Pharmaceuticals, Inc","10147091101","10147-0911-01","Haloperidol Lactate","5 MG",1,10,1,10
"J1631","Haloperidol decanoate inj","Patriot Pharmaceuticals, Inc","10147092103","10147-0921-03","Haloperidol Decanoate","50 MG",1,3,1,3
"J1631","Haloperidol decanoate inj","Patriot Pharmaceuticals, Inc","10147092205","10147-0922-05","Haloperidol Decanoate","50 MG",1,5,2,10
"Q4074","Iloprost non-comp unit dose","CoTherix, Inc","10148010200","10148-0102-00","Ventavis","UP TO 20 MCG",1,1,1,1
"Q4074","Iloprost non-comp unit dose","CoTherix, Inc","10148010230","10148-0102-30","Ventavis","UP TO 20 MCG",1,30,1,30
"Q4116","Alloderm skin sub","LifeCell Corporation","101510","101510","AlloDerm","1 SQ CM",1,1,1,1
"Q4116","Alloderm skin sub","LifeCell Corporation","101520","101520","AlloDerm","1 SQ CM",1,1,1,1
"Q4116","Alloderm skin sub","LifeCell Corporation","102003","102003","AlloDerm","1 SQ CM",2,1,2,2
"Q4116","Alloderm skin sub","LifeCell Corporation","102007","102007","AlloDerm","1 SQ CM",4,1,4,4
"Q4116","Alloderm skin sub","LifeCell Corporation","102009","102009","AlloDerm","1 SQ CM",8,1,8,8
"Q4116","Alloderm skin sub","LifeCell Corporation","102010","102010","AlloDerm","1 SQ CM",8,1,8,8
"Q4116","Alloderm skin sub","LifeCell Corporation","102012","102012","AlloDerm","1 SQ CM",1,1,8,8
"Q4116","Alloderm skin sub","LifeCell Corporation","102016","102016","AlloDerm","1 SQ CM",160,1,160,160
"Q4116","Alloderm skin sub","LifeCell Corporation","102020","102020","AlloDerm","1 SQ CM",21,1,21,21
"Q4116","Alloderm skin sub","LifeCell Corporation","102021","102021","AlloDerm","1 SQ CM",21,1,21,21
"Q4116","Alloderm skin sub","LifeCell Corporation","102022","102022","AlloDerm","1 SQ CM",21,1,21,21
"Q4116","Alloderm skin sub","LifeCell Corporation","102031","102031","AlloDerm","1 SQ CM",28,1,28,28
"Q4116","Alloderm skin sub","LifeCell Corporation","102032","102032","AlloDerm","1 SQ CM",28,1,28,28
"Q4116","Alloderm skin sub","LifeCell Corporation","102033","102033","AlloDerm","1 SQ CM",28,1,28,28
"Q4116","Alloderm skin sub","LifeCell Corporation","102034","102034","AlloDerm","1 SQ CM",28,1,28,28
"Q4116","Alloderm skin sub","LifeCell Corporation","102048","102048","AlloDerm","1 SQ CM",48,1,48,48
"Q4116","Alloderm skin sub","LifeCell Corporation","102049","102049","AlloDerm","1 SQ CM",48,1,48,48
"Q4116","Alloderm skin sub","LifeCell Corporation","102050","102050","AlloDerm","1 SQ CM",48,1,48,48
"Q4116","Alloderm skin sub","LifeCell Corporation","102060","102060","AlloDerm","1 SQ CM",50,1,50,50
"Q4116","Alloderm skin sub","LifeCell Corporation","102061","102061","AlloDerm","1 SQ CM",50,1,50,50
"Q4116","Alloderm skin sub","LifeCell Corporation","102062","102062","AlloDerm","1 SQ CM",50,1,50,50
"Q4116","Alloderm skin sub","LifeCell Corporation","102070","102070","AlloDerm","1 SQ CM",72,1,72,72
"Q4116","Alloderm skin sub","LifeCell Corporation","102071","102071","AlloDerm","1 SQ CM",72,1,72,72
"Q4116","Alloderm skin sub","LifeCell Corporation","102072","102072","AlloDerm","1 SQ CM",72,1,72,72
"Q4116","Alloderm skin sub","LifeCell Corporation","102080","102080","AlloDerm","1 SQ CM",64,1,64,64
"Q4116","Alloderm skin sub","LifeCell Corporation","102081","102081","AlloDerm","1 SQ CM",64,1,64,64
"Q4116","Alloderm skin sub","LifeCell Corporation","102082","102082","AlloDerm","1 SQ CM",64,1,64,64
"Q4116","Alloderm skin sub","LifeCell Corporation","102096","102096","AlloDerm","1 SQ CM",96,1,96,96
"Q4116","Alloderm skin sub","LifeCell Corporation","102108","102108","AlloDerm","1 SQ CM",108,1,108,108
"Q4116","Alloderm skin sub","LifeCell Corporation","102128","102128","AlloDerm","1 SQ CM",128,1,128,128
"Q4116","Alloderm skin sub","LifeCell Corporation","102144","102144","AlloDerm","1 SQ CM",144,1,144,144
"Q4116","Alloderm skin sub","LifeCell Corporation","102196","102196","AlloDerm","1 SQ CM",96,1,96,96
"Q4116","Alloderm skin sub","LifeCell Corporation","102320","102320","AlloDerm","1 SQ CM",320,1,320,320
"J0587","Inj, rimabotulinumtoxinB","Solstice Neurosciences, LLC","10454071010","10454-0710-10","Myobloc","100 UNITS",0.5,1,25,25
"J0587","Inj, rimabotulinumtoxinB","Solstice Neurosciences, LLC","10454071110","10454-0711-10","Myobloc","100 UNITS",1,1,50,50
"J0587","Inj, rimabotulinumtoxinB","Solstice Neurosciences, LLC","10454071210","10454-0712-10","Myobloc","100 UNITS",2,1,100,100
"J1790","Droperidol injection","Akorn","11098001001","11098-0010-01","Inapsine","5 MG",1,10,0.5,5
"J1790","Droperidol injection","Akorn","11098001002","11098-0010-02","Inapsine","5 MG",2,10,1,10
"J3010","Fentanyl citrate injeciton","Akorn","11098003002","11098-0030-02","Sublimaze","0.1 MG",2,10,1,10
"J3010","Fentanyl citrate injeciton","Akorn","11098003005","11098-0030-05","Sublimaze","0.1 MG",5,10,2.5,25
"J3010","Fentanyl citrate injeciton","Akorn","11098003020","11098-0030-20","Sublimaze","0.1 MG",20,5,10,50
"J0470","Dimecaprol injection","Akorn","11098052603","11098-0526-03","Bal In Oil","100 MG",3,10,3,30
"J1600","Gold sodium thiomaleate inj","Akorn","11098053301","11098-0533-01","Myochrysine","50 MG",1,6,1,6
"J1600","Gold sodium thiomaleate inj","Akorn","11098053310","11098-0533-10","Myochrysine","50 MG",10,1,10,10
"Q9957","Inj perflutren lip micros,ml","Lantheus Medical Imaging, Inc.","11994001104","11994-0011-04","Definity","1 ML",2,4,2,8
"A9583","Gadofosveset trisodium inj","Lantheus Medical Imaging, Inc.","11994001201","11994-0012-01","ABLAVAR","1ML",10,10,100,100
"A9583","Gadofosveset trisodium inj","Lantheus Medical Imaging, Inc.","11994001202","11994-0012-02","ABLAVAR","1ML",15,10,15,150
"J0256","Alpha 1 proteinase inhibitor","Talecris Biotherapeutics, Inc.","13533060130","13533-0601-30","Prolastin","10 MG",1,1,0.1,0.1
"J0256","Alpha 1 proteinase inhibitor","Talecris Biotherapeutics, Inc.","13533060135","13533-0601-35","Prolastin","10 MG",1,1,100,100
"J7197","Antithrombin iii injection","Talecris Biotherapeutics, Inc.","13533060320","13533-0603-20","Thrombate Iii","1 IU",1,1,1,1
"J7197","Antithrombin iii injection","Talecris Biotherapeutics, Inc.","13533060330","13533-0603-30","Thrombate Iii","1 IU",1,1,1,1
"90375","Rabies ig, im/sc","Talecris Biotherapeutics, Inc.","13533061802","13533-0618-02","Bayrab","150 IU",2,1,2,2
"90375","Rabies ig, im/sc","Talecris Biotherapeutics, Inc.","13533061803","13533-0618-03","HyperRab S/D","150 IU",2,1,2,2
"90375","Rabies ig, im/sc","Talecris Biotherapeutics, Inc.","13533061810","13533-0618-10","Bayrab","150 IU",10,1,10,10
"90376","Rabies ig, heat treated","Talecris Biotherapeutics, Inc.","13533061810","13533-0618-10","BAYRAB","150 IU",10,1,10,10
"J2790","Rho d immune globulin inj","Talecris Biotherapeutics, Inc.","13533063102","13533-0631-02","HYPERRHO S/D","300 MCG",1,1,1,1
"90385","Rh ig, minidose, im","Talecris Biotherapeutics, Inc.","13533063106","13533-0631-06","Bayrho-D","50 MCG",1,10,1,1
"J2788","Rho d immune globulin 50 mcg","Talecris Biotherapeutics, Inc.","13533063106","13533-0631-06","Bayrho-D","50 MCG",1,1,1,1
"J1670","Tetanus immune globulin inj","Talecris Biotherapeutics, Inc.","13533063402","13533-0634-02","HYPERTET S/D","250 UNITS",1,1,1,1
"J1460","Gamma globulin 1 CC inj","Talecris Biotherapeutics, Inc.","13533063503","13533-0635-03","GAMASTAN S/D","1 CC",2,1,2,2
"J1560","Gamma globulin > 10 CC inj","Talecris Biotherapeutics, Inc.","13533063503","13533-0635-03","GAMASTAN S/D","10 CC",2,1,0.2,0.2
"J1460","Gamma globulin 1 CC inj","Talecris Biotherapeutics, Inc.","13533063504","13533-0635-04","GAMASTAN S/D","1 CC",2,1,2,2
"J1560","Gamma globulin > 10 CC inj","Talecris Biotherapeutics, Inc.","13533063504","13533-0635-04","GAMASTAN S/D","10 CC",2,1,0.2,0.2
"J1460","Gamma globulin 1 CC inj","Talecris Biotherapeutics, Inc.","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","1 CC",10,1,10,10
"J1560","Gamma globulin > 10 CC inj","Talecris Biotherapeutics, Inc.","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","10 CC",10,1,1,1
"90371","Hep b ig, im","Talecris Biotherapeutics, Inc.","13533063601","13533-0636-01","Bayhep B","1 ML",1,1,1,1
"90371","Hep b ig, im","Talecris Biotherapeutics, Inc.","13533063602","13533-0636-02","Bayhep B","1 ML",1,1,1,1
"90371","Hep b ig, im","Talecris Biotherapeutics, Inc.","13533063603","13533-0636-03","Bayhep B","1 ML",0.5,1,0.5,0.5
"90371","Hep b ig, im","Talecris Biotherapeutics, Inc.","13533063605","13533-0636-05","Bayhep B","1 ML",5,1,5,5
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533064512","13533-0645-12","Gamunex","500 MG",10,1,2,2
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533064515","13533-0645-15","Gamunex","500 MG",25,1,5,5
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533064520","13533-0645-20","Gamunex","500 MG",50,1,10,10
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533064524","13533-0645-24","Gamunex","500 MG",200,1,40,40
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533064571","13533-0645-71","Gamunex","500 MG",100,1,20,20
"J7190","Factor viii","KEDRION BIOPHARMA, INC.","13533066520","13533-0665-20","Koate-Dvi","1 IU",1,1,1,1
"J7190","Factor viii","KEDRION BIOPHARMA, INC.","13533066530","13533-0665-30","Koate-Dvi","1 IU",1,1,1,1
"J7190","Factor viii","KEDRION BIOPHARMA, INC.","13533066550","13533-0665-50","Koate-Dvi","1 IU",1,1,1,1
"J0256","Alpha 1 proteinase inhibitor","Talecris Biotherapeutics, Inc.","13533070001","13533-0700-01","Prolastin-C","10 MG",1,1,100,100
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533080012","13533-0800-12","Gamunex-C","500 MG",10,1,2,2
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533080015","13533-0800-15","Gamunex-C","500 MG",25,1,5,5
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533080020","13533-0800-20","Gamunex-C","500 MG",50,1,10,10
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533080024","13533-0800-24","Gamunex-C","500 MG",200,1,40,40
"J1561","Gamunex, Gamunex-C, Gammaked","Talecris Biotherapeutics, Inc.","13533080071","13533-0800-71","Gamunex-C","500 MG",100,1,20,20
"J0586","AbobotulinumtoxinA","Tercica, Inc.","15040053006","15040-0530-06","Dysport","5 Unit",1,1,60,60
"J1930","Lanreotide injection","Tercica, Inc.","15054006001","15054-0060-01","SOMATULINE DEPOT","1 MG",0.2,1,60,60
"J1930","Lanreotide injection","Tercica, Inc.","15054009001","15054-0090-01","SOMATULINE DEPOT","1 MG",0.3,1,90,90
"J1930","Lanreotide injection","Tercica, Inc.","15054012001","15054-0120-01","SOMATULINE DEPOT","1 MG",0.5,1,120,120
"J1930","Lanreotide injection","Tercica, Inc.","15054012002","15054-0120-02","SOMATULINE DEPOT","1 MG",0.5,1,120,120
"J0364","Apomorphine hydrochloride","Tercica, Inc.","15054021105","15054-0211-05","Apokyn","1 MG",3,5,30,150
"J0586","AbobotulinumtoxinA","Tercica, Inc.","15054050001","15054-0500-01","Dysport","5 Unit",1,1,100,100
"J7613","Albuterol non-comp unit","Cobalt Laboratories Inc.","16252009722","16252-0097-22","Albuterol Sulfate","1 MG",3,25,2.5,62.5
"J7613","Albuterol non-comp unit","Cobalt Laboratories Inc.","16252009733","16252-0097-33","Albuterol Sulfate","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","Cobalt Laboratories Inc.","16252009766","16252-0097-66","Albuterol Sulfate","1 MG",3,60,2.5,150
"J7644","Ipratropium bromide non-comp","Cobalt Laboratories Inc.","16252009822","16252-0098-22","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5
"J7644","Ipratropium bromide non-comp","Cobalt Laboratories Inc.","16252009833","16252-0098-33","Ipratropium Bromide","1 MG",2.5,30,0.5,15
"J7644","Ipratropium bromide non-comp","Cobalt Laboratories Inc.","16252009866","16252-0098-66","Ipratropium Bromide","1 MG",2.5,60,0.5,30
"J7620","Albuterol ipratrop non-comp","Cobalt Laboratories Inc.","16252054733","16252-0547-33","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","Cobalt Laboratories Inc.","16252054766","16252-0547-66","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60
"J0364","Apomorphine hydrochloride","Ipsen Pharmaceuticals, Inc.","16887021105","16887-0211-05","Apokyn","1 MG",3,5,30,150
"J9001","Doxorubicin hcl liposome inj","Janssen Pharmaceuticals, Inc","17314960001","17314-9600-01","Doxil","10 MG",10,1,2,2
"J9001","Doxorubicin hcl liposome inj","Janssen Pharmaceuticals, Inc","17314960002","17314-9600-02","Doxil","10 MG",25,1,5,5
"J2060","Lorazepam injection","Akorn","17478004001","17478-0040-01","Lorazepam","2 MG",1,10,1,10
"J1956","Levofloxacin injection","Akorn","17478010720","17478-0107-20","LEVOFLOXACIN","250 MG",20,1,2,2
"J1956","Levofloxacin injection","Akorn","17478010730","17478-0107-30","LEVOFLOXACIN","250 MG",30,1,3,3
"90718","Td vaccine >/= 7 yo, im","Akorn","17478013101","17478-0131-01","TETANUS AND DIPHTHERIA TOXOIDS ADSORBED FOR ADULT USE","0.6 ml",0.5,10,1,10
"J2210","Methylergonovin maleate inj","Akorn","17478050101","17478-0501-01","METHYLERGONOVINE MALEATE","0.2 MG",1,10,1,10
"J1600","Gold sodium thiomaleate inj","Akorn","17478053301","17478-0533-01","MYOCHRYSINE","50MG",1,6,1,6
"J2360","Orphenadrine injection","Akorn","17478053802","17478-0538-02","Orphenadrine Citrate Injection","60 MG",2,10,1,10
"J1170","Hydromorphone injection","Akorn","17478054001","17478-0540-01","HYDROMORPHONE","4 MG",1,10,2.5,25
"J1170","Hydromorphone injection","Akorn","17478054005","17478-0540-05","HYDROMORPHONE","4 MG",5,10,12.5,125
"J1170","Hydromorphone injection","Akorn","17478054050","17478-0540-50","HYDROMORPHONE","4 MG",50,1,125,125
"J0150","Injection adenosine 6 MG","Akorn","17478054202","17478-0542-02","ADENOSINE","6 MG",2,10,1,10
"J1626","Granisetron hcl injection","Akorn","17478054601","17478-0546-01","Granisetron HCl","100 MCG",1,10,10,100
"J1626","Granisetron hcl injection","Akorn","17478054602","17478-0546-02","GRANISETRON HCL","100 MCG",1,1,10,10
"J1626","Granisetron hcl injection","Akorn","17478054604","17478-0546-04","Granisetron HCl","100 MCG",4,10,40,400
"J1626","Granisetron hcl injection","Akorn","17478054605","17478-0546-05","GRANISETRON HCL","100 MCG",4,1,40,40
"J1626","Granisetron hcl injection","Akorn","17478054701","17478-0547-01","Granisetron HCl","100 MCG",1,10,1,10
"J3105","Terbutaline sulfate inj","Akorn","17478093301","17478-0933-01","TERBUTALINE SULFATE","1 MG",1,10,1,10
"J0360","Hydralazine hcl injection","Akorn","17478093401","17478-0934-01","Hydralazine HCl","20 MG",1,10,1,10
"J2278","Ziconotide injection","Azur Pharma, Inc","18860072010","18860-0720-10","Prialt","1 MCG",1,1,100,100
"J2278","Ziconotide injection","Azur Pharma, Inc","18860072210","18860-0722-10","Prialt","1 MCG",5,1,500,500
"J2278","Ziconotide injection","Azur Pharma, Inc","18860072310","18860-0723-10","Prialt","1 MCG",20,1,500,500
"J3260","Tobramycin sulfate injection","Strides","23360001402","23360-0014-02","Tobramycin Sulfate","80 MG",2,25,1,25
"J3260","Tobramycin sulfate injection","Strides","23360001430","23360-0014-30","Tobramycin Sulfate","80 MG",30,1,15,15
"J2430","Pamidronate disodium /30 MG","Strides","23360002310","23360-0023-10","Pamidronate Disodium","30 MG",10,4,1,4
"J2430","Pamidronate disodium /30 MG","Strides","23360002410","23360-0024-10","Pamidronate Disodium","30 MG",10,1,3,3
"J3370","Vancomycin hcl injection","Strides","23360005142","23360-0051-42","VANCOMYCIN HCL","500 MG",1,10,2,20
"J3370","Vancomycin hcl injection","Strides","23360015140","23360-0151-40","VANCOMYCIN HCL","500 MG",1,10,1,10
"J3370","Vancomycin hcl injection","Strides","23360015250","23360-0152-50","Vancomycin Hcl","500 MG",1,10,2,20
"J3370","Vancomycin hcl injection","Strides","23360015365","23360-0153-65","VANCOMYCIN HCL","500 MG",1,1,10,10
"J7611","Albuterol non-comp con","Bausch & Lomb Incorporated","24208034720","24208-0347-20","Albuterol Sulfate","1 MG",20,1,100,100
"J7310","Ganciclovir long act implant","Bausch & Lomb Incorporated","24208041201","24208-0412-01","VITRASERT","4.5 MG",1,1,1,1
"J7311","Fluocinolone acetonide implt","Bausch & Lomb Incorporated","24208041601","24208-0416-01","Fluocinolone acetonide implt (Retisert)","0.59 MG",1,1,1,1
"J3365","Urokinase 250,000 IU inj","IMARX THERAPEUTICS","24430100301","24430-1003-01","Abbokinase","250000 IU",1,1,1,1
"J2993","Reteplase injection","EKR Therapeutics","24477004001","24477-0040-01","Retavase Half Kit","18.1 MG",1,1,1,1
"J2993","Reteplase injection","EKR Therapeutics","24477004102","24477-0041-02","Retavase Kit","18.1 MG",2,1,2,2
"J0641","Levoleucovorin injection","Spectrum Pharmaceuticals","24659195","24659195","Levoleucovorin Calcium (Import Version)","0.5 MG",1,1,200,200
"J0690","Cefazolin sodium injection","Sagent Pharmaceuticals Inc","25021010010","25021-0100-10","Cefazolin Sodium","500 MG",1,25,1,25
"J0690","Cefazolin sodium injection","Sagent Pharmaceuticals Inc","25021010110","25021-0101-10","Cefazolin Sodium","500 MG",1,25,2,50
"J0690","Cefazolin sodium injection","Sagent Pharmaceuticals Inc","25021010299","25021-0102-99","Cefazolin Sodium","500 MG",1,10,20,200
"J0690","Cefazolin sodium injection","Sagent Pharmaceuticals Inc","25021010399","25021-0103-99","Cefazolin Sodium","500 MG",1,10,40,400
"J0696","Ceftriaxone sodium injection","Sagent Pharmaceuticals Inc","25021010410","25021-0104-10","CEFTRIAXONE SODIUM","250 MG",1,25,1,25
"J0696","Ceftriaxone sodium injection","Sagent Pharmaceuticals Inc","25021010510","25021-0105-10","CEFTRIAXONE SODIUM","250 MG",1,25,2,50
"J0696","Ceftriaxone sodium injection","Sagent Pharmaceuticals Inc","25021010610","25021-0106-10","CEFTRIAXONE SODIUM","250 MG",1,25,4,100
"J0696","Ceftriaxone sodium injection","Sagent Pharmaceuticals Inc","25021010720","25021-0107-20","CEFTRIAXONE SODIUM","250 MG",1,25,8,200
"J0696","Ceftriaxone sodium injection","Sagent Pharmaceuticals Inc","25021010899","25021-0108-99","CEFTRIAXONE ","250 MG",1,1,40,40
"J0694","Cefoxitin sodium injection","Sagent Pharmaceuticals Inc","25021010910","25021-0109-10","CEFOXITIN SODIUM","1 GM",1,10,1,10
"J0694","Cefoxitin sodium injection","Sagent Pharmaceuticals Inc","25021011020","25021-0110-20","CEFOXITIN SODIUM","1 GM",1,10,2,20
"J0694","Cefoxitin sodium injection","Sagent Pharmaceuticals Inc","25021011199","25021-0111-99","CEFOXITIN SODIUM","1 GM",1,10,10,100
"J0456","Azithromycin","Sagent Pharmaceuticals Inc","25021011210","25021-0112-10","AZITHROMYCIN","500 MG",1,10,1,10
"J1450","Fluconazole","Sagent Pharmaceuticals Inc","25021011382","25021-0113-82","Fluconazole Injection","200 MG",100,10,1,10
"J1450","Fluconazole","Sagent Pharmaceuticals Inc","25021011387","25021-0113-87","Fluconazole Injection","200 MG",200,10,2,20
"J0744","Ciprofloxacin iv","Sagent Pharmaceuticals Inc","25021011482","25021-0114-82","CIPROFLOXACIN","200 MG",100,10,1,10
"J0744","Ciprofloxacin iv","Sagent Pharmaceuticals Inc","25021011487","25021-0114-87","CIPROFLOXACIN","200 MG",200,10,2,20
"J0697","Sterile cefuroxime injection","Sagent Pharmaceuticals Inc","25021011810","25021-0118-10","Cefuroxime Sodium","750 MG",1,25,1,25
"J0697","Sterile cefuroxime injection","Sagent Pharmaceuticals Inc","25021011920","25021-0119-20","Cefuroxime Sodium","750 MG",1,25,2,50
"J0697","Sterile cefuroxime injection","Sagent Pharmaceuticals Inc","25021012059","25021-0120-59","Cefuroxime Sodium","750 MG",1,10,10,100
"J0692","Cefepime HCl for injection","Sagent Pharmaceuticals Inc","25021012120","25021-0121-20","Cefepime HCL","500 MG",1,10,2,20
"J0692","Cefepime HCl for injection","Sagent Pharmaceuticals Inc","25021012250","25021-0122-50","Cefepime HCL","500 MG",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","Sagent Pharmaceuticals Inc","25021012720","25021-0127-20","Ceftazidime","500 MG",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","Sagent Pharmaceuticals Inc","25021012850","25021-0128-50","Ceftazidime","500 MG",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","Sagent Pharmaceuticals Inc","25021012999","25021-0129-99","Ceftazidime","500 MG",1,6,12,72
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021013281","25021-0132-81","LEVOFLOXACIN","250 MG",50,24,1,24
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021013282","25021-0132-82","LEVOFLOXACIN","250 MG",100,24,2,48
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021013283","25021-0132-83","LEVOFLOXACIN","250 MG",150,24,3,72
"J0290","Ampicillin 500 MG inj","Sagent Pharmaceuticals Inc","25021013410","25021-0134-10","Ampicillin Sodium","500 MG",1,10,0.5,5
"J0290","Ampicillin 500 MG inj","Sagent Pharmaceuticals Inc","25021013510","25021-0135-10","Ampicillin Sodium","500 MG",1,10,1,10
"J0290","Ampicillin 500 MG inj","Sagent Pharmaceuticals Inc","25021013610","25021-0136-10","AMPICILLIN SODIUM","500 MG",1,10,2,20
"J0290","Ampicillin 500 MG inj","Sagent Pharmaceuticals Inc","25021013720","25021-0137-20","AMPICILLIN SODIUM","500 MG",1,10,4,40
"J0290","Ampicillin 500 MG inj","Sagent Pharmaceuticals Inc","25021013899","25021-0138-99","AMPICILLIN SODIUM","500 MG",1,10,20,200
"J0295","Ampicillin sodium per 1.5 gm","Sagent Pharmaceuticals Inc","25021014220","25021-0142-20","AMPICILLIN-SULBACTAM","1.5 GM",1,10,10,10
"J0295","Ampicillin sodium per 1.5 gm","Sagent Pharmaceuticals Inc","25021014330","25021-0143-30","AMPICILLIN-SULBACTAM","1.5 GM",1,10,20,20
"J0295","Ampicillin sodium per 1.5 gm","Sagent Pharmaceuticals Inc","25021014499","25021-0144-99","AMPICILLIN-SULBACTAM","1.5 GM",30,1,10,10
"J2543","Piperacillin/tazobactam","Sagent Pharmaceuticals Inc","25021016430","25021-0164-30","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,2,20
"J2543","Piperacillin/tazobactam","Sagent Pharmaceuticals Inc","25021016530","25021-0165-30","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,3,30
"J2543","Piperacillin/tazobactam","Sagent Pharmaceuticals Inc","25021016648","25021-0166-48","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,4,40
"J9209","Mesna injection","Sagent Pharmaceuticals Inc","25021020110","25021-0201-10","Mesna","200 MG",10,1,5,5
"J9209","Mesna injection","Sagent Pharmaceuticals Inc","25021020111","25021-0201-11","Mesna","200 MG",10,10,5,50
"J9178","Inj, epirubicin hcl, 2 mg","Sagent Pharmaceuticals Inc","25021020325","25021-0203-25","Epirubicin","2 MG",25,1,25,25
"J9178","Inj, epirubicin hcl, 2 mg","Sagent Pharmaceuticals Inc","25021020351","25021-0203-51","Epirubicin","2 MG",100,1,100,100
"J9390","Vinorelbine tartrate inj","Sagent Pharmaceuticals Inc","25021020401","25021-0204-01","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","Sagent Pharmaceuticals Inc","25021020405","25021-0204-05","Vinorelbine Tartrate","10 MG",5,1,5,5
"J9185","Fludarabine phosphate inj","Sagent Pharmaceuticals Inc","25021020505","25021-0205-05","Fludarabine Phosphate","50 MG",1,1,1,1
"J9351","Topotecan injection","Sagent Pharmaceuticals Inc","25021020606","25021-0206-06","Topotecan","0.1 MG",1,1,40,40
"J9351","Topotecan injection","Sagent Pharmaceuticals Inc","25021020661","25021-0206-61","Topotecan","0.1 MG",1,5,40,200
"J9201","Gemcitabine hcl injection","Sagent Pharmaceuticals Inc","25021020810","25021-0208-10","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1
"J9201","Gemcitabine hcl injection","Sagent Pharmaceuticals Inc","25021020950","25021-0209-50","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5
"J9265","Paclitaxel injection","Sagent Pharmaceuticals Inc","25021021305","25021-0213-05","PACLITAXEL","30 MG",5,1,1,1
"J9265","Paclitaxel injection","Sagent Pharmaceuticals Inc","25021021317","25021-0213-17","PACLITAXEL","30 MG",16.7,1,3.34,3.34
"J9265","Paclitaxel injection","Sagent Pharmaceuticals Inc","25021021350","25021-0213-50","PACLITAXEL","30 MG",50,1,10,10
"J0150","Injection adenosine 6 MG","Sagent Pharmaceuticals Inc","25021030102","25021-0301-02","Adenosine","6 MG",2,10,1,10
"J0150","Injection adenosine 6 MG","Sagent Pharmaceuticals Inc","25021030104","25021-0301-04","Adenosine","6 MG",4,10,2,20
"J0150","Injection adenosine 6 MG","Sagent Pharmaceuticals Inc","25021030172","25021-0301-72","Adenosine","6 MG",2,10,1,10
"J0150","Injection adenosine 6 MG","Sagent Pharmaceuticals Inc","25021030176","25021-0301-76","Adenosine","6 MG",4,10,2,20
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040001","25021-0400-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,1,25
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040010","25021-0400-10","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040030","25021-0400-30","Heparin Sodium (Porcine)","1000 UNITS",30,25,30,750
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040102","25021-0401-02","Heparin Sodium (Porcine)","1000 UNITS",2,25,2,50
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040201","25021-0402-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040210","25021-0402-10","Heparin Sodium (Porcine)","1000 UNITS",10,25,50,1250
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040301","25021-0403-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040304","25021-0403-04","Heparin Sodium (Porcine)","1000 UNITS",4,25,40,1000
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040401","25021-0404-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,20,500
"J3030","Sumatriptan succinate / 6 MG","Sagent Pharmaceuticals Inc","25021070360","25021-0703-60","SUMATRIPTAN SUCCINATE","6 MG",0.5,5,1,5
"J1626","Granisetron hcl injection","Sagent Pharmaceuticals Inc","25021077801","25021-0778-01","GRANISETRON HCL","100 MCG",1,5,1,5
"J1626","Granisetron hcl injection","Sagent Pharmaceuticals Inc","25021077901","25021-0779-01","GRANISETRON HCL","100 MCG",1,1,10,10
"J1626","Granisetron hcl injection","Sagent Pharmaceuticals Inc","25021078104","25021-0781-04","GRANISETRON HCL","100 MCG",4,1,40,40
"J2430","Pamidronate disodium /30 MG","Sagent Pharmaceuticals Inc","25021080210","25021-0802-10","Pamidronate Disodium","30 MG",1,1,1,1
"J2430","Pamidronate disodium /30 MG","Sagent Pharmaceuticals Inc","25021080310","25021-0803-10","Pamidronate Disodium","30 MG",1,1,3,3
"J9351","Topotecan injection","Sagent Pharmaceuticals Inc","25021082406","25021-0824-06","TOPOTECAN HCL","0.1 MG",1,1,40,40
"J3246","Tirofiban HCl","Medicure Pharma","25208000201","25208-0002-01","Aggrastat","0.25 MG",100,1,20,20
"J3246","Tirofiban HCl","Medicure Pharma","25208000202","25208-0002-02","Aggrastat","0.25 MG",250,1,50,50
"J1300","Eculizumab injection","Alexion Pharmaceuticals","25682000101","25682-0001-01","Soliris","10 MG",1,1,30,30
"J0600","Edetate calcium disodium inj","Graceway Pharmaceuticals (formerly 3M Pharmaceuticals)","29336040010","29336-0400-10","Calcium Disodium Versenate (edetate calcium disodium)","1000 MG",2.5,10,0.5,5
"J2360","Orphenadrine injection","Graceway Pharmaceuticals (formerly 3M Pharmaceuticals)","29336054006","29336-0540-06","Norflex","60 MG",2,6,1,6
"Q2043","Sipuleucel-T auto CD54+","Dendreon Corporation","30237890006","30237-8900-06","PROVENGE®","Per infusion (minimum 50 million cells)",250,1,1,1
"J1190","Dexrazoxane HCl injection","Topotarget USA, Inc.","38423011001","38423-0110-01","Totect","250 MG",1,10,2,20
"J1120","Acetazolamid sodium injectio","X-Gen Pharmaceuticals","39822019001","39822-0190-01","Acetazolamide Sodium","500 MG",1,1,1,1
"J1120","Acetazolamid sodium injectio","X-Gen Pharmaceuticals","39822019007","39822-0190-07","Acetazolamide Sodium","500 MG",1,1,1,1
"J3260","Tobramycin sulfate injection","X-Gen Pharmaceuticals","39822041201","39822-0412-01","Tobramycin Sulfate","80 MG",1,1,15,15
"J3260","Tobramycin sulfate injection","X-Gen Pharmaceuticals","39822041206","39822-0412-06","Tobramycin Sulfate","80 MG",1,6,15,90
"J0770","Colistimethate sodium inj","X-Gen Pharmaceuticals","39822061501","39822-0615-01","Colistimethate Sodium","UP TO 150 MG",1,1,1,1
"J0770","Colistimethate sodium inj","X-Gen Pharmaceuticals","39822061502","39822-0615-02","Colistimethate Sodium","UP TO 150 MG",1,12,1,12
"J3000","Streptomycin injection","X-Gen Pharmaceuticals","39822070602","39822-0706-02","Streptomycin Sulfate","1 GM",1,10,1,10
"J1451","Fomepizole, 15 mg","X-Gen Pharmaceuticals","39822071001","39822-0710-01","Fomepizole","15 MG",1.5,1,100,100
"J0285","Amphotericin B","X-Gen Pharmaceuticals","39822105505","39822-1055-05","Amphotericin B","50 MG",1,1,1,1
"J0285","Amphotericin B","X-Gen Pharmaceuticals","39822105507","39822-1055-07","Amphotericin B","50 MG",1,1,1,1
"J1953","Levetiracetam injection","X-Gen Pharmaceuticals","39822400001","39822-4000-01","Levetiracetam","10 MG",5,10,50,500
"J1165","Phenytoin sodium injection","X-Gen Pharmaceuticals","39822405003","39822-4050-03","PHENYTOIN","50 MG",2,25,2,50
"J1165","Phenytoin sodium injection","X-Gen Pharmaceuticals","39822405006","39822-4050-06","PHENYTOIN","50 MG",5,25,5,125
"J2550","Promethazine hcl injection","X-Gen Pharmaceuticals","39822550003","39822-5500-03","PROMETHAZINE","50 MG",1,25,0.5,12.5
"J2550","Promethazine hcl injection","X-Gen Pharmaceuticals","39822550006","39822-5500-06","PROMETHAZINE","50 MG",1,25,1,25
"J0702","Betamethasone acet&sod phosp","AMERICAN REGENT LABORATORIES","40042004805","40042-0048-05","Celestone Soluspan","3 MG + 3 MG",5,1,5,5
"J2675","Inj progesterone per 50 MG","AMERICAN REGENT LABORATORIES","40042005010","40042-0050-10","Progesterone in Oil","50 MG",10,1,10,10
"J2210","Methylergonovin maleate inj","AMERICAN REGENT LABORATORIES","40042005101","40042-0051-01","METHYLERGONOVINE MALEATE","0.2 MG",1,20,1,20
"J0735","Clonidine hydrochloride","AMERICAN REGENT LABORATORIES","40042005210","40042-0052-10","Clonidine Hydrochloride Injection","1 MG",10,1,1,1
"J0735","Clonidine hydrochloride","AMERICAN REGENT LABORATORIES","40042005310","40042-0053-10","Clonidine Hydrochloride Injection","1 MG",10,1,5,5
"Q4116","Alloderm skin sub","LifeCell Corporation","402025","402025","AlloDerm","1 SQ CM",28,1,28,28
"Q4116","Alloderm skin sub","LifeCell Corporation","402045","402045","AlloDerm","1 SQ CM",48,1,48,48
"J9263","Oxaliplatin","Sun Pharmaceutical Global Inc.","41616017640","41616-0176-40","OXALIPLATIN","0.5 mg",10,1,100,100
"J9263","Oxaliplatin","Sun Pharmaceutical Global Inc.","41616017840","41616-0178-40","OXALIPLATIN","0.5 mg",20,1,200,200
"J9218","Leuprolide acetate injeciton","Sun Pharmaceutical Global Inc.","41616093640","41616-0936-40","Leuprolide Acetate Inj ","1mg",1,1,14,14
"J0171","Adrenalin epinephrine inject","JHP Pharmaceuticals, LLC","42023010101","42023-0101-01","Adrenalin","0.1 MG",1,30,10,300
"J0171","Adrenalin epinephrine inject","JHP Pharmaceuticals, LLC","42023010110","42023-0101-10","Adrenalin","0.1 MG",30,10,300,3000
"J0770","Colistimethate sodium inj","JHP Pharmaceuticals, LLC","42023010701","42023-0107-01","Colistimethate Sodium","UP TO 150 MG",1,1,1,1
"J0770","Colistimethate sodium inj","JHP Pharmaceuticals, LLC","42023010706","42023-0107-06","COLY-MYCIN M PARENTERAL","UP TO 150 MG",1,6,1,6
"J1380","Estradiol valerate 10 MG inj","JHP Pharmaceuticals, LLC","42023011001","42023-0110-01","Delestrogen","10 MG",5,1,5,5
"J1380","Estradiol valerate 10 MG inj","JHP Pharmaceuticals, LLC","42023011101","42023-0111-01","Delestrogen","10 MG",5,1,10,10
"J1380","Estradiol valerate 10 MG inj","JHP Pharmaceuticals, LLC","42023011201","42023-0112-01","Delestrogen","10 MG",5,1,20,20
"J2590","Oxytocin injection","JHP Pharmaceuticals, LLC","42023011601","42023-0116-01","Oxytocin","10 UNITS",10,1,10,10
"J2590","Oxytocin injection","JHP Pharmaceuticals, LLC","42023011602","42023-0116-02","PITOCIN","10 UNITS",10,25,10,250
"J2590","Oxytocin injection","JHP Pharmaceuticals, LLC","42023011625","42023-0116-25","Oxytocin","10 UNITS",1,25,1,25
"J3250","Trimethobenzamide hcl inj","JHP Pharmaceuticals, LLC","42023011801","42023-0118-01","Tigan","200 MG",20,1,10,10
"J3250","Trimethobenzamide hcl inj","JHP Pharmaceuticals, LLC","42023011925","42023-0119-25","Tigan","200 MG",2,25,1,25
"J3030","Sumatriptan succinate / 6 MG","JHP Pharmaceuticals, LLC","42023012105","42023-0121-05","SUMATRIPTAN SUCCINATE","6 MG",0.5,5,1,5
"J0171","Adrenalin epinephrine inject","JHP Pharmaceuticals, LLC","42023012225","42023-0122-25","Epinephrine Hcl","0.1 MG",1,25,10,250
"J0598","C-1 esterase, cinryze","ViroPharma Incorporated","42227008105","42227-0081-05","Cinryze","10 units",1,1,50,50
"J3030","Sumatriptan succinate / 6 MG","Zogenix, Inc.","43376010606","43376-0106-06","SUMAVEL DOSEPRO","6 MG",0.5,6,1,6
"J9293","Mitoxantrone hydrochl / 5 MG","EMD Serono Inc.","44087152001","44087-1520-01","MITOXANTRONE HYDROCHLORIDE","5 MG",10,1,4,4
"Q0515","Sermorelin acetate injection","EMD Serono Inc.","44087405001","44087-4050-01","Geref Diagnostic","1 MCG",1,1,50,50
"J2791","Rhophylac injection","CSL Behring AG","44206030001","44206-0300-01","Rhophylac","100 UNITS",2,1,15,15
"J2791","Rhophylac injection","CSL Behring AG","44206030010","44206-0300-10","Rhophylac","100 UNITS",2,10,15,150
"J1566","Immune globulin, powder","CSL Behring AG","44206041603","44206-0416-03","Carimune Nf","500 MG",1,1,6,6
"J1566","Immune globulin, powder","CSL Behring AG","44206041706","44206-0417-06","Carimune Nf","500 MG",1,1,12,12
"J1566","Immune globulin, powder","CSL Behring AG","44206041812","44206-0418-12","Carimune Nf","500 MG",1,1,24,24
"J1459","Inj IVIG privigen 500 mg","CSL Behring AG","44206043605","44206-0436-05","Privigen","500 MG",50,1,10,10
"J1459","Inj IVIG privigen 500 mg","CSL Behring AG","44206043710","44206-0437-10","Privigen","500 MG",110,1,20,20
"J1459","Inj IVIG privigen 500 mg","CSL Behring AG","44206043820","44206-0438-20","Privigen","500 MG",200,1,40,40
"J1559","Hizentra injection","CSL Behring AG","44206045101","44206-0451-01","Hizentra","100 MG",5,1,10,10
"J1559","Hizentra injection","CSL Behring AG","44206045202","44206-0452-02","Hizentra","100 MG",10,1,20,20
"J1559","Hizentra injection","CSL Behring AG","44206045404","44206-0454-04","Hizentra","100 MG",20,1,40,40
"J0850","Cytomegalovirus imm IV /vial","CSL Behring AG","44206053211","44206-0532-11","CYTOGAM","PER VIAL",50,1,1,1
"J0850","Cytomegalovirus imm IV /vial","CSL Behring AG","44206310110","44206-3101-10","Cytogam","PER VIAL",50,1,1,1
"J0476","Baclofen intrathecal trial","CNS Therapeutics Inc.","45945015101","45945-0151-01","GABLOFEN","50 MCG",1,1,1,1
"J0475","Baclofen 10 MG injection","CNS Therapeutics Inc.","45945015502","45945-0155-02","GABLOFEN","10 MG",20,1,1,1
"J0475","Baclofen 10 MG injection","CNS Therapeutics Inc.","45945015702","45945-0157-02","GABLOFEN","10 MG",20,1,4,4
"J9315","Romidepsin injection","Celgene Corp","46026098301","46026-0983-01","Istodax (romidepsin)","1MG",1,1,10,10
"J1451","Fomepizole, 15 mg","Paladin Labs (USA) Inc.","46129020002","46129-0200-02","Antizol","15 MG",1.5,4,100,400
"J9201","Gemcitabine hcl injection","Sun Pharmaceutical Global Fze.","47335015340","47335-0153-40","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1
"J9201","Gemcitabine hcl injection","Sun Pharmaceutical Global Fze.","47335015440","47335-0154-40","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5
"J3030","Sumatriptan succinate / 6 MG","Sun Pharmaceutical Global Fze.","47335027641","47335-0276-41","SUMATRIPTAN SUCCINATE","6 MG",0.5,2,1,2
"J9171","Docetaxel injection","Sun Pharmaceutical Global Fze.","47335028541","47335-0285-41","DOCEFREZ","1 MG",1,1,20,20
"J9171","Docetaxel injection","Sun Pharmaceutical Global Fze.","47335028641","47335-0286-41","DOCEFREZ","1 MG",1,1,80,80
"J0706","Caffeine citrate injection","Sun Pharma Global, Fze.","47335028940","47335-0289-40","CAFFEINE CITRATE","5 MG",3,1,12,12
"J0207","Amifostine","Sun Pharmaceutical Global Fze.","47335058140","47335-0581-40","Amifostine for Injection","500 MG",1,1,1,1
"J0207","Amifostine","Sun Pharmaceutical Global Fze.","47335058142","47335-0581-42","Amifostine for Injection","500 MG",1,3,1,3
"J1290","Ecallantide injection","Dyax Corporation","47783010101","47783-0101-01","KALBITOR® ","1MG",1,3,10,30
"J9307","Pralatrexate injection","Allos Therapeutics, Inc.","48818000101","48818-0001-01","Folotyn","1 MG",1,1,20,20
"J9307","Pralatrexate injection","Allos Therapeutics, Inc.","48818000102","48818-0001-02","Folotyn","1 MG",2,1,40,40
"J1756","Iron sucrose injection","FRESENIUS MEDICAL CARE","49230053010","49230-0530-10","Venofer","1 MG",2.5,10,50,500
"J1756","Iron sucrose injection","FRESENIUS MEDICAL CARE","49230053410","49230-0534-10","Venofer","1 MG",5,10,100,1000
"J1756","Iron sucrose injection","FRESENIUS MEDICAL CARE","49230053425","49230-0534-25","Venofer","1 MG",5,25,100,2500
"90376","Rabies ig, heat treated","sanofi pasteur","49281019010","49281-0190-10","Imogam Rabies-Ht","150 IU",10,1,10,10
"90376","Rabies ig, heat treated","sanofi pasteur","49281019020","49281-0190-20","Imogam Rabies-Ht","150 IU",2,1,2,2
"90675","Rabies vaccine, im","sanofi pasteur","49281025051","49281-0250-51","Imovax Rabies","1 ML",1,1,1,1
"90714","Td vaccine no prsrv >/= 7 yo, im","sanofi pasteur","49281029110","49281-0291-10","DECAVAC","0.5 ML",1,10,1,10
"90714","Td vaccine no prsrv >/= 7 yo, im","sanofi pasteur","49281029183","49281-0291-83","DECAVAC","0.5 ML",0.5,10,1,10
"90715","Tdap => 7 yo, im","sanofi pasteur","49281040010","49281-0400-10","ADACEL","0.5 ML",0.5,10,1,10
"90715","Tdap => 7 yo, im","sanofi pasteur","49281040015","49281-0400-15","ADACEL","0.5 ML",0.25,5,0.5,2.5
"90733","Meningococcal vaccine, sc","sanofi pasteur","49281048901","49281-0489-01","Menomune","0.5 ML",0.5,1,1,1
"90733","Meningococcal vaccine, sc","sanofi pasteur","49281048991","49281-0489-91","Menomune","0.5 ML",5,1,10,10
"90735","Encephalitis vaccine, sc","sanofi pasteur","49281068030","49281-0680-30","Je-Vax","1 ML",1,3,1,3
"90703","Tetanus vaccine, im","sanofi pasteur","49281081284","49281-0812-84","Tetanus Toxoid","0.5 ML",7.5,1,15,15
"90703","Tetanus vaccine, im","sanofi pasteur","49281082010","49281-0820-10","Tetanus Toxoid","0.5 ML",5,1,10,10
"90586","Bcg vaccine, intravesical","sanofi pasteur","49281088001","49281-0880-01","Theracys","1 EACH",1,1,1,1
"J9031","Bcg live intravesical vac","sanofi pasteur","49281088001","49281-0880-01","Theracys","1 EA",1,1,1,1
"90717","Yellow fever vaccine, sc","sanofi pasteur","49281091501","49281-0915-01","Yellow Fever Vaccine","0.5 ML",1,5,1,5
"90717","Yellow fever vaccine, sc","sanofi pasteur","49281091505","49281-0915-05","Yellow Fever Vaccine","0.5 ML",1,5,1,5
"J0490","Belimumab injection","GlaxoSmithkline","49401010101","49401-0101-01","BENLYSTA","10 mg",5,1,12,12
"J0490","Belimumab injection","GlaxoSmithkline","49401010201","49401-0102-01","BENLYSTA","10 mg",20,1,40,40
"J7606","Formoterol fumarate, inh","Dey Pharma, L.P.","49502060561","49502-0605-61","PERFOROMIST","20 MCG",2,60,1,60
"J7620","Albuterol ipratrop non-comp","Dey Pharma, L.P.","49502067230","49502-0672-30","Duoneb","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","Dey Pharma, L.P.","49502067231","49502-0672-31","Duoneb","2.5 MG/0.5 MG",3,30,1,30
"J7620","Albuterol ipratrop non-comp","Dey Pharma, L.P.","49502067260","49502-0672-60","Duoneb","2.5 MG/0.5 MG",3,60,1,60
"J7669","Metaproterenol non-comp unit","Dey Pharma, L.P.","49502067624","49502-0676-24","Metaproterenol Sulfate","10 MG",2.5,25,1.5,37.5
"J7669","Metaproterenol non-comp unit","Dey Pharma, L.P.","49502067824","49502-0678-24","Metaproterenol Sulfate","10 MG",2.5,25,1,25
"J7644","Ipratropium bromide non-comp","Dey Pharma, L.P.","49502068526","49502-0685-26","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5
"J7644","Ipratropium bromide non-comp","Dey Pharma, L.P.","49502068530","49502-0685-30","Ipratropium Bromide","1 MG",2.5,30,0.5,15
"J7644","Ipratropium bromide non-comp","Dey Pharma, L.P.","49502068531","49502-0685-31","Ipratropium Bromide","1 MG",2.5,30,0.5,15
"J7644","Ipratropium bromide non-comp","Dey Pharma, L.P.","49502068562","49502-0685-62","Ipratropium Bromide","1 MG",2.5,60,0.5,30
"J7631","Cromolyn sodium noncomp unit","Dey Pharma, L.P.","49502068961","49502-0689-61","Cromolyn Sodium","10 MG",2,60,2,120
"J7613","Albuterol non-comp unit","Dey Pharma, L.P.","49502069203","49502-0692-03","Accuneb","1 MG",3,25,0.63,15.75
"J7613","Albuterol non-comp unit","Dey Pharma, L.P.","49502069303","49502-0693-03","Accuneb","1 MG",3,25,1.25,31.25
"J7613","Albuterol non-comp unit","Dey Pharma, L.P.","49502069724","49502-0697-24","Albuterol Sulfate","1 MG",3,25,2.5,62.5
"J7613","Albuterol non-comp unit","Dey Pharma, L.P.","49502069729","49502-0697-29","Albuterol Sulfate","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","Dey Pharma, L.P.","49502069730","49502-0697-30","Albuterol Sulfate","1 MG",3,30,2.5,75
"J7613","Albuterol non-comp unit","Dey Pharma, L.P.","49502069761","49502-0697-61","Albuterol Sulfate","1 MG",3,60,2.5,150
"J7335","Capsaicin 8% patch","Neurogesx, Inc.","49685092801","49685-0928-01","Qutenza","10 sq cm",1,1,28,28
"J7335","Capsaicin 8% patch","Neurogesx, Inc.","49685092802","49685-0928-02","Qutenza","10 sq cm",1,2,28,56
"J3485","Zidovudine","GlaxoSmithkline","49702021305","49702-0213-05","Retrovir","10 MG",20,10,20,200
"J0456","Azithromycin","PLIVA, Inc.","50111079478","50111-0794-78","AZITHROMYCIN","500 MG",1,10,1,10
"Q0162","Ondansetron oral","PLIVA, Inc.","50111081942","50111-0819-42","Ondansetron HCl","1 MG",50,1,40,40
"J7515","Cyclosporine oral 25 mg","PLIVA, Inc.","50111090943","50111-0909-43","Cyclosporine Modified","25 MG",30,1,30,30
"J7502","Cyclosporine oral 100 mg","PLIVA, Inc.","50111092043","50111-0920-43","Cyclosporine Modified","100 MG",30,1,30,30
"J9045","Carboplatin injection","PLIVA, Inc.","50111096576","50111-0965-76","Carboplatin","50 MG",5,1,1,1
"J9045","Carboplatin injection","PLIVA, Inc.","50111096676","50111-0966-76","Carboplatin","50 MG",15,1,3,3
"J3396","Verteporfin injection","QLT Ophthalmics, Inc.","50236000115","50236-0001-15","Visudyne","0.1 MG",1,1,150,150
"J3101","Tenecteplase injection","Genentech, Inc.","50242003861","50242-0038-61","Tnkase","1 MG",1,1,50,50
"J2357","Omalizumab injection","Genentech, Inc.","50242004062","50242-0040-62","Xolair","5 MG",1,1,30,30
"J2997","Alteplase recombinant","Genentech, Inc.","50242004164","50242-0041-64","Cathflo Activase","1 MG",1,1,2,2
"J2997","Alteplase recombinant","Genentech, Inc.","50242004413","50242-0044-13","Activase","1 MG",1,1,50,50
"J9310","Rituximab injection","Genentech, Inc.","50242005121","50242-0051-21","Rituxan","100 MG",10,1,1,1
"J9310","Rituximab injection","Genentech, Inc.","50242005306","50242-0053-06","Rituxan","100 MG",50,1,5,5
"J9035","Bevacizumab injection","Genentech, Inc.","50242006001","50242-0060-01","Avastin","10 MG",4,1,10,10
"J9035","Bevacizumab injection","Genentech, Inc.","50242006101","50242-0061-01","Avastin","10 MG",16,1,40,40
"J2778","Ranibizumab injection","Genentech, Inc.","50242008001","50242-0080-01","RANIBIZUMAB","0.1 MG",0.05,1,5,5
"J2997","Alteplase recombinant","Genentech, Inc.","50242008527","50242-0085-27","Activase","1 MG",1,1,100,100
"J7639","Dornase alfa non-comp unit","Genentech, Inc.","50242010040","50242-0100-40","Pulmozyme","1 MG",2.5,30,2.5,75
"J9355","Trastuzumab injection","Genentech, Inc.","50242013468","50242-0134-68","Herceptin","10 MG",1,1,44,44
"J3262","Tocilizumab injection","Genentech, Inc.","50242013501","50242-0135-01","Actemra","1 mg",80,1,80,80
"J3262","Tocilizumab injection","Genentech, Inc.","50242013601","50242-0136-01","Actemra","1 mg",200,1,200,200
"J3262","Tocilizumab injection","Genentech, Inc.","50242013701","50242-0137-01","Actemra","1 mg",400,1,400,400
"J7510","Prednisolone oral per 5 mg","Hi-Tech Pharmacal Co,Inc","50383004004","50383-0040-04","Prednisolone","5 MG",118,1,158.12,158.12
"J7510","Prednisolone oral per 5 mg","Hi-Tech Pharmacal Co,Inc","50383004224","50383-0042-24","Prednisolone","5 MG",240,1,144,144
"J7510","Prednisolone oral per 5 mg","Hi-Tech Pharmacal Co,Inc","50383004248","50383-0042-48","Prednisolone","5 MG",480,1,288,288
"J7611","Albuterol non-comp con","Hi-Tech Pharmacal Co,Inc","50383074120","50383-0741-20","Albuterol Sulfate","1 MG",20,1,100,100
"Q0170","Promethazine HCl 25 mg oral","Hi-Tech Pharmacal Co,Inc","50383080116","50383-0801-16","PROMETHAZINE HCL","25 MG",473,1,23.65,23.65
"J1945","Lepirudin","Bayer HealthCare Pharmaceuticals Inc.","50419015057","50419-0150-57","Refludan","50 MG",1,10,1,10
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018801","50419-0188-01","Magnevist 46.9%","1 ML",10,20,10,200
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018802","50419-0188-02","Magnevist 46.9%","1 ML",20,20,20,400
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018805","50419-0188-05","Magnevist 46.9%","1 ML",5,20,5,100
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018810","50419-0188-10","Magnevist 46.9%","1 ML",100,1,100,100
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018811","50419-0188-11","Magnevist 46.9%","1 ML",100,10,100,1000
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018815","50419-0188-15","Magnevist 46.9%","1 ML",15,20,15,300
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018836","50419-0188-36","Magnevist 46.9%","1 ML",10,5,10,50
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018837","50419-0188-37","Magnevist 46.9%","1 ML",15,5,15,75
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018838","50419-0188-38","Magnevist 46.9%","1 ML",20,5,20,100
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018840","50419-0188-40","Magnevist 46.9%","1 ML",5,20,5,100
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018842","50419-0188-42","Magnevist 46.9%","1 ML",10,20,10,200
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018843","50419-0188-43","Magnevist 46.9%","1 ML",10,5,10,50
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018844","50419-0188-44","MAGNEVIST 15ML RFID","1 ML",15,20,15,300
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018845","50419-0188-45","Magnevist 46.9%","1 ML",15,5,15,75
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018846","50419-0188-46","MAGNEVIST 20MLRFID","1 ML",20,20,20,400
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018847","50419-0188-47","Magnevist 46.9%","1 ML",20,5,20,100
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018849","50419-0188-49","Magnevist 46.9%","1 ML",100,10,100,1000
"A9579","Gad-base MR contrast NOS,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018858","50419-0188-58","Magnevist 46.9%","1 ML",50,10,50,500
"A9581","Gadoxetate disodium inj","Bayer HealthCare Pharmaceuticals Inc.","50419032001","50419-0320-01","Gadoxetate Disodium","1 ML",10,20,10,200
"A9581","Gadoxetate disodium inj","Bayer HealthCare Pharmaceuticals Inc.","50419032005","50419-0320-05","Gadoxetate Disodium","1 ML",10,5,10,50
"Q9965","LOCM 100-199mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034005","50419-0340-05","Ultravist 150","1 ML",50,10,50,500
"Q9966","LOCM 200-299mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034205","50419-0342-05","Ultravist 240","1 ML",50,10,50,500
"Q9966","LOCM 200-299mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034210","50419-0342-10","Ultravist 240","1 ML",100,10,100,1000
"Q9966","LOCM 200-299mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034215","50419-0342-15","Ultravist 240","1 ML",150,10,150,1500
"Q9966","LOCM 200-299mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034220","50419-0342-20","Ultravist 240","1 ML",200,10,200,2000
"Q9966","LOCM 200-299mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034221","50419-0342-21","Ultravist 240","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034405","50419-0344-05","Ultravist 300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034407","50419-0344-07","Ultravist 300","1 ML",75,10,75,750
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034410","50419-0344-10","Ultravist 300","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034412","50419-0344-12","Ultravist 300","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034415","50419-0344-15","Ultravist 300","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034421","50419-0344-21","Ultravist 300","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034450","50419-0344-50","Ultravist 300","1 ML",500,1,500,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034458","50419-0344-58","Ultravist 300","1 ML",500,8,500,4000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034605","50419-0346-05","Ultravist 370","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034607","50419-0346-07","Ultravist 370","1 ML",75,10,75,750
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034610","50419-0346-10","Ultravist 370","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034612","50419-0346-12","Ultravist 370","1 ML",125,10,125,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034615","50419-0346-15","Ultravist 370","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034620","50419-0346-20","Ultravist 370","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034625","50419-0346-25","Ultravist 370","1 ML",250,10,250,2500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034650","50419-0346-50","Ultravist 370","1 ML",500,1,500,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034658","50419-0346-58","Ultravist 370","1 ML",500,8,500,4000
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","50458016420","50458-0164-20","LEVAQUIN","250 MG",20,1,2,2
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","50458016530","50458-0165-30","LEVAQUIN","250 MG",30,1,3,3
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","50458016601","50458-0166-01","Levaquin","250 MG",150,1,3,3
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","50458016701","50458-0167-01","Levaquin","250 MG",50,1,1,1
"J1956","Levofloxacin injection","Janssen Pharmaceuticals, Inc","50458016801","50458-0168-01","Levaquin","250 MG",100,1,2,2
"J1631","Haloperidol decanoate inj","Janssen Pharmaceuticals, Inc","50458025303","50458-0253-03","Haldol Decanoate","50 MG",1,3,1,3
"J1631","Haloperidol decanoate inj","Janssen Pharmaceuticals, Inc","50458025414","50458-0254-14","Haldol Decanoate","50 MG",1,5,2,10
"J1630","Haloperidol injection","Janssen Pharmaceuticals, Inc","50458025501","50458-0255-01","Haldol","5 MG",1,10,1,10
"J2794","Risperidone, long acting","Janssen Pharmaceuticals, Inc","50458030611","50458-0306-11","Risperdal Consta","0.5 MG",1,1,50,50
"J2794","Risperidone, long acting","Janssen Pharmaceuticals, Inc","50458030711","50458-0307-11","Risperdal Consta","0.5 MG",1,1,75,75
"J2794","Risperidone, long acting","Janssen Pharmaceuticals, Inc","50458030811","50458-0308-11","Risperdal Consta","0.5 MG",1,1,100,100
"J2794","Risperidone, long acting","Janssen Pharmaceuticals, Inc","50458030911","50458-0309-11","Risperdal Consta","0.5 MG",1,1,25,25
"J1267","Doripenem injection","Janssen Pharmaceuticals, Inc","50458040102","50458-0401-02","DORIBAX","10 MG",1,10,50,500
"J1267","Doripenem injection","Janssen Pharmaceuticals, Inc","50458040202","50458-0402-02","DORIBAX","10 MG",1,10,25,250
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc","50458056001","50458-0560-01","INVEGA SUSTENNA","1MG",0.25,1,39,39
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc","50458056101","50458-0561-01","INVEGA SUSTENNA","1MG",0.5,1,78,78
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc","50458056201","50458-0562-01","INVEGA SUSTENNA","1MG",0.75,1,117,117
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc","50458056301","50458-0563-01","INVEGA SUSTENNA","1MG",1,1,156,156
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc","50458056401","50458-0564-01","INVEGA SUSTENNA","1MG",1.5,1,234,234
"J1953","Levetiracetam injection","UCB, Inc","50474000263","50474-0002-63","Levetiracetam (Keppra)","10 MG",5,10,50,500
"J0718","Certolizumab pegol inj","UCB, Inc","50474070062","50474-0700-62","CIMZIA","1 MG",1,2,200,400
"J0840","Crotalidae poly immune fab","BTG International","50633011012","50633-0110-12","CROFAB POWDER FOR SOLUTION","UP TO 1 GM",1,2,1,2
"J1162","Digoxin immune fab (ovine)","BTG International","50633012011","50633-0120-11","Digifab","PER VIAL",1,1,1,1
"J7506","Prednisone oral","UDL Laboratories Inc.","51079002219","51079-0022-19","Prednisone","5 MG",25,1,100,100
"J7506","Prednisone oral","UDL Laboratories Inc.","51079003219","51079-0032-19","Prednisone","5 MG",25,1,25,25
"J7506","Prednisone oral","UDL Laboratories Inc.","51079003319","51079-0033-19","Prednisone","5 MG",25,1,50,50
"Q0163","Diphenhydramine HCl 50mg","UDL Laboratories Inc.","51079006619","51079-0066-19","Diphenhydramine Hcl","50 MG",25,1,25,25
"Q0163","Diphenhydramine HCl 50mg","UDL Laboratories Inc.","51079006620","51079-0066-20","Diphenhydramine Hcl","50 MG",100,1,100,100
"J7517","Mycophenolate mofetil oral","UDL Laboratories Inc.","51079037920","51079-0379-20","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200
"Q0164","Prochlorperazine maleate 5mg","UDL Laboratories Inc.","51079054120","51079-0541-20","Prochlorperazine Maleate","5 MG",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","UDL Laboratories Inc.","51079054220","51079-0542-20","Prochlorperazine Maleate","10 MG",100,1,100,100
"J7500","Azathioprine oral 50mg","UDL Laboratories Inc.","51079062006","51079-0620-06","Azathioprine","50 MG",50,1,50,50
"J8610","Methotrexate oral 2.5 MG","UDL Laboratories Inc.","51079067005","51079-0670-05","Methotrexate","2.5 MG",20,1,20,20
"J7517","Mycophenolate mofetil oral","UDL Laboratories Inc.","51079072120","51079-0721-20","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100
"J8560","Etoposide oral 50 MG","UDL Laboratories Inc.","51079096505","51079-0965-05","Etoposide","50 MG",20,1,20,20
"J8610","Methotrexate oral 2.5 MG","DURAMED PHARMACEUTICALS, INC.","51285036601","51285-0366-01","TREXALL","2.5 MG",30,1,2,60
"J8610","Methotrexate oral 2.5 MG","DURAMED PHARMACEUTICALS, INC.","51285036701","51285-0367-01","TREXALL","2.5 MG",30,1,90,90
"J8610","Methotrexate oral 2.5 MG","DURAMED PHARMACEUTICALS, INC.","51285036801","51285-0368-01","TREXALL","2.5 MG",30,1,120,120
"J8610","Methotrexate oral 2.5 MG","DURAMED PHARMACEUTICALS, INC.","51285036901","51285-0369-01","TREXALL","2.5 MG",30,1,180,180
"J0692","Cefepime HCl for injection","Elan Pharmaceuticals, Inc.","51479005420","51479-0054-20","Maxipime","500 MG",1,10,2,20
"J0692","Cefepime HCl for injection","Elan Pharmaceuticals, Inc.","51479005430","51479-0054-30","Maxipime","500 MG",1,10,2,20
"J0692","Cefepime HCl for injection","Elan Pharmaceuticals, Inc.","51479005510","51479-0055-10","Maxipime","500 MG",1,10,4,40
"J0692","Cefepime HCl for injection","Elan Pharmaceuticals, Inc.","51479005530","51479-0055-30","Maxipime","500 MG",1,10,4,40
"J3315","Triptorelin pamoate","Watson Pharmaceuticals","52544009276","52544-0092-76","Trelstar","3.75 MG",1,1,6,6
"J2916","Na ferric gluconate complex","Watson Pharmaceuticals","52544014987","52544-0149-87","NULECIT","12.5 MG",5,10,5,50
"J3315","Triptorelin pamoate","Watson Pharmaceuticals","52544018876","52544-0188-76","Trelstar","3.75 MG",1,1,3,3
"J3315","Triptorelin pamoate","Watson Pharmaceuticals","52544018976","52544-0189-76","Trelstar","3.75 MG",1,1,1,1
"J2916","Na ferric gluconate complex","Watson Pharmaceuticals","52544092226","52544-0922-26","Ferrlecit","12.5 MG",5,10,5,50
"J1750","Inj iron dextran","Watson Pharmaceuticals","52544093102","52544-0931-02","Infed","50 MG",2,10,2,20
"J8600","Melphalan oral 2 MG","ApoPharma, Inc.","52609000105","52609-0001-05","Alkeran","2 MG",50,1,50,50
"J9245","Inj melphalan hydrochl 50 MG","ApoPharma, Inc.","52609300100","52609-3001-00","Alkeran","50 MG",1,1,1,1
"J1571","Hepagam b im injection","Cangene BioPharma Inc","53270005101","53270-0051-01","CBI HepaGam B 5 mL","0.5 ML",5,1,10,10
"J1573","Hepagam b intravenous, inj","Cangene BioPharma Inc","53270005101","53270-0051-01","CBI HepaGam B 5 mL","0.5 ML",5,1,10,10
"J1571","Hepagam b im injection","Cangene BioPharma Inc","53270005201","53270-0052-01","CBI HepaGam B 1 mL","0.5 ML",1,1,2,2
"J1573","Hepagam b intravenous, inj","Cangene BioPharma Inc","53270005201","53270-0052-01","CBI HepaGam B 1 mL","0.5 ML",1,1,2,2
"J1571","Hepagam b im injection","Cangene BioPharma Inc","53270005301","53270-0053-01","Nova HepaGam B 1 mL","0.5 ML",1,1,2,2
"J1573","Hepagam b intravenous, inj","Cangene BioPharma Inc","53270005301","53270-0053-01","Nova HepaGam B 1 mL","0.5 ML",1,1,2,2
"J1571","Hepagam b im injection","Cangene BioPharma Inc","53270005401","53270-0054-01","Nova HepaGam B 5 mL","0.5 ML",5,1,10,10
"J1573","Hepagam b intravenous, inj","Cangene BioPharma Inc","53270005401","53270-0054-01","Nova HepaGam B 5 mL","0.5 ML",5,1,10,10
"J2792","Rho(D) immune globulin h, sd","Cangene BioPharma Inc","53270300001","53270-3000-01","WINRHO SDF","100 iu",13,1,150,150
"J2792","Rho(D) immune globulin h, sd","Cangene BioPharma Inc","53270310001","53270-3100-01","WINRHO SDF","100 iu",4.4,1,50,50
"J2792","Rho(D) immune globulin h, sd","Cangene BioPharma Inc","53270330001","53270-3300-01","WINRHO SDF","100 iu",1.3,1,15,15
"J2792","Rho(D) immune globulin h, sd","Cangene BioPharma Inc","53270350001","53270-3500-01","WINRHO SDF","100 iu",2.2,1,25,25
"J7506","Prednisone oral","Mutual Pharmaceutical Company, Inc.","53489013801","53489-0138-01","Prednisone","5 MG",100,1,100,100
"J7506","Prednisone oral","Mutual Pharmaceutical Company, Inc.","53489013810","53489-0138-10","Prednisone","5 MG",1000,1,1000,1000
"J7506","Prednisone oral","Mutual Pharmaceutical Company, Inc.","53489013901","53489-0139-01","Prednisone","5 MG",100,1,200,200
"J7506","Prednisone oral","Mutual Pharmaceutical Company, Inc.","53489013905","53489-0139-05","Prednisone","5 MG",500,1,1000,1000
"J7506","Prednisone oral","Mutual Pharmaceutical Company, Inc.","53489013910","53489-0139-10","Prednisone","5 MG",1000,1,2000,2000
"J7506","Prednisone oral","Mutual Pharmaceutical Company, Inc.","53489014001","53489-0140-01","Prednisone","5 MG",100,1,400,400
"J7506","Prednisone oral","Mutual Pharmaceutical Company, Inc.","53489014005","53489-0140-05","Prednisone","5 MG",500,1,2000,2000
"J7506","Prednisone oral","Mutual Pharmaceutical Company, Inc.","53489014010","53489-0140-10","Prednisone","5 MG",1000,1,4000,4000
"J1743","Idursulfase injection","Shire Human Genetic Therapies, Inc.","54092070001","54092-0700-01","Idursulfase","1 MG",3,1,6,6
"J3385","Velaglucerase alfa","Shire Human Genetic Therapies, Inc.","54092070104","54092-0701-04","VPRIV","100 UNITS",1,1,4,4
"J2507","Pegloticase injection","Savient Pharmaceuticals","54396080101","54396-0801-01","Krystexxa","1MG",1,1,8,8
"J1955","Inj levocarnitine per 1 gm","Sigma Tau Pharmaceuticals, Inc.","54482014701","54482-0147-01","Carnitor","1 GM",5,5,1,5
"Q0163","Diphenhydramine HCl 50mg","A-S Medication Solutions","54569023900","54569-0239-00","Diphenhydramine Hcl","50 MG",30,1,15,15
"Q0163","Diphenhydramine HCl 50mg","A-S Medication Solutions","54569023901","54569-0239-01","Diphenhydramine Hcl","50 MG",24,1,12,12
"Q0163","Diphenhydramine HCl 50mg","A-S Medication Solutions","54569023902","54569-0239-02","Diphenhydramine Hcl","50 MG",15,1,7.5,7.5
"Q0163","Diphenhydramine HCl 50mg","A-S Medication Solutions","54569023903","54569-0239-03","Diphenhydramine Hcl","50 MG",20,1,10,10
"Q0163","Diphenhydramine HCl 50mg","A-S Medication Solutions","54569023908","54569-0239-08","Diphenhydramine Hcl","50 MG",6,1,3,3
"Q0163","Diphenhydramine HCl 50mg","A-S Medication Solutions","54569024100","54569-0241-00","Diphenhydramine Hcl","50 MG",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","A-S Medication Solutions","54569024102","54569-0241-02","Diphenhydramine Hcl","50 MG",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","A-S Medication Solutions","54569024103","54569-0241-03","Diphenhydramine Hcl","50 MG",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","A-S Medication Solutions","54569024105","54569-0241-05","Diphenhydramine Hcl","50 MG",10,1,10,10
"J7509","Methylprednisolone oral","A-S Medication Solutions","54569032700","54569-0327-00","Medrol (Pak)","4 MG",21,1,21,21
"J7506","Prednisone oral","A-S Medication Solutions","54569033000","54569-0330-00","Prednisone","5 MG",21,1,21,21
"J7506","Prednisone oral","A-S Medication Solutions","54569033001","54569-0330-01","Prednisone","5 MG",50,1,50,50
"J7506","Prednisone oral","A-S Medication Solutions","54569033003","54569-0330-03","Prednisone","5 MG",100,1,100,100
"J7506","Prednisone oral","A-S Medication Solutions","54569033004","54569-0330-04","Prednisone","5 MG",30,1,30,30
"J7506","Prednisone oral","A-S Medication Solutions","54569033007","54569-0330-07","Prednisone","5 MG",60,1,60,60
"J7506","Prednisone oral","A-S Medication Solutions","54569033100","54569-0331-00","Prednisone","5 MG",10,1,20,20
"J7506","Prednisone oral","A-S Medication Solutions","54569033101","54569-0331-01","Prednisone","5 MG",15,1,30,30
"J7506","Prednisone oral","A-S Medication Solutions","54569033102","54569-0331-02","Prednisone","5 MG",21,1,42,42
"J7506","Prednisone oral","A-S Medication Solutions","54569033104","54569-0331-04","Prednisone","5 MG",50,1,100,100
"J7506","Prednisone oral","A-S Medication Solutions","54569033105","54569-0331-05","Prednisone","5 MG",30,1,60,60
"J7506","Prednisone oral","A-S Medication Solutions","54569033107","54569-0331-07","Prednisone","5 MG",100,1,200,200
"J7506","Prednisone oral","A-S Medication Solutions","54569033108","54569-0331-08","Prednisone","5 MG",40,1,80,80
"J7506","Prednisone oral","A-S Medication Solutions","54569033201","54569-0332-01","Prednisone","5 MG",10,1,40,40
"J7506","Prednisone oral","A-S Medication Solutions","54569033202","54569-0332-02","Prednisone","5 MG",21,1,84,84
"J7506","Prednisone oral","A-S Medication Solutions","54569033203","54569-0332-03","Prednisone","5 MG",30,1,120,120
"J7506","Prednisone oral","A-S Medication Solutions","54569033205","54569-0332-05","Prednisone","5 MG",100,1,400,400
"J7506","Prednisone oral","A-S Medication Solutions","54569033209","54569-0332-09","Prednisone","5 MG",18,1,72,72
"J7506","Prednisone oral","A-S Medication Solutions","54569033300","54569-0333-00","Prednisone","5 MG",8,1,80,80
"Q0164","Prochlorperazine maleate 5mg","A-S Medication Solutions","54569035005","54569-0350-05","Prochlorperazine Maleate","5 MG",6,1,6,6
"Q0165","Prochlorperazine maleate10mg","A-S Medication Solutions","54569035500","54569-0355-00","Prochlorperazine Maleate","10 MG",30,1,30,30
"Q0165","Prochlorperazine maleate10mg","A-S Medication Solutions","54569035502","54569-0355-02","Prochlorperazine Maleate","10 MG",10,1,10,10
"J7509","Methylprednisolone oral","A-S Medication Solutions","54569103600","54569-1036-00","Methylprednisolone (Pak)","4 MG",21,1,21,21
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569104600","54569-1046-00","Promethazine Hcl","25 MG",120,1,6,6
"J1720","Hydrocortisone sodium succ i","A-S Medication Solutions","54569138400","54569-1384-00","Solu-Cortef","100 MG",1,1,1,1
"J2010","Lincomycin injection","A-S Medication Solutions","54569138700","54569-1387-00","Lincocin","300 MG",10,1,10,10
"J3301","Triamcinolone acet inj NOS","A-S Medication Solutions","54569139800","54569-1398-00","KENALOG-40","10 MG",5,1,20,20
"J1080","Testosterone cypionat 200 MG","A-S Medication Solutions","54569141100","54569-1411-00","Depo-Testosterone","200 MG",10,1,10,10
"J0290","Ampicillin 500 MG inj","A-S Medication Solutions","54569153000","54569-1530-00","Ampicillin Sodium","500 MG",1,10,1,10
"J2930","Methylprednisolone injection","A-S Medication Solutions","54569155500","54569-1555-00","Solu-Medrol","125 MG",1,1,1,1
"J2930","Methylprednisolone injection","A-S Medication Solutions","54569155501","54569-1555-01","Solu-Medrol","125 MG",1,25,1,25
"J0171","Adrenalin epinephrine inject","A-S Medication Solutions","54569167300","54569-1673-00","Epinephrine Hcl","0.1 MG",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569175400","54569-1754-00","Promethazine Hcl","25 MG",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569175401","54569-1754-01","Promethazine Hcl","25 MG",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569175405","54569-1754-05","Promethazine Hcl","25 MG",60,1,60,60
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569175406","54569-1754-06","Promethazine Hcl","25 MG",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569175409","54569-1754-09","Promethazine Hcl","25 MG",30,1,30,30
"J3250","Trimethobenzamide hcl inj","A-S Medication Solutions","54569179601","54569-1796-01","Tigan","200 MG",20,1,10,10
"J0696","Ceftriaxone sodium injection","A-S Medication Solutions","54569180201","54569-1802-01","Rocephin","250 MG",1,10,4,40
"J8610","Methotrexate oral 2.5 MG","A-S Medication Solutions","54569181809","54569-1818-09","Methotrexate","2.5 MG",36,1,36,36
"J3301","Triamcinolone acet inj NOS","A-S Medication Solutions","54569182701","54569-1827-01","KENALOG-40","10 MG",5,1,5,5
"J1030","Methylprednisolone 40 MG inj","A-S Medication Solutions","54569190101","54569-1901-01","Depo-Medrol","40 MG",5,1,5,5
"J1080","Testosterone cypionat 200 MG","A-S Medication Solutions","54569213100","54569-2131-00","Testosterone Cypionate Usp/Nf","200 MG",10,1,10,10
"J1030","Methylprednisolone 40 MG inj","A-S Medication Solutions","54569221300","54569-2213-00","Depo-Medrol","40 MG",1,1,1,1
"J1040","Methylprednisolone 80 MG inj","A-S Medication Solutions","54569223200","54569-2232-00","Depo-Medrol","80 MG",5,1,5,5
"J0461","Atropine sulfate injection","A-S Medication Solutions","54569223600","54569-2236-00","Atropine Sulfate","0.01 MG",10,1,100,100
"J1815","Insulin injection","A-S Medication Solutions","54569231800","54569-2318-00","Humulin N","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","A-S Medication Solutions","54569231800","54569-2318-00","Humulin N","50 UNITS",10,1,20,20
"J1815","Insulin injection","A-S Medication Solutions","54569231900","54569-2319-00","Humulin R","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","A-S Medication Solutions","54569231900","54569-2319-00","Humulin R","50 UNITS",10,1,20,20
"J2210","Methylergonovin maleate inj","A-S Medication Solutions","54569236200","54569-2362-00","Methergine","0.2 MG",1,20,1,20
"J1815","Insulin injection","A-S Medication Solutions","54569291800","54569-2918-00","Novolin 70/30","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","A-S Medication Solutions","54569291800","54569-2918-00","Novolin 70/30","50 UNITS",10,1,20,20
"J1100","Dexamethasone sodium phos","A-S Medication Solutions","54569304000","54569-3040-00","Dexamethasone Sodium Phosphate","1 MG",30,1,120,120
"J7506","Prednisone oral","A-S Medication Solutions","54569304300","54569-3043-00","Prednisone","5 MG",20,1,80,80
"J7506","Prednisone oral","A-S Medication Solutions","54569304301","54569-3043-01","Prednisone","5 MG",12,1,48,48
"J7506","Prednisone oral","A-S Medication Solutions","54569304302","54569-3043-02","Prednisone","5 MG",6,1,24,24
"J7506","Prednisone oral","A-S Medication Solutions","54569304305","54569-3043-05","Prednisone","5 MG",14,1,56,56
"J7506","Prednisone oral","A-S Medication Solutions","54569304306","54569-3043-06","Prednisone","5 MG",25,1,100,100
"J0171","Adrenalin epinephrine inject","A-S Medication Solutions","54569307500","54569-3075-00","Epinephrine Hcl","0.1 MG",1,25,10,250
"J0171","Adrenalin epinephrine inject","A-S Medication Solutions","54569307501","54569-3075-01","Epinephrine Hcl","0.1 MG",1,1,10,10
"J7506","Prednisone oral","A-S Medication Solutions","54569330200","54569-3302-00","Prednisone","5 MG",60,1,120,120
"J7506","Prednisone oral","A-S Medication Solutions","54569330201","54569-3302-01","Prednisone","5 MG",20,1,40,40
"J1040","Methylprednisolone 80 MG inj","A-S Medication Solutions","54569337400","54569-3374-00","Depo-Medrol","80 MG",1,1,1,1
"J7506","Prednisone oral","A-S Medication Solutions","54569341300","54569-3413-00","Prednisone (Pak)","5 MG",21,1,21,21
"J1815","Insulin injection","A-S Medication Solutions","54569346700","54569-3467-00","Humulin 70/30","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","A-S Medication Solutions","54569346700","54569-3467-00","Humulin 70/30","50 UNITS",10,1,20,20
"J0696","Ceftriaxone sodium injection","A-S Medication Solutions","54569347700","54569-3477-00","Rocephin","250 MG",1,1,4,4
"J0461","Atropine sulfate injection","A-S Medication Solutions","54569358900","54569-3589-00","Atropine Sulfate","0.01 MG",1,25,40,1000
"J1815","Insulin injection","A-S Medication Solutions","54569383300","54569-3833-00","Novolin R","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","A-S Medication Solutions","54569383300","54569-3833-00","Novolin R","50 UNITS",10,1,20,20
"J1815","Insulin injection","A-S Medication Solutions","54569383500","54569-3835-00","Novolin N","5 UNITS",10,1,200,20
"J1817","Insulin for insulin pump use","A-S Medication Solutions","54569383500","54569-3835-00","Novolin N","50 UNITS",10,1,20,20
"J2550","Promethazine hcl injection","A-S Medication Solutions","54569388200","54569-3882-00","Phenergan","50 MG",1,25,0.5,12.5
"J7613","Albuterol non-comp unit","A-S Medication Solutions","54569389900","54569-3899-00","Albuterol Sulfate","1 MG",3,25,2.5,62.5
"J7611","Albuterol non-comp con","A-S Medication Solutions","54569390000","54569-3900-00","Albuterol Sulfate","1 MG",20,1,100,100
"J2920","Methylprednisolone injection","A-S Medication Solutions","54569393400","54569-3934-00","Solu-Medrol","40 MG",1,25,1,25
"J1030","Methylprednisolone 40 MG inj","A-S Medication Solutions","54569394600","54569-3946-00","Depo-Medrol","40 MG",1,25,1,25
"J7506","Prednisone oral","A-S Medication Solutions","54569402604","54569-4026-04","Prednisone","5 MG",40,1,40,40
"90691","Typhoid vaccine, im","A-S Medication Solutions","54569411000","54569-4110-00","Typhim Vi","0.5 ML",0.5,1,1,1
"J2300","Inj nalbuphine hydrochloride","A-S Medication Solutions","54569411200","54569-4112-00","Nalbuphine Hcl","10 MG",1,10,2,20
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569416800","54569-4168-00","Promethazine Hcl","25 MG",5,1,5,5
"J1030","Methylprednisolone 40 MG inj","A-S Medication Solutions","54569426500","54569-4265-00","Depo-Medrol","40 MG",10,1,10,10
"J1100","Dexamethasone sodium phos","A-S Medication Solutions","54569464800","54569-4648-00","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500
"J1956","Levofloxacin injection","A-S Medication Solutions","54569467700","54569-4677-00","Levaquin","250 MG",20,1,2,2
"J1100","Dexamethasone sodium phos","A-S Medication Solutions","54569472800","54569-4728-00","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100
"J1610","Glucagon hydrochloride/1 MG","A-S Medication Solutions","54569473400","54569-4734-00","Glucagon Emergency","1 MG",1,1,1,1
"J7614","Levalbuterol non-comp unit","A-S Medication Solutions","54569474800","54569-4748-00","Xopenex","0.5 MG",3,24,1.25,30
"J3415","Pyridoxine hcl 100 mg","A-S Medication Solutions","54569475200","54569-4752-00","Pyridoxine Hcl","100 MG",1,25,1,25
"J7510","Prednisolone oral per 5 mg","A-S Medication Solutions","54569482700","54569-4827-00","Prednisolone","5 MG",120,2,72,144
"J7510","Prednisolone oral per 5 mg","A-S Medication Solutions","54569482701","54569-4827-01","Prednisolone","5 MG",60,4,36,144
"J7644","Ipratropium bromide non-comp","A-S Medication Solutions","54569491000","54569-4910-00","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5
"J1885","Ketorolac tromethamine inj","A-S Medication Solutions","54569495400","54569-4954-00","Ketorolac Tromethamine","15 MG",1,10,2,20
"J1885","Ketorolac tromethamine inj","A-S Medication Solutions","54569495500","54569-4955-00","Ketorolac Tromethamine","15 MG",2,10,4,40
"J2250","Inj midazolam hydrochloride","A-S Medication Solutions","54569511600","54569-5116-00","Midazolam Hcl","1 MG",10,10,50,500
"J2250","Inj midazolam hydrochloride","A-S Medication Solutions","54569511601","54569-5116-01","Midazolam Hcl","1 MG",10,1,50,50
"J1885","Ketorolac tromethamine inj","A-S Medication Solutions","54569518800","54569-5188-00","Ketorolac Tromethamine","15 MG",1,10,2,20
"J1885","Ketorolac tromethamine inj","A-S Medication Solutions","54569518900","54569-5189-00","Ketorolac Tromethamine","15 MG",2,10,4,40
"J2310","Inj naloxone hydrochloride","A-S Medication Solutions","54569524700","54569-5247-00","Naloxone Hcl","1 MG",1,10,0.4,4
"J2250","Inj midazolam hydrochloride","A-S Medication Solutions","54569525500","54569-5255-00","Midazolam Hcl","1 MG",10,10,10,100
"J2250","Inj midazolam hydrochloride","A-S Medication Solutions","54569525501","54569-5255-01","Midazolam Hcl","1 MG",10,1,10,10
"J7614","Levalbuterol non-comp unit","A-S Medication Solutions","54569544500","54569-5445-00","Xopenex","0.5 MG",3,24,2.5,60
"J3301","Triamcinolone acet inj NOS","A-S Medication Solutions","54569546500","54569-5465-00","KENALOG-40","10 MG",10,1,40,40
"90632","Hep a vaccine, adult im","A-S Medication Solutions","54569547500","54569-5475-00","Havrix","1 ML",1,5,1,5
"J3420","Vitamin b12 injection","A-S Medication Solutions","54569553300","54569-5533-00","Cyanocobalamin","1000 MCG",30,5,30,150
"J7321","Hyalgan/supartz inj per dose","A-S Medication Solutions","54569554300","54569-5543-00","Hyalgan","PER DOSE",2,1,1,1
"90691","Typhoid vaccine, im","A-S Medication Solutions","54569556700","54569-5567-00","Typhim Vi","0.5 ML",10,1,20,20
"90675","Rabies vaccine, im","A-S Medication Solutions","54569557500","54569-5575-00","Rabavert","1 ML",1,1,1,1
"J1815","Insulin injection","A-S Medication Solutions","54569560500","54569-5605-00","LANTUS","5 UNITS",10,1,200,200
"J1200","Diphenhydramine hcl injectio","A-S Medication Solutions","54569560800","54569-5608-00","Diphenhydramine Hcl","50 MG",1,1,1,1
"J2550","Promethazine hcl injection","A-S Medication Solutions","54569560900","54569-5609-00","Promethazine Hcl","50 MG",1,1,1,1
"J0150","Injection adenosine 6 MG","A-S Medication Solutions","54569561000","54569-5610-00","Adenosine","6 MG",2,1,1,1
"90632","Hep a vaccine, adult im","A-S Medication Solutions","54569563200","54569-5632-00","Vaqta","1 ML",1,1,1,1
"J1245","Dipyridamole injection","A-S Medication Solutions","54569564600","54569-5646-00","Dipyridamole","10 MG",50,1,25,25
"J0690","Cefazolin sodium injection","A-S Medication Solutions","54569566000","54569-5660-00","Cefazolin Sodium","500 MG",1,25,2,50
"J0696","Ceftriaxone sodium injection","A-S Medication Solutions","54569572000","54569-5720-00","CEFTRIAXONE","250 MG",1,1,1,1
"J0696","Ceftriaxone sodium injection","A-S Medication Solutions","54569572100","54569-5721-00","CEFTRIAXONE","250 MG",1,1,2,2
"J0696","Ceftriaxone sodium injection","A-S Medication Solutions","54569572200","54569-5722-00","CEFTRIAXONE","250 MG",1,1,4,4
"J0696","Ceftriaxone sodium injection","A-S Medication Solutions","54569572300","54569-5723-00","CEFTRIAXONE","250 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","A-S Medication Solutions","54569572400","54569-5724-00","CEFTRIAXONE","250 MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","A-S Medication Solutions","54569572500","54569-5725-00","CEFTRIAXONE","250 MG",1,10,4,40
"J8540","Oral dexamethasone","A-S Medication Solutions","54569572900","54569-5729-00","DEXAMETHASONE","0.25 MG",28,1,448,448
"J8501","Oral aprepitant","A-S Medication Solutions","54569574100","54569-5741-00","Emend Tri-Fold","5 MG",1,3,57,57
"J2550","Promethazine hcl injection","A-S Medication Solutions","54569574700","54569-5747-00","Promethazine Hcl","50 MG",1,25,1,25
"J7510","Prednisolone oral per 5 mg","A-S Medication Solutions","54569574900","54569-5749-00","Prednisolone","5 MG",240,2,144,288
"J2790","Rho d immune globulin inj","A-S Medication Solutions","54569576400","54569-5764-00","HYPERRHO S/D","300 MCG",1,1,1,1
"J2300","Inj nalbuphine hydrochloride","A-S Medication Solutions","54569579500","54569-5795-00","Nalbuphine Hcl","10 MG",1,10,1,10
"J1200","Diphenhydramine hcl injectio","A-S Medication Solutions","54569581500","54569-5815-00","Diphenhydramine Hcl","50 MG",1,25,1,25
"J1460","Gamma globulin 1 CC inj","A-S Medication Solutions","54569582800","54569-5828-00","GAMASTAN S/D","1 CC",2,1,2,2
"J7506","Prednisone oral","A-S Medication Solutions","54569584000","54569-5840-00","Prednisone","5 MG",21,1,42,42
"J7506","Prednisone oral","A-S Medication Solutions","54569584100","54569-5841-00","Prednisone","5 MG",48,1,96,96
"Q0162","Ondansetron oral","A-S Medication Solutions","54569587300","54569-5873-00","ONDANSETRON HCL","1 MG",1,4,8,32
"Q0162","Ondansetron oral","A-S Medication Solutions","54569587301","54569-5873-01","ONDANSETRON HCL","1 MG",1,4,8,32
"J2405","Ondansetron hcl injection","A-S Medication Solutions","54569587400","54569-5874-00","ONDANSETRON HCL","1 MG",2,5,4,20
"J0561","Penicillin g benzathine inj","A-S Medication Solutions","54569587600","54569-5876-00","Bicillin L-A","100,000 units",1,10,6,60
"J0561","Penicillin g benzathine inj","A-S Medication Solutions","54569587700","54569-5877-00","Bicillin L-A","100,000 units",2,10,12,120
"J0561","Penicillin g benzathine inj","A-S Medication Solutions","54569587701","54569-5877-01","Bicillin L-A","100,000 units",2,1,12,120
"J1940","Furosemide injection","A-S Medication Solutions","54569590800","54569-5908-00","Furosemide","20 MG",50,1,25,25
"J7506","Prednisone oral","A-S Medication Solutions","54569591100","54569-5911-00","Prednisone","5 MG",48,1,48,48
"J0558","PenG benzathine/procaine inj","A-S Medication Solutions","54569595700","54569-5957-00","BICILLIN C-R","100,000 units",2,10,12,120
"J0558","PenG benzathine/procaine inj","A-S Medication Solutions","54569595800","54569-5958-00","Bicillin C-R 900/300 (1.2million units/syr)","100,000 units",2,10,12,120
"J3360","Diazepam injection","A-S Medication Solutions","54569604400","54569-6044-00","Diazepam","5 MG",100,1,100,100
"J2590","Oxytocin injection","A-S Medication Solutions","54569605900","54569-6059-00","Pitocin","10 UNITS",25,1,25,25
"J0461","Atropine sulfate injection","A-S Medication Solutions","54569607900","54569-6079-00","Atropine Sulfate","0.01 MG",1,1,100,100
"90718","Td vaccine >/= 7 yo, im","A-S Medication Solutions","54569608200","54569-6082-00","Tetanus-Diphtheria Toxoids Td","0.5 ML",5,1,10,10
"J3430","Vitamin k phytonadione inj","PHYSICIANS TOTAL CARE","54868443400","54868-4434-00","Vitamin K","1 MG",0.5,25,1,25
"Q0162","Ondansetron oral","Dr. Reddy's Laboratories, Inc.","55111015313","55111-0153-13","Ondansetron HCl","1 MG",1,3,4,12
"Q0162","Ondansetron oral","Dr. Reddy's Laboratories, Inc.","55111015330","55111-0153-30","Ondansetron HCl","1 MG",1,30,4,120
"Q0162","Ondansetron oral","Dr. Reddy's Laboratories, Inc.","55111015413","55111-0154-13","Ondansetron HCl","1 MG",1,3,8,24
"Q0162","Ondansetron oral","Dr. Reddy's Laboratories, Inc.","55111015430","55111-0154-30","Ondansetron HCl","1 MG",1,30,8,240
"J7507","Tacrolimus oral per 1 MG","Dr. Reddy's Laboratories, Inc.","55111052501","55111-0525-01","TACROLIMUS","1MG",100,1,50,50
"J7507","Tacrolimus oral per 1 MG","Dr. Reddy's Laboratories, Inc.","55111052601","55111-0526-01","TACROLIMUS","1 MG",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","Dr. Reddy's Laboratories, Inc.","55111052701","55111-0527-01","TACROLIMUS","1 MG",100,1,500,500
"J1652","Fondaparinux sodium","Dr. Reddy's Laboratories, Inc.","55111067802","55111-0678-02","FONDAPARINUX SODIUM","0.5 MG",0.5,2,5,10
"J1652","Fondaparinux sodium","Dr. Reddy's Laboratories, Inc.","55111067902","55111-0679-02","FONDAPARINUX SODIUM","0.5 MG",0.4,2,10,20
"J1652","Fondaparinux sodium","Dr. Reddy's Laboratories, Inc.","55111068002","55111-0680-02","FONDAPARINUX SODIUM","0.5 MG",0.6,2,15,30
"J1652","Fondaparinux sodium","Dr. Reddy's Laboratories, Inc.","55111068102","55111-0681-02","FONDAPARINUX SODIUM","0.5 MG",0.8,2,20,40
"J1800","Propranolol injection","Bedford Laboratories","55390000310","55390-0003-10","Propranolol Hcl","1 MG",1,10,1,10
"J1610","Glucagon hydrochloride/1 MG","Bedford Laboratories","55390000401","55390-0004-01","Glucagen","1 MG",1,1,1,1
"J1610","Glucagon hydrochloride/1 MG","Bedford Laboratories","55390000410","55390-0004-10","Glucagen","1 MG",1,10,1,10
"J9040","Bleomycin sulfate injection","Bedford Laboratories","55390000501","55390-0005-01","Bleomycin Sulfate","15 UNITS",1,1,1,1
"J9040","Bleomycin sulfate injection","Bedford Laboratories","55390000601","55390-0006-01","Bleomycin Sulfate","15 UNITS",1,1,2,2
"J0640","Leucovorin calcium injection","Bedford Laboratories","55390000901","55390-0009-01","Leucovorin Calcium","50 MG",50,1,10,10
"J1450","Fluconazole","Bedford Laboratories","55390001201","55390-0012-01","Fluconazole In Sodium Chloride","200 MG",100,1,1,1
"J1110","Inj dihydroergotamine mesylt","Bedford Laboratories","55390001310","55390-0013-10","Dihydroergotamine Mesylate","1 MG",1,10,1,10
"J1190","Dexrazoxane HCl injection","Bedford Laboratories","55390001402","55390-0014-02","DEXRAZOXANE","250 MG",1,1,1,1
"J2260","Inj milrinone lactate / 5 MG","Bedford Laboratories","55390001910","55390-0019-10","Milrinone Lactate","5 MG",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","Bedford Laboratories","55390002010","55390-0020-10","Milrinone Lactate","5 MG",20,10,4,40
"J2260","Inj milrinone lactate / 5 MG","Bedford Laboratories","55390002101","55390-0021-01","Milrinone Lactate","5 MG",50,1,10,10
"J9340","Thiotepa injection","Bedford Laboratories","55390003010","55390-0030-10","Thiotepa","15 MG",1,1,1,1
"J9250","Methotrexate sodium inj","Bedford Laboratories","55390003110","55390-0031-10","Methotrexate Sodium","5 MG",2,10,10,100
"J9260","Methotrexate sodium inj","Bedford Laboratories","55390003110","55390-0031-10","Methotrexate Sodium","50 MG",2,10,1,10
"J9250","Methotrexate sodium inj","Bedford Laboratories","55390003210","55390-0032-10","Methotrexate Sodium","5 MG",4,10,20,200
"J9260","Methotrexate sodium inj","Bedford Laboratories","55390003210","55390-0032-10","Methotrexate Sodium","50 MG",4,10,2,20
"J9250","Methotrexate sodium inj","Bedford Laboratories","55390003310","55390-0033-10","Methotrexate Sodium","5 MG",8,10,40,400
"J9260","Methotrexate sodium inj","Bedford Laboratories","55390003310","55390-0033-10","Methotrexate Sodium","50 MG",8,10,4,40
"J9250","Methotrexate sodium inj","Bedford Laboratories","55390003410","55390-0034-10","Methotrexate Sodium","5 MG",10,10,50,500
"J9260","Methotrexate sodium inj","Bedford Laboratories","55390003410","55390-0034-10","Methotrexate Sodium","50 MG",10,10,5,50
"J9209","Mesna injection","Bedford Laboratories","55390004501","55390-0045-01","Mesna","200 MG",10,1,5,5
"J1450","Fluconazole","Bedford Laboratories","55390004601","55390-0046-01","Fluconazole In Sodium Chloride","200 MG",200,1,2,2
"J0640","Leucovorin calcium injection","Bedford Laboratories","55390005110","55390-0051-10","Leucovorin Calcium","50 MG",1,10,1,10
"J0640","Leucovorin calcium injection","Bedford Laboratories","55390005210","55390-0052-10","Leucovorin Calcium","50 MG",1,10,2,20
"J0640","Leucovorin calcium injection","Bedford Laboratories","55390005301","55390-0053-01","Leucovorin Calcium","50 MG",1,1,4,4
"J0640","Leucovorin calcium injection","Bedford Laboratories","55390005401","55390-0054-01","Leucovorin Calcium","50 MG",1,1,7,7
"J2360","Orphenadrine injection","Bedford Laboratories","55390005910","55390-0059-10","Orphenadrine Citrate","60 MG",2,10,1,10
"J1190","Dexrazoxane HCl injection","Bedford Laboratories","55390006002","55390-0060-02","DEXRAZOXANE","250 MG",1,1,2,2
"J0500","Dicyclomine injection","Bedford Laboratories","55390006610","55390-0066-10","Dicyclomine Hcl","20 MG",2,10,1,10
"J0150","Injection adenosine 6 MG","Bedford Laboratories","55390006710","55390-0067-10","Adenosine","6 MG",2,10,1,10
"J0150","Injection adenosine 6 MG","Bedford Laboratories","55390006801","55390-0068-01","Adenosine","6 MG",4,1,2,2
"J9390","Vinorelbine tartrate inj","Bedford Laboratories","55390006901","55390-0069-01","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","Bedford Laboratories","55390007001","55390-0070-01","Vinorelbine Tartrate","10 MG",5,1,5,5
"J2260","Inj milrinone lactate / 5 MG","Ben Venue Laboratories, Inc.","55390007410","55390-0074-10","Milrinone Lactate","5 MG",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","Ben Venue Laboratories, Inc.","55390007510","55390-0075-10","Milrinone Lactate","5 MG",20,10,4,40
"J2260","Inj milrinone lactate / 5 MG","Ben Venue Laboratories, Inc.","55390007601","55390-0076-01","Milrinone Lactate","5 MG",50,1,10,10
"J0780","Prochlorperazine injection","Bedford Laboratories","55390007701","55390-0077-01","Prochlorperazine Edisylate","10 MG",10,1,5,5
"J0780","Prochlorperazine injection","Bedford Laboratories","55390007710","55390-0077-10","Prochlorperazine Edisylate","10 MG",2,10,1,10
"J2260","Inj milrinone lactate / 5 MG","Bedford Laboratories","55390007801","55390-0078-01","Milrinone Lactate","5 MG",100,10,4,40
"J2260","Inj milrinone lactate / 5 MG","Bedford Laboratories","55390007901","55390-0079-01","Milrinone Lactate","5 MG",200,10,8,80
"J9293","Mitoxantrone hydrochl / 5 MG","Bedford Laboratories","55390008301","55390-0083-01","MITOXANTRONE HYDROCHLORIDE","5 MG",10,1,4,4
"J9293","Mitoxantrone hydrochl / 5 MG","Bedford Laboratories","55390008401","55390-0084-01","MITOXANTRONE HYDROCHLORIDE","5 MG",12.5,1,5,5
"J9293","Mitoxantrone hydrochl / 5 MG","Bedford Laboratories","55390008501","55390-0085-01","MITOXANTRONE HYDROCHLORIDE","5 MG",15,1,6,6
"J9130","Dacarbazine 100 mg inj","Bedford Laboratories","55390009010","55390-0090-10","Dacarbazine","100 MG",1,10,2,20
"J9360","Vinblastine sulfate inj","Bedford Laboratories","55390009110","55390-0091-10","Vinblastine Sulfate","1 MG",1,10,10,100
"J9060","Cisplatin 10 MG injection","Bedford Laboratories","55390009901","55390-0099-01","Cisplatin","10 MG",200,1,20,20
"J0592","Buprenorphine hydrochloride","Bedford Laboratories","55390010010","55390-0100-10","Buprenorphine Hcl","0.1 MG",1,10,3,30
"J3105","Terbutaline sulfate inj","Bedford Laboratories","55390010110","55390-0101-10","Terbutaline Sulfate","1 MG",1,10,1,10
"J9150","Daunorubicin injection","Bedford Laboratories","55390010801","55390-0108-01","Daunorubicin Hcl","10 MG",10,1,5,5
"J9150","Daunorubicin injection","Bedford Laboratories","55390010810","55390-0108-10","Daunorubicin Hcl","10 MG",4,10,2,20
"J9060","Cisplatin 10 MG injection","Bedford Laboratories","55390011250","55390-0112-50","Cisplatin","10 MG",50,1,5,5
"J9060","Cisplatin 10 MG injection","Bedford Laboratories","55390011299","55390-0112-99","Cisplatin","10 MG",100,1,10,10
"J2760","Phentolaine mesylate inj","Bedford Laboratories","55390011301","55390-0113-01","Phentolamine Mesylate","5 MG",1,1,1,1
"J9265","Paclitaxel injection","Bedford Laboratories","55390011405","55390-0114-05","Paclitaxel","30 MG",5,1,1,1
"J9265","Paclitaxel injection","Bedford Laboratories","55390011420","55390-0114-20","Paclitaxel","30 MG",16.7,1,3.34,3.34
"J9265","Paclitaxel injection","Bedford Laboratories","55390011450","55390-0114-50","Paclitaxel","30 MG",50,1,10,10
"J9065","Inj cladribine per 1 MG","Ben Venue Laboratories, Inc.","55390011501","55390-0115-01","Cladribine","1 MG",10,1,10,10
"J2405","Ondansetron hcl injection","Bedford Laboratories","55390012101","55390-0121-01","ONDANSETRON HCL","1 MG",20,1,40,40
"J2405","Ondansetron hcl injection","Bedford Laboratories","55390012110","55390-0121-10","ONDANSETRON HCL","1 MG",2,10,40,40
"J7516","Cyclosporin parenteral 250mg","Bedford Laboratories","55390012210","55390-0122-10","Cyclosporine","250 MG",5,10,1,10
"J9065","Inj cladribine per 1 MG","Bedford Laboratories","55390012401","55390-0124-01","Cladribine","1 MG",10,1,10,10
"J2250","Inj midazolam hydrochloride","Bedford Laboratories","55390012510","55390-0125-10","Midazolam Hcl","1 MG",10,10,10,100
"J2250","Inj midazolam hydrochloride","Bedford Laboratories","55390012605","55390-0126-05","Midazolam Hcl","1 MG",5,10,25,250
"J2250","Inj midazolam hydrochloride","Bedford Laboratories","55390012610","55390-0126-10","Midazolam Hcl","1 MG",10,10,50,500
"J2430","Pamidronate disodium /30 MG","Bedford Laboratories","55390012701","55390-0127-01","Pamidronate Disodium","30 MG",1,1,1,1
"J2430","Pamidronate disodium /30 MG","Bedford Laboratories","55390012901","55390-0129-01","Pamidronate Disodium","30 MG",1,1,3,3
"J9100","Cytarabine hcl 100 MG inj","Bedford Laboratories","55390013110","55390-0131-10","Cytarabine","100 MG",1,10,1,10
"J9100","Cytarabine hcl 100 MG inj","Bedford Laboratories","55390013210","55390-0132-10","Cytarabine","100 MG",1,10,5,50
"J9100","Cytarabine hcl 100 MG inj","Bedford Laboratories","55390013301","55390-0133-01","Cytarabine","100 MG",1,1,10,10
"J9100","Cytarabine hcl 100 MG inj","Bedford Laboratories","55390013401","55390-0134-01","Cytarabine","100 MG",1,1,20,20
"J9200","Floxuridine injection","Bedford Laboratories","55390013501","55390-0135-01","Floxuridine","500 MG",1,1,1,1
"J1955","Inj levocarnitine per 1 gm","Bedford Laboratories","55390013605","55390-0136-05","Levocarnitine","1 GM",5,10,1,10
"J2250","Inj midazolam hydrochloride","Bedford Laboratories","55390013702","55390-0137-02","Midazolam Hcl","1 MG",2,10,2,20
"J2250","Inj midazolam hydrochloride","Bedford Laboratories","55390013705","55390-0137-05","Midazolam Hcl","1 MG",5,10,5,50
"J2250","Inj midazolam hydrochloride","Bedford Laboratories","55390013801","55390-0138-01","Midazolam Hcl","1 MG",1,10,5,50
"J2250","Inj midazolam hydrochloride","Bedford Laboratories","55390013802","55390-0138-02","Midazolam Hcl","1 MG",2,10,10,100
"J9150","Daunorubicin injection","Ben Venue Laboratories, Inc.","55390014210","55390-0142-10","Daunorubicin Hcl","10 MG",4,10,2,20
"J9250","Methotrexate sodium inj","Bedford Laboratories","55390014301","55390-0143-01","METHOTREXATE","5 MG",1,1,200,200
"J9260","Methotrexate sodium inj","Bedford Laboratories","55390014301","55390-0143-01","METHOTREXATE","50 MG",1,1,20,20
"J1630","Haloperidol injection","Bedford Laboratories","55390014701","55390-0147-01","Haloperidol Lactate","5 MG",10,1,10,10
"J1630","Haloperidol injection","Bedford Laboratories","55390014710","55390-0147-10","Haloperidol Lactate","5 MG",1,10,1,10
"J9045","Carboplatin injection","Bedford Laboratories","55390015001","55390-0150-01","Carboplatin","50 MG",1,1,1,1
"J9045","Carboplatin injection","Bedford Laboratories","55390015101","55390-0151-01","Carboplatin","50 MG",1,1,3,3
"J9045","Carboplatin injection","Bedford Laboratories","55390015201","55390-0152-01","Carboplatin","50 MG",1,1,9,9
"J9045","Carboplatin injection","Bedford Laboratories","55390015301","55390-0153-01","Carboplatin","50 MG",5,1,1,1
"J9045","Carboplatin injection","Bedford Laboratories","55390015401","55390-0154-01","Carboplatin","50 MG",15,1,3,3
"J9045","Carboplatin injection","Bedford Laboratories","55390015501","55390-0155-01","Carboplatin","50 MG",45,1,9,9
"J9045","Carboplatin injection","Bedford Laboratories","55390015601","55390-0156-01","Carboplatin","50 MG",60,1,12,12
"J2430","Pamidronate disodium /30 MG","Ben Venue Laboratories, Inc.","55390015701","55390-0157-01","Pamidronate Disodium","30 MG",1,1,1,1
"J2430","Pamidronate disodium /30 MG","Ben Venue Laboratories, Inc.","55390015901","55390-0159-01","Pamidronate Disodium","30 MG",1,1,3,3
"J2354","Octreotide inj, non-depot","Bedford Laboratories","55390016010","55390-0160-10","OCTREOTIDE ACETATE","25 MCG",1,10,2,20
"J2354","Octreotide inj, non-depot","Bedford Laboratories","55390016110","55390-0161-10","OCTREOTIDE ACETATE","25 MCG",1,10,4,40
"J2354","Octreotide inj, non-depot","Bedford Laboratories","55390016210","55390-0162-10","OCTREOTIDE ACETATE","25 MCG",1,10,20,200
"J2354","Octreotide inj, non-depot","Bedford Laboratories","55390016301","55390-0163-01","OCTREOTIDE ACETATE","25 MCG",5,1,40,40
"J2354","Octreotide inj, non-depot","Bedford Laboratories","55390016401","55390-0164-01","OCTREOTIDE ACETATE","25 MCG",5,1,200,200
"J2060","Lorazepam injection","Bedford Laboratories","55390016810","55390-0168-10","Lorazepam","2 MG",1,10,1,10
"J2060","Lorazepam injection","Bedford Laboratories","55390016910","55390-0169-10","Lorazepam","2 MG",1,10,2,20
"J2060","Lorazepam injection","Bedford Laboratories","55390017010","55390-0170-10","Lorazepam","2 MG",10,10,10,100
"J2060","Lorazepam injection","Bedford Laboratories","55390017110","55390-0171-10","Lorazepam","2 MG",10,10,20,200
"Q2009","Fosphenytoin inj PE","Bedford Laboratories","55390017510","55390-0175-10","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,10,2,20
"Q2009","Fosphenytoin inj PE","Bedford Laboratories","55390017610","55390-0176-10","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100
"J0595","Butorphanol tartrate 1 mg","Bedford Laboratories","55390018301","55390-0183-01","Butorphanol Tartrate","1 MG",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","Bedford Laboratories","55390018401","55390-0184-01","Butorphanol Tartrate","1 MG",1,10,2,20
"J0595","Butorphanol tartrate 1 mg","Bedford Laboratories","55390018402","55390-0184-02","Butorphanol Tartrate","1 MG",2,10,4,40
"J0595","Butorphanol tartrate 1 mg","Bedford Laboratories","55390018510","55390-0185-10","Butorphanol Tartrate","1 MG",10,1,20,20
"J9060","Cisplatin 10 MG injection","Ben Venue Laboratories, Inc.","55390018701","55390-0187-01","Cisplatin Injection","10 MG",200,1,20,20
"J3105","Terbutaline sulfate inj","Ben Venue Laboratories, Inc.","55390019310","55390-0193-10","Terbutaline Sulfate Injection Usp","1 MG",1,10,1,10
"J1450","Fluconazole","Bedford Laboratories","55390019401","55390-0194-01","Fluconazole","200 MG",50,1,0.5,0.5
"J0744","Ciprofloxacin iv","Bedford Laboratories","55390019701","55390-0197-01","CIPROFLOXACIN","200 MG",20,1,1,1
"J0744","Ciprofloxacin iv","Bedford Laboratories","55390019801","55390-0198-01","CIPROFLOXACIN","200 MG",40,1,2,2
"J0744","Ciprofloxacin iv","Bedford Laboratories","55390019901","55390-0199-01","CIPROFLOXACIN","200 MG",120,1,6,6
"J2430","Pamidronate disodium /30 MG","Bedford Laboratories","55390020401","55390-0204-01","Pamidronate Disodium","30 MG",10,1,1,1
"J9178","Inj, epirubicin hcl, 2 mg","Bedford Laboratories","55390020701","55390-0207-01","Epirubicin","2 MG",25,1,25,25
"J9178","Inj, epirubicin hcl, 2 mg","Bedford Laboratories","55390020801","55390-0208-01","Epirubicin","2 MG",100,1,100,100
"J2920","Methylprednisolone injection","Bedford Laboratories","55390020910","55390-0209-10","Methylprednisolone Sodium Succ","40 MG",1,10,1,10
"J2930","Methylprednisolone injection","Bedford Laboratories","55390021010","55390-0210-10","Methylprednisolone Sodium Succ","125 MG",1,1,1,1
"J9211","Idarubicin hcl injection","Bedford Laboratories","55390021501","55390-0215-01","Idarubicin","5 MG",5,1,1,1
"J9211","Idarubicin hcl injection","Bedford Laboratories","55390021601","55390-0216-01","Idarubicin","5 MG",10,1,2,2
"J9211","Idarubicin hcl injection","Bedford Laboratories","55390021701","55390-0217-01","Idarubicin","5 MG",20,1,4,4
"J0278","Amikacin sulfate injection","Bedford Laboratories","55390022502","55390-0225-02","Amikacin Sulfate","100 MG",2,10,1,10
"J0278","Amikacin sulfate injection","Bedford Laboratories","55390022602","55390-0226-02","Amikacin Sulfate","100 MG",2,10,5,50
"J0278","Amikacin sulfate injection","Bedford Laboratories","55390022604","55390-0226-04","Amikacin Sulfate","100 MG",4,10,10,100
"J1450","Fluconazole","Bedford Laboratories","55390022701","55390-0227-01","Fluconazole In Sodium Chloride","200 MG",100,10,1,10
"J1450","Fluconazole","Bedford Laboratories","55390022801","55390-0228-01","Fluconazole Injection in PVC Flexible Containers","200 MG",1,10,2,20
"J9000","Doxorubicin hcl injection","Bedford Laboratories","55390023110","55390-0231-10","Adriamycin","10 MG",1,10,1,10
"J9000","Doxorubicin hcl injection","Bedford Laboratories","55390023210","55390-0232-10","Adriamycin","10 MG",1,10,2,20
"J9000","Doxorubicin hcl injection","Bedford Laboratories","55390023301","55390-0233-01","Adriamycin","10 MG",1,1,5,5
"J9000","Doxorubicin hcl injection","Bedford Laboratories","55390023510","55390-0235-10","Adriamycin","10 MG",5,10,1,10
"J9000","Doxorubicin hcl injection","Bedford Laboratories","55390023610","55390-0236-10","Adriamycin","10 MG",10,10,2,20
"J9000","Doxorubicin hcl injection","Bedford Laboratories","55390023701","55390-0237-01","Adriamycin","10 MG",25,1,5,5
"J9000","Doxorubicin hcl injection","Bedford Laboratories","55390023801","55390-0238-01","Adriamycin","10 MG",100,1,20,20
"J9000","Doxorubicin hcl injection","Ben Venue Laboratories, Inc.","55390024110","55390-0241-10","Doxorubicin Hcl","10 MG",1,10,1,10
"J9000","Doxorubicin hcl injection","Ben Venue Laboratories, Inc.","55390024301","55390-0243-01","Doxorubicin Hcl","10 MG",1,1,5,5
"J9268","Pentostatin injection","Bedford Laboratories","55390024401","55390-0244-01","PENTOSTATIN","10 MG",1,1,1,1
"J9000","Doxorubicin hcl injection","Ben Venue Laboratories, Inc.","55390024510","55390-0245-10","Doxorubicin Hcl","10 MG",5,10,1,10
"J9000","Doxorubicin hcl injection","Ben Venue Laboratories, Inc.","55390024610","55390-0246-10","Doxorubicin Hcl","10 MG",10,10,2,20
"J9000","Doxorubicin hcl injection","Ben Venue Laboratories, Inc.","55390024701","55390-0247-01","Doxorubicin Hcl","10 MG",25,1,5,5
"J9000","Doxorubicin hcl injection","Ben Venue Laboratories, Inc.","55390024801","55390-0248-01","Doxorubicin Hcl","10 MG",100,1,20,20
"J1626","Granisetron hcl injection","Bedford Laboratories","55390025010","55390-0250-10","Granisetron HCl","100 MCG",1,10,1,10
"J9280","Mitomycin 5 MG inj","Bedford Laboratories","55390025101","55390-0251-01","Mitomycin","5 MG",1,1,1,1
"J9280","Mitomycin 5 MG inj","Bedford Laboratories","55390025201","55390-0252-01","Mitomycin","5 MG",1,1,4,4
"J9280","Mitomycin 5 MG inj","Bedford Laboratories","55390025301","55390-0253-01","Mitomycin","5 MG",1,1,8,8
"J2930","Methylprednisolone injection","Bedford Laboratories","55390025801","55390-0258-01","Methylprednisolone Sodium Succ","125 MG",1,1,4,4
"J2930","Methylprednisolone injection","Bedford Laboratories","55390025901","55390-0259-01","Methylprednisolone Sodium Succ","125 MG",1,1,8,8
"J0895","Deferoxamine mesylate inj","Bedford Laboratories","55390026310","55390-0263-10","Deferoxamine Mesylate","500 MG",1,10,1,10
"J0895","Deferoxamine mesylate inj","Bedford Laboratories","55390026501","55390-0265-01","Deferoxamine Mesylate","500 MG",1,1,4,4
"J9209","Mesna injection","Ben Venue Laboratories, Inc.","55390026601","55390-0266-01","MESNA","200 MG",10,1,5,5
"J9390","Vinorelbine tartrate inj","Ben Venue Laboratories, Inc.","55390026701","55390-0267-01","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","Ben Venue Laboratories, Inc.","55390026801","55390-0268-01","VINORELBINE TARTRATE AMERINET CHOICE","10 MG",5,1,5,5
"J9150","Daunorubicin injection","Bedford Laboratories","55390028110","55390-0281-10","Cerubidine","10 MG",1,10,2,20
"J9181","Etoposide injection","Bedford Laboratories","55390029101","55390-0291-01","Etoposide","10 MG",5,1,10,10
"J9181","Etoposide injection","Bedford Laboratories","55390029201","55390-0292-01","Etoposide","10 MG",25,1,50,50
"J9181","Etoposide injection","Bedford Laboratories","55390029301","55390-0293-01","Etoposide","10 MG",50,1,100,100
"J9206","Irinotecan injection","Bedford Laboratories","55390029501","55390-0295-01","Irinotecan HCL","20 MG",2,1,2,2
"J9206","Irinotecan injection","Bedford Laboratories","55390029601","55390-0296-01","Irinotecan HCL","20 MG",5,1,5,5
"J9265","Paclitaxel injection","Ben Venue Laboratories, Inc.","55390030405","55390-0304-05","Paclitaxel","30 MG",5,1,1,1
"J9265","Paclitaxel injection","Ben Venue Laboratories, Inc.","55390030420","55390-0304-20","Paclitaxel","30 MG",16.7,1,3.34,3.34
"J9265","Paclitaxel injection","Ben Venue Laboratories, Inc.","55390030450","55390-0304-50","Paclitaxel","30 MG",50,1,10,10
"J2405","Ondansetron hcl injection","Ben Venue Laboratories, Inc.","55390030701","55390-0307-01","ONDANSETRON HCL","1 MG",20,1,40,40
"J2405","Ondansetron hcl injection","Ben Venue Laboratories, Inc.","55390030710","55390-0307-10","ONDANSETRON HCL","1 MG",2,10,4,40
"J0207","Amifostine","Bedford Laboratories","55390030803","55390-0308-03","Ethyol","500 MG",1,3,1,3
"J0696","Ceftriaxone sodium injection","Bedford Laboratories","55390030910","55390-0309-10","Ceftriaxone","250 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","Bedford Laboratories","55390031010","55390-0310-10","Ceftriaxone","250 MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","Bedford Laboratories","55390031110","55390-0311-10","Ceftriaxone","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","Bedford Laboratories","55390031210","55390-0312-10","Ceftriaxone","250 MG",1,10,8,80
"J9265","Paclitaxel injection","Ben Venue Laboratories, Inc.","55390031405","55390-0314-05","Paclitaxel","30 MG",5,1,1,1
"J9265","Paclitaxel injection","Ben Venue Laboratories, Inc.","55390031420","55390-0314-20","Paclitaxel","30 MG",16.7,1,3.34,3.34
"J9265","Paclitaxel injection","Ben Venue Laboratories, Inc.","55390031450","55390-0314-50","Paclitaxel","30 MG",50,1,10,10
"J0696","Ceftriaxone sodium injection","Bedford Laboratories","55390031601","55390-0316-01","Ceftriaxone","250 MG",1,1,40,40
"J3030","Sumatriptan succinate / 6 MG","Bedford Laboratories","55390032502","55390-0325-02","SUMATRIPTAN SUCCINATE","6 MG",0.5,2,1,2
"J9120","Dactinomycin injection","Bedford Laboratories","55390033701","55390-0337-01","Dactinomycin","0.5 MG",1,1,1,1
"J9130","Dacarbazine 100 mg inj","Ben Venue Laboratories, Inc.","55390033910","55390-0339-10","Dacarbazine","100 MG",1,10,2,20
"J0595","Butorphanol tartrate 1 mg","Ben Venue Laboratories, Inc.","55390034110","55390-0341-10","Butorphanol Tartrate","1 MG",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","Ben Venue Laboratories, Inc.","55390034210","55390-0342-10","Butorphanol Tartrate","1 MG",1,10,2,20
"J9209","Mesna injection","Ben Venue Laboratories, Inc.","55390034701","55390-0347-01","Mesna","200 MG",10,1,5,5
"J0706","Caffeine citrate injection","Bedford Laboratories","55390035703","55390-0357-03","CAFFEINE CITRATE","5 MG",3,1,12,12
"J0706","Caffeine citrate injection","Bedford Laboratories","55390035803","55390-0358-03","CAFFEINE CITRATE","5 MG",3,10,12,120
"J9351","Topotecan injection","Bedford Laboratories","55390037010","55390-0370-10","Topotecan","0.1 MG",1,1,40,40
"J2354","Octreotide inj, non-depot","Ben Venue Laboratories, Inc.","55390037510","55390-0375-10","OCTREOTIDE ACETATE","25 MCG",1,10,4,40
"J2354","Octreotide inj, non-depot","Ben Venue Laboratories, Inc.","55390037610","55390-0376-10","OCTREOTIDE ACETATE","25 MCG",1,10,20,200
"J2354","Octreotide inj, non-depot","Ben Venue Laboratories, Inc.","55390037701","55390-0377-01","OCTREOTIDE ACETATE","25 MCG",5,1,200,200
"J2400","Chloroprocaine hcl injection","Bedford Laboratories","55390040320","55390-0403-20","Chloroprocaine Hcl","30 ML",20,1,0.667,0.667
"J2400","Chloroprocaine hcl injection","Bedford Laboratories","55390040420","55390-0404-20","Chloroprocaine Hcl","30 ML",20,1,0.667,0.667
"J1631","Haloperidol decanoate inj","Bedford Laboratories","55390041201","55390-0412-01","Haloperidol Decanoate","50 MG",1,10,1,10
"J1631","Haloperidol decanoate inj","Bedford Laboratories","55390041205","55390-0412-05","Haloperidol Decanoate","50 MG",5,1,5,5
"J1631","Haloperidol decanoate inj","Bedford Laboratories","55390041301","55390-0413-01","Haloperidol Decanoate","50 MG",1,10,2,20
"J1631","Haloperidol decanoate inj","Bedford Laboratories","55390041305","55390-0413-05","Haloperidol Decanoate","50 MG",5,1,10,10
"J9060","Cisplatin 10 MG injection","Ben Venue Laboratories, Inc.","55390041450","55390-0414-50","Cisplatin","10 MG",50,1,5,5
"J9060","Cisplatin 10 MG injection","Ben Venue Laboratories, Inc.","55390041499","55390-0414-99","Cisplatin","10 MG",100,1,10,10
"J1630","Haloperidol injection","Ben Venue Laboratories, Inc.","55390044701","55390-0447-01","Haloperidol Lactate","5 MG",10,1,10,10
"J1630","Haloperidol injection","Ben Venue Laboratories, Inc.","55390044710","55390-0447-10","Haloperidol Lactate","5 MG",1,10,1,10
"J9280","Mitomycin 5 MG inj","Ben Venue Laboratories, Inc.","55390045101","55390-0451-01","Mitomycin","5 MG",1,1,1,1
"J9280","Mitomycin 5 MG inj","Ben Venue Laboratories, Inc.","55390045201","55390-0452-01","Mitomycin","5 MG",1,1,4,4
"J9280","Mitomycin 5 MG inj","Ben Venue Laboratories, Inc.","55390045301","55390-0453-01","Mitomycin","5 MG",1,1,8,8
"J1120","Acetazolamid sodium injectio","Bedford Laboratories","55390046001","55390-0460-01","Acetazolamide Sodium","500 MG",1,1,1,1
"J2680","Fluphenazine decanoate 25 MG","Bedford Laboratories","55390046505","55390-0465-05","Fluphenazine Decanoate","25 MG",5,1,5,5
"J1885","Ketorolac tromethamine inj","Bedford Laboratories","55390048001","55390-0480-01","Ketorolac Tromethamine","15 MG",1,10,1,10
"J1885","Ketorolac tromethamine inj","Bedford Laboratories","55390048101","55390-0481-01","Ketorolac Tromethamine","15 MG",1,10,2,20
"J1885","Ketorolac tromethamine inj","Bedford Laboratories","55390048102","55390-0481-02","Ketorolac Tromethamine","15 MG",2,10,4,40
"J1885","Ketorolac tromethamine inj","Bedford Laboratories","55390048110","55390-0481-10","Ketorolac Tromethamine","15 MG",10,10,20,200
"J9181","Etoposide injection","Ben Venue Laboratories, Inc.","55390049101","55390-0491-01","Etoposide","10 MG",5,1,10,10
"J9181","Etoposide injection","Ben Venue Laboratories, Inc.","55390049201","55390-0492-01","Etoposide","10 MG",25,1,50,50
"J9181","Etoposide injection","Ben Venue Laboratories, Inc.","55390049301","55390-0493-01","Etoposide","10 MG",50,1,100,100
"J0270","Alprostadil for injection","Ben Venue Laboratories, Inc.","55390050310","55390-0503-10","Alprostadil","1.25 MCG",1,1,400,400
"J0270","Alprostadil for injection","Bedford Laboratories","55390050610","55390-0506-10","Alprostadil","1.25 MCG",1,1,400,400
"J1245","Dipyridamole injection","Bedford Laboratories","55390055510","55390-0555-10","Dipyridamole","10 MG",2,10,1,10
"J1245","Dipyridamole injection","Bedford Laboratories","55390055590","55390-0555-90","Dipyridamole Injection","10 MG",10,10,5,50
"J1250","Inj dobutamine HCL/250 mg","Bedford Laboratories","55390056090","55390-0560-90","Dobutamine Hcl","250 MG",20,10,1,10
"J7501","Azathioprine parenteral","Bedford Laboratories","55390060020","55390-0600-20","Azathioprine Sodium","100 MG",1,1,1,1
"J2430","Pamidronate disodium /30 MG","Ben Venue Laboratories, Inc.","55390060401","55390-0604-01","Pamidronate Disodium","30 MG",10,1,1,1
"J0133","Acyclovir injection","Bedford Laboratories","55390061210","55390-0612-10","Acyclovir Sodium","5 MG",1,10,100,1000
"J0133","Acyclovir injection","Bedford Laboratories","55390061320","55390-0613-20","Acyclovir Sodium","5 MG",1,10,200,2000
"J2780","Ranitidine hydrochloride inj","Bedford Laboratories","55390061601","55390-0616-01","Ranitidine","25 MG",6,1,6,6
"J2780","Ranitidine hydrochloride inj","Bedford Laboratories","55390061610","55390-0616-10","Ranitidine","25 MG",2,10,2,20
"J2780","Ranitidine hydrochloride inj","Bedford Laboratories","55390061801","55390-0618-01","Ranitidine","25 MG",40,1,40,40
"J9150","Daunorubicin injection","Ben Venue Laboratories, Inc.","55390080510","55390-0805-10","Daunorubicin Hcl","10 MG",1,10,2,20
"J9100","Cytarabine hcl 100 MG inj","Ben Venue Laboratories, Inc.","55390080610","55390-0806-10","Cytarabine","100 MG",1,10,1,10
"J9100","Cytarabine hcl 100 MG inj","Ben Venue Laboratories, Inc.","55390080710","55390-0807-10","Cytarabine","100 MG",1,10,5,50
"J9100","Cytarabine hcl 100 MG inj","Ben Venue Laboratories, Inc.","55390080801","55390-0808-01","Cytarabine","100 MG",1,1,10,10
"J9100","Cytarabine hcl 100 MG inj","Ben Venue Laboratories, Inc.","55390080901","55390-0809-01","Cytarabine","100 MG",1,1,20,20
"J0640","Leucovorin calcium injection","Ben Venue Laboratories, Inc.","55390081810","55390-0818-10","Leucovorin Calcium","50 MG",1,10,2,20
"J0640","Leucovorin calcium injection","Ben Venue Laboratories, Inc.","55390082401","55390-0824-01","Leucovorin Calcium","50 MG",1,1,4,4
"J0640","Leucovorin calcium injection","Ben Venue Laboratories, Inc.","55390082501","55390-0825-01","Leucovorin Calcium","50 MG",1,1,7,7
"J0640","Leucovorin calcium injection","Ben Venue Laboratories, Inc.","55390082601","55390-0826-01","Leucovorin Calcium","50 MG",1,1,10,10
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513000204","55513-0002-04","Aranesp","1 MCG",1,4,25,100
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513000204","55513-0002-04","Aranesp","1 MCG",1,4,25,100
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513000304","55513-0003-04","Aranesp","1 MCG",1,4,40,160
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513000304","55513-0003-04","Aranesp","1 MCG",1,4,40,160
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513000404","55513-0004-04","Aranesp","1 MCG",1,4,60,240
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513000404","55513-0004-04","Aranesp","1 MCG",1,4,60,240
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513000504","55513-0005-04","Aranesp","1 MCG",1,4,100,400
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513000504","55513-0005-04","Aranesp","1 MCG",1,4,100,400
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513000601","55513-0006-01","Aranesp","1 MCG",1,1,200,200
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513000601","55513-0006-01","Aranesp","1 MCG",1,1,200,200
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513001004","55513-0010-04","Aranesp","1 MCG",1,4,25,100
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513001004","55513-0010-04","Aranesp","1 MCG",1,4,25,100
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513001304","55513-0013-04","Aranesp","1 MCG",1,4,100,400
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513001304","55513-0013-04","Aranesp","1 MCG",1,4,100,400
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513001401","55513-0014-01","Aranesp","1 MCG",1,1,200,200
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513001401","55513-0014-01","Aranesp","1 MCG",1,1,200,200
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513001501","55513-0015-01","Aranesp","1 MCG",1,1,300,300
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513001501","55513-0015-01","Aranesp","1 MCG",1,1,300,300
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513002104","55513-0021-04","Aranesp","1 MCG",0.4,4,40,160
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513002104","55513-0021-04","Aranesp","1 MCG",0.4,4,40,160
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513002304","55513-0023-04","Aranesp","1 MCG",0.3,4,60,240
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513002304","55513-0023-04","Aranesp","1 MCG",0.3,4,60,240
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513002504","55513-0025-04","Aranesp","1 MCG",0.5,4,100,400
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513002504","55513-0025-04","Aranesp","1 MCG",0.5,4,100,400
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513002704","55513-0027-04","Aranesp","1 MCG",0.3,4,150,600
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513002704","55513-0027-04","Aranesp","1 MCG",0.3,4,150,600
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513002801","55513-0028-01","Aranesp","1 MCG",0.4,1,200,200
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513002801","55513-0028-01","Aranesp","1 MCG",0.4,1,200,200
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513003201","55513-0032-01","Aranesp","1 MCG",1,1,500,500
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513003201","55513-0032-01","Aranesp","1 MCG",1,1,500,500
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513005304","55513-0053-04","Aranesp","1 MCG",0.75,4,150,600
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513005304","55513-0053-04","Aranesp","1 MCG",0.75,4,150,600
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513005704","55513-0057-04","Aranesp","1 MCG",0.42,4,25,100
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513005704","55513-0057-04","Aranesp","1 MCG",0.42,4,25,100
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513005804","55513-0058-04","Aranesp","1 MCG",0.42,4,25,100
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513005804","55513-0058-04","Aranesp","1 MCG",0.42,4,25,100
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513009001","55513-0090-01","Aranesp","1 MCG",0.42,1,25,25
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513009001","55513-0090-01","Aranesp","1 MCG",0.42,1,25,25
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513009101","55513-0091-01","Aranesp","1 MCG",0.4,1,40,40
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513009101","55513-0091-01","Aranesp","1 MCG",0.4,1,40,40
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513009201","55513-0092-01","Aranesp","1 MCG",0.3,1,60,60
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513009201","55513-0092-01","Aranesp","1 MCG",0.3,1,60,60
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513009301","55513-0093-01","Aranesp","1 MCG",0.5,1,100,100
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513009301","55513-0093-01","Aranesp","1 MCG",0.5,1,100,100
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513009401","55513-0094-01","Aranesp","1 MCG",0.3,1,150,150
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513009401","55513-0094-01","Aranesp","1 MCG",0.3,1,150,150
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513009501","55513-0095-01","Aranesp","1 MCG",0.4,1,200,200
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513009501","55513-0095-01","Aranesp","1 MCG",0.4,1,200,200
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513009601","55513-0096-01","Aranesp","1 MCG",0.6,1,300,300
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513009601","55513-0096-01","Aranesp","1 MCG",0.6,1,300,300
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513009701","55513-0097-01","Aranesp","1 MCG",1,1,500,500
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513009701","55513-0097-01","Aranesp","1 MCG",1,1,500,500
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513011001","55513-0110-01","Aranesp","1 MCG",1,1,300,300
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513011001","55513-0110-01","Aranesp","1 MCG",1,1,300,300
"J0881","Darbepoetin alfa, non-esrd","Amgen USA, Inc.","55513011101","55513-0111-01","Aranesp","1 MCG",0.6,1,300,300
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513011101","55513-0111-01","Aranesp","1 MCG",0.6,1,300,300
"J0885","Epoetin alfa, non-esrd","Amgen USA, Inc.","55513012610","55513-0126-10","Epogen","1000 UNITS",1,10,2,20
"J0886","Epoetin alfa 1000 units ESRD","Amgen USA, Inc.","55513012610","55513-0126-10","Epogen","1000 UNITS",1,10,2,20
"Q4081","Epoetin alfa, 100 units ESRD","Amgen USA, Inc.","55513012610","55513-0126-10","Epogen","100 UNITS",1,10,20,200
"J0885","Epoetin alfa, non-esrd","Amgen USA, Inc.","55513014410","55513-0144-10","Epogen","1000 UNITS",1,10,10,100
"J0886","Epoetin alfa 1000 units ESRD","Amgen USA, Inc.","55513014410","55513-0144-10","Epogen","1000 UNITS",1,10,10,100
"Q4081","Epoetin alfa, 100 units ESRD","Amgen USA, Inc.","55513014410","55513-0144-10","Epogen","100 UNITS",1,10,100,1000
"J0885","Epoetin alfa, non-esrd","Amgen USA, Inc.","55513014810","55513-0148-10","Epogen","1000 UNITS",1,10,4,40
"J0886","Epoetin alfa 1000 units ESRD","Amgen USA, Inc.","55513014810","55513-0148-10","Epogen","1000 UNITS",1,10,4,40
"Q4081","Epoetin alfa, 100 units ESRD","Amgen USA, Inc.","55513014810","55513-0148-10","Epogen","100 UNITS",1,10,40,400
"J2505","Injection, pegfilgrastim 6mg","Amgen USA, Inc.","55513019001","55513-0190-01","Neulasta","6 MG",0.6,1,1,1
"J1441","Filgrastim 480 mcg injection","Amgen USA, Inc.","55513020910","55513-0209-10","Neupogen","480 MCG",0.8,10,1,10
"J2796","Romiplostim injection","Amgen USA, Inc.","55513022101","55513-0221-01","Nplate","10 MCG",1,1,25,25
"J2796","Romiplostim injection","Amgen USA, Inc.","55513022201","55513-0222-01","Nplate","10 MCG",1,1,50,50
"J0885","Epoetin alfa, non-esrd","Amgen USA, Inc.","55513026710","55513-0267-10","Epogen","1000 UNITS",1,10,3,30
"J0886","Epoetin alfa 1000 units ESRD","Amgen USA, Inc.","55513026710","55513-0267-10","Epogen","1000 UNITS",1,10,3,30
"Q4081","Epoetin alfa, 100 units ESRD","Amgen USA, Inc.","55513026710","55513-0267-10","Epogen","100 UNITS",1,10,30,300
"J0885","Epoetin alfa, non-esrd","Amgen USA, Inc.","55513028310","55513-0283-10","Epogen","1000 UNITS",2,10,20,200
"J0886","Epoetin alfa 1000 units ESRD","Amgen USA, Inc.","55513028310","55513-0283-10","Epogen","1000 UNITS",2,10,20,200
"Q4081","Epoetin alfa, 100 units ESRD","Amgen USA, Inc.","55513028310","55513-0283-10","Epogen","100 UNITS",2,10,200,2000
"J0885","Epoetin alfa, non-esrd","Amgen USA, Inc.","55513047810","55513-0478-10","Epogen","1000 UNITS",1,10,20,200
"J0886","Epoetin alfa 1000 units ESRD","Amgen USA, Inc.","55513047810","55513-0478-10","Epogen","1000 UNITS",1,10,20,200
"Q4081","Epoetin alfa, 100 units ESRD","Amgen USA, Inc.","55513047810","55513-0478-10","Epogen","100 UNITS",1,10,200,2000
"J2425","Palifermin injection","Biovitrum AB","55513052006","55513-0520-06","Kepivance/Palifermin","50 MCG",1,6,125,750
"J1440","Filgrastim 300 mcg injection","Amgen USA, Inc.","55513053010","55513-0530-10","Neupogen","300 MCG",1,10,1,10
"J1441","Filgrastim 480 mcg injection","Amgen USA, Inc.","55513054610","55513-0546-10","Neupogen","480 MCG",1.6,10,1,10
"J0897","Denosumab injection","Amgen USA, Inc.","55513071001","55513-0710-01","Prolia","1 MG",1,1,60,60
"J0897","Denosumab injection","Amgen USA, Inc.","55513073001","55513-0730-01","XGEVA","1 MG",1,1,120,120
"J0885","Epoetin alfa, non-esrd","Amgen USA, Inc.","55513082310","55513-0823-10","Epogen","1000 UNITS",1,10,40,400
"J0886","Epoetin alfa 1000 units ESRD","Amgen USA, Inc.","55513082310","55513-0823-10","Epogen","1000 UNITS",1,10,40,400
"Q4081","Epoetin alfa, 100 units ESRD","Amgen USA, Inc.","55513082310","55513-0823-10","Epogen","100 UNITS",1,10,400,4000
"J1440","Filgrastim 300 mcg injection","Amgen USA, Inc.","55513092410","55513-0924-10","Neupogen","300 MCG",0.5,10,1,10
"J9303","Panitumumab injection","Amgen USA, Inc.","55513095401","55513-0954-01","PANITUMUMAB","10 MG",5,1,10,10
"J9303","Panitumumab injection","Amgen USA, Inc.","55513095501","55513-0955-01","PANITUMUMAB","10 MG",10,1,20,20
"J9303","Panitumumab injection","Amgen USA, Inc.","55513095601","55513-0956-01","PANITUMUMAB","10 MG",20,1,40,40
"J3302","Triamcinolone diacetate inj","CLINT PHARMACEUTICALS, INC.","55553004205","55553-0042-05","CLINACORT","5 MG",5,1,40,40
"J0795","Corticorelin ovine triflutal","Ferring","55566030201","55566-0302-01","Acthrel","1 MCG",1,1,100,100
"J0725","Chorionic gonadotropin/1000u","Ferring","55566150101","55566-1501-01","Novarel","1000 UNITS",1,1,10,10
"J7323","Euflexxa inj per dose","Ferring","55566410001","55566-4100-01","EUFLEXXA","PER DOSE",2,3,1,3
"J2597","Inj desmopressin acetate","Ferring","55566503001","55566-5030-01","Desmopressin Acetate","1 MCG",1,10,4,40
"J2597","Inj desmopressin acetate","Ferring","55566504001","55566-5040-01","Desmopressin Acetate","1 MCG",10,1,40,40
"J9155","Degarelix injection","Ferring","55566830101","55566-8301-01","Firmagon","1 MG",80,1,80,80
"J9155","Degarelix injection","Ferring","55566840101","55566-8401-01","Firmagon","1 MG",120,2,240,240
"J3355","Urofollitropin, 75 iu","Ferring","55566850506","55566-8505-06","Bravelle","75 IU",1,5,1,5
"J2504","Pegademase bovine, 25 iu","Sigma Tau Pharmaceuticals, Inc.","57665000101","57665-0001-01","Adagen","25 IU",1.5,1,15,15
"J9266","Pegaspargase injection","Sigma Tau Pharmaceuticals, Inc.","57665000202","57665-0002-02","Oncaspar","1 EA",5,1,1,1
"J0287","Amphotericin b lipid complex","Sigma Tau Pharmaceuticals, Inc.","57665010141","57665-0101-41","Abelcet","10 MG",20,1,10,10
"J9098","Cytarabine liposome inj","Sigma Tau Pharmaceuticals, Inc.","57665033101","57665-0331-01","Depocyt","10 MG",5,1,5,5
"J1745","Infliximab injection","Janssen Biotech, Inc","57894003001","57894-0030-01","Remicade","10 MG",1,1,10,10
"J3357","Ustekinumab injection","Janssen Biotech, Inc","57894006002","57894-0060-02","STELARA","1 MG",0.5,1,45,45
"J3357","Ustekinumab injection","Janssen Biotech, Inc","57894006003","57894-0060-03","STELARA","1 MG",0.5,1,45,45
"J3357","Ustekinumab injection","Janssen Biotech, Inc","57894006103","57894-0061-03","STELARA","1 MG",1,1,90,90
"J0894","Decitabine injection","Eisai, Inc","58063060050","58063-0600-50","decitabine","1 MG",1,1,50,50
"J2469","Palonosetron hcl","Eisai, Inc","58063079725","58063-0797-25","Aloxi","25 MCG",5,1,10,10
"90632","Hep a vaccine, adult im","GlaxoSmithkline","58160082611","58160-0826-11","Havrix","1 ML",1,10,1,10
"90632","Hep a vaccine, adult im","GlaxoSmithkline","58160082646","58160-0826-46","Havrix","1 ML",1,5,1,5
"90632","Hep a vaccine, adult im","GlaxoSmithkline","58160082648","58160-0826-48","HAVRIX","1 ML",1,5,1,5
"90632","Hep a vaccine, adult im","GlaxoSmithkline","58160082652","58160-0826-52","Havrix","1 ML",1,10,1,10
"90715","Tdap => 7 yo, im","GlaxoSmithkline","58160084211","58160-0842-11","BOOSTRIX","0.5 ML",0.5,10,1,10
"90715","Tdap => 7 yo, im","GlaxoSmithkline","58160084246","58160-0842-46","BOOSTRIX","0.5 ML",0.5,5,1,5
"90715","Tdap => 7 yo, im","GlaxoSmithkline","58160084251","58160-0842-51","BOOSTRIX","0.5 ML",0.5,10,1,10
"90715","Tdap => 7 yo, im","GlaxoSmithkline","58160084252","58160-0842-52","BOOSTRIX","0.5 ML",0.5,10,1,10
"J0207","Amifostine","MedImmune","58178001703","58178-0017-03","Ethyol","500 MG",1,3,1,3
"J0475","Baclofen 10 MG injection","Medtronic USA, Inc.","58281056001","58281-0560-01","Lioresal","10 MG",20,1,1,1
"J0475","Baclofen 10 MG injection","Medtronic USA, Inc.","58281056002","58281-0560-02","Lioresal","10 MG",40,1,2,2
"J0475","Baclofen 10 MG injection","Medtronic USA, Inc.","58281056102","58281-0561-02","Lioresal","10 MG",10,1,2,2
"J0476","Baclofen intrathecal trial","Medtronic USA, Inc.","58281056201","58281-0562-01","Lioresal","50 MCG",1,1,1,1
"J0475","Baclofen 10 MG injection","Medtronic USA, Inc.","58281056301","58281-0563-01","Lioresal","10 MG",20,1,4,4
"J0475","Baclofen 10 MG injection","Medtronic USA, Inc.","58281056302","58281-0563-02","Lioresal","10 MG",40,1,8,8
"J7195","Factor IX recombinant","WYETH LLC","58394000106","58394-0001-06","Benefix","1 IU",1,1,1,1
"J7195","Factor IX recombinant","WYETH LLC","58394000206","58394-0002-06","Benefix","1 IU",1,1,1,1
"J7195","Factor IX recombinant","WYETH LLC","58394000306","58394-0003-06","Benefix","1 IU",1,1,1,1
"J2355","Oprelvekin injection","WYETH LLC","58394000408","58394-0004-08","Neumega","5 MG",1,1,1,1
"J7195","Factor IX recombinant","WYETH LLC","58394000802","58394-0008-02","Benefix","1 IU",1,1,1,1
"J7185","Xyntha inj","WYETH LLC","58394001201","58394-0012-01","XYNTHA","1 IU",1,1,1,1
"J7185","Xyntha inj","WYETH LLC","58394001301","58394-0013-01","XYNTHA","1 IU",1,1,1,1
"J7185","Xyntha inj","WYETH LLC","58394001401","58394-0014-01","XYNTHA","1 IU",1,1,1,1
"J7185","Xyntha inj","WYETH LLC","58394001501","58394-0015-01","XYNTHA","1 IU",1,1,1,1
"J7185","Xyntha inj","WYETH LLC","58394001603","58394-0016-03","XYNTHA","1 iu",1,1,1,1
"J7185","Xyntha inj","WYETH LLC","58394002403","58394-0024-03","XYNTHA","1 IU",1,1,1,1
"J7185","Xyntha inj","WYETH LLC","58394002503","58394-0025-03","XYNTHA","1 IU",1,1,1,1
"J7195","Factor IX recombinant","WYETH LLC","58394063303","58394-0633-03","BENEFIX","1 IU",1,1,1,1
"J7195","Factor IX recombinant","WYETH LLC","58394063403","58394-0634-03","BENEFIX","1 IU",1,1,1,1
"J7195","Factor IX recombinant","WYETH LLC","58394063503","58394-0635-03","BENEFIX","1 IU",1,1,1,1
"J7195","Factor IX recombinant","WYETH LLC","58394063603","58394-0636-03","BENEFIX","1 IU",1,1,1,1
"J1438","Etanercept injection","Amgen USA, Inc.","58406042534","58406-0425-34","Enbrel","25 MG",1,4,1,4
"J1438","Etanercept injection","Amgen USA, Inc.","58406043504","58406-0435-04","Enbrel (Etanercept)","25 MG",1,4,2,8
"J1438","Etanercept injection","Amgen USA, Inc.","58406044504","58406-0445-04","Enbrel","25 MG",1,4,2,8
"J1438","Etanercept injection","Amgen USA, Inc.","58406045504","58406-0455-04","Enbrel","25 MG",0.5,4,1,4
"J0180","Agalsidase beta injection","Genzyme Corporation","58468004001","58468-0040-01","Fabrazyme","1 MG",1,1,35,35
"J0180","Agalsidase beta injection","Genzyme Corporation","58468004101","58468-0041-01","Fabrazyme","1 MG",1,1,5,5
"J1931","Laronidase injection","Genzyme Corporation","58468007001","58468-0070-01","Aldurazyme","0.1 MG",5,1,29,29
"J7511","Antithymocyte globuln rabbit","Genzyme Corporation","58468008001","58468-0080-01","Thymoglobulin","25 MG",1,1,1,1
"J7325","Synvisc or Synvisc-One","Genzyme Corporation","58468009001","58468-0090-01","Synvisc","1 MG",2,3,16,48
"J7325","Synvisc or Synvisc-One","Genzyme Corporation","58468009003","58468-0090-03","SynviscOne","1 MG",6,1,48,48
"J9027","Clofarabine injection","Genzyme Corporation","58468010001","58468-0100-01","Clolar","1 MG",20,1,20,20
"J1270","Injection, doxercalciferol","Genzyme Corporation","58468012301","58468-0123-01","Hectorol","1 MCG",2,50,4,200
"J1270","Injection, doxercalciferol","Genzyme Corporation","58468012601","58468-0126-01","HECTOROL","1 MCG",1,50,2,100
"J2562","Plerixafor injection","Genzyme Corporation","58468014001","58468-0140-01","Mozobil (PLERIXAFOR)","1 MG",1.2,1,24,24
"J0220","Alglucosidase alfa injection","Genzyme Corporation","58468015001","58468-0150-01","Myozyme","10 MG",1,1,5,5
"J0221","Lumizyme injection","Genzyme Corporation","58468016001","58468-0160-01","Lumizyme","10 MG",1,1,5,5
"J9185","Fludarabine phosphate inj","Genzyme Corporation","58468017001","58468-0170-01","Fludara","50 MG",1,1,1,1
"J2820","Sargramostim injection","Genzyme Corporation","58468018002","58468-0180-02","Leukine","50 MCG",1,5,5,25
"J2820","Sargramostim injection","Genzyme Corporation","58468018102","58468-0181-02","Leukine","50 MCG",1,5,10,50
"J9010","Alemtuzumab injection","Genzyme Corporation","58468035703","58468-0357-03","Campath","10 MG",1,3,3,9
"J0205","Alglucerase injection","Genzyme Corporation","58468106001","58468-1060-01","Ceredase","10 UNITS",5,1,40,40
"J3240","Thyrotropin injection","Genzyme Corporation","58468184904","58468-1849-04","Thyrogen","0.9 MG",1,2,1,2
"J1786","Imuglucerase injection","Genzyme Corporation","58468198301","58468-1983-01","Cerezyme","1 0 UNITS",1,1,20,20
"J1786","Imuglucerase injection","Genzyme Corporation","58468466301","58468-4663-01","Cerezyme","1 0 UNITS",1,1,40,40
"J0500","Dicyclomine injection","Aptalis Pharma US, Inc.","58914008052","58914-0080-52","Bentyl","20 MG",2,5,1,5
"J1170","Hydromorphone injection","Purdue Pharma LP","59011044110","59011-0441-10","Hydromorphone Hcl","4 MG",1,10,0.25,2.5
"J1170","Hydromorphone injection","Purdue Pharma LP","59011044210","59011-0442-10","Hydromorphone Hcl","4 MG",2,10,0.5,5
"J1170","Hydromorphone injection","Purdue Pharma LP","59011044225","59011-0442-25","Hydromorphone Hcl","4 MG",1,25,0.5,12.5
"J1170","Hydromorphone injection","Purdue Pharma LP","59011044410","59011-0444-10","Hydromorphone Hcl","4 MG",1,10,1,10
"J1170","Hydromorphone injection","Purdue Pharma LP","59011044501","59011-0445-01","Hydromorphone Hcl","4 MG",1,10,2.5,25
"J1170","Hydromorphone injection","Purdue Pharma LP","59011044505","59011-0445-05","Hydromorphone Hcl","4 MG",5,10,12.5,125
"J1170","Hydromorphone injection","Purdue Pharma LP","59011044550","59011-0445-50","Hydromorphone Hcl","4 MG",50,1,125,125
"J1170","Hydromorphone injection","Purdue Pharma LP","59011044625","59011-0446-25","Hydromorphone Hcl","4 MG",1,1,62.5,62.5
"J2278","Ziconotide injection","Elan Pharmaceuticals, Inc.","59075072010","59075-0720-10","Prialt","1 MCG",1,1,100,100
"J2278","Ziconotide injection","Elan Pharmaceuticals, Inc.","59075072210","59075-0722-10","Prialt","1 MCG",5,1,500,500
"J2278","Ziconotide injection","Elan Pharmaceuticals, Inc.","59075072310","59075-0723-10","Prialt","1 MCG",20,1,500,500
"J2323","Natalizumab injection","Elan Pharmaceuticals, Inc.","59075073015","59075-0730-15","NATALIZUMAB","1 MG",1,1,300,300
"J0400","Aripiprazole injection","Bristol-Myers Squibb Company","59148001665","59148-0016-65","Aripiprazole IM inj","0.25 MG",1.3,1,39,39
"J0594","Busulfan injection","Otsuka America Pharmaceutical, Inc.","59148007091","59148-0070-91","BUSULFAN","1 MG",10,8,60,480
"J0594","Busulfan injection","Otsuka America Pharmaceutical, Inc.","59148007191","59148-0071-91","BUSULFAN","1 MG",10,8,60,480
"Q0138","Ferumoxytol, non-esrd","AMAG Pharmaceuticals, Inc.","59338077501","59338-0775-01","Feraheme","1 MG",1,1,510,510
"Q0139","Ferumoxytol, esrd use","AMAG Pharmaceuticals, Inc.","59338077501","59338-0775-01","Feraheme","1 MG",1,1,510,510
"Q0138","Ferumoxytol, non-esrd","AMAG Pharmaceuticals, Inc.","59338077510","59338-0775-10","Feraheme","1 MG",1,10,510,5100
"Q0139","Ferumoxytol, esrd use","AMAG Pharmaceuticals, Inc.","59338077510","59338-0775-10","Feraheme","1 MG",1,10,510,5100
"J9025","Azacitidine injection","Celgene Corp","59572010201","59572-0102-01","Azacitidine (Vidaza)","1 MG",1,1,100,100
"J9245","Inj melphalan hydrochl 50 MG","Celgene Corp","59572030101","59572-0301-01","Alkeran","50 MG",1,1,1,1
"J8600","Melphalan oral 2 MG","Celgene Corp","59572030250","59572-0302-50","Alkeran","2 MG",50,1,50,50
"J9315","Romidepsin injection","Celgene Corp","59572098301","59572-0983-01","Istodax (romidepsin)","1MG",1,1,10,10
"Q3025","IM inj interferon beta 1-a","Biogen IDEC","59627000103","59627-0001-03","Avonex","11 MCG",1,4,3,12
"Q3025","IM inj interferon beta 1-a","Biogen IDEC","59627000205","59627-0002-05","Avonex","11 MCG",1,4,3,12
"J7505","Monoclonal antibodies","Janssen Products, LP","59676010101","59676-0101-01","Orthoclone Okt3","5 MG",5,1,1,1
"J9065","Inj cladribine per 1 MG","Janssen Products, LP","59676020101","59676-0201-01","Leustatin","1 MG",10,1,10,10
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676030201","59676-0302-01","Procrit","1000 UNITS",1,6,2,12
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676030201","59676-0302-01","Procrit","1000 UNITS",1,6,2,12
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676030201","59676-0302-01","Procrit","100 UNITS",1,6,20,120
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676030202","59676-0302-02","Procrit","1000 UNITS",1,25,2,50
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676030202","59676-0302-02","Procrit","1000 UNITS",1,25,2,50
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676030202","59676-0302-02","Procrit","100 UNITS",1,25,20,500
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676030301","59676-0303-01","Procrit","1000 UNITS",1,6,3,18
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676030301","59676-0303-01","Procrit","1000 UNITS",1,6,3,18
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676030301","59676-0303-01","Procrit","100 UNITS",1,6,30,180
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676030302","59676-0303-02","Procrit","1000 UNITS",1,25,3,75
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676030302","59676-0303-02","Procrit","1000 UNITS",1,25,3,75
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676030302","59676-0303-02","Procrit","100 UNITS",1,25,30,750
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676030401","59676-0304-01","Procrit","1000 UNITS",1,6,4,24
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676030401","59676-0304-01","Procrit","1000 UNITS",1,6,4,24
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676030401","59676-0304-01","Procrit","100 UNITS",1,6,40,240
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676030402","59676-0304-02","Procrit","1000 UNITS",1,25,4,100
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676030402","59676-0304-02","Procrit","1000 UNITS",1,25,4,100
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676030402","59676-0304-02","Procrit","100 UNITS",1,25,40,1000
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676031001","59676-0310-01","Procrit","1000 UNITS",1,6,10,60
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676031001","59676-0310-01","Procrit","1000 UNITS",1,6,10,60
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676031001","59676-0310-01","Procrit","100 UNITS",1,6,100,600
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676031002","59676-0310-02","Procrit","1000 UNITS",1,25,10,250
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676031002","59676-0310-02","Procrit","1000 UNITS",1,25,10,250
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676031002","59676-0310-02","Procrit","100 UNITS",1,25,100,2500
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676031201","59676-0312-01","Procrit","1000 UNITS",2,6,20,120
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676031201","59676-0312-01","Procrit","1000 UNITS",2,6,20,120
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676031201","59676-0312-01","Procrit","100 UNITS",2,6,200,1200
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676031204","59676-0312-04","Procrit","1000 UNITS",2,4,20,80
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676031204","59676-0312-04","Procrit","1000 UNITS",2,4,20,80
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676031204","59676-0312-04","Procrit","100 UNITS",2,4,200,800
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676032001","59676-0320-01","Procrit","1000 UNITS",1,6,20,120
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676032001","59676-0320-01","Procrit","1000 UNITS",1,6,20,120
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676032001","59676-0320-01","Procrit","100 UNITS",1,6,200,1200
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676032004","59676-0320-04","Procrit","1000 UNITS",1,4,20,80
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676032004","59676-0320-04","Procrit","1000 UNITS",1,4,20,80
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676032004","59676-0320-04","Procrit","100 UNITS",1,4,200,800
"J0885","Epoetin alfa, non-esrd","Janssen Products, LP","59676034001","59676-0340-01","Procrit","1000 UNITS",1,4,40,160
"J0886","Epoetin alfa 1000 units ESRD","Janssen Products, LP","59676034001","59676-0340-01","Procrit","1000 UNITS",1,4,40,160
"Q4081","Epoetin alfa, 100 units ESRD","Janssen Products, LP","59676034001","59676-0340-01","Procrit","100 UNITS",1,4,400,1600
"J7324","Orthovisc inj per dose","Depuy Mitek","59676036001","59676-0360-01","Orthovisc","PER DOSE",2,1,1,1
"J9001","Doxorubicin hcl liposome inj","Janssen Products, LP","59676096001","59676-0960-01","DOXIL","10 MG",10,1,2,2
"J9001","Doxorubicin hcl liposome inj","Janssen Products, LP","59676096002","59676-0960-02","DOXIL","10 MG",25,1,5,5
"90371","Hep b ig, im","Biotest Pharmaceuticals","59730420201","59730-4202-01","Nabi-Hb","1 ML",1,1,1,1
"90371","Hep b ig, im","Biotest Pharmaceuticals","59730420301","59730-4203-01","Nabi-Hb","1 ML",5,1,5,5
"J7517","Mycophenolate mofetil oral","Pfizer, Inc.","59762070201","59762-0702-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200
"J7517","Mycophenolate mofetil oral","Pfizer, Inc.","59762070203","59762-0702-03","MYCOPHENOLATE MOFETIL","250 mg",1,500,1000,1000
"J7517","Mycophenolate mofetil oral","Pfizer, Inc.","59762070301","59762-0703-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100
"J7517","Mycophenolate mofetil oral","Pfizer, Inc.","59762070302","59762-0703-02","MYCOPHENOLATE MOFETIL","250 mg",1,120,120,120
"J7517","Mycophenolate mofetil oral","Pfizer, Inc.","59762070303","59762-0703-03","MYCOPHENOLATE MOFETIL","250 mg",1,500,500,500
"J9211","Idarubicin hcl injection","Pfizer, Inc.","59762257601","59762-2576-01","Idarubicin","5 MG",5,1,1,1
"J9211","Idarubicin hcl injection","Pfizer, Inc.","59762258601","59762-2586-01","Idarubicin","5 MG",10,1,2,2
"J9211","Idarubicin hcl injection","Pfizer, Inc.","59762259601","59762-2596-01","Idarubicin","5 MG",20,1,4,4
"J9178","Inj, epirubicin hcl, 2 mg","Pfizer, Inc.","59762509101","59762-5091-01","Epirubicin","2 MG",25,1,25,25
"J9178","Inj, epirubicin hcl, 2 mg","Pfizer, Inc.","59762509301","59762-5093-01","Epirubicin","2 MG",100,1,100,100
"J9206","Irinotecan injection","Pfizer, Inc.","59762752901","59762-7529-01","Irinotecan HCL","20 MG",2,1,2,2
"J9206","Irinotecan injection","Pfizer, Inc.","59762752902","59762-7529-02","Irinotecan HCL","20 MG",5,1,5,5
"Q4112","Cymetra allograft","LifeCell Corporation","603020","603020","Cymetra","1 CC",2,1,2,2
"J7502","Cyclosporine oral 100 mg","Morton Grove Pharmaceuticals Inc.","60432014050","60432-0140-50","Cyclosporine","100 MG",50,1,50,50
"J8540","Oral dexamethasone","Morton Grove Pharmaceuticals Inc.","60432046608","60432-0466-08","DEXAMETHASONE","0.25 MG",240,1,96,96
"Q0170","Promethazine HCl 25 mg oral","Morton Grove Pharmaceuticals Inc.","60432060804","60432-0608-04","Promethazine Hcl","25 MG",120,1,6,6
"J1571","Hepagam b im injection","Apotex Corp.","60492005101","60492-0051-01","HepaGam B IM","0.5 ML",5,1,10,10
"J1573","Hepagam b intravenous, inj","Apotex Corp.","60492005101","60492-0051-01","HepaGam B IV","0.5 ML",5,1,10,10
"J1571","Hepagam b im injection","Apotex Corp.","60492005102","60492-0051-02","HepaGam B IM","0.5 ML",5,1,10,10
"J1573","Hepagam b intravenous, inj","Apotex Corp.","60492005102","60492-0051-02","HepaGam B IV","0.5 ML",5,1,10,10
"J1571","Hepagam b im injection","Apotex Corp.","60492005201","60492-0052-01","HepaGam B IM","0.5 ML",1,1,2,2
"J1573","Hepagam b intravenous, inj","Apotex Corp.","60492005201","60492-0052-01","HepaGam B IV","0.5 ML",1,1,2,2
"J1571","Hepagam b im injection","Apotex Corp.","60492005202","60492-0052-02","HepaGam B IM","0.5 ML",1,1,2,2
"J1573","Hepagam b intravenous, inj","Apotex Corp.","60492005202","60492-0052-02","HepaGam B IV","0.5 ML",1,1,2,2
"J0595","Butorphanol tartrate 1 mg","Apotex Corp.","60505065800","60505-0658-00","Butorphanol Tartrate","1 MG",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","Apotex Corp.","60505065900","60505-0659-00","Butorphanol Tartrate","1 MG",1,10,2,20
"J0595","Butorphanol tartrate 1 mg","Apotex Corp.","60505065901","60505-0659-01","Butorphanol Tartrate","1 MG",2,10,4,40
"J0595","Butorphanol tartrate 1 mg","Apotex Corp.","60505066000","60505-0660-00","Butorphanol Tartrate","1 MG",10,1,20,20
"J2680","Fluphenazine decanoate 25 MG","Apotex Corp.","60505066402","60505-0664-02","Fluphenazine Decanoate","25 MG",5,1,5,5
"J1631","Haloperidol decanoate inj","Apotex Corp.","60505070201","60505-0702-01","Haloperidol Decanoate","50 MG",5,1,5,5
"J1631","Haloperidol decanoate inj","Apotex Corp.","60505070301","60505-0703-01","Haloperidol Decanoate","50 MG",5,1,10,10
"J1885","Ketorolac tromethamine inj","Apotex Corp.","60505071001","60505-0710-01","Ketorolac Tromethamine","15 MG",10,10,20,200
"J2250","Inj midazolam hydrochloride","Apotex Corp.","60505071101","60505-0711-01","Midazolam Hcl","1 MG",2,10,2,20
"J2250","Inj midazolam hydrochloride","Apotex Corp.","60505071102","60505-0711-02","Midazolam Hcl","1 MG",5,10,5,50
"J2250","Inj midazolam hydrochloride","Apotex Corp.","60505071103","60505-0711-03","Midazolam Hcl","1 MG",10,10,10,100
"J2250","Inj midazolam hydrochloride","Apotex Corp.","60505071201","60505-0712-01","Midazolam Hcl","1 MG",1,10,5,50
"J2250","Inj midazolam hydrochloride","Apotex Corp.","60505071202","60505-0712-02","Midazolam Hcl","1 MG",2,10,10,100
"J2250","Inj midazolam hydrochloride","Apotex Corp.","60505071203","60505-0712-03","Midazolam Hcl","1 MG",5,10,25,250
"J2250","Inj midazolam hydrochloride","Apotex Corp.","60505071204","60505-0712-04","Midazolam Hcl","1 MG",10,10,50,500
"J7631","Cromolyn sodium noncomp unit","Apotex Corp.","60505080201","60505-0802-01","Cromolyn Sodium","10 MG",2,60,2,120
"J7644","Ipratropium bromide non-comp","Apotex Corp.","60505080601","60505-0806-01","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5
"J1571","Hepagam b im injection","Apotex Corp.","60505607100","60505-6071-00","Hepagam B - IV","0.5 ML",1,1,2,2
"J1573","Hepagam b intravenous, inj","Apotex Corp.","60505607100","60505-6071-00","Hepagam B - IV","0.5 ML",1,1,2,2
"J1571","Hepagam b im injection","Apotex Corp.","60505607200","60505-6072-00","Hepagam B - IV","0.5 ML",5,1,10,10
"J1573","Hepagam b intravenous, inj","Apotex Corp.","60505607200","60505-6072-00","Hepagam B - IV","0.5 ML",5,1,10,10
"J1571","Hepagam b im injection","Apotex Corp.","60505607300","60505-6073-00","Hepagam B - IV","0.5 ML",1,1,2,2
"J1573","Hepagam b intravenous, inj","Apotex Corp.","60505607300","60505-6073-00","Hepagam B - IV","0.5 ML",1,1,2,2
"J1571","Hepagam b im injection","Apotex Corp.","60505607400","60505-6074-00","Hepagam B - IV","0.5 ML",5,1,10,10
"J1573","Hepagam b intravenous, inj","Apotex Corp.","60505607400","60505-6074-00","Hepagam B - IV","0.5 ML",5,1,10,10
"J2510","Penicillin g procaine inj","Monarch Pharmaceuticals, Inc.","60793013010","60793-0130-10","Penicillin G Procaine","up to 600000 UNITS",1,10,1,10
"J2510","Penicillin g procaine inj","Monarch Pharmaceuticals, Inc.","60793013110","60793-0131-10","Penicillin G Procaine","up to 600000 UNITS",2,10,2,20
"J0558","PenG benzathine/procaine inj","Monarch Pharmaceuticals, Inc.","60793060010","60793-0600-10","BICILLIN C-R","100,000 units",2,10,12,120
"J0558","PenG benzathine/procaine inj","Monarch Pharmaceuticals, Inc.","60793060110","60793-0601-10","Bicillin CR Pediatric","100,000 units",2,10,12,120
"J0558","PenG benzathine/procaine inj","Monarch Pharmaceuticals, Inc.","60793060210","60793-0602-10","BICILLIN C-R","100,000 units",2,10,12,120
"J0561","Penicillin g benzathine inj","Monarch Pharmaceuticals, Inc.","60793070010","60793-0700-10","Bicillin L-A","100,000 units",1,10,6,60
"J0561","Penicillin g benzathine inj","Monarch Pharmaceuticals, Inc.","60793070110","60793-0701-10","Bicillin L-A","100,000 units",2,10,12,120
"J0561","Penicillin g benzathine inj","Monarch Pharmaceuticals, Inc.","60793070210","60793-0702-10","Bicillin L-A","100,000 units",4,10,24,240
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","60977000101","60977-0001-01","Phenergan","50 MG",1,25,0.5,12.5
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","60977000103","60977-0001-03","Promethazine Hcl","50 MG",1,25,0.5,12.5
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","60977000202","60977-0002-02","Phenergan","50 MG",1,25,1,25
"J2550","Promethazine hcl injection","Baxter Healthcare Corporation   ","60977000204","60977-0002-04","Promethazine Hcl","50 MG",1,25,1,25
"J2275","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","60977001602","60977-0016-02","Duramorph","10 MG",10,10,0.5,5
"J2275","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","60977001701","60977-0017-01","Duramorph","10 MG",10,10,1,10
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","60977011201","60977-0112-01","Ativan","2 MG",1,25,1,25
"J2060","Lorazepam injection","Baxter Healthcare Corporation   ","60977011202","60977-0112-02","Ativan","2 MG",10,10,10,100
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","60977011301","60977-0113-01","Ativan","2 MG",1,25,2,50
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","60977011302","60977-0113-02","Ativan","2 MG",10,10,20,200
"J2275","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","60977011401","60977-0114-01","Infumorph 200","10 MG",20,1,20,20
"J2275","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","60977011501","60977-0115-01","Infumorph 500","10 MG",20,1,50,50
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","60977011602","60977-0116-02","Lorazepam","2 MG",10,10,10,100
"J2730","Pralidoxime chloride inj","Baxter Healthcare Corporation   ","60977014101","60977-0141-01","Protopam Chloride","1 GM",1,6,1,6
"J2800","Methocarbamol injection","West-Ward Pharmaceuticals Corp","60977015001","60977-0150-01","Robaxin","10 ML",10,25,1,25
"J3473","Hyaluronidase recombinant","Baxter Healthcare Corporation   ","60977031903","60977-0319-03","HYALURONIDASE","One USP Unit",1,4,150,600
"J2765","Metoclopramide hcl injection","West-Ward Pharmaceuticals Corp","60977045101","60977-0451-01","Reglan","10 MG",2,25,1,25
"J2765","Metoclopramide hcl injection","Baxter Healthcare Corporation   ","60977045102","60977-0451-02","Reglan","10 MG",10,25,5,125
"J2765","Metoclopramide hcl injection","West-Ward Pharmaceuticals Corp","60977045103","60977-0451-03","Reglan","10 MG",30,25,15,375
"J2770","Quinupristin/dalfopristin","Monarch Pharmaceuticals, Inc.","61570026010","61570-0260-10","Synercid","500 MG",1,10,1,10
"J3250","Trimethobenzamide hcl inj","JHP Pharmaceuticals, LLC","61570054120","61570-0541-20","Tigan","200 MG",20,1,10,10
"J3250","Trimethobenzamide hcl inj","JHP Pharmaceuticals, LLC","61570054325","61570-0543-25","Tigan","200 MG",2,25,1,25
"J9100","Cytarabine hcl 100 MG inj","HOSPIRA, INC","61703030346","61703-0303-46","Cytarabine","100 MG",50,1,10,10
"J9100","Cytarabine hcl 100 MG inj","HOSPIRA, INC","61703030436","61703-0304-36","Cytarabine","100 MG",25,1,5,5
"J9100","Cytarabine hcl 100 MG inj","HOSPIRA, INC","61703030538","61703-0305-38","Cytarabine","100 MG",5,5,1,5
"J9370","Vincristine sulfate 1 MG inj","HOSPIRA, INC","61703030906","61703-0309-06","Vincristine Sulfate","1 MG",1,1,1,1
"J9370","Vincristine sulfate 1 MG inj","HOSPIRA, INC","61703030916","61703-0309-16","Vincristine Sulfate","1 MG",2,1,2,2
"J9100","Cytarabine hcl 100 MG inj","HOSPIRA, INC","61703031922","61703-0319-22","Cytarabine","100 MG",20,1,20,20
"J9040","Bleomycin sulfate injection","HOSPIRA, INC","61703032322","61703-0323-22","Bleomycin Sulfate","15 UNITS",1,1,2,2
"J2430","Pamidronate disodium /30 MG","HOSPIRA, INC","61703032418","61703-0324-18","Pamidronate Disodium","30 MG",10,1,1,1
"J2430","Pamidronate disodium /30 MG","HOSPIRA, INC","61703032518","61703-0325-18","Pamidronate Disodium","30 MG",10,1,2,2
"J2430","Pamidronate disodium /30 MG","HOSPIRA, INC","61703032618","61703-0326-18","Pamidronate Disodium","30 MG",10,1,3,3
"J9130","Dacarbazine 100 mg inj","HOSPIRA, INC","61703032722","61703-0327-22","Dacarbazine","100 MG",1,1,2,2
"J9040","Bleomycin sulfate injection","HOSPIRA, INC","61703033218","61703-0332-18","Bleomycin Sulfate","15 UNITS",1,1,1,1
"J9045","Carboplatin injection","HOSPIRA, INC","61703033918","61703-0339-18","Carboplatin","50 MG",5,1,1,1
"J9045","Carboplatin injection","HOSPIRA, INC","61703033922","61703-0339-22","Carboplatin","50 MG",15,1,3,3
"J9045","Carboplatin injection","HOSPIRA, INC","61703033950","61703-0339-50","Carboplatin","50 MG",45,1,9,9
"J9045","Carboplatin injection","HOSPIRA, INC","61703033956","61703-0339-56","Carboplatin","50 MG",45,1,12,12
"J9390","Vinorelbine tartrate inj","HOSPIRA, INC","61703034106","61703-0341-06","VINORELBINE TARTRATE","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","HOSPIRA, INC","61703034109","61703-0341-09","VINORELBINE TARTRATE","10 MG",5,1,5,5
"J9265","Paclitaxel injection","HOSPIRA, INC","61703034209","61703-0342-09","Paclitaxel","30 MG",5,1,1,1
"J9265","Paclitaxel injection","HOSPIRA, INC","61703034222","61703-0342-22","Paclitaxel","30 MG",16.7,1,3.34,3.34
"J9265","Paclitaxel injection","HOSPIRA, INC","61703034250","61703-0342-50","Paclitaxel","30 MG",50,1,10,10
"J9293","Mitoxantrone hydrochl / 5 MG","HOSPIRA, INC","61703034318","61703-0343-18","MITOXANTRONE HYDROCHLORIDE","5 MG",10,1,4,4
"J9293","Mitoxantrone hydrochl / 5 MG","HOSPIRA, INC","61703034365","61703-0343-65","MITOXANTRONE HYDROCHLORIDE","5 MG",12.5,1,5,5
"J9293","Mitoxantrone hydrochl / 5 MG","HOSPIRA, INC","61703034366","61703-0343-66","MITOXANTRONE HYDROCHLORIDE","5 MG",15,1,6,6
"J9185","Fludarabine phosphate inj","HOSPIRA, INC","61703034418","61703-0344-18","Fludarabine Phosphate","50 MG",1,1,1,1
"J9178","Inj, epirubicin hcl, 2 mg","HOSPIRA, INC","61703034735","61703-0347-35","Epirubicin","2 MG",1,1,25,25
"J9206","Irinotecan injection","HOSPIRA, INC","61703034909","61703-0349-09","Irinotecan HCL","20 MG",5,1,5,5
"J9206","Irinotecan injection","HOSPIRA, INC","61703034916","61703-0349-16","Irinotecan HCL","20 MG",2,1,2,2
"J9206","Irinotecan injection","HOSPIRA, INC","61703034936","61703-0349-36","Irinotecan HCL","20 MG",25,1,25,25
"J9250","Methotrexate sodium inj","HOSPIRA, INC","61703035038","61703-0350-38","METHOTREXATE","5 MG",2,5,10,50
"J9260","Methotrexate sodium inj","HOSPIRA, INC","61703035038","61703-0350-38","METHOTREXATE","50 MG",2,5,1,5
"J2430","Pamidronate disodium /30 MG","HOSPIRA, INC","61703035618","61703-0356-18","Pamidronate Disodium","30 MG",10,1,3,3
"J9178","Inj, epirubicin hcl, 2 mg","HOSPIRA, INC","61703035901","61703-0359-01","Epirubicin","2 MG",25,1,25,25
"J9178","Inj, epirubicin hcl, 2 mg","HOSPIRA, INC","61703035902","61703-0359-02","Epirubicin","2 MG",100,1,100,100
"J9178","Inj, epirubicin hcl, 2 mg","HOSPIRA, INC","61703035959","61703-0359-59","Epirubicin","2 MG",100,1,100,100
"J9178","Inj, epirubicin hcl, 2 mg","HOSPIRA, INC","61703035993","61703-0359-93","Epirubicin","2 MG",25,1,25,25
"J9045","Carboplatin injection","HOSPIRA, INC","61703036018","61703-0360-18","Carboplatin","50 MG",5,1,1,1
"J9045","Carboplatin injection","HOSPIRA, INC","61703036022","61703-0360-22","Carboplatin","50 MG",15,1,3,3
"J9045","Carboplatin injection","HOSPIRA, INC","61703036050","61703-0360-50","Carboplatin","50 MG",45,1,9,9
"J9250","Methotrexate sodium inj","HOSPIRA, INC","61703040841","61703-0408-41","Methotrexate Sodium","5 MG",40,1,200,200
"J9260","Methotrexate sodium inj","HOSPIRA, INC","61703040841","61703-0408-41","Methotrexate Sodium","50 MG",40,1,20,20
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000301","61953-0003-01","Flebogamma","500 MG",10,1,1,1
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000302","61953-0003-02","Flebogamma","500 MG",50,1,5,5
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000303","61953-0003-03","Flebogamma","500 MG",100,1,10,10
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000304","61953-0003-04","Flebogamma","500 MG",200,1,20,20
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000401","61953-0004-01","Flebogamma DIF","500 MG",10,1,1,1
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000402","61953-0004-02","Flebogamma DIF","500 MG",50,1,5,5
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000403","61953-0004-03","Flebogamma DIF","500 MG",100,1,10,10
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000404","61953-0004-04","Flebogamma DIF","500 MG",200,1,20,20
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000405","61953-0004-05","Flebogamma DIF","500 MG",400,1,40,40
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000501","61953-0005-01","FLEBOGAMMA 10%  DIF","500MG",50,1,10,10
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000502","61953-0005-02","FLEBOGAMMA 10%  DIF","500MG",100,1,20,20
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000503","61953-0005-03","FLEBOGAMMA 10%  DIF","500MG",200,1,40,40
"J0740","Cidofovir injection","Gilead Sciences, Inc","61958010101","61958-0101-01","Vistide","375 MG",5,1,1,1
"J9151","Daunorubicin citrate inj","Gilead Sciences, Inc","61958030101","61958-0301-01","Daunoxome","10 MG",25,1,5,5
"J7502","Cyclosporine oral 100 mg","AMERICAN HEALTH PACKAGING","62584082721","62584-0827-21","Cyclosporine","100 MG",30,1,30,30
"J2405","Ondansetron hcl injection","Sun Pharmaceutical Industries, Ltd.","62756018101","62756-0181-01","ONDANSETRON HCL","1 MG",2,5,4,20
"J2405","Ondansetron hcl injection","Sun Pharmaceutical Industries, Ltd.","62756018201","62756-0182-01","ONDANSETRON HCL","1 MG",20,1,40,40
"J2354","Octreotide inj, non-depot","Sun Pharmaceutical Industries, Ltd.","62756034844","62756-0348-44","OCTREOTIDE ACETATE","25 MCG",1,10,2,20
"J2354","Octreotide inj, non-depot","Sun Pharmaceutical Industries, Ltd.","62756034944","62756-0349-44","OCTREOTIDE ACETATE","25 MCG",1,10,4,40
"J2354","Octreotide inj, non-depot","Sun Pharmaceutical Industries, Ltd.","62756035040","62756-0350-40","OCTREOTIDE ACETATE","25 MCG",5,1,40,40
"J2354","Octreotide inj, non-depot","Sun Pharmaceutical Industries, Ltd.","62756035144","62756-0351-44","OCTREOTIDE ACETATE","25 MCG",1,10,2,20
"J2354","Octreotide inj, non-depot","Sun Pharmaceutical Industries, Ltd.","62756035240","62756-0352-40","OCTREOTIDE ACETATE","25 MCG",5,1,200,200
"J1953","Levetiracetam injection","Sun Pharmaceutical Industries, Ltd.","62756051344","62756-0513-44","Levetiracetam","10 MG",5,10,50,500
"J0207","Amifostine","Sun Pharmaceutical Industries, Ltd.","62756058140","62756-0581-40","Ethyol","500 MG",1,1,1,1
"J0207","Amifostine","Sun Pharmaceutical Industries, Ltd.","62756058142","62756-0581-42","Ethyol","500 MG",1,3,1,3
"J1645","Dalteparin sodium","Eisai, Inc","62856010110","62856-0101-10","Fragmin","2500 IU",1,10,4,40
"J1645","Dalteparin sodium","Eisai, Inc","62856010201","62856-0102-01","Fragmin","2500 IU",9.5,1,38,38
"J1645","Dalteparin sodium","Eisai, Inc","62856012510","62856-0125-10","Fragmin","2500 IU",0.5,10,5,50
"J1645","Dalteparin sodium","Eisai, Inc","62856015010","62856-0150-10","Fragmin","2500 IU",0.6,10,6,60
"J1645","Dalteparin sodium","Eisai, Inc","62856018010","62856-0180-10","Fragmin","2500 IU",0.72,10,7.2,72
"J1645","Dalteparin sodium","Eisai, Inc","62856025010","62856-0250-10","Fragmin","2500 IU",0.2,10,1,10
"J1645","Dalteparin sodium","Eisai, Inc","62856025101","62856-0251-01","Fragmin","2500 IU",3.8,1,38,38
"J9179","Eribulin mesylate injection","Eisai, Inc","62856038901","62856-0389-01","Halaven","0.1 MG",2,1,10,10
"J1645","Dalteparin sodium","Eisai, Inc","62856050010","62856-0500-10","Fragmin","2500 IU",0.2,10,2,20
"J0894","Decitabine injection","Eisai, Inc","62856060001","62856-0600-01","decitabine","1 MG",1,1,50,50
"J9160","Denileukin diftitox inj","Eisai, Inc","62856060301","62856-0603-01","Ontak","300 MCG",2,1,1,1
"J1645","Dalteparin sodium","Eisai, Inc","62856075010","62856-0750-10","Fragmin","2500 IU",0.3,10,3,30
"J2469","Palonosetron hcl","Eisai, Inc","62856079701","62856-0797-01","Aloxi","25 MCG",5,1,10,10
"J2469","Palonosetron hcl","Eisai, Inc","62856079801","62856-0798-01","Aloxi","25 MCG",1.5,5,3,15
"J0800","Corticotropin injection","QUESTCOR PHARMACEUTICALS, INC.","63004773101","63004-7731-01","Acthar Hp","40 UNITS",5,1,10,10
"J9041","Bortezomib injection","Millennium Pharmaceuticals, Inc.","63020004901","63020-0049-01","Velcade","0.1 MG",1,1,35,35
"J1580","Garamycin gentamicin inj","APP Pharmaceuticals, LLC","63323001002","63323-0010-02","Gentamicin Sulfate","80 MG",2,25,1,25
"J1580","Garamycin gentamicin inj","APP Pharmaceuticals, LLC","63323001020","63323-0010-20","Gentamicin Sulfate","80 MG",20,25,10,250
"J0720","Chloramphenicol sodium injec","APP Pharmaceuticals, LLC","63323001115","63323-0011-15","Chloramphenicol Sod Succinate","1 GM",1,10,1,10
"J2590","Oxytocin injection","APP Pharmaceuticals, LLC","63323001201","63323-0012-01","Oxytocin","10 UNITS",1,25,1,25
"J2590","Oxytocin injection","APP Pharmaceuticals, LLC","63323001210","63323-0012-10","Oxytocin","10 UNITS",10,25,10,250
"J2590","Oxytocin injection","APP Pharmaceuticals, LLC","63323001212","63323-0012-12","Oxytocin","10 UNITS",1,25,1,25
"J2590","Oxytocin injection","APP Pharmaceuticals, LLC","63323001230","63323-0012-30","Oxytocin","10 UNITS",30,10,30,300
"J3411","Thiamine hcl 100 mg","APP Pharmaceuticals, LLC","63323001302","63323-0013-02","Thiamine Hcl","100 MG",2,25,2,50
"J3410","Hydroxyzine hcl injection","APP Pharmaceuticals, LLC","63323002101","63323-0021-01","Hydroxyzine Hcl","25 MG",1,25,1,25
"J2150","Mannitol injection","APP Pharmaceuticals, LLC","63323002425","63323-0024-25","Mannitol","50 ML",50,25,1,25
"J0725","Chorionic gonadotropin/1000u","APP Pharmaceuticals, LLC","63323002510","63323-0025-10","Chorionic Gonadotropin","1000 UNITS",1,10,10,100
"J3420","Vitamin b12 injection","APP Pharmaceuticals, LLC","63323004401","63323-0044-01","Cyanocobalamin","1000 MCG",1,25,1,25
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323004710","63323-0047-10","Heparin Sodium (Porcine)","1000 UNITS",10,25,50,1250
"J3410","Hydroxyzine hcl injection","APP Pharmaceuticals, LLC","63323005101","63323-0051-01","Hydroxyzine Hcl","25 MG",1,25,2,50
"J3410","Hydroxyzine hcl injection","APP Pharmaceuticals, LLC","63323005102","63323-0051-02","Hydroxyzine Hcl","25 MG",2,25,4,100
"J3475","Inj magnesium sulfate","APP Pharmaceuticals, LLC","63323006402","63323-0064-02","Magnesium Sulfate","500 MG",2,25,2,50
"J3475","Inj magnesium sulfate","APP Pharmaceuticals, LLC","63323006410","63323-0064-10","Magnesium Sulfate","500 MG",10,25,10,250
"J3475","Inj magnesium sulfate","APP Pharmaceuticals, LLC","63323006420","63323-0064-20","Magnesium Sulfate","500 MG",20,25,20,500
"J3475","Inj magnesium sulfate","APP Pharmaceuticals, LLC","63323006450","63323-0064-50","Magnesium Sulfate","500 MG",50,25,50,1250
"J9000","Doxorubicin hcl injection","APP Pharmaceuticals, LLC","63323010161","63323-0101-61","Doxorubicin Hcl","10 MG",100,1,20,20
"J9201","Gemcitabine hcl injection","APP Pharmaceuticals, LLC","63323010210","63323-0102-10","GEMCITABINE","200 MG",1,1,1,1
"J9060","Cisplatin 10 MG injection","APP Pharmaceuticals, LLC","63323010351","63323-0103-51","Cisplatin","10 MG",50,1,5,5
"J9060","Cisplatin 10 MG injection","APP Pharmaceuticals, LLC","63323010364","63323-0103-64","Cisplatin","10 MG",200,1,20,20
"J9060","Cisplatin 10 MG injection","APP Pharmaceuticals, LLC","63323010365","63323-0103-65","Cisplatin","10 MG",100,1,10,10
"J9181","Etoposide injection","APP Pharmaceuticals, LLC","63323010405","63323-0104-05","Etoposide","10 MG",5,10,10,100
"J9181","Etoposide injection","APP Pharmaceuticals, LLC","63323010425","63323-0104-25","Etoposide","10 MG",25,1,50,50
"J9181","Etoposide injection","APP Pharmaceuticals, LLC","63323010450","63323-0104-50","Etoposide","10 MG",50,1,100,100
"J0133","Acyclovir injection","APP Pharmaceuticals, LLC","63323010510","63323-0105-10","Acyclovir Sodium","5 MG",10,10,100,1000
"J9190","Fluorouracil injection","APP Pharmaceuticals, LLC","63323011710","63323-0117-10","Fluorouracil","500 MG",10,10,1,10
"J9190","Fluorouracil injection","APP Pharmaceuticals, LLC","63323011720","63323-0117-20","Fluorouracil","500 MG",20,10,2,20
"J9190","Fluorouracil injection","APP Pharmaceuticals, LLC","63323011751","63323-0117-51","Fluorouracil","500 MG",50,1,5,5
"J9190","Fluorouracil injection","APP Pharmaceuticals, LLC","63323011761","63323-0117-61","Fluorouracil","500 MG",100,1,10,10
"J9150","Daunorubicin injection","APP Pharmaceuticals, LLC","63323011908","63323-0119-08","Daunorubicin Hcl","10 MG",1,10,2,20
"J9100","Cytarabine hcl 100 MG inj","APP Pharmaceuticals, LLC","63323012020","63323-0120-20","Cytarabine","100 MG",1,1,20,20
"J9250","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012102","63323-0121-02","Methotrexate Sodium","5 MG",2,1,10,10
"J9260","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012102","63323-0121-02","Methotrexate Sodium","50 MG",2,1,1,1
"J9250","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012104","63323-0121-04","Methotrexate Sodium","5 MG",4,1,20,20
"J9260","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012104","63323-0121-04","Methotrexate Sodium","50 MG",4,1,2,2
"J9250","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012108","63323-0121-08","Methotrexate Sodium","5 MG",8,1,40,40
"J9260","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012108","63323-0121-08","Methotrexate Sodium","50 MG",8,1,4,4
"J9250","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012110","63323-0121-10","Methotrexate Sodium","5 MG",10,1,50,50
"J9260","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012110","63323-0121-10","Methotrexate Sodium","50 MG",10,1,5,5
"J9250","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012140","63323-0121-40","Methotrexate Sodium","5 MG",40,1,200,200
"J9260","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012140","63323-0121-40","Methotrexate Sodium","50 MG",40,1,20,20
"J9250","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012250","63323-0122-50","Methotrexate PoWder 1Gm In 50Ml Sd Vial (P.F.)","5 MG",1,1,200,200
"J9260","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012250","63323-0122-50","Methotrexate PoWder 1Gm In 50Ml Sd Vial (P.F.)","50 MG",1,1,20,20
"J9250","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012302","63323-0123-02","Methotrexate Sodium","5 MG",2,1,10,10
"J9260","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012302","63323-0123-02","Methotrexate Sodium","50 MG",2,1,1,1
"J9250","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012310","63323-0123-10","Methotrexate Sodium","5 MG",10,1,50,50
"J9260","Methotrexate sodium inj","APP Pharmaceuticals, LLC","63323012310","63323-0123-10","Methotrexate Sodium","50 MG",10,1,5,5
"J9150","Daunorubicin injection","APP Pharmaceuticals, LLC","63323012404","63323-0124-04","Daunorubicin Hcl","10 MG",4,1,2,2
"J9201","Gemcitabine hcl injection","APP Pharmaceuticals, LLC","63323012550","63323-0125-50","GEMCITABINE","200 MG",1,1,5,5
"J9201","Gemcitabine hcl injection","APP Pharmaceuticals, LLC","63323012600","63323-0126-00","GEMCITABINE","200 MG",1,1,10,10
"J9130","Dacarbazine 100 mg inj","APP Pharmaceuticals, LLC","63323012710","63323-0127-10","Dacarbazine","100 MG",1,10,1,10
"J9130","Dacarbazine 100 mg inj","APP Pharmaceuticals, LLC","63323012812","63323-0128-12","Dacarbazine","100 MG",1,10,2,20
"J9130","Dacarbazine 100 mg inj","APP Pharmaceuticals, LLC","63323012820","63323-0128-20","Dacarbazine","100 MG",1,10,2,20
"J9293","Mitoxantrone hydrochl / 5 MG","APP Pharmaceuticals, LLC","63323013210","63323-0132-10","MITOXANTRONE HYDROCHLORIDE","5 MG",10,1,4,4
"J9293","Mitoxantrone hydrochl / 5 MG","APP Pharmaceuticals, LLC","63323013212","63323-0132-12","MITOXANTRONE HYDROCHLORIDE","5 MG",12.5,1,5,5
"J9293","Mitoxantrone hydrochl / 5 MG","APP Pharmaceuticals, LLC","63323013215","63323-0132-15","MITOXANTRONE HYDROCHLORIDE","5 MG",15,1,6,6
"J9040","Bleomycin sulfate injection","APP Pharmaceuticals, LLC","63323013610","63323-0136-10","Bleomycin Sulfate","15 UNITS",1,1,1,1
"J9040","Bleomycin sulfate injection","APP Pharmaceuticals, LLC","63323013720","63323-0137-20","Bleomycin","15 UNITS",1,1,1,2
"J9065","Inj cladribine per 1 MG","APP Pharmaceuticals, LLC","63323014010","63323-0140-10","Cladribine","1 MG",10,1,10,10
"J9208","Ifosfamide injection","APP Pharmaceuticals, LLC","63323014210","63323-0142-10","Ifosfamide","1 GM",1,1,1,1
"J9208","Ifosfamide injection","APP Pharmaceuticals, LLC","63323014212","63323-0142-12","Ifosfamide","1 GM",1,1,1,1
"J9200","Floxuridine injection","APP Pharmaceuticals, LLC","63323014507","63323-0145-07","Floxuridine","500 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","APP Pharmaceuticals, LLC","63323014801","63323-0148-01","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","APP Pharmaceuticals, LLC","63323014805","63323-0148-05","Vinorelbine Tartrate","10 MG",5,1,5,5
"J9178","Inj, epirubicin hcl, 2 mg","APP Pharmaceuticals, LLC","63323015100","63323-0151-00","Epirubicin","2 MG",100,1,100,100
"J9178","Inj, epirubicin hcl, 2 mg","APP Pharmaceuticals, LLC","63323015105","63323-0151-05","Epirubicin","2 MG",5,1,5,5
"J9178","Inj, epirubicin hcl, 2 mg","APP Pharmaceuticals, LLC","63323015125","63323-0151-25","Epirubicin","2 MG",25,1,25,25
"J9178","Inj, epirubicin hcl, 2 mg","APP Pharmaceuticals, LLC","63323015175","63323-0151-75","Epirubicin","2 MG",75,1,75,75
"J1885","Ketorolac tromethamine inj","APP Pharmaceuticals, LLC","63323016101","63323-0161-01","Ketorolac Tromethamine","15 MG",1,25,1,25
"J1885","Ketorolac tromethamine inj","APP Pharmaceuticals, LLC","63323016201","63323-0162-01","Ketorolac Tromethamine","15 MG",1,25,2,50
"J1885","Ketorolac tromethamine inj","APP Pharmaceuticals, LLC","63323016202","63323-0162-02","Ketorolac Tromethamine","15 MG",2,25,4,100
"J1100","Dexamethasone sodium phos","APP Pharmaceuticals, LLC","63323016501","63323-0165-01","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100
"J1100","Dexamethasone sodium phos","APP Pharmaceuticals, LLC","63323016505","63323-0165-05","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500
"J1100","Dexamethasone sodium phos","APP Pharmaceuticals, LLC","63323016530","63323-0165-30","Dexamethasone Sodium Phosphate","1 MG",30,1,120,120
"J9045","Carboplatin injection","APP Pharmaceuticals, LLC","63323016610","63323-0166-10","Carboplatin","50 MG",1,1,1,1
"J9045","Carboplatin injection","APP Pharmaceuticals, LLC","63323016721","63323-0167-21","Carboplatin","50 MG",1,1,3,3
"J9045","Carboplatin injection","APP Pharmaceuticals, LLC","63323016800","63323-0168-00","Carboplatin","50 MG",1,1,9,9
"J9045","Carboplatin injection","APP Pharmaceuticals, LLC","63323017205","63323-0172-05","Carboplatin","50 MG",5,1,1,1
"J9045","Carboplatin injection","APP Pharmaceuticals, LLC","63323017215","63323-0172-15","Carboplatin","50 MG",15,1,3,3
"J9045","Carboplatin injection","APP Pharmaceuticals, LLC","63323017245","63323-0172-45","Carboplatin","50 MG",45,1,9,9
"J9045","Carboplatin injection","APP Pharmaceuticals, LLC","63323017260","63323-0172-60","Carboplatin","50 MG",60,1,12,12
"J1580","Garamycin gentamicin inj","APP Pharmaceuticals, LLC","63323017302","63323-0173-02","Gentamicin Sulfate","80 MG",2,25,0.25,6.25
"J9208","Ifosfamide injection","APP Pharmaceuticals, LLC","63323017420","63323-0174-20","Ifosfamide","1 GM",1,1,1,1
"J9208","Ifosfamide injection","APP Pharmaceuticals, LLC","63323017460","63323-0174-60","Ifosfamide","1 GM",1,1,3,3
"J9263","Oxaliplatin","APP Pharmaceuticals, LLC","63323017530","63323-0175-30","Oxaliplatin","0.5 MG",1,1,100,100
"J9263","Oxaliplatin","APP Pharmaceuticals, LLC","63323017650","63323-0176-50","Oxaliplatin","0.5 MG",1,1,200,200
"J3415","Pyridoxine hcl 100 mg","APP Pharmaceuticals, LLC","63323018001","63323-0180-01","Pyridoxine Hcl","100 MG",1,25,1,25
"J9185","Fludarabine phosphate inj","APP Pharmaceuticals, LLC","63323019002","63323-0190-02","Fludarabine Phosphate","50 MG",2,1,1,1
"J9280","Mitomycin 5 MG inj","APP Pharmaceuticals, LLC","63323019020","63323-0190-20","Mitomycin","5 MG",1,1,1,1
"J9185","Fludarabine phosphate inj","APP Pharmaceuticals, LLC","63323019202","63323-0192-02","Fludarabine Phosphate","50 MG",1,1,1,1
"J9206","Irinotecan injection","APP Pharmaceuticals, LLC","63323019302","63323-0193-02","Irinotecan HCL","20 MG",2,1,2,2
"J9206","Irinotecan injection","APP Pharmaceuticals, LLC","63323019305","63323-0193-05","Irinotecan HCL","20 MG",5,1,5,5
"J9211","Idarubicin hcl injection","APP Pharmaceuticals, LLC","63323019405","63323-0194-05","Idarubicin","5 MG",5,1,1,1
"J9211","Idarubicin hcl injection","APP Pharmaceuticals, LLC","63323019410","63323-0194-10","Idarubicin","5 MG",10,1,2,2
"J9211","Idarubicin hcl injection","APP Pharmaceuticals, LLC","63323019420","63323-0194-20","Idarubicin","5 MG",20,1,4,4
"J9185","Fludarabine phosphate inj","APP Pharmaceuticals, LLC","63323019606","63323-0196-06","Fludarabine Phosphate","50 MG",1,1,1,1
"J3370","Vancomycin hcl injection","APP Pharmaceuticals, LLC","63323022110","63323-0221-10","Vancomycin Hcl","500 MG",1,25,1,25
"J2720","Inj protamine sulfate/10 MG","APP Pharmaceuticals, LLC","63323022905","63323-0229-05","Protamine Sulfate","10 MG",5,25,5,125
"J2720","Inj protamine sulfate/10 MG","APP Pharmaceuticals, LLC","63323022915","63323-0229-15","Protamine Sulfate","10 MG",5,25,5,125
"J2720","Inj protamine sulfate/10 MG","APP Pharmaceuticals, LLC","63323022930","63323-0229-30","Protamine Sulfate","10 MG",25,1,25,25
"J2720","Inj protamine sulfate/10 MG","APP Pharmaceuticals, LLC","63323022935","63323-0229-35","Protamine Sulfate","10 MG",25,1,25,25
"J0461","Atropine sulfate injection","APP Pharmaceuticals, LLC","63323023401","63323-0234-01","Atropine Sulfate","0.01 MG",1,25,40,1000
"J0461","Atropine sulfate injection","APP Pharmaceuticals, LLC","63323023420","63323-0234-20","Atropine Sulfate","0.01 MG",20,1,800,800
"J0690","Cefazolin sodium injection","APP Pharmaceuticals, LLC","63323023610","63323-0236-10","Cefazolin Sodium","500 MG",1,25,1,25
"J0690","Cefazolin sodium injection","APP Pharmaceuticals, LLC","63323023710","63323-0237-10","Cefazolin Sodium","500 MG",1,25,2,50
"J0690","Cefazolin sodium injection","APP Pharmaceuticals, LLC","63323023861","63323-0238-61","Cefazolin Sodium","500 MG",1,10,20,200
"J0461","Atropine sulfate injection","APP Pharmaceuticals, LLC","63323024601","63323-0246-01","Atropine Sulfate","0.01 MG",1,25,100,2500
"J2920","Methylprednisolone injection","APP Pharmaceuticals, LLC","63323025503","63323-0255-03","Methylprednisolone Sodium Succ","40 MG",3,25,1,25
"J2930","Methylprednisolone injection","APP Pharmaceuticals, LLC","63323025803","63323-0258-03","Methylprednisolone Sodium Succ","125 MG",1,25,1,25
"J0670","Inj mepivacaine HCL/10 ml","APP Pharmaceuticals, LLC","63323026030","63323-0260-30","Polocaine-MPF","10 ML",30,1,3,3
"J2675","Inj progesterone per 50 MG","APP Pharmaceuticals, LLC","63323026110","63323-0261-10","Progesterone","50 MG",10,1,10,10
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323026201","63323-0262-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323026255","63323-0262-55","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125
"J2930","Methylprednisolone injection","APP Pharmaceuticals, LLC","63323026530","63323-0265-30","Methylprednisolone Sodium Succ","125 MG",1,1,8,8
"J2680","Fluphenazine decanoate 25 MG","APP Pharmaceuticals, LLC","63323027205","63323-0272-05","Fluphenazine Decanoate","25 MG",5,1,5,5
"J3030","Sumatriptan succinate / 6 MG","APP Pharmaceuticals, LLC","63323027301","63323-0273-01","Sumatriptan Succinate Injection","6 MG",0.5,1,1,1
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323027602","63323-0276-02","Heparin Sodium (Porcine)","1000 UNITS",2,25,2,50
"J9360","Vinblastine sulfate inj","APP Pharmaceuticals, LLC","63323027810","63323-0278-10","Vinblastine Sulfate","1 MG",10,1,10,10
"J1940","Furosemide injection","APP Pharmaceuticals, LLC","63323028002","63323-0280-02","Furosemide","20 MG",2,25,1,25
"J1940","Furosemide injection","APP Pharmaceuticals, LLC","63323028004","63323-0280-04","Furosemide","20 MG",4,25,2,50
"J1940","Furosemide injection","APP Pharmaceuticals, LLC","63323028010","63323-0280-10","Furosemide","20 MG",10,25,5,125
"J0670","Inj mepivacaine HCL/10 ml","APP Pharmaceuticals, LLC","63323028350","63323-0283-50","Polocaine-MPF","10 ML",50,1,5,5
"J3370","Vancomycin hcl injection","APP Pharmaceuticals, LLC","63323028420","63323-0284-20","Vancomycin Hcl","500 MG",1,10,2,20
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028510","63323-0285-10","Naropin","1 MG",10,5,20,100
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028520","63323-0285-20","Naropin ","1 MG",20,5,40,200
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028564","63323-0285-64","Naropin","1 MG",200,1,400,400
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028565","63323-0285-65","Naropin","1 MG",100,1,200,200
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028567","63323-0285-67","Naropin","1 MG",200,1,400,400
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028600","63323-0286-00","NAROPIN","1 MG",100,12,500,6000
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028620","63323-0286-20","Naropin","1 MG",20,5,100,500
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028630","63323-0286-30","Naropin ","1 MG",30,1,150,150
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028631","63323-0286-31","Naropin ","1 MG",30,5,150,750
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028637","63323-0286-37","Naropin (Novaplus)","1 MG",30,1,150,150
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028663","63323-0286-63","NAROPIN","1 MG",200,12,1000,12000
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028720","63323-0287-20","Naropin","1 MG",20,5,150,750
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028810","63323-0288-10","Naropin","1 MG",10,5,100,500
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028820","63323-0288-20","Naropin","1 MG",20,5,200,1000
"J2795","Ropivacaine HCl injection","APP Pharmaceuticals, LLC","63323028827","63323-0288-27","Naropin","1 MG",20,5,200,1000
"J2275","Morphine sulfate injection","APP Pharmaceuticals, LLC","63323029110","63323-0291-10","Astramorph","10 MG",10,5,0.5,2.5
"J2275","Morphine sulfate injection","APP Pharmaceuticals, LLC","63323029180","63323-0291-80","Astramorph","10 MG",2,10,0.1,1
"J2275","Morphine sulfate injection","APP Pharmaceuticals, LLC","63323029197","63323-0291-97","ASTRAMORPH/PF","10 MG",10,5,0.5,2.5
"J2275","Morphine sulfate injection","APP Pharmaceuticals, LLC","63323029210","63323-0292-10","ASTRAMORPH/PF","10 MG",10,5,5,5
"J2275","Morphine sulfate injection","APP Pharmaceuticals, LLC","63323029280","63323-0292-80","Astramorph","10 MG",2,10,0.2,2
"J2275","Morphine sulfate injection","APP Pharmaceuticals, LLC","63323029297","63323-0292-97","ASTRAMORPH/PF","10 MG",10,5,1,5
"J0670","Inj mepivacaine HCL/10 ml","APP Pharmaceuticals, LLC","63323029330","63323-0293-30","Polocaine-MPF","10 ML",30,1,3,3
"J0670","Inj mepivacaine HCL/10 ml","APP Pharmaceuticals, LLC","63323029420","63323-0294-20","POLOCAINE-MPF","10 ML",20,1,2,2
"J3370","Vancomycin hcl injection","APP Pharmaceuticals, LLC","63323029561","63323-0295-61","Vancomycin Hcl","500 MG",1,1,10,10
"J0670","Inj mepivacaine HCL/10 ml","APP Pharmaceuticals, LLC","63323029650","63323-0296-50","Polocaine-MPF","10 ML",50,1,5,5
"J2543","Piperacillin/tazobactam","APP Pharmaceuticals, LLC","63323030020","63323-0300-20","Piperacillin Sodium-Tazobactam Sodium","1 GRAM/0.125 GRAM",1,10,3,30
"J3260","Tobramycin sulfate injection","APP Pharmaceuticals, LLC","63323030351","63323-0303-51","Tobramycin Sulfate","80 MG",1,6,15,90
"J3260","Tobramycin sulfate injection","APP Pharmaceuticals, LLC","63323030355","63323-0303-55","Tobramycin Sulfate","80 MG",1,6,15,90
"J2543","Piperacillin/tazobactam","APP Pharmaceuticals, LLC","63323030474","63323-0304-74","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,1,36,36
"J3260","Tobramycin sulfate injection","APP Pharmaceuticals, LLC","63323030502","63323-0305-02","Tobramycin Sulfate","80 MG",2,25,0.25,6.25
"J3260","Tobramycin sulfate injection","APP Pharmaceuticals, LLC","63323030602","63323-0306-02","Tobramycin Sulfate","80 MG",2,25,1,25
"J3260","Tobramycin sulfate injection","APP Pharmaceuticals, LLC","63323030630","63323-0306-30","Tobramycin Sulfate","80 MG",30,10,15,150
"J3260","Tobramycin sulfate injection","APP Pharmaceuticals, LLC","63323030655","63323-0306-55","Tobramycin Sulfate","80 MG",1,25,1,25
"J3260","Tobramycin sulfate injection","APP Pharmaceuticals, LLC","63323030656","63323-0306-56","Tobramycin Sulfate","80 MG",1,10,15,150
"J3260","Tobramycin sulfate injection","APP Pharmaceuticals, LLC","63323030751","63323-0307-51","Tobramycin Sulfate","80 MG",50,1,25,25
"J2543","Piperacillin/tazobactam","APP Pharmaceuticals, LLC","63323030920","63323-0309-20","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,2,20
"J0610","Calcium gluconate injection","APP Pharmaceuticals, LLC","63323031110","63323-0311-10","Calcium Gluconate","10 ML",10,25,1,25
"J0610","Calcium gluconate injection","APP Pharmaceuticals, LLC","63323031150","63323-0311-50","Calcium Gluconate","10 ML",50,25,5,125
"J0610","Calcium gluconate injection","APP Pharmaceuticals, LLC","63323031161","63323-0311-61","Calcium Gluconate","10 ML",100,40,10,400
"J0610","Calcium gluconate injection","APP Pharmaceuticals, LLC","63323031163","63323-0311-63","Calcium Gluconate","10 ML",200,10,20,200
"J3370","Vancomycin hcl injection","APP Pharmaceuticals, LLC","63323031461","63323-0314-61","Vancomycin Hcl","500 MG",1,1,20,20
"J1570","Ganciclovir sodium injection","APP Pharmaceuticals, LLC","63323031510","63323-0315-10","Cytovene","500 MG",1,25,1,25
"J1626","Granisetron hcl injection","APP Pharmaceuticals, LLC","63323031701","63323-0317-01","Granisetron HCl","100 MCG",1,10,1,10
"J1626","Granisetron hcl injection","APP Pharmaceuticals, LLC","63323031801","63323-0318-01","Granisetron HCl","100 MCG",1,1,10,10
"J1626","Granisetron hcl injection","APP Pharmaceuticals, LLC","63323031904","63323-0319-04","Granisetron HCl","100 MCG",4,1,40,40
"J2543","Piperacillin/tazobactam","APP Pharmaceuticals, LLC","63323032050","63323-0320-50","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,4,40
"J2540","Penicillin g potassium inj","APP Pharmaceuticals, LLC","63323032320","63323-0323-20","Penicillin G Potassium","600000 UNITS",1,10,8.33,83.3
"J0133","Acyclovir injection","APP Pharmaceuticals, LLC","63323032510","63323-0325-10","Acyclovir Sodium","5 MG",20,10,100,1000
"J0133","Acyclovir injection","APP Pharmaceuticals, LLC","63323032520","63323-0325-20","Acyclovir Sodium","5 MG",20,10,200,2000
"J0692","Cefepime HCl for injection","APP Pharmaceuticals, LLC","63323032620","63323-0326-20","Maxipime","500 MG",1,10,2,20
"J0698","Cefotaxime sodium injection","APP Pharmaceuticals, LLC","63323033115","63323-0331-15","Cefotaxime Sodium","1 GM",1,25,1,25
"J0698","Cefotaxime sodium injection","APP Pharmaceuticals, LLC","63323033215","63323-0332-15","Cefotaxime Sodium","1 GM",1,25,2,50
"J0698","Cefotaxime sodium injection","APP Pharmaceuticals, LLC","63323033361","63323-0333-61","Cefotaxime Sodium","1 GM",1,10,10,100
"J0698","Cefotaxime sodium injection","APP Pharmaceuticals, LLC","63323033461","63323-0334-61","Cefotaxime Sodium","1 GM",1,10,20,200
"J0698","Cefotaxime sodium injection","APP Pharmaceuticals, LLC","63323033510","63323-0335-10","Cefotaxime Sodium","1 GM",1,25,0.5,12.5
"J0692","Cefepime HCl for injection","APP Pharmaceuticals, LLC","63323034020","63323-0340-20","Maxipime","500 MG",1,10,4,40
"J0692","Cefepime HCl for injection","APP Pharmaceuticals, LLC","63323034050","63323-0340-50","Maxipime","500 MG",1,10,4,40
"J0694","Cefoxitin sodium injection","APP Pharmaceuticals, LLC","63323034120","63323-0341-20","Cefoxitin Sodium","1 GM",1,25,1,25
"J0694","Cefoxitin sodium injection","APP Pharmaceuticals, LLC","63323034125","63323-0341-25","CEFOXITIN SODIUM","1 GM",1,25,1,25
"J0694","Cefoxitin sodium injection","APP Pharmaceuticals, LLC","63323034220","63323-0342-20","Cefoxitin Sodium","1 GM",1,25,2,50
"J0694","Cefoxitin sodium injection","APP Pharmaceuticals, LLC","63323034225","63323-0342-25","CEFOXITIN SODIUM","1 GM",1,25,2,50
"J0694","Cefoxitin sodium injection","APP Pharmaceuticals, LLC","63323034361","63323-0343-61","Cefoxitin Sodium","1 GM",1,10,10,100
"J0696","Ceftriaxone sodium injection","APP Pharmaceuticals, LLC","63323034410","63323-0344-10","CEFTRIAXONE SODIUM","250 MG",1,25,1,25
"J0696","Ceftriaxone sodium injection","APP Pharmaceuticals, LLC","63323034510","63323-0345-10","CEFTRIAXONE SODIUM","250 MG",1,25,2,50
"J0696","Ceftriaxone sodium injection","APP Pharmaceuticals, LLC","63323034610","63323-0346-10","CEFTRIAXONE SODIUM","250 MG",1,25,4,100
"J0696","Ceftriaxone sodium injection","APP Pharmaceuticals, LLC","63323034720","63323-0347-20","CEFTRIAXONE SODIUM","250 MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","APP Pharmaceuticals, LLC","63323034861","63323-0348-61","CEFTRIAXONE SODIUM","250 MG",1,1,40,40
"J0697","Sterile cefuroxime injection","APP Pharmaceuticals, LLC","63323035210","63323-0352-10","Cefuroxime Sodium","750 MG",1,25,1,25
"J0697","Sterile cefuroxime injection","APP Pharmaceuticals, LLC","63323035245","63323-0352-45","Cefuroxime Sodium","750 MG",1,25,1,25
"J0697","Sterile cefuroxime injection","APP Pharmaceuticals, LLC","63323035320","63323-0353-20","Cefuroxime Sodium","750 MG",20,25,2,50
"J0697","Sterile cefuroxime injection","APP Pharmaceuticals, LLC","63323035345","63323-0353-45","Cefuroxime Sodium","750 MG",2,25,2,50
"J0697","Sterile cefuroxime injection","APP Pharmaceuticals, LLC","63323035445","63323-0354-45","Cefuroxime Sodium","750 MG",1,10,10,100
"J0697","Sterile cefuroxime injection","APP Pharmaceuticals, LLC","63323035461","63323-0354-61","Cefuroxime Sodium","750 MG",1,10,10,100
"J1840","Kanamycin sulfate 500 MG inj","APP Pharmaceuticals, LLC","63323035903","63323-0359-03","Kanamycin Sulfate","500 MG",3,10,2,20
"J1850","Kanamycin sulfate 75 MG inj","APP Pharmaceuticals, LLC","63323035903","63323-0359-03","Kanamycin Sulfate","75 MG",3,10,13.33,133.3
"J2354","Octreotide inj, non-depot","APP Pharmaceuticals, LLC","63323036501","63323-0365-01","OCTREOTIDE ACETATE","25 MCG",1,10,2,20
"J1240","Dimenhydrinate injection","APP Pharmaceuticals, LLC","63323036601","63323-0366-01","Dimenhydrinate","50 MG",1,25,1,25
"J0295","Ampicillin sodium per 1.5 gm","APP Pharmaceuticals, LLC","63323036820","63323-0368-20","Ampicillin-Sulbactam","1.5 GM",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","APP Pharmaceuticals, LLC","63323036920","63323-0369-20","Ampicillin-Sulbactam","1.5 GM",1,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","APP Pharmaceuticals, LLC","63323037062","63323-0370-62","Ampicillin-Sulbactam","1.5 GM",1,1,10,10
"J2405","Ondansetron hcl injection","APP Pharmaceuticals, LLC","63323037302","63323-0373-02","ONDANSETRON HCL","1 MG",2,25,2,50
"J2405","Ondansetron hcl injection","APP Pharmaceuticals, LLC","63323037420","63323-0374-20","ONDANSETRON HCL","1 MG",20,1,40,40
"J2354","Octreotide inj, non-depot","APP Pharmaceuticals, LLC","63323037601","63323-0376-01","OCTREOTIDE ACETATE","25 MCG",1,10,4,40
"J2354","Octreotide inj, non-depot","APP Pharmaceuticals, LLC","63323037701","63323-0377-01","OCTREOTIDE ACETATE","25 MCG",1,10,20,200
"J2354","Octreotide inj, non-depot","APP Pharmaceuticals, LLC","63323037805","63323-0378-05","OCTREOTIDE ACETATE","25 MCG",5,1,40,40
"J2354","Octreotide inj, non-depot","APP Pharmaceuticals, LLC","63323037905","63323-0379-05","OCTREOTIDE ACETATE","25 MCG",5,1,200,200
"J0290","Ampicillin 500 MG inj","APP Pharmaceuticals, LLC","63323038710","63323-0387-10","Ampicillin Sodium","500 MG",10,10,0.5,5
"J0290","Ampicillin 500 MG inj","APP Pharmaceuticals, LLC","63323038810","63323-0388-10","Ampicillin Sodium","500 MG",1,10,1,10
"J0290","Ampicillin 500 MG inj","APP Pharmaceuticals, LLC","63323038910","63323-0389-10","Ampicillin Sodium","500 MG",10,10,2,20
"J0770","Colistimethate sodium inj","APP Pharmaceuticals, LLC","63323039306","63323-0393-06","Colistimethate Sodium","UP TO 150 MG",1,1,1,1
"J0456","Azithromycin","APP Pharmaceuticals, LLC","63323039810","63323-0398-10","AZITHROMYCIN","500 MG",1,10,10,10
"J0456","Azithromycin","APP Pharmaceuticals, LLC","63323039812","63323-0398-12","AZITHROMYCIN","500 MG",1,10,10,10
"J0290","Ampicillin 500 MG inj","APP Pharmaceuticals, LLC","63323039923","63323-0399-23","Ampicillin Sodium","500 MG",1,10,4,40
"Q2009","Fosphenytoin inj PE","APP Pharmaceuticals, LLC","63323040302","63323-0403-02","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50
"Q2009","Fosphenytoin inj PE","APP Pharmaceuticals, LLC","63323040310","63323-0403-10","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100
"J0735","Clonidine hydrochloride","APP Pharmaceuticals, LLC","63323040510","63323-0405-10","CLONIDINE HYDROCHLORIDE","1 MG",10,1,1,1
"J0706","Caffeine citrate injection","APP Pharmaceuticals, LLC","63323040703","63323-0407-03","CAFFEINE CITRATE","5 MG",3,1,12,12
"J2250","Inj midazolam hydrochloride","APP Pharmaceuticals, LLC","63323041102","63323-0411-02","Midazolam Hcl","1 MG",2,25,1,25
"J2250","Inj midazolam hydrochloride","APP Pharmaceuticals, LLC","63323041110","63323-0411-10","Midazolam Hcl","1 MG",10,10,10,100
"J2250","Inj midazolam hydrochloride","APP Pharmaceuticals, LLC","63323041112","63323-0411-12","Midazolam Hcl","1 MG",2,1,2,2
"J2250","Inj midazolam hydrochloride","APP Pharmaceuticals, LLC","63323041125","63323-0411-25","Midazolam Hcl","1 MG",5,25,5,125
"J2250","Inj midazolam hydrochloride","APP Pharmaceuticals, LLC","63323041202","63323-0412-02","Midazolam Hcl","1 MG",2,10,10,100
"J2250","Inj midazolam hydrochloride","APP Pharmaceuticals, LLC","63323041205","63323-0412-05","Midazolam Hcl","1 MG",5,10,25,250
"J2250","Inj midazolam hydrochloride","APP Pharmaceuticals, LLC","63323041210","63323-0412-10","Midazolam Hcl","1 MG",10,10,50,500
"J2250","Inj midazolam hydrochloride","APP Pharmaceuticals, LLC","63323041225","63323-0412-25","Midazolam Hcl","1 MG",1,25,5,125
"J0735","Clonidine hydrochloride","APP Pharmaceuticals, LLC","63323042710","63323-0427-10","Clonidine Hydrochloride Injection","1 MG",10,1,5,5
"J0690","Cefazolin sodium injection","APP Pharmaceuticals, LLC","63323044661","63323-0446-61","Cefazolin Sodium","500 MG",1,10,40,400
"J0690","Cefazolin sodium injection","APP Pharmaceuticals, LLC","63323044666","63323-0446-66","Cefazolin Sodium","500 MG",1,10,40,400
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323045909","63323-0459-09","Heparin Sodium (Porcine)","1000 UNITS",4,25,40,1000
"J1631","Haloperidol decanoate inj","APP Pharmaceuticals, LLC","63323046901","63323-0469-01","Haloperidol Decanoate","50 MG",1,1,1,1
"J1631","Haloperidol decanoate inj","APP Pharmaceuticals, LLC","63323046905","63323-0469-05","Haloperidol Decanoate","50 MG",5,1,5,5
"J1631","Haloperidol decanoate inj","APP Pharmaceuticals, LLC","63323047101","63323-0471-01","Haloperidol Decanoate","50 MG",1,1,2,2
"J1631","Haloperidol decanoate inj","APP Pharmaceuticals, LLC","63323047105","63323-0471-05","Haloperidol Decanoate","50 MG",5,1,10,10
"J1631","Haloperidol decanoate inj","APP Pharmaceuticals, LLC","63323047151","63323-0471-51","Haloperidol Decanoate","50 MG",1,1,2,2
"J1630","Haloperidol injection","APP Pharmaceuticals, LLC","63323047401","63323-0474-01","Haloperidol Lactate","5 MG",1,25,1,25
"J1630","Haloperidol injection","APP Pharmaceuticals, LLC","63323047410","63323-0474-10","Haloperidol Lactate","5 MG",10,1,10,10
"J1630","Haloperidol injection","APP Pharmaceuticals, LLC","63323047491","63323-0474-91","Haloperidol Lactate","5 MG",1,25,1,25
"J2400","Chloroprocaine hcl injection","APP Pharmaceuticals, LLC","63323047530","63323-0475-30","Nesacaine","30 ML",30,1,1,1
"J2400","Chloroprocaine hcl injection","APP Pharmaceuticals, LLC","63323047537","63323-0475-37","Nesacaine","30 ML",30,25,1,25
"J2400","Chloroprocaine hcl injection","APP Pharmaceuticals, LLC","63323047630","63323-0476-30","Nesacaine","30 ML",30,1,1,1
"J2400","Chloroprocaine hcl injection","APP Pharmaceuticals, LLC","63323047720","63323-0477-20","Nesacaine","30 ML",20,1,0.667,0.667
"J2400","Chloroprocaine hcl injection","APP Pharmaceuticals, LLC","63323047820","63323-0478-20","Nesacaine","30 ML",20,1,0.667,0.667
"J1100","Dexamethasone sodium phos","APP Pharmaceuticals, LLC","63323050601","63323-0506-01","Dexamethasone Sodium Phosphate","1 MG",1,25,10,250
"J1580","Garamycin gentamicin inj","APP Pharmaceuticals, LLC","63323051302","63323-0513-02","Gentamicin Sulfate","80 MG",2,25,0.25,6.25
"J1100","Dexamethasone sodium phos","APP Pharmaceuticals, LLC","63323051610","63323-0516-10","Dexamethasone Sodium Phosphate","1 MG",10,1,100,100
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323054001","63323-0540-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,1,25
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323054011","63323-0540-11","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323054031","63323-0540-31","Heparin Sodium (Porcine)","1000 UNITS",30,25,30,750
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323054057","63323-0540-57","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323054201","63323-0542-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323054207","63323-0542-07","Heparin Sodium (Porcine)","1000 UNITS",5,25,50,1250
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323054302","63323-0543-02","Heparin Sodium (Porcine)","1000 UNITS",0.5,25,5,125
"J0895","Deferoxamine mesylate inj","APP Pharmaceuticals, LLC","63323059710","63323-0597-10","Deferoxamine Mesylate","500 MG",1,1,1,1
"J0895","Deferoxamine mesylate inj","APP Pharmaceuticals, LLC","63323059930","63323-0599-30","Deferoxamine Mesylate","500 MG",1,1,4,4
"J1800","Propranolol injection","APP Pharmaceuticals, LLC","63323060401","63323-0604-01","Propranolol Hcl","1 MG",1,10,1,10
"J0360","Hydralazine hcl injection","APP Pharmaceuticals, LLC","63323061401","63323-0614-01","Hydralazine Hcl","20 MG",1,25,1,25
"J0360","Hydralazine hcl injection","APP Pharmaceuticals, LLC","63323061455","63323-0614-55","Hydralazine Hcl","20 MG",1,25,1,25
"J2260","Inj milrinone lactate / 5 MG","APP Pharmaceuticals, LLC","63323061710","63323-0617-10","Milrinone Lactate","5 MG",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","APP Pharmaceuticals, LLC","63323061720","63323-0617-20","Milrinone Lactate","5 MG",20,10,4,40
"J2260","Inj milrinone lactate / 5 MG","APP Pharmaceuticals, LLC","63323061750","63323-0617-50","Milrinone Lactate","5 MG",50,1,10,10
"J9263","Oxaliplatin","APP Pharmaceuticals, LLC","63323065010","63323-0650-10","OXALIPLATIN","0.5 mg",10,1,100,100
"J9263","Oxaliplatin","APP Pharmaceuticals, LLC","63323065020","63323-0650-20","OXALIPLATIN","0.5 mg",20,1,200,200
"J0150","Injection adenosine 6 MG","APP Pharmaceuticals, LLC","63323065102","63323-0651-02","Adenosine","6 MG",2,10,1,10
"J0150","Injection adenosine 6 MG","APP Pharmaceuticals, LLC","63323065104","63323-0651-04","Adenosine","6 MG",4,10,2,20
"J1205","Chlorothiazide sodium inj","APP Pharmaceuticals, LLC","63323065820","63323-0658-20","Chlorothiazide Sodium","500 MG",1,1,1,1
"J1205","Chlorothiazide sodium inj","APP Pharmaceuticals, LLC","63323065827","63323-0658-27","Chlorothiazide Sodium","500 MG",1,1,1,1
"J1200","Diphenhydramine hcl injectio","APP Pharmaceuticals, LLC","63323066401","63323-0664-01","Diphenhydramine Hcl","50 MG",1,25,1,25
"J3105","Terbutaline sulfate inj","APP Pharmaceuticals, LLC","63323066501","63323-0665-01","Terbutaline Sulfate","1 MG",1,25,1,25
"J0640","Leucovorin calcium injection","APP Pharmaceuticals, LLC","63323071050","63323-0710-50","Leucovorin Calcium","50 MG",1,1,4,4
"J0640","Leucovorin calcium injection","APP Pharmaceuticals, LLC","63323071100","63323-0711-00","Leucovorin Calcium","50 MG",1,1,10,10
"J0636","Inj calcitriol per 0.1 mcg","APP Pharmaceuticals, LLC","63323073101","63323-0731-01","Calcitriol","0.1 MCG",1,50,10,500
"J9209","Mesna injection","APP Pharmaceuticals, LLC","63323073310","63323-0733-10","Mesna","200 MG",10,10,5,50
"J9209","Mesna injection","APP Pharmaceuticals, LLC","63323073311","63323-0733-11","Mesna","200 MG",10,1,5,5
"J9209","Mesna injection","APP Pharmaceuticals, LLC","63323073312","63323-0733-12","Mesna","200 MG",10,10,5,50
"J2430","Pamidronate disodium /30 MG","APP Pharmaceuticals, LLC","63323073410","63323-0734-10","Pamidronate Disodium","30 MG",10,1,1,1
"J2430","Pamidronate disodium /30 MG","APP Pharmaceuticals, LLC","63323073435","63323-0734-35","Pamidronate Disodium","30 MG",10,1,1,1
"J2430","Pamidronate disodium /30 MG","APP Pharmaceuticals, LLC","63323073510","63323-0735-10","Pamidronate Disodium","30 MG",10,1,3,3
"J9351","Topotecan injection","APP Pharmaceuticals, LLC","63323076210","63323-0762-10","Topotecan","0.1 MG",1,1,40,40
"J9351","Topotecan injection","APP Pharmaceuticals, LLC","63323076217","63323-0762-17","Topotecan","0.1 MG",1,5,40,200
"J9265","Paclitaxel injection","APP Pharmaceuticals, LLC","63323076305","63323-0763-05","Paclitaxel","30 MG",5,1,1,1
"J9265","Paclitaxel injection","APP Pharmaceuticals, LLC","63323076316","63323-0763-16","Paclitaxel","30 MG",16.7,1,3.33,3.33
"J9265","Paclitaxel injection","APP Pharmaceuticals, LLC","63323076350","63323-0763-50","Paclitaxel","30 MG",50,1,10,10
"J2545","Pentamidine non-comp unit","APP Pharmaceuticals, LLC","63323087715","63323-0877-15","Nebupent","300 MG",1,1,1,1
"J9000","Doxorubicin hcl injection","APP Pharmaceuticals, LLC","63323088305","63323-0883-05","Doxorubicin Hcl","10 MG",5,1,1,1
"J9000","Doxorubicin hcl injection","APP Pharmaceuticals, LLC","63323088310","63323-0883-10","Doxorubicin Hcl","10 MG",10,1,2,2
"J9000","Doxorubicin hcl injection","APP Pharmaceuticals, LLC","63323088330","63323-0883-30","Doxorubicin Hcl","10 MG",25,1,5,5
"J1644","Inj heparin sodium per 1000u","APP Pharmaceuticals, LLC","63323091501","63323-0915-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,20,500
"J3480","Inj potassium chloride","APP Pharmaceuticals, LLC","63323096505","63323-0965-05","Potassium Chloride","2 MEQ",5,25,5,125
"J3480","Inj potassium chloride","APP Pharmaceuticals, LLC","63323096510","63323-0965-10","Potassium Chloride","2 MEQ",10,25,10,250
"J3480","Inj potassium chloride","APP Pharmaceuticals, LLC","63323096515","63323-0965-15","Potassium Chloride","2 MEQ",15,25,15,375
"J3480","Inj potassium chloride","APP Pharmaceuticals, LLC","63323096520","63323-0965-20","Potassium Chloride","2 MEQ",20,25,20,500
"J3480","Inj potassium chloride","APP Pharmaceuticals, LLC","63323096730","63323-0967-30","Potassium Chloride","2 MEQ",30,25,30,750
"J7614","Levalbuterol non-comp unit","Sunovion Pharmaceuticals Inc.","63402051124","63402-0511-24","Xopenex","0.5 MG",3,24,0.62,15
"J7614","Levalbuterol non-comp unit","Sunovion Pharmaceuticals Inc.","63402051224","63402-0512-24","Xopenex","0.5 MG",3,24,1.25,30
"J7614","Levalbuterol non-comp unit","Sunovion Pharmaceuticals Inc.","63402051324","63402-0513-24","Xopenex","0.5 MG",3,24,2.5,60
"J7612","Levalbuterol non-comp con","Sunovion Pharmaceuticals Inc.","63402051530","63402-0515-30","Xopenex","0.5 MG",0.5,30,2.5,75
"J7605","Arformoterol non-comp unit","Sunovion Pharmaceuticals Inc.","63402091130","63402-0911-30","ARFORMOTEROL ","15 MCG",2,30,1,30
"J7605","Arformoterol non-comp unit","Sunovion Pharmaceuticals Inc.","63402091164","63402-0911-64","ARFORMOTEROL ","15 MCG",2,60,1,60
"J2315","Naltrexone, depot form","Cephalon, Inc.","63459030042","63459-0300-42","naltrexone","1 MG",1,1,380,380
"J9033","Bendamustine injection","Cephalon, Inc.","63459039008","63459-0390-08","TREANDA","1 MG",1,1,25,25
"J9033","Bendamustine injection","Cephalon, Inc.","63459039120","63459-0391-20","TREANDA","1 MG",1,1,100,100
"J9017","Arsenic trioxide injection","Cephalon, Inc.","63459060010","63459-0600-10","Trisenox","1 MG",10,10,10,100
"J2410","Oxymorphone hcl injection","Endo Pharmaceuticals Inc","63481044410","63481-0444-10","Numorphan","1 MG",1,10,1,10
"J2410","Oxymorphone hcl injection","Endo Pharmaceuticals Inc","63481062410","63481-0624-10","OPANA","1 MG",1,10,1,10
"J0461","Atropine sulfate injection","McKesson Packaging Services a Division of McKesson Corp.","63739045821","63739-0458-21","Atropine Sulfate","0.01 MG",10,1,100,100
"J2690","Procainamide hcl injection","McKesson Packaging Services a Division of McKesson Corp.","63739045921","63739-0459-21","Procainamide Hcl","1 GM",10,1,1,1
"J2001","Lidocaine injection","McKesson Packaging Services a Division of McKesson Corp.","63739046921","63739-0469-21","Xylocaine (Cardiac)","10 MG",50,1,50,50
"J2001","Lidocaine injection","McKesson Packaging Services a Division of McKesson Corp.","63739047021","63739-0470-21","Xylocaine (Cardiac)","10 MG",50,1,100,100
"J1885","Ketorolac tromethamine inj","McKesson Packaging Services a Division of McKesson Corp.","63739047221","63739-0472-21","Ketorolac Tromethamine","15 MG",2,1,4,4
"J3420","Vitamin b12 injection","McKesson Packaging Services a Division of McKesson Corp.","63739047621","63739-0476-21","Cyanocobalamin","1000 MCG",30,1,30,30
"J7187","Humate-P, inj","CSL Behring GmbH","63833061502","63833-0615-02","HUMATE-P LOW DILUENT","1 IU",1,1,1,1
"J7187","Humate-P, inj","CSL Behring GmbH","63833061602","63833-0616-02","HUMATE-P LOW DILUENT","1 IU",1,1,1,1
"J7187","Humate-P, inj","CSL Behring GmbH","63833061702","63833-0617-02","HUMATE-P LOW DILUENT","1 IU",1,1,1,1
"J0597","C-1 esterase, berinert","CSL Behring GmbH","63833082502","63833-0825-02","BERINERT","10 Units",1,1,50,50
"90675","Rabies vaccine, im","Novartis Vaccines & Diagnostics","63851050101","63851-0501-01","RABAVERT","1 ML",1,1,1,1
"J7330","Cultured chondrocytes implnt","Genzyme Corporation","63861102501","63861-1025-01","Carticel","1 EA",1,1,1,1
"J7198","Anti-inhibitor","Baxter Healthcare Corporation","64193022203","64193-0222-03","Feiba Vh Immuno (Anti-Inhibitor Coagulant Complex)","1 IU",1,1,1,1
"J7198","Anti-inhibitor","Baxter Healthcare Corporation","64193022204","64193-0222-04","Feiba Vh Immuno","1 IU",1,1,1,1
"J7198","Anti-inhibitor","Baxter Healthcare Corporation","64193022205","64193-0222-05","FEIBA VH IMMUNO","1 IU",1,1,1,1
"J7198","Anti-inhibitor","Baxter Healthcare Corporation","64193022302","64193-0223-02","FEIBA NF","1 iu",1,1,1,1
"J7198","Anti-inhibitor","Baxter Healthcare Corporation","64193022402","64193-0224-02","FEIBA NF","1 iu",1,1,1,1
"J7198","Anti-inhibitor","Baxter Healthcare Corporation","64193022502","64193-0225-02","FEIBA NF","1 iu",1,1,1,1
"J7194","Factor ix complex","Baxter Healthcare Corporation","64193024402","64193-0244-02","Bebulin Vh","1 IU",1,1,1,1
"J7194","Factor ix complex","Baxter Healthcare Corporation","64193044502","64193-0445-02","Bebulin","1 IU",1,1,1,1
"J1557","Gammaplex injection","Bio Products Laboratory","64208823402","64208-8234-02","GAMMAPLEX","500mg",100,1,10,10
"J1557","Gammaplex injection","Bio Products Laboratory","64208823403","64208-8234-03","GAMMAPLEX","500mg",200,1,20,20
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253022221","64253-0222-21","Heparin (Porcine) Lock Flush","10 UNITS",1,1,1,1
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253022222","64253-0222-22","Heparin (Porcine) Lock Flush","10 UNITS",2,1,2,2
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253022223","64253-0222-23","Heparin (Porcine) Lock Flush","10 UNITS",3,1,3,3
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253022225","64253-0222-25","Heparin (Porcine) Lock Flush","10 UNITS",5,1,5,5
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253022230","64253-0222-30","Heparin (Porcine) Lock Flush","10 UNITS",10,1,10,10
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253022233","64253-0222-33","Heparin (Porcine) Lock Flush","10 UNITS",3,1,3,3
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253022235","64253-0222-35","Heparin (Porcine) Lock Flush","10 UNITS",5,1,5,5
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253033321","64253-0333-21","Heparin (Porcine) Lock Flush","10 UNITS",1,1,10,10
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253033322","64253-0333-22","Heparin (Porcine) Lock Flush","10 UNITS",2,1,20,20
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253033323","64253-0333-23","Heparin (Porcine) Lock Flush","10 UNITS",3,1,30,30
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253033325","64253-0333-25","Heparin (Porcine) Lock Flush","10 UNITS",5,1,50,50
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253033330","64253-0333-30","Heparin (Porcine) Lock Flush","10 UNITS",10,1,100,100
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253033333","64253-0333-33","Heparin (Porcine) Lock Flush","10 UNITS",3,1,30,30
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253033335","64253-0333-35","Heparin (Porcine) Lock Flush","10 UNITS",5,1,50,50
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253044422","64253-0444-22","Heparin (Porcine) Lock Flush","10 UNITS",1,60,0.1,6
"J1642","Inj heparin sodium per 10 u","Medefil, Inc.","64253044425","64253-0444-25","Heparin (Porcine) Lock Flush","10 UNITS",5,60,0.5,30
"J7674","Methacholine chloride, neb","Methapharm Inc","64281010006","64281-0100-06","Provocholine","1 MG",1,6,100,600
"J7674","Methacholine chloride, neb","Methapharm Inc","64281010012","64281-0100-12","Provocholine","1 MG",1,12,100,1200
"J9390","Vinorelbine tartrate inj","Pierre Fabre Pharmaceuticals","64370021001","64370-0210-01","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","Pierre Fabre Pharmaceuticals","64370025001","64370-0250-01","Vinorelbine Tartrate","10 MG",5,1,5,5
"J9390","Vinorelbine tartrate inj","Pierre Fabre Pharmaceuticals","64370053201","64370-0532-01","Navelbine","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","Pierre Fabre Pharmaceuticals","64370053202","64370-0532-02","Navelbine","10 MG",5,1,5,5
"J9390","Vinorelbine tartrate inj","Pierre Fabre Pharmaceuticals","64370308601","64370-3086-01","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","Pierre Fabre Pharmaceuticals","64370308602","64370-3086-02","Vinorelbine Tartrate","10 MG",5,1,5,5
"J0696","Ceftriaxone sodium injection","Wockhardt USA LLC","64679070101","64679-0701-01","CEFTRIAXONE ","250 MG",1,1,1,1
"J0696","Ceftriaxone sodium injection","Wockhardt USA LLC","64679070102","64679-0701-02","CEFTRIAXONE ","250 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","Wockhardt USA LLC","64679070103","64679-0701-03","CEFTRIAXONE ","250 MG",1,25,1,25
"J0696","Ceftriaxone sodium injection","Wockhardt USA LLC","64679070201","64679-0702-01","CEFTRIAXONE ","250 MG",1,1,2,2
"J0696","Ceftriaxone sodium injection","Wockhardt USA LLC","64679070202","64679-0702-02","CEFTRIAXONE ","250 MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","Wockhardt USA LLC","64679070301","64679-0703-01","CEFTRIAXONE ","250 MG",1,10,8,80
"J0696","Ceftriaxone sodium injection","Wockhardt USA LLC","64679070302","64679-0703-02","CEFTRIAXONE ","250 MG",1,1,8,8
"J2405","Ondansetron hcl injection","Wockhardt USA LLC","64679072601","64679-0726-01","ONDANSETRON HCL","1 MG",2,5,4,20
"J2405","Ondansetron hcl injection","Wockhardt USA LLC","64679072701","64679-0727-01","ONDANSETRON HCL","1 MG",20,1,40,40
"Q2009","Fosphenytoin inj PE","Wockhardt USA LLC","64679072901","64679-0729-01","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50
"Q2009","Fosphenytoin inj PE","Wockhardt USA LLC","64679073001","64679-0730-01","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100
"J1885","Ketorolac tromethamine inj","Wockhardt USA LLC","64679075701","64679-0757-01","Ketorolac Tromethamine","15 MG",1,25,1,25
"J1885","Ketorolac tromethamine inj","Wockhardt USA LLC","64679075702","64679-0757-02","Ketorolac Tromethamine","15 MG",1,10,1,10
"J1885","Ketorolac tromethamine inj","Wockhardt USA LLC","64679075801","64679-0758-01","Ketorolac Tromethamine","15 MG",1,25,2,50
"J1885","Ketorolac tromethamine inj","Wockhardt USA LLC","64679075802","64679-0758-02","Ketorolac Tromethamine","15 MG",2,25,4,100
"J1885","Ketorolac tromethamine inj","Wockhardt USA LLC","64679075804","64679-0758-04","Ketorolac Tromethamine","15 MG",1,10,2,20
"J1885","Ketorolac tromethamine inj","Wockhardt USA LLC","64679075806","64679-0758-06","Ketorolac Tromethamine","15 MG",2,10,4,40
"J0696","Ceftriaxone sodium injection","Wockhardt USA LLC","64679098301","64679-0983-01","CEFTRIAXONE ","250 MG",10,1,4,4
"J0696","Ceftriaxone sodium injection","Wockhardt USA LLC","64679098302","64679-0983-02","CEFTRIAXONE ","250 MG",1,10,4,40
"J0698","Cefotaxime sodium injection","Wockhardt USA LLC","64679098601","64679-0986-01","Claforan","1 GM",10,1,1,1
"J0698","Cefotaxime sodium injection","Wockhardt USA LLC","64679098602","64679-0986-02","Claforan","1 GM",10,10,1,10
"J0698","Cefotaxime sodium injection","Wockhardt USA LLC","64679098603","64679-0986-03","Claforan","1 GM",10,25,1,25
"J0698","Cefotaxime sodium injection","Wockhardt USA LLC","64679098604","64679-0986-04","Claforan","1 GM",10,50,1,50
"Q0170","Promethazine HCl 25 mg oral","Amneal Pharmaceuticals, LLC","65162052110","65162-0521-10","Promethazine Hcl","25 MG",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","Amneal Pharmaceuticals, LLC","65162052111","65162-0521-11","Promethazine Hcl","25 MG",1000,1,1000,1000
"Q0169","Promethazine HCl 12.5mg oral","Amneal Pharmaceuticals, LLC","65162074510","65162-0745-10","Promethazine Hcl","12.5 MG",100,1,100,100
"J0583","Bivalirudin","The Medicines Company","65293000101","65293-0001-01","Angiomax","1 MG",1,10,250,2500
"J0583","Bivalirudin","The Medicines Company","65293000422","65293-0004-22","Angiomax","1 MG",1,10,250,2500
"J7500","Azathioprine oral 50mg","Salix Pharmaceuticals, Inc.","65649023141","65649-0231-41","Azasan","50 MG",100,1,150,150
"J7500","Azathioprine oral 50mg","Salix Pharmaceuticals, Inc.","65649024141","65649-0241-41","Azasan","50 MG",100,1,200,200
"J2315","Naltrexone, depot form","Alkermes, Inc.","65757030001","65757-0300-01","Vivitrol","1 MG",1,1,380,380
"J2325","Nesiritide injection","Scios, Inc","65847020525","65847-0205-25","Natrecor","0.1 MG",1,1,15,15
"Q4074","Iloprost non-comp unit dose","Actelion Pharmaceuticals, U.S, Inc","66215030200","66215-0302-00","Ventavis","UP TO 20 MCG",1,30,1,30
"Q4074","Iloprost non-comp unit dose","Actelion Pharmaceuticals, U.S, Inc","66215030230","66215-0302-30","Ventavis","UP TO 20 MCG",1,30,1,30
"Q4074","Iloprost non-comp unit dose","Actelion Pharmaceuticals, U.S, Inc","66215030330","66215-0303-30","Ventavis","UP TO 20 MCG",1,30,1,30
"J1325","Epoprostenol injection","Actelion Pharmaceuticals, U.S, Inc","66215040101","66215-0401-01","Epoprostenol","0.5 MG",1,1,3,3
"J0132","Acetylcysteine injection","CUMBERLAND PHARMACEUTICALS INC","66220010730","66220-0107-30","Acetylcysteine Inj","100 MG",30,4,60,240
"J0132","Acetylcysteine injection","CUMBERLAND PHARMACEUTICALS INC","66220020730","66220-0207-30","ACETADOTE","100 MG",30,4,60,240
"J3285","Treprostinil injection","United Therapeutics","66302010101","66302-0101-01","Remodulin","1 MG",20,1,20,20
"J3285","Treprostinil injection","United Therapeutics","66302010201","66302-0102-01","Remodulin","1 MG",20,1,50,50
"J3285","Treprostinil injection","United Therapeutics","66302011001","66302-0110-01","Remodulin","1 MG",20,1,200,200
"J7686","Treprostinil, non-comp unit","United Therapeutics","66302020601","66302-0206-01","TYVASO (Starter Kit)","1.74 MG",2.9,28,1,28
"J7686","Treprostinil, non-comp unit","United Therapeutics","66302020602","66302-0206-02","TYVASO (Refill Kit)","1.74 MG",2.9,28,1,28
"J7686","Treprostinil, non-comp unit","United Therapeutics","66302020603","66302-0206-03","TYVASO","1.74 MG",2.9,4,1,4
"J3285","Treprostinil injection","United Therapeutics","66303010501","66303-0105-01","Remodulin","1 MG",20,1,100,100
"J0288","Ampho b cholesteryl sulfate","THREE RIVERS PHARMACEUTICALS","66435030151","66435-0301-51","Amphotec","10 MG",1,1,5,5
"J0735","Clonidine hydrochloride","Bioniche Pharma","66479052001","66479-0520-01","Duraclon","1 MG",10,1,1,1
"J0735","Clonidine hydrochloride","Bioniche Pharma","66479052101","66479-0521-01","Duraclon","1 MG",10,1,5,5
"J1230","Methadone injection","Xanodyne Pharmaceuticals, Inc.","66479053002","66479-0530-02","Methadone Hcl","10 MG",20,1,20,20
"J1110","Inj dihydroergotamine mesylt","Valeant Pharmaceuticals International","66490004101","66490-0041-01","D.H.E. 45","1 MG",1,10,1,10
"J1457","Gallium nitrate injection","Genta, Inc.","66657030101","66657-0301-01","Ganite","1 MG",20,1,500,500
"J1457","Gallium nitrate injection","Genta, Inc.","66657030105","66657-0301-05","Ganite","1 MG",20,5,500,2500
"J2425","Palifermin injection","Biovitrum AB","66658011206","66658-0112-06","Kepivance/Palifermin","50 MCG",1.2,6,125,750
"J9055","Cetuximab injection","Bristol-Myers Squibb Company","66733094823","66733-0948-23","Erbitux","10 MG",50,1,10,10
"J9055","Cetuximab injection","Bristol-Myers Squibb Company","66733095823","66733-0958-23","Erbitux","10 MG",100,1,20,20
"J2440","Papaverin hcl injection","PARENTA","66758001402","66758-0014-02","Papaverine Hcl","60 MG",2,10,1,10
"J2440","Papaverin hcl injection","PARENTA","66758001501","66758-0015-01","Papaverine Hcl","60 MG",10,1,5,5
"J2370","Phenylephrine hcl injection","PARENTA","66758001604","66758-0016-04","Phenylephrine Hcl","1 ML",5,25,5,125
"J2370","Phenylephrine hcl injection","PARENTA","66758001701","66758-0017-01","Phenylephrine Hcl","1 ML",10,1,10,10
"J1626","Granisetron hcl injection","PARENTA","66758003501","66758-0035-01","Granisetron HCl","100 MCG",1,1,10,10
"J1626","Granisetron hcl injection","PARENTA","66758003601","66758-0036-01","Granisetron HCl","100 MCG",4,1,40,40
"J9250","Methotrexate sodium inj","PARENTA","66758004002","66758-0040-02","Methotrexate Sodium","5 MG",2,10,10,100
"J9260","Methotrexate sodium inj","PARENTA","66758004002","66758-0040-02","Methotrexate Sodium","5 MG",2,10,1,10
"J9250","Methotrexate sodium inj","PARENTA","66758004008","66758-0040-08","Methotrexate Sodium","5 MG",10,10,50,500
"J9260","Methotrexate sodium inj","PARENTA","66758004008","66758-0040-08","Methotrexate Sodium","5 MG",10,10,5,50
"J9250","Methotrexate sodium inj","PARENTA","66758004101","66758-0041-01","Methotrexate Sodium","5 MG",40,1,200,200
"J9260","Methotrexate sodium inj","PARENTA","66758004101","66758-0041-01","Methotrexate Sodium","5 MG",40,1,20,20
"J9178","Inj, epirubicin hcl, 2 mg","PARENTA","66758004201","66758-0042-01","Epirubicin","2 MG",25,1,25,25
"J9178","Inj, epirubicin hcl, 2 mg","PARENTA","66758004202","66758-0042-02","Epirubicin","2 MG",100,1,100,100
"J9265","Paclitaxel injection","PARENTA","66758004301","66758-0043-01","Paclitaxel","30 MG",5,1,1,1
"J9265","Paclitaxel injection","PARENTA","66758004302","66758-0043-02","Paclitaxel","30 MG",16.7,1,3.34,3.34
"J9265","Paclitaxel injection","PARENTA","66758004303","66758-0043-03","Paclitaxel","30 MG",50,1,10,10
"J9190","Fluorouracil injection","PARENTA","66758004401","66758-0044-01","Fluorouracil","500 MG",10,10,1,10
"J9190","Fluorouracil injection","PARENTA","66758004403","66758-0044-03","Fluorouracil","500 MG",10,10,1,10
"J9390","Vinorelbine tartrate inj","PARENTA","66758004501","66758-0045-01","Vinorelbine Tartrate","10 MG",1,1,1,1
"J9390","Vinorelbine tartrate inj","PARENTA","66758004502","66758-0045-02","Vinorelbine Tartrate","10 MG",5,1,5,5
"J9185","Fludarabine phosphate inj","PARENTA","66758004601","66758-0046-01","Fludarabine Phosphate","50 MG",2,1,1,1
"J9045","Carboplatin injection","PARENTA","66758004701","66758-0047-01","Carboplatin","50 MG",5,1,1,1
"J9045","Carboplatin injection","PARENTA","66758004702","66758-0047-02","Carboplatin","50 MG",15,1,3,3
"J9045","Carboplatin injection","PARENTA","66758004703","66758-0047-03","Carboplatin","50 MG",45,1,9,9
"J9045","Carboplatin injection","PARENTA","66758004704","66758-0047-04","Carboplatin","50 MG",60,1,12,12
"J9206","Irinotecan injection","PARENTA","66758004801","66758-0048-01","Irinotecan HCL","20 MG",2,1,2,2
"J9206","Irinotecan injection","PARENTA","66758004802","66758-0048-02","Irinotecan HCL","20 MG",5,1,5,5
"J9171","Docetaxel injection","PARENTA","66758005001","66758-0050-01","DOCETAXEL","1 MG",2,1,20,20
"J9171","Docetaxel injection","PARENTA","66758005002","66758-0050-02","DOCETAXEL","1 MG",8,1,80,80
"J9171","Docetaxel injection","PARENTA","66758005003","66758-0050-03","DOCETAXEL","1 MG",16,1,160,160
"J9263","Oxaliplatin","PARENTA","66758005301","66758-0053-01","Oxaliplatin","0.5 MG",10,1,100,100
"J9263","Oxaliplatin","PARENTA","66758005302","66758-0053-02","Oxaliplatin","0.5 MG",20,1,200,200
"J0775","Collagenase, clost hist inj","Auxilium Pharmaceuticals, Inc.","66887000301","66887-0003-01","XIAFLEX (collagenase clostridium histolyticum)","0.01MG",1,1,90,90
"Q0164","Prochlorperazine maleate 5mg","Prasco Laboratories","66993080502","66993-0805-02","Prochlorperazine Maleate","5 MG",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","Prasco Laboratories","66993081002","66993-0810-02","Prochlorperazine Maleate","10 MG",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","Prasco Laboratories","66993081005","66993-0810-05","Prochlorperazine Maleate","10 MG",1000,1,1000,1000
"J7509","Methylprednisolone oral","Prasco Laboratories","66993084002","66993-0840-02","Methylprednisolone","4 MG",100,1,100,100
"J7509","Methylprednisolone oral","Prasco Laboratories","66993084021","66993-0840-21","Methylprednisolone (Pak)","4 MG",21,1,21,21
"J2850","Inj secretin synthetic human","ChiRhoClin, Inc.","67066000501","67066-0005-01","CHIRHOSTIM","1 mcg",1,1,16,16
"J9025","Azacitidine injection","Celgene Corp","67211010201","67211-0102-01","Azacitidine (Vidaza)","1 MG",1,1,100,100
"J8610","Methotrexate oral 2.5 MG","DAVA Pharmaceuticals","67253032010","67253-0320-10","METHOTREXATE","2.5 MG",100,1,100,100
"J8610","Methotrexate oral 2.5 MG","DAVA Pharmaceuticals","67253032036","67253-0320-36","Methotrexate","2.5 MG",36,1,36,36
"J8610","Methotrexate oral 2.5 MG","DAVA Pharmaceuticals","67253058042","67253-0580-42","Rheumatrex","2.5 MG",8,1,8,8
"J8610","Methotrexate oral 2.5 MG","DAVA Pharmaceuticals","67253058043","67253-0580-43","Rheumatrex","2.5 MG",12,1,12,12
"J8610","Methotrexate oral 2.5 MG","DAVA Pharmaceuticals","67253058044","67253-0580-44","Rheumatrex","2.5 MG",16,1,16,16
"J8610","Methotrexate oral 2.5 MG","DAVA Pharmaceuticals","67253058045","67253-0580-45","Rheumatrex","2.5 MG",20,1,20,20
"J8610","Methotrexate oral 2.5 MG","DAVA Pharmaceuticals","67253058046","67253-0580-46","Rheumatrex","2.5 MG",24,1,24,24
"J0594","Busulfan injection","PDL BioPharma","67286005308","67286-0053-08","BUSULFAN","1 MG",10,8,60,480
"J2993","Reteplase injection","EKR Therapeutics","67286040001","67286-0400-01","Retavase","18.1 MG",2,1,2,2
"J2993","Reteplase injection","EKR Therapeutics","67286040002","67286-0400-02","Retavase","18.1 MG",1,1,1,1
"J7308","Aminolevulinic acid hcl top","DUSA Pharmaceuticals","67308010101","67308-0101-01","Levulan Kerastick","354 MG",1,1,1,1
"J7308","Aminolevulinic acid hcl top","DUSA Pharmaceuticals","67308010106","67308-0101-06","Levulan Kerastick","354 MG",1,6,1,6
"J9020","Asparaginase injection","Lundbeck Inc.","67386041151","67386-0411-51","Elspar","10000 UNITS",1,1,1,1
"J2515","Pentobarbital sodium inj","Lundbeck Inc.","67386050152","67386-0501-52","Nembutal","50 MG",20,1,20,20
"J2515","Pentobarbital sodium inj","Lundbeck Inc.","67386050155","67386-0501-55","Nembutal","50 MG",50,1,50,50
"J0515","Inj benztropine mesylate","Lundbeck Inc.","67386061152","67386-0611-52","Cogentin","1 MG",2,5,2,10
"J1640","Hemin, 1 mg","Lundbeck Inc.","67386070154","67386-0701-54","Panhematin","1 MG",1,1,313,313
"J1205","Chlorothiazide sodium inj","Lundbeck Inc.","67386071155","67386-0711-55","Diuril Iv","500 MG",1,1,1,1
"J9120","Dactinomycin injection","Lundbeck Inc.","67386081155","67386-0811-55","Cosmegen","0.5 MG",1,1,1,1
"J9230","Mechlorethamine hcl inj","Lundbeck Inc.","67386091151","67386-0911-51","Mustargen","10 MG",1,4,1,4
"J3471","Ovine, up to 999 USP units","Ista Pharmaceuticals, Inc.","67425002010","67425-0020-10","Vitrase","1 UNIT",1.2,1,240,240
"J1200","Diphenhydramine hcl injectio","Mylan Institutional","67457012410","67457-0124-10","Benadryl","50 MG",10,1,10,10
"J1212","Dimethyl sulfoxide 50% 50 ML","Mylan Institutional","67457017750","67457-0177-50","Rimso-50","50 ML",50,1,1,1
"J0694","Cefoxitin sodium injection","Mylan Institutional","67457018901","67457-0189-01","MEFOXIN","1 GM",1,24,1,1
"J0694","Cefoxitin sodium injection","Mylan Institutional","67457018902","67457-0189-02","MEFOXIN","1 GM",1,24,2,2
"J9245","Inj melphalan hydrochl 50 MG","Mylan Institutional","67457019501","67457-0195-01","Melphalan","50 MG",1,1,1,1
"J1451","Fomepizole, 15 mg","Mylan Institutional","67457021102","67457-0211-02","FOMEPIZOLE","15 mg",1.5,1,100,100
"J9245","Inj melphalan hydrochl 50 MG","Mylan Institutional","67457021501","67457-0215-01","Melphalan","50 MG",1,1,1,1
"J1230","Methadone injection","Mylan Institutional","67457021720","67457-0217-20","Methadone Hcl","10 MG",20,1,20,20
"J0735","Clonidine hydrochloride","Mylan Institutional","67457021810","67457-0218-10","DURACLON","1 MG",10,1,1,1
"J0735","Clonidine hydrochloride","Mylan Institutional","67457021910","67457-0219-10","Duraclon","1 MG",10,1,5,5
"J3370","Vancomycin hcl injection","Mylan Institutional","67457022220","67457-0222-20","Vancomycin HCl","500 MG",1,10,2,20
"J9185","Fludarabine phosphate inj","Mylan Institutional","67457023802","67457-0238-02","Fludarabine Phosphate","50 MG",2,1,1,1
"J2354","Octreotide inj, non-depot","Mylan Institutional","67457023901","67457-0239-01","OCTREOTIDE ACETATE","25 MCG",1,10,2,20
"J2354","Octreotide inj, non-depot","Mylan Institutional","67457024501","67457-0245-01","OCTREOTIDE ACETATE","25 MCG",1,10,4,40
"J2354","Octreotide inj, non-depot","Mylan Institutional","67457024601","67457-0246-01","OCTREOTIDE ACETATE","25 MCG",1,10,20,200
"J1742","Ibutilide fumarate injection","Mylan Institutional","67457036610","67457-0366-10","IBUTILIDE FUMARATE","1 MG",10,1,1,1
"J7183","Wilate injection","Octapharma USA","67467018101","67467-0181-01","WILATE","1 IU VWF:RCo",1,1,1,1
"J7183","Wilate injection","Octapharma USA","67467018102","67467-0181-02","WILATE","1 IU VWF:RCo",1,1,1,1
"J7183","Wilate injection","Octapharma USA","67467018201","67467-0182-01","WILATE","1 IU VWF:RCo",1,1,1,1
"J7183","Wilate injection","Octapharma USA","67467018202","67467-0182-02","WILATE","1 IU VWF:RCo",1,1,1,1
"J1568","Octagam injection","Octapharma USA","67467084302","67467-0843-02","Octagam","500 MG",50,1,5,5
"J1568","Octagam injection","Octapharma USA","67467084303","67467-0843-03","Octagam","500 MG",100,1,10,10
"J1568","Octagam injection","Octapharma USA","67467084304","67467-0843-04","Octagam","500 MG",200,1,20,20
"J1568","Octagam injection","Octapharma USA","67467084305","67467-0843-05","Octagam 5%, 25 g in 500 ml","500 MG",500,1,50,50
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100001","67684-1000-01","Oxilan 300","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100002","67684-1000-02","Oxilan 300","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100003","67684-1000-03","Oxilan 300","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100004","67684-1000-04","Oxilan 300","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100005","67684-1000-05","Oxilan 300","1 ML",500,6,500,3000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100101","67684-1001-01","Oxilan 350","1 ML",50,10,50,500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100102","67684-1001-02","Oxilan 350","1 ML",100,10,100,1000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100103","67684-1001-03","Oxilan 350","1 ML",150,10,150,1500
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100104","67684-1001-04","Oxilan 350","1 ML",200,10,200,2000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684100105","67684-1001-05","Oxilan 350","1 ML",500,6,500,3000
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684550502","67684-5505-02","Hexabrix 320 mgl/mL, 50mL volume","1ml",50,25,50,1250
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684550503","67684-5505-03","Hexabrix 320 mgl/mL, 100mL volume","1ml",100,12,100,1200
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet, LLC","67684550505","67684-5505-05","Hexabrix 320 mgl/mL, 200mL volume","1ml",200,12,200,2400
"J9175","Elliotts b solution per ml","QOL Medical","67871000710","67871-0007-10","Elliotts B","1 ML",10,10,10,100
"J1430","Ethanolamine oleate 100 mg","QOL Medical","67871479006","67871-4790-06","ETHANOLAMINE OLEATE","100 MG",2,10,1,10
"J0878","Daptomycin injection","Cubist Pharmaceuticals","67919001101","67919-0011-01","Cubicin","1 MG",1,1,500,500
"J9357","Valrubicin injection","Endo Pharmaceuticals Valera Inc.","67979000101","67979-0001-01","Valstar","200 MG",5,4,1,4
"J9226","Supprelin LA implant","Endo Pharmaceuticals Valera Inc.","67979000201","67979-0002-01","Supprelin LA implant","50 MG",1,1,1,1
"J9225","Vantas implant","Endo Pharmaceuticals Valera Inc.","67979050001","67979-0500-01","Vantas implant","50 MG",1,1,1,1
"J3130","Testosterone enanthate inj","Endo Pharmaceutical Solutions Inc.","67979050140","67979-0501-40","Delatestryl","200 MG",5,1,5,5
"Q0169","Promethazine HCl 12.5mg oral","AMERICAN HEALTH PACKAGING","68084015401","68084-0154-01","Promethazine Hcl","12.5 MG",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","AMERICAN HEALTH PACKAGING","68084015501","68084-0155-01","Promethazine Hcl","25 MG",100,1,100,100
"Q0167","Dronabinol 2.5mg oral","AMERICAN HEALTH PACKAGING","68084017401","68084-0174-01","Marinol","2.5 MG",100,1,100,100
"Q0168","Dronabinol 5mg oral","AMERICAN HEALTH PACKAGING","68084017521","68084-0175-21","DRONABINOL","5 MG",30,1,30,30
"J7517","Mycophenolate mofetil oral","AMERICAN HEALTH PACKAGING","68084017701","68084-0177-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100
"J7517","Mycophenolate mofetil oral","AMERICAN HEALTH PACKAGING","68084017801","68084-0178-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200
"J7500","Azathioprine oral 50mg","AMERICAN HEALTH PACKAGING","68084022901","68084-0229-01","Azathioprine","50 MG",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","AMERICAN HEALTH PACKAGING","68084044901","68084-0449-01","TACROLIMUS","1MG",100,1,50,50
"J7507","Tacrolimus oral per 1 MG","AMERICAN HEALTH PACKAGING","68084045001","68084-0450-01","TACROLIMUS","1 MG",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","AMERICAN HEALTH PACKAGING","68084045101","68084-0451-01","TACROLIMUS","1 MG",100,1,500,500
"J1458","Galsulfase injection","BioMarin Pharmaceutical, Inc.","68135002001","68135-0020-01","Naglazyme","1 MG",1,1,1,5
"J0641","Levoleucovorin injection","Spectrum Pharmaceuticals","68152010100","68152-0101-00","Levoleucovorin Calcium","0.5 MG",1,1,100,100
"J0696","Ceftriaxone sodium injection","Lupin Pharmaceuticals","68180061101","68180-0611-01","CEFTRIAXONE ","250 MG",1,1,1,1
"J0696","Ceftriaxone sodium injection","Lupin Pharmaceuticals","68180061110","68180-0611-10","CEFTRIAXONE ","250 MG",1,10,1,10
"J0696","Ceftriaxone sodium injection","Lupin Pharmaceuticals","68180062201","68180-0622-01","CEFTRIAXONE ","250 MG",1,1,2,2
"J0696","Ceftriaxone sodium injection","Lupin Pharmaceuticals","68180062210","68180-0622-10","CEFTRIAXONE ","250 MG",1,10,2,20
"J0696","Ceftriaxone sodium injection","Lupin Pharmaceuticals","68180063301","68180-0633-01","CEFTRIAXONE ","250 MG",1,1,4,4
"J0696","Ceftriaxone sodium injection","Lupin Pharmaceuticals","68180063310","68180-0633-10","CEFTRIAXONE ","250 MG",1,10,4,40
"J0696","Ceftriaxone sodium injection","Lupin Pharmaceuticals","68180064401","68180-0644-01","CEFTRIAXONE ","250 MG",1,1,8,8
"J0696","Ceftriaxone sodium injection","Lupin Pharmaceuticals","68180064410","68180-0644-10","CEFTRIAXONE ","250 MG",1,10,8,80
"J1568","Octagam injection","Octapharma USA","68209084301","68209-0843-01","Octagam 5%, 1 g in 20 ml","500 MG",20,1,2,2
"J1568","Octagam injection","Octapharma USA","68209084302","68209-0843-02","Octagam 5%, 2.5 g in 50 ml","500 MG",50,1,5,5
"J1568","Octagam injection","Octapharma USA","68209084303","68209-0843-03","Octagam 5%, 5 g in 100 ml","500 MG",100,1,10,10
"J1568","Octagam injection","Octapharma USA","68209084304","68209-0843-04","Octagam","500 MG",200,1,20,20
"J1980","Hyoscyamine sulfate inj","Alaven Pharmaceuticals","68220011105","68220-0111-05","LEVSIN Injection .5mg/mL","0.25 MG",5,1,10,10
"J7194","Factor ix complex","GRIFOLS BIOLOGICALS INC.","68516320002","68516-3200-02","Profilnine Sd","1 IU",1,1,1,1
"J7194","Factor ix complex","GRIFOLS BIOLOGICALS INC.","68516320003","68516-3200-03","Profilnine Sd","1 IU",1,1,1,1
"J7194","Factor ix complex","GRIFOLS BIOLOGICALS INC.","68516320004","68516-3200-04","Profilnine® SD FIX SD(1000)","1 i.u.",1,1,1,1
"J7194","Factor ix complex","GRIFOLS BIOLOGICALS INC.","68516320005","68516-3200-05","Profilnine® SD FIX SD(1500)","1 i.u.",1,1,1,1
"J7194","Factor ix complex","GRIFOLS BIOLOGICALS INC.","68516320101","68516-3201-01","Profilnine® SD FIX SD M2V(500)","1 IU",1,1,1,1
"J7194","Factor ix complex","GRIFOLS BIOLOGICALS INC.","68516320202","68516-3202-02","Profilnine® SD FIX SD M2V(1000)","1 IU",1,1,1,1
"J7194","Factor ix complex","GRIFOLS BIOLOGICALS INC.","68516320302","68516-3203-02","Profilnine® SD FIX SD M2V(1500)","1 IU",1,1,1,1
"J7193","Factor IX non-recombinant","GRIFOLS BIOLOGICALS INC.","68516360002","68516-3600-02","Alphanine Sd","1 IU",1,1,1,1
"J7193","Factor IX non-recombinant","GRIFOLS BIOLOGICALS INC.","68516360004","68516-3600-04","ALPHANINE SD","1 IU",1,1,1,1
"J7193","Factor IX non-recombinant","GRIFOLS BIOLOGICALS INC.","68516360005","68516-3600-05","ALPHANINE SD","1 IU",1,1,1,1
"J7193","Factor IX non-recombinant","GRIFOLS BIOLOGICALS INC.","68516360006","68516-3600-06","ALPHANINE SD","1 IU",1,1,1,1
"J7193","Factor IX non-recombinant","GRIFOLS BIOLOGICALS INC.","68516360102","68516-3601-02","Alphanine®SD VF 500 IU M2V USA","1 IU",1,1,1,1
"J7193","Factor IX non-recombinant","GRIFOLS BIOLOGICALS INC.","68516360202","68516-3602-02","Alphanine®SD VF 1000 IU M2V USA","1 IU",1,1,1,1
"J7193","Factor IX non-recombinant","GRIFOLS BIOLOGICALS INC.","68516360302","68516-3603-02","Alphanine®SD VF 1500 IU M2V USA","1 IU",1,1,1,1
"J7186","Antihemophilic viii/vwf comp","GRIFOLS BIOLOGICALS INC.","68516460101","68516-4601-01","Alphanate /von Willebrand Factor Complex","PER FACTOR VIII IU",1,1,1,1
"J7190","Factor viii","GRIFOLS BIOLOGICALS INC.","68516460101","68516-4601-01","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1
"J7186","Antihemophilic viii/vwf comp","GRIFOLS BIOLOGICALS INC.","68516460201","68516-4602-01","Alphanate /von Willebrand Factor Complex","PER FACTOR VIII IU",1,1,1,1
"J7190","Factor viii","GRIFOLS BIOLOGICALS INC.","68516460201","68516-4602-01","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1
"J7186","Antihemophilic viii/vwf comp","GRIFOLS BIOLOGICALS INC.","68516460302","68516-4603-02","Alphanate /von Willebrand Factor Complex","PER FACTOR VIII IU",1,1,1,1
"J7190","Factor viii","GRIFOLS BIOLOGICALS INC.","68516460302","68516-4603-02","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1
"J7186","Antihemophilic viii/vwf comp","GRIFOLS BIOLOGICALS INC.","68516460402","68516-4604-02","Alphanate /von Willebrand Factor Complex","PER FACTOR VIII IU",1,1,1,1
"J7190","Factor viii","GRIFOLS BIOLOGICALS INC.","68516460402","68516-4604-02","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1
"J1451","Fomepizole, 15 mg","Jazz Pharmaceuticals, Inc.","68727020002","68727-0200-02","Antizol","15 MG",1.5,4,100,400
"J2503","Pegaptanib sodium injection","Eyetech Inc.","68782000102","68782-0001-02","Macugen","0.3 MG",0.09,1,1,1
"J9264","Paclitaxel protein bound","Celgene Corporation","68817013450","68817-0134-50","Abraxane","1 MG",50,1,100,100
"J7190","Factor viii","KEDRION BIOPHARMA, INC.","76125066750","76125-0667-50","Koate-Dvi","1 IU",1,1,1,1
"J1561","Gamunex, Gamunex-C, Gammaked","KEDRION BIOPHARMA, INC.","76125090001","76125-0900-01","GAMMAKED","500 MG",10,1,2,2
"J1561","Gamunex, Gamunex-C, Gammaked","KEDRION BIOPHARMA, INC.","76125090010","76125-0900-10","GAMMAKED","500 MG",100,1,20,20
"J1561","Gamunex, Gamunex-C, Gammaked","KEDRION BIOPHARMA, INC.","76125090020","76125-0900-20","GAMMAKED","500 MG",200,1,40,40
"J1561","Gamunex, Gamunex-C, Gammaked","KEDRION BIOPHARMA, INC.","76125090025","76125-0900-25","GAMMAKED","500 MG",25,1,5,5
"J1561","Gamunex, Gamunex-C, Gammaked","KEDRION BIOPHARMA, INC.","76125090050","76125-0900-50","GAMMAKED","500 MG",50,1,10,10
"Q4106","Dermagraft skin sub","Advanced BioHealing","85410000101","85410-0001-01","Dermagraft","1 SQ CM",1,1,37.5,37.5
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","86MX1X12","86MX1X12","GRAFTJACKET MAXSTRIP","1 SQ CM",1,1,12,12
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","86ST4X07","86ST4X07","Graftjacket Std","1 SQ CM",1,1,28,28
"J7321","Hyalgan/supartz inj per dose","Fidia Pharma USA Inc","89122072412","89122-0724-12","Hyalgan","PER DOSE",2,1,1,1
"J7321","Hyalgan/supartz inj per dose","Fidia Pharma USA Inc","89122072420","89122-0724-20","Hyalgan","PER DOSE",2,1,1,1
"Q4116","Alloderm skin sub","LifeCell Corporation","982001","982001","AlloDerm","1 SQ CM",1,1,1,1
"Q4116","Alloderm skin sub","LifeCell Corporation","982003","982003","AlloDerm","1 SQ CM",2,1,2,2
"Q4116","Alloderm skin sub","LifeCell Corporation","982007","982007","AlloDerm","1 SQ CM",4,1,4,4
"Q4116","Alloderm skin sub","LifeCell Corporation","982011","982011","AlloDerm","1 SQ CM",8,1,8,8
"Q4116","Alloderm skin sub","LifeCell Corporation","982014","982014","AlloDerm","1 SQ CM",14,1,14,14
"Q4116","Alloderm skin sub","LifeCell Corporation","982021","982021","AlloDerm","1 SQ CM",21,1,21,21
"Q4116","Alloderm skin sub","LifeCell Corporation","982024","982024","AlloDerm","1 SQ CM",1,1,24,24
"Q4116","Alloderm skin sub","LifeCell Corporation","982028","982028","AlloDerm","1 SQ CM",28,1,28,28
"Q4116","Alloderm skin sub","LifeCell Corporation","982048","982048","AlloDerm","1 SQ CM",1,1,48,48
"Q4116","Alloderm skin sub","LifeCell Corporation","982060","982060","AlloDerm","1 SQ CM",50,1,50,50
"Q4116","Alloderm skin sub","LifeCell Corporation","982070","982070","AlloDerm","1 SQ CM",72,1,72,72
"Q4116","Alloderm skin sub","LifeCell Corporation","982080","982080","AlloDerm","1 SQ CM",64,1,64,64
"Q4116","Alloderm skin sub","LifeCell Corporation","982096","982096","AlloDerm","1 SQ CM",96,1,96,96
"Q4116","Alloderm skin sub","LifeCell Corporation","982108","982108","AlloDerm","1 SQ CM",108,1,108,108
"Q4116","Alloderm skin sub","LifeCell Corporation","982128","982128","AlloDerm","1 SQ CM",128,1,128,128
"Q4116","Alloderm skin sub","LifeCell Corporation","982144","982144","AlloDerm","1 SQ CM",144,1,144,144
"Q4116","Alloderm skin sub","LifeCell Corporation","982196","982196","AlloDerm","1 SQ CM",96,1,96,96
"Q4116","Alloderm skin sub","LifeCell Corporation","982320","982320","AlloDerm","1 SQ CM",320,1,320,320
"Q4116","Alloderm skin sub","LifeCell Corporation","992003","992003","AlloDerm","1 SQ CM",1,1,2,2
"Q4116","Alloderm skin sub","LifeCell Corporation","992007","992007","AlloDerm","1 SQ CM",1,1,4,4
"J0586","AbobotulinumtoxinA","Medicis","99207050030","99207-0500-30","Dysport","5 Unit",1,1,60,60
"Q4116","Alloderm skin sub","LifeCell Corporation","992128","992128","AlloDerm","1 SQ CM",1,1,128,128
"Q4116","Alloderm skin sub","LifeCell Corporation","992196","992196","AlloDerm","1 SQ CM",1,1,96,96
"Q4111","Gammagraft skin sub","Promethean LifeSciences, Inc.","GG 100","GG 100","GammaGraft","1 SQ CM",2.25,1,2.25,2.25
"Q4111","Gammagraft skin sub","Promethean LifeSciences, Inc.","GG 225","GG 225","GammaGraft","1 SQ CM",7.5,1,7.5,7.5
"Q4111","Gammagraft skin sub","Promethean LifeSciences, Inc.","GG 400","GG 400","GammaGraft","1 SQ CM",18,1,18,18
"Q4111","Gammagraft skin sub","Promethean LifeSciences, Inc.","GG 625","GG 625","GammaGraft","1 SQ CM",56,1,56,56