"hcpcs","shortdescription","labelername","ndc","ndcdash","drugname","hcpcsdosage","pkgsize","pkgqty","billunits","billunitspkg","notes","codedosagedescriptor"
"J3260","Tobramycin sulfate injection","LILLY","00002050101","00002-0501-01","Nebcin",,2,1,0.25,0.25,,"80 MG"
"A9586","Florbetapir F18","Eli Lilly and Company","00002120001","00002-1200-01","AMYVID","up to 10mCi",10,1,1,1,,
"J3370","Vancomycin hcl injection","LILLY","00002144425","00002-1444-25","Vancocin Hcl",,1,25,25,1,,"500 MG"
"J0690","Cefazolin sodium injection","LILLY","00002149825","00002-1498-25","Kefzol",,1,25,50,2,,"500 MG"
"J3260","Tobramycin sulfate injection","LILLY","00002149925","00002-1499-25","Nebcin",,2,25,25,1,,"80 MG"
"J7635","Atropine inhal sol con","LILLY, ELI & CO.","00002167501","00002-1675-01","Atropine Sulfate",,20,1,8,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","LILLY, ELI & CO.","00002167501","00002-1675-01","Atropine Sulfate",,20,1,8,8,,"1 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002535725","00002-5357-25","Cefuroxime Sodium",,1,25,25,1,,"750 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002535801","00002-5358-01","Kefurox",,1,1,2,2,,"750 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002535810","00002-5358-10","Kefurox",,1,10,20,2,,"750 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002535901","00002-5359-01","Cefuroxime Sodium",,1,1,1,1,,"750 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002535910","00002-5359-10","Cefuroxime Sodium",,1,10,10,1,,"750 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002536001","00002-5360-01","Cefuroxime Sodium",,1,1,2,2,,"750 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002536101","00002-5361-01","Cefuroxime Sodium",,1,1,10,10,,"750 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002536201","00002-5362-01","Cefuroxime Sodium",,1,1,1,1,,"750 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002536225","00002-5362-25","Cefuroxime Sodium",,1,25,25,1,,"750 MG"
"J0697","Sterile cefuroxime injection","NOVAPLUS","00002536310","00002-5363-10","Cefuroxime Sodium",,1,10,20,2,,"750 MG"
"J0690","Cefazolin sodium injection","LILLY","00002701401","00002-7014-01","Kefzol",,1,1,20,20,,"500 MG"
"J3260","Tobramycin sulfate injection","LILLY","00002704001","00002-7040-01","Nebcin",,1,1,15,15,,"80 MG"
"J3260","Tobramycin sulfate injection","LILLY","00002704016","00002-7040-16","Nebcin",,1,6,90,15,,"80 MG"
"J3260","Tobramycin sulfate injection","LILLY","00002709001","00002-7090-01","Nebcin",,30,1,15,15,,"80 MG"
"J3260","Tobramycin sulfate injection","LILLY","00002709016","00002-7090-16","Nebcin",,30,6,90,15,,"80 MG"
"J0130","Abciximab injection","Eli Lilly and Company","00002714001","00002-7140-01","Reopro","10 MG",5,1,1,1,,
"J1250","Inj dobutamine HCL/250 mg","LILLY","00002717510","00002-7175-10","Dobutrex",,20,10,10,1,,"250 MG"
"C9485","Injection, olaratumab","Eli Lilly and Company","00002719001","00002-7190-01","LARTRUVO","10 MG",19,1,19,19,,
"J9285","Inj, olaratumab, 10 mg","Eli Lilly and Company","00002719001","00002-7190-01","LARTRUVO","10 MG",19,1,19,19,,
"J1644","Inj heparin sodium per 1000u","LILLY","00002721701","00002-7217-01","Heparin Sodium (Porcine)",,5,1,50,50,,"1000 UNITS"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002723101","00002-7231-01","Tazidime",,1,1,2,2,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002723125","00002-7231-25","Tazidime",,1,25,50,2,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002723401","00002-7234-01","Tazidime",,1,1,4,4,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002723410","00002-7234-10","Tazidime",,1,10,40,4,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002723901","00002-7239-01","Tazidime",,1,1,4,4,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002724101","00002-7241-01","Tazidime",,1,1,12,12,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002724116","00002-7241-16","Tazidime",,1,6,72,12,,"500 MG"
"J0690","Cefazolin sodium injection","LILLY","00002726601","00002-7266-01","Kefzol",,1,1,2,2,,"500 MG"
"J0690","Cefazolin sodium injection","LILLY","00002726625","00002-7266-25","Kefzol",,1,25,50,2,,"500 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727101","00002-7271-01","Kefurox",,1,1,1,1,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727125","00002-7271-25","Kefurox",,1,25,25,1,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727201","00002-7272-01","Kefurox",,1,1,2,2,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727210","00002-7272-10","Kefurox",,1,10,20,2,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727301","00002-7273-01","Kefurox",,1,1,1,1,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727310","00002-7273-10","Kefurox",,1,10,10,1,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727501","00002-7275-01","Kefurox",,1,1,10,10,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727801","00002-7278-01","Kefurox",,1,1,1,1,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727825","00002-7278-25","Kefurox",,1,25,25,1,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727901","00002-7279-01","Kefurox",,1,1,2,2,,"750 MG"
"J0697","Sterile cefuroxime injection","LILLY","00002727910","00002-7279-10","Kefurox",,1,10,20,2,,"750 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002729001","00002-7290-01","Tazidime",,1,1,2,2,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002729025","00002-7290-25","Tazidime",,1,25,50,2,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002729101","00002-7291-01","Tazidime",,1,1,4,4,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","LILLY","00002729110","00002-7291-10","Tazidime",,1,10,40,4,,"500 MG"
"J3260","Tobramycin sulfate injection","LILLY","00002729301","00002-7293-01","Nebcin",,1,1,0.75,0.75,,"80 MG"
"J3260","Tobramycin sulfate injection","LILLY","00002729401","00002-7294-01","Nebcin",,1,1,1,1,,"80 MG"
"J3260","Tobramycin sulfate injection","LILLY","00002729425","00002-7294-25","Nebcin",,1,25,25,1,,"80 MG"
"J3370","Vancomycin hcl injection","LILLY","00002729801","00002-7298-01","Vancocin Hcl",,1,1,2,2,,"500 MG"
"J3370","Vancomycin hcl injection","LILLY","00002729810","00002-7298-10","Vancocin Hcl",,1,10,20,2,,"500 MG"
"J3370","Vancomycin hcl injection","LILLY","00002732101","00002-7321-01","Vancocin Hcl",,1,1,2,2,,"500 MG"
"J3370","Vancomycin hcl injection","LILLY","00002732125","00002-7321-25","Vancocin Hcl",,1,25,50,2,,"500 MG"
"J2941","Somatropin injection","LILLY","00002733501","00002-7335-01","Humatrope","1 MG",1,1,5,5,,
"J2941","Somatropin injection","LILLY","00002733516","00002-7335-16","Humatrope","1 MG",1,6,5,30,,
"J3370","Vancomycin hcl injection","LILLY","00002735501","00002-7355-01","Vancocin Hcl",,1,1,20,20,,"500 MG"
"J3260","Tobramycin sulfate injection","NOVAPLUS","00002738125","00002-7381-25","Tobramycin Sulfate",,2,25,25,1,,"80 MG"
"J3260","Tobramycin sulfate injection","NOVAPLUS","00002738216","00002-7382-16","Tobramycin Sulfate",,30,6,90,15,,"80 MG"
"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,,
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002751017","00002-7510-17","Humalog","50 UNITS",3,1,6,6,,
"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","00002751201","00002-7512-01","Humalog Mix 50/50","5 UNITS",10,1,200,200,,
"J1815","Insulin injection","LILLY","00002751501","00002-7515-01","Humalog","5 UNITS",1.5,1,30,30,,
"J1817","Insulin for insulin pump use","LILLY","00002751501","00002-7515-01","Humalog","50 UNITS",1.5,1,3,3,,
"J1815","Insulin injection","LILLY","00002751559","00002-7515-59","Humalog","5 UNITS",1.5,5,30,150,,
"J1817","Insulin for insulin pump use","LILLY","00002751559","00002-7515-59","Humalog","50 UNITS",1.5,5,3,15,,
"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,,
"C9025","Injection, ramucirumab","Eli Lilly and Company","00002766901","00002-7669-01","CYRAMZA","5 MG",10,1,20,20,,
"J9308","Injection, ramucirumab","Eli Lilly and Company","00002766901","00002-7669-01","CYRAMZA","5 MG",10,1,20,20,,
"C9025","Injection, ramucirumab","Eli Lilly and Company","00002767801","00002-7678-01","CYRAMZA","5 MG",50,1,100,100,,
"J9308","Injection, ramucirumab","Eli Lilly and Company","00002767801","00002-7678-01","CYRAMZA","5 MG",50,1,100,100,,
"C9475","Injection, necitumumab","Eli Lilly and Company","00002771601","00002-7716-01","PORTRAZZA","1 MG",50,1,800,800,,
"J9295","Injection, necitumumab, 1 mg","Eli Lilly and Company","00002771601","00002-7716-01","PORTRAZZA","1 MG",50,1,800,800,,
"J1610","Glucagon hydrochloride/1 mg","Eli Lilly and Company","00002803101","00002-8031-01","Glucagon Emergency","1 MG",1,1,1,1,,
"J1610","Glucagon hydrochloride/1 MG","LILLY","00002808501","00002-8085-01","Glucagon Diagnostic","1 MG",1,1,1,1,,
"J2941","Somatropin injection","LILLY","00002808901","00002-8089-01","Humatrope","1 MG",1,1,6,6,,
"J2941","Somatropin injection","LILLY","00002809001","00002-8090-01","Humatrope","1 MG",1,1,12,12,,
"J2941","Somatropin injection","LILLY","00002809101","00002-8091-01","Humatrope","1 MG",1,1,24,24,,
"J1815","Insulin injection","LILLY","00002821001","00002-8210-01","Iletin I Regular",,10,1,200,200,,"5 UNITS"
"J1815","Insulin injection","LILLY","00002821101","00002-8211-01","Iletin Ii Regular (Pork)","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","LILLY","00002821101","00002-8211-01","Iletin Ii Regular (Pork)","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","Eli Lilly and Company","00002821501","00002-8215-01","Humulin R","5 UNITS",10,1,200,200,,
"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,,
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002821517","00002-8215-17","Humulin R","50 UNITS",3,1,6,6,,
"J1815","Insulin injection","Eli Lilly and Company","00002821591","00002-8215-91","Humulin R","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","Eli Lilly and Company","00002821591","00002-8215-91","Humulin R","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","LILLY","00002831001","00002-8310-01","Iletin I Nph",,10,1,200,200,,"5 UNITS"
"J1815","Insulin injection","LILLY","00002831101","00002-8311-01","Iletin Ii Nph (Pork)","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","LILLY","00002831101","00002-8311-01","Iletin Ii Nph (Pork)","50 UNITS",10,1,20,20,,
"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","LILLY","00002841001","00002-8410-01","Iletin I Lente",,10,1,200,200,,"5 UNITS"
"J1815","Insulin injection","LILLY","00002841101","00002-8411-01","Iletin Ii Lente (Pork)",,10,1,200,200,,"5 UNITS"
"J1815","Insulin injection","LILLY","00002841501","00002-8415-01","Humulin L","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","LILLY","00002841501","00002-8415-01","Humulin L","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","Eli Lilly and Company","00002850101","00002-8501-01","Humulin R U-500","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","LILLY","00002861501","00002-8615-01","Humulin U","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","LILLY","00002861501","00002-8615-01","Humulin U","50 UNITS",10,1,20,20,,
"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","5 UNITS",10,1,200,200,,
"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","LILLY","00002872501","00002-8725-01","Humalog Pen","5 UNITS",3,1,60,60,,
"J1817","Insulin for insulin pump use","LILLY","00002872501","00002-8725-01","Humalog Pen","50 UNITS",3,1,6,6,,
"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","LILLY","00002873001","00002-8730-01","Humulin N Pen","5 UNITS",3,1,60,60,,
"J1817","Insulin for insulin pump use","LILLY","00002873001","00002-8730-01","Humulin N Pen","50 UNITS",3,1,6,6,,
"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","LILLY","00002877001","00002-8770-01","Humulin 70/30 Pen","5 UNITS",3,1,60,60,,
"J1817","Insulin for insulin pump use","LILLY","00002877001","00002-8770-01","Humulin 70/30 Pen","50 UNITS",3,1,6,6,,
"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,,
"C9485","Injection, olaratumab","Eli Lilly and Company","00002892601","00002-8926-01","LARTRUVO","10 MG",50,1,50,50,,
"J9285","Inj, olaratumab, 10 mg","Eli Lilly and Company","00002892601","00002-8926-01","LARTRUVO","10 MG",50,1,50,50,,
"J3370","Vancomycin hcl injection","AMERINET CHOICE","00002896725","00002-8967-25","Vancomycin Hcl",,25,1,50,50,,"500 MG"
"J3370","Vancomycin hcl injection","AMERINET CHOICE","00002896925","00002-8969-25","Vancomycin Hcl",,25,1,25,25,,"500 MG"
"J3110","Teriparatide injection","LILLY","00002897101","00002-8971-01","Forteo","10 MCG",3,1,75,75,,
"J3260","Tobramycin sulfate injection","AMERINET CHOICE","00002898801","00002-8988-01","Tobramycin Sulfate",,2,1,0.25,0.25,,"80 MG"
"J3260","Tobramycin sulfate injection","AMERINET CHOICE","00002898925","00002-8989-25","Tobramycin Sulfate",,2,25,25,1,,"80 MG"
"J3260","Tobramycin sulfate injection","AMERINET CHOICE","00002899016","00002-8990-16","Tobramycin Sulfate",,30,1,15,15,,"80 MG"
"J0697","Sterile cefuroxime injection","AMERINET CHOICE","00002899425","00002-8994-25","Cefuroxime Sodium",,1,25,25,1,,"750 MG"
"J0697","Sterile cefuroxime injection","AMERINET CHOICE","00002899510","00002-8995-10","Cefuroxime Sodium",,1,10,20,2,,"750 MG"
"J0713","Inj ceftazidime per 500 mg","NOVAPLUS","00002900025","00002-9000-25","Ceftazidime",,1,25,50,2,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","NOVAPLUS","00002900110","00002-9001-10","Ceftazidime",,1,10,40,4,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","NOVAPLUS","00002900210","00002-9002-10","Ceftazidime",,1,10,20,2,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","NOVAPLUS","00002900310","00002-9003-10","Ceftazidime",,1,10,40,4,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","NOVAPLUS","00002900525","00002-9005-25","Ceftazidime",,1,25,50,2,,"500 MG"
"J0697","Sterile cefuroxime injection","AMERINET CHOICE","00002950001","00002-9500-01","Cefuroxime Sodium",,1,1,10,10,,"750 MG"
"J0690","Cefazolin sodium injection","AMERINET CHOICE","00002950425","00002-9504-25","Cefazolin Sodium",,1,25,50,2,,"500 MG"
"J0690","Cefazolin sodium injection","AMERINET CHOICE","00002950501","00002-9505-01","Cefazolin Sodium",,1,1,20,20,,"500 MG"
"J3370","Vancomycin hcl injection","AMERINET CHOICE","00002950901","00002-9509-01","Vancomycin Hcl",,1,1,20,20,,"500 MG"
"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,,
"C9286","Injection, belatacept, 1 mg","Bristol-Myers Squibb Company","00003037113","00003-0371-13","NULOJIX","1 MG",1,1,250,250,,
"J0485","Belatacept injection","Bristol-Myers Squibb Company","00003037113","00003-0371-13","NULOJIX","1 MG",1,1,250,250,,
"J0285","Amphotericin B","SANDOZ","00003043730","00003-0437-30","Fungizone",,1,1,1,1,,"50 MG"
"J0285","Amphotericin B","SANDOZ","00003043732","00003-0437-32","Fungizone","50 MG",1,1,1,1,,
"J0285","Amphotericin B","SANDOZ","00003043760","00003-0437-60","Fungizone",,1,1,1,1,,"50 MG"
"J3301","Triamcinolone acet inj nos","Bristol-Myers Squibb Company","00003049420","00003-0494-20","Kenalog","10 MG",5,1,5,5,,
"J2680","Fluphenazine decanoate 25 MG","SANDOZ","00003056915","00003-0569-15","Prolixin Decanoate",,5,1,5,5,,"25 MG"
"J2540","Penicillin g potassium inj","APOTHECON","00003063441","00003-0634-41","Penicillin G Potassium",,1,10,16.7,1.67,,"600000 UNITS"
"J3400","Triflupromazine hcl inj","APOTHECON","00003092020","00003-0920-20","Vesprin",,1,1,1,1,,"20 MG"
"J0129","Abatacept injection","Bristol-Myers Squibb Company","00003218710","00003-2187-10","Abatacept","10 MG",1,1,25,25,,
"J0129","Abatacept injection","Bristol-Myers Squibb Company","00003218811","00003-2188-11","ORENCIA","10 MG",1,4,12.5,50,,
"J0129","Abatacept injection","Bristol-Myers Squibb Company","00003218831","00003-2188-31","Abatacept Subcutaneous Solution","10 MG",1,4,12.5,50,,
"J0129","Abatacept injection","BRISTOL-MYERS SQUIBB CO.","00003218851","00003-2188-51","ORENCIA CLICKJECT","10 MG",1,4,12.5,50,,
"C9477","Injection, elotuzumab","Bristol-Myers Squibb Company","00003229111","00003-2291-11","EMPLICITI","1 MG",1,1,300,300,,
"J9176","Injection, elotuzumab, 1mg","Bristol-Myers Squibb Company","00003229111","00003-2291-11","EMPLICITI","1 MG",1,1,300,300,,
"C9284","Injection, ipilimumab","B-M SQUIBB U.S. (PRIMARY CARE)","00003232711","00003-2327-11","YERVOY","1 mg",10,1,50,50,,
"J9228","Ipilimumab injection","Bristol-Myers Squibb Company","00003232711","00003-2327-11","YERVOY","1 MG",10,1,50,50,,
"C9284","Injection, ipilimumab","B-M SQUIBB U.S. (PRIMARY CARE)","00003232822","00003-2328-22","YERVOY","1 mg",40,1,200,200,,
"J9228","Ipilimumab injection","Bristol-Myers Squibb Company","00003232822","00003-2328-22","YERVOY","1 MG",40,1,200,200,,
"J3260","Tobramycin sulfate injection","SANDOZ","00003272510","00003-2725-10","Tobramycin Sulfate",,2,25,25,1,,"80 MG"
"J3260","Tobramycin sulfate injection","SANDOZ","00003272530","00003-2725-30","Tobramycin Sulfate",,30,1,15,15,,"80 MG"
"J0129","Abatacept injection","Bristol-Myers Squibb Company","00003281411","00003-2814-11","ORENCIA ","10 MG",0.4,4,5,20,,
"J0129","Abatacept injection","Bristol-Myers Squibb Company","00003281811","00003-2818-11","ORENCIA ","10 MG",0.7,4,8.75,35,,
"C9453","Injection, nivolumab","Bristol-Myers Squibb Company","00003377211","00003-3772-11","OPDIVO","1 MG",4,1,40,40,,
"J9299","Injection, nivolumab","Bristol-Myers Squibb Company","00003377211","00003-3772-11","OPDIVO","1 MG",4,1,40,40,,
"C9453","Injection, nivolumab","Bristol-Myers Squibb Company","00003377412","00003-3774-12","OPDIVO","1 MG",10,1,100,100,,
"J9299","Injection, nivolumab","Bristol-Myers Squibb Company","00003377412","00003-3774-12","OPDIVO","1 MG",10,1,100,100,,
"C9477","Injection, elotuzumab","Bristol-Myers Squibb Company","00003452211","00003-4522-11","EMPLICITI","1 MG",1,1,400,400,,
"J9176","Injection, elotuzumab, 1mg","Bristol-Myers Squibb Company","00003452211","00003-4522-11","EMPLICITI","1 MG",1,1,400,400,,
"J0692","Cefepime HCl for injection","DURA/ELAN PHARMACEUTICALS","00003773295","00003-7732-95","Maxipime",,1,1,2,2,,"500 MG"
"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,,
"Q0166","Granisetron HCl 1 mg oral","ROCHE","00004023709","00004-0237-09","Kytril","1 MG",30,1,6,6,,
"J1626","Granisetron hcl injection","ROCHE","00004023909","00004-0239-09","Kytril","100 MCG",1,1,10,10,,
"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,,
"Q0166","Granisetron hcl 1 mg oral","ROCHE","00004024133","00004-0241-33","Kytril","1 MG",2,1,2,2,,
"J1626","Granisetron hcl injection","ROCHE","00004024208","00004-0242-08","Kytril","100 MCG",1,5,1,5,,
"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,,
"J3265","Injection torsemide 10 mg/ml","ROCHE","00004026706","00004-0267-06","Demadex","10 MG",2,10,2,20,,
"J3265","Injection torsemide 10 mg/ml","ROCHE","00004026806","00004-0268-06","Demadex","10 MG",5,10,5,50,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","00004040109","00004-0401-09","Mircera","1 MCG",0.3,1,50,50,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","00004040109","00004-0401-09","Mircera","1 MCG",0.3,1,50,50,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","00004040209","00004-0402-09","Mircera","1 MCG",0.3,1,75,75,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","00004040209","00004-0402-09","Mircera","1 MCG",0.3,1,75,75,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","00004040309","00004-0403-09","Mircera","1 MCG",0.3,1,100,100,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","00004040309","00004-0403-09","Mircera","1 MCG",0.3,1,100,100,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","00004040509","00004-0405-09","Mircera","1 MCG",0.3,1,200,200,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","00004040509","00004-0405-09","Mircera","1 MCG",0.3,1,200,200,,
"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,,
"J8520","Capecitabine, oral, 150 mg","ROCHE","00004110051","00004-1100-51","Xeloda","150 MG",120,1,120,120,,
"J8521","Capecitabine, oral, 500 mg","ROCHE","00004110116","00004-1101-16","Xeloda","500 MG",240,1,240,240,,
"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,,
"J1960","Levorphanol tartrate inj","VALEANT","00004191106","00004-1911-06","Levo-Dromoran",,10,1,10,10,,"2 MG"
"J3360","Diazepam injection","ROCHE","00004193209","00004-1932-09","Valium","5 MG",10,1,10,10,,
"J3360","Diazepam injection","ROCHE","00004193306","00004-1933-06","Valium","5 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","ROCHE","00004194601","00004-1946-01","Versed","1 MG",10,10,50,500,,
"J2250","Inj midazolam hydrochloride","ROCHE","00004194701","00004-1947-01","Versed","1 MG",2,10,10,100,,
"J0696","Ceftriaxone sodium injection","ROCHE","00004196201","00004-1962-01","Rocephin","250 MG",1,10,1,10,,
"J0696","Ceftriaxone sodium injection","ROCHE","00004196202","00004-1962-02","Rocephin","250 MG",1,1,1,1,,
"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","ROCHE","00004196402","00004-1964-02","Rocephin","250 MG",1,1,4,4,,
"J0696","Ceftriaxone sodium injection","Genentech, Inc.","00004196404","00004-1964-04","Rocephin","250 MG",1,1,4,4,,
"J0696","Ceftriaxone sodium injection","ROCHE","00004196405","00004-1964-05","Rocephin","250 MG",1,10,4,40,,
"J0696","Ceftriaxone sodium injection","ROCHE","00004196501","00004-1965-01","Rocephin","250 MG",1,10,8,80,,
"J0696","Ceftriaxone sodium injection","ROCHE","00004196502","00004-1965-02","Rocephin","250 MG",1,1,8,8,,
"J0696","Ceftriaxone sodium injection","ROCHE","00004196505","00004-1965-05","Rocephin","250 MG",1,10,8,80,,
"J0696","Ceftriaxone sodium injection","ROCHE","00004197101","00004-1971-01","Rocephin","250 MG",1,1,40,40,,
"J2250","Inj midazolam hydrochloride","ROCHE","00004197301","00004-1973-01","Versed","1 MG",2,10,10,100,,
"J2250","Inj midazolam hydrochloride","ROCHE","00004197401","00004-1974-01","Versed","1 MG",1,10,5,50,,
"J2250","Inj midazolam hydrochloride","ROCHE","00004197501","00004-1975-01","Versed","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","ROCHE","00004199806","00004-1998-06","Versed","1 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","ROCHE","00004199901","00004-1999-01","Versed","1 MG",5,10,5,50,,
"J2250","Inj midazolam hydrochloride","ROCHE","00004200006","00004-2000-06","Versed","1 MG",10,10,10,100,,
"J0696","Ceftriaxone sodium injection","BAXTER","00004200278","00004-2002-78","Rocephin In Dextrose","250 MG",50,1,4,4,,
"J0696","Ceftriaxone sodium injection","BAXTER","00004200378","00004-2003-78","Rocephin In Dextrose","250 MG",50,1,8,8,,
"J9213","Interferon alfa-2a inj","ROCHE","00004200709","00004-2007-09","Roferon-A","3000000 UNITS",3,1,6,6,,
"J9213","Interferon alfa-2a inj","ROCHE","00004200909","00004-2009-09","Roferon-A","3000000 UNITS",1,1,1,1,,
"J9213","Interferon alfa-2a inj","ROCHE","00004201009","00004-2010-09","Roferon-A","3000000 UNITS",0.9,1,2.7,2.7,,
"J9213","Interferon alfa-2a inj","ROCHE","00004201109","00004-2011-09","Roferon-A","3000000 UNITS",3,1,6,6,,
"J9213","Interferon alfa-2a inj","ROCHE","00004201209","00004-2012-09","Roferon-A","3000000 UNITS",1,1,12,12,,
"J9213","Interferon alfa-2a inj","ROCHE","00004201507","00004-2015-07","Roferon-A","3000000 UNITS",1,6,1,6,,
"J9213","Interferon alfa-2a inj","ROCHE","00004201509","00004-2015-09","Roferon-A","3000000 UNITS",1,1,1,1,,
"J9213","Interferon alfa-2a inj","ROCHE","00004201607","00004-2016-07","Roferon-A","3000000 UNITS",1,6,2,12,,
"J9213","Interferon alfa-2a inj","ROCHE","00004201609","00004-2016-09","Roferon-A","3000000 UNITS",1,1,2,2,,
"J9213","Interferon alfa-2a inj","ROCHE","00004201707","00004-2017-07","Roferon-A","3000000 UNITS",1,6,3,18,,
"J9213","Interferon alfa-2a inj","ROCHE","00004201709","00004-2017-09","Roferon-A","3000000 UNITS",1,1,3,3,,
"J1885","Ketorolac tromethamine inj","ROCHE","00004692006","00004-6920-06","Toradol","15 MG",1,10,1,10,,
"J1885","Ketorolac tromethamine inj","ROCHE","00004692106","00004-6921-06","Toradol","15 MG",1,10,1,10,,
"J1885","Ketorolac tromethamine inj","ROCHE","00004692206","00004-6922-06","Toradol","15 MG",1,10,2,20,,
"J1885","Ketorolac tromethamine inj","ROCHE","00004692306","00004-6923-06","Toradol","15 MG",1,10,2,20,,
"J1885","Ketorolac tromethamine inj","ROCHE","00004692409","00004-6924-09","Toradol","15 MG",2,1,4,4,,
"J1885","Ketorolac tromethamine inj","ROCHE","00004692506","00004-6925-06","Toradol","15 MG",1,10,1,10,,
"J1885","Ketorolac tromethamine inj","ROCHE","00004692606","00004-6926-06","Toradol","15 MG",1,10,2,20,,
"J1885","Ketorolac tromethamine inj","ROCHE","00004692709","00004-6927-09","Toradol","15 MG",2,1,4,4,,
"J1570","Ganciclovir sodium injection","Genentech, Inc.","00004694003","00004-6940-03","Cytovene","500 MG",1,25,1,25,,
"J1570","Ganciclovir sodium injection","GENENTECH, INC.","00004694004","00004-6940-04","Cytovene","500 MG",1,5,1,5,,
"90645","Hib vaccine, hboc, im","LEDERLE","00005010432","00005-0104-32","Hibtiter","1 EACH",0.5,5,0.5,2.5,,
"90645","Hib vaccine, hboc, im","LEDERLE","00005020110","00005-0201-10","Hibtiter",,5,1,5,5,,"1 EACH"
"90703","Tetanus vaccine, im","LEDERLE LABS","00005193831","00005-1938-31","Tetanus Toxoid",,5,1,1,1,,"0.5 ML"
"90703","Tetanus vaccine, im","LEDERLE LABS","00005193847","00005-1938-47","Tetanus Toxoid",,0.5,10,10,1,,"0.5 ML"
"90720","Dtp/hib vaccine, im","LEDERLE","00005196031","00005-1960-31","Tetramune",,5,1,10,10,,"0.5 ML"
"90732","Pneumococcal vaccine","LEDERLE","00005230933","00005-2309-33","Pnu-Imune",,0.5,5,5,1,,"0.5 ML"
"J8501","Oral aprepitant","Merck Sharp & Dohme Corp.","00006046102","00006-0461-02","Emend Bi-pack","5 MG",1,2,16,32,,
"J8501","Oral aprepitant","MERCK","00006046105","00006-0461-05","Emend","5 MG",1,5,16,80,,
"J8501","Oral aprepitant","Merck Sharp & Dohme Corp.","00006046106","00006-0461-06","Emend","5 MG",1,6,16,96,,
"J8501","Oral aprepitant","MERCK","00006046130","00006-0461-30","Emend","5 MG",1,30,16,480,,
"J8501","Oral aprepitant","MERCK","00006046205","00006-0462-05","Emend","5 MG",1,5,25,125,,
"J8501","Oral aprepitant","Merck Sharp & Dohme Corp.","00006046206","00006-0462-06","Emend","5 MG",1,6,25,150,,
"J8501","Oral aprepitant","MERCK","00006046230","00006-0462-30","Emend","5 MG",1,30,25,750,,
"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,,
"C9490","Injection, bezlotoxumab, 10 mg","Merck Sharp & Dohme Corp.","00006302500","00006-3025-00","ZINPLAVA","10 MG",40,1,100,100,,
"C9027","Injection, pembrolizumab","MERCK SHARP & DOHME","00006302602","00006-3026-02","KEYTRUDA","1 MG",4,1,100,100,,
"J9271","Inj pembrolizumab","Merck Sharp & Dohme Corp.","00006302602","00006-3026-02","KEYTRUDA","1 MG",4,1,100,100,,
"C9027","Injection, pembrolizumab","Merck Sharp & Dohme","00006302902","00006-3029-02","Keytruda","1mg",50,1,50,50,,
"J9271","Inj pembrolizumab","Merck Sharp & Dohme Corp.","00006302902","00006-3029-02","Keytruda","1mg",50,1,50,50,,
"J1453","Fosaprepitant injection","MERCK SHARP & DOHME","00006306100","00006-3061-00","EMEND FOR INJECTION 150MG","1 MG",1,1,150,150,,
"J8501","Oral aprepitant","MERCK SHARP & DOHME CORP.","00006306603","00006-3066-03","EMEND","5 MG",1,1,25,25,,
"J0515","Inj benztropine mesylate","MERCK","00006327538","00006-3275-38","Cogentin","1 MG",2,5,2,10,,
"J9120","Dactinomycin actinomycin d","MERCK","00006329822","00006-3298-22","Cosmegen","0.5 MG",1,1,1,1,,
"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","00006351775","00006-3517-75","Primaxin Iv","250 MG",1,10,2,20,,
"J0694","Cefoxitin sodium injection","MERCK","00006354524","00006-3545-24","Mefoxin In Dextrose","1 GM",50,24,1,24,,
"J0694","Cefoxitin sodium injection","MERCK","00006354725","00006-3547-25","Mefoxin In Dextrose","1 GM",50,24,2,48,,
"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,,
"J1205","Chlorothiazide sodium inj","MERCK","00006361932","00006-3619-32","Diuril Iv","500 MG",1,1,1,1,,
"J0743","Cilastatin sodium injection","MERCK","00006366659","00006-3666-59","Primaxin Iv","250 MG",1,25,2,50,,
"J3246","Tirofiban HCl","GUILFORD PHARMACEUTICALS","00006373943","00006-3739-43","Aggrastat",,500,1,100,100,,"0.25 MG"
"J3246","Tirofiban HCl","GUILFORD PHARMACEUTICALS","00006373955","00006-3739-55","Aggrastat","0.25 MG",100,1,20,20,,
"J3246","Tirofiban HCl","GUILFORD PHARMACEUTICALS","00006373996","00006-3739-96","Aggrastat","0.25 MG",250,1,50,50,,
"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,,
"C9242","Injection, fosaprepitant","Merck & Co., Inc.","00006388432","00006-3884-32","EMEND FOR INJECTION","1 MG",1,1,115,115,,
"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,,
"90632","Hepa vaccine adult im","Merck Sharp & Dohme Corp.","00006409602","00006-4096-02","Vaqta","1 ML",1,10,1,10,,
"90632","Hep a vaccine, adult im","MERCK","00006409606","00006-4096-06","VAQTA","1 ML",1,6,1,6,,
"90632","Hepa vaccine adult im","Merck Sharp & Dohme Corp.","00006409609","00006-4096-09","VAQTA","1 ML",1,6,1,6,,
"90632","Hep a vaccine, adult im","MERCK","00006409631","00006-4096-31","Vaqta","1 ML",1,1,1,1,,
"90714","Td vaccine no prsrv >/= 7 yo, im","Merck Sharp & Dohme Corp.","00006413341","00006-4133-41","Tetanus-Diphtheria Toxoids Td","0.5 ML",0.5,10,1,10,,
"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,,
"Q5102","Inj., infliximab biosimilar","MERCK SHARP & DOHME CORP.","00006430502","00006-4305-02","Renflexis","10 MG",1,1,10,10,,
"90704","Mumps vaccine, sc","MERCK","00006458400","00006-4584-00","Mumpsvax","0.5 ML",1,10,1,10,,
"90705","Measles vaccine, sc","MERCK","00006458900","00006-4589-00","Attenuvax","0.5 ML",1,10,1,10,,
"J9020","Asparaginase injection","MERCK","00006461200","00006-4612-00","Elspar","10000 UNITS",1,1,1,1,,
"90706","Rubella vaccine, sc","MERCK","00006467300","00006-4673-00","Meruvax II","0.5 ML",1,10,1,10,,
"90707","Mmr vaccine, sc","MERCK","00006468100","00006-4681-00","M-M-R II","0.5 ML",1,10,1,10,,
"90707","Mmr vaccine, sc","MERCK","00006468200","00006-4682-00","M-M-R II","0.5 ML",1,10,1,10,,
"90732","Pneumococcal vaccine","MERCK","00006473900","00006-4739-00","Pneumovax 23","0.5 ML",2.5,1,5,5,,
"90732","Pneumococcal vaccine","MERCK","00006473950","00006-4739-50","Pneumovax 23","0.5 ML",2.5,10,5,50,,
"90707","Mmr vaccine, sc","MERCK","00006474900","00006-4749-00","M-M-R II","0.5 ML",1,1,1,1,,
"90716","Chicken pox vaccine, sc","MERCK","00006482600","00006-4826-00","Varivax","0.5 ML",1,1,1,1,,
"90716","Chicken pox vaccine, sc","MERCK","00006482700","00006-4827-00","Varivax","0.5 ML",1,10,1,10,,
"90633","Hep a vacc, ped/adol, 2 dose","MERCK","00006483100","00006-4831-00","Vaqta","1 ML",0.5,1,1,1,,
"90634","Hep a vacc, ped/adol, 3 dose","MERCK","00006483100","00006-4831-00","Vaqta Pediatric","0.5 ML",0.5,1,1,1,,
"90633","Hep a vacc, ped/adol, 2 dose","MERCK","00006483141","00006-4831-41","Vaqta","0.5 ML",0.5,10,1,10,,
"90634","Hep a vacc, ped/adol, 3 dose","MERCK","00006483141","00006-4831-41","Vaqta Pediatric","0.5 ML",0.5,10,1,10,,
"90632","Hepa 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","00006484138","00006-4841-38","Vaqta","1 ML",1,5,1,5,,
"90632","Hepa vaccine adult im","Merck Sharp & Dohme Corp.","00006484141","00006-4841-41","Vaqta","1 ML",1,10,1,10,,
"90632","Hep a vaccine, adult im","MERCK HUMAN HEALTH","00006484400","00006-4844-00","Vaqta",,1,1,1,1,,"1 ML"
"90632","Hep a vaccine, adult im","MERCK HUMAN HEALTH","00006484438","00006-4844-38","Vaqta",,1,5,5,1,,"1 ML"
"90633","Hep a vacc, ped/adol, 2 dose","MERCK HUMAN HEALTH","00006484500","00006-4845-00","Vaqta",,0.5,1,1,1,,"1 ML"
"90633","Hep a vacc, ped/adol, 2 dose","MERCK HUMAN HEALTH","00006484538","00006-4845-38","Vaqta",,0.5,5,5,1,,"1 ML"
"90645","Hib vaccine, hboc, im","MERCK","00006489700","00006-4897-00","Pedvaxhib","1 EACH",0.5,10,1,10,,
"90647","Hib vaccine, prp-omp, im","MERCK","00006489700","00006-4897-00","Pedvax Hib","0.5 ML",0.5,10,1,10,,
"90732","Pneumococcal vaccine","MERCK","00006494300","00006-4943-00","Pneumovax 23","0.5 ML",0.5,10,1,10,,
"90743","Hep b vacc, adol, 2 dose, im","MERCK","00006498000","00006-4980-00","Recombivax Hb","1 DOSE",0.5,1,1,1,,
"90744","Hepb vacc ped/adol 3 dose im","MERCK","00006498000","00006-4980-00","Recombivax Hb","1 DOSE",0.5,1,1,1,,
"90746","Hep b vaccine, adult, im","MERCK","00006498000","00006-4980-00","Recombivax Hb",,0.5,1,0.5,0.5,,"1 EACH"
"90743","Hep b vacc, adol, 2 dose, im","MERCK","00006498100","00006-4981-00","Recombivax Hb","1 DOSE",0.5,10,1,10,,
"90744","Hepb vacc ped/adol 3 dose im","MERCK","00006498100","00006-4981-00","Recombivax Hb","1 DOSE",0.5,10,1,10,,
"90746","Hep b vaccine, adult, im","MERCK","00006498100","00006-4981-00","Recombivax Hb",,0.5,10,5,0.5,,"1 EACH"
"90740","Hepb vacc, ill pat 3 dose im","MERCK","00006499200","00006-4992-00","Recombivax Hb","40 MCG",1,1,1,1,,
"90747","Hepb vacc, ill pat 4 dose im","MERCK","00006499200","00006-4992-00","RECOMBIVAX HB","40 MCG",1,1,1,1,,
"90743","Hep b vacc, adol, 2 dose, im","MERCK","00006499500","00006-4995-00","Recombivax Hb","1 DOSE",1,1,1,1,,
"90746","Hep b vaccine, adult, im","MERCK","00006499500","00006-4995-00","Recombivax Hb","1 EACH",1,1,1,1,,
"90743","Hep b vacc, adol, 2 dose, im","MERCK","00006499541","00006-4995-41","Recombivax Hb","1 DOSE",1,10,1,10,,
"90746","Hep b vaccine, adult, im","MERCK","00006499541","00006-4995-41","Recombivax Hb","1 EACH",1,10,1,10,,
"J1700","Hydrocortisone acetate inj","MERCK","00006751903","00006-7519-03","Hydrocortisone Acetate",,5,1,10,10,,"25 MG"
"J7637","Dexamethasone inhal sol con","MERCK & CO., INC.","00006762803","00006-7628-03","Decadron",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MERCK & CO., INC.","00006762803","00006-7628-03","Decadron",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","MERCK & CO., INC.","00006762825","00006-7628-25","Decadron",,25,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MERCK & CO., INC.","00006762825","00006-7628-25","Decadron",,25,1,100,100,,"1 MG"
"J7637","Dexamethasone inhal sol con","MERCK & CO., INC.","00006762866","00006-7628-66","Decadron",,1,25,100,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MERCK & CO., INC.","00006762866","00006-7628-66","Decadron",,1,25,100,4,,"1 MG"
"J1710","Hydrocortisone sodium ph inj","MERCK","00006763304","00006-7633-04","Hydrocortone",,2,1,2,2,,"50 MG"
"J9230","Mechlorethamine hcl inj","MERCK","00006775331","00006-7753-31","Mustargen","10 MG",1,4,1,4,,
"J3430","Vitamin k phytonadione inj","MERCK HUMAN HEALTH","00006778064","00006-7780-64","Aqua-Mephyton",,1,6,60,10,,"1 MG"
"J3430","Vitamin k phytonadione inj","MERCK HUMAN HEALTH","00006778066","00006-7780-66","Aqua-Mephyton",,1,25,250,10,,"1 MG"
"J3430","Vitamin k phytonadione inj","MERCK HUMAN HEALTH","00006778433","00006-7784-33","Aqua-Mephyton",,0.5,25,25,1,,"1 MG"
"J0520","Bethanechol chloride inject","MERCK","00006778629","00006-7786-29","Urecholine",,1,6,6,1,,"5 MG"
"J0690","Cefazolin sodium injection","HOSPIRA","00007313001","00007-3130-01","Ancef","500 MG",1,10,2,20,,
"J0690","Cefazolin sodium injection","HOSPIRA","00007313016","00007-3130-16","Ancef","500 MG",1,25,2,50,,
"J0690","Cefazolin sodium injection","HOSPIRA","00007313076","00007-3130-76","Ancef","500 MG",1,25,2,50,,
"J0690","Cefazolin sodium injection","ABBOTT","00007313116","00007-3131-16","Ancef","500 MG",1,25,1,25,,
"J0690","Cefazolin sodium injection","HOSPIRA","00007313176","00007-3131-76","Ancef","500 MG",1,25,1,25,,
"J0690","Cefazolin sodium injection","HOSPIRA","00007313505","00007-3135-05","Ancef","500 MG",1,10,20,200,,
"J0690","Cefazolin sodium injection","HOSPIRA","00007313576","00007-3135-76","Ancef","500 MG",1,10,20,200,,
"J0690","Cefazolin sodium injection","HOSPIRA","00007313705","00007-3137-05","Ancef","500 MG",1,10,2,20,,
"J0690","Cefazolin sodium injection","GLAXOSMITHKLINE","00007313776","00007-3137-76","Ancef",,100,1,,5,,"500 MG"
"J0690","Cefazolin sodium injection","GLAXOSMITHKLINE","00007314204","00007-3142-04","Ancef",,50,1,,,,"500 MG"
"J0690","Cefazolin sodium injection","GLAXOSMITHKLINE","00007314304","00007-3143-04","Ancef",,50,1,,,,"500 MG"
"J1652","Fondaparinux sodium","GlaxoSmithkline","00007323002","00007-3230-02","Arixtra","0.5 MG",0.5,2,5,10,,
"J1652","Fondaparinux sodium","Mylan Institutional","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","Mylan Institutional","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","Mylan Institutional","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","Mylan Institutional","00007323611","00007-3236-11","Arixtra","0.5 MG",0.8,10,20,200,,
"A9545","I131 tositumomab, rx","GlaxoSmithkline","00007326201","00007-3262-01","BEXXAR","per treatment dose",20,1,1,1,,
"J0780","Prochlorperazine injection","GLAXOSMITHKLINE","00007334301","00007-3343-01","Compazine","10 MG",10,1,5,5,,
"Q0165","Prochlorperazine maleate10mg","GLAXOSMITHKLINE","00007334415","00007-3344-15","Compazine","10 MG",50,1,50,50,,
"J0780","Prochlorperazine injection","GLAXO SMITHKLINE","00007335216","00007-3352-16","Compazine",,2,25,25,1,,"10 MG"
"Q0165","Prochlorperazine maleate10mg","GlaxoSmithkline","00007336344","00007-3363-44","COMPAZINE SYRUP","10 MG",120,1,12,12,,
"Q0164","Prochlorperazine maleate 5mg","GLAXOSMITHKLINE","00007336620","00007-3366-20","Compazine","5 MG",100,1,100,100,,
"Q0164","Prochlorperazine maleate 5mg","GLAXOSMITHKLINE","00007336621","00007-3366-21","Compazine","5 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","GLAXOSMITHKLINE","00007336720","00007-3367-20","Compazine","10 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","GLAXOSMITHKLINE","00007336721","00007-3367-21","Compazine","10 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","GlaxoSmithkline","00007336730","00007-3367-30","COMPAZINE TAB",,,,,,,"10 MG"
"J9350","Topotecan injection","GLAXOSMITHKLINE","00007420101","00007-4201-01","Hycamtin","4 MG",1,1,1,1,,
"J9351","Topotecan injection","Novartis Pharmaceuticals Corporation","00007420101","00007-4201-01","Hycamtin","0.1 MG",1,1,40,40,,
"J9350","Topotecan injection","GLAXOSMITHKLINE","00007420105","00007-4201-05","Hycamtin","4 MG",1,5,1,5,,
"J9351","Topotecan injection","GlaxoSmithkline","00007420105","00007-4201-05","Hycamtin","0.1 MG",1,5,40,200,,
"J8705","Topotecan oral","Novartis Pharmaceuticals Corporation","00007420511","00007-4205-11","Hycamtin, Oral","0.25 mg",1,10,1,10,,
"J8705","Topotecan oral","Novartis Pharmaceuticals Corporation","00007420711","00007-4207-11","Hycamtin, Oral","0.25 mg",1,10,4,40,,
"J9261","Nelarabine injection","GlaxoSmithkline","00007440101","00007-4401-01","ARRANON","50 MG",50,1,5,5,,
"J9261","Nelarabine injection","Novartis Pharmaceuticals Corporation","00007440106","00007-4401-06","ARRANON","50 MG",50,6,5,30,,
"C9121","Injection, argatroban","GlaxoSmithkline","00007440701","00007-4407-01","Argatroban","5 MG",2.5,1,50,50,,
"C9121","Injection, argatroban","GLAXOSMITHKLINE","00007440710","00007-4407-10","Argatroban","5 MG",2.5,10,50,500,,
"C9121","Injection, argatroban","GlaxoSmithkline","00007440754","00007-4407-54","Argatroban","5 MG",2.5,1,50,50,,
"J3230","Chlorpromazine hcl injection","GLAXOSMITHKLINE","00007506011","00007-5060-11","Thorazine","50 MG",1,10,0.5,5,,
"J3230","Chlorpromazine hcl injection","GLAXOSMITHKLINE","00007506111","00007-5061-11","Thorazine","50 MG",2,10,1,10,,
"J3230","Chlorpromazine hcl injection","GLAXOSMITHKLINE","00007506201","00007-5062-01","Thorazine","50 MG",10,1,5,5,,
"Q0171","Chlorpromazine HCl 10mg oral","GLAXOSMITHKLINE","00007507244","00007-5072-44","Thorazine",,,,,,,"10 MG"
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508216","00007-5082-16","Tazicef",,20,,,,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508276","00007-5082-76","Tazicef","500 MG",1,25,2,50,,
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508311","00007-5083-11","Tazicef",,100,,,,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508376","00007-5083-76","Tazicef",,100,,,,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508411","00007-5084-11","Tazicef",,60,,,,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508476","00007-5084-76","Tazicef","500 MG",1,10,4,40,,
"J0713","Inj ceftazidime per 500 mg","ABBOTT","00007508511","00007-5085-11","Tazicef","500 MG",1,10,4,40,,
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508576","00007-5085-76","Tazicef",,100,,,,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508611","00007-5086-11","Tazicef",,100,,,,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508676","00007-5086-76","Tazicef","500 MG",1,10,12,120,,
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508804","00007-5088-04","Tazicef","500 MG",50,24,2,48,,
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007508904","00007-5089-04","Tazicef","500 MG",50,24,4,96,,
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007509016","00007-5090-16","Tazicef",,21,,,,,"500 MG"
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00007509111","00007-5091-11","Tazicef",,21,,,,,"500 MG"
"Q0169","Promethazine HCl 12.5mg oral","WYETH","00008001901","00008-0019-01","Phenergan",,100,1,100,100,,"12.5 MG"
"Q0170","Promethazine HCl 25 mg oral","WYETH","00008002702","00008-0027-02","Phenergan","25 MG",100,1,100,100,,
"Q0170","Promethazine HCl 25 mg oral","WYETH","00008002707","00008-0027-07","Phenergan",,100,1,100,100,,"25 MG"
"J2550","Promethazine hcl injection","BAXTER MEDICATION DELIVERY","00008006301","00008-0063-01","Phenergan",,1,25,12.5,0.5,,"50 MG"
"C9028","Inj. inotuzumab ozogamicin","WYETH PHARMACEUTICALS","00008010001","00008-0100-01","Besponsa","0.1 MG",1,1,9,9,,
"J3470","Hyaluronidase injection","WYETH","00008012101","00008-0121-01","Wydase",,1,1,1,1,,"150 UNITS"
"J3470","Hyaluronidase injection","WYETH","00008014901","00008-0149-01","Wydase",,1,1,10,10,,"150 UNITS"
"90703","Tetanus vaccine, im","CELLTECH PHARMACEUTICALS, INC.","00008033901","00008-0339-01","Tetanus Toxoid",,0.5,10,10,1,,"0.5 ML"
"90703","Tetanus vaccine, im","CELLTECH PHARMACEUTICALS, INC.","00008033903","00008-0339-03","Tetanus Toxoid",,5,1,1,1,,"0.5 ML"
"90703","Tetanus vaccine, im","CELLTECH PHARMACEUTICALS, INC.","00008034001","00008-0340-01","Tetanus Toxoid",,0.5,10,10,1,,"0.5 ML"
"90703","Tetanus vaccine, im","CELLTECH PHARMACEUTICALS, INC.","00008034002","00008-0340-02","Tetanus Toxoid",,7,1,1,1,,"0.5 ML"
"J7050","Normal saline solution infus","WYETH","00008049002","00008-0490-02",,,,12,48,4,,"250 CC"
"J2060","Lorazepam injection","BAXTER MEDICATION DELIVERY","00008057013","00008-0570-13","Ativan",,10,10,200,20,,"2 MG"
"J2060","Lorazepam injection","BAXTER MEDICATION DELIVERY","00008057015","00008-0570-15","Ativan",,1,25,50,2,,"2 MG"
"J2060","Lorazepam injection","BAXTER MEDICATION DELIVERY","00008058113","00008-0581-13","Ativan",,10,10,100,10,,"2 MG"
"J2060","Lorazepam injection","BAXTER MEDICATION DELIVERY","00008058115","00008-0581-15","Ativan",,1,25,25,1,,"2 MG"
"J2550","Promethazine hcl injection","BAXTER MEDICATION DELIVERY","00008074601","00008-0746-01","Phenergan",,1,25,25,1,,"50 MG"
"J0282","Amiodarone HCl","WYETH","00008081401","00008-0814-01","Cordarone Iv","30 MG",3,10,5,50,,
"J7520","Sirolimus, oral","PFIZER INC.","00008103006","00008-1030-06","Rapamune","1 MG",60,1,60,60,,
"J7520","Sirolimus, oral","WYETH","00008103105","00008-1031-05","Rapamune","1 MG",100,1,100,100,,
"J7520","Sirolimus, oral","WYETH","00008103110","00008-1031-10","Rapamune","1 MG",100,1,100,100,,
"J7520","Sirolimus, oral","WYETH","00008103205","00008-1032-05","Rapamune","1 MG",100,1,200,200,,
"J7520","Sirolimus, oral","PFIZER INC.","00008104005","00008-1040-05","Rapamune","1 MG",100,1,50,50,,
"J7520","Sirolimus, oral","PFIZER INC.","00008104010","00008-1040-10","Rapamune","1 MG",100,1,50,50,,
"J7520","Sirolimus, oral","PFIZER INC.","00008104105","00008-1041-05","Rapamune","1 MG",100,1,100,100,,
"J7520","Sirolimus, oral","PFIZER INC.","00008104110","00008-1041-10","Rapamune","1 MG",100,1,100,100,,
"J7520","Sirolimus, oral","PFIZER INC.","00008104205","00008-1042-05","Rapamune","1 MG",100,1,200,200,,
"C9239","Inj, temsirolimus","WYETH","00008117901","00008-1179-01","TEMSIROLIMUS","1 MG",1,1,25,25,,
"J9330","Temsirolimus injection","PFIZER INC.","00008117901","00008-1179-01","TEMSIROLIMUS","1 MG",1,1,25,25,,
"J9203","Gemtuzumab ozogamicin 0.1 mg","PFIZER U.S.","00008451001","00008-4510-01","Mylotarg","0.1 MG",1,1,45,45,,
"J9300","Gemtuzumab ozogamicin inj","WYETH LLC","00008451001","00008-4510-01","Mylotarg","5 MG",1,1,1,1,,
"J3243","Tigecycline injection","PFIZER INC.","00008499002","00008-4990-02","Tigecycline","1 MG",1,10,50,500,,
"J3243","Tigecycline injection","PFIZER INC.","00008499020","00008-4990-20","Tigecycline","1 MG",1,10,50,500,,
"J3243","Tigecycline injection","WYETH PHARMACEUTICALS","00008499420","00008-4994-20","Tigecycline","1 MG",1,10,50,500,,
"J3243","Tigecycline injection","WYETH","00008536002","00008-5360-02","Tigecycline","1 MG",1,10,50,500,,
"J7320","Hylan G-F 20 injection","WYETH","00008914901","00008-9149-01","Synvisc",,2,1,1,1,,"16 MG"
"J7320","Hylan G-F 20 injection","WYETH","00008914902","00008-9149-02","Synvisc",,2,3,3,1,,"16 MG"
"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","100 MG",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.","00009002001","00009-0020-01","Medrol","4 MG",100,1,50,50,,
"J7509","Methylprednisolone oral","PFIZER INC.","00009002201","00009-0022-01","Medrol","4 MG",25,1,50,50,,
"J7506","Prednisone oral","PHARMACIA","00009003201","00009-0032-01","Deltasone","5 MG",100,1,50,50,,
"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,,
"J7506","Prednisone oral","PHARMACIA","00009004501","00009-0045-01","Deltasone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","PHARMACIA","00009004502","00009-0045-02","Deltasone","5 MG",500,1,500,500,,
"J7506","Prednisone oral","PHARMACIA","00009004516","00009-0045-16","Deltasone","5 MG",1000,1,1000,1000,,
"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","00009005603","00009-0056-03","Medrol","4 MG",500,1,500,500,,
"J7509","Methylprednisolone oral","PFIZER INC.","00009005604","00009-0056-04","Medrol (Pak)","4 MG",21,1,21,21,,
"J7509","Methylprednisolone oral","PFIZER","00009005605","00009-0056-05","Medrol","4 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","PFIZER INC.","00009007301","00009-0073-01","Medrol","4 MG",50,1,200,200,,
"J1071","Inj testosterone cypionate","PFIZER INC.","00009008510","00009-0085-10","Depo-Testosterone","1 MG",10,1,1000,1000,,
"J1071","Inj testosterone cypionate","PFIZER INC.","00009008601","00009-0086-01","Depo-Testosterone","1 MG",1,1,200,200,,
"J1071","Inj testosterone cypionate","PFIZER INC.","00009008610","00009-0086-10","Depo-Testosterone","1 MG",10,1,2000,2000,,
"J2920","Methylprednisolone injection","PFIZER","00009011312","00009-0113-12","Solu-Medrol","40 MG",1,1,1,1,,
"J2920","Methylprednisolone injection","Pfizer, Inc.","00009011319","00009-0113-19","Solu-Medrol","40 MG",1,25,1,25,,
"J7509","Methylprednisolone oral","PHARMACIA","00009015501","00009-0155-01","Medrol","4 MG",25,1,150,150,,
"J7506","Prednisone oral","PHARMACIA","00009016501","00009-0165-01","Deltasone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","PHARMACIA","00009016502","00009-0165-02","Deltasone","5 MG",500,1,2000,2000,,
"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,,
"J7506","Prednisone oral","PFIZER","00009019301","00009-0193-01","Deltasone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","PFIZER","00009019302","00009-0193-02","Deltasone","5 MG",500,1,1000,1000,,
"J1060","Testosterone cypionate 1 ML","PHARMACIA","00009025302","00009-0253-02","Depo-Testadiol","1 ML",10,1,10,10,,
"J1644","Inj heparin sodium per 1000u","PFIZER","00009026801","00009-0268-01","Heparin Sodium (Bovine)","1000 UNITS",10,1,10,10,,
"J1644","Inj heparin sodium per 1000u","PFIZER","00009026802","00009-0268-02","Heparin Sodium (Bovine)","1000 UNITS",30,1,30,30,,
"J1644","Inj heparin sodium per 1000u","PFIZER","00009026812","00009-0268-12","Heparin Sodium (Bovine)","1000 UNITS",10,25,10,250,,
"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,,
"J1644","Inj heparin sodium per 1000u","PHARMACIA","00009029101","00009-0291-01","Heparin Sodium (Bovine)","1000 UNITS",10,1,50,50,,
"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,,
"J1644","Inj heparin sodium per 1000u","PHARMACIA","00009031702","00009-0317-02","Heparin Sodium (Bovine)","1000 UNITS",4,1,40,40,,
"J1644","Inj heparin sodium per 1000u","PHARMACIA","00009031710","00009-0317-10","Heparin Sodium (Bovine)","1000 UNITS",1,25,10,250,,
"J1644","Inj heparin sodium per 1000u","PHARMACIA","00009031711","00009-0317-11","Heparin Sodium (Bovine)","1000 UNITS",4,25,40,1000,,
"J1070","Testosterone cypionat 100 MG","Pfizer, Inc.","00009034702","00009-0347-02","Depo-Testosterone","100 MG",10,1,10,10,,
"J1071","Inj testosterone cypionate","PFIZER INC.","00009034702","00009-0347-02","Depo-Testosterone","1 MG",10,1,1000,1000,,
"J9100","Cytarabine hcl 100 MG inj","SICOR PHARMACEUTICALS INC.","00009037301","00009-0373-01","Cytosar-U",,1,1,1,1,,"100 MG"
"J9110","Cytarabine hcl 500 MG inj","SICOR PHARMACEUTICALS INC.","00009037301","00009-0373-01","Cytosar-U",,1,1,0.2,0.2,,"500 MG"
"J7506","Prednisone oral","PHARMACIA","00009038801","00009-0388-01","Deltasone","5 MG",100,1,1000,1000,,
"J1071","Inj testosterone cypionate","PFIZER INC.","00009041701","00009-0417-01","Depo-Testosterone","1 MG",1,1,200,200,,
"J1080","Testosterone cypionat 200 MG","Pfizer, Inc.","00009041701","00009-0417-01","Depo-Testosterone","200 MG",1,1,1,1,,
"J1071","Inj testosterone cypionate","PFIZER INC.","00009041702","00009-0417-02","Depo-Testosterone","1 MG",10,1,2000,2000,,
"J1080","Testosterone cypionat 200 MG","Pfizer, Inc.","00009041702","00009-0417-02","Depo-Testosterone","200 MG",10,1,10,10,,
"J1071","Inj testosterone cypionate","PFIZER INC.","00009052001","00009-0520-01","Testosterone Cypionate","1 MG",1,1,200,200,,
"J1080","Testosterone cypionat 200 MG","PHARMACIA AND UPJOHN COMPANY","00009052001","00009-0520-01","Testosterone Cypionate","200 MG",1,1,1,1,,
"J1071","Inj testosterone cypionate","PFIZER INC.","00009052010","00009-0520-10","Testosterone Cypionate","1 MG",10,1,2000,2000,,
"J1080","Testosterone cypionat 200 MG","PHARMACIA AND UPJOHN COMPANY","00009052010","00009-0520-10","Testosterone Cypionate","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,,
"J3320","Spectinomycn di-hcl inj","PFIZER","00009056601","00009-0566-01","Trobicin","2 GM",1,1,1,1,,
"J1050","Medroxyprogesterone acetate","PFIZER INC.","00009062601","00009-0626-01","Depo-Provera","1 MG",2.5,1,1000,1000,,
"J1051","Medroxyprogesterone inj","Pfizer, Inc.","00009062601","00009-0626-01","Depo-Provera","50 MG",2.5,1,20,20,,
"J1051","Medroxyprogesterone inj","PHARMACIA","00009062602","00009-0626-02","Depo-Provera",,10,1,80,80,,"50 MG"
"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","00009091612","00009-0916-12","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,,
"J9206","Irinotecan injection","PFIZER INC.","00009111101","00009-1111-01","CAMPTOSAR","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","PFIZER INC.","00009111102","00009-1111-02","CAMPTOSAR","20 MG",5,1,5,5,,
"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,,
"J1056","MA/EC contraceptiveinjection","PFIZER","00009348404","00009-3484-04","Lunelle","5 MG",0.5,1,1,1,,
"J1056","MA/EC contraceptiveinjection","PFIZER","00009348406","00009-3484-06","Lunelle","5 MG",0.5,1,1,1,,
"J0270","Alprostadil for injection","PHARMACIA","00009370101","00009-3701-01","Caverject","1.25 MCG",1,6,16,96,,
"J0270","Alprostadil for injection","Pfizer, Inc.","00009370105","00009-3701-05","Caverject","1.25 MCG",1,6,16,96,,
"J0270","Alprostadil for injection","PFIZER","00009370108","00009-3701-08","Caverject","1.25 MCG",1,1,16,16,,
"J0270","Alprostadil for injection","PHARMACIA","00009370113","00009-3701-13","Caverject","1.25 MCG",1,1,16,16,,
"J0270","Alprostadil for injection","PFIZER","00009377804","00009-3778-04","Caverject","1.25 MCG",1,1,8,8,,
"J0270","Alprostadil for injection","PFIZER","00009377805","00009-3778-05","Caverject","1.25 MCG",1,6,8,48,,
"J0270","Alprostadil for injection","PHARMACIA","00009377808","00009-3778-08","Caverject","1.25 MCG",1,6,8,48,,
"J0270","Alprostadil for injection","PHARMACIA","00009377813","00009-3778-13","Caverject","1.25 MCG",1,1,8,8,,
"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,,
"J2020","Linezolid injection","PFIZER INC.","00009499202","00009-4992-02","Zyvox","200 MG",300,10,3,30,,
"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.","00009513704","00009-5137-04","Zyvox","200 MG",100,10,1,10,,
"J2020","Linezolid injection","PFIZER INC.","00009514001","00009-5140-01","Zyvox","200 MG",300,1,3,3,,
"J2020","Linezolid injection","PFIZER INC.","00009514004","00009-5140-04","Zyvox","200 MG",300,10,3,30,,
"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,,
"J3315","Triptorelin pamoate","PFIZER","00009521501","00009-5215-01","Trelstar La","3.75 MG",1,1,3,3,,
"J0270","Alprostadil for injection","PHARMACIA","00009721203","00009-7212-03","Caverject","1.25 MCG",1,6,4,24,,
"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","00009765002","00009-7650-02","Caverject","1.25 MCG",2,5,32,160,,
"J3315","Triptorelin pamoate","PFIZER","00009766401","00009-7664-01","Trelstar Depot","3.75 MG",1,1,1,1,,
"J0270","Alprostadil for injection","PFIZER","00009768601","00009-7686-01","Caverject","1.25 MCG",1,1,32,32,,
"J0270","Alprostadil for injection","Pfizer, Inc.","00009768604","00009-7686-04","Caverject","1.25 MCG",1,6,32,192,,
"J2020","Linezolid injection","PFIZER INC.","00009780702","00009-7807-02","Zyvox","200 MG",300,10,3,30,,
"J9190","Fluorouracil injection","PFIZER","00013103691","00013-1036-91","Adrucil","500 MG",10,1,1,1,,
"J9190","Fluorouracil injection","PFIZER","00013104694","00013-1046-94","Adrucil","500 MG",50,1,5,5,,
"J0285","Amphotericin B","PFIZER","00013140544","00013-1405-44","Amphocin","50 MG",1,1,1,1,,
"J9211","Idarubicin hcl injection","PFIZER","00013220001","00013-2200-01","Idamycin Pfs","5 MG",5,1,1,1,,
"J9211","Idarubicin hcl injection","PFIZER","00013220101","00013-2201-01","Idamycin Pfs","5 MG",10,1,2,2,,
"J9211","Idarubicin hcl injection","PFIZER","00013220201","00013-2202-01","Idamycin Pfs","5 MG",20,1,4,4,,
"J1645","Dalteparin sodium","PFIZER","00013240691","00013-2406-91","Fragmin","2500 IU",0.2,10,1,10,,
"J1645","Dalteparin sodium","PFIZER","00013242601","00013-2426-01","Fragmin","2500 IU",0.3,10,3,30,,
"J1645","Dalteparin sodium","PFIZER","00013242691","00013-2426-91","Fragmin","2500 IU",0.2,10,2,20,,
"J1645","Dalteparin sodium","PFIZER","00013243606","00013-2436-06","Fragmin","2500 IU",9.5,1,38,38,,
"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,,
"J2941","Somatropin injection","PFIZER","00013260694","00013-2606-94","Genotropin","1 MG",1,5,1.5,7.5,,
"J2941","Somatropin injection","PFIZER","00013261681","00013-2616-81","Genotropin","1 MG",1,1,5,5,,
"J2941","Somatropin injection","PFIZER","00013261694","00013-2616-94","Genotropin","1 MG",1,5,5,25,,
"J2941","Somatropin injection","PFIZER","00013262681","00013-2626-81","Genotropin","1 MG",1,1,5,5,,
"J2941","Somatropin injection","PFIZER","00013262694","00013-2626-94","Genotropin","1 MG",1,5,5,25,,
"J2941","Somatropin injection","PFIZER","00013264681","00013-2646-81","Genotropin","1 MG",1,1,12,12,,
"J2941","Somatropin injection","PFIZER","00013264694","00013-2646-94","Genotropin","1 MG",1,5,12,60,,
"J2941","Somatropin injection","PFIZER","00013264902","00013-2649-02","Genotropin","1 MG",1,7,0.2,1.4,,
"J2941","Somatropin injection","PFIZER","00013265002","00013-2650-02","Genotropin","1 MG",1,7,0.4,2.8,,
"J2941","Somatropin injection","PFIZER","00013265102","00013-2651-02","Genotropin","1 MG",1,7,0.6,4.2,,
"J2941","Somatropin injection","PFIZER","00013265202","00013-2652-02","Genotropin","1 MG",1,7,0.8,5.6,,
"J2941","Somatropin injection","PFIZER","00013265302","00013-2653-02","Genotropin","1 MG",1,7,1,7,,
"J2941","Somatropin injection","PFIZER","00013265402","00013-2654-02","Genotropin","1 MG",1,7,1.2,8.4,,
"J2941","Somatropin injection","PFIZER","00013265502","00013-2655-02","Genotropin","1 MG",1,7,1.4,9.8,,
"J2941","Somatropin injection","PFIZER","00013265602","00013-2656-02","Genotropin","1 MG",1,7,1.6,11.2,,
"J2941","Somatropin injection","PFIZER","00013265702","00013-2657-02","Genotropin","1 MG",1,7,1.8,12.6,,
"J2941","Somatropin injection","PFIZER","00013265802","00013-2658-02","Genotropin","1 MG",1,7,2,14,,
"J1645","Dalteparin sodium","PFIZER","00013519001","00013-5190-01","Fragmin","2500 IU",1,10,4,40,,
"J1645","Dalteparin sodium","PFIZER","00013519101","00013-5191-01","Fragmin","2500 IU",3.8,1,38,38,,
"J9070","Cyclophosphamide 100 MG inj","SICOR PHARMACEUTICALS INC.","00013561693","00013-5616-93","Neosar",,1,1,2,2,,"100 MG"
"J9080","Cyclophosphamide 200 MG inj","SICOR PHARMACEUTICALS INC.","00013561693","00013-5616-93","Neosar",,1,1,1,1,,"200 MG"
"J9090","Cyclophosphamide 500 MG inj","SICOR PHARMACEUTICALS INC.","00013561693","00013-5616-93","Neosar",,1,1,0.4,0.4,,"500 MG"
"J9091","Cyclophosphamide 1.0 grm inj","SICOR PHARMACEUTICALS INC.","00013561693","00013-5616-93","Neosar",,1,1,0.2,0.2,,"1 GM"
"J9092","Cyclophosphamide 2.0 grm inj","SICOR PHARMACEUTICALS INC.","00013561693","00013-5616-93","Neosar",,1,1,0.1,0.1,,"2 GM"
"J9070","Cyclophosphamide 100 MG inj","SICOR PHARMACEUTICALS INC.","00013562693","00013-5626-93","Neosar",,1,1,5,5,,"100 MG"
"J9080","Cyclophosphamide 200 MG inj","SICOR PHARMACEUTICALS INC.","00013562693","00013-5626-93","Neosar",,1,1,2.5,2.5,,"200 MG"
"J9090","Cyclophosphamide 500 MG inj","SICOR PHARMACEUTICALS INC.","00013562693","00013-5626-93","Neosar",,1,1,1,1,,"500 MG"
"J9091","Cyclophosphamide 1.0 grm inj","SICOR PHARMACEUTICALS INC.","00013562693","00013-5626-93","Neosar",,1,1,0.5,0.5,,"1 GM"
"J9092","Cyclophosphamide 2.0 grm inj","SICOR PHARMACEUTICALS INC.","00013562693","00013-5626-93","Neosar",,1,1,0.25,0.25,,"2 GM"
"J9070","Cyclophosphamide 100 MG inj","SICOR PHARMACEUTICALS INC.","00013563670","00013-5636-70","Neosar",,1,1,10,10,,"100 MG"
"J9080","Cyclophosphamide 200 MG inj","SICOR PHARMACEUTICALS INC.","00013563670","00013-5636-70","Neosar",,1,1,5,5,,"200 MG"
"J9090","Cyclophosphamide 500 MG inj","SICOR PHARMACEUTICALS INC.","00013563670","00013-5636-70","Neosar",,1,1,2,2,,"500 MG"
"J9091","Cyclophosphamide 1.0 grm inj","SICOR PHARMACEUTICALS INC.","00013563670","00013-5636-70","Neosar",,1,1,1,1,,"1 GM"
"J9092","Cyclophosphamide 2.0 grm inj","SICOR PHARMACEUTICALS INC.","00013563670","00013-5636-70","Neosar",,1,1,0.5,0.5,,"2 GM"
"J9070","Cyclophosphamide 100 MG inj","SICOR PHARMACEUTICALS INC.","00013564670","00013-5646-70","Neosar",,1,1,20,20,,"100 MG"
"J9080","Cyclophosphamide 200 MG inj","SICOR PHARMACEUTICALS INC.","00013564670","00013-5646-70","Neosar",,1,1,10,10,,"200 MG"
"J9090","Cyclophosphamide 500 MG inj","SICOR PHARMACEUTICALS INC.","00013564670","00013-5646-70","Neosar",,1,1,4,4,,"500 MG"
"J9091","Cyclophosphamide 1.0 grm inj","SICOR PHARMACEUTICALS INC.","00013564670","00013-5646-70","Neosar",,1,1,2,2,,"1 GM"
"J9092","Cyclophosphamide 2.0 grm inj","SICOR PHARMACEUTICALS INC.","00013564670","00013-5646-70","Neosar",,1,1,1,1,,"2 GM"
"J8515","Cabergoline, oral 0.25mg","PHARMACIA","00013700112","00013-7001-12","CABERGOLINE","0.25 MG",8,1,16,16,,
"J9181","Etoposide 10 MG inj","SICOR PHARMACEUTICALS INC.","00013733691","00013-7336-91","Toposar",,5,1,10,10,,"10 MG"
"J9182","Etoposide 100 MG inj","SICOR PHARMACEUTICALS INC.","00013733691","00013-7336-91","Toposar",,5,1,1,1,,"100 MG"
"J9181","Etoposide 10 MG inj","SICOR PHARMACEUTICALS INC.","00013734694","00013-7346-94","Toposar",,10,1,20,20,,"10 MG"
"J9182","Etoposide 100 MG inj","SICOR PHARMACEUTICALS INC.","00013734694","00013-7346-94","Toposar",,10,1,2,2,,"100 MG"
"J9181","Etoposide 10 MG inj","SICOR PHARMACEUTICALS INC.","00013735688","00013-7356-88","Toposar",,25,1,50,50,,"10 MG"
"J9182","Etoposide 100 MG inj","SICOR PHARMACEUTICALS INC.","00013735688","00013-7356-88","Toposar",,25,1,5,5,,"100 MG"
"J9370","Vincristine sulfate 1 MG inj","SICOR PHARMACEUTICALS INC.","00013745686","00013-7456-86","Vincasar Pfs",,1,1,1,1,,"1 MG"
"J9375","Vincristine sulfate 2 MG inj","SICOR PHARMACEUTICALS INC.","00013745686","00013-7456-86","Vincasar Pfs",,1,1,0.5,0.5,,"2 MG"
"J9380","Vincristine sulfate 5 MG inj","SICOR PHARMACEUTICALS INC.","00013745686","00013-7456-86","Vincasar Pfs",,1,1,0.2,0.2,,"5 MG"
"J9370","Vincristine sulfate 1 MG inj","PFIZER","00013746686","00013-7466-86","Vincasar Pfs","1 MG",2,1,2,2,,
"J9375","Vincristine sulfate 2 MG inj","PFIZER","00013746686","00013-7466-86","Vincasar Pfs","2 MG",2,1,1,1,,
"J9380","Vincristine sulfate 5 MG inj","PFIZER","00013746686","00013-7466-86","Vincasar Pfs","5 MG",2,1,0.4,0.4,,
"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,,
"J9080","Cyclophosphamide 200 MG inj","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan","200 MG",1,1,2.5,2.5,,
"J9090","Cyclophosphamide 500 MG inj","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan","500 MG",1,1,1,1,,
"J9091","Cyclophosphamide 1.0 grm inj","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan","1 GM",1,1,0.5,0.5,,
"J9092","Cyclophosphamide 2.0 grm inj","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan","2 GM",1,1,0.25,0.25,,
"J9093","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan Lyophilized","100 MG",1,1,5,5,,
"J9094","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan Lyophilized","200 MG",1,1,2.5,2.5,,
"J9095","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan Lyophilized","500 MG",1,1,1,1,,
"J9096","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan Lyophilized","1 GM",1,1,0.5,0.5,,
"J9097","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan Lyophilized","2 GM",1,1,0.25,0.25,,
"J8530","Cyclophosphamide oral 25 MG","BRISTOL-MYERS SQUIBB","00015050301","00015-0503-01","Cytoxan","25 MG",100,1,200,200,,
"J8530","Cyclophosphamide oral 25 MG","BRISTOL-MYERS SQUIBB","00015050302","00015-0503-02","Cytoxan","25 MG",1000,1,2000,2000,,
"J8530","Cyclophosphamide oral 25 MG","BRISTOL-MYERS SQUIBB","00015050401","00015-0504-01","Cytoxan","25 MG",100,1,100,100,,
"J9070","Cyclophosphamide 100 MG inj","Bristol-Myers Squibb Company","00015050541","00015-0505-41","Cytoxan","100 MG",1,1,10,0.5,,
"J9080","Cyclophosphamide 200 MG inj","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan","200 MG",1,1,5,5,,
"J9090","Cyclophosphamide 500 MG inj","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan","500 MG",1,1,2,2,,
"J9091","Cyclophosphamide 1.0 grm inj","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan","1 GM",1,1,1,1,,
"J9092","Cyclophosphamide 2.0 grm inj","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan","2 GM",1,1,0.5,0.5,,
"J9093","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan Lyophilized","100 MG",1,1,10,10,,
"J9094","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan Lyophilized","200 MG",1,1,5,5,,
"J9095","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan Lyophilized","500 MG",1,1,2,2,,
"J9096","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan Lyophilized","1 GM",1,1,1,1,,
"J9097","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan Lyophilized","2 GM",1,1,0.5,0.5,,
"J9070","Cyclophosphamide 100 MG inj","Bristol-Myers Squibb Company","00015050641","00015-0506-41","Cytoxan","100 MG",1,1,20,20,,
"J9080","Cyclophosphamide 200 MG inj","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan","200 MG",1,1,10,10,,
"J9090","Cyclophosphamide 500 MG inj","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan","500 MG",1,1,4,4,,
"J9091","Cyclophosphamide 1.0 grm inj","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan","1 GM",1,1,2,2,,
"J9092","Cyclophosphamide 2.0 grm inj","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan","2 GM",1,1,1,1,,
"J9093","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan Lyophilized","100 MG",1,1,20,20,,
"J9094","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan Lyophilized","200 MG",1,1,10,10,,
"J9095","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan Lyophilized","500 MG",1,1,4,4,,
"J9096","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan Lyophilized","1 GM",1,1,2,2,,
"J9097","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan Lyophilized","2 GM",1,1,1,1,,
"J9094","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015053941","00015-0539-41","Cytoxan Lyophilized","200 MG",1,12,0.5,0.05,,
"J9093","Cyclophosphamide lyophilized","B-M SQUIBB ONCOLOGY/IMMUNOLOGY","00015054641","00015-0546-41","Cytoxan Lyophilized",,1,12,24,2,,"100 MG"
"J9094","Cyclophosphamide lyophilized","B-M SQUIBB ONCOLOGY/IMMUNOLOGY","00015054641","00015-0546-41","Cytoxan Lyophilized",,1,12,12,1,,"200 MG"
"J9095","Cyclophosphamide lyophilized","B-M SQUIBB ONCOLOGY/IMMUNOLOGY","00015054641","00015-0546-41","Cytoxan Lyophilized",,1,12,4.8,0.4,,"500 MG"
"J9096","Cyclophosphamide lyophilized","B-M SQUIBB ONCOLOGY/IMMUNOLOGY","00015054641","00015-0546-41","Cytoxan Lyophilized",,1,12,2.4,0.2,,"1 GM"
"J9097","Cyclophosphamide lyophilized","B-M SQUIBB ONCOLOGY/IMMUNOLOGY","00015054641","00015-0546-41","Cytoxan Lyophilized",,1,12,1.2,0.1,,"2 GM"
"J9093","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized","100 MG",1,12,5,60,,
"J9094","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized","200 MG",1,12,2.5,30,,
"J9095","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized","500 MG",1,12,1,12,,
"J9096","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized","1 GM",1,12,0.5,6,,
"J9097","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized","2 GM",1,12,0.25,3,,
"J9093","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized","100 MG",1,6,10,60,,
"J9094","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized","200 MG",1,6,5,30,,
"J9095","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized","500 MG",1,6,2,12,,
"J9096","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized","1 GM",1,6,1,6,,
"J9097","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized","2 GM",1,6,0.5,3,,
"J9093","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized","100 MG",1,1,20,20,,
"J9094","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized","200 MG",1,1,10,10,,
"J9095","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized","500 MG",1,1,4,4,,
"J9096","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized","1 GM",1,1,2,2,,
"J9097","Cyclophosphamide lyophilized","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized","2 GM",1,1,1,1,,
"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,,
"J1590","Gatifloxacin injection","BRISTOL-MYERS SQUIBB","00015117980","00015-1179-80","Tequin","10 MG",40,1,40,40,,
"J1590","Gatifloxacin injection","BRISTOL-MYERS SQUIBB","00015118078","00015-1180-78","Tequin","10 MG",100,1,20,20,,
"J1590","Gatifloxacin injection","BRISTOL-MYERS SQUIBB","00015118079","00015-1180-79","Tequin","10 MG",100,1,20,20,,
"J1590","Gatifloxacin injection","Bristol-Myers Squibb Company","00015118178","00015-1181-78","TEQUIN INJECTION","10 MG",200,1,40,40,,
"J1590","Gatifloxacin injection","BRISTOL-MYERS SQUIBB","00015118179","00015-1181-79","Tequin","10 MG",200,1,40,40,,
"J1590","Gatifloxacin injection","BRISTOL-MYERS SQUIBB","00015118180","00015-1181-80","Tequin","10 MG",200,1,40,40,,
"C9240","Injection, ixabepilone","BRISTOL-MYERS SQUIBB ONC/VIR","00015191012","00015-1910-12","IXABEPILONE","1 MG",1,1,15,15,,
"J9207","Ixabepilone injection","R-Pharm US","00015191012","00015-1910-12","IXABEPILONE","1 MG",1,1,15,15,,
"C9240","Injection, ixabepilone","BRISTOL-MYERS SQUIBB ONC/VIR","00015191113","00015-1911-13","IXABEPILONE","1 MG",1,1,45,45,,
"J9207","Ixabepilone injection","R-Pharm US","00015191113","00015-1911-13","IXABEPILONE","1 MG",1,1,45,45,,
"J9280","Mitomycin 5 MG inj","BRISTOL-MYERS SQUIBB","00015300120","00015-3001-20","Mutamycin","5 MG",1,1,1,1,,
"J9290","Mitomycin 20 MG inj","BRISTOL-MYERS SQUIBB","00015300120","00015-3001-20","Mutamycin","20 MG",1,1,0.25,0.125,,
"J9291","Mitomycin 40 MG inj","BRISTOL-MYERS SQUIBB","00015300120","00015-3001-20","Mutamycin","40 MG",1,1,0.125,0.125,,
"J9280","Mitomycin 5 MG inj","BRISTOL-MYERS SQUIBB","00015300220","00015-3002-20","Mutamycin","5 MG",1,1,4,4,,
"J9290","Mitomycin 20 MG inj","BRISTOL-MYERS SQUIBB","00015300220","00015-3002-20","Mutamycin","20 MG",1,1,1,0.5,,
"J9291","Mitomycin 40 MG inj","BRISTOL-MYERS SQUIBB","00015300220","00015-3002-20","Mutamycin","40 MG",1,1,0.5,0.5,,
"J9040","Bleomycin sulfate injection","BRISTOL-MYERS SQUIBB","00015301020","00015-3010-20","Blenoxane","15 UNITS",1,1,1,1,,
"J9050","Carmustine injection","BRISTOL-MYERS SQUIBB","00015301238","00015-3012-38","BICNU","100 MG",1,1,1,1,,
"J9050","Carmustine injection","Bristol-Myers Squibb Company","00015301260","00015-3012-60","BICNU","100 MG",1,1,1,1,,
"J0278","Amikacin sulfate injection","SANDOZ","00015301597","00015-3015-97","Amikin","100 MG",2,10,1,10,,
"J0278","Amikacin sulfate injection","SANDOZ","00015302397","00015-3023-97","Amikacin Sulfate","100 MG",4,10,20,200,,
"J9280","Mitomycin 5 MG inj","BRISTOL-MYERS SQUIBB","00015305920","00015-3059-20","Mutamycin","5 MG",1,1,8,8,,
"J9290","Mitomycin 20 MG inj","BRISTOL-MYERS SQUIBB","00015305920","00015-3059-20","Mutamycin","20 MG",1,1,2,1,,
"J9291","Mitomycin 40 MG inj","BRISTOL-MYERS SQUIBB","00015305920","00015-3059-20","Mutamycin","40 MG",1,1,1,1,,
"J9181","Etoposide 10 MG inj","BRISTOL-MYERS SQUIBB","00015306120","00015-3061-20","Vepesid","10 MG",25,1,50,50,,
"J9182","Etoposide 100 MG inj","BRISTOL-MYERS SQUIBB","00015306120","00015-3061-20","Vepesid","100 MG",25,1,5,5,,
"J9181","Etoposide 10 MG inj","BRISTOL-MYERS SQUIBB","00015306220","00015-3062-20","Vepesid","10 MG",50,1,100,100,,
"J9182","Etoposide 100 MG inj","BRISTOL-MYERS SQUIBB","00015306220","00015-3062-20","Vepesid","100 MG",50,1,10,10,,
"J9040","Bleomycin sulfate injection","BRISTOL-MYERS SQUIBB","00015306301","00015-3063-01","Blenoxane","15 UNITS",1,1,2,2,,
"Q2017","Teniposide, 50 mg","Bristol-Myers Squibb Company","00015307519","00015-3075-19","Vumon","50 MG",5,1,1,1,,
"Q2017","Teniposide, 50 mg","BRISTOL-MYERS SQUIBB","00015307597","00015-3075-97","Vumon","50 MG",5,10,1,10,,
"J9181","Etoposide 10 MG inj","BRISTOL-MYERS SQUIBB","00015308420","00015-3084-20","Vepesid","10 MG",7.5,1,15,15,,
"J9182","Etoposide 100 MG inj","BRISTOL-MYERS SQUIBB","00015308420","00015-3084-20","Vepesid","100 MG",7.5,1,1.5,1.5,,
"J8560","Etoposide oral 50 MG","BRISTOL-MYERS SQUIBB","00015309145","00015-3091-45","Vepesid","50 MG",20,1,20,20,,
"J9181","Etoposide 10 MG inj","BRISTOL-MYERS SQUIBB","00015309520","00015-3095-20","Vepesid","10 MG",5,1,10,10,,
"J9182","Etoposide 100 MG inj","BRISTOL-MYERS SQUIBB","00015309520","00015-3095-20","Vepesid","100 MG",5,1,1,1,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321030","00015-3210-30","Paraplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321076","00015-3210-76","Paraplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321130","00015-3211-30","Paraplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321176","00015-3211-76","Paraplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321230","00015-3212-30","Paraplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321276","00015-3212-76","Paraplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321330","00015-3213-30","Paraplatin","50 MG",1,1,1,1,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321430","00015-3214-30","Paraplatin","50 MG",1,1,3,3,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321530","00015-3215-30","Paraplatin","50 MG",1,1,9,9,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015321630","00015-3216-30","Paraplatin","50 MG",60,1,12,12,,
"J9060","Cisplatin 10 MG injection","BRISTOL-MYERS SQUIBB","00015322022","00015-3220-22","Platinol Aq","10 MG",50,1,5,5,,
"J9062","Cisplatin 50 MG injection","BRISTOL-MYERS SQUIBB","00015322022","00015-3220-22","Platinol Aq","50 MG",50,1,1,1,,
"J9060","Cisplatin 10 MG injection","BRISTOL-MYERS SQUIBB","00015322122","00015-3221-22","Platinol Aq","10 MG",100,1,10,10,,
"J9062","Cisplatin 50 MG injection","BRISTOL-MYERS SQUIBB","00015322122","00015-3221-22","Platinol Aq","50 MG",100,1,2,2,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015323011","00015-3230-11","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015323111","00015-3231-11","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015323211","00015-3232-11","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","BRISTOL-MYERS SQUIBB","00015323311","00015-3233-11","Carboplatin","50 MG",60,1,12,12,,
"J9000","Doxorubic hcl 10 MG vl chemo","B-M SQUIBB ONCOLOGY/IMMUNOLOGY","00015335322","00015-3353-22","Rubex",,1,1,10,10,,"10 MG"
"J9181","Etoposide injection","Bristol-Myers Squibb Company","00015340420","00015-3404-20","Etopophos","10 MG",1,1,10,10,,
"J9182","Etoposide 100 MG inj","BRISTOL-MYERS SQUIBB","00015340420","00015-3404-20","Etopophos","100 MG",1,5,1,5,,
"J9265","Paclitaxel injection","BRISTOL-MYERS SQUIBB","00015347530","00015-3475-30","Taxol","30 MG",5,1,1,1,,
"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,,
"J1850","Kanamycin sulfate 75 MG inj","SANDOZ","00015350320","00015-3503-20","Kantrex",,3,1,13.33,13.33,,"75 MG"
"J1840","Kanamycin sulfate 500 MG inj","SANDOZ","00015350399","00015-3503-99","Kantrex",,3,10,20.1,2.01,,"500 MG"
"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,,
"J0595","Butorphanol tartrate 1 mg","SANDOZ","00015564415","00015-5644-15","Stadol",,2,10,40,4,,"1 MG"
"J0595","Butorphanol tartrate 1 mg","SANDOZ","00015564515","00015-5645-15","Stadol",,1,10,10,1,,"1 MG"
"J0595","Butorphanol tartrate 1 mg","SANDOZ","00015564615","00015-5646-15","Stadol",,1,10,20,2,,"1 MG"
"J0595","Butorphanol tartrate 1 mg","SANDOZ","00015564897","00015-5648-97","Stadol",,10,10,200,20,,"1 MG"
"J0290","Ampicillin 500 MG inj","SANDOZ","00015710098","00015-7100-98","Ampicillin Sodium","500 MG",1,10,20,200,,
"J2700","Oxacillin sodium injeciton","SANDOZ","00015710398","00015-7103-98","Oxacillin Sodium",,1,10,400,40,,"250 MG"
"J0690","Cefazolin sodium injection","SANDOZ","00015733899","00015-7338-99","Cefazolin Sodium",,1,10,10,1,,"500 MG"
"J0690","Cefazolin sodium injection","SANDOZ","00015733999","00015-7339-99","Cefazolin Sodium",,1,10,20,2,,"500 MG"
"J0690","Cefazolin sodium injection","SANDOZ","00015734697","00015-7346-97","Cefazolin Sodium",,1,10,200,20,,"500 MG"
"J0290","Ampicillin 500 MG inj","SANDOZ","00015740299","00015-7402-99","Ampicillin Sodium","500 MG",1,10,0.5,5,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00015740399","00015-7403-99","Ampicillin Sodium","500 MG",1,10,1,10,,
"J0290","Ampicillin 500 MG inj","APOTHECON","00015740489","00015-7404-89","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 MG inj","MEAD JOHNSON & CO","00015740494","00015-7404-94","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00015740499","00015-7404-99","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 MG inj","APOTHECON","00015740589","00015-7405-89","Ampicillin Sodium","500 MG",1,10,4,40,,
"J0290","Ampicillin 500 MG inj","MEAD JOHNSON & CO","00015740595","00015-7405-95","AMPICILLIN SODIUM",,,,,,,"500 MG"
"J0290","Ampicillin 500 MG inj","SANDOZ","00015740599","00015-7405-99","Ampicillin Sodium","500 MG",1,10,4,40,,
"J2700","Oxacillin sodium injeciton","APOTHECON","00015797089","00015-7970-89","Oxacillin Sodium","250 MG",1,10,8,80,,
"J2700","Oxacillin sodium injeciton","MEAD JOHNSON & CO","00015797096","00015-7970-96","OXACILLIN SODIUM",,,,,,,"250 MG"
"J2700","Oxacillin sodium injeciton","SANDOZ","00015797099","00015-7970-99","Oxacillin Sodium",,1,10,80,8,,"250 MG"
"J2700","Oxacillin sodium injeciton","APOTHECON","00015798189","00015-7981-89","Oxacillin Sodium","250 MG",1,10,4,40,,
"J2700","Oxacillin sodium injeciton","SANDOZ","00015798199","00015-7981-99","Oxacillin Sodium",,1,10,40,4,,"250 MG"
"Q9958","Hocm <=149 mg/ml iodine, 1ml","Liebel Flarsheim","00019086207","00019-0862-07","Cysto-Conray Ii","1 ML",250,12,250,3000,,
"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","Liebel Flarsheim","00019086250","00019-0862-50","Cysto-Conray Ii","1 ML",250,12,250,3000,,
"Q9958","Hocm <=149 mg/ml iodine, 1ml","Liebel Flarsheim","00019095211","00019-0952-11","Conray 30","1 ML",150,12,150,1800,,
"Q9957","Inj perflutren lip micros,ml","BRISTOL-MYERS SQUIBB MEDICAL IMAGING","00019095215","00019-0952-15","Definity","1 ML",2,4,2,8,,
"Q9958","HOCM <=149 mg/ml iodine, 1ml","Mallinckrodt","00019095215","00019-0952-15","Conray 30","1 ML",50,12,50,2500,,
"Q9958","Hocm <=149 mg/ml iodine, 1ml","Liebel Flarsheim","00019095253","00019-0952-53","Conray 30","1 ML",150,12,150,1800,,
"Q9961","HOCM 250-299mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019095303","00019-0953-03","Conray","1 ML",100,12,100,1200,,
"Q9961","Hocm 250-299mg/ml iodine,1ml","Liebel Flarsheim","00019095305","00019-0953-05","Conray","1 ML",50,25,50,1250,,
"Q9961","Hocm 250-299mg/ml iodine,1ml","Liebel Flarsheim","00019095309","00019-0953-09","Conray","1 ML",100,12,100,1200,,
"Q9961","Hocm 250-299mg/ml iodine,1ml","Liebel Flarsheim","00019095310","00019-0953-10","Conray","1 ML",100,12,100,1200,,
"Q9961","Hocm 250-299mg/ml iodine,1ml","Liebel Flarsheim","00019095311","00019-0953-11","Conray","1 ML",150,12,150,1800,,
"Q9961","Hocm 250-299mg/ml iodine,1ml","Liebel Flarsheim","00019095313","00019-0953-13","Conray","1 ML",30,50,30,1500,,
"Q9961","Hocm 250-299mg/ml iodine,1ml","Liebel Flarsheim","00019095315","00019-0953-15","Conray","1 ML",50,50,50,2500,,
"Q9961","Hocm 250-299mg/ml iodine,1ml","Liebel Flarsheim","00019095323","00019-0953-23","Conray","1 ML",30,25,30,750,,
"Q9961","Hocm 250-299mg/ml iodine,1ml","Liebel Flarsheim","00019095350","00019-0953-50","Conray","1 ML",150,12,150,1800,,
"Q9964","HOCM>= 400mg/ml iodine, 1ml","TYCO_MALLINCKRODT","00019095415","00019-0954-15","Conray 400","1 ML",50,50,50,50,,
"Q9954","Oral MR contrast, 100 ml","Mallinckrodt","00019112006","00019-1120-06","Gastromark","100 ML",300,12,3,3,,
"A9579","Gad-base mr contrast nos,1ml","Liebel Flarsheim","00019117702","00019-1177-02","Optimark","1 ML",5,10,5,50,,
"Q9952","Inj Gad-base MR contrast,1ml","TYCO_MALLINCKRODT","00019117702","00019-1177-02","Optimark","1 ML",5,10,5,50,,
"A9579","Gad-base mr contrast nos,1ml","Liebel Flarsheim","00019117704","00019-1177-04","Optimark","1 ML",10,10,10,100,,
"Q9952","Inj Gad-base MR contrast,1ml","TYCO_MALLINCKRODT","00019117704","00019-1177-04","Optimark","1 ML",10,10,10,100,,
"A9579","Gad-base mr contrast nos,1ml","Liebel Flarsheim","00019117706","00019-1177-06","Optimark","1 ML",15,10,15,150,,
"Q9952","Inj Gad-base MR contrast,1ml","TYCO_MALLINCKRODT","00019117706","00019-1177-06","Optimark","1 ML",15,10,15,150,,
"A9579","Gad-base mr contrast nos,1ml","Liebel Flarsheim","00019117708","00019-1177-08","Optimark","1 ML",20,10,20,200,,
"Q9952","Inj Gad-base MR contrast,1ml","TYCO_MALLINCKRODT","00019117708","00019-1177-08","Optimark","1 ML",20,10,20,200,,
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117710","00019-1177-10","Optimark","1 ML",10,10,10,100,,
"Q9952","Inj Gad-base MR contrast,1ml","TYCO_MALLINCKRODT","00019117710","00019-1177-10","Optimark","1 ML",10,10,10,100,,
"A9579","Gad-base mr contrast nos,1ml","Liebel Flarsheim","00019117711","00019-1177-11","Optimark","1 ML",10,10,10,100,,
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117715","00019-1177-15","Optimark","1 ML",15,10,15,150,,
"Q9952","Inj Gad-base MR contrast,1ml","TYCO_MALLINCKRODT","00019117715","00019-1177-15","Optimark","1 ML",15,10,15,150,,
"A9579","Gad-base mr contrast nos,1ml","Liebel Flarsheim","00019117716","00019-1177-16","Optimark","1 ML",15,10,15,150,,
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117720","00019-1177-20","Optimark","1 ML",20,10,20,200,,
"Q9952","Inj Gad-base MR contrast,1ml","TYCO_MALLINCKRODT","00019117720","00019-1177-20","Optimark","1 ML",20,10,20,200,,
"A9579","Gad-base mr contrast nos,1ml","Liebel Flarsheim","00019117721","00019-1177-21","Optimark","1 ML",20,10,20,200,,
"A9579","Gad-base MR contrast NOS,1ml","Mallinckrodt","00019117730","00019-1177-30","Optimark","1 ML",30,10,30,300,,
"Q9952","Inj Gad-base MR contrast,1ml","TYCO_MALLINCKRODT","00019117730","00019-1177-30","Optimark","1 ML",30,10,30,300,,
"A9579","Gad-base mr contrast nos,1ml","Liebel Flarsheim","00019117731","00019-1177-31","Optimark","1 ML",30,10,30,300,,
"A9579","Gad-base mr contrast nos,1ml","Liebel Flarsheim","00019117750","00019-1177-50","Optimark","1 ML",50,5,50,250,,
"Q9952","Inj Gad-base MR contrast,1ml","TYCO_MALLINCKRODT","00019117750","00019-1177-50","Optimark","1 ML",50,5,50,250,,
"Q9963","Hocm 350-399mg/ml iodine,1ml","Liebel Flarsheim","00019131707","00019-1317-07","Md-76R","1 ML",100,12,100,1200,,
"Q9963","Hocm 350-399mg/ml iodine,1ml","Liebel Flarsheim","00019131709","00019-1317-09","Md-76R","1 ML",200,12,200,2400,,
"Q9963","HOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019131711","00019-1317-11","Md-76R","1 ML",150,12,150,1800,,
"Q9963","Hocm 350-399mg/ml iodine,1ml","Liebel Flarsheim","00019131715","00019-1317-15","Md-76R","1 ML",50,50,50,2500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132300","00019-1323-00","Optiray 320","1 ML",100,20,100,2000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132302","00019-1323-02","Optiray 320","1 ML",20,25,20,500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132302","00019-1323-02","Optiray 320","1 ML",20,25,20,500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132304","00019-1323-04","Optiray 320","1 ML",30,25,30,750,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132304","00019-1323-04","Optiray 320","1 ML",30,25,30,750,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132306","00019-1323-06","Optiray 320","1 ML",50,25,50,1250,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132306","00019-1323-06","Optiray 320","1 ML",50,25,50,1250,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132307","00019-1323-07","Optiray 320","1 ML",75,20,75,1500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132307","00019-1323-07","Optiray 320","1 ML",75,20,75,1500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132310","00019-1323-10","Optiray 320","1 ML",100,20,100,2000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132310","00019-1323-10","Optiray 320","1 ML",100,20,100,2000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132311","00019-1323-11","Optiray 320","1 ML",100,12,100,1200,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132311","00019-1323-11","Optiray 320","1 ML",100,12,100,1200,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132316","00019-1323-16","Optiray 320","1 ML",150,12,150,1800,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132316","00019-1323-16","Optiray 320","1 ML",150,12,150,1800,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132321","00019-1323-21","Optiray 320","1 ML",200,12,200,2400,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132321","00019-1323-21","Optiray 320","1 ML",200,12,200,2400,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132325","00019-1323-25","Optiray 320","1 ML",125,20,125,2500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132325","00019-1323-25","Optiray 320","1 ML",125,20,125,2500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132327","00019-1323-27","Optiray 320","1 ML",125,20,125,2500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132341","00019-1323-41","Optiray 320","1 ML",75,12,75,900,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132341","00019-1323-41","Optiray 320","1 ML",75,12,75,900,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132350","00019-1323-50","Optiray 320","1 ML",50,20,50,1000,,
"Q9967","LOCM 300-399mg/ml iodine","TYCO_MALLINCKRODT","00019132350","00019-1323-50","Optiray 320","1 ML",50,20,50,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132352","00019-1323-52","Optiray 320","1 ML",50,20,50,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132355","00019-1323-55","Optiray 320","1 ML",50,20,50,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132361","00019-1323-61","Optiray 320","1 ML",500,6,500,3000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132361","00019-1323-61","Optiray 320","1 ML",500,6,500,3000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132370","00019-1323-70","Optiray 320","1 ML",30,20,30,600,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132373","00019-1323-73","Optiray 320","1 ML",30,20,30,600,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132373","00019-1323-73","Optiray 320","1 ML",30,20,30,600,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132375","00019-1323-75","Optiray 320","1 ML",50,20,50,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132375","00019-1323-75","Optiray 320","1 ML",50,20,50,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132377","00019-1323-77","Optiray 320","1 ML",50,20,50,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132377","00019-1323-77","Optiray 320","1 ML",50,20,50,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132378","00019-1323-78","Optiray 320","1 ML",50,20,50,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132381","00019-1323-81","Optiray 320","1 ML",125,20,125,2500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132381","00019-1323-81","Optiray 320","1 ML",125,20,125,2500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132383","00019-1323-83","Optiray 320","1 ML",100,20,100,2000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132383","00019-1323-83","Optiray 320","1 ML",100,20,100,2000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132385","00019-1323-85","Optiray 320","1 ML",75,20,75,1500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132387","00019-1323-87","Optiray 320","1 ML",125,20,125,2500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132390","00019-1323-90","Optiray 320","1 ML",100,20,100,2000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132391","00019-1323-91","Optiray 320","1 ML",75,20,75,1500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019132391","00019-1323-91","Optiray 320","1 ML",75,20,75,1500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019132395","00019-1323-95","Optiray 320","1 ML",75,20,75,1500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132406","00019-1324-06","Optiray 240","1 ML",50,25,50,1250,,
"Q9966","Locm 200-299mg/ml iodine,1ml","Liebel Flarsheim","00019132406","00019-1324-06","Optiray 240","1 ML",50,25,50,1250,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132411","00019-1324-11","Optiray 240","1 ML",100,12,100,1200,,
"Q9966","Locm 200-299mg/ml iodine,1ml","Liebel Flarsheim","00019132411","00019-1324-11","Optiray 240","1 ML",100,12,100,1200,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132416","00019-1324-16","Optiray 240","1 ML",150,12,150,1800,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132416","00019-1324-16","Optiray 240","1 ML",150,12,150,1800,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132421","00019-1324-21","Optiray 240","1 ML",200,12,200,2400,,
"Q9966","Locm 200-299mg/ml iodine,1ml","Liebel Flarsheim","00019132421","00019-1324-21","Optiray 240","1 ML",200,12,200,2400,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","MALLINCKRODT","00019132425","00019-1324-25","Optiray 240","1 ML",125,20,125,2500,,
"Q9966","LOCM 200-299mg/ml iodine","MALLINCKRODT","00019132425","00019-1324-25","Optiray 240","1 ML",125,20,125,2500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132427","00019-1324-27","Optiray 240","1 ML",125,20,125,2500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132475","00019-1324-75","Optiray 240","1 ML",50,20,50,1000,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132475","00019-1324-75","Optiray 240","1 ML",50,20,50,1000,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132478","00019-1324-78","Optiray 240","1 ML",50,20,50,1000,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132481","00019-1324-81","Optiray 240","1 ML",125,20,125,2500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","00019132481","00019-1324-81","Optiray 240","1 ML",125,20,125,2500,,
"Q9966","Locm 200-299mg/ml iodine,1ml","Liebel Flarsheim","00019132487","00019-1324-87","Optiray 240","1 ML",125,20,125,2500,,
"Q9946","LOCM 150-199mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132506","00019-1325-06","Optiray 160","1 ML",50,25,50,1250,,
"Q9965","LOCM 100-199mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019132506","00019-1325-06","Optiray 160","1 ML",50,1,50,50,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133200","00019-1332-00","Optiray 300","1 ML",100,20,100,2000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133206","00019-1332-06","Optiray 300","1 ML",50,25,50,1250,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133206","00019-1332-06","Optiray 300","1 ML",50,25,50,1250,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133210","00019-1332-10","Optiray 300","1 ML",100,20,100,2000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133210","00019-1332-10","Optiray 300","1 ML",100,20,100,2000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133211","00019-1332-11","Optiray 300","1 ML",100,12,100,1200,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133211","00019-1332-11","Optiray 300","1 ML",100,12,100,1200,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133216","00019-1332-16","Optiray 300","1 ML",150,12,150,1800,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133216","00019-1332-16","Optiray 300","1 ML",150,12,150,1800,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133221","00019-1332-21","Optiray 300","1 ML",200,12,200,2400,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133221","00019-1332-21","Optiray 300","1 ML",200,12,200,2400,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133261","00019-1332-61","Optiray 300","1 ML",500,6,500,3000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133261","00019-1332-61","Optiray 300","1 ML",500,6,500,3000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133275","00019-1332-75","Optiray 300","1 ML",50,20,50,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133275","00019-1332-75","Optiray 300","1 ML",50,20,50,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133278","00019-1332-78","Optiray 300","1 ML",50,20,50,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133283","00019-1332-83","Optiray 300","1 ML",100,20,100,2000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133283","00019-1332-83","Optiray 300","1 ML",100,20,100,2000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133290","00019-1332-90","Optiray 300","1 ML",100,20,100,2000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133300","00019-1333-00","Oxilan 350","1 ML",100,20,100,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133306","00019-1333-06","Optiray 350","1 ML",50,25,50,1250,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133306","00019-1333-06","Optiray 350","1 ML",50,25,50,1250,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133307","00019-1333-07","Optiray 350","1 ML",75,20,75,1500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133307","00019-1333-07","Optiray 350","1 ML",75,20,75,1500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133310","00019-1333-10","Optiray 350","1 ML",100,20,100,2000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133310","00019-1333-10","Optiray 350","1 ML",100,20,100,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133311","00019-1333-11","Optiray 350","1 ML",100,12,100,1200,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133311","00019-1333-11","Optiray 350","1 ML",100,12,100,1200,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133316","00019-1333-16","Optiray 350","1 ML",150,12,150,1800,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133316","00019-1333-16","Optiray 350","1 ML",150,12,150,1800,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133321","00019-1333-21","Optiray 350","1 ML",200,12,200,2400,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133321","00019-1333-21","Optiray 350","1 ML",200,12,200,2400,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133325","00019-1333-25","Optiray 350","1 ML",125,20,125,2500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133325","00019-1333-25","Optiray 350","1 ML",125,20,125,2500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133327","00019-1333-27","Oxilan 350","1 ML",125,20,125,2500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133341","00019-1333-41","Optiray 350","1 ML",75,12,75,900,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133341","00019-1333-41","Optiray 350","1 ML",75,12,75,900,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133350","00019-1333-50","Optiray 350","1 ML",50,20,50,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133350","00019-1333-50","Optiray 350","1 ML",50,20,50,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133351","00019-1333-51","Optiray 350","1 ML",250,12,250,3000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133351","00019-1333-51","Optiray 350","1 ML",250,12,250,3000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133352","00019-1333-52","Optiray 350","1 ML",50,20,50,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Mallinckrodt","00019133355","00019-1333-55","Oxilan 350","1 ML",50,20,250,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133361","00019-1333-61","Optiray 350","1 ML",500,6,500,3000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133361","00019-1333-61","Optiray 350","1 ML",500,6,500,3000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133375","00019-1333-75","Optiray 350","1 ML",50,20,50,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133375","00019-1333-75","Optiray 350","1 ML",50,20,50,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133377","00019-1333-77","Optiray 350","1 ML",50,20,50,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133377","00019-1333-77","Optiray 350","1 ML",50,20,50,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133378","00019-1333-78","Optiray 350","1 ML",50,20,50,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133381","00019-1333-81","Optiray 350","1 ML",125,20,125,2500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133381","00019-1333-81","Optiray 350","1 ML",125,20,125,2500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133383","00019-1333-83","Optiray 350","1 ML",100,20,100,2000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133383","00019-1333-83","Optiray 350","1 ML",100,20,100,2000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133385","00019-1333-85","Oxilan 350","1 ML",75,20,100,1500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133387","00019-1333-87","Optiray 350","1 ML",125,20,125,2500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133390","00019-1333-90","Optiray 350","1 ML",100,20,100,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019133391","00019-1333-91","Optiray 350","1 ML",75,20,75,1500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","00019133391","00019-1333-91","Optiray 350","1 ML",75,20,75,1500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019133395","00019-1333-95","Optiray 350","1 ML",75,20,75,1500,,
"P9041","Albumin (human),5%, 50ml","MALLINCKRODT","00019270310","00019-2703-10","Albunex","50 ML",10,6,0.2,1.2,,
"P9045","Albumin (human), 5%, 250 ml","MALLINCKRODT","00019270310","00019-2703-10","Albunex","250 ML",10,6,0.04,0.24,,
"P9041","Albumin (human),5%, 50ml","MALLINCKRODT","00019270320","00019-2703-20","Albunex","50 ML",20,6,0.4,2.4,,
"P9045","Albumin (human), 5%, 250 ml","MALLINCKRODT","00019270320","00019-2703-20","Albunex","250 ML",20,6,0.08,0.48,,
"Q9960","Hocm 200-249mg/ml iodine,1ml","Liebel Flarsheim","00019318305","00019-3183-05","Conray 43","1 ML",50,25,50,1250,,
"Q9960","HOCM 200-249mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019318307","00019-3183-07","Conray 43","1 ML",100,12,100,1200,,
"Q9960","Hocm 200-249mg/ml iodine,1ml","Liebel Flarsheim","00019318309","00019-3183-09","Conray 43","1 ML",250,12,250,3000,,
"Q9960","HOCM 200-249mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019318311","00019-3183-11","Conray 43","1 ML",200,12,200,2400,,
"Q9960","Hocm 200-249mg/ml iodine,1ml","Liebel Flarsheim","00019318315","00019-3183-15","Conray 43","1 ML",50,50,50,2500,,
"Q9960","Hocm 200-249mg/ml iodine,1ml","Liebel Flarsheim","00019318350","00019-3183-50","Conray 43","1 ML",250,12,250,3000,,
"Q9963","HOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019480601","00019-4806-01","Md GastrovieW","1 ML",120,12,120,1440,,
"Q9963","HOCM 350-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019480603","00019-4806-03","Md GastrovieW","1 ML",240,12,240,2880,,
"Q9963","Hocm 350-399mg/ml iodine,1ml","Liebel Flarsheim","00019481604","00019-4816-04","Md GastrovieW","1 ML",30,25,30,750,,
"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,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019550506","00019-5505-06","Hexabrix 320","1 ML",50,25,50,1250,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019550506","00019-5505-06","Hexabrix 320","1 ML",50,25,50,1250,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019550508","00019-5505-08","Hexabrix 320","1 ML",100,12,100,1200,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019550508","00019-5505-08","Hexabrix 320","1 ML",100,12,100,1200,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019550510","00019-5505-10","Hexabrix 320","1 ML",150,12,150,1800,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019550510","00019-5505-10","Hexabrix 320","1 ML",150,12,150,1800,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019550521","00019-5505-21","Hexabrix 320","1 ML",200,12,200,2400,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019550521","00019-5505-21","Hexabrix 320","1 ML",200,12,200,2400,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","TYCO_MALLINCKRODT","00019550551","00019-5505-51","Hexabrix 320","1 ML",20,10,20,200,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Liebel Flarsheim","00019550551","00019-5505-51","Hexabrix 320","1 ML",20,10,20,200,,
"A9517","I131 iodide cap, rx","Mallinckrodt","00019N452FA","00019-N452-FA","SODIUM IODIDE I 131 CAPSULE","1 mCi",1,1,10,10,,
"A9563","P32 Na phosphate","MALLINCKRODT INC.","00019N461F0","00019-N461-F0","SODIUM PHOSPHATE P-32","1  mCi",1,1,5,5,,
"A9564","P32 chromic phosphate","MALLINCKRODT INC.","00019N470P0","00019-N470-P0","PHOSPHOCOL P-32","1 mCi",1,1,15,15,,
"J0585","Injection,onabotulinumtoxina","Allergan Sales, LLC","00023114501","00023-1145-01","Botox","1 UNIT",1,1,100,100,,
"C9256","Dexamethasone intravitreal","ALLERGAN","00023334807","00023-3348-07","Ozurdex","0.1 mg",0.7,1,7,7,,
"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,,
"J3315","Triptorelin pamoate","Allergan Sales, LLC","00023590204","00023-5902-04","Trelstar","3.75 MG",1,1,1,1,,
"J3315","Triptorelin pamoate","Allergan Sales, LLC","00023590412","00023-5904-12","Trelstar","3.75 MG",1,1,3,3,,
"J3315","Triptorelin pamoate","ALLERGAN, INC.","00023590623","00023-5906-23","Trelstar","3.75 MG",1,1,6,6,,
"J0585","Injection,onabotulinumtoxina","Allergan Sales, LLC","00023923201","00023-9232-01","Botox Cosmetic","1 UNIT",1,1,100,100,,
"J0585","Injection,onabotulinumtoxinA","ALLERGAN","00023923250","00023-9232-50","Botox","1 UNIT",1,1,50,50,,
"J0390","Chloroquine injection","SANOFI PHARMACEUTICALS","00024007401","00024-0074-01","Aralen",,5,5,5,1,,"250 MG"
"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,,
"J9263","Oxaliplatin","SANOFI PHARMACEUTICALS","00024059602","00024-0596-02","Eloxatin","0.5 MG",1,1,100,100,,
"J9263","Oxaliplatin","SANOFI PHARMACEUTICALS","00024059704","00024-0597-04","Eloxatin","0.5 MG",1,1,200,200,,
"J9217","Leuprolide acetate suspnsion","SANOFI-AVENTIS","00024060545","00024-0605-45","Eligard","7.5 MG",1,1,6,6,,
"J9217","Leuprolide acetate suspnsion","TOLMAR","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,,
"J7658","Isoproterenolhcl inh sol con","SANOFI-SYNTHELABO","00024087101","00024-0871-01","Isuprel Hydrochloride",,10,1,10,10,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","SANOFI-SYNTHELABO","00024087101","00024-0871-01","Isuprel Hydrochloride",,10,1,25.05,25.05,,"1 MG"
"J7658","Isoproterenolhcl inh sol con","SANOFI-SYNTHELABO","00024087103","00024-0871-03","Isuprel Hydrochloride",,60,1,30,30,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","SANOFI-SYNTHELABO","00024087103","00024-0871-03","Isuprel Hydrochloride",,60,1,150.34,150.34,,"1 MG"
"J7658","Isoproterenolhcl inh sol con","SANOFI-SYNTHELABO","00024087301","00024-0873-01","Isuprel Hydrochloride",,10,1,1,1,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","SANOFI-SYNTHELABO","00024087301","00024-0873-01","Isuprel Hydrochloride",,10,1,25,25,,"1 MG"
"J7648","Isoetharine hcl inh sol con","SANOFI-SYNTHELABO","00024107110","00024-1071-10","Bronkosol",,10,1,100,100,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","SANOFI PHARMACEUTICALS","00024107110","00024-1071-10","Bronkosol",,10,1,100,100,,"1 MG"
"J7648","Isoetharine hcl inh sol con","SANOFI-SYNTHELABO","00024107130","00024-1071-30","Bronkosol",,30,1,300,300,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","SANOFI PHARMACEUTICALS","00024107130","00024-1071-30","Bronkosol",,30,1,300,300,,"1 MG"
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120010","00024-1200-10","Primacor","5 MG",10,10,2,20,,
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120020","00024-1200-20","Primacor","5 MG",20,10,4,40,,
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120025","00024-1200-25","Primacor","5 MG",20,50,4,200,,
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120050","00024-1200-50","Primacor",,50,1,10,10,,"5 ML"
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120301","00024-1203-01","Primacor In Dextrose","5 MG",100,10,4,40,,
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120302","00024-1203-02","Primacor In Dextrose","5 MG",200,10,8,80,,
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120311","00024-1203-11","Primacor","5 MG",100,10,4,40,,
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120315","00024-1203-15","Primacor In Dextrose","5 MG",100,50,4,200,,
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120322","00024-1203-22","Primacor In Dextrose","5 MG",200,10,8,80,,
"J2260","Inj milrinone lactate / 5 MG","SANOFI PHARMACEUTICALS","00024120325","00024-1203-25","Primacor In Dextrose","5 MG",200,50,8,400,,
"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,,
"J2916","Na ferric gluconate complex","SANOFI-AVENTIS","00024279410","00024-2794-10","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,,
"C9262","Fludarabine phosphate, oral, 1 mg","SANOFI-AVENTIS","00024582015","00024-5820-15","OFORTA","10 MG",15,1,15,15,,
"J8562","Oral fludarabine phosphate","SANOFI-AVENTIS","00024582015","00024-5820-15","OFORTA","10 MG",15,1,15,15,,
"Q2025","Oral Fludarabine phosphate","SANOFI-AVENTIS","00024582015","00024-5820-15","OFORTA","1 MG",15,1,150,150,,
"C9262","Fludarabine phosphate, oral, 1 mg","SANOFI-AVENTIS","00024582020","00024-5820-20","OFORTA","10 MG",20,1,20,20,,
"J8562","Oral fludarabine phosphate","SANOFI-AVENTIS","00024582020","00024-5820-20","OFORTA","10 MG",20,1,20,20,,
"Q2025","Oral Fludarabine phosphate","SANOFI-AVENTIS","00024582020","00024-5820-20","OFORTA","1 MG",20,1,200,200,,
"C9276","Cabazitaxel injection","SANOFI-AVENTIS","00024582411","00024-5824-11","JEVTANA","1 MG",1,1,60,60,,
"J9043","Cabazitaxel injection","SANOFI-AVENTIS","00024582411","00024-5824-11","JEVTANA","1 MG",1,1,60,60,,
"C9296","Injection, ziv-aflibercept","SANOFI-AVENTIS","00024584001","00024-5840-01","Zaltrap","1 mg",4,1,100,100,,
"J9400","Inj, ziv-aflibercept, 1mg","SANOFI-AVENTIS","00024584001","00024-5840-01","Zaltrap","1 mg",4,1,100,100,,
"C9296","Injection, ziv-aflibercept","SANOFI-AVENTIS","00024584003","00024-5840-03","Zaltrap","1 mg",4,3,100,300,,
"C9296","Injection, ziv-aflibercept","SANOFI-AVENTIS","00024584101","00024-5841-01","Zaltrap","1 mg",8,1,200,200,,
"J9400","Inj, ziv-aflibercept, 1mg","SANOFI-AVENTIS","00024584101","00024-5841-01","Zaltrap","1 mg",8,1,200,200,,
"J2820","Sargramostim injection","SANOFI-AVENTIS","00024584305","00024-5843-05","Leukine (LYO PWD)","50 MCG",1,5,5,25,,
"J9027","Clofarabine injection","SANOFI-AVENTIS","00024586001","00024-5860-01","Clolar","1 MG",20,1,20,20,,
"J2562","Plerixafor injection","SANOFI-AVENTIS","00024586201","00024-5862-01","Mozobil (PLERIXAFOR)","1 MG",1.2,1,24,24,,
"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,,
"J0256","Alpha 1 proteinase inhibitor","BAYER","00026060130","00026-0601-30","Prolastin","10 MG",1,1,50,50,,
"J0256","Alpha 1 proteinase inhibitor","BAYER","00026060135","00026-0601-35","Prolastin","10 MG",1,1,100,100,,
"J7197","Antithrombin iii injection","BAYER","00026060320","00026-0603-20","Thrombate Iii","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,,
"P9043","Plasma protein fract,5%,50ml","BAYER","00026061320","00026-0613-20","Plasmanate","50 ML",50,1,1,1,,
"P9048","Plasmaprotein fract,5%,250ml","BAYER","00026061320","00026-0613-20","Plasmanate","250 ML",50,1,0.2,0.2,,
"P9043","Plasma protein fract,5%,50ml","BAYER","00026061325","00026-0613-25","Plasmanate","50 ML",250,1,5,5,,
"P9048","Plasmaprotein fract,5%,250ml","BAYER","00026061325","00026-0613-25","Plasmanate","250 ML",250,1,1,1,,
"P9043","Plasma protein fract,5%,50ml","BAYER","00026061327","00026-0613-27","Plasmanate","50 ML",500,1,10,10,,
"P9048","Plasmaprotein fract,5%,250ml","BAYER","00026061327","00026-0613-27","Plasmanate","250 ML",500,1,2,2,,
"90375","Rabies ig, im/sc","BAYER","00026061802","00026-0618-02","Bayrab","150 IU",2,1,2,2,,
"90375","Rabies ig, im/sc","BAYER","00026061810","00026-0618-10","Bayrab","150 IU",10,1,10,10,,
"90376","Rabies ig, heat treated","BAYER","00026061810","00026-0618-10","BAYRAB","150 IU",10,1,10,10,,
"J2790","Rho d immune globulin inj","BAYER","00026063102","00026-0631-02","Bayrho-D","300 MCG",1,1,1,1,,
"90385","Rh ig, minidose, im","BAYER PHARMACEUTICAL","00026063105","00026-0631-05","Bayrho-D",,0.5,10,5,0.5,,"50 MCG"
"J2788","Rho d immune globulin 50 mcg","BAYER PHARMACEUTICAL","00026063105","00026-0631-05","Bayrho-D",,0.5,10,5,0.5,,"50 MCG"
"90385","Rho(D) immune globulin","BAYER","00026063106","00026-0631-06","Bayrho-D","50 MCG",1,10,1,1,,
"J2788","Rho d immune globulin 50 mcg","TALECRIS","00026063106","00026-0631-06","Bayrho-D","50 MCG",1,1,1,1,,
"J1670","Tetanus immune globulin inj","BAYER","00026063402","00026-0634-02","Baytet","250 UNITS",1,1,1,1,,
"J1460","Gamma globulin 1 CC inj","BAYER","00026063504","00026-0635-04","Baygam","1 CC",2,1,2,2,,
"J1470","Gamma globulin 2 CC inj","BAYER","00026063504","00026-0635-04","Baygam","2 CC",2,1,1,1,,
"J1480","Gamma globulin 3 CC inj","BAYER","00026063504","00026-0635-04","Baygam","3CC",2,1,0.667,0.667,,
"J1490","Gamma globulin 4 CC inj","BAYER","00026063504","00026-0635-04","Baygam","4 CC",2,1,0.5,0.5,,
"J1500","Gamma globulin 5 CC inj","BAYER","00026063504","00026-0635-04","Baygam","5 CC",2,1,0.4,0.4,,
"J1510","Gamma globulin 6 CC inj","BAYER","00026063504","00026-0635-04","Baygam","6 CC",2,1,0.333,0.333,,
"J1520","Gamma globulin 7 CC inj","BAYER","00026063504","00026-0635-04","Baygam","7 CC",2,1,0.286,0.286,,
"J1530","Gamma globulin 8 CC inj","BAYER","00026063504","00026-0635-04","Baygam","8 CC",2,1,0.25,0.25,,
"J1540","Gamma globulin 9 CC inj","BAYER","00026063504","00026-0635-04","Baygam","9 CC",2,1,0.222,0.222,,
"J1550","Gamma globulin 10 CC inj","BAYER","00026063504","00026-0635-04","Baygam","10 CC",2,1,0.2,0.2,,
"J1560","Gamma globulin > 10 CC inj","BAYER","00026063504","00026-0635-04","Baygam","10 CC",2,1,0.2,0.2,,
"J1460","Gamma globulin 1 CC inj","BAYER","00026063512","00026-0635-12","Baygam","1 CC",10,1,10,10,,
"J1470","Gamma globulin 2 CC inj","BAYER","00026063512","00026-0635-12","Baygam","2 CC",10,1,5,5,,
"J1480","Gamma globulin 3 CC inj","BAYER","00026063512","00026-0635-12","Baygam","3CC",10,1,3.333,3.333,,
"J1490","Gamma globulin 4 CC inj","BAYER","00026063512","00026-0635-12","Baygam","4 CC",10,1,2.5,2.5,,
"J1500","Gamma globulin 5 CC inj","BAYER","00026063512","00026-0635-12","Baygam","5 CC",10,1,2,2,,
"J1510","Gamma globulin 6 CC inj","BAYER","00026063512","00026-0635-12","Baygam","6 CC",10,1,1.667,1.667,,
"J1520","Gamma globulin 7 CC inj","BAYER","00026063512","00026-0635-12","Baygam","7 CC",10,1,1.429,1.429,,
"J1530","Gamma globulin 8 CC inj","BAYER","00026063512","00026-0635-12","Baygam","8 CC",10,1,1.25,1.25,,
"J1540","Gamma globulin 9 CC inj","BAYER","00026063512","00026-0635-12","Baygam","9 CC",10,1,1.111,1.111,,
"J1550","Gamma globulin 10 CC inj","BAYER","00026063512","00026-0635-12","Baygam","10 CC",10,1,1,1,,
"J1560","Gamma globulin > 10 CC inj","BAYER","00026063512","00026-0635-12","Baygam","10 CC",10,1,1,1,,
"90371","Hep b ig, im","BAYER PHARMACEUTICAL","00026063600","00026-0636-00","Bayhep B",,0.5,1,0.5,0.5,,"1 ML"
"90371","Hep b ig, im","Talecris Biotherapeutics, Inc.","00026063601","00026-0636-01","Bayhep B","1 ML",1,1,1,1,,
"90371","Hep b ig, im","BAYER","00026063602","00026-0636-02","Bayhep B","1 ML",1,1,1,1,,
"90371","Hep b ig, im","BAYER","00026063603","00026-0636-03","Bayhep B","1 ML",0.5,1,0.5,0.5,,
"90371","Hep b ig, im","BAYER","00026063605","00026-0636-05","Bayhep B","1 ML",5,1,5,5,,
"J1561","Gamunex injection","BAYER","00026064512","00026-0645-12","Gamunex","500 MG",10,1,2,2,,
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064512","00026-0645-12","Gamunex",,10,1,1,1,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064512","00026-0645-12","Gamunex",,10,1,100,100,,"10 MG"
"J1567","Immune globulin, liquid","BAYER","00026064512","00026-0645-12","Gamunex","500 MG",10,1,2,2,,
"Q4092","Gamunex injection","BAYER","00026064512","00026-0645-12","Gamunex","500 MG",10,1,2,2,,
"Q9943","IVIG non-lyophil 1G","BAYER","00026064512","00026-0645-12","Gamunex",,10,1,1,1,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER","00026064512","00026-0645-12","Gamunex",,10,1,100,100,,"10 MG"
"J1561","Gamunex injection","BAYER","00026064515","00026-0645-15","Gamunex","500 MG",25,1,5,5,,
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064515","00026-0645-15","Gamunex",,25,1,2.5,2.5,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064515","00026-0645-15","Gamunex",,25,1,250,250,,"10 MG"
"J1567","Immune globulin, liquid","BAYER","00026064515","00026-0645-15","Gamunex","500 MG",25,1,5,5,,
"Q4092","Gamunex injection","BAYER","00026064515","00026-0645-15","Gamunex","500 MG",25,1,5,5,,
"Q9943","IVIG non-lyophil 1G","BAYER","00026064515","00026-0645-15","Gamunex",,25,1,2.5,2.5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER","00026064515","00026-0645-15","Gamunex",,25,1,250,250,,"10 MG"
"J1561","Gamunex injection","TALECRIS (FORMERLY BAYER)","00026064520","00026-0645-20","Gamunex","500 MG",50,1,10,10,,
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064520","00026-0645-20","Gamunex",,50,1,5,5,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064520","00026-0645-20","Gamunex",,50,1,500,500,,"10 MG"
"J1567","Immune globulin, liquid","TALECRIS (FORMERLY BAYER)","00026064520","00026-0645-20","Gamunex","500 MG",50,1,10,10,,
"Q4092","Gamunex injection","TALECRIS (FORMERLY BAYER)","00026064520","00026-0645-20","Gamunex","500 MG",50,1,10,10,,
"Q9943","IVIG non-lyophil 1G","BAYER","00026064520","00026-0645-20","Gamunex",,50,1,5,5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER","00026064520","00026-0645-20","Gamunex",,50,1,500,500,,"10 MG"
"J1561","Gamunex injection","TALECRIS (FORMERLY BAYER)","00026064524","00026-0645-24","Gamunex","500 MG",200,1,40,40,,
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064524","00026-0645-24","Gamunex",,200,1,20,20,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064524","00026-0645-24","Gamunex",,200,1,2000,2000,,"10 MG"
"J1567","Immune globulin, liquid","TALECRIS (FORMERLY BAYER)","00026064524","00026-0645-24","Gamunex","500 MG",200,1,40,40,,
"Q4092","Gamunex injection","TALECRIS (FORMERLY BAYER)","00026064524","00026-0645-24","Gamunex","500 MG",200,1,40,40,,
"Q9943","IVIG non-lyophil 1G","BAYER","00026064524","00026-0645-24","Gamunex",,200,1,20,20,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER","00026064524","00026-0645-24","Gamunex",,200,1,2000,2000,,"10 MG"
"J1561","Gamunex injection","TALECRIS (FORMERLY BAYER)","00026064571","00026-0645-71","Gamunex","500 MG",100,1,20,20,,
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064571","00026-0645-71","Gamunex",,100,1,10,10,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064571","00026-0645-71","Gamunex",,100,1,1000,1000,,"10 MG"
"J1567","Immune globulin, liquid","TALECRIS (FORMERLY BAYER)","00026064571","00026-0645-71","Gamunex","500 MG",100,1,20,20,,
"Q4092","Gamunex injection","TALECRIS (FORMERLY BAYER)","00026064571","00026-0645-71","Gamunex","500 MG",100,1,20,20,,
"Q9943","IVIG non-lyophil 1G","BAYER","00026064571","00026-0645-71","Gamunex",,100,1,10,10,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER","00026064571","00026-0645-71","Gamunex",,100,1,1000,1000,,"10 MG"
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064812","00026-0648-12","Gamimune N",,10,1,1,1,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064812","00026-0648-12","Gamimune N",,10,1,100,100,,"10 MG"
"Q9943","IVIG non-lyophil 1G","BAYER PHARMACEUTICAL","00026064812","00026-0648-12","Gamimune N",,10,1,1,1,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER PHARMACEUTICAL","00026064812","00026-0648-12","Gamimune N",,10,1,100,100,,"10 MG"
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064815","00026-0648-15","Gamimune N",,25,1,2.5,2.5,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064815","00026-0648-15","Gamimune N",,25,1,250,250,,"10 MG"
"J1567","Immune globulin, liquid","BAYER","00026064815","00026-0648-15","Gamimune N","500 MG",25,1,5,5,,
"Q9943","IVIG non-lyophil 1G","BAYER PHARMACEUTICAL","00026064815","00026-0648-15","Gamimune N",,25,1,2.5,2.5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER PHARMACEUTICAL","00026064815","00026-0648-15","Gamimune N",,25,1,250,250,,"10 MG"
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064820","00026-0648-20","Gamimune N",,50,1,5,5,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064820","00026-0648-20","Gamimune N",,50,1,500,500,,"10 MG"
"J1567","Immune globulin, liquid","BAYER","00026064820","00026-0648-20","Gamimune N","500 MG",50,1,10,10,,
"Q9943","IVIG non-lyophil 1G","BAYER PHARMACEUTICAL","00026064820","00026-0648-20","Gamimune N",,50,1,5,5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER PHARMACEUTICAL","00026064820","00026-0648-20","Gamimune N",,50,1,500,500,,"10 MG"
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064824","00026-0648-24","Gamimune N",,200,1,20,20,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064824","00026-0648-24","Gamimune N",,200,1,2000,2000,,"10 MG"
"J1567","Immune globulin, liquid","BAYER","00026064824","00026-0648-24","Gamimune N","500 MG",200,1,40,40,,
"Q9943","IVIG non-lyophil 1G","BAYER","00026064824","00026-0648-24","Gamimune N",,200,1,20,20,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER","00026064824","00026-0648-24","Gamimune N",,200,1,2000,2000,,"10 MG"
"J1563","IV immune globulin","BAYER PHARMACEUTICAL","00026064871","00026-0648-71","Gamimune N",,100,1,10,10,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAYER PHARMACEUTICAL","00026064871","00026-0648-71","Gamimune N",,100,1,1000,1000,,"10 MG"
"J1567","Immune globulin, liquid","BAYER","00026064871","00026-0648-71","Gamimune N","500 MG",100,1,20,20,,
"Q9943","IVIG non-lyophil 1G","BAYER","00026064871","00026-0648-71","Gamimune N",,100,1,10,10,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","BAYER","00026064871","00026-0648-71","Gamimune N",,100,1,1000,1000,,"10 MG"
"J7190","Factor viii","BAYER","00026066520","00026-0665-20","Koate-Dvi","1 IU",1,1,1,1,,
"J7190","Factor viii","BAYER","00026066530","00026-0665-30","Koate-Dvi","1 IU",1,1,1,1,,
"J7190","Factor viii","BAYER","00026066550","00026-0665-50","Koate-Dvi","1 IU",1,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","BAYER","00026068416","00026-0684-16","Plasbumin-25","20 ML",20,1,1,1,,
"P9047","Albumin (human), 25%, 50ml","BAYER","00026068416","00026-0684-16","Plasbumin-25","50 ML",20,1,0.4,0.4,,
"P9046","Albumin (human), 25%, 20 ml","BAYER","00026068420","00026-0684-20","Plasbumin-25","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","BAYER","00026068420","00026-0684-20","Plasbumin-25","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","BAYER","00026068471","00026-0684-71","Plasbumin-25","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","BAYER","00026068471","00026-0684-71","Plasbumin-25","50 ML",100,1,2,2,,
"P9041","Albumin (human),5%, 50ml","BAYER","00026068520","00026-0685-20","Plasbumin-5","50 ML",50,1,1,1,,
"P9045","Albumin (human), 5%, 250 ml","BAYER","00026068520","00026-0685-20","Plasbumin-5","250 ML",50,1,0.2,0.2,,
"P9041","Albumin (human),5%, 50ml","BAYER","00026068525","00026-0685-25","Plasbumin-5","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","BAYER","00026068525","00026-0685-25","Plasbumin-5","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","BAYER","00026068527","00026-0685-27","Plasbumin-5","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","BAYER","00026068527","00026-0685-27","Plasbumin-5","250 ML",500,1,2,2,,
"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.","00026378225","00026-3782-25","Kogenate Fs","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.","00026378335","00026-3783-35","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.","00026378555","00026-3785-55","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.","00026378665","00026-3786-65","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 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Bayer HealthCare Pharmaceuticals Inc.","00026378775","00026-3787-75","Kogenate Fs","1 IU",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 IU",1,1,1,1,,
"J9165","Diethylstilbestrol injection","BAYER ","00026813120","00026-8131-20","Stilphostrol",,5,20,20,1,,"250 MG"
"J9130","Dacarbazine 100 mg inj","BAYER","00026815120","00026-8151-20","Dtic-Dome","100 MG",1,12,2,24,,
"J9140","Dacarbazine 200 MG inj","BAYER","00026815120","00026-8151-20","Dtic-Dome","200 MG",1,12,1,12,,
"J9270","Plicamycin (mithramycin) inj","BAYER ","00026816115","00026-8161-15","Mithracin",,1,10,10,1,,"2.5 MG"
"J0365","Aprotonin, 10,000 kiu","Bayer HealthCare Pharmaceuticals Inc.","00026819636","00026-8196-36","Trasylol","10000 KIU",100,1,100,100,,
"Q2003","Aprotinin, 10,000 kiu","BAYER","00026819636","00026-8196-36","Trasylol",,100,1,100,100,,"10000 KIU"
"J0365","Aprotonin, 10,000 kiu","Bayer HealthCare Pharmaceuticals Inc.","00026819763","00026-8197-63","Trasylol","10000 KIU",200,1,200,200,,
"Q2003","Aprotinin, 10,000 kiu","BAYER","00026819763","00026-8197-63","Trasylol",,200,1,200,200,,"10000 KIU"
"J0744","Ciprofloxacin iv","BAYER","00026852736","00026-8527-36","CIPROFLOXACIN","200 MG",100,24,1,24,,
"J0744","Ciprofloxacin iv","BAYER","00026852763","00026-8527-63","CIPROFLOXACIN","200 MG",200,24,2,48,,
"J0744","Ciprofloxacin iv","BAYER","00026855236","00026-8552-36","CIPROFLOXACIN","200 MG",100,24,1,24,,
"J0744","Ciprofloxacin iv","BAYER","00026855463","00026-8554-63","CIPROFLOXACIN","200 MG",200,24,2,48,,
"J0744","Ciprofloxacin iv","BAYER","00026856220","00026-8562-20","CIPROFLOXACIN","200 MG",20,10,1,10,,
"J0744","Ciprofloxacin iv","BAYER","00026856464","00026-8564-64","CIPROFLOXACIN","200 MG",40,10,2,20,,
"J0744","Ciprofloxacin iv","BAYER","00026856665","00026-8566-65","CIPROFLOXACIN","200 MG",120,6,6,36,,
"J2280","Inj, moxifloxacin 100 mg","BAYER","00026858231","00026-8582-31","Avelox","100 MG",250,12,4,48,,
"J9219","Leuprolide acetate implant","Bayer HealthCare Pharmaceuticals Inc.","00026971101","00026-9711-01","Viadur","65 MG",1,1,1,1,,
"J3105","Terbutaline sulfate inj","AAIPHARMA","00028750701","00028-7507-01","Brethine",,1,100,100,1,,"1 MG"
"J3105","Terbutaline sulfate inj","AAIPHARMA","00028750723","00028-7507-23","Brethine",,1,10,10,1,,"1 MG"
"J1626","Granisetron HCl injection","ROCHE","00029414901","00029-4149-01","Kytril","100 MCG",1,1,10,10,,
"Q0166","Granisetron HCl 1 mg oral","ROCHE","00029415105","00029-4151-05","Kytril","1 MG",1,10,1,10,,
"Q0166","Granisetron HCl 1 mg oral","ROCHE","00029415139","00029-4151-39","Kytril",,1,1,1,,,"1 MG"
"J1626","Granisetron HCl injection","ROCHE","00029415201","00029-4152-01","Kytril","100 MCG",1,4,10,40,,
"J2765","Metoclopramide hcl injection","BAXTER","00031670924","00031-6709-24","Reglan","10 MG",30,25,15,375,,
"J2765","Metoclopramide hcl injection","BAXTER","00031670972","00031-6709-72","Reglan","10 MG",2,25,1,25,,
"J2765","Metoclopramide hcl injection","BAXTER","00031670978","00031-6709-78","Reglan","10 MG",10,25,5,125,,
"J1980","Hyoscyamine sulfate inj","MYLAN SPECIALTY L.P.","00037900105","00037-9001-05","LEVSIN","0.25 MG",1,5,2,10,,
"J0698","Cefotaxime sodium injection","SANOFI AVENTIS","00039001710","00039-0017-10","Claforan","1 GM",1,10,0.5,5,,
"J0698","Cefotaxime sodium injection","SANOFI-AVENTIS","00039001810","00039-0018-10","Claforan","1 GM",1,10,1,10,,
"J0698","Cefotaxime sodium injection","ABBOTT","00039001811","00039-0018-11","Claforan","1 GM",1,10,1,10,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039001825","00039-0018-25","Claforan","1 GM",1,25,1,25,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039001849","00039-0018-49","Claforan","1 GM",1,10,1,10,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039001850","00039-0018-50","Claforan","1 GM",1,50,1,50,,
"J0698","Cefotaxime sodium injection","SANOFI-AVENTIS","00039001910","00039-0019-10","Claforan","1 GM",1,10,2,20,,
"J0698","Cefotaxime sodium injection","ABBOTT","00039001911","00039-0019-11","Claforan","1 GM",1,10,2,20,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039001925","00039-0019-25","Claforan","1 GM",1,25,2,50,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039001949","00039-0019-49","Claforan","1 GM",1,10,2,20,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039001950","00039-0019-50","Claforan","1 GM",1,50,2,100,,
"J0698","Cefotaxime sodium injection","SANOFI-AVENTIS","00039002001","00039-0020-01","Claforan","1 GM",1,1,10,10,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039002049","00039-0020-49","Claforan","1 GM",1,1,10,10,,
"J0698","Cefotaxime sodium injection","SANOFI AVENTIS","00039002325","00039-0023-25","Claforan","1 GM",1,25,1,25,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039002349","00039-0023-49","Claforan","1 GM",1,25,1,25,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039002350","00039-0023-50","Claforan","1 GM",1,50,1,50,,
"J0698","Cefotaxime sodium injection","SANOFI AVENTIS","00039002425","00039-0024-25","Claforan","1 GM",1,25,2,50,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039002449","00039-0024-49","Claforan","1 GM",1,25,2,50,,
"J0698","Cefotaxime sodium injection","HOSPIRA","00039002450","00039-0024-50","Claforan","1 GM",1,50,2,100,,
"J0698","Cefotaxime sodium injection","Baxter Healthcare Corporation","00039003705","00039-0037-05","Claforan In D5W","1 GM",50,12,1,12,,
"J0698","Cefotaxime sodium injection","Baxter Healthcare Corporation","00039003805","00039-0038-05","Claforan In D5W","1 GM",50,12,2,24,,
"J2270","Morphine sulfate injection","HOSPIRA","000409113203","000409-1132-03","MORPHINE SULFATE","10 MG",20,1,100,100,,
"J2271","Morphine so4 injection 100mg","HOSPIRA","000409113203","000409-1132-03","MORPHINE SULFATE","100 MG",20,1,10,10,,
"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","MCNEIL","00045006611","00045-0066-11","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","MCNEIL","00045025346","00045-0253-46","Haldol Decanoate","50 MG",5,1,5,5,,
"J1631","Haloperidol decanoate inj","Janssen Pharmaceuticals, Inc","00045025414","00045-0254-14","Haldol Decanoate","50 MG",1,5,2,10,,
"J1631","Haloperidol decanoate inj","MCNEIL","00045025446","00045-0254-46","Haldol Decanoate","50 MG",5,1,10,10,,
"J1630","Haloperidol injection","Janssen Pharmaceuticals, Inc","00045025501","00045-0255-01","Haldol","5 MG",1,10,1,10,,
"J1630","Haloperidol injection","MCNEIL","00045025549","00045-0255-49","Haldol","5 MG",10,1,10,10,,
"J2730","Pralidoxime chloride inj","WYETH","00046037406","00046-0374-06","Protopam Chloride",,1,6,6,1,,"1 G"
"J1410","Inj estrogen conjugate 25 mg","PFIZER INC.","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,,
"J0570","Penicillin g benzathine inj","PFIZER","00049021035","00049-0210-35","Permapen",,2,10,10,1,,"1200000 UNITS"
"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,,
"J2460","Oxytetracycline injection","PFIZER","00049075077","00049-0750-77","Terramycin","50 MG",10,5,10,50,,
"J0348","Anidulafungin injection","Pfizer, Inc.","00049101028","00049-1010-28","ANIDULAFUNGIN","1 MG",1,1,50,50,,
"J0348","Anadulafungin injection","PFIZER","00049101528","00049-1015-28","ANIDULAFUNGIN","1 MG",1,1,100,100,,
"J3486","Ziprasidone mesylate","ROERIG","00049120310","00049-1203-10","Geodon","10 MG",1,10,2,20,,
"J3465","Injection, voriconazole","PFIZER INC.","00049319001","00049-3190-01","Vfend Iv","10 MG",1,1,20,20,,
"J3465","Injection, voriconazole","PFIZER INC.","00049319028","00049-3190-28","Vfend Iv","10 MG",1,1,20,20,,
"J3465","Injection, voriconazole","PFIZER INC.","00049319038","00049-3190-38","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,,
"J0200","Alatrofloxacin mesylate","PFIZER U.S.","00049389028","00049-3890-28","Trovan",,40,1,2,2,,"100 MG"
"J3486","Ziprasidone mesylate","PFIZER INC.","00049392083","00049-3920-83","Geodon","10 MG",1,10,2,20,,
"J3465","Injection, voriconazole","PFIZER INC.","00049419001","00049-4190-01","Vfend Iv","10 MG",1,1,20,20,,
"J3410","Hydroxyzine hcl injection","PFIZER","00049546074","00049-5460-74","Vistaril","25 MG",10,1,20,20,,
"Q0167","Dronabinol 2.5mg oral","AbbVie US, LLC","00051002121","00051-0021-21","Marinol","2.5 MG",60,1,60,60,,
"Q0168","Dronabinol 5mg oral","UNIMED","00051002211","00051-0022-11","Marinol","5 MG",25,1,25,25,,
"Q0167","Dronabinol 2.5mg oral","AbbVie US, LLC","00051002221","00051-0022-21","Marinol","2.5 MG",60,1,120,120,,
"Q0168","Dronabinol 5mg oral","Abbott Laboratories, Inc.","00051002221","00051-0022-21","Marinol","5 MG",60,1,60,60,,
"Q0167","Dronabinol 2.5mg oral","AbbVie US, LLC","00051002321","00051-0023-21","Marinol","2.5 MG",60,1,240,240,,
"Q0168","Dronabinol 5mg oral","Abbott Laboratories, Inc.","00051002321","00051-0023-21","Marinol","5 MG",60,1,120,120,,
"J0725","Chorionic gonadotropin/1000u","ORGANON","00052031510","00052-0315-10","Pregnyl","1000 UNITS",1,1,10,10,,
"J0330","Succinycholine chloride inj","ORGANON","00052044510","00052-0445-10","Succinylcholine Chloride","20 MG",10,25,10,250,,
"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,,
"J7637","Dexamethasone inhal sol con","ORGANON PHARMACEUTICALS","00052079605","00052-0796-05","Hexadrol Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ORGANON PHARMACEUTICALS","00052079605","00052-0796-05","Hexadrol Phosphate",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","ORGANON","00052079627","00052-0796-27","Hexadrol Phosphate",,5,25,500,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ORGANON","00052079627","00052-0796-27","Hexadrol Phosphate",,5,25,500,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","ORGANON PHARMACEUTICALS","00052079710","00052-0797-10","Hexadrol Phosphate",,10,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ORGANON PHARMACEUTICALS","00052079710","00052-0797-10","Hexadrol Phosphate",,10,1,100,100,,"1 MG"
"J2995","Inj streptokinase /250000 IU","AVENTIS","00053177001","00053-1770-01","Streptase","250000 IU",1,1,1,1,,
"J2995","Inj streptokinase /250000 IU","AVENTIS","00053177101","00053-1771-01","Streptase","250000 IU",1,1,3,3,,
"J2995","Inj streptokinase /250000 IU","AVENTIS","00053177301","00053-1773-01","Streptase","250000 IU",1,1,6,6,,
"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,,
"J1563","IV immune globulin","AVENTIS BEHRING","00053748605","00053-7486-05","Gammar-P Iv",,1,1,5,5,,"1 GRAM"
"J1564","Immune globulin 10 mg","AVENTIS BEHRING","00053748605","00053-7486-05","Gammar-P Iv",,1,1,500,500,,"10 MG"
"J1566","Immune globulin, powder","AVENTIS BEHRING","00053748605","00053-7486-05","Gammar-P Iv","500 MG",1,1,10,10,,
"Q9941","IVIG lyophil 1G","AVENTIS BEHRING","00053748605","00053-7486-05","Gammar-P Iv",,1,1,5,5,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","AVENTIS BEHRING","00053748605","00053-7486-05","Gammar-P Iv",,1,1,500,500,,"10 MG"
"J1563","IV immune globulin","AVENTIS BEHRING","00053748610","00053-7486-10","Gammar-P Iv",,1,1,10,10,,"1 GRAM"
"J1564","Immune globulin 10 mg","AVENTIS BEHRING","00053748610","00053-7486-10","Gammar-P Iv",,1,1,1000,1000,,"10 MG"
"J1566","Immune globulin, powder","AVENTIS BEHRING","00053748610","00053-7486-10","Gammar-P Iv","500 MG",1,1,20,20,,
"Q9941","IVIG lyophil 1G","AVENTIS BEHRING","00053748610","00053-7486-10","Gammar-P Iv",,1,1,10,10,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","AVENTIS BEHRING","00053748610","00053-7486-10","Gammar-P Iv",,1,1,1000,1000,,"10 MG"
"J1562","Vivaglobin, inj","CSL Behring","00053759601","00053-7596-01","Vivaglobin","100 MG",3,1,4.8,4.8,,
"J1562","Vivaglobin, inj","ZLB BEHRING","00053759603","00053-7596-03","Vivaglobulin","100 MG",3,10,4.8,48,,
"J1562","Vivaglobin, inj","ZLB BEHRING","00053759610","00053-7596-10","Vivaglobulin","100 MG",10,1,16,16,,
"J1562","Vivaglobin, inj","ZLB BEHRING","00053759615","00053-7596-15","Vivaglobulin","100 MG",10,10,16,160,,
"J1562","Vivaglobin, inj","ZLB BEHRING","00053759620","00053-7596-20","Vivaglobulin","100 MG",20,1,32,32,,
"J1562","Vivaglobin, inj","ZLB BEHRING","00053759625","00053-7596-25","Vivaglobulin","100 MG",20,10,32,320,,
"J7187","Humate-P, inj","CSL Behring","00053761505","00053-7615-05","Humate-P","1 IU",1,1,1,1,,
"J7188","Inj Vonwillebrand factor iu","ZLB BIOPLASMA","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,,
"J7188","Inj Vonwillebrand factor iu","ZLB BIOPLASMA","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,,
"J7188","Inj Vonwillebrand factor iu","ZLB BIOPLASMA","00053761520","00053-7615-20","Humate-P","1 IU",1,1,1,1,,
"J7187","Humate-P, inj","AVENTIS BEHRING","00053762005","00053-7620-05","Humate-P","1 IU",1,1,1,1,,
"J7188","Inj Vonwillebrand factor iu","AVENTIS BEHRING","00053762005","00053-7620-05","Humate-P","1 IU",1,1,1,1,,
"Q2022","VonWillebrandFactrCmplxperIU","AVENTIS BEHRING","00053762005","00053-7620-05","Humate-P",,1,1,1,1,,"1 IU"
"J7187","Humate-P, inj","AVENTIS BEHRING","00053762010","00053-7620-10","Humate-P","1 IU",1,1,1,1,,
"J7188","Inj Vonwillebrand factor iu","AVENTIS BEHRING","00053762010","00053-7620-10","Humate-P","1 IU",1,1,1,1,,
"Q2022","VonWillebrandFactrCmplxperIU","AVENTIS BEHRING","00053762010","00053-7620-10","Humate-P",,1,1,1,1,,"1 IU"
"J7187","Humate-P, inj","AVENTIS BEHRING","00053762020","00053-7620-20","Humate-P","1 IU",1,1,1,1,,
"J7188","Inj Vonwillebrand factor iu","AVENTIS BEHRING","00053762020","00053-7620-20","Humate-P","1 IU",1,1,1,1,,
"Q2022","VonWillebrandFactrCmplxperIU","AVENTIS BEHRING","00053762020","00053-7620-20","Humate-P",,1,1,1,1,,"1 IU"
"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","AVENTIS BEHRING","00053765601","00053-7656-01","Monoclate-P","1 IU",1,1,1,1,,
"J7190","Factor viii","AVENTIS BEHRING","00053765602","00053-7656-02","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","AVENTIS BEHRING","00053766801","00053-7668-01","Mononine","1 IU",1,1,1,1,,
"J7193","Factor IX non-recombinant","AVENTIS BEHRING","00053766802","00053-7668-02","Mononine","1 IU",1,1,1,1,,
"J7193","Factor IX non-recombinant","CSL Behring","00053766804","00053-7668-04","Mononine","1 IU",1,1,1,1,,
"P9041","Albumin (human),5%, 50ml","AVENTIS BEHRING","00053767001","00053-7670-01","Albuminar-5",,250,1,5,5,,"50 ML"
"P9045","Albumin (human), 5%, 250 ml","AVENTIS BEHRING","00053767001","00053-7670-01","Albuminar-5",,250,1,1,1,,"250 ML"
"P9041","Albumin (human),5%, 50ml","AVENTIS BEHRING","00053767002","00053-7670-02","Albuminar-5",,500,1,10,10,,"50 ML"
"P9045","Albumin (human), 5%, 250 ml","AVENTIS BEHRING","00053767002","00053-7670-02","Albuminar-5",,500,1,2,2,,"250 ML"
"P9041","Albumin (human),5%, 50ml","AVENTIS BEHRING","00053767003","00053-7670-03","Albuminar-5","50 ML",1000,1,20,20,,
"P9045","Albumin (human), 5%, 250 ml","AVENTIS BEHRING","00053767003","00053-7670-03","Albuminar-5","250 ML",1000,1,4,4,,
"P9041","Albumin (human),5%, 50ml","AVENTIS BEHRING","00053767006","00053-7670-06","Albuminar-5","50 ML",50,1,1,1,,
"P9045","Albumin (human), 5%, 250 ml","AVENTIS BEHRING","00053767006","00053-7670-06","Albuminar-5","250 ML",50,1,0.2,0.2,,
"P9041","Albumin (human),5%, 50ml","AVENTIS BEHRING","00053767031","00053-7670-31","Albuminar-5","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","AVENTIS BEHRING","00053767031","00053-7670-31","Albuminar-5","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","AVENTIS BEHRING","00053767032","00053-7670-32","Albuminar-5","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","AVENTIS BEHRING","00053767032","00053-7670-32","Albuminar-5","250 ML",500,1,2,2,,
"P9046","Albumin (human), 25%, 20 ml","AVENTIS BEHRING","00053768001","00053-7680-01","Albuminar-25","20 ML",20,1,1,1,,
"P9047","Albumin (human), 25%, 50ml","AVENTIS BEHRING","00053768001","00053-7680-01","Albuminar-25","50 ML",20,1,0.4,0.4,,
"P9046","Albumin (human), 25%, 20 ml","AVENTIS BEHRING","00053768002","00053-7680-02","Albuminar-25",,50,1,2.5,2.5,,"20 ML"
"P9047","Albumin (human), 25%, 50ml","AVENTIS BEHRING","00053768002","00053-7680-02","Albuminar-25",,50,1,1,1,,"50 ML"
"P9046","Albumin (human), 25%, 20 ml","AVENTIS BEHRING","00053768003","00053-7680-03","Albuminar-25",,100,1,5,5,,"20 ML"
"P9047","Albumin (human), 25%, 50ml","AVENTIS BEHRING","00053768003","00053-7680-03","Albuminar-25",,100,1,2,2,,"50 ML"
"P9046","Albumin (human), 25%, 20 ml","AVENTIS BEHRING","00053768032","00053-7680-32","Albuminar-25","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","AVENTIS BEHRING","00053768032","00053-7680-32","Albuminar-25","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","AVENTIS BEHRING","00053768033","00053-7680-33","Albuminar-25","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","AVENTIS BEHRING","00053768033","00053-7680-33","Albuminar-25","50 ML",100,1,2,2,,
"P9043","Plasma protein fract,5%,50ml","AVENTIS BEHRING","00053775301","00053-7753-01","Plasma Plex",,250,1,5,5,,"50 ML"
"P9048","Plasmaprotein fract,5%,250ml","AVENTIS BEHRING","00053775301","00053-7753-01","Plasma Plex",,250,1,1,1,,"250 ML"
"P9043","Plasma protein fract,5%,50ml","AVENTIS BEHRING","00053775302","00053-7753-02","Plasma Plex",,500,1,10,10,,"50 ML"
"P9048","Plasmaprotein fract,5%,250ml","AVENTIS BEHRING","00053775302","00053-7753-02","Plasma Plex",,500,1,2,2,,"250 ML"
"P9043","Plasma protein fract,5%,50ml","AVENTIS BEHRING","00053775303","00053-7753-03","Plasma Plex",,50,1,1,1,,"50 ML"
"P9048","Plasmaprotein fract,5%,250ml","AVENTIS BEHRING","00053775303","00053-7753-03","Plasma Plex",,50,1,0.2,0.2,,"250 ML"
"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 IU",1,1,1,1,,
"J7506","Prednisone oral","ROXANE","00054001820","00054-0018-20","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","ROXANE","00054001829","00054-0018-29","Prednisone","5 MG",500,1,2000,2000,,
"J7506","Prednisone oral","ROXANE","00054001925","00054-0019-25","Prednisone","5 MG",100,1,1000,1000,,
"J7517","Mycophenolate mofetil oral","ROXANE LABORATORIES, INC.","00054016325","00054-0163-25","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100,,
"J7517","Mycophenolate mofetil oral","ROXANE LABORATORIES, INC.","00054016329","00054-0163-29","MYCOPHENOLATE MOFETIL","250 mg",1,500,500,500,,
"J7517","Mycophenolate mofetil oral","ROXANE LABORATORIES, INC.","00054016625","00054-0166-25","MYCOPHENOLATE MOFETIL","500mg",1,100,200,200,,
"J7517","Mycophenolate mofetil oral","ROXANE LABORATORIES, INC.","00054016629","00054-0166-29","MYCOPHENOLATE MOFETIL","500 mg",1,500,1000,1000,,
"J8520","Capecitabine, oral, 150 mg","WEST-WARD","00054027121","00054-0271-21","CAPECITABINE","150 MG",60,1,60,60,,
"J8521","Capecitabine, oral, 500 mg","WEST-WARD","00054027223","00054-0272-23","CAPECITABINE","500 MG",120,1,120,120,,
"J8530","Cyclophosphamide oral 25 mg","Roxane Laboratories","00054038225","00054-0382-25","Cyclophosphamide","25 MG",100,1,100,100,,
"J8530","Cyclophosphamide oral 25 mg","Roxane Laboratories","00054038325","00054-0383-25","Cyclophosphamide","25 MG",100,1,200,200,,
"J1230","Methadone injection","ROXANE","00054121842","00054-1218-42","Dolophine",,20,1,20,20,,"10 MG"
"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,,
"J0595","Butorphanol tartrate 1 mg","ROXANE","00054309036","00054-3090-36","Butorphanol Tartrate","1 MG",2.5,1,15,15,,
"J3360","Diazepam injection","ROXANE","00054318863","00054-3188-63","Diazepam","5 MG",500,1,100,100,,
"J7648","Isoetharine hcl inh sol con","ROXANE LABORATORIES, INC.","00054340844","00054-3408-44","Isoetharine Hydrochloride",,30,1,300,300,,"1 MG"
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054372144","00054-3721-44","Prednisone Intensol","5 MG",30,1,30,30,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054372144","00054-3721-44","Prednisone Intensol","1 MG",30,1,150,150,,
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054372250","00054-3722-50","Prednisone","5 MG",120,1,24,24,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054372250","00054-3722-50","Prednisone","1 MG",120,1,120,120,,
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054372263","00054-3722-63","Prednisone","5 MG",500,1,100,100,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054372263","00054-3722-63","Prednisone","1 MG",500,1,500,500,,
"J7648","Isoetharine hcl inh sol con","ROXANE","00054380440","00054-3804-40","Isoetharine Hcl",,10,1,100,100,,"1 MG"
"J7500","Azathioprine oral 50mg","Roxane Laboratories","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,,
"J0640","Leucovorin calcium injection","ROXANE","00054449613","00054-4496-13","Leucovorin Calcium",,30,1,3,3,,"50 MG"
"J0640","Leucovorin calcium injection","ROXANE","00054449625","00054-4496-25","Leucovorin Calcium",,100,1,10,10,,"50 MG"
"J0640","Leucovorin calcium injection","ROXANE","00054449705","00054-4497-05","Leucovorin Calcium",,12,1,2.4,2.4,,"50 MG"
"J0640","Leucovorin calcium injection","ROXANE","00054449710","00054-4497-10","Leucovorin Calcium",,24,1,4.8,4.8,,"50 MG"
"J0640","Leucovorin calcium injection","ROXANE","00054449805","00054-4498-05","Leucovorin Calcium",,12,1,3.6,3.6,,"50 MG"
"J0640","Leucovorin calcium injection","ROXANE","00054449810","00054-4498-10","Leucovorin Calcium",,24,1,7.2,7.2,,"50 MG"
"J0640","Leucovorin calcium injection","ROXANE","00054449911","00054-4499-11","Leucovorin Calcium",,25,1,12.5,12.5,,"50 MG"
"J8610","Methotrexate oral 2.5 mg","Roxane Laboratories","00054455015","00054-4550-15","Methotrexate","2.5 MG",36,1,36,36,,
"J8610","Methotrexate oral 2.5 mg","Roxane Laboratories","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,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054472825","00054-4728-25","Prednisone","1 MG",100,1,500,500,,
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054472831","00054-4728-31","Prednisone","5 MG",1000,1,1000,1000,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054472831","00054-4728-31","Prednisone","1 MG",1000,1,5000,5000,,
"J7506","Prednisone oral","ROXANE","00054472925","00054-4729-25","Prednisone",,100,1,400,400,,"5 MG"
"J7506","Prednisone oral","ROXANE","00054472929","00054-4729-29","Prednisone",,500,1,2000,2000,,"5 MG"
"J7506","Prednisone oral","ROXANE","00054473025","00054-4730-25","Prednisone",,100,1,200,200,,"5 MG"
"J7506","Prednisone oral","ROXANE","00054473029","00054-4730-29","Prednisone",,500,1,1000,1000,,"5 MG"
"J7506","Prednisone oral","ROXANE","00054473325","00054-4733-25","Prednisone",,100,1,1000,1000,,"5 MG"
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054474125","00054-4741-25","Prednisone","5 MG",100,1,20,20,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054474125","00054-4741-25","Prednisone","1 MG",100,1,100,100,,
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054474131","00054-4741-31","Prednisone","5 MG",1000,1,200,200,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054474131","00054-4741-31","Prednisone","1 MG",1000,1,1000,1000,,
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054474225","00054-4742-25","Prednisone","5 MG",100,1,50,50,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054474225","00054-4742-25","Prednisone","1 MG",100,1,250,250,,
"J7608","Acetylcysteine inh sol u d","ROXANE","00054805905","00054-8059-05","Acetylcysteine",,4,12,12,1,,"1 G"
"J7608","Acetylcysteine inh sol u d","ROXANE","00054806005","00054-8060-05","Acetylcysteine",,4,12,12,1,,"1 G"
"J7500","Azathioprine oral 50mg","Roxane Laboratories","00054808425","00054-8084-25","Azathioprine","50 MG",100,1,100,100,,
"J8530","Cyclophosphamide oral 25 MG","ROXANE","00054808925","00054-8089-25","Cyclophosphamide","25 MG",100,1,100,100,,
"J8530","Cyclophosphamide oral 25 MG","ROXANE","00054813025","00054-8130-25","Cyclophosphamide","25 MG",100,1,200,200,,
"J7631","Cromolyn sodium inh sol u d","ROXANE","00054816721","00054-8167-21","Cromolyn Sodium",,2,60,120,2,,"10 MG"
"J7631","Cromolyn sodium inh sol u d","ROXANE","00054816723","00054-8167-23","Cromolyn Sodium",,2,120,240,2,,"10 MG"
"J3360","Diazepam injection","ROXANE","00054820716","00054-8207-16","Diazepam","5 MG",5,40,1,40,,
"J0735","Clonidine hydrochloride","AAI PHARMA","00054823301","00054-8233-01","Duraclon","1 MG",10,1,1,1,,
"J0735","Clonidine hydrochloride","AAI PHARMA","00054823401","00054-8234-01","Duraclon","1 MG",10,1,5,5,,
"J7644","Ipratropium brom inh sol u d","ROXANE","00054840213","00054-8402-13","Ipratropium Bromide",,2.5,30,15,0.5,,"1 MG"
"J7644","Ipratropium brom inh sol u d","ROXANE","00054840221","00054-8402-21","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"J7644","Ipratropium brom inh sol u d","NOVAPLUS","00054840411","00054-8404-11","Ipratropium Bromide",,2.5,25,12.5,0.5,,"1 MG"
"J7644","Ipratropium brom inh sol u d","NOVAPLUS","00054840413","00054-8404-13","Ipratropium Bromide",,2.5,30,15,0.5,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ROXANE","00054842925","00054-8429-25","Isoetharine Hydrochloride",,2.5,100,25.03,0.25,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ROXANE","00054842925","00054-8429-25","Isoetharine Hydrochloride",,2.5,100,25,0.25,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ROXANE","00054843025","00054-8430-25","Isoetharine Hydrochloride",,4,100,40.06,0.4006,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ROXANE","00054843025","00054-8430-25","Isoetharine Hydrochloride",,4,100,40.1,0.401,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ROXANE LABORATORIES, INC.","00054843125","00054-8431-25","Isoetharine Hydrochloride",,2.5,100,25.03,0.2503,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ROXANE","00054843125","00054-8431-25","Isoetharine Hcl",,2.5,100,500,5,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ROXANE","00054843225","00054-8432-25","Isoetharine Hydrochloride",,3,100,30.02,0.3002,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ROXANE","00054843225","00054-8432-25","Isoetharine Hydrochloride",,3,100,30,0.3,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ROXANE","00054843425","00054-8434-25","Isoetharine Hydrochloride",,2,100,19.99,0.1999,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ROXANE","00054843425","00054-8434-25","Isoetharine Hydrochloride",,2,100,20,0.2,,"1 MG"
"J0640","Leucovorin calcium injection","ROXANE","00054849619","00054-8496-19","Leucovorin Calcium",,50,1,5,5,,"50 MG"
"J0640","Leucovorin calcium injection","ROXANE","00054849706","00054-8497-06","Leucovorin Calcium","50 MG",10,1,2,2,,
"J0640","Leucovorin calcium injection","ROXANE","00054849806","00054-8498-06","Leucovorin Calcium","50 MG",10,1,3,3,,
"J0640","Leucovorin calcium injection","ROXANE","00054849906","00054-8499-06","Leucovorin Calcium","50 MG",10,1,5,5,,
"J8610","Methotrexate oral 2.5 mg","Roxane Laboratories","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,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories, Inc.","00054872216","00054-8722-16","Prednisone","1 MG",5,40,5,200,,
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054872425","00054-8724-25","Prednisone","5 MG",100,1,100,100,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054872425","00054-8724-25","Prednisone","1 MG",100,1,500,500,,
"J7506","Prednisone oral","ROXANE","00054872525","00054-8725-25","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","ROXANE","00054872625","00054-8726-25","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","ROXANE","00054872925","00054-8729-25","Prednisone",,100,1,1000,1000,,"5 MG"
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054873925","00054-8739-25","Prednisone","5 MG",100,1,20,20,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054873925","00054-8739-25","Prednisone","1 MG",100,1,100,100,,
"J7506","Prednisone oral","Roxane Laboratories, Inc.","00054874025","00054-8740-25","Prednisone","5 MG",100,1,50,50,,
"J7512","Prednisone ir or dr oral 1mg","Roxane Laboratories","00054874025","00054-8740-25","Prednisone","1 MG",100,1,250,250,,
"J2513","Pentastarch 10% solution","B. Braun Medical Inc.","00056008195","00056-0081-95","PENTASPAN INJ","100 ML",500,1,5,5,,
"J7637","Dexamethasone inhal sol con","IOLAB PHARMACEUTICALS","00058080705","00058-0807-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","IOLAB PHARMACEUTICALS","00058080705","00058-0807-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"C9241","Injection, Doripenem ","Janssen, L.P.","00062401001","00062-4010-01","Doripenem ","10 MG",1,1,50,50,,
"J1267","Doripenem injection","Janssen, L.P.","00062401001","00062-4010-01","Doripenem ","10 MG",1,1,50,50,,
"C9241","Injection, Doripenem ","Janssen, L.P.","00062401002","00062-4010-02","Doripenem ","10 MG",1,10,50,500,,
"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, Inc.","00065054301","00065-0543-01","Triamcinolone Acetonide, Preservative Free","1 MG",1,1,40,40,,
"J7120","Ringers lactate infusion","ALCON LABS, SURGICAL DIV.","00065079515","00065-0795-15","BSS",,,1000,1000,1,,"1000 CC"
"J7120","Ringers lactate infusion","ALCON LABS, SURGICAL DIV.","00065079525","00065-0795-25","BSS","1000 CC",,1,1,1,,
"J7120","Ringers lactate infusion","ALCON LABS, SURGICAL DIV.","00065079530","00065-0795-30","BSS","1000 CC",,1,1,1,,
"J7120","Ringers lactate infusion","ALCON LABS, SURGICAL DIV.","00065079550","00065-0795-50","BSS","1000 CC",,1,1,1,,
"J0500","Dicyclomine injection","AVENTIS","00068080923","00068-0809-23","Bentyl","20 MG",2,5,1,5,,
"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,,
"J0290","Ampicillin 500 MG inj","Pfizer, Inc.","00069002601","00069-0026-01","Ampicillin Sodium","500 MG",1,10,20,200,,
"J0290","Ampicillin 500 MG inj","Pfizer, Inc.","00069002710","00069-0027-10","Ampicillin Sodium","500 MG",1,10,0.25,2.5,,
"J0698","Cefotaxime sodium injection","Pfizer, Inc.","00069002801","00069-0028-01","Cefotaxime for Injection","1 GM",1,10,10,100,,
"J0290","Ampicillin 500 MG inj","Pfizer, Inc.","00069002918","00069-0029-18","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0698","Cefotaxime sodium injection","Pfizer, Inc.","00069003721","00069-0037-21","Cefotaxime for Injection","1 GM",1,10,2,20,,
"J1450","Fluconazole","PFIZER INC.","00069003803","00069-0038-03","Fluconazole Injection","200 MG",100,10,1,10,,
"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,,
"J1450","Fluconazole","PFIZER INC.","00069004503","00069-0045-03","Fluconazole Injection","200 MG",200,10,2,20,,
"J0290","Ampicillin 500 MG inj","Pfizer, Inc.","00069004631","00069-0046-31","Ampicillin Sodium","500 MG",1,10,0.5,5,,
"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,,
"J0290","Ampicillin 500 MG inj","Pfizer, Inc.","00069006525","00069-0065-25","Ampicillin Sodium","500 MG",1,10,4,40,,
"J9263","Oxaliplatin","PFIZER INC.","00069006701","00069-0067-01","Oxaliplatin","0.5 MG",1,1,100,100,,
"J9263","Oxaliplatin","PFIZER INC.","00069007001","00069-0070-01","Oxaliplatin","0.5 MG",20,1,200,200,,
"J0290","Ampicillin 500 MG inj","Pfizer, Inc.","00069007128","00069-0071-28","Ampicillin Sodium","500 MG",1,10,1,10,,
"J9263","Oxaliplatin","PFIZER INC.","00069007401","00069-0074-01","Oxaliplatin","0.5 MG",10,1,100,100,,
"J9351","Topotecan injection","PFIZER INC.","00069007501","00069-0075-01","Topotecan","0.1 MG",1,1,40,40,,
"J9265","Paclitaxel injection","Pfizer, Inc.","00069007601","00069-0076-01","Paclitaxel","30 MG",16.7,1,3.33,3.33,,
"J9267","Paclitaxel injection","Mylan Institutional","00069007601","00069-0076-01","Paclitaxel","1 MG",16.7,1,100,100,,
"J9265","Paclitaxel injection","Pfizer, Inc.","00069007801","00069-0078-01","Paclitaxel","30 MG",50,1,10,10,,
"J9267","Paclitaxel injection","Mylan Institutional","00069007801","00069-0078-01","Paclitaxel","1 MG",50,1,300,300,,
"J9265","Paclitaxel injection","Pfizer, Inc.","00069007901","00069-0079-01","Paclitaxel","30 MG",5,1,1,1,,
"J9267","Paclitaxel injection","Mylan Institutional","00069007901","00069-0079-01","Paclitaxel","1 MG",5,1,30,30,,
"J9060","Cisplatin 10 MG injection","Pfizer, Inc.","00069008101","00069-0081-01","Cisplatin","10 MG",100,1,10,10,,
"J9060","Cisplatin 10 MG injection","Pfizer, Inc.","00069008407","00069-0084-07","Cisplatin","10 MG",50,1,5,5,,
"J9065","Inj cladribine per 1 mg","Mylan Institutional","00069008618","00069-0086-18","Cladribine","1 MG",10,1,10,10,,
"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,,
"J9390","Vinorelbine tartrate inj","Mylan Institutional","00069009901","00069-0099-01","Vinorelbine Tartrate","10 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate inj","PFIZER INC.","00069010303","00069-0103-03","Vinorelbine Tartrate","10 MG",5,1,5,5,,
"C9294","Inj, taliglucerase alfa","Pfizer, Inc.","00069010601","00069-0106-01","Elelyso","10 units",1,1,20,20,,
"J3060","Inj, taliglucerase alfa 10 u","PFIZER INC.","00069010601","00069-0106-01","Elelyso","10 units",1,1,20,20,,
"J2430","Pamidronate disodium /30 mg","Mylan Institutional","00069010701","00069-0107-01","Pamidronate Disodium","30 MG",10,1,1,1,,
"J2430","Pamidronate disodium /30 mg","Mylan Institutional","00069010901","00069-0109-01","Pamidronate Disodium","30 MG",10,1,3,3,,
"J1630","Haloperidol injection","Pfizer, Inc.","00069011302","00069-0113-02","HALOPERIDOL LACTATE","5 MG",1,25,1,25,,
"J1644","Inj heparin sodium per 1000u","PFIZER INC.","00069013703","00069-0137-03","Heparin Sodium (Porcine)","1000 UNITS",30,10,30,300,,
"J9250","Methotrexate sodium inj","Pfizer, Inc.","00069014602","00069-0146-02","Methotrexate Sodium","5 MG",2,5,10,50,,
"J9260","Methotrexate sodium inj","Pfizer, Inc.","00069014602","00069-0146-02","Methotrexate Sodium","50 MG",2,5,1,5,,
"J9250","Methotrexate sodium inj","Pfizer, Inc.","00069014702","00069-0147-02","Methotrexate Sodium","5 MG",4,10,20,200,,
"J9260","Methotrexate sodium inj","Pfizer, Inc.","00069014702","00069-0147-02","Methotrexate Sodium","50 MG",4,10,2,20,,
"J9250","Methotrexate sodium inj","PFIZER INC.","00069014801","00069-0148-01","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","PFIZER INC.","00069014801","00069-0148-01","Methotrexate Sodium","50 MG",10,1,5,5,,
"J9250","Methotrexate sodium inj","Pfizer, Inc.","00069014901","00069-0149-01","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","Pfizer, Inc.","00069014901","00069-0149-01","Methotrexate Sodium","50 MG",40,1,20,20,,
"J9100","Cytarabine hcl 100 mg inj","Mylan Institutional","00069015202","00069-0152-02","Cytarabine","100 MG",5,10,1,10,,
"J9100","Cytarabine hcl 100 MG inj","Pfizer, Inc.","00069015302","00069-0153-02","Cytarabine","100 MG",25,10,5,50,,
"J9100","Cytarabine hcl 100 mg inj","PFIZER INC.","00069015401","00069-0154-01","Cytarabine","100 MG",50,1,10,10,,
"J9100","Cytarabine hcl 100 MG inj","Pfizer, Inc.","00069015501","00069-0155-01","Cytarabine","100 MG",20,1,20,20,,
"J9190","Fluorouracil injection","PFIZER INC.","00069016902","00069-0169-02","Fluorouracil","500 MG",10,10,1,10,,
"J9000","Doxorubicin hcl injection","Pfizer, Inc.","00069017001","00069-0170-01","Doxorubicin Hcl","10 MG",1,1,1,1,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069017101","00069-0171-01","Doxorubicin Hcl","10 MG",1,1,5,5,,
"J9190","Fluorouracil injection","PFIZER INC.","00069017302","00069-0173-02","Fluorouracil","500 MG",20,10,2,20,,
"J9190","Fluorouracil injection","PFIZER INC.","00069017401","00069-0174-01","Fluorouracil","500 MG",50,1,5,5,,
"J9190","Fluorouracil injection","PFIZER INC.","00069017601","00069-0176-01","Fluorouracil","500 MG",100,1,10,10,,
"J1100","Dexamethasone sodium phos","Mylan Institutional","00069017702","00069-0177-02","Dexamethasone Sodium Phosphate","1 MG",10,10,100,1000,,
"J1100","Dexamethasone sodium phos","PFIZER INC.","00069017802","00069-0178-02","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500,,
"J1100","Dexamethasone sodium phos","PFIZER INC.","00069017902","00069-0179-02","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100,,
"J9250","Methotrexate sodium inj","PFIZER INC.","00069018102","00069-0181-02","Methotrexate Sodium","5 MG",8,10,40,400,,
"J9260","Methotrexate sodium inj","PFIZER INC.","00069018102","00069-0181-02","Methotrexate Sodium","50 MG",8,10,4,40,,
"J2430","Pamidronate disodium /30 mg","Mylan Institutional","00069018601","00069-0186-01","Pamidronate Disodium","30 MG",10,1,1,1,,
"J1100","Dexamethasone sodium phos","Mylan Institutional","00069019202","00069-0192-02","Dexamethasone Sodium Phosphate","1 MG",30,25,120,3000,,
"J1645","Dalteparin sodium","PFIZER INC.","00069019502","00069-0195-02","Fragmin","2500 IU",0.2,10,1,10,,
"J1645","Dalteparin sodium","PFIZER INC.","00069019602","00069-0196-02","Fragmin","2500 IU",0.2,10,2,20,,
"J9065","Inj cladribine per 1 mg","Mylan Institutional","00069020101","00069-0201-01","Cladribine","1 MG",10,1,10,10,,
"J9250","Methotrexate sodium inj","PFIZER INC.","00069020410","00069-0204-10","Methotrexate Sodium","5 MG",8,10,40,400,,
"J9260","Methotrexate sodium inj","PFIZER INC.","00069020410","00069-0204-10","Methotrexate Sodium","50 MG",8,10,4,40,,
"J9390","Vinorelbine tartrate inj","PFIZER INC.","00069020510","00069-0205-10","Vinorelbine Tartrate","10 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate inj","Mylan Institutional","00069020550","00069-0205-50","Vinorelbine Tartrate","10 MG",5,1,5,5,,
"J1645","Dalteparin sodium","PFIZER INC.","00069020602","00069-0206-02","Fragmin","2500 IU",0.3,10,3,30,,
"J1645","Dalteparin sodium","PFIZER INC.","00069021702","00069-0217-02","Fragmin","2500 IU",1,10,4,40,,
"J1645","Dalteparin sodium","PFIZER INC.","00069022002","00069-0220-02","Fragmin","2500 IU",0.5,10,5,50,,
"J1645","Dalteparin sodium","PFIZER INC.","00069022302","00069-0223-02","Fragmin","2500 IU",0.6,10,6,60,,
"J1645","Dalteparin sodium","PFIZER INC.","00069022802","00069-0228-02","Fragmin","2500 IU",0.72,10,7.2,72,,
"J3260","Tobramycin sulfate injection","PFIZER INC.","00069030102","00069-0301-02","Tobramycin Injection","80 MG",2,25,1,25,,
"J3260","Tobramycin sulfate injection","PFIZER INC.","00069030202","00069-0302-02","Tobramycin Injection","80 MG",30,10,15,150,,
"J0690","Cefazolin sodium injection","Pfizer, Inc.","00069031020","00069-0310-20","Cefazolin for Injection USP","500 MG",1,25,1,25,,
"J0690","Cefazolin sodium injection","Pfizer, Inc.","00069031220","00069-0312-20","Cefazolin for Injection USP","500 MG",1,25,2,50,,
"J0456","Azithromycin","PFIZER INC.","00069040010","00069-0400-10","AZITHROMYCIN","500 MG",1,10,1,10,,
"J2405","Ondansetron hcl injection","Pfizer, Inc.","00069070012","00069-0700-12","ONDANSETRON HCL","1 MG",50,6,32,192,,
"Q5102","Inj., infliximab biosimilar","Pfizer","00069080901","00069-0809-01","Inflectra","10 MG",1,1,10,10,,
"J9263","Oxaliplatin","PFIZER INC.","00069101001","00069-1010-01","Oxaliplatin","0.5 MG",1,1,200,200,,
"J2405","Ondansetron hcl injection","Pfizer, Inc.","00069134002","00069-1340-02","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J2405","Ondansetron hcl injection","GREENSTONE","00069134016","00069-1340-16","ONDANSETRON HCL","1 MG",2,25,4,100,,
"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,,
"J3370","Vancomycin hcl injection","Pfizer, Inc.","00069259999","00069-2599-99","Vancomycin Hcl","500 MG",1,1,20,20,,
"J3370","Vancomycin hcl injection","PFIZER INC.","00069260101","00069-2601-01","Vancomycin Hcl","500 MG",1,1,20,20,,
"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,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069400405","00069-4004-05","Doxorubicin Hcl","10 MG",5,1,1,1,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069401510","00069-4015-10","Doxorubicin Hcl","10 MG",10,1,2,2,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069402625","00069-4026-25","Doxorubicin Hcl","10 MG",25,1,5,5,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069403001","00069-4030-01","Doxorubicin Hcl","10 MG",5,1,1,1,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069403101","00069-4031-01","Doxorubicin Hcl","10 MG",10,1,2,2,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069403201","00069-4032-01","Doxorubicin Hcl","10 MG",25,1,5,5,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069403301","00069-4033-01","Doxorubicin Hcl","10 MG",75,1,15,15,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069403401","00069-4034-01","Doxorubicin Hcl","10 MG",100,1,20,20,,
"J9000","Doxorubicin hcl injection","PFIZER INC.","00069403701","00069-4037-01","Doxorubicin Hcl","10 MG",100,1,20,20,,
"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","250 MG",1,1,1,1,,
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448010","00069-4480-10","Ceftriaxone for Injection USP","250 MG",1,10,1,10,,
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448103","00069-4481-03","Ceftriaxone for Injection USP","250 MG",1,1,2,2,,
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448110","00069-4481-10","Ceftriaxone for Injection USP","250 MG",1,10,2,20,,
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448203","00069-4482-03","Ceftriaxone for Injection USP","250 MG",1,1,4,4,,
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448210","00069-4482-10","Ceftriaxone for Injection USP","250 MG",1,10,4,40,,
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448303","00069-4483-03","Ceftriaxone for Injection USP","250 MG",1,1,8,8,,
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448310","00069-4483-10","Ceftriaxone for Injection USP","250 MG",1,10,8,80,,
"J0696","Ceftriaxone sodium injection","Pfizer, Inc.","00069448401","00069-4484-01","CEFTRIAXONE ","250 MG",1,1,40,40,,
"J9208","Ifosfamide injection","PFIZER INC.","00069449522","00069-4495-22","Ifosfamide","1 GM",1,1,1,1,,
"J9208","Ifosfamide injection","PFIZER INC.","00069449622","00069-4496-22","Ifosfamide","1 GM",60,1,3,3,,
"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,,
"Q0177","Hydroxyzine pamoate 25mg","PFIZER","00069541066","00069-5410-66","Vistaril","25 MG",100,1,100,100,,
"Q0178","Hydroxyzine pamoate 50mg","PFIZER","00069542066","00069-5420-66","Vistaril","50 MG",100,1,100,100,,
"Q0177","Hydroxyzine pamoate 25mg","PFIZER","00069544093","00069-5440-93","Vistaril","25 MG",480,1,480,480,,
"Q0177","Hydroxyzine pamoate 25mg","PFIZER","00069544097","00069-5440-97","Vistaril","25 MG",120,4,120,480,,
"Q2009","Fosphenytoin inj PE","PFIZER LABS","00069600121","00069-6001-21","CEREBYX","50 MG PE/ML",10,10,10,100,,
"Q2009","Fosphenytoin inj PE","PFIZER LABS","00069600125","00069-6001-25","CEREBYX","50 MG PE/ML",2,25,2,50,,
"J9171","Docetaxel injection","PFIZER INC.","00069914111","00069-9141-11","DOCETAXEL","1 MG",2,1,20,20,,
"J9171","Docetaxel injection","PFIZER INC.","00069914122","00069-9141-22","Docetaxel","1 MG",2,1,20,20,,
"J9171","Docetaxel injection","PFIZER INC.","00069914211","00069-9142-11","DOCETAXEL","1 MG",8,1,80,80,,
"J9171","Docetaxel injection","PFIZER INC.","00069914222","00069-9142-22","Docetaxel","1 MG",8,1,80,80,,
"J9171","Docetaxel injection","PFIZER INC.","00069914411","00069-9144-11","Docetaxel","1 MG",20,1,200,200,,
"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,,
"J1200","Diphenhydramine hcl injectio","PFIZER","00071425903","00071-4259-03","Benadryl","50 MG",1,10,1,10,,
"J1200","Diphenhydramine hcl injectio","PFIZER","00071425913","00071-4259-13","Benadryl","50 MG",1,25,1,25,,
"J1200","Diphenhydramine hcl injectio","PFIZER","00071425945","00071-4259-45","Benadryl","50 MG",1,10,1,10,,
"J1200","Diphenhydramine hcl injectio","PFIZER","00071440210","00071-4402-10","Benadryl","50 MG",10,1,10,10,,
"J7515","Cyclosporine oral 25 mg","ABBVIE","00074054130","00074-0541-30","Gengraf","25 MG",30,1,60,60,,
"J0670","Inj mepivacaine HCL/10 ml","HOSPIRA","00074103630","00074-1036-30","Carbocaine","10 ML",30,1,3,3,,
"J0670","Inj mepivacaine HCL/10 ml","HOSPIRA","00074103850","00074-1038-50","Carbocaine","10 ML",50,1,5,5,,
"J0670","Inj mepivacaine HCL/10 ml","HOSPIRA","00074104130","00074-1041-30","Carbocaine","10 ML",30,1,3,3,,
"J0670","Inj mepivacaine HCL/10 ml","HOSPIRA","00074106720","00074-1067-20","Carbocaine","10 ML",20,1,2,2,,
"J0745","Inj codeine phosphate /30 MG","HOSPIRA","00074109732","00074-1097-32","Codeine Phosphate","30 MG",2,10,1,10,,
"J0745","Inj codeine phosphate /30 MG","HOSPIRA","00074110232","00074-1102-32","Codeine Phosphate","30 MG",2,10,2,20,,
"J2270","Morphine sulfate injection","HOSPIRA","00074113403","00074-1134-03","Morphine Sulfate",,20,1,100,100,,"10 MG"
"J2271","Morphine so4 injection 100mg","HOSPIRA","00074113403","00074-1134-03","Morphine Sulfate","100 MG",20,1,10,10,,
"J2270","Morphine sulfate injection","HOSPIRA","00074113405","00074-1134-05","Morphine Sulfate",,50,1,250,250,,"10 MG"
"J2271","Morphine so4 injection 100mg","HOSPIRA","00074113405","00074-1134-05","Morphine Sulfate","100 MG",50,1,25,25,,
"J2270","Morphine sulfate injection","HOSPIRA","00074113502","00074-1135-02","Morphine Sulfate",,10,1,25,25,,"10 MG"
"J2271","Morphine so4 injection 100mg","HOSPIRA","00074113502","00074-1135-02","Morphine Sulfate","100 MG",10,1,2.5,2.5,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074115112","00074-1151-12","Heparin (Porcine) Lock Flush","10 UNITS",10,25,10,250,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074115170","00074-1151-70","Heparin (Porcine) Lock Flush","10 UNITS",10,25,10,250,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074115178","00074-1151-78","Heparin (Porcine) Lock Flush","10 UNITS",30,25,30,750,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074115212","00074-1152-12","Heparin Lock Flush","10 UNITS",10,25,100,2500,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074115214","00074-1152-14","Heparin Lock Flush","10 UNITS",30,25,300,7500,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074115270","00074-1152-70","Heparin Lock Flush","10 UNITS",10,25,100,2500,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074115278","00074-1152-78","Heparin Lock Flush","10 UNITS",30,25,300,7500,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074117630","00074-1176-30","Demerol","100 MG",1,10,0.25,2.5,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074117830","00074-1178-30","Demerol","100 MG",1,10,0.5,5,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074117930","00074-1179-30","Demerol","100 MG",1,10,0.75,7.5,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074118069","00074-1180-69","Demerol","100 MG",1,10,1,10,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074118130","00074-1181-30","Demerol","100 MG",30,1,15,15,,
"J0610","Calcium gluconate injection","HOSPIRA","00074118401","00074-1184-01","Calcium Gluconate","10 ML",10,25,1,25,,
"J1810","Droperidol/fentanyl inj","ABBOTT","00074118612","00074-1186-12","Fentanyl-Droperidol","2 ML",2,10,1,10,,
"J1790","Droperidol injection","HOSPIRA","00074118701","00074-1187-01","Droperidol","5 MG",2,10,1,10,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074120120","00074-1201-20","Demerol","100 MG",20,1,20,20,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074120301","00074-1203-01","Demerol","100 MG",0.5,25,0.25,6.25,,
"J1580","Garamycin gentamicin inj","HOSPIRA","00074120703","00074-1207-03","Gentamicin Sulfate","80 MG",2,25,1,25,,
"J2310","Inj naloxone hydrochloride","ABBOTT","00074121501","00074-1215-01","Naloxone Hcl","1 MG",1,10,0.4,4,,
"J2310","Inj naloxone hydrochloride","ABBOTT","00074121901","00074-1219-01","Naloxone Hcl","1 MG",10,25,4,100,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074125301","00074-1253-01","Demerol","100 MG",1,25,0.5,12.5,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074125401","00074-1254-01","Demerol","100 MG",1.5,25,0.75,18.75,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074125502","00074-1255-02","Demerol","100 MG",2,25,1,25,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074125601","00074-1256-01","Demerol","100 MG",1,25,1,25,,
"J2270","Morphine sulfate injection","HOSPIRA","00074125830","00074-1258-30","Morphine Sulfate","10 MG",1,10,0.4,4,,
"J2270","Morphine sulfate injection","HOSPIRA","00074126069","00074-1260-69","Morphine Sulfate","10 MG",1,10,0.8,8,,
"J2270","Morphine sulfate injection","HOSPIRA","00074126130","00074-1261-30","Morphine Sulfate","10 MG",1,10,1,10,,
"J2270","Morphine sulfate injection","HOSPIRA","00074126431","00074-1264-31","Morphine Sulfate","10 MG",1,10,1.5,15,,
"J3360","Diazepam injection","HOSPIRA","00074127332","00074-1273-32","Diazepam","5 MG",2,10,2,20,,
"J1940","Furosemide injection","ABBOTT","00074127532","00074-1275-32","Furosemide","20 MG",2,10,1,10,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074127632","00074-1276-32","Fentanyl Citrate","0.1 MG",2,10,1,10,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074128031","00074-1280-31","Heparin (Porcine) Lock Flush","10 UNITS",1,50,1,50,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074128032","00074-1280-32","Heparin (Porcine) Lock Flush","10 UNITS",2,50,2,100,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074128033","00074-1280-33","Heparin (Porcine) Lock Flush","10 UNITS",3,25,3,75,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074128035","00074-1280-35","Heparin (Porcine) Lock Flush","10 UNITS",5,25,5,125,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074128115","00074-1281-15","Heparin Lock Flush",,5,25,1250,50,,"10 UNITS"
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074128131","00074-1281-31","Heparin Lock Flush","10 UNITS",1,50,10,500,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074128132","00074-1281-32","Heparin Lock Flush","10 UNITS",2,50,20,1000,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074128133","00074-1281-33","Heparin Lock Flush","10 UNITS",3,25,30,750,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074128135","00074-1281-35","Heparin Lock Flush","10 UNITS",5,25,50,1250,,
"J1170","Hydromorphone injection","HOSPIRA","00074128331","00074-1283-31","Hydromorphone Hcl","4 MG",1,10,0.25,2.5,,
"J1170","Hydromorphone injection","HOSPIRA","00074130431","00074-1304-31","Hydromorphone Hcl","4 MG",1,10,1,10,,
"J1170","Hydromorphone injection","HOSPIRA","00074131230","00074-1312-30","Hydromorphone Hcl","4 MG",1,10,0.5,5,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074131632","00074-1316-32","Heparin Sodium (Porcine)","1000 UNITS",0.5,50,5,250,,
"J1644","Inj heparin sodium per 1000u","ABBOTT","00074131666","00074-1316-66","Heparin Sodium (Porcine)","1000 UNITS",0.5,10,5,50,,
"J1165","Phenytoin sodium injection","HOSPIRA","00074131701","00074-1317-01","Phenytoin Sodium","50 MG",2,25,2,50,,
"J1165","Phenytoin sodium injection","HOSPIRA","00074131702","00074-1317-02","Phenytoin Sodium","50 MG",5,25,5,125,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074140231","00074-1402-31","Heparin Sodium (Porcine)","1000 UNITS",1,10,5,50,,
"J7658","Isoproterenolhcl inh sol con","HOSPIRA","00074141001","00074-1410-01","Isuprel",,1,25,5,0.2,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","HOSPIRA","00074141001","00074-1410-01","Isuprel",,1,25,2.5,0.1,,"1 MG"
"J7658","Isoproterenolhcl inh sol con","HOSPIRA","00074141005","00074-1410-05","Isuprel",,5,10,10,1,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","HOSPIRA","00074141005","00074-1410-05","Isuprel",,5,10,12.49,1.249,,"1 MG"
"J2300","Inj nalbuphine hydrochloride","HOSPIRA","00074146301","00074-1463-01","Nalbuphine Hcl","10 MG",1,10,1,10,,
"J2300","Inj nalbuphine hydrochloride","HOSPIRA","00074146401","00074-1464-01","Nalbuphine Hcl","10 MG",10,25,10,250,,
"J2300","Inj nalbuphine hydrochloride","HOSPIRA","00074146501","00074-1465-01","Nalbuphine Hcl",,1,10,20,2,,"10 MG"
"J2300","Inj nalbuphine hydrochloride","HOSPIRA","00074146701","00074-1467-01","Nalbuphine Hcl","10 MG",10,25,20,500,,
"J7110","Dextran 75 infusion","HOSPIRA","00074150503","00074-1505-03","Dextran 75 In Nacl","500 ML",500,12,1,12,,
"J7110","Dextran 75 infusion","Abbott Laboratories, Inc.","00074150703","00074-1507-03","Dextran 75 In D5W","500 ML",500,12,1,12,,
"J3480","Inj potassium chloride","HOSPIRA","00074151302","00074-1513-02","Potassium Chloride","2 MEQ",250,12,250,3000,,
"J7060","5% dextrose/water","HOSPIRA","00074152202","00074-1522-02","Dextrose","500 ML",250,12,0.5,6,,
"J7070","D5W infusion","HOSPIRA","00074152202","00074-1522-02","Dextrose","1000 CC",250,12,0.25,3,,
"J7060","5% dextrose/water","HOSPIRA","00074152203","00074-1522-03","Dextrose","500 ML",500,12,1,12,,
"J7070","D5W infusion","HOSPIRA","00074152203","00074-1522-03","Dextrose","1000 CC",500,12,0.5,6,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074153405","00074-1534-05","Dextrose-Nacl","500 ML",1000,6,2,12,,
"J2060","Lorazepam injection","HOSPIRA","00074153931","00074-1539-31","Lorazepam","2 MG",1,10,2,20,,
"J2912","Sodium chloride injection","HOSPIRA","00074158301","00074-1583-01","Sodium Chloride","2 ML",150,12,75,900,,
"J7130","Hypertonic saline solution","HOSPIRA","00074158301","00074-1583-01","Sodium Chloride",,150,12,90,7.5,,"20 CC"
"J7030","Normal saline solution infus","HOSPIRA","00074158302","00074-1583-02","Sodium Chloride","1000 CC",250,12,0.25,3,,
"J7040","Normal saline solution infus","HOSPIRA","00074158302","00074-1583-02","Sodium Chloride","500 ML",250,12,0.5,6,,
"J7050","Normal saline solution infus","HOSPIRA","00074158302","00074-1583-02","Sodium Chloride","250 CC",250,12,1,12,,
"J2912","Sodium chloride injection","HOSPIRA","00074158401","00074-1584-01","Sodium Chloride","2 ML",50,12,25,300,,
"J7130","Hypertonic saline solution","HOSPIRA","00074158401","00074-1584-01","Sodium Chloride",,50,12,30,2.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074158411","00074-1584-11","Sodium Chloride","2 ML",100,12,50,600,,
"J7130","Hypertonic saline solution","HOSPIRA","00074158411","00074-1584-11","Sodium Chloride",,100,12,60,5,,"20 CC"
"J7030","Normal saline solution infus","HOSPIRA","00074158603","00074-1586-03","Sodium Chloride",,500,12,24,2,,"1000 CC"
"J7040","Normal saline solution infus","HOSPIRA","00074158603","00074-1586-03","Sodium Chloride",,500,12,12,1,,"500 CC"
"J7050","Normal saline solution infus","HOSPIRA","00074158603","00074-1586-03","Sodium Chloride",,500,12,24,2,,"250 CC"
"J7051","Sterile saline/water","HOSPIRA","00074159002","00074-1590-02","Sterile Water For Injection",,250,12,600,50,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074159005","00074-1590-05","Sterile Water For Injection",,1000,6,1200,200,,"5 CC"
"J0595","Butorphanol tartrate 1 mg","HOSPIRA","00074162301","00074-1623-01","Butorphanol Tartrate","1 MG",1,10,1,10,,
"J0595","Butorphanol tartrate 1 mg","HOSPIRA","00074162349","00074-1623-49","Butorphanol Tartrate","1 MG",1,10,1,10,,
"J0595","Butorphanol tartrate 1 mg","HOSPIRA","00074162601","00074-1626-01","Butorphanol Tartrate","1 MG",1,10,2,20,,
"J0595","Butorphanol tartrate 1 mg","HOSPIRA","00074162602","00074-1626-02","Butorphanol Tartrate","1 MG",2,10,4,40,,
"J0595","Butorphanol tartrate 1 mg","HOSPIRA","00074162649","00074-1626-49","Butorphanol Tartrate","1 MG",1,10,2,20,,
"J0595","Butorphanol tartrate 1 mg","HOSPIRA","00074162651","00074-1626-51","Butorphanol Tartrate","1 MG",2,10,4,40,,
"J0460","Atropine sulfate injection","HOSPIRA","00074163010","00074-1630-10","Atropine Sulfate","0.3 MG",10,10,3.3,33,,
"J1940","Furosemide injection","HOSPIRA","00074163910","00074-1639-10","Furosemide","20 MG",10,10,5,50,,
"J2501","Paricalcitol","AbbVie US, LLC","00074165801","00074-1658-01","Zemplar","1 MCG",1,25,5,125,,
"J2501","Paricalcitol","Abbott Laboratories, Inc.","00074165802","00074-1658-02","Zemplar","1 MCG",2,100,10,1000,,
"J2501","Paricalcitol","AbbVie US, LLC","00074165805","00074-1658-05","Zemplar","1 MCG",2,25,10,250,,
"J3475","Inj magnesium sulfate","HOSPIRA","00074175410","00074-1754-10","Magnesium Sulfate","500 MG",10,10,10,100,,
"J2270","Morphine sulfate injection","HOSPIRA","00074176230","00074-1762-30","Morphine Sulfate","10 MG",1,10,0.2,2,,
"J2310","Inj naloxone hydrochloride","ABBOTT","00074178269","00074-1782-69","Naloxone Hcl","1 MG",1,10,0.4,4,,
"J2370","Phenylephrine hcl injection","HOSPIRA","00074180001","00074-1800-01","Neo-Synephrine","1 ML",1,25,1,25,,
"J1165","Phenytoin sodium injection","HOSPIRA","00074184402","00074-1844-02","Phenytoin Sodium",,2,10,20,2,,"50 MG"
"J2690","Procainamide hcl injection","HOSPIRA","00074190201","00074-1902-01","Procainamide Hcl","1 GM",10,25,1,25,,
"J2690","Procainamide hcl injection","HOSPIRA","00074190301","00074-1903-01","Procainamide Hcl","1 GM",2,25,1,25,,
"J2912","Sodium chloride injection","HOSPIRA","00074191832","00074-1918-32","Sodium Chloride","2 ML",2,50,1,50,,
"J7130","Hypertonic saline solution","HOSPIRA","00074191832","00074-1918-32","Sodium Chloride",,2,50,5,0.1,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074191833","00074-1918-33","Sodium Chloride","2 ML",3,25,1.5,37.5,,
"J7130","Hypertonic saline solution","HOSPIRA","00074191833","00074-1918-33","Sodium Chloride",,3,25,3.75,0.15,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074191835","00074-1918-35","Sodium Chloride","2 ML",5,25,2.5,62.5,,
"J7130","Hypertonic saline solution","HOSPIRA","00074191835","00074-1918-35","Sodium Chloride",,5,25,6.25,0.25,,"20 CC"
"J3070","Pentazocine injection","HOSPIRA","00074192010","00074-1920-10","Talwin","30 MG",10,1,10,10,,
"J3070","Pentazocine injection","HOSPIRA","00074194101","00074-1941-01","Talwin","30 MG",1,25,1,25,,
"J3250","Trimethobenzamide hcl inj","HOSPIRA","00074195202","00074-1952-02","Trimethobenzamide Hcl","200 MG",2,10,1,10,,
"J3250","Trimethobenzamide hcl inj","HOSPIRA","00074195232","00074-1952-32","Trimethobenzamide Hcl","200 MG",2,10,1,10,,
"J0278","Amikacin sulfate injection","HOSPIRA","00074195501","00074-1955-01","Amikacin Sulfate","100 MG",2,10,1,10,,
"J0278","Amikacin sulfate injection","HOSPIRA","00074195601","00074-1956-01","Amikacin Sulfate","100 MG",2,10,5,50,,
"J0278","Amikacin sulfate injection","HOSPIRA","00074195701","00074-1957-01","Amikacin Sulfate","100 MG",4,10,10,100,,
"J2912","Sodium chloride injection","HOSPIRA","00074196604","00074-1966-04","Saline Bacteriostatic","2 ML",10,25,5,125,,
"J7130","Hypertonic saline solution","HOSPIRA","00074196604","00074-1966-04","Saline Bacteriostatic",,10,25,12.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074196605","00074-1966-05","Saline Bacteriostatic","2 ML",20,25,10,250,,
"J7130","Hypertonic saline solution","HOSPIRA","00074196605","00074-1966-05","Saline Bacteriostatic",,20,25,25,1,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074196607","00074-1966-07","Saline Bacteriostatic","2 ML",30,25,15,375,,
"J7130","Hypertonic saline solution","HOSPIRA","00074196607","00074-1966-07","Saline Bacteriostatic",,30,25,37.5,1.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074196612","00074-1966-12","Saline Bacteriostatic","2 ML",10,25,5,125,,
"J7130","Hypertonic saline solution","HOSPIRA","00074196612","00074-1966-12","Saline Bacteriostatic",,10,25,12.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074196614","00074-1966-14","Saline Bacteriostatic","2 ML",30,25,15,375,,
"J7130","Hypertonic saline solution","HOSPIRA","00074196614","00074-1966-14","Saline Bacteriostatic",,30,25,37.5,1.5,,"20 CC"
"J2060","Lorazepam injection","HOSPIRA","00074198501","00074-1985-01","Lorazepam","2 MG",1,1,1,1,,
"J2060","Lorazepam injection","HOSPIRA","00074198510","00074-1985-10","Lorazepam","2 MG",10,1,10,10,,
"J2060","Lorazepam injection","HOSPIRA","00074198530","00074-1985-30","Lorazepam","2 MG",1,10,1,10,,
"Q2011","Hemin, per 1 mg","OVATION PHARMACEUTICALS, INC.","00074200043","00074-2000-43","Panhematin",,1,1,313,313,,"1 MG"
"J0592","Buprenorphine hydrochloride","HOSPIRA","00074201232","00074-2012-32","Buprenorphine Hcl","0.1 MG",1,10,3,30,,
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA","00074202520","00074-2025-20","Dobutamine Hcl","250 MG",20,10,1,10,,
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA","00074202554","00074-2025-54","Dobutamine Hcl","250 MG",40,10,2,20,,
"J2275","Morphine sulfate injection","HOSPIRA","00074202802","00074-2028-02","Morphine Sulfate (Pf)","10 MG",30,10,1.5,15,,
"J2275","Morphine sulfate injection","HOSPIRA","00074202902","00074-2029-02","Morphine Sulfate (Pf)","10 MG",30,10,3,30,,
"J1245","Dipyridamole injection","HOSPIRA","00074204302","00074-2043-02","Dipyridamole","10 MG",2,10,1,10,,
"J1245","Dipyridamole injection","HOSPIRA","00074204310","00074-2043-10","Dipyridamole","10 MG",10,10,5,50,,
"J0670","Inj mepivacaine HCL/10 ml","HOSPIRA","00074204750","00074-2047-50","Carbocaine","10 ML",50,1,5,5,,
"J2912","Sodium chloride injection","HOSPIRA","00074210202","00074-2102-02","Sodium Chloride","2 ML",2,25,1,25,,
"J7130","Hypertonic saline solution","HOSPIRA","00074210202","00074-2102-02","Sodium Chloride",,2,25,2.5,0.1,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074210205","00074-2102-05","Sodium Chloride","2 ML",5,25,2.5,62.5,,
"J7130","Hypertonic saline solution","HOSPIRA","00074210205","00074-2102-05","Sodium Chloride",,5,25,6.25,0.25,,"20 CC"
"J9217","Leuprolide acetate suspnsion","AbbVie US, LLC","00074210803","00074-2108-03","Lupron Depot-Ped 7.5mg","7.5 MG",1,1,1,1,,
"J3475","Inj magnesium sulfate","HOSPIRA","00074216802","00074-2168-02","Magnesium Sulfate","500 MG",20,25,20,500,,
"J3475","Inj magnesium sulfate","HOSPIRA","00074216803","00074-2168-03","Magnesium Sulfate",,50,25,1250,50,,"500 MG"
"J1160","Digoxin injection","HOSPIRA","00074216931","00074-2169-31","Digoxin","0.5 MG",1,10,0.5,5,,
"J1160","Digoxin injection","HOSPIRA","00074216932","00074-2169-32","Digoxin","0.5 MG",2,10,1,10,,
"J2765","Metoclopramide hcl injection","HOSPIRA","00074217332","00074-2173-32","Metoclopramide Hcl","10 MG",2,10,1,10,,
"J2597","Inj desmopressin acetate","HOSPIRA","00074226501","00074-2265-01","Desmopressin Acetate","1 MCG",1,10,4,40,,
"J1950","Leuprolide acetate /3.75 mg","AbbVie US, LLC","00074228203","00074-2282-03","Lupron Depot-Ped 11.25mg","3.75 MG",1,1,3,3,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074228731","00074-2287-31","Ketorolac Tromethamine","15 MG",1,10,2,20,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074228761","00074-2287-61","Ketorolac Tromethamine","15 MG",2,10,4,40,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074228831","00074-2288-31","Ketorolac Tromethamine","15 MG",1,10,1,10,,
"J1200","Diphenhydramine hcl injectio","HOSPIRA","00074229031","00074-2290-31","Diphenhydramine Hcl","50 MG",1,10,1,10,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230502","00074-2305-02","Midazolam Hcl","1 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230505","00074-2305-05","Midazolam Hcl","1 MG",5,10,5,50,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230549","00074-2305-49","Midazolam Hcl","1 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230550","00074-2305-50","Midazolam Hcl","1 MG",5,10,5,50,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230662","00074-2306-62","Midazolam Hcl","1 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230760","00074-2307-60","Midazolam Hcl","1 MG",1,10,5,50,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230762","00074-2307-62","Midazolam Hcl","1 MG",2,10,10,100,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230801","00074-2308-01","Midazolam Hcl","1 MG",1,10,5,50,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230802","00074-2308-02","Midazolam Hcl","1 MG",2,10,10,100,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230849","00074-2308-49","Midazolam Hcl","1 MG",1,10,5,50,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074230850","00074-2308-50","Midazolam Hcl","1 MG",2,10,10,100,,
"J2550","Promethazine hcl injection","HOSPIRA","00074231231","00074-2312-31","Promethazine Hcl","50 MG",1,10,0.5,5,,
"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,,
"J0895","Deferoxamine mesylate inj","HOSPIRA","00074233610","00074-2336-10","Deferoxamine Mesylate","500 MG",1,4,1,4,,
"J0895","Deferoxamine mesylate inj","HOSPIRA","00074233725","00074-2337-25","Deferoxamine Mesylate","500 MG",1,4,4,16,,
"J2560","Phenobarbital sodium inj","HOSPIRA","00074234331","00074-2343-31","Luminal","120 MG",1,10,0.5,5,,
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA","00074234401","00074-2344-01","Dobutamine Hcl","250 MG",20,1,1,1,,
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA","00074234402","00074-2344-02","Dobutamine Hcl","250 MG",20,10,1,10,,
"J2560","Phenobarbital sodium inj","HOSPIRA","00074234931","00074-2349-31","Luminal","120 MG",1,10,1.08,10.8,,
"J1170","Hydromorphone injection","ABBOTT","00074241421","00074-2414-21","Dilaudid","4 MG",20,1,10,10,,
"J9217","Leuprolide acetate suspnsion","AbbVie US, LLC","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","00074245351","00074-2453-51","Dilaudid-Hp","10 MG",50,1,1,50,,
"J1170","Hydromorphone injection","Abbott Laboratories, Inc.","00074245531","00074-2455-31","Dilaudid-Hp","10 MG",1,1,25,25,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074258102","00074-2581-02","Heparin Sodium (Porcine)","1000 UNITS",5,25,10,250,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074258402","00074-2584-02","Heparin Sodium (Porcine)","1000 UNITS",10,25,250,6250,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074258705","00074-2587-05","Midazolam Hcl","1 MG",10,10,10,100,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074258752","00074-2587-52","Midazolam Hcl","1 MG",5,10,5,50,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074258753","00074-2587-53","Midazolam Hcl","1 MG",10,10,10,100,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074259602","00074-2596-02","Midazolam Hcl","1 MG",2,10,10,100,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074259603","00074-2596-03","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074259605","00074-2596-05","Midazolam Hcl","1 MG",10,10,50,500,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074259652","00074-2596-52","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00074259653","00074-2596-53","Midazolam Hcl","1 MG",10,10,50,500,,
"J2260","Inj milrinone lactate / 5 MG","HOSPIRA","00074277501","00074-2775-01","Milrinone Lactate","5 MG",10,25,2,50,,
"J2260","Inj milrinone lactate / 5 MG","HOSPIRA","00074277502","00074-2775-02","Milrinone Lactate","5 MG",20,25,4,100,,
"J2260","Inj milrinone lactate / 5 MG","HOSPIRA","00074277602","00074-2776-02","Milrinone In Dextrose","5 MG",200,10,8,80,,
"J2260","Inj milrinone lactate / 5 MG","HOSPIRA","00074277623","00074-2776-23","Milrinone In Dextrose","5 MG",100,10,4,40,,
"J7515","Cyclosporine oral 25 mg","AbbVie US, LLC","00074310832","00074-3108-32","Gengraf","25 MG",30,1,30,30,,
"J7502","Cyclosporine oral 100 mg","AbbVie US, LLC","00074310932","00074-3109-32","Gengraf","100 MG",30,1,30,30,,
"J3360","Diazepam injection","HOSPIRA","00074321302","00074-3213-02","Diazepam","5 MG",10,5,10,50,,
"J3260","Tobramycin sulfate injection","HOSPIRA","00074325503","00074-3255-03","Tobramycin Sulfate","80 MG",8,25,1,25,,
"J7608","Acetylcysteine inh sol u d","HOSPIRA","00074330703","00074-3307-03","Acetylcysteine","1 GM",30,3,3,9,,
"J7608","Acetylcysteine inh sol u d","HOSPIRA","00074330803","00074-3308-03","Acetylcysteine","1 GM",30,3,6,18,,
"J9217","Leuprolide acetate suspnsion","AbbVie US, LLC","00074334603","00074-3346-03","Lupron Depot-3 month 22.5mg kit","7.5 MG",1,1,3,3,,
"J1580","Garamycin gentamicin inj","HOSPIRA","00074340001","00074-3400-01","Gentamicin Sulfate","80 MG",6,25,0.75,18.75,,
"J1580","Garamycin gentamicin inj","HOSPIRA","00074340101","00074-3401-01","Gentamicin Sulfate","80 MG",8,25,1,25,,
"J1580","Garamycin gentamicin inj","HOSPIRA","00074340201","00074-3402-01","Gentamicin Sulfate","80 MG",10,25,1.25,31.25,,
"J2765","Metoclopramide hcl injection","HOSPIRA","00074341301","00074-3413-01","Metoclopramide Hcl","10 MG",2,25,1,25,,
"J2765","Metoclopramide hcl injection","HOSPIRA","00074341401","00074-3414-01","Metoclopramide Hcl","10 MG",2,25,1,25,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00074345425","00074-3454-25","Heparin Lock Flush",,5,50,2500,50,,"10 UNITS"
"J3260","Tobramycin sulfate injection","HOSPIRA","00074346913","00074-3469-13","Tobramycin Sulfate In Saline","80 MG",50,24,0.75,18,,
"J3260","Tobramycin sulfate injection","HOSPIRA","00074347023","00074-3470-23","Tobramycin Sulfate In Saline","80 MG",100,24,1,24,,
"J9217","Leuprolide acetate suspnsion","AbbVie US, LLC","00074347303","00074-3473-03","LUPRON DEPOT 6-MONTH, 45MG ","7.5 MG",1,1,6,6,,
"J3260","Tobramycin sulfate injection","HOSPIRA","00074357701","00074-3577-01","Tobramycin Sulfate","80 MG",2,25,0.25,6.25,,
"J3260","Tobramycin sulfate injection","HOSPIRA","00074357801","00074-3578-01","Tobramycin Sulfate","80 MG",2,25,1,25,,
"J3260","Tobramycin sulfate injection","HOSPIRA","00074359002","00074-3590-02","Tobramycin Sulfate","80 MG",50,1,25,25,,
"J9218","Leuprolide acetate injeciton","Abbott","00074361230","00074-3612-30","Lupron Injection","1 MG",1,1,14,14,,
"J9218","Leuprolide acetate injeciton","Abbott","00074361234","00074-3612-34","Lupron Injection","1 MG",1,6,14,84,,
"J1950","Leuprolide acetate /3.75 mg","AbbVie US, LLC","00074364103","00074-3641-03","LUPRON DEPOT 3.75MG ","3.75 MG",1,1,1,1,,
"J9217","Leuprolide acetate suspnsion","AbbVie US, LLC","00074364203","00074-3642-03","Lupron Depot 7.5 mg kit","7.5 MG",1,1,1,1,,
"J1950","Leuprolide acetate /3.75 mg","AbbVie US, LLC","00074366303","00074-3663-03","LUPRON DEPOT 3-MONTH, 11.25MG ","3.75 MG",1,1,3,3,,
"J9217","Leuprolide acetate suspnsion","ABBOTT","00074368301","00074-3683-01","Lupron Depot-4 month 30mg kit","7.5 MG",1,1,4,4,,
"J9217","Leuprolide acetate suspnsion","AbbVie US, LLC","00074368303","00074-3683-03","LUPRON DEPOT 4-MONTH, 30MG ","7.5 MG",1,1,4,4,,
"J1950","Leuprolide acetate /3.75 mg","AbbVie US, LLC","00074377903","00074-3779-03","LUPRON DEPOT-PED 3-MONTH, 11.25MG ","3.75 MG",1,1,3,3,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074379301","00074-3793-01","Ketorolac Tromethamine","15 MG",1,25,1,25,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074379349","00074-3793-49","Ketorolac Tromethamine","15 MG",1,25,1,25,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074379501","00074-3795-01","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074379549","00074-3795-49","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074379561","00074-3795-61","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074379601","00074-3796-01","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00074379649","00074-3796-49","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J1885","Ketorolac tromethamine inj","AMERINET CHOICE","00074379661","00074-3796-61","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J0135","Adalimumab injection","AbbVie US, LLC","00074379902","00074-3799-02","Humira","20 MG",0.8,2,2,4,,
"J0135","Adalimumab injection","AbbVie US, LLC","00074379903","00074-3799-03","Humira","20 MG",0.8,3,2,6,,
"J0135","Adalimumab injection","AbbVie US, LLC","00074379906","00074-3799-06","Humira","20 MG",0.8,6,2,12,,
"J2275","Morphine sulfate injection","HOSPIRA","00074381412","00074-3814-12","Morphine Sulfate (Pf)","10 MG",10,5,0.5,2.5,,
"J2275","Morphine sulfate injection","HOSPIRA","00074381512","00074-3815-12","Morphine Sulfate (Pf)","10 MG",10,5,1,5,,
"J3480","Inj potassium chloride","HOSPIRA","00074390703","00074-3907-03","Potassium Chloride","2 MEQ",10,25,10,250,,
"J3480","Inj potassium chloride","HOSPIRA","00074393402","00074-3934-02","Potassium Chloride","2 MEQ",20,25,20,500,,
"J7051","Sterile saline/water","HOSPIRA","00074397703","00074-3977-03","Bacteriostatic H2O For Inject",,30,25,150,6,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074402702","00074-4027-02","Sterile Water For Injection",,5,25,25,1,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074402903","00074-4029-03","Sterile Water For Injection",,20,25,100,4,,"5 CC"
"J2150","Mannitol injection","HOSPIRA","00074403101","00074-4031-01","Mannitol",,50,25,25,1,,"50 ML"
"J7051","Sterile saline/water","HOSPIRA","00074404402","00074-4044-02","Sterile Water For Injection",,10,25,50,2,,"5 CC"
"J2275","Morphine sulfate injection","HOSPIRA","00074405712","00074-4057-12","Morphine Sulfate (Pf)","10 MG",10,5,0.5,2.5,,
"J2275","Morphine sulfate injection","HOSPIRA","00074405812","00074-4058-12","Morphine Sulfate (Pf)","10 MG",10,5,1,5,,
"J1265","Dopamine injection","HOSPIRA","00074414103","00074-4141-03","Dopamine In D5W","40 MG",500,12,10,120,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074414103","00074-4141-03","Dopamine In D5W",,500,12,120,10,,"40 MG"
"J1265","Dopamine injection","HOSPIRA","00074414202","00074-4142-02","Dopamine In D5W","40 MG",250,12,10,120,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074414202","00074-4142-02","Dopamine In D5W",,250,12,120,10,,"40 MG"
"J1265","Dopamine injection","HOSPIRA","00074414203","00074-4142-03","Dopamine In D5W","40 MG",500,12,20,240,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074414203","00074-4142-03","Dopamine In D5W",,500,12,240,20,,"40 MG"
"J1265","Dopamine injection","HOSPIRA","00074415502","00074-4155-02","Dopamine In D5W","40 MG",250,12,20,240,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074415502","00074-4155-02","Dopamine In D5W",,250,12,240,20,,"40 MG"
"J2400","Chloroprocaine hcl injection","HOSPIRA","00074416901","00074-4169-01","Chloroprocaine Hcl","30 ML",30,25,1,25,,
"J2400","Chloroprocaine hcl injection","HOSPIRA","00074417001","00074-4170-01","Chloroprocaine Hcl","30 ML",30,25,1,25,,
"J1265","Dopamine injection","HOSPIRA","00074426501","00074-4265-01","Dopamine Hcl","40 MG",10,25,20,500,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074426501","00074-4265-01","Dopamine Hcl",,10,25,500,20,,"40 MG"
"J3370","Vancomycin hcl injection","HOSPIRA","00074433201","00074-4332-01","Vancomycin Hcl","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","HOSPIRA","00074433249","00074-4332-49","Vancomycin Hcl","500 MG",1,10,1,10,,
"J9265","Paclitaxel injection","MAYNE PHARMA","00074433504","00074-4335-04","Paclitaxel","30 MG",50,1,10,10,,
"J0135","Adalimumab injection","AbbVie US, LLC","00074433902","00074-4339-02","Humira","20 MG",0.8,2,2,4,,
"J0135","Adalimumab injection","AbbVie US, LLC","00074433906","00074-4339-06","Humira","20 MG",0.8,6,2,12,,
"J0135","Adalimumab injection","AbbVie US, LLC","00074433907","00074-4339-07","Humira","20 MG",0.8,4,2,8,,
"J0282","Amiodarone HCl","HOSPIRA","00074434835","00074-4348-35","Amiodarone Hcl","30 MG",3,10,5,50,,
"J2501","Paricalcitol","AbbVie US, LLC","00074463701","00074-4637-01","Zemplar","1 MCG",1,25,2,50,,
"J1450","Fluconazole","HOSPIRA","00074468402","00074-4684-02","Fluconazole In Dextrose","200 MG",200,6,2,12,,
"J1450","Fluconazole","HOSPIRA","00074468423","00074-4684-23","Fluconazole In Dextrose","200 MG",100,6,1,6,,
"J1450","Fluconazole","HOSPIRA","00074468802","00074-4688-02","Fluconazole In Sodium Chloride","200 MG",200,6,2,12,,
"J1450","Fluconazole","HOSPIRA","00074468823","00074-4688-23","Fluconazole In Sodium Chloride","200 MG",100,6,1,6,,
"J1450","Fluconazole","HOSPIRA","00074468827","00074-4688-27","Fluconazole In Sodium Chloride","200 MG",2,6,1,6,,
"J1450","Fluconazole","HOSPIRA","00074468828","00074-4688-28","Fluconazole In Sodium Chloride","200 MG",100,6,1,6,,
"J1450","Fluconazole","HOSPIRA","00074468833","00074-4688-33","Fluconazole In Sodium Chloride","200 MG",200,6,2,12,,
"J1450","Fluconazole","HOSPIRA","00074468834","00074-4688-34","Fluconazole In Sodium Chloride","200 MG",200,6,2,12,,
"J1250","Inj dobutamine HCL/250 mg","HOSPIRA","00074472901","00074-4729-01","Dobutamine Hcl","250 MG",100,1,5,5,,
"J0690","Cefazolin sodium injection","HOSPIRA","00074473203","00074-4732-03","Cefazolin Sodium","500 MG",1,25,2,50,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074486202","00074-4862-02","Dextrose-Nacl","500 ML",250,12,0.5,6,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074486203","00074-4862-03","Dextrose-Nacl","500 ML",500,12,1,12,,
"J7051","Sterile saline/water","HOSPIRA","00074488710","00074-4887-10","Sterile Water For Injection",,10,25,50,2,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074488720","00074-4887-20","Sterile Water For Injection",,20,25,100,4,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074488750","00074-4887-50","Sterile Water For Injection",,50,25,250,10,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074488799","00074-4887-99","Sterile Water For Injection",,100,25,500,20,,"5 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074488810","00074-4888-10","Sodium Chloride","2 ML",10,25,5,125,,
"J7130","Hypertonic saline solution","HOSPIRA","00074488810","00074-4888-10","Sodium Chloride",,10,25,12.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074488812","00074-4888-12","Sodium Chloride","2 ML",10,25,5,125,,
"J7130","Hypertonic saline solution","HOSPIRA","00074488812","00074-4888-12","Sodium Chloride",,10,25,12.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074488820","00074-4888-20","Sodium Chloride","2 ML",20,25,10,250,,
"J7130","Hypertonic saline solution","HOSPIRA","00074488820","00074-4888-20","Sodium Chloride",,20,25,25,1,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074488850","00074-4888-50","Sodium Chloride","2 ML",50,25,25,625,,
"J7130","Hypertonic saline solution","HOSPIRA","00074488850","00074-4888-50","Sodium Chloride",,50,25,62.5,2.5,,"20 CC"
"J0170","Adrenalin epinephrin inject","HOSPIRA","00074490118","00074-4901-18","Epinephrine Hcl","1 ML",10,10,10,100,,
"J0280","Aminophyllin 250 MG inj","HOSPIRA","00074490619","00074-4906-19","Aminophylline","250 MG",20,10,2,20,,
"J0280","Aminophyllin 250 MG inj","HOSPIRA","00074490918","00074-4909-18","Aminophylline","250 MG",10,10,1,10,,
"J0460","Atropine sulfate injection","HOSPIRA","00074491015","00074-4910-15","Atropine Sulfate","0.3 MG",5,10,1.65,16.5,,
"J0460","Atropine sulfate injection","HOSPIRA","00074491034","00074-4910-34","Atropine Sulfate","0.3 MG",5,10,1.65,16.5,,
"J0460","Atropine sulfate injection","HOSPIRA","00074491118","00074-4911-18","Atropine Sulfate","0.3 MG",10,10,3.3,33,,
"J0460","Atropine sulfate injection","HOSPIRA","00074491134","00074-4911-34","Atropine Sulfate","0.3 MG",10,10,3.3,33,,
"J0170","Adrenalin epinephrin inject","HOSPIRA","00074492118","00074-4921-18","Epinephrine Hcl",,10,10,100,10,,"1 ML"
"J0170","Adrenalin epinephrin inject","HOSPIRA","00074492134","00074-4921-34","Epinephrine Hcl","1 ML",10,10,10,100,,
"J0713","Inj ceftazidime per 500 mg","HOSPIRA","00074508216","00074-5082-16","Tazicef","500 MG",1,25,2,50,,
"J0713","Inj ceftazidime per 500 mg","HOSPIRA","00074508311","00074-5083-11","Tazicef","500 MG",1,10,2,20,,
"J0713","Inj ceftazidime per 500 mg","HOSPIRA","00074508411","00074-5084-11","Tazicef","500 MG",1,10,4,40,,
"J0713","Inj ceftazidime per 500 mg","HOSPIRA","00074508611","00074-5086-11","Tazicef","500 MG",1,10,12,120,,
"J0713","Inj ceftazidime per 500 mg","HOSPIRA","00074509216","00074-5092-16","Tazicef","500 MG",1,25,2,50,,
"J0713","Inj ceftazidime per 500 mg","HOSPIRA","00074509311","00074-5093-11","Tazicef","500 MG",1,10,4,40,,
"J1720","Hydrocortisone sodium succ i","ABBOTT","00074567202","00074-5672-02","A-Hydrocort","100 MG",1,10,2.5,25,,
"J1720","Hydrocortisone sodium succ i","ABBOTT","00074567304","00074-5673-04","A-Hydrocort","100 MG",1,25,5,125,,
"J2920","Methylprednisolone injection","ABBOTT","00074568401","00074-5684-01","A-Methapred","40 MG",1,10,1,10,,
"J2930","Methylprednisolone injection","ABBOTT","00074568502","00074-5685-02","A-Methapred","125 MG",1,10,1,10,,
"J1265","Dopamine injection","HOSPIRA","00074582001","00074-5820-01","Dopamine Hcl","40 MG",5,25,5,125,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074582001","00074-5820-01","Dopamine Hcl",,5,25,125,5,,"40 MG"
"J1265","Dopamine injection","HOSPIRA","00074582010","00074-5820-10","Dopamine Hcl","40 MG",5,25,5,125,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074582010","00074-5820-10","Dopamine Hcl",,5,25,125,5,,"40 MG"
"J0280","Aminophyllin 250 MG inj","HOSPIRA","00074592101","00074-5921-01","Aminophylline","250 MG",10,25,1,25,,
"J0280","Aminophyllin 250 MG inj","HOSPIRA","00074592201","00074-5922-01","Aminophylline","250 MG",20,25,2,50,,
"J2270","Morphine sulfate injection","HOSPIRA","00074602304","00074-6023-04","Morphine Sulfate","10 MG",30,10,3,30,,
"J2270","Morphine sulfate injection","HOSPIRA","00074602804","00074-6028-04","Morphine Sulfate",,30,10,150,15,,"10 MG"
"J2271","Morphine so4 injection 100mg","HOSPIRA","00074602804","00074-6028-04","Morphine Sulfate","100 MG",30,10,1.5,15,,
"J2175","Meperidine hydrochl /100 MG","HOSPIRA","00074603004","00074-6030-04","Meperidine Hcl","100 MG",30,10,3,30,,
"J1940","Furosemide injection","HOSPIRA","00074605617","00074-6056-17","Furosemide","20 MG",8,10,4,40,,
"J2270","Morphine sulfate injection","HOSPIRA","00074606202","00074-6062-02","Morphine Sulfate In Dextrose",,250,1,25,25,,"10 MG"
"J2271","Morphine so4 injection 100mg","HOSPIRA","00074606202","00074-6062-02","Morphine Sulfate In Dextrose","100 MG",250,1,2.5,25,,
"J2270","Morphine sulfate injection","HOSPIRA","00074606211","00074-6062-11","Morphine Sulfate In Dextrose",,100,1,10,10,,"10 MG"
"J2271","Morphine so4 injection 100mg","HOSPIRA","00074606211","00074-6062-11","Morphine Sulfate In Dextrose","100 MG",100,1,1,1,,
"J1940","Furosemide injection","HOSPIRA","00074610202","00074-6102-02","Furosemide","20 MG",2,25,1,25,,
"J1940","Furosemide injection","HOSPIRA","00074610204","00074-6102-04","Furosemide","20 MG",4,25,2,50,,
"J1940","Furosemide injection","HOSPIRA","00074610210","00074-6102-10","Furosemide","20 MG",10,25,5,125,,
"J3364","Urokinase 5000 IU injection","ABBOTT","00074610905","00074-6109-05","Abbokinase","5000 IU",1,1,50,50,,
"J3365","Urokinase 250,000 IU inj","ABBOTT","00074610905","00074-6109-05","Abbokinase","250000 IU",1,1,1,1,,
"J7051","Sterile saline/water","HOSPIRA","00074613903","00074-6139-03","Sterile Water For Irrigation",,500,24,2400,100,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074613922","00074-6139-22","Sterile Water For Irrigation",,250,24,1200,50,,"5 CC"
"J2270","Morphine sulfate injection","HOSPIRA","00074617714","00074-6177-14","Morphine Sulfate",,4,10,100,10,,"10 MG"
"J2271","Morphine so4 injection 100mg","HOSPIRA","00074617714","00074-6177-14","Morphine Sulfate","100 MG",4,10,1,10,,
"J2270","Morphine sulfate injection","HOSPIRA","00074617914","00074-6179-14","Morphine Sulfate",,10,10,250,25,,"10 MG"
"J2271","Morphine so4 injection 100mg","HOSPIRA","00074617914","00074-6179-14","Morphine Sulfate","100 MG",10,10,25,250,,
"J1364","Erythro lactobionate /500 MG","ABBOTT","00074634205","00074-6342-05","Erythrocin","500 MG",1,10,2,20,,
"J0135","Adalimumab injection","AbbVie US, LLC","00074634702","00074-6347-02","Humira","20 MG",0.2,2,0.5,1,,
"J7515","Cyclosporine oral 25 mg","AbbVie US, LLC","00074646332","00074-6463-32","Gengraf","25 MG",30,1,30,30,,
"J1364","Erythro lactobionate /500 MG","HOSPIRA","00074647644","00074-6476-44","Erythromycin Lactobionate","500 MG",1,10,1,10,,
"J1364","Erythro lactobionate /500 MG","HOSPIRA","00074647844","00074-6478-44","Erythrocin","500 MG",1,10,2,20,,
"J7502","Cyclosporine oral 100 mg","AbbVie US, LLC","00074647932","00074-6479-32","Gengraf","100 MG",30,1,30,30,,
"J1364","Erythro lactobionate /500 MG","HOSPIRA","00074648201","00074-6482-01","Erythromycin Lactobionate","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","HOSPIRA","00074650901","00074-6509-01","Vancomycin Hcl","500 MG",1,1,10,10,,
"J3370","Vancomycin hcl injection","HOSPIRA","00074650949","00074-6509-49","Vancomycin Hcl","500 MG",1,1,10,10,,
"J3370","Vancomycin hcl injection","HOSPIRA","00074653301","00074-6533-01","Vancomycin Hcl","500 MG",1,10,2,20,,
"J3370","Vancomycin hcl injection","HOSPIRA","00074653349","00074-6533-49","Vancomycin Hcl","500 MG",1,10,2,20,,
"J3370","Vancomycin hcl injection","HOSPIRA","00074653401","00074-6534-01","Vancomycin Hcl","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","HOSPIRA","00074653449","00074-6534-49","Vancomycin Hcl","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","HOSPIRA","00074653501","00074-6535-01","Vancomycin Hcl","500 MG",1,10,2,20,,
"J3370","Vancomycin hcl injection","HOSPIRA","00074653549","00074-6535-49","Vancomycin Hcl","500 MG",1,10,2,20,,
"J0330","Succinycholine chloride inj","HOSPIRA","00074662902","00074-6629-02","Quelicin","20 MG",10,25,10,250,,
"J3480","Inj potassium chloride","HOSPIRA","00074663501","00074-6635-01","Potassium Chloride","2 MEQ",5,25,5,125,,
"J3480","Inj potassium chloride","HOSPIRA","00074663601","00074-6636-01","Potassium Chloride","2 MEQ",15,25,15,375,,
"J3480","Inj potassium chloride","HOSPIRA","00074665106","00074-6651-06","Potassium Chloride","2 MEQ",10,25,10,250,,
"J3480","Inj potassium chloride","HOSPIRA","00074665305","00074-6653-05","Potassium Chloride","2 MEQ",20,25,20,500,,
"J3475","Inj magnesium sulfate","HOSPIRA","00074672903","00074-6729-03","Magnesium Sulfate","500 MG",500,24,40,960,,
"J3475","Inj magnesium sulfate","HOSPIRA","00074672909","00074-6729-09","Magnesium Sulfate","500 MG",1000,12,80,960,,
"J3475","Inj magnesium sulfate","HOSPIRA","00074672923","00074-6729-23","Magnesium Sulfate","500 MG",100,24,8,192,,
"J3475","Inj magnesium sulfate","HOSPIRA","00074673013","00074-6730-13","Magnesium Sulfate","500 MG",50,24,8,192,,
"J2060","Lorazepam injection","HOSPIRA","00074677802","00074-6778-02","Lorazepam","2 MG",1,10,1,10,,
"J2060","Lorazepam injection","AMERINET/ABBOTT","00074677862","00074-6778-62","Lorazepam","2 MG",1,10,1,10,,
"J2060","Lorazepam injection","HOSPIRA","00074677902","00074-6779-02","Lorazepam","2 MG",1,10,2,20,,
"J2060","Lorazepam injection","HOSPIRA","00074678002","00074-6780-02","Lorazepam","2 MG",10,10,10,100,,
"J2060","Lorazepam injection","HOSPIRA","00074678102","00074-6781-02","Lorazepam","2 MG",10,10,20,200,,
"J0330","Succinycholine chloride inj","HOSPIRA","00074697010","00074-6970-10","Quelicin-1000","20 MG",10,25,50,1250,,
"J3480","Inj potassium chloride","HOSPIRA","00074707426","00074-7074-26","Potassium Chloride","2 MEQ",100,24,5,120,,
"J3480","Inj potassium chloride","HOSPIRA","00074707514","00074-7075-14","Potassium Chloride","2 MEQ",50,24,5,120,,
"J3480","Inj potassium chloride","ABBOTT","00074707526","00074-7075-26","Potassium Chloride","2 MEQ",100,24,10,240,,
"J3480","Inj potassium chloride","HOSPIRA","00074707626","00074-7076-26","Potassium Chloride","2 MEQ",100,24,15,360,,
"J3480","Inj potassium chloride","HOSPIRA","00074707714","00074-7077-14","Potassium Chloride","2 MEQ",50,24,10,240,,
"J3480","Inj potassium chloride","ABBOTT","00074707726","00074-7077-26","Potassium Chloride","2 MEQ",100,24,20,480,,
"J7060","5% dextrose/water","HOSPIRA","00074710002","00074-7100-02","Dextrose","500 ML",250,24,0.5,12,,
"J7070","D5W infusion","HOSPIRA","00074710002","00074-7100-02","Dextrose","1000 CC",250,24,0.25,6,,
"J7030","Normal saline solution infus","HOSPIRA","00074710102","00074-7101-02","Sodium Chloride","1000 CC",250,24,0.25,6,,
"J7040","Normal saline solution infus","HOSPIRA","00074710102","00074-7101-02","Sodium Chloride","500 ML",250,24,0.5,12,,
"J7050","Normal saline solution infus","HOSPIRA","00074710102","00074-7101-02","Sodium Chloride","250 CC",250,24,1,24,,
"J2912","Sodium chloride injection","HOSPIRA","00074710166","00074-7101-66","Sodium Chloride","2 ML",50,50,25,1250,,
"J7130","Hypertonic saline solution","HOSPIRA","00074710166","00074-7101-66","Sodium Chloride",,50,50,125,2.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074710167","00074-7101-67","Sodium Chloride","2 ML",100,50,50,2500,,
"J7130","Hypertonic saline solution","HOSPIRA","00074710167","00074-7101-67","Sodium Chloride",,100,50,250,5,,"20 CC"
"J7051","Sterile saline/water","HOSPIRA","00074711807","00074-7118-07","Sterile Water For Injection",,2000,6,2400,400,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074713906","00074-7139-06","Sterile Water For Irrigation",,1500,8,2400,300,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074713909","00074-7139-09","Sterile Water For Irrigation",,1000,12,2400,200,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074713936","00074-7139-36","Sterile Water For Irrigation",,1500,9,2700,300,,"5 CC"
"J0170","Adrenalin epinephrin inject","HOSPIRA","00074724101","00074-7241-01","Epinephrine Hcl","1 ML",1,25,1,25,,
"J0170","Adrenalin epinephrin inject","HOSPIRA","00074724161","00074-7241-61","Epinephrine Hcl","1 ML",1,800,1,800,,
"J0171","Adrenalin epinephrine inject","HOSPIRA","00074724161","00074-7241-61","Epinephrine Hcl","0.1 MG",1,800,10,8000,,
"J7502","Cyclosporine oral 100 mg","AbbVie US, LLC","00074726950","00074-7269-50","Gengraf","100 MG",50,1,50,50,,
"J0280","Aminophyllin 250 MG inj","HOSPIRA","00074738501","00074-7385-01","Aminophylline","250 MG",10,25,1,25,,
"J0280","Aminophyllin 250 MG inj","HOSPIRA","00074738601","00074-7386-01","Aminophylline","250 MG",20,25,2,50,,
"J7100","Dextran 40 infusion","HOSPIRA","00074741903","00074-7419-03","Lmd In Nacl","500 ML",500,12,1,12,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074762003","00074-7620-03","Heparin (Porcine) In Nacl","1000 UNITS",500,18,1,18,,
"J1644","Inj heparin sodium per 1000u","ABBOTT","00074762059","00074-7620-59","Heparin (Porcine) In Nacl","1000 UNITS",1000,12,2,24,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074765062","00074-7650-62","Heparin (Porcine) In Nacl","1000 UNITS",250,24,25,600,,
"J1644","Inj heparin sodium per 1000u","ABBOTT","00074765103","00074-7651-03","Heparin (Porcine) In Nacl","1000 UNITS",500,24,25,600,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074765162","00074-7651-62","Heparin (Porcine) In Nacl","1000 UNITS",250,24,12.5,300,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00074766503","00074-7665-03","Theophylline In D5W","40 MG",500,24,10,240,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00074766509","00074-7665-09","Theophylline In D5W","40 MG",1000,12,20,240,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00074766603","00074-7666-03","Theophylline In D5W","40 MG",500,24,20,480,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00074766662","00074-7666-62","Theophylline In D5W","40 MG",250,24,10,240,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00074766823","00074-7668-23","Theophylline In D5W","40 MG",100,24,5,120,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00074767713","00074-7677-13","Theophylline In D5W","40 MG",50,24,5,120,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00074767723","00074-7677-23","Theophylline In D5W","40 MG",100,24,10,240,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00074770562","00074-7705-62","Theophylline In D5W","40 MG",250,24,20,480,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074776003","00074-7760-03","Heparin (Porcine) In D5W","1000 UNITS",500,24,20,480,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074776103","00074-7761-03","Heparin (Porcine) In D5W","1000 UNITS",500,24,25,600,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074779323","00074-7793-23","Heparin (Porcine) In D5W","1000 UNITS",100,24,10,240,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074779362","00074-7793-62","Heparin (Porcine) In D5W","1000 UNITS",250,24,25,600,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00074779462","00074-7794-62","Heparin (Porcine) In D5W","1000 UNITS",250,24,12.5,300,,
"J1265","Dopamine injection","HOSPIRA","00074780822","00074-7808-22","Dopamine In D5W","40 MG",250,12,5,60,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074780822","00074-7808-22","Dopamine In D5W",,250,12,60,5,,"40 MG"
"J1265","Dopamine injection","HOSPIRA","00074780824","00074-7808-24","Dopamine In D5W","40 MG",500,12,10,120,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074780824","00074-7808-24","Dopamine In D5W",,500,12,120,10,,"40 MG"
"J1265","Dopamine injection","HOSPIRA","00074780922","00074-7809-22","Dopamine In D5W","40 MG",250,12,10,120,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074780922","00074-7809-22","Dopamine In D5W",,250,12,120,10,,"40 MG"
"J1265","Dopamine injection","HOSPIRA","00074780924","00074-7809-24","Dopamine In D5W","40 MG",500,12,20,240,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074780924","00074-7809-24","Dopamine In D5W",,500,12,240,20,,"40 MG"
"J1265","Dopamine injection","HOSPIRA","00074781022","00074-7810-22","Dopamine In D5W","40 MG",250,12,20,240,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074781022","00074-7810-22","Dopamine In D5W",,250,12,240,20,,"40 MG"
"J0460","Atropine sulfate injection","HOSPIRA","00074789715","00074-7897-15","Atropine Sulfate","0.3 MG",5,10,0.835,8.35,,
"J7060","5% dextrose/water","HOSPIRA","00074792202","00074-7922-02","Dextrose","500 ML",250,24,0.5,12,,
"J7070","D5W infusion","HOSPIRA","00074792202","00074-7922-02","Dextrose","1000 CC",250,24,0.25,6,,
"J7060","5% dextrose/water","HOSPIRA","00074792203","00074-7922-03","Dextrose","500 ML",500,24,1,24,,
"J7070","D5W infusion","HOSPIRA","00074792203","00074-7922-03","Dextrose","1000 CC",500,24,0.5,12,,
"J7060","5% dextrose/water","HOSPIRA","00074792209","00074-7922-09","Dextrose","500 ML",1000,12,2,24,,
"J7070","D5W infusion","HOSPIRA","00074792209","00074-7922-09","Dextrose","1000 CC",1000,12,1,12,,
"J7060","5% dextrose/water","HOSPIRA","00074792253","00074-7922-53","Dextrose","500 ML",250,24,0.5,12,,
"J7070","D5W infusion","HOSPIRA","00074792253","00074-7922-53","Dextrose","1000 CC",250,24,0.25,6,,
"J7060","5% dextrose/water","HOSPIRA","00074792255","00074-7922-55","Dextrose","500 ML",500,18,1,18,,
"J7070","D5W infusion","HOSPIRA","00074792255","00074-7922-55","Dextrose","1000 CC",500,18,0.5,9,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074792402","00074-7924-02","Dextrose-Nacl","500 ML",250,24,0.5,12,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074792403","00074-7924-03","Dextrose-Nacl","500 ML",500,24,1,24,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074792409","00074-7924-09","Dextrose-Nacl","500 ML",1000,12,2,24,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074792502","00074-7925-02","Dextrose-Nacl","500 ML",250,24,0.5,12,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074792503","00074-7925-03","Dextrose-Nacl","500 ML",500,24,1,24,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074792509","00074-7925-09","Dextrose-Nacl","500 ML",1000,12,2,24,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074792602","00074-7926-02","Dextrose-Nacl","500 ML",250,24,0.5,12,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074792603","00074-7926-03","Dextrose-Nacl","500 ML",500,24,1,24,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074792609","00074-7926-09","Dextrose-Nacl","500 ML",1000,12,2,24,,
"J2001","Lidocaine injection","HOSPIRA","00074793124","00074-7931-24","Lidocaine In D5W","10 MG",500,24,200,4800,,
"J2001","Lidocaine injection","HOSPIRA","00074793132","00074-7931-32","Lidocaine In D5W","10 MG",250,12,100,1200,,
"J2001","Lidocaine injection","HOSPIRA","00074793932","00074-7939-32","Lidocaine In D5W","10 MG",250,12,200,2400,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074794003","00074-7940-03","Dextrose-Nacl","500 ML",500,24,1,24,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074794009","00074-7940-09","Dextrose-Nacl",,1000,12,24,2,,"500 ML"
"J7042","5% dextrose/normal saline","HOSPIRA","00074794102","00074-7941-02","Dextrose-Nacl","500 ML",250,24,0.5,12,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074794103","00074-7941-03","Dextrose-Nacl","500 ML",500,24,1,24,,
"J7042","5% dextrose/normal saline","HOSPIRA","00074794109","00074-7941-09","Dextrose-Nacl","500 ML",1000,12,2,24,,
"J7120","Ringers lactate infusion","HOSPIRA","00074795302","00074-7953-02","Lactated Ringers","1000 CC",250,24,0.25,6,,
"J7120","Ringers lactate infusion","HOSPIRA","00074795303","00074-7953-03","Lactated Ringers","1000 CC",500,24,0.5,12,,
"J7120","Ringers lactate infusion","HOSPIRA","00074795309","00074-7953-09","Lactated Ringers","1000 CC",1000,12,1,12,,
"J7051","Sterile saline/water","HOSPIRA","00074797305","00074-7973-05","Sterile Water For Irrigation",,1000,12,2400,200,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074797307","00074-7973-07","Sterile Water For Irrigation",,2000,6,2400,400,,"5 CC"
"J7051","Sterile saline/water","HOSPIRA","00074797308","00074-7973-08","Sterile Water For Irrigation",,3000,4,2400,600,,"5 CC"
"J7030","Normal saline solution infus","HOSPIRA","00074798302","00074-7983-02","Sodium Chloride","1000 CC",250,24,0.25,6,,
"J7040","Normal saline solution infus","HOSPIRA","00074798302","00074-7983-02","Sodium Chloride","500 ML",250,24,0.5,12,,
"J7050","Normal saline solution infus","HOSPIRA","00074798302","00074-7983-02","Sodium Chloride","250 CC",250,24,1,24,,
"J7030","Normal saline solution infus","HOSPIRA","00074798303","00074-7983-03","Sodium Chloride","1000 CC",500,24,0.5,12,,
"J7040","Normal saline solution infus","HOSPIRA","00074798303","00074-7983-03","Sodium Chloride",,500,24,24,1,,"500 CC"
"J7050","Normal saline solution infus","HOSPIRA","00074798303","00074-7983-03","Sodium Chloride",,500,24,48,2,,"250 CC"
"J7030","Normal saline solution infus","HOSPIRA","00074798309","00074-7983-09","Sodium Chloride","1000 CC",1000,12,1,12,,
"J7040","Normal saline solution infus","HOSPIRA","00074798309","00074-7983-09","Sodium Chloride","500 ML",1000,12,2,24,,
"J7050","Normal saline solution infus","HOSPIRA","00074798309","00074-7983-09","Sodium Chloride","250 CC",1000,12,4,48,,
"J7030","Normal saline solution infus","HOSPIRA","00074798353","00074-7983-53","Sodium Chloride","1000 CC",250,24,0.25,6,,
"J7040","Normal saline solution infus","HOSPIRA","00074798353","00074-7983-53","Sodium Chloride","500 ML",250,24,0.5,12,,
"J7050","Normal saline solution infus","HOSPIRA","00074798353","00074-7983-53","Sodium Chloride","250 CC",250,24,1,24,,
"J7030","Normal saline solution infus","HOSPIRA","00074798355","00074-7983-55","Sodium Chloride","1000 CC",500,18,0.5,9,,
"J7040","Normal saline solution infus","HOSPIRA","00074798355","00074-7983-55","Sodium Chloride","500 ML",500,18,1,18,,
"J7050","Normal saline solution infus","HOSPIRA","00074798355","00074-7983-55","Sodium Chloride","250 CC",500,18,2,36,,
"J2912","Sodium chloride injection","HOSPIRA","00074798361","00074-7983-61","Sodium Chloride","2 ML",150,32,75,2400,,
"J7130","Hypertonic saline solution","HOSPIRA","00074798361","00074-7983-61","Sodium Chloride",,150,32,240,7.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074798413","00074-7984-13","Sodium Chloride","2 ML",50,48,25,1200,,
"J7130","Hypertonic saline solution","HOSPIRA","00074798413","00074-7984-13","Sodium Chloride",,50,48,120,2.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074798420","00074-7984-20","Sodium Chloride","2 ML",25,48,12.5,600,,
"J7130","Hypertonic saline solution","HOSPIRA","00074798420","00074-7984-20","Sodium Chloride",,25,48,60,1.25,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074798423","00074-7984-23","Sodium Chloride","2 ML",100,48,50,2400,,
"J7130","Hypertonic saline solution","HOSPIRA","00074798423","00074-7984-23","Sodium Chloride",,100,48,240,5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074798436","00074-7984-36","Sodium Chloride","2 ML",50,80,25,2000,,
"J7130","Hypertonic saline solution","HOSPIRA","00074798436","00074-7984-36","Sodium Chloride",,50,80,200,2.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00074798437","00074-7984-37","Sodium Chloride","2 ML",100,80,50,4000,,
"J7130","Hypertonic saline solution","HOSPIRA","00074798437","00074-7984-37","Sodium Chloride",,100,80,400,5,,"20 CC"
"J7051","Sterile saline/water","HOSPIRA","00074799009","00074-7990-09","Sterile Water For Injection",,1000,12,2400,200,,"5 CC"
"J0330","Succinycholine chloride inj","HOSPIRA","00074806515","00074-8065-15","Quelicin","20 MG",5,10,5,50,,
"J0636","Inj calcitriol per 0.1 mcg","Abbott Laboratories, Inc.","00074811031","00074-8110-31","Calcijex","0.1 MCG",1,100,10,1000,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074909332","00074-9093-32","Fentanyl Citrate","0.1 MG",2,10,1,10,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074909335","00074-9093-35","Fentanyl Citrate","0.1 MG",5,10,2.5,25,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074909336","00074-9093-36","Fentanyl Citrate","0.1 MG",10,5,5,25,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074909338","00074-9093-38","Fentanyl Citrate","0.1 MG",20,5,10,50,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074909422","00074-9094-22","Fentanyl Citrate","0.1 MG",2,25,1,25,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074909425","00074-9094-25","Fentanyl Citrate","0.1 MG",5,25,2.5,62.5,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074909428","00074-9094-28","Fentanyl Citrate","0.1 MG",10,25,5,125,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074909431","00074-9094-31","Fentanyl Citrate","0.1 MG",20,25,10,250,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00074909461","00074-9094-61","Fentanyl Citrate","0.1 MG",50,25,25,625,,
"J1265","Dopamine injection","HOSPIRA","00074910420","00074-9104-20","Dopamine Hcl","40 MG",10,25,10,250,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00074910420","00074-9104-20","Dopamine Hcl",,10,25,250,10,,"40 MG"
"J3430","Vitamin k phytonadione inj","HOSPIRA","00074915701","00074-9157-01","Vitamin K1","1 MG",0.5,25,1,25,,
"J3430","Vitamin k phytonadione inj","HOSPIRA","00074915801","00074-9158-01","Vitamin K1","1 MG",1,25,10,250,,
"J0135","Adalimumab injection","AbbVie US, LLC","00074937402","00074-9374-02","Humira","20 MG",0.4,2,1,2,,
"J0460","Atropine sulfate injection","HOSPIRA","00074962905","00074-9629-05","Atropine Sulfate","0.3 MG",5,10,1.65,16.5,,
"J0460","Atropine sulfate injection","HOSPIRA","00074963005","00074-9630-05","Atropine Sulfate",,5,10,8.35,0.835,,"0.3 MG"
"J1940","Furosemide injection","HOSPIRA","00074963104","00074-9631-04","Furosemide","20 MG",4,10,2,20,,
"J1950","Leuprolide acetate /3.75 mg","AbbVie US, LLC","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","Ferring Pharmaceuticals Inc.","00075245101","00075-2451-01","Ddavp","1 MCG",1,10,4,40,,
"J2597","Inj desmopressin acetate","Ferring Pharmaceuticals Inc.","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,,
"J9170","Docetaxel","AVENTIS","00075800120","00075-8001-20","Taxotere","20 MG",0.5,1,1,1,,
"J9171","Docetaxel injection","SANOFI-AVENTIS","00075800120","00075-8001-20","Taxotere","1 MG",0.5,1,20,20,,
"J9170","Docetaxel","AVENTIS","00075800180","00075-8001-80","Taxotere","20 MG",2,1,4,4,,
"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,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075801310","00075-8013-10","Lovenox","10 MG",0.3,10,3,30,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075801410","00075-8014-10","Lovenox","10 MG",0.4,10,4,40,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075801610","00075-8016-10","Lovenox","10 MG",0.6,10,6,60,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075801810","00075-8018-10","Lovenox","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075802010","00075-8020-10","Lovenox","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075802210","00075-8022-10","Lovenox","10 MG",0.8,10,12,120,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075802510","00075-8025-10","Lovenox","10 MG",1,10,15,150,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00075803001","00075-8030-01","Lovenox","10 MG",3,1,30,30,,
"J1110","Inj dihydroergotamine mesylt","XCEL PHARMACEUTICAL","00078004101","00078-0041-01","D.H.E. 45",,1,10,10,1,,"1 MG"
"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","00078018003","00078-0180-03","Sandostatin","25 MCG",1,20,2,40,,
"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","00078018103","00078-0181-03","Sandostatin","25 MCG",1,20,4,80,,
"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","00078018203","00078-0182-03","Sandostatin",,1,20,400,20,,"25 MCG"
"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,,
"Q2019","Basiliximab","NOVARTIS","00078033184","00078-0331-84","Simulect",,1,1,1,1,,"20 MG"
"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","00078034084","00078-0340-84","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","00078034184","00078-0341-84","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,,
"J2353","Octreotide injection, depot","NOVARTIS","00078034284","00078-0342-84","Sandostatin Lar Depot",,1,1,30,30,,"1 MG"
"J0895","Deferoxamine mesylate inj","Novartis Pharmaceuticals Corporation","00078034751","00078-0347-51","Desferal","500 MG",4,1,16,16,,
"J3487","Zoledronic acid","NOVARTIS","00078035084","00078-0350-84","Zometa","1 MG",1,1,4,4,,
"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,,
"J3489","Zoledronic acid 1mg","Novartis Pharmaceuticals Corporation","00078038725","00078-0387-25","Zometa","1 MG",5,1,4,4,,
"Q2051","Zoledronic acid 1mg","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,,
"Q2019","Basiliximab","NOVARTIS","00078039361","00078-0393-61","Simulect",,1,1,0.5,0.5,,"20 MG"
"J7527","Oral everolimus","Novartis Pharmaceuticals Corporation","00078041420","00078-0414-20","Zortress","0.25 MG",60,1,120,120,,
"J8561","Oral everolimus","Novartis Pharmaceuticals Corporation","00078041420","00078-0414-20","Zortress","0.25 MG",60,1,120,120,,
"J7527","Oral everolimus","Novartis Pharmaceuticals Corporation","00078041520","00078-0415-20","Zortress","0.25 MG",60,1,180,180,,
"J8561","Oral everolimus","Novartis Pharmaceuticals Corporation","00078041520","00078-0415-20","Zortress","0.25 MG",60,1,180,180,,
"J7527","Oral everolimus","Novartis Pharmaceuticals Corporation","00078041720","00078-0417-20","Zortress","0.25 MG",60,1,60,60,,
"J8561","Oral everolimus","Novartis Pharmaceuticals Corporation","00078041720","00078-0417-20","Zortress","0.25 MG",60,1,60,60,,
"J3488","Reclast injection","Novartis Pharmaceuticals Corporation","00078043561","00078-0435-61","Reclast","1 MG",100,1,5,5,,
"J3489","Zoledronic acid 1mg","Novartis Pharmaceuticals Corporation","00078043561","00078-0435-61","Reclast","1 MG",100,1,5,5,,
"Q2051","Zoledronic acid 1mg","Novartis Pharmaceuticals Corporation","00078043561","00078-0435-61","Reclast","1 MG",100,1,5,5,,
"Q4095","Reclast injection","NOVARTIS","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,,
"J3489","Zoledronic acid 1mg","Novartis Pharmaceuticals Corporation","00078059061","00078-0590-61","Zometa","1 MG",100,1,4,4,,
"Q2051","Zoledronic acid 1mg","Novartis Pharmaceuticals Corporation","00078059061","00078-0590-61","Zometa","1 MG",100,1,4,4,,
"J7507","Tacrolimus Imme Rel oral 1mg","Novartis Pharmaceuticals Corporation","00078061605","00078-0616-05","TACROLIMUS","1 MG",100,1,50,50,,
"J7507","Tacrolimus imme rel oral 1mg","Novartis Pharmaceuticals Corporation","00078061705","00078-0617-05","TACROLIMUS","1 MG",100,1,100,100,,
"J7507","Tacrolimus Imme Rel oral 1mg","Novartis Pharmaceuticals Corporation","00078061805","00078-0618-05","TACROLIMUS","1 MG",100,1,500,500,,
"C9454","Inj, pasireotide long acting","Novartis Pharmaceuticals Corporation","00078064181","00078-0641-81","Signifor LAR","1 MG",1,1,20,20,,
"C9454","Inj, pasireotide long acting","Novartis Pharmaceuticals Corporation","00078064281","00078-0642-81","Signifor LAR","1 MG",1,1,40,40,,
"C9454","Inj, pasireotide long acting","Novartis Pharmaceuticals Corporation","00078064381","00078-0643-81","Signifor LAR","1 MG",1,1,60,60,,
"J2353","Octreotide injection, depot","Novartis Pharmaceuticals Corporation","00078064681","00078-0646-81","Sandostatin Lar Depot","1 MG",1,1,10,10,,
"J2353","Octreotide injection, depot","Novartis Pharmaceuticals Corporation","00078064781","00078-0647-81","Sandostatin Lar Depot","1 MG",1,1,20,20,,
"J2353","Octreotide injection, depot","Novartis Pharmaceuticals Corporation","00078064881","00078-0648-81","Sandostatin Lar Depot","1 MG",1,1,30,30,,
"J9302","Ofatumumab injection","Novartis Pharmaceuticals Corporation","00078066913","00078-0669-13","ARZERRA","10 MG",5,3,10,30,,
"J8705","Topotecan oral","NOVARTIS PHARMACEUTICALS CORP.","00078067201","00078-0672-01","Hycamtin, Oral","0.25 mg",1,10,1,10,,
"J8705","Topotecan oral","Novartis Pharmaceuticals Corporation","00078067301","00078-0673-01","Hycamtin, Oral","0.25 mg",1,10,4,40,,
"J9351","Topotecan injection","NOVARTIS","00078067461","00078-0674-61","Hycamtin","0.1 MG",1,1,40,40,,
"Q0162","Ondansetron oral","NOVARTIS","00078067919","00078-0679-19","Zofran ODT","1 MG",1,30,4,120,,
"J9261","Nelarabine injection","NOVARTIS","00078068306","00078-0683-06","ARRANON","50 MG",50,6,5,30,,
"J9302","Ofatumumab injection","Novartis Pharmaceuticals Corporation","00078069061","00078-0690-61","ARZERRA","10 MG",50,1,100,100,,
"J0638","Canakinumab injection","NOVARTIS PHARMACEUTICALS CORP.","00078073461","00078-0734-61","ILARIS","1 MG",150,1,150,150,,
"J2353","Octreotide injection, depot","NOVARTIS","00078081181","00078-0811-81","Sandostatin Lar Depot","1 MG",1,1,10,10,,
"J2353","Octreotide injection, depot","Novartis Pharmaceuticals Corporation","00078081881","00078-0818-81","Sandostatin Lar Depot","1 MG",1,1,20,20,,
"J2353","Octreotide injection, depot","Novartis Pharmaceuticals Corporation","00078082581","00078-0825-81","Sandostatin Lar Depot","1 MG",1,1,30,30,,
"J2430","Pamidronate disodium /30 MG","NOVARTIS","00083260104","00083-2601-04","Aredia","30 MG",1,4,1,4,,
"J2430","Pamidronate disodium /30 MG","NOVARTIS","00083260901","00083-2609-01","Aredia","30 MG",1,1,3,3,,
"J0895","Deferoxamine mesylate inj","NOVARTIS","00083380104","00083-3801-04","Desferal","500 MG",1,4,1,4,,
"J2670","Totazoline hcl injection","NOVARTIS","00083673304","00083-6733-04","Priscoline",,4,4,16,4,,"25 MG"
"J3310","Perphenazine injeciton","SCHERING","00085001204","00085-0012-04","Trilafon",,1,100,100,1,,"5 MG"
"J1580","Garamycin gentamicin inj","SCHERING","00085006904","00085-0069-04","Garamycin",,2,25,25,1,,"80 MG"
"Q0175","Perphenazine 4mg oral","SCHERING","00085007705","00085-0077-05","Trilafon",,100,1,400,400,,"4 MG"
"J1730","Diazoxide injection","SCHERING","00085020105","00085-0201-05","Hyperstat","300 MG",20,1,1,1,,
"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,,
"Q0175","Perphenazine 4mg oral","SCHERING","00085070504","00085-0705-04","Trilafon",,100,1,50,50,,"4 MG"
"J0702","Betamethasone acet&sod phosp","Schering Corporation","00085094205","00085-0942-05","CELESTONE SYRUP 0.6MG/5ML 4-FL OZ BOTTLE","3 MG",120,1,4.8,4.8,,
"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","00085117902","00085-1179-02","Intron-A","1 MIL UNITS",1,6,10,60,,
"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,,
"J7602","Albuterol inh non-comp con","SCHERING","00085133601","00085-1336-01","Proventil","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","SCHERING","00085133601","00085-1336-01","Proventil","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","SCHERING","00085133601","00085-1336-01","Proventil","1 MG",20,1,100,100,,
"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,,
"J8700","Temozolomide","Schering Corporation","00085136603","00085-1366-03","Temodar","5 MG",1,5,20,100,,
"J8700","Temozolomide","Schering Corporation","00085136604","00085-1366-04","Temodar","5 MG",1,14,20,280,,
"C9253","Injection, temozolomide","SCHERING CORPORATION","00085138101","00085-1381-01","TEMODAR IV","1 MG",1,1,100,100,,
"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","00085141702","00085-1417-02","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","00085142503","00085-1425-03","Temodar","5 MG",1,5,28,140,,
"J8700","Temozolomide","Schering Corporation","00085142504","00085-1425-04","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","00085143003","00085-1430-03","Temodar","5 MG",1,5,36,180,,
"J8700","Temozolomide","Schering Corporation","00085143004","00085-1430-04","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,,
"J8700","Temozolomide","Schering Corporation","00085151903","00085-1519-03","Temodar","5 MG",1,5,4,20,,
"J8700","Temozolomide","Schering Corporation","00085151904","00085-1519-04","Temodar","5 MG",1,14,4,56,,
"J0744","Ciprofloxacin iv","SCHERING","00085173101","00085-1731-01","CIPROFLOXACIN","200 MG",40,10,2,20,,
"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","00085176201","00085-1762-01","CIPROFLOXACIN","200 MG",200,24,2,48,,
"J0744","Ciprofloxacin iv","SCHERING","00085176303","00085-1763-03","CIPROFLOXACIN","200 MG",20,10,1,10,,
"J0744","Ciprofloxacin iv","SCHERING","00085178101","00085-1781-01","CIPROFLOXACIN","200 MG",100,24,1,24,,
"J0744","Ciprofloxacin iv","Schering Corporation","00085178201","00085-1782-01","CIPROFLOXACIN","200 MG",200,12,2,24,,
"J7603","Albuterol inh non-comp u d ","SCHERING","00085180601","00085-1806-01","Proventil","1 MG",3,24,2.5,60,,
"J7613","Albuterol non-comp unit dose1","SCHERING","00085180601","00085-1806-01","Proventil","1 MG",3,24,2.5,60,,
"Q4094","Albuterol inh non-comp u d ","SCHERING","00085180601","00085-1806-01","Proventil","1 MG",3,24,2.5,60,,
"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,,
"J8700","Temozolomide","Schering Corporation","00085300403","00085-3004-03","Temodar","5 MG",1,5,1,5,,
"J8700","Temozolomide","Schering Corporation","00085300404","00085-3004-04","Temodar","5 MG",1,14,1,14,,
"J0702","Betamethasone acet&sod phosp","MERCK SHARP & DOHME","00085432001","00085-4320-01","Celestone Soluspan","3 MG & 3 MG",5,1,5,5,,
"J9214","Interferon alfa-2b inj","Schering Corporation","00085435001","00085-4350-01","Intron-A","1 MIL UNITS",1,1,10,10,,
"J9214","Interferon alfa-2b inj","Schering Corporation","00085435101","00085-4351-01","Intron-A","1 MIL UNITS",1,1,18,18,,
"J9214","Interferon alfa-2b inj","Schering Corporation","00085435201","00085-4352-01","Intron-A","1 MIL UNITS",1,1,50,50,,
"J7608","Acetylcysteine inh sol u d","SANDOZ","00087057003","00087-0570-03","Mucomyst","1 GM",10,3,2,6,,
"J7608","Acetylcysteine inh sol u d","SANDOZ","00087057007","00087-0570-07","Mucomyst",,4,12,9.6,0.8,,"1 G"
"J7608","Acetylcysteine inh sol u d","SANDOZ","00087057009","00087-0570-09","Mucomyst","1 GM",30,3,6,18,,
"J7608","Acetylcysteine inh sol u d","SANDOZ","00087057201","00087-0572-01","Mucomyst-10",,10,3,3,1,,"1 G"
"J7608","Acetylcysteine inh sol u d","SANDOZ","00087057202","00087-0572-02","Mucomyst-10","1 GM",30,3,3,9,,
"J7608","Acetylcysteine inh sol u d","SANDOZ","00087057203","00087-0572-03","Mucomyst-10",,4,12,4.8,0.4,,"1 G"
"J0595","Butorphanol tartrate 1 mg","BRISTOL-MYERS SQUIBB","00087565041","00087-5650-41","Stadol Ns","1 MG",2.5,1,25,25,,
"J0706","Caffeine citrate injection","BRISTOL-MYERS SQUIBB","00087601142","00087-6011-42","Cafcit","5 MG",3,1,12,12,,
"J0706","Caffeine citrate injection","BRISTOL-MYERS SQUIBB","00087611142","00087-6111-42","Cafcit","5 MG",3,1,12,12,,
"J1595","Injection glatiramer acetate","AVENTIS","00088115330","00088-1153-30","Copaxone","20 MG",1,1,30,30,,
"Q0180","Dolasetron mesylate oral","SANOFI-AVENTIS","00088120205","00088-1202-05","Anzemet","100 MG",5,1,2.5,2.5,,
"Q0180","Dolasetron mesylate oral","AVENTIS","00088120229","00088-1202-29","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","AVENTIS","00088120329","00088-1203-29","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","ABBOTT","00088120865","00088-1208-65","Anzemet","10 MG",0.625,6,1.25,7.5,,
"J1260","Dolasetron mesylate","ABBOTT","00088120869","00088-1208-69","Anzemet","10 MG",2,10,4,40,,
"J1260","Dolasetron mesylate","ABBOTT","00088120876","00088-1208-76","Anzemet","10 MG",0.625,10,1.25,12.5,,
"J1260","Dolasetron mesylate","SANOFI-AVENTIS","00088120926","00088-1209-26","Anzemet","10 MG",25,1,50,50,,
"J1815","Insulin injection","AVENTIS","00088222033","00088-2220-33","Lantus",,10,1,200,200,,"5 UNITS"
"J1815","Insulin injection","AVENTIS","00088250033","00088-2500-33","APIDRA ","50 UNITS",1,1,20,20,,
"J1817","Insulin for insulin pump use","AVENTIS","00088250033","00088-2500-33","Apidra","50 UNITS",1,1,20,20,,
"J1815","Insulin injection","AVENTIS","00088250052","00088-2500-52","APIDRA "," 50 UNITS",1,5,6,30,,
"J1815","Insulin injection","AVENTIS","00088250205","00088-2502-05","APIDRA SOLOSTAR","50 UNITS",1,5,6,30,,
"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","00091101006","00091-1010-06","Edex","1.25 MCG",1,1,8,8,,
"J0270","Alprostadil for injection","SCHWARZ PHARMA","00091102006","00091-1020-06","Edex","1.25 MCG",1,1,16,16,,
"J0270","Alprostadil for injection","SCHWARZ PHARMA","00091102722","00091-1027-22","Edex","1.25 MCG",1,1,8,8,,
"J0270","Alprostadil for injection","SCHWARZ PHARMA","00091102922","00091-1029-22","Edex","1.25 MCG",1,1,16,16,,
"J0270","Alprostadil for injection","SCHWARZ PHARMA","00091103222","00091-1032-22","Edex","1.25 MCG",1,1,32,32,,
"J0270","Alprostadil for injection","SCHWARZ PHARMA","00091104006","00091-1040-06","Edex","1.25 MCG",1,1,32,32,,
"J0270","Alprostadil for injection","SCHWARZ PHARMA","00091111011","00091-1110-11","Edex","1.25 MCG",1,1,8,8,,
"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","00091112011","00091-1120-11","Edex","1.25 MCG",1,1,16,16,,
"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","00091114011","00091-1140-11","Edex","1.25 MCG",1,1,32,32,,
"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,,
"J0270","Alprostadil for injection","SCHWARZ PHARMA","00091141044","00091-1410-44","Edex","1.25 MCG",1,4,8,32,,
"J0270","Alprostadil for injection","SCHWARZ PHARMA","00091142044","00091-1420-44","Edex","1.25 MCG",1,4,16,64,,
"J0270","Alprostadil for injection","SCHWARZ PHARMA","00091144044","00091-1440-44","Edex","1.25 MCG",1,4,32,128,,
"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,,
"Q0179","Ondansetron hcl 8 mg oral","TEVA PHARMACEUTICALS USA, INC.","00093023333","00093-0233-33","Ondansetron HCl","8 MG",1,3,0.5,1.5,,
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093023356","00093-0233-56","Ondansetron HCl","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","TEVA PHARMACEUTICALS USA, INC.","00093023356","00093-0233-56","Ondansetron HCl","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093023393","00093-0233-93","ONDANSETRON HCL","1 MG",1,100,4,400,,
"Q0179","Ondansetron hcl 8 mg oral","TEVA PHARMACEUTICALS USA","00093023393","00093-0233-93","ONDANSETRON HCL","8 MG",1,100,0.5,50,,
"J7682","Tobramycin non-comp unit","TEVA PHARMACEUTICALS USA, INC.","00093408563","00093-4085-63","Tobramycin inhalation","300 MG",5,56,1,56,,
"J7614","Levalbuterol non-comp unit","TEVA PHARMACEUTICALS USA, INC.","00093414564","00093-4145-64","LEVALBUTEROL","0.5 MG",3,24,0.62,15,,
"J7614","Levalbuterol non-comp unit","TEVA PHARMACEUTICALS USA, INC.","00093414664","00093-4146-64","LEVALBUTEROL","0.5 MG",3,24,1.25,30,,
"J7612","Levalbuterol non-comp con","TEVA PHARMACEUTICALS USA, INC.","00093414756","00093-4147-56","LEVALBUTEROL","0.5 MG",0.5,30,2.5,75,,
"J7614","Levalbuterol non-comp unit","TEVA PHARMACEUTICALS USA, INC.","00093414864","00093-4148-64","LEVALBUTEROL","0.5 MG",3,24,2.5,60,,
"J8515","Cabergoline, oral 0.25mg","TEVA","00093542088","00093-5420-88","CABERGOLINE","0.25 MG",8,1,16,16,,
"J7515","Cyclosporine oral 25 mg","TEVA PHARMACEUTICALS USA, INC.","00093574065","00093-5740-65","Cyclosporine Modified","25 MG",30,1,30,30,,
"J7515","Cyclosporine oral 25 mg","TEVA PHARMACEUTICALS USA, INC.","00093574165","00093-5741-65","Cyclosporine Modified","25 MG",30,1,60,60,,
"J7502","Cyclosporine oral 100 mg","TEVA PHARMACEUTICALS USA, INC.","00093574265","00093-5742-65","Cyclosporine Modified","100 MG",30,1,30,30,,
"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,,
"J7626","Budesonide non-comp unit","TEVA PHARMACEUTICALS USA, INC.","00093681773","00093-6817-73","Budesonide","UP TO 0.50 MG",2,30,2,60,,
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093723633","00093-7236-33","Ondansetron HCl","1 MG",1,3,8,24,,
"Q0179","Ondansetron hcl 8 mg oral","TEVA PHARMACEUTICALS USA, INC.","00093723633","00093-7236-33","Ondansetron HCl","8 MG",1,3,1,3,,
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093723656","00093-7236-56","Ondansetron HCl","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","TEVA PHARMACEUTICALS USA, INC.","00093723656","00093-7236-56","Ondansetron HCl","8 MG",1,30,1,30,,
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093723693","00093-7236-93","Ondansetron HCl","1 MG",1,100,8,800,,
"Q0179","Ondansetron hcl 8 mg oral","TEVA PHARMACEUTICALS USA","00093723693","00093-7236-93","Ondansetron HCl","8 MG",1,100,1,100,,
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093730165","00093-7301-65","Ondansetron HCl","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","TEVA PHARMACEUTICALS USA, INC.","00093730165","00093-7301-65","Ondansetron HCl","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093730203","00093-7302-03","Ondansetron HCl","1 MG",1,10,8,80,,
"Q0179","Ondansetron hcl 8 mg oral","TEVA PHARMACEUTICALS USA, INC.","00093730203","00093-7302-03","Ondansetron HCl","8 MG",1,10,1,10,,
"Q0162","Ondansetron oral","TEVA PHARMACEUTICALS USA, INC.","00093730265","00093-7302-65","Ondansetron HCl","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","TEVA PHARMACEUTICALS USA, INC.","00093730265","00093-7302-65","Ondansetron HCl","8 MG",1,30,1,30,,
"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,,
"J8520","Capecitabine, oral, 150 mg","TEVA PHARMACEUTICALS USA, INC.","00093747306","00093-7473-06","CAPECITABINE","150 MG",60,1,60,60,,
"J8521","Capecitabine, oral, 500 mg","TEVA PHARMACEUTICALS USA, INC.","00093747489","00093-7474-89","CAPECITABINE","500 MG",120,1,120,120,,
"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,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093759941","00093-7599-41","TEMOZOLOMIDE","5 MG",1,14,1,14,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093759957","00093-7599-57","TEMOZOLOMIDE","5 MG",1,5,1,5,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093760041","00093-7600-41","TEMOZOLOMIDE","5 MG",1,14,4,56,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093760057","00093-7600-57","TEMOZOLOMIDE","5 MG",1,5,4,20,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093760141","00093-7601-41","TEMOZOLOMIDE","5 MG",1,14,20,280,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093760157","00093-7601-57","TEMOZOLOMIDE","5 MG",1,5,20,100,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093760257","00093-7602-57","TEMOZOLOMIDE","5 MG",1,5,50,250,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093763841","00093-7638-41","TEMOZOLOMIDE","5 MG",1,14,28,392,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093763857","00093-7638-57","TEMOZOLOMIDE","5 MG",1,5,28,140,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093763941","00093-7639-41","TEMOZOLOMIDE","5 MG",1,14,36,504,,
"J8700","Temozolomide","TEVA PHARMACEUTICALS USA, INC.","00093763957","00093-7639-57","TEMOZOLOMIDE","5 MG",1,5,36,180,,
"Q0164","Prochlorperazine maleate 5mg","TEVA PHARMACEUTICALS USA, INC.","00093964301","00093-9643-01","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"Q0164","Prochlorperazine maleate 5mg","TEVA PHARMACEUTICALS USA, INC.","00093965201","00093-9652-01","Prochlorperazine Maleate","5 MG",100,1,200,200,,
"Q0165","Prochlorperazine maleate10mg","TEVA PHARMACEUTICALS USA, INC.","00093965201","00093-9652-01","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"J8540","Oral dexamethasone","ECR PHARMACEUTICALS","00095008651","00095-0086-51","DEXPAK",,,3,9,3,,"0.25 MG"
"J9178","Inj, epirubicin hcl, 2 mg","IMPAX GENERICS","00115167572","00115-1675-72","Epirubicin","2 MG",25,1,25,25,,
"J9178","Inj, epirubicin hcl, 2 mg","IMPAX GENERICS","00115167573","00115-1675-73","Epirubicin","2 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","PHARM ASSOCIATES","00121048905","00121-0489-05","Diphenhydramine Hcl","50 MG",5,100,1.25,125,,
"Q0163","Diphenhydramine HCl 50mg","PHARM ASSOCIATES","00121048910","00121-0489-10","Diphenhydramine Hcl","50 MG",10,100,2.5,250,,
"Q0163","Diphenhydramine HCl 50mg","PHARM ASSOCIATES","00121048920","00121-0489-20","Diphenhydramine Hcl","50 MG",20,100,5,500,,
"J7637","Dexamethasone inhal sol con","CENTRAL PHARMACEUTICAL","00131123005","00131-1230-05","Dexacen-4",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CENTRAL PHARMACEUTICAL","00131123005","00131-1230-05","Dexacen-4",,10,1,40,40,,"1 MG"
"C9254","Injection, lacosamide, 1 mg","Schwarz Pharma","00131181067","00131-1810-67","Vimpat","1 MG",200,10,200,2000,,
"J3360","Diazepam injection","ROCHE","00140193106","00140-1931-06","Valium","5 MG",2,10,2,20,,
"J3360","Diazepam injection","ROCHE","00140193206","00140-1932-06","Valium","5 MG",10,1,10,10,,
"J3360","Diazepam injection","ROCHE","00140193306","00140-1933-06","Valium","5 MG",2,10,2,20,,
"J7506","Prednisone oral","WEST-WARD","00143147301","00143-1473-01","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","WEST-WARD","00143147310","00143-1473-10","Prednisone","5 MG",1000,1,2000,2000,,
"J7506","Prednisone oral","West-Ward Pharmaceuticals Corp","00143147501","00143-1475-01","Prednisone","5 MG",100,1,100,100,,
"J7512","Prednisone ir or dr oral 1mg","West-Ward Pharmaceuticals Corp","00143147501","00143-1475-01","Prednisone","1 MG",100,1,500,500,,
"J7506","Prednisone oral","West-Ward Pharmaceuticals Corp","00143147510","00143-1475-10","Prednisone","5 MG",1000,1,1000,1000,,
"J7512","Prednisone ir or dr oral 1mg","West-Ward Pharmaceuticals Corp","00143147510","00143-1475-10","Prednisone","1 MG",1000,1,5000,5000,,
"J7506","Prednisone oral","WEST-WARD","00143147701","00143-1477-01","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","WEST-WARD","00143147705","00143-1477-05","Prednisone","5 MG",500,1,2000,2000,,
"J7506","Prednisone oral","WEST-WARD","00143147710","00143-1477-10","Prednisone","5 MG",1000,1,4000,4000,,
"Q0162","Ondansetron oral","West-Ward Pharmaceuticals Corp","00143242201","00143-2422-01","ONDANSETRON","1 MG",1,100,4,400,,
"Q0162","Ondansetron oral","West-Ward Pharmaceuticals Corp","00143242230","00143-2422-30","ONDANSETRON","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","West-Ward Pharmaceuticals Corp","00143242230","00143-2422-30","ONDANSETRON","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","West-Ward Pharmaceuticals Corp","00143242330","00143-2423-30","ONDANSETRON","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","West-Ward Pharmaceuticals Corp","00143242330","00143-2423-30","ONDANSETRON","8 MG",1,30,1,30,,
"J9211","Idarubicin hcl injection","WEST-WARD","00143921701","00143-9217-01","Idarubicin","5 MG",5,1,1,1,,
"J9211","Idarubicin hcl injection","WEST-WARD","00143921801","00143-9218-01","Idarubicin","5 MG",10,1,2,2,,
"J9211","Idarubicin hcl injection","WEST-WARD","00143921901","00143-9219-01","Idarubicin","5 MG",20,1,4,4,,
"J0690","Cefazolin sodium injection","WEST-WARD PHARMACEUTICAL CORP.","00143926110","00143-9261-10","Cefazolin Sodium","500 MG",1,10,20,200,,
"J0690","Cefazolin sodium injection","WEST-WARD PHARMACEUTICAL CORP.","00143926225","00143-9262-25","Cefazolin Sodium","500 MG",1,25,2,50,,
"J1630","Haloperidol injection","WEST-WARD","00143950125","00143-9501-25","Haloperidol Lactate","5 MG",1,25,1,25,,
"J1630","Haloperidol injection","WEST-WARD","00143950201","00143-9502-01","Haloperidol Lactate","5 MG",10,1,10,10,,
"J1120","Acetazolamid sodium injectio","West-Ward Pharmaceuticals Corp","00143950301","00143-9503-01","Acetazolamide Sodium","500 MG",1,1,1,1,,
"J2680","Fluphenazine decanoate 25 mg","WEST-WARD PHARMACEUTICAL CORP.","00143952901","00143-9529-01","Fluphenazine Decanoate","25 MG",5,1,5,5,,
"J9000","Doxorubicin hcl injection","WEST-WARD PHARMACEUTICAL CORP.","00143954601","00143-9546-01","Adriamycin","10 MG",100,1,20,20,,
"J9000","Doxorubicin hcl injection","WEST-WARD PHARMACEUTICAL CORP.","00143954701","00143-9547-01","Adriamycin","10 MG",25,1,5,5,,
"J9000","Doxorubicin hcl injection","WEST-WARD PHARMACEUTICAL CORP.","00143954810","00143-9548-10","Adriamycin","10 MG",10,10,2,20,,
"J9000","Doxorubicin hcl injection","WEST-WARD PHARMACEUTICAL CORP.","00143954910","00143-9549-10","Adriamycin","10 MG",5,10,1,10,,
"J0640","Leucovorin calcium injection","WEST-WARD","00143955201","00143-9552-01","Leucovorin Calcium","50 MG",1,1,7,7,,
"J0640","Leucovorin calcium injection","WEST-WARD","00143955301","00143-9553-01","Leucovorin Calcium","50 MG",1,1,4,4,,
"J0640","Leucovorin calcium injection","WEST-WARD","00143955401","00143-9554-01","Leucovorin Calcium","50 MG",1,1,2,2,,
"J0640","Leucovorin calcium injection","WEST-WARD","00143955501","00143-9555-01","Leucovorin Calcium","50 MG",1,1,1,1,,
"J0641","Levoleucovorin injection","WEST-WARD PHARMACEUTICAL CORP.","00143955801","00143-9558-01","Levoleucovorin Calcium","0.5 MG",1,1,100,100,,
"J0697","Sterile cefuroxime injection","West-Ward Pharmaceuticals Corp","00143956725","00143-9567-25","Cefuroxime Sodium","750 MG",1,25,2,50,,
"J0697","Sterile cefuroxime injection","West-Ward Pharmaceuticals Corp","00143956825","00143-9568-25","Cefuroxime Sodium","750 MG",1,25,1,25,,
"J0697","Sterile cefuroxime injection","West-Ward Pharmaceuticals Corp","00143956910","00143-9569-10","Cefuroxime Sodium","750 MG",1,10,10,100,,
"J2916","Na ferric gluconate complex","West-Ward Pharmaceuticals Corp","00143957010","00143-9570-10","SODIUM FERRIC GLUCONATE","12.5 MG",5,10,5,50,,
"J1953","Levetiracetam injection","West-Ward Pharmaceuticals Corp","00143957410","00143-9574-10","Levetiracetam","10 MG",5,10,50,500,,
"J1953","Levetiracetam injection","NOVAPLUS/WEST-WARD","00143957425","00143-9574-25","Levetiracetam","10 MG",5,25,50,1250,,
"J9206","Irinotecan injection","West-Ward Pharmaceuticals Corp","00143958301","00143-9583-01","Irinotecan HCL","20 MG",5,1,5,5,,
"J2501","Paricalcitol","West-Ward Pharmaceuticals Corp","00143959625","00143-9596-25","Paricalcitol","1 MCG",2,25,10,250,,
"J3420","Vitamin b12 injection","West-Ward Pharmaceuticals Corp","00143961910","00143-9619-10","Cyanocobalamin","1000 MCG",30,10,30,300,,
"J3420","Vitamin b12 injection","West-Ward Pharmaceuticals Corp","00143962010","00143-9620-10","Cyanocobalamin","1000 MCG",10,10,10,100,,
"J3420","Vitamin b12 injection","West-Ward Pharmaceuticals Corp","00143962125","00143-9621-25","Cyanocobalamin","1000 MCG",1,25,1,25,,
"J2501","Paricalcitol","West-Ward Pharmaceuticals Corp","00143962425","00143-9624-25","Paricalcitol","1 MCG",1,25,5,125,,
"J2501","Paricalcitol","West-Ward Pharmaceuticals Corp","00143962525","00143-9625-25","Paricalcitol","1 MCG",1,25,2,50,,
"J3489","Zoledronic acid 1mg","West-Ward Pharmaceuticals Corp","00143964201","00143-9642-01","ZOLEDRONIC ACID","1 MG",5,1,4,4,,
"J1071","Inj testosterone cypionate","WEST-WARD PHARMACEUTICAL CORP.","00143965901","00143-9659-01","Testosterone Cypionate","1 MG",1,1,200,200,,
"J1450","Fluconazole","West-Ward Pharmaceuticals Corp","00143966606","00143-9666-06","FLUCONAZOLE IN DEXTROSE","200 MG",200,6,2,12,,
"J1450","Fluconazole","West-Ward Pharmaceuticals Corp","00143966706","00143-9667-06","FLUCONAZOLE IN DEXTROSE","200 MG",100,6,1,6,,
"J1450","Fluconazole","West-Ward Pharmaceuticals Corp","00143966806","00143-9668-06","Fluconazole in Sodium Chloride","200 MG",200,6,2,12,,
"J1450","Fluconazole","West-Ward Pharmaceuticals Corp","00143966906","00143-9669-06","Fluconazole in Sodium Chloride","200 MG",100,6,1,6,,
"J1953","Levetiracetam injection","West-Ward Pharmaceuticals Corp","00143967310","00143-9673-10","Levetiracetam","10 MG",5,10,50,500,,
"J1953","Levetiracetam injection","WEST-WARD PHARMACEUTICAL CORP.","00143967325","00143-9673-25","Levetiracetam","10 MG",5,25,50,1250,,
"C9121","Injection, argatroban","West-Ward Pharmaceuticals Corp","00143967401","00143-9674-01","Argatroban","5 MG",2.5,1,50,50,,
"J9206","Irinotecan injection","West-Ward Pharmaceuticals Corp","00143970101","00143-9701-01","Irinotecan HCL","20 MG",5,1,5,5,,
"J9206","Irinotecan injection","West-Ward Pharmaceuticals Corp","00143970201","00143-9702-01","Irinotecan HCL","20 MG",2,1,2,2,,
"J1956","Levofloxacin injection","West-Ward Pharmaceuticals Corp","00143972001","00143-9720-01","LEVOFLOXACIN","250 MG",150,24,3,72,,
"J1956","Levofloxacin injection","West-Ward Pharmaceuticals Corp","00143972024","00143-9720-24","LEVOFLOXACIN","250 MG",150,24,3,72,,
"J1956","Levofloxacin injection","West-Ward Pharmaceuticals Corp","00143972101","00143-9721-01","LEVOFLOXACIN","250 MG",100,24,2,48,,
"J1956","Levofloxacin injection","West-Ward Pharmaceuticals Corp","00143972124","00143-9721-24","LEVOFLOXACIN","250 MG",100,24,2,48,,
"J1956","Levofloxacin injection","West-Ward Pharmaceuticals Corp","00143972201","00143-9722-01","LEVOFLOXACIN","250 MG",50,24,1,24,,
"J0735","Clonidine hydrochloride","West-Ward Pharmaceuticals Corp","00143972301","00143-9723-01","Clonidine Hydrochloride Injection","1 MG",10,1,5,5,,
"J0735","Clonidine hydrochloride","West-Ward Pharmaceuticals Corp","00143972401","00143-9724-01","CLONIDINE HYDROCHLORIDE","1 MG",10,1,1,1,,
"J2675","Inj progesterone per 50 mg","West-Ward Pharmaceuticals Corp","00143972501","00143-9725-01","Progesterone","50 MG",10,1,10,10,,
"J1071","Inj testosterone cypionate","West-Ward Pharmaceuticals Corp","00143972601","00143-9726-01","Testosterone Cypionate","1 MG",10,1,2000,2000,,
"J1080","Testosterone cypionat 200 MG","WEST-WARD PHARMACEUTICAL CORP.","00143972601","00143-9726-01","Testosterone Cypionate","200 MG",10,1,10,10,,
"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,,
"J7506","Prednisone oral","West-Ward Pharmaceuticals Corp","00143974001","00143-9740-01","Prednisone","5 MG",100,1,100,100,,
"J7512","Prednisone ir or dr oral 1mg","West-Ward Pharmaceuticals Corp","00143974001","00143-9740-01","Prednisone","1 MG",100,1,500,500,,
"J7506","Prednisone oral","West-Ward Pharmaceuticals Corp","00143974010","00143-9740-10","Prednisone","5 MG",1000,1,1000,1000,,
"J7512","Prednisone ir or dr oral 1mg","West-Ward Pharmaceuticals Corp","00143974010","00143-9740-10","Prednisone","1 MG",1000,1,5000,5000,,
"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",4,5,40,200,,
"J3105","Terbutaline sulfate inj","West-Ward Pharmaceuticals Corp","00143974610","00143-9746-10","TERBUTALINE","1 MG",1,10,1,10,,
"J3121","Inj testostero enanthate 1mg","West-Ward Pharmaceuticals Corp","00143975001","00143-9750-01","Testosterone Enanthate","1 MG",5,1,1000,1000,,
"J3130","Testosterone enanthate inj","West-Ward Pharmaceuticals Corp","00143975001","00143-9750-01","Testosterone Enanthate","200 MG",5,1,5,5,,
"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,,
"J0282","Amiodarone HCl","West-Ward Pharmaceuticals Corp","00143987510","00143-9875-10","AMIODARONE","30 MG",3,10,5,50,,
"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 PHARMACEUTICAL CORP.","00143989010","00143-9890-10","ONDANSETRON HCL","1 MG",20,10,40,400,,
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","00143989105","00143-9891-05","ZOFRAN","1 MG",2,5,4,20,,
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","00143989125","00143-9891-25","ONDANSETRON","1 MG",2,25,4,100,,
"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","00143993010","00143-9930-10","Cefotaxime Sodium","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","00143993125","00143-9931-25","Cefotaxime Sodium","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","00143993325","00143-9933-25","Cefotaxime Sodium","1 GM",1,25,2,50,,
"J0698","Cefotaxime sodium injection","West-Ward Pharmaceuticals Corp","00143993501","00143-9935-01","Cefotaxime Sodium","1 GM",1,10,10,100,,
"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,,
"J1631","Haloperidol decanoate inj","SUPERIOR PHARMACEUTICAL CO.","00144044451","00144-0444-51","Haloperidol Decanoate","50 MG",1,1,1,1,,
"J1631","Haloperidol decanoate inj","SUPERIOR PHARMACEUTICAL CO.","00144044456","00144-0444-56","Haloperidol Decanoate","50 MG",5,1,5,5,,
"J1631","Haloperidol decanoate inj","SUPERIOR PHARMACEUTICAL CO.","00144045551","00144-0455-51","Haloperidol Decanoate","50 MG",1,1,2,2,,
"J1631","Haloperidol decanoate inj","SUPERIOR PHARMACEUTICAL CO.","00144054451","00144-0544-51","Haloperidol Decanoate","50 MG",1,1,2,2,,
"J1631","Haloperidol decanoate inj","SUPERIOR PHARMACEUTICAL CO.","00144054456","00144-0544-56","Haloperidol Decanoate","50 MG",5,1,10,10,,
"J1815","Insulin injection","NOVO NORDISK","00169001771","00169-0017-71","Novolin 70/30","5 UNITS",1.5,5,30,150,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","00169001771","00169-0017-71","Novolin 70/30","50 UNITS",1.5,5,3,15,,
"J1815","Insulin injection","NOVO NORDISK","00169004471","00169-0044-71","Novolin R",,1.5,5,150,30,,"5 UNITS"
"J1817","Insulin for insulin pump use","NOVO NORDISK","00169004471","00169-0044-71","Novolin R",,1.5,5,15,3,,"50 UNITS"
"J1815","Insulin injection","NOVO NORDISK","00169004571","00169-0045-71","Novolin N","5 UNITS",1.5,5,30,150,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","00169004571","00169-0045-71","Novolin N","50 UNITS",1.5,5,3,15,,
"J1815","Insulin injection","NOVO NORDISK","00169007011","00169-0070-11","Velosulin Br (Rdna)","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","00169007011","00169-0070-11","Velosulin Br (Rdna)","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","Novo Nordisk® Inc.","00169183302","00169-1833-02","Novolin R","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.","00169183302","00169-1833-02","Novolin R","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","Novo Nordisk® Inc.'","00169183311","00169-1833-11","Novolin R","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","Novo Nordisk® Inc.'","00169183311","00169-1833-11","Novolin R","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","00169183317","00169-1833-17","Novolin R",,1.5,5,150,30,,"5 UNITS"
"J1817","Insulin for insulin pump use","NOVO NORDISK","00169183317","00169-1833-17","Novolin R",,1.5,5,15,3,,"50 UNITS"
"J1815","Insulin injection","Novo Nordisk® Inc.","00169183402","00169-1834-02","Novolin N","5 UNITS",10,1,200,200,,
"J1815","Insulin injection","Novo Nordisk® Inc.","00169183411","00169-1834-11","Novolin N","5 UNITS",10,1,200,200,,
"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","00169183417","00169-1834-17","Novolin N","5 UNITS",1.5,5,30,150,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","00169183417","00169-1834-17","Novolin N","50 UNITS",1.5,5,3,15,,
"J1815","Insulin injection","NOVO NORDISK","00169183511","00169-1835-11","Novolin L","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","00169183511","00169-1835-11","Novolin L","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","Novo Nordisk® Inc.","00169183702","00169-1837-02","Novolin 70/30","5 UNITS",10,1,200,200,,
"J1815","Insulin injection","Novo Nordisk® Inc.","00169183711","00169-1837-11","Novolin 70/30","5 UNITS",10,1,200,200,,
"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","00169183717","00169-1837-17","Novolin 70/30","5 UNITS",1.5,5,30,150,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","00169183717","00169-1837-17","Novolin 70/30","50 UNITS",1.5,5,3,15,,
"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","00169368213","00169-3682-13","Novolog Mix 70/30 Penfill","5 UNITS",3,5,60,300,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","00169368213","00169-3682-13","Novolog Mix 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,,
"J1815","Insulin injection","Novo Nordisk® Inc.","00169643810","00169-6438-10","LEVEMIR","5 UNITS",3,5,60,300,,
"J7189","Factor viia","Novo Nordisk® Inc.","00169701001","00169-7010-01","Novoseven RT","1 MCG",1,1,1000,1000,,
"C9134","Factor XIII antihemo recomb","Novo Nordisk","00169701301","00169-7013-01","TRETTEN","10 IU",1,1,0.1,0.1,,
"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,,
"Q0187","Factor viia recombinant","NOVO NORDISK","00169706001","00169-7060-01","Novoseven",,1,1,1,1,,"1.2 MG"
"J7189","Factor viia","Novo Nordisk® Inc.","00169706101","00169-7061-01","Novoseven","1 MCG",1,1,2400,2400,,
"Q0187","Factor viia recombinant","NOVO NORDISK","00169706101","00169-7061-01","Novoseven",,1,1,2,2,,"1.2 MG"
"J7189","Factor viia","Novo Nordisk® Inc.","00169706201","00169-7062-01","Novoseven","1 MCG",1,1,4800,4800,,
"Q0187","Factor viia recombinant","NOVO NORDISK","00169706201","00169-7062-01","Novoseven",,1,1,4,4,,"1.2 MG"
"J1610","Glucagon hydrochloride/1 mg","Novo Nordisk® Inc.","00169706515","00169-7065-15","GLUCAGON HYDROCHLORIDE","1 MG",1,1,1,1,,
"J1610","Glucagon hydrochloride/1 mg","Novo Nordisk® Inc.","00169706521","00169-7065-21","GLUCAGEN HYPOKIT","1 mg",1,2,1,2,,
"J7189","Factor viia","Novo Nordisk® Inc.","00169720101","00169-7201-01","NOVOSEVEN RT","1 MCG",1,1,1000,1000,,
"J7189","Factor viia","Novo Nordisk® Inc.","00169720201","00169-7202-01","NOVOSEVEN RT","1 MCG",1,1,2000,2000,,
"J7189","Factor viia","Novo Nordisk® Inc.","00169720501","00169-7205-01","NOVOSEVEN RT","1 MCG",1,1,5000,5000,,
"J7189","Factor viia","Novo Nordisk® Inc.","00169720801","00169-7208-01","NOVOSEVEN RT","1 MCG",1,1,8000,8000,,
"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,,
"J2941","Somatropin injection","NOVO NORDISK, INC.","00169770511","00169-7705-11","NORDITROPIN NORDIFLEX","1 MG",1.5,1,10,10,,
"J2941","Somatropin injection","NOVO NORDISK","00169776811","00169-7768-11","Norditropin","1 MG",1.5,1,7.5,7.5,,
"J2941","Somatropin injection","NOVO NORDISK","00169777011","00169-7770-11","Norditropin","1 MG",1.5,1,22.5,22.5,,
"J2941","Somatropin injection","NOVO NORDISK","00169777411","00169-7774-11","Norditropin",,1,1,4,4,,"1 MG"
"J7182","Factor viii recomb novoeight","Novo Nordisk® Inc.","00169781001","00169-7810-01","Novoeight","1 IU",1,1,1,1,,
"J7182","Factor viii recomb novoeight","Novo Nordisk® Inc.","00169781501","00169-7815-01","Novoeight","1 IU",1,1,1,1,,
"J7182","Factor viii recomb novoeight","Novo Nordisk® Inc.","00169782001","00169-7820-01","Novoeight","1 IU",1,1,1,1,,
"J7182","Factor viii recomb novoeight","Novo Nordisk® Inc.","00169782501","00169-7825-01","Novoeight","1 IU",1,1,1,1,,
"J7182","Factor viii recomb novoeight","Novo Nordisk® Inc.","00169783001","00169-7830-01","Novoeight","1 IU",1,1,1,1,,
"J7182","Factor viii recomb novoeight","Novo Nordisk® Inc.","00169785001","00169-7850-01","Novoeight","1 IU",1,1,1,1,,
"Q0178","Hydroxyzine pamoate 50mg","IVAX PHARMACEUTICALS","00172290960","00172-2909-60","Hydroxyzine Pamoate","50 MG",100,1,100,100,,
"Q0177","Hydroxyzine pamoate 25mg","IVAX PHARMACEUTICALS","00172291160","00172-2911-60","Hydroxyzine Pamoate","25 MG",100,1,100,100,,
"Q0177","Hydroxyzine pamoate 25mg","IVAX PHARMACEUTICALS","00172291170","00172-2911-70","Hydroxyzine Pamoate","25 MG",500,1,500,500,,
"Q0175","Perphenazine 4mg oral","IVAX PHARMACEUTICALS","00172366860","00172-3668-60","Perphenazine","4 MG",100,1,100,100,,
"Q0176","Perphenazine 8mg oral","IVAX PHARMACEUTICALS","00172366960","00172-3669-60","Perphenazine","8 MG",100,1,100,100,,
"Q0164","Prochlorperazine maleate 5mg","IVAX PHARMACEUTICALS","00172369060","00172-3690-60","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","IVAX PHARMACEUTICALS","00172369160","00172-3691-60","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"J9265","Paclitaxel injection","IVAX PHARMACEUTICALS","00172375377","00172-3753-77","Onxol","30 MG",50,1,10,10,,
"J9265","Paclitaxel injection","IVAX PHARMACEUTICALS","00172375396","00172-3753-96","Onxol","30 MG",50,1,10,10,,
"J9265","Paclitaxel injection","IVAX PHARMACEUTICALS, INC.","00172375473","00172-3754-73","Onxol","30 MG",5,1,1,1,,
"J9265","Paclitaxel injection","IVAX PHARMACEUTICALS","00172375494","00172-3754-94","Onxol","30 MG",5,1,1,1,,
"J9265","Paclitaxel injection","IVAX PHARMACEUTICALS","00172375531","00172-3755-31","Onxol","30 MG",16.7,1,3.34,3.34,,
"J9265","Paclitaxel injection","IVAX PHARMACEUTICALS","00172375675","00172-3756-75","Onxol","30 MG",25,1,5,5,,
"J9265","Paclitaxel injection","IVAX PHARMACEUTICALS","00172375695","00172-3756-95","Onxol","30 MG",25,1,5,5,,
"J7603","Albuterol inh non-comp u d ","IVAX PHARMACEUTICALS","00172640544","00172-6405-44","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit dose1","IVAX PHARMACEUTICALS","00172640544","00172-6405-44","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","IVAX PHARMACEUTICALS","00172640544","00172-6405-44","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7603","Albuterol inh non-comp u d ","IVAX PHARMACEUTICALS","00172640549","00172-6405-49","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7613","Albuterol non-comp unit","IVAX PHARMACEUTICALS","00172640549","00172-6405-49","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"Q4094","Albuterol inh non-comp u d ","IVAX PHARMACEUTICALS","00172640549","00172-6405-49","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"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,,
"J7644","Ipratropium bromide non-comp","IVAX PHARMACEUTICALS","00172640744","00172-6407-44","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7644","Ipratropium bromide non-comp","IVAX PHARMACEUTICALS","00172640749","00172-6407-49","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"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,,
"J0330","Succinycholine chloride inj","GLAXOSMITHKLINE","00173007195","00173-0071-95","Anectine","20 MG",10,12,10,120,,
"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,,
"Q2006","Digoxin immune fab (ovine)","GLAXOSMITHKLINE","00173023044","00173-0230-44","Digibind",,1,1,1,1,,"1 EA"
"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","00173035231","00173-0352-31","Zinacef","750 MG",1,25,1,25,,
"J0697","Sterile cefuroxime injection","GLAXOSMITHKLINE","00173035332","00173-0353-32","Zinacef","750 MG",1,10,1,10,,
"J0697","Sterile cefuroxime injection","GlaxoSmithkline","00173035410","00173-0354-10","Zinacef","750 MG",1,10,2,20,,
"J0697","Sterile cefuroxime injection","GLAXOSMITHKLINE","00173035435","00173-0354-35","Zinacef","750 MG",1,25,2,50,,
"J0697","Sterile cefuroxime injection","GLAXOSMITHKLINE","00173035632","00173-0356-32","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","00173037731","00173-0377-31","Fortaz","500 MG",1,25,1,25,,
"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","00173037835","00173-0378-35","Fortaz","500 MG",1,25,2,50,,
"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","00173038032","00173-0380-32","Fortaz","500 MG",1,10,2,20,,
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00173038132","00173-0381-32","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,,
"J0713","Inj ceftazidime per 500 mg","GLAXOSMITHKLINE","00173041800","00173-0418-00","Ceptaz","500 MG",1,6,20,120,,
"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","Novartis Pharmaceuticals Corporation","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","Novartis Pharmaceuticals Corporation","00173044600","00173-0446-00","Zofran","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173044600","00173-0446-00","Zofran","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","GlaxoSmithkline","00173044602","00173-0446-02","Zofran","1 MG",1,100,4,400,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173044602","00173-0446-02","Zofran","8 MG",1,100,0.5,50,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173044604","00173-0446-04","Zofran","8 MG",1,3,0.5,1.5,,
"Q0162","Ondansetron oral","Novartis Pharmaceuticals Corporation","00173044700","00173-0447-00","Zofran","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173044700","00173-0447-00","Zofran","8 MG",1,30,1,30,,
"Q0162","Ondansetron oral","GlaxoSmithkline","00173044702","00173-0447-02","Zofran","1 MG",1,100,8,800,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173044702","00173-0447-02","Zofran","8 MG",1,100,1,100,,
"Q0162","Ondansetron oral","GlaxoSmithkline","00173044704","00173-0447-04","Zofran","1 MG",1,3,8,24,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173044704","00173-0447-04","Zofran","8 MG",1,3,1,3,,
"J3030","Sumatriptan succinate / 6 MG","CERENEX","00173044901","00173-0449-01","Imitrex","6 MG",1,1,2,2,,
"J3030","Sumatriptan succinate / 6 MG","GlaxoSmithkline","00173044902","00173-0449-02","Imitrex","6 MG",0.5,5,1,5,,
"J2405","Ondansetron hcl injection","GLAXOSMITHKLINE","00173046100","00173-0461-00","Zofran","1 MG",50,6,32,192,,
"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","Novartis Pharmaceuticals Corporation","00173048900","00173-0489-00","Zofran","1 MG",50,1,40,40,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173048900","00173-0489-00","Zofran","8 MG",1,50,0.5,25,,
"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","Novartis Pharmaceuticals Corporation","00173056900","00173-0569-00","Zofran Odt","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173056900","00173-0569-00","Zofran Odt","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","Novartis Pharmaceuticals Corporation","00173057000","00173-0570-00","Zofran Odt","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173057000","00173-0570-00","Zofran Odt","8 MG",1,30,1,30,,
"Q0162","Ondansetron oral","GlaxoSmithkline","00173057004","00173-0570-04","Zofran Odt","1 MG",1,10,8,80,,
"Q0179","Ondansetron hcl 8 mg oral","GLAXOSMITHKLINE","00173057004","00173-0570-04","Zofran Odt","8 MG",1,10,1,10,,
"J7500","Azathioprine oral 50mg","PROMETHEUS","00173059755","00173-0597-55","Imuran","50 MG",100,1,100,100,,
"J9390","Vinorelbine tartrate/10 mg","GLAXOSMITHKLINE","00173065601","00173-0656-01","Navelbine","10 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate/10 mg","GLAXOSMITHKLINE","00173065644","00173-0656-44","Navelbine","10 MG",5,1,5,5,,
"Q0179","Ondansetron HCl 8mg oral","GLAXOSMITHKLINE","00173068000","00173-0680-00","Zofran","8 MG",1,1,3,3,,
"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,,
"C9260","Injection, ofatumumab, 10 mg","GlaxoSmithkline","00173080802","00173-0808-02","ARZERRA","10 MG",5,3,10,30,,
"J9302","Ofatumumab injection","GlaxoSmithkline","00173080802","00173-0808-02","ARZERRA","10 MG",5,3,10,30,,
"C9260","Injection, ofatumumab, 10 mg","GlaxoSmithkline","00173080805","00173-0808-05","ARZERRA","10 MG",5,10,10,100,,
"J9302","Ofatumumab injection","GlaxoSmithkline","00173080805","00173-0808-05","ARZERRA","10 MG",5,10,10,100,,
"J9302","Ofatumumab injection","Novartis Pharmaceuticals Corporation","00173082101","00173-0821-01","ARZERRA","10 MG",50,1,100,100,,
"J9302","Ofatumumab injection","Novartis Pharmaceuticals Corporation","00173082133","00173-0821-33","ARZERRA","10 MG",5,3,10,30,,
"C9473","Injection, mepolizumab","GlaxoSmithkline","00173088101","00173-0881-01","NUCALA","1 MG",1,1,100,100,,
"J7506","Prednisone oral","IVAX PHARMACEUTICALS","00182020189","00182-0201-89","Prednisone","5 MG",100,1,100,100,,
"J2650","Prednisolone acetate inj","IVAX PHARMACEUTICALS","00182093966","00182-0939-66","Prednisolone Acetate","1 ML",30,1,30,30,,
"J7509","Methylprednisolone oral","GOLDLINE","00182105003","00182-1050-03","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7506","Prednisone oral","IVAX PHARMACEUTICALS","00182108689","00182-1086-89","Prednisone","5 MG",100,1,400,400,,
"Q0177","Hydroxyzine pamoate 25mg","IVAX PHARMACEUTICALS","00182109889","00182-1098-89","Hydroxyzine Pamoate","25 MG",100,1,100,100,,
"Q0178","Hydroxyzine pamoate 50mg","IVAX PHARMACEUTICALS","00182109989","00182-1099-89","Hydroxyzine Pamoate","50 MG",100,1,100,100,,
"J7506","Prednisone oral","GOLDLINE","00182133401","00182-1334-01","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","GOLDLINE","00182133410","00182-1334-10","Prednisone","5 MG",1000,1,2000,2000,,
"J7506","Prednisone oral","IVAX PHARMACEUTICALS","00182133489","00182-1334-89","Prednisone","5 MG",100,1,200,200,,
"Q0173","Trimethobenzamide HCl 250mg","IVAX PHARMACEUTICALS","00182139601","00182-1396-01","Trimethobenzamide Hcl","250 MG",100,1,100,100,,
"J7637","Dexamethasone inhal sol con","IVAX PHARMACEUTICALS, INC.","00182300762","00182-3007-62","Dexamethasone",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","IVAX PHARMACEUTICALS, INC.","00182300762","00182-3007-62","Dexamethasone",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","IVAX PHARMACEUTICALS, INC.","00182300766","00182-3007-66","Dexamethasone",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","IVAX PHARMACEUTICALS, INC.","00182300766","00182-3007-66","Dexamethasone",,30,1,120,120,,"1 MG"
"J9218","Leuprolide acetate injeciton","IVAX PHARMACEUTICALS","00182315499","00182-3154-99","Leuprolide Acetate","1 MG",2.8,1,14,14,,
"J7602","Albuterol inh non-comp con","IVAX PHARMACEUTICALS","00182601465","00182-6014-65","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","IVAX PHARMACEUTICALS","00182601465","00182-6014-65","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","IVAX PHARMACEUTICALS","00182601465","00182-6014-65","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7613","Albuterol unit dose","Goldline Laboratories","00182801026","00182-8010-26","ALBUTEROL SULFATE INHALTION SOLUTION",,3,,,,,"1 MG"
"Q0164","Prochlorperazine maleate 5mg","IVAX PHARMACEUTICALS","00182821089","00182-8210-89","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","IVAX PHARMACEUTICALS","00182821189","00182-8211-89","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"Q0177","Hydroxyzine pamoate 25mg","EON LABS","00185061301","00185-0613-01","Hydroxyzine Pamoate","25 MG",100,1,100,100,,
"Q0177","Hydroxyzine pamoate 25mg","EON LABS","00185061305","00185-0613-05","Hydroxyzine Pamoate","25 MG",500,1,500,500,,
"Q0178","Hydroxyzine pamoate 50mg","EON LABS","00185061501","00185-0615-01","Hydroxyzine Pamoate","50 MG",100,1,100,100,,
"Q0178","Hydroxyzine pamoate 50mg","EON LABS","00185061505","00185-0615-05","Hydroxyzine Pamoate","50 MG",500,1,500,500,,
"Q0163","Diphenhydramine HCl 50mg","Eon Labs Inc","00185064901","00185-0649-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","Eon Labs Inc","00185064910","00185-0649-10","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"J7515","Cyclosporine oral 25 mg","Sandoz, Inc.","00185093230","00185-0932-30","Cyclosporine Modified","25 MG",30,1,30,30,,
"J7502","Cyclosporine oral 100 mg","Sandoz, Inc.","00185093330","00185-0933-30","Cyclosporine Modified","100 MG",30,1,30,30,,
"J7620","Albuterol ipratrop non-comp","EON LABORATORIES","00185732213","00185-7322-13","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","Eon Labs Inc","00185732230","00185-7322-30","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","Eon Labs Inc","00185732260","00185-7322-60","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60,,
"J9218","Leuprolide acetate injeciton","Eon Labs Inc","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,,
"J0670","Inj mepivacaine HCL/10 ml","DENTSPLY PHARMACEUTICALS","00186044014","00186-0440-14","POLOCAINE","10 ML",1.8,100,0.18,18,,
"J0670","Inj mepivacaine HCL/10 ml","DENTSPLY PHARMACEUTICALS","00186046014","00186-0460-14","POLOCAINE","10 ML",1.8,100,0.18,18,,
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186085944","00186-0859-44","Naropin","1 MG",10,5,20,100,,
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186085947","00186-0859-47","NAROPIN",,,,,,,"1 MG"
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186085954","00186-0859-54","Naropin","1 MG",20,5,40,200,,
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186085957","00186-0859-57","NAROPIN",,,,,,,"1 MG"
"J2795","Ropivacaine HCl injection","ASTRAZENECA","00186085959","00186-0859-59","Naropin",,,,,,,"1 MG"
"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","00186086344","00186-0863-44","Naropin","1 MG",10,5,50,250,,
"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","00186086362","00186-0863-62","Naropin",,,,,,,"1 MG"
"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","00186086744","00186-0867-44","Naropin","1 MG",10,5,75,375,,
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086747","00186-0867-47","NAROPIN",,,,,,,"1 MG"
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086754","00186-0867-54","Naropin","1 MG",20,5,150,750,,
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086757","00186-0867-57","NAROPIN",,,,,,,"1 MG"
"J2795","Ropivacaine HCl injection","ASTRAZENECA","00186086841","00186-0868-41","Naropin",,,,,,,"1 MG"
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086844","00186-0868-44","Naropin","1 MG",10,5,100,500,,
"J2795","Ropivacaine HCl injection","AstraZeneca LP","00186086847","00186-0868-47","NAROPIN",,,,,,,"1 MG"
"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,,
"J2150","Mannitol injection","ASTRAZENECA","00186116804","00186-1168-04","Mannitol",,,,,,,"50 ML"
"J1790","Droperidol injection","ASTRAZENECA","00186122103","00186-1221-03","Droperidol",,,,,,,"5 MG"
"J1810","Droperidol/fentanyl inj","ASTRAZENECA LP","00186123003","00186-1230-03","Droperidol/Fentanyl Citrate",,2,10,10,1,,"2 ML"
"J1810","Droperidol/fentanyl inj","ASTRAZENECA LP","00186123103","00186-1231-03","Droperidol/Fentanyl Citrate",,5,10,25,2.5,,"2 ML"
"J1810","Droperidol/fentanyl inj","ASTRAZENECA LP","00186123213","00186-1232-13","Droperidol/Fentanyl Citrate",,2,10,10,1,,"2 ML"
"J1810","Droperidol/fentanyl inj","ASTRAZENECA","00186123313","00186-1233-13","Droperidol/Fentanyl Citrate","2 ML",5,10,2.5,25,,
"J2310","Inj naloxone hydrochloride","ASTRAZENECA","00186125313","00186-1253-13","Naloxone Hcl",,,,,,,"1 MG"
"J2310","Inj naloxone hydrochloride","ASTRAZENECA","00186125512","00186-1255-12","Naloxone Hcl",,,,,,,"1 MG"
"J7611","Albuterol concentrated form","AstraZeneca LP","00186149001","00186-1490-01","ALBUTEROL SULFATE INHALATION SOLUTION",,20,,,,,"1 MG"
"J9000","Doxorubic hcl 10 MG vl chemo","ASTRAZENECA","00186153241","00186-1532-41","Doxorubicin Hcl",,,,,,,"10 MG"
"J2710","Neostigmine methylslfte inj","ASTRAZENECA","00186174201","00186-1742-01","Neostigmine Methylsulfate",,,,,,,"0.5 MG"
"J2995","Inj streptokinase /250000 IU","ASTRAZENECA LP","00186177001","00186-1770-01","Streptase",,1,1,1,1,,"250000 IU"
"J2995","Inj streptokinase /250000 IU","ASTRAZENECA LP","00186177101","00186-1771-01","Streptase",,1,1,3,3,,"250000 IU"
"J2995","Inj streptokinase /250000 IU","ASTRAZENECA LP","00186177301","00186-1773-01","Streptase",,1,1,6,6,,"250000 IU"
"J2995","Inj streptokinase /250000 IU","ASTRAZENECA LP","00186177401","00186-1774-01","Streptase",,1,1,6,6,,"250000 IU"
"J1455","Foscarnet sodium injection","ASTRAZENECA","00186190501","00186-1905-01","Foscavir","1000 MG",250,12,6,72,,
"J1455","Foscarnet sodium injection","AstraZeneca LP","00186190601","00186-1906-01","Foscavir","1000 MG",500,12,12,144,,
"J7626","Budesonide non-comp unit","AstraZeneca Pharmaceuticals LP","00186198804","00186-1988-04","Pulmicort","UP TO 0.50 MG",2,30,1,30,,
"J7626","Budesonide non-comp unit","AstraZeneca Pharmaceuticals LP","00186198904","00186-1989-04","Pulmicort","UP TO 0.50 MG",2,30,1,30,,
"J7626","Budesonide non-comp unit","AstraZeneca Pharmaceuticals LP","00186199004","00186-1990-04","Pulmicort","UP TO 0.50 MG",2,30,2,60,,
"J7050","Normal saline solution infus","ASTRAZENECA","00186410001","00186-4100-01",,,,24,48,2,,"250 CC"
"J7050","Normal saline solution infus","ASTRAZENECA","00186410003","00186-4100-03",,,,24,24,1,,"250 CC"
"J7050","Normal saline solution infus","ASTRAZENECA","00186410101","00186-4101-01",,,,1,1,1,,"250 CC"
"J7050","Normal saline solution infus","ASTRAZENECA","00186410103","00186-4101-03",,,,1,2,2,,"250 CC"
"J7648","Isoetharine hcl inh sol con","ASTRAZENECA","00186411001","00186-4110-01","Arm-A-Med Isoetharine Hcl",,4,100,40.13,0.4013,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ASTRAZENECA","00186411001","00186-4110-01","Arm-A-Med Isoetharine Hcl",,4,100,40.1,0.401,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ASTRAZENECA","00186411101","00186-4111-01","Arm-A-Med Isoetharine Hcl",,3,100,30.04,0.3004,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ASTRAZENECA","00186411101","00186-4111-01","Arm-A-Med Isoetharine Hcl",,3,100,30,0.3,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ASTRAZENECA","00186411201","00186-4112-01","Arm-A-Med Isoetharine Hcl",,4,100,40.13,0.4013,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ASTRAZENECA","00186411201","00186-4112-01","Arm-A-Med Isoetharine Hcl",,4,100,40.1,0.401,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ASTRAZENECA","00186411301","00186-4113-01","Arm-A-Med Isoetharine Hcl",,2.5,100,24.95,0.2495,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ASTRAZENECA","00186411301","00186-4113-01","Arm-A-Med Isoetharine Hcl",,2.5,100,25,0.25,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ASTRAZENECA","00186412001","00186-4120-01","Arm-A-Med Isoetharine Hcl",,2,100,19.99,0.1999,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ASTRAZENECA","00186412001","00186-4120-01","Arm-A-Med Isoetharine Hcl",,2,100,20,0.2,,"1 MG"
"J9212","Interferon alfacon-1","THREE RIVERS PHARMACEUTICALS","00187200605","00187-2006-05","Infergen","1 MCG",0.5,6,15,90,,
"J9212","Interferon alfacon-1","THREE RIVERS PHARMACEUTICALS","00187200702","00187-2007-02","Infergen","1 MCG",0.3,1,9,9,,
"J9212","Interferon alfacon-1","THREE RIVERS PHARMACEUTICALS","00187200706","00187-2007-06","Infergen","1 MCG",0.3,6,9,54,,
"J1960","Levorphanol tartrate inj","VALEANT","00187307210","00187-3072-10","Levo-Dromoran",,1,10,10,1,,"2 MG"
"J1990","Chlordiazepoxide injection","VALEANT","00187375574","00187-3755-74","Librium","100 MG",1,10,1,10,,
"J9190","Fluorouracil injection","VALEANT","00187395364","00187-3953-64","Fluorouracil","500 MG",10,10,1,10,,
"J3396","Verteporfin injection","Valeant Pharmaceuticals International","00187560015","00187-5600-15","Visudyne","0.1 MG",1,1,150,150,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206210002","00206-2100-02","ZOSYN","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206240402","00206-2404-02","Zosyn","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206240502","00206-2405-02","Zosyn","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206240802","00206-2408-02","Zosyn","1.125 GM",1,1,4,40,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206240902","00206-2409-02","NOVAPLUS ZOSYN","1.125 GM",50,24,2,48,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206241102","00206-2411-02","NOVAPLUS ZOSYN","1.125 GM",50,24,3,72,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206241302","00206-2413-02","NOVAPLUS ZOSYN","1.125 GM",100,12,4,48,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206241601","00206-2416-01","Zosyn","1.125 GM",1,1,36,36,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206250110","00206-2501-10","Zosyn","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206310002","00206-3100-02","ZOSYN","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206350110","00206-3501-10","Zosyn","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206410002","00206-4100-02","ZOSYN","1.125 GM",1,10,4,40,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206450110","00206-4501-10","Zosyn","1.125 GM",1,1,4,40,,
"J2543","Piperacillin/tazobactam","Wyeth Pharmaceutical","00206550101","00206-5501-01","Zosyn","1.125 GM",1,1,36,36,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845216","00206-8452-16","Zosyn","1 GRAM/0.125 GRAMS",1,10,2,20,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845217","00206-8452-17","Zosyn","1 GRAM/0.125 GRAMS",1,10,2,20,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845406","00206-8454-06","Zosyn","1 GRAM/0.125 GRAMS",1,1,3,3,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845411","00206-8454-11","Zosyn","1 GRAM/0.125 GRAMS",1,1,3,3,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845417","00206-8454-17","Zosyn","1 GRAM/0.125 GRAMS",1,10,3,30,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845455","00206-8454-55","Zosyn","1 GRAM/0.125 GRAMS",1,10,3,30,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845511","00206-8455-11","Zosyn","1 GRAM/0.125 GRAMS",1,1,4,4,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845517","00206-8455-17","Zosyn","1 GRAM/0.125 GRAMS",1,10,4,40,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845518","00206-8455-18","Zosyn","1 GRAM/0.125 GRAMS",1,1,4,4,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206845525","00206-8455-25","Zosyn","1 GRAM/0.125 GRAMS",1,10,4,40,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206862011","00206-8620-11","Zosyn","1 GRAM/0.125 GRAMS",1,1,36,36,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206882002","00206-8820-02","Zosyn","1 GRAM/0.125 GRAMS",50,24,2,48,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206882102","00206-8821-02","Zosyn","1 GRAM/0.125 GRAMS",50,24,3,72,,
"J2543","Piperacillin/tazobactam","LEDERLE","00206882202","00206-8822-02","Zosyn","1 GRAM/0.125 GRAMS",100,12,4,48,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206885216","00206-8852-16","Zosyn","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","WYETH PHARMACEUTICALS","00206885218","00206-8852-18","Zosyn","1 GRAM/0.125 GRAMS",1,10,2,20,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206885416","00206-8854-16","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","WYETH PHARMACEUTICALS","00206885418","00206-8854-18","Zosyn","1 GRAM/0.125 GRAMS",1,10,3,30,,
"J2543","Piperacillin/tazobactam","WYETH PHARMACEUTICALS","00206885508","00206-8855-08","Zosyn","1 GRAM/0.125 GRAMS",1,1,4,4,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206885516","00206-8855-16","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",1,10,4,40,,
"J2543","Piperacillin/tazobactam","WYETH PHARMACEUTICALS","00206885518","00206-8855-18","Piperacillin Sodium-Tazobactam Sodium","1 GRAM/0.125 GRAMS",1,10,4,40,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206885910","00206-8859-10","Zosyn","1.125 GM",1,1,36,36,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206886002","00206-8860-02","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",50,24,2,48,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206886102","00206-8861-02","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",50,24,3,72,,
"J2543","Piperacillin/tazobactam","PFIZER INC.","00206886202","00206-8862-02","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",100,12,4,48,,
"Q0172","Chlorpromazine HCl 25mg oral","CONSOLIDATED MIDLAND CORP","00223067201","00223-0672-01","Chlorpromazine Hcl",,,1,100,100,,"25 MG"
"Q0172","Chlorpromazine HCl 25mg oral","CONSOLIDATED MIDLAND","00223067202","00223-0672-02","Chlorpromazine Hcl",,,,,,,"25 MG"
"J7510","Prednisolone oral per 5 mg","CONSOLIDATED MIDLAND CORP","00223151201","00223-1512-01","Prednisolone","5 MG",100,1,100,100,,
"J7510","Prednisolone oral per 5 mg","CONSOLIDATED MIDLAND CORP","00223151202","00223-1512-02","Prednisolone","5 MG",1000,1,1000,1000,,
"J8540","Oral dexamethasone","CONSOLIDATED MIDLAND CORP","00223649601","00223-6496-01","DEXAMETHASONE",,,1,1,1,,"0.25 MG"
"J8540","Oral dexamethasone","CONSOLIDATED MIDLAND CORP","00223649602","00223-6496-02","DEXAMETHASONE",,,10,10,1,,"0.25 MG"
"J7658","Isoproterenolhcl inh sol con","CONSOLIDATED MIDLAND CORP","00223653601","00223-6536-01","Isoproterenol",,15,1,40,40,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","CONSOLIDATED MIDLAND CORP","00223653601","00223-6536-01","Isoproterenol",,15,1,40,40,,"1 MG"
"J7648","Isoetharine hcl inh sol con","CONSOLIDATED MIDLAND CORP","00223653810","00223-6538-10","Isoetharine Hydrochloride",,10,1,100,100,,"1 MG"
"J7648","Isoetharine hcl inh sol con","CONSOLIDATED MIDLAND CORP","00223653830","00223-6538-30","Isoetharine Hydrochloride",,30,1,300,300,,"1 MG"
"J7636","Atropine inhal sol unit dose","CONSOLIDATED MIDLAND","00223719125","00223-7191-25","Atropine Sulfate",,,1,20,20,,"1 MG"
"J7636","Atropine inhal sol unit dose","CONSOLIDATED MIDLAND","00223719200","00223-7192-00","Atropine Sulfate",,,1,40,40,,"1 MG"
"J7636","Atropine inhal sol unit dose","CONSOLIDATED MIDLAND","00223719325","00223-7193-25","Atropine Sulfate",,,1,120,120,,"1 MG"
"J0704","Betamethasone sod phosp/4 MG","CONSOLIDATED MIDLAND CORP","00223726505","00223-7265-05","Betamethasone Sodium Phosphate","4 MG",5,1,3,3,,
"J3230","Chlorpromazine hcl injection","CONSOLIDATED MIDLAND CORP","00223732610","00223-7326-10","CHLORPROMAZINE HCL","50 MG",1,25,0.5,12.5,,
"J1094","Inj dexamethasone acetate","CONSOLIDATED MIDLAND CORP","00223739005","00223-7390-05","Dexamethasone Acetate","1 MG",5,1,40,40,,
"J7637","Dexamethasone inhal sol con","CONSOLIDATED MIDLAND CORP","00223740125","00223-7401-25","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CONSOLIDATED MIDLAND CORP","00223740125","00223-7401-25","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J7637","Dexamethasone inhal sol con","CONSOLIDATED MIDLAND CORP","00223740230","00223-7402-30","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CONSOLIDATED MIDLAND CORP","00223740230","00223-7402-30","Dexamethasone Sodium Phosphate",,30,2,240,120,,"1 MG"
"J7637","Dexamethasone inhal sol con","CONSOLIDATED MIDLAND CORP","00223740301","00223-7403-01","Dexamethasone Sodium Phosphate",,1,100,400,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CONSOLIDATED MIDLAND CORP","00223740301","00223-7403-01","Dexamethasone Sodium Phosphate",,1,100,400,4,,"1 MG"
"J7637","Dexamethasone inhal sol con","CONSOLIDATED MIDLAND CORP","00223740405","00223-7404-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CONSOLIDATED MIDLAND CORP","00223740405","00223-7404-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","CONSOLIDATED MIDLAND CORP","00223740625","00223-7406-25","Dexamethasone Sodium Phosphate",,25,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CONSOLIDATED MIDLAND CORP","00223740625","00223-7406-25","Dexamethasone Sodium Phosphate",,25,1,100,100,,"1 MG"
"J7637","Dexamethasone inhal sol con","CONSOLIDATED MIDLAND CORP","00223740701","00223-7407-01","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CONSOLIDATED MIDLAND CORP","00223740701","00223-7407-01","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J7637","Dexamethasone inhal sol con","CONSOLIDATED MIDLAND CORP","00223740810","00223-7408-10","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CONSOLIDATED MIDLAND CORP","00223740810","00223-7408-10","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J1240","Dimenhydrinate injection","CONSOLIDATED MIDLAND CORP","00223747510","00223-7475-10","Dimenhydrinate","50 MG",10,1,10,10,,
"J3410","Hydroxyzine hcl injection","CONSOLIDATED MIDLAND CORP","00223787710","00223-7877-10","HYDROXYZINE HCL","25 MG",10,1,10,10,,
"J3410","Hydroxyzine hcl injection","CONSOLIDATED MIDLAND CORP","00223787810","00223-7878-10","HYDROXYZINE HCL","25 MG",10,1,20,20,,
"J3410","Hydroxyzine hcl injection","CONSOLIDATED MIDLAND CORP","00223788210","00223-7882-10","HYDROXYZINE HCL","25 MG",10,1,20,20,,
"J3410","Hydroxyzine hcl injection","CONSOLIDATED MIDLAND CORP","00223788301","00223-7883-01","HYDROXYZINE HCL","25 MG",1,25,2,50,,
"J3410","Hydroxyzine hcl injection","CONSOLIDATED MIDLAND CORP","00223788402","00223-7884-02","HYDROXYZINE HCL","25 MG",2,25,4,100,,
"J7658","Isoproterenolhcl inh sol con","CONSOLIDATED MIDLAND CORP","00223791005","00223-7910-05","Isoproterenol",,5,25,12.5,0.5,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","CONSOLIDATED MIDLAND CORP","00223791005","00223-7910-05","Isoproterenol",,5,25,12.5,0.5,,"1 MG"
"J2800","Methocarbamol injection","CONSOLIDATED MIDLAND CORP","00223815010","00223-8150-10","Methocarbamol","10 ML",10,1,1,1,,
"J2650","Prednisolone acetate inj","CONSOLIDATED MIDLAND CORP","00223834130","00223-8341-30","Prednisolone Acetate","1 ML",30,1,30,30,,
"J2650","Prednisolone acetate inj","CONSOLIDATED MIDLAND CORP","00223834510","00223-8345-10","Prednisolone Acetate","1 ML",10,1,10,10,,
"J2650","Prednisolone acetate inj","CONSOLIDATED MIDLAND CORP","00223834530","00223-8345-30","Prednisolone Acetate","1 ML",30,1,30,30,,
"J2650","Prednisolone acetate inj","CONSOLIDATED MIDLAND CORP","00223834610","00223-8346-10","Prednisolone Acetate","1 ML",10,1,10,10,,
"J2650","Prednisolone acetate inj","CONSOLIDATED MIDLAND CORP","00223834630","00223-8346-30","Prednisolone Acetate","1 ML",30,1,30,30,,
"J2950","Promazine hcl injection","CONSOLIDATED MIDLAND CORP","00223839710","00223-8397-10","Promazine Hcl","UP TO 25 MG",10,1,10,10,,
"J2950","Promazine hcl injection","CONSOLIDATED MIDLAND CORP","00223839810","00223-8398-10","Promazine Hcl","UP TO 25 MG",10,1,20,20,,
"J3250","Trimethobenzamide hcl inj","CONSOLIDATED MIDLAND CORP","00223870020","00223-8700-20","TRIMETHOBENZAMIDE HCL","200 MG",20,1,10,10,,
"J3411","Thiamine hcl 100 mg","CONSOLIDATED MIDLAND CORP","00223870901","00223-8709-01","Thiamine Hcl","100 MG",1,25,1,25,,
"J3411","Thiamine hcl 100 mg","CONSOLIDATED MIDLAND CORP","00223871102","00223-8711-02","Thiamine Hcl","100 MG",30,1,30,30,,
"J3420","Vitamin b12 injection","CONSOLIDATED MIDLAND CORP","00223887130","00223-8871-30","CYANOCOBALAMIN","1000 MCG",30,1,3,3,,
"J7509","Methylprednisolone oral","PRESCRIPT","00247001221","00247-0012-21","Methylprednisolone","4 MG",21,1,21,21,,
"J7506","Prednisone oral","PRESCRIPT","00247007135","00247-0071-35","Prednisone","5 MG",35,1,70,70,,
"J7506","Prednisone oral","PRESCRIPT","00247007140","00247-0071-40","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","PRESCRIPT","00247007142","00247-0071-42","Prednisone","5 MG",42,1,84,84,,
"J7506","Prednisone oral","PRESCRIPT","00247007143","00247-0071-43","Prednisone","5 MG",43,1,86,86,,
"J7506","Prednisone oral","PRESCRIPT","00247007150","00247-0071-50","Prednisone","5 MG",50,1,100,100,,
"J7506","Prednisone oral","PRESCRIPT","00247007200","00247-0072-00","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","PRESCRIPT","00247007203","00247-0072-03","Prednisone","5 MG",3,1,3,3,,
"J7506","Prednisone oral","PRESCRIPT","00247007204","00247-0072-04","Prednisone","5 MG",4,1,4,4,,
"J7506","Prednisone oral","PRESCRIPT","00247007210","00247-0072-10","Prednisone","5 MG",10,1,10,10,,
"J7506","Prednisone oral","PRESCRIPT","00247007215","00247-0072-15","Prednisone","5 MG",15,1,15,15,,
"J7506","Prednisone oral","PRESCRIPT","00247007220","00247-0072-20","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","PRESCRIPT","00247007221","00247-0072-21","Prednisone","5 MG",21,1,21,21,,
"J7506","Prednisone oral","PRESCRIPT","00247007222","00247-0072-22","Prednisone","5 MG",22,1,22,22,,
"J7506","Prednisone oral","PRESCRIPT","00247007224","00247-0072-24","Prednisone","5 MG",24,1,24,24,,
"J7506","Prednisone oral","PRESCRIPT","00247007227","00247-0072-27","Prednisone","5 MG",27,1,27,27,,
"J7506","Prednisone oral","PRESCRIPT","00247007230","00247-0072-30","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","PRESCRIPT","00247007236","00247-0072-36","Prednisone","5 MG",36,1,36,36,,
"J7506","Prednisone oral","PRESCRIPT","00247007240","00247-0072-40","Prednisone","5 MG",40,1,40,40,,
"J7506","Prednisone oral","PRESCRIPT","00247007242","00247-0072-42","Prednisone","5 MG",42,1,42,42,,
"J7506","Prednisone oral","PRESCRIPT","00247007244","00247-0072-44","Prednisone","5 MG",44,1,44,44,,
"J7506","Prednisone oral","PRESCRIPT","00247007245","00247-0072-45","Prednisone","5 MG",45,1,45,45,,
"J7506","Prednisone oral","PRESCRIPT","00247007248","00247-0072-48","Prednisone","5 MG",48,1,48,48,,
"J7506","Prednisone oral","PRESCRIPT","00247007250","00247-0072-50","Prednisone","5 MG",50,1,50,50,,
"J7506","Prednisone oral","PRESCRIPT","00247007252","00247-0072-52","Prednisone","5 MG",52,1,52,52,,
"J7506","Prednisone oral","PRESCRIPT","00247007254","00247-0072-54","Prednisone","5 MG",54,1,54,54,,
"J7506","Prednisone oral","PRESCRIPT","00247007260","00247-0072-60","Prednisone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","PRESCRIPT","00247007261","00247-0072-61","Prednisone","5 MG",61,1,61,61,,
"J7506","Prednisone oral","PRESCRIPT","00247007280","00247-0072-80","Prednisone","5 MG",80,1,80,80,,
"J7506","Prednisone oral","PRESCRIPT","00247007299","00247-0072-99","Prednisone","5 MG",1000,1,1000,1000,,
"J7506","Prednisone oral","PRESCRIPT","00247010000","00247-0100-00","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","PRESCRIPT","00247010003","00247-0100-03","Prednisone","5 MG",3,1,12,12,,
"J7506","Prednisone oral","PRESCRIPT","00247010004","00247-0100-04","Prednisone","5 MG",4,1,16,16,,
"J7506","Prednisone oral","PRESCRIPT","00247010007","00247-0100-07","Prednisone","5 MG",7,1,28,28,,
"J7506","Prednisone oral","PRESCRIPT","00247010008","00247-0100-08","Prednisone","5 MG",8,1,32,32,,
"J7506","Prednisone oral","PRESCRIPT","00247010009","00247-0100-09","Prednisone","5 MG",9,1,36,36,,
"J7506","Prednisone oral","PRESCRIPT","00247010010","00247-0100-10","Prednisone","5 MG",10,1,40,40,,
"J7506","Prednisone oral","PRESCRIPT","00247010012","00247-0100-12","Prednisone","5 MG",12,1,48,48,,
"J7506","Prednisone oral","PRESCRIPT","00247010013","00247-0100-13","Prednisone","5 MG",13,1,52,52,,
"J7506","Prednisone oral","PRESCRIPT","00247010014","00247-0100-14","Prednisone","5 MG",14,1,56,56,,
"J7506","Prednisone oral","PRESCRIPT","00247010015","00247-0100-15","Prednisone","5 MG",15,1,60,60,,
"J7506","Prednisone oral","PRESCRIPT","00247010018","00247-0100-18","Prednisone","5 MG",18,1,72,72,,
"J7506","Prednisone oral","PRESCRIPT","00247010020","00247-0100-20","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","PRESCRIPT","00247010021","00247-0100-21","Prednisone","5 MG",21,1,84,84,,
"J7506","Prednisone oral","PRESCRIPT","00247010027","00247-0100-27","Prednisone","5 MG",27,1,108,108,,
"J7506","Prednisone oral","PRESCRIPT","00247010030","00247-0100-30","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","PRESCRIPT","00247010042","00247-0100-42","Prednisone","5 MG",42,1,168,168,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012000","00247-0120-00","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012002","00247-0120-02","Diphenhydramine Hcl","50 MG",2,1,2,2,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012003","00247-0120-03","Diphenhydramine Hcl","50 MG",3,1,3,3,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012004","00247-0120-04","Diphenhydramine Hcl","50 MG",4,1,4,4,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012006","00247-0120-06","Diphenhydramine Hcl","50 MG",6,1,6,6,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012007","00247-0120-07","Diphenhydramine Hcl","50 MG",7,1,7,7,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012008","00247-0120-08","Diphenhydramine Hcl","50 MG",8,1,8,8,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012010","00247-0120-10","Diphenhydramine Hcl","50 MG",10,1,10,10,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012012","00247-0120-12","Diphenhydramine Hcl","50 MG",12,1,12,12,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012014","00247-0120-14","Diphenhydramine Hcl","50 MG",14,1,14,14,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012015","00247-0120-15","Diphenhydramine Hcl","50 MG",15,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012020","00247-0120-20","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012024","00247-0120-24","Diphenhydramine Hcl","50 MG",24,1,24,24,,
"Q0163","Diphenhydramine HCl 50mg","PRESCRIPT","00247012030","00247-0120-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"J1885","Ketorolac tromethamine inj","PRESCRIPT","00247012402","00247-0124-02","Toradol Im","15 MG",2,1,4,4,,
"J1885","Ketorolac tromethamine inj","PRESCRIPT","00247012420","00247-0124-20","Toradol Im","15 MG",2,10,4,40,,
"J1885","Ketorolac tromethamine inj","PRESCRIPT","00247023601","00247-0236-01","Toradol","15 MG",1,1,2,2,,
"J1885","Ketorolac tromethamine inj","PRESCRIPT","00247023610","00247-0236-10","Toradol","15 MG",1,10,2,20,,
"J0170","Adrenalin epinephrin inject","PRESCRIPT","00247025901","00247-0259-01","Epinephrine Hcl","1 ML",1,1,1,1,,
"J0171","Adrenalin epinephrine inject","PRESCRIPT","00247025901","00247-0259-01","Epinephrine Hcl","0.1 MG",1,1,10,10,,
"J1160","Digoxin injection","PRESCRIPT","00247027401","00247-0274-01","Lanoxin","0.5 MG",2,1,1,1,,
"J1200","Diphenhydramine hcl injectio","PRESCRIPT","00247028910","00247-0289-10","Diphenhydramine Hcl","50 MG",10,1,10,10,,
"J0780","Prochlorperazine injection","PRESCRIPT","00247029110","00247-0291-10","Compazine","10 MG",10,1,5,5,,
"90725","Cholera vaccine, injectable","PRESCRIPT","00247034653","00247-0346-53","Cholera Vaccine",,1.5,1,1.5,1.5,,"1 EACH"
"90707","Mmr vaccine, sc","PRESCRIPT","00247040301","00247-0403-01","M-M-R II","0.5 ML",1,1,1,1,,
"90705","Measles vaccine, sc","PRESCRIPT","00247040801","00247-0408-01","Attenuvax","0.5 ML",1,1,1,1,,
"Q0165","Prochlorperazine maleate10mg","PRESCRIPT","00247049702","00247-0497-02","Compazine","10 MG",2,1,2,2,,
"Q0165","Prochlorperazine maleate10mg","PRESCRIPT","00247049703","00247-0497-03","Compazine","10 MG",3,1,3,3,,
"Q0165","Prochlorperazine maleate10mg","PRESCRIPT","00247049704","00247-0497-04","Compazine","10 MG",4,1,4,4,,
"Q0165","Prochlorperazine maleate10mg","PRESCRIPT","00247049706","00247-0497-06","Compazine","10 MG",6,1,6,6,,
"Q0165","Prochlorperazine maleate10mg","PRESCRIPT","00247049710","00247-0497-10","Compazine","10 MG",10,1,10,10,,
"Q0165","Prochlorperazine maleate10mg","PRESCRIPT","00247049712","00247-0497-12","Compazine","10 MG",12,1,12,12,,
"Q0165","Prochlorperazine maleate10mg","PRESCRIPT","00247049715","00247-0497-15","Compazine","10 MG",15,1,15,15,,
"Q0165","Prochlorperazine maleate10mg","PRESCRIPT","00247049720","00247-0497-20","Compazine","10 MG",20,1,20,20,,
"J8540","Oral dexamethasone","PRESCRIPT","00247062407","00247-0624-07","DEXAMETHASONE","0.25 MG",7,1,21,21,,
"J8540","Oral dexamethasone","PRESCRIPT","00247062412","00247-0624-12","DEXAMETHASONE","0.25 MG",12,1,36,36,,
"J8540","Oral dexamethasone","PRESCRIPT","00247062420","00247-0624-20","DEXAMETHASONE","0.25 MG",20,1,60,60,,
"J8540","Oral dexamethasone","PRESCRIPT","00247062421","00247-0624-21","DEXAMETHASONE","0.25 MG",21,1,63,63,,
"J7669","Metaproterenol non-comp unit dose","PRESCRIPT","00247065765","00247-0657-65","Metaproterenol Sulfate","10 MG",2.5,25,1,25,,
"J7669","Metaproterenol non-comp unit dose","PRESCRIPT","00247065865","00247-0658-65","Metaproterenol Sulfate","10 MG",2.5,25,1.5,37.5,,
"Q0175","Perphenazine 4mg oral","PRESCRIPT","00247079707","00247-0797-07","Perphenazine","4 MG",7,1,7,7,,
"Q0175","Perphenazine 4mg oral","PRESCRIPT","00247079714","00247-0797-14","Perphenazine","4 MG",14,1,14,14,,
"Q0175","Perphenazine 4mg oral","PRESCRIPT","00247079730","00247-0797-30","Perphenazine","4 MG",30,1,30,30,,
"Q0175","Perphenazine 4mg oral","PRESCRIPT","00247079750","00247-0797-50","Perphenazine","4 MG",50,1,50,50,,
"Q0176","Perphenazine 8mg oral","PRESCRIPT","00247079807","00247-0798-07","Perphenazine","8 MG",7,1,7,7,,
"Q0176","Perphenazine 8mg oral","PRESCRIPT","00247079814","00247-0798-14","Perphenazine","8 MG",14,1,14,14,,
"Q0176","Perphenazine 8mg oral","PRESCRIPT","00247079830","00247-0798-30","Perphenazine","8 MG",30,1,30,30,,
"Q0172","Chlorpromazine HCl 25mg oral","PRESCRIPT","00247081630","00247-0816-30","Chlorpromazine Hcl","25 MG",30,1,30,30,,
"Q0164","Prochlorperazine maleate 5mg","PRESCRIPT","00247082502","00247-0825-02","Compazine","5 MG",2,1,2,2,,
"Q0164","Prochlorperazine maleate 5mg","PRESCRIPT","00247082503","00247-0825-03","Compazine","5 MG",3,1,3,3,,
"Q0164","Prochlorperazine maleate 5mg","PRESCRIPT","00247082504","00247-0825-04","Compazine","5 MG",4,1,4,4,,
"Q0164","Prochlorperazine maleate 5mg","PRESCRIPT","00247082506","00247-0825-06","Compazine","5 MG",6,1,6,6,,
"Q0164","Prochlorperazine maleate 5mg","PRESCRIPT","00247082510","00247-0825-10","Compazine","5 MG",10,1,10,10,,
"Q0164","Prochlorperazine maleate 5mg","PRESCRIPT","00247082515","00247-0825-15","Compazine","5 MG",15,1,15,15,,
"Q0164","Prochlorperazine maleate 5mg","PRESCRIPT","00247082530","00247-0825-30","Compazine","5 MG",30,1,30,30,,
"J0280","Aminophyllin 250 MG inj","PRESCRIPT","00247085010","00247-0850-10","Aminophylline","250 MG",10,1,1,1,,
"J7602","Albuterol inh non-comp con","PRESCRIPT","00247087120","00247-0871-20","Proventil","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con1","PRESCRIPT","00247087120","00247-0871-20","Proventil","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","PRESCRIPT","00247087120","00247-0871-20","Proventil","1 MG",20,1,100,100,,
"J0170","Adrenalin epinephrin inject","PRESCRIPT","00247091510","00247-0915-10","Epinephrine Hcl","1 ML",1,10,1,10,,
"J0171","Adrenalin epinephrine inject","PRESCRIPT","00247091510","00247-0915-10","Epinephrine Hcl","0.1 MG",1,10,1,10,,
"J1110","Inj dihydroergotamine mesylt","PRESCRIPT","00247093001","00247-0930-01","D.H.E. 45","1 MG",1,1,1,1,,
"J7506","Prednisone oral","PRESCRIPT","00247097340","00247-0973-40","Deltasone","5 MG",40,1,80,80,,
"J0690","Cefazolin sodium injection","PRESCRIPT","00247100101","00247-1001-01","Kefzol","500 MG",1,1,2,2,,
"J0690","Cefazolin sodium injection","PRESCRIPT","00247100110","00247-1001-10","Kefzol","500 MG",1,10,2,20,,
"J8540","Oral dexamethasone","PRESCRIPT","00247101004","00247-1010-04","DEXAMETHASONE","0.25 MG",4,1,12,12,,
"J8540","Oral dexamethasone","PRESCRIPT","00247101012","00247-1010-12","DEXAMETHASONE","0.25 MG",12,1,36,36,,
"J1265","Dopamine injection","PRESCRIPT","00247115605","00247-1156-05","Dopamine Hcl","40 MG",5,1,5,5,,
"Q4076","Dopamine hcl, 40 mg","PRESCRIPT","00247115605","00247-1156-05","Dopamine Hcl",,5,1,5,5,,"40 MG"
"J1800","Propranolol injection","PRESCRIPT","00247116201","00247-1162-01","Inderal","1 MG",1,1,1,1,,
"J0697","Sterile cefuroxime injection","PRESCRIPT","00247116401","00247-1164-01","Zinacef","750 MG",1,1,1,1,,
"J0697","Sterile cefuroxime injection","PRESCRIPT","00247116405","00247-1164-05","Zinacef","750 MG",1,5,1,5,,
"J7506","Prednisone oral","PRESCRIPT","00247117621","00247-1176-21","Deltasone","5 MG",21,1,21,21,,
"J3475","Inj magnesium sulfate","PRESCRIPT","00247119610","00247-1196-10","Magnesium Sulfate","500 MG",10,1,10,10,,
"J9020","Asparaginase injection","PRESCRIPT","00247128910","00247-1289-10","Elspar","10000 UNITS",1,1,1,1,,
"J2405","Ondansetron hcl injection","PRESCRIPT","00247129020","00247-1290-20","Zofran","1 MG",20,1,40,40,,
"J2405","Ondansetron hcl injection","PRESCRIPT","00247130302","00247-1303-02","Zofran","1 MG",1,2,2,4,,
"J0780","Prochlorperazine injection","PRESCRIPT","00247130410","00247-1304-10","Prochlorperazine Edisylate","10 MG",10,1,5,5,,
"J2010","Lincomycin injection","PRESCRIPT","00247130810","00247-1308-10","Lincomycin Hcl","300 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","PRESCRIPT","00247132212","00247-1322-12","Phenergan","25 MG",12,1,12,12,,
"J7506","Prednisone oral","PRESCRIPT","00247132321","00247-1323-21","Deltasone","5 MG",21,1,21,21,,
"J7506","Prednisone oral","PRESCRIPT","00247132360","00247-1323-60","Deltasone","5 MG",60,1,60,60,,
"J7509","Methylprednisolone oral","PRESCRIPT","00247136501","00247-1365-01","Methylprednisolone","4 MG",1,1,1,1,,
"J7509","Methylprednisolone oral","PRESCRIPT","00247136520","00247-1365-20","Methylprednisolone","4 MG",20,1,20,20,,
"J7509","Methylprednisolone oral","PRESCRIPT","00247136521","00247-1365-21","Methylprednisolone","4 MG",21,1,21,21,,
"J7509","Methylprednisolone oral","PRESCRIPT","00247136530","00247-1365-30","Methylprednisolone","4 MG",30,1,30,30,,
"J9320","Streptozocin injection","PRESCRIPT","00247139401","00247-1394-01","Zanosar","1 GM",1,1,1,1,,
"J7506","Prednisone oral","PRESCRIPT","00247141730","00247-1417-30","Prednisone","5 MG",30,1,6,6,,
"J7637","Dexamethasone inhal sol con","MERZ PHARMACEUTICALS","00259029705","00259-0297-05","Decaject",,50,1,200,200,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MERZ PHARMACEUTICALS","00259029705","00259-0297-05","Decaject",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","MERZ","00259029710","00259-0297-10","Decaject",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MERZ","00259029710","00259-0297-10","Decaject",,10,1,40,40,,"1 MG"
"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,,
"C9278","Incobotulinumotoxin A","MERZ","00259160501","00259-1605-01","XEOMIN","1 UNIT",1,1,50,50,,
"J0588","Incobotulinumtoxin a","Merz Pharmaceuticals, LLC","00259160501","00259-1605-01","XEOMIN","1 UNIT",1,1,50,50,,
"Q2040","Incobotulinumtoxin A","MERZ","00259160501","00259-1605-01","XEOMIN","1 UNIT",1,1,50,50,,
"C9278","Incobotulinumotoxin A","MERZ","00259161001","00259-1610-01","XEOMIN","1 UNIT",1,1,100,100,,
"J0588","Incobotulinumtoxin a","Merz Pharmaceuticals, LLC","00259161001","00259-1610-01","XEOMIN","1 UNIT",1,1,100,100,,
"Q2040","Incobotulinumtoxin A","MERZ","00259161001","00259-1610-01","XEOMIN","1 UNIT",1,1,100,100,,
"J0588","Incobotulinumtoxin a","Merz Pharmaceuticals, LLC","00259162001","00259-1620-01","XEOMIN","1 UNIT",1,1,200,200,,
"J7060","5% dextrose/water","B. Braun Medical Inc.","00264110155","00264-1101-55","Dextrose","500 ML",500,12,1,12,,
"J7070","D5w infusion","B. BRAUN","00264112900","00264-1129-00","Dextrose",,,,,,,"1000 CC"
"J7042","5% dextrose/normal saline","B. BRAUN MEDICAL","00264120500","00264-1205-00","Dextrose-Nacl","500 ML",1000,6,2,12,,
"J7120","Ringers lactate infusion","B. BRAUN MEDICAL","00264135000","00264-1350-00","Lactated Ringers","1000 CC",1000,6,1,6,,
"J7120","Ringers lactate infusion","B. BRAUN MEDICAL","00264135010","00264-1350-10","Lactated Ringers","1000 CC",500,12,0.5,6,,
"J7120","Ringers lactate infusion","B. BRAUN MCGAW","00264135110","00264-1351-10","Lactated Ringers","1000 CC",,1,1,1,,
"J7030","Normal saline solution infus","B. BRAUN MEDICAL","00264140000","00264-1400-00","Sodium Chloride","1000 CC",1000,6,1,6,,
"J7040","Normal saline solution infus","B. BRAUN MEDICAL","00264140000","00264-1400-00","Sodium Chloride","500 ML",1000,6,2,12,,
"J7050","Normal saline solution infus","B. BRAUN MEDICAL","00264140000","00264-1400-00","Sodium Chloride","250 CC",1000,6,4,24,,
"J7030","Normal saline solution infus","B. BRAUN MEDICAL","00264140010","00264-1400-10","Sodium Chloride","1000 CC",500,12,0.5,6,,
"J7040","Normal saline solution infus","B. BRAUN MEDICAL","00264140010","00264-1400-10","Sodium Chloride","500 ML",500,12,1,12,,
"J7050","Normal saline solution infus","B. BRAUN MEDICAL","00264140010","00264-1400-10","Sodium Chloride","250 CC",500,12,2,24,,
"J2912","Sodium chloride injection","B. BRAUN MEDICAL","00264140023","00264-1400-23","Sodium Chloride","2 ML",150,12,75,900,,
"J7130","Hypertonic saline solution","B. BRAUN MEDICAL","00264140023","00264-1400-23","Sodium Chloride",,150,12,90,7.5,,"20 CC"
"J1265","Dopamine injection","B. Braun Medical Inc.","00264144155","00264-1441-55","Dopamine In D5W","40 MG",500,1,10,10,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264144155","00264-1441-55","Dopamine In D5W",,500,1,10,10,,"40 MG"
"J1265","Dopamine injection","B. BRAUN MEDICAL","00264144255","00264-1442-55","Dopamine In D5W","40 MG",250,1,5,5,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264144255","00264-1442-55","Dopamine In D5W",,250,1,5,5,,"40 MG"
"J1265","Dopamine injection","B. Braun Medical Inc.","00264148155","00264-1481-55","Dopamine In D5W","40 MG",500,1,20,20,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264148155","00264-1481-55","Dopamine In D5W",,500,1,20,20,,"40 MG"
"J1265","Dopamine injection","B. Braun Medical Inc.","00264148255","00264-1482-55","Dopamine In D5W","40 MG",250,12,10,120,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264148255","00264-1482-55","Dopamine In D5W",,250,1,10,10,,"40 MG"
"J1265","Dopamine injection","B. Braun Medical Inc.","00264149255","00264-1492-55","Dopamine In D5W","40 MG",250,1,20,20,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264149255","00264-1492-55","Dopamine In D5W",,250,1,20,20,,"40 MG"
"J7120","Ringers lactate infusion","B. BRAUN MEDICAL","00264175000","00264-1750-00","Lactated Ringers","1000 CC",1000,10,1,10,,
"J2912","Sodium chloride injection","B. BRAUN MEDICAL","00264180031","00264-1800-31","Sodium Chloride","2 ML",50,84,25,2100,,
"J7130","Hypertonic saline solution","B. BRAUN MEDICAL","00264180031","00264-1800-31","Sodium Chloride",,50,84,210,2.5,,"20 CC"
"J2912","Sodium chloride injection","B. BRAUN MEDICAL","00264180032","00264-1800-32","Sodium Chloride","2 ML",100,64,50,3200,,
"J7130","Hypertonic saline solution","B. BRAUN MEDICAL","00264180032","00264-1800-32","Sodium Chloride",,100,64,320,5,,"20 CC"
"J2912","Sodium chloride injection","B. BRAUN MEDICAL","00264180036","00264-1800-36","Sodium Chloride","2 ML",25,116,12.5,1450,,
"J7130","Hypertonic saline solution","B. BRAUN MEDICAL","00264180036","00264-1800-36","Sodium Chloride",,25,116,145,1.25,,"20 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264192000","00264-1920-00","Sterile Water For Injection",,1000,6,1200,200,,"5 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264192010","00264-1920-10","Sterile Water For Injection",,500,12,1200,100,,"5 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264192050","00264-1920-50","Sterile Water For Injection",,2000,6,2400,400,,"5 CC"
"J3480","Inj potassium chloride","B. BRAUN MEDICAL","00264194010","00264-1940-10","Potassium Chloride","2 MEQ",500,12,500,6000,,
"J3480","Inj potassium chloride","B. Braun Medical Inc.","00264194020","00264-1940-20","Potassium Chloride","2 MEQ",250,12,250,3000,,
"J7100","Dextran 40 infusion","B. BRAUN MEDICAL","00264196210","00264-1962-10","Dextran 40 In D5W","500 ML",500,12,1,12,,
"J7100","Dextran 40 infusion","B. BRAUN MEDICAL","00264196310","00264-1963-10","Dextran 40 In Nacl","500 ML",500,12,1,12,,
"J2513","Pentastarch 10% solution","B. BRAUN MEDICAL","00264197210","00264-1972-10","Pentaspan 10%","100 ML",500,1,5,5,,
"Q2013","Pentastarch 10% solution","B. BRAUN MEDICAL","00264197210","00264-1972-10","Pentaspan",,500,1,5,5,,"10%"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264210100","00264-2101-00","Sterile Water For Irrigation",,1000,16,3200,200,,"5 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264210110","00264-2101-10","Sterile Water For Irrigation",,500,16,1600,100,,"5 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264210150","00264-2101-50","Sterile Water For Irrigation",,2000,8,3200,400,,"5 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264210170","00264-2101-70","Sterile Water For Irrigation",,4000,4,3200,800,,"5 CC"
"J7042","5% dextrose/normal saline","B. BRAUN","00264217155","00264-2171-55","Dextrose-Nacl",,,24,24,1,,"500 ML"
"J7040","Normal saline solution infus","B.BRAUN","00264220100","00264-2201-00","Sodium Chloride",,1000,16,32,2,,"500 ML"
"J7120","Ringers lactate infusion","B, BRAUN","00264220250","00264-2202-50","Ringer's Irrigation",,,1,1,1,,"1000 CC"
"J7120","Ringers lactate infusion","B. BRAUN MEDICAL","00264220300","00264-2203-00","Lactated Ringer'S Irrigation",,1000,1,1,1,,"1000 CC"
"J7120","Ringers lactate infusion","B. BRAUN MEDICAL","00264220350","00264-2203-50","Lactated Ringer'S Irrigation",,2000,1,2,2,,"1000 CC"
"J7120","Ringers lactate infusion","B. BRAUN MEDICAL","00264220370","00264-2203-70","Lactated Ringer'S Irrigation",,4000,1,4,4,,"1000 CC"
"J2260","Inj milrinone lactate / 5 MG","B. Braun Medical Inc.","00264300032","00264-3000-32","MILRINONE LACTATE INJECTION IN 5% DEXTROSE IN PAB CONTAINER","5 MG",100,1,4,4,,
"J0690","Cefazolin sodium injection","B. BRAUN MEDICAL","00264310211","00264-3102-11","CEFAZOLIN SODIUM","500 MG",50,1,1,1,,
"J0690","Cefazolin sodium injection","B. Braun Medical Inc.","00264310311","00264-3103-11","Cefazolin Sodium in Dextrose","500 MG",50,24,2,48,,
"J0690","Cefazolin sodium injection","B. Braun Medical Inc.","00264310511","00264-3105-11","Cefazolin Sodium in Dextrose","500 MG",50,24,4,96,,
"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,,
"J2185","Meropenem","B. Braun Medical Inc.","00264318311","00264-3183-11","MEROPENEM","100 MG",1,24,5,120,,
"J2185","Meropenem","B. Braun Medical Inc.","00264318511","00264-3185-11","MEROPENEM","100 MG",1,24,10,240,,
"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,,
"J7120","Ringers lactate infusion","B. BRAUN MEDICAL INC.","00264351055","00264-3510-55","Dextrose 5%/Lactated Ringers",,,1000,1000,1,,"1000 CC"
"J7120","Ringers lactate infusion","B. BRAUN MEDICAL INC.","00264351155","00264-3511-55","Dextrose 5%/Lactated Ringers","1000 CC",,1,1,1,,
"J7120","Ringers lactate infusion","B. BRAUN","00264380155","00264-3801-55","Ringer's Injection","1000 CC",,1,1,1,,
"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,,
"J1265","Dopamine injection","B. BRAUN MEDICAL","00264514410","00264-5144-10","Dopamine In D5W","40 MG",500,12,10,120,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264514410","00264-5144-10","Dopamine In D5W",,500,12,120,10,,"40 MG"
"J1265","Dopamine injection","B. BRAUN MEDICAL","00264514420","00264-5144-20","Dopamine In D5W","40 MG",250,12,5,60,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264514420","00264-5144-20","Dopamine In D5W",,250,12,60,5,,"40 MG"
"J1265","Dopamine injection","B. BRAUN MEDICAL","00264514810","00264-5148-10","Dopamine In D5W","40 MG",500,12,20,240,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264514810","00264-5148-10","Dopamine In D5W",,500,12,240,20,,"40 MG"
"J1265","Dopamine injection","B. BRAUN MEDICAL","00264514820","00264-5148-20","Dopamine In D5W","40 MG",250,12,10,120,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264514820","00264-5148-20","Dopamine In D5W",,250,12,120,10,,"40 MG"
"J1265","Dopamine injection","B. BRAUN MEDICAL","00264514920","00264-5149-20","Dopamine In D5W","40 MG",250,12,20,240,,
"Q4076","Dopamine hcl, 40 mg","B. BRAUN MEDICAL","00264514920","00264-5149-20","Dopamine In D5W",,250,12,240,20,,"40 MG"
"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,,
"J7120","Ringers lactate infusion","B. Braun Medical Inc.","00264738960","00264-7389-60","Lactated Ringers","1000 CC",3000,4,3,12,,
"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","00264761420","00264-7614-20","Dextrose-Nacl","500 ML",250,24,0.5,12,,
"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","00264762000","00264-7620-00","Dextrose-Nacl","500 ML",1000,12,2,24,,
"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,,
"J7120","Ringers lactate infusion","B. BRAUN","00264775120","00264-7751-20","Dextrose 5%/Lactated Ringers","1000 CC",,1,1,1,,
"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.","00264780009","00264-7800-09","Sodium Chloride","1000 ML",1000,12,1,12,,
"J7040","Normal saline solution infus","B. Braun Medical Inc.","00264780009","00264-7800-09","Sodium Chloride","500 ML",1000,12,2,24,,
"J7050","Normal saline solution infus","B. Braun Medical Inc.","00264780009","00264-7800-09","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,,
"J7030","Normal saline solution infus","B. BRAUN MEDICAL","00264780510","00264-7805-10","Sodium Chloride",,500,24,48,2,,"1000 CC"
"J7040","Normal saline solution infus","B. BRAUN MEDICAL","00264780510","00264-7805-10","Sodium Chloride",,500,24,24,1,,"500 CC"
"J7050","Normal saline solution infus","B. BRAUN MEDICAL","00264780510","00264-7805-10","Sodium Chloride",,500,24,48,2,,"250 CC"
"J7030","Normal saline solution infus","B. BRAUN MEDICAL","00264780610","00264-7806-10","Sodium Chloride",,500,24,48,2,,"1000 CC"
"J7040","Normal saline solution infus","B. BRAUN MEDICAL","00264780610","00264-7806-10","Sodium Chloride",,500,24,24,1,,"500 CC"
"J7050","Normal saline solution infus","B. BRAUN MEDICAL","00264780610","00264-7806-10","Sodium Chloride",,500,24,48,2,,"250 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264785000","00264-7850-00","Sterile Water For Injection",,1000,12,2400,200,,"5 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264785010","00264-7850-10","Sterile Water For Injection",,500,24,2400,100,,"5 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264785020","00264-7850-20","Sterile Water For Injection",,250,24,1200,50,,"5 CC"
"J3480","Inj potassium chloride","B. Braun Medical Inc.","00264786500","00264-7865-00","Potassium Chloride","2 MEQ",1000,12,10,120,,
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264920055","00264-9200-55","Water For Injection Sterile",,1000,1,200,200,,"5 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264920155","00264-9201-55","Sterile Water For Injection",,500,12,1200,100,,"5 CC"
"J7051","Sterile saline/water","B. BRAUN MEDICAL","00264920555","00264-9205-55","Sterile Water For Injection",,2000,1,240,40,,"5 CC"
"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,,
"J2810","Inj theophylline per 40 MG","B. BRAUN MEDICAL","00264955820","00264-9558-20","Theophylline In D5W","40 MG",250,24,10,240,,
"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","00264959210","00264-9592-10","Lidocaine In D5W","10 MG",500,24,100,2400,,
"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,,
"J7030","Normal saline solution infus","B. Braun Medical Inc.","00264999910","00264-9999-10","Sodium Chloride (FDA OK'd Import)","1000 ML",500,10,0.5,5,,
"J7040","Normal saline solution infus","B. Braun Medical Inc.","00264999910","00264-9999-10","Sodium Chloride (FDA OK'd Import)","500 ML",500,10,1,10,,
"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","00270069650","00270-0696-50","Reno-60","1 ML",50,25,50,1250,,
"Q9961","HOCM 250-299mg/ml iodine","BRACCO DIAGNOSTICS","00270069655","00270-0696-55","RENO-60","1 ML",100,10,100,1000,,
"Q9961","HOCM 250-299mg/ml iodine","BRACCO DIAGNOSTICS","00270069665","00270-0696-65","Reno-60","1 ML",150,10,150,1500,,
"Q9961","HOCM 250-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270070749","00270-0707-49","Renografin-60","1 ML",50,10,50,500,,
"Q9961","HOCM 250-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270070750","00270-0707-50","Renografin-60","1 ML",50,25,50,1250,,
"Q9961","HOCM 250-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270070755","00270-0707-55","Renografin-60","1 ML",100,10,100,1000,,
"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,,
"Q9963","HOCM 350-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270086019","00270-0860-19","Renocal-76","1 ML",50,10,50,500,,
"Q9963","HOCM 350-399mg/ml iodine","BRACCO DIAGNOSTICS","00270086020","00270-0860-20","Renocal-76","1 ML",50,25,50,1250,,
"Q9963","HOCM 350-399mg/ml iodine","BRACCO DIAGNOSTICS","00270086030","00270-0860-30","Renocal-76","1 ML",100,10,100,1000,,
"Q9963","HOCM 350-399mg/ml iodine","BRACCO DIAGNOSTICS","00270086040","00270-0860-40","Renocal-76","1 ML",150,10,150,1500,,
"Q9963","HOCM 350-399mg/ml iodine","BRACCO DIAGNOSTICS","00270086050","00270-0860-50","Renocal-76","1 ML",200,10,200,2000,,
"A9579","Gad-base mr contrast nos,1ml","BRACCO DIAGNOSTICS","00270111101","00270-1111-01","Prohance","1 ML",10,5,10,50,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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","00270111140","00270-1111-40","PROHANCE","1 ML",50,5,50,250,,
"Q9952","Inj Gad-base MR contrast,1ml","BRACCO DIAGNOSTICS","00270111140","00270-1111-40","PROHANCE","1 ML",50,5,50,250,,
"A9579","Gad-base mr contrast nos,1ml","BRACCO DIAGNOSTICS","00270111145","00270-1111-45","Prohance Prefilled Syringes","1 ML",17,5,17,85,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,1ml","BRACCO DIAGNOSTICS","00270111170","00270-1111-70","Prohance Multipack","1 ML",50,5,50,250,,
"Q9947","LOCM 200-249mg/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","00270131415","00270-1314-15","ISOVUE-200","1 ML",200,10,200,2000,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131430","00270-1314-30","ISOVUE-200","1 ML",50,10,50,500,,
"Q9966","Locm 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131430","00270-1314-30","ISOVUE-200","1 ML",50,10,50,500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131434","00270-1314-34","ISOVUE-200","1 ML",100,10,100,1000,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131434","00270-1314-34","ISOVUE-200","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/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","00270131525","00270-1315-25","Isovue-300","1 ML",30,10,30,300,,
"Q9949","LOCM 300-349mg/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","00270131530","00270-1315-30","Isovue-300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/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","00270131535","00270-1315-35","Isovue-300","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/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","00270131541","00270-1315-41","Isovue-300 Multi Pack","1 ML",200,10,200,2000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131545","00270-1315-45","Isovue-300","1 ML",200,10,200,2000,,
"Q9949","LOCM 300-349mg/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","00270131547","00270-1315-47","Isovue-300","1 ML",75,10,75,750,,
"Q9949","LOCM 300-349mg/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","00270131550","00270-1315-50","Isovue-300","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/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","00270131557","00270-1315-57","Isovue-300 Prefilled Syringes","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/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","00270131558","00270-1315-58","Isovue-300 Prefilled Syringes","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/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","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","00270131595","00270-1315-95","Isovue-300","1 ML",500,6,500,3000,,
"Q9949","LOCM 300-349mg/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","00270131598","00270-1315-98","Isovue-300 Multi Pack","1 ML",500,6,500,3000,,
"Q9950","LOCM 350-399mg/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","00270131601","00270-1316-01","Isovue-370","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/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","00270131604","00270-1316-04","Isovue-370","1 ML",125,10,125,1250,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131607","00270-1316-07","Isovue-370","1 ML",20,10,20,200,,
"Q9967","LOCM 300-399mg/ml iodine","BRACCO DIAGNOSTICS","00270131607","00270-1316-07","Isovue-370","1 ML",20,10,20,200,,
"Q9950","LOCM 350-399mg/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","00270131630","00270-1316-30","Isovue-370","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/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","00270131635","00270-1316-35","Isovue-370","1 ML",100,10,100,1000,,
"Q9950","LOCM 350-399mg/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","00270131637","00270-1316-37","Isovue-370","1 ML",150,10,150,1500,,
"Q9950","LOCM 350-399mg/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","00270131640","00270-1316-40","Isovue-370","1 ML",200,10,200,2000,,
"Q9950","LOCM 350-399mg/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","00270131641","00270-1316-41","Isovue-370 Multi Pack","1 ML",200,10,200,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131644","00270-1316-44","Isovue-370","1 ML",175,10,175,1750,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131644","00270-1316-44","Isovue-370","1 ML",175,10,175,1750,,
"Q9967","Locm 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131645","00270-1316-45","Isovue-370","1 ML",200,10,200,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131647","00270-1316-47","Isovue-370","1 ML",30,10,30,300,,
"Q9967","LOCM 300-399mg/ml iodine","BRACCO DIAGNOSTICS","00270131647","00270-1316-47","Isovue-370","1 ML",30,10,30,300,,
"Q9950","LOCM 350-399mg/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","00270131652","00270-1316-52","Isovue-370","1 ML",75,10,75,750,,
"Q9950","LOCM 350-399mg/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","00270131656","00270-1316-56","Isovue-370 Prefilled Syringes","1 ML",75,10,75,750,,
"Q9950","LOCM 350-399mg/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","00270131657","00270-1316-57","Isovue-370 Prefilled Syringes","1 ML",100,10,100,1000,,
"Q9950","LOCM 350-399mg/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","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","00270131695","00270-1316-95","Isovue-370","1 ML",500,6,500,3000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131698","00270-1316-98","Isovue-370 Multi Pack","1 ML",500,6,500,3000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131698","00270-1316-98","Isovue-370 Multi Pack","1 ML",500,6,500,3000,,
"Q9948","LOCM 250-299mg/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","00270131702","00270-1317-02","Isovue-250","1 ML",100,10,100,1000,,
"Q9948","LOCM 250-299mg/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","00270131705","00270-1317-05","Isovue-250","1 ML",50,10,50,500,,
"Q9948","LOCM 250-299mg/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","00270131709","00270-1317-09","Isovue-250","1 ML",150,10,150,1500,,
"Q9948","LOCM 250-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131739","00270-1317-39","Isovue-250","1 ML",200,10,200,2000,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131739","00270-1317-39","Isovue-250","1 ML",200,10,200,2000,,
"Q9948","LOCM 250-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131741","00270-1317-41","Isovue-250 Multipack","1 ML",200,10,200,2000,,
"Q9966","Locm 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131741","00270-1317-41","Isovue-250 Multipack","1 ML",200,10,200,2000,,
"Q9948","LOCM 250-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131743","00270-1317-43","Isovue-250 Prefilled Syringes","1 ML",150,10,150,1500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270131743","00270-1317-43","Isovue-250 Prefilled Syringes","1 ML",150,10,150,1500,,
"Q9958","Hocm <=149 mg/ml iodine, 1ml","BRACCO DIAGNOSTICS","00270141030","00270-1410-30","Cystografin-Dilute","1 ML",300,10,300,3000,,
"Q9947","LOCM 200-249mg/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","00270141111","00270-1411-11","ISOVUE-M-200","1 ML",10,10,10,100,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270141125","00270-1411-25","ISOVUE-M-200","1 ML",20,10,20,200,,
"Q9966","Locm 200-299mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270141125","00270-1411-25","ISOVUE-M-200","1 ML",20,10,20,200,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","BRACCO DIAGNOSTICS","00270141215","00270-1412-15","Isovue-M-300","1 ML",15,10,15,150,,
"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,,
"Q9952","Inj Gad-base MR contrast,1ml","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,,
"Q9952","Inj Gad-base MR contrast,1ml","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,,
"Q9952","Inj Gad-base MR contrast,1ml","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BRACCO DIAGNOSTICS","00270516415","00270-5164-15","Multihance","1 ML",20,5,20,100,,
"Q9952","Inj Gad-base MR contrast,1ml","BRACCO DIAGNOSTICS","00270516416","00270-5164-16","Multihance Multipack","1 ML",50,5,50,250,,
"Q9952","Inj Gad-base MR contrast,1ml","BRACCO DIAGNOSTICS","00270516417","00270-5164-17","Multihance Multipack","1 ML",100,5,100,500,,
"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,,
"Q9952","Inj Gad-base MR contrast,1ml","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BRACCO DIAGNOSTICS","00270526417","00270-5264-17","Multihance Multipack","1 ML",100,5,100,500,,
"C9457","Lumason contrast agent","BRACCO DIAGNOSTICS INC.","00270709916","00270-7099-16","LUMASON","1 ML",5,5,5,25,,
"Q9950","Inj sulf hexa lipid microsph","BRACCO DIAGNOSTICS","00270709916","00270-7099-16","LUMASON","1 ML",5,5,5,25,,
"C9274","Crotalidae Poly Immune Fab","Savage Laboratories","00281033010","00281-0330-10","CROFAB POWDER FOR SOLUTION","1 gram vial",1,2,1,2,,
"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,,
"Q2006","Digoxin immune fab (ovine)","SAVAGE","00281036510","00281-0365-10","Digifab",,1,1,1,1,,"1 EA"
"J1180","Dyphylline injection","SAVAGE","00281111231","00281-1112-31","Dilor",,2,6,6,1,,"500 MG"
"J7635","Atropine inhal sol con","VORTECH PHARMACEUTICAL LTD.","00298618362","00298-6183-62","Atropine Sulfate Injection",,20,1,8,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","VORTECH PHARMACEUTICAL LTD.","00298618362","00298-6183-62","Atropine Sulfate Injection",,20,1,8,8,,"1 MG"
"J0586","Abobotulinumtoxina","Galderma Laboratories, L.P.","00299596230","00299-5962-30","Dysport","5 UNITS",1,1,60,60,,
"J7309","Methyl aminolevulinate, top","Galderma Laboratories, LP","00299630002","00299-6300-02","METVIXIA","1 GM",2,1,2,2,,
"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,,
"J9218","Leuprolide acetate injeciton","Abbott","00300361224","00300-3612-24","Lupron","1 MG",2.8,6,14,84,,
"J9218","Leuprolide acetate injeciton","Abbott","00300361228","00300-3612-28","Lupron Injection","1 MG",1,1,14,14,,
"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,,
"J1320","AMItriptyline injection","ASTRAZENECA","00310004910","00310-0049-10","Elavil","20 MG",10,1,5,5,,
"J2185","Meropenem","ASTRAZENECA","00310032115","00310-0321-15","Merrem",,1,10,100,10,,"100 MG"
"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","00310032511","00310-0325-11","Merrem",,1,10,50,5,,"100 MG"
"J2185","Meropenem","ASTRAZENECA","00310032515","00310-0325-15","Merrem",,1,10,50,5,,"100 MG"
"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,,
"J9202","Goserelin acetate implant","ASTRAZENECA","00310096036","00310-0960-36","Zoladex","3.6 MG",1,1,1,1,,
"J9202","Goserelin acetate implant","ASTRAZENECA","00310096130","00310-0961-30","Zoladex","3.6 MG",1,1,3,3,,
"C9492","Injection, durvalumab","ASTRAZENECA PHARMACEUTICALS, LP","00310450012","00310-4500-12","Imfinzi","10 MG",2.4,1,12,12,,
"C9492","Injection, durvalumab","ASTRAZENECA PHARMACEUTICALS, LP","00310461150","00310-4611-50","Imfinzi","10 MG",10,1,50,50,,
"J3140","Testosterone suspension inj","HYREX","00314008310","00314-0083-10","Testosterone",,10,1,10,10,,"50 MG"
"J1940","Furosemide injection","HYREX","00314051070","00314-0510-70","Furosemide",,10,1,5,5,,"20 MG"
"J0725","Chorionic gonadotropin/1000u","HYREX","00314061870","00314-0618-70","Chorex-10",,1,1,10,10,,"1000 UNITS"
"J3420","Vitamin b12 injection","HYREX","00314062230","00314-0622-30","Vitamin B-12",,30,1,30,30,,"1000 MCG"
"J3420","Vitamin b12 injection","HYREX","00314062270","00314-0622-70","Vitamin B-12",,10,1,10,10,,"1000 MCG"
"J1435","Injection estrone per 1 MG","HYREX","00314064470","00314-0644-70","Kestrone",,10,1,50,50,,"1 MG"
"J2650","Prednisolone acetate inj","HYREX","00314069530","00314-0695-30","Key-Pred",,30,1,30,30,,"1 ML"
"J2650","Prednisolone acetate inj","HYREX","00314069770","00314-0697-70","Key-Pred",,10,1,20,20,,"1 ML"
"J3415","Pyridoxine hcl 100 mg","HYREX PHARMACEUTICALS","00314075870","00314-0758-70","PYRIDOXINE HCL","100 MG",10,1,10,10,,
"J3140","Testosterone suspension inj","HYREX","00314077170","00314-0771-70","Testosterone",,10,1,20,20,,"50 MG"
"J3150","Testosteron propionate inj","HYREX","00314077270","00314-0772-70","Testosterone Propionate",,10,1,10,10,,"100 MG"
"J3411","Thiamine hcl 100 mg","HYREX PHARMACEUTICALS","00314077430","00314-0774-30","THIAMINE HCL","100 MG",30,1,30,30,,
"J3302","Triamcinolone diacetate inj","HYREX","00314077575","00314-0775-75","Triam Forte",,5,1,40,40,,"5 MG"
"J0900","Testosterone enanthate inj","HYREX","00314078670","00314-0786-70","Valertest #1",,10,1,10,10,,"1 CC"
"J7051","Sterile saline/water","HYREX","00314079430","00314-0794-30","Bacteriostatic Water(Benz Alc)",,30,1,6,6,,"5 CC"
"J1100","Dexamethasone sodium phos","HYREX","00314089605","00314-0896-05","Solurex",,5,1,20,20,,"1 MG"
"J1100","Dexamethasone sodium phos","HYREX","00314089610","00314-0896-10","Solurex",,10,1,40,40,,"1 MG"
"J1100","Dexamethasone sodium phos","HYREX","00314089630","00314-0896-30","Solurex",,30,1,120,120,,"1 MG"
"J7637","Dexamethasone inhal sol con","HYREX","00314089630","00314-0896-30","Solurex",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","HYREX","00314089630","00314-0896-30","Solurex",,30,1,120,120,,"1 MG"
"J1100","Dexamethasone sodium phos","HYREX","00314089670","00314-0896-70","Solurex",,10,1,40,40,,"1 MG"
"J7637","Dexamethasone inhal sol con","HYREX","00314089670","00314-0896-70","Solurex",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","HYREX","00314089670","00314-0896-70","Solurex",,10,1,40,40,,"1 MG"
"J1100","Dexamethasone sodium phos","HYREX","00314089675","00314-0896-75","Solurex",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","HYREX","00314089675","00314-0896-75","Solurex",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","HYREX","00314089675","00314-0896-75","Solurex",,5,1,20,20,,"1 MG"
"J1094","Inj dexamethasone acetate","HYREX","00314089775","00314-0897-75","Solurex La",,5,1,40,40,,"1 MG"
"J3410","Hydroxyzine hcl injection","HYREX","00314140070","00314-1400-70","Hyzine",,10,1,20,20,,"25 MG"
"J0945","Brompheniramine maleate inj","HYREX","00314223670","00314-2236-70","Nd-Stat",,10,1,10,10,,"10 MG"
"J0945","Brompheniramine maleate inj","HYREX","00314223770","00314-2237-70","Nd-Stat",,10,1,10,10,,"10 MG"
"J3301","Triamcinolone acetonide inj","HYREX","00314340075","00314-3400-75","Triam-A",,5,1,20,20,,"10 MG"
"J0610","Calcium gluconate injection","HYREX","00314901305","00314-9013-05","Calcium Gluconate",,10,25,25,1,,"10 ML"
"Q2004","Bladder calculi irrig sol","GUARDIAN LABORATORIES","00327001105","00327-0011-05","Renacidin",,500,1,1,1,,"500 ML"
"J7051","Sterile saline/water","BAXTER","00338000302","00338-0003-02","Sterile Water For Irrigation",,250,1,50,50,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000303","00338-0003-03","Sterile Water For Irrigation",,500,1,100,100,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000304","00338-0003-04","Sterile Water For Irrigation",,1000,1,200,200,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000305","00338-0003-05","Sterile Water For Irrigation",,1500,1,300,300,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000307","00338-0003-07","Sterile Water For Irrigation",,3000,1,600,600,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000344","00338-0003-44","Sterile Water For Irrigation",,1000,12,2400,200,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000346","00338-0003-46","Sterile Water For Irrigation",,2000,6,2400,400,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000347","00338-0003-47","Sterile Water For Irrigation",,3000,4,2400,600,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000349","00338-0003-49","Sterile Water For Irrigation",,5000,2,2000,1000,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000402","00338-0004-02","Sterile Water For Irrigation",,250,24,1200,50,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000403","00338-0004-03","Sterile Water For Irrigation",,500,18,1800,100,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000404","00338-0004-04","Sterile Water For Irrigation",,1000,12,2400,200,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338000405","00338-0004-05","Sterile Water For Irrigation",,1500,9,2700,300,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338001304","00338-0013-04","Sterile Water For Injection",,1000,1,200,200,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338001306","00338-0013-06","Sterile Water For Injection",,2000,1,400,400,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338001308","00338-0013-08","Sterile Water For Injection",,3000,1,600,600,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338001329","00338-0013-29","Sterile Water For Injection",,5000,1,1000,1000,,"5 CC"
"J7051","Sterile saline/water","BAXTER","00338001403","00338-0014-03","Sterile Water For Injection",,500,1,100,100,,"5 CC"
"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","00338004402","00338-0044-02","Sodium Chloride","1000 CC",250,1,0.25,0.25,,
"J7040","Normal saline solution infus","BAXTER","00338004402","00338-0044-02","Sodium Chloride","500 ML",250,1,0.5,0.5,,
"J7050","Normal saline solution infus","BAXTER","00338004402","00338-0044-02","Sodium Chloride","250 CC",250,1,1,1,,
"J7030","Normal saline solution infus","BAXTER","00338004403","00338-0044-03","Sodium Chloride","1000 CC",500,1,0.5,0.5,,
"J7040","Normal saline solution infus","BAXTER","00338004403","00338-0044-03","Sodium Chloride","500 ML",500,1,1,1,,
"J7050","Normal saline solution infus","BAXTER","00338004403","00338-0044-03","Sodium Chloride","250 CC",500,1,2,2,,
"J7030","Normal saline solution infus","BAXTER","00338004744","00338-0047-44","Sodium Chloride",,1000,1,1,1,,"1000 CC"
"J7040","Normal saline solution infus","BAXTER","00338004744","00338-0047-44","Sodium Chloride",,1000,1,2,2,,"500 CC"
"J7050","Normal saline solution infus","BAXTER","00338004744","00338-0047-44","Sodium Chloride",,1000,1,4,4,,"250 CC"
"J7030","Normal saline solution infus","BAXTER","00338004746","00338-0047-46","Sodium Chloride",,2000,1,2,2,,"1000 CC"
"J7040","Normal saline solution infus","BAXTER","00338004746","00338-0047-46","Sodium Chloride",,2000,1,4,4,,"500 CC"
"J7050","Normal saline solution infus","BAXTER","00338004746","00338-0047-46","Sodium Chloride",,2000,1,8,8,,"250 CC"
"J7030","Normal saline solution infus","BAXTER","00338004747","00338-0047-47","Sodium Chloride",,3000,1,3,3,,"1000 CC"
"J7040","Normal saline solution infus","BAXTER","00338004747","00338-0047-47","Sodium Chloride",,3000,1,6,6,,"500 CC"
"J7050","Normal saline solution infus","BAXTER","00338004747","00338-0047-47","Sodium Chloride",,3000,1,12,12,,"250 CC"
"J2912","Sodium chloride injection","BAXTER","00338004901","00338-0049-01","Sodium Chloride","2 ML",150,1,75,75,,
"J7130","Hypertonic saline solution","BAXTER","00338004901","00338-0049-01","Sodium Chloride",,150,1,7.5,7.5,,"20 CC"
"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,,
"J2912","Sodium chloride injection","BAXTER","00338004910","00338-0049-10","Sodium Chloride","2 ML",25,1,12.5,12.5,,
"J7130","Hypertonic saline solution","BAXTER","00338004910","00338-0049-10","Sodium Chloride",,25,1,1.25,1.25,,"20 CC"
"J2912","Sodium chloride injection","BAXTER","00338004911","00338-0049-11","Sodium Chloride","2 ML",50,1,25,25,,
"J7130","Hypertonic saline solution","BAXTER","00338004911","00338-0049-11","Sodium Chloride",,50,1,2.5,2.5,,"20 CC"
"J2912","Sodium chloride injection","BAXTER","00338004918","00338-0049-18","Sodium Chloride","2 ML",100,1,50,50,,
"J7130","Hypertonic saline solution","BAXTER","00338004918","00338-0049-18","Sodium Chloride",,100,1,5,5,,"20 CC"
"J2912","Sodium chloride injection","BAXTER","00338004931","00338-0049-31","Sodium Chloride","2 ML",50,1,25,25,,
"J7130","Hypertonic saline solution","BAXTER","00338004931","00338-0049-31","Sodium Chloride",,50,1,2.5,2.5,,"20 CC"
"J2912","Sodium chloride injection","BAXTER","00338004938","00338-0049-38","Sodium Chloride","2 ML",100,1,50,50,,
"J7130","Hypertonic saline solution","BAXTER","00338004938","00338-0049-38","Sodium Chloride",,100,1,5,5,,"20 CC"
"J2912","Sodium chloride injection","BAXTER","00338004941","00338-0049-41","Sodium Chloride","2 ML",50,1,25,25,,
"J7130","Hypertonic saline solution","BAXTER","00338004941","00338-0049-41","Sodium Chloride",,50,1,2.5,2.5,,"20 CC"
"J2912","Sodium chloride injection","BAXTER","00338004948","00338-0049-48","Sodium Chloride","2 ML",100,1,50,50,,
"J7130","Hypertonic saline solution","BAXTER","00338004948","00338-0049-48","Sodium Chloride",,100,1,5,5,,"20 CC"
"J7030","Normal saline solution infus","BAXTER","00338005303","00338-0053-03","Sodium Chloride",,500,1,2,2,,"1000 CC"
"J7040","Normal saline solution infus","BAXTER","00338005303","00338-0053-03","Sodium Chloride",,500,1,1,1,,"500 CC"
"J7050","Normal saline solution infus","BAXTER","00338005303","00338-0053-03","Sodium Chloride",,500,1,2,2,,"250 CC"
"J7030","Normal saline solution infus","BAXTER","00338005403","00338-0054-03","Sodium Chloride",,500,24,48,2,,"1000 CC"
"J7040","Normal saline solution infus","BAXTER","00338005403","00338-0054-03","Sodium Chloride",,500,24,24,1,,"500 CC"
"J7050","Normal saline solution infus","BAXTER","00338005403","00338-0054-03","Sodium Chloride",,500,24,48,2,,"250 CC"
"J7030","Normal saline solution infus","BAXTER","00338005503","00338-0055-03","Sodium Chloride",,500,1,2,2,,"1000 CC"
"J7040","Normal saline solution infus","BAXTER","00338005503","00338-0055-03","Sodium Chloride",,500,1,1,1,,"500 CC"
"J7050","Normal saline solution infus","BAXTER","00338005503","00338-0055-03","Sodium Chloride",,500,1,2,2,,"250 CC"
"J7030","Normal saline solution infus","BAXTER","00338005603","00338-0056-03","Sodium Chloride",,500,24,48,2,,"1000 CC"
"J7040","Normal saline solution infus","BAXTER","00338005603","00338-0056-03","Sodium Chloride",,500,24,24,1,,"500 CC"
"J7050","Normal saline solution infus","BAXTER","00338005603","00338-0056-03","Sodium Chloride",,500,24,48,2,,"250 CC"
"J7042","5% dextrose/normal saline","BAXTER","00338007102","00338-0071-02","Dextrose-Nacl","500 ML",250,1,0.5,0.5,,
"J7042","5% dextrose/normal saline","BAXTER","00338007103","00338-0071-03","Dextrose-Nacl","500 ML",500,1,1,1,,
"J7042","5% dextrose/normal saline","BAXTER","00338007104","00338-0071-04","Dextrose-Nacl","500 ML",1000,1,2,2,,
"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","00338007502","00338-0075-02","Dextrose-Nacl","500 ML",250,1,0.5,0.5,,
"J7042","5% dextrose/normal saline","BAXTER","00338007503","00338-0075-03","Dextrose-Nacl","500 ML",500,1,1,1,,
"J7042","5% dextrose/normal saline","BAXTER","00338007504","00338-0075-04","Dextrose-Nacl","500 ML",1000,1,2,2,,
"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","00338007902","00338-0079-02","Dextrose-Nacl","500 ML",250,1,0.5,0.5,,
"J7042","5% dextrose/normal saline","BAXTER","00338007903","00338-0079-03","Dextrose-Nacl","500 ML",500,1,1,1,,
"J7042","5% dextrose/normal saline","BAXTER","00338007904","00338-0079-04","Dextrose-Nacl","500 ML",1000,1,2,2,,
"J7042","5% dextrose/normal saline","BAXTER","00338008102","00338-0081-02","Dextrose-Nacl","500 ML",250,1,0.5,0.5,,
"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","00338008104","00338-0081-04","Dextrose-Nacl","500 ML",1000,1,2,2,,
"J7042","5% dextrose/normal saline","BAXTER","00338008302","00338-0083-02","Dextrose-Nacl","500 ML",250,1,0.5,0.5,,
"J7042","5% dextrose/normal saline","BAXTER","00338008303","00338-0083-03","Dextrose-Nacl","500 ML",500,1,1,1,,
"J7042","5% dextrose/normal saline","BAXTER","00338008304","00338-0083-04","Dextrose-Nacl","500 ML",1000,1,2,2,,
"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,,
"J7042","5% dextrose/normal saline","BAXTER","00338009304","00338-0093-04","Dextrose-Nacl","500 ML",1000,1,2,2,,
"J7042","5% dextrose/normal saline","BAXTER","00338009503","00338-0095-03","Dextrose-Nacl","500 ML",500,24,1,24,,
"J7042","5% dextrose/normal saline","BAXTER","00338009504","00338-0095-04","Dextrose-Nacl","500 ML",1000,12,2,24,,
"J7120","Ringers lactate infusion","BAXTER HEALTHCARE CORP.","00338010404","00338-0104-04","Ringer's Irrigation",,,1,1,1,,"1000 CC"
"J7120","Ringers lactate infusion","BAXTER","00338011302","00338-0113-02","Lactated Ringers","1000 CC",250,1,0.25,0.25,,
"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 MEDICATION","00338012303","00338-0123-03","Lactated Ringers","1000 CC",,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,,
"J7120","Ringers lactate infusion","BAXTER","00338013727","00338-0137-27","Lactated Ringer'S",,3000,1,3,3,,"1000 CC"
"J7120","Ringers lactate infusion","BAXTER","00338013729","00338-0137-29","Lactated Ringer'S",,5000,1,5,5,,"1000 CC"
"J7120","Ringers lactate infusion","HOSPIRA","00338018902","00338-0189-02","Lactated Ringers","1000 CC",,1,1,1,,
"J7110","Dextran 75 infusion","BAXTER","00338026303","00338-0263-03","Gentran 75 In Nacl","500 ML",500,1,1,1,,
"J7110","Dextran 75 infusion","BAXTER","00338026503","00338-0265-03","Gentran 75 In Nacl","500 ML",500,1,1,1,,
"J7100","Dextran 40 infusion","BAXTER","00338027003","00338-0270-03","Gentran 40 In Nacl","500 ML",500,1,1,1,,
"J7100","Dextran 40 infusion","BAXTER","00338027103","00338-0271-03","Gentran 40 In D5W","500 ML",500,1,1,1,,
"J7100","Dextran 40 infusion","BAXTER","00338027203","00338-0272-03","Gentran 40 In D5W","500 ML",500,1,1,1,,
"J3480","Inj potassium chloride","Baxter Healthcare Corporation   ","00338031802","00338-0318-02","Potassium Chloride","2 MEQ",250,1,250,250,,
"J2150","Mannitol injection","BAXTER","00338035304","00338-0353-04","Mannitol","50 ML",1000,1,20,20,,
"J2001","Lidocaine injection","BAXTER","00338040704","00338-0407-04","Lidocaine In D5W","10 MG",1000,1,200,200,,
"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","00338040904","00338-0409-04","Lidocaine In D5W","10 MG",1000,1,400,400,,
"J2001","Lidocaine injection","Baxter Healthcare Corporation","00338041102","00338-0411-02","Lidocaine In D5W","10 MG",250,1,200,200,,
"J2001","Lidocaine injection","BAXTER","00338041103","00338-0411-03","Lidocaine In D5W","10 MG",500,1,400,400,,
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation","00338043103","00338-0431-03","Heparin (Porcine) In Nacl","1000 UNITS",500,18,1,18,,
"J1644","Inj heparin sodium per 1000u","Baxter Healthcare Corporation","00338043304","00338-0433-04","Heparin (Porcine) In Nacl","1000 UNITS",1000,12,2,24,,
"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","00338043904","00338-0439-04","Theophylline In D5W","40 MG",1000,12,20,240,,
"J2810","Inj theophylline per 40 MG","BAXTER","00338044102","00338-0441-02","Theophylline In D5W","40 MG",250,24,10,240,,
"J2810","Inj theophylline per 40 MG","Baxter Healthcare Corporation   ","00338044103","00338-0441-03","Theophylline In D5W","40 MG",500,18,20,360,,
"J2810","Inj theophylline per 40 MG","BAXTER","00338044348","00338-0443-48","Theophylline In D5W","40 MG",100,24,5,120,,
"J2810","Inj theophylline per 40 MG","BAXTER","00338044402","00338-0444-02","Theophylline In D5W","40 MG",250,24,20,480,,
"J2810","Inj theophylline per 40 MG","BAXTER","00338044541","00338-0445-41","Theophylline In D5W","40 MG",50,24,5,120,,
"J2810","Inj theophylline per 40 MG","BAXTER","00338044548","00338-0445-48","Theophylline In D5W","40 MG",100,24,10,240,,
"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,,
"J1890","Cephalothin sodium injection","BAXTER","00338052541","00338-0525-41","Cephalothin Sodium",,50,24,24,1,,"1 G"
"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,,
"J2912","Sodium chloride injection","BAXTER","00338055311","00338-0553-11","Sodium Chloride","2 ML",50,1,25,25,,
"J7130","Hypertonic saline solution","BAXTER","00338055311","00338-0553-11","Sodium Chloride",,50,80,200,2.5,,"20 CC"
"J2912","Sodium chloride injection","BAXTER","00338055318","00338-0553-18","Sodium Chloride","2 ML",100,1,50,4000,,
"J7130","Hypertonic saline solution","BAXTER","00338055318","00338-0553-18","Sodium Chloride",,100,80,400,5,,"20 CC"
"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","00338065568","00338-0655-68","Potassium Chloride","2 MEQ",15,1,15,15,,
"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 CORP.","00338069103","00338-0691-03","POTASSIUM CHLORIDE/SODIUM CHLORIDE","2 MEQ",500,1,10,10,,
"J3480","Inj potassium chloride","Baxter Healthcare Corporation","00338069104","00338-0691-04","POTASSIUM CHLORIDE/SODIUM CHLORIDE","2 MEQ",1000,1,10,10,,
"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",250,18,5,90,,
"Q4076","Dopamine hcl, 40 mg","BAXTER","00338100502","00338-1005-02","Dopamine In D5W",,250,18,90,5,,"40 MG"
"J1265","Dopamine injection","Baxter Healthcare Corporation","00338100503","00338-1005-03","Dopamine In D5W","40 MG",500,12,10,120,,
"Q4076","Dopamine hcl, 40 mg","BAXTER","00338100503","00338-1005-03","Dopamine In D5W",,500,12,120,10,,"40 MG"
"J1265","Dopamine injection","Baxter Healthcare Corporation","00338100702","00338-1007-02","Dopamine In D5W","40 MG",250,18,10,180,,
"Q4076","Dopamine hcl, 40 mg","BAXTER","00338100702","00338-1007-02","Dopamine In D5W",,250,18,180,10,,"40 MG"
"J1265","Dopamine injection","Baxter Healthcare Corporation","00338100703","00338-1007-03","Dopamine In D5W","40 MG",500,12,20,240,,
"Q4076","Dopamine hcl, 40 mg","BAXTER","00338100703","00338-1007-03","Dopamine In D5W",,500,12,240,20,,"40 MG"
"J1265","Dopamine injection","Baxter Healthcare Corporation","00338100902","00338-1009-02","Dopamine In D5W","40 MG",250,18,20,360,,
"Q4076","Dopamine hcl, 40 mg","BAXTER","00338100902","00338-1009-02","Dopamine In D5W",,250,18,360,20,,"40 MG"
"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",50,1,1.67,1.67,,
"J2540","Penicillin g potassium inj","Baxter Healthcare Corporation","00338102341","00338-1023-41","Penicillin G Pot In Dextrose","600000 UNITS",50,1,3.33,3.33,,
"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","00338107103","00338-1071-03","Dobutamine Hcl","250 MG",500,1,2,2,,
"J1250","Inj dobutamine hcl/250 mg","Baxter Healthcare Corporation","00338107302","00338-1073-02","Dobutamine Hcl","250 MG",250,18,1,18,,
"J1250","Inj dobutamine HCL/250 mg","BAXTER","00338107303","00338-1073-03","Dobutamine Hcl","250 MG",500,1,2,2,,
"J1250","Inj dobutamine hcl/250 mg","Baxter Healthcare Corporation","00338107502","00338-1075-02","Dobutamine Hcl","250 MG",250,18,2,36,,
"J1250","Inj dobutamine hcl/250 mg","Baxter Healthcare Corporation","00338107702","00338-1077-02","Dobutamine Hcl","250 MG",250,18,4,72,,
"J0692","Cefepime hcl for injection","Baxter Healthcare Corporation","00338130141","00338-1301-41","Cefepime HCL","500 MG",50,24,2,48,,
"J0692","Cefepime hcl for injection","Baxter Healthcare Corporation","00338130148","00338-1301-48","Cefepime HCL","500 MG",100,12,4,48,,
"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,,
"J0697","Sterile cefuroxime injection","BAXTER","00338204348","00338-2043-48","Zinacef In D5W","750 MG",100,1,2,2,,
"J2175","Meperidine hydrochl /100 MG","BAXTER","00338268876","00338-2688-76","Meperidine Hcl","100 MG",60,10,6,60,,
"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,,
"J2270","Morphine sulfate injection","BAXTER","00338269075","00338-2690-75","Morphine Sulfate",,50,1,25,25,,"10 MG"
"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","00338350241","00338-3502-41","Cefazolin Sodium","500 MG",50,1,1,1,,
"J0690","Cefazolin sodium injection","Baxter Healthcare Corporation","00338350341","00338-3503-41","Cefazolin Sodium","500 MG",50,24,2,48,,
"J0690","Cefazolin sodium injection","Baxter Healthcare Corporation","00338350841","00338-3508-41","Cefazolin Sodium","500 MG",100,12,4,48,,
"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",150,1,1.5,1.5,,
"J3370","Vancomycin hcl injection","Baxter Healthcare Corporation","00338358101","00338-3581-01","Vancomycin","500 MG",100,1,1,1,,
"J3370","Vancomycin hcl injection","Baxter Healthcare Corporation","00338358201","00338-3582-01","Vancomycin","500 MG",150,1,1.5,1.5,,
"J3370","Vancomycin hcl injection","Baxter Healthcare Corporation","00338358301","00338-3583-01","Vancomycin ","500 MG",200,1,2,2,,
"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",50,24,4,96,,
"J0696","Ceftriaxone sodium injection","Baxter Healthcare Corporation","00338500341","00338-5003-41","CEFTRIAXONE IN D5W","250 MG",50,24,8,192,,
"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",200,10,2,20,,
"J1450","Fluconazole","Baxter Healthcare Corporation","00338604648","00338-6046-48","Fluconazole In Sodium Chloride","200 MG",100,10,1,10,,
"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,,
"J2912","Sodium chloride injection","BAXTER","00338801870","00338-8018-70","Sodium Chloride","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","BAXTER","00338801870","00338-8018-70","Sodium Chloride",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","BAXTER","00338830179","00338-8301-79","Sodium Chloride","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","BAXTER","00338830179","00338-8301-79","Sodium Chloride",,2,1,0.1,0.1,,"20 CC"
"J7030","Normal saline solution infus","Baxter Healthcare Corporation","00338954201","00338-9542-01","Sodium Chloride (FDA OK'd Import)","1000 ML",250,1,0.25,0.25,,
"J7040","Normal saline solution infus","Baxter Healthcare Corporation","00338954201","00338-9542-01","Sodium Chloride (FDA OK'd Import)","500 ML",250,1,0.5,0.5,,
"J7050","Normal saline solution infus","Baxter Healthcare Corporation","00338954201","00338-9542-01","Sodium Chloride (FDA OK'd Import)","250 ML",250,1,1,1,,
"J7030","Normal saline solution infus","Baxter Healthcare Corporation","00338954202","00338-9542-02","Sodium Chloride (FDA OK'd Import)","1000 ML",500,1,0.5,0.5,,
"J7040","Normal saline solution infus","Baxter Healthcare Corporation","00338954202","00338-9542-02","Sodium Chloride (FDA OK'd Import)","500 ML",500,1,1,1,,
"J7050","Normal saline solution infus","Baxter Healthcare Corporation","00338954202","00338-9542-02","Sodium Chloride (FDA OK'd Import)","250 ML",500,1,2,2,,
"J7030","Normal saline solution infus","Baxter Healthcare Corporation","00338954205","00338-9542-05","Sodium Chloride","1000 ML",500,1,0.5,0.5,,
"J7040","Normal saline solution infus","Baxter Healthcare Corporation","00338954205","00338-9542-05","Sodium Chloride","500 ML",500,1,1,1,,
"J7050","Normal saline solution infus","Baxter Healthcare Corporation","00338954205","00338-9542-05","Sodium Chloride","250 ML",500,1,2,2,,
"J7030","Normal saline solution infus","Baxter Healthcare Corporation","00338954206","00338-9542-06","Sodium Chloride (FDA OK'd Import)","1000 ML",1000,1,1,1,,
"J7040","Normal saline solution infus","Baxter Healthcare Corporation","00338954206","00338-9542-06","Sodium Chloride (FDA OK'd Import)","500 ML",1000,1,2,2,,
"J7050","Normal saline solution infus","Baxter Healthcare Corporation","00338954206","00338-9542-06","Sodium Chloride (FDA OK'd Import)","250 ML",1000,1,4,4,,
"J7040","Normal saline solution infus","Baxter Healthcare Corporation","00338954302","00338-9543-02","Sodium Chloride (FDA OK'd Import)","500 ML",250,1,0.5,0.5,,
"J7050","Normal saline solution infus","Baxter Healthcare Corporation","00338954302","00338-9543-02","Sodium Chloride (FDA OK'd Import)","250 ML",250,1,1,1,,
"J7030","Normal saline solution infus","Baxter Healthcare Corporation","00338954304","00338-9543-04","Sodium Chloride","1000 ML",500,20,0.5,10,,
"J7040","Normal saline solution infus","Baxter Healthcare Corporation","00338954304","00338-9543-04","Sodium Chloride","500 ML",500,20,1,20,,
"J7050","Normal saline solution infus","Baxter Healthcare Corporation","00338954304","00338-9543-04","Sodium Chloride","250 ML",500,20,2,40,,
"J7030","Normal saline solution infus","Baxter Healthcare Corporation","00338954306","00338-9543-06","Sodium Chloride","1000 ML",1000,10,1,10,,
"J7040","Normal saline solution infus","Baxter Healthcare Corporation","00338954306","00338-9543-06","Sodium Chloride","500 ML",1000,10,2,20,,
"J7050","Normal saline solution infus","Baxter Healthcare Corporation","00338954306","00338-9543-06","Sodium Chloride","250 ML",1000,10,4,40,,
"J7510","Prednisolone oral per 5 mg","SCHEIN","00364021701","00364-0217-01","Prednisolone","5 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","SCHEIN","00364046721","00364-0467-21","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7637","Dexamethasone inhal sol con","SCHEIN PHARMACEUTICAL, INC.","00364236054","00364-2360-54","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","SCHEIN PHARMACEUTICAL, INC.","00364236054","00364-2360-54","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J0690","Cefazolin sodium injection","SCHEIN","00364246534","00364-2465-34","Cefazolin Sodium",,1,25,50,2,,"500 MG"
"J0690","Cefazolin sodium injection","SCHEIN","00364246693","00364-2466-93","Cefazolin Sodium",,1,10,200,20,,"500 MG"
"J3420","Vitamin b12 injection","SCHEIN","00364665154","00364-6651-54","Vitamin B-12",,10,1,10,10,,"1000 MCG"
"J7637","Dexamethasone inhal sol con","SCHEIN PHARMACEUTICAL, INC.","00364668132","00364-6681-32","Dexamethasone Sodium Phosphate",,5,25,500,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","SCHEIN PHARMACEUTICAL, INC.","00364668132","00364-6681-32","Dexamethasone Sodium Phosphate",,5,25,500,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","SCHEIN","00364668154","00364-6681-54","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","SCHEIN","00364668154","00364-6681-54","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7637","Dexamethasone inhal sol con","SCHEIN PHARMACEUTICAL, INC.","00364668156","00364-6681-56","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","SCHEIN PHARMACEUTICAL, INC.","00364668156","00364-6681-56","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J2800","Methocarbamol injection","SCHEIN","00364672654","00364-6726-54","Methocarbamol",,10,1,1,1,,"10 ML"
"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,,
"Q0179","Ondansetron hcl 8 mg oral","Mylan Pharmaceuticals, Inc","00378031553","00378-0315-53","Ondansetron","8 MG",1,3,0.5,1.5,,
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378031593","00378-0315-93","Ondansetron","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","Mylan Pharmaceuticals, Inc","00378031593","00378-0315-93","Ondansetron","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378034453","00378-0344-53","Ondansetron","1 MG",1,3,8,24,,
"Q0179","Ondansetron hcl 8 mg oral","Mylan Pharmaceuticals, Inc","00378034453","00378-0344-53","Ondansetron","8 MG",1,3,1,3,,
"Q0162","Ondansetron oral","Mylan Pharmaceuticals, Inc","00378034493","00378-0344-93","Ondansetron","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","Mylan Pharmaceuticals, Inc","00378034493","00378-0344-93","Ondansetron","8 MG",1,30,1,30,,
"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 imme rel oral 1mg","Mylan Pharmaceuticals, Inc","00378204501","00378-2045-01","TACROLIMUS","1 MG",100,1,50,50,,
"J7507","Tacrolimus oral per 1 MG","MYLAN","00378204505","00378-2045-05","TACROLIMUS","1MG",500,1,250,250,,
"J7507","Tacrolimus imme rel oral 1mg","Mylan Pharmaceuticals, Inc","00378204601","00378-2046-01","TACROLIMUS","1 MG",100,1,100,100,,
"J7507","Tacrolimus Imme Rel oral 1mg","Mylan Pharmaceuticals, Inc","00378204605","00378-2046-05","TACROLIMUS","1 MG",500,1,500,500,,
"J7507","Tacrolimus imme rel oral 1mg","Mylan Pharmaceuticals, Inc","00378204701","00378-2047-01","TACROLIMUS","1 MG",100,1,500,500,,
"J7507","Tacrolimus oral per 1 MG","MYLAN","00378204705","00378-2047-05","TACROLIMUS","1 MG",500,1,2500,2500,,
"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,,
"J8520","Capecitabine, oral, 150 mg","Mylan Pharmaceuticals, Inc","00378251191","00378-2511-91","CAPECITABINE","150 MG",60,1,60,60,,
"J8521","Capecitabine, oral, 500 mg","Mylan Pharmaceuticals, Inc","00378251278","00378-2512-78","CAPECITABINE","500 MG",120,1,120,120,,
"J8560","Etoposide oral 50 mg","Mylan Pharmaceuticals, Inc","00378326694","00378-3266-94","Etoposide","50 MG",20,1,20,20,,
"J7518","Mycophenolic acid","Mylan Pharmaceuticals, Inc","00378420178","00378-4201-78","MYCOPHENOLIC ACID","180 MG",120,1,120,120,,
"J7518","Mycophenolic acid","Mylan Pharmaceuticals, Inc","00378420278","00378-4202-78","MYCOPHENOLIC ACID","180 MG",120,1,240,240,,
"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,,
"Q0164","Prochlorperazine maleate 5mg","Mylan Pharmaceuticals, Inc","00378511001","00378-5110-01","Prochlorperazine Maleate","5 MG",100,1,200,200,,
"Q0165","Prochlorperazine maleate10mg","Mylan Pharmaceuticals, Inc","00378511001","00378-5110-01","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"J8700","Temozolomide","MYLAN","00378526014","00378-5260-14","TEMOZOLOMIDE","5 MG",1,14,1,14,,
"J8700","Temozolomide","Mylan Pharmaceuticals, Inc","00378526098","00378-5260-98","TEMOZOLOMIDE","5 MG",1,5,1,5,,
"J8700","Temozolomide","MYLAN","00378526114","00378-5261-14","TEMOZOLOMIDE","5 MG",1,14,4,56,,
"J8700","Temozolomide","Mylan Pharmaceuticals, Inc","00378526198","00378-5261-98","TEMOZOLOMIDE","5 MG",1,5,4,20,,
"J8700","Temozolomide","MYLAN","00378526214","00378-5262-14","TEMOZOLOMIDE","5 MG",1,14,20,280,,
"J8700","Temozolomide","Mylan Pharmaceuticals, Inc","00378526298","00378-5262-98","TEMOZOLOMIDE","5 MG",1,5,20,100,,
"J8700","Temozolomide","MYLAN","00378526314","00378-5263-14","TEMOZOLOMIDE","5 MG",1,14,28,392,,
"J8700","Temozolomide","Mylan Pharmaceuticals, Inc","00378526398","00378-5263-98","TEMOZOLOMIDE","5 MG",1,5,28,140,,
"J8700","Temozolomide","MYLAN","00378526414","00378-5264-14","TEMOZOLOMIDE","5 MG",1,14,36,504,,
"J8700","Temozolomide","MYLAN","00378526498","00378-5264-98","TEMOZOLOMIDE","5 MG",1,5,36,180,,
"J8700","Temozolomide","MYLAN","00378526598","00378-5265-98","TEMOZOLOMIDE","5 MG",1,5,50,250,,
"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,,
"Q0169","Promethazine HCl 12.5mg oral","Mylan Pharmaceuticals, Inc","00378702901","00378-7029-01","PROMETHAZINE HCL","12.5 MG",100,1,200,200,,
"Q0170","Promethazine HCl 25 mg oral","Mylan Pharmaceuticals, Inc","00378702901","00378-7029-01","PROMETHAZINE HCL","25 MG",100,1,100,100,,
"Q0169","Promethazine HCl 12.5mg oral","Mylan Pharmaceuticals, Inc","00378702910","00378-7029-10","PROMETHAZINE HCL","12.5 MG",1000,1,2000,2000,,
"Q0170","Promethazine HCl 25 mg oral","Mylan Pharmaceuticals, Inc","00378702910","00378-7029-10","PROMETHAZINE HCL","25 MG",1000,1,1000,1000,,
"Q0169","Promethazine HCl 12.5mg oral","Mylan Pharmaceuticals, Inc","00378703001","00378-7030-01","PROMETHAZINE HCL","12.5 MG",100,1,400,400,,
"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",1,10,8,80,,
"J7644","Ipratropium bromide non-comp","Mylan Pharmaceuticals, Inc","00378797052","00378-7970-52","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7644","Ipratropium bromide non-comp","Mylan Pharmaceuticals, Inc","00378797055","00378-7970-55","Ipratropium Bromide","1 MG",2.5,30,0.5,15,,
"J7644","Ipratropium bromide non-comp","Mylan Pharmaceuticals, Inc","00378797091","00378-7970-91","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"J7644","Ipratropium bromide non-comp","Mylan Pharmaceuticals, Inc","00378797093","00378-7970-93","Ipratropium Bromide","1 MG",2.5,30,0.5,15,,
"Q0167","Dronabinol 2.5mg oral","Mylan Pharmaceuticals, Inc","00378817091","00378-8170-91","DRONABINOL","2.5 MG",1,1,60,60,,
"Q0167","Dronabinol 2.5mg oral","Mylan Pharmaceuticals, Inc","00378817191","00378-8171-91","DRONABINOL","2.5 MG",60,1,120,120,,
"Q0168","Dronabinol 5mg oral","Mylan Pharmaceuticals, Inc","00378817191","00378-8171-91","DRONABINOL","5 MG",1,1,60,60,,
"Q0167","Dronabinol 2.5mg oral","Mylan Pharmaceuticals, Inc","00378817291","00378-8172-91","DRONABINOL","2.5 MG",60,1,240,240,,
"Q0168","Dronabinol 5mg oral","Mylan Pharmaceuticals, Inc","00378817291","00378-8172-91","DRONABINOL","5 MG",1,2,60,120,,
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378827052","00378-8270-52","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378827055","00378-8270-55","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378827091","00378-8270-91","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7613","Albuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378827093","00378-8270-93","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J0595","Butorphanol tartrate 1 mg","MYLAN","00378963943","00378-9639-43","Butorphanol Tartrate","1 MG",2.5,1,25,25,,
"J7620","Albuterol ipratrop non-comp","Mylan Pharmaceuticals, Inc","00378967130","00378-9671-30","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","Mylan Pharmaceuticals, Inc","00378967158","00378-9671-58","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","Mylan Pharmaceuticals, Inc","00378967160","00378-9671-60","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60,,
"J7620","Albuterol ipratrop non-comp","Mylan Pharmaceuticals, Inc","00378967191","00378-9671-91","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60,,
"J7620","Albuterol ipratrop non-comp","Mylan Pharmaceuticals, Inc","00378967193","00378-9671-93","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7614","Levalbuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378968044","00378-9680-44","LEVALBUTEROL","0.5 MG",3,24,0.62,15,,
"J7614","Levalbuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378968144","00378-9681-44","LEVALBUTEROL","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","Mylan Pharmaceuticals, Inc","00378968244","00378-9682-44","LEVALBUTEROL","0.5 MG",3,24,2.5,60,,
"J1700","Hydrocortisone acetate inj","STERIS LABORATORIES","00402005110","00402-0051-10","Hydrocortisone Acetate",,10,1,10,10,,"25 MG"
"J3140","Testosterone suspension inj","STERIS","00402008430","00402-0084-30","Testosterone",,30,1,60,60,,"50 MG"
"J7637","Dexamethasone inhal sol con","STERIS LABORATORIES","00402058701","00402-0587-01","Dexamethasone Sodium Phosphate",,1,1,4,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","STERIS LABORATORIES","00402058701","00402-0587-01","Dexamethasone Sodium Phosphate",,1,1,4,4,,"1 MG"
"J7637","Dexamethasone inhal sol con","STERIS LABORATORIES","00402066110","00402-0661-10","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","STERIS LABORATORIES","00402066110","00402-0661-10","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J7637","Dexamethasone inhal sol con","STERIS LABORATORIES","00402080705","00402-0807-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","STERIS LABORATORIES","00402080705","00402-0807-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","STERIS LABORATORIES","00402080710","00402-0807-10","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","STERIS LABORATORIES","00402080710","00402-0807-10","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7637","Dexamethasone inhal sol con","SCHEIN PHARMACEUTICAL, INC.","00402080730","00402-0807-30","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","SCHEIN PHARMACEUTICAL, INC.","00402080730","00402-0807-30","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7648","Isoetharine hcl inh sol con","COMPUMED PHARMACEUTICALS, INC.","00403049618","00403-0496-18","Isoetharine Hydrochloride",,30,1,300,300,,"1 MG"
"J7637","Dexamethasone inhal sol con","COMPUMED PHARMACEUTICALS, INC.","00403073918","00403-0739-18","Decadron",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","COMPUMED PHARMACEUTICALS, INC.","00403073918","00403-0739-18","Decadron",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","COMPUMED PHARMACEUTICALS, INC.","00403074018","00403-0740-18","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","COMPUMED PHARMACEUTICALS, INC.","00403074018","00403-0740-18","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","COMPUMED PHARMACEUTICALS, INC.","00403118018","00403-1180-18","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","COMPUMED PHARMACEUTICALS, INC.","00403118018","00403-1180-18","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7635","Atropine inhal sol con","COMPUMED PHARMACEUTICALS, INC.","00403506018","00403-5060-18","Atropine Sulfate",,20,1,8,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","COMPUMED PHARMACEUTICALS, INC.","00403506018","00403-5060-18","Atropine Sulfate",,20,1,8,8,,"1 MG"
"Q0169","Promethazine HCl 12.5mg oral","MALLINCKRODT PHARM","00406204001","00406-2040-01","Promethazine Hcl Usp/Nf","12.5 MG",100,1,100,100,,
"J7635","Atropine inhal sol con","MALLINCKRODT","00406369234","00406-3692-34","Atropine Sulfate",,,1,120,120,,"1 MG"
"J7635","Atropine inhal sol con","MALLINCKRODT","00406369237","00406-3692-37","Atropine Sulfate",,,1,100,100,,"1 MG"
"A9579","Gad-base mr contrast nos,1ml","GE Healthcare","00407069005","00407-0690-05","Omniscan","1 ML",5,10,5,50,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,1ml","GE HEALTHCARE","00407069055","00407-0690-55","Omniscan","1 ML",50,10,50,500,,
"A9579","Gad-base MR contrast NOS,1ml","GE HEALTHCARE","00407069062","00407-0690-62","Omniscan","1 ML",15,10,15,150,,
"Q9952","Inj Gad-base MR contrast,1ml","GE HEALTHCARE","00407069062","00407-0690-62","Omniscan","1 ML",15,10,15,150,,
"A9579","Gad-base MR contrast NOS,1ml","GE HEALTHCARE","00407069063","00407-0690-63","Omniscan","1 ML",20,10,20,200,,
"Q9952","Inj Gad-base MR contrast,1ml","GE HEALTHCARE","00407069063","00407-0690-63","Omniscan","1 ML",20,10,20,200,,
"A9579","Gad-base MR contrast NOS,1ml","NOVAPLUS/GE HEALTHCARE","00407069064","00407-0690-64","OMNISCAN","1 ML",15,10,15,150,,
"A9579","Gad-base MR contrast NOS,1ml","NOVAPLUS/GE HEALTHCARE","00407069065","00407-0690-65","OMNISCAN","1 ML",20,10,20,200,,
"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,,
"Q9952","Inj Gad-base MR contrast,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,,
"Q9952","Inj Gad-base MR contrast,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","GE HEALTHCARE","00407073410","00407-0734-10","Hypaque","1 ML",500,10,500,5000,,
"Q9961","HOCM 250-299mg/ml iodine","GE HEALTHCARE","00407074604","00407-0746-04","Hypaque","1 ML",50,25,50,1250,,
"Q9961","HOCM 250-299mg/ml iodine,1ml","GE HEALTHCARE","00407074920","00407-0749-20","Hypaque","1 ML",200,10,200,2000,,
"Q9962","HOCM 300-349mg/ml iodine","GE HEALTHCARE","00407076604","00407-0766-04","Hypaque","1 ML",50,25,50,1250,,
"Q9958","HOCM <=149 mg/ml iodine, 1ml","GE Healthcare","00407076901","00407-0769-01","Hypaque Sodium Oral","1 ML",100,250,100,2500,,
"Q9963","HOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407077604","00407-0776-04","Hypaque","1 ML",50,25,50,1250,,
"Q9963","HOCM 350-399mg/ml iodine","GE HEALTHCARE","00407077802","00407-0778-02","Hypaque","1 ML",200,10,200,2000,,
"Q9945","LOCM <=149 mg/ml iodine, 1ml","GE HEALTHCARE","00407140151","00407-1401-51","Omnipaque 140","1 ML",50,10,50,500,,
"Q9945","LOCM <=149 mg/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","00407140152","00407-1401-52","OMNIPAQUE 140","1 ML",50,10,50,500,,
"Q9946","LOCM 150-199mg/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","00407141110","00407-1411-10","Omnipaque 180","1 ML",10,10,10,100,,
"Q9946","LOCM 150-199mg/ml iodine,1ml","GE HEALTHCARE","00407141120","00407-1411-20","Omnipaque 180","1 ML",20,10,20,200,,
"Q9965","Locm 100-199mg/ml iodine,1ml","GE Healthcare","00407141120","00407-1411-20","Omnipaque 180","1 ML",20,10,20,200,,
"Q9946","LOCM 150-199mg/ml iodine,1ml","GE HEALTHCARE","00407141130","00407-1411-30","Omnipaque 180","1 ML",10,10,10,100,,
"Q9965","LOCM 100-199mg/ml iodine,1ml","GE HEALTHCARE","00407141130","00407-1411-30","Omnipaque 180","1 ML",10,10,10,100,,
"Q9946","LOCM 150-199mg/ml iodine,1ml","GE HEALTHCARE","00407141140","00407-1411-40","Omnipaque 180","1 ML",20,10,20,200,,
"Q9965","LOCM 100-199mg/ml iodine,1ml","GE HEALTHCARE","00407141140","00407-1411-40","Omnipaque 180","1 ML",20,10,20,200,,
"Q9947","LOCM 200-249mg/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","00407141210","00407-1412-10","Omnipaque 240","1 ML",10,10,10,100,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141217","00407-1412-17","Omnipaque 240","1 ML",200,10,200,2000,,
"Q9966","LOCM 200-299mg/ml iodine","GE HEALTHCARE","00407141217","00407-1412-17","Omnipaque 240","1 ML",200,10,200,2000,,
"Q9947","LOCM 200-249mg/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","00407141220","00407-1412-20","Omnipaque 240","1 ML",20,10,20,200,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141224","00407-1412-24","Omnipaque 240","1 ML",50,10,50,500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407141224","00407-1412-24","Omnipaque 240","1 ML",50,10,50,500,,
"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,,
"Q9947","LOCM 200-249mg/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","00407141230","00407-1412-30","Omnipaque 240","1 ML",50,10,50,500,,
"Q9947","LOCM 200-249mg/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","00407141233","00407-1412-33","Omnipaque 240","1 ML",100,10,100,1000,,
"Q9947","LOCM 200-249mg/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","00407141234","00407-1412-34","Omnipaque 240","1 ML",150,10,150,1500,,
"Q9947","LOCM 200-249mg/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","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",50,10,50,500,,
"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,,
"Q9947","LOCM 200-249mg/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","00407141249","00407-1412-49","Omnipaque 240","1 ML",150,10,150,1500,,
"Q9947","LOCM 200-249mg/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","00407141250","00407-1412-50","Omnipaque 240","1 ML",50,10,50,500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141251","00407-1412-51","Omnipaque 240","1 ML",50,10,50,500,,
"Q9947","LOCM 200-249mg/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","00407141260","00407-1412-60","Omnipaque 240","1 ML",100,10,100,1000,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141270","00407-1412-70","Omnipaque 240","1 ML",100,10,100,1000,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407141270","00407-1412-70","Omnipaque 240","1 ML",100,10,100,1000,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141272","00407-1412-72","Omnipaque 240","1 ML",200,10,200,2000,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141275","00407-1412-75","Omnipaque 240","1 ML",150,10,150,1500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141280","00407-1412-80","Omnipaque 240","1 ML",10,10,10,100,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407141280","00407-1412-80","Omnipaque 240","1 ML",10,10,10,100,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141281","00407-1412-81","Omnipaque 240","1 ML",20,10,20,200,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407141281","00407-1412-81","Omnipaque 240","1 ML",20,10,20,200,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141282","00407-1412-82","Omnipaque 240","1 ML",150,10,150,1500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407141282","00407-1412-82","Omnipaque 240","1 ML",150,10,150,1500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141283","00407-1412-83","Omnipaque 240","1 ML",50,10,50,500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407141283","00407-1412-83","Omnipaque 240","1 ML",50,10,50,500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141284","00407-1412-84","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,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE HEALTHCARE","00407141285","00407-1412-85","Omnipaque 240","1 ML",100,10,100,1000,,
"Q9966","LOCM 200-299mg/ml iodine","GE HEALTHCARE","00407141285","00407-1412-85","Omnipaque 240","1 ML",100,10,100,1000,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE Healthcare","00407141290","00407-1412-90","OMNIPAQUE 240","1 ML",150,10,150,1500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407141290","00407-1412-90","OMNIPAQUE 240","1 ML",150,10,150,1500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","GE Healthcare","00407141291","00407-1412-91","OMNIPAQUE 240","1 ML",125,10,125,1250,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407141291","00407-1412-91","OMNIPAQUE 240","1 ML",125,10,125,1250,,
"Q9949","LOCM 300-349mg/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","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,,
"Q9949","LOCM 300-349mg/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","00407141325","00407-1413-25","Omnipaque 300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/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","00407141330","00407-1413-30","Omnipaque 300","1 ML",30,10,30,300,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141340","00407-1413-40","Omnipaque 300",,10,10,,,,"1 ML"
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141341","00407-1413-41","Omnipaque 300",,50,10,,,,"1 ML"
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141341","00407-1413-41","Omnipaque 300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141342","00407-1413-42","Omnipaque 300",,50,10,,,,"1 ML"
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141342","00407-1413-42","Omnipaque 300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141343","00407-1413-43","Omnipaque 300","1 ML",100,10,10,100,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141343","00407-1413-43","Omnipaque 300","1 ML",100,10,10,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141345","00407-1413-45","Omnipaque 300","1 ML",150,10,150,1500,,
"Q9967","LOCM 300-399mg/ml iodine","GE HEALTHCARE","00407141345","00407-1413-45","Omnipaque 300","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/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","00407141346","00407-1413-46","Omnipaque 300","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/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","00407141347","00407-1413-47","Omnipaque 300","1 ML",125,10,125,1250,,
"Q9967","Locm 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141348","00407-1413-48","Omnipaque 300 (Novaplus)","1 ML",500,10,500,5000,,
"Q9949","LOCM 300-349mg/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","00407141350","00407-1413-50","Omnipaque 300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/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","00407141351","00407-1413-51","Omnipaque 300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/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","00407141353","00407-1413-53","Omnipaque 300","1 ML",125,10,125,1250,,
"Q9967","Locm 300-399mg/ml iodine,1ml","GE Healthcare","00407141359","00407-1413-59","Omnipaque 300","1 ML",30,10,30,300,,
"Q9949","LOCM 300-349mg/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","00407141360","00407-1413-60","Omnipaque 300","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/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","00407141361","00407-1413-61","Omnipaque 300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/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","00407141362","00407-1413-62","Omnipaque 300","1 ML",75,10,75,750,,
"Q9949","LOCM 300-349mg/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","00407141363","00407-1413-63","Omnipaque 300","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/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","00407141365","00407-1413-65","Omnipaque 300","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/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","00407141366","00407-1413-66","Omnipaque 300","1 ML",200,10,200,2000,,
"Q9949","LOCM 300-349mg/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","00407141368","00407-1413-68","Omnipaque 300","1 ML",500,10,500,5000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE Healthcare","00407141370","00407-1413-70","OMNIPAQUE 300","1 ML",100,10,100,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141370","00407-1413-70","OMNIPAQUE 300","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE Healthcare","00407141371","00407-1413-71","OMNIPAQUE 300","1 ML",125,10,125,1250,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141371","00407-1413-71","OMNIPAQUE 300","1 ML",125,10,125,1250,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE Healthcare","00407141372","00407-1413-72","OMNIPAQUE 300","1 ML",150,10,150,1500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141372","00407-1413-72","Omnipaque 300","1 ML",500,10,500,5000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141374","00407-1413-74","Omnipaque 300","1 ML",100,10,100,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141374","00407-1413-74","Omnipaque 300","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141375","00407-1413-75","Omnipaque 300","1 ML",125,10,125,1250,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141375","00407-1413-75","Omnipaque 300","1 ML",125,10,125,1250,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141376","00407-1413-76","Omnipaque 300","1 ML",150,10,150,1500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141376","00407-1413-76","Omnipaque 300","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141384","00407-1413-84","Omnipaque 300","1 ML",125,10,125,1250,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407141385","00407-1413-85","Omnipaque 300","1 ML",150,10,150,1500,,
"Q9967","LOCM 300-399mg/ml iodine","GE HEALTHCARE","00407141385","00407-1413-85","Omnipaque 300","1 ML",150,10,150,1500,,
"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,,
"Q9949","LOCM 300-349mg/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","00407141390","00407-1413-90","Omnipaque 300","1 ML",150,10,150,1500,,
"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,,
"Q9966","Locm 200-299mg/ml iodine,1ml","GE Healthcare","00407141396","00407-1413-96","Omnipaque 300","1 ML",100,10,100,1000,,
"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,,
"Q9950","LOCM 350-399mg/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","00407141403","00407-1414-03","Omnipaque 350","1 ML",200,10,200,2000,,
"Q9950","LOCM 350-399mg/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","00407141404","00407-1414-04","Omnipaque 350","1 ML",150,10,150,1500,,
"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,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141426","00407-1414-26","Omnipaque 350","1 ML",50,10,50,500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141426","00407-1414-26","Omnipaque 350","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE Healthcare","00407141431","00407-1414-31","OMNIPAQUE 350","1 ML",100,10,100,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141431","00407-1414-31","OMNIPAQUE 350","1 ML",100,10,100,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE Healthcare","00407141432","00407-1414-32","OMNIPAQUE 350","1 ML",125,10,125,1250,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141432","00407-1414-32","OMNIPAQUE 350","1 ML",125,10,125,1250,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141436","00407-1414-36","Omnipaque 350","1 ML",100,10,100,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141436","00407-1414-36","Omnipaque 350","1 ML",100,10,100,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141437","00407-1414-37","Omnipaque 350","1 ML",125,10,125,1250,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141437","00407-1414-37","Omnipaque 350","1 ML",125,10,125,1250,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141441","00407-1414-41","Omnipaque",,150,10,1,,,"1 ML"
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141441","00407-1414-41","Omnipaque","1 ML",150,10,150,1500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141442","00407-1414-42","Omnipaque",,200,10,1,,,"1 ML"
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141442","00407-1414-42","Omnipaque","1 ML",200,10,200,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141443","00407-1414-43","Omnipaque",,50,10,1,,,"1 ML"
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141443","00407-1414-43","Omnipaque","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141444","00407-1414-44","Omnipaque",,50,10,1,,,"1 ML"
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE Healthcare","00407141444","00407-1414-44","Omnipaque","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141445","00407-1414-45","Omnipaque",,100,10,1,,,"1 ML"
"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","00407141448","00407-1414-48","Omnipaque 350 (Novaplus)","1 ML",500,10,500,5000,,
"Q9950","LOCM 350-399mg/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","00407141450","00407-1414-50","Omnipaque 350","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/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","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,,
"Q9950","LOCM 350-399mg/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","00407141460","00407-1414-60","Omnipaque 350","1 ML",100,10,100,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141462","00407-1414-62","Omnipaque 350","1 ML",200,10,200,2000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407141472","00407-1414-72","Omnipaque 350","1 ML",500,10,500,5000,,
"Q9950","LOCM 350-399mg/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","00407141476","00407-1414-76","Omnipaque 350","1 ML",125,10,125,1250,,
"Q9950","LOCM 350-399mg/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","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,,
"Q9950","LOCM 350-399mg/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","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,,
"Q9950","LOCM 350-399mg/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","00407141489","00407-1414-89","Omnipaque 350","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/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","00407141490","00407-1414-90","Omnipaque 350","1 ML",75,10,75,750,,
"Q9950","LOCM 350-399mg/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","00407141491","00407-1414-91","Omnipaque 350","1 ML",100,10,100,1000,,
"Q9950","LOCM 350-399mg/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","00407141493","00407-1414-93","Omnipaque 350","1 ML",150,10,150,1500,,
"Q9950","LOCM 350-399mg/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","00407141494","00407-1414-94","Omnipaque 350","1 ML",200,10,200,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GE HEALTHCARE","00407141498","00407-1414-98","Omnipaque 350","1 ML",500,10,500,5000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","GE Healthcare","00407141498","00407-1414-98","Omnipaque 350","1 ML",500,10,500,5000,,
"Q9948","LOCM 250-299mg/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","00407222201","00407-2222-01","Visipaque 270","1 ML",50,10,50,500,,
"Q9948","LOCM 250-299mg/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","00407222202","00407-2222-02","Visipaque 270","1 ML",100,10,100,1000,,
"Q9948","LOCM 250-299mg/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","00407222203","00407-2222-03","Visipaque 270","1 ML",150,10,150,1500,,
"Q9948","LOCM 250-299mg/ml iodine,1ml","GE HEALTHCARE","00407222205","00407-2222-05","Visipaque 270","1 ML",50,10,50,500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407222205","00407-2222-05","Visipaque 270","1 ML",50,10,50,500,,
"Q9948","LOCM 250-299mg/ml iodine,1ml","GE HEALTHCARE","00407222206","00407-2222-06","Visipaque 270","1 ML",50,10,50,500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407222206","00407-2222-06","Visipaque 270","1 ML",50,10,50,500,,
"Q9948","LOCM 250-299mg/ml iodine,1ml","GE HEALTHCARE","00407222213","00407-2222-13","Visipaque 270","1 ML",150,10,150,1500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407222213","00407-2222-13","Visipaque 270","1 ML",150,10,150,1500,,
"Q9948","LOCM 250-299mg/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","00407222216","00407-2222-16","Visipaque 270","1 ML",50,10,50,500,,
"Q9948","LOCM 250-299mg/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","00407222217","00407-2222-17","Visipaque 270","1 ML",100,10,100,1000,,
"Q9948","LOCM 250-299mg/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","00407222219","00407-2222-19","Visipaque 270","1 ML",150,10,150,1500,,
"Q9948","LOCM 250-299mg/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","00407222221","00407-2222-21","Visipaque 270","1 ML",200,10,200,2000,,
"Q9948","LOCM 250-299mg/ml iodine,1ml","GE HEALTHCARE","00407222222","00407-2222-22","Visipaque 270","1 ML",500,6,500,3000,,
"Q9948","LOCM 250-299mg/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","00407222223","00407-2222-23","Visipaque 270","1 ML",500,10,500,5000,,
"Q9948","LOCM 250-299mg/ml iodine,1ml","GE HEALTHCARE","00407222231","00407-2222-31","Visipaque 270","1 ML",150,10,150,1500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407222231","00407-2222-31","Visipaque 270","1 ML",150,10,150,1500,,
"Q9948","LOCM 250-299mg/ml iodine,1ml","GE HEALTHCARE","00407222232","00407-2222-32","Visipaque 270","1 ML",125,10,125,1250,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","GE HEALTHCARE","00407222232","00407-2222-32","Visipaque 270","1 ML",125,10,125,1250,,
"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,,
"Q9949","LOCM 300-349mg/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","00407222301","00407-2223-01","Visipaque 320","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/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","00407222302","00407-2223-02","Visipaque 320","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/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","00407222303","00407-2223-03","Visipaque 320","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/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","00407222304","00407-2223-04","Visipaque 320","1 ML",200,10,200,2000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407222305","00407-2223-05","Visipaque 320","1 ML",50,10,50,500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407222305","00407-2223-05","Visipaque 320","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/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","00407222306","00407-2223-06","Visipaque 320","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/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","00407222316","00407-2223-16","Visipaque 320","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/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","00407222317","00407-2223-17","Visipaque 320","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/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","00407222319","00407-2223-19","Visipaque 320","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/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","00407222321","00407-2223-21","Visipaque 320","1 ML",200,10,200,2000,,
"Q9949","LOCM 300-349mg/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","00407222323","00407-2223-23","Visipaque 320","1 ML",500,10,500,5000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407222330","00407-2223-30","Visipaque 320","1 ML",50,10,50,500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407222330","00407-2223-30","Visipaque 320","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407222332","00407-2223-32","Visipaque 320","1 ML",125,10,125,1250,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407222332","00407-2223-32","Visipaque 320","1 ML",125,10,125,1250,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GE HEALTHCARE","00407222334","00407-2223-34","Visipaque 320","1 ML",100,10,100,1000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","GE HEALTHCARE","00407222334","00407-2223-34","Visipaque 320","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/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","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,,
"Q9956","Inj octafluoropropane mic,ml","GE Healthcare","00407270718","00407-2707-18","Optison","1 ML",3,18,3,54,,
"C9275","Hexaminolevulinate HCI","GE Healthcare","00407408601","00407-4086-01","Cysview","Per study dose",1,1,1,1,,
"J0878","Daptomycin injection","HOSPIRA","00409010601","00409-0106-01","Daptomycin","1 MG",1,1,500,500,,
"J0456","Azithromycin","HOSPIRA, INC","00409014410","00409-0144-10","AZITHROMYCIN","500 MG",1,10,1,10,,
"J0456","Azithromycin","HOSPIRA, INC","00409014411","00409-0144-11","AZITHROMYCIN","500 MG",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","00409018125","00409-0181-25","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","00409018225","00409-0182-25","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","00409018325","00409-0183-25","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,,
"J9171","Docetaxel injection","HOSPIRA, INC","00409020125","00409-0201-25","DOCETAXEL","1 MG",2,1,20,20,,
"J9171","Docetaxel injection","HOSPIRA, INC","00409020126","00409-0201-26","DOCETAXEL","1 MG",8,1,80,80,,
"J9171","Docetaxel injection","HOSPIRA, INC","00409020127","00409-0201-27","Docetaxel","1 MG",16,1,160,160,,
"J2260","Inj milrinone lactate / 5 mg","HOSPIRA, INC","00409021201","00409-0212-01","Milrinone Lactate","5 MG",10,10,2,20,,
"J2260","Inj milrinone lactate / 5 mg","HOSPIRA, INC","00409021202","00409-0212-02","Milrinone Lactate","5 MG",20,10,4,40,,
"J2260","Inj milrinone lactate / 5 mg","HOSPIRA, INC","00409021203","00409-0212-03","Milrinone Lactate","5 MG",50,1,10,10,,
"J0692","Cefepime hcl for injection","HOSPIRA, INC","00409021701","00409-0217-01","Maxipime","500 MG",1,25,2,50,,
"J0692","Cefepime hcl for injection","HOSPIRA, INC","00409021801","00409-0218-01","Maxipime","500 MG",1,25,4,100,,
"J0692","Cefepime hcl for injection","HOSPIRA, INC","00409021901","00409-0219-01","Maxipime","500 MG",1,10,2,20,,
"J0692","Cefepime hcl for injection","HOSPIRA, INC","00409022001","00409-0220-01","Maxipime","500 MG",1,10,4,40,,
"J9351","Topotecan injection","HOSPIRA, INC","00409030201","00409-0302-01","Topotecan","0.1 MG",1,1,40,40,,
"J9351","Topotecan injection","HOSPIRA, INC","00409030225","00409-0302-25","Topotecan","0.1 MG",1,1,40,40,,
"J9171","Docetaxel injection","HOSPIRA, INC.","00409036601","00409-0366-01","Docetaxel","1 MG",1,1,20,20,,
"J9171","Docetaxel injection","HOSPIRA, INC.","00409036701","00409-0367-01","Docetaxel","1 MG",4,1,80,80,,
"J9268","Pentostatin injection","HOSPIRA, INC","00409080101","00409-0801-01","Nipent","10 MG",1,1,1,1,,
"J9268","Pentostatin injection","HOSPIRA, INC","00409080109","00409-0801-09","Nipent","10 MG",1,1,1,1,,
"J0697","Sterile cefuroxime injection","HOSPIRA, INC","00409080201","00409-0802-01","CEFUROXIME SODIUM","750 MG",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,,
"J2501","Paricalcitol","HOSPIRA, INC","00409100701","00409-1007-01","Paricalcitol","1 MCG",1,25,2,50,,
"J2501","Paricalcitol","HOSPIRA, INC","00409100801","00409-1008-01","Paricalcitol","1 MCG",1,25,5,125,,
"J2501","Paricalcitol","HOSPIRA, INC","00409100802","00409-1008-02","Paricalcitol","1 MCG",2,25,10,250,,
"J0670","Inj mepivacaine HCL/10 ml","HOSPIRA","00409103630","00409-1036-30","Carbocaine","10 ML",30,1,3,3,,
"J0670","Inj mepivacaine HCL/10 ml","HOSPIRA","00409104130","00409-1041-30","Carbocaine","10 ML",30,1,3,3,,
"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","00409112012","00409-1120-12","ONDANSETRON HCL","1 MG",2,10,4,40,,
"J2405","Ondansetron hcl injection","HOSPIRA, INC","00409112062","00409-1120-62","ONDANSETRON HCL","1 MG",2,10,4,40,,
"J9045","Carboplatin injection","HOSPIRA, INC","00409112910","00409-1129-10","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","HOSPIRA, INC","00409112911","00409-1129-11","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","HOSPIRA, INC","00409112912","00409-1129-12","Carboplatin","50 MG",45,1,9,9,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409113403","00409-1134-03","Morphine Sulfate","10 MG",20,1,100,100,,
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409113403","00409-1134-03","Morphine Sulfate","100 MG",20,1,10,10,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409113405","00409-1134-05","Morphine Sulfate","10 MG",50,1,250,250,,
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409113405","00409-1134-05","Morphine Sulfate","100 MG",50,1,25,25,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409113502","00409-1135-02","Morphine Sulfate","10 MG",10,1,25,25,,
"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,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409115112","00409-1151-12","Heparin (Porcine) Lock Flush","10 UNITS",10,25,10,250,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409115170","00409-1151-70","Heparin (Porcine) Lock Flush","10 UNITS",10,25,10,250,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409115178","00409-1151-78","HEPARIN SODIUM LOCK FLUSH","10 UNITS",30,25,30,750,,
"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,,
"J1580","Garamycin gentamicin inj","HOSPIRA, INC","00409120725","00409-1207-25","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","00409121525","00409-1215-25","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,,
"J2310","Inj naloxone hydrochloride","HOSPIRA, INC","00409121925","00409-1219-25","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,,
"J1940","Furosemide injection","HOSPIRA","00409127532","00409-1275-32","Furosemide","20 MG",2,10,1,10,,
"J3010","Fentanyl citrate injection","HOSPIRA, INC","00409127632","00409-1276-32","FENTANYL CITRATE","0.1 MG",2,10,1,10,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409128031","00409-1280-31","Heparin (Porcine) Lock Flush","10 UNITS",1,50,1,50,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409128032","00409-1280-32","Heparin (Porcine) Lock Flush","10 UNITS",2,50,2,100,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409128033","00409-1280-33","Heparin (Porcine) Lock Flush","10 UNITS",3,25,3,75,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409128035","00409-1280-35","Heparin (Porcine) Lock Flush","10 UNITS",5,25,5,125,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409128131","00409-1281-31","Heparin Lock Flush","10 UNITS",1,50,10,500,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409128132","00409-1281-32","HEPARIN SODIUM LOCK FLUSH","10 UNITS",2,50,20,1000,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409128133","00409-1281-33","Heparin Lock Flush","10 UNITS",3,25,30,750,,
"J1642","Inj heparin sodium per 10 u","HOSPIRA","00409128135","00409-1281-35","Heparin Lock Flush","10 UNITS",5,25,50,1250,,
"J1170","Hydromorphone injection","HOSPIRA, INC","00409128305","00409-1283-05","Hydromorphone Hcl","4 MG",0.5,10,0.125,1.25,,
"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,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00409131666","00409-1316-66","Heparin Sodium (Porcine)","1000 UNITS",0.5,10,5,50,,
"J1165","Phenytoin sodium injection","HOSPIRA, INC","00409131701","00409-1317-01","Phenytoin Sodium","50 MG",2,25,2,50,,
"J1165","Phenytoin sodium injection","HOSPIRA, INC","00409131702","00409-1317-02","PHENYTOIN","50 MG",5,25,5,125,,
"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","00409146361","00409-1463-61","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","00409146561","00409-1465-61","Nalbuphine Hcl","10 MG",1,20,2,40,,
"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,,
"J7042","5% dextrose/normal saline","HOSPIRA","00409152301","00409-1523-01","Dextrose-Nacl","500 ML",50,12,0.1,1.2,,
"J2060","Lorazepam injection","HOSPIRA, INC","00409153931","00409-1539-31","Lorazepam","2 MG",1,10,2,20,,
"J2912","Sodium chloride injection","HOSPIRA","00409158301","00409-1583-01","Sodium Chloride","2 ML",150,12,75,900,,
"J7030","Normal saline solution infus","HOSPIRA","00409158302","00409-1583-02","Sodium Chloride","1000 CC",250,12,0.25,3,,
"J7040","Normal saline solution infus","HOSPIRA","00409158302","00409-1583-02","Sodium Chloride","500 ML",250,12,0.5,6,,
"J7050","Normal saline solution infus","HOSPIRA","00409158302","00409-1583-02","Sodium Chloride","250 CC",250,12,1,12,,
"J2912","Sodium chloride injection","HOSPIRA","00409158411","00409-1584-11","Sodium Chloride","2 ML",100,12,50,600,,
"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","00409162349","00409-1623-49","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,,
"J0595","Butorphanol tartrate 1 mg","HOSPIRA, INC","00409162610","00409-1626-10","Butorphanol Tartrate","1 MG",1,10,2,20,,
"J0595","Butorphanol tartrate 1 mg","HOSPIRA","00409162649","00409-1626-49","Butorphanol Tartrate","1 MG",1,10,2,20,,
"J0595","Butorphanol tartrate 1 mg","HOSPIRA","00409162651","00409-1626-51","Butorphanol Tartrate","1 MG",2,10,4,40,,
"J0460","Atropine sulfate injection","HOSPIRA","00409163010","00409-1630-10","Atropine Sulfate","0.3 MG",10,10,3.3,33,,
"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,,
"J2370","Phenylephrine hcl injection","HOSPIRA","00409180001","00409-1800-01","Neo-Synephrine","1 ML",1,25,1,25,,
"J1165","Phenytoin sodium injection","HOSPIRA, INC","00409184432","00409-1844-32","Phenytoin Sodium","50 MG",2,10,2,20,,
"J1953","Levetiracetam injection","HOSPIRA, INC","00409188602","00409-1886-02","Levetiracetam","10 MG",5,25,50,1250,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409189001","00409-1890-01","Morphine Sulfate","10 MG",1,10,0.2,2,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409189011","00409-1890-11","Morphine Sulfate","10 MG",1,10,0.2,2,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409189101","00409-1891-01","Morphine Sulfate","10 MG",1,10,0.4,4,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409189111","00409-1891-11","Morphine Sulfate","10 MG",1,10,0.4,4,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409189201","00409-1892-01","Morphine Sulfate","10 MG",1,10,0.8,8,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409189211","00409-1892-11","Morphine Sulfate","10 MG",1,10,0.8,8,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409189301","00409-1893-01","Morphine Sulfate","10 MG",1,10,1,10,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409189311","00409-1893-11","Morphine Sulfate","10 MG",1,10,1,10,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409189401","00409-1894-01","Morphine Sulfate","10 MG",1,10,1.5,15,,
"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,,
"J2690","Procainamide hcl injection","HOSPIRA, INC","00409190325","00409-1903-25","Procainamide HCl","1 GM",2,25,1,25,,
"J2912","Sodium chloride injection","HOSPIRA","00409191833","00409-1918-33","Sodium Chloride","2 ML",3,25,1.5,37.5,,
"J7130","Hypertonic saline solution","HOSPIRA","00409191833","00409-1918-33","Sodium Chloride",,3,25,3.75,0.15,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00409191835","00409-1918-35","Sodium Chloride","2 ML",5,25,2.5,62.5,,
"J3070","Pentazocine injection","HOSPIRA, INC","00409192010","00409-1920-10","TalWin","30 MG",10,1,10,10,,
"J0151","Inj Adenosine Diag 1mg","HOSPIRA, INC","00409193201","00409-1932-01","Adenosine","1 MG",20,1,60,60,,
"J0153","Adenosine inj 1mg","HOSPIRA, INC","00409193201","00409-1932-01","Adenosine","1 MG",20,1,60,60,,
"J0151","Inj Adenosine Diag 1mg","HOSPIRA, INC","00409193202","00409-1932-02","Adenosine","1 MG",30,1,90,90,,
"J0153","Adenosine inj 1mg","HOSPIRA, INC","00409193202","00409-1932-02","Adenosine","1 MG",30,1,90,90,,
"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,,
"J0278","Amikacin sulfate injection","HOSPIRA","00409195501","00409-1955-01","AMIKACIN SULFATE","100 MG",2,10,1,10,,
"J0278","Amikacin sulfate injection","HOSPIRA, INC","00409195601","00409-1956-01","Amikacin Sulfate","100 MG",2,10,5,50,,
"J0278","Amikacin sulfate injection","Hospira","00409195701","00409-1957-01","AMIKACIN SULF INJ USP 1GRAM/4ML FLIPTOP VIAL","100 MG",4,10,10,100,,
"J2912","Sodium chloride injection","HOSPIRA","00409196604","00409-1966-04","Saline Bacteriostatic","2 ML",10,25,5,125,,
"J2912","Sodium chloride injection","HOSPIRA","00409196605","00409-1966-05","Saline Bacteriostatic","2 ML",20,25,10,250,,
"J2912","Sodium chloride injection","HOSPIRA","00409196607","00409-1966-07","Saline Bacteriostatic","2 ML",30,25,15,375,,
"J2912","Sodium chloride injection","HOSPIRA","00409196612","00409-1966-12","Saline Bacteriostatic","2 ML",10,25,5,125,,
"J2912","Sodium chloride injection","HOSPIRA","00409196614","00409-1966-14","Saline Bacteriostatic","2 ML",30,25,15,375,,
"J2060","Lorazepam injection","HOSPIRA","00409198501","00409-1985-01","Lorazepam","2 MG",1,1,1,1,,
"J2060","Lorazepam injection","HOSPIRA, INC","00409198505","00409-1985-05","Lorazepam","2 MG",1,10,1,10,,
"J2060","Lorazepam injection","HOSPIRA","00409198510","00409-1985-10","Lorazepam","2 MG",10,1,10,10,,
"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,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409202902","00409-2029-02","Morphine Sulfate ","10 MG",30,10,3,30,,
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409202902","00409-2029-02","Morphine Sulfate (Pf)","10 MG",30,10,3,30,,
"J2275","Morphine sulfate injection","HOSPIRA, INC","00409202902","00409-2029-02","Morphine Sulfate (Pf)","10 MG",30,10,3,30,,
"J1245","Dipyridamole injection","HOSPIRA","00409204302","00409-2043-02","Dipyridamole","10 MG",2,10,1,10,,
"J2912","Sodium chloride injection","HOSPIRA","00409210202","00409-2102-02","SODIUM CHLORIDE","2 ML",2,25,1,25,,
"J2912","Sodium chloride injection","HOSPIRA","00409210205","00409-2102-05","SODIUM CHLORIDE","2 ML",5,25,2.5,62.5,,
"J3475","Inj magnesium sulfate","HOSPIRA, INC","00409216802","00409-2168-02","Magnesium Sulfate","500 MG",20,25,20,500,,
"J3475","Inj magnesium sulfate","HOSPIRA","00409216803","00409-2168-03","Magnesium Sulfate","500 MG",50,25,50,1250,,
"J1160","Digoxin injection","HOSPIRA","00409216931","00409-2169-31","Digoxin","0.5 MG",1,10,0.5,5,,
"J1170","Hydromorphone injection","HOSPIRA","00409217201","00409-2172-01","Hydromorphone Hcl","10 MG",1,25,1,25,,
"J1170","Hydromorphone injection","HOSPIRA","00409217205","00409-2172-05","Hydromorphone Hcl","10 MG",5,10,5,50,,
"J2765","Metoclopramide hcl injection","HOSPIRA","00409217332","00409-2173-32","Metoclopramide HCl","10 MG",2,10,1,10,,
"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","00409228723","00409-2287-23","Ketorolac Tromethamine","15 MG",1,10,2,20,,
"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","00409229011","00409-2290-11","Diphenhydramine Hcl Usp","50 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","00409230561","00409-2305-61","Midazolam Hcl","1 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","HOSPIRA","00409230562","00409-2305-62","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,,
"J2550","Promethazine hcl injection","HOSPIRA, INC","00409231231","00409-2312-31","Promethazine Hcl","50 MG",1,10,0.5,5,,
"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,,
"J2560","Phenobarbital sodium inj","HOSPIRA","00409234331","00409-2343-31","Luminal","120 MG",1,10,0.5,5,,
"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,,
"J2560","Phenobarbital sodium inj","HOSPIRA","00409234931","00409-2349-31","Luminal","120 MG",1,10,1.08,10.8,,
"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,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00409258102","00409-2581-02","Heparin Sodium (Porcine)","1000 UNITS",5,25,10,250,,
"J1644","Inj heparin sodium per 1000u","HOSPIRA","00409258402","00409-2584-02","HEPARIN SODIUM","1000 UNITS",10,25,25,625,,
"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",50,1,125,125,,
"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,,
"J2260","Inj milrinone lactate / 5 MG","HOSPIRA","00409277502","00409-2775-02","Milrinone Lactate","5 MG",20,25,4,100,,
"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,,
"J2543","Piperacillin/tazobactam","HOSPIRA, INC","00409299914","00409-2999-14","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,1,12,12,,
"J3360","Diazepam injection","HOSPIRA","00409321302","00409-3213-02","Diazepam","5 MG",10,5,10,50,,
"J3360","Diazepam injection","HOSPIRA, INC","00409321310","00409-3213-10","Diazepam","5 MG",10,10,10,100,,
"J3360","Diazepam injection","HOSPIRA, INC","00409321312","00409-3213-12","Diazepam","5 MG",10,5,10,50,,
"J2920","Methylprednisolone injection","HOSPIRA, INC","00409321705","00409-3217-05","Methylprednisolone Sodium Succ","40 MG",1,10,1,10,,
"J2930","Methylprednisolone injection","HOSPIRA, INC","00409321805","00409-3218-05","Methylprednisolone Sodium Succ","125 MG",1,10,1,10,,
"J3260","Tobramycin sulfate injection","HOSPIRA","00409325503","00409-3255-03","Tobramycin Sulfate","80 MG",8,25,1,25,,
"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","00409340001","00409-3400-01","Gentamicin Sulfate","80 MG",6,25,0.75,18.75,,
"J1580","Garamycin gentamicin inj","HOSPIRA","00409340101","00409-3401-01","Gentamicin Sulfate","80 MG",8,25,1,25,,
"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","00409341301","00409-3413-01","Metoclopramide Hcl","10 MG",2,25,1,25,,
"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","100 MG",1,25,10,250,,
"J0743","Cilastatin sodium injection","HOSPIRA, INC","00409350701","00409-3507-01","IMIPENEM AND CILASTATIN","250 MG",1,25,2,50,,
"J0743","Cilastatin sodium injection","HOSPIRA, INC","00409350710","00409-3507-10","IMIPENEM AND CILASTATIN","250 MG",1,25,2,50,,
"J0743","Cilastatin sodium injection","HOSPIRA, INC","00409350801","00409-3508-01","IMIPENEM AND CILASTATIN","250 MG",1,25,1,25,,
"J0743","Cilastatin sodium injection","HOSPIRA, INC","00409350810","00409-3508-10","IMIPENEM AND CILASTATIN","250 MG",1,25,1,25,,
"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,,
"J0290","Ampicillin 500 mg inj","HOSPIRA","00409371801","00409-3718-01","Ampicillin Sodium","500 MG",1,10,1,10,,
"J0290","Ampicillin 500 mg inj","HOSPIRA","00409371901","00409-3719-01","Ampicillin Sodium","500 MG",1,10,0.5,5,,
"J0290","Ampicillin 500 mg inj","HOSPIRA","00409372001","00409-3720-01","Ampicillin Sodium","500 MG",1,10,4,40,,
"J0290","Ampicillin 500 mg inj","HOSPIRA","00409372501","00409-3725-01","Ampicillin Sodium","500 MG",1,10,20,200,,
"J0290","Ampicillin 500 mg inj","HOSPIRA","00409372601","00409-3726-01","Ampicillin Sodium","500 MG",1,10,2,20,,
"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","00409379561","00409-3795-61","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,,
"J1885","Ketorolac tromethamine inj","HOSPIRA","00409379661","00409-3796-61","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J2274","Inj morphine pf epid ithc","HOSPIRA, INC","00409381412","00409-3814-12","Morphine Sulfate","10 MG",10,5,0.5,2.5,,
"J2275","Morphine sulfate injection","HOSPIRA, INC","00409381412","00409-3814-12","Morphine Sulfate (Pf)","10 MG",10,5,0.5,2.5,,
"Q9974","Morphine epidural/intratheca","HOSPIRA, INC","00409381412","00409-3814-12","Morphine Sulfate","10 MG",10,5,0.5,2.5,,
"J2274","Inj morphine pf epid ithc","HOSPIRA, INC","00409381512","00409-3815-12","Morphine Sulfate","10 MG",10,5,1,5,,
"J2275","Morphine sulfate injection","HOSPIRA, INC","00409381512","00409-3815-12","Morphine Sulfate (Pf)","10 MG",10,5,1,5,,
"Q9974","Morphine epidural/intratheca","HOSPIRA, INC","00409381512","00409-3815-12","Morphine Sulfate","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,,
"J3480","Inj potassium chloride","HOSPIRA","00409390703","00409-3907-03","Potassium Chloride","2 MEQ",10,25,10,250,,
"J2150","Mannitol injection","HOSPIRA, INC","00409403101","00409-4031-01","Mannitol","50 ML",50,25,1,25,,
"J2275","Morphine sulfate injection","HOSPIRA","00409405712","00409-4057-12","Morphine Sulfate (Pf)","10 MG",10,5,0.5,2.5,,
"J2275","Morphine sulfate injection","HOSPIRA","00409405812","00409-4058-12","Morphine Sulfate (Pf)","10 MG",10,5,1,5,,
"J1265","Dopamine injection","HOSPIRA","00409414202","00409-4142-02","Dopamine In D5W","40 MG",250,12,10,120,,
"Q4076","Dopamine hcl, 40 mg","HOSPIRA","00409414202","00409-4142-02","Dopamine In D5W",,250,12,120,10,,"40 MG"
"J1265","Dopamine injection","HOSPIRA","00409426501","00409-4265-01","DOPAMINE","40 MG",10,25,20,500,,
"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,,
"J0282","Amiodarone HCl","HOSPIRA","00409434835","00409-4348-35","Amiodarone Hcl","30 MG",3,10,5,50,,
"J0282","Amiodarone HCl","HOSPIRA","00409434849","00409-4348-49","Amiodarone Hcl","30 MG",3,10,5,50,,
"J1450","Fluconazole","HOSPIRA, INC","00409468402","00409-4684-02","FLUCONAZOLE IN DEXTROSE","200 MG",200,6,2,12,,
"J1450","Fluconazole","HOSPIRA, INC","00409468412","00409-4684-12","Fluconazole In Dextrose","200 MG",200,24,2,48,,
"J1450","Fluconazole","HOSPIRA, INC.","00409468413","00409-4684-13","Fluconazole In Dextrose","200 MG",100,24,1,24,,
"J1450","Fluconazole","HOSPIRA, INC","00409468423","00409-4684-23","FLUCONAZOLE IN DEXTROSE","200 MG",100,6,1,6,,
"J1450","Fluconazole","HOSPIRA, INC","00409468802","00409-4688-02","Fluconazole In Sodium Chloride","200 MG",200,6,2,12,,
"J1450","Fluconazole","HOSPIRA, INC","00409468812","00409-4688-12","Fluconazole In Sodium Chloride","200 MG",200,24,2,48,,
"J1450","Fluconazole","HOSPIRA, INC","00409468818","00409-4688-18","Fluconazole In Sodium Chloride","200 MG",100,24,1,24,,
"J1450","Fluconazole","HOSPIRA, INC","00409468823","00409-4688-23","Fluconazole In Sodium Chloride","200 MG",100,6,1,6,,
"J1450","Fluconazole","HOSPIRA","00409468827","00409-4688-27","Fluconazole In Sodium Chloride","200 MG",2,6,1,6,,
"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,,
"J2704","Inj, propofol, 10 mg","HOSPIRA, INC","00409469924","00409-4699-24","Propofol","10 MG",100,10,100,1000,,
"J2704","Inj, propofol, 10 mg","HOSPIRA, INC","00409469930","00409-4699-30","Propofol","10 MG",20,5,20,100,,
"J2704","Inj, propofol, 10 mg","HOSPIRA, INC","00409469933","00409-4699-33","Propofol","10 MG",50,20,50,1000,,
"J2405","Ondansetron hcl injection","HOSPIRA","00409475501","00409-4755-01","ONDANSETRON HCL","1 MG",2,5,4,20,,
"J2405","Ondansetron hcl injection","HOSPIRA","00409475502","00409-4755-02","ONDANSETRON HCL","1 MG",2,10,4,40,,
"J2405","Ondansetron hcl injection","HOSPIRA, INC","00409475503","00409-4755-03","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J2405","Ondansetron hcl injection","AMERINET/HOSPIRA","00409475561","00409-4755-61","ONDANSETRON HCL","1 MG",2,5,4,20,,
"J2405","Ondansetron hcl injection","AMERINET/HOSPIRA","00409475562","00409-4755-62","ONDANSETRON HCL","1 MG",2,10,4,40,,
"J2405","Ondansetron hcl injection","HOSPIRA","00409475563","00409-4755-63","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","00409477762","00409-4777-62","CIPROFLOXACIN","200 MG",200,24,2,48,,
"J0744","Ciprofloxacin iv","HOSPIRA, INC","00409477886","00409-4778-86","CIPROFLOXACIN","200 MG",40,1,2,2,,
"J1720","Hydrocortisone sodium succ i","ABBOTT","00409485605","00409-4856-05","A-Hydrocort","100 MG",1,10,1,10,,
"Q2009","Fosphenytoin inj PE","HOSPIRA, INC","00409485702","00409-4857-02","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50,,
"Q2009","Fosphenytoin inj PE","HOSPIRA, INC","00409485710","00409-4857-10","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100,,
"Q2009","Fosphenytoin inj PE","HOSPIRA, INC","00409485749","00409-4857-49","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50,,
"Q2009","Fosphenytoin inj PE","HOSPIRA, INC","00409485750","00409-4857-50","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100,,
"J2020","Linezolid injection","HOSPIRA, INC","00409488201","00409-4882-01","Linezolid","200 MG",300,10,3,30,,
"J2020","Linezolid injection","HOSPIRA, INC","00409488301","00409-4883-01","Linezolid","200 MG",300,10,3,30,,
"J2912","Sodium chloride injection","HOSPIRA","00409488810","00409-4888-10","Sodium Chloride","2 ML",10,25,5,125,,
"J2912","Sodium chloride injection","HOSPIRA","00409488812","00409-4888-12","Sodium Chloride","2 ML",10,25,5,125,,
"J2912","Sodium chloride injection","HOSPIRA","00409488820","00409-4888-20","Sodium Chloride","2 ML",20,25,10,250,,
"J7130","Hypertonic saline solution","HOSPIRA","00409488820","00409-4888-20","Sodium Chloride",,20,25,25,1,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","00409488850","00409-4888-50","Sodium Chloride","2 ML",50,25,25,625,,
"J7130","Hypertonic saline solution","HOSPIRA","00409488850","00409-4888-50","Sodium Chloride",,50,25,62.5,2.5,,"20 CC"
"J0170","Adrenalin epinephrin inject","HOSPIRA","00409490118","00409-4901-18","Epinephrine Hcl","1 ML",10,10,10,100,,
"J0171","Adrenalin epinephrine inject","HOSPIRA","00409490118","00409-4901-18","Epinephrine Hcl","0.1 MG",10,10,10,100,,
"J7070","D5w infusion","HOSPIRA","00409490234","00409-4902-34","Dextrose",,,,,,,"1000 CC"
"J0460","Atropine sulfate injection","HOSPIRA","00409491034","00409-4910-34","ATROPINE SULFATE","0.3 MG",5,10,1.67,16.67,,
"J0461","Atropine sulfate injection","HOSPIRA, INC","00409491034","00409-4910-34","ATROPINE SULFATE","0.01 MG",5,10,50,500,,
"J0460","Atropine sulfate injection","HOSPIRA","00409491134","00409-4911-34","Atropine Sulfate","0.3 MG",10,10,3.3,33,,
"J0461","Atropine sulfate injection","HOSPIRA, INC","00409491134","00409-4911-34","Atropine Sulfate","0.01 MG",10,10,100,1000,,
"J0170","Adrenalin epinephrin inject","HOSPIRA","00409492134","00409-4921-34","Epinephrine Hcl","1 ML",10,10,10,100,,
"J0171","Adrenalin epinephrine inject","HOSPIRA","00409492134","00409-4921-34","Epinephrine Hcl","0.1 MG",10,10,10,100,,
"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","00409568401","00409-5684-01","A-METHAPRED","40 MG",1,10,1,10,,
"J2920","Methylprednisolone injection","HOSPIRA, INC","00409568423","00409-5684-23","METHYLPRED SODIUM SUCCINATE","40 MG",1,10,1,10,,
"J2930","Methylprednisolone injection","HOSPIRA, INC","00409568502","00409-5685-02","A-METHAPRED","125 MG",2,10,2,20,,
"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","00409592110","00409-5921-10","NOVAPLUS 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",30,10,15,150,,
"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,,
"J2270","Morphine sulfate injection","HOSPIRA","00409606202","00409-6062-02","Morphine Sulfate","10 MG",250,1,25,25,,
"J2270","Morphine sulfate injection","HOSPIRA","00409606211","00409-6062-11","Morphine Sulfate","10 MG",100,1,10,1,,
"J2271","Morphine so4 injection 100mg","HOSPIRA","00409606211","00409-6062-11","Morphine Sulfate In Dextrose","100 MG",100,1,1,1,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409617714","00409-6177-14","Morphine Sulfate","10 MG",4,1,10,10,,
"J2271","Morphine so4 injection 100mg","HOSPIRA, INC","00409617714","00409-6177-14","Morphine Sulfate","100 MG",4,10,1,10,,
"J2270","Morphine sulfate injection","HOSPIRA, INC","00409617914","00409-6179-14","MORPHINE SULFATE","10 MG",10,1,25,25,,
"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","00409647844","00409-6478-44","Erythromycin Lactobionate","500 MG",1,10,2,20,,
"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","00409653101","00409-6531-01","VANCOMYCIN HYDROCHLORIDE","500 MG",1,10,1.5,15,,
"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.","00409653361","00409-6533-61","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,,
"J1071","Inj testosterone cypionate","HOSPIRA","00409655701","00409-6557-01","Testosterone Cypionate","1 MG",10,1,1000,1000,,
"J1071","Inj testosterone cypionate","HOSPIRA","00409656201","00409-6562-01","Testosterone Cypionate","1 MG",1,1,200,200,,
"J1071","Inj testosterone cypionate","HOSPIRA","00409656220","00409-6562-20","Testosterone Cypionate","1 MG",10,1,2000,2000,,
"J0330","Succinycholine chloride inj","HOSPIRA","00409662902","00409-6629-02","Quelicin","20 MG",10,25,10,250,,
"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,,
"J3475","Inj magnesium sulfate","HOSPIRA, INC","00409672903","00409-6729-03","MAGNESIUM SULFATE","500 MG",500,24,40,960,,
"J2060","Lorazepam injection","HOSPIRA, INC","00409677802","00409-6778-02","Lorazepam","2 MG",1,10,1,10,,
"J2060","Lorazepam injection","AMERINET/ABBOTT","00409677862","00409-6778-62","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,,
"J0330","Succinycholine chloride inj","HOSPIRA","00409697010","00409-6970-10","Quelicin-1000","20 MG",10,25,50,1250,,
"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","00409707626","00409-7076-26","POTASSIUM CHLORIDE","2 MEQ",100,24,15,360,,
"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 ML",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 ML",250,24,1,24,,
"J2912","Sodium chloride injection","HOSPIRA","00409710166","00409-7101-66","Sodium Chloride","2 ML",50,50,25,1250,,
"J2912","Sodium chloride injection","HOSPIRA","00409710167","00409-7101-67","SODIUM CHLORIDE","2 ML",100,50,50,2500,,
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409711109","00409-7111-09","Dex/Lact Ringers/Potassium CHL",,,250,250,1,,"1000 CC"
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409711309","00409-7113-09","Dextrose 5%/Lactated Ringers",,,500,500,1,,"1000 CC"
"J3480","Inj potassium chloride","HOSPIRA, INC","00409711509","00409-7115-09","POTASSIUM CHLORIDE/SODIUM CHLORIDE","2 MEQ",1000,12,10,120,,
"J0170","Adrenalin epinephrin inject","HOSPIRA","00409724101","00409-7241-01","Epinephrine Hcl","1 ML",1,25,1,25,,
"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","00409724125","00409-7241-25","Epinephrine HCl","0.1 MG",1,25,10,250,,
"J0170","Adrenalin epinephrin inject","HOSPIRA","00409724161","00409-7241-61","Epinephrine Hcl","1 ML",1,800,1,800,,
"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","00409733261","00409-7332-61","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","00409733561","00409-7335-61","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,,
"J7070","D5w infusion","HOSPIRA","00409751716","00409-7517-16","Dextrose",,,,,,,"1000 CC"
"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","00409766503","00409-7665-03","DEXTROSE/THEOPHYLLINE","40 MG",500,24,10,240,,
"J2810","Inj theophylline per 40 MG","HOSPIRA, INC","00409766509","00409-7665-09","THEOPHYLINE 800MG IN 5% DEXTROSE","40 MG",1000,12,20,240,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00409766603","00409-7666-03","Theophylline In D5W","40 MG",500,24,20,480,,
"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","00409766823","00409-7668-23","Theophylline In D5W","40 MG",100,24,5,120,,
"J2810","Inj theophylline per 40 MG","HOSPIRA","00409767713","00409-7677-13","Theophylline In D5W","40 MG",50,24,5,120,,
"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","00409779323","00409-7793-23","Heparin (Porcine) In D5W","1000 UNITS",100,24,10,240,,
"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%","500 ML",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,,
"J7042","5% dextrose/normal saline","HOSPIRA","00409792253","00409-7922-53","Dextrose-Nacl",,250,24,12,0.5,,"500 ML"
"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","00409792409","00409-7924-09","Dextrose-Nacl",,,12,24,2,,"500 ML"
"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,,
"J7120","Ringers lactate infusion","BAXTER","00409792903","00409-7929-03","Lactated Ringers",,,1,1,1,,"1000 CC"
"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 and Dextrose","1000 CC",500,24,0.5,12,,
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409795348","00409-7953-48","Lactated Ringers and Dextrose","1000 CC",1000,12,1,12,,
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409798209","00409-7982-09","Ringer's Injection",,,500,500,1,,"1000 CC"
"J7120","Ringers lactate infusion","HOSPIRA, INC","00409798224","00409-7982-24","Ringer's Injection",,,250,250,1,,"1000 CC"
"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,,
"J2912","Sodium chloride injection","HOSPIRA","00409798423","00409-7984-23","Sodium Chloride","2 ML",100,48,50,2400,,
"J2912","Sodium chloride injection","HOSPIRA","00409798436","00409-7984-36","Sodium Chloride","2 ML",50,80,25,2000,,
"J2912","Sodium chloride injection","HOSPIRA","00409798437","00409-7984-37","Sodium Chloride","2 ML",100,80,50,4000,,
"J0583","Bivalirudin","HOSPIRA, INC","00409830010","00409-8300-10","BIVALIRUDIN","1 MG",1,10,250,2500,,
"J0583","Bivalirudin","HOSPIRA, INC","00409830015","00409-8300-15","BIVALIRUDIN","1 MG",1,10,250,2500,,
"J3010","Fentanyl citrate injection","HOSPIRA","00409909311","00409-9093-11","Fentanyl Citrate","0.1 MG",2,10,1,10,,
"J3010","Fentanyl citrate injection","HOSPIRA, INC","00409909332","00409-9093-32","FENTANYL CITRATE","0.1 MG",2,10,1,10,,
"J3010","Fentanyl citrate injection","HOSPIRA, INC","00409909335","00409-9093-35","FENTANYL CITRATE","0.1 MG",5,10,2.5,25,,
"J3010","Fentanyl citrate injeciton","HOSPIRA","00409909336","00409-9093-36","Fentanyl Citrate","0.1 MG",10,5,5,25,,
"J3010","Fentanyl citrate injection","HOSPIRA, INC","00409909338","00409-9093-38","Fentanyl Citrate","0.1 MG",20,5,10,50,,
"J3010","Fentanyl citrate injection","HOSPIRA","00409909411","00409-9094-11","Fentanyl Citrate","0.1 MG",2,25,1,25,,
"J3010","Fentanyl citrate injection","HOSPIRA, INC","00409909422","00409-9094-22","Fentanyl Citrate","0.1 MG",2,25,1,25,,
"J3010","Fentanyl citrate injection","HOSPIRA, INC","00409909425","00409-9094-25","FENTANYL CITRATE","0.1 MG",5,25,2.5,62.5,,
"J3010","Fentanyl citrate injection","HOSPIRA, INC","00409909428","00409-9094-28","Fentanyl Citrate","0.1 MG",10,25,5,125,,
"J3010","Fentanyl citrate injection","HOSPIRA, INC","00409909431","00409-9094-31","Fentanyl Citrate","0.1 MG",20,25,10,250,,
"J3010","Fentanyl citrate injection","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","00409915725","00409-9157-25","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,,
"J3430","Vitamin k phytonadione inj","HOSPIRA, INC","00409915825","00409-9158-25","Vitamin K1","1 MG",1,25,10,250,,
"J2795","Ropivacaine hcl injection","HOSPIRA, INC","00409930010","00409-9300-10","Ropivacaine","1 MG",10,10,20,200,,
"J2795","Ropivacaine hcl injection","HOSPIRA, INC","00409930020","00409-9300-20","Ropivacaine","1 MG",20,10,40,400,,
"J2795","Ropivacaine hcl injection","HOSPIRA, INC","00409930130","00409-9301-30","Ropivacaine Hydrochloride","1 MG",30,10,150,1500,,
"J2795","Ropivacaine hcl injection","HOSPIRA, INC","00409930220","00409-9302-20","Ropivacaine Hydrochloride","1 MG",20,10,150,1500,,
"J2795","Ropivacaine hcl injection","HOSPIRA, INC","00409930310","00409-9303-10","Ropivacaine Hydrochloride","1 MG",10,10,100,1000,,
"J2795","Ropivacaine hcl injection","HOSPIRA, INC","00409930320","00409-9303-20","Ropivacaine Hydrochloride","1 MG",20,10,200,2000,,
"J0460","Atropine sulfate injection","HOSPIRA","00409962905","00409-9629-05","Atropine Sulfate","0.3 MG",5,10,1.65,16.5,,
"J0461","Atropine sulfate injection","HOSPIRA","00409962905","00409-9629-05","Atropine Sulfate","0.01 MG",5,10,50,500,,
"J0460","Atropine sulfate injection","HOSPIRA","00409963005","00409-9630-05","Atropine Sulfate","0.3 MG",5,10,0.835,8.35,,
"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,,
"J7637","Dexamethasone inhal sol con","TAYLOR","00418192130","00418-1921-30","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","TAYLOR","00418192130","00418-1921-30","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7637","Dexamethasone inhal sol con","TAYLOR","00418192131","00418-1921-31","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","TAYLOR","00418192131","00418-1921-31","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J1212","Dimethyl sulfoxide 50% 50 ML","Bioniche Pharma USA, LLC","00433043305","00433-0433-05","Rimso-50","50 ML",50,1,1,1,,
"Q0163","Diphenhydramine HCl 50mg","LIBERTY PHARMACEUTICAL","00440742609","00440-7426-09","Diphenhydramine Hcl","50 MG",9,1,9,9,,
"Q0163","Diphenhydramine HCl 50mg","LIBERTY PHARMACEUTICAL","00440742620","00440-7426-20","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","LIBERTY PHARMACEUTICAL","00440742630","00440-7426-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","LIBERTY PHARMACEUTICAL","00440742660","00440-7426-60","Diphenhydramine Hcl","50 MG",60,1,60,60,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816512","00440-8165-12","Prednisone","5 MG",12,1,12,12,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816520","00440-8165-20","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816530","00440-8165-30","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816560","00440-8165-60","Prednisone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816620","00440-8166-20","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816630","00440-8166-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816703","00440-8167-03","Prednisone","5 MG",3,1,12,12,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816710","00440-8167-10","Prednisone","5 MG",10,1,40,40,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816720","00440-8167-20","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816730","00440-8167-30","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","LIBERTY PHARMACEUTICAL","00440816760","00440-8167-60","Prednisone","5 MG",60,1,240,240,,
"Q0164","Prochlorperazine maleate 5mg","LIBERTY PHARMACEUTICAL","00440819012","00440-8190-12","Prochlorperazine Maleate","5 MG",12,1,12,12,,
"C9282","Injection, ceftaroline fosamil","Forest Laboratories, Inc.","00456040001","00456-0400-01","Teflaro","10MG",1,10,40,40,,
"C9282","Injection, ceftaroline fosamil","Forest Laboratories, Inc.","00456040010","00456-0400-10","Teflaro","10MG",1,10,40,400,,
"J0712","Ceftaroline fosamil inj","Forest Laboratories","00456040010","00456-0400-10","Teflaro","10 MG",1,10,40,400,,
"C9282","Injection, ceftaroline fosamil","Forest Laboratories, Inc.","00456060001","00456-0600-01","Teflaro","10MG",1,10,60,60,,
"C9282","Injection, ceftaroline fosamil","Forest Laboratories, Inc.","00456060010","00456-0600-10","Teflaro","10MG",1,10,60,600,,
"J0712","Ceftaroline fosamil inj","Forest Laboratories","00456060010","00456-0600-10","Teflaro","10 MG",1,10,60,600,,
"J7637","Dexamethasone inhal sol con","FOREST PHARMACEUTICALS, INC.","00456107405","00456-1074-05","Dalalone",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","FOREST PHARMACEUTICALS, INC.","00456107405","00456-1074-05","Dalalone",,5,1,20,20,,"1 MG"
"J2650","Prednisolone acetate inj","TRUXTON CO., INC.","00463101930","00463-1019-30","Cotolone","1 ML",30,1,30,30,,
"J2650","Prednisolone acetate inj","TRUXTON CO., INC.","00463102010","00463-1020-10","Cotolone","1 ML",10,1,10,10,,
"J3415","Pyridoxine hcl 100 mg","TRUXTON CO., INC.","00463106110","00463-1061-10","PYRIDOXINE HCL","100 MG",10,1,10,10,,
"J3411","Thiamine hcl 100 mg","TRUXTON CO., INC.","00463107430","00463-1074-30","THIAMINE HCL","100 MG",30,1,30,30,,
"J7637","Dexamethasone inhal sol con","TRUXTON CO., INC.","00463109005","00463-1090-05","Adrenocot",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","TRUXTON CO., INC.","00463109005","00463-1090-05","Adrenocot",,5,1,20,20,,"1 MG"
"J3410","Hydroxyzine hcl injection","TRUXTON CO., INC.","00463110110","00463-1101-10","VISTACOT","25 MG",10,1,20,20,,
"J3250","Trimethobenzamide hcl inj","TRUXTON CO., INC.","00463110820","00463-1108-20","BENZACOT","200 MG",20,1,10,10,,
"Q0163","Diphenhydramine HCl 50mg","TRUXTON CO., INC.","00463202310","00463-2023-10","TRUXADRYL","50 MG",1000,1,1000,1000,,
"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,,
"C9456","Inj, isavuconazonium sulfate","ASTELLAS PHARMA US, INC.","00469042099","00469-0420-99","CRESEMBA injection","1mg (as sulfate)",1,1,372,372,,
"J7507","Tacrolimus oral per 1 MG","ASTELLAS PHARMA","00469060767","00469-0607-67","Prograf","1 MG",1,60,0.5,30,,
"J7507","Tacrolimus imme rel oral 1mg","ASTELLAS PHARMA US, INC.","00469060773","00469-0607-73","Prograf","1 MG",100,1,100,50,,
"J7637","Dexamethasone inhal sol con","ASTELLAS PHARMA","00469061001","00469-0610-01","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ASTELLAS PHARMA","00469061001","00469-0610-01","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J7507","Tacrolimus oral per 1 MG","ASTELLAS PHARMA","00469061710","00469-0617-10","Prograf","1 MG",100,1,100,100,,
"J7507","Tacrolimus imme rel oral 1mg","ASTELLAS PHARMA US, INC.","00469061711","00469-0617-11","Prograf","1 MG",100,1,100,100,,
"J7507","Tacrolimus oral per 1 MG","ASTELLAS PHARMA","00469061771","00469-0617-71","Prograf","1 MG",1,100,1,100,,
"J7507","Tacrolimus imme rel oral 1mg","ASTELLAS PHARMA US, INC.","00469061773","00469-0617-73","Prograf","1 MG",100,1,100,100,,
"J7508","Tacrol astagraf ex rel oral","ASTELLAS PHARMA US, INC.","00469064773","00469-0647-73","ASTAGRAF XL","0.1 MG",30,1,150,150,,
"J7507","Tacrolimus oral per 1 MG","ASTELLAS PHARMA","00469065710","00469-0657-10","Prograf","1 MG",1,100,5,500,,
"J7507","Tacrolimus imme rel oral 1mg","ASTELLAS PHARMA US, INC.","00469065711","00469-0657-11","Prograf","1 MG",100,5,100,500,,
"J7507","Tacrolimus imme rel oral 1mg","ASTELLAS PHARMA US, INC.","00469065773","00469-0657-73","Prograf","1 MG",100,5,100,500,,
"J7508","Tacrol astagraf ex rel oral","ASTELLAS PHARMA US, INC.","00469067773","00469-0677-73","ASTAGRAF XL","0.1 MG",30,1,300,300,,
"J7508","Tacrol astagraf ex rel oral","ASTELLAS PHARMA US, INC.","00469068773","00469-0687-73","ASTAGRAF XL","0.1 MG",30,1,1500,1500,,
"J0151","Inj Adenosine Diag 1mg","ASTELLAS PHARMA US, INC.","00469087120","00469-0871-20","Adenoscan","1 MG",20,1,60,60,,
"J0152","Adenosine injection","ASTELLAS PHARMA US, INC.","00469087120","00469-0871-20","Adenoscan","30 MG",20,1,2,2,,
"J0153","Adenosine inj 1mg","ASTELLAS PHARMA US, INC.","00469087120","00469-0871-20","Adenoscan","1 MG",20,10,60,600,,
"J0151","Inj Adenosine Diag 1mg","ASTELLAS PHARMA US, INC.","00469087130","00469-0871-30","Adenoscan","1 MG",30,1,90,90,,
"J0152","Adenosine injection","ASTELLAS PHARMA US, INC.","00469087130","00469-0871-30","Adenoscan","30 MG",30,1,3,3,,
"J0153","Adenosine inj 1mg","ASTELLAS PHARMA US, INC.","00469087130","00469-0871-30","Adenoscan","1 MG",30,10,90,900,,
"J0150","Injection adenosine 6 MG","ASTELLAS PHARMA","00469087202","00469-0872-02","Adenocard","6 MG",2,10,1,10,,
"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",1,10,100,1000,,
"J2248","Micafungin sodium injection","ASTELLAS PHARMA US, INC.","00469321199","00469-3211-99","Micafungin sodium (Mycamine)","1 MG",1,10,100,1000,,
"J2248","Micafungin sodium injection","ASTELLAS PHARMA US, INC.","00469325010","00469-3250-10","Micafungin sodium (Mycamine)","1 MG",1,10,50,500,,
"J2248","Micafungin sodium injection","ASTELLAS PHARMA US, INC.","00469325050","00469-3250-50","Micafungin sodium (Mycamine)","1 MG",1,10,50,500,,
"C9258","Injection, telavancin, 10 mg","ASTELLAS PHARMA US, INC.","00469352530","00469-3525-30","VIBATIV","10MG",1,1,25,25,,
"J3095","Telavancin injection","ASTELLAS PHARMA US, INC.","00469352530","00469-3525-30","VIBATIV","10 MG",1,1,25,25,,
"C9258","Injection, telavancin, 10 mg","ASTELLAS PHARMA US, INC.","00469357550","00469-3575-50","VIBATIV","10MG",1,1,75,75,,
"J3095","Telavancin injection","ASTELLAS PHARMA US, INC.","00469357550","00469-3575-50","VIBATIV","10 MG",1,1,75,75,,
"J3302","Triamcinolone diacetate inj","ASTELLAS PHARMA","00469511601","00469-5116-01","Aristocort Forte","5 MG",1,1,8,8,,
"J3302","Triamcinolone diacetate inj","ASTELLAS PHARMA","00469511605","00469-5116-05","Aristocort Forte","5 MG",5,1,40,40,,
"J3302","Triamcinolone diacetate inj","ASTELLAS PHARMA","00469511705","00469-5117-05","Aristocort Intralesional","5 MG",5,1,25,25,,
"J3303","Triamcinolone hexacetonl inj","FUJISAWA HEALTHCARE","00469511901","00469-5119-01","Aristospan Intra-Articular",,1,10,40,4,,"5 MG"
"J3303","Triamcinolone hexacetonl inj","FUJISAWA HEALTHCARE","00469511905","00469-5119-05","Aristospan Intra-Articular",,5,10,200,20,,"5 MG"
"C9244","Injection, regadenoson","ASTELLAS PHARMA US, INC.","00469650189","00469-6501-89","Regadenoson","0.4 MG",5,1,1,1,,
"J2785","Regadenoson injection","ASTELLAS PHARMA US, INC.","00469650189","00469-6501-89","Regadenoson","0.1 MG",5,1,4,4,,
"J0715","Ceftizoxime sodium / 500 MG","ASTELLAS PHARMA","00469722001","00469-7220-01","Cefizox In D5W","500 MG",50,24,2,48,,
"J0715","Ceftizoxime sodium / 500 MG","ASTELLAS PHARMA","00469722102","00469-7221-02","Cefizox In D5W","500 MG",50,24,4,96,,
"J0150","Injection adenosine 6 MG","ASTELLAS PHARMA","00469723412","00469-7234-12","Adenocard","6 MG",2,5,1,5,,
"J0150","Injection adenosine 6 MG","ASTELLAS PHARMA","00469723414","00469-7234-14","Adenocard","6 MG",4,5,2,10,,
"J0715","Ceftizoxime sodium / 500 MG","ASTELLAS PHARMA","00469725101","00469-7251-01","Cefizox","500 MG",1,10,2,20,,
"J0715","Ceftizoxime sodium / 500 MG","ASTELLAS PHARMA","00469725201","00469-7252-01","Cefizox","500 MG",1,10,2,20,,
"J0715","Ceftizoxime sodium / 500 MG","ASTELLAS PHARMA","00469725302","00469-7253-02","Cefizox","500 MG",1,10,4,40,,
"J0715","Ceftizoxime sodium / 500 MG","ASTELLAS PHARMA","00469725402","00469-7254-02","Cefizox","500 MG",1,10,4,40,,
"J0715","Ceftizoxime sodium / 500 MG","ASTELLAS PHARMA","00469725510","00469-7255-10","Cefizox","500 MG",1,10,20,200,,
"J0715","Ceftizoxime sodium / 500 MG","ASTELLAS PHARMA","00469727101","00469-7271-01","Cefizox","500 MG",1,10,2,20,,
"J0715","Ceftizoxime sodium / 500 MG","ASTELLAS PHARMA","00469727202","00469-7272-02","Cefizox","500 MG",1,10,4,40,,
"J0150","Injection adenosine 6 MG","ASTELLAS PHARMA US, INC.","00469823412","00469-8234-12","Adenocard","6 MG",2,1,1,1,,
"J0153","Adenosine inj 1mg","ASTELLAS PHARMA US, INC.","00469823412","00469-8234-12","Adenocard","1 MG",2,10,6,60,,
"J0150","Injection adenosine 6 MG","ASTELLAS PHARMA US, INC.","00469823414","00469-8234-14","Adenocard","6 MG",4,1,2,2,,
"J0153","Adenosine inj 1mg","ASTELLAS PHARMA US, INC.","00469823414","00469-8234-14","Adenocard","1 MG",4,10,12,120,,
"J7631","Cromolyn sodium noncomp unit","ALPHARMA","00472075221","00472-0752-21","Cromolyn Sodium","10 MG",2,120,2,240,,
"J7631","Cromolyn sodium noncomp unit","ALPHARMA","00472075260","00472-0752-60","Cromolyn Sodium","10 MG",2,60,2,120,,
"J7644","Ipratropium bromide non-comp","ALPHARMA","00472075323","00472-0753-23","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7644","Ipratropium bromide non-comp","ALPHARMA","00472075330","00472-0753-30","Ipratropium Bromide","1 MG",2.5,30,0.5,15,,
"J7644","Ipratropium bromide non-comp","ALPHARMA","00472075360","00472-0753-60","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"J7648","Isoetharine hcl inh sol con","ALPHARMA USPD","00472077831","00472-0778-31","Isoetharine Hydrochloride",,30,1,300,300,,"1 MG"
"J7648","Isoetharine hcl inh sol con","ALPHARMA USPD","00472077882","00472-0778-82","Isoetharine Hydrochloride",,10,1,100,100,,"1 MG"
"J7603","Albuterol inh non-comp u d ","ALPHARMA","00472083123","00472-0831-23","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit dose1","ALPHARMA","00472083123","00472-0831-23","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","ALPHARMA","00472083123","00472-0831-23","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7603","Albuterol inh non-comp u d ","ALPHARMA","00472083130","00472-0831-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit dose1","ALPHARMA","00472083130","00472-0831-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"Q4094","Albuterol inh non-comp u d ","ALPHARMA","00472083130","00472-0831-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7603","Albuterol inh non-comp u d ","ALPHARMA","00472083160","00472-0831-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7613","Albuterol non-comp unit dose1","ALPHARMA","00472083160","00472-0831-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"Q4094","Albuterol inh non-comp u d ","ALPHARMA","00472083160","00472-0831-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7602","Albuterol inh non-comp con","ALPHARMA","00472083230","00472-0832-30","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","ALPHARMA","00472083230","00472-0832-30","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","ALPHARMA","00472083230","00472-0832-30","Albuterol Sulfate","1 MG",20,1,100,100,,
"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.","00487030102","00487-0301-02","Albuterol Sulfate","1 MG",3,30,0.63,19,,
"J7648","Isoetharine hcl inh sol con","NEPHRON PHARMACEUTICALS","00487760100","00487-7601-00","Beta-2",,10,1,100,100,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","NEPHRON PHARMACEUTICALS","00487760100","00487-7601-00","Beta-2",,10,1,100,100,,"1 MG"
"J7648","Isoetharine hcl inh sol con","NEPHRON PHARMACEUTICALS","00487760101","00487-7601-01","Beta-2",,30,1,300,300,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","NEPHRON PHARMACEUTICALS","00487760101","00487-7601-01","Beta-2",,30,1,300,300,,"1 MG"
"J7603","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950101","00487-9501-01","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487950101","00487-9501-01","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"Q4094","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950101","00487-9501-01","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7603","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950102","00487-9501-02","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,,
"Q4094","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950102","00487-9501-02","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7603","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950103","00487-9501-03","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,,
"Q4094","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950103","00487-9501-03","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7603","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950125","00487-9501-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487950125","00487-9501-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950125","00487-9501-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7603","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950160","00487-9501-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487950160","00487-9501-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"Q4094","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487950160","00487-9501-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7626","Budesonide non-comp unit","Nephron Pharmaceuticals Corp.","00487960101","00487-9601-01","BUDESONIDE","UP TO 0.50 MG",2,30,1,30,,
"J7626","Budesonide non-comp unit","Nephron Pharmaceuticals Corp.","00487960130","00487-9601-30","BUDESONIDE","UP TO 0.50 MG",2,30,1,30,,
"J7626","Budesonide non-comp unit","Nephron Pharmaceuticals Corp.","00487970101","00487-9701-01","BUDESONIDE","UP TO 0.50 MG",2,30,1,30,,
"J7626","Budesonide non-comp unit","Nephron Pharmaceuticals Corp.","00487970130","00487-9701-30","BUDESONIDE","UP TO 0.50 MG",2,30,1,30,,
"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,,
"J7602","Albuterol inh non-comp con","NEPHRON PHARMACEUTICALS","00487990102","00487-9901-02","Albuterol Sulfate","1 MG",0.5,30,2.5,75,,
"J7611","Albuterol non-comp con","Nephron Pharmaceuticals Corp.","00487990102","00487-9901-02","Albuterol Sulfate","1 MG",0.5,30,2.5,75,,
"Q4093","Albuterol inh non-comp con","NEPHRON PHARMACEUTICALS","00487990102","00487-9901-02","Albuterol Sulfate","1 MG",0.5,30,2.5,75,,
"J7602","Albuterol inh non-comp con","NEPHRON PHARMACEUTICALS","00487990130","00487-9901-30","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,,
"Q4093","Albuterol inh non-comp con","NEPHRON PHARMACEUTICALS","00487990130","00487-9901-30","Albuterol Sulfate","1 MG",0.5,30,2.5,75,,
"J7603","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487990401","00487-9904-01","Albuterol Sulfate","1 MG",3,30,1.25,37.5,,
"J7613","Albuterol non-comp unit","Nephron Pharmaceuticals Corp.","00487990401","00487-9904-01","Albuterol Sulfate","1 MG",3,30,1.25,37.5,,
"Q4094","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487990401","00487-9904-01","Albuterol Sulfate","1 MG",3,30,1.25,37.5,,
"J7603","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","00487990402","00487-9904-02","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,,
"Q4094","Albuterol inh non-comp u d ","NEPHRON PHARMACEUTICALS","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,,
"J0620","Calcium glycer & lact/10 ML","GLENWOOD","00516006060","00516-0060-60","Calphosan",,60,1,6,6,,"10 ML"
"J0706","Caffeine citrate injection","AMERICAN REGENT","00517002010","00517-0020-10","CAFFEINE CITRATE","5 MG",3,10,12,120,,
"J3420","Vitamin b12 injection","American Regent","00517003125","00517-0031-25","Cyanocobalamin","1000 MCG",1,25,1,25,,
"J3420","Vitamin b12 injection","American Regent","00517003225","00517-0032-25","Cyanocobalamin","1000 MCG",10,25,10,250,,
"J2710","Neostigmine methylslfte inj","AMERICAN REGENT","00517003325","00517-0033-25","Neostigmine Methylsulfate","0.5 MG",10,25,20,500,,
"J2710","Neostigmine methylslfte inj","AMERICAN REGENT","00517003425","00517-0034-25","Neostigmine Methylsulfate","0.5 MG",10,25,10,250,,
"J0460","Atropine sulfate injection","AMERICAN REGENT","00517010125","00517-0101-25","Atropine Sulfate","0.3 MG",1,25,3.33,83.25,,
"J0461","Atropine sulfate injection","AMERICAN REGENT","00517010125","00517-0101-25","Atropine Sulfate","0.01 MG",1,25,100,2500,,
"J3420","Vitamin b12 injection","American Regent","00517013005","00517-0130-05","Cyanocobalamin","1000 MCG",30,5,30,150,,
"J0636","Inj calcitriol per 0.1 mcg","AMERICAN REGENT","00517013225","00517-0132-25","Calcijex","0.1 MCG",1,25,10,250,,
"J1750","Inj iron dextran","AMERICAN REGENT","00517013410","00517-0134-10","Dexferrum","50 MG",1,10,1,10,,
"J1752","Iron dextran 267 injection","AMERICAN REGENT","00517013410","00517-0134-10","Dexferrum","50 MG",1,10,1,10,,
"Q4098","Iron dextran injection","AMERICAN REGENT","00517013410","00517-0134-10","Dexferrum","50 MG",1,10,1,10,,
"J1750","Inj iron dextran","AMERICAN REGENT","00517023410","00517-0234-10","Dexferrum","50 MG",2,10,2,20,,
"J1752","Iron dextran 267 injection","AMERICAN REGENT","00517023410","00517-0234-10","Dexferrum","50 MG",2,10,2,20,,
"Q4098","Iron dextran injection","AMERICAN REGENT","00517023410","00517-0234-10","Dexferrum","50 MG",2,10,2,20,,
"J2370","Phenylephrine hcl injection","AMERICAN REGENT","00517029925","00517-0299-25","Phenylephrine Hcl","1 ML",1,25,1,25,,
"J0460","Atropine sulfate injection","AMERICAN REGENT","00517040125","00517-0401-25","Atropine Sulfate","0.3 MG",1,25,1.33,33.25,,
"J0461","Atropine sulfate injection","American Regent","00517040125","00517-0401-25","Atropine Sulfate","0.01 MG",1,25,40,1000,,
"J2370","Phenylephrine hcl injection","AMERICAN REGENT","00517040525","00517-0405-25","Phenylephrine Hcl","1 ML",5,25,5,125,,
"J1885","Ketorolac tromethamine inj","AMERICAN REGENT","00517060125","00517-0601-25","Ketorolac Tromethamine","15 MG",1,25,1,25,,
"J2912","Sodium chloride injection","AMERICAN REGENT","00517064825","00517-0648-25","Saline Bacteriostatic","2 ML",30,25,15,375,,
"J7130","Hypertonic saline solution","AMERICAN REGENT","00517064825","00517-0648-25","Saline Bacteriostatic",,30,25,37.5,1.5,,"20 CC"
"C9441","Inj, ferric carboxymaltose","AMERICAN REGENT, INC.","00517065001","00517-0650-01","Injectafer","1mg",15,1,750,750,,
"J1439","Inj ferric carboxymaltos 1mg","American Regent","00517065001","00517-0650-01","Injectafer","1mg",15,1,750,750,,
"Q9970","Inj Ferric Carboxymaltos 1mg","AMERICAN REGENT, INC.","00517065001","00517-0650-01","Injectafer","1mg",15,1,750,750,,
"C9441","Inj, ferric carboxymaltose","AMERICAN REGENT, INC.","00517065002","00517-0650-02","Injectafer","1mg",15,2,750,1500,,
"J1439","Inj ferric carboxymaltos 1mg","AMERICAN REGENT, INC.","00517065002","00517-0650-02","Injectafer","1mg",15,2,750,1500,,
"Q9970","Inj Ferric Carboxymaltos 1mg","AMERICAN REGENT, INC.","00517065002","00517-0650-02","Injectafer","1mg",15,2,750,1500,,
"J7051","Sterile saline/water","AMERICAN REGENT","00517066225","00517-0662-25","Bacteriostatic Water(Benz Alc)",,30,25,150,6,,"5 CC"
"J0702","Betamethasone acet&sod phosp","American Regent","00517072001","00517-0720-01","Celestone Soluspan","3 MG & 3 MG",5,1,5,5,,
"J0592","Buprenorphine hydrochloride","AMERICAN REGENT","00517072505","00517-0725-05","Buprenorphine HCl Injection","0.1 MG",1,5,3,15,,
"J0735","Clonidine hydrochloride","American Regent","00517073001","00517-0730-01","Clonidine Hydrochloride Injection","1 MG",10,1,1,1,,
"J0735","Clonidine hydrochloride","American Regent","00517073101","00517-0731-01","Clonidine Hydrochloride Injection","1 MG",10,1,5,5,,
"J2210","Methylergonovin maleate inj","American Regent","00517074020","00517-0740-20","METHYLERGONOVINE MALEATE","0.2 MG",1,20,1,20,,
"J2430","Pamidronate disodium /30 MG","AMERICAN REGENT","00517074501","00517-0745-01","Pamidronate Disodium","30 MG",1,1,1,1,,
"J2430","Pamidronate disodium /30 MG","AMERICAN REGENT","00517074601","00517-0746-01","Pamidronate Disodium","30 MG",1,1,3,3,,
"J2675","Inj progesterone per 50 MG","AMERICAN REGENT","00517075001","00517-0750-01","Progesterone","50 MG",10,1,10,10,,
"J1885","Ketorolac tromethamine inj","AMERICAN REGENT","00517080125","00517-0801-25","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J0460","Atropine sulfate injection","AMERICAN REGENT","00517080525","00517-0805-25","Atropine Sulfate","0.3 MG",0.5,25,1.335,33.375,,
"J0461","Atropine sulfate injection","AMERICAN REGENT","00517080525","00517-0805-25","Atropine Sulfate","0.01 MG",0.5,25,40,1000,,
"J0360","Hydralazine hcl injection","AMERICAN REGENT","00517090125","00517-0901-25","Hydralazine Hcl","20 MG",1,25,1,25,,
"J1885","Ketorolac tromethamine inj","AMERICAN REGENT","00517090225","00517-0902-25","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J0360","Hydralazine hcl injection","AMERICAN REGENT","00517091125","00517-0911-25","Hydralazine Hcl","20 MG",1,25,1,25,,
"J0460","Atropine sulfate injection","AMERICAN REGENT","00517101025","00517-1010-25","Atropine Sulfate","0.3 MG",1,25,3.33,83.25,,
"J0461","Atropine sulfate injection","American Regent","00517101025","00517-1010-25","Atropine Sulfate","0.01 MG",1,25,100,2500,,
"J1955","Inj levocarnitine per 1 gm","AMERICAN REGENT","00517104525","00517-1045-25","Levocarnitine","1 GM",5,25,1,25,,
"J0170","Adrenalin epinephrin inject","AMERICAN REGENT","00517107125","00517-1071-25","Epinephrine Hcl","1 ML",1,25,1,25,,
"J0171","Adrenalin epinephrine inject","AMERICAN REGENT","00517107125","00517-1071-25","Epinephrine Hcl","0.1 MG",1,25,10,250,,
"J0170","Adrenalin epinephrin inject","AMERICAN REGENT","00517113005","00517-1130-05","Epinephrine Hcl","1 ML",30,5,30,150,,
"J0171","Adrenalin epinephrine inject","AMERICAN REGENT","00517113005","00517-1130-05","Epinephrine Hcl","0.1 MG",30,5,300,1500,,
"J1265","Dopamine injection","AMERICAN REGENT","00517130525","00517-1305-25","Dopamine Hcl","40 MG",5,25,20,500,,
"Q4076","Dopamine hcl, 40 mg","AMERICAN REGENT","00517130525","00517-1305-25","Dopamine Hcl",,5,25,500,20,,"40 MG"
"J1265","Dopamine injection","AMERICAN REGENT","00517180525","00517-1805-25","Dopamine Hcl","40 MG",5,25,5,125,,
"Q4076","Dopamine hcl, 40 mg","AMERICAN REGENT","00517180525","00517-1805-25","Dopamine Hcl",,5,25,125,5,,"40 MG"
"J1265","Dopamine injection","AMERICAN REGENT","00517190525","00517-1905-25","Dopamine Hcl","40 MG",5,25,10,250,,
"Q4076","Dopamine hcl, 40 mg","AMERICAN REGENT","00517190525","00517-1905-25","Dopamine Hcl",,5,25,250,10,,"40 MG"
"J1756","Iron sucrose injection","American Regent","00517231005","00517-2310-05","Venofer","1 MG",10,5,200,1000,,
"J1756","Iron sucrose injection","American Regent","00517232510","00517-2325-10","Venofer","1 MG",2.5,10,50,500,,
"J1756","Iron sucrose injection","American Regent","00517234010","00517-2340-10","Venofer","1 MG",5,10,100,1000,,
"J1756","Iron sucrose injection","American Regent","00517234025","00517-2340-25","Venofer","1 MG",5,25,100,2500,,
"J1756","Iron sucrose injection","American Regent","00517234099","00517-2340-99","Venofer","1 MG",5,10,100,1000,,
"J3475","Inj magnesium sulfate","AMERICAN REGENT","00517260225","00517-2602-25","Magnesium Sulfate","500 MG",2,25,2,50,,
"J3475","Inj magnesium sulfate","AMERICAN REGENT","00517261025","00517-2610-25","Magnesium Sulfate","500 MG",10,25,10,250,,
"J3475","Inj magnesium sulfate","AMERICAN REGENT","00517265025","00517-2650-25","Magnesium Sulfate","500 MG",50,25,50,1250,,
"J2912","Sodium chloride injection","AMERICAN REGENT","00517280225","00517-2802-25","Sodium Chloride","2 ML",2,25,1,25,,
"J7130","Hypertonic saline solution","AMERICAN REGENT","00517280225","00517-2802-25","Sodium Chloride",,2,25,2.5,0.1,,"20 CC"
"J2912","Sodium chloride injection","AMERICAN REGENT","00517281025","00517-2810-25","Sodium Chloride","2 ML",10,25,5,125,,
"J7130","Hypertonic saline solution","AMERICAN REGENT","00517281025","00517-2810-25","Sodium Chloride",,10,25,12.5,0.5,,"20 CC"
"J7051","Sterile saline/water","AMERICAN REGENT","00517300525","00517-3005-25","Sterile Water For Injection",,5,25,25,1,,"5 CC"
"J7051","Sterile saline/water","AMERICAN REGENT","00517301025","00517-3010-25","Sterile Water For Injection",,10,25,50,2,,"5 CC"
"J7051","Sterile saline/water","AMERICAN REGENT","00517302025","00517-3020-25","Sterile Water For Injection",,20,25,100,4,,"5 CC"
"J7051","Sterile saline/water","AMERICAN REGENT","00517305025","00517-3050-25","Sterile Water For Injection",,50,25,250,10,,"5 CC"
"J1953","Levetiracetam injection","American Regent","00517360525","00517-3605-25","Levetiracetam","10 MG",5,25,50,1250,,
"J0280","Aminophyllin 250 MG inj","AMERICAN REGENT","00517381025","00517-3810-25","Aminophylline","250 MG",10,25,1,25,,
"J0280","Aminophyllin 250 MG inj","AMERICAN REGENT","00517382025","00517-3820-25","Aminophylline","250 MG",20,25,2,50,,
"J0610","Calcium gluconate injection","American Regent","00517390025","00517-3900-25","Calcium Gluconate","10 ML",100,25,10,250,,
"J0610","Calcium gluconate injection","AMERICAN REGENT","00517391025","00517-3910-25","Calcium Gluconate","10 ML",10,25,1,25,,
"J0610","Calcium gluconate injection","AMERICAN REGENT","00517395025","00517-3950-25","Calcium Gluconate","10 ML",50,25,5,125,,
"J2440","Papaverin hcl injection","AMERICAN REGENT","00517400225","00517-4002-25","Papaverine Hcl","60 MG",2,25,1,25,,
"J2440","Papaverin hcl injection","AMERICAN REGENT","00517401001","00517-4010-01","Papaverine Hcl","60 MG",10,1,5,5,,
"J2150","Mannitol injection","AMERICAN REGENT","00517405025","00517-4050-25","Mannitol","50 ML",50,25,1,25,,
"J3410","Hydroxyzine hcl injection","American Regent","00517420125","00517-4201-25","Hydroxyzine Hcl","25 MG",1,25,1,25,,
"J7642","Glycopyrrolate inhal sol con","AMERICAN REGENT","00517460125","00517-4601-25","Glycopyrrolate",,1,25,5,0.2,,"1 MG"
"J7643","Glycopyrrolate inhal sol u d","AMERICAN REGENT","00517460125","00517-4601-25","Glycopyrrolate",,1,25,5,0.2,,"1 MG"
"J7642","Glycopyrrolate inhal sol con","AMERICAN REGENT","00517460225","00517-4602-25","Glycopyrrolate",,2,25,10,0.4,,"1 MG"
"J7643","Glycopyrrolate inhal sol u d","AMERICAN REGENT","00517460225","00517-4602-25","Glycopyrrolate",,2,25,10,0.4,,"1 MG"
"J7642","Glycopyrrolate inhal sol con","AMERICAN REGENT","00517460525","00517-4605-25","Glycopyrrolate",,5,25,25,1,,"1 MG"
"J7643","Glycopyrrolate inhal sol u d","AMERICAN REGENT","00517460525","00517-4605-25","Glycopyrrolate",,5,25,25,1,,"1 MG"
"J7642","Glycopyrrolate inhal sol con","AMERICAN REGENT","00517462025","00517-4620-25","Glycopyrrolate",,20,25,100,4,,"1 MG"
"J7643","Glycopyrrolate inhal sol u d","AMERICAN REGENT","00517462025","00517-4620-25","Glycopyrrolate",,20,25,100,4,,"1 MG"
"J1100","Dexamethasone sodium phos","AMERICAN REGENT","00517490125","00517-4901-25","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100,,
"J7637","Dexamethasone inhal sol con","AMERICAN REGENT","00517490125","00517-4901-25","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","AMERICAN REGENT","00517490125","00517-4901-25","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J1100","Dexamethasone sodium phos","AMERICAN REGENT","00517490525","00517-4905-25","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500,,
"J7637","Dexamethasone inhal sol con","AMERICAN REGENT","00517490525","00517-4905-25","Dexamethasone Sodium Phosphate",,5,25,500,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","AMERICAN REGENT","00517490525","00517-4905-25","Dexamethasone Sodium Phosphate",,5,25,500,20,,"1 MG"
"J1100","Dexamethasone sodium phos","AMERICAN REGENT","00517493025","00517-4930-25","Dexamethasone Sodium Phosphate","1 MG",30,25,120,3000,,
"J7637","Dexamethasone inhal sol con","AMERICAN REGENT","00517493025","00517-4930-25","Dexamethasone Sodium Phosphate",,30,25,3000,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","AMERICAN REGENT","00517493025","00517-4930-25","Dexamethasone Sodium Phosphate",,30,25,3000,120,,"1 MG"
"J3410","Hydroxyzine hcl injection","American Regent","00517560125","00517-5601-25","Hydroxyzine Hcl","25 MG",1,25,2,50,,
"J3410","Hydroxyzine hcl injection","American Regent","00517560225","00517-5602-25","Hydroxyzine Hcl","25 MG",2,25,4,100,,
"J3410","Hydroxyzine hcl injection","American Regent","00517561025","00517-5610-25","Hydroxyzine Hcl","25 MG",10,25,20,500,,
"J1940","Furosemide injection","AMERICAN REGENT","00517570225","00517-5702-25","Furosemide","20 MG",2,25,1,25,,
"J1940","Furosemide injection","AMERICAN REGENT","00517570425","00517-5704-25","Furosemide","20 MG",4,25,2,50,,
"J1940","Furosemide injection","AMERICAN REGENT","00517571025","00517-5710-25","Furosemide","20 MG",10,25,5,125,,
"Q2009","Fosphenytoin inj PE","AMERICAN REGENT","00517690225","00517-6902-25","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50,,
"J7608","Acetylcysteine non-comp unit","American Regent","00517750425","00517-7504-25","Acetylcysteine","1 GM",4,25,0.4,10,,
"J7608","Acetylcysteine non-comp unit","American Regent","00517751003","00517-7510-03","Acetylcysteine","1 GM",10,3,1,3,,
"J7608","Acetylcysteine non-comp unit","American Regent","00517760425","00517-7604-25","Acetylcysteine","1 GM",4,25,0.8,20,,
"J7608","Acetylcysteine non-comp unit","American Regent","00517761003","00517-7610-03","Acetylcysteine","1 GM",10,3,2,6,,
"J7608","Acetylcysteine non-comp unit","American Regent","00517763003","00517-7630-03","Acetylcysteine","1 GM",30,3,6,18,,
"J0696","Ceftriaxone sodium injection","AMERICAN REGENT","00517871110","00517-8711-10","CEFTRIAXONE","250 MG",1,10,4,40,,
"J0696","Ceftriaxone sodium injection","AMERICAN REGENT","00517872210","00517-8722-10","CEFTRIAXONE","250 MG",1,10,8,80,,
"J0696","Ceftriaxone sodium injection","AMERICAN REGENT","00517872510","00517-8725-10","CEFTRIAXONE","250 MG",1,10,1,10,,
"J0696","Ceftriaxone sodium injection","AMERICAN REGENT","00517875010","00517-8750-10","CEFTRIAXONE","250 MG",1,10,2,20,,
"J0210","Methyldopate hcl injection","AMERICAN REGENT","00517890510","00517-8905-10","Methyldopate Hcl","250 MG",5,10,1,10,,
"J1790","Droperidol injection","AMERICAN REGENT","00517970225","00517-9702-25","Droperidol","5 MG",2,25,1,25,,
"J7510","Prednisolone oral per 5 mg","LANNETT","00527120101","00527-1201-01","Prednisolone","5 MG",100,1,100,100,,
"J7510","Prednisolone oral per 5 mg","LANNETT","00527120105","00527-1201-05","Prednisolone","5 MG",500,1,500,500,,
"J7510","Prednisolone oral per 5 mg","LANNETT","00527120110","00527-1201-10","Prednisolone","5 MG",1000,1,1000,1000,,
"J7509","Methylprednisolone oral","LANNETT","00527129607","00527-1296-07","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"Q0165","Prochlorperazine maleate10mg","LANNETT","00527129801","00527-1298-01","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"J7637","Dexamethasone inhal sol con","RUGBY LABORATORIES, INC.","00536415165","00536-4151-65","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","RUGBY LABORATORIES, INC.","00536415165","00536-4151-65","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","RUGBY LABORATORIES","00536415170","00536-4151-70","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","RUGBY LABORATORIES","00536415170","00536-4151-70","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7637","Dexamethasone inhal sol con","RUGBY LABORATORIES, INC.","00536415175","00536-4151-75","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","RUGBY LABORATORIES, INC.","00536415175","00536-4151-75","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J0170","Adrenalin epinephrin inject","AMPHASTAR-IMS","00548101400","00548-1014-00","Epinephrine Hcl","1 ML",10,25,10,250,,
"J0170","Adrenalin epinephrin inject","AMPHASTAR-IMS","00548101600","00548-1016-00","Epinephrine Hcl","1 ML",10,25,10,250,,
"J3475","Inj magnesium sulfate","AMPHASTAR-IMS","00548103400","00548-1034-00","Magnesium Sulfate","500 MG",10,25,10,250,,
"J0460","Atropine sulfate injection","AMPHASTAR-IMS","00548103800","00548-1038-00","Atropine Sulfate",,5,25,41.25,1.65,,"0.3 MG"
"J0460","Atropine sulfate injection","AMPHASTAR-IMS","00548103900","00548-1039-00","Atropine Sulfate","0.3 MG",10,25,3.3,82.5,,
"J0461","Atropine sulfate injection","AMPHASTAR-IMS","00548103900","00548-1039-00","Atropine Sulfate","0.01 MG",10,25,100,2500,,
"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,,
"J1200","Diphenhydramine hcl injectio","AMPHASTAR-IMS","00548139000","00548-1390-00","Diphenhydramine Hcl","50 MG",1,25,1,25,,
"J1940","Furosemide injection","AMPHASTAR-IMS","00548143100","00548-1431-00","Furosemide","20 MG",10,25,5,125,,
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548191125","00548-1911-25","Morphine Sulfate",,30,25,75,3,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548191125","00548-1911-25","Morphine Sulfate",,30,25,7.5,0.3,,"100 MG"
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548193110","00548-1931-10","Morphine Sulfate",,30,10,30,3,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548193110","00548-1931-10","Morphine Sulfate",,30,10,3,0.3,,"100 MG"
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548193310","00548-1933-10","Morphine Sulfate","10 MG",30,10,3,30,,
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548193310","00548-1933-10","Morphine Sulfate","100 MG",30,10,0.3,3,,
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548193700","00548-1937-00","Morphine Sulfate","10 MG",30,10,3,30,,
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548193700","00548-1937-00","Morphine Sulfate","100 MG",30,10,0.3,3,,
"J0170","Adrenalin epinephrin inject","AMPHASTAR-IMS","00548201600","00548-2016-00","Epinephrine Hcl","1 ML",10,25,10,250,,
"J0460","Atropine sulfate injection","AMPHASTAR-IMS","00548203900","00548-2039-00","Atropine Sulfate","0.3 MG",10,25,3.3,82.5,,
"J0461","Atropine sulfate injection","AMPHASTAR-IMS","00548203900","00548-2039-00","Atropine Sulfate","0.01 MG",10,25,100,2500,,
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548290100","00548-2901-00","Morphine Sulfate","10 MG",10,25,1,2.5,,
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548290100","00548-2901-00","Morphine Sulfate","100 MG",10,25,0.1,2.5,,
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548290125","00548-2901-25","Morphine Sulfate",,10,25,25,1,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548290125","00548-2901-25","Morphine Sulfate",,10,25,2.5,0.1,,"100 MG"
"J0170","Adrenalin epinephrin inject","AMPHASTAR-IMS","00548331600","00548-3316-00","Epinephrine Hcl","1 ML",10,10,10,100,,
"J0171","Adrenalin epinephrine inject","AMPHASTAR-IMS","00548331600","00548-3316-00","Epinephrine Hcl","0.1 MG",10,10,10,100,,
"J0460","Atropine sulfate injection","AMPHASTAR-IMS","00548333800","00548-3338-00","Atropine Sulfate","0.3 MG",5,10,1.65,16.5,,
"J0460","Atropine sulfate injection","AMPHASTAR-IMS","00548333900","00548-3339-00","Atropine Sulfate","0.3 MG",10,10,3.3,33,,
"J0461","Atropine sulfate injection","AMPHASTAR-IMS","00548333900","00548-3339-00","Atropine Sulfate","0.01 MG",10,10,100,1000,,
"J0282","Amiodarone HCl","AMPHASTAR-IMS","00548338000","00548-3380-00","Amiodarone Hcl","30 MG",3,10,5,50,,
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548339100","00548-3391-00","Morphine Sulfate","10 MG",10,10,1,1,,
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548339100","00548-3391-00","Morphine Sulfate","100 MG",10,10,0.1,1,,
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548339110","00548-3391-10","Morphine Sulfate","10 MG",10,1,1,1,,
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548339110","00548-3391-10","Morphine Sulfate","100 MG",10,1,0.1,0.1,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548560100","00548-5601-00","ENOXAPARIN SODIUM","10 MG",0.3,10,3,30,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548560200","00548-5602-00","ENOXAPARIN SODIUM","10 MG",0.4,10,4,40,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548560300","00548-5603-00","ENOXAPARIN SODIUM","10 MG",0.6,10,6,60,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548560400","00548-5604-00","ENOXAPARIN SODIUM","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548560500","00548-5605-00","ENOXAPARIN SODIUM","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548560600","00548-5606-00","ENOXAPARIN SODIUM","10 MG",0.8,10,12,120,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548560700","00548-5607-00","ENOXAPARIN SODIUM","10 MG",1,10,15,150,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548563100","00548-5631-00","ENOXAPARIN SODIUM","10 MG",0.3,10,3,30,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548563200","00548-5632-00","ENOXAPARIN SODIUM","10 MG",0.4,10,4,40,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548563300","00548-5633-00","ENOXAPARIN SODIUM","10 MG",0.6,10,6,60,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548563400","00548-5634-00","ENOXAPARIN SODIUM","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548563500","00548-5635-00","ENOXAPARIN SODIUM","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548563600","00548-5636-00","ENOXAPARIN SODIUM","10 MG",0.8,10,12,120,,
"J1650","Inj enoxaparin sodium","Amphastar Pharmaceuticals, Inc.","00548563700","00548-5637-00","ENOXAPARIN SODIUM","10 MG",1,10,15,150,,
"J0834","Cosyntropin cortrosyn inj","Amphastar Pharmaceuticals, Inc.","00548590000","00548-5900-00","Cortrosyn","0.25 MG",1,10,1,10,,
"J0835","Inj cosyntropin per 0.25 MG","AMPHASTAR-IMS","00548590000","00548-5900-00","Cortrosyn","0.25 MG",1,10,1,10,,
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548604025","00548-6040-25","Morphine Sulfate",,20,25,2500,100,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548604025","00548-6040-25","Morphine Sulfate",,20,25,250,10,,"100 MG"
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548604125","00548-6041-25","Morphine Sulfate",,40,25,5000,200,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548604125","00548-6041-25","Morphine Sulfate",,40,25,500,20,,"100 MG"
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548604225","00548-6042-25","Morphine Sulfate",,10,25,625,25,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548604225","00548-6042-25","Morphine Sulfate",,10,25,62.5,2.5,,"100 MG"
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548604325","00548-6043-25","Morphine Sulfate",,20,25,1250,50,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548604325","00548-6043-25","Morphine Sulfate",,20,25,125,5,,"100 MG"
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548604525","00548-6045-25","Morphine Sulfate",,4,25,250,10,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548604525","00548-6045-25","Morphine Sulfate",,4,25,25,1,,"100 MG"
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548635600","00548-6356-00","Morphine Sulfate",,10,1,50,50,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548635600","00548-6356-00","Morphine Sulfate",,10,1,5,5,,"100 MG"
"J2270","Morphine sulfate injection","AMPHASTAR-IMS","00548845000","00548-8450-00","Morphine Sulfate",,50,10,50,5,,"10 MG"
"J2271","Morphine so4 injection 100mg","AMPHASTAR-IMS","00548845000","00548-8450-00","Morphine Sulfate",,50,10,5,0.5,,"100 MG"
"J2912","Sodium chloride injection","AMPHASTAR-IMS","00548905125","00548-9051-25","Sodium Chloride",,10,25,125,5,,"2 CC"
"J7130","Hypertonic saline solution","AMPHASTAR-IMS","00548905125","00548-9051-25","Sodium Chloride",,10,25,12.5,0.5,,"20 CC"
"J0170","Adrenalin epinephrin inject","AMPHASTAR-IMS","00548906100","00548-9061-00","Epinephrine Hcl","1 ML",30,1,30,30,,
"J0171","Adrenalin epinephrine inject","AMPHASTAR-IMS","00548906100","00548-9061-00","Epinephrine Hcl","0.1 MG",30,1,300,300,,
"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,,
"J1100","Dexamethasone sodium phos","SEATRACE CO","00551003705","00551-0037-05","Dekasol","1 MG",5,1,20,20,,
"J1100","Dexamethasone sodium phos","SEATRACE CO","00551003730","00551-0037-30","Dekasol","1 MG",30,1,120,120,,
"J1200","Diphenhydramine hcl injectio","SEATRACE CO","00551005510","00551-0055-10","Bena-D 10","50 MG",30,1,6,6,,
"J1200","Diphenhydramine hcl injectio","SEATRACE CO","00551005610","00551-0056-10","Bena-D 50","50 MG",10,1,10,10,,
"J2550","Promethazine hcl injection","SEATRACE CO","00551005910","00551-0059-10","Prometh-50","50 MG",10,1,10,10,,
"J3420","Vitamin b12 injection","SEATRACE CO","00551006130","00551-0061-30","Vitamin B-12","1000 MCG",30,1,30,30,,
"J3420","Vitamin b12 injection","SEATRACE CO","00551007710","00551-0077-10","Vitamin B-12","1000 MCG",10,1,10,10,,
"J1094","Inj dexamethasone acetate","SEATRACE CO","00551011005","00551-0110-05","Dekasol La","1 MG",5,1,40,40,,
"J1030","Methylprednisolone 40 MG inj","SEATRACE CO","00551013510","00551-0135-10","Methylpred 40","40 MG",10,1,10,10,,
"J1100","Dexamethasone sodium phos","SEATRACE CO","00551017410","00551-0174-10","Dekasol-10","1 MG",10,1,100,100,,
"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,,
"Q0178","Hydroxyzine pamoate 50mg","BARR LABS","00555030202","00555-0302-02","Hydroxyzine Pamoate","50 MG",100,1,100,100,,
"Q0178","Hydroxyzine pamoate 50mg","BARR LABS","00555030204","00555-0302-04","Hydroxyzine Pamoate","50 MG",500,1,500,500,,
"Q0177","Hydroxyzine pamoate 25mg","BARR LABS","00555032302","00555-0323-02","Hydroxyzine Pamoate","25 MG",100,1,100,100,,
"Q0177","Hydroxyzine pamoate 25mg","BARR LABS","00555032304","00555-0323-04","Hydroxyzine Pamoate","25 MG",500,1,500,500,,
"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,,
"Q0165","Prochlorperazine maleate10mg","BARR LABS","00555052204","00555-0522-04","Prochlorperazine Maleate","10 MG",500,1,500,500,,
"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,,
"J8610","Methotrexate oral 2.5 MG","BARR LABS","00555057245","00555-0572-45","Methotrexate (Anti-Rheumatic)","2.5 MG",8,1,8,8,,
"J8610","Methotrexate oral 2.5 MG","BARR LABS","00555057246","00555-0572-46","Methotrexate (Anti-Rheumatic)","2.5 MG",12,1,12,12,,
"J8610","Methotrexate oral 2.5 MG","BARR LABS","00555057247","00555-0572-47","Methotrexate (Anti-Rheumatic)","2.5 MG",16,1,16,16,,
"J8610","Methotrexate oral 2.5 MG","BARR LABS","00555057248","00555-0572-48","Methotrexate (Anti-Rheumatic)","2.5 MG",20,1,20,20,,
"J8610","Methotrexate oral 2.5 MG","BARR LABS","00555057249","00555-0572-49","Methotrexate (Anti-Rheumatic)","2.5 MG",24,1,24,24,,
"J8610","Methotrexate oral 2.5 MG","BARR LABS","00555092701","00555-0927-01","Trexall","2.5 MG",1,30,2,60,,
"J8610","Methotrexate oral 2.5 MG","BARR LABS","00555092801","00555-0928-01","Trexall","2.5 MG",1,30,3,90,,
"J8610","Methotrexate oral 2.5 MG","BARR LABS","00555092901","00555-0929-01","Trexall","2.5 MG",1,30,4,120,,
"J8610","Methotrexate oral 2.5 MG","BARR LABS","00555094501","00555-0945-01","Trexall","2.5 MG",1,30,6,180,,
"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,,
"J9265","Paclitaxel injection","BARR LABS","00555198414","00555-1984-14","Paclitaxel","30 MG",16.7,1,3.34,3.34,,
"J9265","Paclitaxel injection","BARR LABS","00555198514","00555-1985-14","Paclitaxel","30 MG",50,1,10,10,,
"J2790","Rho d immune globulin inj","Kedrion BioPharma, Inc.","00562780501","00562-7805-01","RHOGAM ULTRA-FILTERED PLUS","300 MCG (1500 IU)",1,1,1,1,,
"J2790","Rho d immune globulin inj","Kedrion BioPharma, Inc.","00562780505","00562-7805-05","RHOGAM ULTRA-FILTERED PLUS","300 MCG (1500 IU)",1,5,1,5,,
"J2790","Rho d immune globulin inj","Kedrion BioPharma, Inc.","00562780525","00562-7805-25","RHOGAM ULTRA-FILTERED PLUS","300 MCG (1500 IU)",1,25,1,25,,
"J2788","Rho d immune globulin 50 mcg","Kedrion BioPharma, Inc.","00562780601","00562-7806-01","MICRhoGAM","50 MCG (250 IU)",1,1,1,1,,
"J2788","Rho d immune globulin 50 mcg","Kedrion BioPharma, Inc.","00562780605","00562-7806-05","MICRhoGAM UF Plus ","50 MCG (250 IU)",1,5,1,5,,
"J2788","Rho d immune globulin 50 mcg","Kedrion BioPharma, Inc.","00562780625","00562-7806-25","MICRhoGAM UF Plus ","50 MCG (250 IU)",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,,
"J0132","Acetylcysteine injection","Perrigo Pharmaceuticals","00574080530","00574-0805-30","Acetylcysteine","100 MG",30,4,60,240,,
"J0132","Acetylcysteine injection","Perrigo Pharmaceuticals","00574081530","00574-0815-30","ACETYLCYSTEINE INJECTION","100 MG",30,4,60,240,,
"J1071","Inj testosterone cypionate","Perrigo Pharmaceuticals","00574082001","00574-0820-01","Testosterone Cypionate","1 MG",1,1,200,200,,
"J1080","Testosterone cypionat 200 MG","Paddock Laboratories, Inc","00574082001","00574-0820-01","Testosterone Cypionate","200 MG",1,1,1,1,,
"J1071","Inj testosterone cypionate","Perrigo Pharmaceuticals","00574082010","00574-0820-10","Testosterone Cypionate","1 MG",10,1,2000,2000,,
"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,,
"J1071","Inj testosterone cypionate","Perrigo Pharmaceuticals","00574082710","00574-0827-10","Testosterone Cypionate","1 MG",10,1,2000,2000,,
"J1080","Testosterone cypionat 200 MG","Perrigo Pharmaceuticals","00574082710","00574-0827-10","Testosterone Cypionate","200 MG",10,1,10,10,,
"J2550","Promethazine hcl injection","PADDOCK","00574083625","00574-0836-25","Promethazine Hcl","50 MG",1,25,0.5,12.5,,
"J1742","Ibutilide fumarate injection","Paddock Laboratories, Inc","00574084001","00574-0840-01","IBUTILIDE FUMARATE","1 MG",10,1,1,1,,
"J1110","Inj dihydroergotamine mesylt","Perrigo Pharmaceuticals","00574085005","00574-0850-05","Dihydroergotamine Mesylate","1 MG",1,5,1,5,,
"J1110","Inj dihydroergotamine mesylt","Perrigo Pharmaceuticals","00574085010","00574-0850-10","Dihydroergotamine Mesylate","1 MG",1,10,1,10,,
"J0770","Colistimethate sodium inj","Perrigo Pharmaceuticals","00574085801","00574-0858-01","Colistimethate Sodium","UP TO 150 MG",1,1,1,1,,
"J7502","Cyclosporine oral 100 mg","PADDOCK","00574086610","00574-0866-10","CYCLOSPORINE","100 MG",5,10,25,25,,
"J7516","Cyclosporin parenteral 250mg","Perrigo Pharmaceuticals","00574086610","00574-0866-10","CYCLOSPORINE","250 MG",5,10,1,10,,
"J0970","Estradiol valerate injection","PADDOCK LABORATORIES, INC.","00574087005","00574-0870-05","ESTRADIOL VALERATE","40 MG",5,1,2.5,2.5,,
"J1380","Estradiol valerate 10 mg inj","Perrigo Pharmaceuticals","00574087005","00574-0870-05","ESTRADIOL VALERATE","10 MG",5,1,10,10,,
"J1390","Estradiol valerate 20 MG inj","PADDOCK LABORATORIES, INC.","00574087005","00574-0870-05","ESTRADIOL VALERATE","20 MG",5,1,5,5,,
"J0970","Estradiol valerate injection","PADDOCK LABORATORIES, INC.","00574087205","00574-0872-05","Estradiol Valerate","40 MG",5,1,5,5,,
"J1380","Estradiol valerate 10 mg inj","Perrigo Pharmaceuticals","00574087205","00574-0872-05","Estradiol Valerate","10 MG",5,1,5,20,,
"J1390","Estradiol valerate 20 MG inj","PADDOCK LABORATORIES, INC.","00574087205","00574-0872-05","Estradiol Valerate","20MG",5,1,5,10,,
"J7631","Cromolyn sodium inh sol u d","MONARCH PHARMACEUTICALS","00585067302","00585-0673-02","Intal","10 MG",2,60,2,120,,
"J7631","Cromolyn sodium inh sol u d","MONARCH PHARMACEUTICALS","00585067303","00585-0673-03","Intal","10 MG",2,120,2,240,,
"J7637","Dexamethasone inhal sol con","KEENE PHARMACEUTICALS INC.","00588534370","00588-5343-70","Dexone",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","KEENE PHARMACEUTICALS INC.","00588534370","00588-5343-70","Dexone",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","KEENE PHARMACEUTICALS INC.","00588534375","00588-5343-75","Dexone",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","KEENE PHARMACEUTICALS INC.","00588534375","00588-5343-75","Dexone",,5,1,20,20,,"1 MG"
"J2916","Na ferric gluconate complex","Watson Pharmaceuticals","00591014987","00591-0149-87","SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE","12.5 MG",5,10,5,50,,
"J7510","Prednisolone oral per 5 mg","WATSON","00591021702","00591-0217-02","Prednisolone","5 MG",1000,1,1000,1000,,
"J2704","Inj, propofol, 10 mg","Watson Pharmaceuticals","00591213651","00591-2136-51","Propofol","10 MG",50,20,50,1000,,
"J2704","Inj, propofol, 10 mg","Watson Pharmaceuticals","00591213668","00591-2136-68","Propofol","10 MG",100,10,100,1000,,
"J2704","Inj, propofol, 10 mg","Watson Pharmaceuticals","00591213695","00591-2136-95","Propofol","10 MG",20,25,20,500,,
"J2320","Nandrolone decanoate 50 MG","WATSON","00591218653","00591-2186-53","Nandrolone Decanoate","50 MG",1,25,4,100,,
"J2322","Nandrolone decanoate 200 MG","WATSON","00591218653","00591-2186-53","Nandrolone Decanoate","200 MG",1,25,1,25,,
"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,,
"J7502","Cyclosporine oral 100 mg","WATSON PHARMA, INC.","00591222455","00591-2224-55","Cyclosporine Oral Solution","100 MG",50,1,50,50,,
"J0690","Cefazolin sodium injection","WATSON","00591236569","00591-2365-69","Cefazolin Sodium","500 MG",1,25,2,50,,
"J0690","Cefazolin sodium injection","WATSON","00591236668","00591-2366-68","Cefazolin Sodium","500 MG",1,10,20,200,,
"J2916","Na ferric gluconate complex","Watson Pharmaceuticals","00591250887","00591-2508-87","SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE","12.5 MG",5,10,5,50,,
"J7614","Levalbuterol non-comp unit","Watson Pharmaceuticals","00591273623","00591-2736-23","LEVALBUTEROL","0.5 MG",3,24,0.62,15,,
"J7614","Levalbuterol non-comp unit","Watson Pharmaceuticals","00591273723","00591-2737-23","LEVALBUTEROL","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","Watson Pharmaceuticals","00591273823","00591-2738-23","LEVALBUTEROL","0.5 MG",3,24,2.5,60,,
"J9025","Azacitidine injection","ACTAVIS PHARMA","00591289749","00591-2897-49","Azacitidine","1 MG",1,1,100,100,,
"J7614","Levalbuterol non-comp unit","Watson Pharmaceuticals","00591291823","00591-2918-23","LEVALBUTEROL","0.5 MG",3,24,0.62,15,,
"J7614","Levalbuterol non-comp unit","Watson Pharmaceuticals","00591291923","00591-2919-23","LEVALBUTEROL","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","Watson Pharmaceuticals","00591292023","00591-2920-23","LEVALBUTEROL","0.5 MG",3,24,2.5,60,,
"J2675","Inj progesterone per 50 mg","Watson Pharmaceuticals","00591312879","00591-3128-79","Progesterone","50 MG",10,1,10,10,,
"J2550","Promethazine hcl injection","WATSON","00591315783","00591-3157-83","Promethazine Hcl","50 MG",1,25,0.5,12.5,,
"J2550","Promethazine hcl injection","WATSON","00591315883","00591-3158-83","Promethazine Hcl","50 MG",1,25,1,25,,
"J9206","Irinotecan injection","WATSON LABS","00591318902","00591-3189-02","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","WATSON LABS","00591318926","00591-3189-26","Irinotecan HCL","20 MG",5,1,5,5,,
"J3120","Testosterone enanthate inj","Watson Pharmaceuticals","00591322126","00591-3221-26","Testosterone Enanthate","100 MG",5,1,10,10,,
"J3121","Inj testostero enanthate 1mg","Watson Pharmaceuticals","00591322126","00591-3221-26","Testosterone Enanthate","1 MG",5,1,1000,1000,,
"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,,
"J1071","Inj testosterone cypionate","Watson Pharmaceuticals","00591322379","00591-3223-79","Testosterone Cypionate","1 MG",10,1,2000,2000,,
"J1080","Testosterone cypionat 200 MG","Watson Pharmaceuticals","00591322379","00591-3223-79","Testosterone Cypionate","200 MG",10,1,10,10,,
"J9045","Carboplatin injection","Watson Pharmaceuticals","00591333626","00591-3336-26","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","Watson Pharmaceuticals","00591333712","00591-3337-12","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","Watson Pharmaceuticals","00591333889","00591-3338-89","Carboplatin","50 MG",45,1,9,9,,
"J7507","Tacrolimus oral per 1 MG","WATSON LABS","00591335901","00591-3359-01","TACROLIMUS","1 MG",100,1,500,500,,
"J2060","Lorazepam injection","WATSON PHARMA, INC.","00591336545","00591-3365-45","Lorazepam","2 MG",1,10,1,10,,
"J2060","Lorazepam injection","WATSON PHARMA, INC.","00591336570","00591-3365-70","Lorazepam","2 MG",10,10,10,100,,
"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,,
"J9045","Carboplatin injection","Watson Pharmaceuticals","00591345460","00591-3454-60","Carboplatin","50 MG",60,1,12,12,,
"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,,
"J9178","Inj, epirubicin hcl, 2 mg","WATSON LABS","00591346983","00591-3469-83","Epirubicin","2 MG",25,1,25,25,,
"J9178","Inj, epirubicin hcl, 2 mg","WATSON LABS","00591347057","00591-3470-57","Epirubicin","2 MG",100,1,100,100,,
"J0690","Cefazolin sodium injection","WATSON","00591355068","00591-3550-68","Cefazolin Sodium","500 MG",1,10,20,200,,
"J0770","Colistimethate sodium inj","WATSON","00591355911","00591-3559-11","Colistimethate Sodium","150 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Watson Pharmaceuticals","00591356279","00591-3562-79","GEMCITABINE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Watson Pharmaceuticals","00591356355","00591-3563-55","GEMCITABINE","200 MG",1,1,5,5,,
"J9045","Carboplatin injection","Watson Pharmaceuticals","00591368711","00591-3687-11","Carboplatin for Injection PoWder","50 MG",1,1,9,9,,
"J7626","Budesonide non-comp unit","Watson Pharmaceuticals","00591376730","00591-3767-30","BUDESONIDE","UP TO 0.50 MG",2,30,1,30,,
"J7626","Budesonide non-comp unit","Watson Pharmaceuticals","00591376830","00591-3768-30","BUDESONIDE","UP TO 0.50 MG",2,30,1,30,,
"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,,
"J7644","Ipratropium bromide non-comp","Watson Pharmaceuticals","00591379883","00591-3798-83","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7620","Albuterol ipratrop non-comp","Watson Pharmaceuticals","00591381730","00591-3817-30","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","Watson Pharmaceuticals","00591381739","00591-3817-39","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","Watson Pharmaceuticals","00591381760","00591-3817-60","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60,,
"J7620","Albuterol ipratrop non-comp","Watson Pharmaceuticals","00591381766","00591-3817-66","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60,,
"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,,
"J0895","Deferoxamine mesylate inj","Watson Pharmaceuticals","00591397530 ","00591-3975-30 ","DEFEROXAMINE MESYLATE","500 MG",1,1,4,4,,
"J1071","Inj testosterone cypionate","Watson Pharmaceuticals","00591412879","00591-4128-79","Testosterone Cypionate","1 MG",10,1,2000,2000,,
"J0641","Levoleucovorin injection","ACTAVIS PHARMA, INC.","00591413054","00591-4130-54","Levoleucovorin Calcium","0.5 MG",1,1,350,350,,
"J7510","Prednisolone oral per 5 mg","WATSON","00591505901","00591-5059-01","Prednisolone","5 MG",100,1,100,100,,
"J2320","Nandrolone decanoate 50 MG","WATSON","00591671747","00591-6717-47","Nandrolone Decanoate","50 MG",2,10,4,40,,
"J2321","Nandrolone decanoate 100 MG","WATSON","00591671747","00591-6717-47","Nandrolone Decanoate","100 MG",2,10,2,20,,
"J1610","Glucagon hydrochloride/1 mg","Boehringer Ingelheim","00597005345","00597-0053-45","GlucaGen(R) ","1 MG",1,10,1,10,,
"J1610","Glucagon hydrochloride/1 mg","Boehringer Ingelheim","00597026010","00597-0260-10","GlucaGen DIAGNOSTIC KIT","1 MG",1,1,1,1,,
"J7603","Albuterol inh non-comp u d ","QUALITEST","00603100540","00603-1005-40","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","QUALITEST","00603100540","00603-1005-40","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","QUALITEST","00603100540","00603-1005-40","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7602","Albuterol inh non-comp con","QUALITEST","00603100643","00603-1006-43","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con1","QUALITEST","00603100643","00603-1006-43","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","QUALITEST","00603100643","00603-1006-43","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","QUALITEST","00603333721","00603-3337-21","Diphenhydramine Hcl","50 MG",1,100,0.5,50,,
"Q0163","Diphenhydramine HCl 50mg","QUALITEST","00603333732","00603-3337-32","Diphenhydramine Hcl","50 MG",1,1000,0.5,500,,
"Q0163","Diphenhydramine HCl 50mg","QUALITEST","00603333821","00603-3338-21","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","QUALITEST","00603333832","00603-3338-32","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"Q0163","Diphenhydramine HCl 50mg","QUALITEST","00603333921","00603-3339-21","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","QUALITEST","00603333932","00603-3339-32","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"Q0163","Diphenhydramine HCl 50mg","QUALITEST","00603334021","00603-3340-21","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","QUALITEST","00603334032","00603-3340-32","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"J7509","Methylprednisolone oral","QUALITEST","00603459315","00603-4593-15","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7509","Methylprednisolone oral","QUALITEST","00603459321","00603-4593-21","Methylprednisolone","4 MG",100,1,100,100,,
"Q0175","Perphenazine 4mg oral","QUALITEST","00603509021","00603-5090-21","Perphenazine","4 MG",100,1,50,50,,
"Q0175","Perphenazine 4mg oral","QUALITEST","00603509028","00603-5090-28","Perphenazine","4 MG",500,1,250,250,,
"Q0175","Perphenazine 4mg oral","QUALITEST","00603509121","00603-5091-21","Perphenazine","4 MG",100,1,100,100,,
"Q0175","Perphenazine 4mg oral","QUALITEST","00603509128","00603-5091-28","Perphenazine","4 MG",500,1,500,500,,
"Q0176","Perphenazine 8mg oral","QUALITEST","00603509221","00603-5092-21","Perphenazine","8 MG",100,1,100,100,,
"Q0176","Perphenazine 8mg oral","QUALITEST","00603509228","00603-5092-28","Perphenazine","8 MG",500,1,500,500,,
"Q0176","Perphenazine 8mg oral","SANDOZ","00603509321","00603-5093-21","Perphenazine","8 MG",100,1,200,200,,
"J7506","Prednisone oral","QUALITEST","00603533215","00603-5332-15","Prednisone (Pak)","5 MG",21,1,21,21,,
"J7506","Prednisone oral","QUALITEST","00603533221","00603-5332-21","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","QUALITEST","00603533231","00603-5332-31","Prednisone (Pak)","5 MG",48,1,48,48,,
"J7506","Prednisone oral","QUALITEST","00603533232","00603-5332-32","Prednisone","5 MG",1000,1,1000,1000,,
"J7506","Prednisone oral","QUALITEST","00603533315","00603-5333-15","Prednisone (Pak)","5 MG",21,1,42,42,,
"J7506","Prednisone oral","QUALITEST","00603533321","00603-5333-21","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","QUALITEST","00603533331","00603-5333-31","Prednisone (Pak)","5 MG",48,1,96,96,,
"J7506","Prednisone oral","QUALITEST","00603533332","00603-5333-32","Prednisone","5 MG",1000,1,2000,2000,,
"J7506","Prednisone oral","QUALITEST","00603533421","00603-5334-21","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","QUALITEST","00603533432","00603-5334-32","Prednisone","5 MG",1000,1,4000,4000,,
"J7506","Prednisone oral","QUALITEST","00603533521","00603-5335-21","PREDNISONE","5 MG",100,1,0.2,20,,
"J7506","Prednisone oral","QUALITEST","00603533532","00603-5335-32","PREDNISONE","5 MG",1000,1,200,200,,
"J7506","Prednisone oral","QUALITEST","00603533621","00603-5336-21","PREDNISONE","5 MG",100,1,0.5,50,,
"J7506","Prednisone oral","QUALITEST","00603533715","00603-5337-15","Prednisone (Pak)","5 MG",21,1,21,21,,
"J7506","Prednisone oral","QUALITEST","00603533721","00603-5337-21","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","QUALITEST","00603533731","00603-5337-31","Prednisone (Pak)","5 MG",48,1,48,48,,
"J7506","Prednisone oral","QUALITEST","00603533732","00603-5337-32","Prednisone","5 MG",1000,1,1000,1000,,
"J7506","Prednisone oral","QUALITEST","00603533815","00603-5338-15","Prednisone (Pak)","5 MG",21,1,42,42,,
"J7506","Prednisone oral","QUALITEST","00603533821","00603-5338-21","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","QUALITEST","00603533828","00603-5338-28","Prednisone","5 MG",500,1,1000,1000,,
"J7506","Prednisone oral","QUALITEST","00603533831","00603-5338-31","Prednisone (Pak)","5 MG",48,1,96,96,,
"J7506","Prednisone oral","QUALITEST","00603533832","00603-5338-32","Prednisone","5 MG",1000,1,2000,2000,,
"J7506","Prednisone oral","QUALITEST","00603533921","00603-5339-21","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","QUALITEST","00603533928","00603-5339-28","Prednisone","5 MG",500,1,2000,2000,,
"J7506","Prednisone oral","QUALITEST","00603533932","00603-5339-32","Prednisone","5 MG",1000,1,4000,4000,,
"Q0169","Promethazine HCl 12.5mg oral","QUALITEST PHARM., INC.","00603543721","00603-5437-21","Promethazine Hcl","12.5 MG",100,1,100,100,,
"J7506","Prednisone oral","VANGARD","00615053653","00615-0536-53","Prednisone","5 MG",31,10,31,310,,
"J7506","Prednisone oral","VANGARD","00615053663","00615-0536-63","Prednisone","5 MG",31,10,31,310,,
"J7506","Prednisone oral","VANGARD","00615359353","00615-3593-53","Prednisone","5 MG",31,10,62,620,,
"J7506","Prednisone oral","VANGARD","00615359363","00615-3593-63","Prednisone","5 MG",310,1,620,620,,
"J1170","Hydromorphone injection","West-Ward Pharmaceuticals Corp","00641012125","00641-0121-25","Hydromorphone Hcl","4 MG",1,25,0.5,12.5,,
"J2175","Meperidine hydrochl /100 MG","ELKINS-SINN","00641013025","00641-0130-25","Meperidine Hcl",,1,25,6.25,0.25,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","ELKINS-SINN","00641014025","00641-0140-25","Meperidine Hcl",,1,25,12.5,0.5,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","ELKINS-SINN","00641015025","00641-0150-25","Meperidine Hcl",,1,25,18.75,0.75,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","ELKINS-SINN","00641016025","00641-0160-25","Meperidine Hcl",,1,25,25,1,,"100 MG"
"J2270","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","00641016825","00641-0168-25","Morphine Sulfate",,1,25,12.5,0.5,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","00641016825","00641-0168-25","Morphine Sulfate",,1,25,1.25,0.05,,"100 MG"
"J2270","Morphine sulfate injection","BAXTER","00641017025","00641-0170-25","Morphine Sulfate","10 MG",1,25,0.8,2,,
"J2271","Morphine so4 injection 100mg","BAXTER","00641017025","00641-0170-25","Morphine Sulfate","100 MG",1,25,0.08,2,,
"J2270","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","00641018025","00641-0180-25","Morphine Sulfate",,1,25,25,1,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","00641018025","00641-0180-25","Morphine Sulfate",,1,25,2.5,0.1,,"100 MG"
"J2270","Morphine sulfate injection","BAXTER","00641019025","00641-0190-25","Morphine Sulfate","10 MG",1,25,1.5,37.5,,
"J2271","Morphine so4 injection 100mg","BAXTER","00641019025","00641-0190-25","Morphine Sulfate","100 MG",1,25,0.15,3.75,,
"J2912","Sodium chloride injection","ELKINS-SINN","00641033305","00641-0333-05","Sodium Chloride Bacteriostatic","2 ML",2.5,50,1.25,62.5,,
"J7130","Hypertonic saline solution","ELKINS-SINN","00641033305","00641-0333-05","Sodium Chloride Bacteriostatic",,2.5,50,6.25,0.125,,"20 CC"
"J1100","Dexamethasone sodium phos","West-Ward Pharmaceuticals Corp","00641036725","00641-0367-25","Dexamethasone Sodium Phosphate","1 MG",1,25,10,250,,
"J7637","Dexamethasone inhal sol con","BAXTER","00641036725","00641-0367-25","Dexamethasone Sodium Phosphate",,1,25,2500,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","BAXTER","00641036725","00641-0367-25","Dexamethasone Sodium Phosphate",,1,25,250,10,,"1 MG"
"J7637","Dexamethasone inhal sol con","ELKINS-SINN, INC.","00641037225","00641-0372-25","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ELKINS-SINN, INC.","00641037225","00641-0372-25","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J2730","Pralidoxime chloride inj","BAXTER","00641037406","00641-0374-06","Protopam Chloride",,1,6,6,1,,"1 G"
"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","West-Ward Pharmaceuticals Corp","00641039112","00641-0391-12","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","00641039225","00641-0392-25","Hep-Lock","10 UNITS",1,25,1,1250,,
"J1642","Inj heparin sodium per 10 u","Baxter Healthcare Corporation   ","00641039325","00641-0393-25","Hep-Lock","10 UNITS",2,25,2,50,,
"J1580","Garamycin gentamicin inj","ELKINS-SINN","00641039425","00641-0394-25","Gentamicin Sulfate",,2,25,6.25,0.25,,"80 MG"
"J1580","Garamycin gentamicin inj","ELKINS-SINN","00641039525","00641-0395-25","Gentamicin Sulfate",,2,25,25,1,,"80 MG"
"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","West-Ward Pharmaceuticals Corp","00641040012","00641-0400-12","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,,
"J1644","Inj heparin sodium per 1000u","West-Ward Pharmaceuticals Corp","00641041012","00641-0410-12","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250,,
"J1644","Inj heparin sodium per 1000u","BAXTER","00641041025","00641-0410-25","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250,,
"J1642","Inj heparin sodium per 10 u","BAXTER","00641041125","00641-0411-25","Hep-Lock Flush","10 UNITS",1,25,10,250,,
"J1642","Inj heparin sodium per 10 u","BAXTER","00641041425","00641-0414-25","Hep-Lock Pf","10 UNITS",1,25,1,25,,
"J3410","Hydroxyzine hcl injection","ELKINS-SINN","00641043325","00641-0433-25","Hydroxyzine Hcl",,1,25,50,2,,"25 MG"
"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,,
"J2912","Sodium chloride injection","ELKINS-SINN","00641049525","00641-0495-25","Sodium Chloride",,2,25,25,1,,"2 CC"
"J7130","Hypertonic saline solution","ELKINS-SINN","00641049525","00641-0495-25","Sodium Chloride",,2,25,2.5,0.1,,"20 CC"
"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","West-Ward Pharmaceuticals Corp","00641092925","00641-0929-25","PROMETHAZINE","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","West-Ward Pharmaceuticals Corp","00641095625","00641-0956-25","PROMETHAZINE","50 MG",1,25,1,25,,
"J2275","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","00641111233","00641-1112-33","Duramorph",,10,10,5,0.5,,"10 MG"
"J2275","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","00641111433","00641-1114-33","Duramorph",,10,10,10,1,,"10 MG"
"J3010","Fentanyl citrate injeciton","BAXTER HEALTHCARE CORPORATION","00641111733","00641-1117-33","Fentanyl Citrate",,5,10,25,2.5,,"0.1 MG"
"J3010","Fentanyl citrate injeciton","BAXTER","00641111834","00641-1118-34","Fentanyl Citrate","0.1 MG",10,5,5,25,,
"J3010","Fentanyl citrate injeciton","BAXTER HEALTHCARE CORPORATION","00641111934","00641-1119-34","Fentanyl Citrate",,20,5,50,10,,"0.1 MG"
"J2270","Morphine sulfate injection","BAXTER","00641113131","00641-1131-31","Infumorph 200","10 MG",20,1,20,20,,
"J2271","Morphine so4 injection 100mg","BAXTER","00641113131","00641-1131-31","Infumorph 200","100 MG",20,1,2,2,,
"J2270","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","00641113231","00641-1132-31","Infumorph 500",,20,1,50,50,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","00641113231","00641-1132-31","Infumorph 500",,20,1,5,5,,"100 MG"
"J1245","Dipyridamole injection","BAXTER","00641113834","00641-1138-34","Dipyridamole","10 MG",2,5,1,5,,
"J1245","Dipyridamole injection","BAXTER","00641113931","00641-1139-31","Dipyridamole","10 MG",10,1,5,5,,
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","00641114035","00641-1140-35","Meperidine Hcl",,1,25,18.75,0.75,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","00641115035","00641-1150-35","Meperidine Hcl",,1,25,25,1,,"100 MG"
"J2270","Morphine sulfate injection","WYETH","00641117035","00641-1170-35","Morphine Sulfate",,1,25,20,0.8,,"10 MG"
"J2271","Morphine so4 injection 100mg","WYETH","00641117035","00641-1170-35","Morphine Sulfate",,1,25,2,0.08,,"100 MG"
"J2270","Morphine sulfate injection","BAXTER","00641118035","00641-1180-35","Morphine Sulfate","10 MG",1,25,1,25,,
"J2271","Morphine so4 injection 100mg","BAXTER","00641118035","00641-1180-35","Morphine Sulfate","100 MG",1,25,0.1,2.5,,
"J2270","Morphine sulfate injection","BAXTER","00641119035","00641-1190-35","Morphine Sulfate","10 MG",1,25,1.5,37.5,,
"J2271","Morphine so4 injection 100mg","BAXTER","00641119035","00641-1190-35","Morphine Sulfate",,1,25,3.75,0.15,,"100 MG"
"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,,
"J3360","Diazepam injection","ELKINS-SINN","00641140833","00641-1408-33","Diazepam",,2,10,20,2,,"5 MG"
"J1160","Digoxin injection","BAXTER","00641141031","00641-1410-31","Digoxin","0.5 MG",2,1,1,1,,
"J1160","Digoxin injection","West-Ward Pharmaceuticals Corp","00641141035","00641-1410-35","Digoxin","0.5 MG",2,25,1,25,,
"J0170","Adrenalin epinephrin inject","ELKINS-SINN","00641142036","00641-1420-36","Epinephrine Hcl",,1,100,100,1,,"1 ML"
"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,,
"J7635","Atropine inhal sol con","ELKINS-SINN, INC.","00641221043","00641-2210-43","Atropine Sulfate",,20,10,80,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","ELKINS-SINN, INC.","00641221043","00641-2210-43","Atropine Sulfate",,20,10,80,8,,"1 MG"
"J7637","Dexamethasone inhal sol con","ELKINS-SINN","00641227641","00641-2276-41","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ELKINS-SINN","00641227641","00641-2276-41","Dexamethasone Sodium Phosphate",,3,1,12,12,,"1 MG"
"J3360","Diazepam injection","BAXTER","00641228943","00641-2289-43","Diazepam","5 MG",10,10,10,100,,
"J1580","Garamycin gentamicin inj","ELKINS-SINN","00641233143","00641-2331-43","Gentamicin Sulfate","80 MG",20,10,10,100,,
"J1170","Hydromorphone injection","West-Ward Pharmaceuticals Corp","00641234141","00641-2341-41","Hydromorphone Hcl","4 MG",20,1,10,10,,
"J2270","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","00641234341","00641-2343-41","Morphine Sulfate",,10,1,10,10,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","00641234341","00641-2343-41","Morphine Sulfate",,10,1,1,1,,"100 MG"
"J2270","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","00641234541","00641-2345-41","Morphine Sulfate",,20,1,30,30,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","00641234541","00641-2345-41","Morphine Sulfate",,20,1,3,3,,"100 MG"
"J0640","Leucovorin calcium injection","ELKINS-SINN","00641235441","00641-2354-41","Leucovorin Calcium","50 MG",1,1,2,2,,
"J3010","Fentanyl citrate injeciton","BAXTER HEALTHCARE CORPORATION","00641240241","00641-2402-41","Fentanyl Citrate",,30,1,15,15,,"0.1 MG"
"J3010","Fentanyl citrate injeciton","BAXTER HEALTHCARE CORPORATION","00641240341","00641-2403-41","Fentanyl Citrate",,50,1,25,25,,"0.1 MG"
"J1642","Inj heparin sodium per 10 u","BAXTER","00641243641","00641-2436-41","Hep-Lock Flush","10 UNITS",10,1,100,100,,
"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","00641243841","00641-2438-41","Hep-Lock","10 UNITS",10,1,10,10,,
"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","00641244241","00641-2442-41","Hep-Lock","10 UNITS",30,1,30,30,,
"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","00641244341","00641-2443-41","Hep-Lock Flush","10 UNITS",30,1,300,300,,
"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","West-Ward Pharmaceuticals Corp","00641245055","00641-2450-55","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","West-Ward Pharmaceuticals Corp","00641246055","00641-2460-55","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","BAXTER","00641255541","00641-2555-41","Phenytoin Sodium","50 MG",1,1,1,1,,
"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,,
"J3370","Vancomycin hcl injection","ELKINS-SINN","00641277941","00641-2779-41","Vancomycin Hcl","500 MG",1,10,2,20,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641600010","00641-6000-10","ATIVAN","2 MG",10,10,10,100,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641600125","00641-6001-25","ATIVAN","2 MG",1,25,1,25,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641600210","00641-6002-10","ATIVAN","2 MG",10,10,20,200,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641600325","00641-6003-25","ATIVAN","2 MG",1,25,2,50,,
"J0461","Atropine sulfate injection","West-Ward Pharmaceuticals Corp","00641600610","00641-6006-10","ATROPINE SULFATE","0.01 MG",20,10,800,8000,,
"J2274","Inj morphine pf epid ithc","West-Ward Pharmaceuticals Corp","00641601910","00641-6019-10","Duramorph","10 MG",10,10,1,10,,
"J2275","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","00641601910","00641-6019-10","Duramorph","10 MG",10,10,1,10,,
"Q9974","Morphine epidural/intratheca","West-Ward Pharmaceuticals Corp","00641601910","00641-6019-10","Duramorph","10 MG",10,10,1,10,,
"J2274","Inj morphine pf epid ithc","West-Ward Pharmaceuticals Corp","00641602010","00641-6020-10","Duramorph","10 MG",10,10,0.5,5,,
"J2275","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","00641602010","00641-6020-10","Duramorph","10 MG",10,10,0.5,5,,
"Q9974","Morphine epidural/intratheca","West-Ward Pharmaceuticals Corp","00641602010","00641-6020-10","Duramorph","10 MG",10,10,0.5,5,,
"J3010","Fentanyl citrate injection","West-Ward Pharmaceuticals Corp","00641602410","00641-6024-10","Fentanyl Citrate","0.1 MG",2,10,1,10,,
"J3010","Fentanyl citrate injection","West-Ward Pharmaceuticals Corp","00641602510","00641-6025-10","Fentanyl Citrate","0.1 MG",5,10,2.5,25,,
"J3010","Fentanyl citrate injection","West-Ward Pharmaceuticals Corp","00641602605","00641-6026-05","Fentanyl Citrate","0.1 MG",20,5,10,50,,
"J3010","Fentanyl citrate injection","West-Ward Pharmaceuticals Corp","00641602725","00641-6027-25","Fentanyl Citrate","0.1 MG",2,25,1,25,,
"J3010","Fentanyl citrate injection","West-Ward Pharmaceuticals Corp","00641602825","00641-6028-25","Fentanyl Citrate","0.1 MG",5,25,2.5,62.5,,
"J3010","Fentanyl citrate injection","West-Ward Pharmaceuticals Corp","00641602925","00641-6029-25","Fentanyl Citrate","0.1 MG",20,25,10,250,,
"J3010","Fentanyl citrate injection","West-Ward Pharmaceuticals Corp","00641603001","00641-6030-01","Fentanyl Citrate","0.1 MG",50,1,25,25,,
"J2274","Inj morphine pf epid ithc","West-Ward Pharmaceuticals Corp","00641603901","00641-6039-01","Infumorph 200","10 MG",20,1,20,20,,
"J2275","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","00641603901","00641-6039-01","Infumorph 200","10 MG",20,1,20,20,,
"Q9974","Morphine epidural/intratheca","West-Ward Pharmaceuticals Corp","00641603901","00641-6039-01","Infumorph 200","10 MG",20,1,20,20,,
"J2274","Inj morphine pf epid ithc","West-Ward Pharmaceuticals Corp","00641604001","00641-6040-01","Infumorph 500","10 MG",20,1,50,50,,
"J2275","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","00641604001","00641-6040-01","Infumorph 500","10 MG",20,1,50,50,,
"Q9974","Morphine epidural/intratheca","West-Ward Pharmaceuticals Corp","00641604001","00641-6040-01","Infumorph 500","10 MG",20,1,50,50,,
"J1885","Ketorolac tromethamine inj","West-Ward Pharmaceuticals Corp","00641604125","00641-6041-25","Ketorolac Tromethamine","15 MG",1,25,1,25,,
"J1885","Ketorolac tromethamine inj","West-Ward Pharmaceuticals Corp","00641604225","00641-6042-25","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J1885","Ketorolac tromethamine inj","West-Ward Pharmaceuticals Corp","00641604325","00641-6043-25","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641604425","00641-6044-25","LORAZEPAM","2 MG",1,25,1,25,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641604525","00641-6045-25","LORAZEPAM","2 MG",1,25,2,50,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641604610","00641-6046-10","LORAZEPAM","2 MG",10,10,10,100,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641604710","00641-6047-10","LORAZEPAM","2 MG",10,10,20,200,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641604825","00641-6048-25","LORAZEPAM","2 MG",1,25,1,25,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641604925","00641-6049-25","LORAZEPAM","2 MG",1,25,2,50,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641605010","00641-6050-10","LORAZEPAM","2 MG",10,10,10,100,,
"J2060","Lorazepam injection","West-Ward Pharmaceuticals Corp","00641605110","00641-6051-10","LORAZEPAM","2 MG",10,10,20,200,,
"J2175","Meperidine hydrochl /100 mg","West-Ward Pharmaceuticals Corp","00641605225","00641-6052-25","Meperidine Hcl","100 MG",1,25,0.25,6.25,,
"J2175","Meperidine hydrochl /100 mg","West-Ward Pharmaceuticals Corp","00641605325","00641-6053-25","Meperidine Hcl","100 MG",1,25,0.5,12.5,,
"J2175","Meperidine hydrochl /100 mg","West-Ward Pharmaceuticals Corp","00641605425","00641-6054-25","Meperidine Hcl","100 MG",1,25,1,25,,
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","00641605610","00641-6056-10","Midazolam Hcl","1 MG",10,10,10,100,,
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","00641605710","00641-6057-10","Midazolam Hcl","1 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","00641605725","00641-6057-25","Midazolam Hcl","1 MG",2,25,2,50,,
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","00641605910","00641-6059-10","Midazolam Hcl","1 MG",5,10,5,50,,
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","00641606010","00641-6060-10","Midazolam Hcl","1 MG",10,10,50,500,,
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","00641606110","00641-6061-10","Midazolam Hcl","1 MG",1,10,5,50,,
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","00641606125","00641-6061-25","Midazolam Hcl","1 MG",1,25,5,125,,
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","00641606310","00641-6063-10","Midazolam Hcl","1 MG",2,10,10,100,,
"J2250","Inj midazolam hydrochloride","West-Ward Pharmaceuticals Corp","00641606325","00641-6063-25","Midazolam Hcl","1 MG",2,25,10,250,,
"J2260","Inj milrinone lactate / 5 MG","West-Ward Pharmaceuticals Corp","00641606510","00641-6065-10","MILRINONE LACTATE","5 MG",10,10,2,20,,
"J2260","Inj milrinone lactate / 5 MG","West-Ward Pharmaceuticals Corp","00641606710","00641-6067-10","MILRINONE LACTATE","5 MG",20,10,4,40,,
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","00641607825","00641-6078-25","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","00641607901","00641-6079-01","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J2405","Ondansetron hcl injection","West-Ward Pharmaceuticals Corp","00641608025","00641-6080-25","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641608225","00641-6082-25","Phenergan","50 MG",1,25,0.5,12.5,,
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641608325","00641-6083-25","Phenergan","50 MG",1,25,1,25,,
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641608425","00641-6084-25","PHENERGAN","50 MG",1,25,0.5,12.5,,
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641608525","00641-6085-25","Phenergan","50 MG",1,25,1,25,,
"J2370","Phenylephrine hcl injection","West-Ward Pharmaceuticals Corp","00641608825","00641-6088-25","Phenylephrine Hcl","1 ML",1,25,1,25,,
"J2550","Promethazine hcl injection","West-Ward Pharmaceuticals Corp","00641609925","00641-6099-25","PROMETHAZINE","50 MG",1,25,0.5,12.5,,
"J2800","Methocarbamol injection","West-Ward Pharmaceuticals Corp","00641610325","00641-6103-25","Robaxin","10 ML",10,25,1,25,,
"J0150","Injection adenosine 6 MG","West-Ward Pharmaceuticals Corp","00641611310","00641-6113-10","Adenosine","6 MG",2,10,1,10,,
"J0153","Adenosine inj 1mg","West-Ward Pharmaceuticals Corp","00641611310","00641-6113-10","Adenosine","1 MG",2,10,6,60,,
"J2590","Oxytocin injection","West-Ward Pharmaceuticals Corp","00641611425","00641-6114-25","Oxytocin","10 UNITS",1,25,1,25,,
"J2590","Oxytocin injection","West-Ward Pharmaceuticals Corp","00641611525","00641-6115-25","Oxytocin","10 UNITS",10,25,10,250,,
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","00641611610","00641-6116-10","Ampicillin-Sulbactam","1.5 GM",1,10,1,10,,
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","00641611710","00641-6117-10","Ampicillin-Sulbactam","1.5 GM",1,10,2,20,,
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","00641611801","00641-6118-01","Ampicillin-Sulbactam","1.5 GM",1,1,10,10,,
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","00641611910","00641-6119-10","Ampicillin-Sulbactam","1.5 GM",1,10,1,10,,
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","00641612010","00641-6120-10","Ampicillin-Sulbactam","1.5 GM",1,10,2,20,,
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","00641612101","00641-6121-01","Ampicillin-Sulbactam","1.5 GM",1,1,10,10,,
"J0295","Ampicillin sodium per 1.5 gm","West-Ward Pharmaceuticals Corp","00641612310","00641-6123-10","Ampicillin-Sulbactam","1.5 GM",1,10,2,20,,
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","00641612525","00641-6125-25","Morphine Sulfate","10 MG",1,25,0.4,10,,
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","00641612625","00641-6126-25","Morphine Sulfate","10 MG",1,25,0.8,20,,
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","00641612725","00641-6127-25","Morphine Sulfate","10 MG",1,25,1,25,,
"J2310","Inj naloxone hydrochloride","West-Ward Pharmaceuticals Corp","00641613225","00641-6132-25","Naloxone Hcl","1 MG",1,25,0.4,10,,
"J0780","Prochlorperazine injection","WEST-WARD PHARMACEUTICAL CORP.","00641613525","00641-6135-25","Prochlorperazine Edisylate","10 MG",2,25,1,25,,
"Q2009","Fosphenytoin inj PE","WEST-WARD PHARMACEUTICAL CORP.","00641613625","00641-6136-25","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50,,
"Q2009","Fosphenytoin inj PE","WEST-WARD PHARMACEUTICAL CORP.","00641613710","00641-6137-10","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100,,
"J1165","Phenytoin sodium injection","West-Ward Pharmaceuticals Corp","00641613825","00641-6138-25","Phenytoin Sodium","50 MG",2,25,2,50,,
"J1165","Phenytoin sodium injection","West-Ward Pharmaceuticals Corp","00641613925","00641-6139-25","Phenytoin Sodium","50 MG",5,25,5,125,,
"J2370","Phenylephrine hcl injection","WEST-WARD PHARMACEUTICAL CORP.","00641614225","00641-6142-25","Phenylephrine Hcl","1 ML",1,25,1,25,,
"J1100","Dexamethasone sodium phos","WEST-WARD","00641614525","00641-6145-25","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100,,
"J1100","Dexamethasone sodium phos","WEST-WARD","00641614625","00641-6146-25","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500,,
"J1270","Injection, doxercalciferol","WEST-WARD","00641615425","00641-6154-25","DOXERCALCIFEROL","1 MCG",2,25,4,100,,
"J0278","Amikacin sulfate injection","West-Ward Pharmaceuticals Corp","00641616610","00641-6166-10","Amikacin Sulfate","100 MG",4,10,10,100,,
"J0278","Amikacin sulfate injection","West-Ward Pharmaceuticals Corp","00641616710","00641-6167-10","Amikacin Sulfate","100 MG",2,10,5,50,,
"J1160","Digoxin injection","NOVAPLUS/WEST-WARD","00641618425","00641-6184-25","Digoxin","0.5 MG",2,25,1,25,,
"J2250","Inj midazolam hydrochloride","NOVAPLUS/WEST-WARD","00641619010","00641-6190-10","Midazolam Hcl","1 MG",10,10,50,500,,
"J7506","Prednisone oral","UNITED RESEARCH LABORATORIES","00677011701","00677-0117-01","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","UNITED RESEARCH LABORATORIES","00677011710","00677-0117-10","Prednisone","5 MG",1000,1,1000,1000,,
"J7637","Dexamethasone inhal sol con","UNITED RESEARCH LABS, INC.","00677038520","00677-0385-20","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","UNITED RESEARCH LABS, INC.","00677038520","00677-0385-20","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7506","Prednisone oral","UNITED RESEARCH LABORATORIES","00677042701","00677-0427-01","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","UNITED RESEARCH LABORATORIES","00677042705","00677-0427-05","Prednisone","5 MG",500,1,2000,2000,,
"J7506","Prednisone oral","UNITED RESEARCH LABORATORIES","00677042710","00677-0427-10","Prednisone","5 MG",1000,1,4000,4000,,
"Q0178","Hydroxyzine pamoate 50mg","URL","00677059701","00677-0597-01","Hydroxyzine Pamoate",,100,1,100,100,,"50 MG"
"J7506","Prednisone oral","UNITED RESEARCH LABORATORIES","00677069801","00677-0698-01","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","UNITED RESEARCH LABORATORIES","00677069805","00677-0698-05","Prednisone","5 MG",500,1,1000,1000,,
"J7506","Prednisone oral","UNITED RESEARCH LABORATORIES","00677069810","00677-0698-10","Prednisone","5 MG",1000,1,2000,2000,,
"J7509","Methylprednisolone oral","UNITED RESEARCH LABORATORIES","00677183101","00677-1831-01","Methylprednisolone","4 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","UNITED RESEARCH LABORATORIES","00677183113","00677-1831-13","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"Q0163","Diphenhydramine HCl 50mg","UNITED RESEARCH LAB","00677185601","00677-1856-01","Diphenhydramine Hcl","50 MG",1,100,0.5,50,,
"Q0163","Diphenhydramine HCl 50mg","UNITED RESEARCH LAB","00677185610","00677-1856-10","Diphenhydramine Hcl","50 MG",1,1000,0.5,500,,
"Q0163","Diphenhydramine HCl 50mg","UNITED RESEARCH LABORATORIES","00677185701","00677-1857-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","UNITED RESEARCH LABORATORIES","00677185710","00677-1857-10","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"Q0163","Diphenhydramine HCl 50mg","UNITED RESEARCH LAB","00677185801","00677-1858-01","Diphenhydramine Hcl","50 MG",1,100,0.5,50,,
"J7637","Dexamethasone inhal sol con","PRIMEDICS LABORATORIES","00684010905","00684-0109-05","Primethasone",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","PRIMEDICS LABORATORIES","00684010905","00684-0109-05","Primethasone",,5,1,20,20,,"1 MG"
"J7658","Isoproterenolhcl inh sol con","RAWAY PHARMACAL INC.","00686005712","00686-0057-12","Isoproterenol",,5,100,1.25,0.0125,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","RAWAY PHARMACAL INC.","00686005712","00686-0057-12","Isoproterenol",,0.5,100,1.25,0.0125,,"1 MG"
"J7658","Isoproterenolhcl inh sol con","RAWAY PHARMACAL INC.","00686143835","00686-1438-35","Isoproterenol",,5,25,12.5,0.5,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","RAWAY PHARMACAL INC.","00686143835","00686-1438-35","Isoproterenol",,5,25,12.5,0.5,,"1 MG"
"J7637","Dexamethasone inhal sol con","RAWAY PHARMACAL INC.","00686490125","00686-4901-25","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","RAWAY PHARMACAL INC.","00686490125","00686-4901-25","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J2270","Morphine sulfate injection","NOVAPLUS","00702290101","00702-2901-01","Morphine Sulfate",,10,25,25,1,,"10 MG"
"J2271","Morphine so4 injection 100mg","NOVAPLUS","00702290101","00702-2901-01","Morphine Sulfate",,10,25,2.5,0.1,,"100 MG"
"J2270","Morphine sulfate injection","NOVAPLUS","00702602401","00702-6024-01","Morphine Sulfate",,4,25,250,10,,"10 MG"
"J2271","Morphine so4 injection 100mg","NOVAPLUS","00702602401","00702-6024-01","Morphine Sulfate",,4,25,25,1,,"100 MG"
"J2270","Morphine sulfate injection","NOVAPLUS","00702602501","00702-6025-01","Morphine Sulfate",,10,25,625,25,,"10 MG"
"J2271","Morphine so4 injection 100mg","NOVAPLUS","00702602501","00702-6025-01","Morphine Sulfate",,10,25,62.5,2.5,,"100 MG"
"J2270","Morphine sulfate injection","NOVAPLUS","00702602601","00702-6026-01","Morphine Sulfate",,20,25,1250,50,,"10 MG"
"J2271","Morphine so4 injection 100mg","NOVAPLUS","00702602601","00702-6026-01","Morphine Sulfate",,20,25,125,5,,"100 MG"
"J2270","Morphine sulfate injection","NOVAPLUS","00702602701","00702-6027-01","Morphine Sulfate",,40,25,2500,100,,"10 MG"
"J2271","Morphine so4 injection 100mg","NOVAPLUS","00702602701","00702-6027-01","Morphine Sulfate",,40,25,250,10,,"100 MG"
"J1250","Inj dobutamine HCL/250 mg","CHIRON","00702737501","00702-7375-01","Dobutamine Hcl","250 MG",20,1,1,1,,
"J1250","Inj dobutamine HCL/250 mg","CHIRON","00702737510","00702-7375-10","Dobutamine Hcl","250 MG",20,10,1,10,,
"J1170","Hydromorphone injection","SICOR PHARMACEUTICALS, INC.","00703001801","00703-0018-01","HYDROMORPHONE HYDROCHLORIDE","4 MG",50,1,125,125,,
"C9121","Injection, argatroban","TEVA PHARMACEUTICALS USA","00703002032","00703-0020-32","Argatroban","5 MG",250,5,50,250,,
"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,,
"J0878","Daptomycin injection","TEVA PHARMACEUTICALS USA","00703012501","00703-0125-01","Daptomycin","1 MG",1,1,500,500,,
"J0696","Ceftriaxone sodium injection","SICOR PHARMACEUTICALS, INC.","00703031503","00703-0315-03","CEFTRIAXONE SODIUM","250 MG",1,10,1,10,,
"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,,
"J0395","Arbutamine HCl injection","GENSIA AUTOMEDICS","00703110501","00703-1105-01","Genesa",,20,1,1,1,,"1 MG"
"J3105","Terbutaline sulfate inj","SICOR PHARMACEUTICALS, INC.","00703127101","00703-1271-01","Terbutaline Sulfate Injection Usp","1 MG",1,1,1,1,,
"J3105","Terbutaline sulfate inj","SICOR PHARMACEUTICALS, INC.","00703127104","00703-1271-04","Terbutaline Sulfate","1 MG",1,25,1,25,,
"J0282","Amiodarone HCl","SICOR","00703133201","00703-1332-01","Amiodarone Hcl","30 MG",3,1,5,5,,
"J0282","Amiodarone HCl","SICOR","00703133203","00703-1332-03","Amiodarone Hcl","30 MG",3,10,5,50,,
"J0282","Amiodarone HCl","SICOR","00703133501","00703-1335-01","Amiodarone Hcl","30 MG",9,1,15,15,,
"J0270","Alprostadil for injection","SICOR PHARMACEUTICALS INC.","00703150101","00703-1501-01","Alprostadil","1.25 MCG",1,1,400,400,,
"J0270","Alprostadil for injection","SICOR PHARMACEUTICALS, INC.","00703150102","00703-1501-02","Alprostadil","1.25 MCG",1,5,400,2000,,
"J1245","Dipyridamole injection","SICOR","00703165201","00703-1652-01","Dipyridamole","10 MG",2,5,1,5,,
"J1245","Dipyridamole injection","SICOR PHARMACEUTICALS, INC.","00703165202","00703-1652-02","Dipyridamole","10 MG",2,5,1,5,,
"J1245","Dipyridamole injection","SICOR","00703165401","00703-1654-01","Dipyridamole","10 MG",10,5,5,25,,
"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,,
"J7635","Atropine inhal sol con","SICOR","00703252503","00703-2525-03","Atropine Sulfate",,20,10,80,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","SICOR","00703252503","00703-2525-03","Atropine Sulfate",,20,10,80,8,,"1 MG"
"J2710","Neostigmine methylslfte inj","SICOR PHARMACEUTICALS","00703270403","00703-2704-03","Neostigmine Methylsulfate","0.5 MG",10,10,20,200,,
"J2710","Neostigmine methylslfte inj","SICOR PHARMACEUTICALS","00703271103","00703-2711-03","Neostigmine Methylsulfate","0.5 MG",1,10,1,10,,
"J2710","Neostigmine methylslfte inj","SICOR PHARMACEUTICALS","00703271403","00703-2714-03","Neostigmine Methylsulfate","0.5 MG",10,10,10,100,,
"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,,
"J2704","Inj, propofol, 10 mg","SICOR PHARMACEUTICALS, INC.","00703285604","00703-2856-04","Propofol","10 MG",20,25,20,500,,
"J2704","Inj, propofol, 10 mg","SICOR PHARMACEUTICALS, INC.","00703285809","00703-2858-09","Propofol","10 MG",50,20,50,1000,,
"J2704","Inj, propofol, 10 mg","SICOR PHARMACEUTICALS, INC.","00703285903","00703-2859-03","Propofol","10 MG",100,10,100,1000,,
"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","00703315491","00703-3154-91","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,,
"J9040","Bleomycin sulfate injection","SICOR","00703315591","00703-3155-91","Bleomycin Sulfate","15 UNITS",1,1,2,2,,
"J9045","Carboplatin injection","SICOR","00703324411","00703-3244-11","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","SICOR","00703324611","00703-3246-11","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","SICOR","00703324811","00703-3248-11","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703324911","00703-3249-11","Carboplatin","50 MG",60,1,12,12,,
"J9045","Carboplatin injection","SICOR","00703326401","00703-3264-01","Carboplatin","50 MG",1,1,1,1,,
"J9045","Carboplatin injection","SICOR","00703326571","00703-3265-71","Carboplatin","50 MG",1,1,9,9,,
"J9045","Carboplatin injection","SICOR","00703326601","00703-3266-01","Carboplatin","50 MG",1,1,3,3,,
"J9045","Carboplatin injection","SICOR","00703326801","00703-3268-01","Carboplatin","50 MG",1,1,9,9,,
"J9045","Carboplatin injection","SICOR","00703326871","00703-3268-71","Carboplatin","50 MG",1,1,9,9,,
"J9045","Carboplatin injection","SICOR","00703327401","00703-3274-01","Carboplatin","50 MG",1,1,1,1,,
"J9045","Carboplatin injection","SICOR","00703327601","00703-3276-01","Carboplatin","50 MG",1,1,3,3,,
"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.","00703352401","00703-3524-01","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","GENSIA SICOR PHARM., INC.","00703352401","00703-3524-01","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J1100","Dexamethasone sodium phos","SICOR PHARMACEUTICALS, INC.","00703352403","00703-3524-03","Dexamethasone Sodium Phosphate","1 MG",10,10,100,1000,,
"J7637","Dexamethasone inhal sol con","SICOR","00703352403","00703-3524-03","Dexamethasone Sodium Phosphate",,10,10,1000,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","SICOR","00703352403","00703-3524-03","Dexamethasone Sodium Phosphate",,10,10,1000,100,,"1 MG"
"J9250","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367103","00703-3671-03","Methotrexate Sodium","5 MG",2,10,10,100,,
"J9260","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367103","00703-3671-03","Methotrexate Sodium","50 MG",2,10,1,10,,
"J9250","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367193","00703-3671-93","Methotrexate Sodium","5 MG",2,10,10,100,,
"J9260","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367193","00703-3671-93","Methotrexate Sodium","50 MG",2,10,1,10,,
"J9250","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367301","00703-3673-01","Methotrexate Sodium","5 MG",4,1,20,20,,
"J9250","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367501","00703-3675-01","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367501","00703-3675-01","Methotrexate Sodium","50 MG",10,1,5,5,,
"J9250","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367591","00703-3675-91","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367591","00703-3675-91","Methotrexate Sodium","50 MG",10,1,5,5,,
"J9250","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367801","00703-3678-01","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367801","00703-3678-01","Methotrexate Sodium","50 MG",40,1,20,20,,
"J9250","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367881","00703-3678-81","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","SICOR PHARMACEUTICALS, INC.","00703367881","00703-3678-81","Methotrexate Sodium","50 MG",40,1,20,20,,
"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,,
"J9218","Leuprolide acetate injeciton","SICOR","00703402419","00703-4024-19","Leuprolide Acetate","1 MG",2.8,6,14,84,,
"J2430","Pamidronate disodium /30 MG","MAYNE PHARMA","00703407519","00703-4075-19","Pamidronate Disodium","30 MG",10,4,1,4,,
"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","MAYNE PHARMA","00703408511","00703-4085-11","Pamidronate Disodium","30 MG",10,1,3,3,,
"J2430","Pamidronate disodium /30 MG","SICOR PHARMACEUTICALS, INC.","00703408551","00703-4085-51","Pamidronate Disodium","30 MG",10,1,3,3,,
"J2430","Pamidronate disodium /30 MG","MAYNE PHARMA","00703408591","00703-4085-91","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.","00703423901","00703-4239-01","Carboplatin","50 MG",60,1,12,12,,
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703423981","00703-4239-81","Carboplatin","50 MG",60,1,12,12,,
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703424401","00703-4244-01","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703424481","00703-4244-81","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.","00703424681","00703-4246-81","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703424801","00703-4248-01","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","SICOR PHARMACEUTICALS, INC.","00703424881","00703-4248-81","Carboplatin","50 MG",45,1,9,9,,
"J9340","Thiotepa injection","SICOR","00703430102","00703-4301-02","Thiotepa","15 MG",1,5,1,5,,
"J9340","Thiotepa injection","SICOR","00703430301","00703-4303-01","Thiotepa","15 MG",1,1,2,2,,
"J9370","Vincristine sulfate 1 mg inj","SICOR PHARMACEUTICALS, INC.","00703440211","00703-4402-11","Vincristine Sulfate","1 MG",1,1,1,1,,
"J9375","Vincristine sulfate 2 MG inj","SICOR","00703440211","00703-4402-11","Vincristine Sulfate","2 MG",1,1,0.5,0.5,,
"J9380","Vincristine sulfate 5 MG inj","SICOR","00703440211","00703-4402-11","Vincristine Sulfate","5 MG",1,1,0.2,0.2,,
"J9370","Vincristine sulfate 1 mg inj","SICOR PHARMACEUTICALS, INC.","00703441211","00703-4412-11","Vincristine Sulfate","1 MG",2,1,2,2,,
"J9375","Vincristine sulfate 2 MG inj","SICOR","00703441211","00703-4412-11","Vincristine Sulfate","2 MG",2,1,1,1,,
"J9380","Vincristine sulfate 5 MG inj","SICOR","00703441211","00703-4412-11","Vincristine Sulfate","5 MG",2,1,0.4,0.4,,
"J9206","Irinotecan injection","SICOR PHARMACEUTICALS, INC.","00703443211","00703-4432-11","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","SICOR PHARMACEUTICALS, INC.","00703443281","00703-4432-81","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.","00703443481","00703-4434-81","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,,
"J2765","Metoclopramide hcl injection","SICOR PHARMACEUTICALS, INC.","00703450284","00703-4502-84","Metoclopramide HCl","10 MG",2,25,1,25,,
"J2765","Metoclopramide hcl injection","SICOR PHARMACEUTICALS, INC.","00703450294","00703-4502-94","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","00703468091","00703-4680-91","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","00703468591","00703-4685-91","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,,
"J9293","Mitoxantrone hydrochl / 5 MG","SICOR","00703468691","00703-4686-91","MITOXANTRONE HYDROCHLORIDE","5 MG",15,1,6,6,,
"J9351","Topotecan injection","SICOR PHARMACEUTICALS, INC.","00703471401","00703-4714-01","Topotecan","0.1 MG",1,1,40,40,,
"J9265","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476401","00703-4764-01","Paclitaxel","30 MG",5,1,1,1,,
"J9267","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476401","00703-4764-01","Paclitaxel","1 MG",5,1,30,30,,
"J9267","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476481","00703-4764-81","Paclitaxel","1 MG",5,1,30,30,,
"J9265","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476601","00703-4766-01","Paclitaxel","30 MG",16.7,1,3.33,3.33,,
"J9267","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476601","00703-4766-01","Paclitaxel","1 MG",16.7,1,100,100,,
"J9267","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476681","00703-4766-81","Paclitaxel","1 MG",16.7,1,100,100,,
"J9265","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476701","00703-4767-01","Paclitaxel","30 MG",25,1,5,5,,
"J9267","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476701","00703-4767-01","Paclitaxel","1 MG",25,1,150,150,,
"J9265","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476801","00703-4768-01","Paclitaxel","30 MG",50,1,10,10,,
"J9267","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476801","00703-4768-01","Paclitaxel","1 MG",50,1,300,300,,
"J9267","Paclitaxel injection","SICOR PHARMACEUTICALS, INC.","00703476881","00703-4768-81","PACLITAXEL","1 MG",50,1,300,300,,
"J9209","Mesna injection","SICOR PHARMACEUTICALS, INC.","00703480501","00703-4805-01","Mesna","200 MG",10,1,5,5,,
"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,,
"J2680","Fluphenazine decanoate 25 MG","SICOR","00703500301","00703-5003-01","Fluphenazine Decanoate","25 MG",5,1,5,5,,
"J9150","Daunorubicin","ABBOTT HPD","00703503203","00703-5032-03","Daunorubicin Hcl",,1,10,20,2,,"10 MG"
"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,,
"J9140","Dacarbazine 200 MG inj","SICOR","00703507501","00703-5075-01","Dacarbazine","200 MG",1,1,1,1,,
"J9130","Dacarbazine 100 mg inj","SICOR PHARMACEUTICALS, INC.","00703507503","00703-5075-03","Dacarbazine","100 MG",1,10,2,20,,
"J9140","Dacarbazine 200 MG inj","SICOR","00703507503","00703-5075-03","Dacarbazine","200 MG",1,10,1,10,,
"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,,
"J0640","Leucovorin calcium injection","SICOR PHARMACEUTICALS, INC.","00703514591","00703-5145-91","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,,
"J9150","Daunorubicin injection","SICOR PHARMACEUTICALS, INC.","00703523393","00703-5233-93","Daunorubicin Hcl","10 MG",4,10,2,20,,
"J9181","Etoposide 10 MG inj","ABBOTT HPD","00703564301","00703-5643-01","Etoposide",,5,1,10,10,,"10 MG"
"J9182","Etoposide 100 MG inj","ABBOTT HPD","00703564301","00703-5643-01","Etoposide",,5,1,1,1,,"100 MG"
"J9181","Etoposide injection","SICOR PHARMACEUTICALS, INC.","00703565301","00703-5653-01","Etoposide","10 MG",5,1,10,10,,
"J9182","Etoposide 100 MG inj","SICOR","00703565301","00703-5653-01","Etoposide","100 MG",5,1,1,1,,
"J9181","Etoposide injection","SICOR PHARMACEUTICALS, INC.","00703565601","00703-5656-01","Etoposide","10 MG",25,1,50,50,,
"J9182","Etoposide 100 MG inj","SICOR","00703565601","00703-5656-01","Etoposide","100 MG",25,1,5,5,,
"J9181","Etoposide injection","SICOR PHARMACEUTICALS, INC.","00703565691","00703-5656-91","TOPOSAR","10 MG",25,1,50,50,,
"J9181","Etoposide injection","SICOR PHARMACEUTICALS, INC.","00703565701","00703-5657-01","Etoposide","10 MG",50,1,100,100,,
"J9182","Etoposide 100 MG inj","SICOR","00703565701","00703-5657-01","Etoposide","100 MG",50,1,10,10,,
"J9181","Etoposide injection","SICOR PHARMACEUTICALS, INC.","00703565791","00703-5657-91","TOPOSAR","10 MG",50,1,100,100,,
"J9171","Docetaxel injection","SICOR PHARMACEUTICALS, INC.","00703572001","00703-5720-01","Docetaxel","1 MG",1,1,20,20,,
"J9171","Docetaxel injection","SICOR PHARMACEUTICALS, INC.","00703573001","00703-5730-01","Docetaxel","1 MG",4,1,80,80,,
"J9060","Cisplatin 10 mg injection","SICOR PHARMACEUTICALS, INC.","00703574711","00703-5747-11","Cisplatin","10 MG",50,1,5,5,,
"J9062","Cisplatin 50 MG injection","SICOR","00703574711","00703-5747-11","Cisplatin","50 MG",50,1,1,1,,
"J9060","Cisplatin 10 mg injection","SICOR PHARMACEUTICALS, INC.","00703574811","00703-5748-11","Cisplatin","10 MG",100,1,10,10,,
"J9062","Cisplatin 50 MG injection","SICOR","00703574811","00703-5748-11","Cisplatin","50 MG",100,1,2,2,,
"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","TEVA PHARMACEUTICALS USA","00703704104","00703-7041-04","Haloperidol Lactate","5 MG",1,25,1,25,,
"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,,
"J0780","Prochlorperazine injection","SICOR","00703717101","00703-7171-01","Prochlorperazine Edisylate","10 MG",2,1,1,1,,
"J0780","Prochlorperazine injection","SICOR","00703717104","00703-7171-04","Prochlorperazine Edisylate","10 MG",2,25,1,25,,
"J0780","Prochlorperazine injection","SICOR","00703717501","00703-7175-01","Prochlorperazine Edisylate","10 MG",10,1,5,5,,
"J2405","Ondansetron hcl injection","SICOR PHARMACEUTICALS, INC.","00703722102","00703-7221-02","ONDANSETRON HCL","1 MG",2,5,4,20,,
"J2405","Ondansetron hcl injection","SICOR PHARM., INC.","00703722103","00703-7221-03","ONDANSETRON HCL","1 MG",2,10,4,40,,
"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","00703731101","00703-7311-01","Calcijex","0.1 MCG",1,1,10,10,,
"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,,
"J2260","Inj milrinone lactate / 5 MG","SICOR","00703800503","00703-8005-03","Milrinone Lactate","5 MG",10,10,2,20,,
"J2260","Inj milrinone lactate / 5 MG","SICOR","00703800603","00703-8006-03","Milrinone Lactate","5 MG",20,10,4,40,,
"J2260","Inj milrinone lactate / 5 MG","SICOR","00703800801","00703-8008-01","Milrinone Lactate","5 MG",50,1,10,10,,
"Q4075","Acyclovir, 5 mg","GENSIA SICOR PHARM., INC.","00703810403","00703-8104-03","Acyclovir Sodium",,1,10,1000,100,,"5 MG"
"Q4075","Acyclovir, 5 mg","GENSIA SICOR PHARM., INC.","00703810503","00703-8105-03","Acyclovir Sodium",,1,10,2000,200,,"5 MG"
"J0360","Hydralazine hcl injection","SICOR","00703820194","00703-8201-94","Hydralazine Hcl","20 MG",1,25,1,25,,
"J0895","Deferoxamine mesylate inj","SICOR","00703846309","00703-8463-09","DEFEROXAMINE MESYLATE","500 MG",1,1,1,4,,
"J0895","Deferoxamine mesylate inj","SICOR","00703846501","00703-8465-01","DEFEROXAMINE MESYLATE","500 MG",1,1,4,4,,
"J1650","Inj enoxaparin sodium","SICOR PHARMACEUTICALS, INC.","00703851023","00703-8510-23","ENOXAPARIN SODIUM","10 MG",1,10,15,150,,
"J1650","Inj enoxaparin sodium","SICOR PHARMACEUTICALS, INC.","00703853023","00703-8530-23","ENOXAPARIN SODIUM","10 MG",0.3,10,3,30,,
"J1650","Inj enoxaparin sodium","SICOR PHARMACEUTICALS, INC.","00703854023","00703-8540-23","ENOXAPARIN SODIUM","10 MG",0.4,10,4,40,,
"J1650","Inj enoxaparin sodium","SICOR PHARMACEUTICALS, INC.","00703856023","00703-8560-23","ENOXAPARIN SODIUM","10 MG",0.6,10,6,60,,
"J1650","Inj enoxaparin sodium","SICOR PHARMACEUTICALS, INC.","00703858023","00703-8580-23","ENOXAPARIN SODIUM","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","SICOR PHARMACEUTICALS, INC.","00703861023","00703-8610-23","ENOXAPARIN SODIUM","10 MG",0.8,10,12,120,,
"J1650","Inj enoxaparin sodium","SICOR PHARMACEUTICALS, INC.","00703868023","00703-8680-23","ENOXAPARIN SODIUM","10 MG",0.8,10,8,80,,
"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,,
"J0151","Inj Adenosine Diag 1mg","SICOR PHARMACEUTICALS, INC.","00703877601","00703-8776-01","Adenosine","1 MG",20,1,60,60,,
"J0153","Adenosine inj 1mg","SICOR PHARMACEUTICALS, INC.","00703877601","00703-8776-01","Adenosine","1 MG",20,1,60,60,,
"J0151","Inj Adenosine Diag 1mg","SICOR PHARMACEUTICALS, INC.","00703877701","00703-8777-01","Adenosine","1 MG",30,1,90,90,,
"J0153","Adenosine inj 1mg","SICOR PHARMACEUTICALS, INC.","00703877701","00703-8777-01","Adenosine","1 MG",30,1,90,90,,
"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,,
"J2020","Linezolid injection","SICOR PHARMACEUTICALS, INC.","00703906033","00703-9060-33","Linezolid","200 MG",300,10,3,30,,
"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,,
"J7637","Dexamethasone inhal sol con","ALTO PHARMACEUTICALS, INC.","00731031075","00731-0310-75","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ALTO PHARMACEUTICALS, INC.","00731031075","00731-0310-75","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"Q0175","Perphenazine 4mg oral","SANDOZ","00781104601","00781-1046-01","Perphenazine","4 MG",100,1,50,50,,
"Q0175","Perphenazine 4mg oral","SANDOZ","00781104610","00781-1046-10","Perphenazine",,100,1,50,50,,"4 MG"
"Q0175","Perphenazine 4mg oral","SANDOZ","00781104613","00781-1046-13","Perphenazine","4 MG",100,1,50,50,,
"Q0175","Perphenazine 4mg oral","SANDOZ","00781104701","00781-1047-01","Perphenazine","4 MG",100,1,100,100,,
"Q0175","Perphenazine 4mg oral","SANDOZ","00781104710","00781-1047-10","Perphenazine",,1000,1,1000,1000,,"4 MG"
"Q0175","Perphenazine 4mg oral","SANDOZ","00781104713","00781-1047-13","Perphenazine","4 MG",100,1,100,100,,
"Q0176","Perphenazine 8mg oral","SANDOZ","00781104801","00781-1048-01","Perphenazine","8 MG",100,1,100,100,,
"Q0176","Perphenazine 8mg oral","SANDOZ","00781104810","00781-1048-10","Perphenazine",,1000,1,1000,1000,,"8 MG"
"Q0176","Perphenazine 8mg oral","SANDOZ","00781104813","00781-1048-13","Perphenazine","8 MG",100,1,100,100,,
"Q0176","Perphenazine 8mg oral","QUALITES","00781104901","00781-1049-01","Perphenazine","8 MG",100,1,200,200,,
"Q0176","Perphenazine 8mg oral","SANDOZ","00781104913","00781-1049-13","PERPHENAZINE TABLET",,,,,,,"8 MG"
"Q0162","Ondansetron oral","Sandoz, Inc.","00781167931","00781-1679-31","Ondansetron HCl","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781167931","00781-1679-31","Ondansetron HCl","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","Sandoz, Inc.","00781167933","00781-1679-33","Ondansetron HCl","1 MG",1,3,4,12,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781167933","00781-1679-33","Ondansetron HCl","8 MG",1,3,0.5,1.5,,
"Q0162","Ondansetron oral","Sandoz, Inc.","00781168131","00781-1681-31","Ondansetron HCl","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781168131","00781-1681-31","Ondansetron HCl","8 MG",1,30,1,30,,
"Q0162","Ondansetron oral","Sandoz, Inc.","00781168133","00781-1681-33","Ondansetron HCl","1 MG",1,3,8,24,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781168133","00781-1681-33","Ondansetron HCl","8 MG",1,3,1,3,,
"Q0171","Chlorpromazine HCl 10mg oral","SANDOZ","00781171501","00781-1715-01","Chlorpromazine Hcl","10 MG",100,1,100,100,,
"Q0172","Chlorpromazine HCl 25mg oral","SANDOZ","00781171601","00781-1716-01","Chlorpromazine Hcl","25 MG",100,1,100,100,,
"Q0172","Chlorpromazine HCl 25mg oral","SANDOZ","00781171610","00781-1716-10","Chlorpromazine Hcl",,1000,1,1000,1000,,"25 MG"
"Q0172","Chlorpromazine HCl 25mg oral","SANDOZ","00781171613","00781-1716-13","Chlorpromazine Hcl",,100,1,100,100,,"25 MG"
"Q0171","Chlorpromazine HCl 10mg oral","SANDOZ","00781171701","00781-1717-01","Chlorpromazine Hcl","10 MG",100,1,5,500,,
"Q0172","Chlorpromazine HCl 25mg oral","SANDOZ","00781171701","00781-1717-01","Chlorpromazine Hcl","25 MG",100,1,2,200,,
"Q0172","Chlorpromazine HCl 25mg oral","SANDOZ","00781171713","00781-1717-13","CHLORPROMAZINE HCL TABLETS",,,,,,,"25 MG"
"Q0171","Chlorpromazine HCl 10mg oral","SANDOZ","00781171801","00781-1718-01","Chlorpromazine Hcl","10 MG",100,1,10,1000,,
"Q0172","Chlorpromazine HCl 25mg oral","SANDOZ","00781171801","00781-1718-01","Chlorpromazine Hcl","25 MG",100,1,4,400,,
"Q0172","Chlorpromazine HCl 25mg oral","SANDOZ","00781171813","00781-1718-13","CHLORPROMAZINE HCL TABLETS",,,,,,,"25 MG"
"Q0171","Chlorpromazine HCl 10mg oral","SANDOZ","00781171901","00781-1719-01","Chlorpromazine Hcl","10 MG",100,1,20,2000,,
"Q0172","Chlorpromazine HCl 25mg oral","SANDOZ","00781171901","00781-1719-01","Chlorpromazine Hcl","25 MG",100,1,8,800,,
"Q0169","Promethazine hcl 12.5mg oral","Sandoz, Inc.","00781183001","00781-1830-01","Promethazine Hcl","12.5 MG",100,1,200,200,,
"Q0170","Promethazine HCl 25 mg oral","Sandoz Inc","00781183001","00781-1830-01","Promethazine Hcl","25 MG",100,1,100,100,,
"Q0169","Promethazine hcl 12.5mg oral","Sandoz, Inc.","00781183010","00781-1830-10","Promethazine Hcl","12.5 MG",1000,1,2000,2000,,
"Q0170","Promethazine HCl 25 mg oral","Sandoz Inc","00781183010","00781-1830-10","Promethazine Hcl","25 MG",1000,1,1000,1000,,
"Q0169","Promethazine hcl 12.5mg oral","Sandoz, Inc.","00781183201","00781-1832-01","PROMETHAZINE HCL","12.5 MG",100,1,400,400,,
"Q0170","Promethazine HCl 25 mg oral","Sandoz Inc","00781183201","00781-1832-01","PROMETHAZINE HCL","25 MG",100,1,200,200,,
"J7517","Mycophenolate mofetil oral","Sandoz, Inc.","00781206701","00781-2067-01","MYCOPHENOLATE MOFETIL","250 MG",1,100,100,100,,
"J7517","Mycophenolate mofetil oral","Sandoz, Inc.","00781206705","00781-2067-05","MYCOPHENOLATE MOFETIL","250 MG",1,500,500,500,,
"J7517","Mycophenolate mofetil oral","Sandoz, Inc.","00781206789","00781-2067-89","MYCOPHENOLATE MOFETIL","250 MG",1,1440,1440,1440,,
"J7507","Tacrolimus imme rel oral 1mg","Sandoz, Inc.","00781210201","00781-2102-01","TACROLIMUS","1 MG",100,1,50,50,,
"J7507","Tacrolimus imme rel oral 1mg","Sandoz, Inc.","00781210301","00781-2103-01","TACROLIMUS","1 MG",100,1,100,100,,
"J7507","Tacrolimus imme rel oral 1mg","Sandoz, Inc.","00781210401","00781-2104-01","TACROLIMUS","1 MG",100,1,500,500,,
"J8501","Oral aprepitant","Sandoz, Inc.","00781232106","00781-2321-06","APREPITANT","5 MG",1,1,8,8,,
"J8501","Oral aprepitant","Sandoz, Inc.","00781232151","00781-2321-51","APREPITANT","5 MG",1,5,8,40,,
"J8501","Oral aprepitant","SANDOZ","00781232246","00781-2322-46","APREPITANT (Bi fold)","5 MG",1,2,16,32,,
"J8501","Oral aprepitant","SANDOZ","00781232268","00781-2322-68","APREPITANT","5 MG",1,6,16,96,,
"J8501","Oral aprepitant","SANDOZ","00781232368","00781-2323-68","APREPITANT","5 MG",1,6,25,150,,
"J8700","Temozolomide","Sandoz, Inc.","00781269144","00781-2691-44","TEMOZOLOMIDE","5 MG",1,14,1,14,,
"J8700","Temozolomide","Sandoz, Inc.","00781269175","00781-2691-75","TEMOZOLOMIDE","5 MG",1,5,1,5,,
"J8700","Temozolomide","Sandoz, Inc.","00781269244","00781-2692-44","TEMOZOLOMIDE","5 MG",1,14,4,56,,
"J8700","Temozolomide","Sandoz, Inc.","00781269275","00781-2692-75","TEMOZOLOMIDE","5 MG",1,5,4,20,,
"J8700","Temozolomide","Sandoz, Inc.","00781269344","00781-2693-44","TEMOZOLOMIDE","5 MG",1,14,20,280,,
"J8700","Temozolomide","Sandoz, Inc.","00781269375","00781-2693-75","TEMOZOLOMIDE","5 MG",1,5,20,100,,
"J8700","Temozolomide","Sandoz, Inc.","00781269444","00781-2694-44","TEMOZOLOMIDE","5 MG",1,14,28,392,,
"J8700","Temozolomide","Sandoz, Inc.","00781269475","00781-2694-75","TEMOZOLOMIDE","5 MG",1,5,28,140,,
"J8700","Temozolomide","Sandoz, Inc.","00781269544","00781-2695-44","TEMOZOLOMIDE","5 MG",1,14,36,504,,
"J8700","Temozolomide","Sandoz, Inc.","00781269575","00781-2695-75","TEMOZOLOMIDE","5 MG",1,5,36,180,,
"J8700","Temozolomide","Sandoz, Inc.","00781269675","00781-2696-75","TEMOZOLOMIDE","5 MG",1,5,50,250,,
"J2185","Meropenem","SANDOZ","00781300095","00781-3000-95","MEROPENEM","100 MG",1,10,5,50,,
"J2185","Meropenem","SANDOZ","00781300096","00781-3000-96","MEROPENEM","100 MG",1,25,5,125,,
"J0330","Succinycholine chloride inj","SANDOZ","00781300970","00781-3009-70","Succinylcholine Chloride","20 MG",10,1,10,10,,
"J0330","Succinycholine chloride inj","SANDOZ","00781300995","00781-3009-95","Succinylcholine Chloride","20 MG",10,10,10,100,,
"J2405","Ondansetron hcl injection","Sandoz, Inc.","00781301095","00781-3010-95","ONDANSETRON HCL","1 MG",2,10,4,40,,
"J2405","Ondansetron hcl injection","Sandoz Inc","00781301180","00781-3011-80","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J0970","Estradiol valerate injection","SANDOZ","00781302975","00781-3029-75","Estradiol Valerate","40 MG",5,1,2.5,2.5,,
"J1380","Estradiol valerate 10 MG inj","Sandoz Inc","00781302975","00781-3029-75","Estradiol Valerate","10 MG",5,5,10,10,,
"J1390","Estradiol valerate 20 MG inj","SANDOZ","00781302975","00781-3029-75","Estradiol Valerate","20 MG",5,1,5,5,,
"J0970","Estradiol valerate injection","SANDOZ","00781303075","00781-3030-75","Estradiol Valerate","40 MG",5,1,1.25,2.5,,
"J1380","Estradiol valerate 10 MG inj","Sandoz Inc","00781303075","00781-3030-75","Estradiol Valerate","10 MG",5,1,5,5,,
"J1390","Estradiol valerate 20 MG inj","SANDOZ","00781303075","00781-3030-75","Estradiol Valerate","20 MG",5,1,2.5,2.5,,
"J0970","Estradiol valerate injection","SANDOZ","00781303175","00781-3031-75","Estradiol Valerate","40 MG",5,1,5,5,,
"J1380","Estradiol valerate 10 MG inj","Sandoz Inc","00781303175","00781-3031-75","Estradiol Valerate","10 MG",5,1,20,20,,
"J1390","Estradiol valerate 20 MG inj","SANDOZ","00781303175","00781-3031-75","Estradiol Valerate","20 MG",5,1,10,10,,
"J0295","Ampicillin sodium per 1.5 gm","Sandoz Inc","00781303295","00781-3032-95","Ampicillin-Sulbactam","1.5 GM",1,10,1,10,,
"J0295","Ampicillin sodium per 1.5 gm","Sandoz Inc","00781303395","00781-3033-95","Ampicillin-Sulbactam","1.5 GM",1,10,2,20,,
"J0295","Ampicillin sodium per 1.5 gm","Sandoz Inc","00781303446","00781-3034-46","Ampicillin-Sulbactam","1.5 GM",1,1,10,10,,
"J0833","Cosyntropin injection NOS","SANDOZ","00781305295","00781-3052-95","Cosyntropin","0.25 MG",1,10,1,10,,
"J2405","Ondansetron hcl injection","Sandoz Inc","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","00781306672","00781-3066-72","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","Sandoz Inc","00781306675","00781-3066-75","Irinotecan HCL","20 MG",5,1,5,5,,
"J1070","Testosterone cypionat 100 MG","Sandoz Inc","00781307370","00781-3073-70","Testosterone Cypionate Usp/Nf","100 MG",10,1,10,10,,
"J1071","Inj testosterone cypionate","Sandoz Inc","00781307370","00781-3073-70","Testosterone Cypionate Usp/Nf","1 MG",10,1,1000,1000,,
"J1071","Inj testosterone cypionate","Sandoz Inc","00781307470","00781-3074-70","Testosterone Cypionate","1 MG",10,1,2000,2000,,
"J1080","Testosterone cypionat 200 MG","Sandoz Inc","00781307470","00781-3074-70","Testosterone Cypionate","200 MG",10,1,10,10,,
"J1071","Inj testosterone cypionate","Sandoz Inc","00781307471","00781-3074-71","Testosterone Cypionate","1 MG",1,1,200,200,,
"J1080","Testosterone cypionat 200 MG","Sandoz Inc","00781307471","00781-3074-71","Testosterone Cypionate","200 MG",1,1,1,1,,
"J3303","Triamcinolone hexacetonl inj","Sandoz Inc","00781308475","00781-3084-75","Aristospan Intralesional","5 MG",5,1,5,5,,
"J3303","Triamcinolone hexacetonl inj","Sandoz, Inc.","00781308571","00781-3085-71","Aristospan Intra-Articular","5 MG",1,1,4,4,,
"J3303","Triamcinolone hexacetonl inj","Sandoz, Inc.","00781308575","00781-3085-75","Aristospan Intra-Articular","5 MG",5,1,20,20,,
"J2700","Oxacillin sodium injeciton","Sandoz Inc","00781309492","00781-3094-92","Oxacillin Sodium","250 MG",1,10,4,40,,
"J2700","Oxacillin sodium injeciton","Sandoz, Inc.","00781309592","00781-3095-92","Oxacillin Sodium","250 MG",1,10,8,80,,
"J2185","Meropenem","SANDOZ","00781309895","00781-3098-95","MEROPENEM","100 MG",1,10,10,100,,
"J2185","Meropenem","SANDOZ","00781309896","00781-3098-96","MEROPENEM","100 MG",1,25,10,250,,
"J2700","Oxacillin sodium injeciton","Sandoz Inc","00781309995","00781-3099-95","Oxacillin Sodium","250 MG",1,10,4,40,,
"J2700","Oxacillin sodium injeciton","Sandoz Inc","00781310195","00781-3101-95","Oxacillin Sodium","250 MG",1,10,8,80,,
"J2700","Oxacillin sodium injeciton","Sandoz Inc","00781310395","00781-3103-95","Oxacillin Sodium","250 MG",1,10,40,400,,
"J2543","Piperacillin/tazobactam","Sandoz, Inc.","00781311095","00781-3110-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","Sandoz, Inc.","00781311395","00781-3113-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","Sandoz, Inc.","00781311495","00781-3114-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,4,40,,
"J1650","Inj enoxaparin sodium","Sandoz Inc","00781311963","00781-3119-63","ENOXAPARIN SODIUM","10 MG",0.3,10,3,30,,
"J1650","Inj enoxaparin sodium","Sandoz Inc","00781311964","00781-3119-64","ENOXAPARIN SODIUM","10 MG",0.4,10,4,40,,
"J1650","Inj enoxaparin sodium","Sandoz Inc","00781311966","00781-3119-66","ENOXAPARIN SODIUM","10 MG",0.6,10,6,60,,
"J1650","Inj enoxaparin sodium","Sandoz Inc","00781311968","00781-3119-68","ENOXAPARIN SODIUM","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","Sandoz Inc","00781311969","00781-3119-69","ENOXAPARIN SODIUM","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","Sandoz Inc","00781312168","00781-3121-68","ENOXAPARIN SODIUM","10 MG",0.8,10,12,120,,
"J1650","Inj enoxaparin sodium","Sandoz Inc","00781312169","00781-3121-69","ENOXAPARIN SODIUM","10 MG",1,10,15,150,,
"J1650","Inj enoxaparin sodium","Sandoz, Inc.","00781312293","00781-3122-93","ENOXAPARIN SODIUM","10 MG",3,1,30,30,,
"J1030","Methylprednisolone 40 MG inj","Sandoz Inc","00781313171","00781-3131-71","Methylprednisolone Acetate Usp","40 MG",1,1,1,1,,
"J1030","Methylprednisolone 40 MG inj","Sandoz Inc","00781313195","00781-3131-95","Methylprednisolone Acetate Usp","40 MG",10,10,10,100,,
"J1020","Methylprednisolone 20 MG inj","Sandoz Inc","00781313271","00781-3132-71","METHYLPRED ","20 MG",80,1,4,4,,
"J1020","Methylprednisolone 20 MG inj","Sandoz Inc","00781313295","00781-3132-95","METHYLPRED ","20 MG",80,10,4,40,,
"J1650","Inj enoxaparin sodium","Sandoz, Inc.","00781313363","00781-3133-63","ENOXAPARIN SODIUM","10 MG",0.3,10,3,30,,
"J1030","Methylprednisolone 40 MG inj","Sandoz Inc","00781313670","00781-3136-70","Methylprednisolone Acetate Usp","40 MG",10,1,10,10,,
"J1040","Methylprednisolone 80 MG inj","Sandoz Inc","00781313775","00781-3137-75","Methylprednisolone Acetate","80 MG",5,1,5,5,,
"J0894","Decitabine injection","Sandoz, Inc.","00781313980","00781-3139-80","Decitabine","1 MG",1,1,50,50,,
"J2795","Ropivacaine hcl injection","Sandoz, Inc.","00781314030","00781-3140-30","ROPIVACAINE","1 MG",30,1,150,150,,
"J2795","Ropivacaine hcl injection","Sandoz, Inc.","00781314214","00781-3142-14","ROPIVACAINE","1 MG",20,5,200,1000,,
"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,,
"J0690","Cefazolin sodium injection","SANDOZ","00781315796","00781-3157-96","Cefazolin Sodium","500 MG",1,25,2,50,,
"J0583","Bivalirudin","Sandoz, Inc.","00781315895","00781-3158-95","BIVALIRUDIN","1 MG",1,10,250,2500,,
"J2354","Octreotide inj, non-depot","Sandoz Inc","00781316475","00781-3164-75","OCTREOTIDE ACETATE","25 MCG",5,1,200,200,,
"J2354","Octreotide inj, non-depot","Sandoz Inc","00781316575","00781-3165-75","OCTREOTIDE ACETATE","25 MCG",5,1,40,40,,
"J3030","Sumatriptan succinate / 6 MG","Sandoz Inc","00781316907","00781-3169-07","SUMATRIPTAN SUCCINATE","6 MG",0.5,2,0.667,1.333,,
"J3030","Sumatriptan succinate / 6 MG","Sandoz Inc","00781317007","00781-3170-07","SUMATRIPTAN SUCCINATE","6 MG",0.5,2,0.667,1.333,,
"J3030","Sumatriptan succinate / 6 MG","Sandoz Inc","00781317207","00781-3172-07","SUMATRIPTAN SUCCINATE","6 MG",0.5,2,1,2,,
"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","00781317780","00781-3177-80","Ceftazidime","500 MG",1,1,2,2,,
"J0713","Inj ceftazidime per 500 mg","Sandoz, Inc.","00781317796","00781-3177-96","Tazicef","500 MG",1,25,2,50,,
"J0713","Inj ceftazidime per 500 mg","Sandoz, Inc.","00781317895","00781-3178-95","Ceftazidime","500 MG",1,10,4,40,,
"J0713","Inj ceftazidime per 500 mg","Sandoz, Inc.","00781317986","00781-3179-86","Ceftazidime","500 MG",1,6,12,72,,
"J1451","Fomepizole, 15 mg","Sandoz Inc","00781318273","00781-3182-73","Fomepizole","15 MG",1.5,1,100,100,,
"J1451","Fomepizole, 15 mg","Sandoz Inc","00781318284","00781-3182-84","Fomepizole","15 MG",1.5,4,100,400,,
"J3370","Vancomycin hcl injection","Sandoz Inc","00781318795","00781-3187-95","VANCOMYCIN HCL","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","Sandoz Inc","00781318895","00781-3188-95","VANCOMYCIN HCL","500 MG",1,10,2,20,,
"J0641","Levoleucovorin injection","Sandoz, Inc.","00781320194","00781-3201-94","Levoleucovorin Calcium","0.5 MG",17.5,1,350,350,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781320685","00781-3206-85","CEFTRIAXONE","250 MG",1,1,1,1,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781320695","00781-3206-95","CEFTRIAXONE ","250 MG",1,10,1,10,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781320785","00781-3207-85","CEFTRIAXONE","250 MG",1,1,2,2,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781320795","00781-3207-95","CEFTRIAXONE ","250 MG",1,10,2,20,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781320885","00781-3208-85","CEFTRIAXONE","250 MG",1,1,4,4,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781320895","00781-3208-95","CEFTRIAXONE ","250 MG",1,10,4,40,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781320995","00781-3209-95","CEFTRIAXONE ","250 MG",1,10,8,80,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781321046","00781-3210-46","CEFTRIAXONE ","250 MG",1,1,40,40,,
"J0692","Cefepime hcl for injection","Sandoz, Inc.","00781322295","00781-3222-95","Cefepime HCL","500 MG",1,10,2,20,,
"J0692","Cefepime hcl for injection","Sandoz, Inc.","00781322395","00781-3223-95","Cefepime HCL","500 MG",1,10,4,40,,
"J1650","Inj enoxaparin sodium","Sandoz, Inc.","00781322464","00781-3224-64","ENOXAPARIN SODIUM","10 MG",0.4,10,4,40,,
"J9070","Cyclophosphamide 100 mg inj","Sandoz, Inc.","00781323394","00781-3233-94","Cyclophosphamide","100 MG",50,1,5,5,,
"J0744","Ciprofloxacin iv","Sandoz, Inc.","00781323909","00781-3239-09","CIPROFLOXACIN","200 MG",100,24,1,24,,
"J0744","Ciprofloxacin iv","Sandoz, Inc.","00781324009","00781-3240-09","CIPROFLOXACIN","200 MG",200,24,2,48,,
"J3301","Triamcinolone acet inj NOS","Sandoz Inc","00781324375","00781-3243-75","Triamcinolone Acetonide","10 MG",5,1,5,5,,
"J9070","Cyclophosphamide 100 mg inj","Sandoz, Inc.","00781324494","00781-3244-94","Cyclophosphamide","100 MG",75,1,10,10,,
"J3301","Triamcinolone acet inj NOS","Sandoz Inc","00781324572","00781-3245-72","Triamcinolone Acetonide","10 MG",1,1,4,4,,
"J9025","Azacitidine injection","Sandoz, Inc.","00781325394","00781-3253-94","Azacitidine","1 MG",1,1,100,100,,
"J9070","Cyclophosphamide 100 mg inj","Sandoz, Inc.","00781325594","00781-3255-94","Cyclophosphamide","100 MG",100,1,20,20,,
"J2185","Meropenem","Sandoz, Inc.","00781326595","00781-3265-95","MEROPENEM","100 MG",1,10,5,50,,
"J2185","Meropenem","Sandoz, Inc.","00781326795","00781-3267-95","MEROPENEM","100 MG",1,10,10,100,,
"J9201","Gemcitabine hcl injection","Sandoz Inc","00781328275","00781-3282-75","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Sandoz Inc","00781328379","00781-3283-79","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5,,
"C9121","Injection, argatroban","Sandoz Inc","00781328512","00781-3285-12","ARGATROBAN","5MG",125,2,25,50,,
"J1270","Injection, doxercalciferol","SANDOZ","00781330595","00781-3305-95","DOXERCALCIFEROL","1 MCG",2,10,4,40,,
"C9121","Injection, argatroban","Sandoz Inc","00781331495","00781-3314-95","ARGATROBAN","5 MG",50,10,10,100,,
"J9263","Oxaliplatin","Sandoz, Inc.","00781331570","00781-3315-70","Oxaliplatin","0.5 MG",10,10,100,100,,
"J9263","Oxaliplatin","Sandoz, Inc.","00781331780","00781-3317-80","Oxaliplatin","0.5 MG",20,10,200,200,,
"J1644","Inj heparin sodium per 1000u","SANDOZ","00781332795","00781-3327-95","Heparin Sodium (Porcine)","1000 UNITS",1,10,5,50,,
"J0690","Cefazolin sodium injection","SANDOZ","00781333870","00781-3338-70","Cefazolin Sodium","500 MG",10,1,1,1,,
"J0690","Cefazolin sodium injection","SANDOZ","00781333885","00781-3338-85","Cefazolin Sodium","500 MG",1,1,1,1,,
"J0690","Cefazolin sodium injection","SANDOZ","00781333895","00781-3338-95","Cefazolin Sodium","500 MG",1,10,1,10,,
"J1956","Levofloxacin injection","Sandoz, Inc.","00781334109","00781-3341-09","LEVAQUIN","250 MG",50,24,1,24,,
"J1956","Levofloxacin injection","Sandoz, Inc.","00781334209","00781-3342-09","LEVAQUIN","250 MG",100,24,2,48,,
"J1956","Levofloxacin injection","Sandoz, Inc.","00781334309","00781-3343-09","LEVAQUIN","250 MG",150,24,3,72,,
"J2543","Piperacillin/tazobactam","Sandoz, Inc.","00781334495","00781-3344-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,2,20,,
"J0690","Cefazolin sodium injection","SANDOZ","00781334646","00781-3346-46","Cefazolin Sodium","500 MG",1,1,20,20,,
"J0690","Cefazolin sodium injection","SANDOZ","00781334695","00781-3346-95","Cefazolin Sodium","500 MG",1,10,20,200,,
"J2543","Piperacillin/tazobactam","Sandoz, Inc.","00781335095","00781-3350-95","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",1,10,3,30,,
"J1650","Inj enoxaparin sodium","Sandoz, Inc.","00781335666","00781-3356-66","ENOXAPARIN SODIUM","10 MG",0.6,10,6,60,,
"J2543","Piperacillin/tazobactam","Sandoz, Inc.","00781336795","00781-3367-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,4,40,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781340095","00781-3400-95","Ampicillin Sodium","500 MG",1,10,0.25,2.5,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781340295","00781-3402-95","Ampicillin Sodium","500 MG",1,10,0.5,5,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00781340485","00781-3404-85","Ampicillin Sodium","500 MG",1,1,2,2,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781340495","00781-3404-95","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781340795","00781-3407-95","Ampicillin Sodium","500 MG",1,10,1,10,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781340895","00781-3408-95","Ampicillin Sodium","500 MG",1,10,4,40,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781340995","00781-3409-95","Ampicillin Sodium","500 MG",1,10,20,200,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781341292","00781-3412-92","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781341392","00781-3413-92","Ampicillin Sodium","500 MG",1,10,4,40,,
"J3465","Injection, voriconazole","Sandoz, Inc.","00781341694","00781-3416-94","VORICONAZOLE","10 MG",1,1,20,20,,
"J1650","Inj enoxaparin sodium","Sandoz, Inc.","00781342868","00781-3428-68","ENOXAPARIN SODIUM","10 MG",0.8,10,8,80,,
"J2020","Linezolid injection","SANDOZ","00781343395","00781-3433-95","Linezolid","200 MG",300,10,3,30,,
"J0834","Cosyntropin cortrosyn inj","Sandoz, Inc.","00781344095","00781-3440-95","Cosyntropin","0.25 MG",1,10,1,10,,
"J0690","Cefazolin sodium injection","Sandoz, Inc.","00781345095","00781-3450-95","Cefazolin Sodium","500 MG",1,1,10,10,,
"J0690","Cefazolin sodium injection","Sandoz, Inc.","00781345196","00781-3451-96","Cefazolin Sodium","500 MG",10,25,2,50,,
"J0690","Cefazolin sodium injection","Sandoz, Inc.","00781345295","00781-3452-95","Cefazolin Sodium","500 MG",10,10,20,200,,
"J1650","Inj enoxaparin sodium","Sandoz, Inc.","00781350069","00781-3500-69","ENOXAPARIN SODIUM","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","Sandoz, Inc.","00781361268","00781-3612-68","ENOXAPARIN SODIUM","10 MG",0.8,10,12,120,,
"J1650","Inj enoxaparin sodium","Sandoz, Inc.","00781365569","00781-3655-69","ENOXAPARIN SODIUM","10 MG",1,10,15,150,,
"J1800","Propranolol injection","Sandoz Inc","00781377795","00781-3777-95","Propranolol Hcl","1 MG",1,10,1,10,,
"J0697","Sterile cefuroxime injection","SANDOZ","00781391896","00781-3918-96","Cefuroxime Sodium",,1,25,25,1,,"750 MG"
"J0697","Sterile cefuroxime injection","SANDOZ","00781392695","00781-3926-95","Cefuroxime Sodium",,1,10,100,10,,"750 MG"
"J9218","Leuprolide acetate injeciton","Sandoz, Inc.","00781400332","00781-4003-32","Leuprolide Acetate","1 MG",2.8,1,14,14,,
"J8501","Oral aprepitant","SANDOZ","00781406336","00781-4063-36","APREPITANT (tri-fold)","5 MG",1,3,57,57,,
"Q0164","Prochlorperazine maleate 5mg","Sandoz, Inc.","00781502001","00781-5020-01","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"Q0164","Prochlorperazine maleate 5mg","Sandoz, Inc.","00781502101","00781-5021-01","Prochlorperazine Maleate","5 MG",100,1,200,200,,
"Q0165","Prochlorperazine maleate10mg","Sandoz Inc","00781502101","00781-5021-01","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","Sandoz, Inc.","00781502201","00781-5022-01","Methylprednisolone","4 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","Sandoz, Inc.","00781502207","00781-5022-07","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7500","Azathioprine oral 50mg","Sandoz Inc","00781507501","00781-5075-01","Azathioprine","50 MG",100,1,100,100,,
"J7517","Mycophenolate mofetil oral","Sandoz, Inc.","00781517501","00781-5175-01","MYCOPHENOLATE MOFETIL","250 MG",1,100,200,200,,
"J7517","Mycophenolate mofetil oral","Sandoz, Inc.","00781517505","00781-5175-05","MYCOPHENOLATE MOFETIL","250 MG",1,500,1000,1000,,
"Q0162","Ondansetron oral","Sandoz, Inc.","00781523864","00781-5238-64","ONDANSETRON ODT","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781523864","00781-5238-64","ONDANSETRON ODT","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","Sandoz, Inc.","00781523964","00781-5239-64","ONDANSETRON ODT","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781523964","00781-5239-64","ONDANSETRON ODT","8 MG",1,30,1,30,,
"Q0162","Ondansetron oral","Sandoz, Inc.","00781523980","00781-5239-80","ONDANSETRON ODT","1 MG",1,10,8,80,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781523980","00781-5239-80","ONDANSETRON ODT","8 MG",1,10,1,10,,
"Q0162","Ondansetron oral","Sandoz Inc","00781525713","00781-5257-13","Ondansetron HCl","1 MG",1,100,4,400,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781525713","00781-5257-13","Ondansetron HCl","8 MG",1,100,0.5,50,,
"Q0162","Ondansetron oral","Sandoz Inc","00781525731","00781-5257-31","Ondansetron HCl","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781525731","00781-5257-31","Ondansetron HCl","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","Sandoz Inc","00781525733","00781-5257-33","Ondansetron HCl","1 MG",1,3,4,12,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781525733","00781-5257-33","Ondansetron HCl","8 MG",1,3,0.5,1.5,,
"Q0162","Ondansetron oral","Sandoz Inc","00781525813","00781-5258-13","Ondansetron HCl","1 MG",1,100,8,800,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781525813","00781-5258-13","Ondansetron HCl","8 MG",1,100,1,100,,
"Q0162","Ondansetron oral","Sandoz Inc","00781525831","00781-5258-31","Ondansetron HCl","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781525831","00781-5258-31","Ondansetron HCl","8 MG",1,30,1,30,,
"Q0162","Ondansetron oral","Sandoz Inc","00781525833","00781-5258-33","Ondansetron HCl","1 MG",1,3,8,24,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781525833","00781-5258-33","Ondansetron HCl","8 MG",1,3,1,3,,
"Q0162","Ondansetron oral","Sandoz Inc","00781526564","00781-5265-64","Ondansetron HCl","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781526564","00781-5265-64","Ondansetron HCl","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","SANDOZ","00781526664","00781-5266-64","Ondansetron HCl","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781526664","00781-5266-64","Ondansetron HCl","8 MG",1,30,1,30,,
"Q0162","Ondansetron oral","Sandoz Inc","00781526680","00781-5266-80","Ondansetron HCl","1 MG",1,10,8,80,,
"Q0179","Ondansetron hcl 8 mg oral","SANDOZ","00781526680","00781-5266-80","Ondansetron HCl","8 MG",1,10,1,10,,
"J2540","Penicillin g potassium inj","Sandoz, Inc.","00781613595","00781-6135-95","Penicillin G Potassium","600000 UNITS",1,10,8.33,83.3,,
"J2540","Penicillin g potassium inj","Sandoz, Inc.","00781613694","00781-6136-94","Penicillin G Potassium","600000 UNITS",1,1,33.33,33.33,,
"J7620","Albuterol ipratrop non-comp","Sandoz, Inc.","00781714629","00781-7146-29","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60,,
"J7620","Albuterol ipratrop non-comp","SANDOZ","00781714663","00781-7146-63","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60,,
"J7620","Albuterol ipratrop non-comp","Sandoz, Inc.","00781714664","00781-7146-64","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","Sandoz, Inc.","00781714687","00781-7146-87","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7613","Albuterol non-comp unit","Sandoz, Inc.","00781715529","00781-7155-29","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7613","Albuterol non-comp unit","Sandoz, Inc.","00781715564","00781-7155-64","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit","Sandoz, Inc.","00781715586","00781-7155-86","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7644","Ipratropium bromide non-comp","Sandoz, Inc.","00781715729","00781-7157-29","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"J7644","Ipratropium bromide non-comp","Sandoz, Inc.","00781715764","00781-7157-64","Ipratropium Bromide","1 MG",2.5,30,0.5,15,,
"J7644","Ipratropium bromide non-comp","Sandoz, Inc.","00781715786","00781-7157-86","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7682","Tobramycin non-comp unit","Sandoz, Inc.","00781717156","00781-7171-56","Tobramycin inhalation","300 MG",5,56,1,56,,
"J7626","Budesonide non-comp unit","Sandoz, Inc.","00781751587","00781-7515-87","Budesonide","UP TO 0.50 MG",2,30,1,30,,
"J7626","Budesonide non-comp unit","Sandoz, Inc.","00781751687","00781-7516-87","Budesonide","UP TO 0.50 MG",2,30,1,30,,
"J7626","Budesonide non-comp unit","Sandoz, Inc.","00781751787","00781-7517-87","Budesonide","UP TO 0.50 MG",2,30,2,60,,
"J2700","Oxacillin sodium injeciton","Sandoz, Inc.","00781910995","00781-9109-95","Oxacillin Sodium","250 MG",1,10,4,40,,
"J2700","Oxacillin sodium injeciton","Sandoz Inc","00781911015","00781-9110-15","Oxacillin Sodium","250 MG",1,1,4,4,,
"J2700","Oxacillin sodium injeciton","Sandoz Inc","00781911092","00781-9110-92","Oxacillin Sodium","250 MG",1,10,4,40,,
"J2700","Oxacillin sodium injeciton","Sandoz Inc","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, Inc.","00781911292","00781-9112-92","Oxacillin Sodium","250 MG",1,10,8,80,,
"J2700","Oxacillin sodium injeciton","Sandoz Inc","00781911395","00781-9113-95","Oxacillin Sodium","250 MG",1,10,40,400,,
"J2354","Octreotide inj, non-depot","Sandoz Inc","00781916475","00781-9164-75","OCTREOTIDE ACETATE","25 MCG",5,1,200,200,,
"J2354","Octreotide inj, non-depot","Sandoz Inc","00781916575","00781-9165-75","OCTREOTIDE ACETATE","25 MCG",5,1,40,40,,
"J2354","Octreotide inj, non-depot","Sandoz Inc","00781916695","00781-9166-95","OCTREOTIDE ACETATE","25 MCG",1,10,2,20,,
"J2354","Octreotide inj, non-depot","Sandoz Inc","00781916795","00781-9167-95","OCTREOTIDE ACETATE","25 MCG",1,10,4,40,,
"J2354","Octreotide inj, non-depot","Sandoz Inc","00781916895","00781-9168-95","OCTREOTIDE ACETATE","25 MCG",1,10,20,200,,
"J0697","Sterile cefuroxime injection","SANDOZ","00781920570","00781-9205-70","Cefuroxime Sodium","750 MG",1,1,1,1,,
"J0697","Sterile cefuroxime injection","NOVAPLUS","00781920596","00781-9205-96","Cefuroxime Sodium",,1,25,25,1,,"750 MG"
"J0697","Sterile cefuroxime injection","SANDOZ","00781920680","00781-9206-80","Cefuroxime Sodium","750 MG",1,1,2,2,,
"J0697","Sterile cefuroxime injection","SANDOZ","00781920696","00781-9206-96","Cefuroxime Sodium",,1,25,50,2,,"750 MG"
"J0697","Sterile cefuroxime injection","SANDOZ","00781920746","00781-9207-46","Cefuroxime Sodium","750 MG",1,1,10,10,,
"J0697","Sterile cefuroxime injection","NOVAPLUS","00781920795","00781-9207-95","Cefuroxime Sodium",,1,10,100,10,,"750 MG"
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781924295","00781-9242-95","Ampicillin Sodium","500 MG",1,10,0.5,5,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781925095","00781-9250-95","Ampicillin Sodium","500 MG",1,10,1,10,,
"J9025","Azacitidine injection","Sandoz, Inc.","00781925394","00781-9253-94","Azacitidine","1 MG",1,1,100,100,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781926195","00781-9261-95","AMPICILLIN SODIUM","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781927395","00781-9273-95","AMPICILLIN SODIUM","500 MG",1,10,4,40,,
"J7507","Tacrolimus imme rel oral 1mg","Sandoz, Inc.","00781930201","00781-9302-01","TACROLIMUS, ORAL","1 MG",100,1,50,50,,
"J7507","Tacrolimus imme rel oral 1mg","Sandoz, Inc.","00781930301","00781-9303-01","TACROLIMUS, ORAL","1 MG",100,1,100,100,,
"J7507","Tacrolimus imme rel oral 1mg","Sandoz, Inc.","00781930401","00781-9304-01","TACROLIMUS, ORAL","1 MG",100,1,500,500,,
"C9121","Injection, argatroban","Sandoz Inc","00781931495","00781-9314-95","ARGATROBAN","5 MG",50,10,10,100,,
"J9263","Oxaliplatin","Sandoz, Inc.","00781931570","00781-9315-70","Oxaliplatin","0.5 MG",10,1,100,100,,
"J9263","Oxaliplatin","Sandoz, Inc.","00781931780","00781-9317-80","Oxaliplatin","0.5 MG",20,1,200,200,,
"J0696","Ceftriaxone sodium injection","Sandoz Inc","00781932695","00781-9326-95","CEFTRIAXONE ","250 MG",1,10,1,10,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781932795","00781-9327-95","CEFTRIAXONE ","250 MG",1,10,2,20,,
"J0696","Ceftriaxone sodium injection","Sandoz, Inc.","00781932895","00781-9328-95","CEFTRIAXONE ","250 MG",1,10,4,40,,
"J0696","Ceftriaxone sodium injection","Sandoz Inc","00781932995","00781-9329-95","CEFTRIAXONE ","250 MG",1,10,8,80,,
"J0696","Ceftriaxone sodium injection","Sandoz Inc","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 Inc","00781933795","00781-9337-95","Cefazolin Sodium","500 MG",1,10,20,200,,
"J0690","Cefazolin sodium injection","SANDOZ","00781933885","00781-9338-85","Cefazolin Sodium","500 MG",1,1,1,1,,
"J0690","Cefazolin sodium injection","Sandoz, Inc.","00781933895","00781-9338-95","Cefazolin Sodium","500 MG",1,10,1,10,,
"J0690","Cefazolin sodium injection","SANDOZ","00781933985","00781-9339-85","Cefazolin Sodium","500 MG",1,1,2,2,,
"J0690","Cefazolin sodium injection","Sandoz Inc","00781933996","00781-9339-96","Cefazolin Sodium","500 MG",10,25,2,50,,
"J2543","Piperacillin/tazobactam","Sandoz, Inc.","00781934495","00781-9344-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","Sandoz, Inc.","00781935095","00781-9350-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","Sandoz, Inc.","00781936795","00781-9367-95","PIPERACILLIN SODIUM/ TAZO","1.125 GM",1,10,4,40,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781940195","00781-9401-95","Ampicillin Sodium","500 MG",1,10,0.25,2.5,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940278","00781-9402-78","Ampicillin Sodium","500 MG",1,1,0.5,0.5,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781940295","00781-9402-95","Ampicillin Sodium","500 MG",1,10,0.5,5,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940485","00781-9404-85","Ampicillin Sodium","500 MG",1,1,2,2,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781940495","00781-9404-95","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940778","00781-9407-78","Ampicillin Sodium","500 MG",1,1,1,1,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781940795","00781-9407-95","Ampicillin Sodium","500 MG",1,10,1,10,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940880","00781-9408-80","Ampicillin Sodium","500 MG",1,1,4,4,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940892","00781-9408-92","Ampicillin Sodium","500 MG",1,10,4,40,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781940895","00781-9408-95","Ampicillin Sodium","500 MG",1,10,4,40,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781940995","00781-9409-95","Ampicillin Sodium","500 MG",1,10,20,200,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00781940996","00781-9409-96","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 MG inj","SANDOZ","00781941215","00781-9412-15","Ampicillin Sodium","500 MG",1,1,2,2,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781941292","00781-9412-92","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 mg inj","Sandoz, Inc.","00781941392","00781-9413-92","Ampicillin Sodium","500 MG",1,10,4,40,,
"J0690","Cefazolin sodium injection","SANDOZ","00781945196","00781-9451-96","Cefazolin Sodium","500 MG",1,2,25,50,,
"J0690","Cefazolin sodium injection","SANDOZ","00781945295","00781-9452-95","Cefazolin Sodium","500 MG",100,10,20,200,,
"J7637","Dexamethasone inhal sol con","IDE INTERSTATE","00814235038","00814-2350-38","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","IDE INTERSTATE","00814235038","00814-2350-38","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","IDE INTERSTATE","00814235046","00814-2350-46","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","IDE INTERSTATE","00814235046","00814-2350-46","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"Q0171","Chlorpromazine HCl 10mg oral","UPSHER-SMITH","00832030000","00832-0300-00","Chlorpromazine Hcl","10 MG",100,1,100,100,,
"Q0171","Chlorpromazine HCl 10mg oral","UPSHER-SMITH","00832030010","00832-0300-10","Chlorpromazine Hcl","10 MG",1000,1,1000,1000,,
"Q0172","Chlorpromazine HCl 25mg oral","UPSHER-SMITH","00832030100","00832-0301-00","Chlorpromazine Hcl","25 MG",100,1,100,100,,
"Q0172","Chlorpromazine HCl 25mg oral","UPSHER-SMITH","00832030110","00832-0301-10","Chlorpromazine Hcl","25 MG",1000,1,1000,1000,,
"Q0171","Chlorpromazine HCl 10mg oral","UPSHER-SMITH","00832030200","00832-0302-00","Chlorpromazine Hcl","10 MG",100,1,5,500,,
"Q0172","Chlorpromazine HCl 25mg oral","UPSHER-SMITH","00832030200","00832-0302-00","Chlorpromazine Hcl","25 MG",100,1,2,200,,
"Q0171","Chlorpromazine HCl 10mg oral","UPSHER-SMITH","00832030210","00832-0302-10","Chlorpromazine Hcl","10 MG",1000,1,5,5000,,
"Q0172","Chlorpromazine HCl 25mg oral","UPSHER-SMITH","00832030210","00832-0302-10","Chlorpromazine Hcl","25 MG",1000,1,2,2000,,
"Q0171","Chlorpromazine HCl 10mg oral","UPSHER-SMITH","00832030300","00832-0303-00","Chlorpromazine Hcl","10 MG",100,1,10,1000,,
"Q0172","Chlorpromazine HCl 25mg oral","UPSHER-SMITH","00832030300","00832-0303-00","Chlorpromazine Hcl","25 MG",100,1,4,400,,
"Q0171","Chlorpromazine HCl 10mg oral","UPSHER-SMITH","00832030310","00832-0303-10","Chlorpromazine Hcl","10 MG",1000,1,10,10000,,
"Q0172","Chlorpromazine HCl 25mg oral","UPSHER-SMITH","00832030310","00832-0303-10","Chlorpromazine Hcl","25 MG",1000,1,4,4000,,
"Q0171","Chlorpromazine HCl 10mg oral","UPSHER-SMITH","00832030400","00832-0304-00","Chlorpromazine Hcl","10 MG",100,1,20,2000,,
"Q0172","Chlorpromazine HCl 25mg oral","UPSHER-SMITH","00832030400","00832-0304-00","Chlorpromazine Hcl","25 MG",100,1,8,800,,
"Q0171","Chlorpromazine HCl 10mg oral","UPSHER-SMITH","00832030410","00832-0304-10","Chlorpromazine Hcl","10 MG",1000,1,20,20000,,
"Q0172","Chlorpromazine HCl 25mg oral","UPSHER-SMITH","00832030410","00832-0304-10","Chlorpromazine Hcl","25 MG",1000,1,8,8000,,
"J7637","Dexamethasone inhal sol con","MOORE, H.L. DRUG EXCHANGE INC.","00839516025","00839-5160-25","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MOORE, H.L. DRUG EXCHANGE INC.","00839516025","00839-5160-25","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","MOORE, H.L. DRUG EXCHANGE INC.","00839516036","00839-5160-36","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MOORE, H.L. DRUG EXCHANGE INC.","00839516036","00839-5160-36","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J0706","Caffeine citrate injection","Bedford Laboratories","00876001142","00876-0011-42","CAFFEINE CITRATE","5 MG",3,1,12,12,,
"J0706","Caffeine citrate injection","Bedford Laboratories","00876011142","00876-0111-42","CAFFEINE CITRATE","5 MG",3,10,12,120,,
"J7051","Sterile saline/water","MAJOR PHARMACEUTICALS","00904089530","00904-0895-30","Bacteriostatic H2O For Inject",,30,1,6,6,,"5 CC"
"J7637","Dexamethasone inhal sol con","MAJOR PHARMACEUTICALS","00904090505","00904-0905-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MAJOR PHARMACEUTICALS","00904090505","00904-0905-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","MAJOR PHARMACEUTICALS","00904090510","00904-0905-10","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MAJOR PHARMACEUTICALS","00904090510","00904-0905-10","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7637","Dexamethasone inhal sol con","MAJOR PHARMACEUTICALS","00904090530","00904-0905-30","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MAJOR PHARMACEUTICALS","00904090530","00904-0905-30","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J8610","Methotrexate oral 2.5 MG","Major Pharmaceutic","00904174960","00904-1749-60","Methotrexate","2.5 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","MAJOR PHARMACEUTICALS","00904205661","00904-2056-61","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","SANDOZ","00904217419","00904-2174-19","Methylprednisolone",,,12,12,1,,"4 MG"
"J7509","Methylprednisolone oral","Major Pharmaceutic","00904217519","00904-2175-19","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J0640","Leucovorin calcium injection","MAJOR PHARMACEUTICALS","00904231560","00904-2315-60","Leucovorin Calcium","50 MG",100,1,10,10,,
"J7648","Isoetharine hcl inh sol con","MAJOR PHARMACEUTICALS","00904235310","00904-2353-10","Isoetharine Hydrochloride",,10,1,100,100,,"1 MG"
"J7648","Isoetharine hcl inh sol con","MAJOR PHARMACEUTICALS","00904235330","00904-2353-30","Isoetharine Hydrochloride",,30,1,300,300,,"1 MG"
"Q0163","Diphenhydramine HCl 50mg","MAJOR PHARMACEUTICALS","00904530760","00904-5307-60","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","MAJOR PHARMACEUTICALS","00904530780","00904-5307-80","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"J8610","Methotrexate oral 2.5 MG","Major Pharmaceutic","00904601260","00904-6012-60","Methotraxate","2.5 MG",100,1,100,100,,
"J7602","Albuterol inh non-comp con","MAJOR PHARMACEUTICALS","00904765855","00904-7658-55","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","MAJOR PHARMACEUTICALS","00904765855","00904-7658-55","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","MAJOR PHARMACEUTICALS","00904765855","00904-7658-55","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7613","Albuterol unit dose","MAJOR PHARMACEUTICALS","00904773117","00904-7731-17","Albuterol Sulfate",,3,25,62.25,2.49,,"1 MG"
"J1566","Immune globulin, powder","BAXTER","00944047175","00944-0471-75","Polygam S/D","500 MG",1,1,10,10,,
"J1566","Immune globulin, powder","BAXTER","00944047180","00944-0471-80","Polygam S/D","500 MG",1,1,20,20,,
"P9046","Albumin (human), 25%, 20 ml","BAXTER","00944049001","00944-0490-01","Buminate","20 ML",20,1,1,1,,
"P9047","Albumin (human), 25%, 50ml","BAXTER","00944049001","00944-0490-01","Buminate","50 ML",20,1,0.4,0.4,,
"P9046","Albumin (human), 25%, 20 ml","BAXTER","00944049002","00944-0490-02","Buminate","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","BAXTER","00944049002","00944-0490-02","Buminate","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","BAXTER","00944049003","00944-0490-03","Buminate","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","BAXTER","00944049003","00944-0490-03","Buminate","50 ML",100,1,2,2,,
"P9041","Albumin (human),5%, 50ml","BAXTER","00944049101","00944-0491-01","Buminate","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","BAXTER","00944049101","00944-0491-01","Buminate","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","BAXTER","00944049102","00944-0491-02","Buminate","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","BAXTER","00944049102","00944-0491-02","Buminate","250 ML",500,1,2,2,,
"P9047","Albumin (human), 25%, 50ml","BAXTER","00944049301","00944-0493-01","FLEXBUMIN","50 ML",50,50,1,1,,
"P9047","Albumin (human), 25%, 50ml","BAXTER","00944049302","00944-0493-02","FLEXBUMIN","50 ML",100,100,1,2,,
"J7194","Factor ix complex","BAXTER","00944058101","00944-0581-01","Proplex T Factor Ix Complex","1 IU",1,1,1,1,,
"J7190","Factor viii","BAXTER","00944130101","00944-1301-01","Monarc-M","1 IU",1,1,1,1,,
"J7190","Factor viii","Baxter Healthcare Corporation","00944130110","00944-1301-10","Monarc-M","1 IU",1,1,1,1,,
"J7190","Factor viii","BAXTER","00944130201","00944-1302-01","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","00944130301","00944-1303-01","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,,
"J7190","Factor viii","BAXTER","00944130401","00944-1304-01","Monarc-M","1 IU",1,1,1,1,,
"J7190","Factor viii","BAXTER","00944130410","00944-1304-10","Monarc-M","1 IU",1,1,1,1,,
"J1569","Gammagard liquid injection","BAXTER","00944207705","00944-2077-05","GAMMAGARD LIQUID","500 MG",100,1,20,20,,
"Q4088","Gammagard Liquid injection ","BAXTER","00944207705","00944-2077-05","GAMMAGARD LIQUID","500 MG",100,1,20,20,,
"J1575","Hyqvia 100mg immuneglobulin","Baxalta US Inc.","00944251002","00944-2510-02","HYQVIA","100 MG",25,1,25,25,,
"J1575","Hyqvia 100mg immuneglobulin","Baxalta US Inc.","00944251102","00944-2511-02","HYQVIA","100 MG",50,1,50,50,,
"J1575","Hyqvia 100mg immuneglobulin","Baxalta US Inc.","00944251202","00944-2512-02","HYQVIA","100 MG",100,1,100,100,,
"J1575","Hyqvia 100mg immuneglobulin","Baxalta US Inc.","00944251302","00944-2513-02","HYQVIA","100 MG",200,1,200,200,,
"J1575","Hyqvia 100mg immuneglobulin","Baxalta US Inc.","00944251402","00944-2514-02","HYQVIA","100 MG",300,1,300,300,,
"J1563","IV immune globulin","BAXTER BIO-SCIENCE","00944262001","00944-2620-01","Gammagard S/D",,1,1,0.5,0.5,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAXTER BIO-SCIENCE","00944262001","00944-2620-01","Gammagard S/D",,1,1,50,50,,"10 MG"
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944262001","00944-2620-01","Gammagard S/D","500 MG",1,1,1,1,,
"Q9941","IVIG lyophil 1G","BAXTER","00944262001","00944-2620-01","Gammagard S/D",,1,1,0.5,0.5,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","BAXTER","00944262001","00944-2620-01","Gammagard S/D",,1,1,50,50,,"10 MG"
"J1563","IV immune globulin","BAXTER BIO-SCIENCE","00944262002","00944-2620-02","Gammagard S/D",,1,1,2.5,2.5,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAXTER BIO-SCIENCE","00944262002","00944-2620-02","Gammagard S/D",,1,1,250,250,,"10 MG"
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944262002","00944-2620-02","Gammagard S/D","500 MG",1,1,5,5,,
"Q9941","IVIG lyophil 1G","BAXTER","00944262002","00944-2620-02","Gammagard S/D",,1,1,2.5,2.5,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","BAXTER","00944262002","00944-2620-02","Gammagard S/D",,1,1,250,250,,"10 MG"
"J1563","IV immune globulin","BAXTER BIO-SCIENCE","00944262003","00944-2620-03","Gammagard S/D",,1,1,5,5,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAXTER BIO-SCIENCE","00944262003","00944-2620-03","Gammagard S/D",,1,1,500,500,,"10 MG"
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944262003","00944-2620-03","Gammagard S/D","500 MG",1,1,10,10,,
"Q9941","IVIG lyophil 1G","BAXTER","00944262003","00944-2620-03","Gammagard S/D",,1,1,5,5,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","BAXTER","00944262003","00944-2620-03","Gammagard S/D",,1,1,500,500,,"10 MG"
"J1563","IV immune globulin","BAXTER BIO-SCIENCE","00944262004","00944-2620-04","Gammagard S/D",,1,1,10,10,,"1 GRAM"
"J1564","Immune globulin 10 mg","BAXTER BIO-SCIENCE","00944262004","00944-2620-04","Gammagard S/D",,1,1,1000,1000,,"10 MG"
"J1566","Immune globulin, powder","Baxter Healthcare Corporation","00944262004","00944-2620-04","Gammagard S/D","500 MG",1,1,20,20,,
"Q9941","IVIG lyophil 1G","BAXTER","00944262004","00944-2620-04","Gammagard S/D",,1,1,10,10,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","BAXTER","00944262004","00944-2620-04","Gammagard S/D",,1,1,1000,1000,,"10 MG"
"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,,
"J1566","Immune globulin, powder","Baxalta US Inc.","00944265603","00944-2656-03","Gammagard S/D","500 MG",1,1,10,10,,
"J1566","Immune globulin, powder","Baxalta US Inc.","00944265804","00944-2658-04","Gammagard S/D","500 MG",1,1,20,20,,
"J1567","Immune globulin, liquid","BAXTER","00944270002","00944-2700-02","GAMMAGARD LIQUID","500 MG",10,1,2,2,,
"J1569","Gammagard liquid injection","Baxalta US Inc.","00944270002","00944-2700-02","GAMMAGARD LIQUID","500 MG",10,1,2,2,,
"Q4088","Gammagard Liquid injection ","BAXTER","00944270002","00944-2700-02","GAMMAGARD LIQUID","500 MG",10,1,2,2,,
"J1567","Immune globulin, liquid","BAXTER","00944270003","00944-2700-03","GAMMAGARD LIQUID","500 MG",25,1,5,5,,
"J1569","Gammagard liquid injection","Baxalta US Inc.","00944270003","00944-2700-03","GAMMAGARD LIQUID","500 MG",25,1,5,5,,
"Q4088","Gammagard Liquid injection ","BAXTER","00944270003","00944-2700-03","GAMMAGARD LIQUID","500 MG",25,1,5,5,,
"J1567","Immune globulin, liquid","BAXTER","00944270004","00944-2700-04","GAMMAGARD LIQUID","500 MG",50,1,10,10,,
"J1569","Gammagard liquid injection","Baxalta US Inc.","00944270004","00944-2700-04","GAMMAGARD LIQUID","500 MG",50,1,10,10,,
"Q4088","Gammagard Liquid injection ","BAXTER","00944270004","00944-2700-04","GAMMAGARD LIQUID","500 MG",50,1,10,10,,
"J1567","Immune globulin, liquid","BAXTER","00944270005","00944-2700-05","GAMMAGARD LIQUID","500 MG",100,1,20,20,,
"J1569","Gammagard liquid injection","Baxalta US Inc.","00944270005","00944-2700-05","GAMMAGARD LIQUID","500 MG",100,1,20,20,,
"Q4088","Gammagard Liquid injection ","BAXTER","00944270005","00944-2700-05","GAMMAGARD LIQUID","500 MG",100,1,20,20,,
"J1567","Immune globulin, liquid","BAXTER","00944270006","00944-2700-06","GAMMAGARD LIQUID","500 MG",200,1,40,40,,
"J1569","Gammagard liquid injection","Baxalta US Inc.","00944270006","00944-2700-06","GAMMAGARD LIQUID","500 MG",200,1,40,40,,
"Q4088","Gammagard Liquid injection ","BAXTER","00944270006","00944-2700-06","GAMMAGARD LIQUID","500 MG",200,1,40,40,,
"J1569","Gammagard liquid injection","Baxalta US Inc.","00944270007","00944-2700-07","GAMMAGARD LIQUID","500 MG",300,1,60,60,,
"J0256","Alpha 1 proteinase inhibitor","BAXTER","00944280101","00944-2801-01","Aralast","10 MG",1,1,0.1,0.1,,
"J0256","Alpha 1 proteinase inhibitor","BAXTER","00944280102","00944-2801-02","Aralast","10 MG",1,1,0.1,0.1,,
"J0256","Alpha 1 proteinase inhibitor","Baxalta US Inc.","00944280201","00944-2802-01","Aralast NP","10 MG",1,1,0.1,0.1,,
"J0256","Alpha 1 proteinase inhibitor","Baxalta US Inc.","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","Baxalta US Inc.","00944281401","00944-2814-01","Aralast NP","10 MG",1,1,0.1,0.1,,
"J0256","Alpha 1 proteinase inhibitor","Baxalta US Inc.","00944281501","00944-2815-01","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","Baxalta US Inc.","00944284110","00944-2841-10","RECOMBINATE","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944284210","00944-2842-10","RECOMBINATE","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944284310","00944-2843-10","RECOMBINATE","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944284410","00944-2844-10","RECOMBINATE","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944284510","00944-2845-10","RECOMBINATE","1 IU",1,1,1,1,,
"J1555","Inj cuvitru, 100 mg","BAXALTA","00944285001","00944-2850-01","CUVITRU","100 MG",1,1,10,10,,
"J1555","Inj cuvitru, 100 mg","BAXALTA","00944285003","00944-2850-03","CUVITRU","100 MG",1,1,20,20,,
"J1555","Inj cuvitru, 100 mg","BAXALTA","00944285005","00944-2850-05","CUVITRU","100 MG",1,1,40,40,,
"J1555","Inj cuvitru, 100 mg","BAXALTA","00944285007","00944-2850-07","CUVITRU","100 MG",1,1,80,80,,
"J0257","Glassia injection","Baxalta US Inc.","00944288401","00944-2884-01","GLASSIA             ","10 MG",1,1,0.1,0.1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944292102","00944-2921-02","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944292202","00944-2922-02","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944292302","00944-2923-02","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944292402","00944-2924-02","Advate","1 IU",1,1,1,1,,
"J7190","Factor viii","Baxalta US Inc.","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","Baxalta US Inc.","00944293201","00944-2932-01","Hemofil M","1 IU",1,1,1,1,,
"J7190","Factor viii","Baxalta US Inc.","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","00944294001","00944-2940-01","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant NOS","BAXTER","00944294002","00944-2940-02","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant NOS","BAXTER","00944294003","00944-2940-03","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant NOS","BAXTER","00944294004","00944-2940-04","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant NOS","BAXTER","00944294010","00944-2940-10","Advate","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,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944294810","00944-2948-10","Advate","1 IU",1,1,1,1,,
"J2788","Rho d immune globulin 50 mcg","BAXTER HEALTHCARE BIOSCIENCE DIV","00944295002","00944-2950-02","WINRHO SDF",,1,1,,,,"50 MCG"
"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,,
"J2790","Rho d immune globulin inj","BAXTER","00944295006","00944-2950-06","Winrho Sdf","300 MCG",1,1,3.33,3.33,,
"J2792","Rho(D) immune globulin h, sd","Baxter Healthcare Corporation","00944295006","00944-2950-06","Winrho Sdf","100 IU",1,1,50,50,,
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944296010","00944-2960-10","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944296110","00944-2961-10","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944296210","00944-2962-10","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant NOS","Baxter Healthcare Corporation","00944296310","00944-2963-10","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944296410","00944-2964-10","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944296510","00944-2965-10","Advate","1 IU",1,1,1,1,,
"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,,
"C9133","Factor IX recombinant","Baxter Healthcare Corporation","00944302602","00944-3026-02","Rixubis","1 IU",1,1,1,1,,
"J7200","Factor ix recombinan rixubis","Baxalta US Inc.","00944302602","00944-3026-02","Rixubis","1 IU",1,1,1,1,,
"C9133","Factor IX recombinant","Baxter Healthcare Corporation","00944302802","00944-3028-02","Rixubis","1 IU",1,1,1,1,,
"J7200","Factor ix recombinan rixubis","Baxalta US Inc.","00944302802","00944-3028-02","Rixubis","1 IU",1,1,1,1,,
"C9133","Factor IX recombinant","Baxter Healthcare Corporation","00944303002","00944-3030-02","Rixubis","1 IU",1,1,1,1,,
"J7200","Factor ix recombinan rixubis","Baxalta US Inc.","00944303002","00944-3030-02","Rixubis","1 IU",1,1,1,1,,
"C9133","Factor IX recombinant","Baxter Healthcare Corporation","00944303202","00944-3032-02","Rixubis","1 IU",1,1,1,1,,
"J7200","Factor ix recombinan rixubis","Baxalta US Inc.","00944303202","00944-3032-02","Rixubis","1 IU",1,1,1,1,,
"C9133","Factor IX recombinant","Baxter Healthcare Corporation","00944303402","00944-3034-02","Rixubis","1 IU",1,1,1,1,,
"J7200","Factor ix recombinan rixubis","Baxalta US Inc.","00944303402","00944-3034-02","Rixubis","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944304510","00944-3045-10","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944304610","00944-3046-10","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944304710","00944-3047-10","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944305102","00944-3051-02","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944305202","00944-3052-02","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944305302","00944-3053-02","Advate","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant nos","Baxalta US Inc.","00944305402","00944-3054-02","Advate","1 IU",1,1,1,1,,
"J9266","Pegaspargase injection","BAXALTA INCORPORATED","00944381001","00944-3810-01","ONCASPAR","1 EA",5,1,1,1,,
"J7190","Factor viii","Baxalta US Inc.","00944394002","00944-3940-02","Hemofil M","1 IU",1,1,1,1,,
"J7190","Factor viii","Baxalta US Inc.","00944394202","00944-3942-02","Hemofil M","1 IU",1,1,1,1,,
"J7190","Factor viii","Baxalta US Inc.","00944394402","00944-3944-02","Hemofil M","1 IU",1,1,1,1,,
"J7190","Factor viii","Baxalta US Inc.","00944394602","00944-3946-02","Hemofil M","1 IU",1,1,1,1,,
"J2724","Protein c concentrate","Baxalta US Inc.","00944417505","00944-4175-05","CEPROTIN","10 UNITS",1,1,0.1,0.1,,
"J2724","Protein c concentrate","Baxalta US Inc.","00944417510","00944-4175-10","CEPROTIN","10 UNITS",1,1,0.1,0.1,,
"J2724","Protein c concentrate","Baxalta US Inc.","00944417705","00944-4177-05","CEPROTIN","10 UNITS",1,1,0.1,0.1,,
"J2724","Protein c concentrate","Baxalta US Inc.","00944417910","00944-4179-10","CEPROTIN","10 UNITS",1,1,0.1,0.1,,
"C9137","Adynovate Factor VIII recom","Baxalta US Inc.","00944425202","00944-4252-02","ADYNOVATE ","1 IU",1,1,1,1,,
"C9137","Adynovate Factor VIII recom","Baxalta US Inc.","00944425402","00944-4254-02","ADYNOVATE ","1 IU",1,1,1,1,,
"C9137","Adynovate Factor VIII recom","Baxalta US Inc.","00944425602","00944-4256-02","ADYNOVATE ","1 IU",1,1,1,1,,
"C9137","Adynovate Factor VIII recom","Baxalta US Inc.","00944425802","00944-4258-02","ADYNOVATE ","1 IU",1,1,1,1,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","00944435103","00944-4351-03","ARTISS Kit (Freeze-Dried) ","2 ML",2,1,1,1,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","00944435104","00944-4351-04","ARTISS Kit (Freeze-Dried) with DUPLOJECT System ","2 ML",2,1,1,1,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","00944435107","00944-4351-07","ARTISS Kit (Freeze-Dried) ","2 ML",4,1,2,2,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","00944435108","00944-4351-08","ARTISS KIT 4 ML USA","2 ML",4,1,2,2,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","00944435111","00944-4351-11","ARTISS Kit (Freeze-Dried) ","2 ML",10,1,5,5,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","00944435112","00944-4351-12","ARTISS KIT 10 ML USA","2 ML",10,1,5,5,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","00944850302","00944-8503-02","ARTISS","2 ML",1,1,1,1,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","00944850304","00944-8503-04","ARTISS","2 ML",1,1,2,2,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","00944850310","00944-8503-10","ARTISS","2 ML",1,1,5,5,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00955100310","00955-1003-10","ENOXAPARIN SODIUM","10 MG",0.3,10,3,30,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00955100410","00955-1004-10","ENOXAPARIN SODIUM","10 MG",0.4,10,4,40,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00955100610","00955-1006-10","ENOXAPARIN SODIUM","10 MG",0.6,10,6,60,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00955100810","00955-1008-10","ENOXAPARIN SODIUM","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00955101010","00955-1010-10","ENOXAPARIN SODIUM","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00955101210","00955-1012-10","ENOXAPARIN SODIUM","10 MG",0.8,10,12,120,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00955101510","00955-1015-10","ENOXAPARIN SODIUM","10 MG",1,10,15,150,,
"J1650","Inj enoxaparin sodium","SANOFI-AVENTIS","00955101601","00955-1016-01","ENOXAPARIN SODIUM","10 MG",3,1,30,30,,
"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,,
"J9171","Docetaxel injection","WINTHROP, US","00955102208","00955-1022-08","Docetaxel","1 MG",8,1,160,160,,
"J9263","Oxaliplatin","SANOFI-AVENTIS","00955172510","00955-1725-10","Oxaliplatin","0.5 MG",1,1,100,100,,
"J9263","Oxaliplatin","SANOFI-AVENTIS","00955172720","00955-1727-20","Oxaliplatin","0.5 MG",1,1,200,200,,
"J9263","Oxaliplatin","SANOFI-AVENTIS","00955173110","00955-1731-10","Oxaliplatin","0.5 MG",10,1,100,100,,
"J9263","Oxaliplatin","SANOFI-AVENTIS","00955173320","00955-1733-20","Oxaliplatin","0.5 MG",20,1,200,200,,
"J9027","Clofarabine injection","WINTHROP, US","00955174601","00955-1746-01","Clofarabine","1 MG",20,1,20,20,,
"J0641","Levoleucovorin injection","Spectrum Pharmaceuticals","024659195","024659195","Levoleucovorin Calcium (Import Version)","0.5 MG",1,1,200,200,,
"J2805","Sincalide injection","Bracco","0270055615","0270-0556-15","Sincalide Inj",,1,10,10,1,,"5 MCG"
"C9354","Veritas collagen matrix, cm2","SYNOVIS SURGICAL INNOVATIONS","03221020811","03221-0208-11","Veritas collagen matrix","1 SQ CM",1,1,16,16,,
"C9354","Veritas collagen matrix, cm2","SYNOVIS SURGICAL INNOVATIONS","03221040711","03221-0407-11","Veritas collagen matrix","1 SQ CM",1,1,28,28,,
"C9354","Veritas collagen matrix, cm2","SYNOVIS SURGICAL INNOVATIONS","03221041511","03221-0415-11","Veritas collagen matrix","1 SQ CM",1,1,60,60,,
"C9354","Veritas collagen matrix, cm2","SYNOVIS SURGICAL INNOVATIONS","03221060811","03221-0608-11","Veritas collagen matrix","1 SQ CM",1,1,48,42,,
"C9354","Veritas collagen matrix, cm2","SYNOVIS SURGICAL INNOVATIONS","03221081411","03221-0814-11","Veritas collagen matrix","1 SQ CM",1,1,112,112,,
"C9354","Veritas collagen matrix, cm2","SYNOVIS SURGICAL INNOVATIONS","03221101611","03221-1016-11","Veritas collagen matrix","1 SQ CM",1,1,160,160,,
"C9354","Veritas collagen matrix, cm2","SYNOVIS SURGICAL INNOVATIONS","03221122511","03221-1225-11","Veritas collagen matrix","1 SQ CM",1,1,300,300,,
"C9364","Porcine implant, Permacol","Covidien","04523000047","04523-0000-47","Permacol Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,25,25,,
"C9364","Porcine implant, Permacol","Covidien","04523000092","04523-0000-92","Permacol Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,50,50,,
"C9364","Porcine implant, Permacol","Covidien","04523000108","04523-0001-08","Permacol Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,100,100,,
"C9364","Porcine implant, Permacol","Covidien","04523000115","04523-0001-15","Permacol Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,150,150,,
"C9364","Porcine implant, Permacol","Covidien","04523000122","04523-0001-22","Permacol® - Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,300,300,,
"C9364","Porcine implant, Permacol","Covidien","04523000139","04523-0001-39","Permacol Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,504,504,,
"C9364","Porcine implant, Permacol","Covidien","04523000160","04523-0001-60","Permacol® - Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,150,150,,
"C9364","Porcine implant, Permacol","Covidien","04523000177","04523-0001-77","Permacol® - Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,200,200,,
"C9364","Porcine implant, Permacol","Covidien","04523000184","04523-0001-84","Permacol Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,300,300,,
"C9364","Porcine implant, Permacol","Covidien","04523000191","04523-0001-91","Permacol® - Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,504,504,,
"C9364","Porcine implant, Permacol","Covidien","04523000207","04523-0002-07","Permacol® - Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,600,600,,
"C9364","Porcine implant, Permacol","Covidien","04523000214","04523-0002-14","Permacol® - Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,800,800,,
"C9364","Porcine implant, Permacol","Covidien","04523000221","04523-0002-21","Permacol® - Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,1000,1000,,
"C9364","Porcine implant, Permacol","Covidien","04523000245","04523-0002-45","Permacol Porcine ACell, Inc.ular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,1120,1120,,
"J0132","Acetylcysteine injection","CUMBERLAND","06622010730","06622-0107-30","Acetylcysteine Inj","100 MG",30,4,60,240,,
"J0132","Acetylcysteine injection","CUMBERLAND","06622010734","06622-0107-34","Acetylcysteine Inj","100 MG",30,40,60,2400,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GUERBET","06768410001","06768-4100-01","Oxilan 300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GUERBET","06768410002","06768-4100-02","Oxilan 300","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GUERBET","06768410003","06768-4100-03","Oxilan 300","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GUERBET","06768410004","06768-4100-04","Oxilan 300","1 ML",200,10,200,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GUERBET","06768410011","06768-4100-11","Oxilan 350","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GUERBET","06768410012","06768-4100-12","Oxilan 350","1 ML",100,10,100,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GUERBET","06768410013","06768-4100-13","Oxilan 350","1 ML",150,10,150,1500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GUERBET","06768410014","06768-4100-14","Oxilan 350","1 ML",200,10,200,2000,,
"J7317","Sodium hyaluronate injection","SANOFI PHARMACEUTICALS","08024072412","08024-0724-12","Hyalgan","20 to 25 MG",2,1,1,1,,
"J7321","Hyalgan/supartz inj per dose","SANOFI-AVENTIS","08024072412","08024-0724-12","Hyalgan","per dose",2,1,1,1,,
"Q4083","Hyalgan or Supartz, inj","SANOFI PHARMACEUTICALS","08024072412","08024-0724-12","Hyalgan","PER DOSE",2,1,1,1,,
"J7317","Sodium hyaluronate injection","SANOFI PHARMACEUTICALS","08024072420","08024-0724-20","Hyalgan","20 to 25 MG",2,1,1,1,,
"J7321","Hyalgan/supartz inj per dose","SANOFI-AVENTIS","08024072420","08024-0724-20","Hyalgan","per dose",2,1,1,1,,
"Q4083","Hyalgan or Supartz, inj","SANOFI PHARMACEUTICALS","08024072420","08024-0724-20","Hyalgan","PER DOSE",2,1,1,1,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860024","08121-8600-24","Maxforce Thick","1 SQ CM",1,1,8,8,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860024","08121-8600-24","Maxforce Thick","1 SQ CM",1,1,8,8,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860047","08121-8600-47","Maxforce Thick","1 SQ CM",1,1,28,28,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860047","08121-8600-47","Maxforce Thick","1 SQ CM",1,1,28,28,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860055","08121-8600-55","Maxforce Thick","1 SQ CM",1,1,25,25,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860055","08121-8600-55","Maxforce Thick","1 SQ CM",1,1,25,25,,
"J7346","Injectable human tissue","WRIGHT MEDICAL TECHNOLOGY","08121860100","08121-8601-00","Graftjacket Express","1 CC",1,1,1,1,,
"J7350","Injectable human tissue","WRIGHT MEDICAL TECHNOLOGY","08121860100","08121-8601-00","Graftjacket Express","10 MG",1,1,33,33,,
"J7346","Injectable human tissue","WRIGHT MEDICAL TECHNOLOGY","08121860200","08121-8602-00","Graftjacket Express","1 CC",1,1,2,2,,
"J7350","Injectable human tissue","WRIGHT MEDICAL TECHNOLOGY","08121860200","08121-8602-00","Graftjacket Express","10 MG",1,1,66,66,,
"Q4113","Graftjacket express allograf","WRIGHT MEDICAL TECHNOLOGY","08121860200","08121-8602-00","Graftjacket Express","1 CC",1,1,2,2,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860204","08121-8602-04","Handjacket Scaffold Thin","1 SQ CM",1,1,8,8,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860204","08121-8602-04","Handjacket Scaffold Thin","1 SQ CM",1,1,8,8,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860404","08121-8604-04","Ulcerjacket Scaffold","1 SQ CM",1,1,16,16,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860404","08121-8604-04","Ulcerjacket Scaffold","1 SQ CM",1,1,16,16,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860407","08121-8604-07","Ultra Maxforce","1 SQ CM",1,1,28,28,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860407","08121-8604-07","Ultra Maxforce","1 SQ CM",1,1,28,28,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860408","08121-8604-08","Ulcerjacket Scaffold","1 SQ CM",1,1,32,32,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860408","08121-8604-08","Ulcerjacket Scaffold","1 SQ CM",1,1,32,32,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860505","08121-8605-05","Graftjacket Std","1 SQ CM",1,1,25,25,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860505","08121-8605-05","Graftjacket Std","1 SQ CM",1,1,25,25,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860510","08121-8605-10","Graftjacket Std","1 SQ CM",1,1,50,50,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","08121860510","08121-8605-10","Graftjacket Std","1 SQ CM",1,1,50,50,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","08121860530","08121-8605-30","Graftjacket Small Ligament Repair Matrix","1 SQ CM",1,1,1.5,1.5,,
"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,,
"J1642","Inj heparin sodium per 10 u","VITAL SIGNS","08166110005","08166-1100-05","Heparin Sodium Lock Flush","10 UNITS",5,1,50,50,,
"J2912","Sodium chloride injection","VITAL SIGNS","08166110905","08166-1109-05","Sodium Chloride","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","VITAL SIGNS","08166110905","08166-1109-05","Sodium Chloride",,5,1,0.25,0.25,,"20 CC"
"J1642","Inj heparin sodium per 10 u","VITAL SIGNS","08166111005","08166-1110-05","Vasceze","10 UNITS",5,1,5,5,,
"Q4113","Graftjacket express allograf","Wright Medical Technology, Inc.","08181860200","08181-8602-00","GRAFTJACKET® FLOWABLE SOFT 2CC","1 CC",1,1,2,2,,
"C9365","Oasis Ultra Tri-Layer Matrix","HEALTHPOINT","08213000009","08213-0000-09","OASIS ULTRA TRI-LAYER MATRIX","1 sq cm",1,5,70,70,,
"C9365","Oasis Ultra Tri-Layer Matrix","HEALTHPOINT","08213000011","08213-0000-11","OASIS ULTRA TRI-LAYER MATRIX","1 sq cm",1,5,140,140,,
"Q4102","Oasis wound matrix skin sub","Cook (Healthpoint, Ltd)","08213000013","08213-0000-13","OASIS Ultra Tri-Layer Matrix","1 SQ CM ",35,5,35,35,,
"Q4103","Oasis burn matrix skin sub","Cook (Healthpoint, Ltd)","08213000013","08213-0000-13","OASIS Ultra Tri-Layer Matrix","1 SQ CM ",35,5,35,35,,
"J7341","Non-human, metabolic tissue","HEALTHPOINT MEDICAL","08213100010","08213-1000-10","OASIS WOUND MATRIX","1 SQ CM",1,1,70,70,,
"Q4102","Oasis wound matrix skin sub","Cook (Healthpoint, Ltd)","08213100010","08213-1000-10","OASIS WOUND MATRIX","1 SQ CM",1,1,70,70,,
"J7341","Non-human, metabolic tissue","HEALTHPOINT MEDICAL","08213100015","08213-1000-15","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,,
"J7341","Non-human, metabolic tissue","HEALTHPOINT MEDICAL","08213100020","08213-1000-20","OASIS WOUND MATRIX","1 SQ CM",1,1,140,140,,
"Q4102","Oasis wound matrix skin sub","Cook (Healthpoint, Ltd)","08213100020","08213-1000-20","OASIS WOUND MATRIX","1 SQ CM",1,1,140,140,,
"J7341","Non-human, metabolic tissue","HEALTHPOINT MEDICAL","08213100025","08213-1000-25","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,,
"J7341","Non-human, metabolic tissue","HEALTHPOINT MEDICAL","08213100033","08213-1000-33","OASIS WOUND MATRIX","1 SQ CM",1,1,10.5,10.5,,
"Q4102","Oasis wound matrix","Cook (Smith & Nephew, Inc.)","08213100033","08213-1000-33","OASIS WOUND MATRIX","1 SQ CM",1,1,10.5,10.5,,
"J7341","Non-human, metabolic tissue","HEALTHPOINT MEDICAL","08213100037","08213-1000-37","OASIS WOUND MATRIX","1 SQ CM",1,1,21,21,,
"Q4102","Oasis wound matrix","Cook (Smith & Nephew, Inc.)","08213100037","08213-1000-37","OASIS WOUND MATRIX","1 SQ CM",1,1,21,21,,
"J7341","Non-human, metabolic tissue","HEALTHPOINT MEDICAL","08213300020","08213-3000-20","OASIS BURN MATRIX","1 SQ CM",1,1,140,140,,
"Q4103","Oasis burn matrix skin sub","Cook (Healthpoint, Ltd)","08213300020","08213-3000-20","OASIS BURN MATRIX","1 SQ CM",1,1,140,140,,
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290031002","08290-0310-02","Normal Saline Flush","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290031002","08290-0310-02","Normal Saline Flush",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290031003","08290-0310-03","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290031003","08290-0310-03","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290031102","08290-0311-02","Normal Saline Flush","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290031102","08290-0311-02","Normal Saline Flush",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290031103","08290-0311-03","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290031103","08290-0311-03","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290032003","08290-0320-03","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290032003","08290-0320-03","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290032005","08290-0320-05","Normal Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290032005","08290-0320-05","Normal Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290032103","08290-0321-03","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290032103","08290-0321-03","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290032105","08290-0321-05","Normal Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290032105","08290-0321-05","Normal Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290033003","08290-0330-03","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290033003","08290-0330-03","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290033005","08290-0330-05","Normal Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290033005","08290-0330-05","Normal Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290033010","08290-0330-10","Normal Saline Flush","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290033010","08290-0330-10","Normal Saline Flush",,10,1,0.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290033103","08290-0331-03","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290033103","08290-0331-03","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290033105","08290-0331-05","Normal Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290033105","08290-0331-05","Normal Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290033110","08290-0331-10","Normal Saline Flush","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290033110","08290-0331-10","Normal Saline Flush",,10,1,0.5,0.5,,"20 CC"
"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,,
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290091002","08290-0910-02","Normal Saline Flush","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290091002","08290-0910-02","Normal Saline Flush",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290091003","08290-0910-03","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290091003","08290-0910-03","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290091102","08290-0911-02","Normal Saline Flush","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290091102","08290-0911-02","Normal Saline Flush",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290091103","08290-0911-03","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290091103","08290-0911-03","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290092005","08290-0920-05","Normal Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290092005","08290-0920-05","Normal Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290092105","08290-0921-05","Normal Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290092105","08290-0921-05","Normal Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290093010","08290-0930-10","Normal Saline Flush","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290093010","08290-0930-10","Normal Saline Flush",,10,1,0.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290094010","08290-0940-10","Normal Saline Flush","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290094010","08290-0940-10","Normal Saline Flush",,10,1,0.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","B-D HOSPITAL DIVISION","08290094110","08290-0941-10","Normal Saline Flush","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","B-D HOSPITAL DIVISION","08290094110","08290-0941-10","Normal Saline Flush",,10,1,0.5,0.5,,"20 CC"
"J7317","Sodium hyaluronate injection","SMITH & NEPHEW","08363776101","08363-7761-01","Supartz","20 to 25 MG",2.5,1,1,1,,
"J7321","Hyalgan/supartz inj per dose","Smith & Nephew","08363776101","08363-7761-01","Supartz","per dose",2.5,1,1,1,,
"Q4083","Hyalgan or Supartz, inj","SMITH & NEPHEW","08363776101","08363-7761-01","Supartz","PER DOSE",2.5,1,1,1,,
"J7317","Sodium hyaluronate injection","SMITH & NEPHEW","08363776501","08363-7765-01","Supartz","20 to 25 MG",2.5,5,1,5,,
"J7321","Hyalgan/supartz inj per dose","SMITH & NEPHEW","08363776501","08363-7765-01","Supartz","PER DOSE",2.5,5,1,5,,
"Q4083","Hyalgan or Supartz, inj","SMITH & NEPHEW","08363776501","08363-7765-01","Supartz","PER DOSE",2.5,5,1,5,,
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","08450090102","08450-0901-02","Sodium Chloride","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","08450090102","08450-0901-02","Sodium Chloride",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","08450090303","08450-0903-03","Sodium Chloride","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","08450090303","08450-0903-03","Sodium Chloride",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","08450090505","08450-0905-05","Sodium Chloride","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","08450090505","08450-0905-05","Sodium Chloride",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","08450090610","08450-0906-10","Sodium Chloride","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","08450090610","08450-0906-10","Sodium Chloride",,10,1,0.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","08450601102","08450-6011-02","Sodium Chloride","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","08450601102","08450-6011-02","Sodium Chloride",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","08450601203","08450-6012-03","Sodium Chloride","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","08450601203","08450-6012-03","Sodium Chloride",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","08450601305","08450-6013-05","Sodium Chloride","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","08450601305","08450-6013-05","Sodium Chloride",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","08450601410","08450-6014-10","Sodium Chloride","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","08450601410","08450-6014-10","Sodium Chloride",,10,1,0.5,0.5,,"20 CC"
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","08450602603","08450-6026-03","Heparin Lock Flush","10 UNITS",3,1,3,3,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","08450603005","08450-6030-05","Heparin Lock Flush","10 UNITS",5,1,5,5,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","08450603403","08450-6034-03","Heparin Lock Flush","10 UNITS",3,1,3,3,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","08450603705","08450-6037-05","Heparin Lock Flush","10 UNITS",5,1,5,5,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","08450604603","08450-6046-03","Heparin Lock Flush","10 UNITS",3,1,30,30,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","08450604903","08450-6049-03","Heparin Lock Flush","10 UNITS",3,1,30,30,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","08450605005","08450-6050-05","Heparin Lock Flush","10 UNITS",5,1,50,50,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","08450605503","08450-6055-03","Heparin Lock Flush","10 UNITS",3,1,30,30,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","08450605805","08450-6058-05","Heparin Lock Flush","10 UNITS",5,1,50,50,,
"C9363","Integra Meshed Bil Wound Mat","Integra LifeSciences Corporation","08478400302","08478-4003-02","Integra Meshed Bilayer Wound Matrix","1 SQ CM",25,1,25,25,,
"C9363","Integra Meshed Bil Wound Mat","Integra LifeSciences Corporation","08478400305","08478-4003-05","Integra Meshed Bilayer Wound Matrix","1 SQ CM",125,1,125,125,,
"C9363","Integra Meshed Bil Wound Mat","Integra LifeSciences Corporation","08478400306","08478-4003-06","Integra Meshed Bilayer Wound Matrix","1 SQ CM",250,1,250,250,,
"C9363","Integra Meshed Bil Wound Mat","Integra LifeSciences Corporation","08478400308","08478-4003-08","Integra Meshed Bilayer Wound Matrix","1 SQ CM",500,1,500,500,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478400402","08478-4004-02","Integra - Bmwd","1 SQ CM",1,1,25,25,,
"Q4104","Integra BMWD skin sub","Integra LifeSciences Corporation","08478400402","08478-4004-02","Integra - BmWd","1 SQ CM",1,1,25,25,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478400405","08478-4004-05","Integra - Bmwd","1 SQ CM",1,1,125,125,,
"Q4104","Integra BMWD skin sub","Integra LifeSciences Corporation","08478400405","08478-4004-05","Integra - BmWd","1 SQ CM",1,1,125,125,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478400406","08478-4004-06","Integra - Bmwd","1 SQ CM",1,1,250,250,,
"Q4104","Integra BMWD skin sub","Integra LifeSciences Corporation","08478400406","08478-4004-06","Integra - BmWd","1 SQ CM",1,1,250,250,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478400408","08478-4004-08","Integra - Bmwd","1 SQ CM",1,1,500,500,,
"Q4104","Integra BMWD skin sub","Integra LifeSciences Corporation","08478400408","08478-4004-08","Integra - BmWd","1 SQ CM",1,1,500,500,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478401402","08478-4014-02","Integra Matrix Wound Dressing","1 SQ CM",1,1,25,25,,
"J7345","Non-human, non-metab tissue","INTEGRA LIFESCIENCES","08478401402","08478-4014-02","Integra Matrix Wound Dressing","1 SQ CM",1,1,25,25,,
"J7347","Non-human, non-metab tissue","INTEGRA LIFESCIENCES","08478401402","08478-4014-02","Integra Matrix Wound Dressing","1 SQ CM",1,1,25,25,,
"Q4108","Integra matrix skin sub","Integra LifeSciences Corporation","08478401402","08478-4014-02","Integra Matrix Wound Dressing","1 SQ CM",1,1,25,25,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478401405","08478-4014-05","Integra Matrix Wound Dressing","1 SQ CM",1,1,125,125,,
"J7345","Non-human, non-metab tissue","INTEGRA LIFESCIENCES","08478401405","08478-4014-05","Integra Matrix Wound Dressing","1 SQ CM",1,1,125,125,,
"J7347","Non-human, non-metab tissue","INTEGRA LIFESCIENCES","08478401405","08478-4014-05","Integra Matrix Wound Dressing","1 SQ CM",1,1,125,125,,
"Q4108","Integra matrix skin sub","Integra LifeSciences Corporation","08478401405","08478-4014-05","Integra Matrix Wound Dressing","1 SQ CM",1,1,125,125,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478401406","08478-4014-06","Integra Matrix Wound Dressing","1 SQ CM",1,1,250,250,,
"J7345","Non-human, non-metab tissue","INTEGRA LIFESCIENCES","08478401406","08478-4014-06","Integra Matrix Wound Dressing","1 SQ CM",1,1,250,250,,
"J7347","Non-human, non-metab tissue","INTEGRA LIFESCIENCES","08478401406","08478-4014-06","Integra Matrix Wound Dressing","1 SQ CM",1,1,250,250,,
"Q4108","Integra matrix skin sub","Integra LifeSciences Corporation","08478401406","08478-4014-06","Integra Matrix Wound Dressing","1 SQ CM",1,1,250,250,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478401408","08478-4014-08","Integra Matrix Wound Dressing","1 SQ CM",1,1,500,500,,
"J7345","Non-human, non-metab tissue","INTEGRA LIFESCIENCES","08478401408","08478-4014-08","Integra Matrix Wound Dressing","1 SQ CM",1,1,500,500,,
"J7347","Non-human, non-metab tissue","INTEGRA LIFESCIENCES","08478401408","08478-4014-08","Integra Matrix Wound Dressing","1 SQ CM",1,1,500,500,,
"Q4108","Integra matrix skin sub","Integra LifeSciences Corporation","08478401408","08478-4014-08","Integra Matrix Wound Dressing","1 SQ CM",1,1,500,500,,
"C9356","TendoGlide Tendon Prot, cm2","Integra LifeSciences","08478401502","08478-4015-02","TenoGlide Tendon Prot","1 SQ CM",25,1,25,25,,
"C9356","TendoGlide Tendon Prot, cm2","Integra LifeSciences","08478401505","08478-4015-05","TenoGlide Tendon Prot","1 SQ CM",125,1,125,125,,
"C9357","Flowable Wound Matrix, 1 cc","Integra LifeSciences","08478401601","08478-4016-01","Flowable Wound Matrix","1 CC",3,1,3,3,,
"Q4114","Integra flowable wound matri","Integra LifeSciences Corporation","08478401601","08478-4016-01","FloWable Wound Matrix","1 CC",3,1,3,3,,
"C9359","Implnt,bon void filler-putty","INTEGRA","08478401802","08478-4018-02","Integra Mozaik Putty","0.5 CC",2.5,1,5,5,,
"C9359","Implnt,bon void filler-putty","INTEGRA","08478401805","08478-4018-05","Integra Mozaik Putty","0.5 CC",5,1,10,10,,
"C9359","Implnt,bon void filler-putty","INTEGRA","08478401810","08478-4018-10","Integra Mozaik Putty","0.5 CC",10,1,20,20,,
"C9359","Implnt,bon void filler-putty","INTEGRA","08478401815","08478-4018-15","Integra Mozaik Putty","0.5 CC",15,1,30,30,,
"C9362","Implnt,bon void filler-strip","INTEGRA LIFESCIENCES CORPORATION","08478401910","08478-4019-10","INTEGRA MOZAIK OSTEOCONDUCTIVE","0.5cc",10,1,10,20,,
"C9362","Implnt,bon void filler-strip","INTEGRA LIFESCIENCES CORPORATION","08478401915","08478-4019-15","INTEGRA MOZAIK OSTEOCONDUCTIVE","0.5cc",15,1,15,30,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610153","08478-6101-53","NeuraGen","PER CM",1,1,3,3,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610153","08478-6101-53","NeuraGen","PER CM",1,1,3,3,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610202","08478-6102-02","NeuraGen","PER CM",1,1,2,2,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610202","08478-6102-02","NeuraGen","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610203","08478-6102-03","NeuraGen","PER CM",1,1,3,3,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610203","08478-6102-03","NeuraGen","PER CM",1,1,3,3,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610302","08478-6103-02","NeuraGen","PER CM",1,1,2,2,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610302","08478-6103-02","NeuraGen","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610303","08478-6103-03","NeuraGen","PER CM",1,1,3,3,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610303","08478-6103-03","NeuraGen","PER CM",1,1,3,3,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610402","08478-6104-02","NeuraGen","PER CM",1,1,2,2,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610402","08478-6104-02","NeuraGen","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610403","08478-6104-03","NeuraGen","PER CM",1,1,3,3,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610403","08478-6104-03","NeuraGen","PER CM",1,1,3,3,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610502","08478-6105-02","NeuraGen","PER CM",1,1,2,2,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610502","08478-6105-02","NeuraGen","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610503","08478-6105-03","NeuraGen","PER CM",1,1,3,3,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610503","08478-6105-03","NeuraGen","PER CM",1,1,3,3,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610602","08478-6106-02","NeuraGen","PER CM",1,1,2,2,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610602","08478-6106-02","NeuraGen","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610603","08478-6106-03","NeuraGen","PER CM",1,1,3,3,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610603","08478-6106-03","NeuraGen","PER CM",1,1,3,3,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610702","08478-6107-02","NeuraGen","PER CM",1,1,2,2,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610702","08478-6107-02","NeuraGen","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478610703","08478-6107-03","NeuraGen","PER CM",1,1,3,3,,
"C9352","Neuragen nerve guide, per cm","Integra LifeSciences Corporation","08478610703","08478-6107-03","NeuraGen","PER CM",1,1,3,3,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478620302","08478-6203-02","NeuraWrap","PER CM",1,1,2,2,,
"C9353","Neurawrap nerve protector,cm","Integra LifeSciences Corporation","08478620302","08478-6203-02","NeuraWrap","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478620304","08478-6203-04","NeuraWrap","PER CM",1,1,4,4,,
"C9353","Neurawrap nerve protector,cm","Integra LifeSciences Corporation","08478620304","08478-6203-04","NeuraWrap","PER CM",1,1,4,4,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478620502","08478-6205-02","NeuraWrap","PER CM",1,1,2,2,,
"C9353","Neurawrap nerve protector,cm","Integra LifeSciences Corporation","08478620502","08478-6205-02","NeuraWrap","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478620504","08478-6205-04","NeuraWrap","PER CM",1,1,4,4,,
"C9353","Neurawrap nerve protector,cm","Integra LifeSciences Corporation","08478620504","08478-6205-04","NeuraWrap","PER CM",1,1,4,4,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478620702","08478-6207-02","NeuraWrap","PER CM",1,1,2,2,,
"C9353","Neurawrap nerve protector,cm","Integra LifeSciences Corporation","08478620702","08478-6207-02","NeuraWrap","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478620704","08478-6207-04","NeuraWrap","PER CM",1,1,4,4,,
"C9353","Neurawrap nerve protector,cm","Integra LifeSciences Corporation","08478620704","08478-6207-04","NeuraWrap","PER CM",1,1,4,4,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478621002","08478-6210-02","NeuraWrap","PER CM",1,1,2,2,,
"C9353","Neurawrap nerve protector,cm","Integra LifeSciences Corporation","08478621002","08478-6210-02","NeuraWrap","PER CM",1,1,2,2,,
"C9350","Porous collagen tube per cm","Integra LifeSciences Corporation","08478621004","08478-6210-04","NeuraWrap","PER CM",1,1,4,4,,
"C9353","Neurawrap nerve protector,cm","Integra LifeSciences Corporation","08478621004","08478-6210-04","NeuraWrap","PER CM",1,1,4,4,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478800402","08478-8004-02","Integra - Drt","1 SQ CM",1,1,25,25,,
"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","08478800404","08478-8004-04","Integra Omnigraft Drt","1 SQ CM",1,1,25,25,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478800405","08478-8004-05","Integra - Drt","1 SQ CM",1,1,125,125,,
"Q4105","Integra DRT skin sub","Integra LifeSciences Corporation","08478800405","08478-8004-05","Integra - Drt","1 SQ CM",1,1,125,125,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478800406","08478-8004-06","Integra - Drt","1 SQ CM",1,1,250,250,,
"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","08478800407","08478-8004-07","Integra Omnigraft Drt","1 SQ CM",1,1,25,25,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","08478800408","08478-8004-08","Integra - Drt","1 SQ CM",1,1,500,500,,
"Q4105","Integra DRT skin sub","Integra LifeSciences Corporation","08478800408","08478-8004-08","Integra - Drt","1 SQ CM",1,1,500,500,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601002","08533-6010-02","SurgiMend, Thick","0.5 SQ CM",30,1,60,60,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601004","08533-6010-04","SurgiMend, Thick","0.5 SQ CM",72,1,144,144,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601005","08533-6010-05","SurgiMend, Thick","0.5 SQ CM",100,1,200,200,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601006","08533-6010-06","SurgiMend, Thick","0.5 SQ CM",150,1,300,300,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601007","08533-6010-07","SurgiMend, Thick","0.5 SQ CM",200,1,400,400,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601008","08533-6010-08","SurgiMend, Thick","0.5 SQ CM",320,1,640,640,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601009","08533-6010-09","SurgiMend, Thick","0.5 SQ CM",325,1,650,650,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601010","08533-6010-10","SurgiMend, Thick","0.5 SQ CM",64,1,128,128,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601012","08533-6010-12","SurgiMend, Thick","0.5 SQ CM",9,1,18,18,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601013","08533-6010-13","SurgiMend,Thick","0.5 SQ CM",28,1,56,56,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601014","08533-6010-14","SurgiMend, Thick","0.5 SQ CM",48,1,96,96,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601015","08533-6010-15","SurgiMend, Thick","0.5 SQ CM",96,1,192,192,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601016","08533-6010-16","SurgiMend, Thick","0.5 SQ CM",1000,1,2000,2000,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533601018","08533-6010-18","SurgiMend","0.5 SQ CM",128,1,256,256,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533602002","08533-6020-02","SurgiMend, Thin","0.5 SQ CM",28,1,56,56,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533602003","08533-6020-03","SurgiMend, Thin","0.5 SQ CM",30,1,60,60,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533602005","08533-6020-05","SurgiMend, Thin","0.5 SQ CM",9,1,18,18,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533603001","08533-6030-01","SurgiMend, Strip","0.5 SQ CM",7.5,1,15,15,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533603002","08533-6030-02","SurgiMend, Strip","0.5 SQ CM",15,1,30,30,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533603003","08533-6030-03","SurgiMend, Strip","0.5 SQ CM",25,1,50,50,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533604100","08533-6041-00","SurgiMend PRS","0.5 SQ CM",150,1,300,300,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533604101","08533-6041-01","SurgiMend PRS","0.5 sq cm",119,1,238,238,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533604102","08533-6041-02","SurgiMend PRS","0.5 sq cm",200,1,400,400,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533605001","08533-6050-01","SurgiMend, Inguinal, Fenestrated Oval","0.5 SQ CM",96,1,192,192,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533605002","08533-6050-02","SurgiMend, Inguinal, Fenestrated Oval","0.5 SQ CM",150,1,300,300,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533605003","08533-6050-03","SurgiMend, Inguinal, Rectangle","0.5 SQ CM",96,1,192,192,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533605004","08533-6050-04","SurgiMend, Inguinal, Rectangle","0.5 SQ CM",150,1,300,300,,
"C9358","SurgiMend, fetal","TEI BIOSCIENCES INC.","08533605101","08533-6051-01","SurgiMend, Inguinal, Fenestrated Oval","0.5 SQ CM",96,3,192,576,,
"C9358","SurgiMend, fetal","TEI BIOSCIENCES INC.","08533605102","08533-6051-02","SurgiMend, Inguinal, Fenestrated Oval","0.5 SQ CM",150,3,300,900,,
"C9358","SurgiMend, fetal","TEI BIOSCIENCES INC.","08533605103","08533-6051-03","SurgiMend, Inguinal, Rectangle","0.5 SQ CM",96,3,192,576,,
"C9358","SurgiMend, fetal","TEI BIOSCIENCES INC.","08533605104","08533-6051-04","SurgiMend, Inguinal, Rectangle","0.5 SQ CM",150,3,300,900,,
"J7349","Primatrix tissue","TEI BIOSCIENCES INC.","08533607009","08533-6070-09","PriMatrix","1 SQ CM",53,3,53,159,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607009","08533-6070-09","PriMatrix","1 SQ CM",53,3,53,159,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533607112","08533-6071-12","PriMatrix","1 SQ CM",120,1,120,120,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533607112","08533-6071-12","PriMatrix","1 SQ CM",120,1,120,120,,
"J7349","Primatrix tissue","TEI BIOSCIENCES INC.","08533607112","08533-6071-12","PriMatrix","1 SQ CM",120,1,120,120,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607112","08533-6071-12","PriMatrix","1 SQ CM",120,1,120,120,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533607125","08533-6071-25","PriMatrix","1 SQ CM",250,1,250,250,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533607125","08533-6071-25","PriMatrix","1 SQ CM",250,1,250,250,,
"J7349","Primatrix tissue","TEI BIOSCIENCES INC.","08533607125","08533-6071-25","PriMatrix","1 SQ CM",250,1,250,250,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607125","08533-6071-25","PriMatrix","1 SQ CM",250,1,250,250,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533607225","08533-6072-25","PriMatrix","1 SQ CM",500,1,500,500,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533607225","08533-6072-25","PriMatrix","1 SQ CM",500,1,500,500,,
"J7349","Primatrix tissue","TEI BIOSCIENCES INC.","08533607225","08533-6072-25","PriMatrix","1 SQ CM",500,1,500,500,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607225","08533-6072-25","PriMatrix","1 SQ CM",500,1,500,500,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533607440","08533-6074-40","PriMatrix","1 SQ CM",16,1,16,16,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533607440","08533-6074-40","PriMatrix","1 SQ CM",16,1,16,16,,
"J7349","Primatrix tissue","TEI BIOSCIENCES INC.","08533607440","08533-6074-40","PriMatrix","1 SQ CM",16,1,16,16,,
"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,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533607812","08533-6078-12","PriMatrix","1 SQ CM",96,1,96,96,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533607812","08533-6078-12","PriMatrix","1 SQ CM",96,1,96,96,,
"J7349","Primatrix tissue","TEI BIOSCIENCES INC.","08533607812","08533-6078-12","PriMatrix","1 SQ CM",96,1,96,96,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607812","08533-6078-12","PriMatrix","1 SQ CM",96,1,96,96,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533607880","08533-6078-80","PriMatrix","1 SQ CM",64,1,64,64,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533607880","08533-6078-80","PriMatrix","1 SQ CM",64,1,64,64,,
"J7349","Primatrix tissue","TEI BIOSCIENCES INC.","08533607880","08533-6078-80","PriMatrix","1 SQ CM",64,1,64,64,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","08533607880","08533-6078-80","PriMatrix","1 SQ CM",64,1,64,64,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533620004","08533-6200-04","Neonatal SurgiMend, 6x12 cm x 2.0 mm; 1 each","0.5 sqcm",72,1,144,144,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533620006","08533-6200-06","Neonatal SurgiMend, 10x15 cm x 2.0 mm; 1 each","0.5 sqcm",150,1,150,300,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533620008","08533-6200-08","SurgiMend","0.5 SQ CM",320,1,640,640,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533620009","08533-6200-09","Neonatal SurgiMend, 13x25 cm x 2.0 mm; 1 each","0.5 sqcm",325,1,650,650,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533620016","08533-6200-16","Neonatal SurgiMend, 25x40 cm x 2.0 mm; 1 each","0.5 sqcm",1000,1,2000,2000,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533620017","08533-6200-17","Neonatal SurgiMend, 20x30 cm x 2.0 mm; 1 each","0.5 sqcm",600,1,1200,1200,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533620019","08533-6200-19","SurgiMend ","0.5 SQ CM",400,1,800,800,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533620020","08533-6200-20","SurgiMend ","0.5 SQ CM",500,1,1000,1000,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533630004","08533-6300-04","Neonatal SurgiMend, 6x12 cm x 3.0 mm; 1 each","0.5 sqcm",72,1,144,144,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533630006","08533-6300-06","Neonatal SurgiMend, 10x15 cm x 3.0 mm; 1 each","0.5 sqcm",150,1,300,300,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533630008","08533-6300-08","SurgiMend ","0.5 SQ CM",320,1,640,640,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533630009","08533-6300-09","Neonatal SurgiMend, 13x25 cm x 3.0 mm; 1 each","0.5 sqcm",325,1,650,650,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533630016","08533-6300-16","Neonatal SurgiMend, 25x40 cm x 3.0 mm; 1 each","0.5 sqcm",1000,1,2000,2000,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533630017","08533-6300-17","Neonatal SurgiMend, 20x30 cm x 3.0 mm; 1 each","0.5 sqcm",600,1,1200,1200,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533630019","08533-6300-19","SurgiMend ","0.5 SQ CM",400,1,800,800,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533630020","08533-6300-20","SurgiMend ","0.5 SQ CM",500,1,1000,1000,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533640002","08533-6400-02","SurgiMend ","0.5 SQ CM",30,1,60,60,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533640004","08533-6400-04","Neonatal SurgiMend, 6x12 cm x 4.0 mm; 1 each","0.5 sqcm",72,1,144,144,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533640006","08533-6400-06","Neonatal SurgiMend, 10x15 cm x 4.0 mm; 1 each","0.5 sqcm",150,1,300,300,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533640009","08533-6400-09","Neonatal SurgiMend, 13x25 cm x 4.0 mm; 1 each","0.5 sqcm",325,1,650,650,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533640016","08533-6400-16","Neonatal SurgiMend, 25x40 cm x 4.0 mm; 1 each","0.5 sqcm",1000,1,2000,2000,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","08533640017","08533-6400-17","Neonatal SurgiMend, 20x30 cm x 4.0 mm; 1 each","0.5 sqcm",600,1,1200,1200,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","08533643001","08533-6430-01","SurgiMend, ","0.5 SQ CM",10,1,20,20,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533649501","08533-6495-01","TISSUEMEND","1 SQ CM",1,1,30,30,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533649501","08533-6495-01","TISSUEMEND","1 SQ CM",1,1,30,30,,
"J7348","Tissuemend tissue","TEI BIOSCIENCES INC.","08533649501","08533-6495-01","TISSUEMEND","1 SQ CM",1,1,30,30,,
"Q4109","Tissuemend skin sub","TEI BIOSCIENCES INC.","08533649501","08533-6495-01","TISSUEMEND","1 SQ CM",1,1,30,30,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533649503","08533-6495-03","TISSUEMEND","1 SQ CM",1,1,16,16,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533649503","08533-6495-03","TISSUEMEND","1 SQ CM",1,1,16,16,,
"J7348","Tissuemend tissue","TEI BIOSCIENCES INC.","08533649503","08533-6495-03","TISSUEMEND","1 SQ CM",1,1,16,16,,
"Q4109","Tissuemend skin sub","TEI BIOSCIENCES INC.","08533649503","08533-6495-03","TISSUEMEND","1 SQ CM",1,1,16,16,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533649504","08533-6495-04","TISSUEMEND","1 SQ CM",1,1,60,60,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533649504","08533-6495-04","TISSUEMEND","1 SQ CM",1,1,60,60,,
"J7348","Tissuemend tissue","TEI BIOSCIENCES INC.","08533649504","08533-6495-04","TISSUEMEND","1 SQ CM",1,1,60,60,,
"Q4109","Tissuemend skin sub","TEI BIOSCIENCES INC.","08533649504","08533-6495-04","TISSUEMEND","1 SQ CM",1,1,60,60,,
"C9351","Acellular derm tissue percm2","TEI BIOSCIENCES INC.","08533649506","08533-6495-06","TISSUEMEND","1 SQ CM",1,1,9,9,,
"J7345","Non-human, non-metab tissue","TEI BIOSCIENCES INC.","08533649506","08533-6495-06","TISSUEMEND","1 SQ CM",1,1,9,9,,
"J7348","Tissuemend tissue","TEI BIOSCIENCES INC.","08533649506","08533-6495-06","TISSUEMEND","1 SQ CM",1,1,9,9,,
"Q4109","Tissuemend skin sub","TEI BIOSCIENCES INC.","08533649506","08533-6495-06","TISSUEMEND","1 SQ CM",1,1,9,9,,
"J7349","Primatrix tissue","TEI BIOSCIENCES INC.","08533674440","08533-6744-40","PriMatrix","1 SQ CM",16,1,16,16,,
"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,,
"J7349","Primatrix tissue","TEI BIOSCIENCES INC.","08533674880","08533-6748-80","PriMatrix","1 SQ CM",64,1,64,64,,
"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,,
"J7342","Metabolically active tissue","ADVANCED BIOHEALING, INC.","08541000101","08541-0001-01","Dermagraft","1 SQ CM",1,1,37.5,37.5,,
"Q4106","Dermagraft","Organogenesis, Inc.","08541000101","08541-0001-01","Dermagraft","1 SQ CM",1,1,37.5,37.5,,
"J7340","Metabolic active D/E tissue","Advanced BioHealing Inc","08541000201","08541-0002-01","Transcyte","1 SQ CM",2,1,494,494,,
"C9355","Neuromatrix nerve cuff, cm","STRYKER ORTHOPAEDICS","08572002025","08572-0020-25","Neuromatrix nerve cuff","0.5 CM",1,1,5,5,,
"C9355","Neuromatrix nerve cuff, cm","STRYKER ORTHOPAEDICS","08572002525","08572-0025-25","Neuromatrix nerve cuff","0.5 CM",1,1,5,5,,
"C9355","Neuromatrix nerve cuff, cm","STRYKER ORTHOPAEDICS","08572003025","08572-0030-25","Neuromatrix nerve cuff","0.5 CM",1,1,5,5,,
"C9355","Neuromatrix nerve cuff, cm","STRYKER ORTHOPAEDICS","08572004025","08572-0040-25","Neuromatrix nerve cuff","0.5 CM",1,1,5,5,,
"C9355","Neuromatrix nerve cuff, cm","STRYKER ORTHOPAEDICS","08572005025","08572-0050-25","Neuromatrix nerve cuff","0.5 CM",1,1,5,5,,
"C9355","Neuromatrix nerve cuff, cm","STRYKER ORTHOPAEDICS","08572006025","08572-0060-25","Neuromatrix nerve cuff","0.5 CM",1,1,5,5,,
"C9361","NeuraMend nerve wrap","STRYKER ORTHOPAEDICS","08572012025","08572-0120-25","NeuroMend Collagen Nerve Wrap","0.5 sqcm",3,1,3,6,,
"C9361","NeuraMend nerve wrap","STRYKER ORTHOPAEDICS","08572012050","08572-0120-50","NeuroMend Collagen Nerve Wrap","0.5 sqcm",6,1,6,12,,
"C9361","NeuraMend nerve wrap","STRYKER ORTHOPAEDICS","08572084025","08572-0840-25","NeuroMend Collagen Nerve Wrap","0.5 sqcm",1,1,1,2,,
"C9361","NeuraMend nerve wrap","STRYKER ORTHOPAEDICS","08572084050","08572-0840-50","NeuroMend Collagen Nerve Wrap","0.5 sqcm",2,1,2,4,,
"C9361","NeuraMend nerve wrap","STRYKER ORTHOPAEDICS","08572086025","08572-0860-25","NeuroMend Collagen Nerve Wrap","0.5 sqcm",1.5,1,1.5,3,,
"C9361","NeuraMend nerve wrap","STRYKER ORTHOPAEDICS","08572086050","08572-0860-50","NeuroMend Collagen Nerve Wrap","0.5 sqcm",3,1,3,6,,
"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,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","0944435103 ","0944-4351-03 ","ARTISS Kit (Freeze-Dried) ","2 ML",2,1,1,1,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","0944435104 ","0944-4351-04 ","ARTISS Kit (Freeze-Dried) with DUPLOJECT System ","2 ML",2,1,1,1,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","0944435107 ","0944-4351-07 ","ARTISS Kit (Freeze-Dried) ","2 ML",4,1,2,2,,
"C9250","Artiss fibrin sealant","Baxter Healthcare Corporation","0944435111 ","0944-4351-11 ","ARTISS Kit (Freeze-Dried) ","2 ML",10,1,5,5,,
"J7340","Metabolic active D/E tissue","Organogenesis, Inc.","09978000199","09978-0001-99","Apligraf","1 SQ CM",1,1,44,44,,
"Q4101","Apligraf","Organogenesis, Inc.","09978000199","09978-0001-99","Apligraf","1 SQ CM",1,1,44,44,,
"J3360","Diazepam injection","BAXTER HEALTHCARE CORPORATION","10019000542","10019-0005-42","Diazepam",,2,25,50,2,,"5 MG"
"J3360","Diazepam injection","BAXTER HEALTHCARE CORPORATION","10019000567","10019-0005-67","Diazepam",,2,10,20,2,,"5 MG"
"J2275","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","10019000673","10019-0006-73","Morphine Sulfate (Pf)",,10,10,5,0.5,,"10 MG"
"J2275","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","10019000773","10019-0007-73","Morphine Sulfate (Pf)",,10,10,10,1,,"10 MG"
"J1940","Furosemide injection","BAXTER HEALTHCARE CORPORATION","10019001076","10019-0010-76","Furosemide",,4,1,2,2,,"20 MG"
"J1940","Furosemide injection","BAXTER HEALTHCARE CORPORATION","10019001077","10019-0010-77","Furosemide",,4,1,2,2,,"20 MG"
"J7643","Glycopyrrolate inhal sol u d","BAXTER","10019001602","10019-0016-02","Glycopyrrolate",,,,1,1,,"1 MG"
"J7642","Glycopyrrolate inhal sol con","BAXTER","10019001654","10019-0016-54","Glycopyrrolate",,5,25,25,1,,"1 MG"
"J7643","Glycopyrrolate inhal sol u d","BAXTER","10019001654","10019-0016-54","Glycopyrrolate",,5,25,25,1,,"1 MG"
"J1885","Ketorolac tromethamine inj","BAXTER","10019002109","10019-0021-09","Ketorolac Tromethamine","15 MG",1,10,1,10,,
"J1885","Ketorolac tromethamine inj","BAXTER","10019002209","10019-0022-09","Ketorolac Tromethamine","15 MG",1,10,2,20,,
"J1885","Ketorolac tromethamine inj","BAXTER","10019002232","10019-0022-32","Ketorolac Tromethamine","15 MG",2,10,4,40,,
"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","BAXTER","10019002705","10019-0027-05","Midazolam Hcl","1 MG",5,10,25,250,,
"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","BAXTER","10019002912","10019-0029-12","Ketorolac Tromethamine","15 MG",1,1,1,1,,
"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,,
"J0780","Prochlorperazine injection","BAXTER","10019004301","10019-0043-01","Prochlorperazine Edisylate","10 MG",2,25,1,25,,
"J0780","Prochlorperazine injection","BAXTER","10019004344","10019-0043-44","Prochlorperazine Edisylate","10 MG",2,1,1,1,,
"J1626","Granisetron hcl injection","Baxter Healthcare Corporation   ","10019005303","10019-0053-03","Granisetron HCl","100 MCG",4,1,40,40,,
"J0150","Injection adenosine 6 MG","BAXTER","10019006302","10019-0063-02","Adenosine","6 MG",2,1,1,1,,
"J0150","Injection adenosine 6 MG","West-Ward Pharmaceuticals Corp","10019006303","10019-0063-03","Adenosine","6 MG",2,10,1,10,,
"J0153","Adenosine inj 1mg","West-Ward Pharmaceuticals Corp","10019006303","10019-0063-03","Adenosine","1 MG",2,10,6,60,,
"J0150","Injection adenosine 6 MG","BAXTER","10019006307","10019-0063-07","Adenosine","6 MG",2,1,1,1,,
"J0150","Injection adenosine 6 MG","Baxter Healthcare Corporation   ","10019006308","10019-0063-08","Adenosine","6 MG",2,10,1,10,,
"J0150","Injection adenosine 6 MG","BAXTER","10019006334","10019-0063-34","Adenosine","6 MG",2,1,1,1,,
"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,,
"J2260","Inj milrinone lactate / 5 MG","BAXTER HEALTHCARE CORPORATION","10019007003","10019-0070-03","Milrinone Lactate",,50,1,10,10,,"5 ML"
"J2260","Inj milrinone lactate / 5 MG","BAXTER","10019007010","10019-0070-10","Milrinone Lactate","5 MG",10,1,2,2,,
"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","West-Ward Pharmaceuticals Corp","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","BAXTER","10019010239","10019-0102-39","Lorazepam","2 MG",1,1,1,1,,
"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","BAXTER HEALTHCARE CORPORATION","10019010346","10019-0103-46","Lorazepam",,1,10,20,2,,"2 MG"
"J2060","Lorazepam injection","BAXTER HEALTHCARE CORPORATION","10019010347","10019-0103-47","Lorazepam",,2,10,40,4,,"2 MG"
"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","BAXTER","10019010544","10019-0105-44","Lorazepam","2 MG",1,1,1,1,,
"J2060","Lorazepam injection","BAXTER","10019010571","10019-0105-71","Lorazepam","2 MG",1,1,1,1,,
"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,,
"J0282","Amiodarone HCl","BAXTER","10019013101","10019-0131-01","Amiodarone Hcl","30 MG",3,10,5,50,,
"J0282","Amiodarone HCl","BAXTER","10019013301","10019-0133-01","Amiodarone Hcl","30 MG",3,10,5,50,,
"J0282","Amiodarone HCl","BAXTER","10019013302","10019-0133-02","Amiodarone Hcl","30 MG",18,1,30,30,,
"J0282","Amiodarone HCl","BAXTER","10019013304","10019-0133-04","Amiodarone Hcl","30 MG",9,10,135,1350,,
"J0282","Amiodarone HCl","BAXTER","10019013313","10019-0133-13","Amiodarone Hcl","30 MG",3,1,5,5,,
"J0282","Amiodarone HCl","BAXTER","10019013319","10019-0133-19","Amiodarone Hcl","30 MG",9,1,15,15,,
"J1800","Propranolol injection","Baxter Healthcare Corporation   ","10019014501","10019-0145-01","Inderal","1 MG",1,10,1,10,,
"J1800","Propranolol injection","BAXTER","10019014543","10019-0145-43","Inderal","1 MG",1,1,1,1,,
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","10019015144","10019-0151-44","Meperidine Hcl",,1,25,6.25,0.25,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","10019015147","10019-0151-47","Meperidine Hcl",,1,1,0.25,0.25,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","10019015244","10019-0152-44","Meperidine Hcl",,1,25,12.5,0.5,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","10019015247","10019-0152-47","Meperidine Hcl",,1,1,0.5,0.5,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","10019015344","10019-0153-44","Meperidine Hcl",,1,25,18.75,0.75,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","10019015347","10019-0153-47","Meperidine Hcl",,1,10,7.5,0.75,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","10019015444","10019-0154-44","Meperidine Hcl",,1,25,25,1,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","BAXTER HEALTHCARE CORPORATION","10019015447","10019-0154-47","Meperidine Hcl",,1,10,10,1,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","BAXTER","10019015568","10019-0155-68","Meperidine Hcl","100 MG",1,25,0.25,6.25,,
"J2175","Meperidine hydrochl /100 MG","BAXTER","10019015668","10019-0156-68","Meperidine Hcl","100 MG",1,25,0.5,12.5,,
"J2175","Meperidine hydrochl /100 MG","BAXTER","10019015768","10019-0157-68","Meperidine Hcl","100 MG",1,25,0.75,18.75,,
"J2175","Meperidine hydrochl /100 MG","BAXTER","10019015868","10019-0158-68","Meperidine Hcl","100 MG",1,25,1,25,,
"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,,
"J2175","Meperidine hydrochl /100 MG","BAXTER","10019016244","10019-0162-44","Meperidine Hcl","100 MG",1,1,1,1,,
"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","BAXTER HEALTHCARE CORPORATION","10019017580","10019-0175-80","Morphine Sulfate",,60,1,6,6,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","10019017580","10019-0175-80","Morphine Sulfate",,60,1,0.6,0.6,,"100 MG"
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","10019017644","10019-0176-44","Morphine Sulfate","10 MG",1,25,0.5,12.5,,
"J2271","Morphine so4 injection 100mg","BAXTER","10019017644","10019-0176-44","Morphine Sulfate",,1,25,1.25,0.05,,"100 MG"
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","10019017744","10019-0177-44","Morphine Sulfate","10 MG",1,25,0.8,20,,
"J2271","Morphine so4 injection 100mg","BAXTER","10019017744","10019-0177-44","Morphine Sulfate",,1,25,2,0.08,,"100 MG"
"J2270","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","10019017747","10019-0177-47","Morphine Sulfate",,1,10,8,0.8,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","10019017747","10019-0177-47","Morphine Sulfate",,1,10,0.8,0.08,,"100 MG"
"J2270","Morphine sulfate injection","Baxter Healthcare Corporation   ","10019017768","10019-0177-68","Morphine Sulfate","10 MG",1,25,0.8,20,,
"J2271","Morphine so4 injection 100mg","BAXTER","10019017768","10019-0177-68","Morphine Sulfate",,1,25,2,0.08,,"100 MG"
"J2270","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","10019017844","10019-0178-44","Morphine Sulfate","10 MG",1,25,1,25,,
"J2271","Morphine so4 injection 100mg","BAXTER","10019017844","10019-0178-44","Morphine Sulfate",,1,25,2.5,0.1,,"100 MG"
"J2270","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","10019017847","10019-0178-47","Morphine Sulfate",,1,1,1,1,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","10019017847","10019-0178-47","Morphine Sulfate",,1,1,0.1,0.1,,"100 MG"
"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,,
"J2271","Morphine so4 injection 100mg","BAXTER","10019017868","10019-0178-68","Morphine Sulfate",,1,25,2.5,0.1,,"100 MG"
"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","BAXTER","10019017944","10019-0179-44","Morphine Sulfate",,1,25,3.75,0.15,,"100 MG"
"J2270","Morphine sulfate injection","BAXTER","10019017963","10019-0179-63","Morphine Sulfate",,20,1,30,30,,"10 MG"
"J2271","Morphine so4 injection 100mg","West-Ward Pharmaceuticals Corp","10019017963","10019-0179-63","Morphine Sulfate","100 MG",20,1,3,3,,
"J2270","Morphine sulfate injection","BAXTER","10019017968","10019-0179-68","Morphine Sulfate","10 MG",1,25,1.5,37.5,,
"J1250","Inj dobutamine HCL/250 mg","BAXTER HEALTHCARE CORPORATION","10019018120","10019-0181-20","Dobutamine Hcl",,20,1,1,1,,"250 MG"
"J2270","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","10019018265","10019-0182-65","Morphine Sulfate",,1,1,0.2,0.2,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","10019018265","10019-0182-65","Morphine Sulfate",,1,1,0.02,0.02,,"100 MG"
"J2270","Morphine sulfate injection","BAXTER HEALTHCARE CORPORATION","10019018365","10019-0183-65","Morphine Sulfate",,1,1,0.4,0.4,,"10 MG"
"J2271","Morphine so4 injection 100mg","BAXTER HEALTHCARE CORPORATION","10019018365","10019-0183-65","Morphine Sulfate",,1,1,0.04,0.04,,"100 MG"
"J1250","Inj dobutamine HCL/250 mg","BAXTER HEALTHCARE CORPORATION","10019018420","10019-0184-20","Dobutamine Hcl",,20,25,25,1,,"250 MG"
"J0460","Atropine sulfate injection","BAXTER","10019025012","10019-0250-12","Atropine Sulfate","0.3 MG",1,25,1.33,33.25,,
"J0461","Atropine sulfate injection","Baxter Healthcare Corporation   ","10019025012","10019-0250-12","Atropine Sulfate","0.01 MG",1,25,40,1000,,
"J0460","Atropine sulfate injection","BAXTER","10019025020","10019-0250-20","Atropine Sulfate","0.3 MG",20,10,26.6,80,,
"J0461","Atropine sulfate injection","West-Ward Pharmaceuticals Corp","10019025020","10019-0250-20","Atropine Sulfate","0.01 MG",20,10,800,8000,,
"J7635","Atropine inhal sol con","BAXTER","10019025020","10019-0250-20","Atropine Sulfate",,20,10,80,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","BAXTER","10019025020","10019-0250-20","Atropine Sulfate",,20,10,80,8,,"1 MG"
"J0460","Atropine sulfate injection","BAXTER","10019025112","10019-0251-12","Atropine Sulfate","0.3 MG",1,25,3.33,83.25,,
"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,,
"Q2009","Fosphenytoin inj PE","BAXTER HEALTHCARE CORPORATION","10019026317","10019-0263-17","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,1,2,2,,
"Q2009","Fosphenytoin inj PE","BAXTER HEALTHCARE CORPORATION","10019026371","10019-0263-71","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,1,10,10,,
"J2710","Neostigmine methylslfte inj","BAXTER","10019027010","10019-0270-10","Neostigmine Methylsulfate","0.5 MG",10,10,20,200,,
"J2710","Neostigmine methylslfte inj","BAXTER","10019027102","10019-0271-02","Neostigmine Methylsulfate","0.5 MG",1,10,1,10,,
"J2710","Neostigmine methylslfte inj","BAXTER","10019027110","10019-0271-10","Neostigmine Methylsulfate","0.5 MG",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,,
"J0595","Butorphanol tartrate 1 mg","BAXTER","10019046101","10019-0461-01","Butorphanol Tartrate","1 MG",1,10,1,10,,
"J0690","Cefazolin sodium injection","Baxter Healthcare Corporation   ","10019061001","10019-0610-01","Cefazolin Sodium","500 MG",10,25,10,250,,
"J0690","Cefazolin sodium injection","BAXTER","10019061010","10019-0610-10","Cefazolin Sodium","500 MG",1,1,1,1,,
"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,,
"J0690","Cefazolin sodium injection","BAXTER","10019061306","10019-0613-06","Cefazolin Sodium","500 MG",100,10,40,400,,
"J0690","Cefazolin sodium injection","BAXTER","10019061x01","10019-061x-01","Cefazolin Sodium","500 MG",1,10,20,200,,
"J0697","Sterile cefuroxime injection","Baxter Healthcare Corporation   ","10019062001","10019-0620-01","Cefuroxime Sodium","750 MG",10,25,1,25,,
"J0697","Sterile cefuroxime injection","BAXTER","10019062010","10019-0620-10","Cefuroxime Sodium","750 MG",1,1,1,1,,
"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,,
"J0697","Sterile cefuroxime injection","BAXTER","10019062211","10019-0622-11","Cefuroxime Sodium","750 MG",1,1,10,10,,
"J0295","Ampicillin sodium per 1.5 gm","BAXTER","10019063001","10019-0630-01","Ampicillin-Sulbactam","1.5 GM",10,10,1,10,,
"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","BAXTER","10019063003","10019-0630-03","Ampicillin-Sulbactam","1.5 GM",100,1,10,10,,
"J0295","Ampicillin sodium per 1.5 gm","BAXTER","10019063015","10019-0630-15","Ampicillin-Sulbactam","1.5 GM",1,1,10,10,,
"J0295","Ampicillin sodium per 1.5 gm","BAXTER","10019063031","10019-0630-31","Ampicillin-Sulbactam","1.5 GM",1,1,1,1,,
"J0295","Ampicillin sodium per 1.5 gm","BAXTER","10019063033","10019-0630-33","Ampicillin-Sulbactam","1.5 GM",1,1,2,2,,
"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","BAXTER","10019063131","10019-0631-31","Ampicillin-Sulbactam","1.5 GM",1,1,1,1,,
"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","BAXTER","10019063333","10019-0633-33","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","BAXTER","10019063431","10019-0634-31","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","BAXTER","10019063631","10019-0636-31","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",1,10,2,20,,
"J0295","Ampicillin sodium per 1.5 gm","BAXTER","10019063733","10019-0637-33","Ampicillin-Sulbactam","1.5 GM",1,1,2,2,,
"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","West-Ward Pharmaceuticals Corp","10019064802","10019-0648-02","AZITHROMYCIN","500 MG",1,10,1,10,,
"J0456","Azithromycin","BAXTER","10019064871","10019-0648-71","AZITHROMYCIN","500 MG",1,1,1,1,,
"J0694","Cefoxitin sodium injection","BAXTER","10019066001","10019-0660-01","Cefoxitin Sodium","1 GM",25,1,25,25,,
"J0694","Cefoxitin sodium injection","BAXTER","10019066071","10019-0660-71","Cefoxitin Sodium","1 GM",1,1,1,1,,
"J0694","Cefoxitin sodium injection","BAXTER","10019066102","10019-0661-02","Cefoxitin Sodium","1 GM",25,1,50,50,,
"J0694","Cefoxitin sodium injection","BAXTER","10019066203","10019-0662-03","Cefoxitin Sodium","1 GM",10,1,100,100,,
"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","BAXTER","10019068115","10019-0681-15","Cefotaxime Sodium","1 GM",1,1,1,1,,
"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","BAXTER","10019068827","10019-0688-27","CEFTRIAXONE SODIUM","250 MG",1,1,8,8,,
"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,,
"J9060","Cisplatin 10 MG injection","BAXTER","10019091001","10019-0910-01","Cisplatin","10 MG",50,1,5,5,,
"J9062","Cisplatin 50 MG injection","BAXTER","10019091001","10019-0910-01","Cisplatin","50 MG",50,1,1,1,,
"J9060","Cisplatin 10 MG injection","BAXTER","10019091002","10019-0910-02","Cisplatin","10 MG",100,1,10,10,,
"J9062","Cisplatin 50 MG injection","BAXTER","10019091002","10019-0910-02","Cisplatin","50 MG",100,1,2,2,,
"J9045","Carboplatin injection","BAXTER","10019091201","10019-0912-01","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","BAXTER","10019091202","10019-0912-02","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","BAXTER","10019091203","10019-0912-03","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","BAXTER","10019091501","10019-0915-01","Carboplatin","50 MG",1,1,1,1,,
"J9045","Carboplatin injection","BAXTER","10019091601","10019-0916-01","Carboplatin","50 MG",1,1,3,3,,
"J9045","Carboplatin injection","BAXTER","10019091701","10019-0917-01","Carboplatin","50 MG",1,1,9,9,,
"J9000","Doxorubic hcl 10 MG vl chemo","BAXTER","10019092001","10019-0920-01","Doxorubicin Hcl","10 MG",10,1,1,1,,
"J9000","Doxorubic hcl 10 MG vl chemo","BAXTER","10019092102","10019-0921-02","Doxorubicin Hcl","10 MG",1,1,5,5,,
"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,,
"J9181","Etoposide injection","BAXTER","10019093001","10019-0930-01","Etoposide","10 MG",5,1,10,10,,
"J9182","Etoposide 100 MG inj","BAXTER","10019093001","10019-0930-01","Etoposide","100 MG",5,1,1,1,,
"J9181","Etoposide injection","BAXTER","10019093002","10019-0930-02","Etoposide","10 MG",5,1,50,50,,
"J9182","Etoposide 100 MG inj","BAXTER","10019093002","10019-0930-02","Etoposide","100 MG",5,1,5,5,,
"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,,
"J9206","Irinotecan injection","BAXTER HEALTHCARE CORP.","10019093417","10019-0934-17","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","BAXTER HEALTHCARE CORP.","10019093479","10019-0934-79","Irinotecan HCL","20 MG",5,1,5,5,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019093501","10019-0935-01","Cyclophosphamide","100 MG",50,1,5,5,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019093601","10019-0936-01","Cyclophosphamide","100 MG",75,1,10,10,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019093701","10019-0937-01","Cyclophosphamide","100 MG",100,1,20,20,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019093801","10019-0938-01","Cyclophosphamide","100 MG",50,1,5,5,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019093901","10019-0939-01","Cyclophosphamide","100 MG",75,1,10,10,,
"J9250","Methotrexate sodium inj","BAXTER HEALTHCARE CORPORATION","10019094001","10019-0940-01","Methotrexate Sodium",,2,,10,10,,"5 MG"
"J9250","Methotrexate sodium inj","BAXTER HEALTHCARE CORPORATION","10019094002","10019-0940-02","Methotrexate Sodium",,4,1,20,20,,"5 MG"
"J9250","Methotrexate sodium inj","BAXTER HEALTHCARE CORPORATION","10019094101","10019-0941-01","Methotrexate Sodium",,2,,10,10,,"5 MG"
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019094201","10019-0942-01","Cyclophosphamide","100 MG",100,1,20,20,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019094301","10019-0943-01","Cyclophosphamide","100 MG",50,1,5,5,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019094401","10019-0944-01","Cyclophosphamide","100 MG",75,1,10,10,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019094501","10019-0945-01","Cyclophosphamide","100 MG",100,1,20,20,,
"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,,
"J9080","Cyclophosphamide 200 MG inj","BAXTER","10019095501","10019-0955-01","Cyclophosphamide","200 MG",50,1,2.5,2.5,,
"J9090","Cyclophosphamide 500 MG inj","BAXTER","10019095501","10019-0955-01","Cyclophosphamide","500 MG",50,1,1,1,,
"J9091","Cyclophosphamide 1.0 grm inj","BAXTER","10019095501","10019-0955-01","Cyclophosphamide","1 GM",50,1,0.5,0.5,,
"J9092","Cyclophosphamide 2.0 grm inj","BAXTER","10019095501","10019-0955-01","Cyclophosphamide","2 GM",50,1,0.25,0.25,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019095601","10019-0956-01","Cyclophosphamide","100 MG",75,1,10,10,,
"J9080","Cyclophosphamide 200 MG inj","BAXTER","10019095601","10019-0956-01","Cyclophosphamide","200 MG",75,1,5,5,,
"J9090","Cyclophosphamide 500 MG inj","BAXTER","10019095601","10019-0956-01","Cyclophosphamide","500 MG",75,1,2,2,,
"J9091","Cyclophosphamide 1.0 grm inj","BAXTER","10019095601","10019-0956-01","Cyclophosphamide","1 GM",75,1,1,1,,
"J9092","Cyclophosphamide 2.0 grm inj","BAXTER","10019095601","10019-0956-01","Cyclophosphamide","2 GM",75,1,0.5,0.5,,
"J9070","Cyclophosphamide 100 mg inj","Baxter Healthcare Corporation","10019095701","10019-0957-01","Cyclophosphamide","100 MG",100,1,20,20,,
"J9080","Cyclophosphamide 200 MG inj","BAXTER","10019095701","10019-0957-01","Cyclophosphamide","200 MG",100,1,10,10,,
"J9090","Cyclophosphamide 500 MG inj","BAXTER","10019095701","10019-0957-01","Cyclophosphamide","500 MG",100,1,4,4,,
"J9091","Cyclophosphamide 1.0 grm inj","BAXTER","10019095701","10019-0957-01","Cyclophosphamide","1 GM",100,1,2,2,,
"J9092","Cyclophosphamide 2.0 grm inj","BAXTER","10019095701","10019-0957-01","Cyclophosphamide","2 GM",100,1,1,1,,
"J9390","Vinorelbine tartrate/10 mg","BAXTER","10019097001","10019-0970-01","Vinorelbine Tartrate","10 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate/10 mg","BAXTER","10019097002","10019-0970-02","Vinorelbine Tartrate","10 MG",5,1,5,5,,
"Q4121","Theraskin","Skin and Wound Allograft Institute","100TSXS","100TSXS","TheraSkin","1 SQ CM",1,1,6.25,6.25,,
"Q4116","Alloderm","LifeCell Corporation","101010","101010","AlloDerm","1 SQ CM",1,1,1,1,,
"Q4116","Alloderm","LifeCell Corporation","101020","101020","AlloDerm","1 SQ CM",1,1,1,1,,
"C9248","Inj, clevidipine butyrate","CHIESI USA, INC.","10122061110","10122-0611-10","CLEVIPREX","1 MG",100,10,50,500,,
"J7682","Tobramycin non-comp unit","CHIESI USA, INC.","10122082028","10122-0820-28","BETHKIS","300 MG",4,28,1,28,,
"J7682","Tobramycin non-comp unit","CHIESI USA, INC.","10122082056","10122-0820-56","BETHKIS","300 MG",4,56,1,56,,
"Q0163","Diphenhydramine HCl 50mg","MARLEX PHARMACEUTICALS","10135015601","10135-0156-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","MARLEX PHARMACEUTICALS","10135015610","10135-0156-10","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"Q0163","Diphenhydramine HCl 50mg","MARLEX PHARMACEUTICALS","10135015613","10135-0156-13","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q2009","Fosphenytoin inj PE","GENERAMEDIX","10139002511","10139-0025-11","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,1,2,2,,
"Q2009","Fosphenytoin inj PE","GENERAMEDIX","10139002512","10139-0025-12","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,1,10,10,,
"Q2009","Fosphenytoin inj PE","GENERAMEDIX","10139002521","10139-0025-21","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50,,
"Q2009","Fosphenytoin inj PE","GENERAMEDIX","10139002522","10139-0025-22","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100,,
"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",10,1,50,50,,
"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","Mylan Institutional","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,,
"J0295","Ampicillin sodium per 1.5 gm","GENERAMEDIX INC.","10139007118","10139-007118","Ampicillin-Sulbactam","1.5 GM",1,1,2,2,,
"J3370","Vancomycin hcl injection","Mylan Institutional","10139050112","10139-0501-12","Vancomycin HCl","500 MG",1,10,2,20,,
"J0834","Cosyntropin cortrosyn inj","Mylan Institutional","10139090510","10139-0905-10","Cosyntropin (Cortrosyn Generic)","0.25 MG",1,10,1,10,,
"J1451","Fomepizole, 15 mg","GeneraMedix Inc.","10139091015","10139-0910-15","Fomepizole","15 MG",1.5,1,100,100,,
"J7335","Capsaicin 8% patch","ACORDA THERAPEUTICS, INC.","10144092801","10144-0928-01","Qutenza","10 SQ CM",1,1,28,28,,
"J7336","Capsaicin 8% patch","Acorda Therapeutics","10144092801","10144-0928-01","Qutenza","1 SQ CM",1,1,280,280,,
"J7335","Capsaicin 8% patch","ACORDA THERAPEUTICS, INC.","10144092901","10144-0929-01","Qutenza","10 SQ CM",1,2,28,56,,
"J7336","Capsaicin 8% patch","Acorda Therapeutics","10144092901","10144-0929-01","Qutenza","1 SQ CM",1,2,280,560,,
"J1630","Haloperidol injection","Patriot Pharmaceuticals, LLC","10147091101","10147-0911-01","Haloperidol Lactate","5 MG",1,10,1,10,,
"J1631","Haloperidol decanoate inj","Patriot Pharmaceuticals, LLC","10147092103","10147-0921-03","Haloperidol Decanoate","50 MG",1,3,1,3,,
"J1631","Haloperidol decanoate inj","Patriot Pharmaceuticals, LLC","10147092205","10147-0922-05","Haloperidol Decanoate","50 MG",1,5,2,10,,
"Q4074","Iloprost non-comp unit dose","COTHERIX","10148010100","10148-0101-00","Ventavis","UP TO 20 MCG",2,1,1,1,,
"Q4080","Iloprost inhalation solution","COTHERIX","10148010100","10148-0101-00","Ventavis","20 MCG",2,1,1,1,,
"Q4080","Iloprost inhalation solution","COTHERIX","10148010101","10148-0101-01","Ventavis","20 MCG",2,100,1,100,,
"Q4074","Iloprost non-comp unit dose","COTHERIX","10148010130","10148-0101-30","Ventavis","UP TO 20 MCG",2,30,1,30,,
"Q4080","Iloprost inhalation solution","COTHERIX","10148010130","10148-0101-30","Ventavis","20 MCG",2,30,1,30,,
"Q4074","Iloprost non-comp unit dose","CoTherix, Inc","10148010200","10148-0102-00","Ventavis","UP TO 20 MCG",1,1,1,1,,
"Q4080","Iloprost inhalation solution","COTHERIX","10148010200","10148-0102-00","Ventavis","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,,
"Q4080","Iloprost inhalation solution","COTHERIX","10148010230","10148-0102-30","Ventavis","20 MCG",1,30,1,30,,
"Q4116","Alloderm","LifeCell Corporation","101510","101510","AlloDerm","1 SQ CM",1,1,1,1,,
"Q4116","Alloderm","LifeCell Corporation","101520","101520","AlloDerm","1 SQ CM",1,1,1,1,,
"Q4121","Theraskin","Skin and Wound Allograft Institute","101TSS","101TSS","TheraSkin","1 SQ CM",12.9,1,12.9,12.9,,
"Q4116","Alloderm","LifeCell Corporation","102003","102003","AlloDerm","1 SQ CM",2,1,2,2,,
"Q4116","Alloderm","LifeCell Corporation","102007","102007","AlloDerm","1 SQ CM",4,1,4,4,,
"Q4116","Alloderm","LifeCell Corporation","102009","102009","AlloDerm","1 SQ CM",8,1,8,8,,
"Q4116","Alloderm","LifeCell Corporation","102010","102010","AlloDerm","1 SQ CM",8,1,8,8,,
"Q4116","Alloderm","LifeCell Corporation","102011","102011","AlloDerm","1 SQ CM",1,1,8,8,,
"Q4116","Alloderm","LifeCell Corporation","102012","102012","AlloDerm","1 SQ CM",1,1,8,8,,
"Q4116","Alloderm","LifeCell Corporation","102016","102016","AlloDerm","1 SQ CM",160,1,160,160,,
"Q4116","Alloderm","LifeCell Corporation","102020","102020","AlloDerm","1 SQ CM",21,1,21,21,,
"Q4116","Alloderm","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","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","LifeCell Corporation","102033","102033","AlloDerm","1 SQ CM",28,1,28,28,,
"Q4116","Alloderm","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","LifeCell Corporation","102049","102049","AlloDerm","1 SQ CM",48,1,48,48,,
"Q4116","Alloderm","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","LifeCell Corporation","102061","102061","AlloDerm","1 SQ CM",50,1,50,50,,
"Q4116","Alloderm","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","LifeCell Corporation","102071","102071","AlloDerm","1 SQ CM",72,1,72,72,,
"Q4116","Alloderm","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","LifeCell Corporation","102081","102081","AlloDerm","1 SQ CM",64,1,64,64,,
"Q4116","Alloderm","LifeCell Corporation","102082","102082","AlloDerm","1 SQ CM",64,1,64,64,,
"Q4116","Alloderm","LifeCell Corporation","102082BP","102082BP","AlloDerm","1 SQ CM",1,1,64,64,,
"Q4116","Alloderm","LifeCell Corporation","102096","102096","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","102108","102108","AlloDerm","1 SQ CM",108,1,108,108,,
"Q4116","Alloderm","LifeCell Corporation","102128","102128","AlloDerm","1 SQ CM",128,1,128,128,,
"Q4116","Alloderm","LifeCell Corporation","102128BP","102128BP","AlloDerm","1 SQ CM",128,1,128,128,,
"Q4116","Alloderm","LifeCell Corporation","102144","102144","AlloDerm","1 SQ CM",144,1,144,144,,
"Q4116","Alloderm skin sub","LIFECELL","102160","102160","AlloDerm","1 SQ CM",60,1,60,60,,
"Q4116","Alloderm","LifeCell Corporation","102196","102196","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","102196BP","102196BP","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","102320","102320","AlloDerm","1 SQ CM",320,1,320,320,,
"Q0163","Diphenhydramine HCl 50mg","CONTRACT PHARMACAL CORPORATION","10267083601","10267-0836-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","CONTRACT PHARMACAL CORPORATION","10267083604","10267-0836-04","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"Q4121","Theraskin","Skin and Wound Allograft Institute","102TSL","102TSL","TheraSkin","1 SQ CM",38.71,1,38.71,38.71,,
"Q4121","Theraskin","Skin and Wound Allograft Institute","103TSXL","103TSXL","TheraSkin","1 SQ CM",1,1,115.5,115.5,,
"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,,
"C9275","Hexaminolevulinate HCI","PHOTOCURE, INC.","10511300101","10511-3001-01","CYSVIEW","Per study dose",1,1,1,1,,
"J9265","Paclitaxel injection","Dabur Pharma US, Inc","10518010207","10518-0102-07","Paclitaxel","30 MG",5,1,1,1,,
"J9265","Paclitaxel injection","Dabur Pharma US, Inc","10518010208","10518-0102-08","Paclitaxel","30 MG",16.7,1,3.34,3.34,,
"J9265","Paclitaxel injection","Dabur Pharma US, Inc","10518010209","10518-0102-09","Paclitaxel","30 MG",50,1,10,10,,
"J9206","Irinotecan injection","DABUR PHARMA US, INC.","10518010310","10518-0103-10","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","DABUR PHARMA US, INC.","10518010311","10518-0103-11","Irinotecan HCL","20 MG",5,1,5,5,,
"J9178","Inj, epirubicin hcl, 2 mg","Dabur Pharma US, Inc","10518010410","10518-0104-10","Epirubicin","2 MG",25,1,25,25,,
"J9178","Inj, epirubicin hcl, 2 mg","Dabur Pharma US, Inc","10518010411","10518-0104-11","Epirubicin","2 MG",100,1,100,100,,
"J9293","Mitoxantrone hydrochl / 5 MG","Dabur Pharma US, Inc","10518010510","10518-0105-10","MITOXANTRONE HYDROCHLORIDE","5 MG",10,1,4,4,,
"J9293","Mitoxantrone hydrochl / 5 MG","Dabur Pharma US, Inc","10518010511","10518-0105-11","MITOXANTRONE HYDROCHLORIDE","5 MG",12.5,1,5,5,,
"J9293","Mitoxantrone hydrochl / 5 MG","Dabur Pharma US, Inc","10518010512","10518-0105-12","MITOXANTRONE HYDROCHLORIDE","5 MG",15,1,6,6,,
"J7509","Methylprednisolone oral","4UDOCTOR","10544032221","10544-0322-21","Methylprednisolone","4 MG",21,1,21,21,,
"Q0177","Hydroxyzine pamoate 25mg","4UDOCTOR","10544032830","10544-0328-30","Hydroxyzine Pamoate","25 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","4UDOCTOR","10544034320","10544-0343-20","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","LUNSCO","10892011265","10892-0112-65","DYTUSS","50 MG",24,1,24,24,,
"J1644","Inj heparin sodium per 1000u","PEGASUS","10974000805","10974-0008-05","Heparin Sodium (Porcine)","1000 UNITS",5,1,50,50,,
"J3415","Pyridoxine hcl 100 mg","PEGASUS","10974005930","10974-0059-30","Pyridoxine Hcl","100 MG",30,1,30,30,,
"J3420","Vitamin b12 injection","PEGASUS","10974006910","10974-0069-10","Cyanocobalamin","1000 MCG",10,1,10,10,,
"J3420","Vitamin b12 injection","PEGASUS","10974007030","10974-0070-30","Cyanocobalamin","1000 MCG",30,1,30,30,,
"J3475","Inj magnesium sulfate","PEGASUS","10974008330","10974-0083-30","Magnesium Sulfate","500 MG",30,1,30,30,,
"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","TAYLOR","11098003010","11098-0030-10","Sublimaze","0.1 MG",10,5,5,25,,
"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,,
"Q0163","Diphenhydramine HCl 50mg","MASON DISTRIBUTORS","11845092001","11845-0920-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q9957","Inj perflutren lip micros,ml","Lantheus Medical Imaging, Inc.","11994001104","11994-0011-04","Definity","1 ML",2,4,2,8,,
"Q9957","Inj perflutren lip micros,ml","Lantheus Medical Imaging, Inc.","11994001116","11994-0011-16","Definity","1 ML",2,16,2,32,,
"A9583","Gadofosveset trisodium inj","Lantheus Medical Imaging, Inc.","11994001201","11994-0012-01","ABLAVAR","1 ML",10,10,100,100,,
"A9583","Gadofosveset trisodium inj","Lantheus Medical Imaging, Inc.","11994001202","11994-0012-02","ABLAVAR","1 ML",15,10,15,150,,
"A9604","Sm 153 lexidronam","Lantheus Medical Imaging, Inc.","11994001601","11994-0016-01","QUADRAMET","up to 150 millicuries",3,1,1,1,,
"J2941","Somatropin injection","DISPENSEXPRESS","12280009215","12280-0092-15","Norditropin","1 MG",1.5,1,5,5,,
"J7500","Azathioprine oral 50mg","DISPENSE EXPRESS","12280013930","12280-0139-30","Azathioprine",,,1,400,400,,"50 MG"
"Q0163","Diphenhydramine HCl 50mg","DISPENSEXPRESS, INC.","12280018500","12280-0185-00","DIPHENHYDRAMINE HCL","50 MG",100,1,100,100,,
"Q0178","Hydroxyzine pamoate 50mg","DISPENSEXPRESS","12280020504","12280-0205-04","Vistaril",,,10,,,,"50 MG"
"J0592","Buprenorphine hydrochloride","RECKITT BENCKISER","12496075701","12496-0757-01","Buprenex","0.1 MG",1,5,3,15,,
"90714","Td vacc no presv 7 yrs+ im","Grifols USA, LLC.","13533013101","13533-0131-01","Tetanus-Diphtheria Toxoids Td","0.5 ML",0.5,10,1,10,,
"J0256","Alpha 1 proteinase inhibitor","Grifols Therapeutics, Inc.","13533060130","13533-0601-30","Prolastin","10 MG",1,1,0.1,0.1,,
"J0256","Alpha 1 proteinase inhibitor","Grifols Therapeutics, Inc.","13533060135","13533-0601-35","Prolastin","10 MG",1,1,100,0.1,,
"J7197","Antithrombin iii injection","GRIFOLS THERAPEUTICS, INC.","13533060250","13533-0602-50","Thrombate III","1 IU",1,1,1,1,,
"J7197","Antithrombin iii injection","Grifols USA, LLC.","13533060320","13533-0603-20","Thrombate Iii","1 IU",1,1,1,1,,
"J7197","Antithrombin iii injection","Grifols Therapeutics, Inc.","13533060330","13533-0603-30","Thrombate Iii","1 IU",1,1,1,1,,
"P9043","Plasma protein fract,5%,50ml","TALECRIS BIOTHERAPEUTICS","13533061320","13533-0613-20","Plasmanate","50 ML",50,1,1,1,,
"P9048","Plasmaprotein fract,5%,250ml","TALECRIS","13533061325","13533-0613-25","Plasmanate","250 ML",250,1,1,1,,
"90375","Rabies ig im/sc","Grifols USA, LLC.","13533061802","13533-0618-02","HyperRab S/D","150 IU",2,1,2,2,,
"90375","Rabies ig, im/sc","Grifols Therapeutics, Inc.","13533061803","13533-0618-03","HyperRab S/D","150 IU",2,1,2,2,,
"90375","Rabies ig im/sc","Grifols USA, LLC.","13533061810","13533-0618-10","HyperRab S/D","150 IU",10,1,10,10,,
"90376","Rabies ig, heat treated","Grifols Therapeutics, Inc.","13533061810","13533-0618-10","HyperRab S/D","150 IU",10,1,10,10,,
"J2788","Rho d immune globulin 50 mcg","TALECRIS BIOTHERAPEUTICS","13533063102","13533-0631-02","HYPERRHO S/D",,1,1,6,,,"50 MCG"
"J2790","Rho d immune globulin inj","Grifols USA, LLC.","13533063102","13533-0631-02","HYPERRHO S/D","300 MCG (1500 IU)",1,1,1,1,,
"90385","Rh ig, minidose, im","Grifols Therapeutics, Inc.","13533063106","13533-0631-06","HyperRho S/D","50 MCG",1,10,1,1,,
"J2788","Rho d immune globulin 50 mcg","Grifols Therapeutics, Inc.","13533063106","13533-0631-06","HyperRho S/D","50 MCG (250 IU)",1,1,1,1,,
"J2790","Rho d immune globulin inj","Grifols USA, LLC.","13533063110","13533-0631-10","HyperRho S/D","300 MCG (1500 IU)",1,10,1,10,,
"J1670","Tetanus immune globulin inj","Grifols USA, LLC.","13533063402","13533-0634-02","HYPERTET S/D","250 UNITS",1,1,1,1,,
"J1460","Gamma globulin 1 CC inj","Grifols Therapeutics, Inc.","13533063503","13533-0635-03","GAMASTAN S/D","1 CC",2,1,2,2,,
"J1470","Gamma globulin 2 CC inj","TALECRIS","13533063503","13533-0635-03","GAMASTAN S/D","2 CC",2,1,1,1,,
"J1480","Gamma globulin 3 CC inj","TALECRIS","13533063503","13533-0635-03","GAMASTAN S/D","3CC",2,1,0.667,0.667,,
"J1490","Gamma globulin 4 CC inj","TALECRIS","13533063503","13533-0635-03","GAMASTAN S/D","4 CC",2,1,0.5,0.5,,
"J1500","Gamma globulin 5 CC inj","TALECRIS","13533063503","13533-0635-03","GAMASTAN S/D","5 CC",2,1,0.4,0.4,,
"J1510","Gamma globulin 6 CC inj","TALECRIS","13533063503","13533-0635-03","GAMASTAN S/D","6 CC",2,1,0.333,0.333,,
"J1520","Gamma globulin 7 CC inj","TALECRIS","13533063503","13533-0635-03","GAMASTAN S/D","7 CC",2,1,0.286,0.286,,
"J1530","Gamma globulin 8 CC inj","TALECRIS","13533063503","13533-0635-03","GAMASTAN S/D","8 CC",2,1,0.25,0.25,,
"J1540","Gamma globulin 9 CC inj","TALECRIS","13533063503","13533-0635-03","GAMASTAN S/D","9 CC",2,1,0.222,0.222,,
"J1550","Gamma globulin 10 CC inj","TALECRIS","13533063503","13533-0635-03","GAMASTAN S/D","10 CC",2,1,0.2,0.2,,
"J1560","Gamma globulin > 10 CC inj","Grifols Therapeutics, Inc.","13533063503","13533-0635-03","GAMASTAN S/D","10 CC",2,1,0.2,0.2,,
"J1460","Gamma globulin 1 cc inj","Grifols USA, LLC.","13533063504","13533-0635-04","GAMASTAN S/D","1 CC",2,1,2,2,,
"J1470","Gamma globulin 2 CC inj","Talecris","13533063504","13533-0635-04","GAMASTAN S/D","2 CC",2,1,1,1,,
"J1480","Gamma globulin 3 CC inj","TALECRIS","13533063504","13533-0635-04","GAMASTAN S/D","3CC",2,1,0.667,0.667,,
"J1490","Gamma globulin 4 CC inj","TALECRIS","13533063504","13533-0635-04","GAMASTAN S/D","4 CC",2,1,0.5,0.5,,
"J1500","Gamma globulin 5 CC inj","TALECRIS","13533063504","13533-0635-04","GAMASTAN S/D","5 CC",2,1,0.4,0.4,,
"J1510","Gamma globulin 6 CC inj","Talecris","13533063504","13533-0635-04","GAMASTAN S/D","6 CC",2,1,0.333,0.333,,
"J1520","Gamma globulin 7 CC inj","TALECRIS","13533063504","13533-0635-04","GAMASTAN S/D","7 CC",2,1,0.286,0.286,,
"J1530","Gamma globulin 8 CC inj","TALECRIS","13533063504","13533-0635-04","GAMASTAN S/D","8 CC",2,1,0.25,0.25,,
"J1540","Gamma globulin 9 CC inj","TALECRIS","13533063504","13533-0635-04","GAMASTAN S/D","9 CC",2,1,0.222,0.222,,
"J1550","Gamma globulin 10 CC inj","Talecris","13533063504","13533-0635-04","GAMASTAN S/D","10 CC",2,1,0.2,0.2,,
"J1560","Gamma globulin > 10 cc inj","Grifols USA, LLC.","13533063504","13533-0635-04","GAMASTAN S/D","10 CC",2,1,0.2,0.2,,
"J1460","Gamma globulin 1 cc inj","Grifols USA, LLC.","13533063512","13533-0635-12","GAMASTAN S/D","1 CC",10,1,10,10,,
"J1470","Gamma globulin 2 CC inj","Talecris","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","2 CC",10,1,5,5,,
"J1480","Gamma globulin 3 CC inj","TALECRIS","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","3CC",10,1,3.333,3.333,,
"J1490","Gamma globulin 4 CC inj","TALECRIS","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","4 CC",10,1,2.5,2.5,,
"J1500","Gamma globulin 5 CC inj","TALECRIS","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","5 CC",10,1,2,2,,
"J1510","Gamma globulin 6 CC inj","Talecris","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","6 CC",10,1,1.667,1.667,,
"J1520","Gamma globulin 7 CC inj","TALECRIS","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","7 CC",10,1,1.429,1.429,,
"J1530","Gamma globulin 8 CC inj","TALECRIS","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","8 CC",10,1,1.25,1.25,,
"J1540","Gamma globulin 9 CC inj","TALECRIS","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","9 CC",10,1,1.111,1.111,,
"J1550","Gamma globulin 10 CC inj","Talecris","13533063512","13533-0635-12","GamaSTAN 10ML 532 PACK LF 13MM","10 CC",10,1,1,1,,
"J1560","Gamma globulin > 10 cc inj","Grifols USA, LLC.","13533063512","13533-0635-12","GAMASTAN S/D","10 CC",10,1,1,1,,
"90371","Hep b ig, im","Grifols Therapeutics, Inc.","13533063601","13533-0636-01","HyperHepB S/D","1 ML",1,1,1,1,,
"90371","Hep b ig im","Grifols USA, LLC.","13533063602","13533-0636-02","HyperHepB S/D","1 ML",1,1,1,1,,
"90371","Hep b ig im","Grifols USA, LLC.","13533063603","13533-0636-03","HyperHepB S/D","1 ML",0.5,1,0.5,0.5,,
"90371","Hep b ig im","Grifols USA, LLC.","13533063605","13533-0636-05","HyperHepB S/D","1 ML",5,1,5,5,,
"J1561","Gamunex-C/Gammaked","Grifols Therapeutics, Inc.","13533064512","13533-0645-12","Gamunex","500 MG",10,1,2,2,,
"J1567","Immune globulin, liquid","TALECRIS","13533064512","13533-0645-12","Gamunex","500 MG",10,1,2,2,,
"Q4092","Gamunex injection","TALECRIS","13533064512","13533-0645-12","Gamunex","500 MG",10,1,2,2,,
"J1561","Gamunex-C/Gammaked","Grifols Therapeutics, Inc.","13533064515","13533-0645-15","Gamunex","500 MG",25,1,5,5,,
"J1567","Immune globulin, liquid","TALECRIS","13533064515","13533-0645-15","Gamunex","500 MG",25,1,5,5,,
"Q4092","Gamunex injection","TALECRIS","13533064515","13533-0645-15","Gamunex","500 MG",25,1,5,5,,
"J1561","Gamunex-C/Gammaked","Grifols Therapeutics, Inc.","13533064520","13533-0645-20","Gamunex","500 MG",50,1,10,10,,
"J1567","Immune globulin, liquid","TALECRIS","13533064520","13533-0645-20","Gamunex","500 MG",50,1,10,10,,
"Q4092","Gamunex injection","TALECRIS","13533064520","13533-0645-20","Gamunex","500 MG",50,1,10,10,,
"J1561","Gamunex-C/Gammaked","Grifols Therapeutics, Inc.","13533064524","13533-0645-24","Gamunex","500 MG",200,1,40,40,,
"J1567","Immune globulin, liquid","TALECRIS","13533064524","13533-0645-24","Gamunex","500 MG",200,1,40,40,,
"Q4092","Gamunex injection","TALECRIS","13533064524","13533-0645-24","Gamunex","500 MG",200,1,40,40,,
"J1561","Gamunex-C/Gammaked","Grifols Therapeutics, Inc.","13533064571","13533-0645-71","Gamunex","500 MG",100,1,20,20,,
"J1567","Immune globulin, liquid","TALECRIS","13533064571","13533-0645-71","Gamunex","500 MG",100,1,20,20,,
"Q4092","Gamunex injection","TALECRIS","13533064571","13533-0645-71","Gamunex","500 MG",100,1,20,20,,
"J2788","Rho d immune globulin 50 mcg","Grifols USA, LLC.","13533066106","13533-0661-06","HYPERRHO S/D","50 MCG",1,10,1,10,,
"J7190","Factor viii","Grifols Therapeutics, Inc.","13533066520","13533-0665-20","Koate-Dvi","1 IU",1,1,1,1,,
"J7190","Factor viii","Grifols Therapeutics, Inc.","13533066530","13533-0665-30","Koate-Dvi","1 IU",1,1,1,1,,
"J7190","Factor viii","Grifols Therapeutics, Inc.","13533066550","13533-0665-50","Koate-Dvi","1 IU",1,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","TALECRIS","13533068416","13533-0684-16","Plasbumin-25","20 ML",20,1,1,1,,
"P9047","Albumin (human), 25%, 50ml","TALECRIS","13533068420","13533-0684-20","Plasbumin-25","50 ML",50,1,1,1,,
"P9047","Albumin (human), 25%, 50ml","TALECRIS","13533068471","13533-0684-71","Plasbumin-25","50 ML",100,1,2,2,,
"P9041","Albumin (human),5%, 50ml","Talecris","13533068520","13533-0685-20","Plasbumin-5","50 ML",50,1,1,1,,
"P9045","Albumin (human), 5%, 250 ml","Talecris","13533068520","13533-0685-20","Plasbumin-5","250 ML",50,1,0.2,0.2,,
"P9041","Albumin (human),5%, 50ml","Talecris","13533068525","13533-0685-25","PLASBUMIN-5","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","Talecris","13533068525","13533-0685-25","PLASBUMIN-5","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","Talecris","13533069020","13533-0690-20","Plasbumin-5","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","TALECRIS","13533069216","13533-0692-16","Plasbumin","20 ML",20,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","TALECRIS BIOTHERAPEUTICS","13533069220","13533-0692-20","Plasbumin-25","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","Talecris","13533069220","13533-0692-20","Plasbumin 25%","50 ML",50,1,1,1,,
"J0256","Alpha 1 proteinase inhibitor","Grifols Therapeutics, Inc.","13533070001","13533-0700-01","Prolastin-C","10 MG",1,1,100,0.1,,
"J0256","Alpha 1 proteinase inhibitor","Grifols USA, LLC.","13533070002","13533-0700-02","Prolastin-C","10 MG",1,1,100,0.1,,
"J0256","Alpha 1 proteinase inhibitor","Grifols USA, LLC.","13533070101","13533-0701-01","Prolastin-C","10 MG",1,1,100,0.1,,
"J0256","Alpha 1 proteinase inhibitor","GRIFOLS USA","13533070310","13533-0703-10","Prolastin-C","10 MG",1,1,100,0.1,,
"J1561","Gamunex-c/gammaked","Grifols USA, LLC.","13533080012","13533-0800-12","Gamunex-C","500 MG",10,1,2,2,,
"J1561","Gamunex-c/gammaked","Grifols USA, LLC.","13533080015","13533-0800-15","Gamunex-C","500 MG",25,1,5,5,,
"J1561","Gamunex-c/gammaked","Grifols USA, LLC.","13533080020","13533-0800-20","Gamunex-C","500 MG",50,1,10,10,,
"J1561","Gamunex-c/gammaked","Grifols USA, LLC.","13533080024","13533-0800-24","Gamunex-C","500 MG",200,1,40,40,,
"J1561","Gamunex-c/gammaked","Grifols USA, LLC.","13533080040","13533-0800-40","Gamunex-C","500 MG",400,1,80,80,,
"J1561","Gamunex-c/gammaked","Grifols USA, LLC.","13533080071","13533-0800-71","Gamunex-C","500 MG",100,1,20,20,,
"90718","Td vaccine >/= 7 yo, im","MASS.PUBLIC HEALTH BIOLOGIC","14362011101","14362-0111-01","Tetanus-Diphtheria Toxoids Td","0.5 ML",7.5,1,15,15,,
"J1460","Gamma globulin 1 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","1 CC",2,1,2,2,,
"J1470","Gamma globulin 2 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","2 CC",2,1,1,1,,
"J1480","Gamma globulin 3 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","3CC",2,1,0.667,0.667,,
"J1490","Gamma globulin 4 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","4 CC",2,1,0.5,0.5,,
"J1500","Gamma globulin 5 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","5 CC",2,1,0.4,0.4,,
"J1510","Gamma globulin 6 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","6 CC",2,1,0.333,0.333,,
"J1520","Gamma globulin 7 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","7 CC",2,1,0.286,0.286,,
"J1530","Gamma globulin 8 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","8 CC",2,1,0.25,2,,
"J1540","Gamma globulin 9 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","9 CC",2,1,0.222,0.222,,
"J1550","Gamma globulin 10 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","10 CC",2,1,0.2,2,,
"J1560","Gamma globulin > 10 CC inj","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)","10 CC",2,1,2,2,,
"J1953","Levetiracetam injection","NEXUS PHARMACEUTICALS, INC.","14789040005","14789-0400-05","Levetiracetam","10 MG",5,10,50,500,,
"J0586","AbobotulinumtoxinA","Tercica, Inc","15040053006","15040-0530-06","Dysport","5 Unit",1,1,60,60,,
"C9237","Inj, lanreotide acetate","TERCICA, INC.","15054006001","15054-0060-01","Lanreotide","1 MG",0.2,1,60,60,,
"J1930","Lanreotide injection","Ipsen Biopharmaceuticals, Inc","15054006001","15054-0060-01","SOMATULINE DEPOT","1 MG",0.2,1,60,60,,
"C9237","Inj, lanreotide acetate","TERCICA, INC.","15054009001","15054-0090-01","Lanreotide","1 MG",0.3,1,90,90,,
"J1930","Lanreotide injection","Ipsen Biopharmaceuticals, Inc","15054009001","15054-0090-01","SOMATULINE DEPOT","1 MG",0.3,1,90,90,,
"J1930","Lanreotide injection","Ipsen Biopharmaceuticals, Inc","15054012001","15054-0120-01","SOMATULINE DEPOT","1 MG",0.5,1,120,120,,
"C9237","Inj, lanreotide acetate","TERCICA, INC.","15054012002","15054-0120-02","Lanreotide","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","Ipsen Biopharmaceuticals, Inc","15054050001","15054-0500-01","Dysport","5 Unit",1,1,100,100,,
"J0586","AbobotulinumtoxinA","TERCICA, INC.","15054050002","15054-0500-02","Dysport","5 Unit",1,2,100,100,,
"J0586","Abobotulinumtoxina","Ipsen Biopharmaceuticals, Inc","15054053006","15054-0530-06","Dysport","5 Unit",1,1,60,60,,
"J1930","Lanreotide injection","Ipsen Biopharmaceuticals, Inc","15054106003","15054-1060-03","SOMATULINE DEPOT","1 MG",0.2,1,60,60,,
"J1930","Lanreotide injection","Ipsen Biopharmaceuticals, Inc","15054109003","15054-1090-03","SOMATULINE DEPOT","1 MG",0.3,1,90,90,,
"J1930","Lanreotide injection","Ipsen Biopharmaceuticals, Inc","15054112003","15054-1120-03","SOMATULINE DEPOT","1 MG",0.5,1,120,120,,
"Q4116","Alloderm","LifeCell Corporation","1516128","1516128","AlloDerm","1 SQ CM",128,1,128,128,,
"Q4116","Alloderm","LifeCell Corporation","151648","151648","AlloDerm","1 SQ CM",48,1,48,48,,
"Q4116","Alloderm","LifeCell Corporation","1516616","1516616","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","151664","151664","AlloDerm","1 SQ CM",64,1,64,64,,
"Q4116","Alloderm","LifeCell Corporation","151672","151672","AlloDerm","1 SQ CM",72,1,72,72,,
"Q4116","Alloderm","LifeCell Corporation","15181016","15181016","AlloDerm Select","1 SQ CM",160,1,160,160,,
"Q4116","Alloderm","LifeCell Corporation","1518108","1518108","AlloDerm","1 SQ CM",108,1,108,108,,
"Q4116","Alloderm","LifeCell Corporation","1518128","1518128","AlloDerm","1 SQ CM",128,1,128,128,,
"Q4116","Alloderm","LifeCell Corporation","1518160","1518160","AlloDerm","1 SQ CM",160,1,160,160,,
"Q4116","Alloderm","LifeCell Corporation","1518320","1518320","AlloDerm","1 SQ CM",320,1,320,320,,
"Q4116","Alloderm","LifeCell Corporation","151848","151848","AlloDerm","1 SQ CM",48,1,48,48,,
"Q4116","Alloderm","LifeCell Corporation","1518616","1518616","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","151864","151864","AlloDerm","1 SQ CM",64,1,64,64,,
"Q4116","Alloderm","LifeCell Corporation","151872","151872","AlloDerm","1 SQ CM",72,1,72,72,,
"Q4116","Alloderm","LifeCell Corporation","151896","151896","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","1519128","1519128","AlloDerm","1 SQ CM",128,1,128,128,,
"Q4116","Alloderm","LifeCell Corporation","1519160","1519160","AlloDerm","1 SQ CM",160,1,160,160,,
"Q4116","Alloderm","LifeCell Corporation","1519320","1519320","AlloDerm","1 SQ CM",320,1,320,320,,
"Q4116","Alloderm","LifeCell Corporation","1519616","1519616","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","15201016","15201016","AlloDerm","1 SQ CM",160,1,160,160,,
"Q4116","Alloderm","LifeCell Corporation","15201020","15201020","AlloDerm","1 SQ CM",200,1,200,200,,
"Q4116","Alloderm","LifeCell Corporation","1520108","1520108","AlloDerm","1 SQ CM",108,1,108,108,,
"Q4116","Alloderm","LifeCell Corporation","15201216","15201216","AlloDerm","1 SQ CM",192,1,192,192,,
"Q4116","Alloderm","LifeCell Corporation","15201220","15201220","AlloDerm","1 SQ CM",240,1,240,240,,
"Q4116","Alloderm","LifeCell Corporation","1520128","1520128","AlloDerm","1 SQ CM",128,1,128,128,,
"Q4116","Alloderm","LifeCell Corporation","1520160","1520160","AlloDerm","1 SQ CM",160,1,160,160,,
"Q4116","Alloderm","LifeCell Corporation","1520320","1520320","AlloDerm","1 SQ CM",320,1,320,320,,
"Q4116","Alloderm","LifeCell Corporation","152048","152048","AlloDerm","1 SQ CM",48,1,48,48,,
"Q4116","Alloderm","LifeCell Corporation","1520616","1520616","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","152064","152064","AlloDerm","1 SQ CM",64,1,64,64,,
"Q4116","Alloderm","LifeCell Corporation","152072","152072","AlloDerm","1 SQ CM",72,1,72,72,,
"Q4116","Alloderm","LifeCell Corporation","152096","152096","AlloDerm","1 SQ CM",96,1,96,96,,
"J9045","Carboplatin injection","OTN Generics, Inc.","15210006112","15210-0061-12","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","OTN Generics, Inc.","15210006312","15210-0063-12","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","OTN Generics, Inc.","15210006612","15210-0066-12","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","OTN Generics, Inc.","15210006712","15210-0067-12","Carboplatin","50 MG",60,1,12,12,,
"J2430","Pamidronate disodium /30 MG","OTN GENERICS","15210040111","15210-0401-11","Pamidronate Disodium","30 MG",10,1,1,1,,
"J2430","Pamidronate disodium /30 MG","OTN GENERICS","15210040211","15210-0402-11","Pamidronate Disodium","30 MG",10,1,3,3,,
"J9293","Mitoxantrone hydrochl / 5 MG","OTN Generics, Inc.","15210040335","15210-0403-35","MITOXANTRONE HYDROCHLORIDE","5 MG",10,1,4,4,,
"J9293","Mitoxantrone hydrochl / 5 MG","OTN Generics, Inc.","15210040336","15210-0403-36","MITOXANTRONE HYDROCHLORIDE","5 MG",12.5,1,5,5,,
"J9293","Mitoxantrone hydrochl / 5 MG","OTN Generics, Inc.","15210040337","15210-0403-37","MITOXANTRONE HYDROCHLORIDE","5 MG",15,1,6,6,,
"J9178","Inj, epirubicin hcl, 2 mg","OTN Generics, Inc.","15210040428","15210-0404-28","Epirubicin","2 MG",25,1,25,25,,
"J9178","Inj, epirubicin hcl, 2 mg","OTN Generics, Inc.","15210040529","15210-0405-29","Epirubicin","2 MG",50,1,50,50,,
"Q4116","Alloderm","LifeCell Corporation","1522108","1522108","AlloDerm","1 SQ CM",108,1,108,108,,
"Q4116","Alloderm","LifeCell Corporation","1522128","1522128","AlloDerm","1 SQ CM",128,1,128,128,,
"Q4116","Alloderm","LifeCell Corporation","1522160","1522160","AlloDerm","1 SQ CM",160,1,160,160,,
"Q4116","Alloderm","LifeCell Corporation","1522320","1522320","AlloDerm","1 SQ CM",320,1,320,320,,
"Q4116","Alloderm","LifeCell Corporation","152248","152248","AlloDerm","1 SQ CM",48,1,48,48,,
"Q4116","Alloderm","LifeCell Corporation","1522616","1522616","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","152264","152264","AlloDerm","1 SQ CM",64,1,64,64,,
"Q4116","Alloderm","LifeCell Corporation","152272","152272","AlloDerm","1 SQ CM",72,1,72,72,,
"Q4116","Alloderm","LifeCell Corporation","152296","152296","AlloDerm","1 SQ CM",96,1,96,96,,
"J7603","Albuterol inh non-comp u d ","COBALT LABORATORIES","16252009722","16252-0097-22","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","Cobalt Laboratories Inc.","16252009722","16252-0097-22","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","COBALT LABORATORIES","16252009722","16252-0097-22","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7603","Albuterol inh non-comp u d ","COBALT LABORATORIES","16252009733","16252-0097-33","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit","Cobalt Laboratories Inc.","16252009733","16252-0097-33","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"Q4094","Albuterol inh non-comp u d ","COBALT LABORATORIES","16252009733","16252-0097-33","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7603","Albuterol inh non-comp u d ","COBALT LABORATORIES","16252009766","16252-0097-66","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7613","Albuterol non-comp unit","Cobalt Laboratories Inc.","16252009766","16252-0097-66","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"Q4094","Albuterol inh non-comp u d ","COBALT LABORATORIES","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,,
"Q0169","Promethazine HCl 12.5mg oral","STAT RX USA","16590004730","16590-0047-30","Phenergan","12.5 MG",30,1,30,30,,
"Q0166","Granisetron hcl 1 mg oral","NorthStar Rx LLC","16714022101","16714-0221-01","Granisetron HCL","1 MG",1,20,1,20,,
"Q0166","Granisetron hcl 1 mg oral","NorthStar Rx LLC","16714022130","16714-0221-30","Granisetron HCL","1 MG",1,2,1,2,,
"Q0166","Granisetron hcl 1 mg oral","NorthStar Rx LLC","16714022132","16714-0221-32","Granisetron HCL","1 MG",1,20,1,20,,
"J9171","Docetaxel injection","NorthStar Rx LLC","16714046501","16714-0465-01","Docetaxel","1 MG",1,1,20,20,,
"J8520","Capecitabine, oral, 150 mg","NorthStar Rx LLC","16714046701","16714-0467-01","CAPECITABINE","150 MG",60,1,60,60,,
"J8521","Capecitabine, oral, 500 mg","NorthStar Rx LLC","16714046801","16714-0468-01","CAPECITABINE","500 MG",120,1,120,120,,
"J9171","Docetaxel injection","NorthStar Rx LLC","16714050001","16714-0500-01","Docetaxel","1 MG",4,1,80,80,,
"Q0162","Ondansetron oral","NorthStar Rx LLC","16714067102","16714-0671-02","Ondansetron","1 MG",50,1,40,40,,
"Q2050","Doxorubicin inj 10mg","NORTHSTAR RX","16714074201","16714-0742-01","Doxorubicin HCl, Liposomal,","10 MG",10,1,2,2,,
"Q2050","Doxorubicin inj 10mg","NORTHSTAR RX","16714085601","16714-0856-01","Doxorubicin HCl, Liposomal,","10 MG",25,1,5,5,,
"J7517","Mycophenolate mofetil oral"," ACCORD HEALTHCARE, INC.","16729001901","16729-0019-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200,,
"J7517","Mycophenolate mofetil oral"," ACCORD HEALTHCARE, INC.","16729001916","16729-0019-16","MYCOPHENOLATE MOFETIL","250 mg",1,500,1000,1000,,
"J7507","Tacrolimus imme rel oral 1mg","Accord Healthcare Inc.","16729004101","16729-0041-01","TACROLIMUS","1 MG",100,1,50,50,,
"J7507","Tacrolimus imme rel oral 1mg","Accord Healthcare Inc.","16729004201","16729-0042-01","TACROLIMUS","1 MG",100,1,100,100,,
"J7507","Tacrolimus imme rel oral 1mg","Accord Healthcare Inc.","16729004301","16729-0043-01","TACROLIMUS","1 MG",100,1,500,500,,
"J8520","Capecitabine, oral, 150 mg","Accord Healthcare Inc.","16729007212","16729-0072-12","CAPECITABINE","150 MG",60,1,60,60,,
"J8521","Capecitabine, oral, 500 mg","Accord Healthcare Inc.","16729007329","16729-0073-29","CAPECITABINE","500 MG",120,1,120,120,,
"J9201","Gemcitabine hcl injection","Accord Healthcare Inc.","16729009203","16729-0092-03","GEMCITABINE","200 MG",1,1,1,1,,
"J7517","Mycophenolate mofetil oral"," ACCORD HEALTHCARE, INC.","16729009401","16729-0094-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100,,
"J7517","Mycophenolate mofetil oral"," ACCORD HEALTHCARE, INC.","16729009416","16729-0094-16","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100,,
"J7517","Mycophenolate mofetil oral"," ACCORD HEALTHCARE, INC.","16729009429","16729-0094-29","MYCOPHENOLATE MOFETIL","250 mg",1,120,120,120,,
"J9280","Mitomycin injection","Accord Healthcare Inc.","16729010811","16729-0108-11","Mitomycin","5 MG",1,1,4,4,,
"J9181","Etoposide injection","Accord Healthcare Inc.","16729011408","16729-0114-08","Etoposide","10 MG",25,1,50,50,,
"J9181","Etoposide injection","Accord Healthcare Inc.","16729011411","16729-0114-11","Etoposide","10 MG",50,1,100,100,,
"J9181","Etoposide injection","Accord Healthcare Inc.","16729011431","16729-0114-31","Etoposide","10 MG",5,1,10,10,,
"J9280","Mitomycin injection","Accord Healthcare Inc.","16729011505","16729-0115-05","Mitomycin","5 MG",1,1,1,1,,
"J9280","Mitomycin injection","Accord Healthcare Inc.","16729011638","16729-0116-38","Mitomycin","5 MG",1,1,8,8,,
"J9201","Gemcitabine hcl injection","Accord Healthcare Inc.","16729011711","16729-0117-11","GEMCITABINE","200 MG",1,1,5,5,,
"J9201","Gemcitabine hcl injection","Accord Healthcare Inc.","16729011838","16729-0118-38","GEMCITABINE","200 MG",1,1,10,10,,
"J9171","Docetaxel injection","Accord Healthcare Inc.","16729012049","16729-0120-49","DOCETAXEL","1 MG",0.5,1,20,20,,
"J9351","Topotecan injection","Accord Healthcare Inc.","16729015131","16729-0151-31","Topotecan","0.1 MG",1,1,40,40,,
"J0894","Decitabine injection","Accord Healthcare Inc.","16729022405","16729-0224-05","Decitabine","1 MG",1,1,50,50,,
"J9171","Docetaxel injection","Accord Healthcare Inc.","16729022850","16729-0228-50","Docetaxel","1 MG",2,1,80,80,,
"J9171","Docetaxel injection","Accord Healthcare Inc.","16729023163","16729-0231-63","Docetaxel","1 MG",1,1,20,20,,
"J9171","Docetaxel injection","Accord Healthcare Inc.","16729023164","16729-0231-64","Docetaxel","1 MG",4,1,80,80,,
"J9171","Docetaxel injection","Accord Healthcare Inc.","16729023165","16729-0231-65","DOCETAXEL","1 MG",8,1,160,160,,
"J9280","Mitomycin injection","Accord Healthcare Inc.","16729024605","16729-0246-05","Mitomycin","5 MG",1,1,1,1,,
"J9280","Mitomycin injection","Accord Healthcare Inc.","16729024711","16729-0247-11","Mitomycin","5 MG",1,1,4,4,,
"J9280","Mitomycin injection","Accord Healthcare Inc.","16729024838","16729-0248-38","Mitomycin","5 MG",1,1,8,8,,
"J9181","Etoposide injection","Accord Healthcare Inc.","16729026231","16729-0262-31","Etoposide","10 MG",5,1,10,10,,
"J9171","Docetaxel injection","Accord Healthcare Inc.","16729026763","16729-0267-63","DOCETAXEL","1 MG",1,1,20,20,,
"J9171","Docetaxel injection","Accord Healthcare Inc.","16729026764","16729-0267-64","DOCETAXEL","1 MG",4,1,80,80,,
"J9171","Docetaxel injection","Accord Healthcare Inc.","16729026765","16729-0267-65","DOCETAXEL","1 MG",8,1,160,160,,
"J9190","Fluorouracil injection","Accord Healthcare Inc.","16729027611","16729-0276-11","Fluorouracil","500 MG",50,1,5,5,,
"J9190","Fluorouracil injection","Accord Healthcare Inc.","16729027638","16729-0276-38","Fluorouracil","500 MG",100,1,10,10,,
"J9190","Fluorouracil injection","Accord Healthcare Inc.","16729027667","16729-0276-67","Fluorouracil","500 MG",20,10,2,20,,
"J9190","Fluorouracil injection","Accord Healthcare Inc.","16729027668","16729-0276-68","Fluorouracil","500 MG",10,10,1,10,,
"J9250","Methotrexate sodium inj","Accord Healthcare Inc.","16729027703","16729-0277-03","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","Accord Healthcare Inc.","16729027703","16729-0277-03","Methotrexate Sodium","50 MG",10,1,5,5,,
"J9250","Methotrexate sodium inj","Accord Healthcare Inc.","16729027730","16729-0277-30","Methotrexate Sodium","5 MG",2,1,10,10,,
"J9260","Methotrexate sodium inj","Accord Healthcare Inc.","16729027730","16729-0277-30","Methotrexate Sodium","50 MG",2,1,1,1,,
"J9250","Methotrexate sodium inj","Accord Healthcare Inc.","16729027735","16729-0277-35","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","Accord Healthcare Inc.","16729027735","16729-0277-35","Methotrexate Sodium","50 MG",40,1,20,20,,
"J9060","Cisplatin 10 mg injection","ACCORD HEALTHCARE, INC.","16729028811","16729-0288-11","Cisplatin","10 MG",50,1,5,5,,
"J9060","Cisplatin 10 mg injection","ACCORD HEALTHCARE, INC.","16729028838","16729-0288-38","Cisplatin","10 MG",100,1,10,10,,
"J9045","Carboplatin injection","ACCORD HEALTHCARE, INC.","16729029531","16729-0295-31","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","ACCORD HEALTHCARE, INC.","16729029533","16729-0295-33","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","ACCORD HEALTHCARE, INC.","16729029534","16729-0295-34","Carboplatin","50 MG",45,1,9,9,,
"J2405","Ondansetron hcl injection","ACCORD HEALTHCARE","16729029783","16729-0297-83","ONDANSETRON HCL","1 MG",2,5,4,20,,
"J2405","Ondansetron hcl injection","ACCORD HEALTHCARE","16729029805","16729-0298-05","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J2501","Paricalcitol","Accord Healthcare Inc.","16729031008","16729-0310-08","Paricalcitol","1 MCG",1,25,2,50,,
"J2501","Paricalcitol","Accord Healthcare Inc.","16729031108","16729-0311-08","Paricalcitol","1 MCG",1,25,5,125,,
"J2501","Paricalcitol","Accord Healthcare Inc.","16729031193","16729-0311-93","Paricalcitol","1 MCG",2,25,10,250,,
"J0364","Apomorphine hydrochloride","VERNALIS","16887021101","16887-0211-01","Apokyn","1 MG",3,1,30,30,,
"J0364","Apomorphine hydrochloride","Ipsen Pharmaceuticals, Inc.","16887021105","16887-0211-05","Apokyn","1 MG",3,5,30,150,,
"J7637","Dexamethasone inhal sol con","VERATEX CORP.","17022129501","17022-1295-01","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","VERATEX CORP.","17022129501","17022-1295-01","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"A9584","Iodine I-123 ioflupane","GE Healthcare","17156021001","17156-0210-01","DATSCAN","per study dose, up to 5 millicuries",2.5,1,1,1,,
"C9406","Dx I-123 ioflupane, per dose","GE HEALTHCARE","17156021001","17156-0210-01","DATSCAN","per study dose, up to 5 millicuries",2.5,1,1,1,,
"A9582","Inj, iobenguane, I-123, dx","GE HEALTHCARE","17156023501","17156-0235-01","ADREVIEW","up to 15 millicuries",5,1,1,1,,
"C9247","Inj, iobenguane, I-123, dx","GE HEALTHCARE","17156023501","17156-0235-01","ADREVIEW","PER STUDY DOSE, UP TO 10 MILLICURIES",5,1,1,1,,
"A9600","Sr89 strontium","GE Healthcare","17156052401","17156-0524-01","METASTRON","PER MILLICURIE",4,1,4,4,,
"Q0163","Diphenhydramine HCl 50mg","AKYMA PHARMACEUTICALS","17236051801","17236-0518-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","AKYMA PHARMACEUTICALS","17236051810","17236-0518-10","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"J9001","Doxorubicin hcl liposome inj","Janssen Products, LP","17314960001","17314-9600-01","Doxil","10 MG",10,1,2,2,,
"J9002","Doxil injection","Janssen Products, LP","17314960001","17314-9600-01","Doxil","10 MG",10,1,2,2,,
"Q2048","Doxil injection","Janssen Products, LP","17314960001","17314-9600-01","Doxil","10 MG",10,1,2,2,,
"Q2050","Doxorubicin inj 10mg","Janssen Products, LP","17314960001","17314-9600-01","Doxil","10 MG",10,1,2,2,,
"J9001","Doxorubicin hcl liposome inj","Janssen Products, LP","17314960002","17314-9600-02","Doxil","10 MG",25,1,5,5,,
"J9002","Doxil injection","Janssen Products, LP","17314960002","17314-9600-02","Doxil","10 MG",25,1,5,5,,
"Q2048","Doxil injection","Janssen Products, LP","17314960002","17314-9600-02","Doxil","10 MG",25,1,5,5,,
"Q2050","Doxorubicin inj 10mg","Janssen Products, LP","17314960002","17314-9600-02","Doxil","10 MG",25,1,5,5,,
"J7635","Atropine inhal sol con","AMEND DRUG & CHEM","17317003605","17317-0036-05","Atropine Sulfate",,,1,40,40,,"1 MG"
"J7635","Atropine inhal sol con","AMEND DRUG & CHEM","17317003607","17317-0036-07","Atropine Sulfate",,,25,500,20,,"1 MG"
"J1642","Inj heparin sodium per 10 u","KENDALL HEALTHCARE","17474012301","17474-0123-01","Heparin (Porcine) Lock Flush","10 UNITS",10,180,10,1800,,
"J1642","Inj heparin sodium per 10 u","KENDALL HEALTHCARE","17474012302","17474-0123-02","Heparin (Porcine) Lock Flush","10 UNITS",2.5,180,2.5,450,,
"J1642","Inj heparin sodium per 10 u","KENDALL HEALTHCARE","17474012303","17474-0123-03","Heparin (Porcine) Lock Flush","10 UNITS",2.5,180,2.5,450,,
"J1642","Inj heparin sodium per 10 u","KENDALL HEALTHCARE","17474012305","17474-0123-05","Heparin (Porcine) Lock Flush","10 UNITS",5,180,5,900,,
"J1642","Inj heparin sodium per 10 u","KENDALL HEALTHCARE","17474012501","17474-0125-01","Heparin (Porcine) Lock Flush","10 UNITS",10,180,100,18000,,
"J1642","Inj heparin sodium per 10 u","KENDALL HEALTHCARE","17474012502","17474-0125-02","Heparin (Porcine) Lock Flush","10 UNITS",2.5,180,25,4500,,
"J1642","Inj heparin sodium per 10 u","KENDALL HEALTHCARE","17474012503","17474-0125-03","Heparin (Porcine) Lock Flush","10 UNITS",2.5,180,25,4500,,
"J1642","Inj heparin sodium per 10 u","KENDALL HEALTHCARE","17474012505","17474-0125-05","Heparin (Porcine) Lock Flush","10 UNITS",5,180,50,9000,,
"J2912","Sodium chloride injection","KENDALL HEALTHCARE","17474300201","17474-3002-01","Sodium Chloride","2 ML",10,180,5,900,,
"J7130","Hypertonic saline solution","KENDALL HEALTHCARE","17474300201","17474-3002-01","Sodium Chloride",,10,180,90,0.5,,"20 CC"
"J2912","Sodium chloride injection","KENDALL HEALTHCARE","17474300202","17474-3002-02","Sodium Chloride","2 ML",2.5,180,1.25,225,,
"J7130","Hypertonic saline solution","KENDALL HEALTHCARE","17474300202","17474-3002-02","Sodium Chloride",,2.5,180,22.5,0.125,,"20 CC"
"J2912","Sodium chloride injection","KENDALL HEALTHCARE","17474300203","17474-3002-03","Sodium Chloride","2 ML",2.5,180,1.25,225,,
"J7130","Hypertonic saline solution","KENDALL HEALTHCARE","17474300203","17474-3002-03","Sodium Chloride",,2.5,180,22.5,0.125,,"20 CC"
"J2912","Sodium chloride injection","KENDALL HEALTHCARE","17474300205","17474-3002-05","Sodium Chloride","2 ML",5,180,2.5,450,,
"J7130","Hypertonic saline solution","KENDALL HEALTHCARE","17474300205","17474-3002-05","Sodium Chloride",,5,180,45,0.25,,"20 CC"
"J0515","Inj benztropine mesylate","Akorn","17478001202","17478-0012-02","BENZTROPINE","1 MG",2,5,2,10,,
"J3010","Fentanyl citrate injection","Akorn","17478003002","17478-0030-02","Sublimaze","0.1 MG",2,10,1,10,,
"J3010","Fentanyl citrate injection","Akorn","17478003005","17478-0030-05","Sublimaze","0.1 MG",5,10,2.5,25,,
"J3010","Fentanyl citrate injection","Akorn","17478003020","17478-0030-20","Sublimaze","0.1 MG",20,5,10,50,,
"J3010","Fentanyl citrate injection","Akorn","17478003025","17478-0030-25","Sublimaze","0.1 MG",2,25,1,25,,
"J3010","Fentanyl citrate injection","Akorn","17478003055","17478-0030-55","Sublimaze","0.1 MG",5,25,2.5,62.5,,
"J2060","Lorazepam injection","Akorn","17478004001","17478-0040-01","Lorazepam","2 MG",1,10,1,10,,
"J2310","Inj naloxone hydrochloride","AKORN, INC.","17478004210","17478-0042-10","Naloxone HCl","1 MG",10,1,4,4,,
"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,,
"J3260","Tobramycin sulfate injection","Akorn","17478011402","17478-0114-02","Tobramycin Sulfate","80 MG",2,25,1,25,,
"J3260","Tobramycin sulfate injection","Akorn","17478011430","17478-0114-30","Tobramycin Sulfate","80 MG",30,10,15,150,,
"90718","Td vaccine >/= 7 yo, im","AKORN, INC.","17478013010","17478-0130-10","TETANUS AND DIPHTHERIA TOXOIDS ADSORBED","0.5ml",7.5,1,1,15,,
"90718","Td vaccine >/= 7 yo, im","Akorn","17478013101","17478-0131-01","TETANUS AND DIPHTHERIA TOXOIDS ADSORBED FOR ADULT USE","0.5 ML",0.5,10,1,10,,
"J7612","Levalbuterol non-comp con","Akorn","17478017130","17478-0171-30","Xopenex","0.5 MG",0.5,30,2.5,75,,
"J7614","Levalbuterol non-comp unit","AKORN, INC.","17478017224","17478-0172-24","Xopenex","0.5 MG",3,24,0.62,15,,
"J7614","Levalbuterol non-comp unit","Akorn","17478017324","17478-0173-24","Xopenex","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","Akorn","17478017424","17478-0174-24","Xopenex","0.5 MG",3,24,2.5,60,,
"J3489","Zoledronic acid 1mg","Akorn","17478032745","17478-0327-45","ZOLEDRONIC ACID","1 MG",5,4,4,16,,
"J7682","Tobramycin non-comp unit","Akorn","17478034038","17478-0340-38","Tobramycin inhalation","300 MG",5,56,1,56,,
"J1205","Chlorothiazide sodium inj","Akorn","17478041940","17478-0419-40","Chlorothiazide Sodium","500 MG",1,1,1,1,,
"J2210","Methylergonovin maleate inj","Akorn","17478050101","17478-0501-01","METHYLERGONOVINE MALEATE","0.2 MG",1,10,1,10,,
"J2250","Inj midazolam hydrochloride","Akorn","17478052302","17478-0523-02","Midazolam Hcl","1 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","Akorn","17478052310","17478-0523-10","Midazolam Hcl","1 MG",10,10,10,100,,
"J2250","Inj midazolam hydrochloride","Akorn","17478052355","17478-0523-55","Midazolam Hcl","1 MG",5,25,5,125,,
"J2250","Inj midazolam hydrochloride","Akorn","17478052401","17478-0524-01","Midazolam Hcl","1 MG",1,10,5,50,,
"J2250","Inj midazolam hydrochloride","Akorn","17478052402","17478-0524-02","Midazolam Hcl","1 MG",2,10,10,100,,
"J2250","Inj midazolam hydrochloride","Akorn","17478052405","17478-0524-05","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","Akorn","17478052410","17478-0524-10","Midazolam Hcl","1 MG",10,10,50,500,,
"J0470","Dimecaprol injection","Akorn","17478052603","17478-0526-03","Bal In Oil","100 MG",3,10,3,30,,
"J1600","Gold sodium thiomaleate inj","Akorn","17478053301","17478-0533-01","MYOCHRYSINE","50 MG",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,,
"J0153","Adenosine inj 1mg","Akorn","17478054202","17478-0542-02","ADENOSINE","1 MG",2,10,6,60,,
"J0150","Injection adenosine 6 MG","Akorn","17478054225","17478-0542-25","Adenosine","6 MG",2,25,1,25,,
"J0153","Adenosine inj 1mg","Akorn","17478054225","17478-0542-25","Adenosine","1 MG",2,25,6,150,,
"J0153","Adenosine inj 1mg","Akorn","17478054420","17478-0544-20","Adenosine","1 MG",20,1,60,60,,
"J0153","Adenosine inj 1mg","Akorn","17478054430","17478-0544-30","Adenosine","1 MG",30,1,90,90,,
"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,,
"J0132","Acetylcysteine injection","Akorn","17478066030","17478-0660-30","ACETYLCYSTEINE INJ","100 MG",30,4,60,240,,
"J0636","Inj calcitriol per 0.1 mcg","Akorn","17478083101","17478-0831-01","CALCITRIOL","0.1 MCG",1,10,10,100,,
"J0360","Hydralazine hcl injection","AKORN, INC.","17478083401","17478-0834-01","Hydralazine HCl","20 MG",1,10,1,10,,
"J0360","Hydralazine hcl injection","AKORN, INC.","17478083415","17478-0834-15","Hydralazine Hcl","20 MG",1,25,1,25,,
"J7120","Ringers lactate infusion","AKORN","17478092019","17478-0920-19","Balanced Salt",,,2000,2000,1,,"1000 CC"
"J7120","Ringers lactate infusion","AKORN","17478092090","17478-0920-90","Balanced Salt",,,2000,2000,1,,"1000 CC"
"J0636","Inj calcitriol per 0.1 mcg","Akorn","17478093101","17478-0931-01","CALCITRIOL","0.1 MCG",1,10,10,100,,
"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,,
"J0360","Hydralazine hcl injection","Akorn","17478093415","17478-0934-15","Hydralazine Hcl","20 MG",1,25,1,25,,
"J1270","Injection, doxercalciferol","Akorn","17478098712","17478-0987-12","DOXERCALCIFEROL","1 MCG",2,10,4,40,,
"Q0163","Diphenhydramine HCl 50mg","ADVANCE","17714002101","17714-0021-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","ADVANCE","17714002110","17714-0021-10","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"J9206","Irinotecan injection","ACTAVIS TOTOWA","18111000202","18111-0002-02","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","ACTAVIS TOTOWA","18111000203","18111-0002-03","Irinotecan HCL","20 MG",5,1,5,5,,
"J3473","Hyaluronidase recombinant","Halozyme Therapeutics, Inc.","18657010204","18657-0102-04","HYLENEX","1 USP UNIT",1,4,150,600,,
"J3473","Hyaluronidase recombinant","Halozyme Therapeutics, Inc.","18657011704","18657-0117-04","HYLENEX","1 USP UNIT",1,4,150,600,,
"J2278","Ziconotide injection","Jazz Pharmaceuticals, Inc.","18860072010","18860-0720-10","Prialt","1 MCG",1,1,100,100,,
"J2278","Ziconotide injection","Jazz Pharmaceuticals, Inc.","18860072210","18860-0722-10","Prialt","1 MCG",5,1,500,500,,
"J2278","Ziconotide injection","Jazz Pharmaceuticals, Inc.","18860072310","18860-0723-10","Prialt","1 MCG",20,1,500,500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","1913232727","19132-327-27","Optiray 320","1 ML",125,1,125,125,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","1913235555","19132-355-55","Optiray 320","1 ML",50,1,50,50,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Mallinckrodt","1913238585","19132-385-85","Optiray 320","1 ML",75,1,75,75,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","Mallinckrodt","1913242727","19132-427-27","Optiray 240","1 ML",125,1,125,125,,
"J9371","Inj, vincristine sul lip 1mg","Spectrum Pharmaceuticals","20536032201","20536-0322-01","Vincristine Sulfate","1 MG",1,1,5,5,,
"J7611","Albuterol non-comp con","PHYSICIAN PARTNER","21695024520","21695-0245-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"C9367","Endoform Dermal Template","Mesynthes","21902012900","21902-0129-00","ENDOFORM 4 X 4 CM TEMPLATE","1 sq cm",1,10,16,160,,
"C9367","Endoform Dermal Template","Mesynthes","21902012901","21902-0129-01","ENDOFORM 4 X 4 CM TEMPLATE","1 sq cm",1,10,16,160,,
"C9367","Endoform Dermal Template","Mesynthes","21902012902","21902-0129-02","ENDOFORM 8 X 8 CM TEMPLATE","1 sq cm",1,5,64,320,,
"C9367","Endoform Dermal Template","Mesynthes","21902012903","21902-0129-03","ENDOFORM 8 X 8 CM TEMPLATE","1 sq cm",1,5,64,320,,
"C9367","Endoform Dermal Template","Mesynthes","21902012904","21902-0129-04","ENDOFORM 16 X 16 CM TEMPLATE","1 sq cm",1,5,256,1280,,
"C9367","Endoform Dermal Template","Mesynthes","21902012905","21902-0129-05","ENDOFORM 16 X 16 CM TEMPLATE","1 sq cm",1,5,256,1280,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155016831","23155-0168-31","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J3489","Zoledronic acid 1mg","Heritage Pharmaceuticals, Inc.","23155017031","23155-0170-31","ZOLEDRONIC ACID","1 MG",5,1,4,4,,
"Q2051","Zoledronic acid 1mg","HERITAGE PHARMACEUTICALS INC","23155017031","23155-0170-31","ZOLEDRONIC ACID","1 MG",5,1,4,4,,
"J9206","Irinotecan injection","Heritage Pharmaceuticals, Inc.","23155017931","23155-0179-31","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","Heritage Pharmaceuticals, Inc.","23155017932","23155-0179-32","Irinotecan HCL","20 MG",5,1,5,5,,
"J3489","Zoledronic acid 1mg","Heritage Pharmaceuticals, Inc.","23155018631","23155-0186-31","ZOLEDRONIC ACID","1 MG",100,1,5,5,,
"Q2051","Zoledronic acid 1mg","HERITAGE PHARMACEUTICALS INC","23155018631","23155-0186-31","ZOLEDRONIC ACID","1 MG",100,1,5,5,,
"J0770","Colistimethate sodium inj","Heritage Pharmaceuticals, Inc.","23155019331","23155-0193-31","Colistimethate Sodium","UP TO 150 MG",1,1,1,1,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155019642","23155-0196-42","ONDANSETRON HCL","1 MG",2,10,4,40,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155019643","23155-0196-43","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J1956","Levofloxacin injection","Heritage Pharmaceuticals, Inc.","23155020131","23155-0201-31","LEVOFLOXACIN","250 MG",20,1,2,2,,
"J1956","Levofloxacin injection","Heritage Pharmaceuticals, Inc.","23155020132","23155-0201-32","LEVOFLOXACIN","250 MG",30,1,3,3,,
"J9201","Gemcitabine hcl injection","Heritage Pharmaceuticals, Inc.","23155021331","23155-0213-31","GEMCITABINE HCL","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Heritage Pharmaceuticals, Inc.","23155021431","23155-0214-31","GEMCITABINE HCL","200 MG",1,1,5,5,,
"J0740","Cidofovir injection","Heritage Pharmaceuticals, Inc.","23155021631","23155-0216-31","CIDOFOVIR","375 MG",5,1,1,1,,
"J2765","Metoclopramide hcl injection","Heritage Pharmaceuticals, Inc.","23155024041","23155-0240-41","Metoclopramide HCl","10 MG",2,25,1,25,,
"J9050","Carmustine injection","Heritage Pharmaceuticals, Inc.","23155026141","23155-0261-41","BICNU","100 MG",1,1,1,1,,
"J0278","Amikacin sulfate injection","Heritage Pharmaceuticals, Inc.","23155029041","23155-0290-41","Amikacin Sulfate","100 MG",2,10,5,50,,
"J0278","Amikacin sulfate injection","Heritage Pharmaceuticals, Inc.","23155029042","23155-0290-42","Amikacin Sulfate","100 MG",4,10,10,100,,
"J0780","Prochlorperazine injection","HERITAGE PHARMACEUTICALS","23155029441","23155-0294-41","Prochlorperazine Edisylate","10 MG",2,25,1,25,,
"J0780","Prochlorperazine injection","Heritage Pharmaceuticals, Inc.","23155029442","23155-0294-42","Prochlorperazine Edisylate","10 MG",2,10,1,10,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155037731","23155-0377-31","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155037841","23155-0378-41","ONDANSETRON HCL","1 MG",2,10,4,40,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155037842","23155-0378-42","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J1940","Furosemide injection","Heritage Pharmaceuticals, Inc.","23155047341","23155-0473-41","Furosemide","20 MG",2,25,1,25,,
"J1940","Furosemide injection","Heritage Pharmaceuticals, Inc.","23155047342","23155-0473-42","Furosemide","20 MG",4,25,2,50,,
"J1940","Furosemide injection","Heritage Pharmaceuticals, Inc.","23155047344","23155-0473-44","Furosemide","20 MG",10,25,5,125,,
"J9201","Gemcitabine hcl injection","Heritage Pharmaceuticals, Inc.","23155048331","23155-0483-31","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Heritage Pharmaceuticals, Inc.","23155048431","23155-0484-31","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5,,
"J0780","Prochlorperazine injection","Heritage Pharmaceuticals, Inc.","23155049742","23155-0497-42","Prochlorperazine Edisylate","10 MG",2,10,1,10,,
"J1940","Furosemide injection","Heritage Pharmaceuticals, Inc.","23155052141","23155-0521-41","Furosemide","20 MG",2,25,1,25,,
"J1940","Furosemide injection","Heritage Pharmaceuticals, Inc.","23155052142","23155-0521-42","Furosemide","20 MG",4,25,2,50,,
"J1940","Furosemide injection","Heritage Pharmaceuticals, Inc.","23155052144","23155-0521-44","Furosemide","20 MG",10,25,5,125,,
"J0780","Prochlorperazine injection","Heritage Pharmaceuticals, Inc.","23155052341","23155-0523-41","Prochlorperazine Edisylate","10 MG",2,10,1,10,,
"J9201","Gemcitabine hcl injection","Heritage Pharmaceuticals, Inc.","23155052831","23155-0528-31","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Heritage Pharmaceuticals, Inc.","23155052931","23155-0529-31","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155054741","23155-0547-41","ONDANSETRON HCL","1 MG",2,10,4,40,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155054742","23155-0547-42","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155054841","23155-0548-41","ONDANSETRON HCL","1 MG",2,10,4,40,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155054842","23155-0548-42","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155054931","23155-0549-31","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J2405","Ondansetron hcl injection","Heritage Pharmaceuticals, Inc.","23155055031","23155-0550-31","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J2250","Inj midazolam hydrochloride","HERITAGE PHARMACEUTICALS INC","23155060041","23155-0600-41","Midazolam HCl","1 MG",2,25,2,50,,
"J2250","Inj midazolam hydrochloride","HERITAGE PHARMACEUTICALS INC","23155060141","23155-0601-41","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","HERITAGE PHARMACEUTICALS INC","23155060142","23155-0601-42","Midazolam Hcl","1 MG",10,10,50,500,,
"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,,
"J1100","Dexamethasone sodium phos","PALMETTO STATE PHARMACEUTICALS","23490541300","23490-5413-00","Dexamethasone Sodium Phosphate","1 MG",1,1,4,4,,
"J1200","Diphenhydramine hcl injectio","PALMETTO STATE PHARMACEUTICALS","23490546001","23490-5460-01","Diphenhydramine Hcl","50 MG",1,25,1,25,,
"J0170","Adrenalin epinephrin inject","PALMETTO STATE PHARMACEUTICALS","23490549702","23490-5497-02","Epinephrine Hcl","1 ML",1,1,1,1,,
"J0171","Adrenalin epinephrine inject","PALMETTO STATE PHARMACEUTICALS","23490549702","23490-5497-02","Epinephrine Hcl","0.1 MG",1,1,10,10,,
"J1940","Furosemide injection","PALMETTO STATE PHARMACEUTICALS","23490562102","23490-5621-02","Furosemide","20 MG",2,1,1,1,,
"J2250","Inj midazolam hydrochloride","PALMETTO STATE PHARMACEUTICALS","23490593201","23490-5932-01","Midazolam Hcl","1 MG",2,1,2,2,,
"J3471","Ovine, up to 999 usp units","Bausch & Lomb","24208000201","24208-0002-01","Vitrase","1 UNIT",1.2,1,240,240,,
"J3471","Ovine, up to 999 usp units","Bausch & Lomb","24208000202","24208-0002-02","Vitrase","1 UNIT",1.2,2,240,480,,
"J7602","Albuterol inh non-comp con","BAUSCH & LOMB","24208034720","24208-0347-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","Bausch & Lomb","24208034720","24208-0347-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","BAUSCH & LOMB","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","24208041601","24208-0416-01","Fluocinolone acetonide implt (Retisert)","0.59 MG",1,1,1,1,,
"C9016","Inj, triptorelin ext rel","ARBOR PHARMACEUTICALS","24338015020","24338-0150-20","Triptodur","3.75 MG",1,1,6,6,,
"J3364","Urokinase 5000 IU injection","IMARX THERAPEUTICS","24430100101","24430-1001-01","Abbokinase","5000 IU",1,1,50,50,,
"J3365","Urokinase 250,000 IU inj","IMARX THERAPEUTICS","24430100101","24430-1001-01","Abbokinase","250000 IU",1,1,1,1,,
"J3364","Urokinase 5000 IU injection","IMARX THERAPEUTICS","24430100301","24430-1003-01","Abbokinase","5000 IU",1,1,50,1,,
"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,,
"J7682","Tobramycin non-comp unit","PARI Respiratory Equipment","24492085056","24492-0850-56","Kitabis PAK","300 MG",5,56,1,56,,
"J0641","Levoleucovorin injection","Spectrum Pharmaceuticals","24659195","24659195","Levoleucovorin Calcium (Import Version)","0.5 MG",1,1,200,200,,
"C9298","Injection, ocriplasmin","ThromboGenics Inc.","24856000100","24856-0001-00","JETREA","0.125 MG",0.2,1,4,4,,
"J7316","Inj, ocriplasmin, 0.125 mg","ThromboGenics, Inc.","24856000100","24856-0001-00","JETREA","0.125 MG",0.2,1,4,4,,
"J7316","Inj, ocriplasmin, 0.125 mg","ThromboGenics, Inc.","24856000201","24856-0002-01","JETREA","0.125 MG",0.3,1,3,3,,
"J1160","Digoxin injection","Covis Pharmaceuticals","24987026010","24987-0260-10","LANOXIN INJ","0.5 MG",1,10,0.2,2,,
"J1160","Digoxin injection","Covis Pharmaceuticals","24987026035","24987-0260-35","LANOXIN INJ","0.5 MG",2,50,1,50,,
"J1160","Digoxin injection","Covis Pharmaceuticals","24987026210","24987-0262-10","Lanoxin","0.5 MG",1,10,0.2,2,,
"J0697","Sterile cefuroxime injection","TELIGENT","24987035210","24987-0352-10","Zinacef","750 MG",1,10,1,10,,
"J0697","Sterile cefuroxime injection","TELIGENT","24987035410","24987-0354-10","Zinacef","750 MG",1,10,2,20,,
"J0697","Sterile cefuroxime injection","COVIS PHARMACEUTICALS, INC.","24987035420","24987-0354-20","Zinacef","750 MG",1,10,2,20,,
"J0697","Sterile cefuroxime injection","COVIS PHARMACEUTICALS, INC.","24987035430","24987-0354-30","Zinacef","750 MG",1,10,2,20,,
"J2780","Ranitidine hydrochloride inj","TELIGENT","24987036210","24987-0362-10","Zantac","25 MG",2,10,2,20,,
"J2780","Ranitidine hydrochloride inj","Covis Pharmaceuticals","24987036238","24987-0362-38","Zantac injection","25 MG",2,10,2,20,,
"J2780","Ranitidine hydrochloride inj","Covis Pharmaceuticals","24987036300","24987-0363-00","Zantac injection","25 MG",6,1,6,6,,
"J2780","Ranitidine hydrochloride inj","COVIS PHARMACEUTICALS, INC.","24987036301","24987-0363-01","Zantac","25 MG",6,1,6,6,,
"J2780","Ranitidine hydrochloride inj","TELIGENT","24987036401","24987-0364-01","Zantac","25 MG",40,1,40,40,,
"J0713","Inj ceftazidime per 500 mg","TELIGENT","24987037710","24987-0377-10","Fortaz","500 MG",1,10,1,10,,
"J0713","Inj ceftazidime per 500 mg","TELIGENT","24987037810","24987-0378-10","Fortaz","500 MG",1,10,2,20,,
"J0713","Inj ceftazidime per 500 mg","TELIGENT","24987037934","24987-0379-34","Fortaz","500 MG",1,10,4,40,,
"J0713","Inj ceftazidime per 500 mg","TELIGENT","24987038237","24987-0382-37","Fortaz","500 MG",1,6,12,72,,
"J0697","Sterile cefuroxime injection","TELIGENT","24987040000","24987-0400-00","Zinacef","750 MG",1,6,10,60,,
"J0713","Inj ceftazidime per 500 mg","TELIGENT","24987041200","24987-0412-00","Fortaz (frozen)","500 MG",50,24,2,48,,
"J0713","Inj ceftazidime per 500 mg","TELIGENT","24987041300","24987-0413-00","Fortaz (frozen)","500 MG",50,24,4,96,,
"J0697","Sterile cefuroxime injection","Covis Pharmaceuticals","24987042400","24987-0424-00","Zinacef (Frozen)","750 MG",50,24,1,24,,
"J0697","Sterile cefuroxime injection","TELIGENT","24987042500","24987-0425-00","Zinacef (Frozen)","750 MG",50,24,2,48,,
"J0713","Inj ceftazidime per 500 mg","TELIGENT","24987043400","24987-0434-00","Fortaz ADD-V)","500 MG",1,25,2,50,,
"J0713","Inj ceftazidime per 500 mg","TELIGENT","24987043500","24987-0435-00","Fortaz (ADD-V)","500 MG",1,10,4,40,,
"J0697","Sterile cefuroxime injection","TELIGENT","24987043600","24987-0436-00","Zinacef","750 MG",1,25,1,25,,
"J0697","Sterile cefuroxime injection","TELIGENT","24987043700","24987-0437-00","Zinacef","750 MG",1,10,2,20,,
"J2780","Ranitidine hydrochloride inj","Covis Pharmaceuticals","24987044100","24987-0441-00","ZANTAC Injection Premixed,","25 MG",50,24,2,48,,
"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","25021010066","25021-0100-66","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","25021010167","25021-0101-67","Cefazolin Sodium","500 MG",1,25,2,50,,
"J0690","Cefazolin sodium injection","Sagent Pharmaceuticals Inc","25021010269","25021-0102-69","Cefazolin Sodium","500 MG",1,10,20,200,,
"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","25021010566","25021-0105-66","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","25021010667","25021-0106-67","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","25021010768","25021-0107-68","CEFTRIAXONE SODIUM","250 MG",1,25,8,200,,
"J0696","Ceftriaxone sodium injection","Sagent Pharmaceuticals Inc","25021010869","25021-0108-69","CEFTRIAXONE","250 MG",1,1,40,40,,
"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","25021011010","25021-0110-10","CEFOXITIN SODIUM","1 GM",1,10,2,20,,
"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",200,24,2,48,,
"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","25021012166","25021-0121-66","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,,
"J0692","Cefepime hcl for injection","Sagent Pharmaceuticals Inc","25021012267","25021-0122-67","Cefepime ","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","25021012766","25021-0127-66","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","25021012867","25021-0128-67","Ceftazidime","500 MG",1,10,4,40,,
"J0713","Inj ceftazidime per 500 mg","Sagent Pharmaceuticals Inc","25021012969","25021-0129-69","Ceftazidime","500 MG",1,6,12,72,,
"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","25021013020","25021-0130-20","LEVOFLOXACIN","250 MG",20,1,2,2,,
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021013030","25021-0130-30","LEVOFLOXACIN","250 MG",30,1,3,3,,
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021013266","25021-0132-66","LEVOFLOXACIN","250 MG",50,24,1,24,,
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021013267","25021-0132-67","LEVOFLOXACIN","250 MG",100,24,2,48,,
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021013268","25021-0132-68","LEVOFLOXACIN","250 MG",150,24,3,72,,
"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,,
"J2700","Oxacillin sodium injeciton","Sagent Pharmaceuticals Inc","25021014610","25021-0146-10","OXACILLIN","250 MG",1,10,4,40,,
"J2700","Oxacillin sodium injeciton","Sagent Pharmaceuticals Inc","25021014666","25021-0146-66","Oxacillin Sodium","250 MG",1,10,4,40,,
"J2185","Meropenem","Sagent Pharmaceuticals Inc","25021015515","25021-0155-15","MEROPENEM","100 MG",1,10,5,50,,
"J2185","Meropenem","Sagent Pharmaceuticals Inc","25021015630","25021-0156-30","MEROPENEM","100 MG",1,10,10,100,,
"J3370","Vancomycin hcl injection","Sagent Pharmaceuticals Inc","25021015799","25021-0157-99","Vancomycin HCl","500 MG",1,1,10,10,,
"J3370","Vancomycin hcl injection","Sagent Pharmaceuticals Inc","25021015899","25021-0158-99","Vancomycin Hcl","500 MG",1,1,20,20,,
"J0770","Colistimethate sodium inj","Sagent Pharmaceuticals Inc","25021015910","25021-0159-10","Colistimethate Sodium","UP TO 150 MG",1,1,1,1,,
"J2700","Oxacillin sodium injeciton","Sagent Pharmaceuticals Inc","25021016224","25021-0162-24","OXACILLIN","250 MG",1,10,8,80,,
"J2700","Oxacillin sodium injeciton","Sagent Pharmaceuticals Inc","25021016267","25021-0162-67","Oxacillin Sodium","250 MG",1,10,8,80,,
"J2700","Oxacillin sodium injeciton","Sagent Pharmaceuticals Inc","25021016369","25021-0163-69","Oxacillin Sodium","250 MG",1,10,40,400,,
"J2700","Oxacillin sodium injeciton","Sagent Pharmaceuticals Inc","25021016399","25021-0163-99","Oxacillin Sodium","250 MG",1,10,40,400,,
"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,,
"J0278","Amikacin sulfate injection","SAGENT PHARMACEUTICALS, INC.","25021017302","25021-0173-02","Amikacin Sulfate","100 MG",2,10,5,50,,
"J0278","Amikacin sulfate injection","SAGENT PHARMACEUTICALS, INC.","25021017304","25021-0173-04","Amikacin Sulfate","100 MG",4,10,10,100,,
"J9206","Irinotecan injection","SAGENT PHARMACEUTICALS, INC.","25021020005","25021-0200-05","Irinotecan HCL","20 MG",5,1,5,5,,
"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,,
"J9209","Mesna injection","Sagent Pharmaceuticals Inc","25021020166","25021-0201-66","Mesna","200 MG",10,1,5,5,,
"J9209","Mesna injection","Sagent Pharmaceuticals Inc","25021020167","25021-0201-67","Mesna","200 MG",10,10,5,50,,
"J9209","Mesna injection","Sagent Pharmaceuticals Inc","25021020168","25021-0201-68","Mesna","200 MG",10,1,5,5,,
"J9209","Mesna injection","Sagent Pharmaceuticals Inc","25021020169","25021-0201-69","Mesna","200 MG",10,10,5,50,,
"J9045","Carboplatin injection","Sagent Pharmaceuticals Inc","25021020205","25021-0202-05","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","Sagent Pharmaceuticals Inc","25021020215","25021-0202-15","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","Sagent Pharmaceuticals Inc","25021020245","25021-0202-45","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","Sagent Pharmaceuticals Inc","25021020251","25021-0202-51","Carboplatin","50 MG",60,1,12,12,,
"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,,
"J9000","Doxorubicin hcl injection","Sagent Pharmaceuticals Inc","25021020705","25021-0207-05","Doxorubicin Hcl","10 MG",5,10,1,10,,
"J9000","Doxorubicin hcl injection","Sagent Pharmaceuticals Inc","25021020725","25021-0207-25","Doxorubicin Hcl","10 MG",25,1,5,5,,
"J9000","Doxorubicin hcl injection","Sagent Pharmaceuticals Inc","25021020751","25021-0207-51","Doxorubicin Hcl","10 MG",100,1,20,20,,
"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,,
"J9263","Oxaliplatin","Sagent Pharmaceuticals Inc","25021021120","25021-0211-20","Oxaliplatin","0.5 MG",1,1,100,100,,
"J9263","Oxaliplatin","Sagent Pharmaceuticals Inc","25021021250","25021-0212-50","Oxaliplatin","0.5 MG",1,1,200,200,,
"J9265","Paclitaxel injection","Sagent Pharmaceuticals Inc","25021021305","25021-0213-05","PACLITAXEL","30 MG",5,1,1,1,,
"J9267","Paclitaxel injection","Sagent Pharmaceuticals Inc","25021021305","25021-0213-05","PACLITAXEL","1 MG",5,1,30,30,,
"J9265","Paclitaxel injection","Sagent Pharmaceuticals Inc","25021021317","25021-0213-17","PACLITAXEL","30 MG",16.7,1,3.33,3.33,,
"J9267","Paclitaxel injection","Sagent Pharmaceuticals Inc","25021021317","25021-0213-17","PACLITAXEL","1 MG",16.7,1,100,100,,
"J9265","Paclitaxel injection","Sagent Pharmaceuticals Inc","25021021350","25021-0213-50","PACLITAXEL","30 MG",50,1,10,10,,
"J9267","Paclitaxel injection","Sagent Pharmaceuticals Inc","25021021350","25021-0213-50","PACLITAXEL","1 MG",50,1,300,300,,
"J9206","Irinotecan injection","Sagent Pharmaceuticals Inc","25021021402","25021-0214-02","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","Sagent Pharmaceuticals Inc","25021021405","25021-0214-05","Irinotecan HCL","20 MG",5,1,5,5,,
"J9190","Fluorouracil injection","SAGENT PHARMACEUTICALS, INC.","25021021598","25021-0215-98","Fluorouracil","500 MG",50,1,5,5,,
"J9190","Fluorouracil injection","SAGENT PHARMACEUTICALS, INC.","25021021599","25021-0215-99","Fluorouracil","500 MG",100,1,10,10,,
"J9245","Inj melphalan hydrochl 50 mg","SAGENT PHARMACEUTICALS, INC.","25021022160","25021-0221-60","Melphalan","50 MG",1,1,1,1,,
"J9171","Docetaxel injection","Sagent Pharmaceuticals Inc","25021022201","25021-0222-01","Docetaxel","1 MG",1,1,20,20,,
"J9171","Docetaxel injection","Sagent Pharmaceuticals Inc","25021022204","25021-0222-04","Docetaxel","1 MG",4,1,80,80,,
"J9171","Docetaxel injection","Sagent Pharmaceuticals Inc","25021022207","25021-0222-07","Docetaxel","1 MG",7,1,140,140,,
"J9206","Irinotecan injection","Sagent Pharmaceuticals Inc","25021023002","25021-0230-02","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","Sagent Pharmaceuticals Inc","25021023005","25021-0230-05","Irinotecan HCL","20 MG",5,1,5,5,,
"J9263","Oxaliplatin","Sagent Pharmaceuticals Inc","25021023310","25021-0233-10","Oxaliplatin","0.5 MG",10,10,100,100,,
"J9263","Oxaliplatin","Sagent Pharmaceuticals Inc","25021023320","25021-0233-20","Oxaliplatin","0.5 MG",20,10,200,200,,
"J9201","Gemcitabine hcl injection","Sagent Pharmaceuticals Inc","25021023410","25021-0234-10","GEMCITABINE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Sagent Pharmaceuticals Inc","25021023550","25021-0235-50","GEMCITABINE","200 MG",1,1,5,5,,
"J9351","Topotecan injection","Sagent Pharmaceuticals Inc","25021023604","25021-0236-04","Topotecan","0.1 MG",1,1,40,40,,
"J9185","Fludarabine phosphate inj","Sagent Pharmaceuticals Inc","25021023706","25021-0237-06","Fludarabine Phosphate","50 MG",1,1,1,1,,
"J0594","Busulfan injection","SAGENT PHARMACEUTICALS, INC.","25021024110","25021-0241-10","BUSULFAN","1 MG",10,8,60,480,,
"J9185","Fludarabine phosphate inj","SAGENT PHARMACEUTICAL","25021024202","25021-0242-02","Fludarabine Phosphate","50 MG",2,1,1,1,,
"J0150","Injection adenosine 6 MG","Sagent Pharmaceuticals Inc","25021030102","25021-0301-02","Adenosine","6 MG",2,10,1,10,,
"J0153","Adenosine inj 1mg","Sagent Pharmaceuticals Inc","25021030102","25021-0301-02","Adenosine","1 MG",2,10,6,60,,
"J0150","Injection adenosine 6 MG","Sagent Pharmaceuticals Inc","25021030104","25021-0301-04","Adenosine","6 MG",4,10,2,20,,
"J0153","Adenosine inj 1mg","Sagent Pharmaceuticals Inc","25021030104","25021-0301-04","Adenosine","1 MG",4,10,12,120,,
"J0153","Adenosine inj 1mg","Sagent Pharmaceuticals Inc","25021030167","25021-0301-67","Adenosine","1 MG",2,10,6,60,,
"J0150","Injection adenosine 6 MG","SAGENT PHARMACEUTICALS, INC.","25021030168","25021-0301-68","Adenosine","6 MG",4,10,2,20,,
"J0153","Adenosine inj 1mg","Sagent Pharmaceuticals Inc","25021030168","25021-0301-68","Adenosine","1 MG",4,10,12,120,,
"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,,
"J0282","Amiodarone HCl","SAGENT PHARMACEUTICALS, INC.","25021030273","25021-0302-73","Amiodarone Hcl","30 MG",3,10,5,50,,
"J1205","Chlorothiazide sodium inj","Sagent Pharmaceuticals Inc","25021030520","25021-0305-20","Chlorothiazide Sodium","500 MG",1,1,1,1,,
"J0151","Inj Adenosine Diag 1mg","Sagent Pharmaceuticals Inc","25021030720","25021-0307-20","Adenosine","1 MG",20,1,60,60,,
"J0153","Adenosine inj 1mg","Sagent Pharmaceuticals Inc","25021030720","25021-0307-20","Adenosine","1 MG",20,1,60,60,,
"J0151","Inj Adenosine Diag 1mg","Sagent Pharmaceuticals Inc","25021030730","25021-0307-30","Adenosine","1 MG",30,1,90,90,,
"J0153","Adenosine inj 1mg","Sagent Pharmaceuticals Inc","25021030730","25021-0307-30","Adenosine","1 MG",30,1,90,90,,
"J0153","Adenosine inj 1mg","Sagent Pharmaceuticals Inc","25021030766","25021-0307-66","Adenosine","1 MG",20,1,60,60,,
"J0153","Adenosine inj 1mg","Sagent Pharmaceuticals Inc","25021030767","25021-0307-67","Adenosine","1 MG",30,1,90,90,,
"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","25021040066","25021-0400-66","Heparin Sodium (Porcine)","1000 UNITS",1,25,1,25,,
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040067","25021-0400-67","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250,,
"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","25021040266","25021-0402-66","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125,,
"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","25021040366","25021-0403-66","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250,,
"J1644","Inj heparin sodium per 1000u","Sagent Pharmaceuticals Inc","25021040401","25021-0404-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,20,500,,
"J2354","Octreotide inj, non-depot","Sagent Pharmaceuticals Inc","25021045101","25021-0451-01","OCTREOTIDE ACETATE","25 MCG",1,10,2,20,,
"J2354","Octreotide inj, non-depot","Sagent Pharmaceuticals Inc","25021045201","25021-0452-01","OCTREOTIDE ACETATE","25 MCG",1,10,4,40,,
"J2354","Octreotide inj, non-depot","Sagent Pharmaceuticals Inc","25021045301","25021-0453-01","OCTREOTIDE ACETATE","25 MCG",1,10,20,200,,
"J2354","Octreotide inj, non-depot","Sagent Pharmaceuticals Inc","25021045405","25021-0454-05","OCTREOTIDE ACETATE","25 MCG",5,1,40,40,,
"J2354","Octreotide inj, non-depot","Sagent Pharmaceuticals Inc","25021045505","25021-0455-05","OCTREOTIDE ACETATE","25 MCG",5,1,200,200,,
"J0706","Caffeine citrate injection","Sagent Pharmaceuticals Inc","25021060103","25021-0601-03","CAFFEINE CITRATE","5 MG",3,1,12,12,,
"J2704","Inj, propofol, 10 mg","Sagent Pharmaceuticals Inc","25021060820","25021-0608-20","Propofol","10 MG",20,25,20,500,,
"J2704","Inj, propofol, 10 mg","Sagent Pharmaceuticals Inc","25021060850","25021-0608-50","Propofol","10 MG",50,20,50,1000,,
"J2704","Inj, propofol, 10 mg","Sagent Pharmaceuticals Inc","25021060851","25021-0608-51","Propofol","10 MG",100,10,100,1000,,
"J2360","Orphenadrine injection","Sagent Pharmaceuticals Inc","25021065102","25021-0651-02","Orphenadrine Citrate","60 MG",2,10,1,10,,
"J2795","Ropivacaine hcl injection","Sagent Pharmaceuticals Inc","25021065230","25021-0652-30","Ropivacaine","1 MG",30,1,150,150,,
"J2795","Ropivacaine hcl injection","Sagent Pharmaceuticals Inc","25021065231","25021-0652-31","Ropivacaine","1 MG",30,5,150,750,,
"J2795","Ropivacaine hcl injection","Sagent Pharmaceuticals Inc","25021065320","25021-0653-20","Ropivacaine","1 MG",20,5,200,1000,,
"J2795","Ropivacaine hcl injection","Sagent Pharmaceuticals Inc","25021065420","25021-0654-20","Ropivacaine","1 MG",20,5,150,750,,
"J2250","Inj midazolam hydrochloride","Sagent Pharmaceuticals Inc","25021065502","25021-0655-02","Midazolam Hcl","1 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","Sagent Pharmaceuticals Inc","25021065505","25021-0655-05","Midazolam Hcl","1 MG",5,10,5,50,,
"J2250","Inj midazolam hydrochloride","Sagent Pharmaceuticals Inc","25021065601","25021-0656-01","Midazolam Hcl","1 MG",1,10,5,50,,
"J2250","Inj midazolam hydrochloride","Sagent Pharmaceuticals Inc","25021065602","25021-0656-02","Midazolam HCl","1 MG",1,10,10,100,,
"J2250","Inj midazolam hydrochloride","Sagent Pharmaceuticals Inc","25021066010","25021-0660-10","Midazolam Hcl","1 MG",10,10,10,100,,
"J2250","Inj midazolam hydrochloride","Sagent Pharmaceuticals Inc","25021066105","25021-0661-05","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","Sagent Pharmaceuticals Inc","25021066110","25021-0661-10","Midazolam Hcl","1 MG",10,10,50,500,,
"J2795","Ropivacaine hcl injection","Sagent Pharmaceuticals Inc","25021067120","25021-0671-20","Ropivacaine","1 MG",20,5,40,200,,
"J2515","Pentobarbital sodium inj","SAGENT PHARMACEUTICAL","25021067620","25021-0676-20","Pentobarbital","50 MG",20,1,20,20,,
"J1885","Ketorolac tromethamine inj","Sagent Pharmaceuticals Inc","25021070001","25021-0700-01","Ketorolac Tromethamine","15 MG",1,25,1,25,,
"J1885","Ketorolac tromethamine inj","Sagent Pharmaceuticals Inc","25021070101","25021-0701-01","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J1885","Ketorolac tromethamine inj","Sagent Pharmaceuticals Inc","25021070102","25021-0701-02","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J3030","Sumatriptan succinate / 6 MG","Sagent Pharmaceuticals Inc","25021070360","25021-0703-60","SUMATRIPTAN SUCCINATE","6 MG",0.5,5,1,5,,
"J2405","Ondansetron hcl injection","Sagent Pharmaceuticals Inc","25021077702","25021-0777-02","ONDANSETRON HCL","1 MG",2,25,4,100,,
"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","25021077866","25021-0778-66","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,,
"J1953","Levetiracetam injection","Sagent Pharmaceuticals Inc","25021078005","25021-0780-05","Levetiracetam","10 MG",5,10,50,500,,
"J1626","Granisetron hcl injection","Sagent Pharmaceuticals Inc","25021078104","25021-0781-04","GRANISETRON HCL","100 MCG",4,1,40,40,,
"J2405","Ondansetron hcl injection","Sagent Pharmaceuticals Inc","25021078220","25021-0782-20","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J3489","Zoledronic acid 1mg","Sagent Pharmaceuticals Inc","25021080166","25021-0801-66","ZOLEDRONIC ACID","1 mg",5,1,4,4,,
"Q2051","Zoledronic acid 1mg","SAGENT PHARMACEUTICALS, INC.","25021080166","25021-0801-66","ZOLEDRONIC ACID","1 mg",5,1,4,4,,
"J3489","Zoledronic acid 1mg","Sagent Pharmaceuticals Inc","25021080167","25021-0801-67","ZOLEDRONIC ACID","1 MG",5,1,4,4,,
"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,,
"J1630","Haloperidol injection","Sagent Pharmaceuticals Inc","25021080601","25021-0806-01","Haloperidol Lactate","5 MG",1,10,1,10,,
"J2920","Methylprednisolone injection","SAGENT PHARMACEUTICALS, INC.","25021080705","25021-0807-05","Methylprednisolone Sodium Succ","40 MG",1,10,1,10,,
"J2930","Methylprednisolone injection","SAGENT PHARMACEUTICALS, INC.","25021080810","25021-0808-10","Methylprednisolone Sodium Succ","125 MG",1,10,1,10,,
"J2930","Methylprednisolone injection","SAGENT PHARMACEUTICALS, INC.","25021081030","25021-0810-30","Methylprednisolone Sodium Succ","125 MG",1,1,8,8,,
"J0640","Leucovorin calcium injection","Sagent Pharmaceuticals Inc","25021081310","25021-0813-10","Leucovorin Calcium","50 MG",1,10,1,10,,
"J0640","Leucovorin calcium injection","Sagent Pharmaceuticals Inc","25021081366","25021-0813-66","Leucovorin Calcium","50 MG",1,10,1,10,,
"J0640","Leucovorin calcium injection","Sagent Pharmaceuticals Inc","25021081430","25021-0814-30","Leucovorin Calcium","50 MG",1,1,2,2,,
"J0640","Leucovorin calcium injection","Sagent Pharmaceuticals Inc","25021081467","25021-0814-67","Leucovorin Calcium","50 MG",1,1,2,2,,
"J0640","Leucovorin calcium injection","Sagent Pharmaceuticals Inc","25021081530","25021-0815-30","Leucovorin Calcium","50 MG",1,1,4,4,,
"J0640","Leucovorin calcium injection","Sagent Pharmaceuticals Inc","25021081567","25021-0815-67","Leucovorin Calcium","50 MG",1,1,4,4,,
"J0640","Leucovorin calcium injection","Sagent Pharmaceuticals Inc","25021081630","25021-0816-30","Leucovorin Calcium","50 MG",1,1,7,7,,
"J0640","Leucovorin calcium injection","Sagent Pharmaceuticals Inc","25021081667","25021-0816-67","Leucovorin Calcium","50 MG",1,1,7,7,,
"J1120","Acetazolamid sodium injectio","Sagent Pharmaceuticals Inc","25021081710","25021-0817-10","Acetazolamide Sodium","500 MG",1,1,1,1,,
"J1630","Haloperidol injection","Sagent Pharmaceuticals Inc","25021082310","25021-0823-10","Haloperidol Lactate","5 MG",10,1,10,10,,
"J9351","Topotecan injection","Sagent Pharmaceuticals Inc","25021082406","25021-0824-06","TOPOTECAN HCL","0.1 MG",1,1,40,40,,
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021082581","25021-0825-81","LEVOFLOXACIN","250 MG",50,24,1,24,,
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021082582","25021-0825-82","LEVOFLOXACIN","250 MG",100,24,2,48,,
"J1956","Levofloxacin injection","Sagent Pharmaceuticals Inc","25021082583","25021-0825-83","LEVOFLOXACIN","250 MG",150,24,3,72,,
"J3489","Zoledronic acid 1mg","Sagent Pharmaceuticals Inc","25021082666","25021-0826-66","ZOLEDRONIC ACID","1 MG",100,1,4,4,,
"J3489","Zoledronic acid 1mg","Sagent Pharmaceuticals Inc","25021082667","25021-0826-67","ZOLEDRONIC ACID","1 MG",100,1,4,4,,
"J3489","Zoledronic acid 1mg","Sagent Pharmaceuticals Inc","25021082682","25021-0826-82","ZOLEDRONIC ACID","1 MG",100,1,4,4,,
"J1740","Ibandronate sodium injection","Sagent Pharmaceuticals Inc","25021082761","25021-0827-61","IBANDRONATE SODIUM","1 MG",3,1,3,3,,
"J3489","Zoledronic acid 1mg","Sagent Pharmaceuticals Inc","25021083082","25021-0830-82","ZOLEDRONIC ACID","1 MG",100,1,5,5,,
"J3246","Tirofiban HCl","Medicure Pharma Inc.","25208000201","25208-0002-01","Aggrastat","0.25 MG",100,1,20,20,,
"J3246","Tirofiban HCl","Medicure Pharma Inc.","25208000202","25208-0002-02","Aggrastat","0.25 MG",250,1,50,50,,
"J3246","Tirofiban HCl","Medicure Pharma","25208002001","25208-0020-01","Aggrastat","0.25 MG",100,1,20,20,,
"J3246","Tirofiban HCl","Medicure Pharma","25208002002","25208-0020-02","Aggrastat","0.25 MG",250,1,50,50,,
"J7637","Dexamethasone inhal sol con","LEGERE PHARMACEUTICALS","25332001005","25332-0010-05","Dexasone",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","LEGERE PHARMACEUTICALS","25332001005","25332-0010-05","Dexasone",,5,1,20,20,,"1 MG"
"J1094","Inj dexamethasone acetate","LEGERE PHARMACEUTICALS","25332001105","25332-0011-05","Dexasone L.A.","1 MG",5,1,40,40,,
"J7637","Dexamethasone inhal sol con","LEGERE PHARMACEUTICALS, INC.","25332011302","25332-0113-02","Dexasone",,5,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","LEGERE PHARMACEUTICALS, INC.","25332011302","25332-0113-02","Dexasone",,5,1,50,50,,"1 MG"
"C9236","Inj, eculizumab, 10 mg","ALEXION PHARMACEUTICALS","25682000101","25682-0001-01","ECULIZUMAB","10 MG",30,1,30,30,"Added 10/01/07",
"J1300","Eculizumab injection","Alexion Pharmaceuticals","25682000101","25682-0001-01","Soliris","10 MG",1,1,30,30,,
"C9478","Injection, sebelipase alfa","Alexion Pharmaceuticals","25682000701","25682-0007-01","Kanuma","1 MG",10,1,20,20,,
"J0364","Apomorphine hydrochloride","USWM, LLC","27505000405","27505-0004-05","Apokyn","1 MG",3,5,30,150,,
"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,,
"J7340","Metabolic active D/E tissue","ORTEC INTERNATIONAL","30170000001","30170-0000-01","Orcel","1 SQ CM",,1,20,20,,
"J7340","Metabolic active D/E tissue","ORTEC INTERNATIONAL","30170000010","30170-0000-10","Orcel","1 SQ CM",,1,1000,1000,,
"C9273","Sipuleucel-T, per infusion","Dendreon Corporation","30237890006","30237-8900-06","PROVENGE®","50 million cells",250,1,1,1,,
"Q2043","Sipuleucel-t auto cd54+","Dendreon","30237890006","30237-8900-06","PROVENGE®","Per infusion (minimum 50 million cells)",250,1,1,1,,
"J3420","Vitamin b12 injection","MERIT","30727031480","30727-0314-80","Cobal-1000","1000 MCG",30,1,30,30,,
"J1652","Fondaparinux sodium","QUALITY CARE PRODUCTS, LLC","35356007902","35356-0079-02","Arixtra","0.5 MG",0.4,2,10,20,,
"J1652","Fondaparinux sodium","QUALITY CARE PRODUCTS, LLC","35356007910","35356-0079-10","Arixtra","0.5 MG",0.4,10,10,100,,
"J1652","Fondaparinux sodium","QUALITY CARE PRODUCTS, LLC","35356008002","35356-0080-02","Arixtra","0.5 MG",0.6,2,15,30,,
"J1652","Fondaparinux sodium","QUALITY CARE PRODUCTS, LLC","35356008010","35356-0080-10","Arixtra","0.5 MG",0.6,10,15,150,,
"J1652","Fondaparinux sodium","QUALITY CARE PRODUCTS, LLC","35356008102","35356-0081-02","Arixtra","0.5 MG",0.8,2,20,40,,
"J1652","Fondaparinux sodium","QUALITY CARE PRODUCTS, LLC","35356008110","35356-0081-10","Arixtra","0.5 MG",0.8,10,20,200,,
"J1030","Methylprednisolone 40 MG inj","QUALITY CARE PRODUCTS, LLC","35356008301","35356-0083-01","Methylprednisolone Acetate","40 MG",10,1,10,10,,
"J0702","Betamethasone acet&sod phosp","QUALITY CARE PRODUCTS, LLC","35356008401","35356-0084-01","Celestone Soluspan","3 MG + 3 MG",5,1,5,5,,
"J7340","Metabolic active D/E tissue","SMITH & NEPHEW","38172000101","38172-0001-01","Transcyte","1 SQ CM",2,1,494,494,,
"J7344","Nonmetabolic active tissue","SMITH & NEPHEW","38172000101","38172-0001-01","Transcyte","1 SQ CM",2,1,494,494,,
"J7342","Metabolically active tissue","SMITH & NEPHEW","38172002020","38172-0020-20","Dermagraft","1 SQ CM",1,1,37.5,37.5,,
"J7342","Metabolically active tissue","SMITH & NEPHEW","38172020200","38172-0202-00","Dermagraft","1 SQ CM",1,1,37.5,37.5,,
"J1190","Dexrazoxane HCl injection","Topotarget USA, Inc.","38423011001","38423-0110-01","Totect","250 MG",1,10,2,20,,
"J7635","Atropine inhal sol con","MEDISCA, INC.","38779001401","38779-0014-01","Atropine Sulfate",,,1,120,120,,"1 MG"
"J7635","Atropine inhal sol con","MEDISCA","38779001404","38779-0014-04","Atropine Sulfate",,,25,100,4,,"1 MG"
"J7635","Atropine inhal sol con","MEDISCA, INC.","38779001405","38779-0014-05","Atropine Sulfate",,,1,40,40,,"1 MG"
"J7622","Beclomethasone inhalatn sol","MEDISCA","38779001701","38779-0017-01","Betamethasone Dipropionate",,1,1,10000,10000,,"1 MG"
"J7622","Beclomethasone inhalatn sol","MEDISCA","38779001703","38779-0017-03","Betamethasone Dipropionate",,1,1,5000,5000,,"1 MG"
"J7622","Beclomethasone inhalatn sol","MEDISCA","38779001704","38779-0017-04","Betamethasone Dipropionate",,1,1,25000,25000,,"1 MG"
"J7622","Beclomethasone inhalatn sol","MEDISCA","38779001706","38779-0017-06","Betamethasone Dipropionate",,1,1,1000,1000,,"1 MG"
"J7602","Albuterol inh non-comp con","MEDISCA","38779018401","38779-0184-01","Albuterol","1 MG",10,1,10,10,,
"J7603","Albuterol inh non-comp u d ","MEDISCA","38779018401","38779-0184-01","Albuterol","1 MG",10,1,10,10,,
"J7611","Albuterol non-comp con","MEDISCA","38779018401","38779-0184-01","Albuterol","1 MG",10,1,10,10,,
"J7613","Albuterol non-comp unit","MEDISCA","38779018401","38779-0184-01","Albuterol","1 MG",10,1,10,10,,
"Q4093","Albuterol inh non-comp con","MEDISCA","38779018401","38779-0184-01","Albuterol","1 MG",10,1,10,10,,
"Q4094","Albuterol inh non-comp u d ","MEDISCA","38779018401","38779-0184-01","Albuterol","1 MG",10,1,10,10,,
"J7602","Albuterol inh non-comp con","MEDISCA","38779018404","38779-0184-04","Albuterol","1 MG",25,1,25,25,,
"J7603","Albuterol inh non-comp u d ","MEDISCA","38779018404","38779-0184-04","Albuterol","1 MG",25,1,25,25,,
"J7611","Albuterol non-comp con","MEDISCA","38779018404","38779-0184-04","Albuterol","1 MG",25,1,25,25,,
"J7613","Albuterol non-comp unit","MEDISCA","38779018404","38779-0184-04","Albuterol","1 MG",25,1,25,25,,
"Q4093","Albuterol inh non-comp con","MEDISCA","38779018404","38779-0184-04","Albuterol","1 MG",25,1,25,25,,
"Q4094","Albuterol inh non-comp u d ","MEDISCA","38779018404","38779-0184-04","Albuterol","1 MG",25,1,25,25,,
"J7602","Albuterol inh non-comp con","MEDISCA","38779018405","38779-0184-05","Albuterol","1 MG",100,1,100,100,,
"J7603","Albuterol inh non-comp u d ","MEDISCA","38779018405","38779-0184-05","Albuterol","1 MG",100,1,100,100,,
"J7611","Albuterol non-comp con","MEDISCA","38779018405","38779-0184-05","Albuterol","1 MG",100,1,100,100,,
"J7613","Albuterol non-comp unit","MEDISCA","38779018405","38779-0184-05","Albuterol","1 MG",100,1,100,100,,
"Q4093","Albuterol inh non-comp con","MEDISCA","38779018405","38779-0184-05","Albuterol","1 MG",100,1,100,100,,
"Q4094","Albuterol inh non-comp u d ","MEDISCA","38779018405","38779-0184-05","Albuterol","1 MG",100,1,100,100,,
"J7602","Albuterol inh non-comp con","MEDISCA","38779018408","38779-0184-08","Albuterol","1 MG",500,1,500,500,,
"J7603","Albuterol inh non-comp u d ","MEDISCA","38779018408","38779-0184-08","Albuterol","1 MG",500,1,500,500,,
"J7611","Albuterol non-comp con","MEDISCA","38779018408","38779-0184-08","Albuterol","1 MG",500,1,500,500,,
"J7613","Albuterol non-comp unit","MEDISCA","38779018408","38779-0184-08","Albuterol","1 MG",500,1,500,500,,
"Q4093","Albuterol inh non-comp con","MEDISCA","38779018408","38779-0184-08","Albuterol","1 MG",500,1,500,500,,
"Q4094","Albuterol inh non-comp u d ","MEDISCA","38779018408","38779-0184-08","Albuterol","1 MG",500,1,500,500,,
"J7602","Albuterol inh non-comp con","MEDISCA","38779018501","38779-0185-01","Albuterol Sulfate","1 MG",10,1,10,10,,
"J7603","Albuterol inh non-comp u d ","MEDISCA","38779018501","38779-0185-01","Albuterol Sulfate","1 MG",10,1,10,10,,
"J7611","Albuterol non-comp con","MEDISCA","38779018501","38779-0185-01","Albuterol Sulfate","1 MG",10,1,10,10,,
"J7613","Albuterol non-comp unit","MEDISCA","38779018501","38779-0185-01","Albuterol Sulfate","1 MG",10,1,10,10,,
"Q4093","Albuterol inh non-comp con","MEDISCA","38779018501","38779-0185-01","Albuterol Sulfate","1 MG",10,1,10,10,,
"Q4094","Albuterol inh non-comp u d ","MEDISCA","38779018501","38779-0185-01","Albuterol Sulfate","1 MG",10,1,10,10,,
"J7602","Albuterol inh non-comp con","MEDISCA","38779018504","38779-0185-04","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7603","Albuterol inh non-comp u d ","MEDISCA","38779018504","38779-0185-04","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7611","Albuterol non-comp con","MEDISCA","38779018504","38779-0185-04","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7613","Albuterol non-comp unit","MEDISCA","38779018504","38779-0185-04","Albuterol Sulfate","1 MG",25,1,25,25,,
"Q4093","Albuterol inh non-comp con","MEDISCA","38779018504","38779-0185-04","Albuterol Sulfate","1 MG",25,1,25,25,,
"Q4094","Albuterol inh non-comp u d ","MEDISCA","38779018504","38779-0185-04","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7602","Albuterol inh non-comp con","MEDISCA","38779018505","38779-0185-05","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7603","Albuterol inh non-comp u d ","MEDISCA","38779018505","38779-0185-05","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7611","Albuterol non-comp con","MEDISCA","38779018505","38779-0185-05","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7613","Albuterol non-comp unit","MEDISCA","38779018505","38779-0185-05","Albuterol Sulfate","1 MG",100,1,100,100,,
"Q4093","Albuterol inh non-comp con","MEDISCA","38779018505","38779-0185-05","Albuterol Sulfate","1 MG",100,1,100,100,,
"Q4094","Albuterol inh non-comp u d ","MEDISCA","38779018505","38779-0185-05","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7602","Albuterol inh non-comp con","MEDISCA","38779018508","38779-0185-08","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7603","Albuterol inh non-comp u d ","MEDISCA","38779018508","38779-0185-08","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7611","Albuterol non-comp con","MEDISCA","38779018508","38779-0185-08","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7613","Albuterol non-comp unit","MEDISCA","38779018508","38779-0185-08","Albuterol Sulfate","1 MG",500,1,500,500,,
"Q4093","Albuterol inh non-comp con","MEDISCA","38779018508","38779-0185-08","Albuterol Sulfate","1 MG",500,1,500,500,,
"Q4094","Albuterol inh non-comp u d ","MEDISCA","38779018508","38779-0185-08","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7602","Albuterol inh non-comp con","MEDISCA","38779018509","38779-0185-09","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7603","Albuterol inh non-comp u d ","MEDISCA","38779018509","38779-0185-09","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7611","Albuterol non-comp con","MEDISCA","38779018509","38779-0185-09","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7613","Albuterol non-comp unit","MEDISCA","38779018509","38779-0185-09","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4093","Albuterol inh non-comp con","MEDISCA","38779018509","38779-0185-09","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4094","Albuterol inh non-comp u d ","MEDISCA","38779018509","38779-0185-09","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7633","Budesonide concentrated sol","MEDISCA","38779019800","38779-0198-00","Budesonide",,1,1,2000,2000,,"0.25 MG"
"J7633","Budesonide concentrated sol","MEDISCA","38779019803","38779-0198-03","Budesonide",,1,1,20000,20000,,"0.25 MG"
"J7633","Budesonide concentrated sol","MEDISCA","38779019804","38779-0198-04","Budesonide",,1,1,100000,100000,,"0.25 MG"
"J7633","Budesonide concentrated sol","MEDISCA","38779019806","38779-0198-06","Budesonide",,1,1,4000,4000,,"0.25 MG"
"J7680","Terbutaline so4 inh sol con","MEDISCA","38779038101","38779-0381-01","Terbutaline Sulfate",,1,1,10000,10000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","MEDISCA","38779038101","38779-0381-01","Terbutaline Sulfate",,1,1,10000,10000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","MEDISCA","38779038103","38779-0381-03","Terbutaline Sulfate",,1,1,5000,5000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","MEDISCA","38779038103","38779-0381-03","Terbutaline Sulfate",,1,1,5000,5000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","MEDISCA","38779038104","38779-0381-04","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","MEDISCA","38779038104","38779-0381-04","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","MEDISCA","38779038105","38779-0381-05","Terbutaline Sulfate",,1,1,100000,100000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","MEDISCA","38779038105","38779-0381-05","Terbutaline Sulfate",,1,1,100000,100000,,"1 MG"
"J2543","Piperacillin/tazobactam","X-GEN PHARMACEUTICALS","39822012302","39822-0123-02","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","X-GEN PHARMACEUTICALS","39822012504","39822-0125-04","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","X-GEN PHARMACEUTICALS","39822012706","39822-0127-06","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,4,40,,
"J2543","Piperacillin/tazobactam","X-GEN PHARMACEUTICALS","39822013907","39822-0139-07","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,1,36,36,,
"J1120","Acetazolamid sodium injectio","X-Gen Pharmaceuticals, Inc.","39822019001","39822-0190-01","Acetazolamide Sodium","500 MG",1,1,1,1,,
"J1120","Acetazolamid sodium injectio","X-Gen Pharmaceuticals, Inc.","39822019007","39822-0190-07","Acetazolamide Sodium","500 MG",1,1,1,1,,
"J1120","Acetazolamid sodium injectio","X-Gen Pharmaceuticals, Inc.","39822019109","39822-0191-09","Acetazolamide Sodium","500 MG",1,1,1,1,,
"J2010","Lincomycin injection","X-Gen Pharmaceuticals, Inc.","39822035002","39822-0350-02","Lincocin","300 MG",2,10,2,20,,
"J2010","Lincomycin injection","X-Gen Pharmaceuticals, Inc.","39822035306","39822-0353-06","Lincocin","300 MG",10,10,10,100,,
"J3260","Tobramycin sulfate injection","X-Gen Pharmaceuticals, Inc.","39822040901","39822-0409-01","Tobramycin Sulfate","80 MG",1,1,15,15,,
"J3260","Tobramycin sulfate injection","X-Gen Pharmaceuticals, Inc.","39822040906","39822-0409-06","Tobramycin Sulfate","80 MG",1,6,15,90,,
"J3260","Tobramycin sulfate injection","X-Gen Pharmaceuticals, Inc.","39822041201","39822-0412-01","Tobramycin Sulfate","80 MG",1,1,15,15,,
"J3260","Tobramycin sulfate injection","X-Gen Pharmaceuticals, Inc.","39822041206","39822-0412-06","Tobramycin Sulfate","80 MG",1,6,15,90,,
"J0360","Hydralazine hcl injection","X-Gen Pharmaceuticals, Inc.","39822050004","39822-0500-04","Hydralazine Hcl","20 MG",1,25,1,25,,
"J0770","Colistimethate sodium inj","X-Gen Pharmaceuticals, Inc.","39822061501","39822-0615-01","Colistimethate Sodium","UP TO 150 MG",1,1,1,1,,
"J0770","Colistimethate sodium inj","X-Gen Pharmaceuticals, Inc.","39822061502","39822-0615-02","Colistimethate Sodium","UP TO 150 MG",1,12,1,12,,
"J0770","Colistimethate sodium inj","X-GEN PHARMACEUTICALS, INC","39822061701","39822-0617-01","Colistimethate Sodium","UP TO 150 MG",1,1,1,1,,
"J0770","Colistimethate sodium inj","X-GEN PHARMACEUTICALS, INC","39822061702","39822-0617-02","Colistimethate Sodium","UP TO 150 MG",1,12,1,12,,
"J3000","Streptomycin injection","X-GEN PHARMACEUTICALS","39822070601","39822-0706-01","Streptomycin Sulfate","1 GM",1,1,1,1,,
"J3000","Streptomycin injection","X-Gen Pharmaceuticals, Inc.","39822070602","39822-0706-02","Streptomycin Sulfate","1 GM",1,10,1,10,,
"J1451","Fomepizole, 15 mg","X-Gen Pharmaceuticals, Inc.","39822071001","39822-0710-01","Fomepizole","15 MG",1.5,1,100,100,,
"J0285","Amphotericin b","X-Gen Pharmaceuticals, Inc.","39822105505","39822-1055-05","Amphotericin B","50 MG",1,1,1,1,,
"J0285","Amphotericin B","X-Gen Pharmaceuticals, Inc.","39822105507","39822-1055-07","Amphotericin B","50 MG",1,1,1,1,,
"J3465","Injection, voriconazole","X-GEN PHARMACEUTICALS","39822107701","39822-1077-01","Voriconazole","10 MG",1,1,20,20,,
"J0735","Clonidine hydrochloride","X-Gen Pharmaceuticals, Inc.","39822200001","39822-2000-01","Clonidine Hydrochloride Injection","1 MG",10,1,1,1,,
"J0735","Clonidine hydrochloride","X-Gen Pharmaceuticals, Inc.","39822201001","39822-2010-01","Clonidine Hydrochloride Injection","1 MG",10,1,5,5,,
"J9171","Docetaxel injection","X-GEN PHARMACEUTICALS, INC","39822212001","39822-2120-01","Docetaxel","1 MG",1,1,20,20,,
"J9171","Docetaxel injection","X-GEN PHARMACEUTICALS, INC","39822218001","39822-2180-01","Docetaxel","1 MG",4,1,80,80,,
"J9171","Docetaxel injection","X-GEN PHARMACEUTICALS","39822220001","39822-2200-01","Docetaxel","1 MG",10,1,200,200,,
"J1953","Levetiracetam injection","X-Gen Pharmaceuticals, Inc.","39822400001","39822-4000-01","Levetiracetam","10 MG",5,10,50,500,,
"J3475","Inj magnesium sulfate","X-Gen Pharmaceuticals, Inc.","39822402502","39822-4025-02","Magnesium Sulfate","500 MG",10,25,10,250,,
"J1165","Phenytoin sodium injection","X-Gen Pharmaceuticals, Inc.","39822405003","39822-4050-03","PHENYTOIN","50 MG",2,25,2,50,,
"J1165","Phenytoin sodium injection","X-Gen Pharmaceuticals, Inc.","39822405006","39822-4050-06","PHENYTOIN","50 MG",5,25,5,125,,
"J2550","Promethazine hcl injection","X-Gen Pharmaceuticals, Inc.","39822550003","39822-5500-03","PROMETHAZINE","50 MG",1,25,0.5,12.5,,
"J2550","Promethazine hcl injection","X-Gen Pharmaceuticals, Inc.","39822550006","39822-5500-06","PROMETHAZINE","50 MG",1,25,1,25,,
"J2550","Promethazine hcl injection","X-GEN PHARMACEUTICALS, INC","39822552503","39822-5525-03","Promethazine Hcl","50 MG",1,25,0.5,12.5,,
"J2550","Promethazine hcl injection","X-GEN PHARMACEUTICALS, INC","39822555006","39822-5550-06","Promethazine Hcl","50 MG",1,25,1,25,,
"J0702","Betamethasone acet&sod phosp","AMERICAN REGENT","40042004805","40042-0048-05","Celestone Soluspan","3 MG & 3 MG",5,1,5,5,,
"J2675","Inj progesterone per 50 MG","AMERICAN REGENT","40042005010","40042-0050-10","Progesterone in Oil","50 MG",10,1,10,10,,
"J2210","Methylergonovin maleate inj","AMERICAN REGENT","40042005101","40042-0051-01","METHYLERGONOVINE MALEATE","0.2 MG",1,20,1,20,,
"J0735","Clonidine hydrochloride","AMERICAN REGENT","40042005210","40042-0052-10","Clonidine Hydrochloride Injection","1 MG",10,1,1,1,,
"J0735","Clonidine hydrochloride","AMERICAN REGENT","40042005310","40042-0053-10","Clonidine Hydrochloride Injection","1 MG",10,1,5,5,,
"Q4116","Alloderm","LifeCell Corporation","402025","402025","AlloDerm","1 SQ CM",28,1,28,28,,
"Q4116","Alloderm","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",1,1,100,100,,
"J9263","Oxaliplatin","Sun Pharmaceutical Global Inc.","41616017840","41616-0178-40","OXALIPLATIN","0.5 MG",1,1,200,200,,
"J9218","Leuprolide acetate injeciton","Sun Pharmaceutical Global Inc.","41616093640","41616-0936-40","Leuprolide Acetate Inj ","1 MG",1,1,14,14,,
"J0170","Adrenalin epinephrin inject","JHP Pharmaceuticals, LLC","42023010101","42023-0101-01","Adrenalin","1 ML",1,30,1,30,,
"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","PAR STERILE PRODUCTS LLC","42023010701","42023-0107-01","Colistimethate Sodium","UP TO 150 MG",1,1,1,1,,
"J0770","Colistimethate sodium inj","PAR STERILE PRODUCTS LLC","42023010706","42023-0107-06","COLY-MYCIN M PARENTERAL","UP TO 150 MG",1,6,1,6,,
"J0970","Estradiol valerate injection","JHP PHARMACEUTICALS, LLC","42023011001","42023-0110-01","Delestrogen","40 MG",5,1,1.25,2.5,,
"J1380","Estradiol valerate 10 mg inj","PAR STERILE PRODUCTS LLC","42023011001","42023-0110-01","Delestrogen","10 MG",5,1,5,5,,
"J1390","Estradiol valerate 20 MG inj","JHP PHARMACEUTICALS, LLC","42023011001","42023-0110-01","Delestrogen","20 MG",5,1,2.5,2.5,,
"J0970","Estradiol valerate injection","JHP PHARMACEUTICALS, LLC","42023011101","42023-0111-01","Delestrogen","40 MG",5,1,2.5,5,,
"J1380","Estradiol valerate 10 mg inj","PAR STERILE PRODUCTS LLC","42023011101","42023-0111-01","Delestrogen","10 MG",5,1,10,10,,
"J1390","Estradiol valerate 20 MG inj","JHP PHARMACEUTICALS, LLC","42023011101","42023-0111-01","Delestrogen","20 MG",5,1,5,5,,
"J0970","Estradiol valerate injection","JHP PHARMACEUTICALS, LLC","42023011201","42023-0112-01","Delestrogen","40 MG",5,1,5,5,,
"J1380","Estradiol valerate 10 mg inj","PAR STERILE PRODUCTS LLC","42023011201","42023-0112-01","Delestrogen","10 MG",5,1,20,20,,
"J1390","Estradiol valerate 20 MG inj","JHP PHARMACEUTICALS, LLC","42023011201","42023-0112-01","Delestrogen","20 MG",5,1,10,10,,
"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","PAR STERILE PRODUCTS LLC","42023011801","42023-0118-01","Tigan","200 MG",20,1,10,10,,
"J3250","Trimethobenzamide hcl inj","JHP Pharmaceuticals, LLC","42023011901","42023-0119-01","Tigan","200 MG",2,25,1,25,,
"J3250","Trimethobenzamide hcl inj","PAR STERILE PRODUCTS 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,,
"J0170","Adrenalin epinephrin inject","JHP Pharmaceuticals, LLC","42023012225","42023-0122-25","Epinephrine Hcl","1 ML",1,25,1,25,,
"J0171","Adrenalin epinephrine inject","JHP Pharmaceuticals LLC","42023012225","42023-0122-25","Epinephrine Hcl","0.1 MG",1,25,10,250,,
"J2680","Fluphenazine decanoate 25 mg","PAR STERILE PRODUCTS LLC","42023012901","42023-0129-01","Fluphenazine Decanoate","25 MG",5,1,5,5,,
"J2590","Oxytocin injection","JHP Pharmaceuticals LLC","42023013006","42023-0130-06","PITOCIN","10 UNITS",50,6,50,300,,
"J0770","Colistimethate sodium inj","PAR STERILE PRODUCTS LLC","42023013101","42023-0131-01","Colistimethate Sodium","UP TO 150 MG",1,1,1,1,,
"J0770","Colistimethate sodium inj","PAR STERILE PRODUCTS LLC","42023013106","42023-0131-06","Colistimethate Sodium","UP TO 150 MG",1,6,1,6,,
"J1380","Estradiol valerate 10 mg inj","JHP Pharmaceuticals LLC","42023013401","42023-0134-01","Estradiol Valerate","10 MG",5,1,5,5,,
"J1380","Estradiol valerate 10 MG inj","JHP Pharmaceuticals LLC","42023013501","42023-0135-01","Estradiol Valerate","10 MG",5,1,10,10,,
"J1380","Estradiol valerate 10 mg inj","PAR STERILE PRODUCTS LLC","42023013601","42023-0136-01","Estradiol Valerate","10 MG",5,1,20,20,,
"J2590","Oxytocin injection","JHP Pharmaceuticals LLC","42023014025","42023-0140-25","Oxytocin","10 UNITS",1,25,1,25,,
"J2590","Oxytocin injection","JHP Pharmaceuticals LLC","42023014101","42023-0141-01","Oxytocin","10 UNITS",10,1,10,10,,
"J2590","Oxytocin injection","JHP Pharmaceuticals LLC","42023014125","42023-0141-25","Oxytocin","10 UNITS",10,25,10,250,,
"J3250","Trimethobenzamide hcl inj","JHP Pharmaceuticals LLC","42023014201","42023-0142-01","TRIMETHOBENZAMIDE HCL","200 MG",20,1,10,10,,
"J3250","Trimethobenzamide hcl inj","JHP Pharmaceuticals LLC","42023014325","42023-0143-25","TRIMETHOBENZAMIDE HCL","200 MG",2,25,1,25,,
"J9245","Inj melphalan hydrochl 50 mg","PAR STERILE PRODUCTS","42023014901","42023-0149-01","Melphalan","50 MG",1,1,1,1,,
"J3489","Zoledronic acid 1mg","PAR STERILE PRODUCTS LLC","42023015101","42023-0151-01","ZOLEDRONIC ACID","1 mg",5,1,4,4,,
"Q2051","Zoledronic acid 1mg","JHP PHARMACEUTICALS, LLC","42023015101","42023-0151-01","ZOLEDRONIC ACID","1 mg",5,1,4,4,,
"J0171","Adrenalin epinephrine inject","PAR STERILE PRODUCTS LLC","42023015925","42023-0159-25","Adrenalin","0.1 MG",1,25,10,250,,
"J3489","Zoledronic acid 1mg","PAR STERILE PRODUCTS LLC","42023016301","42023-0163-01","ZOLEDRONIC ACID","1 MG",100,1,5,5,,
"J0171","Adrenalin epinephrine inject","PAR STERILE PRODUCTS LLC","42023016801","42023-0168-01","Epinephrine Hcl","0.1 MG",30,1,300,300,,
"J1570","Ganciclovir sodium injection","PAR PHARMACEUTICAL","42023017325","42023-0173-25","GANCICLOVIR ","500 MG",1,25,1,25,,
"J0592","Buprenorphine hydrochloride","PAR STERILE PRODUCTS LLC","42023017905","42023-0179-05","Buprenorphine HCl Injection","0.1 MG",1,5,3,15,,
"C9121","Injection, argatroban","PAR STERILE PRODUCTS LLC","42023018201","42023-0182-01","Argatroban","5 MG",2.5,1,50,50,,
"J2185","Meropenem","PAR PHARMACEUTICAL","42023019110","42023-0191-10","MEROPENEM","100 MG",1,10,5,50,,
"J2185","Meropenem","PAR PHARMACEUTICAL","42023019210","42023-0192-10","MEROPENEM","100 MG",1,10,10,100,,
"C9251","Inj, C1 esterase inhibitor","ViroPharma Incorporated","42227008105","42227-0081-05","Cinryze","10 IU",1,1,50,50,,
"J0598","C-1 esterase, cinryze","Shire ViroPharma, Inc.","42227008105","42227-0081-05","Cinryze","10 UNITS",1,1,50,50,,
"J9171","Docetaxel injection","Eagle Pharmaceuticals, Inc.","42367012121","42367-0121-21","DOCETAXEL","1 MG",1,1,20,20,,
"J9171","Docetaxel injection","Eagle Pharmaceuticals, Inc.","42367012125","42367-0121-25","DOCETAXEL","1 MG",4,1,80,80,,
"J9171","Docetaxel injection","Eagle Pharmaceuticals, Inc.","42367012129","42367-0121-29","DOCETAXEL","1 MG",8,1,160,160,,
"C9121","Injection, argatroban","MEDICINES COMPANY, THE","42367020284","42367-0202-84","Argatroban","5 MG",50,10,10,100,,
"J3030","Sumatriptan succinate / 6 MG","Zogenix, Inc.","43376010606","43376-0106-06","SUMAVEL DOSEPRO","6 MG",0.5,6,1,6,,
"C9285","Patch, lidocaine/tetracaine","ZARS Pharma, Inc.","43469086401","43469-0864-01","SYNERA","lidocaine 70 mg/tetracaine 70 mg, per patch",1,1,1,1,,
"C9285","Patch, lidocaine/tetracaine","ZARS Pharma, Inc.","43469086410","43469-0864-10","SYNERA","lidocaine 70 mg/tetracaine 70 mg, per patch",1,1,1,10,,
"J9171","Docetaxel injection","Dr. Reddy's Laboratories, Inc.","43598025811","43598-0258-11","Docetaxel","1 MG",1,1,20,20,,
"J9171","Docetaxel injection","Dr. Reddy's Laboratories, Inc.","43598025940","43598-0259-40","Docetaxel","1 MG",4,1,80,80,,
"Q2050","Doxorubicin inj 10mg","DR.REDDY'S LABORATORIES","43598028335","43598-0283-35","Doxorubicin Hcl, Liposomal,","10 MG",10,1,2,2,,
"J9025","Azacitidine injection","Dr. Reddy's Laboratories, Inc.","43598030562","43598-0305-62","Azacitidine","1 MG",1,1,100,100,,
"J3489","Zoledronic acid 1mg","Dr. Reddy's Laboratories, Inc.","43598033011","43598-0330-11","ZOLEDRONIC ACID","1 mg",5,1,4,4,,
"J3489","Zoledronic acid 1mg","Dr. Reddy's Laboratories, Inc.","43598033111","43598-0331-11","ZOLEDRONIC ACID","1 MG",100,1,5,5,,
"J0894","Decitabine injection","Dr. Reddy's Laboratories, Inc.","43598034837","43598-0348-37","decitabine","1 MG",1,1,50,50,,
"J7614","Levalbuterol non-comp unit","Dr. Reddy's Laboratories, Inc.","43598040925","43598-0409-25","LEVALBUTEROL","0.5 MG",3,25,2.5,62.5,,
"J7614","Levalbuterol non-comp unit","Dr. Reddy's Laboratories, Inc.","43598041025","43598-0410-25","LEVALBUTEROL","0.5 MG",3,25,1.25,31.25,,
"J7614","Levalbuterol non-comp unit","Dr. Reddy's Laboratories, Inc.","43598041225","43598-0412-25","LEVALBUTEROL","0.5 MG",3,25,0.62,15.5,,
"J0894","Decitabine injection","Dr. Reddy's Laboratories, Inc.","43598042737","43598-0427-37","Decitabine","1 MG",1,1,50,50,,
"J9025","Azacitidine injection","Dr. Reddy's Laboratories, Inc.","43598046562","43598-0465-62","Azacitidine","1 MG",1,1,100,100,,
"Q2050","Doxorubicin inj 10mg","DR.REDDY'S LABORATORIES","43598054125","43598-0541-25","Doxorubicin Hcl, Liposomal,","10 MG",25,1,5,5,,
"J2501","Paricalcitol","DR.REDDY'S LABORATORIES","43598056325","43598-0563-25","Paricalcitol","1 MCG",1,25,2,50,,
"J2501","Paricalcitol","DR.REDDY'S LABORATORIES","43598056425","43598-0564-25","Paricalcitol","1 MCG",1,25,5,125,,
"J2501","Paricalcitol","DR.REDDY'S LABORATORIES","43598056510","43598-0565-10","Paricalcitol","1 MCG",2,25,10,250,,
"J1652","Fondaparinux sodium","NOVAPLUS/DR.REDDY'S","43598060602","43598-0606-02","FONDAPARINUX SODIUM","0.5 MG",0.8,2,20,40,,
"J1652","Fondaparinux sodium","NOVAPLUS/DR.REDDY'S","43598060610","43598-0606-10","FONDAPARINUX SODIUM","0.5 MG",0.8,10,20,200,,
"J1652","Fondaparinux sodium","NOVAPLUS/DR.REDDY'S","43598060702","43598-0607-02","FONDAPARINUX SODIUM","0.5 MG",0.5,2,5,10,,
"J1652","Fondaparinux sodium","NOVAPLUS/DR.REDDY'S","43598060710","43598-0607-10","FONDAPARINUX SODIUM","0.5 MG",0.5,10,5,50,,
"J1652","Fondaparinux sodium","NOVAPLUS/DR.REDDY'S","43598060802","43598-0608-02","FONDAPARINUX SODIUM","0.5 MG",0.4,2,10,20,,
"J1652","Fondaparinux sodium","NOVAPLUS/DR.REDDY'S","43598060810","43598-0608-10","FONDAPARINUX SODIUM","0.5 MG",0.4,10,10,100,,
"J1652","Fondaparinux sodium","NOVAPLUS/DR.REDDY'S","43598060902","43598-0609-02","FONDAPARINUX SODIUM","0.5 MG",0.6,2,15,30,,
"J1652","Fondaparinux sodium","NOVAPLUS/DR.REDDY'S","43598060910","43598-0609-10","FONDAPARINUX SODIUM","0.5 MG",0.6,10,15,150,,
"J9171","Docetaxel injection","NOVAPLUS/DR.REDDY'S","43598061040","43598-0610-40","Docetaxel","1 MG",4,1,80,80,,
"J9171","Docetaxel injection","NOVAPLUS/DR.REDDY'S","43598061111","43598-0611-11","Docetaxel","1 MG",1,1,20,20,,
"C9283","Injection, acetaminophen","CADENCE PHARMACEUTICALS","43825010201","43825-0102-01","OFIRMEV","10mg",100,24,100,2400,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025205","43975-0252-05","TEMOZOLOMIDE","5 MG",1,5,1,5,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025214","43975-0252-14","TEMOZOLOMIDE","5 MG",1,14,1,14,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025305","43975-0253-05","TEMOZOLOMIDE","5 MG",1,5,4,20,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025314","43975-0253-14","TEMOZOLOMIDE","5 MG",1,14,4,56,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025405","43975-0254-05","TEMOZOLOMIDE","5 MG",1,5,20,100,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025414","43975-0254-14","TEMOZOLOMIDE","5 MG",1,14,20,280,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025505","43975-0255-05","TEMOZOLOMIDE","5 MG",1,5,28,140,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025514","43975-0255-14","TEMOZOLOMIDE","5 MG",1,14,28,392,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025605","43975-0256-05","TEMOZOLOMIDE","5 MG",1,5,36,180,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025614","43975-0256-14","TEMOZOLOMIDE","5 MG",1,14,36,504,,
"J8700","Temozolomide","AMERIGEN PHARMACEUTICALS, INC.","43975025705","43975-0257-05","TEMOZOLOMIDE","5 MG",1,5,50,250,,
"J2941","Somatropin injection","SERONO","44087000401","44087-0004-01","Serostim","1 MG",1,7,4,28,,
"J2941","Somatropin injection","SERONO","44087000407","44087-0004-07","Serostim","1 MG",1,7,4,28,,
"J2941","Somatropin injection","SERONO","44087000501","44087-0005-01","Serostim","1 MG",1,7,5,35,,
"J2941","Somatropin injection","SERONO","44087000507","44087-0005-07","Serostim","1 MG",1,7,5,35,,
"J2941","Somatropin injection","SERONO","44087000601","44087-0006-01","Serostim","1 MG",1,7,6,42,,
"J2941","Somatropin injection","SERONO","44087000607","44087-0006-07","Serostim","1 MG",1,7,6,42,,
"J2941","Somatropin injection","SERONO","44087100502","44087-1005-02","Saizen","1 MG",1,1,5,5,,
"J2941","Somatropin injection","SERONO","44087108001","44087-1080-01","Saizen",,,,,,,"1 MG"
"J2941","Somatropin injection","SERONO","44087108002","44087-1080-02","Saizen",,,,,,,"1 MG"
"J2941","Somatropin injection","SERONO","44087108801","44087-1088-01","Saizen","1 MG",1,1,8.8,8.8,,
"J9293","Mitoxantrone hydrochl / 5 MG","EMD Serono Inc.","44087152001","44087-1520-01","MITOXANTRONE HYDROCHLORIDE","5 MG",10,1,4,4,,
"J9293","Mitoxantrone hydrochl / 5 MG","SERONO","44087152501","44087-1525-01","Novantrone","5 MG",12.5,1,5,5,,
"J9293","Mitoxantrone hydrochl / 5 MG","SERONO","44087153001","44087-1530-01","Novantrone","5 MG",15,1,6,6,,
"J2941","Somatropin injection","SERONO","44087338807","44087-3388-07","Zorbtive","1 MG",1,7,8.8,61.6,,
"C9491","Injection, avelumab","SERONO","44087353501","44087-3535-01","BAVENCIO","10 MG",10,1,20,20,,
"J9023","Injection, avelumab, 10 mg","SERONO","44087353501","44087-3535-01","BAVENCIO","10 MG",10,1,20,20,,
"Q0515","Sermorelin acetate injection","EMD Serono Inc.","44087405001","44087-4050-01","Geref Diagnostic","1 MCG",1,1,50,50,,
"Q2014","Sermorelin acetate, 0.5 mg","SERONO","44087405001","44087-4050-01","Geref Diagnostic",,1,1,10,10,,"0.5 MG"
"J0725","Chorionic gonadotropin/1000u","SERONO","44087800503","44087-8005-03","Profasi Hp","1000 UNITS",1,1,5,5,,
"J0725","Chorionic gonadotropin/1000u","SERONO","44087801003","44087-8010-03","Profasi","1000 UNITS",1,1,10,10,,
"J7665","Mannitol for inhaler","Pharmaxis, Inc.","44178055201","44178-0552-01","Aridol","5 MG",1,1,127,127,,
"P9046","Albumin (human), 25%, 20 ml","ZLB BIOPLASMA","44206025105","44206-0251-05","Albumin (Human)","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","ZLB BIOPLASMA","44206025105","44206-0251-05","Albumin (Human)","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","ZLB BIOPLASMA","44206025110","44206-0251-10","Albumin (Human)","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","ZLB BIOPLASMA","44206025110","44206-0251-10","Albumin (Human)","50 ML",100,1,2,2,,
"J2790","Rho d immune globulin inj","ZLB BIOPLASMA","44206030001","44206-0300-01","Rhophylac","300 MCG",2,1,1,1,,
"J2791","Rhophylac injection","CSL Behring AG","44206030001","44206-0300-01","Rhophylac","100 UNITS",2,1,15,15,,
"Q4089","Rhophylac injection","ZLB BIOPLASMA","44206030001","44206-0300-01","Rhophylac","100 UNITS",2,1,15,15,,
"J2790","Rho d immune globulin inj","ZLB BIOPLASMA","44206030010","44206-0300-10","Rhophylac","300 MCG",2,10,1,10,,
"J2791","Rhophylac injection","CSL Behring AG","44206030010","44206-0300-10","Rhophylac","100 UNITS",2,10,15,150,,
"Q4089","Rhophylac injection","ZLB BIOPLASMA","44206030010","44206-0300-10","Rhophylac","100 UNITS",2,10,15,150,,
"P9041","Albumin (human),5%, 50ml","ZLB BIOPLASMA","44206031025","44206-0310-25","Alburx","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","ZLB BIOPLASMA","44206031025","44206-0310-25","Alburx","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","ZLB BIOPLASMA","44206031050","44206-0310-50","Alburx","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","ZLB BIOPLASMA","44206031050","44206-0310-50","Alburx","250 ML",500,1,2,2,,
"J1566","Immune globulin, powder","ZLB BIOPLASMA","44206041501","44206-0415-01","Carimune Nf","500 MG",1,1,2,2,,
"Q9941","IVIG lyophil 1G","ZLB BIOPLASMA","44206041501","44206-0415-01","Carimune Nf",,1,1,1,1,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","ZLB BIOPLASMA","44206041501","44206-0415-01","Carimune Nf",,1,1,100,100,,"10 MG"
"J1563","IV immune globulin","ZLB BIOPLASMA","44206041603","44206-0416-03","Carimune Nf",,1,1,3,3,,"1 GRAM"
"J1564","Immune globulin 10 mg","ZLB BIOPLASMA","44206041603","44206-0416-03","Carimune Nf",,1,1,300,300,,"10 MG"
"J1566","Immune globulin, powder","CSL Behring AG","44206041603","44206-0416-03","Carimune Nf","500 MG",1,1,6,6,,
"Q9941","IVIG lyophil 1G","ZLB BIOPLASMA","44206041603","44206-0416-03","Carimune Nf",,1,1,3,3,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","ZLB BIOPLASMA","44206041603","44206-0416-03","Carimune Nf",,1,1,300,300,,"10 MG"
"J1563","IV immune globulin","ZLB BIOPLASMA","44206041706","44206-0417-06","Carimune Nf",,1,1,6,6,,"1 GRAM"
"J1564","Immune globulin 10 mg","ZLB BIOPLASMA","44206041706","44206-0417-06","Carimune Nf",,1,1,600,600,,"10 MG"
"J1566","Immune globulin, powder","CSL Behring AG","44206041706","44206-0417-06","Carimune Nf","500 MG",1,1,12,12,,
"Q9941","IVIG lyophil 1G","ZLB BIOPLASMA","44206041706","44206-0417-06","Carimune Nf",,1,1,6,6,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","ZLB BIOPLASMA","44206041706","44206-0417-06","Carimune Nf",,1,1,600,600,,"10 MG"
"J1563","IV immune globulin","ZLB BIOPLASMA","44206041812","44206-0418-12","Carimune Nf",,1,1,12,12,,"1 GRAM"
"J1564","Immune globulin 10 mg","ZLB BIOPLASMA","44206041812","44206-0418-12","Carimune Nf",,1,1,1200,1200,,"10 MG"
"J1566","Immune globulin, powder","CSL Behring AG","44206041812","44206-0418-12","Carimune Nf","500 MG",1,1,24,24,,
"Q9941","IVIG lyophil 1G","ZLB BIOPLASMA","44206041812","44206-0418-12","Carimune Nf",,1,1,12,12,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","ZLB BIOPLASMA","44206041812","44206-0418-12","Carimune Nf",,1,1,1200,1200,,"10 MG"
"J1459","Inj ivig privigen 500 mg","CSL Behring AG","44206043605","44206-0436-05","Privigen","500 MG",50,1,10,10,,
"Q4097","Privigen Injection","CSL BEHRING","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,,
"Q4097","Privigen Injection","CSL BEHRING","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,,
"Q4097","Privigen Injection","CSL BEHRING","44206043820","44206-0438-20","Privigen","500 MG",200,1,40,40,,
"J1459","Inj ivig privigen 500 mg","CSL Behring AG","44206043940","44206-0439-40","Privigen","500 MG",400,1,80,80,,
"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,,
"J1559","Hizentra injection","CSL Behring AG","44206045510","44206-0455-10","Hizentra","100 MG",50,1,100,100,,
"J1563","IV immune globulin","ZLB BIOPLASMA","44206050551","44206-0505-51","Carimune",,1,1,1,1,,"1 GRAM"
"J1570","Ganciclovir sodium injection","ZLB BIOPLASMA","44206050551","44206-0505-51","Carimune",,1,1,100,100,,"500 MG"
"Q9942","IVIG lyophil 10 mg","ZLB BIOPLASMA","44206050551","44206-0505-51","Carimune",,1,1,100,100,,"10 MG"
"J1566","Immune globulin, powder","ZLB BIOPLASMA","44206050862","44206-0508-62","Carimune","500 MG",1,1,24,24,,
"Q9941","IVIG lyophil 1G","ZLB BIOPLASMA","44206050862","44206-0508-62","Carimune",,1,1,12,12,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","ZLB BIOPLASMA","44206050862","44206-0508-62","Carimune",,1,1,1200,1200,,"10 MG"
"J0850","Cytomegalovirus imm iv /vial","CSL Behring AG","44206053211","44206-0532-11","CYTOGAM","PER VIAL",50,1,1,1,,
"J1566","Immune globulin, powder","ZLB BIOPLASMA","44206060756","44206-0607-56","Carimune Classic","500 MG",1,1,12,12,,
"Q9941","IVIG lyophil 1G","ZLB BIOPLASMA","44206060756","44206-0607-56","Carimune Classic",,1,1,12,12,,"1 GRAM"
"J0850","Cytomegalovirus imm IV /vial","CSL Behring AG","44206310110","44206-3101-10","Cytogam","PER VIAL",50,1,1,1,,
"J7637","Dexamethasone inhal sol con","BOLAN PHARMACEUTICAL, INC.","44437080705","44437-0807-05","Dexacorten",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","BOLAN PHARMACEUTICAL, INC.","44437080705","44437-0807-05","Dexacorten",,5,1,20,20,,"1 MG"
"J0290","Ampicillin 500 mg inj","WG Critical Care","44567010010","44567-0100-10","Ampicillin Sodium","500 MG",1,10,0.5,5,,
"J0290","Ampicillin 500 mg inj","WG Critical Care","44567010110","44567-0101-10","Ampicillin for Injection","500 MG",1,10,1,10,,
"J0290","Ampicillin 500 mg inj","WG Critical Care","44567010210","44567-0102-10","Ampicillin for Injection","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 mg inj","WG Critical Care","44567010310","44567-0103-10","Ampicillin for Injection","500 MG",1,10,4,40,,
"J0290","Ampicillin 500 mg inj","WG Critical Care","44567010410","44567-0104-10","Ampicillin for Injection","500 MG",1,10,20,200,,
"J0295","Ampicillin sodium per 1.5 gm","WG CRITICAL CARE LLC","44567021010","44567-0210-10","Ampicillin-Sulbactam","1.5 GM",1,10,1,10,,
"J0295","Ampicillin sodium per 1.5 gm","WG Critical Care","44567021110","44567-0211-10","Ampicillin-Sulbactam","1.5 GM",1,10,2,20,,
"J0295","Ampicillin sodium per 1.5 gm","WG Critical Care","44567021201","44567-0212-01","Ampicillin-Sulbactam","1.5 GM",1,1,10,10,,
"J0713","Inj ceftazidime per 500 mg","WG Critical Care","44567023525","44567-0235-25","Ceftazidime","500 MG",1,25,2,50,,
"J0713","Inj ceftazidime per 500 mg","WG Critical Care","44567023610","44567-0236-10","Ceftazidime","500 MG",1,10,4,40,,
"J0713","Inj ceftazidime per 500 mg","WG Critical Care","44567023706","44567-0237-06","Ceftazidime","500 MG",1,6,12,72,,
"J0692","Cefepime hcl for injection","WG Critical Care","44567024010","44567-0240-10","Cefepime HCL","500 MG",1,10,2,20,,
"J0692","Cefepime hcl for injection","WG Critical Care","44567024110","44567-0241-10","Cefepime HCL","500 MG",1,10,4,40,,
"J0694","Cefoxitin sodium injection","WG Critical Care","44567024525","44567-0245-25","Cefoxitin Sodium","1 GM",1,25,1,25,,
"J0694","Cefoxitin sodium injection","WG Critical Care","44567024625","44567-0246-25","CEFOXITIN SODIUM","1 GM",1,25,2,50,,
"J0694","Cefoxitin sodium injection","WG Critical Care","44567024710","44567-0247-10","Cefoxitin Sodium","1 GM",10,10,100,100,,
"J2540","Penicillin g potassium inj","WG Critical Care","44567031110","44567-0311-10","Penicillin G Potassium","600000 UNITS",1,10,8.33,83.3,,
"J2540","Penicillin g potassium inj","WG Critical Care","44567031201","44567-0312-01","Penicillin G Potassium","600000 UNITS",1,1,33.3,33.3,,
"J3475","Inj magnesium sulfate","WG Critical Care","44567041024","44567-0410-24","Magnesium Sulfate in 5% Dextrose","500 MG",100,24,2,48,,
"J1956","Levofloxacin injection","WG CRITICAL CARE LLC","44567043524","44567-0435-24","LEVOFLOXACIN","250 MG",50,24,1,24,,
"J1956","Levofloxacin injection","WG CRITICAL CARE LLC","44567043624","44567-0436-24","LEVOFLOXACIN","250 MG",100,24,2,48,,
"J1956","Levofloxacin injection","WG CRITICAL CARE LLC","44567043724","44567-0437-24","LEVOFLOXACIN","250 MG",150,24,3,72,,
"J9267","Paclitaxel injection","WG Critical Care","44567050501","44567-0505-01","Paclitaxel","1 MG",16.7,1,100,100,,
"J9267","Paclitaxel injection","WG Critical Care","44567050601","44567-0506-01","Paclitaxel","1 MG",50,1,300,300,,
"Q2017","Teniposide, 50 mg","WG CRITICAL CARE","44567050701","44567-0507-01","TENIPOSIDE","50 MG",5,1,1,1,,
"J9060","Cisplatin 10 mg injection","WG Critical Care","44567050901","44567-0509-01","Cisplatin","10 MG",50,1,5,5,,
"J9060","Cisplatin 10 mg injection","WG Critical Care","44567051001","44567-0510-01","Cisplatin","10 MG",100,1,10,10,,
"J9060","Cisplatin 10 mg injection","WG Critical Care","44567051101","44567-0511-01","Cisplatin","10 MG",200,1,20,20,,
"J0696","Ceftriaxone sodium injection","WG Critical Care","44567070025","44567-0700-25","CEFTRIAXONE","250 MG",1,25,2,50,,
"J0696","Ceftriaxone sodium injection","WG Critical Care","44567070125","44567-0701-25","CEFTRIAXONE","250 MG",1,25,4,100,,
"J0696","Ceftriaxone sodium injection","WG Critical Care","44567070225","44567-0702-25","CEFTRIAXONE","250 MG",1,25,8,200,,
"J0696","Ceftriaxone sodium injection","WG Critical Care","44567070301","44567-0703-01","CEFTRIAXONE","250 MG",1,1,40,40,,
"J0690","Cefazolin sodium injection","WG Critical Care","44567070625","44567-0706-25","Cefazolin Sodium","500 MG",1,25,1,25,,
"J0690","Cefazolin sodium injection","WG Critical Care","44567070725","44567-0707-25","Cefazolin Sodium","500 MG",1,25,2,50,,
"J0690","Cefazolin sodium injection","WG Critical Care","44567070810","44567-0708-10","Cefazolin Sodium","500 MG",1,10,20,200,,
"J0690","Cefazolin sodium injection","WG Critical Care","44567070910","44567-0709-10","Cefazolin Sodium","500 MG",1,10,40,400,,
"J2543","Piperacillin/tazobactam","WG Critical Care","44567080110","44567-0801-10","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","WG Critical Care","44567080210","44567-0802-10","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","WG Critical Care","44567080310","44567-0803-10","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,4,40,,
"J2543","Piperacillin/tazobactam","WG Critical Care","44567080401","44567-0804-01","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,1,36,36,,
"J2543","Piperacillin/tazobactam","WG CRITICAL CARE","44567088210","44567-0882-10","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,3,30,,
"C9364","Porcine implant, Permacol","Covidien","4523000047","4523-0000-47","Permacol Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,25,25,,
"C9364","Porcine implant, Permacol","Covidien","4523000092","4523-0000-92","Permacol Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,50,50,,
"C9364","Porcine implant, Permacol","Covidien","4523000108","4523-0001-08","Permacol Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,100,100,,
"C9364","Porcine implant, Permacol","Covidien","4523000115","4523-0001-15","Permacol Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,150,150,,
"C9364","Porcine implant, Permacol","Covidien","4523000122","4523-0001-22","Permacol® - Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,300,300,,
"C9364","Porcine implant, Permacol","Covidien","4523000139","4523-0001-39","Permacol Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,504,504,,
"C9364","Porcine implant, Permacol","Covidien","4523000160","4523-0001-60","Permacol® - Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,150,150,,
"C9364","Porcine implant, Permacol","Covidien","4523000177","4523-0001-77","Permacol® - Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,200,200,,
"C9364","Porcine implant, Permacol","Covidien","4523000184","4523-0001-84","Permacol Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,300,300,,
"C9364","Porcine implant, Permacol","Covidien","4523000191","4523-0001-91","Permacol® - Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,504,504,,
"C9364","Porcine implant, Permacol","Covidien","4523000207","4523-0002-07","Permacol® - Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,600,600,,
"C9364","Porcine implant, Permacol","Covidien","4523000214","4523-0002-14","Permacol® - Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,800,800,,
"C9364","Porcine implant, Permacol","Covidien","4523000221","4523-0002-21","Permacol® - Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,1000,1000,,
"C9364","Porcine implant, Permacol","Covidien","4523000245","4523-0002-45","Permacol Porcine Acellular Dermal Matrix, 1 ea. ","1 SQ CM",1,1,1120,1120,,
"J0476","Baclofen intrathecal trial","Mallinckrodt","45945015101","45945-0151-01","GABLOFEN","50 MCG",1,1,1,1,,
"J0475","Baclofen 10 mg injection","Mallinckrodt","45945015501","45945-0155-01","GABLOFEN","10 MG",20,1,1,1,,
"J0475","Baclofen 10 mg injection","Mallinckrodt","45945015502","45945-0155-02","GABLOFEN","10 MG",20,1,1,1,,
"J0475","Baclofen 10 mg injection","Mallinckrodt","45945015601","45945-0156-01","GABLOFEN","10 MG",20,1,2,2,,
"J0475","Baclofen 10 mg injection","Mallinckrodt","45945015602","45945-0156-02","GABLOFEN","10 MG",20,1,2,2,,
"J0475","Baclofen 10 mg injection","Mallinckrodt","45945015701","45945-0157-01","GABLOFEN","10 MG",20,1,4,4,,
"J0475","Baclofen 10 mg injection","Mallinckrodt","45945015702","45945-0157-02","GABLOFEN","10 MG",20,1,4,4,,
"J3489","Zoledronic acid 1mg","Actavis Inc.","45963044055","45963-0440-55","ZOLEDRONIC ACID","1 MG",5,1,4,4,,
"J9390","Vinorelbine tartrate inj","Actavis Inc.","45963060755","45963-0607-55","Vinorelbine Tartrate","10 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate inj","Actavis Inc.","45963060756","45963-0607-56","Vinorelbine Tartrate","10 MG",5,1,5,5,,
"J9178","Inj, epirubicin hcl, 2 mg","Actavis Inc.","45963060860","45963-0608-60","Epirubicin","2 MG",100,1,100,100,,
"J9178","Inj, epirubicin hcl, 2 mg","Actavis Inc.","45963060868","45963-0608-68","Epirubicin","2 MG",25,1,25,25,,
"J9185","Fludarabine phosphate inj","Actavis Inc.","45963060955","45963-0609-55","Fludarabine Phosphate","50 MG",1,1,1,1,,
"J9263","Oxaliplatin","Actavis Inc.","45963061153","45963-0611-53","Oxaliplatin","0.5 MG",1,1,100,100,,
"J9263","Oxaliplatin","Actavis Inc.","45963061159","45963-0611-59","Oxaliplatin","0.5 MG",1,1,200,200,,
"J9201","Gemcitabine hcl injection","Actavis Inc.","45963061257","45963-0612-57","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1,,
"J9267","Paclitaxel injection","Actavis Inc.","45963061353","45963-0613-53","PACLITAXEL","1 MG",16.7,1,100,100,,
"J9267","Paclitaxel injection","Actavis Inc.","45963061356","45963-0613-56","PACLITAXEL","1 MG",5,1,30,30,,
"J9267","Paclitaxel injection","Actavis Inc.","45963061359","45963-0613-59","PACLITAXEL","1 MG",50,1,300,300,,
"J9206","Irinotecan injection","Actavis Inc.","45963061451","45963-0614-51","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","Actavis Inc.","45963061455","45963-0614-55","Irinotecan HCL","20 MG",5,1,5,5,,
"J9351","Topotecan injection","Actavis Inc.","45963061556","45963-0615-56","Topotecan","0.1 MG",1,1,40,40,,
"J9201","Gemcitabine hcl injection","Actavis Inc.","45963061959","45963-0619-59","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5,,
"J9201","Gemcitabine hcl injection","ACTAVIS","45963062060","45963-0620-60","GEMCITABINE","200 MG",1,1,10,10,,
"J9185","Fludarabine phosphate inj","ACTAVIS PHARMA, INC.","45963062151","45963-0621-51","Fludarabine Phosphate","50 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Actavis Inc.","45963062357","45963-0623-57","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Actavis Inc.","45963062458","45963-0624-58","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5,,
"J9201","Gemcitabine hcl injection","Actavis Inc.","45963063660","45963-0636-60","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,10,10,,
"J9245","Inj melphalan hydrochl 50 mg","ACTAVIS","45963068602","45963-0686-02","Melphalan","50 MG",1,1,1,1,,
"J9000","Doxorubicin hcl injection","Actavis Inc.","45963073355","45963-0733-55","Doxorubicin Hcl","10 MG",5,1,1,1,,
"J9000","Doxorubicin hcl injection","Actavis Inc.","45963073357","45963-0733-57","Doxorubicin Hcl","10 MG",10,1,2,2,,
"J9000","Doxorubicin hcl injection","Actavis Inc.","45963073360","45963-0733-60","Doxorubicin Hcl","10 MG",100,1,20,20,,
"J9000","Doxorubicin hcl injection","Actavis Inc.","45963073368","45963-0733-68","Doxorubicin Hcl","10 MG",25,1,5,5,,
"J9171","Docetaxel injection","Actavis Inc.","45963073452","45963-0734-52","Docetaxel","1 MG",4,1,80,80,,
"J9171","Docetaxel injection","Actavis Inc.","45963073454","45963-0734-54","Docetaxel","1 MG",1,1,20,20,,
"J9171","Docetaxel injection","Actavis Inc.","45963073474","45963-0734-74","Docetaxel","1 MG",7,1,140,140,,
"J0641","Levoleucovorin injection","TEVA PHARMACEUTICALS USA","45963076257","45963-0762-57","Levoleucovorin Calcium","0.5 MG",1,1,100,100,,
"J9171","Docetaxel injection","ACTAVIS","45963076552","45963-0765-52","Docetaxel","1 MG",4,1,80,80,,
"J9171","Docetaxel injection","Actavis Inc.","45963079056","45963-0790-56","DOCETAXEL","1 MG",8,1,160,160,,
"C9265","Romidepsin injection","Celgene Corp","46026098301","46026-0983-01","Istodax (romidepsin)","1MG",1,1,10,10,,
"J9315","Romidepsin injection","Celgene Corporation","46026098301","46026-0983-01","Istodax (romidepsin)","1 MG",1,1,10,10,,
"J1451","Fomepizole, 15 mg","Paladin Labs (USA) Inc.","46129020002","46129-0200-02","Antizol","15 MG",1.5,4,100,400,,
"J0588","Incobotulinumtoxin a","Merz Aesthetics, Inc.","46783016001","46783-0160-01","XEOMIN","1 UNIT",1,1,100,100,,
"J0588","Incobotulinumtoxin a","Merz Aesthetics, Inc.","46783016101","46783-0161-01","XEOMIN","1 UNIT",1,1,50,50,,
"J3489","Zoledronic acid 1mg","Sun Pharmaceutical Global Fze.","47335003540","47335-0035-40","ZOLEDRONIC ACID","1 mg",5,1,4,4,,
"Q2051","Zoledronic acid 1mg","CARACO PHARM. LABS., LTD.","47335003540","47335-0035-40","ZOLEDRONIC ACID","1 mg",5,1,4,4,,
"J9263","Oxaliplatin","Sun Pharmaceutical Global Fze.","47335004640","47335-0046-40","Oxaliplatin","0.5 MG",1,1,100,100,,
"J9263","Oxaliplatin","Sun Pharmaceutical Global Fze.","47335004740","47335-0047-40","Oxaliplatin","0.5 MG",1,1,200,200,,
"Q2050","Doxorubicin inj 10mg","Sun Pharmaceutical Global Fze.","47335004940","47335-0049-40","Doxorubicin Hcl, Liposomal,","10 MG",10,1,2,2,,
"Q2050","Doxorubicin inj 10mg","Sun Pharmaceutical Global Fze.","47335005040","47335-0050-40","Doxorubicin Hcl, Liposomal,","10 MG",25,1,5,5,,
"Q2049","Imported Lipodox inj","Sun Pharmaceutical Global Fze.","47335008250","47335-0082-50","Lipodox","10 MG",10,1,2,2,,
"Q2049","Imported Lipodox inj","Sun Pharmaceutical Global Fze.","47335008350","47335-0083-50","Lipodox 50","10 MG",25,1,5,5,,
"J9045","Carboplatin injection","Sun Pharmaceutical Global Fze.","47335015040","47335-0150-40","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","Sun Pharmaceutical Global Fze.","47335015140","47335-0151-40","Carboplatin","50 MG",15,1,3,3,,
"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,,
"J9263","Oxaliplatin","Sun Pharmaceutical Global Fze.","47335017640","47335-0176-40","Oxaliplatin","0.5 MG",1,1,100,100,,
"J9263","Oxaliplatin","Sun Pharmaceutical Global Fze.","47335017840","47335-0178-40","Oxaliplatin","0.5 MG",1,1,200,200,,
"J3030","Sumatriptan succinate / 6 MG","Sun Pharmaceutical Global Fze.","47335027641","47335-0276-41","SUMATRIPTAN SUCCINATE","6 MG",0.5,2,1,2,,
"J9045","Carboplatin injection","Sun Pharmaceutical Global Fze.","47335028440","47335-0284-40","Carboplatin","50 MG",60,1,12,12,,
"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,,
"J9045","Carboplatin injection","Sun Pharmaceutical Global Fze.","47335030040","47335-0300-40","Carboplatin","50 MG",45,1,9,9,,
"J1205","Chlorothiazide sodium inj","Sun Pharmaceutical Global Fze.","47335033040","47335-0330-40","Chlorothiazide Sodium","500 MG",1,1,1,1,,
"J0894","Decitabine injection","Sun Pharmaceutical Global Fze.","47335036141","47335-0361-41","decitabine","1 MG",1,1,50,50,,
"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,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335089021","47335-0890-21","TEMOZOLOMIDE","5 MG",1,14,1,14,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335089080","47335-0890-80","TEMOZOLOMIDE","5 MG",1,5,1,5,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335089121","47335-0891-21","TEMOZOLOMIDE","5 MG",1,14,4,56,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335089180","47335-0891-80","TEMOZOLOMIDE","5 MG",1,5,4,20,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335089221","47335-0892-21","TEMOZOLOMIDE","5 MG",1,14,20,280,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335089280","47335-0892-80","TEMOZOLOMIDE","5 MG",1,5,20,100,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335089380","47335-0893-80","TEMOZOLOMIDE","5 MG",1,5,50,250,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335092921","47335-0929-21","TEMOZOLOMIDE","5 MG",1,14,28,392,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335092980","47335-0929-80","TEMOZOLOMIDE","5 MG",1,5,28,140,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335093021","47335-0930-21","TEMOZOLOMIDE","5 MG",1,14,36,504,,
"J8700","Temozolomide","Sun Pharmaceutical Global Fze.","47335093080","47335-0930-80","TEMOZOLOMIDE","5 MG",1,5,36,180,,
"J9218","Leuprolide acetate injeciton","Sun Pharmaceutical Global Fze.","47335093640","47335-0936-40","Leuprolide Acetate","1 MG",2.8,1,14,14,,
"J3489","Zoledronic acid 1mg","Sun Pharmaceutical Global Fze.","47335096241","47335-0962-41","ZOLEDRONIC ACID","1 mg",1,1,4,4,,
"Q2051","Zoledronic acid 1mg","CARACO PHARM. LABS., LTD.","47335096241","47335-0962-41","ZOLEDRONIC ACID","1 mg",1,1,4,4,,
"C9486","Inj, granisetron ext","Heron Therapeutics","47426010106","47426-0101-06","SUSTOL","0.1 MG",0.4,6,100,600,,
"J1627","Inj, granisetron, xr, 0.1 mg","Heron Therapeutics","47426010106","47426-0101-06","SUSTOL","0.1 MG",0.4,6,100,600,,
"J7637","Dexamethasone inhal sol con","SHOALS PHARMACEUTICALS, INC.","47649010401","47649-0104-01","Dexim",,1,25,100,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","SHOALS PHARMACEUTICALS, INC.","47649010401","47649-0104-01","Dexim",,1,25,100,4,,"1 MG"
"J7637","Dexamethasone inhal sol con","SHOALS PHARMACEUTICALS, INC.","47649010405","47649-0104-05","Dexim",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","SHOALS PHARMACEUTICALS, INC.","47649010405","47649-0104-05","Dexim",,10,1,40,40,,"1 MG"
"J3465","Injection, voriconazole","Alvogen, Inc.","47781046671","47781-0466-71","Voriconazole","10 MG",1,1,20,20,,
"J1190","Dexrazoxane hcl injection","ALVOGEN","47781057807","47781-0578-07","DEXRAZOXANE","250 MG",1,1,2,2,,
"J2250","Inj midazolam hydrochloride","ALVOGEN, INC.","47781058868","47781-0588-68","Midazolam Hcl","1 MG",2,25,2,50,,
"J2250","Inj midazolam hydrochloride","ALVOGEN, INC.","47781058917","47781-0589-17","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","ALVOGEN, INC.","47781058991","47781-0589-91","Midazolam Hcl","1 MG",10,10,50,500,,
"J9263","Oxaliplatin","ALVOGEN","47781059122","47781-0591-22","Oxaliplatin","0.5 MG",10,10,100,100,,
"J9263","Oxaliplatin","ALVOGEN","47781059229","47781-0592-29","Oxaliplatin","0.5 MG",20,10,200,200,,
"J3370","Vancomycin hcl injection","ALVOGEN","47781059791","47781-0597-91","Vancomycin HCl","500 MG",1,10,2,20,,
"J3370","Vancomycin hcl injection","ALVOGEN","47781059891","47781-0598-91","Vancomycin HCl","500 MG",1,10,1,10,,
"C9263","Injection, ecallantide, 1 mg","Dyax Corporation","47783010101","47783-0101-01","KALBITOR® ","1MG",1,3,10,30,,
"J1290","Ecallantide injection","Dyax Corp.","47783010101","47783-0101-01","KALBITOR® ","1 MG",1,3,10,30,,
"C9263","Injection, ecallantide, 1 mg","Dyax Corporation","47883010101","47883-0101-01","KALBITOR® 10MG/ML 1ML VIAL 3VL/CTN","1 MG",1,3,10,30,,
"C9259","Injection, pralatrexate, 1 mg","ALLOS","48818000101","48818-0001-01","Folotyn","1 MG",1,1,20,20,,
"J9307","Pralatrexate injection","Spectrum Pharmaceuticals","48818000101","48818-0001-01","Folotyn","1 MG",1,1,20,20,,
"C9259","Injection, pralatrexate, 1 mg","ALLOS","48818000102","48818-0001-02","Folotyn","1 MG",2,1,40,40,,
"J9307","Pralatrexate injection","Spectrum Pharmaceuticals","48818000102","48818-0001-02","Folotyn","1 MG",2,1,40,40,,
"J0725","Chorionic gonadotropin/1000u","MCGUFF","49072012710","49072-0127-10","Chorionic Gonadotropin",,1,1,10,10,,"1000 UNITS"
"J3420","Vitamin b12 injection","MCGUFF","49072014530","49072-0145-30","Cyanocobalamin",,30,1,30,30,,"1000 MCG"
"J7637","Dexamethasone inhal sol con","MCGUFF CO.","49072015705","49072-0157-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MCGUFF CO.","49072015705","49072-0157-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J3415","Pyridoxine hcl 100 mg","MCGUFF","49072059730","49072-0597-30","Pyridoxine Hcl",,30,1,30,30,,"100 MG"
"J3301","Triamcinolone acetonide inj","MCGUFF","49072084505","49072-0845-05","Triamcinolone Acetonide",,5,1,20,20,,"10 MG"
"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","49230053025","49230-0530-25","Venofer","1 MG",2.5,25,50,1250,,
"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,,
"90656","Flu vaccine no preserv 3 & >","SANOFI PASTEUR","49281000510","49281-0005-10","Fluzone Pediatric Pf","0.5 ML",0.5,10,1,10,,
"90655","Flu vaccine no preserv 6-35m","AVENTIS PASTEUR","49281000525","49281-0005-25","FLUZONE PEDIATRIC","0.25 ML",0.25,10,1,10,,
"90656","Flu vaccine no preserv 3 & >","Aventis Pasteur","49281000525","49281-0005-25","Fluzone Pediatric Pf",,0.25,10,10,1,,"0.50 ML"
"90656","Flu vaccine no preserv 3 & >","AVENTIS PASTEUR","49281000550","49281-0005-50","FLUZONE","0.5 ML",0.5,10,1,10,,
"90657","Flu vaccine, 6-35 mo, im","SANOFI PASTEUR","49281000550","49281-0005-50","Fluzone","0.25 ML",0.5,10,2,20,,
"90658","Flu vaccine age 3 & over, im","AVENTIS PASTEUR","49281000550","49281-0005-50","Fluzone","0.5 ML",0.5,10,1,10,,
"90656","Flu vaccine no preserv 3 yo & >, im","SANOFI PASTEUR","49281000610","49281-0006-10","Fluzone Pediatric Pf","0.5 ML",0.5,10,1,10,,
"90655","Flu vaccine no preserv 6-35m, im","AVENTIS PASTEUR","49281000625","49281-0006-25","FLUZONE PEDIATRIC","0.25 ML",0.25,10,1,10,,
"90656","Flu vaccine no preserv 3 yo & >, im","SANOFI PASTEUR","49281000650","49281-0006-50","FLUZONE","0.5 ML",0.5,10,1,10,,
"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,,
"90714","Td vacc no presv 7 yrs+ im","sanofi pasteur","49281021510","49281-0215-10","Tetanus-Diphtheria Toxoids Td","0.5 ML",0.5,10,1,10,,
"90718","Td vaccine >/= 7 yo, im","sanofi pasteur","49281021510","49281-0215-10","Tetanus-Diphtheria Toxoids Td","0.5 ML",0.5,10,1,10,,
"90714","Td vacc no presv 7 yrs+ im","sanofi pasteur","49281021515","49281-0215-15","Tetanus-Diphtheria Toxoids Td","0.5 ML",0.5,10,1,10,,
"90718","Td vaccine >/= 7 yo, im","sanofi pasteur","49281021515","49281-0215-15","Tetanus-Diphtheria Toxoids Td","0.5 ML",0.5,10,1,10,,
"90675","Rabies vaccine, im","SANOFI PASTEUR","49281025010","49281-0250-10","Imovax Rabies","1 ML",1,1,1,1,,
"90675","Rabies vaccine im","sanofi pasteur","49281025051","49281-0250-51","Imovax Rabies","1 ML",1,1,1,1,,
"90718","Td vaccine >/= 7 yo, im","SANOFI PASTEUR","49281027183","49281-0271-83","Diphtheria-Tetanus Toxoids","0.5 ML",5,1,10,10,,
"90702","Dt vaccine < 7 yo, im","SANOFI PASTEUR","49281027810","49281-0278-10","Diphtheria-Tetanus Toxoids","0.5 ML",0.5,10,1,10,,
"90714","Td vaccine no prsrv >/= 7 yo, im","AVENTIS PASTEUR INC.","49281027810","49281-0278-10","DIPHTHERIA/TETANUS TOXOIDS ADSORBED","0.5 ML",0.5,10,1,10,,
"90700","Dtap vaccine, < 7 yo, im","SANOFI PASTEUR","49281028610","49281-0286-10","Daptacel","0.5 ML",0.5,10,1,10,,
"90714","Td vaccine no prsrv >/= 7 yo, im","sanofi pasteur","49281029110","49281-0291-10","DECAVAC","0.5 ML",1,10,1,10,,
"90718","Td vaccine >/= 7 yo, im","SANOFI PASTEUR","49281029110","49281-0291-10","Decavac","0.5 ML",0.5,10,1,10,,
"90714","Td vaccine no prsrv >/= 7 yo, im","sanofi pasteur","49281029183","49281-0291-83","DECAVAC","0.5 ML",0.5,10,1,10,,
"90700","Dtap vaccine, < 7 yo, im","SANOFI PASTEUR","49281029810","49281-0298-10","Tripedia Preservative Free","0.5 ML",0.5,10,1,10,,
"90655","Flu vaccine no preserv 6-35m","SANOFI PASTEUR","49281036925","49281-0369-25","Fluzone Pediatric Pf",,0.25,10,10,1,,"0.25 ML"
"90655","Flu vaccine no preserv 6-35m","SANOFI PASTEUR","49281037125","49281-0371-25","Fluzone Pediatric Pf",,0.25,10,10,1,,"0.25 ML"
"90655","Flu vaccine no preserv 6-35m","SANOFI PASTEUR","49281037325","49281-0373-25","Fluzone Pediatric Pf",,0.25,10,10,1,,"0.25 ML"
"90656","Flu vaccine no preserv 3 & >","SANOFI PASTEUR","49281037325","49281-0373-25","Fluzone Pediatric Pf",,0.25,10,10,1,,"0.25 ML"
"90657","Flu vaccine, 6-35 mo, im","WYETH","49281037325","49281-0373-25","Fluzone Pediatric Pf","0.25 ML",0.25,10,1,10,,
"90657","Flu vaccine, 6-35 mo, im","SANOFI PASTEUR","49281037411","49281-0374-11","Fluzone","0.25 ML",0.5,10,2,20,,
"90658","Flu vaccine age 3 & over, im","SANOFI PASTEUR","49281037411","49281-0374-11","Fluzone","0.5 ML",0.5,10,1,10,,
"90657","Flu vaccine, 6-35 mo, im","SANOFI PASTEUR","49281037415","49281-0374-15","Fluzone","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 & over, im","SANOFI PASTEUR","49281037415","49281-0374-15","Fluzone","0.5 ML",5,1,10,10,,
"90657","Flu vaccine, 6-35 mo, im","SANOFI PASTEUR","49281037615","49281-0376-15","Fluzone Pediatric Pf","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 & over, im","SANOFI PASTEUR","49281037615","49281-0376-15","Fluzone Pediatric Pf","0.5 ML",5,1,10,10,,
"90657","Flu vaccine, 6-35 mo, im","SANOFI PASTEUR","49281037815","49281-0378-15","Fluzone Pediatric Pf","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 yo & over, im","SANOFI PASTEUR","49281037815","49281-0378-15","Fluzone","0.5 ML",5,1,10,10,,
"90700","Dtap vaccine, < 7 yo, im","AVENTIS PATEUR","49281040010","49281-0400-10","ADACEL","0.5 ML",0.5,10,1,10,,
"90715","Tdap vaccine 7 yrs/> im","sanofi pasteur","49281040010","49281-0400-10","ADACEL","0.5 ML",0.5,10,1,10,,
"90715","Tdap vaccine 7 yrs/> im","sanofi pasteur","49281040015","49281-0400-15","ADACEL","0.5 ML",0.5,5,1,5,,
"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","49281048905","49281-0489-05","Menomune","0.5 ML",0.5,5,1,5,,
"90733","Meningococcal vaccine, sc","sanofi pasteur","49281048991","49281-0489-91","Menomune","0.5 ML",5,1,10,10,,
"90645","Hib vaccine, hboc, im","SANOFI PASTEUR","49281054505","49281-0545-05","Acthib","1 EACH",1,5,1,5,,
"90647","Hib vaccine, prp-omp, im","SANOFI PASTEUR INC.","49281054505","49281-0545-05","ACTHIB","1 VACCINE",1,5,1,5,,
"90648","Hib vaccine, prp-t, im","SANOFI PASTEUR","49281054505","49281-0545-05","Acthib","0.5 ML",1,5,1,5,,
"90720","Dtp/hib vaccine, im","ALLSCRIPTS","49281054910","49281-0549-10","Acthib",,1,10,10,1,,"0.5 ML"
"90721","Dtap/hib vaccine, im","SANOFI PASTEUR","49281059705","49281-0597-05","Trihibit Preservative Free","1 EACH",1,5,1,5,,
"90735","Encephalitis vaccine, sc","SANOFI PASTEUR","49281068020","49281-0680-20","Je-Vax","1 ML",1,1,1,1,,
"90735","Encephalitis vaccine, sc","sanofi pasteur","49281068030","49281-0680-30","Je-Vax","1 ML",1,3,1,3,,
"90691","Typhoid vaccine, im","SANOFI PASTEUR","49281079001","49281-0790-01","Typhim Vi","0.5 ML",0.5,1,1,1,,
"90691","Typhoid vaccine, im","SANOFI PASTEUR","49281079020","49281-0790-20","Typhim Vi","0.5 ML",10,1,20,20,,
"90691","Typhoid vaccine, im","SANOFI PASTEUR","49281079051","49281-0790-51","Typhim Vi","0.5 ML",0.5,1,1,1,,
"90703","Tetanus vaccine, im","SANOFI PASTEUR","49281080083","49281-0800-83","Tetanus Toxoid Adsorbed","0.5 ML",5,1,10,10,,
"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,,
"90713","Poliovirus, ipv, sc/im","SANOFI PASTEUR","49281086010","49281-0860-10","Ipol","0.5 ML",5,1,10,10,,
"90713","Poliovirus, ipv, sc/im","SANOFI PASTEUR","49281086055","49281-0860-55","Ipol","0.5 ML",0.5,10,1,10,,
"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,,
"90586","Bcg vaccine, intravesical","sanofi pasteur","49281088003","49281-0880-03","Theracys","1 EACH",1,1,1,1,,
"J9031","Bcg live intravesical vac","sanofi pasteur","49281088003","49281-0880-03","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,,
"90376","Rabies ig, heat treated","SANOFI PASTEUR","49281190220","49281-1902-20","Imogam Rabies HT 2ML","150 IU",2,1,2,2,,
"90703","Tetanus vaccine, im","SANOFI PASTEUR","49281812884","49281-8128-84","TET TOX PL","0.5 ML",0.5,15,1,15,,
"90703","Tetanus vaccine, im","sanofi pasteur","49281820110","49281-8201-10","TETANUS TOXOID ADSORBED Preserve-FREE","0.5 ML",0.5,10,1,10,,
"90586","Bcg vaccine, intravesical","sanofi pasteur","49281880001","49281-8800-01","THERACYS","1 EACH",1,1,1,1,,
"J9031","Bcg live intravesical vac","sanofi pasteur","49281880001","49281-8800-01","THERACYS","1 EA",1,1,1,1,,
"J3420","Vitamin b12 injection","A.J. BART","49326031510","49326-0315-10","Nervidox S","1000 MCG",10,1,10,10,,
"J3420","Vitamin b12 injection","A.J. BART","49326031610","49326-0316-10","Neuro B-12 S","1000 MCG",10,1,10,10,,
"J3420","Vitamin b12 injection","A.J. BART","49326040510","49326-0405-10","Tia-Doce S","1000 MCG",10,1,10,10,,
"J3420","Vitamin b12 injection","LAMBDA PHARMACAL","49326040610","49326-0406-10","Nervidox-6 S","1000 MCG",10,1,10,10,,
"J3420","Vitamin b12 injection","A.J. BART","49326041010","49326-0410-10","Neuro B-12 Forte S","1000 MCG",10,1,10,10,,
"J0490","Belimumab injection","GlaxoSmithkline","49401010101","49401-0101-01","BENLYSTA","10 MG",5,1,12,12,,
"Q2044","Belimumab injection","GLAXOSMITHKLINE/HUMAN GENOME SCIENCES, INC.","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,,
"Q2044","Belimumab injection","GLAXOSMITHKLINE/HUMAN GENOME SCIENCES, INC.","49401010201","49401-0102-01","BENLYSTA","10 mg",20,1,40,40,,
"J7611","Albuterol concentrated form","SPECTRUM","49452022501","49452-0225-01","Albuterol","1 MG",25,1,25,25,,
"J7613","Albuterol unit dose","SPECTRUM","49452022501","49452-0225-01","Albuterol","1 MG",25,1,25,25,,
"J7611","Albuterol concentrated form","SPECTRUM","49452022502","49452-0225-02","Albuterol","1 MG",100,1,100,100,,
"J7613","Albuterol unit dose","SPECTRUM","49452022502","49452-0225-02","Albuterol","1 MG",100,1,100,100,,
"J7611","Albuterol concentrated form","SPECTRUM","49452022503","49452-0225-03","Albuterol","1 MG",5,1,5,5,,
"J7613","Albuterol unit dose","SPECTRUM","49452022503","49452-0225-03","Albuterol","1 MG",5,1,5,5,,
"J7613","Albuterol unit dose","SPECTRUM","49452022504","49452-0225-04","Albuterol",,,,1,,,"1 MG"
"J7613","Albuterol unit dose","SPECTRUM","49452022505","49452-0225-05","Albuterol",,,,1,,,"1 MG"
"J7611","Albuterol concentrated form","SPECTRUM","49452022601","49452-0226-01","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7613","Albuterol unit dose","SPECTRUM","49452022601","49452-0226-01","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7611","Albuterol concentrated form","SPECTRUM","49452022602","49452-0226-02","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7613","Albuterol unit dose","SPECTRUM","49452022602","49452-0226-02","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7611","Albuterol concentrated form","SPECTRUM","49452022603","49452-0226-03","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7613","Albuterol unit dose","SPECTRUM","49452022603","49452-0226-03","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7635","Atropine inhal sol con","SPECTRUM PHARMACY","49452077001","49452-0770-01","Atropine",,,1,20,20,,"1 MG"
"J7635","Atropine inhal sol con","SPECTRUM PHARMACY","49452077002","49452-0770-02","Atropine",,,1,100,100,,"1 MG"
"J7635","Atropine inhal sol con","SPECTRUM PHARMACY PRODUCTS","49452077003","49452-0770-03","Atropine",,,1,4,4,,"1 MG"
"J7635","Atropine inhal sol con","SPECTRUM PHARMACY","49452078001","49452-0780-01","Atropine Sulfate",,,1,40,40,,"1 MG"
"J7635","Atropine inhal sol con","SPECTRUM PHARMACY","49452078002","49452-0780-02","Atropine Sulfate",,,1,20,20,,"1 MG"
"J7635","Atropine inhal sol con","SPECTRUM PHARMACY","49452078003","49452-0780-03","Atropine Sulfate",,,1,40,40,,"1 MG"
"J7624","Betamethasone inhalation sol","SPECTRUM","49452107004","49452-1070-04","Betamethasone",,1,1,25,25,,"1 MG"
"J7624","Betamethasone inhalation sol","SPECTRUM","49452107005","49452-1070-05","Betamethasone",,1,1,100,100,,"1 MG"
"J7624","Betamethasone inhalation sol","SPECTRUM","49452107006","49452-1070-06","Betamethasone",,1,1,500,500,,"1 MG"
"J7622","Beclomethasone inhalatn sol","SPECTRUM","49452107503","49452-1075-03","Betamethasone Dipropionate",,1,1,25000,25000,,"1 MG"
"J7622","Beclomethasone inhalatn sol","SPECTRUM","49452107504","49452-1075-04","Betamethasone Dipropionate",,1,1,100,100,,"1 MG"
"J7633","Budesonide concentrated sol","SPECTRUM","49452129101","49452-1291-01","Budesonide",,1,1,2000,2000,,"0.25 MG"
"J7633","Budesonide concentrated sol","SPECTRUM","49452129102","49452-1291-02","Budesonide",,1,1,4000,4000,,"0.25 MG"
"J7633","Budesonide concentrated sol","SPECTRUM","49452129103","49452-1291-03","Budesonide",,1,1,20000,20000,,"0.25 MG"
"J7680","Terbutaline so4 inh sol con","SPECTRUM","49452763101","49452-7631-01","Terbutaline Sulfate",,1,1,1000,1000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","SPECTRUM","49452763101","49452-7631-01","Terbutaline Sulfate",,1,1,1000,1000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","SPECTRUM","49452763102","49452-7631-02","Terbutaline Sulfate",,1,1,5000,5000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","SPECTRUM","49452763102","49452-7631-02","Terbutaline Sulfate",,1,1,5000,5000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","SPECTRUM","49452763105","49452-7631-05","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","SPECTRUM","49452763105","49452-7631-05","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J7658","Isoproterenolhcl inh sol con","DEY, L.P.","49502005712","49502-0057-12","Isoproterenol",,5,25,1.25,0.05,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","DEY, L.P.","49502005712","49502-0057-12","Isoproterenol",,0.5,25,1.25,0.05,,"1 MG"
"J7606","Formoterol fumarate, inh","Mylan Specialty, L.P.","49502060530","49502-0605-30","PERFOROMIST","20 MCG",2,30,1,30,,
"J7606","Formoterol fumarate, inh","Mylan Specialty, L.P.","49502060561","49502-0605-61","PERFOROMIST","20 MCG",2,60,1,60,,
"Q4099","Formoterol fumarate, inh","DEY","49502060561","49502-0605-61","PERFOROMIST","20 MCG",2,60,1,60,,
"J7648","Isoetharine hcl inh sol con","DEY, L.P.","49502065902","49502-0659-02","Isoetharine Hcl S/F",,2,25,19.9,0.796,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","DEY, L.P.","49502065902","49502-0659-02","Isoetharine Hcl S/F",,2,25,19.9,0.796,,"1 MG"
"J7648","Isoetharine hcl inh sol con","DEY, L.P.","49502066003","49502-0660-03","Isoetharine Hcl S/F",,3,25,30.15,1.206,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","DEY, L.P.","49502066003","49502-0660-03","Isoetharine Hcl S/F",,3,25,30.2,1.208,,"1 MG"
"J7648","Isoetharine hcl inh sol con","DEY, L.P.","49502066103","49502-0661-03","Isoetharine Hcl S/F",,3,25,30.15,1.206,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","DEY, L.P.","49502066103","49502-0661-03","Isoetharine Hcl S/F",,3,25,30.2,1.208,,"1 MG"
"J7648","Isoetharine hcl inh sol con","DEY, L.P.","49502066405","49502-0664-05","Isoetharine Hcl S/F",,5,25,49.75,1.99,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","DEY, L.P.","49502066405","49502-0664-05","Isoetharine Hcl S/F",,5,25,49.8,1.992,,"1 MG"
"J7616","Albuterol compound solution","DEY, L.P.","49502067230","49502-0672-30","Duoneb",,3,30,15,0.5,,"1 UNIT"
"J7620","Albuterol ipratrop non-comp","Mylan Specialty, L.P.","49502067230","49502-0672-30","Duoneb","2.5 MG/0.5 MG",3,30,1,30,,
"J7616","Albuterol compound solution","DEY, L.P.","49502067231","49502-0672-31","Duoneb",,3,30,15,0.5,,"1 UNIT"
"J7620","Albuterol ipratrop non-comp","Dey Pharma, L.P.","49502067231","49502-0672-31","Duoneb","2.5 MG/0.5 MG",3,30,1,30,,
"J7616","Albuterol compound solution","DEY, L.P.","49502067260","49502-0672-60","Duoneb",,3,60,30,0.5,,"1 UNIT"
"J7620","Albuterol ipratrop non-comp","Mylan Specialty, L.P.","49502067260","49502-0672-60","Duoneb","2.5 MG/0.5 MG",3,60,1,60,,
"J7669","Metaproterenol inh sol u d","DEY LABS","49502067603","49502-0676-03","Metaproterenol Sulfate",,2.5,25,37.5,1.5,,"10 MG"
"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 inh sol u d","DEY LABS","49502067803","49502-0678-03","Metaproterenol Sulfate",,2.5,25,25,1,,"10 MG"
"J7669","Metaproterenol non-comp unit","Dey Pharma, L.P.","49502067824","49502-0678-24","Metaproterenol Sulfate","10 MG",2.5,25,1,25,,
"J7644","Ipratropium brom inh sol u d","DEY LABS","49502068503","49502-0685-03","Ipratropium Bromide",,2.5,25,12.5,0.5,,"1 MG"
"J7644","Ipratropium bromide non-comp ","DEY, L.P.","49502068524","49502-0685-24","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7644","Ipratropium bromide non-comp","Mylan Specialty, L.P.","49502068526","49502-0685-26","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7644","Ipratropium bromide non-comp","DEY, L.P.","49502068529","49502-0685-29","Ipratropium Bromide","1 MG",2.5,30,0.5,15,,
"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","Mylan Specialty, L.P.","49502068531","49502-0685-31","Ipratropium Bromide","1 MG",2.5,30,0.5,15,,
"J7644","Ipratropium brom inh sol u d","DEY LABS","49502068533","49502-0685-33","Ipratropium Bromide",,2.5,30,15,0.5,,"1 MG"
"J7644","Ipratropium brom inh sol u d","DEY LABS","49502068560","49502-0685-60","Ipratropium Bromide",,2.5,60,30,0.5,,"1 MG"
"J7644","Ipratropium bromide non-comp","DEY, L.P.","49502068561","49502-0685-61","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"J7644","Ipratropium bromide non-comp","Mylan Specialty, L.P.","49502068562","49502-0685-62","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"J7631","Cromolyn sodium inh sol u d","DEY LABS","49502068902","49502-0689-02","Cromolyn Sodium",,2,60,120,2,,"10 MG"
"J7631","Cromolyn sodium inh sol u d","DEY LABS","49502068912","49502-0689-12","Cromolyn Sodium",,2,120,240,2,,"10 MG"
"J7631","Cromolyn sodium noncomp unit","Dey Pharma, L.P.","49502068961","49502-0689-61","Cromolyn Sodium","10 MG",2,60,2,120,,
"J7603","Albuterol inh non-comp u d ","DEY, L.P.","49502069203","49502-0692-03","Accuneb","1 MG",3,25,0.63,15.75,,
"J7613","Albuterol non-comp unit","Mylan Specialty, L.P.","49502069203","49502-0692-03","Accuneb","1 MG",3,25,0.63,15.75,,
"Q4094","Albuterol inh non-comp u d ","DEY, L.P.","49502069203","49502-0692-03","Accuneb","1 MG",3,25,0.63,15.75,,
"J7603","Albuterol inh non-comp u d ","DEY, L.P.","49502069303","49502-0693-03","Accuneb","1 MG",3,25,1.25,31.25,,
"J7613","Albuterol non-comp unit","Mylan Specialty, L.P.","49502069303","49502-0693-03","Accuneb","1 MG",3,25,1.25,31.25,,
"Q4094","Albuterol inh non-comp u d ","DEY, L.P.","49502069303","49502-0693-03","Accuneb","1 MG",3,25,1.25,31.25,,
"J7613","Albuterol unit dose","DEY LABS","49502069703","49502-0697-03","Albuterol Sulfate",,3,25,62.25,2.49,,"1 MG"
"J7603","Albuterol inh non-comp u d ","DEY, L.P.","49502069724","49502-0697-24","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","Mylan Specialty, L.P.","49502069724","49502-0697-24","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","DEY, L.P.","49502069724","49502-0697-24","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7603","Albuterol inh non-comp u d ","DEY, L.P.","49502069729","49502-0697-29","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit","Mylan Specialty, L.P.","49502069729","49502-0697-29","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"Q4094","Albuterol inh non-comp u d ","DEY, L.P.","49502069729","49502-0697-29","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7603","Albuterol inh non-comp u d ","DEY, L.P.","49502069730","49502-0697-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit","Mylan Specialty, L.P.","49502069730","49502-0697-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"Q4094","Albuterol inh non-comp u d ","DEY, L.P.","49502069730","49502-0697-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol unit dose","DEY LABS","49502069733","49502-0697-33","Albuterol Sulfate",,3,30,74.7,2.49,,"1 MG"
"J7613","Albuterol unit dose","DEY LABS","49502069760","49502-0697-60","Albuterol Sulfate",,3,60,149.4,2.49,,"1 MG"
"J7603","Albuterol inh non-comp u d ","DEY, L.P.","49502069761","49502-0697-61","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7613","Albuterol non-comp unit","Mylan Specialty, L.P.","49502069761","49502-0697-61","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"Q4094","Albuterol inh non-comp u d ","DEY, L.P.","49502069761","49502-0697-61","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J2912","Sodium chloride injection","DEY, L.P.","49502083003","49502-0830-03","Sodium Chloride",,3,100,150,1.5,,"2 CC"
"J2912","Sodium chloride injection","DEY, L.P.","49502083005","49502-0830-05","Sodium Chloride",,5,100,250,2.5,,"2 CC"
"J2912","Sodium chloride injection","DEY, L.P.","49502083050","49502-0830-50","Sodium Chloride",,15,50,375,7.5,,"2 CC"
"J7130","Hypertonic saline solution","DEY, L.P.","49502083050","49502-0830-50","Sodium Chloride",,15,50,37.5,0.75,,"20 CC"
"90655","Flu vaccine no preserv 6-35m","AVENTIS PASTEUR","49581000525","49581-0005-25","FLUZONE PEDIATRIC PF","0.25 ML",0.25,10,1,10,,
"J1564","Immune globulin 10 mg","GRIFOLS USA","49669161201","49669-1612-01","Venoglobulin-S",,50,1,250,250,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","49669161201","49669-1612-01","Venoglobulin-S","500 MG",50,1,5,5,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","49669161201","49669-1612-01","Venoglobulin-S",,50,1,2.5,2.5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","49669161201","49669-1612-01","Venoglobulin-S",,50,1,250,250,,"10 MG"
"J1564","Immune globulin 10 mg","GRIFOLS USA","49669161301","49669-1613-01","Venoglobulin-S",,100,1,500,500,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","49669161301","49669-1613-01","Venoglobulin-S","500 MG",100,1,10,10,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","49669161301","49669-1613-01","Venoglobulin-S",,100,1,5,5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","49669161301","49669-1613-01","Venoglobulin-S",,100,1,500,500,,"10 MG"
"J1564","Immune globulin 10 mg","GRIFOLS USA","49669161401","49669-1614-01","Venoglobulin-S",,200,1,1000,1000,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","49669161401","49669-1614-01","Venoglobulin-S","500 MG",200,1,20,20,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","49669161401","49669-1614-01","Venoglobulin-S",,200,1,10,10,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","49669161401","49669-1614-01","Venoglobulin-S",,200,1,1000,1000,,"10 MG"
"J1563","IV immune globulin","GRIFOLS USA","49669162201","49669-1622-01","Venoglobulin-S",,50,1,5,5,,"1 GRAM"
"J1564","Immune globulin 10 mg","GRIFOLS USA","49669162201","49669-1622-01","Venoglobulin-S",,50,1,500,500,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","49669162201","49669-1622-01","Venoglobulin-S","500 MG",50,1,10,10,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","49669162201","49669-1622-01","Venoglobulin-S",,50,1,5,5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","49669162201","49669-1622-01","Venoglobulin-S",,50,1,500,500,,"10 MG"
"J1563","IV immune globulin","GRIFOLS USA","49669162301","49669-1623-01","Venoglobulin-S",,100,1,10,10,,"1 GRAM"
"J1564","Immune globulin 10 mg","GRIFOLS USA","49669162301","49669-1623-01","Venoglobulin-S",,100,1,1000,1000,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","49669162301","49669-1623-01","Venoglobulin-S","500 MG",100,1,20,20,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","49669162301","49669-1623-01","Venoglobulin-S",,100,1,10,10,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","49669162301","49669-1623-01","Venoglobulin-S",,100,1,1000,1000,,"10 MG"
"J1563","IV immune globulin","GRIFOLS USA","49669162401","49669-1624-01","Venoglobulin-S",,200,1,20,20,,"1 GRAM"
"J1564","Immune globulin 10 mg","GRIFOLS USA","49669162401","49669-1624-01","Venoglobulin-S",,200,1,2000,2000,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","49669162401","49669-1624-01","Venoglobulin-S","500 MG",200,1,40,40,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","49669162401","49669-1624-01","Venoglobulin-S",,200,1,20,20,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","49669162401","49669-1624-01","Venoglobulin-S",,200,1,2000,2000,,"10 MG"
"J7194","Factor ix complex","GRIFOLS","49669320002","49669-3200-02","Profilnine Sd","1 IU",1,1,1,1,,
"J7194","Factor ix complex","GRIFOLS","49669320003","49669-3200-03","Profilnine Sd","1 IU",1,1,1,1,,
"J7193","Factor IX non-recombinant","GRIFOLS","49669360002","49669-3600-02","Alphanine Sd","1 IU",1,1,1,1,,
"J7190","Factor viii","GRIFOLS","49669460001","49669-4600-01","Alphanate","1 IU",1,1,1,1,,
"J7190","Factor viii","GRIFOLS","49669460002","49669-4600-02","Alphanate","1 IU",1,1,1,1,,
"P9041","Albumin (human),5%, 50ml","GRIFOLS","49669521101","49669-5211-01","Albutein","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","GRIFOLS","49669521101","49669-5211-01","Albutein","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","GRIFOLS","49669521102","49669-5211-02","Albutein","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","GRIFOLS","49669521102","49669-5211-02","Albutein","250 ML",500,1,2,2,,
"P9046","Albumin (human), 25%, 20 ml","GRIFOLS","49669521302","49669-5213-02","Albutein","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","GRIFOLS","49669521302","49669-5213-02","Albutein","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","GRIFOLS","49669521303","49669-5213-03","Albutein","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","GRIFOLS","49669521303","49669-5213-03","Albutein","50 ML",100,1,2,2,,
"J0256","Alpha 1 proteinase inhibitor","BAXTER","49669580001","49669-5800-01","Aralast","10 MG",1,1,0.1,0.1,,
"J0256","Alpha 1 proteinase inhibitor","BAXTER","49669580002","49669-5800-02","Aralast","10 MG",1,1,0.1,0.1,,
"C9268","Capsaicin patch","NeurogenX, Inc.","49685092801","49685-0928-01","Qutenza","10 sq cm",1,1,28,28,,
"J7335","Capsaicin 8% patch","Acorda Therapeutics","49685092801","49685-0928-01","Qutenza","10 SQ CM",1,1,28,28,,
"J7336","Capsaicin 8% patch","Acorda Therapeutics","49685092801","49685-0928-01","Qutenza","1 SQ CM",1,1,280,280,,
"C9268","Capsaicin patch","NeurogenX, Inc.","49685092802","49685-0928-02","Qutenza","10 sq cm",1,2,28,56,,
"J7335","Capsaicin 8% patch","Acorda Therapeutics","49685092802","49685-0928-02","Qutenza","10 SQ CM",1,2,28,56,,
"J7336","Capsaicin 8% patch","Acorda Therapeutics","49685092802","49685-0928-02","Qutenza","1 SQ CM",1,2,280,560,,
"J3485","Zidovudine","GlaxoSmithkline","49702021305","49702-0213-05","Retrovir","10 MG",20,10,20,200,,
"J3485","Zidovudine","VIIV HEALTHCARE","49702021326","49702-0213-26","Retrovir","10 MG",20,5,20,100,,
"J9218","Leuprolide acetate injeciton","Par Pharmaceutical Companies, Inc.","49884036826","49884-0368-26","Leuprolide Acetate","1 MG",2.8,1,14,14,,
"J9218","Leuprolide acetate injeciton","Par Pharmaceutical Companies, Inc.","49884036845","49884-0368-45","Leuprolide Acetate","1 MG",1,1,14,14,,
"J3030","Sumatriptan succinate / 6 MG","Par Pharmaceutical","49884048252","49884-0482-52","Sumatriptan Succinate Injection","6 MG",0.5,2,0.67,1.33,,
"J3030","Sumatriptan succinate / 6 MG","Par Pharmaceutical","49884048299","49884-0482-99","Sumatriptan Succinate Injection","6 MG",0.5,2,0.67,1.33,,
"J7509","Methylprednisolone oral","PAR","49884049059","49884-0490-59","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"Q0164","Prochlorperazine maleate 5mg","PAR","49884054901","49884-0549-01","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","PAR","49884055001","49884-0550-01","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"J8515","Cabergoline, oral 0.25mg","PAR PHARMACEUTICAL, INC.","49884067314","49884-0673-14","CABERGOLINE",,,1,1,1,,"0.25 MG"
"J7506","Prednisone oral","QUALITY CARE","49999000800","49999-0008-00","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","QUALITY CARE","49999000820","49999-0008-20","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","QUALITY CARE","49999000830","49999-0008-30","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","QUALITY CARE","49999000855","49999-0008-55","Prednisone","5 MG",55,1,55,55,,
"J7506","Prednisone oral","QUALITY CARE","49999002812","49999-0028-12","Prednisone","5 MG",12,1,24,24,,
"J7506","Prednisone oral","QUALITY CARE","49999002815","49999-0028-15","Prednisone","5 MG",15,1,30,30,,
"J7506","Prednisone oral","QUALITY CARE","49999002820","49999-0028-20","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","QUALITY CARE","49999002830","49999-0028-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","QUALITY CARE","49999002840","49999-0028-40","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","QUALITY CARE","49999002848","49999-0028-48","Prednisone","5 MG",48,1,96,96,,
"J7506","Prednisone oral","QUALITY CARE","49999002850","49999-0028-50","Prednisone","5 MG",50,1,100,100,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","49999009005","49999-0090-05","Promethazine Hcl","25 MG",5,1,5,5,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","49999009010","49999-0090-10","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","49999009012","49999-0090-12","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","49999009015","49999-0090-15","Promethazine Hcl","25 MG",15,1,15,15,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","49999009020","49999-0090-20","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","49999009030","49999-0090-30","Promethazine Hcl","25 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","49999009060","49999-0090-60","Promethazine Hcl","25 MG",60,1,60,60,,
"Q0163","Diphenhydramine HCl 50mg","QUALITY CARE","49999009104","49999-0091-04","Diphenhydramine Hcl","50 MG",4,1,4,4,,
"Q0163","Diphenhydramine HCl 50mg","QUALITY CARE","49999009115","49999-0091-15","Diphenhydramine Hcl","50 MG",15,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","QUALITY CARE","49999009120","49999-0091-20","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","QUALITY CARE","49999009130","49999-0091-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","QUALITY CARE","49999009160","49999-0091-60","Diphenhydramine Hcl","50 MG",60,1,60,60,,
"J7506","Prednisone oral","QUALITY CARE","49999011000","49999-0110-00","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","QUALITY CARE","49999011006","49999-0110-06","Prednisone","5 MG",6,1,24,24,,
"J7506","Prednisone oral","QUALITY CARE","49999011010","49999-0110-10","Prednisone","5 MG",10,1,40,40,,
"J7506","Prednisone oral","QUALITY CARE","49999011012","49999-0110-12","Prednisone","5 MG",12,1,48,48,,
"J7506","Prednisone oral","QUALITY CARE","49999011014","49999-0110-14","Prednisone","5 MG",14,1,56,56,,
"J7506","Prednisone oral","QUALITY CARE","49999011020","49999-0110-20","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","QUALITY CARE","49999011021","49999-0110-21","Prednisone","5 MG",21,1,4,84,,
"J7506","Prednisone oral","QUALITY CARE","49999011030","49999-0110-30","Prednisone","5 MG",30,1,120,120,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","49999026204","49999-0262-04","Promethazine Hcl","25 MG",,1,90,90,,
"Q0169","Promethazine HCl oral","QUALITY CARE","49999026906","49999-0269-06","Phenergan","12.5 MG",6,1,6,6,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","49999029030","49999-0290-30","Promethazine Hcl","25 MG",,1,200,200,,
"J7603","Albuterol inh non-comp u d ","QUALITY CARE","49999034425","49999-0344-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","QUALITY CARE","49999034425","49999-0344-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","QUALITY CARE","49999034425","49999-0344-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J8610","Methotrexate oral 2.5 MG","QUALITY CARE","49999038024","49999-0380-24","Methotrexate (Anti-Rheumatic)","2.5 MG",24,1,24,24,,
"J7506","Prednisone oral","QUALITY CARE","49999039021","49999-0390-21","Sterapred","5 MG",21,1,21,21,,
"90632","Hep a vaccine, adult im","QUALITY CARE","49999041201","49999-0412-01","Havrix","1 ML",1,1,1,1,,
"90633","Hep a vacc, ped/adol, 2 dose","QUALITY CARE","49999041201","49999-0412-01","Havrix",,1,1,2,2,,"1 ML"
"90675","Rabies vaccine, im","QUALITY CARE","49999041401","49999-0414-01","Imovax Rabies","1 ML",1,1,1,1,,
"J3301","Triamcinolone acet inj NOS","QUALITY CARE","49999041505","49999-0415-05","Kenalog","10 MG",5,1,20,20,,
"J1885","Ketorolac tromethamine inj","QUALITY CARE","49999041602","49999-0416-02","Ketorolac Tromethamine","15 MG",2,1,4,4,,
"90707","Mmr vaccine, sc","QUALITY CARE","49999042201","49999-0422-01","M-M-R II","0.5 ML",1,1,1,1,,
"90707","Mmr vaccine, sc","QUALITY CARE","49999042210","49999-0422-10","M-M-R II","0.5 ML",1,10,1,10,,
"90371","Hep b ig, im","QUALITY CARE","49999042505","49999-0425-05","Nabi-Hb","1 ML",5,1,5,5,,
"J2300","Inj nalbuphine hydrochloride","QUALITY CARE","49999042610","49999-0426-10","Nubain","10 MG",10,1,10,10,,
"J1100","Dexamethasone sodium phos","QUALITY CARE","49999043425","49999-0434-25","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100,,
"J7506","Prednisone oral","QUALITY CARE","49999043703","49999-0437-03","Prednisone","5 MG",3,1,30,30,,
"Q0179","Ondansetron hcl 8 mg oral","QUALITY CARE","49999078330","49999-0783-30","Zofran","8 MG",1,30,1,30,,
"Q0169","Promethazine HCl 12.5mg oral","QUALITY CARE PRODUCTS, LLC","49999090220","49999-0902-20","Promethazine Hcl","12.5 MG",20,1,20,20,,
"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,,
"Q0179","Ondansetron hcl 8 mg oral","Pliva, Inc.","50111081942","50111-0819-42","Ondansetron HCl","8 MG",50,1,5,5,,
"J7502","Cyclosporine oral 100 mg","PLIVA","50111088542","50111-0885-42","Cyclosporine Modified","100 MG",50,1,50,50,,
"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,,
"Q0179","Ondansetron hcl 8 mg oral","Pliva, Inc.","50111094543","50111-0945-43","Ondansetron HCl","8 MG",1,30,1,30,,
"Q0179","Ondansetron hcl 8 mg oral","Pliva, Inc.","50111094643","50111-0946-43","Ondansetron HCl","8 MG",1,30,1,30,,
"Q0179","Ondansetron hcl 8 mg oral","Pliva, Inc.","50111094669","50111-0946-69","Ondansetron HCl","8 MG",1,10,1,10,,
"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,,
"J9045","Carboplatin injection","PLIVA","50111096776","50111-0967-76","Carboplatin","50 MG",45,1,9,9,,
"J1655","Tinzaparin sodium injection","LEO Pharma, Inc. United States","50222034208","50222-0342-08","Innohep","1000 IU",2,1,40,40,,
"J1655","Tinzaparin sodium injection","LEO Pharma, Inc. United States","50222034253","50222-0342-53","Innohep","1000 IU",2,10,40,400,,
"J3396","Verteporfin injection","QLT Ophthalmics Inc.","50236000115","50236-0001-15","Visudyne","0.1 MG",1,1,150,150,,
"J2940","Somatrem injection","GENENTECH","50242001665","50242-0016-65","Protropin",,1,1,10,10,,"1 MG"
"J2941","Somatropin injection","GENENTECH","50242001821","50242-0018-21","Nutropin","1 MG",1,1,10,10,,
"J2941","Somatropin injection","GENENTECH","50242001902","50242-0019-02","Nutropin","1 MG",1,1,5,5,,
"J2941","Somatropin injection","GENENTECH","50242002020","50242-0020-20","Nutropin","1 MG",1,1,10,10,,
"J2941","Somatropin injection","GENENTECH","50242002220","50242-0022-20","Nutropin Aq","1 MG",2,1,10,10,,
"J2940","Somatrem injection","GENENTECH","50242003050","50242-0030-50","Protropin",,1,1,10,10,,"1 MG"
"J2941","Somatropin injection","GENENTECH","50242003235","50242-0032-35","Nutropin Depot","1 MG",1,1,13.5,13.5,,
"J2941","Somatropin injection","GENENTECH","50242003441","50242-0034-41","Nutropin Depot","1 MG",1,1,18,18,,
"J2941","Somatropin injection","GENENTECH","50242003654","50242-0036-54","Nutropin Depot","1 MG",1,1,22.5,22.5,,
"J3100","Tenecteplase injection","GENENTECH","50242003861","50242-0038-61","Tnkase","50 MG",1,1,1,1,,
"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","50242004163","50242-0041-63","Cathflo Activase","1 MG",1,1,2,2,,
"J2997","Alteplase recombinant","Genentech, Inc.","50242004164","50242-0041-64","Cathflo Activase","1 MG",1,1,2,2,,
"J2997","Alteplase recombinant","GENENTECH","50242004165","50242-0041-65","Cathflo Activase","1 MG",1,1,2,2,,
"J2941","Somatropin injection","GENENTECH","50242004314","50242-0043-14","Nutropin Aq Pen","1 MG",2,1,10,10,,
"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,,
"C9257","Bevacizumab injection","Genentech, Inc.","50242006001","50242-0060-01","Avastin","0.25 MG",4,1,400,400,,
"J9035","Bevacizumab injection","Genentech, Inc.","50242006001","50242-0060-01","Avastin","10 MG",4,1,10,10,,
"Q2024","Bevacizumab injection","GENENTECH","50242006001","50242-0060-01","Avastin","0.25 MG",4,1,400,400,,
"J9035","Bevacizumab injection","GENENTECH","50242006002","50242-0060-02","Avastin","10 MG",16,1,40,40,,
"C9257","Bevacizumab injection","Genentech, Inc.","50242006101","50242-0061-01","Avastin","0.25 MG",16,1,1600,1600,,
"J9035","Bevacizumab injection","Genentech, Inc.","50242006101","50242-0061-01","Avastin","10 MG",16,1,40,40,,
"Q2024","Bevacizumab injection","GENENTECH","50242006101","50242-0061-01","Avastin","0.25 MG",16,1,1600,1600,,
"C9021","Injection, obinutuzumab","Genentech, Inc.","50242007001","50242-0070-01","GAZYVA","10 MG",40,1,100,100,,
"J9301","Obinutuzumab inj","Genentech, Inc.","50242007001","50242-0070-01","GAZYVA","10 MG",40,1,100,100,,
"J2941","Somatropin injection","GENENTECH","50242007203","50242-0072-03","Nutropin","1 MG",1,1,5,5,,
"J2941","Somatropin injection","GENENTECH","50242007301","50242-0073-01","Nutropin Aq Pen","1 MG",2,1,20,20,,
"C9233","Injection, ranibizumab","Genentech","50242008001","50242-0080-01","RANIBIZUMAB","0.5 MG",0.05,1,1,1,,
"J2778","Ranibizumab injection","Genentech, Inc.","50242008001","50242-0080-01","Lucentis","0.1 mg",0.05,1,5,5,,
"J2778","Ranibizumab injection","GENENTECH","50242008002","50242-0080-02","Lucentis","0.1 mg",0.05,1,5,5,,
"J2778","Ranibizumab injection","Genentech, Inc.","50242008003","50242-0080-03","Lucentis","0.1 mg",0.05,1,5,5,,
"J2778","Ranibizumab injection","Genentech, Inc.","50242008201","50242-0082-01","Lucentis","0.1 mg",0.05,1,3,3,,
"J2778","Ranibizumab injection","GENENTECH, INC.","50242008202","50242-0082-02","Lucentis","0.1 mg",0.05,1,3,3,,
"J2997","Alteplase recombinant","Genentech, Inc.","50242008527","50242-0085-27","Activase","1 MG",1,1,100,100,,
"C9131","In ado-trastuzumab emtansine","GENENTECH, INC.","50242008701","50242-0087-01","KADCYLA","1 MG",1,1,160,160,,
"J9354","Inj, ado-trastuzumab emt 1mg","Genentech, Inc.","50242008701","50242-0087-01","KADCYLA","1 MG",1,1,160,160,,
"C9131","In ado-trastuzumab emtansine","GENENTECH, INC.","50242008801","50242-0088-01","KADCYLA","1 MG",1,1,100,100,,
"J9354","Inj, ado-trastuzumab emt 1mg","Genentech, Inc.","50242008801","50242-0088-01","KADCYLA","1 MG",1,1,100,100,,
"J7639","Dornase alfa non-comp unit","GENENTECH","50242010039","50242-0100-39","Pulmozyme","1 MG",2.5,1,2.5,2.5,,
"J7639","Dornase alfa non-comp unit","Genentech, Inc.","50242010040","50242-0100-40","Pulmozyme","1 MG",2.5,30,2.5,75,,
"J3101","Tenecteplase injection","Genentech, Inc.","50242012001","50242-0120-01","TNKASE","1 MG",1,1,50,50,,
"J9355","Trastuzumab injection","GENENTECH, INC.","50242013201","50242-0132-01","Herceptin","10 MG",1,1,15,15,,
"J9355","Trastuzumab injection","Genentech, Inc.","50242013468","50242-0134-68","Herceptin","10 MG",1,1,44,44,,
"C9264","Tocilizumab injection","Roche","50242013501","50242-0135-01","Actemra","1 mg",80,1,80,80,,
"J3262","Tocilizumab injection","Genentech, Inc.","50242013501","50242-0135-01","Actemra","1 MG",80,1,80,80,,
"C9264","Tocilizumab injection","Roche","50242013504","50242-0135-04","Actemra","1 mg",80,4,80,320,,
"J3262","Tocilizumab injection","Roche","50242013504","50242-0135-04","Actemra","1 mg",80,4,80,320,,
"C9264","Tocilizumab injection","Roche","50242013601","50242-0136-01","Actemra","1 mg",200,1,200,200,,
"J3262","Tocilizumab injection","Genentech, Inc.","50242013601","50242-0136-01","Actemra","1 MG",200,1,200,200,,
"C9264","Tocilizumab injection","Roche","50242013604","50242-0136-04","Actemra","1 mg",200,4,200,800,,
"J3262","Tocilizumab injection","Roche","50242013604","50242-0136-04","Actemra","1 mg",200,4,200,800,,
"C9264","Tocilizumab injection","Roche","50242013701","50242-0137-01","Actemra","1 mg",400,1,400,400,,
"J3262","Tocilizumab injection","Genentech, Inc.","50242013701","50242-0137-01","Actemra","1 MG",400,1,400,400,,
"C9264","Tocilizumab injection","Roche","50242013704","50242-0137-04","Actemra","1 mg",400,4,400,1600,,
"J3262","Tocilizumab injection","Roche","50242013704","50242-0137-04","Actemra","1 mg",400,4,400,1600,,
"C9292","Injection, pertuzumab","Genentech, Inc.","50242014501","50242-0145-01","Perjeta","10 MG",14,1,42,42,,
"J9306","Injection, pertuzumab, 1 mg","Genentech, Inc.","50242014501","50242-0145-01","Perjeta","1 MG",14,1,420,420,,
"C9494","Injection, ocrelizumab","GENENTECH","50242015001","50242-0150-01","OCREVUS","1 MG",10,1,300,300,,
"J2350","Injection, ocrelizumab, 1 mg","GENENTECH","50242015001","50242-0150-01","OCREVUS","1 MG",10,1,300,300,,
"C9483","Injection, atezolizumab","Genentech, Inc.","50242091701","50242-0917-01","TECENTRIQ (atezolizumab)","10mg",20,1,120,120,,
"J9022","Inj, atezolizumab,10 mg","Genentech, Inc.","50242091701","50242-0917-01","TECENTRIQ (atezolizumab)","10mg",20,1,120,120,,
"J7510","Prednisolone oral per 5 mg","Hi-Tech","50383004004","50383-0040-04","Prednisolone","5 MG",120,1,24,24,,
"J7510","Prednisolone oral per 5 mg","Hi-Tech","50383004224","50383-0042-24","Prednisolone","5 MG",240,1,144,144,,
"J7510","Prednisolone oral per 5 mg","Hi-Tech","50383004248","50383-0042-48","Prednisolone","5 MG",480,1,288,288,,
"J2590","Oxytocin injection","HI-TECH","50383017708","50383-0177-08","Sodium Phosphate",,,,,,,"10 UNITS"
"J7510","Prednisolone oral per 5 mg","HI-TECH","50383017708","50383-0177-08","Prednisolone","5 MG",240,1,144,144,,
"J7602","Albuterol inh non-comp con","HI-TECH","50383074120","50383-0741-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","Hi-Tech","50383074120","50383-0741-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","HI-TECH","50383074120","50383-0741-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7603","Albuterol inh non-comp u d ","HI-TECH","50383074225","50383-0742-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit dose1","HI-TECH","50383074225","50383-0742-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","HI-TECH","50383074225","50383-0742-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q0169","Promethazine hcl 12.5mg oral","Hi-Tech","50383080116","50383-0801-16","PROMETHAZINE HCL","12.5 MG",473,1,47.3,47.3,,
"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,,
"J2820","Sargramostim injection","BERLEX","50419000233","50419-0002-33","Leukine","50 MCG",1,5,5,25,,
"J2820","Sargramostim injection","BERLEX","50419005030","50419-0050-30","Leukine","50 MCG",1,5,10,50,,
"J1945","Lepirudin","Bayer HealthCare Pharmaceuticals Inc.","50419015057","50419-0150-57","Refludan","50 MG",1,10,1,10,,
"Q2021","Lepirudin","BERLEX","50419015057","50419-0150-57","Refludan",,1,10,10,1,,"50 MG"
"A9579","Gad-base mr contrast nos,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018801","50419-0188-01","Magnevist 46.9%","1 ML",10,20,10,200,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","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,,
"Q9952","Inj Gad-base MR contrast,1ml","BERLEX","50419018858","50419-0188-58","Magnevist 46.9%","1 ML",50,10,50,500,,
"A9579","Gad-base mr contrast nos,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018881","50419-0188-81","Magnevist 46.9%","1 ML",5,20,5,100,,
"A9579","Gad-base mr contrast nos,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018882","50419-0188-82","Magnevist 46.9%","1 ML",10,20,10,200,,
"A9579","Gad-base mr contrast nos,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018883","50419-0188-83","Magnevist 46.9%","1 ML",15,20,15,300,,
"A9579","Gad-base mr contrast nos,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419018884","50419-0188-84","Magnevist 46.9%","1 ML",20,20,20,400,,
"A9606","Radium Ra223 dichloride ther","Bayer HealthCare Pharmaceuticals Inc.","50419020801","50419-0208-01"," Xofigo","1 mCi",6,1,1,1,,
"A9581","Gadoxetate disodium inj","Bayer HealthCare Pharmaceuticals Inc.","50419032001","50419-0320-01","Gadoxetate Disodium","1 ML",10,20,10,200,,
"C9246","Inj, gadoxetate disodium","BAYER HEALTHCARE PHARMACEUTICALS IN","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,,
"C9246","Inj, gadoxetate disodium","BAYER HEALTHCARE PHARMACEUTICALS IN","50419032005","50419-0320-05","Gadoxetate Disodium","1 ML",10,5,10,50,,
"A9581","Gadoxetate disodium inj","Bayer HealthCare Pharmaceuticals Inc.","50419032015","50419-0320-15","EOVIST","1 ML",15,5,15,75,,
"A9585","Gadobutrol injection","Bayer HealthCare Pharmaceuticals Inc.","50419032511","50419-0325-11","GADAVIST","0.1 ML",7.5,20,75,1500,,
"A9585","Gadobutrol injection","Bayer HealthCare Pharmaceuticals Inc.","50419032512","50419-0325-12","GADAVIST","0.1 ML",10,20,100,2000,,
"A9585","Gadobutrol injection","Bayer HealthCare Pharmaceuticals Inc.","50419032513","50419-0325-13","GADAVIST","0.1 ML",15,20,150,3000,,
"A9585","Gadobutrol injection","Bayer HealthCare Pharmaceuticals Inc.","50419032514","50419-0325-14","GADAVIST","0.1 ML",30,10,300,3000,,
"A9585","Gadobutrol injection","Bayer HealthCare Pharmaceuticals Inc.","50419032515","50419-0325-15","GADAVIST","0.1 ML",65,10,650,6500,,
"A9585","Gadobutrol injection","Bayer HealthCare Pharmaceuticals Inc.","50419032527","50419-0325-27","GADAVIST","0.1 ML",7.5,5,75,375,,
"A9585","Gadobutrol injection","Bayer HealthCare Pharmaceuticals Inc.","50419032528","50419-0325-28","GADAVIST","0.1 ML",10,5,100,500,,
"A9585","Gadobutrol injection","Bayer HealthCare Pharmaceuticals Inc.","50419032529","50419-0325-29","GADAVIST","0.1 ML",15,5,150,750,,
"A9585","Gadobutrol injection","Bayer HealthCare Pharmaceuticals Inc.","50419032537","50419-0325-37","GADAVIST","0.1 ML",2,15,20,300,,
"Q9946","LOCM 150-199mg/ml iodine,1ml","BERLEX","50419034005","50419-0340-05","Ultravist 150","1 ML",50,10,50,500,,
"Q9965","LOCM 100-199mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034005","50419-0340-05","Ultravist 150","1 ML",50,10,50,500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","BERLEX","50419034205","50419-0342-05","Ultravist 240","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,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","BERLEX","50419034210","50419-0342-10","Ultravist 240","1 ML",100,10,100,1000,,
"Q9966","Locm 200-299mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034210","50419-0342-10","Ultravist 240","1 ML",100,10,100,1000,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","BERLEX","50419034215","50419-0342-15","Ultravist 240","1 ML",150,10,150,1500,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034215","50419-0342-15","Ultravist 240","1 ML",150,10,150,1500,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","BERLEX","50419034220","50419-0342-20","Ultravist 240","1 ML",200,10,200,2000,,
"Q9966","LOCM 200-299mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034220","50419-0342-20","Ultravist 240","1 ML",200,10,200,2000,,
"Q9947","LOCM 200-249mg/ml iodine,1ml","BERLEX","50419034221","50419-0342-21","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,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","BERLEX","50419034405","50419-0344-05","Ultravist 300","1 ML",50,10,50,500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034405","50419-0344-05","Ultravist 300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","BERLEX","50419034407","50419-0344-07","Ultravist 300","1 ML",75,10,75,750,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034407","50419-0344-07","Ultravist 300","1 ML",75,10,75,750,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","BERLEX","50419034410","50419-0344-10","Ultravist 300","1 ML",100,10,100,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034410","50419-0344-10","Ultravist 300","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","BERLEX","50419034412","50419-0344-12","Ultravist 300","1 ML",125,10,125,1250,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034412","50419-0344-12","Ultravist 300","1 ML",125,10,125,1250,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","BERLEX","50419034415","50419-0344-15","Ultravist 300","1 ML",150,10,150,1500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034415","50419-0344-15","Ultravist 300","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","BERLEX","50419034421","50419-0344-21","Ultravist 300","1 ML",200,10,200,2000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034421","50419-0344-21","Ultravist 300","1 ML",200,10,200,2000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","BERLEX","50419034450","50419-0344-50","Ultravist 300","1 ML",500,1,500,500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034450","50419-0344-50","Ultravist 300","1 ML",500,1,500,500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","BERLEX","50419034458","50419-0344-58","Ultravist 300","1 ML",500,8,500,4000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034458","50419-0344-58","Ultravist 300","1 ML",500,8,500,4000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BERLEX","50419034605","50419-0346-05","Ultravist 370","1 ML",50,10,50,500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034605","50419-0346-05","Ultravist 370","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BERLEX","50419034607","50419-0346-07","Ultravist 370","1 ML",75,10,75,750,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034607","50419-0346-07","Ultravist 370","1 ML",75,10,75,750,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BERLEX","50419034610","50419-0346-10","Ultravist 370","1 ML",100,10,100,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034610","50419-0346-10","Ultravist 370","1 ML",100,10,100,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BERLEX","50419034612","50419-0346-12","Ultravist 370","1 ML",125,10,125,1250,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034612","50419-0346-12","Ultravist 370","1 ML",125,10,125,1250,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BERLEX","50419034615","50419-0346-15","Ultravist 370","1 ML",150,10,150,1500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034615","50419-0346-15","Ultravist 370","1 ML",150,10,150,1500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BERLEX","50419034620","50419-0346-20","Ultravist 370","1 ML",200,10,200,2000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034620","50419-0346-20","Ultravist 370","1 ML",200,10,200,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BERLEX","50419034625","50419-0346-25","Ultravist 370","1 ML",250,10,250,2500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034625","50419-0346-25","Ultravist 370","1 ML",250,10,250,2500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BERLEX","50419034650","50419-0346-50","Ultravist 370","1 ML",500,1,500,500,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034650","50419-0346-50","Ultravist 370","1 ML",500,1,500,500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","BERLEX","50419034658","50419-0346-58","Ultravist 370","1 ML",500,8,500,4000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Bayer HealthCare Pharmaceuticals Inc.","50419034658","50419-0346-58","Ultravist 370","1 ML",500,8,500,4000,,
"J9010","Alemtuzumab injection","BERLEX","50419035510","50419-0355-10","Campath","10 MG",3,3,3,9,,
"J9010","Alemtuzumab injection","BERLEX","50419035703","50419-0357-03","Campath","10 MG",1,3,3,9,,
"J9185","Fludarabine phosphate inj","BERLEX","50419051106","50419-0511-06","Fludara","50 MG",1,1,1,1,,
"J1830","Interferon beta-1b / .25 MG","BERLEX","50419052325","50419-0523-25","Betaseron","0.25 MG",1,15,1,15,,
"J2820","Sargramostim injection","BERLEX","50419059501","50419-0595-01","Leukine","50 MCG",1,1,10,10,,
"J2820","Sargramostim injection","BERLEX","50419059505","50419-0595-05","Leukine","50 MCG",1,5,10,50,,
"J0744","Ciprofloxacin iv","Bayer HealthCare Pharmaceuticals Inc.","50419075901","50419-0759-01","CIPROFLOXACIN","200 MG",200,1,2,2,,
"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,,
"J1835","Itraconazole injection","ORTHO BIOTECH","50458029801","50458-0298-01","Sporanox","50 MG",1,1,5,5,,
"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","Shionogi Inc","50458040102","50458-0401-02","DORIBAX","10 MG",1,10,50,500,,
"J1267","Doripenem injection","Shionogi Inc","50458040202","50458-0402-02","DORIBAX","10 MG",1,10,25,250,,
"C9255","Injection, paliperidone palmitate, 1 mg","JANSSEN","50458056001","50458-0560-01","INVEGA SUSTENNA","1MG",0.25,1,39,39,,
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc.","50458056001","50458-0560-01","INVEGA SUSTENNA","1 MG",0.25,1,39,39,,
"C9255","Injection, paliperidone palmitate, 1 mg","JANSSEN","50458056101","50458-0561-01","INVEGA SUSTENNA","1MG",0.5,1,78,78,,
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc.","50458056101","50458-0561-01","INVEGA SUSTENNA","1 MG",0.5,1,78,78,,
"C9255","Injection, paliperidone palmitate, 1 mg","JANSSEN","50458056201","50458-0562-01","INVEGA SUSTENNA","1MG",0.75,1,117,117,,
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc.","50458056201","50458-0562-01","INVEGA SUSTENNA","1 MG",0.75,1,117,117,,
"C9255","Injection, paliperidone palmitate, 1 mg","JANSSEN","50458056301","50458-0563-01","INVEGA SUSTENNA","1MG",1,1,156,156,,
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc.","50458056301","50458-0563-01","INVEGA SUSTENNA","1 MG",1,1,156,156,,
"C9255","Injection, paliperidone palmitate, 1 mg","JANSSEN","50458056401","50458-0564-01","INVEGA SUSTENNA","1MG",1.5,1,234,234,,
"J2426","Paliperidone palmitate inj","Janssen Pharmaceuticals, Inc.","50458056401","50458-0564-01","INVEGA SUSTENNA","1 MG",1.5,1,234,234,,
"C9238","Inj, levetiracetam","UCB","50474000263","50474-0002-63","Levetiracetam (Keppra)","10 MG",5,10,50,500,,
"J1953","Levetiracetam injection","UCB, Inc.","50474000263","50474-0002-63","Levetiracetam (Keppra)","10 MG",5,10,50,500,,
"C9249","Inj, certolizumab pegol","UCB, Inc.","50474070062","50474-0700-62","CERTOLIZUMAB PEGOL","1 MG",1,2,200,400,,
"J0717","Certolizumab pegol inj 1mg","UCB, Inc.","50474070062","50474-0700-62","CIMZIA","1 MG",1,2,200,400,,
"J0718","Certolizumab pegol inj","UCB, Inc.","50474070062","50474-0700-62","CIMZIA","1 MG",1,2,200,400,,
"J0717","Certolizumab pegol inj 1mg","UCB, Inc.","50474071079","50474-0710-79","CIMZIA","1 MG",1,2,200,400,,
"J0718","Certolizumab pegol inj","UCB, Inc.","50474071079","50474-0710-79","CIMZIA","1 MG",1,2,200,400,,
"J0717","Certolizumab pegol inj 1mg","UCB, Inc.","50474071081","50474-0710-81","CIMZIA","1 MG",1,6,200,1200,,
"J0718","Certolizumab pegol inj","UCB, Inc.","50474071081","50474-0710-81","CIMZIA","1 MG",1,6,200,1200,,
"C9274","Crotalidae Poly Immune Fab","BTG International","50633011012","50633-0110-12","CROFAB POWDER FOR SOLUTION","1 gram vial",1,2,1,2,,
"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,,
"C9293","Injection, glucarpidase ","BTG International","50633021011","50633-0210-11","Voraxaze","10 Units",1,1,100,100,,
"J7320","Genvisc 850, inj, 1mg","OrthogenRx Inc.","50653000601","50653-0006-01","GenVisc 850","1 MG",2.5,1,25,25,,
"J7507","Tacrolimus Imme Rel oral 1mg","Ingenus Pharmaceuticals, LLC","50742020701","50742-0207-01","TACROLIMUS","1 MG",100,1,50,50,,
"J7507","Tacrolimus Imme Rel oral 1mg","Ingenus Pharmaceuticals, LLC","50742020801","50742-0208-01","TACROLIMUS","1 MG",100,1,100,100,,
"J7507","Tacrolimus Imme Rel oral 1mg","Ingenus Pharmaceuticals, LLC","50742020901","50742-0209-01","TACROLIMUS","1 MG",100,1,500,500,,
"J7683","Triamcinolone inh sol con","PARNELL PHARMACEUTICALS, INC.","50930021805","50930-0218-05","Tac-3",,5,1,15,15,,"1 MG"
"J7684","Triamcinolone inh sol u d","PARNELL PHARMACEUTICALS, INC.","50930021805","50930-0218-05","Tac-3",,5,1,15,15,,"1 MG"
"J7506","Prednisone oral","Mylan Institutional","51079002219","51079-0022-19","Prednisone","5 MG",25,1,100,100,,
"J7506","Prednisone oral","Mylan Institutional","51079003219","51079-0032-19","Prednisone","5 MG",25,1,25,25,,
"J7506","Prednisone oral","Mylan Institutional","51079003319","51079-0033-19","Prednisone","5 MG",25,1,50,50,,
"Q0163","Diphenhydramine HCl 50mg","UDL","51079006601","51079-0066-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","UDL","51079006617","51079-0066-17","Diphenhydramine Hcl","50 MG",1,1,1,1,,
"Q0163","Diphenhydramine HCl 50mg","UDL Laboratories Inc.","51079006619","51079-0066-19","Diphenhydramine Hcl","50 MG",25,1,25,25,,
"Q0163","Diphenhydramine HCl 50mg","Mylan Institutional","51079006620","51079-0066-20","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0172","Chlorpromazine HCl 25mg oral","UDL LABORATORIES, INC.","51079013020","51079-0130-20","Chlorpromazine Hcl",,,,,,,"25 MG"
"J7517","Mycophenolate mofetil oral","Mylan Institutional","51079037920","51079-0379-20","MYCOPHENOLATE MOFETIL","250 MG",1,100,200,200,,
"Q0166","Granisetron hcl 1 mg oral","Mylan Institutional","51079047205","51079-0472-05","Granisetron HCl","1 MG",20,1,20,20,,
"J7518","Mycophenolic acid","Mylan Institutional","51079050820","51079-0508-20","MYCOPHENOLIC ACID DR","180 MG",100,1,100,100,,
"J7518","Mycophenolic acid","Mylan Institutional","51079050920","51079-0509-20","MYCOPHENOLIC ACID DR","180 MG",100,1,200,200,,
"J8521","Capecitabine, oral, 500 mg","Mylan Institutional","51079051005","51079-0510-05","CAPECITABINE","500 MG",20,1,20,20,,
"Q0171","Chlorpromazine HCl 10mg oral","UDL","51079051820","51079-0518-20","Chlorpromazine Hcl","10 MG",100,1,100,100,,
"Q0172","Chlorpromazine HCl 25mg oral","UDL","51079051920","51079-0519-20","Chlorpromazine Hcl","25 MG",100,1,100,100,,
"Q0164","Prochlorperazine maleate 5mg","UDL","51079054119","51079-0541-19","Prochlorperazine Maleate","5 MG",25,1,25,25,,
"Q0164","Prochlorperazine maleate 5mg","Mylan Institutional","51079054120","51079-0541-20","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","UDL","51079054219","51079-0542-19","Prochlorperazine Maleate","10 MG",25,1,25,25,,
"Q0164","Prochlorperazine maleate 5mg","Mylan Institutional","51079054220","51079-0542-20","Prochlorperazine Maleate","5 MG",100,1,200,200,,
"Q0165","Prochlorperazine maleate10mg","Mylan Institutional","51079054220","51079-0542-20","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"J0640","Leucovorin calcium injection","UDL","51079058101","51079-0581-01","Leucovorin Calcium","50 MG",5,1,0.5,0.5,,
"J0640","Leucovorin calcium injection","UDL","51079058106","51079-0581-06","Leucovorin Calcium","50 MG",50,1,5,5,,
"J0640","Leucovorin calcium injection","UDL","51079058205","51079-0582-05","Leucovorin Calcium","50 MG",20,1,10,10,,
"J7500","Azathioprine oral 50mg","Mylan Institutional","51079062006","51079-0620-06","Azathioprine","50 MG",50,1,50,50,,
"J8610","Methotrexate oral 2.5 mg","Mylan Institutional","51079067005","51079-0670-05","Methotrexate","2.5 MG",20,1,20,20,,
"J7517","Mycophenolate mofetil oral","Mylan Institutional","51079072120","51079-0721-20","MYCOPHENOLATE MOFETIL","250 MG",1,100,100,100,,
"Q0169","Promethazine hcl 12.5mg oral","Mylan Institutional","51079089520","51079-0895-20","PROMETHAZINE HCL","12.5 MG",100,1,200,200,,
"Q0170","Promethazine HCl 25 mg oral","Mylan Institutional","51079089520","51079-0895-20","PROMETHAZINE HCL","25 MG",100,1,100,100,,
"J9265","Paclitaxel injection","UDL","51079096101","51079-0961-01","Paclitaxel",,5,1,1,1,,"30 MG"
"J9265","Paclitaxel injection","UDL","51079096201","51079-0962-01","Paclitaxel","77.875",16.7,1,3.34,3.33,,
"J9265","Paclitaxel injection","UDL","51079096301","51079-0963-01","Paclitaxel","30 MG",50,1,10,10,,
"J8560","Etoposide oral 50 MG","UDL Laboratories Inc.","51079096505","51079-0965-05","Etoposide","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","Mylan Institutional","51079096719","51079-0967-19","Diphenhydramine Hcl","50 MG",25,1,12.5,12.5,,
"Q0163","Diphenhydramine HCl 50mg","Mylan Institutional","51079096720","51079-0967-20","Diphenhydramine Hcl","50 MG",100,1,50,50,,
"Q4115","Alloskin","AlloSource","5112061052","51120-61052","AlloSkin","1 SQ CM",120,1,120,120,,
"C9287","Inj, brentuximab vedotin","Seattle Genetics","51144005001","51144-0050-01","Adcetris","1mg",1,1,50,50,,
"J9042","Brentuximab vedotin inj","Seattle Genetics","51144005001","51144-0050-01","Adcetris","1mg",1,1,50,50,,
"Q4115","Alloskin skin sub","AlloSource","512561020","5125-61020","AlloSkin","1 SQ CM",25,1,25,25,,
"Q4123","Alloskin","AlloSource","512561020","5125-61020","AlloSkin RT","1 SQ CM",25,1,25,25,,
"Q4115","Alloskin","AlloSource","512561052","5125-61052","Alloskin","1 SQ CM",25,1,25,25,,
"J7509","Methylprednisolone oral","BARR/DURAMED","51285030102","51285-0301-02","Methylprednisolone (Pak)","4 MG",1,100,1,100,,
"J7509","Methylprednisolone oral","BARR/DURAMED","51285030121","51285-0301-21","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"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,,
"J8610","Methotrexate oral 2.5 MG","BARR/DURAMED","51285050902","51285-0509-02","Methotrexate","2.5 MG",100,1,100,100,,
"Q0164","Prochlorperazine maleate 5mg","BARR LABS","51285052102","51285-0521-02","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","BARR LABS","51285052202","51285-0522-02","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","BARR LABS","51285052204","51285-0522-04","Prochlorperazine Maleate","10 MG",500,1,500,500,,
"J7648","Isoetharine hcl inh sol con","HARBER PHARMACEUTICAL CO.","51432083605","51432-0836-05","Isoetharine Hydrochloride",,10,1,100,100,,"1 MG"
"J7648","Isoetharine hcl inh sol con","HARBER PHARMACEUTICAL CO.","51432083611","51432-0836-11","Isoetharine Hydrochloride",,30,1,300,300,,"1 MG"
"J7628","Bitolterol mes inhal sol con","DURA/ELAN PHARMACEUTICALS","51479001103","51479-0011-03","Tornalate",,30,1,60,60,,"1 MG"
"J7629","Bitolterol mes inh sol u d","ELAN","51479001103","51479-0011-03","Tornalate",,30,1,60,60,,"1 MG"
"J7628","Bitolterol mes inhal sol con","DURA/ELAN PHARMACEUTICALS","51479001106","51479-0011-06","Tornalate",,60,1,120,120,,"1 MG"
"J7629","Bitolterol mes inh sol u d","ELAN","51479001106","51479-0011-06","Tornalate",,60,1,120,120,,"1 MG"
"J0692","Cefepime HCl for injection","DURA/ELAN PHARMACEUTICALS","51479005310","51479-0053-10","Maxipime","500 MG",1,10,1,10,,
"J0692","Cefepime HCl for injection","DURA/ELAN PHARMACEUTICALS","51479005410","51479-0054-10","Maxipime","500 MG",1,10,2,20,,
"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","DURA/ELAN PHARMACEUTICALS","51479005520","51479-0055-20","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,,
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000501","51552-0005-01","Progesterone Micronized Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000503","51552-0005-03","Progesterone Micronized Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000504","51552-0005-04","Progesterone Micronized Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000505","51552-0005-05","Progesterone Micronized Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000507","51552-0005-07","Progesterone Micronized Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000601","51552-0006-01","Progesterone Wettable Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000603","51552-0006-03","Progesterone Wettable Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000604","51552-0006-04","Progesterone Wettable Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000605","51552-0006-05","Progesterone Wettable Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000606","51552-0006-06","Progesterone Wettable Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552000607","51552-0006-07","Progesterone Wettable Usp",,,,1,1,,"50 MG"
"J1094","Dexamethasone acetate","GALLIPOT","51552002402","51552-0024-02","Dexamethasone Acetate Micro Usp",,,,1,1,,"1 MG"
"J1094","Dexamethasone acetate","GALLIPOT","51552002403","51552-0024-03","Dexamethasone Acetate Micro Usp","1 MG",1,1,10000,10000,,
"J1094","Inj dexamethasone acetate","GALLIPOT","51552002404","51552-0024-04","Dexamethasone Acetate Micro Usp","1 MG",1,1,25000,25000,,
"J1100","Dexamethasone sodium phos","GALLIPOT","51552002501","51552-0025-01","Dexamethasone Sodium Phos Usp",,,,1,1,,"1 MG"
"J1100","Dexamethasone sodium phos","GALLIPOT","51552002502","51552-0025-02","Dexamethasone Sodium Phos Usp",,,,1,1,,"1 MG"
"J1100","Dexamethasone sodium phos","GALLIPOT","51552002503","51552-0025-03","Dexamethasone Sodium Phos Usp",,,,1,1,,"1 MG"
"J1100","Dexamethasone sodium phos","GALLIPOT","51552002504","51552-0025-04","Dexamethasone Sodium Phos Usp",,,,1,1,,"1 MG"
"J1100","Dexamethasone sodium phos","GALLIPOT","51552002505","51552-0025-05","Dexamethasone Sodium Phos Usp",,,,1,1,,"1 MG"
"J7510","Prednisolone oral per 5 mg","GALLIPOT","51552002602","51552-0026-02","Prednisolone Andy Micro Usp",,,,1,1,,"5 MG"
"J7510","Prednisolone oral per 5 mg","GALLIPOT","51552002604","51552-0026-04","Prednisolone Anhy Micro Usp",,,,1,1,,"5 MG"
"J2650","Prednisolone acetate inj","GALLIPOT","51552002702","51552-0027-02","Prednisolone Acetate Usp",,,,1,1,,"1 ML"
"J2650","Prednisolone acetate inj","GALLIPOT","51552002704","51552-0027-04","Prednisolone Acetate Usp",,,,1,1,,"1 ML"
"J7506","Prednisone oral","GALLIPOT","51552002801","51552-0028-01","Prednisone Usp",,,,,,,"5 MG"
"J7506","Prednisone oral","GALLIPOT","51552002802","51552-0028-02","Prednisone Usp",,,,1,1,,"5 MG"
"J7506","Prednisone oral","GALLIPOT","51552002804","51552-0028-04","Prednisone Usp",,,,1,1,,"5 MG"
"J7506","Prednisone oral","GALLIPOT","51552002805","51552-0028-05","Prednisone Usp",,,,,,,"5 MG"
"J7506","Prednisone oral","GALLIPOT","51552002806","51552-0028-06","Prednisone Usp",,,,1,1,,"5 MG"
"J3301","Triamcinolone acetonide inj","GALLIPOT","51552003301","51552-0033-01","Triamcinolone Acetonide Usp",,,,1,1,,"10 MG"
"J3301","Triamcinolone acetonide inj","GALLIPOT","51552003302","51552-0033-02","Triamcinolone Acetonide Usp",,,,1,1,,"10 MG"
"J3301","Triamcinolone acetonide inj","GALLIPOT","51552003303","51552-0033-03","Triamcinolone Acetonide Usp",,,,1,1,,"10 MG"
"J3301","Triamcinolone acetonide inj","GALLIPOT","51552003305","51552-0033-05","Triamcinolone Acetonide Usp",,,,1,,,"10 MG"
"J7642","Glycopyrrolate inhal sol con","GALLIPOT","51552004220","51552-0042-20","Glycopyrrolate",,,,,,,"1 MG"
"J7602","Albuterol inh non-comp con","GALLIPOT","51552004401","51552-0044-01","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7603","Albuterol inh non-comp u d ","GALLIPOT","51552004401","51552-0044-01","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7611","Albuterol non-comp con","GALLIPOT","51552004401","51552-0044-01","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7613","Albuterol non-comp unit","GALLIPOT","51552004401","51552-0044-01","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4093","Albuterol inh non-comp con","GALLIPOT","51552004401","51552-0044-01","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4094","Albuterol inh non-comp u d ","GALLIPOT","51552004401","51552-0044-01","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7611","Albuterol concentrated form","GALLIPOT","51552004402","51552-0044-02","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7613","Albuterol unit dose","GALLIPOT","51552004402","51552-0044-02","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7611","Albuterol concentrated form","GALLIPOT","51552004404","51552-0044-04","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7613","Albuterol unit dose","GALLIPOT","51552004404","51552-0044-04","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7611","Albuterol concentrated form","GALLIPOT","51552004405","51552-0044-05","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7613","Albuterol unit dose","GALLIPOT","51552004405","51552-0044-05","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7611","Albuterol concentrated form","GALLIPOT","51552004407","51552-0044-07","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7613","Albuterol unit dose","GALLIPOT","51552004407","51552-0044-07","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7602","Albuterol inh non-comp con","GALLIPOT","51552004410","51552-0044-10","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7603","Albuterol inh non-comp u d ","GALLIPOT","51552004410","51552-0044-10","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7611","Albuterol non-comp con","GALLIPOT","51552004410","51552-0044-10","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7613","Albuterol non-comp unit","GALLIPOT","51552004410","51552-0044-10","Albuterol Sulfate","1 MG",100,1,100,100,,
"Q4093","Albuterol inh non-comp con","GALLIPOT","51552004410","51552-0044-10","Albuterol Sulfate","1 MG",100,1,100,100,,
"Q4094","Albuterol inh non-comp u d ","GALLIPOT","51552004410","51552-0044-10","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7602","Albuterol inh non-comp con","GALLIPOT","51552004411","51552-0044-11","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7603","Albuterol inh non-comp u d ","GALLIPOT","51552004411","51552-0044-11","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7611","Albuterol non-comp con","GALLIPOT","51552004411","51552-0044-11","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7613","Albuterol non-comp unit","GALLIPOT","51552004411","51552-0044-11","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4093","Albuterol inh non-comp con","GALLIPOT","51552004411","51552-0044-11","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4094","Albuterol inh non-comp u d ","GALLIPOT","51552004411","51552-0044-11","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7602","Albuterol inh non-comp con","GALLIPOT","51552004425","51552-0044-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7603","Albuterol inh non-comp u d ","GALLIPOT","51552004425","51552-0044-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7611","Albuterol non-comp con","GALLIPOT","51552004425","51552-0044-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7613","Albuterol non-comp unit","GALLIPOT","51552004425","51552-0044-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"Q4093","Albuterol inh non-comp con","GALLIPOT","51552004425","51552-0044-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"Q4094","Albuterol inh non-comp u d ","GALLIPOT","51552004425","51552-0044-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"J0704","Betamethasone sod phosp/4 MG","GALLIPOT","51552006401","51552-0064-01","Betamethasone Sod Phos",,,,1,1,,"4 MG"
"J0704","Betamethasone sod phosp/4 MG","GALLIPOT","51552006402","51552-0064-02","Betamethasone Sod Phos",,,,1,1,,"4 MG"
"Q0164","Prochlorperazine maleate 5mg","GALLIPOT","51552007405","51552-0074-05","Prochlorperazine Maleate Pwd Usp",,,,1,1,,"5 MG"
"Q0165","Prochlorperazine maleate10mg","GALLIPOT","51552007405","51552-0074-05","Prochlorperazine Maleate Pwd Usp",,,,1,1,,"10 MG"
"Q0164","Prochlorperazine maleate 5mg","GALLIPOT","51552007409","51552-0074-09","Prochlorperazine Maleate Pwd Usp",,,,1,1,,"5 MG"
"Q0165","Prochlorperazine maleate10mg","GALLIPOT","51552007409","51552-0074-09","Prochlorperazine Maleate Pwd Usp",,,,1,1,,"10 MG"
"J7669","Metaproterenol inh sol u d","GALLIPOT","51552007902","51552-0079-02","Metaproterenol Sulfate Usp/Nf",,,,1,1,,"10 MG"
"J7669","Metaproterenol inh sol u d","GALLIPOT","51552007904","51552-0079-04","Metaproterenol Sulfate Usp/Nf",,,,1,1,,"10 MG"
"J7669","Metaproterenol inh sol u d","GALLIPOT","51552007905","51552-0079-05","Metaproterenol Sulfate Usp/Nf",,,,1,1,,"10 MG"
"J1060","Testosterone cypionate 1 ML","GALLIPOT","51552010402","51552-0104-02","Testosterone Cypionate Usp/Nf",,,,1,1,,"1 ML"
"J1070","Testosterone cypionat 100 MG","GALLIPOT","51552010402","51552-0104-02","Testosterone Cypionate Usp/Nf",,,,1,1,,"100 MG"
"J1080","Testosterone cypionat 200 MG","GALLIPOT","51552010402","51552-0104-02","Testosterone Cypionate Usp/Nf",,,,1,1,,"200 MG"
"J1060","Testosterone cypionate 1 ML","GALLIPOT","51552010404","51552-0104-04","Testosterone Cypionate Usp/Nf",,,,1,1,,"1 ML"
"J1070","Testosterone cypionat 100 MG","GALLIPOT","51552010404","51552-0104-04","Testosterone Cypionate Usp/Nf",,,,1,1,,"100 MG"
"J1080","Testosterone cypionat 200 MG","GALLIPOT","51552010404","51552-0104-04","Testosterone Cypionate Usp/Nf",,,,1,1,,"200 MG"
"J1060","Testosterone cypionate 1 ML","GALLIPOT","51552010405","51552-0104-05","Testosterone Cypionate Usp/Nf",,,,1,1,,"1 ML"
"J1070","Testosterone cypionat 100 MG","GALLIPOT","51552010405","51552-0104-05","Testosterone Cypionate Usp/Nf",,,,1,1,,"100 MG"
"J1080","Testosterone cypionat 200 MG","GALLIPOT","51552010405","51552-0104-05","Testosterone Cypionate Usp/Nf",,,,1,1,,"200 MG"
"J2001","Lidocaine injection","GALLIPOT","51552010604","51552-0106-04","Lidocaine Hcl Usp/N",,,,1,1,,"10 MG"
"J2001","Lidocaine injection","GALLIPOT","51552010605","51552-0106-05","Lidocaine Hcl Usp/Nf",,,,1,1,,"10 MG"
"J2001","Lidocaine injection","GALLIPOT","51552010606","51552-0106-06","Lidocaine Hcl Usp/Nf",,,,1,1,,"10 MG"
"J2001","Lidocaine injection","GALLIPOT","51552010607","51552-0106-07","Lidocaine Hcl Usp/Nf",,,,1,1,,"10 MG"
"J2001","Lidocaine injection","GALLIPOT","51552010609","51552-0106-09","Lidocaine Hcl Usp/Nf",,,,1,1,,"10 MG"
"J1200","DiphenhydrAMIne hcl injectio","GALLIPOT","51552012402","51552-0124-02","Diphenhydramine Hcl Usp/Nf",,,,1,1,,"50 MG"
"Q0163","DiphenhydrAMIne HCl 50mg","GALLIPOT","51552012402","51552-0124-02","Diphenhydramine Hcl Usp/Nf",,,,1,1,,"50 MG"
"J1200","DiphenhydrAMIne hcl injectio","GALLIPOT","51552012404","51552-0124-04","Diphenhydramine Hcl Usp/Nf",,,,1,1,,"50 MG"
"Q0163","DiphenhydrAMIne HCl 50mg","GALLIPOT","51552012404","51552-0124-04","Diphenhydramine Hcl Usp/Nf",,,,1,1,,"50 MG"
"J1200","DiphenhydrAMIne hcl injectio","GALLIPOT","51552012405","51552-0124-05","Diphenhydramine Hcl Usp",,,,1,1,,"50 MG"
"Q0163","DiphenhydrAMIne HCl 50mg","GALLIPOT","51552012405","51552-0124-05","Diphenhydramine Hcl Usp",,,,1,1,,"50 MG"
"J2001","Lidocaine injection","GALLIPOT","51552014504","51552-0145-04","Lidocaine Usp/Nf",,,,1,1,,"10 MG"
"J2001","Lidocaine injection","GALLIPOT","51552014505","51552-0145-05","Lidocaine Usp/Nf",,,,1,1,,"10 MG"
"J2001","Lidocaine injection","GALLIPOT","51552014506","51552-0145-06","Lidocaine Usp/Nf",,,,1,1,,"10 MG"
"J2550","Promethazine hcl injection","GALLIPOT","51552014701","51552-0147-01","Promethazine Hcl Usp/Nf",,,,1,1,,"50 MG"
"Q0169","Promethazine HCl 12.5mg oral","GALLIPOT","51552014701","51552-0147-01","Promethazine Hcl Usp/Nf",,,,1,1,,"12.5 MG"
"Q0170","Promethazine HCl 25 mg oral","GALLIPOT","51552014701","51552-0147-01","Promethazine Hcl Usp/Nf",,,,1,1,,"25 MG"
"J2550","Promethazine hcl injection","GALLIPOT","51552014702","51552-0147-02","Promethazine Hcl Usp/Nf",,,,1,1,,"50 MG"
"Q0169","Promethazine HCl 12.5mg oral","GALLIPOT","51552014702","51552-0147-02","Promethazine Hcl Usp/Nf",,,,1,1,,"12.5 MG"
"Q0170","Promethazine HCl 25 mg oral","GALLIPOT","51552014702","51552-0147-02","Promethazine Hcl Usp/Nf",,,,1,1,,"25 MG"
"J2550","Promethazine hcl injection","GALLIPOT","51552014704","51552-0147-04","Promethazine Hcl Usp/Nf",,,,1,1,,"50 MG"
"Q0169","Promethazine HCl 12.5mg oral","GALLIPOT","51552014704","51552-0147-04","Promethazine Hcl Usp/Nf",,,,1,1,,"12.5 MG"
"Q0170","Promethazine HCl 25 mg oral","GALLIPOT","51552014704","51552-0147-04","Promethazine Hcl Usp/Nf",,,,1,1,,"25 MG"
"J2550","Promethazine hcl injection","GALLIPOT","51552014705","51552-0147-05","Promethazine Hcl Usp/Nf",,,,1,1,,"50 MG"
"Q0169","Promethazine HCl 12.5mg oral","GALLIPOT","51552014705","51552-0147-05","Promethazine Hcl Usp/Nf",,,,1,1,,"12.5 MG"
"Q0170","Promethazine HCl 25 mg oral","GALLIPOT","51552014705","51552-0147-05","Promethazine Hcl Usp/Nf",,,,1,1,,"25 MG"
"J0460","Atropine sulfate injection","GALLIPOT","51552015602","51552-0156-02","Atropine Sulfate Mono Pwd Usp/Nf",,,,1,1,,"0.3 MG"
"J0460","Atropine sulfate injection","GALLIPOT","51552015604","51552-0156-04","Atropine Sulfate Mono Pwd Usp/Nf",,,,,,,"0.3 MG"
"J2765","MetocloprAMIde hcl injection","GALLIPOT","51552018003","51552-0180-03","Metoclopramide Hcl Mono Usp",,,,1,1,,"10 MG"
"J2765","MetocloprAMIde hcl injection","GALLIPOT","51552018004","51552-0180-04","Metoclopramide Hcl Mono Usp",,,,1,1,,"10 MG"
"J2765","MetocloprAMIde hcl injection","GALLIPOT","51552018005","51552-0180-05","Metoclopramide Hcl Mono Usp",,,,1,1,,"10 MG"
"J0132","Acetylcysteine injection","Gallipot, Inc.","51552020104","51552-0201-04","ACETYLCYSTEINE USP/NF",,,,,,,"100 MG"
"J0132","Acetylcysteine injection","Gallipot, Inc.","51552020105","51552-0201-05","ACETYLCYSTEINE USP/NF",,,,,,,"100 MG"
"J0132","Acetylcysteine injection","Gallipot, Inc.","51552020107","51552-0201-07","ACETYLCYSTEINE USP/NF",,,,,,,"100 MG"
"J2370","Phenylephrine hcl injection","GALLIPOT","51552023202","51552-0232-02","Phenylephrine Hcl Usp/Nf",,,,1,1,,"1 ML"
"J2370","Phenylephrine hcl injection","GALLIPOT","51552023204","51552-0232-04","Phenylephrine Hcl Usp/Nf",,,,1,1,,"1 ML"
"J2370","Phenylephrine hcl injection","GALLIPOT","51552023205","51552-0232-05","Phenylephrine Hcl Usp/Nf",,,,1,1,,"1 ML"
"J1110","Inj dihydroergotAMIne mesylt","GALLIPOT","51552023301","51552-0233-01","Dihydroergotamine Mesylate Usp/Nf","1 MG",1,5,1,1,,
"J1110","Inj dihydroergotAMIne mesylt","GALLIPOT","51552023302","51552-0233-02","Dihydroergotamine Mesylate Usp/Nf",,,,1,1,,"1 MG"
"J1110","Inj dihydroergotAMIne mesylt","GALLIPOT","51552023305","51552-0233-05","Dihydroergotamine Mesylate Usp/Nf","1 MG",1,5,1,1,,
"J0285","Amphotericin B","GALLIPOT","51552030401","51552-0304-01","Amphotericin B Usp","50 MG",1,1,1,1,,
"J0285","Amphotericin B","GALLIPOT","51552030402","51552-0304-02","Amphotericin B Usp","50 MG",1,1,1,1,,
"J0285","Amphotericin B","GALLIPOT","51552030403","51552-0304-03","Amphotericin B Usp","50 MG",1,1,1,1,,
"J0285","Amphotericin B","GALLIPOT","51552030404","51552-0304-04","Amphotericin B Usp","50 MG",1,1,1,1,,
"J0285","Amphotericin B","GALLIPOT","51552030405","51552-0304-05","Amphotericin B Usp","50 MG",1,1,1,1,,
"J0285","Amphotericin B","GALLIPOT","51552030409","51552-0304-09","Amphotericin B Usp","50 MG",1,1,1,1,,
"J0280","AMInophyllin 250 MG inj","Gallipot, Inc.","51552031305","51552-0313-05","AMINOPHYLLINE ANHY POWDER USP",,,,,,,"250 MG"
"J7644","Ipratropium brom inh sol u d","GALLIPOT","51552039301","51552-0393-01","Ipratropium Bromide","1 MG",1,1,1,1,,
"J7644","Ipratropium brom inh sol u d","GALLIPOT","51552039302","51552-0393-02","Ipratropium Bromide","1 MG",1,1,1,1,,
"J7644","Ipratropium brom inh sol u d","GALLIPOT","51552039304","51552-0393-04","Ipratropium Bromide","1 MG",1,1,1,1,,
"J7644","Ipratropium brom inh sol u d","GALLIPOT","51552039305","51552-0393-05","Ipratropium Bromide","1 MG",1,1,1,1,,
"J2690","ProcainAMIde hcl injection","GALLIPOT","51552039704","51552-0397-04","Procainamide Hcl",,,,1,1,,"1 GM"
"J2690","ProcainAMIde hcl injection","GALLIPOT","51552039705","51552-0397-05","Procainamide Hcl",,,,1,1,,"1 GM"
"J2690","ProcainAMIde hcl injection","GALLIPOT","51552039706","51552-0397-06","Procainamide Hcl",,,,1,1,,"1 GM"
"J2440","Papaverin hcl injection","GALLIPOT","51552041602","51552-0416-02","Papaverine Hcl",,,,1,1,,"60 MG"
"J2440","Papaverin hcl injection","GALLIPOT","51552041604","51552-0416-04","Papaverine Hcl",,,,1,1,,"60 MG"
"J2440","Papaverin hcl injection","GALLIPOT","51552041605","51552-0416-05","Papaverine Hcl",,,,1,1,,"60 MG"
"J7631","Cromolyn sodium inh sol u d","GALLIPOT","51552042302","51552-0423-02","Cromolyn Sodium","10 MG",1,1,500,500,,
"J7631","Cromolyn sodium inh sol u d","GALLIPOT","51552042304","51552-0423-04","Cromolyn Sodium","10 MG",1,1,2500,2500,,
"J7631","Cromolyn sodium inh sol u d","GALLIPOT","51552042305","51552-0423-05","Cromolyn Sodium","10 MG",1,1,10000,10000,,
"J1094","Dexamethasone acetate","GALLIPOT","51552043001","51552-0430-01","Dexamethasone Micro Usp",,,,1,1,,"1 MG"
"J1100","Dexamethasone sodium phos","GALLIPOT","51552043001","51552-0430-01","Dexamethasone Micro Usp",,,,1,1,,"1 MG"
"J7637","Dexamethasone inhal sol con","GALLIPOT","51552043001","51552-0430-01","Dexamethasone Micro Usp",,,,1,1,,"1 MG"
"J1094","Dexamethasone acetate","GALLIPOT","51552043002","51552-0430-02","Dexamethasone Micro Usp",,,,1,1,,"1 MG"
"J1100","Dexamethasone sodium phos","GALLIPOT","51552043002","51552-0430-02","Dexamethasone Micro Usp",,,,1,1,,"1 MG"
"J7637","Dexamethasone inhal sol con","GALLIPOT","51552043002","51552-0430-02","Dexamethasone Micro Usp",,,,1,1,,"1 MG"
"J1094","Dexamethasone acetate","GALLIPOT","51552043004","51552-0430-04","Dexamethasone Micro Usp",,,,1,1,,"1 MG"
"J1100","Dexamethasone sodium phos","GALLIPOT","51552043004","51552-0430-04","Dexamethasone Micro Usp",,,,1,1,,"1 MG"
"J7637","Dexamethasone inhal sol con","GALLIPOT","51552043004","51552-0430-04","Dexamethasone Micro Usp",,,,1,1,,"1 MG"
"J3105","Terbutaline sulfate inj","GALLIPOT","51552044603","51552-0446-03","Terbutaline Sulfate Usp","1 MG",1,1,10000,10000,,
"J7680","Terbutaline so4 inh sol con","GALLIPOT","51552044603","51552-0446-03","Terbutaline Sulfate",,1,1,10000,10000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","GALLIPOT","51552044603","51552-0446-03","Terbutaline Sulfate",,1,1,10000,10000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","GALLIPOT","51552044604","51552-0446-04","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","GALLIPOT","51552044604","51552-0446-04","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J1320","AMItriptyline injection","GALLIPOT","51552046402","51552-0464-02","Amitriptyline Hcl",,,,1,1,,"20 MG"
"J1320","AMItriptyline injection","GALLIPOT","51552046404","51552-0464-04","Amitriptyline Hcl",,,,1,1,,"20 MG"
"J1320","AMItriptyline injection","GALLIPOT","51552046405","51552-0464-05","Amitriptyline Hcl",,,,1,1,,"20 MG"
"J1320","AMItriptyline injection","GALLIPOT","51552046406","51552-0464-06","Amitriptyline Hcl",,,,,,,"20 MG"
"J1320","AMItriptyline injection","Gallipot, Inc.","51552046407","51552-0464-07","AMITRIPTYLINE HCL",,,,,,,"20 MG"
"J0735","Clonidine hydrochloride","GALLIPOT","51552048001","51552-0480-01","Clonidine Hcl",,,,1,1,,"1 MG"
"J0735","Clonidine hydrochloride","GALLIPOT","51552048002","51552-0480-02","Clonidine Hcl",,,,1,1,,"1 MG"
"J0735","Clonidine hydrochloride","GALLIPOT","51552048004","51552-0480-04","Clonidine Hcl",,,,1,1,,"1 MG"
"J2810","Inj theophylline per 40 MG","GALLIPOT","51552048705","51552-0487-05","Theophylline",,,,,,,"40 MG"
"J2760","Phentolaine mesylate inj","GALLIPOT","51552049601","51552-0496-01","Phentolamine Mesylate Usp",,,,1,1,,"5 MG"
"J2760","Phentolaine mesylate inj","GALLIPOT","51552049602","51552-0496-02","Phentolamine Mesylate Usp",,,,1,1,,"5 MG"
"J2760","Phentolaine mesylate inj","GALLIPOT","51552049603","51552-0496-03","Phentolamine Mesylate Usp",,,,,,,"5 MG"
"J2760","Phentolaine mesylate inj","GALLIPOT","51552049604","51552-0496-04","Phentolamine Mesylate Usp",,,,1,1,,"5 MG"
"J2760","Phentolaine mesylate inj","GALLIPOT","51552049605","51552-0496-05","Phentolamine Mesylate Usp",,,,1,1,,"5 MG"
"J2760","Phentolaine mesylate inj","GALLIPOT","51552049609","51552-0496-09","Phentolamine Mesylate Usp",,,,1,1,,"5 MG"
"J0170","Adrenalin epinephrin inject","GALLIPOT","51552052603","51552-0526-03","Epinephrine Hcl",,,,1,1,,"1 ML"
"J1165","Phenytoin sodium injection","GALLIPOT","51552053204","51552-0532-04","Phenytoin Sodium",,,,,,,"50 MG"
"J7509","Methylprednisolone oral","GALLIPOT","51552060302","51552-0603-02","Methylprednisolone","4 MG",1,1,1250,1250,,
"J7641","Flunisolide, inhalation sol","GALLIPOT","51552061101","51552-0611-01","Flunisolide",,1,1,1000,1000,,"1 MG"
"J7641","Flunisolide, inhalation sol","GALLIPOT","51552061102","51552-0611-02","Flunisolide",,1,1,5000,5000,,"1 MG"
"J0475","Baclofen 10 MG injection","Gallipot, Inc.","51552061302","51552-0613-02","BACLOFEN",,,,,,,"10 MG"
"J0475","Baclofen 10 MG injection","Gallipot, Inc.","51552061304","51552-0613-04","BACLOFEN",,,,,,,"10 MG"
"J0475","Baclofen 10 MG injection","Gallipot, Inc.","51552061305","51552-0613-05","BACLOFEN",,,,,,,"10 MG"
"J2780","Ranitidine hydrochloride inj","GALLIPOT","51552062002","51552-0620-02","Ranitidine Hcl Usp",,,,1,1,,"25 MG"
"J2780","Ranitidine hydrochloride inj","GALLIPOT","51552062004","51552-0620-04","Ranitidine Hcl Usp",,,,1,1,,"25 MG"
"J2780","Ranitidine hydrochloride inj","GALLIPOT","51552062005","51552-0620-05","Ranitidine Hcl Usp",,,,1,1,,"25 MG"
"J2590","Oxytocin injection","GALLIPOT","51552063109","51552-0631-09","Oxytocin",,,,1,1,,"10 UNITS"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552064304","51552-0643-04","Progesterone",,,,,,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552064305","51552-0643-05","Progesterone",,,,,,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552064307","51552-0643-07","Progesterone",,,,1,1,,"50 MG"
"J7633","Budesonide concentrated sol","GALLIPOT","51552066801","51552-0668-01","Budesonide Micronized",,1,1,4000,4000,,"0.25 MG"
"J0133","Acyclovir injection","Gallipot, Inc.","51552067101","51552-0671-01","ACYCLOVIR USP",,,,,,,"5 MG"
"J0133","Acyclovir injection","Gallipot, Inc.","51552067102","51552-0671-02","ACYCLOVIR USP",,,,,,,"5 MG"
"J0133","Acyclovir injection","Gallipot, Inc.","51552067104","51552-0671-04","ACYCLOVIR USP",,,,,,,"5 MG"
"J0133","Acyclovir injection","Gallipot, Inc.","51552067105","51552-0671-05","ACYCLOVIR USP",,,,,,,"5 MG"
"J2010","Lincomycin injection","GALLIPOT","51552067405","51552-0674-05","Lincomycin Hcl",,,,1,1,,"300 MG"
"J1240","Dimenhydrinate injection","GALLIPOT","51552067604","51552-0676-04","Dimenhydrinate",,,,1,1,,"50 MG"
"J1240","Dimenhydrinate injection","GALLIPOT","51552067605","51552-0676-05","Dimenhydrinate",,,,1,1,,"50 MG"
"J2270","Morphine sulfate injection","GALLIPOT","51552067804","51552-0678-04","Morphine Sulfate",,,,1,1,,"10 MG"
"J2270","Morphine sulfate injection","GALLIPOT","51552067806","51552-0678-06","Morphine Sulfate",,,,1,1,,"10 MG"
"J2175","Meperidine hydrochl /100 MG","GALLIPOT","51552068602","51552-0686-02","Meperidine Hcl",,,,1,1,,"100 MG"
"J3010","Fentanyl citrate injeciton","GALLIPOT","51552068701","51552-0687-01","Fentanyl Citrate",,,,,,,"0.1 MG"
"J3010","Fentanyl citrate injeciton","GALLIPOT","51552068702","51552-0687-02","Fentanyl Citrate",,,,,,,"0.1 MG"
"J3010","Fentanyl citrate injeciton","GALLIPOT","51552068709","51552-0687-09","Fentanyl Citrate",,,,,,,"0.1 MG"
"J0745","Inj codeine phosphate /30 MG","GALLIPOT","51552068802","51552-0688-02","Codeine Phosphate",,,,1,1,,"30 MG"
"J0745","Inj codeine phosphate /30 MG","GALLIPOT","51552068804","51552-0688-04","Codeine Phosphate",,,,1,1,,"30 MG"
"J1230","Methadone injection","GALLIPOT","51552072801","51552-0728-01","Methadone Hcl",,,,1,1,,"10 MG"
"J1230","Methadone injection","GALLIPOT","51552072802","51552-0728-02","Methadone Hcl",,,,1,1,,"10 MG"
"J1230","Methadone injection","GALLIPOT","51552072804","51552-0728-04","Methadone Hcl",,,,1,1,,"10 MG"
"J2060","Lorazepam injection","GALLIPOT","51552072901","51552-0729-01","Lorazepam",,,,1,1,,"2 MG"
"J2060","Lorazepam injection","GALLIPOT","51552072902","51552-0729-02","Lorazepam",,,,1,1,,"2 MG"
"J2060","Lorazepam injection","GALLIPOT","51552072904","51552-0729-04","Lorazepam",,,,1,1,,"2 MG"
"J2060","Lorazepam injection","GALLIPOT","51552072909","51552-0729-09","Lorazepam",,,,1,1,,"2 MG"
"J3410","Hydroxyzine hcl injection","GALLIPOT","51552073104","51552-0731-04","Hydroxyzine Hcl Usp",,,,1,1,,"25 MG"
"J3410","Hydroxyzine hcl injection","GALLIPOT","51552073105","51552-0731-05","Hydroxyzine Hcl Usp",,,,,,,"25 MG"
"J9190","Fluorouracil injection","GALLIPOT","51552073301","51552-0733-01","Fluorouracil",,,,1,1,,"500 MG"
"J9190","Fluorouracil injection","GALLIPOT","51552073302","51552-0733-02","Fluorouracil",,,,,,,"500 MG"
"J9190","Fluorouracil injection","GALLIPOT","51552073304","51552-0733-04","Fluorouracil",,,,1,1,,"500 MG"
"J2590","Oxytocin injection","GALLIPOT","51552073502","51552-0735-02","Sodium Phosphate",,,,1,1,,"10 UNITS"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552073804","51552-0738-04","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552073805","51552-0738-05","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552073806","51552-0738-06","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552073807","51552-0738-07","Progesterone",,,,1,1,,"50 MG"
"J0500","Dicyclomine injection","GALLIPOT","51552074104","51552-0741-04","Dicyclomine Hcl",,,,1,1,,"20 MG"
"J0592","Buprenorphine hydrochloride","GALLIPOT","51552076501","51552-0765-01","Buprenorphine Hcl",,,,1,1,,"0.1 MG"
"J0592","Buprenorphine hydrochloride","GALLIPOT","51552076506","51552-0765-06","Buprenorphine Hcl",,,,1,1,,"0.1 MG"
"J0592","Buprenorphine hydrochloride","GALLIPOT","51552076509","51552-0765-09","Buprenorphine Hcl",,,,1,1,,"0.1 MG"
"J7500","Azathioprine oral 50mg","GALLIPOT","51552077902","51552-0779-02","Azathioprine Usp",,,,1,1,,"50 MG"
"J7501","Azathioprine parenteral","GALLIPOT","51552077902","51552-0779-02","Azathioprine Usp",,,,1,1,,"100 MG"
"J7500","Azathioprine oral 50mg","GALLIPOT","51552077905","51552-0779-05","Azathioprine Usp",,,,1,1,,"50 MG"
"J7501","Azathioprine parenteral","GALLIPOT","51552077905","51552-0779-05","Azathioprine Usp",,,,1,1,,"100 MG"
"J3260","Tobramycin sulfate injection","GALLIPOT","51552078901","51552-0789-01","Tobramycin Sulfate Usp",,,,1,1,,"80 MG"
"J7682","Tobramycin inhalation sol","GALLIPOT","51552078901","51552-0789-01","Tobramycin Sulfate Usp",,,,1,1,,"300 MG"
"J3260","Tobramycin sulfate injection","GALLIPOT","51552078902","51552-0789-02","Tobramycin Sulfate Usp",,,,1,1,,"80 MG"
"J7682","Tobramycin inhalation sol","GALLIPOT","51552078902","51552-0789-02","Tobramycin Sulfate Usp",,,,1,1,,"300 MG"
"J3260","Tobramycin sulfate injection","GALLIPOT","51552078904","51552-0789-04","Tobramycin Sulfate Usp",,,,1,1,,"80 MG"
"J7682","Tobramycin inhalation sol","GALLIPOT","51552078904","51552-0789-04","Tobramycin Sulfate Usp",,,,1,1,,"300 MG"
"J3260","Tobramycin sulfate injection","GALLIPOT","51552078905","51552-0789-05","Tobramycin Sulfate Usp",,,,,,,"80 MG"
"J1051","Medroxyprogesterone inj","GALLIPOT","51552079001","51552-0790-01","Medroxyprogesterone Micro",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552082903","51552-0829-03","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552082904","51552-0829-04","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552082905","51552-0829-05","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552082906","51552-0829-06","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552082907","51552-0829-07","Progesterone",,,,1,1,,"50 MG"
"J0970","Estradiol valerate injection","GALLIPOT","51552088802","51552-0888-02","Estradiol Valerate Usp",,,,,,,"40 MG"
"J1380","Estradiol valerate 10 MG inj","GALLIPOT","51552088802","51552-0888-02","Estradiol Valerate Usp",,,,,,,"10 MG"
"J1390","Estradiol valerate 20 MG inj","GALLIPOT","51552088802","51552-0888-02","Estradiol Valerate Usp",,,,,,,"20 MG"
"J0970","Estradiol valerate injection","GALLIPOT","51552088804","51552-0888-04","Estradiol Valerate Usp",,,,1,1,,"40 MG"
"J1380","Estradiol valerate 10 MG inj","GALLIPOT","51552088804","51552-0888-04","Estradiol Valerate Usp",,,,1,1,,"10 MG"
"J1390","Estradiol valerate 20 MG inj","GALLIPOT","51552088804","51552-0888-04","Estradiol Valerate Usp",,,,1,1,,"20 MG"
"J1835","Itraconazole injection","GALLIPOT","51552092002","51552-0920-02","Itraconazole",,,,1,1,,"50 MG"
"J1835","Itraconazole injection","GALLIPOT","51552092004","51552-0920-04","Itraconazole",,,,1,1,,"50 MG"
"J1940","Furosemide injection","GALLIPOT","51552094002","51552-0940-02","Furosemide",,,,1,1,,"20 MG"
"J0515","Inj benztropine mesylate","GALLIPOT","51552095201","51552-0952-01","Benztropine Mesylate",,,,,,,"1 MG"
"J1020","Methylprednisolone 20 MG inj","GALLIPOT","51552095802","51552-0958-02","Methylprednisolone Acetate Usp",,,,1,1,,"20 MG"
"J1030","Methylprednisolone 40 MG inj","GALLIPOT","51552095802","51552-0958-02","Methylprednisolone Acetate Usp",,,,1,1,,"40 MG"
"J7509","Methylprednisolone oral","GALLIPOT","51552095802","51552-0958-02","Methylprednisolone Acetate Usp",,,,1,1,,"4 MG"
"J1020","Methylprednisolone 20 MG inj","GALLIPOT","51552095804","51552-0958-04","Methylprednisolone Acetate Usp",,,,1,1,,"20 MG"
"J1030","Methylprednisolone 40 MG inj","GALLIPOT","51552095804","51552-0958-04","Methylprednisolone Acetate Usp",,,,1,1,,"40 MG"
"J7509","Methylprednisolone oral","GALLIPOT","51552095804","51552-0958-04","Methylprednisolone Acetate Usp",,,,1,1,,"4 MG"
"J1020","Methylprednisolone 20 MG inj","GALLIPOT","51552095805","51552-0958-05","Methylprednisolone Acetate Usp",,,,1,1,,"20 MG"
"J1030","Methylprednisolone 40 MG inj","GALLIPOT","51552095805","51552-0958-05","Methylprednisolone Acetate Usp",,,,1,1,,"40 MG"
"J7509","Methylprednisolone oral","GALLIPOT","51552095805","51552-0958-05","Methylprednisolone Acetate Usp",,,,1,1,,"4 MG"
"Q0177","Hydroxyzine pamoate 25mg","GALLIPOT","51552097904","51552-0979-04","Hydroxyzine Pamoate","25 MG",1,1,1,1,,
"Q0178","Hydroxyzine pamoate 50mg","GALLIPOT","51552097904","51552-0979-04","Hydroxyzine Pamoate",,,1,0.5,0.5,,"50 MG"
"J0760","Colchicine injection","GALLIPOT","51552099101","51552-0991-01","Colchicine",,,,1,1,,"1 MG"
"J2800","Methocarbamol injection","GALLIPOT","51552101805","51552-1018-05","Methocarbamol Usp",,,,1,1,,"10 ML"
"J2800","Methocarbamol injection","GALLIPOT","51552101806","51552-1018-06","Methocarbamol Usp",,,,,,,"10 ML"
"J2800","Methocarbamol injection","GALLIPOT","51552101808","51552-1018-08","Methocarbamol Usp",,,,1,1,,"10 ML"
"J3360","Diazepam injection","GALLIPOT","51552102502","51552-1025-02","Diazepam Usp",,,,1,1,,"5 MG"
"J3360","Diazepam injection","GALLIPOT","51552102504","51552-1025-04","Diazepam Usp",,,,1,1,,"5 MG"
"J3360","Diazepam injection","GALLIPOT","51552102505","51552-1025-05","Diazepam Usp",,,,1,1,,"5 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552102804","51552-1028-04","Progesterone",,,,1,1,,"50 MG"
"J1450","Fluconazole","GALLIPOT","51552103101","51552-1031-01","Fluconazole",,,,1,1,,"200 MG"
"J1450","Fluconazole","GALLIPOT","51552103102","51552-1031-02","Fluconazole",,,,1,1,,"200 MG"
"J1450","Fluconazole","GALLIPOT","51552103104","51552-1031-04","Fluconazole",,,,1,1,,"200 MG"
"J1450","Fluconazole","GALLIPOT","51552103105","51552-1031-05","Fluconazole",,,,,,,"200 MG"
"J3370","Vancomycin hcl injection","GALLIPOT","51552103601","51552-1036-01","Vancomycin Hydrochloride Usp",,,,1,1,,"500 MG"
"J8610","Methotrexate oral 2.5 MG","GALLIPOT","51552105401","51552-1054-01","Methotrexate Usp",,,,1,1,,"2.5 MG"
"J9250","Methotrexate sodium inj","GALLIPOT","51552105401","51552-1054-01","Methotrexate Usp",,,,1,1,,"5 MG"
"J9260","Methotrexate sodium inj","GALLIPOT","51552105401","51552-1054-01","Methotrexate Usp",,,,1,1,,"50 MG"
"J8610","Methotrexate oral 2.5 MG","GALLIPOT","51552105409","51552-1054-09","Methotrexate Usp",,,,1,1,,"2.5 MG"
"J9250","Methotrexate sodium inj","GALLIPOT","51552105409","51552-1054-09","Methotrexate Usp",,,,1,1,,"5 MG"
"J9260","Methotrexate sodium inj","GALLIPOT","51552105409","51552-1054-09","Methotrexate Usp",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552106601","51552-1066-01","Progesterone",,,,,,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552106604","51552-1066-04","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552106605","51552-1066-05","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552106606","51552-1066-06","Progesterone",,,,1,1,,"50 MG"
"J2675","Inj progesterone per 50 MG","GALLIPOT","51552106607","51552-1066-07","Progesterone",,,,1,1,,"50 MG"
"J7506","Prednisone oral","PHARMACEUTICAL CORP OF AMERICA","51655002024","51655-0020-24","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","PHARMACEUTICAL CORP OF AMERICA","51655002052","51655-0020-52","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","PHARMACEUTICAL CORP OF AMERICA","51655002053","51655-0020-53","Prednisone","5 MG",10,1,40,40,,
"Q0170","Promethazine HCl 25 mg oral","PHARMACEUTICAL CORP OF AMERICA","51655008427","51655-0084-27","Promethazine Hcl","25 MG",12,1,12,12,,
"J7506","Prednisone oral","PHARMACEUTICAL CORP OF AMERICA","51655008624","51655-0086-24","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","PHARMACEUTICAL CORP OF AMERICA","51655008627","51655-0086-27","Prednisone","5 MG",12,1,12,12,,
"Q0163","Diphenhydramine HCl 50mg","PHARMACEUTICAL CORP OF AMERICA","51655008824","51655-0088-24","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","PHARMACEUTICAL CORP OF AMERICA","51655008825","51655-0088-25","Diphenhydramine Hcl","50 MG",60,1,60,60,,
"Q0163","Diphenhydramine HCl 50mg","PHARMACEUTICAL CORP OF AMERICA","51655008852","51655-0088-52","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0173","Trimethobenzamide HCl 250mg","PHARMACEUTICAL CORP OF AMERICA","51655052353","51655-0523-53","Trimethobenzamide Hcl","250 MG",10,1,10,10,,
"J7510","Prednisolone oral per 5 mg","TARO PHARMACEUTICALS","51672133803","51672-1338-03","FLO-PRED","5 MG",52,1,31.2,31.2,,
"Q0162","Ondansetron oral","TARO PHARMACEUTICALS","51672409103","51672-4091-03","ONDANSETRON","1 MG",50,1,40,40,,
"Q0166","Granisetron hcl 1 mg oral","TARO PHARMACEUTICALS","51672413806","51672-4138-06","Granisetron HCl","1 MG",20,1,20,20,,
"J1570","Ganciclovir sodium injection","Exela Pharma Sciences","51754250003","51754-2500-03","Ganciclovir","500 MG",250,10,1,10,,
"Q4115","Alloskin skin sub","AlloSource","518061020","5180-61020","AlloSkin RT","1 sqcm",80,1,80,80,,
"Q4123","Alloskin","AlloSource","518061020","5180-61020","AlloSkin RT","1 SQ CM",80,1,80,80,,
"Q4115","Alloskin","AlloSource","518061052","5180-61052","AlloSkin","1 SQ CM",80,1,80,80,,
"J7635","Atropine inhal sol con","PROFESSIONAL COMPOUNDING CENTERS","51927100100","51927-1001-00","Atropine Sulfate",,,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","PCCA","51927108100","51927-1081-00","DEXAMETHASONE",,,1,120,120,,"1 MG"
"J7622","Beclomethasone inhalatn sol","PROFESSIONAL COMPOUNDING CENTERS","51927145400","51927-1454-00","Betamethasone Dipropionate",,1,1,1000,1000,,"1 MG"
"J7611","Albuterol concentrated form","PCCA","51927157300","51927-1573-00","Albuterol Sulfate","1 MG",1,1,1,1,,
"J7613","Albuterol unit dose","PCCA","51927157300","51927-1573-00","Albuterol Sulfate","1 MG",1,1,1,1,,
"J7680","Terbutaline so4 inh sol con","PROFESSIONAL COMPOUNDING CENTERS","51927276500","51927-2765-00","Terbutaline Sulfate",,1,1,1000,1000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","PROFESSIONAL COMPOUNDING CENTERS","51927276500","51927-2765-00","Terbutaline Sulfate",,1,1,1000,1000,,"1 MG"
"J7611","Albuterol concentrated form","PCCA","51927285900","51927-2859-00","Albuterol","1 MG",1,1,1,1,,
"J7613","Albuterol unit dose","PCCA","51927285900","51927-2859-00","Albuterol","1 MG",1,1,1,1,,
"J2210","Methylergonovin maleate inj","BRECKENRIDGE","51991014417","51991-0144-17","METHYLERGONOVINE MALEATE","0.2 MG",1,10,1,10,,
"J7509","Methylprednisolone oral","BRECKENRIDGE","51991018801","51991-0188-01","Methylprednisolone","4 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","BRECKENRIDGE","51991018821","51991-0188-21","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7509","Methylprednisolone oral","BRECKENRIDGE","51991018831","51991-0188-31","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"Q0164","Prochlorperazine maleate 5mg","BRECKENRIDGE","51991019601","51991-0196-01","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","BRECKENRIDGE","51991019701","51991-0197-01","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"J9025","Azacitidine injection","BRECKENRIDGE","51991079798","51991-0797-98","Azacitidine","1 MG",1,1,100,100,,
"J9263","Oxaliplatin","BRECKENRIDGE","51991092298","51991-0922-98","Oxaliplatin","0.5 MG",10,10,100,100,,
"J9263","Oxaliplatin","BRECKENRIDGE","51991092398","51991-0923-98","Oxaliplatin","0.5 MG",20,10,200,200,,
"J9267","Paclitaxel injection","BRECKENRIDGE","51991093698","51991-0936-98","Paclitaxel","1 MG",5,1,30,30,,
"J9267","Paclitaxel injection","BRECKENRIDGE","51991093798","51991-0937-98","Paclitaxel","1 MG",16.7,1,100,100,,
"J9267","Paclitaxel injection","BRECKENRIDGE","51991093898","51991-0938-98","Paclitaxel","1 MG",50,1,300,300,,
"J3370","Vancomycin hcl injection","BRECKENRIDGE","51991094017","51991-0940-17","Vancomycin HCl","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","BRECKENRIDGE","51991094117","51991-0941-17","Vancomycin HCl","500 MG",1,10,2,20,,
"J1190","Dexrazoxane hcl injection","BRECKENRIDGE PHARMACEUTICAL, INC.","51991094298","51991-0942-98","DEXRAZOXANE","250 MG",1,1,2,2,,
"J1435","Injection estrone per 1 MG","WINTEC","52047004110","52047-0041-10","Estro-5","1 MG",10,1,50,50,,
"J3095","Telavancin injection","Theravance Biopharma, Inc.","52118000101","52118-0001-01","VIBATIV","10 MG",1,1,75,75,,
"J3095","Telavancin injection","Theravance Biopharma, Inc.","52118000201","52118-0002-01","VIBATIV","10 MG",1,1,25,25,,
"Q4115","Alloskin","AlloSource","5212061052","52120-61052","AlloSkin","1 SQ CM",120,1,120,120,,
"J1980","Hyoscyamine sulfate inj","AMIDE PHARMACAL","52152014302","52152-0143-02","Hyoscyamine Sulfate",,100,1,50,50,,"0.25 MG"
"J2175","Meperidine hydrochl /100 MG","AMIDE PHARMACAL","52152015702","52152-0157-02","Meperidine Hcl","100 MG",100,1,100,100,,
"Q0173","TrimethobenzAMIde HCl 250mg","AMIDE PHARMACAL","52152018502","52152-0185-02","Trimethobenzamide Hcl",,,1,10,10,,"250 MG"
"J2180","Meperidine/promethazine inj","AMIDE PHARMACAL","52152019002","52152-0190-02","Meperidine Hcl/Promethazine Hcl Capsules",,100,1,100,100,,"50 MG"
"Q4115","Alloskin","AlloSource","522561052","5225-61052","Alloskin","1 SQ CM",25,1,25,25,,
"J7637","Dexamethasone inhal sol con","MEDTECH","52349010330","52349-0103-30","Medidex",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MEDTECH","52349010330","52349-0103-30","Medidex",,30,1,120,120,,"1 MG"
"J7637","Dexamethasone inhal sol con","MEDTECH","52349011730","52349-0117-30","Medidex",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","MEDTECH","52349011730","52349-0117-30","Medidex",,10,1,40,40,,"1 MG"
"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","52544015302","52544-0153-02","Trelstar","3.75 MG",1,1,1,1,,
"J3315","Triptorelin pamoate","WATSON","52544015376","52544-0153-76","Trelstar Depot","3.75 MG",1,1,1,1,,
"J3315","Triptorelin pamoate","WATSON","52544015402","52544-0154-02","Trelstar La","3.75 MG",1,1,3,3,,
"J3315","Triptorelin pamoate","WATSON","52544015476","52544-0154-76","Trelstar La","3.75 MG",1,1,3,3,,
"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,,
"J1751","Iron dextran 165 injection","WATSON","52544093102","52544-0931-02","Infed","50 MG",2,10,2,20,,
"Q4098","Iron dextran injection","WATSON","52544093102","52544-0931-02","Infed","50 MG",2,10,2,20,,
"J2780","Ranitidine hydrochloride inj","TELIGENT","52565009601","52565-0096-01","Zantac","25 MG",40,1,40,40,,
"J2780","Ranitidine hydrochloride inj","TELIGENT","52565010110","52565-0101-10","Zantac","25 MG",2,10,2,20,,
"J2780","Ranitidine hydrochloride inj","TELIGENT","52565010201","52565-0102-01","Ranitidine","25 MG",6,1,6,6,,
"A9520","Tc 99m tilmanocept","Navidea Biopharmaceuticals, Inc.","52579160005","52579-1600-05","LYMPHOSEEK Kit","Per study dose, up to 0.5 millicuries",1,5,5,25,,
"C1204","Tc 99m tilmanocept","Navidea Biopharmaceuticals, Inc.","52579160005","52579-1600-05","LYMPHOSEEK Kit","Per study dose, up to 0.5 millicuries",1,5,1,1,,
"J7637","Dexamethasone inhal sol con","WESTERN RESEARCH LABORATORIES","52604058705","52604-0587-05","Decasone",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","WESTERN RESEARCH LABORATORIES","52604058705","52604-0587-05","Decasone",,5,1,20,20,,"1 MG"
"J8600","Melphalan oral 2 mg","ApoPharma USA, Inc.","52609000105","52609-0001-05","Alkeran","2 MG",50,1,50,50,,
"J9245","Inj melphalan hydrochl 50 mg","ApoPharma USA, Inc.","52609300100","52609-3001-00","Alkeran","50 MG",1,1,1,1,,
"J2650","Prednisolone acetate inj","HAUSER, A. F., PHARM","52637032510","52637-0325-10","Pred-Ject-50","1 ML",30,1,30,30,,
"J0945","Brompheniramine maleate inj","HAUSER, A. F., PHARM","52637092610","52637-0926-10","Brompheniramine Maleate","10 MG",10,1,10,10,,
"90396","Varicella-zoster ig, im","AMERICAN RED CROSS","52769011802","52769-0118-02","Varicella-Zoster Immune Glob",,1.25,1,0.5,0.5,,"125 UNITS"
"90396","Varicella-zoster ig, im","AMERICAN RED CROSS","52769011810","52769-0118-10","Varicella-Zoster Immune Glob",,10,1,20,20,,"125 UNITS"
"P9041","Albumin (human),5%, 50ml","AMERICAN RED CROSS","52769025025","52769-0250-25","Albumin, Human","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","AMERICAN RED CROSS","52769025025","52769-0250-25","Albumin, Human","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","AMERICAN RED CROSS","52769025050","52769-0250-50","Albumin, Human","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","AMERICAN RED CROSS","52769025050","52769-0250-50","Albumin, Human","250 ML",500,1,2,2,,
"P9046","Albumin (human), 25%, 20 ml","AMERICAN RED CROSS","52769025105","52769-0251-05","Albumin (Human)","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","AMERICAN RED CROSS","52769025105","52769-0251-05","Albumin (Human)","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","AMERICAN RED CROSS","52769025110","52769-0251-10","Albumin (Human)","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","AMERICAN RED CROSS","52769025110","52769-0251-10","Albumin (Human)","50 ML",100,1,2,2,,
"J1563","IV immune globulin","AMERICAN RED CROSS","52769026972","52769-0269-72","Panglobulin",,1,1,12,12,,"1 GRAM"
"J1580","Garamycin gentamicin inj","AMERICAN RED CROSS","52769026972","52769-0269-72","Panglobulin",,1,1,1200,1200,,"80 MG"
"Q9942","IVIG lyophil 10 mg","AMERICAN RED CROSS","52769026972","52769-0269-72","Panglobulin",,1,1,1200,1200,,"10 MG"
"J1563","IV immune globulin","AMERICAN RED CROSS","52769041706","52769-0417-06","Panglobulin Nf",,1,1,6,6,,"1 GRAM"
"J1564","Immune globulin 10 mg","AMERICAN RED CROSS","52769041706","52769-0417-06","Panglobulin Nf",,1,1,600,600,,"10 MG"
"J1566","Immune globulin, powder","AMERICAN RED CROSS","52769041706","52769-0417-06","Panglobulin Nf","500 MG",1,1,12,12,,
"Q9941","IVIG lyophil 1G","AMERICAN RED CROSS","52769041706","52769-0417-06","Panglobulin Nf",,1,1,6,6,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","AMERICAN RED CROSS","52769041706","52769-0417-06","Panglobulin Nf",,1,1,600,600,,"10 MG"
"J1563","IV immune globulin","AMERICAN RED CROSS","52769041812","52769-0418-12","Panglobulin Nf",,1,1,12,12,,"1 GRAM"
"J1564","Immune globulin 10 mg","AMERICAN RED CROSS","52769041812","52769-0418-12","Panglobulin Nf",,1,1,1200,1200,,"10 MG"
"J1566","Immune globulin, powder","AMERICAN RED CROSS","52769041812","52769-0418-12","Panglobulin Nf","500 MG",1,1,24,24,,
"Q9941","IVIG lyophil 1G","AMERICAN RED CROSS","52769041812","52769-0418-12","Panglobulin Nf",,1,1,12,12,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","AMERICAN RED CROSS","52769041812","52769-0418-12","Panglobulin Nf",,1,1,1200,1200,,"10 MG"
"P9041","Albumin (human),5%, 50ml","AMERICAN RED CROSS","52769045025","52769-0450-25","Albumin (Human)","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","AMERICAN RED CROSS","52769045025","52769-0450-25","Albumin (Human)","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","AMERICAN RED CROSS","52769045050","52769-0450-50","Albumin (Human)","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","AMERICAN RED CROSS","52769045050","52769-0450-50","Albumin (Human)","250 ML",500,1,2,2,,
"P9046","Albumin (human), 25%, 20 ml","AMERICAN RED CROSS","52769045105","52769-0451-05","Albumin (Human)","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","AMERICAN RED CROSS","52769045105","52769-0451-05","Albumin (Human)","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","AMERICAN RED CROSS","52769045110","52769-0451-10","Albumin (Human)","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","AMERICAN RED CROSS","52769045110","52769-0451-10","Albumin (Human)","50 ML",100,1,2,2,,
"P9045","Albumin (human), 5%, 250 ml","AMERICAN RED CROSS","52769045325","52769-0453-25","Albumin (Human)",,,,,,,"250 ML"
"J7190","Factor viii","AMERICAN RED CROSS","52769046001","52769-0460-01","Monarc-M","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant","AMERICAN RED CROSS","52769046402","52769-0464-02","Genarc",,1,1,1,1,,"1 IU"
"J7192","Factor viii recombinant","AMERICAN RED CROSS","52769046405","52769-0464-05","Genarc",,1,1,1,1,,"1 IU"
"J7192","Factor viii recombinant","AMERICAN RED CROSS","52769046410","52769-0464-10","Genarc",,1,1,1,1,,"1 IU"
"J1563","IV immune globulin","AMERICAN RED CROSS","52769047175","52769-0471-75","Polygam S/D",,1,1,5,5,,"1 GRAM"
"J1564","Immune globulin 10 mg","AMERICAN RED CROSS","52769047175","52769-0471-75","Polygam S/D",,1,1,500,500,,"10 MG"
"J1566","Immune globulin, powder","AMERICAN RED CROSS","52769047175","52769-0471-75","Polygam S/D","500 MG",1,1,10,10,,
"Q9941","IVIG lyophil 1G","AMERICAN RED CROSS","52769047175","52769-0471-75","Polygam S/D",,1,1,5,5,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","AMERICAN RED CROSS","52769047175","52769-0471-75","Polygam S/D",,1,1,500,500,,"10 MG"
"J1563","IV immune globulin","AMERICAN RED CROSS","52769047180","52769-0471-80","Polygam S/D",,1,1,10,10,,"1 GRAM"
"J1564","Immune globulin 10 mg","AMERICAN RED CROSS","52769047180","52769-0471-80","Polygam S/D",,1,1,1000,1000,,"10 MG"
"J1566","Immune globulin, powder","AMERICAN RED CROSS","52769047180","52769-0471-80","Polygam S/D","500 MG",1,1,20,20,,
"Q9941","IVIG lyophil 1G","AMERICAN RED CROSS","52769047180","52769-0471-80","Polygam S/D",,1,1,10,10,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","AMERICAN RED CROSS","52769047180","52769-0471-80","Polygam S/D",,1,1,1000,1000,,"10 MG"
"90396","Varicella-zoster ig, im","AMERICAN RED CROSS","52769057411","52769-0574-11","Varicella-Zoster Immune Glob","125 UNITS",1.25,1,1,1,,
"90396","Varicella-zoster ig, im","AMERICAN RED CROSS","52769057466","52769-0574-66","Varicella-Zoster Immune Glob","125 UNITS",10,1,4,4,,
"J1563","IV immune globulin","AMERICAN RED CROSS","52769057622","52769-0576-22","Immune Globulin (Human)",,1,1,1,1,,"1 GRAM"
"J1564","Immune globulin 10 mg","AMERICAN RED CROSS","52769057622","52769-0576-22","Immune Globulin (Human)",,2,1,100,100,,"10 MG"
"Q4115","Alloskin","AlloSource","528061052","5280-61052","Alloskin","1 SQ CM",80,1,80,80,,
"Q0163","Diphenhydramine HCl 50mg","H.J. HARKINS COMPANY","52959005306","52959-0053-06","Diphenhydramine Hcl","50 MG",6,1,6,6,,
"Q0163","Diphenhydramine HCl 50mg","H.J. HARKINS COMPANY","52959005310","52959-0053-10","Diphenhydramine Hcl","50 MG",10,1,10,10,,
"Q0163","Diphenhydramine HCl 50mg","H.J. HARKINS COMPANY","52959005312","52959-0053-12","Diphenhydramine Hcl","50 MG",12,1,12,12,,
"Q0163","Diphenhydramine HCl 50mg","H.J. HARKINS COMPANY","52959005315","52959-0053-15","Diphenhydramine Hcl","50 MG",15,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","H.J. HARKINS COMPANY","52959005320","52959-0053-20","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","H.J. HARKINS COMPANY","52959005330","52959-0053-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"J7500","Azathioprine oral 50mg","H.J. HARKINS COMPANY","52959007900","52959-0079-00","Imuran","50 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","H.J. HARKINS COMPANY","52959010000","52959-0100-00","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"Q0163","Diphenhydramine HCl 50mg","PHARMA PAC","52959012303","52959-0123-03","DIPHENHYDRAMINE HCL","50 MG",120,1,6,6,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012600","52959-0126-00","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012605","52959-0126-05","Prednisone","5 MG",5,1,10,10,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012607","52959-0126-07","Prednisone","5 MG",7,1,14,14,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012610","52959-0126-10","Prednisone","5 MG",10,1,20,20,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012612","52959-0126-12","Prednisone","5 MG",12,1,24,24,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012615","52959-0126-15","Prednisone","5 MG",15,1,30,30,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012618","52959-0126-18","Prednisone","5 MG",18,1,36,36,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012620","52959-0126-20","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012621","52959-0126-21","Prednisone","5 MG",21,1,42,42,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012625","52959-0126-25","Prednisone","5 MG",25,1,50,50,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012630","52959-0126-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012640","52959-0126-40","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012642","52959-0126-42","Prednisone","5 MG",42,1,84,84,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012650","52959-0126-50","Prednisone","5 MG",50,1,100,100,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012660","52959-0126-60","Prednisone","5 MG",60,1,120,120,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012700","52959-0127-00","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012707","52959-0127-07","Prednisone","5 MG",7,1,28,28,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012710","52959-0127-10","Prednisone","5 MG",10,1,40,40,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012712","52959-0127-12","Prednisone","5 MG",12,1,48,48,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012715","52959-0127-15","Prednisone","5 MG",15,1,60,60,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012720","52959-0127-20","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012721","52959-0127-21","Prednisone","5 MG",21,1,84,84,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012725","52959-0127-25","Prednisone","5 MG",25,1,100,100,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012730","52959-0127-30","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012737","52959-0127-37","Prednisone","5 MG",37,1,148,148,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959012742","52959-0127-42","Prednisone","5 MG",42,1,168,168,,
"J7669","Metaproterenol non-comp unit dose","H.J. HARKINS COMPANY","52959015806","52959-0158-06","Alupent","10 MG",2.5,25,1.5,37.5,,
"J2360","Orphenadrine injection","H.J. HARKINS COMPANY","52959017906","52959-0179-06","Norflex","60 MG",2,6,1,6,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959022000","52959-0220-00","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959022010","52959-0220-10","Prednisone","5 MG",10,1,10,10,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959022020","52959-0220-20","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959022021","52959-0220-21","Prednisone","5 MG",21,1,21,21,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959022030","52959-0220-30","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959022036","52959-0220-36","Prednisone","5 MG",36,1,36,36,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959022040","52959-0220-40","Prednisone","5 MG",40,1,40,40,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959022060","52959-0220-60","Prednisone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959022075","52959-0220-75","Prednisone","5 MG",75,1,75,75,,
"Q0173","Trimethobenzamide HCl 250mg","H.J. HARKINS COMPANY, INC.","52959022610","52959-0226-10","Tigan",,10,1,10,10,,"250 MG"
"Q0173","Trimethobenzamide HCl 250mg","H.J. HARKINS COMPANY, INC.","52959022612","52959-0226-12","Tigan",,12,1,12,12,,"250 MG"
"J8610","Methotrexate oral 2.5 MG","H.J. HARKINS COMPANY","52959024400","52959-0244-00","Methotrexate","2.5 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","H.J. HARKINS COMPANY","52959039115","52959-0391-15","Compazine","10 MG",15,1,15,15,,
"Q0177","Hydroxyzine pamoate 25mg","H.J. HARKINS COMPANY","52959043310","52959-0433-10","Hydroxyzine Pamoate","25 MG",10,1,10,10,,
"Q0177","Hydroxyzine pamoate 25mg","H.J. HARKINS COMPANY","52959043315","52959-0433-15","Hydroxyzine Pamoate","25 MG",15,1,15,15,,
"Q0177","Hydroxyzine pamoate 25mg","H.J. HARKINS COMPANY","52959043330","52959-0433-30","Hydroxyzine Pamoate","25 MG",30,1,30,30,,
"Q0177","Hydroxyzine pamoate 25mg","H.J. HARKINS COMPANY","52959043340","52959-0433-40","Hydroxyzine Pamoate","25 MG",40,1,40,40,,
"Q0170","Promethazine HCl 25 mg oral","H.J. HARKINS COMPANY","52959045102","52959-0451-02","Phenergan","25 MG",2,1,2,2,,
"Q0170","Promethazine HCl 25 mg oral","H.J. HARKINS COMPANY","52959045130","52959-0451-30","Phenergan","25 MG",30,1,30,30,,
"Q0165","Prochlorperazine maleate10mg","H.J. HARKINS COMPANY","52959047610","52959-0476-10","Prochlorperazine Maleate","10 MG",10,1,10,10,,
"Q0165","Prochlorperazine maleate10mg","H.J. HARKINS COMPANY","52959047615","52959-0476-15","Prochlorperazine Maleate","10 MG",15,1,15,15,,
"Q0165","Prochlorperazine maleate10mg","H.J. HARKINS COMPANY","52959047620","52959-0476-20","Prochlorperazine Maleate","10 MG",20,1,20,20,,
"Q0173","Trimethobenzamide HCl 250mg","H.J. HARKINS COMPANY","52959047910","52959-0479-10","Trimethobenzamide Hcl","250 MG",10,1,10,10,,
"Q0173","Trimethobenzamide HCl 250mg","H.J. HARKINS COMPANY","52959047912","52959-0479-12","Trimethobenzamide Hcl","250 MG",12,1,12,12,,
"Q0173","Trimethobenzamide HCl 250mg","H.J. HARKINS COMPANY","52959047920","52959-0479-20","Trimethobenzamide Hcl","250 MG",20,1,20,20,,
"Q0173","Trimethobenzamide HCl 250mg","H.J. HARKINS COMPANY","52959047930","52959-0479-30","Trimethobenzamide Hcl","250 MG",30,1,30,30,,
"Q0164","Prochlorperazine maleate 5mg","H.J. HARKINS COMPANY","52959051110","52959-0511-10","Prochlorperazine Maleate","5 MG",10,1,10,10,,
"Q0164","Prochlorperazine maleate 5mg","H.J. HARKINS COMPANY","52959051115","52959-0511-15","Prochlorperazine Maleate","5 MG",15,1,15,15,,
"Q0170","Promethazine HCl 25 mg oral","H.J. HARKINS COMPANY","52959053401","52959-0534-01","Promethazine Hcl","25 MG",120,1,120,120,,
"Q0170","Promethazine HCl 25 mg oral","H.J. HARKINS COMPANY","52959053402","52959-0534-02","Promethazine Hcl","25 MG",2,1,2,2,,
"Q0170","Promethazine HCl 25 mg oral","H.J. HARKINS COMPANY","52959053410","52959-0534-10","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","PHARMA PAC","52959053415","52959-0534-15","Promethazine Hcl","25 MG",15,1,15,15,,
"Q0170","Promethazine HCl 25 mg oral","H.J. HARKINS COMPANY","52959053420","52959-0534-20","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","H.J. HARKINS COMPANY","52959053430","52959-0534-30","Promethazine Hcl","25 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","H.J. HARKINS COMPANY","52959053445","52959-0534-45","Promethazine Hcl","25 MG",45,1,45,45,,
"Q0170","Promethazine HCl 25 mg oral","H.J. HARKINS COMPANY","52959053490","52959-0534-90","Promethazine Hcl","25 MG",90,1,90,90,,
"J7506","Prednisone oral","H.J. HARKINS COMPANY","52959065001","52959-0650-01","Prednisone","5 MG",200,1,40,40,,
"J7602","Albuterol inh non-comp con","H.J. HARKINS COMPANY","52959074120","52959-0741-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","H.J. HARKINS COMPANY","52959074120","52959-0741-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","H.J. HARKINS COMPANY","52959074120","52959-0741-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7509","Methylprednisolone oral","H.J. HARKINS COMPANY","52959108300","52959-1083-00","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7602","Albuterol inh non-comp con","H.J. HARKINS COMPANY","52959129400","52959-1294-00","Ventolin","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","H.J. HARKINS COMPANY","52959129400","52959-1294-00","Ventolin","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","H.J. HARKINS COMPANY","52959129400","52959-1294-00","Ventolin","1 MG",20,1,100,100,,
"J7669","Metaproterenol non-comp unit","H.J. HARKINS COMPANY","52959134306","52959-1343-06","Alupent","10 MG",2.5,25,1.5,37.5,,
"J7613","Albuterol unit dose","CELLTECH PHARMACEUTICAL","53014007525","53014-0075-25","Airet",,3,25,62.25,2.49,,"1 MG"
"J7613","Albuterol unit dose","CELLTECH PHARMACEUTICAL","53014007560","53014-0075-60","Airet",,3,60,149.4,2.49,,"1 MG"
"J9357","Valrubicin, 200 mg","CELLTECH PHARMACEUTICAL","53014021604","53014-0216-04","Valstar",,5,4,4,1,,"200 MG"
"J9357","Valrubicin, 200 mg","CELLTECH PHARMACEUTICAL","53014021624","53014-0216-24","Valstar",,5,24,24,1,,"200 MG"
"J9178","Inj, epirubicin hcl, 2 mg","Amneal Pharmaceuticals, LLC","53150024701","53150-0247-01","Epirubicin","2 MG",100,1,100,100,,
"J9178","Inj, epirubicin hcl, 2 mg","Amneal Pharmaceuticals, LLC","53150025001","53150-0250-01","Epirubicin","2 MG",25,1,25,25,,
"J9000","Doxorubicin hcl injection","Amneal Pharmaceuticals, LLC","53150031410","53150-0314-10","Doxorubicin Hcl","10 MG",10,10,2,20,,
"J9000","Doxorubicin hcl injection","Amneal Pharmaceuticals, LLC","53150031501","53150-0315-01","Doxorubicin Hcl","10 MG",25,1,5,5,,
"J9000","Doxorubicin hcl injection","Amneal Pharmaceuticals, LLC","53150031701","53150-0317-01","Doxorubicin Hcl","10 MG",100,1,20,20,,
"J9000","Doxorubicin hcl injection","Amneal Pharmaceuticals, LLC","53150032010","53150-0320-10","Doxorubicin Hcl","10 MG",5,10,1,10,,
"J1631","Haloperidol decanoate inj","Amneal Pharmaceuticals, LLC","53150041510","53150-0415-10","Haloperidol Decanoate","50 MG",1,10,1,10,,
"J1631","Haloperidol decanoate inj","Amneal Pharmaceuticals, LLC","53150042205","53150-0422-05","Haloperidol Decanoate","50 MG",5,5,5,25,,
"J1631","Haloperidol decanoate inj","Amneal Pharmaceuticals, LLC","53150048505","53150-0485-05","Haloperidol Decanoate","50 MG",1,5,2,10,,
"J1631","Haloperidol decanoate inj","Amneal Pharmaceuticals, LLC","53150048905","53150-0489-05","Haloperidol Decanoate","50 MG",5,5,10,50,,
"J3489","Zoledronic acid 1mg","Amneal Pharmaceuticals, LLC","53150087101","53150-0871-01","ZOLEDRONIC ACID","1 MG",5,1,4,4,,
"Q2051","Zoledronic acid 1mg","AMNEAL-AGILA LLC","53150087101","53150-0871-01","ZOLEDRONIC ACID","1 MG",5,1,4,4,,
"J3265","Injection torsemide 10 mg/ml","ROCHE LABORATORIES INC.","53169010880","53169-0108-80","Demadex 20mg (10mg/ml)",,2,,,,,"10 MG"
"J3265","Injection torsemide 10 mg/ml","ROCHE LABORATORIES INC.","53169010881","53169-0108-81","Demadex 50mg (10mg/ml)",,5,,,,,"10 MG"
"J1644","Inj heparin sodium per 1000u","NOVAPLUS","53258081305","53258-0813-05","Heparin Sodium (Bovine)","1000 UNITS",30,25,30,750,,
"J1644","Inj heparin sodium per 1000u","NOVAPLUS","53258083307","53258-0833-07","Heparin Sodium (Bovine)","1000 UNITS",4,25,40,1000,,
"J2680","Fluphenazine decanoate 25 MG","ABLE LABS","53265030110","53265-0301-10","Fluphenazine Decanoate",,5,1,5,5,,"25 MG"
"Q0169","Promethazine HCl oral","ABLE LABS","53265040510","53265-0405-10","Promethazine Hcl","12.5 MG",100,1,100,100,,
"Q0170","Promethazine HCl 25 mg oral","ABLE LABS","53265040610","53265-0406-10","Promethazine Hcl","25 MG",100,1,100,100,,
"Q0170","Promethazine HCl 25 mg oral","ABLE LABS","53265040611","53265-0406-11","Promethazine Hcl","25 MG",1000,1,1000,1000,,
"J7637","Dexamethasone inhal sol con","SPECTRUM SCIENTIFIC","53268010675","53268-0106-75","Spectro-Dex",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","SPECTRUM SCIENTIFIC","53268010675","53268-0106-75","Spectro-Dex",,5,1,20,20,,"1 MG"
"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.","53270312001","53270-3120-01","WINRHO SDF","100 iu",0.5,1,6,6,,
"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 Co. Inc.","53489013801","53489-0138-01","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","Mutual Pharmaceutical Co. Inc.","53489013810","53489-0138-10","Prednisone","5 MG",1000,1,1000,1000,,
"J7506","Prednisone oral","Mutual Pharmaceutical Co. Inc.","53489013901","53489-0139-01","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","Mutual Pharmaceutical Co. Inc.","53489013905","53489-0139-05","Prednisone","5 MG",500,1,1000,1000,,
"J7506","Prednisone oral","Mutual Pharmaceutical Co. Inc.","53489013910","53489-0139-10","Prednisone","5 MG",1000,1,2000,2000,,
"J7506","Prednisone oral","Mutual Pharmaceutical Co. Inc.","53489014001","53489-0140-01","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","Mutual Pharmaceutical Co. Inc.","53489014005","53489-0140-05","Prednisone","5 MG",500,1,2000,2000,,
"J7506","Prednisone oral","Mutual Pharmaceutical Co. Inc.","53489014010","53489-0140-10","Prednisone","5 MG",1000,1,4000,4000,,
"Q0173","Trimethobenzamide HCl 250mg","MUTUAL PHARM. CO., INC.","53489037601","53489-0376-01","Trimethobenzamide Hcl","250 MG",100,1,120,120,,
"Q0173","Trimethobenzamide HCl 250mg","MUTUAL PHARM","53489037605","53489-0376-05","Trimethobenzamide Hcl","250 MG",500,1,600,600,,
"J7682","Tobramycin non-comp unit dose","NOVARTIS","53905006501","53905-0065-01","Tobi","300 MG",5,56,1,56,,
"J7682","Tobramycin non-comp unit dose","NOVARTIS","53905006504","53905-0065-04","TOBI","300 MG",5,4,1,4,,
"90675","Rabies vaccine, im","NOVARTIS","53905050101","53905-0501-01","Rabavert","1 ML",1,1,1,1,,
"J9000","Doxorubic hcl 10 MG vl chemo","CHIRON","53905081010","53905-0810-10","Doxorubicin Hcl","10 MG",1,10,1,10,,
"J9000","Doxorubic hcl 10 MG vl chemo","CHIRON","53905081110","53905-0811-10","Doxorubicin Hcl","10 MG",1,6,2,12,,
"J9000","Doxorubic hcl 10 MG vl chemo","CHIRON","53905081310","53905-0813-10","Doxorubicin Hcl","10 MG",5,10,1,10,,
"J9000","Doxorubic hcl 10 MG vl chemo","CHIRON","53905081410","53905-0814-10","Doxorubicin Hcl","10 MG",10,6,2,12,,
"J9000","Doxorubic hcl 10 MG vl chemo","CHIRON","53905081501","53905-0815-01","Doxorubicin Hcl","10 MG",25,1,5,5,,
"J9000","Doxorubic hcl 10 MG vl chemo","CHIRON","53905081601","53905-0816-01","Doxorubicin Hcl","10 MG",100,1,20,20,,
"J9015","Aldesleukin/single use vial","NOVARTIS","53905099101","53905-0991-01","Proleukin","1 EA",1,1,1,1,,
"J0350","Injection anistreplase 30 u","SHIRE US INC.","54092054330","54092-0543-30","Eminase","30 UNITS",1,1,1,1,,
"C9232","Injection, idursulfase","Shire","54092070001","54092-0700-01","Idursulfase","1 MG",3,1,6,6,,
"J1743","Idursulfase injection","Shire US, Inc.","54092070001","54092-0700-01","ELAPRASE","1 MG",3,1,6,6,,
"C9271","Velaglucerase alfa","Shire Human Genetic Therapies, Inc.","54092070102","54092-0701-02","VPRIV","100 UNITS",1,1,2,2,,
"J3385","Velaglucerase alfa","Shire Human Genetic Therapies, Inc.","54092070102","54092-0701-02","VPRIV","100 UNITS",1,1,2,2,,
"C9271","Velaglucerase alfa","Shire Human Genetic Therapies, Inc.","54092070104","54092-0701-04","VPRIV","100 UNITS",1,1,4,4,,
"J3385","Velaglucerase alfa","Shire US, Inc.","54092070104","54092-0701-04","VPRIV","100 UNITS",1,1,4,4,,
"Q0165","Prochlorperazine maleate10mg","PHARMPAK","54348011415","54348-0114-15","Prochlorperazine Maleate","10 MG",15,1,15,15,,
"Q0164","Prochlorperazine maleate 5mg","PHARMPAK","54348011630","54348-0116-30","Prochlorperazine Maleate","5 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","PHARMPAK","54348011712","54348-0117-12","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0169","Promethazine HCl oral","PHARMPAK","54348011912","54348-0119-12","Promethazine Hcl","12.5 MG",12,1,12,12,,
"J7506","Prednisone oral","PHARMPAK","54348050510","54348-0505-10","Prednisone","5 MG",10,1,10,10,,
"J7506","Prednisone oral","PHARMPAK","54348050515","54348-0505-15","Prednisone","5 MG",15,1,15,15,,
"J7506","Prednisone oral","PHARMPAK","54348050521","54348-0505-21","Prednisone","5 MG",21,1,21,21,,
"J7506","Prednisone oral","PHARMPAK","54348050605","54348-0506-05","Prednisone","5 MG",5,1,10,10,,
"J7506","Prednisone oral","PHARMPAK","54348050610","54348-0506-10","Prednisone","5 MG",10,1,20,20,,
"J7506","Prednisone oral","PHARMPAK","54348050630","54348-0506-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","PHARMPAK","54348050640","54348-0506-40","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","PHARMPAK","54348050905","54348-0509-05","Prednisone","5 MG",5,1,50,50,,
"Q0163","Diphenhydramine HCl 50mg","PHARMPAK","54348065001","54348-0650-01","Diphenhydramine Hcl","50 MG",1,1,1,1,,
"Q0163","Diphenhydramine HCl 50mg","PHARMPAK","54348065002","54348-0650-02","Diphenhydramine Hcl","50 MG",2,1,2,2,,
"Q0163","Diphenhydramine HCl 50mg","PHARMPAK","54348065006","54348-0650-06","Diphenhydramine Hcl","50 MG",6,1,6,6,,
"Q0163","Diphenhydramine HCl 50mg","PHARMPAK","54348065020","54348-0650-20","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","PHARMPAK","54348065050","54348-0650-50","Diphenhydramine Hcl","50 MG",50,1,50,50,,
"Q0178","Hydroxyzine pamoate 50mg","PHARMPAK","54348098806","54348-0988-06","Hydroxyzine Pamoate","50 MG",6,1,6,6,,
"Q0164","Prochlorperazine maleate 5mg","PHARMPAK","54348098910","54348-0989-10","Compazine","5 MG",10,1,10,10,,
"J7506","Prednisone oral","PHARMPAK","54348099810","54348-0998-10","Prednisone","5 MG",10,1,40,40,,
"J7506","Prednisone oral","PHARMPAK","54348099820","54348-0998-20","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","PHARMPAK","54348099830","54348-0998-30","Prednisone","5 MG",30,1,120,120,,
"J3120","Testosterone enanthate inj","INDEVUS","54396032540","54396-0325-40","Delatestryl","100 MG",5,1,10,10,,
"J3120","Testosterone enanthate inj","SAVIENT PHARMACEUTICALS INC.","54396032840","54396-0328-40","Delatestryl","100 MG",5,1,10,10,,
"J3130","Testosterone enanthate inj","SAVIENT PHARMACEUTICALS INC.","54396032840","54396-0328-40","Delatestryl","200 MG",5,1,5,5,,
"C9281","Injection, pegloticase","Savient Pharmaceuticals","54396080101","54396-0801-01","Krystexxa","1MG",1,1,8,8,,
"J2507","Pegloticase injection","Crealta","54396080101","54396-0801-01","Krystexxa","1 MG",1,1,8,8,,
"J1955","Inj levocarnitine per 1 gm","Sigma-Tau Pharmaceuticals","54482014701","54482-0147-01","Carnitor","1 GM",5,5,1,5,,
"J9266","Pegaspargase injection","Baxalta US Inc.","54482030101","54482-0301-01","ONCASPAR","1 EA",5,1,1,1,,
"J7668","Metaproterenol inh sol con","ALLSCRIPTS","54569004600","54569-0046-00","Alupent",,30,1,150,150,,"10 MG"
"J7631","Cromolyn sodium inh sol u d","ALLSCRIPTS PHARM","54569004800","54569-0048-00","Intal",,2,60,120,2,,"10 MG"
"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","ALLSCRIPTS","54569023906","54569-0239-06","Diphenhydramine Hcl","50 MG",4,1,2,2,,
"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","ALLSCRIPTS","54569024104","54569-0241-04","Diphenhydramine Hcl",,6,1,6,6,,"50 MG"
"Q0163","Diphenhydramine hcl 50mg","A-S Medication Solutions","54569024105","54569-0241-05","Diphenhydramine Hcl","50 MG",10,1,10,10,,
"J8540","Oral dexamethasone","ALLSCRIPTS","54569032200","54569-0322-00","DEXAMETHASONE","0.25 MG",12,1,36,36,,
"J8540","Oral dexamethasone","ALLSCRIPTS","54569032203","54569-0322-03","DEXAMETHASONE","0.25 MG",20,1,60,60,,
"J8540","Oral dexamethasone","Allscripts, LLC","54569032402","54569-0324-02","DEXAMETHASONE TAB",,,,,,,"0.25 MG"
"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,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033000","54569-0330-00","Prednisone","1 MG",21,1,105,105,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033001","54569-0330-01","Prednisone","5 MG",50,1,50,50,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033001","54569-0330-01","Prednisone","1 MG",50,1,250,250,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033002","54569-0330-02","Prednisone","5 MG",75,1,75,75,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033003","54569-0330-03","Prednisone","5 MG",100,1,100,100,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033003","54569-0330-03","Prednisone","1 MG",100,1,500,500,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033004","54569-0330-04","Prednisone","5 MG",30,1,30,30,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033004","54569-0330-04","Prednisone","1 MG",30,1,150,150,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033005","54569-0330-05","Prednisone","5 MG",36,1,36,36,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033007","54569-0330-07","Prednisone","5 MG",60,1,60,60,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033007","54569-0330-07","Prednisone","1 MG",60,1,300,300,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033008","54569-0330-08","Prednisone","5 MG",6,1,6,6,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033009","54569-0330-09","Prednisone","5 MG",15,1,15,15,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033100","54569-0331-00","Prednisone","5 MG",10,1,20,20,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033100","54569-0331-00","Prednisone","1 MG",10,1,100,100,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033101","54569-0331-01","Prednisone","5 MG",15,1,30,30,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033101","54569-0331-01","Prednisone","1 MG",15,1,150,150,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033102","54569-0331-02","Prednisone","5 MG",21,1,42,42,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033102","54569-0331-02","Prednisone","1 MG",21,1,210,210,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033103","54569-0331-03","Prednisone","5 MG",24,1,48,48,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033104","54569-0331-04","Prednisone","5 MG",50,1,100,100,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033104","54569-0331-04","Prednisone","1 MG",50,1,500,500,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033105","54569-0331-05","Prednisone","5 MG",30,1,60,60,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033105","54569-0331-05","Prednisone","1 MG",30,1,300,300,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033106","54569-0331-06","Prednisone","5 MG",12,1,24,24,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033107","54569-0331-07","Prednisone","5 MG",100,1,200,200,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033107","54569-0331-07","Prednisone","1 MG",100,1,1000,1000,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033108","54569-0331-08","Prednisone","5 MG",40,1,80,80,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033108","54569-0331-08","Prednisone","1 MG",40,1,400,400,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033109","54569-0331-09","Prednisone","5 MG",42,1,84,84,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033200","54569-0332-00","Prednisone","5 MG",8,1,32,32,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033201","54569-0332-01","Prednisone","5 MG",10,1,40,40,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033201","54569-0332-01","Prednisone","1 MG",10,1,200,200,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033202","54569-0332-02","Prednisone","5 MG",21,1,84,84,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033202","54569-0332-02","Prednisone","1 MG",21,1,420,420,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033203","54569-0332-03","Prednisone","5 MG",30,1,120,120,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033203","54569-0332-03","Prednisone","1 MG",30,1,600,600,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033204","54569-0332-04","Prednisone","5 MG",50,1,200,200,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033205","54569-0332-05","Prednisone","5 MG",100,1,400,400,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033205","54569-0332-05","Prednisone","1 MG",100,1,2000,2000,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033208","54569-0332-08","Prednisone","5 MG",27,1,108,108,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033209","54569-0332-09","Prednisone","5 MG",18,1,72,72,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033209","54569-0332-09","Prednisone","1 MG",18,1,360,360,,
"J7506","Prednisone oral","A-S Medication Solutions","54569033300","54569-0333-00","Prednisone","5 MG",8,1,80,80,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569033300","54569-0333-00","Prednisone","1 MG",8,1,400,400,,
"J7506","Prednisone oral","ALLSCRIPTS","54569033304","54569-0333-04","Prednisone","5 MG",5,1,50,50,,
"Q0164","Prochlorperazine maleate 5mg","A-S Medication Solutions","54569035005","54569-0350-05","Prochlorperazine Maleate","5 MG",6,1,6,6,,
"Q0165","Prochlorperazine maleate10mg","ALLSCRIPTS","54569035100","54569-0351-00","Compazine","10 MG",30,1,30,30,,
"Q0165","Prochlorperazine maleate10mg","ALLSCRIPTS","54569035101","54569-0351-01","Compazine","10 MG",10,1,10,10,,
"Q0164","Prochlorperazine maleate 5mg","A-S Medication Solutions","54569035500","54569-0355-00","Prochlorperazine Maleate","5 MG",30,1,60,60,,
"Q0165","Prochlorperazine maleate10mg","A-S Medication Solutions","54569035500","54569-0355-00","Prochlorperazine Maleate","10 MG",30,1,30,30,,
"Q0165","Prochlorperazine maleate10mg","ALLSCRIPTS","54569035501","54569-0355-01","Prochlorperazine Maleate","10 MG",15,1,15,15,,
"Q0164","Prochlorperazine maleate 5mg","A-S Medication Solutions","54569035502","54569-0355-02","Prochlorperazine Maleate","5 MG",10,1,20,20,,
"Q0165","Prochlorperazine maleate10mg","A-S Medication Solutions","54569035502","54569-0355-02","Prochlorperazine Maleate","10 MG",10,1,10,10,,
"Q0165","Prochlorperazine maleate10mg","ALLSCRIPTS","54569035503","54569-0355-03","Prochlorperazine Maleate","10 MG",4,1,4,4,,
"Q0170","Promethazine HCl 25 mg oral","ALLSCRIPTS","54569035803","54569-0358-03","Phenergan","25 MG",12,1,12,12,,
"J7509","Methylprednisolone oral","A-S Medication Solutions","54569103600","54569-1036-00","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"Q0169","Promethazine hcl 12.5mg oral","A-S Medication Solutions","54569104600","54569-1046-00","Promethazine Hcl","12.5 MG",120,1,12,12,,
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569104600","54569-1046-00","Promethazine Hcl","25 MG",120,1,6,6,,
"J0696","Ceftriaxone sodium injection","ALLSCRIPTS","54569137700","54569-1377-00","Rocephin","250 MG",1,10,2,20,,
"J1720","Hydrocortisone sodium succ i","A-S Medication Solutions","54569138400","54569-1384-00","Solu-Cortef","100 MG",1,1,1,1,,
"J0696","Ceftriaxone sodium injection","ALLSCRIPTS","54569138600","54569-1386-00","Rocephin","250 MG",1,10,1,10,,
"J2010","Lincomycin injection","A-S Medication Solutions","54569138700","54569-1387-00","Lincocin","300 MG",10,1,10,10,,
"J2510","Penicillin g procaine inj","ALLSCRIPTS","54569139000","54569-1390-00","Wycillin","up to 600000 UNITS",4,10,4,40,,
"J3301","Triamcinolone acet inj nos","A-S Medication Solutions","54569139800","54569-1398-00","KENALOG-40","10 MG",5,1,20,20,,
"J7051","Sterile saline/water","ALLSCRIPTS PHARM","54569140300","54569-1403-00","Sterile Water For Injection",,10,25,50,2,,"5 CC"
"J0570","Penicillin g benzathine inj","ALLSCRIPTS","54569140900","54569-1409-00","Bicillin L-A","up to 1200000 UNITS",20,1,10,10,,
"J0580","Penicillin g benzathine inj","ALLSCRIPTS","54569140900","54569-1409-00","Bicillin L-A","up to 2400000 UNITS",20,1,5,5,,
"J0560","Penicillin g benzathine inj","ALLSCRIPTS","54569140901","54569-1409-01","Bicillin L-A",,2,1,2,2,,"600000 UNITS"
"J0570","Penicillin g benzathine inj","ALLSCRIPTS","54569140901","54569-1409-01","Bicillin L-A","up to 1200000 UNITS",2,1,1,1,,
"J0580","Penicillin g benzathine inj","ALLSCRIPTS","54569140901","54569-1409-01","Bicillin L-A","up to 2400000 UNITS",2,1,0.5,0.5,,
"J1071","Inj testosterone cypionate","A-S Medication Solutions","54569141100","54569-1411-00","Depo-Testosterone","1 MG",10,1,2000,2000,,
"J1080","Testosterone cypionat 200 MG","A-S Medication Solutions","54569141100","54569-1411-00","Depo-Testosterone","200 MG",10,1,10,10,,
"90732","Pneumococcal vaccine","ALLSCRIPTS","54569141200","54569-1412-00","Pneumovax 23","0.5 ML",2.5,1,5,5,,
"J0170","Adrenalin epinephrin inject","ALLSCRIPTS PHARM","54569142200","54569-1422-00","Epinephrine Hcl",,1,10,10,1,,"1 ML"
"90718","Td vaccine > 7, im","ALLSCRIPTS PHARM","54569146000","54569-1460-00","Diphtheria-Tetanus Toxoids",,5,1,10,10,,"0.5 ML"
"J1642","Inj heparin sodium per 10 u","ALLSCRIPTS","54569149600","54569-1496-00","Heparin Lock Flush","10 UNITS",5,25,50,1250,,
"J2912","Sodium chloride injection","ALLSCRIPTS","54569152200","54569-1522-00","Sodium Chloride","2 ML",10,25,5,125,,
"J7130","Hypertonic saline solution","ALLSCRIPTS","54569152200","54569-1522-00","Sodium Chloride",,10,25,12.5,0.5,,"20 CC"
"J1160","Digoxin injection","ALLSCRIPTS","54569152301","54569-1523-01","Lanoxin","0.5 MG",2,1,1,1,,
"J0290","Ampicillin 500 MG inj","ALLSCRIPTS PHARM","54569152900","54569-1529-00","Ampicillin Sodium",,1,10,5,0.5,,"500 MG"
"J0290","Ampicillin 500 MG inj","A-S Medication Solutions","54569153000","54569-1530-00","Ampicillin Sodium","500 MG",1,10,1,10,,
"J0540","Penicillin g benzathine inj","ALLSCRIPTS","54569154500","54569-1545-00","Bicillin C-R (1200000)"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","ALLSCRIPTS","54569154500","54569-1545-00","Bicillin C-R (1200000)"," UP TO 2400000 UNITS",2,10,1,10,,
"J0530","Penicillin g benzathine inj","ALLSCRIPTS","54569154600","54569-1546-00","Bicillin C-R (600000)",,1,10,10,1,,"600000 UNITS"
"J0170","Adrenalin epinephrin inject","ALLSCRIPTS PHARM","54569154700","54569-1547-00","Adrenalin",,30,1,30,30,,"1 ML"
"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,,
"J0610","Calcium gluconate injection","ALLSCRIPTS PHARM","54569157200","54569-1572-00","Calcium Gluconate",,10,25,25,1,,"10 ML"
"J2310","Inj naloxone hydrochloride","ALLSCRIPTS","54569157300","54569-1573-00","Naloxone Hcl","1 MG",1,10,0.4,4,,
"J2310","Inj naloxone hydrochloride","ALLSCRIPTS","54569157301","54569-1573-01","Naloxone Hcl","1 MG",1,1,0.4,0.4,,
"J1200","Diphenhydramine hcl injectio","ALLSCRIPTS","54569157400","54569-1574-00","Benadryl","50 MG",1,10,1,10,,
"J0170","Adrenalin epinephrin inject","ALLSCRIPTS","54569157800","54569-1578-00","Adrenalin","1 ML",1,10,1,10,,
"90707","Mmr vaccine, sc","ALLSCRIPTS","54569158800","54569-1588-00","M-M-R II","0.5 ML",1,10,1,10,,
"90725","Cholera vaccine, injectable","ALLSCRIPTS PHARM","54569162301","54569-1623-01","Cholera Vaccine",,1.5,1,1.5,1.5,,"1 EACH"
"J0702","Betamethasone acet&sod phosp","ALLSCRIPTS PHARM","54569163001","54569-1630-01","Celestone Soluspan",,5,1,5,5,,"3 MG"
"J1815","Insulin injection","ALLSCRIPTS","54569165101","54569-1651-01","Iletin I Nph",,10,1,200,200,,"5 UNITS"
"J1817","Insulin for insulin pump use","ALLSCRIPTS","54569165101","54569-1651-01","Iletin I Nph","50 UNITS",10,1,20,20,,
"J0170","Adrenalin epinephrin inject","ALLSCRIPTS","54569167300","54569-1673-00","Epinephrine Hcl","1 ML",10,1,10,10,,
"J0171","Adrenalin epinephrine inject","A-S Medication Solutions","54569167300","54569-1673-00","Epinephrine Hcl","0.1 MG",10,1,10,10,,
"J0170","Adrenalin epinephrin inject","ALLSCRIPTS PHARM","54569167301","54569-1673-01","Epinephrine Hcl",,10,10,100,10,,"1 ML"
"J7051","Sterile saline/water","ALLSCRIPTS","54569167501","54569-1675-01","Bacteriostatic H2O For Inject",,30,25,150,6,,"5 CC"
"J7613","Albuterol unit dose","ALLSCRIPTS PHARM","54569169101","54569-1691-01","Proventil",,3,25,62.25,2.49,,"1 MG"
"J3410","Hydroxyzine hcl injection","ALLSCRIPTS PHARM","54569174901","54569-1749-01","Vistaril",,10,1,20,20,,"25 MG"
"Q0169","Promethazine hcl 12.5mg oral","A-S Medication Solutions","54569175400","54569-1754-00","Promethazine Hcl","12.5 MG",12,1,24,24,,
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569175400","54569-1754-00","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0169","Promethazine hcl 12.5mg oral","A-S Medication Solutions","54569175401","54569-1754-01","Promethazine Hcl","12.5 MG",10,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569175401","54569-1754-01","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0169","Promethazine hcl 12.5mg oral","A-S Medication Solutions","54569175405","54569-1754-05","Promethazine Hcl","12.5 MG",60,1,120,120,,
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569175405","54569-1754-05","Promethazine Hcl","25 MG",60,1,60,60,,
"Q0169","Promethazine hcl 12.5mg oral","A-S Medication Solutions","54569175406","54569-1754-06","Promethazine Hcl","12.5 MG",20,1,40,40,,
"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","ALLSCRIPTS","54569175408","54569-1754-08","PROMETHAZINE HCL","25 MG",2,1,2,2,,
"Q0169","Promethazine hcl 12.5mg oral","A-S Medication Solutions","54569175409","54569-1754-09","Promethazine Hcl","12.5 MG",30,1,60,60,,
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569175409","54569-1754-09","Promethazine Hcl","25 MG",30,1,30,30,,
"J1060","Testosterone cypionate 1 ML","ALLSCRIPTS PHARM","54569178201","54569-1782-01","Estradiol-Testosterone",,10,1,10,10,,"1 ML"
"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","ALLSCRIPTS","54569181808","54569-1818-08","METHOTREXATE","2.5 MG",32,1,32,32,,
"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,,
"J0550","Penicillin g benzathine inj","ALLSCRIPTS PHARM","54569185001","54569-1850-01","Bicillin C-R (2400000)",,4,10,10,1,,"2400000 UNITS"
"J0540","Penicillin g benzathine inj","ALLSCRIPTS","54569185900","54569-1859-00","Bicillin C-R 900/300"," UP TO 2400000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","ALLSCRIPTS","54569185900","54569-1859-00","Bicillin C-R 900/300"," UP TO 2400000 UNITS",2,10,1,10,,
"J0690","Cefazolin sodium injection","ALLSCRIPTS PHARM","54569187801","54569-1878-01","Ancef",,1,1,2,2,,"500 MG"
"J0780","Prochlorperazine injection","ALLSCRIPTS PHARM","54569187901","54569-1879-01","Compazine",,10,1,5,5,,"10 MG"
"J2360","Orphenadrine injection","ALLSCRIPTS","54569189401","54569-1894-01","Norflex","60 MG",2,6,1,6,,
"J1030","Methylprednisolone 40 mg inj","A-S Medication Solutions","54569190101","54569-1901-01","Depo-Medrol","40 MG",5,1,5,5,,
"J3070","Pentazocine injection","ALLSCRIPTS","54569190301","54569-1903-01","Talwin","30 MG",10,1,10,10,,
"J7648","Isoetharine hcl inh sol con","ALLSCRIPTS","54569191301","54569-1913-01","Bronkosol",,10,1,100,100,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","ALLSCRIPTS","54569191301","54569-1913-01","Bronkosol",,10,1,100,100,,"1 MG"
"J2300","Inj nalbuphine hydrochloride","ALLSCRIPTS PHARM","54569191600","54569-1916-00","Nalbuphine Hcl",,10,1,10,10,,"10 MG"
"J0560","Penicillin g benzathine inj","ALLSCRIPTS","54569191701","54569-1917-01","Bicillin L-A","600000 UNITS",1,10,1,10,,
"J3410","Hydroxyzine hcl injection","ALLSCRIPTS PHARM","54569192400","54569-1924-00","Hydroxyzine Hcl",,10,1,20,20,,"25 MG"
"J0725","Chorionic gonadotropin/1000u","ALLSCRIPTS","54569198600","54569-1986-00","Profasi Hp","1000 UNITS",1,1,10,10,,
"J7611","Albuterol concentrated form","ALLSCRIPTS PHARM","54569198900","54569-1989-00","Proventil",,20,1,100,100,,"1 MG"
"J2510","Penicillin g procaine inj","ALLSCRIPTS","54569204500","54569-2045-00","Wycillin","up to 600000 UNITS",2,10,2,20,,
"J2001","Lidocaine injection","ALLSCRIPTS","54569208100","54569-2081-00","Xylocaine (Cardiac)","10 MG",25,1,100,100,,
"90743","Hep b vacc, adol, 2 dose, im","ALLSCRIPTS","54569209100","54569-2091-00","Recombivax Hb","1 DOSE",3,1,3,3,,
"90746","Hep b vaccine, adult, im","ALLSCRIPTS","54569209100","54569-2091-00","Recombivax Hb","1 EACH",3,1,3,3,,
"J2300","Inj nalbuphine hydrochloride","ALLSCRIPTS","54569210100","54569-2101-00","Nubain","10 MG",1,10,1,10,,
"J7051","Sterile saline/water","ALLSCRIPTS PHARM","54569212700","54569-2127-00","Bacteriostatic H2O For Inject",,30,1,6,6,,"5 CC"
"J3302","Triamcinolone diacetate inj","ALLSCRIPTS PHARM","54569212900","54569-2129-00","Triamcinolone Diacetate",,5,1,40,40,,"5 MG"
"J1071","Inj testosterone cypionate","A-S Medication Solutions","54569213100","54569-2131-00","Testosterone Cypionate Usp/Nf","1 MG",10,1,2000,2000,,
"J1080","Testosterone cypionat 200 MG","A-S Medication Solutions","54569213100","54569-2131-00","Testosterone Cypionate Usp/Nf","200 MG",10,1,10,10,,
"J7635","Atropine inhal sol con","ALLSCRIPTS HEALTHCARE SOLNS","54569219200","54569-2192-00","Atropine Sulfate",,20,25,200,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","ALLSCRIPTS HEALTHCARE SOLNS","54569219200","54569-2192-00","Atropine Sulfate",,20,25,200,8,,"1 MG"
"J0500","Dicyclomine injection","ALLSCRIPTS","54569220700","54569-2207-00","Dicyclomine Hcl","20 MG",10,1,5,5,,
"J1030","Methylprednisolone 40 mg inj","A-S Medication Solutions","54569221300","54569-2213-00","Depo-Medrol","40 MG",1,1,1,1,,
"J7051","Sterile saline/water","ALLSCRIPTS PHARM","54569222200","54569-2222-00","Sterile Water For Injection",,5,25,25,1,,"5 CC"
"J7051","Sterile saline/water","ALLSCRIPTS","54569222201","54569-2222-01","Sterile Water For Injection",,5,1,1,1,,"5 CC"
"J7637","Dexamethasone inhal sol con","ALLSCRIPTS","54569222300","54569-2223-00","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ALLSCRIPTS","54569222300","54569-2223-00","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J1040","Methylprednisolone 80 mg inj","A-S Medication Solutions","54569223200","54569-2232-00","Depo-Medrol","80 MG",5,1,5,5,,
"J0460","Atropine sulfate injection","ALLSCRIPTS","54569223600","54569-2236-00","Atropine Sulfate","0.3 MG",10,1,3.3,3.3,,
"J0461","Atropine sulfate injection","A-S Medication Solutions","54569223600","54569-2236-00","Atropine Sulfate","0.01 MG",10,1,100,100,,
"J1200","Diphenhydramine hcl injectio","ALLSCRIPTS PHARM","54569226800","54569-2268-00","Diphenhydramine Hcl",,1,10,10,1,,"50 MG"
"J2912","Sodium chloride injection","ALLSCRIPTS PHARM","54569227200","54569-2272-00","Sodium Chloride",,5,25,62.5,2.5,,"2 CC"
"J7130","Hypertonic saline solution","ALLSCRIPTS PHARM","54569227200","54569-2272-00","Sodium Chloride",,5,25,6.25,0.25,,"20 CC"
"J1940","Furosemide injection","ALLSCRIPTS PHARM","54569230600","54569-2306-00","Furosemide",,2,25,25,1,,"20 MG"
"J0530","Penicillin g benzathine inj","ALLSCRIPTS PHARM","54569231600","54569-2316-00","Bicillin C-R",,10,1,5,5,,"600000 UNITS"
"J0550","Penicillin g benzathine inj","ALLSCRIPTS PHARM","54569231600","54569-2316-00","Bicillin C-R",,10,1,1.25,1.25,,"2400000 UNITS"
"J1815","Insulin injection","A-S Medication Solutions","54569231800","54569-2318-00","Humulin N","5 UNITS",10,1,200,200,,
"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",10,1,200,200,,
"J1817","Insulin for insulin pump use","A-S Medication Solutions","54569231900","54569-2319-00","Humulin R","50 UNITS",10,1,20,20,,
"J7637","Dexamethasone inhal sol con","ALLSCRIPTS","54569232800","54569-2328-00","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ALLSCRIPTS","54569232800","54569-2328-00","Dexamethasone Sodium Phosphate",,10,1,100,100,,"1 MG"
"J3302","Triamcinolone diacetate inj","ALLSCRIPTS PHARM","54569232900","54569-2329-00","Aristocort Forte",,5,1,40,40,,"5 MG"
"Q0177","Hydroxyzine pamoate 25mg","ALLSCRIPTS","54569235305","54569-2353-05","Hydroxyzine Pamoate","25 MG",30,1,30,30,,
"J2440","Papaverin hcl injection","ALLSCRIPTS PHARM","54569236000","54569-2360-00","Papaverine Hcl",,10,1,5,5,,"60 MG"
"J2210","Methylergonovin maleate inj","A-S Medication Solutions","54569236200","54569-2362-00","Methergine","0.2 MG",1,20,1,20,,
"J3150","Testosteron propionate inj","ALLSCRIPTS","54569236300","54569-2363-00","Testosterone Propionate",,10,1,10,10,,"100 MG"
"J0704","Betamethasone sod phosp/4 MG","ALLSCRIPTS PHARM","54569237500","54569-2375-00","Betamethasone Sodium Phosphate",,5,1,5,5,,"4 ML"
"J0780","Prochlorperazine injection","ALLSCRIPTS","54569237900","54569-2379-00","Prochlorperazine Edisylate","10 MG",10,1,5,5,,
"J2510","Penicillin g procaine inj","ALLSCRIPTS","54569238000","54569-2380-00","Penicillin G Procaine","up to 600000 UNITS",1,10,1,10,,
"J3410","Hydroxyzine hcl injection","ALLSCRIPTS PHARM","54569246400","54569-2464-00","Vistaril",,10,1,10,10,,"25 MG"
"J3301","Triamcinolone acetonide inj","ALLSCRIPTS PHARM","54569247000","54569-2470-00","Triamcinolone Acetonide",,5,1,20,20,,"10 MG"
"J0698","Cefotaxime sodium injection","ALLSCRIPTS","54569248400","54569-2484-00","Claforan","1 GM",1,10,1,10,,
"J3480","Inj potassium chloride","ALLSCRIPTS PHARM","54569251801","54569-2518-01","Potassium Chloride",,10,1,10,10,,"2 MEQ"
"90703","Tetanus vaccine, im","ALLSCRIPTS HEALTHCARE SOLNS","54569254000","54569-2540-00","Tetanus Toxoid",,0,10,10,1,,"0.5 ML"
"Q0178","Hydroxyzine pamoate 50mg","ALLSCRIPTS","54569257101","54569-2571-01","Hydroxyzine Pamoate","50 MG",20,1,20,20,,
"Q0178","Hydroxyzine pamoate 50mg","ALLSCRIPTS","54569257105","54569-2571-05","Hydroxyzine Pamoate","50 MG",6,1,6,6,,
"J2910","Aurothioglucose injeciton","ALLSCRIPTS PHARM","54569257600","54569-2576-00","Solganal",,10,1,10,10,,"50 MG"
"J1000","Depo-estradiol cypionate inj","A-S Medication Solutions","54569258000","54569-2580-00","Depo-Estradiol","5 MG",5,1,5,5,,
"90743","Hep b vacc, adol, 2 dose, im","ALLSCRIPTS","54569263000","54569-2630-00","Recombivax Hb","1 DOSE",1,1,1,1,,
"90746","Hep b vaccine, adult, im","ALLSCRIPTS","54569263000","54569-2630-00","Recombivax Hb","1 EACH",1,1,1,1,,
"J0725","Chorionic gonadotropin/1000u","ALLSCRIPTS","54569266000","54569-2660-00","Chorionic Gonadotropin","1000 UNITS",1,1,10,10,,
"J9217","Leuprolide acetate suspnsion","ALLSCRIPTS PHARM","54569271300","54569-2713-00","Lupron Depot",,1,1,1,1,,"7.5 MG"
"J7506","Prednisone oral","ALLSCRIPTS","54569278500","54569-2785-00","Prednisone","5 MG",28,1,28,28,,
"90746","Hep b vaccine, adult, im","ALLSCRIPTS","54569279000","54569-2790-00","Engerix-B","1 EACH",1,1,1,1,,
"90747","Hepb vacc, ill pat 4 dose im","ALLSCRIPTS PHARM","54569279000","54569-2790-00","Engerix-B",,1,1,0.5,0.5,,"40 MCG"
"J1815","Insulin injection","A-S Medication Solutions","54569291800","54569-2918-00","Novolin 70/30","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","A-S Medication Solutions","54569291800","54569-2918-00","Novolin 70/30","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","ALLSCRIPTS","54569291801","54569-2918-01","Novolin 70/30","5 UNITS",10,2,200,400,,
"J1817","Insulin for insulin pump use","ALLSCRIPTS","54569291801","54569-2918-01","Novolin 70/30","50 UNITS",10,2,20,40,,
"J1815","Insulin injection","ALLSCRIPTS","54569295101","54569-2951-01","Iletin I Regular",,10,2,400,200,,"5 UNITS"
"J1817","Insulin for insulin pump use","ALLSCRIPTS","54569295101","54569-2951-01","Iletin I Regular","50 UNITS",10,2,20,40,,
"J3410","Hydroxyzine hcl injection","ALLSCRIPTS PHARM","54569300500","54569-3005-00","Hydroxyzine Hcl",,10,1,10,10,,"25 MG"
"J2550","Promethazine hcl injection","ALLSCRIPTS PHARM","54569301000","54569-3010-00","Promethazine Hcl",,10,1,5,5,,"50 MG"
"J7637","Dexamethasone inhal sol con","ALLSCRIPTS HEALTHCARE SOLNS","54569301800","54569-3018-00","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ALLSCRIPTS HEALTHCARE SOLNS","54569301800","54569-3018-00","Dexamethasone Sodium Phosphate",,10,1,40,40,,"1 MG"
"J0945","Brompheniramine maleate inj","ALLSCRIPTS","54569302100","54569-3021-00","Brompheniramine Maleate","10 MG",10,1,10,10,,
"J2320","Nandrolone decanoate 50 MG","ALLSCRIPTS","54569302200","54569-3022-00","Nandrolone Decanoate","50 MG",1,1,4,4,,
"J2322","Nandrolone decanoate 200 MG","ALLSCRIPTS","54569302200","54569-3022-00","Nandrolone Decanoate","200 MG",1,1,1,1,,
"J2320","Nandrolone decanoate 50 MG","ALLSCRIPTS","54569302201","54569-3022-01","Nandrolone Decanoate","50 MG",1,25,4,100,,
"J2322","Nandrolone decanoate 200 MG","ALLSCRIPTS","54569302201","54569-3022-01","Nandrolone Decanoate","200 MG",1,25,1,25,,
"J1200","Diphenhydramine hcl injectio","ALLSCRIPTS PHARM","54569302300","54569-3023-00","Diphenhydramine Hcl",,30,1,6,6,,"50 MG"
"J1200","Diphenhydramine hcl injectio","ALLSCRIPTS PHARM","54569302400","54569-3024-00","Diphenhydramine Hcl",,10,1,10,10,,"50 MG"
"J2550","Promethazine hcl injection","ALLSCRIPTS PHARM","54569302600","54569-3026-00","Promethazine Hcl",,10,1,10,10,,"50 MG"
"J7637","Dexamethasone inhal sol con","ALLSCRIPTS HEALTHCARE SOLNS","54569302700","54569-3027-00","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ALLSCRIPTS HEALTHCARE SOLNS","54569302700","54569-3027-00","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J1100","Dexamethasone sodium phos","A-S Medication Solutions","54569304000","54569-3040-00","Dexamethasone Sodium Phosphate","1 MG",30,1,120,120,,
"J7637","Dexamethasone inhal sol con","ALLSCRIPTS","54569304001","54569-3040-01","Dexamethasone Sodium Phosphate",,30,25,3000,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ALLSCRIPTS","54569304001","54569-3040-01","Dexamethasone Sodium Phosphate",,39,25,3900,156,,"1 MG"
"J7506","Prednisone oral","A-S Medication Solutions","54569304300","54569-3043-00","Prednisone","5 MG",20,1,80,80,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569304300","54569-3043-00","Prednisone","1 MG",20,1,400,400,,
"J7506","Prednisone oral","A-S Medication Solutions","54569304301","54569-3043-01","Prednisone","5 MG",12,1,48,48,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569304301","54569-3043-01","Prednisone","1 MG",12,1,240,240,,
"J7506","Prednisone oral","A-S Medication Solutions","54569304302","54569-3043-02","Prednisone","5 MG",6,1,24,24,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569304302","54569-3043-02","Prednisone","1 MG",6,1,120,120,,
"J7506","Prednisone oral","ALLSCRIPTS","54569304303","54569-3043-03","Prednisone","5 MG",9,1,36,36,,
"J7506","Prednisone oral","ALLSCRIPTS","54569304304","54569-3043-04","Prednisone","5 MG",3,1,12,12,,
"J7506","Prednisone oral","A-S Medication Solutions","54569304305","54569-3043-05","Prednisone","5 MG",14,1,56,56,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569304305","54569-3043-05","Prednisone","1 MG",14,1,280,280,,
"J7506","Prednisone oral","A-S Medication Solutions","54569304306","54569-3043-06","Prednisone","5 MG",25,1,100,100,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569304306","54569-3043-06","Prednisone","1 MG",25,1,500,500,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569304307","54569-3043-07","PREDNISONE","1 MG",15,1,300,300,,
"90707","Mmr vaccine, sc","ALLSCRIPTS PHARM","54569306600","54569-3066-00","M-M-R Ii",,1,1,1,1,,"0.5 ML"
"J0170","Adrenalin epinephrin inject","ALLSCRIPTS","54569307500","54569-3075-00","Epinephrine Hcl","1 ML",1,25,1,25,,
"J0171","Adrenalin epinephrine inject","A-S Medication Solutions","54569307500","54569-3075-00","Epinephrine Hcl","0.1 MG",1,25,10,250,,
"J0170","Adrenalin epinephrin inject","ALLSCRIPTS","54569307501","54569-3075-01","Epinephrine Hcl","1 ML",1,1,1,1,,
"J0171","Adrenalin epinephrine inject","A-S Medication Solutions","54569307501","54569-3075-01","Epinephrine Hcl","0.1 MG",1,1,10,10,,
"J2912","Sodium chloride injection","ALLSCRIPTS","54569307800","54569-3078-00","Sodium Chloride","2 ML",5,100,2.5,250,,
"J7130","Hypertonic saline solution","ALLSCRIPTS","54569307800","54569-3078-00","Sodium Chloride",,5,100,25,0.25,,"20 CC"
"J2300","Inj nalbuphine hydrochloride","ALLSCRIPTS","54569308000","54569-3080-00","Nubain","10 MG",10,1,10,10,,
"J2550","Promethazine hcl injection","ALLSCRIPTS","54569310600","54569-3106-00","Phenergan","50 MG",1,10,0.5,5,,
"J8540","Oral dexamethasone","ALLSCRIPTS","54569311000","54569-3110-00","DEXAMETHASONE",,,,,,,"0.25 MG"
"J0280","Aminophyllin 250 MG inj","ALLSCRIPTS","54569313001","54569-3130-01","Aminophylline","250 MG",20,1,2,2,,
"J1720","Hydrocortisone sodium succ i","ALLSCRIPTS","54569313300","54569-3133-00","Solu-Cortef","100 MG",1,1,2.5,2.5,,
"J0885","Epoetin alfa, non-esrd","ALLSCRIPTS","54569313700","54569-3137-00","Epogen","1000 UNITS",1,10,10,1000,,
"J0886","Epoetin alfa 1000 units ESRD","ALLSCRIPTS","54569313700","54569-3137-00","Epogen","1000 UNITS",1,10,10,1000,,
"Q4055","Epoetin alfa, esrd use","ALLSCRIPTS","54569313700","54569-3137-00","Epogen",,1,10,100,10,,"1000 UNITS"
"Q4081","Epoetin alfa, 100 units ESRD","ALLSCRIPTS","54569313700","54569-3137-00","Epogen","100 UNITS",1,10,100,1000,,
"90746","Hep b vaccine, adult, im","ALLSCRIPTS","54569314200","54569-3142-00","Engerix-B","1 EACH",1,25,1,25,,
"90747","Hepb vacc, ill pat 4 dose im","ALLSCRIPTS PHARM","54569314200","54569-3142-00","Engerix-B",,1,25,12.5,0.5,,"40 MCG"
"J1580","Garamycin gentamicin inj","ALLSCRIPTS PHARM","54569314900","54569-3149-00","Gentamicin Sulfate",,2,25,25,1,,"80 MG"
"J0696","Ceftriaxone sodium injection","ALLSCRIPTS","54569320700","54569-3207-00","Rocephin","250 MG",1,10,8,80,,
"J7506","Prednisone oral","A-S Medication Solutions","54569330200","54569-3302-00","Prednisone","5 MG",60,1,120,120,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569330200","54569-3302-00","Prednisone","1 MG",60,1,600,600,,
"J7506","Prednisone oral","A-S Medication Solutions","54569330201","54569-3302-01","Prednisone","5 MG",20,1,40,40,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569330201","54569-3302-01","Prednisone","1 MG",20,1,200,200,,
"J7506","Prednisone oral","ALLSCRIPTS","54569330202","54569-3302-02","Prednisone","5 MG",45,1,90,90,,
"J7506","Prednisone oral","ALLSCRIPTS","54569330205","54569-3302-05","Prednisone","5 MG",55,1,110,110,,
"J7506","Prednisone oral","ALLSCRIPTS","54569330206","54569-3302-06","Prednisone","5 MG",6,1,12,12,,
"J7506","Prednisone oral","ALLSCRIPTS","54569330207","54569-3302-07","Prednisone","5 MG",4,1,8,8,,
"J7506","Prednisone oral","ALLSCRIPTS","54569330208","54569-3302-08","Prednisone","5 MG",18,1,36,36,,
"J7506","Prednisone oral","ALLSCRIPTS","54569330209","54569-3302-09","Prednisone","5 MG",90,1,180,180,,
"J2001","Lidocaine injection","ALLSCRIPTS PHARM","54569332700","54569-3327-00","Xylocaine (Cardiac)",,50,1,200,200,,"10 MG"
"J1040","Methylprednisolone 80 mg inj","A-S Medication Solutions","54569337400","54569-3374-00","Depo-Medrol","80 MG",1,1,1,1,,
"J0704","Betamethasone sod phosp/4 MG","ALLSCRIPTS PHARM","54569337700","54569-3377-00","Celestone",,5,1,5,5,,"4 ML"
"Q0173","Trimethobenzamide HCl 250mg","ALLSCRIPTS","54569340700","54569-3407-00","Trimethobenzamide Hcl","250 MG",12,1,12,12,,
"J7506","Prednisone oral","A-S Medication Solutions","54569341300","54569-3413-00","Prednisone (Pak)","5 MG",21,1,21,21,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569341300","54569-3413-00","Prednisone (Pak)","1 MG",21,1,105,105,,
"J7658","Isoproterenolhcl inh sol con","ALLSCRIPTS","54569341500","54569-3415-00","Isoproterenol",,5,25,12.5,0.5,,"1 MG"
"J7659","Isoproterenol hcl inh sol ud","ALLSCRIPTS","54569341500","54569-3415-00","Isoproterenol",,5,25,12.5,0.5,,"1 MG"
"J1950","Leuprolide acetate /3.75 MG","ALLSCRIPTS","54569344400","54569-3444-00","Lupron Depot","3.75 MG",1,1,1,1,,
"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,,
"J1815","Insulin injection","ALLSCRIPTS","54569346701","54569-3467-01","Humulin 70/30",,10,2,400,200,,"5 UNITS"
"J1817","Insulin for insulin pump use","ALLSCRIPTS","54569346701","54569-3467-01","Humulin 70/30","50 UNITS",10,2,20,40,,
"J0696","Ceftriaxone sodium injection","A-S Medication Solutions","54569347700","54569-3477-00","Rocephin","250 MG",1,1,4,4,,
"J0696","Ceftriaxone sodium injection","ALLSCRIPTS","54569347800","54569-3478-00","Rocephin","250 MG",1,1,1,1,,
"J0696","Ceftriaxone sodium injection","ALLSCRIPTS","54569347900","54569-3479-00","Rocephin","250 MG",1,1,2,2,,
"J3470","Hyaluronidase injection","ALLSCRIPTS PHARM","54569351600","54569-3516-00","Wydase",,1,1,1,1,,"150 UNITS"
"J0330","Succinycholine chloride inj","ALLSCRIPTS HEALTHCARE SOLNS","54569351700","54569-3517-00","Succinylcholine Chloride","20 MG",10,12,10,120,,
"J1200","Diphenhydramine hcl injectio","ALLSCRIPTS PHARM","54569354800","54569-3548-00","Benadryl",,10,1,10,10,,"50 MG"
"J0460","Atropine sulfate injection","ALLSCRIPTS","54569358800","54569-3588-00","Atropine Sulfate","0.3 MG",5,1,1.65,1.65,,
"J0460","Atropine sulfate injection","ALLSCRIPTS","54569358900","54569-3589-00","Atropine Sulfate","0.3 MG",1,25,1.33,33.25,,
"J0461","Atropine sulfate injection","A-S Medication Solutions","54569358900","54569-3589-00","Atropine Sulfate","0.01 MG",1,25,40,1000,,
"J1940","Furosemide injection","ALLSCRIPTS PHARM","54569359000","54569-3590-00","Furosemide",,4,25,50,2,,"20 MG"
"90703","Tetanus vaccine, im","ALLSCRIPTS HEALTHCARE SOLNS","54569361100","54569-3611-00","Tetanus Toxoid",,0,10,10,1,,"0.5 ML"
"90744","Hepb vacc ped/adol 3 dose im","ALLSCRIPTS","54569364400","54569-3644-00","Engerix-B","1 DOSE",0.5,1,1,1,,
"J0595","Butorphanol tartrate 1 mg","ALLSCRIPTS","54569368100","54569-3681-00","Stadol Ns","1 MG",2.5,1,25,25,,
"J3030","Sumatriptan succinate / 6 MG","ALLSCRIPTS","54569370400","54569-3704-00","Imitrex","6 MG",0.5,5,1,5,,
"J0150","Injection adenosine 6 MG","ALLSCRIPTS PHARM","54569374500","54569-3745-00","Adenocard",,2,1,1,1,,"6 MG"
"J7506","Prednisone oral","ALLSCRIPTS","54569379800","54569-3798-00","Sterapred Ds","5 MG",48,1,96,96,,
"90371","Hep b ig, im","ALLSCRIPTS PHARM","54569382900","54569-3829-00","H-Big",,5,1,5,5,,"1 ML"
"J1815","Insulin injection","A-S Medication Solutions","54569383300","54569-3833-00","Novolin R","5 UNITS",10,1,200,200,,
"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","ALLSCRIPTS PHARM","54569383301","54569-3833-01","Novolin R",,10,2,400,200,,"5 UNITS"
"J1817","Insulin for insulin pump use","ALLSCRIPTS PHARM","54569383301","54569-3833-01","Novolin R",,10,2,40,20,,"50 UNITS"
"J1815","Insulin injection","ALLSCRIPTS","54569383400","54569-3834-00","Novolin L",,10,1,200,200,,"5 UNITS"
"J1817","Insulin for insulin pump use","ALLSCRIPTS","54569383400","54569-3834-00","Novolin L","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","A-S Medication Solutions","54569383500","54569-3835-00","Novolin N","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","A-S Medication Solutions","54569383500","54569-3835-00","Novolin N","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","ALLSCRIPTS","54569383501","54569-3835-01","Novolin N",,10,2,400,200,,"5 UNITS"
"J1817","Insulin for insulin pump use","ALLSCRIPTS","54569383501","54569-3835-01","Novolin N","50 UNITS",10,2,20,40,,
"J1750","Iron dextran injection","ALLSCRIPTS","54569384600","54569-3846-00","Infed","50 MG",2,10,2,20,,
"J1751","Iron dextran 165 injection","ALLSCRIPTS","54569384600","54569-3846-00","Infed","50 MG",2,10,2,20,,
"Q4098","Iron dextran injection","ALLSCRIPTS","54569384600","54569-3846-00","Infed","50 MG",2,10,2,20,,
"J7506","Prednisone oral","ALLSCRIPTS","54569384700","54569-3847-00","Sterapred Ds","5 MG",21,1,42,42,,
"90720","Dtp/hib vaccine, im","ALLSCRIPTS PHARM","54569386800","54569-3868-00","Tetramune",,5,1,10,10,,"0.5 ML"
"90718","Td vaccine > 7, im","ALLSCRIPTS PHARM","54569387500","54569-3875-00","Diphtheria-Tetanus Toxoids",,0.5,10,10,1,,"0.5 ML"
"J2550","Promethazine hcl injection","A-S Medication Solutions","54569388200","54569-3882-00","Phenergan","50 MG",1,25,0.5,12.5,,
"90746","Hep b vaccine, adult, im","ALLSCRIPTS","54569388800","54569-3888-00","Engerix-B","1 EACH",1,5,1,5,,
"90747","Hepb vacc, ill pat 4 dose im","ALLSCRIPTS PHARM","54569388800","54569-3888-00","Engerix-B",,1,5,2.5,0.5,,"40 MCG"
"J7603","Albuterol inh non-comp u d ","ALLSCRIPTS","54569389900","54569-3899-00","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","A-S Medication Solutions","54569389900","54569-3899-00","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","ALLSCRIPTS","54569389900","54569-3899-00","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","A-S Medication Solutions","54569389901","54569-3899-01","Albuterol Sulfate","1 MG",3,125,2.5,312.5,,
"J7602","Albuterol inh non-comp con","ALLSCRIPTS","54569390000","54569-3900-00","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","A-S Medication Solutions","54569390000","54569-3900-00","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","ALLSCRIPTS","54569390000","54569-3900-00","Albuterol Sulfate","1 MG",20,1,100,100,,
"J2590","Oxytocin injection","ALLSCRIPTS","54569391400","54569-3914-00","Pitocin","10 UNITS",25,1,25,25,,
"J0670","Inj mepivacaine HCL/10 ml","ALLSCRIPTS PHARM","54569391800","54569-3918-00","Mepivacaine Hcl",,50,1,5,5,,"10 ML"
"90690","Typhoid vaccine, oral","ALLSCRIPTS PHARM","54569392700","54569-3927-00","Vivotif Berna Vaccine",,4,1,1,1,,"4 CAPSULES"
"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,,
"J0460","Atropine sulfate injection","ALLSCRIPTS PHARM","54569394700","54569-3947-00","Atropine Sulfate",,1,25,33.25,1.33,,"0.3 MG"
"J0780","Prochlorperazine injection","ALLSCRIPTS PHARM","54569395501","54569-3955-01","Prochlorperazine Edisylate",,2,1,1,1,,"10 MG"
"J1051","Medroxyprogesterone inj","ALLSCRIPTS PHARM","54569395700","54569-3957-00","Depo-Provera",,10,1,80,80,,"50 MG"
"J1051","Medroxyprogesterone inj","ALLSCRIPTS PHARM","54569395800","54569-3958-00","Depo-Provera",,2.5,1,20,20,,"50 MG"
"J7628","Bitolterol mes inhal sol con","ALLSCRIPTS","54569395900","54569-3959-00","Tornalate",,30,1,60,60,,"1 MG"
"J7629","Bitolterol mes inh sol u d","ALLSCRIPTS","54569395900","54569-3959-00","Tornalate",,30,1,60,60,,"1 MG"
"J7628","Bitolterol mes inhal sol con","ALLSCRIPTS","54569396000","54569-3960-00","Tornalate",,60,1,120,120,,"1 MG"
"J7629","Bitolterol mes inh sol u d","ALLSCRIPTS","54569396000","54569-3960-00","Tornalate",,60,1,120,120,,"1 MG"
"J3475","Inj magnesium sulfate","ALLSCRIPTS","54569396801","54569-3968-01","Magnesium Sulfate","500 MG",2,1,2,2,,
"90385","Rh ig, minidose, im","ALLSCRIPTS PHARM","54569397000","54569-3970-00","Hyprho-D",,1.7,10,17,1.7,,"50 MCG"
"J2788","Rho d immune globulin 50 mcg","ALLSCRIPTS PHARM","54569397000","54569-3970-00","Hyprho-D",,1.7,10,17,1.7,,"50 MCG"
"90735","Encephalitis vaccine, sc","ALLSCRIPTS","54569399000","54569-3990-00","Je-Vax","1 ML",1,3,1,3,,
"J7506","Prednisone oral","ALLSCRIPTS","54569401700","54569-4017-00","Deltasone","5 MG",9,1,36,36,,
"J7506","Prednisone oral","ALLSCRIPTS","54569402600","54569-4026-00","Prednisone","5 MG",42,1,42,42,,
"J7506","Prednisone oral","ALLSCRIPTS","54569402601","54569-4026-01","Prednisone","5 MG",24,1,24,24,,
"J7506","Prednisone oral","A-S Medication Solutions","54569402604","54569-4026-04","Prednisone","5 MG",40,1,40,40,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569402604","54569-4026-04","Prednisone","1 MG",40,1,200,200,,
"J7506","Prednisone oral","ALLSCRIPTS","54569402605","54569-4026-05","Prednisone","5 MG",55,1,55,55,,
"90675","Rabies vaccine, im","ALLSCRIPTS","54569404900","54569-4049-00","Imovax Rabies","1 ML",1,1,1,1,,
"90716","Chicken pox vaccine, sc","ALLSCRIPTS PHARM","54569405500","54569-4055-00","Varivax",,1,1,1,1,,"0.5 ML"
"90716","Chicken pox vaccine, sc","ALLSCRIPTS PHARM","54569405600","54569-4056-00","Varivax",,1,10,10,1,,"0.5 ML"
"J3070","Pentazocine injection","ALLSCRIPTS","54569409500","54569-4095-00","Talwin","30 MG",1,10,1,10,,
"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,,
"Q0169","Promethazine hcl 12.5mg oral","A-S Medication Solutions","54569416800","54569-4168-00","Promethazine Hcl","12.5 MG",5,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","A-S Medication Solutions","54569416800","54569-4168-00","Promethazine Hcl","25 MG",5,1,5,5,,
"Q0169","Promethazine hcl 12.5mg oral","A-S Medication Solutions","54569416803","54569-4168-03","Promethazine Hcl","12.5 MG",8,1,16,16,,
"J2405","Ondansetron hcl injection","ALLSCRIPTS","54569419800","54569-4198-00","Zofran","1 MG",2,5,4,20,,
"J1060","Testosterone cypionate 1 ML","ALLSCRIPTS PHARM","54569419900","54569-4199-00","Depo-Testadiol",,10,1,10,10,,"1 ML"
"J2590","Oxytocin injection","ALLSCRIPTS","54569421200","54569-4212-00","Oxytocin","10 UNITS",10,25,10,250,,
"90744","Hepb vacc ped/adol 3 dose im","ALLSCRIPTS","54569421300","54569-4213-00","Engerix-B","1 DOSE",0.5,5,1,5,,
"Q0163","Diphenhydramine HCl 50mg","ALLSCRIPTS","54569421700","54569-4217-00","Diphenhydramine Hcl","50 MG",200,1,100,100,,
"Q4076","Dopamine hcl, 40 mg","ALLSCRIPTS","54569422300","54569-4223-00","Dopamine Hcl",,5,1,5,5,,"40 MG"
"J7506","Prednisone oral","ALLSCRIPTS","54569422600","54569-4226-00","Deltasone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","ALLSCRIPTS","54569422700","54569-4227-00","Sterapred","5 MG",21,1,21,21,,
"J1030","Methylprednisolone 40 mg inj","A-S Medication Solutions","54569426500","54569-4265-00","Depo-Medrol","40 MG",10,1,10,10,,
"J0690","Cefazolin sodium injection","ALLSCRIPTS","54569429400","54569-4294-00","Cefazolin Sodium","500 MG",1,10,2,20,,
"90676","Rabies vaccine, id","ALLSCRIPTS PHARM","54569431400","54569-4314-00","Imovax Rabies",,0.1,1,0.1,0.1,,"0.1 ML"
"90632","Hep a vaccine, adult im","ALLSCRIPTS PHARM","54569435100","54569-4351-00","Vaqta",,1,5,5,1,,"1 ML"
"J2300","Inj nalbuphine hydrochloride","ALLSCRIPTS PHARM","54569439000","54569-4390-00","Nubain",,10,1,20,20,,"10 MG"
"J2790","Rho d immune globulin inj","ALLSCRIPTS","54569439500","54569-4395-00","Bayrho-D","300 MCG",1,1,1,1,,
"90385","Rh ig, minidose, im","ALLSCRIPTS PHARM","54569439600","54569-4396-00","Bayrho-D",,0.5,10,5,0.5,,"50 MCG"
"J2788","Rho d immune globulin 50 mcg","ALLSCRIPTS PHARM","54569439600","54569-4396-00","Bayrho-D",,0.5,10,5,0.5,,"50 MCG"
"J1670","Tetanus immune globulin inj","ALLSCRIPTS","54569439800","54569-4398-00","Baytet","250 UNITS",1,1,1,1,,
"J0690","Cefazolin sodium injection","ALLSCRIPTS PHARM","54569443100","54569-4431-00","Cefazolin Sodium",,1,25,25,1,,"500 MG"
"90632","Hep a vaccine, adult im","ALLSCRIPTS","54569446900","54569-4469-00","Vaqta","1 ML",1,1,1,1,,
"J7509","Methylprednisolone oral","ALLSCRIPTS","54569451600","54569-4516-00","Medrol","4 MG",10,1,20,20,,
"J9250","Methotrexate sodium inj","ALLSCRIPTS PHARM","54569452500","54569-4525-00","Methotrexate Sodium",,2,1,10,10,,"5 MG"
"J1950","Leuprolide acetate /3.75 MG","ALLSCRIPTS PHARM","54569452600","54569-4526-00","Lupron Depot",,1,1,3,3,,"3.75 MG"
"J1950","Leuprolide acetate /3.75 MG","ALLSCRIPTS PHARM","54569454700","54569-4547-00","Lupron Depot",,1,1,1,1,,"3.75 MG"
"J7631","Cromolyn sodium inh sol u d","ALLSCRIPTS PHARM","54569454900","54569-4549-00","Cromolyn Sodium",,2,60,120,2,,"10 MG"
"J7509","Methylprednisolone oral","ALLSCRIPTS","54569458000","54569-4580-00","Medrol","4 MG",21,1,84,84,,
"J3120","Testosterone enanthate inj","ALLSCRIPTS PHARM","54569462000","54569-4620-00","Delatestryl",,1,1,2,2,,"100 MG"
"J1100","Dexamethasone sodium phos","A-S Medication Solutions","54569464800","54569-4648-00","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500,,
"J3370","Vancomycin hcl injection","ALLSCRIPTS PHARM","54569466900","54569-4669-00","Vancomycin Hcl",,1,10,20,2,,"500 MG"
"J1956","Levofloxacin injection","A-S Medication Solutions","54569467700","54569-4677-00","Levaquin","250 MG",20,1,2,2,,
"J0456","Azithromycin","ALLSCRIPTS PHARM","54569468100","54569-4681-00","Zithromax",,1,10,10,1,,"500 EA"
"J0713","Inj ceftazidime per 500 mg","ALLSCRIPTS","54569468200","54569-4682-00","Fortaz","500 MG",1,10,4,40,,
"J0692","Cefepime HCl for injection","ALLSCRIPTS","54569468300","54569-4683-00","Maxipime","500 MG",1,10,4,40,,
"Q0169","Promethazine HCl 12.5mg oral","ALLSCRIPTS","54569469900","54569-4699-00","Phenergan","12.5 MG",30,1,30,30,,
"J2760","Phentolaine mesylate inj","ALLSCRIPTS PHARM","54569470200","54569-4702-00","Phentolamine Mesylate",,1,1,1,1,,"5 MG"
"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,,
"90371","Hep b ig, im","ALLSCRIPTS","54569473900","54569-4739-00","Nabi-Hb","1 ML",5,1,5,5,,
"J7603","Albuterol inh non-comp u d ","ALLSCRIPTS","54569474800","54569-4748-00","Xopenex","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","A-S Medication Solutions","54569474800","54569-4748-00","Xopenex","0.5 MG",3,24,1.25,30,,
"Q4094","Albuterol inh non-comp u d ","ALLSCRIPTS","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,,
"J7320","Hylan G-F 20 injection","ALLSCRIPTS PHARM","54569477100","54569-4771-00","Synvisc",,2,3,3,1,,"16 MG"
"J7631","Cromolyn sodium inh sol u d","ALLSCRIPTS PHARM","54569477200","54569-4772-00","Cromolyn Sodium",,2,120,240,2,,"10 MG"
"J0670","Inj mepivacaine HCL/10 ml","ALLSCRIPTS PHARM","54569478200","54569-4782-00","Polocaine",,50,1,5,5,,"10 ML"
"J9217","Leuprolide acetate suspnsion","ALLSCRIPTS PHARM","54569478500","54569-4785-00","Lupron Depot",,1,1,1,1,,"7.5 MG"
"90657","Flu vaccine, 6-35 mo, im","ALLSCRIPTS","54569480400","54569-4804-00","Fluzone Subvirion","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 & over, im","ALLSCRIPTS","54569480400","54569-4804-00","Fluzone Subvirion","0.5 ML",5,1,10,10,,
"90657","Flu vaccine, 6-35 mo, im","ALLSCRIPTS","54569480500","54569-4805-00","Fluzone Subvirion","0.25 ML",0.5,10,2,20,,
"90658","Flu vaccine age 3 & over, im","ALLSCRIPTS","54569480500","54569-4805-00","Fluzone Subvirion","0.5 ML",0.5,10,1,10,,
"90713","Poliovirus, ipv, sc/im","ALLSCRIPTS","54569481200","54569-4812-00","Ipol","0.5 ML",5,1,10,10,,
"J2300","Inj nalbuphine hydrochloride","ALLSCRIPTS","54569481900","54569-4819-00","Nubain","10 MG",1,10,2,20,,
"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,,
"J0670","Inj mepivacaine HCL/10 ml","ALLSCRIPTS PHARM","54569485900","54569-4859-00","Polocaine",,50,1,5,5,,"10 ML"
"Q0179","Ondansetron HCl 8mg oral","ALLSCRIPTS","54569487200","54569-4872-00","Zofran","8 MG",1,9,1,9,,
"Q0179","Ondansetron hcl 8 mg oral","ALLSCRIPTS","54569487201","54569-4872-01","Zofran","8 MG",1,4,1,4,,
"J7644","Ipratropium bromide non-comp","A-S Medication Solutions","54569491000","54569-4910-00","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"90703","Tetanus vaccine, im","ALLSCRIPTS HEALTHCARE SOLNS","54569492800","54569-4928-00","Tetanus Toxoid",,7,1,1,1,,"0.5 ML"
"J2941","Somatropin injection","ALLSCRIPTS","54569493000","54569-4930-00","Saizen","1 MG",1,1,5,5,,
"J7513","Daclizumab, parenteral","ALLSCRIPTS","54569494200","54569-4942-00","Zenapax","25 MG",5,1,1,1,,
"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,,
"90700","Dtap vaccine, < 7 yo, im","ALLSCRIPTS","54569496900","54569-4969-00","Infanrix","0.5 ML",0.5,10,1,10,,
"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,,
"J1020","Methylprednisolone 20 MG inj","ALLSCRIPTS PHARM","54569512500","54569-5125-00","Depo-Medrol",,5,1,5,5,,"20 MG"
"J7626","Budesonide non-comp unit dose","ALLSCRIPTS","54569516300","54569-5163-00","Pulmicort","0.50 MG",2,30,1,30,,
"J2765","Metoclopramide hcl injection","ALLSCRIPTS PHARM","54569517100","54569-5171-00","Metoclopramide Hcl",,2,25,25,1,,"10 MG"
"J0133","Acyclovir injection","ALLSCRIPTS","54569517300","54569-5173-00","Acyclovir Sodium","5 MG",1,10,100,1000,,
"Q4075","Acyclovir, 5 mg","ALLSCRIPTS","54569517300","54569-5173-00","Acyclovir Sodium",,1,10,1000,100,,"5 MG"
"90657","Flu vaccine, 6-35 mo, im","ALLSCRIPTS","54569518100","54569-5181-00","Flushield Influenza Virus Vac","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 & over, im","ALLSCRIPTS","54569518100","54569-5181-00","Flushield Influenza Virus Vac","0.5 ML",5,1,10,10,,
"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,,
"J7510","Prednisolone oral per 5 mg","ALLSCRIPTS","54569520400","54569-5204-00","Prednisolone","5 MG",240,2,144,288,,
"J7510","Prednisolone oral per 5 mg","ALLSCRIPTS","54569520401","54569-5204-01","Prednisolone","5 MG",240,4,288,576,,
"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,,
"J9217","Leuprolide acetate suspnsion","ALLSCRIPTS PHARM","54569526200","54569-5262-00","Lupron Depot-Ped",,1,1,2,2,,"7.5 MG"
"90645","Hib vaccine, hboc, im","ALLSCRIPTS","54569526900","54569-5269-00","Pedvaxhib","1 EACH",0.5,10,1,10,,
"90647","Hib vaccine, prp-omp, im","ALLSCRIPTS","54569526900","54569-5269-00","Pedvax Hib","0.5 ML",0.5,10,1,10,,
"J1460","Gamma globulin 1 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","1 CC",2,1,2,2,,
"J1470","Gamma globulin 2 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","2 CC",2,1,1,1,,
"J1480","Gamma globulin 3 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","3CC",2,1,0.667,0.667,,
"J1490","Gamma globulin 4 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","4 CC",2,1,0.5,0.5,,
"J1500","Gamma globulin 5 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","5 CC",2,1,0.4,0.4,,
"J1510","Gamma globulin 6 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","6 CC",2,1,0.333,0.333,,
"J1520","Gamma globulin 7 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","7 CC",2,1,0.286,0.286,,
"J1530","Gamma globulin 8 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","8 CC",2,1,0.25,0.25,,
"J1540","Gamma globulin 9 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","9 CC",2,1,0.222,0.222,,
"J1550","Gamma globulin 10 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","10 CC",2,1,0.2,0.2,,
"J1560","Gamma globulin > 10 CC inj","ALLSCRIPTS","54569527500","54569-5275-00","Baygam","10 CC",2,1,2,2,,
"J1460","Gamma globulin 1 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,10,10,,"1 ML"
"J1470","Gamma globulin 2 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,5,5,,"2 ML"
"J1480","Gamma globulin 3 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,3.333,3.333,,"3 ML"
"J1490","Gamma globulin 4 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,2.5,2.5,,"4 ML"
"J1500","Gamma globulin 5 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,2,2,,"5 ML"
"J1510","Gamma globulin 6 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,1.667,1.667,,"6 ML"
"J1520","Gamma globulin 7 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,1.429,1.429,,"7 ML"
"J1530","Gamma globulin 8 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,1.25,1.25,,"8 ML"
"J1540","Gamma globulin 9 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,1.111,1.111,,"9 ML"
"J1550","Gamma globulin 10 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,1,1,,"10 ML"
"J1560","Gamma globulin > 10 CC inj","ALLSCRIPTS PHARM","54569527600","54569-5276-00","Baygam",,10,1,10,10,,"10 ML"
"J1071","Inj testosterone cypionate","A-S Medication Solutions","54569530100","54569-5301-00","Depo-Testosterone","1 MG",10,1,1000,1000,,
"90656","Flu vaccine no preserv 3 & >","ALLSCRIPTS","54569530700","54569-5307-00","Fluvirin","0.5 ML",5,1,10,10,,
"90658","Flu vaccine age 3 & over, im","ALLSCRIPTS","54569530700","54569-5307-00","Fluvirin","0.5 ML",5,1,10,10,,
"90744","Hepb vacc ped/adol 3 dose im","ALLSCRIPTS","54569531100","54569-5311-00","Engerix-B","1 DOSE",0.5,10,1,10,,
"J9250","Methotrexate sodium inj","ALLSCRIPTS PHARM","54569531600","54569-5316-00","Methotrexate Sodium",,2,10,100,10,,"5 MG"
"J1815","Insulin injection","ALLSCRIPTS","54569532100","54569-5321-00","Humalog Mix 75/25",,10,1,200,200,,"5 UNITS"
"J1817","Insulin for insulin pump use","ALLSCRIPTS","54569532100","54569-5321-00","Humalog Mix 75/25","50 UNITS",10,1,20,20,,
"90657","Flu vaccine, 6-35 mo, im","ALLSCRIPTS","54569532300","54569-5323-00","Fluzone Subvirion","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 & over, im","ALLSCRIPTS","54569532300","54569-5323-00","Fluzone Subvirion","0.5 ML",5,1,10,10,,
"J2320","Nandrolone decanoate 50 MG","ALLSCRIPTS PHARM","54569533500","54569-5335-00","Deca-Durabolin",,1,1,4,4,,"50 MG"
"J2322","Nandrolone decanoate 200 MG","ALLSCRIPTS PHARM","54569533500","54569-5335-00","Deca-Durabolin",,1,1,1,1,,"200 MG"
"J3360","Diazepam injection","ALLSCRIPTS","54569535100","54569-5351-00","Diazepam","5 MG",50,1,50,50,,
"90633","Hep a vacc, ped/adol, 2 dose","ALLSCRIPTS","54569536500","54569-5365-00","Havrix","0.5 ML",0.5,1,1,1,,
"90634","Hep a vacc, ped/adol, 3 dose","ALLSCRIPTS","54569536500","54569-5365-00","HAVRIX PEDIATRIC","0.5 ML",0.5,1,1,1,,
"90632","Hep a vaccine, adult im","ALLSCRIPTS","54569537100","54569-5371-00","Havrix","1 ML",1,1,1,1,,
"90740","Hepb vacc, ill pat 3 dose im","ELKINS-SINN","54569540800","54569-5408-00","Engerix-B","40 MCG",1,5,0.5,2.5,,
"90746","Hep b vaccine, adult, im","ALLSCRIPTS","54569540800","54569-5408-00","Engerix-B","1 EACH",1,5,1,5,,
"90747","Hepb vacc, ill pat 4 dose im","GENENTECH","54569540800","54569-5408-00","Engerix-B","40 MCG",1,5,0.5,2.5,,
"J3120","Testosterone enanthate inj","ALLSCRIPTS PHARM","54569541600","54569-5416-00","Delatestryl",,5,1,10,10,,"100 MG"
"J7616","Albuterol compound solution","ALLSCRIPTS PHARM","54569543200","54569-5432-00","Duoneb",,3,30,15,0.5,,"1 UNIT"
"J1056","MA/EC contraceptiveinjection","ALLSCRIPTS PHARM","54569543300","54569-5433-00","Lunelle",,0.5,1,1,1,,"5 MG"
"90371","Hep b ig, im","ALLSCRIPTS PHARM","54569544400","54569-5444-00","Nabi-Hb",,1,1,1,1,,"1 ML"
"J7603","Albuterol inh non-comp u d ","ALLSCRIPTS","54569544500","54569-5445-00","Xopenex","0.5 MG",3,24,2.5,60,,
"J7614","Levalbuterol non-comp unit","A-S Medication Solutions","54569544500","54569-5445-00","Xopenex","0.5 MG",3,24,2.5,60,,
"90718","Td vaccine >/= 7 yo, im","ALLSCRIPTS","54569545000","54569-5450-00","Tetanus-Diphtheria Toxoids Td","0.5 ML",7.5,1,15,15,,
"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,,
"90633","Hep a vacc, ped/adol, 2 dose","ALLSCRIPTS","54569547500","54569-5475-00","Havrix",,1,5,5,1,,"1 ML"
"90634","Hep a vacc, ped/adol, 3 dose","ALLSCRIPTS","54569547500","54569-5475-00","Havrix",,1,5,5,1,,"1 ML"
"90658","Flu vaccine, 3 yrs & >, im","ALLSCRIPTS PHARM","54569552600","54569-5526-00","Fluvirin",,5,1,10,10,,"0.5 ML"
"J3420","Vitamin b12 injection","A-S Medication Solutions","54569553300","54569-5533-00","Cyanocobalamin","1000 MCG",30,5,30,150,,
"J0285","Amphotericin B","ALLSCRIPTS","54569553500","54569-5535-00","Fungizone","50 MG",1,1,1,1,,
"90658","Flu vaccine, 3 yrs & >, im","ALLSCRIPTS PHARM","54569553700","54569-5537-00","Fluvirin",,0.5,10,10,1,,"0.5 ML"
"90634","Hep a vacc, ped/adol, 3 dose","ALLSCRIPTS","54569554000","54569-5540-00","HAVRIX PEDIATRIC","0.5 ML",2.5,1,5,5,,
"J7321","Hyalgan/supartz inj per dose","A-S Medication Solutions","54569554300","54569-5543-00","Hyalgan","per dose",2,1,1,1,,
"Q4083","Hyalgan or Supartz, inj","ALLSCRIPTS","54569554300","54569-5543-00","Hyalgan","PER DOSE",2,1,1,1,,
"J1040","Methylprednisolone 80 MG inj","ALLSCRIPTS","54569555800","54569-5558-00","Depo-Medrol","80 MG",25,1,25,25,,
"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,,
"Q0173","Trimethobenzamide HCl 250mg","ALLSCRIPTS","54569558900","54569-5589-00","Trimethobenzamide Hcl","250 MG",12,1,14.4,14.4,,
"Q0173","Trimethobenzamide HCl 250mg","ALLSCRIPTS","54569558901","54569-5589-01","Trimethobenzamide Hcl","250 MG",6,1,7.2,7.2,,
"J1815","Insulin injection","A-S Medication Solutions","54569560500","54569-5605-00","LANTUS","5 UNITS",10,1,200,200,,
"J0460","Atropine sulfate injection","ALLSCRIPTS","54569560700","54569-5607-00","ATROPINE SULFATE","0.3 MG",1,1,3.33,3.33,,
"J0461","Atropine sulfate injection","ALLSCRIPTS","54569560700","54569-5607-00","ATROPINE SULFATE","0.01 MG",1,1,100,100,,
"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,,
"J2930","Methylprednisolone injection","ALLSCRIPTS","54569561400","54569-5614-00","Solu-Medrol","125 MG",2,1,1,1,,
"90743","Hep b vacc, adol, 2 dose, im","ALLSCRIPTS","54569562800","54569-5628-00","Recombivax Hb","1 DOSE",0.5,1,1,1,,
"90744","Hepb vacc ped/adol 3 dose im","ALLSCRIPTS","54569562800","54569-5628-00","Recombivax Hb","1 EACH",0.5,1,1,4,,
"90743","Hep b vacc, adol, 2 dose, im","ALLSCRIPTS","54569562900","54569-5629-00","Recombivax Hb","1 DOSE",5,1,5,5,,
"90746","Hep b vaccine, adult, im","ALLSCRIPTS","54569562900","54569-5629-00","Recombivax Hb","1 EACH",5,1,5,5,,
"90743","Hep b vacc, adol, 2 dose, im","ALLSCRIPTS","54569563000","54569-5630-00","Recombivax Hb","1 DOSE",10,1,10,10,,
"90746","Hep b vaccine, adult, im","ALLSCRIPTS","54569563000","54569-5630-00","Recombivax Hb","1 EACH",10,1,10,10,,
"90633","Hep a vacc, ped/adol, 2 dose","ALLSCRIPTS","54569563100","54569-5631-00","VAQTA","0.5 ML",0.5,1,1,1,,
"90634","Hep a vacc, ped/adol, 3 dose","ALLSCRIPTS","54569563100","54569-5631-00","VAQTA","0.5 ML",0.5,1,1,1,,
"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,,
"J1200","Diphenhydramine hcl injectio","ALLSCRIPTS","54569568300","54569-5683-00","Benadryl","50 MG",25,1,25,25,,
"J8520","Capecitabine, oral, 150 mg","ALLSCRIPTS","54569571200","54569-5712-00","Cyclophosphamide",,,1,7.5,7.5,,"25 MG"
"J8530","Cyclophosphamide oral 25 MG","ALLSCRIPTS","54569571200","54569-5712-00","Cyclophosphamide","25 MG",,1,7.5,7.5,,
"J8520","Capecitabine, oral, 150 mg","ALLSCRIPTS","54569571300","54569-5713-00","Cyclophosphamide",,,1,20,20,,"25 MG"
"J8530","Cyclophosphamide oral 25 MG","ALLSCRIPTS","54569571300","54569-5713-00","Cyclophosphamide","25 MG",,1,20,20,,
"J8521","Capecitabine, oral, 500 mg","ALLSCRIPTS","54569571700","54569-5717-00","XELODA","500 MG",120,1,120,120,,
"J8521","Capecitabine, oral, 500 mg","ALLSCRIPTS","54569571701","54569-5717-01","Xeloda","500 MG",120,1,120,120,,
"J8521","Capecitabine, oral, 500 mg","ALLSCRIPTS","54569571702","54569-5717-02","Xeloda","500 MG",120,1,120,120,,
"J8560","Etoposide oral 50 MG","ALLSCRIPTS","54569571800","54569-5718-00","Etoposide","50 MG",,1,3,3,,
"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,,
"J3303","Triamcinolone hexacetonl inj","ALLSCRIPTS","54569573300","54569-5733-00","Aristospan Intra-Articular","5 MG",1,1,4,4,,
"J2250","Inj midazolam hydrochloride","ALLSCRIPTS","54569573500","54569-5735-00","Midazolam Hcl","1 MG",20,1,20,20,,
"J8501","Oral aprepitant","A-S Medication Solutions","54569574100","54569-5741-00","Emend Tri-Fold","5 MG",1,3,57,57,,
"J1650","Inj enoxaparin sodium","ALLSCRIPTS","54569574200","54569-5742-00","Lovenox","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","ALLSCRIPTS","54569574201","54569-5742-01","Lovenox","10 MG",0.8,10,8,80,,
"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 (1500 IU)",1,1,1,1,,
"Q0167","Dronabinol 2.5mg oral","ALLSCRIPTS","54569578900","54569-5789-00","Marinol","5 MG",60,1,30,30,,
"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,,
"90658","Flu vaccine age 3 yo & over, im","ALLSCRIPTS","54569582100","54569-5821-00","Fluvirin","0.5 ML",5,1,10,10,,
"J1460","Gamma globulin 1 CC inj","A-S Medication Solutions","54569582800","54569-5828-00","GAMASTAN S/D","1 CC",2,1,2,2,,
"J1470","Gamma globulin 2 CC inj","ALLSCRIPTS","54569582800","54569-5828-00","GAMASTAN S/D","2 CC",2,1,1,1,,
"J8700","Temozolomide","ALLSCRIPTS","54569583600","54569-5836-00","Temodar","5 MG",1,5,1,5,,
"J8700","Temozolomide","ALLSCRIPTS","54569583700","54569-5837-00","Temodar","5 MG",1,20,1,20,,
"J8700","Temozolomide","ALLSCRIPTS","54569583800","54569-5838-00","Temodar","5 MG",1,5,4,20,,
"J8700","Temozolomide","ALLSCRIPTS","54569583900","54569-5839-00","Temodar","5 MG",1,20,4,80,,
"J7506","Prednisone oral","A-S Medication Solutions","54569584000","54569-5840-00","Prednisone","5 MG",21,1,42,42,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569584000","54569-5840-00","Prednisone","1 MG",21,1,210,210,,
"J7506","Prednisone oral","A-S Medication Solutions","54569584100","54569-5841-00","Prednisone","5 MG",48,1,96,96,,
"J7512","Prednisone ir or dr oral 1mg","A-S Medication Solutions","54569584100","54569-5841-00","Prednisone","1 MG",48,1,480,480,,
"J8700","Temozolomide","ALLSCRIPTS","54569584200","54569-5842-00","Temodar","5 MG",1,5,20,100,,
"J8700","Temozolomide","ALLSCRIPTS","54569584300","54569-5843-00","Temodar","5 MG",1,20,20,400,,
"J8700","Temozolomide","ALLSCRIPTS","54569584400","54569-5844-00","Temodar","5 MG",1,5,50,250,,
"J8700","Temozolomide","ALLSCRIPTS","54569584500","54569-5845-00","Temodar","5 MG",1,20,50,1000,,
"90658","Flu vaccine age 3 yo & over, im","ALLSCRIPTS","54569585600","54569-5856-00","FLULAVAL","0.5 ML",5,1,10,10,,
"J2405","Ondansetron hcl injection","ALLSCRIPTS","54569587300","54569-5873-00","ONDANSETRON HCL","1 MG",4,1,8,8,,
"Q0162","Ondansetron oral","A-S Medication Solutions","54569587300","54569-5873-00","ONDANSETRON HCL","1 MG",1,4,8,32,,
"Q0179","Ondansetron hcl 8 mg oral","ALLSCRIPTS","54569587300","54569-5873-00","ONDANSETRON HCL","8 MG",1,4,1,4,,
"Q0162","Ondansetron oral","A-S Medication Solutions","54569587301","54569-5873-01","ONDANSETRON HCL","1 MG",1,4,8,32,,
"Q0179","Ondansetron hcl 8 mg oral","ALLSCRIPTS","54569587301","54569-5873-01","ONDANSETRON HCL","8 MG",1,4,1,4,,
"Q0162","Ondansetron oral","A-S Medication Solutions","54569587303","54569-5873-03","Ondansetron","1 MG",1,30,8,240,,
"Q0162","Ondansetron oral","A-S Medication Solutions","54569587304","54569-5873-04","Ondansetron","1 MG",1,6,8,48,,
"J2405","Ondansetron hcl injection","A-S Medication Solutions","54569587400","54569-5874-00","ONDANSETRON HCL","1 MG",2,5,4,20,,
"J0560","Penicillin g benzathine inj","ALLSCRIPTS","54569587600","54569-5876-00","Bicillin L-A","600000 UNITS",1,10,1,10,,
"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,,
"J0570","Penicillin g benzathine inj","ALLSCRIPTS","54569587700","54569-5877-00","Bicillin L-A","up to 1200000 UNITS",2,10,1,5,,
"J0580","Penicillin g benzathine inj","ALLSCRIPTS","54569587700","54569-5877-00","Bicillin L-A","up to 2400000 UNITS",2,10,0.5,5,,
"J0561","Penicillin g benzathine inj","A-S Medication Solutions","54569587701","54569-5877-01","Bicillin L-A","100,000 UNITS",2,1,12,120,,
"J0570","Penicillin g benzathine inj","ALLSCRIPTS","54569587701","54569-5877-01","Bicillin L-A","up to 1200000 UNITS",2,1,1,0.5,,
"J0580","Penicillin g benzathine inj","ALLSCRIPTS","54569587701","54569-5877-01","Bicillin L-A","up to 2400000 UNITS",2,1,0.5,0.5,,
"90633","Hep a vacc, ped/adol, 2 dose","ALLSCRIPTS","54569588800","54569-5888-00","Havrix","0.5 ML",0.5,5,1,5,,
"J1940","Furosemide injection","A-S Medication Solutions","54569590800","54569-5908-00","Furosemide","20 MG",50,1,25,25,,
"J0278","Amikacin sulfate injection","ALLSCRIPTS","54569591000","54569-5910-00","Amikacin Sulfate","100 MG",2,10,5,50,,
"J7506","Prednisone oral","A-S Medication Solutions","54569591100","54569-5911-00","Prednisone","5 MG",48,1,48,48,,
"J0540","Penicillin g benzathine inj","ALLSCRIPTS","54569595700","54569-5957-00","BICILLIN C-R"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","ALLSCRIPTS","54569595700","54569-5957-00","BICILLIN C-R"," UP TO 2400000 UNITS",2,10,1,10,,
"J0558","Peng benzathine/procaine inj","A-S Medication Solutions","54569595700","54569-5957-00","BICILLIN C-R","100,000 UNITS",2,10,12,120,,
"J0559","PenG benzathine/procaine inj","ALLSCRIPTS","54569595700","54569-5957-00","BICILLIN C-R"," 2500 UNITS",2,10,480,4800,,
"J0540","Penicillin g benzathine inj","ALLSCRIPTS","54569595800","54569-5958-00","Bicillin C-R 900/300"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","ALLSCRIPTS","54569595800","54569-5958-00","Bicillin C-R 900/300"," UP TO 2400000 UNITS",2,10,1,10,,
"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,,
"J0559","PenG benzathine/procaine inj","ALLSCRIPTS","54569595800","54569-5958-00","Bicillin C-R 900/300 (1.2million units/syr)"," 2500 UNITS",2,10,480,4800,,
"J0595","Butorphanol tartrate 1 mg","ALLSCRIPTS","54569598800","54569-5988-00","Butorphanol Tartrate","1 MG",2.5,1,25,25,,
"J9265","Paclitaxel injection","ALLSCRIPTS","54569599400","54569-5994-00","Paclitaxel","30 MG",16.7,1,3.34,3.34,,
"J3360","Diazepam injection","A-S Medication Solutions","54569604400","54569-6044-00","Diazepam","5 MG",10,10,10,100,,
"J2590","Oxytocin injection","A-S Medication Solutions","54569605900","54569-6059-00","Pitocin","10 UNITS",25,1,25,25,,
"J0460","Atropine sulfate injection","ALLSCRIPTS","54569607900","54569-6079-00","Atropine Sulfate","0.3 MG",1,1,3.33,3.33,,
"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,,
"Q0162","Ondansetron oral","A-S Medication Solutions","54569612401","54569-6124-01","Ondansetron","1 MG",1,30,8,240,,
"Q0162","Ondansetron oral","A-S Medication Solutions","54569612402","54569-6124-02","Ondansetron","1 MG",1,10,8,80,,
"Q0162","Ondansetron oral","A-S Medication Solutions","54569616801","54569-6168-01","Ondansetron","1 MG",1,6,4,24,,
"Q0162","Ondansetron oral","A-S Medication Solutions","54569616802","54569-6168-02","Ondansetron","1 MG",1,20,4,80,,
"Q0162","Ondansetron oral","A-S Medication Solutions","54569616803","54569-6168-03","Ondansetron","1 MG",1,8,4,32,,
"J3360","Diazepam injection","A-S Medication Solutions","54569664000","54569-6640-00","Diazepam","5 MG",2,10,2,20,,
"J7509","Methylprednisolone oral","A-S Medication Solutions","54569885600","54569-8856-00","Methylprednisolone","4 MG",21,1,21,21,,
"J1600","Gold sodium thiomaleate inj","SAB PHARMA","54643100500","54643-1005-00","Gold Sodium Thiomalate",,1,10,10,1,,"50 MG"
"J1600","Gold sodium thiomaleate inj","SAB PHARMA","54643100600","54643-1006-00","Gold Sodium Thiomalate","50 MG",1,10,1,10,,
"J1600","Gold sodium thiomaleate inj","SAB PHARMA","54643100700","54643-1007-00","Gold Sodium Thiomalate","50 MG",10,1,10,10,,
"J3303","Triamcinolone hexacetonl inj","SANDOZ","54643105400","54643-1054-00","Aristospan Intralesional","5 MG",5,1,5,5,,
"J3303","Triamcinolone hexacetonl inj","SANDOZ","54643105500","54643-1055-00","Aristospan Intra-Articular","5 MG",1,1,4,4,,
"J3303","Triamcinolone hexacetonl inj","SANDOZ","54643105600","54643-1056-00","Aristospan Intra-Articular","5 MG",5,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","RICHMOND PHARMACEUTICALS","54738011601","54738-0116-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","RICHMOND PHARMACEUTICALS","54738011603","54738-0116-03","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"Q0163","Diphenhydramine HCl 50mg","RICHMOND PHARMACEUTICALS","54738011613","54738-0116-13","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0175","Perphenazine 4mg oral","RICHMOND PHARMACEUTICALS","54738055101","54738-0551-01","Perphenazine","4 MG",100,1,100,100,,
"Q0175","Perphenazine 4mg oral","RICHMOND PHARMACEUTICALS","54738055102","54738-0551-02","Perphenazine","4 MG",500,1,500,500,,
"Q0176","Perphenazine 8mg oral","RICHMOND PHARMACEUTICALS","54738055201","54738-0552-01","Perphenazine","8 MG",100,1,100,100,,
"Q0176","Perphenazine 8mg oral","RICHMOND PHARMACEUTICALS","54738055202","54738-0552-02","Perphenazine","8 MG",500,1,500,500,,
"J9215","Interferon alfa-n3 inj","INTERFERON SCIENCES","54746000101","54746-0001-01","Alferon N",,1,1,20,20,,"250000 IU"
"J0630","Calcitonin salmon injection","Mylan Institutional","54766014923","54766-0149-23","Miacalcin","400 UNITS",2,1,1,1,,
"Q0171","Chlorpromazine HCl 10mg oral","R I D","54807082001","54807-0820-01","Chlorpromazine Hcl","10 MG",100,1,100,100,,
"Q0172","Chlorpromazine HCl 25mg oral","R I D","54807082101","54807-0821-01","Chlorpromazine Hcl","25 MG",100,1,100,100,,
"J7120","Ringers lactate infusion","ALLERGAN","54849030118","54849-0301-18","Ocular","1000 CC",,1,1,1,,
"J7120","Ringers lactate infusion","ALLERGAN","54849030125","54849-0301-25","Ocular","1000 CC",,1,1,1,,
"J0460","Atropine sulfate injection","PHYSICIANS TOTAL CARE","54868000600","54868-0006-00","Atropine Sulfate","0.3 MG",10,10,3.3,33,,
"J0461","Atropine sulfate injection","PHYSICIANS TOTAL CARE","54868000600","54868-0006-00","Atropine Sulfate","0.01 MG",10,10,100,1000,,
"J1200","Diphenhydramine hcl injectio","PHYSICIANS TOTAL CARE","54868000700","54868-0007-00","Benadryl","50 MG",1,1,1,1,,
"J2270","Morphine sulfate injection","PHYSICIANS TOTAL CARE","54868011500","54868-0115-00","Morphine Sulfate","10 MG",1,10,1,1,,
"J2271","Morphine so4 injection 100mg","PHYSICIANS TOTAL CARE","54868011500","54868-0115-00","Morphine Sulfate","100 MG",1,10,0.1,1,,
"J2270","Morphine sulfate injection","PHYSICIANS TOTAL CARE","54868011501","54868-0115-01","Morphine Sulfate","10 MG",1,10,1,1,,
"J2271","Morphine so4 injection 100mg","PHYSICIANS TOTAL CARE","54868011501","54868-0115-01","Morphine Sulfate","100 MG",1,10,0.1,1,,
"J2912","Sodium chloride injection","PHYSICIANS TOTAL CARE","54868011600","54868-0116-00","Sodium Chloride Bacteriostatic","2 ML",30,1,15,15,,
"J7130","Hypertonic saline solution","PHYSICIANS TOTAL CARE","54868011600","54868-0116-00","Sodium Chloride Bacteriostatic",,30,1,1.5,1.5,,"20 CC"
"Q0177","Hydroxyzine pamoate 25mg","PHYSICIANS TOTAL CARE","54868016901","54868-0169-01","Vistaril","25 MG",100,1,100,100,,
"90703","Tetanus vaccine, im","PHYSICIANS TOTAL CARE","54868018201","54868-0182-01","Tetanus Toxoid",,7,1,1,1,,"0.5 ML"
"J7051","Sterile saline/water","PHYSICIANS TOTAL CARE","54868018300","54868-0183-00","Bacteriostatic H2O For Inject",,30,1,6,6,,"5 CC"
"J0702","Betamethasone acet&sod phosp","PHYSICIANS TOTAL CARE","54868020600","54868-0206-00","Celestone Soluspan","3 MG + 3 MG",5,1,5,5,,
"J1080","Testosterone cypionat 200 MG","PHYSICIANS TOTAL CARE","54868021600","54868-0216-00","Depo-Testosterone",,10,1,10,10,,"200 MG"
"J1080","Testosterone cypionat 200 MG","PHYSICIANS TOTAL CARE","54868021601","54868-0216-01","Depo-Testosterone",,1,1,1,1,,"200 MG"
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868021800","54868-0218-00","DEXAMETHASONE",,,1,5,5,,"0.25 MG"
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868021802","54868-0218-02","DEXAMETHASONE",,,10,20,2,,"0.25 MG"
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868021803","54868-0218-03","DEXAMETHASONE",,,10,10,1,,"0.25 MG"
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868021804","54868-0218-04","DEXAMETHASONE",,,1,1,1,,"0.25 MG"
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868021805","54868-0218-05","DEXAMETHASONE",,,1,1,1,,"0.25 MG"
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868021806","54868-0218-06","DEXAMETHASONE",,,1,40,40,,"0.25 MG"
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868021807","54868-0218-07","DEXAMETHASONE",,,1,1,1,,"0.25 MG"
"J3410","Hydroxyzine hcl injection","PHYSICIANS TOTAL CARE","54868023100","54868-0231-00","Hydroxyzine Hcl","25 MG",10,1,20,20,,
"J3301","Triamcinolone acet inj NOS","PHYSICIANS TOTAL CARE","54868023400","54868-0234-00","Kenalog","10 MG",5,1,5,5,,
"J3301","Triamcinolone acet inj NOS","PHYSICIANS TOTAL CARE","54868023500","54868-0235-00","Kenalog","10 MG",1,1,4,4,,
"J3301","Triamcinolone acet inj NOS","PHYSICIANS TOTAL CARE","54868023501","54868-0235-01","Kenalog","10 MG",5,1,20,20,,
"J3301","Triamcinolone acet inj NOS","PHYSICIANS TOTAL CARE","54868023502","54868-0235-02","Kenalog","10 MG",10,1,40,40,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025800","54868-0258-00","Prednisone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025801","54868-0258-01","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025802","54868-0258-02","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025803","54868-0258-03","Prednisone","5 MG",50,1,50,50,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025804","54868-0258-04","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025805","54868-0258-05","Prednisone","5 MG",36,1,36,36,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025806","54868-0258-06","Prednisone","5 MG",55,1,55,55,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025807","54868-0258-07","Prednisone","5 MG",21,1,21,21,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025808","54868-0258-08","Prednisone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868025809","54868-0258-09","Prednisone","5 MG",15,1,15,15,,
"J0780","Prochlorperazine injection","PHYSICIANS TOTAL CARE","54868026100","54868-0261-00","Prochlorperazine Edisylate","10 MG",10,1,5,5,,
"J2550","Promethazine hcl injection","PHYSICIANS TOTAL CARE","54868026200","54868-0262-00","Promethazine Hcl","50 MG",10,1,10,10,,
"J3301","Triamcinolone acetonide inj","PHYSICIANS TOTAL CARE","54868028400","54868-0284-00","Triamcinolone Acetonide",,5,1,20,20,,"10 MG"
"J7060","5% dextrose/water","PHYSICIANS TOTAL CARE","54868029600","54868-0296-00","Dextrose",,1000,1,2,2,,"500 ML"
"J7070","D5w infusion","PHYSICIANS TOTAL CARE","54868029600","54868-0296-00","Dextrose",,1000,1,1,1,,"1000 CC"
"J7060","5% dextrose/water","PHYSICIANS TOTAL CARE","54868029601","54868-0296-01","Dextrose","500 ML",500,12,1,12,,
"J7070","D5w infusion","PHYSICIANS TOTAL CARE","54868029601","54868-0296-01","Dextrose","1000 CC",500,12,0.5,6,,
"J7060","5% dextrose/water","PHYSICIANS TOTAL CARE","54868029602","54868-0296-02","Dextrose","500 ML",250,36,0.5,18,,
"J7070","D5w infusion","PHYSICIANS TOTAL CARE","54868029602","54868-0296-02","Dextrose","1000 CC",250,36,0.25,9,,
"J7060","5% dextrose/water","PHYSICIANS TOTAL CARE","54868029603","54868-0296-03","Dextrose",,250,36,18,0.5,,"500 ML"
"J7070","D5w infusion","PHYSICIANS TOTAL CARE","54868029603","54868-0296-03","Dextrose",,250,36,9,0.25,,"1000 CC"
"J1644","Inj heparin sodium per 1000u","PHYSICIANS TOTAL CARE","54868048500","54868-0485-00","Heparin Sodium (Porcine)",,10,1,10,10,,"1000 UNITS"
"J1200","Diphenhydramine hcl injectio","PHYSICIANS TOTAL CARE","54868055400","54868-0554-00","Benadryl","50 MG",10,1,10,10,,
"J0690","Cefazolin sodium injection","PHYSICIANS TOTAL CARE","54868055900","54868-0559-00","Cefazolin Sodium","500 MG",1,10,2,20,,
"90718","Td vaccine > 7, im","PHYSICIANS TOTAL CARE","54868057106","54868-0571-06","Diphtheria-Tetanus Toxoids",,5,1,10,10,,"0.5 ML"
"J2550","Promethazine hcl injection","PHYSICIANS TOTAL CARE","54868059700","54868-0597-00","Phenergan","50 MG",1,25,0.5,12.5,,
"J1720","Hydrocortisone sodium succ i","PHYSICIANS TOTAL CARE","54868060500","54868-0605-00","Solu-Cortef","100 MG",1,1,1,1,,
"J3250","Trimethobenzamide hcl inj","PHYSICIANS TOTAL CARE","54868060800","54868-0608-00","Trimethobenzamide Hcl","200 MG",2,25,1,25,,
"J2175","Meperidine hydrochl /100 MG","PHYSICIANS TOTAL CARE","54868061600","54868-0616-00","Demerol","100 MG",30,1,15,15,,
"J3360","Diazepam injection","PHYSICIANS TOTAL CARE","54868061700","54868-0617-00","Diazepam","5 MG",10,1,10,10,,
"J3360","Diazepam injection","PHYSICIANS TOTAL CARE","54868061701","54868-0617-01","Diazepam","5 MG",10,5,10,50,,
"90732","Pneumococcal vaccine","PHYSICIANS TOTAL CARE","54868070700","54868-0707-00","Pnu-Imune","0.5 ML",2.5,1,5,5,,
"J7030","Normal saline solution infus","PHYSICIANS TOTAL CARE","54868071000","54868-0710-00","Sodium Chloride","1000 CC",1000,1,1,1,,
"J7040","Normal saline solution infus","PHYSICIANS TOTAL CARE","54868071000","54868-0710-00","Sodium Chloride","500 ML",1000,1,2,2,,
"J7050","Normal saline solution infus","PHYSICIANS TOTAL CARE","54868071000","54868-0710-00","Sodium Chloride",,,1,2,2,,"250 CC"
"J7030","Normal saline solution infus","PHYSICIANS TOTAL CARE","54868071001","54868-0710-01","Sodium Chloride","1000 CC",500,1,0.5,0.5,,
"J7040","Normal saline solution infus","PHYSICIANS TOTAL CARE","54868071001","54868-0710-01","Sodium Chloride","500 ML",500,1,1,1,,
"J7050","Normal saline solution infus","PHYSICIANS TOTAL CARE","54868071001","54868-0710-01","Sodium Chloride",,,1,1,1,,"250 CC"
"J7040","Normal saline solution infus","PHYSICIANS TOTAL CARE","54868071002","54868-0710-02","Sodium Chloride",,,,,,,"500 ML"
"J3360","Diazepam injection","PHYSICIANS TOTAL CARE","54868071600","54868-0716-00","Valium","5 MG",10,1,10,10,,
"Q0169","Promethazine HCl oral","PHYSICIANS TOTAL CARE","54868072100","54868-0721-00","Phenergan","12.5 MG",12,1,12,12,,
"90740","Hepb vacc, ill pat 3 dose im","PHYSICIANS TOTAL CARE","54868073400","54868-0734-00","Engerix-B","40 MCG",1,1,0.5,0.5,,
"90746","Hep b vaccine, adult, im","PHYSICIANS TOTAL CARE","54868073400","54868-0734-00","Engerix-B","1 EACH",1,1,1,1,,
"90747","Hepb vacc, ill pat 4 dose im","PHYSICIANS TOTAL CARE","54868073400","54868-0734-00","Engerix-B","40 MCG",1,1,0.5,0.5,,
"J0460","Atropine sulfate injection","PHYSICIANS TOTAL CARE","54868074000","54868-0740-00","Atropine Sulfate","0.3 MG",20,1,26.6,8,,
"J0461","Atropine sulfate injection","PHYSICIANS TOTAL CARE","54868074000","54868-0740-00","Atropine Sulfate","0.01 MG",20,1,800,800,,
"J7635","Atropine inhal sol con","PHYSICIANS TOTAL CARE","54868074000","54868-0740-00","Atropine Sulfate",,20,1,8,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","PHYSICIANS TOTAL CARE","54868074000","54868-0740-00","Atropine Sulfate",,20,1,8,8,,"1 MG"
"J0460","Atropine sulfate injection","PHYSICIANS TOTAL CARE","54868074001","54868-0740-01","Atropine Sulfate","0.3 MG",20,10,26.6,80,,
"J0461","Atropine sulfate injection","PHYSICIANS TOTAL CARE","54868074001","54868-0740-01","Atropine Sulfate","0.01 MG",20,10,800,8000,,
"J7635","Atropine inhal sol con","PHYSICIANS TOTAL CARE","54868074001","54868-0740-01","Atropine Sulfate",,20,10,80,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","PHYSICIANS TOTAL CARE","54868074001","54868-0740-01","Atropine Sulfate",,20,10,80,8,,"1 MG"
"J0570","Penicillin g benzathine inj","PHYSICIANS TOTAL CARE","54868075300","54868-0753-00","Bicillin L-A",,2,1,1,1,,"1200000 UNITS"
"J0580","Penicillin g benzathine inj","PHYSICIANS TOTAL CARE","54868075300","54868-0753-00","Bicillin L-A","up to 2400000 UNITS",2,1,1,1,,
"J0570","Penicillin g benzathine inj","PHYSICIANS TOTAL CARE","54868075301","54868-0753-01","Bicillin L-A",,2,10,10,1,,"1200000 UNITS"
"J3250","Trimethobenzamide hcl inj","PHYSICIANS TOTAL CARE","54868075600","54868-0756-00","Tigan","200 MG",20,1,10,10,,
"J3420","Vitamin b12 injection","PHYSICIANS TOTAL CARE","54868076200","54868-0762-00","Cyanocobalamin","1000 MCG",30,1,30,30,,
"J3420","Vitamin b12 injection","PHYSICIANS TOTAL CARE","54868076201","54868-0762-01","Cyanocobalamin","1000 MCG",25,1,25,25,,
"J3480","Inj potassium chloride","PHYSICIANS TOTAL CARE","54868076700","54868-0767-00","Potassium Chloride","2 MEQ",10,1,10,10,,
"J2920","Methylprednisolone injection","PHYSICIANS TOTAL CARE","54868076800","54868-0768-00","Solu-Medrol","40 MG",1,1,1,1,,
"J7509","Methylprednisolone oral","PHYSICIANS TOTAL CARE","54868077601","54868-0776-01","Medrol (Pak)","4 MG",21,1,21,21,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868083600","54868-0836-00","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868083601","54868-0836-01","Prednisone","5 MG",21,1,42,42,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868083602","54868-0836-02","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868083603","54868-0836-03","Prednisone","5 MG",50,1,100,100,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868083604","54868-0836-04","Prednisone","5 MG",15,1,30,30,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868083605","54868-0836-05","Prednisone","5 MG",60,1,120,120,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868083607","54868-0836-07","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868083608","54868-0836-08","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868083609","54868-0836-09","Prednisone","5 MG",63,1,126,126,,
"J3410","Hydroxyzine hcl injection","PHYSICIANS TOTAL CARE","54868085800","54868-0858-00","Hydroxyzine Hcl","25 MG",1,25,1,25,,
"J1100","Dexamethasone sodium phos","PHYSICIANS TOTAL CARE","54868087100","54868-0871-00","Dexamethasone Sodium Phosphate","1 MG",5,1,20,20,,
"J7637","Dexamethasone inhal sol con","PHYSICIANS TOTAL CARE","54868087100","54868-0871-00","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","PHYSICIANS TOTAL CARE","54868087100","54868-0871-00","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J1100","Dexamethasone sodium phos","PHYSICIANS TOTAL CARE","54868087106","54868-0871-06","Dexamethasone Sodium Phosphate","1 MG",30,1,120,120,,
"J7637","Dexamethasone inhal sol con","PHYSICIANS TOTAL CARE","54868087106","54868-0871-06","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","PHYSICIANS TOTAL CARE","54868087106","54868-0871-06","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868090800","54868-0908-00","Prednisone","5 MG",30,1,300,300,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868090801","54868-0908-01","Prednisone","5 MG",10,1,10,100,,
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868091600","54868-0916-00","DEXAMETHASONE",,,,,,,"0.25 MG"
"J7500","Azathioprine oral 50mg","PHYSICIANS TOTAL CARE","54868092101","54868-0921-01","Imuran","50 MG",30,1,30,30,,
"J7500","Azathioprine oral 50mg","PHYSICIANS TOTAL CARE","54868092102","54868-0921-02","Imuran","50 MG",20,1,20,20,,
"J7500","Azathioprine oral 50mg","PHYSICIANS TOTAL CARE","54868092104","54868-0921-04","Imuran","50 MG",50,1,50,50,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868092301","54868-0923-01","Deltasone","5 MG",30,1,30,30,,
"J3302","Triamcinolone diacetate inj","PHYSICIANS TOTAL CARE","54868092600","54868-0926-00","Aristocort Forte","5 MG",5,1,40,40,,
"J0696","Ceftriaxone sodium injection","PHYSICIANS TOTAL CARE","54868093400","54868-0934-00","Rocephin","250 MG",1,10,1,10,,
"J7620","Albuterol ipratrop non-comp","PHYSICIANS TOTAL CARE","54868094800","54868-0948-00","Duoneb","2.5 MG/0.5 MG",3,1,120,120,,
"90707","Mmr vaccine, sc","PHYSICIANS TOTAL CARE","54868098000","54868-0980-00","M-M-R II","0.5 ML",1,1,1,1,,
"90707","Mmr vaccine, sc","PHYSICIANS TOTAL CARE","54868098001","54868-0980-01","M-M-R II","0.5 ML",1,10,1,10,,
"Q0163","Diphenhydramine HCl 50mg","PHYSICIANS TOTAL CARE","54868105000","54868-1050-00","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","PHYSICIANS TOTAL CARE","54868105001","54868-1050-01","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","PHYSICIANS TOTAL CARE","54868105003","54868-1050-03","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"Q0163","Diphenhydramine HCl 50mg","PHYSICIANS TOTAL CARE","54868105004","54868-1050-04","Diphenhydramine Hcl","50 MG",40,1,40,40,,
"Q0163","Diphenhydramine HCl 50mg","PHYSICIANS TOTAL CARE","54868105005","54868-1050-05","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","PHYSICIANS TOTAL CARE","54868108102","54868-1081-02","Compazine","10 MG",20,1,20,20,,
"Q0165","Prochlorperazine maleate10mg","PHYSICIANS TOTAL CARE","54868108200","54868-1082-00","Prochlorperazine Maleate","10 MG",15,1,15,15,,
"Q0165","Prochlorperazine maleate10mg","PHYSICIANS TOTAL CARE","54868108201","54868-1082-01","Prochlorperazine Maleate","10 MG",10,1,10,10,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868111901","54868-1119-01","Prednisone","5 MG",100,1,20,20,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868111902","54868-1119-02","Prednisone","5 MG",90,1,18,18,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868111903","54868-1119-03","Prednisone","5 MG",30,1,6,6,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868111904","54868-1119-04","Prednisone","5 MG",15,1,3,3,,
"J2910","Aurothioglucose injeciton","PHYSICIANS TOTAL CARE","54868113300","54868-1133-00","Solganal",,10,1,10,10,,"50 MG"
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868118300","54868-1183-00","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868118301","54868-1183-01","Prednisone","5 MG",15,1,60,60,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868118302","54868-1183-02","Prednisone","5 MG",60,1,240,240,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868118303","54868-1183-03","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868118304","54868-1183-04","Prednisone","5 MG",63,1,252,252,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868118306","54868-1183-06","Prednisone","5 MG",42,1,168,168,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868118307","54868-1183-07","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868118308","54868-1183-08","Prednisone","5 MG",10,1,40,40,,
"J1040","Methylprednisolone 80 MG inj","PHYSICIANS TOTAL CARE","54868118500","54868-1185-00","Depo-Medrol","80 MG",5,1,5,5,,
"Q0164","Prochlorperazine maleate 5mg","PHYSICIANS TOTAL CARE","54868128402","54868-1284-02","Compazine","5 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","PHYSICIANS TOTAL CARE","54868128500","54868-1285-00","Phenergan","25 MG",60,1,60,60,,
"Q0170","Promethazine HCl 25 mg oral","PHYSICIANS TOTAL CARE","54868128501","54868-1285-01","Phenergan","25 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","PHYSICIANS TOTAL CARE","54868132300","54868-1323-00","Promethazine Hcl","25 MG",100,1,100,100,,
"Q0170","Promethazine HCl 25 mg oral","PHYSICIANS TOTAL CARE","54868132301","54868-1323-01","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","PHYSICIANS TOTAL CARE","54868132302","54868-1323-02","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0170","Promethazine HCl 25 mg oral","PHYSICIANS TOTAL CARE","54868132304","54868-1323-04","Promethazine Hcl","25 MG",15,1,15,15,,
"Q0170","Promethazine HCl 25 mg oral","PHYSICIANS TOTAL CARE","54868132305","54868-1323-05","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","PHYSICIANS TOTAL CARE","54868132306","54868-1323-06","Promethazine Hcl","25 MG",30,1,30,30,,
"J0170","Adrenalin epinephrin inject","PHYSICIANS TOTAL CARE","54868136300","54868-1363-00","Adrenalin","1 ML",1,10,1,10,,
"J0171","Adrenalin epinephrine inject","PHYSICIANS TOTAL CARE","54868136300","54868-1363-00","Adrenalin","0.1 MG",1,1,10,100,,
"J1815","Insulin injection","PHYSICIANS TOTAL CARE","54868142801","54868-1428-01","Iletin I Nph","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","PHYSICIANS TOTAL CARE","54868142801","54868-1428-01","Iletin I Nph","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","PHYSICIANS TOTAL CARE","54868142901","54868-1429-01","Humulin N","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","PHYSICIANS TOTAL CARE","54868142901","54868-1429-01","Humulin N","50 UNITS",10,1,20,20,,
"J1000","Depo-estradiol cypionate inj","PHYSICIANS TOTAL CARE","54868172900","54868-1729-00","Depo-Estradiol","5 MG",5,1,5,5,,
"J1885","Ketorolac tromethamine inj","PHYSICIANS TOTAL CARE","54868176300","54868-1763-00","Toradol",,1,10,20,2,,"15 MG"
"Q0178","Hydroxyzine pamoate 50mg","PHYSICIANS TOTAL CARE","54868185400","54868-1854-00","Hydroxyzine Pamoate","50 MG",100,1,100,100,,
"Q0178","Hydroxyzine pamoate 50mg","PHYSICIANS TOTAL CARE","54868185401","54868-1854-01","Hydroxyzine Pamoate","50 MG",30,1,30,30,,
"Q0178","Hydroxyzine pamoate 50mg","PHYSICIANS TOTAL CARE","54868185403","54868-1854-03","Hydroxyzine Pamoate","50 MG",60,1,60,60,,
"Q0178","Hydroxyzine pamoate 50mg","PHYSICIANS TOTAL CARE","54868185404","54868-1854-04","Hydroxyzine Pamoate","50 MG",500,1,500,500,,
"Q0174","Thiethylperazine maleate10mg","PHYSICIANS TOTAL CARE","54868196300","54868-1963-00","Torecan","10 MG",15,1,15,15,,
"Q0174","Thiethylperazine maleate10mg","PHYSICIANS TOTAL CARE","54868196301","54868-1963-01","Torecan","10 MG",10,1,10,10,,
"J1040","Methylprednisolone 80 MG inj","PHYSICIANS TOTAL CARE","54868199400","54868-1994-00","Methylprednisolone Acetate",,5,1,5,5,,"80 MG"
"J7648","Isoetharine hcl inh sol con","PHYSICIANS TOTAL CARE","54868203300","54868-2033-00","Bronkosol",,30,1,300,300,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","PHYSICIANS TOTAL CARE","54868203300","54868-2033-00","Bronkosol",,30,1,300,300,,"1 MG"
"J7648","Isoetharine hcl inh sol con","PHYSICIANS TOTAL CARE","54868203301","54868-2033-01","Bronkosol",,10,1,100,100,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","PHYSICIANS TOTAL CARE","54868203301","54868-2033-01","Bronkosol",,10,1,100,100,,"1 MG"
"J1200","Diphenhydramine hcl injectio","PHYSICIANS TOTAL CARE","54868204800","54868-2048-00","Diphenhydramine Hcl","50 MG",10,1,10,10,,
"J1200","Diphenhydramine hcl injectio","PHYSICIANS TOTAL CARE","54868204801","54868-2048-01","Diphenhydramine Hcl","50 MG",25,1,25,25,,
"J1200","Diphenhydramine hcl injectio","PHYSICIANS TOTAL CARE","54868204802","54868-2048-02","Diphenhydramine Hcl","50 MG",25,1,25,25,,
"J0170","Adrenalin epinephrin inject","PHYSICIANS TOTAL CARE","54868206500","54868-2065-00","Epinephrine Hcl","1 ML",1,1,1,1,,
"J0171","Adrenalin epinephrine inject","PHYSICIANS TOTAL CARE","54868206500","54868-2065-00","Epinephrine Hcl","0.1 MG",1,1,10,10,,
"J0170","Adrenalin epinephrin inject","PHYSICIANS TOTAL CARE","54868206501","54868-2065-01","Epinephrine Hcl","1 ML",1,25,1,25,,
"J0171","Adrenalin epinephrine inject","PHYSICIANS TOTAL CARE","54868206501","54868-2065-01","Epinephrine Hcl","0.1 MG",1,25,10,250,,
"J1815","Insulin injection","PHYSICIANS TOTAL CARE","54868208901","54868-2089-01","Iletin I Regular","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","PHYSICIANS TOTAL CARE","54868208901","54868-2089-01","Iletin I Regular","50 UNITS",10,1,20,20,,
"90743","Hep b vacc, adol, 2 dose, im","PHYSICIANS TOTAL CARE","54868221900","54868-2219-00","Recombivax Hb","1 DOSE",3,1,3,3,,
"90746","Hep b vaccine, adult, im","PHYSICIANS TOTAL CARE","54868221900","54868-2219-00","Recombivax Hb","1 EACH",3,1,3,3,,
"90743","Hep b vacc, adol, 2 dose, im","PHYSICIANS TOTAL CARE","54868221901","54868-2219-01","Recombivax Hb","1 DOSE",1,1,1,1,,
"90744","Hepb vacc ped/adol 3 dose im","PHYSICIANS TOTAL CARE","54868221901","54868-2219-01","Engerix-B","1 DOSE",0.5,1,1,1,,
"90746","Hep b vaccine, adult, im","PHYSICIANS TOTAL CARE","54868221901","54868-2219-01","Recombivax Hb","1 EACH",1,1,1,1,,
"Q0172","Chlorpromazine HCl 25mg oral","PHYSICIANS TOTAL CARE","54868230200","54868-2302-00","Chlorpromazine Hcl",,,,,,,"25 MG"
"Q0172","Chlorpromazine HCl 25mg oral","PHYSICIANS TOTAL CARE","54868230202","54868-2302-02","Chlorpromazine Hcl",,,,,,,"25 MG"
"J3360","Diazepam injection","PHYSICIANS TOTAL CARE","54868232001","54868-2320-01","Diazepam","5 MG",2,10,2,20,,
"J3360","Diazepam injection","PHYSICIANS TOTAL CARE","54868232002","54868-2320-02","Diazepam","5 MG",2,1,2,2,,
"J1990","Chlordiazepoxide injection","PHYSICIANS TOTAL CARE","54868236201","54868-2362-01","Librium",,1,10,10,1,,"100 MG"
"J2060","Lorazepam injection","PHYSICIANS TOTAL CARE","54868240701","54868-2407-01","Ativan","2 MG",10,1,10,10,,
"J0515","Inj benztropine mesylate","PHYSICIANS TOTAL CARE","54868242901","54868-2429-01","Cogentin","1 MG",2,6,2,12,,
"Q0172","Chlorpromazine HCl 25mg oral","PHYSICIANS TOTAL CARE","54868246400","54868-2464-00","Chlorpromazine Hcl","25 MG",30,1,30,30,,
"J7603","Albuterol inh non-comp u d ","PHYSICIANS TOTAL CARE","54868247200","54868-2472-00","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7613","Albuterol non-comp unit","PHYSICIANS TOTAL CARE","54868247200","54868-2472-00","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"Q4094","Albuterol inh non-comp u d ","PHYSICIANS TOTAL CARE","54868247200","54868-2472-00","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7603","Albuterol inh non-comp u d ","PHYSICIANS TOTAL CARE","54868247201","54868-2472-01","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","PHYSICIANS TOTAL CARE","54868247201","54868-2472-01","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","PHYSICIANS TOTAL CARE","54868247201","54868-2472-01","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J0696","Ceftriaxone sodium injection","PHYSICIANS TOTAL CARE","54868248801","54868-2488-01","Rocephin","250 MG",1,1,4,4,,
"J3411","Thiamine hcl 100 mg","PHYSICIANS TOTAL CARE","54868248900","54868-2489-00","Thiamine Hcl",,25,1,25,25,,"100 MG"
"J3411","Thiamine hcl 100 mg","PHYSICIANS TOTAL CARE","54868248901","54868-2489-01","Thiamine Hcl",,2,50,100,2,,"100 MG"
"J1440","Filgrastim 300 mcg injection","PHYSICIANS TOTAL CARE","54868252200","54868-2522-00","Neupogen","300 MCG",1,1,1,0.625,,
"J1441","Filgrastim 480 mcg injection","PHYSICIANS TOTAL CARE","54868252200","54868-2522-00","Neupogen","480 MCG",1,1,0.625,0.625,,
"J1440","Filgrastim 300 mcg injection","PHYSICIANS TOTAL CARE","54868252201","54868-2522-01","Neupogen","300 MCG",1,10,1,6.25,,
"J1441","Filgrastim 480 mcg injection","PHYSICIANS TOTAL CARE","54868252201","54868-2522-01","Neupogen","480 MCG",1,10,0.625,6.25,,
"J0885","Epoetin alfa, non-esrd","PHYSICIANS TOTAL CARE","54868252300","54868-2523-00","Procrit","1000 UNITS",1,1,10,100,,
"J0886","Epoetin alfa 1000 units ESRD","PHYSICIANS TOTAL CARE","54868252300","54868-2523-00","Procrit","1000 UNITS",1,1,10,100,,
"Q0136","Non esrd epoetin alpha inj","PHYSICIANS TOTAL CARE","54868252300","54868-2523-00","Procrit",,1,1,10,10,,"1000 UNITS"
"Q4081","Epoetin alfa, 100 units ESRD","PHYSICIANS TOTAL CARE","54868252300","54868-2523-00","Procrit","100 UNITS",1,1,100,100,,
"J0885","Epoetin alfa, non-esrd","PHYSICIANS TOTAL CARE","54868252301","54868-2523-01","Procrit","1000 UNITS",1,6,10,600,,
"J0886","Epoetin alfa 1000 units ESRD","PHYSICIANS TOTAL CARE","54868252301","54868-2523-01","Procrit","1000 UNITS",1,6,10,600,,
"Q0136","Non esrd epoetin alpha inj","PHYSICIANS TOTAL CARE","54868252301","54868-2523-01","Procrit",,1,6,60,10,,"1000 UNITS"
"Q4081","Epoetin alfa, 100 units ESRD","PHYSICIANS TOTAL CARE","54868252301","54868-2523-01","Procrit","100 UNITS",1,6,100,600,,
"J1642","Inj heparin sodium per 10 u","PHYSICIANS TOTAL CARE","54868252600","54868-2526-00","Hep-Lock Flush","10 UNITS",1,25,10,25,,
"J2545","Pentamidine non-comp unit","PHYSICIANS TOTAL CARE","54868252800","54868-2528-00","Nebupent","300 MG",1,1,1,1,,
"J3070","Pentazocine injection","PHYSICIANS TOTAL CARE","54868253000","54868-2530-00","TalWin","30 MG",10,1,10,10,,
"J3030","Sumatriptan succinate / 6 MG","PHYSICIANS TOTAL CARE","54868265200","54868-2652-00","Imitrex","6 MG",0.5,2,1,2,,
"Q0175","Perphenazine 4mg oral","PHYSICIANS TOTAL CARE","54868268600","54868-2686-00","Perphenazine","4 MG",30,1,30,30,,
"Q0176","Perphenazine 8mg oral","PHYSICIANS TOTAL CARE","54868268701","54868-2687-01","Perphenazine","8 MG",100,1,100,100,,
"J2550","Promethazine hcl injection","PHYSICIANS TOTAL CARE","54868269500","54868-2695-00","Promethazine Hcl","50 MG",10,1,5,5,,
"J1815","Insulin injection","PHYSICIANS TOTAL CARE","54868274600","54868-2746-00","Humulin 70/30","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","PHYSICIANS TOTAL CARE","54868274600","54868-2746-00","Humulin 70/30","50 UNITS",10,1,20,20,,
"J1950","Leuprolide acetate /3.75 MG","PHYSICIANS TOTAL CARE","54868282500","54868-2825-00","Lupron Depot","3.75 MG",1,1,1,1,,
"J1631","Haloperidol decanoate inj","PHYSICIANS TOTAL CARE","54868288900","54868-2889-00","Haldol Decanoate","50 MG",1,3,1,3,,
"J1631","Haloperidol decanoate inj","PHYSICIANS TOTAL CARE","54868288901","54868-2889-01","Haldol Decanoate","50 MG",1,1,1,1,,
"Q0177","Hydroxyzine pamoate 25mg","PHYSICIANS TOTAL CARE","54868289200","54868-2892-00","Hydroxyzine Pamoate","25 MG",100,1,100,100,,
"Q0177","Hydroxyzine pamoate 25mg","PHYSICIANS TOTAL CARE","54868289202","54868-2892-02","Hydroxyzine Pamoate","25 MG",500,1,500,500,,
"J7509","Methylprednisolone oral","PHYSICIANS TOTAL CARE","54868291300","54868-2913-00","Methylprednisolone","4 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","PHYSICIANS TOTAL CARE","54868291301","54868-2913-01","Methylprednisolone","4 MG",30,1,30,30,,
"Q0173","Trimethobenzamide HCl 250mg","PHYSICIANS TOTAL CARE","54868297300","54868-2973-00","Trimethobenzamide Hcl","250 MG",15,1,15,15,,
"Q0173","Trimethobenzamide HCl 250mg","PHYSICIANS TOTAL CARE","54868297302","54868-2973-02","Trimethobenzamide Hcl","250 MG",100,1,100,100,,
"Q0173","Trimethobenzamide HCl 250mg","PHYSICIANS TOTAL CARE","54868297303","54868-2973-03","Trimethobenzamide Hcl","250 MG",30,1,30,30,,
"Q0173","Trimethobenzamide HCl 250mg","PHYSICIANS TOTAL CARE","54868297304","54868-2973-04","Trimethobenzamide Hcl","250 MG",10,1,10,10,,
"Q0167","Dronabinol 2.5mg oral","PHYSICIANS TOTAL CARE","54868308400","54868-3084-00","Marinol","2.5 MG",60,1,60,60,,
"Q0167","Dronabinol 2.5mg oral","PHYSICIANS TOTAL CARE","54868308401","54868-3084-01","Marinol","2.5 MG",30,1,30,30,,
"J9214","Interferon alfa-2b inj","PHYSICIANS TOTAL CARE","54868308501","54868-3085-01","Intron-A",,1,6,18,3,,"1 MIL UNITS"
"J1642","Inj heparin sodium per 10 u","PHYSICIANS TOTAL CARE","54868309000","54868-3090-00","Heparin Lock Flush",,5,1,50,50,,"10 UNITS"
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868315700","54868-3157-00","DEXAMETHASONE",,,4,80,20,,"0.25 MG"
"J3010","Fentanyl citrate injeciton","PHYSICIANS TOTAL CARE","54868315901","54868-3159-01","Fentanyl Citrate","0.1 MG",2,10,1,10,,
"90691","Typhoid vaccine, im","PHYSICIANS TOTAL CARE","54868317200","54868-3172-00","Typhoid Vi","0.5 ML",1,1,2,2,,
"J7669","Metaproterenol non-comp unit","PHYSICIANS TOTAL CARE","54868317900","54868-3179-00","Alupent","10 MG",2.5,25,1.5,37.5,,
"J3030","Sumatriptan succinate / 6 MG","PHYSICIANS TOTAL CARE","54868318000","54868-3180-00","Imitrex Statdose","6 MG",0.5,1,1,1,,
"J3030","Sumatriptan succinate / 6 MG","PHYSICIANS TOTAL CARE","54868318100","54868-3181-00","Imitrex","6 MG",0.5,2,1,2,,
"J0595","Butorphanol tartrate 1 mg","PHYSICIANS TOTAL CARE","54868320900","54868-3209-00","Stadol Ns","1 MG",2.5,1,25,25,,
"J0696","Ceftriaxone sodium injection","PHYSICIANS TOTAL CARE","54868322100","54868-3221-00","Rocephin","250 MG",1,10,2,20,,
"J0696","Ceftriaxone sodium injection","PHYSICIANS TOTAL CARE","54868322101","54868-3221-01","Rocephin","250 MG",1,1,2,2,,
"J2175","Meperidine hydrochl /100 MG","PHYSICIANS TOTAL CARE","54868323001","54868-3230-01","Demerol","100 MG",1,25,0.5,12.5,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868323400","54868-3234-00","Sterapred Ds","5 MG",48,1,96,96,,
"90744","Hepb vacc ped/adol 3 dose im","PHYSICIANS TOTAL CARE","54868323600","54868-3236-00","Engerix-B","1 DOSE",0.5,1,1,1,,
"J2270","Morphine sulfate injection","PHYSICIANS TOTAL CARE","54868327100","54868-3271-00","Morphine Sulfate",,20,1,30,30,,"10 MG"
"J2271","Morphine so4 injection 100mg","PHYSICIANS TOTAL CARE","54868327100","54868-3271-00","Morphine Sulfate",,20,1,3,3,,"100 MG"
"J0640","Leucovorin calcium injection","PHYSICIANS TOTAL CARE","54868331000","54868-3310-00","Leucovorin Calcium","50 MG",60,1,6,6,,
"J0640","Leucovorin calcium injection","PHYSICIANS TOTAL CARE","54868331001","54868-3310-01","Leucovorin Calcium","50 MG",50,1,5,5,,
"90732","Pneumococcal vaccine","PHYSICIANS TOTAL CARE","54868333901","54868-3339-01","Pneumovax 23","0.5 ML",2.5,1,5,5,,
"J9214","Interferon alfa-2b inj","PHYSICIANS TOTAL CARE","54868334100","54868-3341-00","Intron-A",,1,1,50,50,,"1 MIL UNITS"
"J1051","Medroxyprogesterone inj","PHYSICIANS TOTAL CARE","54868334801","54868-3348-01","Depo-Provera","50 MG",3,1,24,24,,
"J0560","Penicillin g benzathine inj","PHYSICIANS TOTAL CARE","54868334900","54868-3349-00","Bicillin L-A",,10,1,5,5,,"600000 UNITS"
"J0570","Penicillin g benzathine inj","PHYSICIANS TOTAL CARE","54868334900","54868-3349-00","Bicillin L-A",,10,1,2.5,2.5,,"1200000 UNITS"
"J0580","Penicillin g benzathine inj","PHYSICIANS TOTAL CARE","54868334900","54868-3349-00","Bicillin L-A",,10,1,1.25,1.25,,"2400000 UNITS"
"J2675","Inj progesterone per 50 MG","PHYSICIANS TOTAL CARE","54868339600","54868-3396-00","Progesterone",,10,1,10,10,,"50 MG"
"J7602","Albuterol inh non-comp con","PHYSICIANS TOTAL CARE","54868340700","54868-3407-00","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","PHYSICIANS TOTAL CARE","54868340700","54868-3407-00","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","PHYSICIANS TOTAL CARE","54868340700","54868-3407-00","Albuterol Sulfate","1 MG",20,1,100,100,,
"J0698","Cefotaxime sodium injection","PHYSICIANS TOTAL CARE","54868342900","54868-3429-00","Claforan","1 GM",10,1,10,10,,
"J0698","Cefotaxime sodium injection","PHYSICIANS TOTAL CARE","54868342901","54868-3429-01","Claforan","1 GM",1,25,1,25,,
"J1630","Haloperidol injection","PHYSICIANS TOTAL CARE","54868345900","54868-3459-00","Haloperidol Lactate","5 MG",10,1,10,10,,
"J2300","Inj nalbuphine hydrochloride","PHYSICIANS TOTAL CARE","54868347100","54868-3471-00","Nubain","10 MG",10,1,10,10,,
"J1815","Insulin injection","PHYSICIANS TOTAL CARE","54868347400","54868-3474-00","Novolin 70/30","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","PHYSICIANS TOTAL CARE","54868347400","54868-3474-00","Novolin 70/30","50 UNITS",10,1,20,20,,
"J7602","Albuterol inh non-comp con","PHYSICIANS TOTAL CARE","54868347900","54868-3479-00","Ventolin","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","PHYSICIANS TOTAL CARE","54868347900","54868-3479-00","Ventolin","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","PHYSICIANS TOTAL CARE","54868347900","54868-3479-00","Ventolin","1 MG",20,1,100,100,,
"J2540","Penicillin g potassium inj","PHYSICIANS TOTAL CARE","54868348000","54868-3480-00","Penicillin G Potassium",,1,10,83.3,8.33,,"600000 UNITS"
"J0290","Ampicillin 500 MG inj","PHYSICIANS TOTAL CARE","54868348100","54868-3481-00","Ampicillin Sodium","500 MG",1,10,2,20,,
"90720","Dtp/hib vaccine, im","PHYSICIANS TOTAL CARE","54868349000","54868-3490-00","Tetramune",,5,1,10,10,,"0.5 ML"
"Q0179","Ondansetron hcl 8 mg oral","PHYSICIANS TOTAL CARE","54868350800","54868-3508-00","Zofran","8 MG",1,3,1.5,1.5,,
"Q0179","Ondansetron hcl 8 mg oral","PHYSICIANS TOTAL CARE","54868350801","54868-3508-01","Zofran","8 MG",1,30,15,15,,
"Q0179","Ondansetron hcl 8 mg oral","PHYSICIANS TOTAL CARE","54868350802","54868-3508-02","Zofran","8 MG",1,10,5,5,,
"Q0179","Ondansetron hcl 8 mg oral","PHYSICIANS TOTAL CARE","54868350900","54868-3509-00","Zofran","8 MG",1,3,3,3,,
"Q0179","Ondansetron HCl 8mg oral","PHYSICIANS TOTAL CARE","54868350903","54868-3509-03","Zofran",,,25,1,,,"8 MG"
"J7631","Cromolyn sodium noncomp unit","PHYSICIANS TOTAL CARE","54868355500","54868-3555-00","Cromolyn Sodium","10 MG",2,60,2,120,,
"J2175","Meperidine hydrochl /100 MG","PHYSICIANS TOTAL CARE","54868355900","54868-3559-00","Meperidine Hcl","100 MG",30,1,15,15,,
"J2060","Lorazepam injection","PHYSICIANS TOTAL CARE","54868356600","54868-3566-00","Lorazepam","2 MG",10,1,10,10,,
"J2060","Lorazepam injection","PHYSICIANS TOTAL CARE","54868356601","54868-3566-01","Lorazepam","2 MG",1,1,1,1,,
"J1265","Dopamine injection","PHYSICIANS TOTAL CARE","54868358300","54868-3583-00","Dopamine Hcl","40 MG",10,10,10,100,,
"Q4076","Dopamine hcl, 40 mg","PHYSICIANS TOTAL CARE","54868358300","54868-3583-00","Dopamine Hcl",,10,10,100,10,,"40 MG"
"90703","Tetanus vaccine, im","PHYSICIANS TOTAL CARE","54868359700","54868-3597-00","Tetanus Toxoid","0.5 ML",0.5,10,1,10,,
"J2300","Inj nalbuphine hydrochloride","PHYSICIANS TOTAL CARE","54868360800","54868-3608-00","Nalbuphine Hcl","10 MG",1,1,1,1,,
"J2300","Inj nalbuphine hydrochloride","PHYSICIANS TOTAL CARE","54868360900","54868-3609-00","Nubain","10 MG",1,1,2,2,,
"J2175","Meperidine hydrochl /100 MG","PHYSICIANS TOTAL CARE","54868361000","54868-3610-00","Demerol","100 MG",20,1,20,20,,
"J2175","Meperidine hydrochl /100 MG","PHYSICIANS TOTAL CARE","54868361100","54868-3611-00","Meperidine Hcl","100 MG",20,1,20,20,,
"J1642","Inj heparin sodium per 10 u","PHYSICIANS TOTAL CARE","54868361500","54868-3615-00","Hep-Lock","10 UNITS",1,25,10,25,,
"J1815","Insulin injection","PHYSICIANS TOTAL CARE","54868361900","54868-3619-00","Humulin R","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","PHYSICIANS TOTAL CARE","54868361900","54868-3619-00","Humulin R","50 UNITS",10,1,20,20,,
"J2930","Methylprednisolone injection","PHYSICIANS TOTAL CARE","54868362300","54868-3623-00","Solu-Medrol","125 MG",1,1,4,4,,
"90716","Chicken pox vaccine, sc","PHYSICIANS TOTAL CARE","54868362400","54868-3624-00","Varivax","0.5 ML",1,1,1,1,,
"J2930","Methylprednisolone injection","PHYSICIANS TOTAL CARE","54868363700","54868-3637-00","Solu-Medrol","125 MG",2,1,2,2,,
"J2930","Methylprednisolone injection","PHYSICIANS TOTAL CARE","54868363701","54868-3637-01","Solu-Medrol","125 MG",2,25,2,50,,
"J0170","Adrenalin epinephrin inject","PHYSICIANS TOTAL CARE","54868364100","54868-3641-00","Epinephrine Hcl","1 ML",30,1,30,30,,
"J0171","Adrenalin epinephrine inject","PHYSICIANS TOTAL CARE","54868364100","54868-3641-00","Epinephrine Hcl","0.1 MG",30,1,300,300,,
"J1200","Diphenhydramine hcl injectio","PHYSICIANS TOTAL CARE","54868364400","54868-3644-00","Diphenhydramine Hcl","50 MG",30,1,6,6,,
"J1940","Furosemide injection","PHYSICIANS TOTAL CARE","54868364500","54868-3645-00","Furosemide","20 MG",2,10,1,10,,
"J3360","Diazepam injection","PHYSICIANS TOTAL CARE","54868367000","54868-3670-00","Valium","5 MG",2,1,2,2,,
"J7648","Isoetharine hcl inh sol con","PHYSICIANS TOTAL CARE","54868368200","54868-3682-00","Isoetharine Hydrochloride",,30,1,300,300,,"1 MG"
"J2300","Inj nalbuphine hydrochloride","PHYSICIANS TOTAL CARE","54868368600","54868-3686-00","Nubain","10 MG",10,1,10,10,,
"J2300","Inj nalbuphine hydrochloride","PHYSICIANS TOTAL CARE","54868368601","54868-3686-01","Nubain","10 MG",1,1,1,1,,
"J0380","Inj metaraminol bitartrate","PHYSICIANS TOTAL CARE","54868369200","54868-3692-00","Aramine",,10,1,10,10,,"10 MG"
"J3010","Fentanyl citrate injeciton","PHYSICIANS TOTAL CARE","54868373800","54868-3738-00","Fentanyl Citrate","0.1 MG",2,10,1,10,,
"J3010","Fentanyl citrate injeciton","PHYSICIANS TOTAL CARE","54868373801","54868-3738-01","Fentanyl Citrate","0.1 MG",2,1,1,1,,
"J3430","Vitamin k phytonadione inj","PHYSICIANS TOTAL CARE","54868380600","54868-3806-00","Aqua-Mephyton","1 MG",5,1,50,50,,
"J8610","Methotrexate oral 2.5 MG","PHYSICIANS TOTAL CARE","54868382600","54868-3826-00","Methotrexate","2.5 MG",16,1,16,16,,
"J8610","Methotrexate oral 2.5 MG","PHYSICIANS TOTAL CARE","54868382601","54868-3826-01","Methotrexate","2.5 MG",12,1,12,12,,
"J8610","Methotrexate oral 2.5 MG","PHYSICIANS TOTAL CARE","54868382602","54868-3826-02","Methotrexate","2.5 MG",24,1,24,24,,
"J8610","Methotrexate oral 2.5 MG","PHYSICIANS TOTAL CARE","54868382603","54868-3826-03","Methotrexate","2.5 MG",20,1,20,20,,
"J8610","Methotrexate oral 2.5 MG","PHYSICIANS TOTAL CARE","54868382604","54868-3826-04","Methotrexate","2.5 MG",28,1,28,28,,
"J8610","Methotrexate oral 2.5 MG","PHYSICIANS TOTAL CARE","54868382605","54868-3826-05","Methotrexate","2.5 MG",100,1,100,100,,
"J8610","Methotrexate oral 2.5 MG","PHYSICIANS TOTAL CARE","54868382607","54868-3826-07","METHOTREXATE",,,1,20,20,,"2.5 MG"
"J1885","Ketorolac tromethamine inj","PHYSICIANS TOTAL CARE","54868384300","54868-3843-00","Toradol",,1,1,2,2,,"15 MG"
"J2597","Inj desmopressin acetate","PHYSICIANS TOTAL CARE","54868388900","54868-3889-00","Ddavp","1 MCG",10,1,40,40,,
"J1790","Droperidol injection","PHYSICIANS TOTAL CARE","54868389000","54868-3890-00","Droperidol","5 MG",1,10,0.5,5,,
"J0460","Atropine sulfate injection","PHYSICIANS TOTAL CARE","54868389300","54868-3893-00","Atropine Sulfate","0.3 MG",1,25,3.33,83.25,,
"J0461","Atropine sulfate injection","PHYSICIANS TOTAL CARE","54868389300","54868-3893-00","Atropine Sulfate","0.01 MG",1,25,100,2500,,
"J1030","Methylprednisolone 40 MG inj","PHYSICIANS TOTAL CARE","54868389600","54868-3896-00","Depo-Medrol","40 MG",10,1,10,10,,
"J7051","Sterile saline/water","PHYSICIANS TOTAL CARE","54868390500","54868-3905-00","Sterile Water For Injection",,250,24,1200,50,,"5 CC"
"J0725","Chorionic gonadotropin/1000u","PHYSICIANS TOTAL CARE","54868391000","54868-3910-00","Profasi","1000 UNITS",10,1,100,100,,
"90690","Typhoid vaccine, oral","PHYSICIANS TOTAL CARE","54868395400","54868-3954-00","Vivotif Berna Vaccine",,4,1,1,1,,"4 CAPSULES"
"J3030","Sumatriptan succinate / 6 MG","PHYSICIANS TOTAL CARE","54868395900","54868-3959-00","Imitrex Statdose Pen","6 MG",1,1,2,2,,
"J3030","Sumatriptan succinate / 6 MG","PHYSICIANS TOTAL CARE","54868396000","54868-3960-00","Imitrex Statdose","6 MG",1,1,2,2,,
"J7051","Sterile saline/water","PHYSICIANS TOTAL CARE","54868397500","54868-3975-00","Sterile Water For Injection",,5,25,25,1,,"5 CC"
"J1094","Inj dexamethasone acetate","PHYSICIANS TOTAL CARE","54868397700","54868-3977-00","Dexamethasone Acetate","1 MG",5,1,40,40,,
"J2550","Promethazine hcl injection","PHYSICIANS TOTAL CARE","54868402100","54868-4021-00","Promethazine Hcl","50 MG",1,25,0.5,12.5,,
"J0290","Ampicillin 500 MG inj","PHYSICIANS TOTAL CARE","54868404700","54868-4047-00","Ampicillin Sodium","500 MG",1,10,1,10,,
"90632","Hep a vaccine, adult im","PHYSICIANS TOTAL CARE","54868405600","54868-4056-00","Havrix","1 ML",1,1,1,1,,
"90632","Hep a vaccine, adult im","PHYSICIANS TOTAL CARE","54868405602","54868-4056-02","Havrix","1 ML",10,1,10,10,,
"J7644","Ipratropium bromide non-comp","PHYSICIANS TOTAL CARE","54868408200","54868-4082-00","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"J7644","Ipratropium bromide non-comp","PHYSICIANS TOTAL CARE","54868408201","54868-4082-01","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868409500","54868-4095-00","Prednisone","5 MG",48,1,96,96,,
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868409600","54868-4096-00","Prednisone","5 MG",21,1,21,21,,
"J1580","Garamycin gentamicin inj","PHYSICIANS TOTAL CARE","54868410300","54868-4103-00","Gentamicin Sulfate","80 MG",2,50,1,50,,
"J3260","Tobramycin sulfate injection","PHYSICIANS TOTAL CARE","54868410600","54868-4106-00","Tobramycin Sulfate","80 MG",2,25,1,25,,
"J0725","Chorionic gonadotropin/1000u","ALLSCRIPTS","54868412100","54868-4121-00","Chorionic Gonadotropin","1000 UNITS",1,1,10,10,,
"J0585","Injection,onabotulinumtoxinA","PHYSICIANS TOTAL CARE","54868412300","54868-4123-00","Botox","1 UNIT",1,1,100,100,,
"90657","Flu vaccine, 6-35 mo, im","PHYSICIANS TOTAL CARE","54868412400","54868-4124-00","Fluogen","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 & over, im","PHYSICIANS TOTAL CARE","54868412400","54868-4124-00","Fluogen","0.5 ML",5,1,10,10,,
"90657","Flu vaccine, 6-35 mo, im","PHYSICIANS TOTAL CARE","54868413000","54868-4130-00","Fluzone Subvirion","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 & over, im","PHYSICIANS TOTAL CARE","54868413000","54868-4130-00","Fluzone Subvirion","0.5 ML",5,1,10,10,,
"J1885","Ketorolac tromethamine inj","PHYSICIANS TOTAL CARE","54868413300","54868-4133-00","Toradol Im",,2,1,4,4,,"15 MG"
"J2180","Meperidine/promethazine inj","PHYSICIANS TOTAL CARE","54868413600","54868-4136-00","Mepergan","50 MG",2,10,2,20,,
"J2180","Meperidine/promethazine inj","PHYSICIANS TOTAL CARE","54868413602","54868-4136-02","Mepergan","50 MG",2,10,2,20,,
"J0780","Prochlorperazine injection","PHYSICIANS TOTAL CARE","54868413700","54868-4137-00","Prochlorperazine Edisylate","10 MG",2,10,1,10,,
"Q0180","Dolasetron mesylate oral","PHYSICIANS TOTAL CARE","54868413801","54868-4138-01","Anzemet","100 MG",1,1,1,1,,
"Q0166","Granisetron HCl 1 mg oral","PHYSICIANS TOTAL CARE","54868413903","54868-4139-03","Kytril",,,,,,,"1 MG"
"Q0166","Granisetron HCl 1 mg oral","PHYSICIANS TOTAL CARE","54868413904","54868-4139-04","Kytril",,,,,,,"1 MG"
"Q0166","Granisetron HCl 1 mg oral","PHYSICIANS TOTAL CARE","54868413905","54868-4139-05","Kytril",,,,,,,"1 MG"
"J8520","Capecitabine, oral, 150 mg","PHYSICIANS TOTAL CARE","54868414302","54868-4143-02","Xeloda","150 MG",30,1,30,30,,
"J8521","Capecitabine, oral, 500 mg","PHYSICIANS TOTAL CARE","54868414302","54868-4143-02","Xeloda",,,1,15,15,,"500 MG"
"J2765","Metoclopramide hcl injection","PHYSICIANS TOTAL CARE","54868416700","54868-4167-00","Metoclopramide Hcl","10 MG",2,25,1,25,,
"J2270","Morphine sulfate injection","PHYSICIANS TOTAL CARE","54868418900","54868-4189-00","Morphine Sulfate","10 MG",1,25,1,2.5,,
"J2271","Morphine so4 injection 100mg","PHYSICIANS TOTAL CARE","54868418900","54868-4189-00","Morphine Sulfate","100 MG",1,25,0.1,2.5,,
"J1460","Gamma globulin 1 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","1 CC",2,1,2,2,,
"J1470","Gamma globulin 2 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","2 CC",2,1,1,1,,
"J1480","Gamma globulin 3 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","3CC",2,1,0.667,0.667,,
"J1490","Gamma globulin 4 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","4 CC",2,1,0.5,0.5,,
"J1500","Gamma globulin 5 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","5 CC",2,1,0.4,0.4,,
"J1510","Gamma globulin 6 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","6 CC",2,1,0.333,0.333,,
"J1520","Gamma globulin 7 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","7 CC",2,1,0.286,0.286,,
"J1530","Gamma globulin 8 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","8 CC",2,1,0.25,0.25,,
"J1540","Gamma globulin 9 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","9 CC",2,1,0.222,0.222,,
"J1550","Gamma globulin 10 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","10 CC",2,1,0.2,0.2,,
"J1560","Gamma globulin > 10 CC inj","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam","10 CC",2,1,2,2,,
"J7320","Hylan G-F 20 injection","PHYSICIANS TOTAL CARE","54868421900","54868-4219-00","Synvisc","16 MG",2,3,1,3,,
"Q4084","Synvisc, inj","PHYSICIANS TOTAL CARE","54868421900","54868-4219-00","Synvisc","PER DOSE",2,3,1,3,,
"J7051","Sterile saline/water","PHYSICIANS TOTAL CARE","54868429600","54868-4296-00","Sterile Water For Irrigation",,500,24,2400,100,,"5 CC"
"90675","Rabies vaccine, im","PHYSICIANS TOTAL CARE","54868434000","54868-4340-00","RABAVERT","1 ML",1,1,1,1,,
"J0330","Succinycholine chloride inj","PHYSICIANS TOTAL CARE","54868438000","54868-4380-00","Succinylcholine Chloride","20 MG",10,25,10,250,,
"J1815","Insulin injection","PHYSICIANS TOTAL CARE","54868438100","54868-4381-00","Humalog Mix 75/25","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","PHYSICIANS TOTAL CARE","54868438100","54868-4381-00","Humalog Mix 75/25","50 UNITS",10,1,20,20,,
"J7603","Albuterol inh non-comp u d ","PHYSICIANS TOTAL CARE","54868440900","54868-4409-00","Xopenex","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","PHYSICIANS TOTAL CARE","54868440900","54868-4409-00","Xopenex","0.5 MG",3,24,1.25,30,,
"Q4094","Albuterol inh non-comp u d ","PHYSICIANS TOTAL CARE","54868440900","54868-4409-00","Xopenex","0.5 MG",3,24,1.25,30,,
"J3430","Vitamin k phytonadione inj","Physicians Total Care, Inc.","54868443400","54868-4434-00","Vitamin K","1 MG",0.5,25,1,25,,
"90657","Flu vaccine, 6-35 mo, im","PHYSICIANS TOTAL CARE","54868444000","54868-4440-00","Flushield Influenza Virus Vac","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 & over, im","PHYSICIANS TOTAL CARE","54868444000","54868-4440-00","Flushield Influenza Virus Vac","0.5 ML",5,1,10,10,,
"J2912","Sodium chloride injection","PHYSICIANS TOTAL CARE","54868446400","54868-4464-00","Sodium Chloride","2 ML",10,25,5,125,,
"J7130","Hypertonic saline solution","PHYSICIANS TOTAL CARE","54868446400","54868-4464-00","Sodium Chloride",,10,25,12.5,0.5,,"20 CC"
"J2540","Penicillin g potassium inj","PHYSICIANS TOTAL CARE","54868448800","54868-4488-00","Penicillin G Potassium","600000 UNITS",1,1,33.33,33.33,,
"J1720","Hydrocortisone sodium succ i","PHYSICIANS TOTAL CARE","54868450800","54868-4508-00","Solu-Cortef","100 MG",1,1,10,10,,
"J2405","Ondansetron hcl injection","PHYSICIANS TOTAL CARE","54868450900","54868-4509-00","Zofran","1 MG",2,5,4,20,,
"J0456","Azithromycin","PHYSICIANS TOTAL CARE","54868452700","54868-4527-00","Zithromax","500 MG",1,10,1,10,,
"J0744","Ciprofloxacin iv","PHYSICIANS TOTAL CARE","54868454700","54868-4547-00","CIPROFLOXACIN","200 MG",40,1,2,2,,
"J3280","Thiethylperazine maleate inj","PHYSICIANS TOTAL CARE","54868457900","54868-4579-00","Torecan",,2,20,20,1,,"10 MG"
"J2250","Inj midazolam hydrochloride","PHYSICIANS TOTAL CARE","54868458000","54868-4580-00","Midazolam Hcl","1 MG",5,10,25,250,,
"90657","Flu vaccine, 6-35 mo, im","PHYSICIANS TOTAL CARE","54868458100","54868-4581-00","Fluzone Subvirion","0.25 ML",5,1,20,20,,
"90658","Flu vaccine age 3 & over, im","PHYSICIANS TOTAL CARE","54868458100","54868-4581-00","Fluzone Subvirion","0.5 ML",5,1,10,10,,
"J0595","Butorphanol tartrate 1 mg","PHYSICIANS TOTAL CARE","54868458300","54868-4583-00","Butorphanol Tartrate","1 MG",2.5,1,15,15,,
"J3360","Diazepam injection","PHYSICIANS TOTAL CARE","54868458600","54868-4586-00","Diazepam","5 MG",2,10,2,20,,
"J1815","Insulin injection","PHYSICIANS TOTAL CARE","54868462600","54868-4626-00","Lantus","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","PHYSICIANS TOTAL CARE","54868462600","54868-4626-00","Lantus","50 UNITS",10,1,20,20,,
"J0690","Cefazolin sodium injection","PHYSICIANS TOTAL CARE","54868465100","54868-4651-00","Cefazolin Sodium","500 MG",1,25,1,25,,
"90656","Flu vaccine no preserv 3 & >","PHYSICIANS TOTAL CARE","54868467600","54868-4676-00","Fluvirin","0.5 ML",0.5,10,1,10,,
"90658","Flu vaccine age 3 & over, im","PHYSICIANS TOTAL CARE","54868467600","54868-4676-00","Fluvirin","0.5 ML",0.5,10,1,10,,
"J1750","Inj iron dextran","PHYSICIANS TOTAL CARE","54868471500","54868-4715-00","Iron Dextran Complex","50 MG",20,10,20,200,,
"J1751","Iron dextran 165 injection","PHYSICIANS TOTAL CARE","54868471500","54868-4715-00","Iron Dextran Complex","50 MG",20,10,20,200,,
"J1752","Iron dextran 267 injection","PHYSICIANS TOTAL CARE","54868471500","54868-4715-00","Iron Dextran Complex","50 MG",20,10,20,200,,
"Q4098","Iron dextran injection","PHYSICIANS TOTAL CARE","54868471500","54868-4715-00","Iron Dextran Complex","50 MG",20,10,20,200,,
"J9250","Methotrexate sodium inj","PHYSICIANS TOTAL CARE","54868471600","54868-4716-00","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","PHYSICIANS TOTAL CARE","54868471600","54868-4716-00","Methotrexate Sodium","50 MG",10,1,5,5,,
"Q0164","Prochlorperazine maleate 5mg","PHYSICIANS TOTAL CARE","54868472100","54868-4721-00","Prochlorperazine Maleate","5 MG",30,1,30,30,,
"Q0164","Prochlorperazine maleate 5mg","PHYSICIANS TOTAL CARE","54868472101","54868-4721-01","Prochlorperazine Maleate","5 MG",15,1,15,15,,
"J2175","Meperidine hydrochl /100 MG","PHYSICIANS TOTAL CARE","54868475100","54868-4751-00","Demerol","100 MG",1,25,1,25,,
"J2175","Meperidine hydrochl /100 MG","PHYSICIANS TOTAL CARE","54868475101","54868-4751-01","Demerol","100 MG",1,1,1,1,,
"J2270","Morphine sulfate injection","PHYSICIANS TOTAL CARE","54868475200","54868-4752-00","Morphine Sulfate","10 MG",1,25,1,2.5,,
"J2271","Morphine so4 injection 100mg","PHYSICIANS TOTAL CARE","54868475200","54868-4752-00","Morphine Sulfate","100 MG",1,25,0.1,2.5,,
"J2270","Morphine sulfate injection","PHYSICIANS TOTAL CARE","54868475201","54868-4752-01","Morphine Sulfate","10 MG",1,1,1,0.1,,
"J2271","Morphine so4 injection 100mg","PHYSICIANS TOTAL CARE","54868475201","54868-4752-01","Morphine Sulfate","100 MG",1,1,0.1,0.1,,
"90744","Hepb vacc ped/adol 3 dose im","PHYSICIANS TOTAL CARE","54868478100","54868-4781-00","Engerix-B","1 DOSE",0.5,1,1,1,,
"J1438","Etanercept injection","PHYSICIANS TOTAL CARE","54868478200","54868-4782-00","Enbrel","25 MG",4,1,4,4,,
"J9250","Methotrexate sodium inj","PHYSICIANS TOTAL CARE","54868479600","54868-4796-00","Methotrexate Sodium","5 MG",2,1,10,10,,
"J9260","Methotrexate sodium inj","PHYSICIANS TOTAL CARE","54868479600","54868-4796-00","Methotrexate Sodium","50 MG",2,1,1,1,,
"J9250","Methotrexate sodium inj","PHYSICIANS TOTAL CARE","54868480900","54868-4809-00","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","PHYSICIANS TOTAL CARE","54868480900","54868-4809-00","Methotrexate Sodium","50 MG",10,1,5,5,,
"J0270","Alprostadil for injection","PHYSICIANS TOTAL CARE","54868489000","54868-4890-00","Caverject","1.25 MCG",1,2,16,32,,
"J2320","Nandrolone decanoate 50 MG","PHYSICIANS TOTAL CARE","54868489300","54868-4893-00","Nandrolone Decanoate","50 MG",1,4,4,16,,
"J2322","Nandrolone decanoate 200 MG","PHYSICIANS TOTAL CARE","54868489300","54868-4893-00","Nandrolone Decanoate","200 MG",1,4,1,4,,
"J2320","Nandrolone decanoate 50 MG","PHYSICIANS TOTAL CARE","54868489301","54868-4893-01","Nandrolone Decanoate","50 MG",1,1,4,4,,
"J2322","Nandrolone decanoate 200 MG","PHYSICIANS TOTAL CARE","54868489301","54868-4893-01","Nandrolone Decanoate","200 MG",1,1,1,1,,
"J2400","Chloroprocaine hcl injection","PHYSICIANS TOTAL CARE","54868492500","54868-4925-00","Nesacaine","30 ML",30,1,1,1,,
"90656","Flu vaccine no preserv 3 & >","PHYSICIANS TOTAL CARE","54868494900","54868-4949-00","Fluvirin","0.5 ML",5,1,10,10,,
"90658","Flu vaccine age 3 & over, im","PHYSICIANS TOTAL CARE","54868494900","54868-4949-00","Fluvirin","0.5 ML",5,1,10,10,,
"J7509","Methylprednisolone oral","PHYSICIANS TOTAL CARE","54868495200","54868-4952-00","Medrol","4 MG",30,1,15,15,,
"J7509","Methylprednisolone oral","PHYSICIANS TOTAL CARE","54868495201","54868-4952-01","Medrol","4 MG",10,1,5,5,,
"J0725","Chorionic gonadotropin/1000u","PHYSICIANS TOTAL CARE","54868499700","54868-4997-00","Pregnyl","1000 UNITS",1,1,10,10,,
"J1940","Furosemide injection","PHYSICIANS TOTAL CARE","54868499800","54868-4998-00","Furosemide","20 MG",2,25,1,25,,
"J3120","Testosterone enanthate inj","PHYSICIANS TOTAL CARE","54868501600","54868-5016-00","Delatestryl","100 MG",5,1,10,10,,
"J3130","Testosterone enanthate inj","PHYSICIANS TOTAL CARE","54868501600","54868-5016-00","Delatestryl","200 MG",5,1,5,5,,
"J1440","Filgrastim 300 mcg injection","PHYSICIANS TOTAL CARE","54868502000","54868-5020-00","Neupogen","300 MCG",0.5,10,1,6.25,,
"J1441","Filgrastim 480 mcg injection","PHYSICIANS TOTAL CARE","54868502000","54868-5020-00","Neupogen","480 MCG",0.5,10,0.625,6.25,,
"J1610","Glucagon hydrochloride/1 MG","PHYSICIANS TOTAL CARE","54868507000","54868-5070-00","Glucagon Emergency","1 MG",1,1,1,1,,
"Q0179","Ondansetron hcl 8 mg oral","PHYSICIANS TOTAL CARE","54868508900","54868-5089-00","Zofran Odt","8 MG",1,2,2,2,,
"J1815","Insulin injection","PHYSICIANS TOTAL CARE","54868510800","54868-5108-00","Humalog","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","PHYSICIANS TOTAL CARE","54868510800","54868-5108-00","Humalog","50 UNITS",10,1,20,20,,
"J1650","Inj enoxaparin sodium","PHYSICIANS TOTAL CARE","54868511200","54868-5112-00","Lovenox","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","PHYSICIANS TOTAL CARE","54868511201","54868-5112-01","Lovenox","10 MG",0.8,1,8,8,,
"Q0169","Promethazine HCl oral","PHYSICIANS TOTAL CARE","54868512100","54868-5121-00","Promethazine Hcl","12.5 MG",15,1,15,15,,
"J1170","Hydromorphone injection","PHYSICIANS TOTAL CARE","54868513700","54868-5137-00","Dilaudid","4 MG",1,10,1,10,,
"Q0173","TrimethobenzAMIde HCl 250mg","PHYSICIANS TOTAL CARE","54868518100","54868-5181-00","Tigan",,,1,90,90,,"250 MG"
"J7506","Prednisone oral","PHYSICIANS TOTAL CARE","54868523000","54868-5230-00","Prednisone","5 MG",,1,80,80,,
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","54868533400","54868-5334-00","DEXPAK",,,1,100,100,,"0.25 MG"
"J8700","Temozolomide","PHYSICIANS TOTAL CARE","54868534800","54868-5348-00","Temodar",,,,,,,"5 MG"
"J8700","Temozolomide","PHYSICIANS TOTAL CARE","54868535001","54868-5350-01","Temodar",,,,,,,"5 MG"
"J8700","Temozolomide","PHYSICIANS TOTAL CARE","54868535002","54868-5350-02","Temodar",,,,,,,"5 MG"
"J8560","Etoposide oral 50 MG","PHYSICIANS TOTAL CARE","54868535500","54868-5355-00","Etoposide",,,1,1,1,,"50 MG"
"J7603","Albuterol inh non-comp u d ","PHYSICIANS TOTAL CARE","54868545900","54868-5459-00","Xopenex","0.5 MG",3,24,2.5,60,,
"J7614","Levalbuterol non-comp unit","PHYSICIANS TOTAL CARE","54868545900","54868-5459-00","Xopenex","0.5 MG",3,24,2.5,60,,
"Q4094","Albuterol inh non-comp u d ","PHYSICIANS TOTAL CARE","54868545900","54868-5459-00","Xopenex","0.5 MG",3,24,2.5,60,,
"J1250","Inj dobutamine HCL/250 mg","PHYSICIANS TOTAL CARE","54868571702","54868-5717-02","Dobutamine Hcl","250 MG",20,1,1,1,,
"J0152","Adenosine injection","PHYSICIANS TOTAL CARE","54868582500","54868-5825-00","Adenoscan","30 MG",30,1,3,3,,
"J0152","Adenosine injection","PHYSICIANS TOTAL CARE","54868582501","54868-5825-01","Adenoscan","30 MG",20,1,2,2,,
"J7509","Methylprednisolone oral","PHYSICIANS TOTAL CARE","54868662401","54868-6624-01","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"Q0163","Diphenhydramine HCl 50mg","DRX","55045112400","55045-1124-00","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","DRX","55045112401","55045-1124-01","Diphenhydramine Hcl","50 MG",3,1,3,3,,
"Q0163","Diphenhydramine HCl 50mg","DRX","55045112405","55045-1124-05","Diphenhydramine Hcl","50 MG",15,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","DRX","55045112408","55045-1124-08","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0165","Prochlorperazine maleate10mg","DRX","55045112603","55045-1126-03","Prochlorperazine Maleate","10 MG",5,1,5,5,,
"Q0165","Prochlorperazine maleate10mg","DRX","55045112606","55045-1126-06","Prochlorperazine Maleate","10 MG",60,1,60,60,,
"Q0165","Prochlorperazine maleate10mg","DRX","55045112608","55045-1126-08","Prochlorperazine Maleate","10 MG",30,1,30,30,,
"J7509","Methylprednisolone oral","DRX","55045125909","55045-1259-09","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7506","Prednisone oral","DRX","55045126000","55045-1260-00","Prednisone (Pak)","5 MG",48,1,48,48,,
"J7506","Prednisone oral","DRX","55045126009","55045-1260-09","Prednisone (Pak)","5 MG",21,1,21,21,,
"J8540","Oral dexamethasone","DRX","55045130801","55045-1308-01","DEXAMETHASONE",,,,,,,"0.25 MG"
"J8540","Oral dexamethasone","DRX","55045130802","55045-1308-02","DEXAMETHASONE",,,1,1,1,,"0.25 MG"
"J8540","Oral dexamethasone","DRX","55045130803","55045-1308-03","DEXAMETHASONE",,,,,,,"0.25 MG"
"J8540","Oral dexamethasone","DRX","55045130804","55045-1308-04","DEXAMETHASONE",,,10,10,1,,"0.25 MG"
"J8540","Oral dexamethasone","DRX","55045130805","55045-1308-05","DEXAMETHASONE",,,,,,,"0.25 MG"
"J8540","Oral dexamethasone","DRX","55045130806","55045-1308-06","DEXAMETHASONE",,,1,20,20,,"0.25 MG"
"J8540","Oral dexamethasone","DRX","55045130807","55045-1308-07","DEXAMETHASONE",,,,,,,"0.25 MG"
"J8540","Oral dexamethasone","DRX","55045130808","55045-1308-08","DEXAMETHASONE",,,1,5,5,,"0.25 MG"
"J8540","Oral dexamethasone","DRX","55045130809","55045-1308-09","DEXAMETHASONE",,,10,10,1,,"0.25 MG"
"J7506","Prednisone oral","DRX","55045144101","55045-1441-01","Prednisone","5 MG",35,1,140,140,,
"J7506","Prednisone oral","DRX","55045144401","55045-1444-01","Prednisone","5 MG",35,1,140,140,,
"J7506","Prednisone oral","DRX","55045144403","55045-1444-03","Prednisone","5 MG",18,1,72,72,,
"J7506","Prednisone oral","DRX","55045144404","55045-1444-04","Prednisone","5 MG",12,1,48,48,,
"J7506","Prednisone oral","DRX","55045144407","55045-1444-07","Prednisone","5 MG",21,1,84,84,,
"J7506","Prednisone oral","DRX","55045144408","55045-1444-08","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","DRX","55045148000","55045-1480-00","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","DRX","55045148001","55045-1480-01","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","DRX","55045148002","55045-1480-02","Prednisone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","DRX","55045148005","55045-1480-05","Prednisone","5 MG",15,1,15,15,,
"J7506","Prednisone oral","DRX","55045148006","55045-1480-06","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","DRX","55045148007","55045-1480-07","Prednisone","5 MG",21,1,21,21,,
"J7506","Prednisone oral","DRX","55045148008","55045-1480-08","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","DRX","55045148009","55045-1480-09","Prednisone","5 MG",40,1,40,40,,
"J7506","Prednisone oral","DRX","55045153303","55045-1533-03","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","DRX","55045153306","55045-1533-06","Prednisone","5 MG",42,1,84,84,,
"J7506","Prednisone oral","DRX","55045153307","55045-1533-07","Prednisone","5 MG",21,1,42,42,,
"J7506","Prednisone oral","DRX","55045153308","55045-1533-08","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","DRX","55045153309","55045-1533-09","Prednisone","5 MG",40,1,80,80,,
"Q0170","Promethazine HCl 25 mg oral","DRX","55045159603","55045-1596-03","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","DRX","55045159605","55045-1596-05","Promethazine Hcl","25 MG",15,1,15,15,,
"Q0170","Promethazine HCl 25 mg oral","DRX","55045159606","55045-1596-06","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","DRX","55045159608","55045-1596-08","Promethazine Hcl","25 MG",30,1,30,30,,
"Q0173","Trimethobenzamide HCl 250mg","DRX","55045162803","55045-1628-03","Trimethobenzamide Hcl","250 MG",10,1,10,10,,
"Q0178","Hydroxyzine pamoate 50mg","DRX","55045166108","55045-1661-08","Hydroxyzine Pamoate","50 MG",30,1,30,30,,
"J7668","Metaproterenol inh sol con","DRX","55045174802","55045-1748-02","Alupent",,10,1,50,50,,"10 MG"
"J7668","Metaproterenol inh sol con","DRX","55045174803","55045-1748-03","Alupent",,30,1,150,150,,"10 MG"
"J7506","Prednisone oral","DRX","55045180902","55045-1809-02","Liquid Pred","5 MG",120,1,24,24,,
"J7509","Methylprednisolone oral","DRX","55045181108","55045-1811-08","Methylprednisolone","4 MG",30,1,30,30,,
"J7644","Ipratropium bromide non-comp","DRX","55045193005","55045-1930-05","Atrovent","1 MG",2.5,1,0.5,0.5,,
"J8540","Oral dexamethasone","DRX","55045197005","55045-1970-05","DEXAMETHASONE",,,1,1,1,,"0.25 MG"
"J7603","Albuterol inh non-comp u d ","DRX","55045204307","55045-2043-07","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","DRX","55045204307","55045-2043-07","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","DRX","55045204307","55045-2043-07","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J3150","Testosteron propionate inj","DRX","55045204402","55045-2044-02","Testosterone Propionate",,10,1,10,10,,"100 MG"
"Q0165","Prochlorperazine maleate10mg","DRX","55045207403","55045-2074-03","Compazine","10 MG",10,1,10,10,,
"Q0165","Prochlorperazine maleate10mg","DRX","55045207404","55045-2074-04","Compazine","10 MG",12,1,12,12,,
"Q0165","Prochlorperazine maleate10mg","DRX","55045207407","55045-2074-07","Compazine","10 MG",20,1,20,20,,
"J3360","Diazepam injection","DRX","55045213303","55045-2133-03","Diazepam","5 MG",10,1,10,10,,
"Q0177","Hydroxyzine pamoate 25mg","DRX","55045219505","55045-2195-05","Hydroxyzine Pamoate","25 MG",15,1,15,15,,
"J8540","Oral dexamethasone","DRX","55045266502","55045-2665-02","DEXAMETHASONE",,,1,5,5,,"0.25 MG"
"J7506","Prednisone oral","DRX","55045296301","55045-2963-01","Prednisone (Pak)","5 MG",21,1,42,42,,
"J7506","Prednisone oral","DRX","55045296302","55045-2963-02","Prednisone (Pak)","5 MG",48,1,96,96,,
"J1080","Testosterone cypionat 200 MG","DRX","55045302902","55045-3029-02","Depo-Testosterone","200 MG",10,1,10,10,,
"J7506","Prednisone oral","DRX","55045328104","55045-3281-04","Prednisone",,,1,48,48,,"5 MG"
"90691","Typhoid vaccine, im","DRX","55045378605","55045-3786-05","Typhim Vi","0.5 ML",0.5,1,1,1,,
"J0170","Adrenalin epinephrin inject","DRX","55045990303","55045-9903-03","Epinephrine Hcl","1 ML",10,1,10,10,,
"J0171","Adrenalin epinephrine inject","DRX","55045990303","55045-9903-03","Epinephrine Hcl","0.1 MG",10,1,10,10,,
"Q0162","Ondansetron oral","Dr. Reddy's Laboratories, Inc.","55111015313","55111-0153-13","Ondansetron HCl","1 MG",1,3,4,12,,
"Q0179","Ondansetron hcl 8 mg oral","Dr. Reddy's Laboratories, Inc.","55111015313","55111-0153-13","Ondansetron HCl","8 MG",1,3,0.5,1.5,,
"Q0162","Ondansetron oral","Dr. Reddy's Laboratories, Inc.","55111015330","55111-0153-30","Ondansetron HCl","1 MG",1,30,4,120,,
"Q0179","Ondansetron hcl 8 mg oral","Dr. Reddy's Laboratories, Inc.","55111015330","55111-0153-30","Ondansetron HCl","8 MG",1,30,0.5,15,,
"Q0162","Ondansetron oral","Dr. Reddy's Laboratories, Inc.","55111015413","55111-0154-13","Ondansetron HCl","1 MG",1,3,8,24,,
"Q0179","Ondansetron hcl 8 mg oral","Dr. Reddy's Laboratories, Inc.","55111015413","55111-0154-13","Ondansetron HCl","8 MG",1,3,1,3,,
"Q0162","Ondansetron oral","Dr. Reddy's Laboratories, Inc.","55111015430","55111-0154-30","Ondansetron HCl","1 MG",1,30,8,240,,
"Q0179","Ondansetron hcl 8 mg oral","Dr. Reddy's Laboratories, Inc.","55111015430","55111-0154-30","Ondansetron HCl","8 MG",1,30,1,30,,
"J7507","Tacrolimus imme rel oral 1mg","Dr. Reddy's Laboratories, Inc.","55111052501","55111-0525-01","TACROLIMUS","1 MG",100,1,50,50,,
"J7507","Tacrolimus imme rel oral 1mg","Dr. Reddy's Laboratories, Inc.","55111052601","55111-0526-01","TACROLIMUS","1 MG",100,1,100,100,,
"J7507","Tacrolimus imme rel oral 1mg","Dr. Reddy's Laboratories, Inc.","55111052701","55111-0527-01","TACROLIMUS","1 MG",100,1,500,500,,
"J0894","Decitabine injection","Dr. Reddy's Laboratories, Inc.","55111055610","55111-0556-10","decitabine","1 MG",1,1,50,50,,
"J0583","Bivalirudin","DR REDDY'S LABORATORIES, INC.","55111065237","55111-0652-37","BIVALIRUDIN","1 MG",1,10,250,2500,,
"J7520","Sirolimus, oral","Dr. Reddy's Laboratories, Inc.","55111065301","55111-0653-01","SIROLIMUS","1 MG",100,1,100,100,,
"J7520","Sirolimus, oral","Dr. Reddy's Laboratories, Inc.","55111065401","55111-0654-01","SIROLIMUS","1 MG",100,1,200,200,,
"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.","55111067810","55111-0678-10","FONDAPARINUX SODIUM","0.5 MG",0.5,10,5,50,,
"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.","55111067910","55111-0679-10","FONDAPARINUX SODIUM","0.5 MG",0.4,10,10,100,,
"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.","55111068010","55111-0680-10","FONDAPARINUX SODIUM","0.5 MG",0.6,10,15,150,,
"J1652","Fondaparinux sodium","Dr. Reddy's Laboratories, Inc.","55111068102","55111-0681-02","FONDAPARINUX SODIUM","0.5 MG",0.8,2,20,40,,
"J1652","Fondaparinux sodium","Dr. Reddy's Laboratories, Inc.","55111068110","55111-0681-10","FONDAPARINUX SODIUM","0.5 MG",0.8,10,20,200,,
"J3489","Zoledronic acid 1mg","Dr. Reddy's Laboratories, Inc.","55111068507","55111-0685-07","ZOLEDRONIC ACID","1 mg",5,1,4,4,,
"Q2051","Zoledronic acid 1mg","DR REDDY'S LABORATORIES, INC.","55111068507","55111-0685-07","ZOLEDRONIC ACID","1 mg",5,1,4,4,,
"J9201","Gemcitabine hcl injection","Dr. Reddy's Laboratories, Inc.","55111068607","55111-0686-07","GEMCITABINE HCL","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Dr. Reddy's Laboratories, Inc.","55111068725","55111-0687-25","GEMCITABINE HCL","200 MG",1,1,5,5,,
"J3489","Zoledronic acid 1mg","Dr. Reddy's Laboratories, Inc.","55111068852","55111-0688-52","ZOLEDRONIC ACID","1 MG",100,1,5,5,,
"Q2051","Zoledronic acid 1mg","DR REDDY'S LABORATORIES, INC.","55111068852","55111-0688-52","ZOLEDRONIC ACID","1 MG",100,1,5,5,,
"Q0165","Prochlorperazine maleate10mg","PDRX PHARMACEUTICAL","55289003304","55289-0033-04","Compazine","10 MG",4,1,4,4,,
"Q0165","Prochlorperazine maleate10mg","PDRX PHARMACEUTICAL","55289003310","55289-0033-10","Compazine","10 MG",10,1,10,10,,
"Q0165","Prochlorperazine maleate10mg","PDRX PHARMACEUTICAL","55289003397","55289-0033-97","Compazine","10 MG",25,1,25,25,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289008825","55289-0088-25","Phenergan","25 MG",25,1,25,25,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289008879","55289-0088-79","Phenergan","25 MG",1,1,1,1,,
"Q0163","Diphenhydramine HCl 50mg","PDRX PHARMACEUTICAL","55289010001","55289-0100-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","PDRX PHARMACEUTICAL","55289010010","55289-0100-10","Diphenhydramine Hcl","50 MG",10,1,10,10,,
"Q0163","Diphenhydramine HCl 50mg","PDRX PHARMACEUTICAL","55289010015","55289-0100-15","Diphenhydramine Hcl","50 MG",15,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","PDRX PHARMACEUTICAL","55289010020","55289-0100-20","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","PDRX PHARMACEUTICAL","55289010030","55289-0100-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","PDRX PHARMACEUTICAL","55289010040","55289-0100-40","Diphenhydramine Hcl","50 MG",40,1,40,40,,
"Q0164","Prochlorperazine maleate 5mg","PDRX PHARMACEUTICAL","55289011397","55289-0113-97","Compazine","5 MG",25,1,25,25,,
"Q0178","Hydroxyzine pamoate 50mg","PDRX PHARMACEUTICAL","55289019510","55289-0195-10","Hydroxyzine Pamoate","50 MG",10,1,10,10,,
"Q0173","Trimethobenzamide HCl 250mg","PDRX PHARMACEUTICAL","55289021920","55289-0219-20","Trimethobenzamide Hcl","250 MG",20,1,20,20,,
"Q0165","Prochlorperazine maleate10mg","PDRX PHARMACEUTICAL","55289022497","55289-0224-97","Prochlorperazine Maleate","10 MG",25,1,25,25,,
"Q0177","Hydroxyzine pamoate 25mg","PDRX PHARMACEUTICAL","55289022610","55289-0226-10","Hydroxyzine Pamoate","25 MG",10,1,10,10,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289033010","55289-0330-10","Prednisone","5 MG",10,1,100,100,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289035209","55289-0352-09","Prednisone","5 MG",9,1,36,36,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289035210","55289-0352-10","Prednisone","5 MG",10,1,40,40,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289035214","55289-0352-14","Prednisone","5 MG",14,1,56,56,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289035215","55289-0352-15","Prednisone","5 MG",15,1,60,60,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289035220","55289-0352-20","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289035221","55289-0352-21","Prednisone","5 MG",21,1,84,84,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289035230","55289-0352-30","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289035297","55289-0352-97","Prednisone","5 MG",25,1,100,100,,
"Q0178","Hydroxyzine pamoate 50mg","PDRX PHARMACEUTICAL","55289035410","55289-0354-10","Hydroxyzine Pamoate","50 MG",10,1,10,10,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289037301","55289-0373-01","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289037330","55289-0373-30","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289037336","55289-0373-36","Prednisone","5 MG",36,1,36,36,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289037342","55289-0373-42","Prednisone","5 MG",42,1,42,42,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289037346","55289-0373-46","Prednisone","5 MG",46,1,46,46,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289037355","55289-0373-55","Prednisone","5 MG",55,1,55,55,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289037360","55289-0373-60","Prednisone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289037372","55289-0373-72","Prednisone","5 MG",72,1,72,72,,
"Q0173","Trimethobenzamide HCl 250mg","PDRX PHARMACEUTICAL","55289042810","55289-0428-10","Tigan",,10,1,10,10,,"250 MG"
"Q0173","Trimethobenzamide HCl 250mg","PDRX PHARMACEUTICAL","55289042817","55289-0428-17","Tigan",,100,1,100,100,,"250 MG"
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043801","55289-0438-01","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043820","55289-0438-20","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043821","55289-0438-21","Prednisone","5 MG",21,1,42,42,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043830","55289-0438-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043836","55289-0438-36","Prednisone","5 MG",36,1,72,72,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043838","55289-0438-38","Prednisone","5 MG",38,1,76,76,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043840","55289-0438-40","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043850","55289-0438-50","Prednisone","5 MG",50,1,100,100,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043860","55289-0438-60","Prednisone","5 MG",60,1,120,120,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289043897","55289-0438-97","Prednisone","5 MG",25,1,50,50,,
"J2250","Inj midazolam hydrochloride","PDRX PHARMACEUTICAL","55289044402","55289-0444-02","Versed",,2,1,10,10,,"1 MG"
"J2250","Inj midazolam hydrochloride","PDRX PHARMACEUTICAL","55289044405","55289-0444-05","Versed",,5,1,25,25,,"1 MG"
"J2250","Inj midazolam hydrochloride","PDRX PHARMACEUTICAL","55289044410","55289-0444-10","Versed",,10,1,50,50,,"1 MG"
"J2250","Inj midazolam hydrochloride","PDRX PHARMACEUTICAL","55289044810","55289-0448-10","Versed",,10,1,10,10,,"1 MG"
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289046402","55289-0464-02","Promethazine Hcl","25 MG",2,1,2,2,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289046410","55289-0464-10","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289046412","55289-0464-12","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289046415","55289-0464-15","Promethazine Hcl","25 MG",15,1,15,15,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289046420","55289-0464-20","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289046425","55289-0464-25","Promethazine Hcl","25 MG",25,1,25,25,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289046430","55289-0464-30","Promethazine Hcl","25 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","55289046460","55289-0464-60","Promethazine Hcl","25 MG",60,1,60,60,,
"Q0165","Prochlorperazine maleate10mg","PD-RX PHARMACEUTICALS INC.","55289056810","55289-0568-10","Prochlorperazine Maleate","10 MG",10,1,0.5,5,,
"Q0164","Prochlorperazine maleate 5mg","PDRX PHARMACEUTICAL","55289056812","55289-0568-12","Prochlorperazine Maleate","5 MG",12,1,12,12,,
"J7509","Methylprednisolone oral","PDRX PHARMACEUTICAL","55289064930","55289-0649-30","Methylprednisolone","4 MG",30,1,30,30,,
"J7509","Methylprednisolone oral","PDRX PHARMACEUTICAL","55289064998","55289-0649-98","Methylprednisolone","4 MG",120,1,120,120,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","55289085902","55289-0859-02","Prednisone","5 MG",60,1,12,12,,
"J8540","Oral dexamethasone","PD-RX PHARM., INC.","55289090320","55289-0903-20","DEXAMETHASONE",,,6,12,2,,"0.25 MG"
"Q0169","Promethazine HCl 12.5mg oral","PD-RX PHARMACEUTICALS INC.","55289094802","55289-0948-02","Promethazine Hcl","12.5 MG",2,1,2,2,,
"J1640","Hemin, 1 mg","Recordati Rare Diseases","55292070155","55292-0701-55","Panhematin","1 MG",1,1,313,313,,
"J1640","Hemin, 1 mg","RECORDATI RARE DISEASES, INC.","55292070255","55292-0702-55","Panhematin","1 MG",1,1,336,336,,
"J9120","Dactinomycin injection","Recordati Rare Diseases","55292081155","55292-0811-55","Cosmegen","0.5 MG",1,1,1,1,,
"J9230","Mechlorethamine hcl inj","Recordati Rare Diseases","55292091151","55292-0911-51","Mustargen","10 MG",1,4,1,4,,
"C9366","EpiFix wound cover","MiMedx Group, Inc.","55310003001","55310003001","EpiFix Amniotic Membrane Allograft","1 sq cm",2,1,2,1,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","55310003001","55310003001","EpiFix Amniotic Membrane Allograft","1 sq cm",2,1,2,2,,
"C9366","EpiFix wound cover","MiMedx Group, Inc.","55310003018","55310003018","EpiFix Amniotic Membrane Allograft","1 sq cm",6,1,6,1,,
"Q4131","Epifix","MiMedx Group, Inc.","55310003018","55310003018","EpiFix Amniotic Membrane Allograft","1 sq cm",6,1,6,6,,
"C9366","EpiFix wound cover","MiMedx Group, Inc.","55310003025","55310003025","EpiFix Amniotic Membrane Allograft","1 sq cm",16,1,16,1,,
"Q4131","Epifix","MiMedx Group, Inc.","55310003025","55310003025","EpiFix Amniotic Membrane Allograft","1 sq cm",16,1,16,16,,
"C9366","EpiFix wound cover","MiMedx Group, Inc.","55310003032","55310003032","EpiFix Amniotic Membrane Allograft","1 sq cm",49,1,49,1,,
"Q4131","Epifix","MiMedx Group, Inc.","55310003032","55310003032","EpiFix Amniotic Membrane Allograft","1 sq cm",49,1,49,49,,
"Q4131","Epifix","MiMedx Group, Inc.","55310003087","55310003087","EpiFix Amniotic Membrane Allograft","1 sq cm",2,1,1.54,1.54,,
"Q4131","Epifix","MiMedx Group, Inc.","55310003124","55310003124","EpiFix Amniotic Membrane Allograft","1 sq cm",6,1,30,30,,
"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,,
"J0282","Amiodarone HCl","BEDFORD LABORATORIES","55390005701","55390-0057-01","Amiodarone Hcl","30 MG",18,1,30,30,,
"J0282","Amiodarone HCl","BEDFORD LABORATORIES","55390005710","55390-0057-10","Amiodarone Hcl","30 MG",3,10,5,50,,
"J0282","Amiodarone HCl","BEDFORD LABORATORIES","55390005810","55390-0058-10","Amiodarone Hcl",,3,10,50.01,5.001,,"30 MG"
"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,,
"J9140","Dacarbazine 200 MG inj","BEDFORD LABORATORIES","55390009010","55390-0090-10","Dacarbazine","200 MG",1,10,1,10,,
"J9360","Vinblastine sulfate inj","Bedford Laboratories","55390009110","55390-0091-10","Vinblastine Sulfate","1 MG",1,10,10,100,,
"J0282","Amiodarone HCl","BEDFORD LABORATORIES","55390009710","55390-0097-10","Amiodarone Hcl","30 MG",3,10,5,50,,
"J9060","Cisplatin 10 MG injection","Bedford Laboratories","55390009901","55390-0099-01","Cisplatin","10 MG",200,1,20,20,,
"J9062","Cisplatin 50 MG injection","BEDFORD LABORATORIES","55390009901","55390-0099-01","Cisplatin","50 MG",200,1,4,4,,
"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,,
"J0282","Amiodarone HCl","BEDFORD LABORATORIES","55390010501","55390-0105-01","Amiodarone Hcl","30 MG",9,1,15,15,,
"J2440","Papaverin hcl injection","BEDFORD LABORATORIES","55390010710","55390-0107-10","Papaverine Hcl","60 MG",10,1,5,5,,
"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,,
"J9062","Cisplatin 50 MG injection","BEDFORD LABORATORIES","55390011250","55390-0112-50","Cisplatin","50 MG",50,1,1,1,,
"J9060","Cisplatin 10 MG injection","Bedford Laboratories","55390011299","55390-0112-99","Cisplatin","10 MG",100,1,10,10,,
"J9062","Cisplatin 50 MG injection","BEDFORD LABORATORIES","55390011299","55390-0112-99","Cisplatin","50 MG",100,1,2,2,,
"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",16.7,1,3.33,3.33,,
"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,,
"J9110","Cytarabine hcl 500 MG inj","BEDFORD LABORATORIES","55390013110","55390-0131-10","Cytarabine","500 MG",1,10,0.2,2,,
"J9100","Cytarabine hcl 100 MG inj","Bedford Laboratories","55390013210","55390-0132-10","Cytarabine","100 MG",1,10,5,50,,
"J9110","Cytarabine hcl 500 MG inj","BEDFORD LABORATORIES","55390013210","55390-0132-10","Cytarabine","500 MG",1,10,1,10,,
"J9100","Cytarabine hcl 100 MG inj","Bedford Laboratories","55390013301","55390-0133-01","Cytarabine","100 MG",1,1,10,10,,
"J9110","Cytarabine hcl 500 MG inj","BEDFORD LABORATORIES","55390013301","55390-0133-01","Cytarabine","500 MG",1,1,2,2,,
"J9100","Cytarabine hcl 100 MG inj","Bedford Laboratories","55390013401","55390-0134-01","Cytarabine","100 MG",1,1,20,20,,
"J9110","Cytarabine hcl 500 MG inj","BEDFORD LABORATORIES","55390013401","55390-0134-01","Cytarabine","500 MG",1,1,4,4,,
"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","West-Ward Pharmaceuticals Corp","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,,
"J9062","Cisplatin 50 MG injection","BEDFORD LABORATORIES","55390018701","55390-0187-01","Cisplatin Injection","50 MG",200,1,4,4,,
"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,,
"J2930","Methylprednisolone injection","BEDFORD LABORATORIES","55390021801","55390-0218-01","Methylprednisolone Sodium Succ","125 MG",1,1,4,4,,
"J2930","Methylprednisolone injection","BEDFORD LABORATORIES","55390021901","55390-0219-01","Methylprednisolone Sodium Succ","125 MG",1,1,8,8,,
"J9045","Carboplatin injection","BEDFORD LABORATORIES","55390022001","55390-0220-01","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","BEDFORD LABORATORIES","55390022101","55390-0221-01","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","BEDFORD LABORATORIES","55390022201","55390-0222-01","Carboplatin","50 MG",45,1,9,9,,
"J0278","Amikacin sulfate injection","BEDFORD LABORATORIES","55390022302","55390-0223-02","Amikacin Sulfate","100 MG",2,10,1,10,,
"J0278","Amikacin sulfate injection","BEDFORD LABORATORIES","55390022402","55390-0224-02","Amikacin Sulfate","100 MG",2,10,5,50,,
"J0278","Amikacin sulfate injection","BEDFORD LABORATORIES","55390022404","55390-0224-04","Amikacin Sulfate","100 MG",4,10,10,100,,
"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,,
"J2405","Ondansetron hcl injection","Bedford Laboratories","55390023401","55390-0234-01","ONDANSETRON","1 MG",50,10,32,320,,
"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 injection","Bedford Laboratories","55390025101","55390-0251-01","Mitomycin","5 MG",1,1,1,1,,
"J9290","Mitomycin 20 MG inj","BEDFORD LABORATORIES","55390025101","55390-0251-01","Mitomycin","20 MG",1,1,0.25,0.25,,
"J9291","Mitomycin 40 MG inj","BEDFORD LABORATORIES","55390025101","55390-0251-01","Mitomycin","40 MG",1,1,0.125,0.125,,
"J9280","Mitomycin injection","Bedford Laboratories","55390025201","55390-0252-01","Mitomycin","5 MG",1,1,4,4,,
"J9290","Mitomycin 20 MG inj","BEDFORD LABORATORIES","55390025201","55390-0252-01","Mitomycin","20 MG",1,1,1,1,,
"J9291","Mitomycin 40 MG inj","BEDFORD LABORATORIES","55390025201","55390-0252-01","Mitomycin","40 MG",1,1,0.5,0.5,,
"J9280","Mitomycin injection","Bedford Laboratories","55390025301","55390-0253-01","Mitomycin","5 MG",1,1,8,8,,
"J9290","Mitomycin 20 MG inj","BEDFORD LABORATORIES","55390025301","55390-0253-01","Mitomycin","20 MG",1,1,2,2,,
"J9291","Mitomycin 40 MG inj","BEDFORD LABORATORIES","55390025301","55390-0253-01","Mitomycin","40 MG",1,1,1,1,,
"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,,
"J9182","Etoposide 100 MG inj","BEDFORD LABORATORIES","55390029101","55390-0291-01","Etoposide","100 MG",5,1,1,1,,
"J9181","Etoposide injection","Bedford Laboratories","55390029201","55390-0292-01","Etoposide","10 MG",25,1,50,50,,
"J9182","Etoposide 100 MG inj","BEDFORD LABORATORIES","55390029201","55390-0292-01","Etoposide","100 MG",25,1,5,5,,
"J9181","Etoposide injection","Bedford Laboratories","55390029301","55390-0293-01","Etoposide","10 MG",50,1,100,100,,
"J9182","Etoposide 100 MG inj","BEDFORD LABORATORIES","55390029301","55390-0293-01","Etoposide","100 MG",50,1,10,10,,
"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",16.7,1,3.33,3.33,,
"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","West-Ward Pharmaceuticals Corp","55390030803","55390-0308-03","Amifostine for Injection","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",16.7,1,3.33,3.33,,
"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","Bedford Laboratories","55390033910","55390-0339-10","Dacarbazine","100 MG",1,10,2,20,,
"J9140","Dacarbazine 200 MG inj","BEDFORD LABORATORIES","55390033910","55390-0339-10","Dacarbazine","200 MG",1,10,1,10,,
"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","West-Ward Pharmaceuticals Corp","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,,
"J9201","Gemcitabine hcl injection","Bedford Laboratories","55390039110","55390-0391-10","GEMCITABINE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Bedford Laboratories","55390039150","55390-0391-50","GEMCITABINE","200 MG",1,1,5,5,,
"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,,
"J9062","Cisplatin 50 MG injection","BEDFORD LABORATORIES","55390041450","55390-0414-50","Cisplatin","50 MG",50,1,1,1,,
"J9060","Cisplatin 10 MG injection","Ben Venue Laboratories, Inc.","55390041499","55390-0414-99","Cisplatin","10 MG",100,1,10,10,,
"J9062","Cisplatin 50 MG injection","BEDFORD LABORATORIES","55390041499","55390-0414-99","Cisplatin","50 MG",100,1,2,2,,
"J1631","Haloperidol decanoate inj","BEDFORD LABORATORIES","55390042201","55390-0422-01","Haloperidol Decanoate","50 MG",1,10,1,10,,
"J1631","Haloperidol decanoate inj","BEDFORD LABORATORIES","55390042205","55390-0422-05","Haloperidol Decanoate","50 MG",5,1,5,5,,
"J1631","Haloperidol decanoate inj","BEDFORD LABORATORIES","55390042301","55390-0423-01","Haloperidol Decanoate","50 MG",1,10,2,20,,
"J1631","Haloperidol decanoate inj","BEDFORD LABORATORIES","55390042305","55390-0423-05","Haloperidol Decanoate","50 MG",5,1,10,10,,
"J9200","Floxuridine injection","BEDFORD LABORATORIES","55390043501","55390-0435-01","Floxuridine","500 MG",1,1,1,1,,
"J1955","Inj levocarnitine per 1 gm","BEDFORD LABORATORIES","55390043605","55390-0436-05","Levocarnitine","1 GM",5,10,1,10,,
"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 injection","Ben Venue Laboratories, Inc.","55390045101","55390-0451-01","Mitomycin","5 MG",1,1,1,1,,
"J9290","Mitomycin 20 MG inj","BEDFORD LABORATORIES","55390045101","55390-0451-01","Mitomycin","20 MG",1,1,0.25,0.25,,
"J9291","Mitomycin 40 MG inj","BEDFORD LABORATORIES","55390045101","55390-0451-01","Mitomycin","40 MG",1,1,0.125,0.125,,
"J9280","Mitomycin injection","Ben Venue Laboratories, Inc.","55390045201","55390-0452-01","Mitomycin","5 MG",1,1,4,4,,
"J9290","Mitomycin 20 MG inj","BEDFORD LABORATORIES","55390045201","55390-0452-01","Mitomycin","20 MG",1,1,1,1,,
"J9291","Mitomycin 40 MG inj","BEDFORD LABORATORIES","55390045201","55390-0452-01","Mitomycin","40 MG",1,1,0.5,0.5,,
"J9280","Mitomycin injection","Ben Venue Laboratories, Inc.","55390045301","55390-0453-01","Mitomycin","5 MG",1,1,8,8,,
"J9290","Mitomycin 20 MG inj","BEDFORD LABORATORIES","55390045301","55390-0453-01","Mitomycin","20 MG",1,1,2,2,,
"J9291","Mitomycin 40 MG inj","BEDFORD LABORATORIES","55390045301","55390-0453-01","Mitomycin","40 MG",1,1,1,1,,
"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,,
"J9182","Etoposide 100 MG inj","BEDFORD LABORATORIES","55390049101","55390-0491-01","Etoposide","100 MG",5,1,1,1,,
"J9181","Etoposide injection","Ben Venue Laboratories, Inc.","55390049201","55390-0492-01","Etoposide","10 MG",25,1,50,50,,
"J9182","Etoposide 100 MG inj","BEDFORD LABORATORIES","55390049201","55390-0492-01","Etoposide","100 MG",25,1,5,5,,
"J9181","Etoposide injection","Ben Venue Laboratories, Inc.","55390049301","55390-0493-01","Etoposide","10 MG",50,1,100,100,,
"J9182","Etoposide 100 MG inj","BEDFORD LABORATORIES","55390049301","55390-0493-01","Etoposide","100 MG",50,1,10,10,,
"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","55390050605","55390-0506-05","Alprostadil","1.25 MCG",1,5,400,2000,,
"J0270","Alprostadil for injection","Bedford Laboratories","55390050610","55390-0506-10","Alprostadil","1.25 MCG",1,1,400,400,,
"J9265","Paclitaxel injection","BEDFORD LABORATORIES","55390051405","55390-0514-05","Paclitaxel","30 MG",5,1,1,1,,
"J9265","Paclitaxel injection","BEDFORD LABORATORIES","55390051420","55390-0514-20","Paclitaxel","30 MG",16.7,1,3.34,3.34,,
"J9265","Paclitaxel injection","BEDFORD LABORATORIES","55390051450","55390-0514-50","Paclitaxel","30 MG",50,1,10,10,,
"J1245","Dipyridamole injection","BEDFORD LABORATORIES","55390055501","55390-0555-01","Dipyridamole","10 MG",10,1,5,5,,
"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,,
"J0760","Colchicine injection","BEDFORD LABORATORIES","55390060502","55390-0605-02","Colchicine","1 MG",2,10,1,10,,
"J0133","Acyclovir injection","Bedford Laboratories","55390061210","55390-0612-10","Acyclovir Sodium","5 MG",1,10,100,1000,,
"Q4075","Acyclovir, 5 mg","BEDFORD LABORATORIES","55390061210","55390-0612-10","Acyclovir Sodium",,1,10,1000,100,,"5 MG"
"J0133","Acyclovir injection","Bedford Laboratories","55390061320","55390-0613-20","Acyclovir Sodium","5 MG",1,10,200,2000,,
"Q4075","Acyclovir, 5 mg","BEDFORD LABORATORIES","55390061320","55390-0613-20","Acyclovir Sodium",,1,10,2000,200,,"5 MG"
"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,,
"J9110","Cytarabine hcl 500 MG inj","BEDFORD LABORATORIES","55390080610","55390-0806-10","Cytarabine","500 MG",1,10,0.2,2,,
"J9100","Cytarabine hcl 100 MG inj","Ben Venue Laboratories, Inc.","55390080710","55390-0807-10","Cytarabine","100 MG",1,10,5,50,,
"J9110","Cytarabine hcl 500 MG inj","BEDFORD LABORATORIES","55390080710","55390-0807-10","Cytarabine","500 MG",1,10,1,10,,
"J9100","Cytarabine hcl 100 MG inj","Ben Venue Laboratories, Inc.","55390080801","55390-0808-01","Cytarabine","100 MG",1,1,10,10,,
"J9110","Cytarabine hcl 500 MG inj","BEDFORD LABORATORIES","55390080801","55390-0808-01","Cytarabine","500 MG",1,1,2,2,,
"J9100","Cytarabine hcl 100 MG inj","Ben Venue Laboratories, Inc.","55390080901","55390-0809-01","Cytarabine","100 MG",1,1,20,20,,
"J9110","Cytarabine hcl 500 MG inj","BEDFORD LABORATORIES","55390080901","55390-0809-01","Cytarabine","500 MG",1,1,4,4,,
"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,,
"J0880","Darbepoetin alfa injection","AMGEN","55513001001","55513-0010-01","Aranesp",,1,1,5,5,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513001001","55513-0010-01","Aranesp","1 MCG",1,1,25,25,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513001001","55513-0010-01","Aranesp","1 MCG",1,1,25,25,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001001","55513-0010-01","Aranesp",,1,1,25,25,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001001","55513-0010-01","Aranesp",,1,1,25,25,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001004","55513-0010-04","Aranesp",,1,4,20,5,,"5 MCG"
"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,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001004","55513-0010-04","Aranesp",,1,4,100,25,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001004","55513-0010-04","Aranesp",,1,4,100,25,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001101","55513-0011-01","Aranesp",,1,1,8,8,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513001101","55513-0011-01","Aranesp","1 MCG",1,1,40,40,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513001101","55513-0011-01","Aranesp","1 MCG",1,1,40,40,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001101","55513-0011-01","Aranesp",,1,1,40,40,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001101","55513-0011-01","Aranesp",,1,1,40,40,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001104","55513-0011-04","Aranesp",,1,4,32,8,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513001104","55513-0011-04","Aranesp","1 MCG",1,4,40,160,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513001104","55513-0011-04","Aranesp","1 MCG",1,4,40,160,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001104","55513-0011-04","Aranesp",,1,4,160,40,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001104","55513-0011-04","Aranesp",,1,4,160,40,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001201","55513-0012-01","Aranesp",,1,1,12,12,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513001201","55513-0012-01","Aranesp","1 MCG",1,1,60,60,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513001201","55513-0012-01","Aranesp","1 MCG",1,1,60,60,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001201","55513-0012-01","Aranesp",,1,1,60,60,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001201","55513-0012-01","Aranesp",,1,1,60,60,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001204","55513-0012-04","Aranesp",,1,4,48,12,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513001204","55513-0012-04","Aranesp","1 MCG",1,4,60,240,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513001204","55513-0012-04","Aranesp","1 MCG",1,4,60,240,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001204","55513-0012-04","Aranesp",,1,4,240,60,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001204","55513-0012-04","Aranesp",,1,4,240,60,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001301","55513-0013-01","Aranesp",,1,1,20,20,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513001301","55513-0013-01","Aranesp","1 MCG",1,1,100,100,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513001301","55513-0013-01","Aranesp","1 MCG",1,1,100,100,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001301","55513-0013-01","Aranesp",,1,1,100,100,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001301","55513-0013-01","Aranesp",,1,1,100,100,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001304","55513-0013-04","Aranesp",,1,4,80,20,,"5 MCG"
"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,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001304","55513-0013-04","Aranesp",,1,4,400,100,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001304","55513-0013-04","Aranesp",,1,4,400,100,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001401","55513-0014-01","Aranesp",,1,1,40,40,,"5 MCG"
"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,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001401","55513-0014-01","Aranesp",,1,1,200,200,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001401","55513-0014-01","Aranesp",,1,1,200,200,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001404","55513-0014-04","Aranesp",,1,4,160,40,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513001404","55513-0014-04","Aranesp","1 MCG",1,4,200,800,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513001404","55513-0014-04","Aranesp","1 MCG",1,4,200,800,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001404","55513-0014-04","Aranesp",,1,4,800,200,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001404","55513-0014-04","Aranesp",,1,4,800,200,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513001501","55513-0015-01","Aranesp",,1,1,60,60,,"5 MCG"
"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,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513001501","55513-0015-01","Aranesp",,1,1,300,300,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513001501","55513-0015-01","Aranesp",,1,1,300,300,,"1 MCG"
"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,,
"J0880","Darbepoetin alfa injection","AMGEN","55513003701","55513-0037-01","Aranesp",,0.4,1,8,8,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513003701","55513-0037-01","Aranesp","1 MCG",0.4,1,40,40,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513003701","55513-0037-01","Aranesp","1 MCG",0.4,1,40,40,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513003701","55513-0037-01","Aranesp",,0.4,1,40,40,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513003701","55513-0037-01","Aranesp",,0.4,1,40,40,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513003704","55513-0037-04","Aranesp",,0.4,4,32,8,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513003704","55513-0037-04","Aranesp","1 MCG",0.4,4,40,160,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513003704","55513-0037-04","Aranesp","1 MCG",0.4,4,40,160,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513003704","55513-0037-04","Aranesp",,0.4,4,160,40,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513003704","55513-0037-04","Aranesp",,0.4,4,160,40,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513003901","55513-0039-01","Aranesp",,0.3,1,12,12,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513003901","55513-0039-01","Aranesp","1 MCG",0.3,1,60,60,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513003901","55513-0039-01","Aranesp","1 MCG",0.3,1,60,60,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513003901","55513-0039-01","Aranesp",,0.3,1,60,60,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513003901","55513-0039-01","Aranesp",,0.3,1,60,60,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513003904","55513-0039-04","Aranesp",,0.3,4,48,12,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513003904","55513-0039-04","Aranesp","1 MCG",0.3,4,60,240,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513003904","55513-0039-04","Aranesp","1 MCG",0.3,4,60,240,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513003904","55513-0039-04","Aranesp",,0.3,4,240,60,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513003904","55513-0039-04","Aranesp",,0.3,4,240,60,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513004101","55513-0041-01","Aranesp",,0.5,1,20,20,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513004101","55513-0041-01","Aranesp","1 MCG",0.5,1,100,100,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513004101","55513-0041-01","Aranesp","1 MCG",0.5,1,100,100,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513004101","55513-0041-01","Aranesp",,0.5,1,100,100,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513004101","55513-0041-01","Aranesp",,0.5,1,100,100,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513004104","55513-0041-04","Aranesp",,0.5,4,80,20,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513004104","55513-0041-04","Aranesp","1 MCG",0.5,4,100,400,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513004104","55513-0041-04","Aranesp","1 MCG",0.5,4,100,400,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513004104","55513-0041-04","Aranesp",,0.5,4,400,100,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513004104","55513-0041-04","Aranesp",,0.5,4,400,100,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513004301","55513-0043-01","Aranesp",,0.3,1,30,30,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513004301","55513-0043-01","Aranesp","1 MCG",0.3,1,150,150,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513004301","55513-0043-01","Aranesp","1 MCG",0.3,1,150,150,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513004301","55513-0043-01","Aranesp",,0.3,1,150,150,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513004301","55513-0043-01","Aranesp",,0.3,1,150,150,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513004304","55513-0043-04","Aranesp",,0.3,4,120,30,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513004304","55513-0043-04","Aranesp","1 MCG",0.3,4,150,600,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513004304","55513-0043-04","Aranesp","1 MCG",0.3,4,150,600,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513004304","55513-0043-04","Aranesp",,0.3,4,600,150,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513004304","55513-0043-04","Aranesp",,0.3,4,600,150,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513004401","55513-0044-01","Aranesp",,0.4,1,40,40,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513004401","55513-0044-01","Aranesp","1 MCG",0.4,1,200,200,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513004401","55513-0044-01","Aranesp","1 MCG",0.4,1,200,200,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513004401","55513-0044-01","Aranesp",,0.4,1,200,200,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513004401","55513-0044-01","Aranesp",,0.4,1,200,200,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513004601","55513-0046-01","Aranesp",,0.6,1,60,60,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513004601","55513-0046-01","Aranesp","1 MCG",0.6,1,300,300,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513004601","55513-0046-01","Aranesp","1 MCG",0.6,1,300,300,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513004601","55513-0046-01","Aranesp",,0.6,1,300,300,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513004601","55513-0046-01","Aranesp",,0.6,1,300,300,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513004801","55513-0048-01","Aranesp",,1,1,100,100,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513004801","55513-0048-01","Aranesp","1 MCG",1,1,500,500,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513004801","55513-0048-01","Aranesp","1 MCG",1,1,500,500,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513004801","55513-0048-01","Aranesp",,1,1,500,500,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513004801","55513-0048-01","Aranesp",,1,1,500,500,,"1 MCG"
"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,,
"J0880","Darbepoetin alfa injection","AMGEN","55513005401","55513-0054-01","Aranesp",,0.75,1,30,30,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513005401","55513-0054-01","Aranesp","1 MCG",0.75,1,150,150,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513005401","55513-0054-01","Aranesp","1 MCG",0.75,1,150,150,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513005401","55513-0054-01","Aranesp",,0.75,1,150,150,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513005401","55513-0054-01","Aranesp",,0.75,1,150,150,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513005404","55513-0054-04","Aranesp",,0.75,4,120,30,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513005404","55513-0054-04","Aranesp","1 MCG",0.75,4,150,600,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513005404","55513-0054-04","Aranesp","1 MCG",0.75,4,150,600,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513005404","55513-0054-04","Aranesp",,0.75,4,600,150,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513005404","55513-0054-04","Aranesp",,0.75,4,600,150,,"1 MCG"
"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,,
"J0880","Darbepoetin alfa injection","AMGEN","55513005801","55513-0058-01","Aranesp",,0.42,1,5.04,5.04,,"5 MCG"
"J0881","Darbepoetin alfa, non-esrd","AMGEN","55513005801","55513-0058-01","Aranesp","1 MCG",0.42,1,25,25,,
"J0882","Darbepoetin alfa, esrd use","AMGEN","55513005801","55513-0058-01","Aranesp","1 MCG",0.42,1,25,25,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513005801","55513-0058-01","Aranesp",,0.42,1,25.2,25.2,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513005801","55513-0058-01","Aranesp",,0.42,1,25.2,25.2,,"1 MCG"
"J0880","Darbepoetin alfa injection","AMGEN","55513005804","55513-0058-04","Aranesp",,0.42,4,20.16,5.04,,"5 MCG"
"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,,
"Q0137","Darbepoetin alfa, non-esrd","AMGEN","55513005804","55513-0058-04","Aranesp",,0.42,4,100.8,25.2,,"1 MCG"
"Q4054","Darbepoetin alfa, esrd use","AMGEN","55513005804","55513-0058-04","Aranesp",,0.42,4,100.8,25.2,,"1 MCG"
"C9472","Inj talimogene laherparepvec","Amgen USA, Inc.","55513007801","55513-0078-01","IMLYGIC ","1 million PFU",1,1,1,1,,
"J9325","Inj talimogene laherparepvec","Amgen USA, Inc.","55513007801","55513-0078-01","IMLYGIC ","1 million PFU",1,1,1,1,,
"C9472","Inj talimogene laherparepvec","Amgen USA, Inc.","55513007901","55513-0079-01","IMLYGIC ","1 million PFU",1,1,100,100,,
"J9325","Inj talimogene laherparepvec","Amgen USA, Inc.","55513007901","55513-0079-01","IMLYGIC ","1 million PFU",1,1,100,100,,
"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.","55513009804","55513-0098-04","Aranesp","1 MCG",0.4,4,10,40,,
"J0882","Darbepoetin alfa, esrd use","Amgen USA, Inc.","55513009804","55513-0098-04","Aranesp","1 MCG",0.4,4,10,40,,
"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,,
"Q4055","Epoetin alfa, esrd use","AMGEN","55513012610","55513-0126-10","Epogen",,1,10,20,2,,"1000 UNITS"
"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,,
"Q4055","Epoetin alfa, esrd use","AMGEN","55513014410","55513-0144-10","Epogen",,1,10,100,10,,"1000 UNITS"
"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,,
"Q4055","Epoetin alfa, esrd use","AMGEN","55513014810","55513-0148-10","Epogen",,1,10,40,4,,"1000 UNITS"
"Q4081","Epoetin alfa, 100 units esrd","Amgen USA, Inc.","55513014810","55513-0148-10","Epogen","100 UNITS",1,10,40,400,,
"C9449","Inj, blinatumomab","Amgen USA, Inc.","55513016001","55513-0160-01","BLINCYTO","1 MCG",1,1,35,35,,
"J9039","Injection, blinatumomab","Amgen USA, Inc.","55513016001","55513-0160-01","BLINCYTO","1 MCG",1,1,35,35,,
"J2505","Injection, pegfilgrastim 6mg","Amgen USA, Inc.","55513019001","55513-0190-01","Neulasta","6 MG",0.6,1,1,1,,
"J2505","Injection, pegfilgrastim 6mg","Amgen USA, Inc.","55513019201","55513-0192-01","NEULASTA DELIVERY KIT","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,,
"J1442","Inj filgrastim excl biosimil","Amgen USA, Inc.","55513020910","55513-0209-10","Neupogen","1 MCG",0.8,10,480,4800,,
"J1442","Inj filgrastim excl biosimil","Amgen USA, Inc.","55513020991","55513-0209-91","Neupogen","1 MCG",0.8,1,480,480,,
"C9245","Injection, romiplostim","AMGEN USA INC","55513022101","55513-0221-01","Romiplostim","10 MCG",1,1,25,25,,
"J2796","Romiplostim injection","Amgen USA, Inc.","55513022101","55513-0221-01","Nplate","10 MCG",1,1,25,25,,
"C9245","Injection, romiplostim","AMGEN USA INC","55513022201","55513-0222-01","Romiplostim","10 MCG",1,1,50,50,,
"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,,
"Q4055","Epoetin alfa, esrd use","AMGEN","55513026710","55513-0267-10","Epogen",,1,10,30,3,,"1000 UNITS"
"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,,
"Q4055","Epoetin alfa, esrd use","AMGEN","55513028310","55513-0283-10","Epogen",,2,10,200,20,,"1000 UNITS"
"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,,
"Q4055","Epoetin alfa, esrd use","AMGEN","55513047810","55513-0478-10","Epogen",,1,10,200,20,,"1000 UNITS"
"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,,
"J1442","Inj filgrastim excl biosimil","Amgen USA, Inc.","55513053010","55513-0530-10","Neupogen","1 MCG",1,10,300,3000,,
"J1441","Filgrastim 480 mcg injection","Amgen USA, Inc.","55513054610","55513-0546-10","Neupogen","480 MCG",1.6,10,1,10,,
"J1442","Inj filgrastim excl biosimil","Amgen USA, Inc.","55513054610","55513-0546-10","Neupogen","1 MCG",1.6,10,480,4800,,
"C9272","Inj, denosumab","Amgen USA, Inc.","55513071001","55513-0710-01","Prolia","1 MG",1,1,60,60,,
"J0897","Denosumab injection","Amgen USA, Inc.","55513071001","55513-0710-01","Prolia","1 MG",1,1,60,60,,
"C9272","Inj, denosumab","Amgen USA, Inc.","55513072001","55513-0720-01","Prolia","1 MG",1,1,60,60,,
"C9272","Inj, denosumab","Amgen USA, Inc.","55513073001","55513-0730-01","XGEVA","1 MG",1,1,120,120,,
"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,,
"Q4055","Epoetin alfa, esrd use","AMGEN","55513082310","55513-0823-10","Epogen",,1,10,400,40,,"1000 UNITS"
"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,,
"J1442","Inj filgrastim excl biosimil","Amgen USA, Inc.","55513092410","55513-0924-10","Neupogen","1 MCG",0.5,10,300,3000,,
"J1442","Inj filgrastim excl biosimil","Amgen USA, Inc.","55513092491","55513-0924-91","Neupogen","1 MCG",0.5,1,300,300,,
"C9235","Injection, panitumumab","AMGEN","55513095401","55513-0954-01","PANITUMUMAB","10 MG",5,1,10,10,,
"J9303","Panitumumab injection","Amgen USA, Inc.","55513095401","55513-0954-01","PANITUMUMAB","10 MG",5,1,10,10,,
"C9235","Injection, panitumumab","AMGEN","55513095501","55513-0955-01","PANITUMUMAB","10 MG",10,1,20,20,,
"J9303","Panitumumab injection","Amgen USA, Inc.","55513095501","55513-0955-01","PANITUMUMAB","10 MG",10,1,20,20,,
"C9235","Injection, panitumumab","AMGEN","55513095601","55513-0956-01","PANITUMUMAB","10 MG",20,1,40,40,,
"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,,
"J3410","Hydroxyzine hcl injection","CLINT PHARMACEUTICALS, INC.","55553017110","55553-0171-10","RESTALL","25 MG",10,1,20,20,,
"J2650","Prednisolone acetate inj","CLINT PHARMACEUTICALS","55553024910","55553-0249-10","Predacort 50","1 ML",10,1,10,10,,
"J7637","Dexamethasone inhal sol con","CLINT PHARMACEUTICALS","55553066110","55553-0661-10","Cortastat 10",,10,1,100,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CLINT PHARMACEUTICALS","55553066110","55553-0661-10","Cortastat 10",,10,1,100,100,,"1 MG"
"J7637","Dexamethasone inhal sol con","CLINT PHARMACEUTICALS","55553080705","55553-0807-05","Cortastat",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","CLINT PHARMACEUTICALS","55553080705","55553-0807-05","Cortastat",,5,1,20,20,,"1 MG"
"J2725","Inj protirelin per 250 mcg","FERRING","55566008105","55566-0081-05","Thyrel Trh","250 MCG",1,5,2,10,,
"J0795","Corticorelin ovine triflutal","Ferring Pharmaceuticals Inc.","55566030201","55566-0302-01","Acthrel","1 MCG",1,1,100,100,,
"Q2005","Corticorelin ovine triflutat","FERRING","55566030201","55566-0302-01","Acthrel",,1,1,1,1,,"1 EA"
"J0725","Chorionic gonadotropin/1000u","Ferring Pharmaceuticals Inc.","55566150101","55566-1501-01","Novarel","1000 UNITS",1,1,10,10,,
"J0725","Chorionic gonadotropin/1000u","FERRING PHARMACEUTICALS, INC.","55566150201","55566-1502-01","Novarel","1000 UNITS",1,1,5,5,,
"J2597","Inj desmopressin acetate","Ferring Pharmaceuticals Inc.","55566220000","55566-2200-00","Ddavp","1 MCG",1,10,4,40,,
"J2597","Inj desmopressin acetate","Ferring Pharmaceuticals Inc.","55566230000","55566-2300-00","Ddavp","1 MCG",10,1,40,40,,
"J7317","Sodium hyaluronate injection","Ferring","55566410001","55566-4100-01","EUFLEXXA","20 to 25 MG",2,3,1,3,,
"J7323","Euflexxa inj per dose","Ferring Pharmaceuticals Inc.","55566410001","55566-4100-01","EUFLEXXA","per dose",2,3,1,3,,
"Q4085","Euflexxa, inj","Ferring","55566410001","55566-4100-01","EUFLEXXA","PER DOSE",2,3,1,3,,
"J2597","Inj desmopressin acetate","Ferring Pharmaceuticals Inc.","55566503001","55566-5030-01","Desmopressin Acetate","1 MCG",1,10,4,40,,
"J2597","Inj desmopressin acetate","Ferring Pharmaceuticals Inc.","55566504001","55566-5040-01","Desmopressin Acetate","1 MCG",10,1,40,40,,
"J9155","Degarelix injection","Ferring Pharmaceuticals Inc.","55566830101","55566-8301-01","Firmagon","1 MG",80,1,80,80,,
"J9155","Degarelix injection","Ferring Pharmaceuticals Inc.","55566830102","55566-8301-02","Firmagon","1 MG",1,1,80,80,,
"J9155","Degarelix injection","Ferring Pharmaceuticals Inc.","55566830301","55566-8303-01","Firmagon","1 MG",1,1,80,80,,
"J9155","Degarelix injection","Ferring Pharmaceuticals Inc.","55566840101","55566-8401-01","Firmagon","1 MG",120,2,240,240,,
"J9155","Degarelix injection","Ferring Pharmaceuticals Inc.","55566840102","55566-8401-02","Firmagon","1 MG",1,2,120,240,,
"J9155","Degarelix injection","Ferring Pharmaceuticals Inc.","55566840301","55566-8403-01","Firmagon","1 MG",1,2,120,240,,
"J3355","Urofollitropin, 75 iu","FERRING","55566850502","55566-8505-02","Bravelle","75 IU",1,5,1,5,,
"Q2018","Urofollitropin, 75 iu","FERRING","55566850502","55566-8505-02","Bravelle",,1,5,5,1,,"75 IU"
"J3355","Urofollitropin, 75 iu","Ferring Pharmaceuticals Inc.","55566850506","55566-8505-06","Bravelle","75 IU",1,5,1,5,,
"Q2018","Urofollitropin, 75 iu","FERRING","55566850506","55566-8505-06","Bravelle",,1,5,5,1,,"75 IU"
"J9225","Histrelin implant","VALERA PHARMACEUTICALS","55592050001","55592-0500-01","Vantas implant","50 MG",1,1,1,1,,
"J7191","Factor VIII (porcine)","SPEYWOOD","55688010602","55688-0106-02","Hyate:C",,1,1,1,1,,"1 IU"
"J7510","Prednisolone oral per 5 mg","PREDNISOLONE","55887037308","55887-0373-08","Prednisolone",,,1,5000,5000,,"5 MG"
"J8540","Oral dexamethasone","DHS, INC.","55887037730","55887-0377-30","DEXAMETHASONE",,,4,80,20,,"0.25 MG"
"Q0164","Prochlorperazine maleate 5mg","DHS INC. WORKMAN COMP","55887039530","55887-0395-30","Prochlorperazine Maleate","5 MG",30,1,30,30,,
"Q0164","Prochlorperazine maleate 5mg","DHS INC. WORKMAN COMP","55887039560","55887-0395-60","Prochlorperazine Maleate","5 MG",60,1,60,60,,
"Q0164","Prochlorperazine maleate 5mg","DHS INC. WORKMAN COMP","55887039590","55887-0395-90","Prochlorperazine Maleate","5 MG",90,1,90,90,,
"Q0177","Hydroxyzine pamoate 25mg","DHS INC. WORKMAN COMP","55887042230","55887-0422-30","Hydroxyzine Pamoate","25 MG",30,1,30,30,,
"J7509","Methylprednisolone oral","DHS INC. WORKMAN COMP","55887054425","55887-0544-25","Medrol","4 MG",25,1,50,50,,
"J7509","Methylprednisolone oral","DHS INC. WORKMAN COMP","55887055450","55887-0554-50","Medrol","4 MG",50,1,200,200,,
"Q0165","Prochlorperazine maleate10mg","DHS INC. WORKMAN COMP","55887061912","55887-0619-12","Prochlorperazine Maleate","10 MG",12,1,12,12,,
"Q0165","Prochlorperazine maleate10mg","DHS INC. WORKMAN COMP","55887061930","55887-0619-30","Prochlorperazine Maleate","10 MG",30,1,30,30,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887064315","55887-0643-15","Prednisone","5 MG",15,1,30,30,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887064321","55887-0643-21","Prednisone (Pak)","5 MG",21,1,42,42,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887064330","55887-0643-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887064360","55887-0643-60","Prednisone","5 MG",60,1,120,120,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887064382","55887-0643-82","Prednisone","5 MG",120,1,240,240,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887064390","55887-0643-90","Prednisone","5 MG",90,1,180,180,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887069621","55887-0696-21","Prednisone (Pak)","5 MG",21,1,42,42,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887069648","55887-0696-48","Prednisone (Pak)","5 MG",48,1,96,96,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887077021","55887-0770-21","Prednisone (Pak)","5 MG",21,1,21,21,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887077048","55887-0770-48","Prednisone (Pak)","5 MG",48,1,48,48,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887079621","55887-0796-21","Prednisone","5 MG",21,1,84,84,,
"J7506","Prednisone oral","DHS INC. WORKMAN COMP","55887079630","55887-0796-30","Prednisone","5 MG",30,1,120,120,,
"Q0163","Diphenhydramine HCl 50mg","DHS INC. WORKMAN COMP","55887088520","55887-0885-20","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","DHS INC. WORKMAN COMP","55887088528","55887-0885-28","Diphenhydramine Hcl","50 MG",28,1,28,28,,
"Q0163","Diphenhydramine HCl 50mg","DHS INC. WORKMAN COMP","55887088530","55887-0885-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","DHS INC. WORKMAN COMP","55887093615","55887-0936-15","Promethazine Hcl","25 MG",15,1,15,15,,
"J7509","Methylprednisolone oral","DHS INC. WORKMAN COMP","55887095321","55887-0953-21","Methylprednisolone","4 MG",21,1,21,21,,
"J2250","Inj midazolam hydrochloride","Caraco Pharmaceutical Laboratories Ltd.","57664063343","57664-0633-43","Midazolam Hcl","1 MG",2,10,2,20,,
"J2250","Inj midazolam hydrochloride","Caraco Pharmaceutical Laboratories Ltd.","57664063444","57664-0634-44","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","Caraco Pharmaceutical Laboratories Ltd.","57664063445","57664-0634-45","Midazolam Hcl","1 MG",10,10,50,500,,
"J2504","Pegademase bovine, 25 iu","Sigma-Tau Pharmaceuticals","57665000101","57665-0001-01","Adagen","25 IU",1.5,1,15,15,,
"Q2012","Pegademase bovine, 25 iu","ENZON","57665000101","57665-0001-01","Adagen",,1.5,1,15,15,,"25 IU"
"J9266","Pegaspargase injection","Sigma-Tau Pharmaceuticals","57665000202","57665-0002-02","Oncaspar","1 EA",5,1,1,1,,
"J0287","Amphotericin b lipid complex","Sigma-Tau Pharmaceuticals","57665010141","57665-0101-41","Abelcet","10 MG",20,1,10,10,,
"J9098","Cytarabine liposome inj","Sigma-Tau Pharmaceuticals","57665033101","57665-0331-01","Depocyt","10 MG",5,1,5,5,,
"J7637","Dexamethasone inhal sol con","STORZ/LEDERLE OPHTHALMIC PHARM","57706085431","57706-0854-31","Storz-Dexa",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","STORZ/LEDERLE OPHTHALMIC PHARM","57706085431","57706-0854-31","Storz-Dexa",,5,1,20,20,,"1 MG"
"C9497","Loxapine, inhalation powder","GATE PHARMACEUTICALS","57844051055","57844-0510-55","ADASUVE","10 MG",1,5,1,5,,
"J2941","Somatropin injection","GATE","57844071341","57844-0713-41","Tev-Tropin","1 MG",1,1,5,5,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866018701","57866-0187-01","Prednisone","5 MG",10,1,100,100,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866018801","57866-0188-01","Prednisone","5 MG",50,1,50,50,,
"Q0164","Prochlorperazine maleate 5mg","DIRECT DISPENSING INC","57866018901","57866-0189-01","Prochlorperazine Maleate","5 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","DIRECT DISPENSING INC","57866019001","57866-0190-01","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0170","Promethazine HCl 25 mg oral","DIRECT DISPENSING INC","57866019002","57866-0190-02","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","DIRECT DISPENSING INC","57866021501","57866-0215-01","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0163","Diphenhydramine HCl 50mg","DIRECT DISPENSING INC","57866376201","57866-3762-01","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","DIRECT DISPENSING INC","57866376202","57866-3762-02","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","DIRECT DISPENSING INC","57866376204","57866-3762-04","Diphenhydramine Hcl","50 MG",90,1,90,90,,
"Q0177","Hydroxyzine pamoate 25mg","DIRECT DISPENSING INC","57866389301","57866-3893-01","Hydroxyzine Pamoate","25 MG",30,1,30,30,,
"Q0177","Hydroxyzine pamoate 25mg","DIRECT DISPENSING INC","57866389302","57866-3893-02","Hydroxyzine Pamoate","25 MG",60,1,60,60,,
"Q0177","Hydroxyzine pamoate 25mg","DIRECT DISPENSING INC","57866389303","57866-3893-03","Hydroxyzine Pamoate","25 MG",90,1,90,90,,
"Q0178","Hydroxyzine pamoate 50mg","DIRECT DISPENSING INC","57866389401","57866-3894-01","Hydroxyzine Pamoate","50 MG",30,1,30,30,,
"Q0178","Hydroxyzine pamoate 50mg","DIRECT DISPENSING INC","57866389402","57866-3894-02","Hydroxyzine Pamoate","50 MG",60,1,60,60,,
"Q0178","Hydroxyzine pamoate 50mg","DIRECT DISPENSING INC","57866389403","57866-3894-03","Hydroxyzine Pamoate","50 MG",90,1,90,90,,
"J7509","Methylprednisolone oral","DIRECT DISPENSING INC","57866403701","57866-4037-01","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"Q0175","Perphenazine 4mg oral","DIRECT DISPENSING INC","57866413201","57866-4132-01","Perphenazine","4 MG",30,1,30,30,,
"Q0175","Perphenazine 4mg oral","DIRECT DISPENSING INC","57866413202","57866-4132-02","Perphenazine","4 MG",60,1,60,60,,
"Q0175","Perphenazine 4mg oral","DIRECT DISPENSING INC","57866413203","57866-4132-03","Perphenazine","4 MG",90,1,90,90,,
"Q0176","Perphenazine 8mg oral","DIRECT DISPENSING INC","57866413301","57866-4133-01","Perphenazine","8 MG",30,1,30,30,,
"Q0176","Perphenazine 8mg oral","DIRECT DISPENSING INC","57866413302","57866-4133-02","Perphenazine","8 MG",60,1,60,60,,
"Q0176","Perphenazine 8mg oral","DIRECT DISPENSING INC","57866413303","57866-4133-03","Perphenazine","8 MG",90,1,90,90,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432401","57866-4324-01","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432403","57866-4324-03","Prednisone","5 MG",12,1,12,12,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432404","57866-4324-04","Prednisone","5 MG",21,1,21,21,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432405","57866-4324-05","Prednisone","5 MG",50,1,50,50,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432406","57866-4324-06","Prednisone","5 MG",8,1,8,8,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432501","57866-4325-01","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432502","57866-4325-02","Prednisone","5 MG",21,1,42,42,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432503","57866-4325-03","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432601","57866-4326-01","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432602","57866-4326-02","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432604","57866-4326-04","Prednisone","5 MG",21,1,84,84,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432605","57866-4326-05","Prednisone","5 MG",15,1,60,60,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432606","57866-4326-06","Prednisone","5 MG",8,1,32,32,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432607","57866-4326-07","Prednisone","5 MG",5,1,20,20,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432608","57866-4326-08","Prednisone","5 MG",18,1,72,72,,
"J7510","Prednisolone oral per 5 mg","DIRECT DISPENSING INC","57866432701","57866-4327-01","Prednisolone","5 MG",90,1,90,90,,
"J7510","Prednisolone oral per 5 mg","DIRECT DISPENSING INC","57866432702","57866-4327-02","Prednisolone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432801","57866-4328-01","Prednisone","5 MG",20,1,200,200,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432802","57866-4328-02","Prednisone","5 MG",5,1,50,50,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","57866432803","57866-4328-03","Prednisone","5 MG",10,1,100,20,,
"Q0170","Promethazine HCl 25 mg oral","VIBRANTA, INC.","57866432803","57866-4328-03","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","DIRECT DISPENSING INC","57866437901","57866-4379-01","Promethazine Hcl","25 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","DIRECT DISPENSING INC","57866437902","57866-4379-02","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0170","Promethazine HCl 25 mg oral","DIRECT DISPENSING INC","57866437903","57866-4379-03","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","DIRECT DISPENSING INC","57866437904","57866-4379-04","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0173","Trimethobenzamide HCl 250mg","DIRECT DISPENSING INC","57866472702","57866-4727-02","Trimethobenzamide Hcl","250 MG",10,1,10,10,,
"Q0165","Prochlorperazine maleate10mg","DIRECT DISPENSING INC","57866629801","57866-6298-01","Prochlorperazine Maleate","10 MG",30,1,30,30,,
"Q0164","Prochlorperazine maleate 5mg","DIRECT DISPENSING INC","57866629901","57866-6299-01","Prochlorperazine Maleate","5 MG",30,1,30,30,,
"Q0164","Prochlorperazine maleate 5mg","DIRECT DISPENSING INC","57866629902","57866-6299-02","Prochlorperazine Maleate","5 MG",10,1,10,10,,
"Q0164","Prochlorperazine maleate 5mg","DIRECT DISPENSING INC","57866629903","57866-6299-03","Prochlorperazine Maleate","5 MG",12,1,12,12,,
"J7500","Azathioprine oral 50mg","DIRECT DISPENSING INC","57866902101","57866-9021-01","Azathioprine","50 MG",30,1,30,30,,
"J1745","Infliximab not biosimil 10mg","Janssen Biotech, Inc.","57894003001","57894-0030-01","Remicade","10 MG",1,1,10,10,,
"J2993","Reteplase injection","CENTOCOR","57894004001","57894-0040-01","Retavase",,1,1,2,2,,"18.1 MG"
"J2993","Reteplase injection","CENTOCOR","57894004002","57894-0040-02","Retavase Half-Kit",,1,1,1,1,,"18.1 MG"
"C9487","Ustekinumab IV inj, 1 mg","Janssen Biotech, Inc.","57894005427","57894-0054-27","STELARA (IV Infusion)","1 MG",26,1,130,130,,
"J3358","Ustekinumab, iv inject,1 mg","Janssen Biotech, Inc.","57894005427","57894-0054-27","STELARA (IV Infusion)","1 MG",26,1,130,130,,
"Q9989","Ustekinumab IV Inj, 1 mg","Janssen Biotech, Inc.","57894005427","57894-0054-27","STELARA (IV Infusion)","1 MG",26,1,130,130,,
"C9261","Injection, ustekinumab, 1 mg","CENTOCOR ORTHO BIOTECH INC","57894006002","57894-0060-02","STELARA","1 MG",0.5,1,45,45,,
"J3357","Ustekinumab sub cu inj, 1 mg","JANSSEN BIOTECH, INC.","57894006002","57894-0060-02","STELARA","1 MG",0.5,1,45,45,,
"C9261","Injection, ustekinumab, 1 mg","CENTOCOR ORTHO BIOTECH INC","57894006003","57894-0060-03","STELARA","1 MG",0.5,1,45,45,,
"J3357","Ustekinumab sub cu inj, 1 mg","Janssen Biotech, Inc.","57894006003","57894-0060-03","STELARA","1 MG",0.5,1,45,45,,
"C9261","Injection, ustekinumab, 1 mg","CENTOCOR ORTHO BIOTECH INC","57894006102","57894-0061-02","STELARA","1 MG",1,1,90,90,,
"J3357","Ustekinumab injection","CENTOCOR ORTHO BIOTECH INC","57894006102","57894-0061-02","STELARA","1 MG",1,1,90,90,,
"C9261","Injection, ustekinumab, 1 mg","CENTOCOR ORTHO BIOTECH INC","57894006103","57894-0061-03","STELARA","1 MG",1,1,90,90,,
"J3357","Ustekinumab sub cu inj, 1 mg","Janssen Biotech, Inc.","57894006103","57894-0061-03","STELARA","1 MG",1,1,90,90,,
"J0130","Abciximab injection","JANSSEN BIOTECH, INC.","57894020001","57894-0200-01","Reopro","10 MG",5,1,1,1,,
"J1602","Golimumab for iv use 1mg","Janssen Biotech, Inc.","57894035001","57894-0350-01","SIMPONI ARIA","1 MG",4,1,50,50,,
"C9455","Injection, siltuximab","Janssen Biotech, Inc.","57894042001","57894-0420-01","Sylvant","1mg",1,1,100,100,,
"C9455","Injection, siltuximab","Janssen Biotech, Inc.","57894042101","57894-0421-01","Sylvant","1mg",1,1,400,400,,
"C9476","Injection, daratumumab","Janssen Biotech, Inc.","57894050205","57894-0502-05","DARZALEX  ","10 MG",5,1,10,10,,
"J9145","Injection, daratumumab 10 mg","Janssen Biotech, Inc.","57894050205","57894-0502-05","DARZALEX  ","10 MG",5,1,10,10,,
"C9476","Injection, daratumumab","Janssen Biotech, Inc.","57894050220","57894-0502-20","DARZALEX  ","10 MG",20,1,40,40,,
"J9145","Injection, daratumumab 10 mg","Janssen Biotech, Inc.","57894050220","57894-0502-20","DARZALEX  ","10 MG",20,1,40,40,,
"C9029","Injection, guselkumab","JANSSEN BIOTECH, INC.","57894064001","57894-0640-01","Tremfya","1 MG",1,1,100,100,,
"C9289","Inj, erwinia chrysanthemi","EUSA Pharma (USA) Inc","57902024905","57902-0249-05","ERWINAZE","1,000 IU",1,5,10,50,,
"J9019","Erwinaze injection","Jazz Pharmaceuticals, Inc.","57902024905","57902-0249-05","ERWINAZE","1,000 IU",1,5,10,50,,
"A9604","Sm 153 lexidronam","Jazz Pharmaceuticals, Inc.","57902086001","57902-0860-01","QUADRAMET","up to 150 millicuries",3,1,1,1,,
"C9443","Injection, dalbavancin","Durata Therapeutics","57970010001","57970-0100-01","Dalvance","10 MG",1,1,50,50,,
"J0875","Injection, dalbavancin","Durata Pharmaceuticals","57970010001","57970-0100-01","Dalvance","5 MG",1,1,100,100,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021600","58016-0216-00","Prednisone","5 MG",100,1,200,200,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021610","58016-0216-10","Prednisone","5 MG",10,1,20,20,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021612","58016-0216-12","Prednisone","5 MG",12,1,24,24,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021614","58016-0216-14","Prednisone","5 MG",14,1,28,28,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021615","58016-0216-15","Prednisone","5 MG",15,1,30,30,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021620","58016-0216-20","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021621","58016-0216-21","Prednisone","5 MG",21,1,42,42,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021622","58016-0216-22","Prednisone","5 MG",22,1,44,44,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021624","58016-0216-24","Prednisone","5 MG",24,1,48,48,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021628","58016-0216-28","Prednisone","5 MG",28,1,56,56,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021630","58016-0216-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021632","58016-0216-32","Prednisone","5 MG",32,1,64,64,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021633","58016-0216-33","Prednisone","5 MG",33,1,66,66,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021635","58016-0216-35","Prednisone","5 MG",35,1,70,70,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021636","58016-0216-36","Prednisone","5 MG",36,1,72,72,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021640","58016-0216-40","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021642","58016-0216-42","Prednisone","5 MG",42,1,84,84,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021650","58016-0216-50","Prednisone","5 MG",50,1,100,100,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021660","58016-0216-60","Prednisone","5 MG",60,1,120,120,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021670","58016-0216-70","Prednisone","5 MG",70,1,140,140,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021684","58016-0216-84","Prednisone","5 MG",84,1,168,168,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021690","58016-0216-90","Prednisone","5 MG",90,1,180,180,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021700","58016-0217-00","Prednisone","5 MG",100,1,400,400,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021705","58016-0217-05","Prednisone","5 MG",5,1,20,20,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021706","58016-0217-06","Prednisone","5 MG",6,1,24,24,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021707","58016-0217-07","Prednisone","5 MG",7,1,28,28,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021710","58016-0217-10","Prednisone","5 MG",10,1,40,40,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021712","58016-0217-12","Prednisone","5 MG",12,1,48,48,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021715","58016-0217-15","Prednisone","5 MG",15,1,60,60,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021716","58016-0217-16","Prednisone","5 MG",16,1,64,64,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021718","58016-0217-18","Prednisone","5 MG",18,1,72,72,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021720","58016-0217-20","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021721","58016-0217-21","Prednisone","5 MG",21,1,84,84,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021722","58016-0217-22","Prednisone","5 MG",22,1,88,88,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021723","58016-0217-23","Prednisone","5 MG",23,1,92,92,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021724","58016-0217-24","Prednisone","5 MG",24,1,96,96,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021728","58016-0217-28","Prednisone","5 MG",28,1,112,112,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021730","58016-0217-30","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021740","58016-0217-40","Prednisone","5 MG",40,1,160,160,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021749","58016-0217-49","Prednisone","5 MG",110,1,440,440,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021753","58016-0217-53","Prednisone","5 MG",91,1,364,364,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021760","58016-0217-60","Prednisone","5 MG",60,1,240,240,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021789","58016-0217-89","Prednisone","5 MG",200,1,400,400,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021800","58016-0218-00","Prednisone","5 MG",100,1,100,100,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021810","58016-0218-10","Prednisone","5 MG",10,1,10,10,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021820","58016-0218-20","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021821","58016-0218-21","Prednisone","5 MG",21,1,21,21,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021824","58016-0218-24","Prednisone","5 MG",24,1,24,24,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021830","58016-0218-30","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021833","58016-0218-33","Prednisone","5 MG",33,1,33,33,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021836","58016-0218-36","Prednisone","5 MG",36,1,36,36,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021840","58016-0218-40","Prednisone","5 MG",40,1,40,40,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021850","58016-0218-50","Prednisone","5 MG",50,1,50,50,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021855","58016-0218-55","Prednisone","5 MG",55,1,55,55,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021860","58016-0218-60","Prednisone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021869","58016-0218-69","Prednisone","5 MG",69,1,69,69,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016021890","58016-0218-90","Prednisone","5 MG",90,1,90,90,,
"Q0177","Hydroxyzine pamoate 25mg","SOUTHWOOD PHARMACEUTICALS","58016025900","58016-0259-00","Hydroxyzine Pamoate","25 MG",100,1,100,100,,
"Q0177","Hydroxyzine pamoate 25mg","SOUTHWOOD PHARMACEUTICALS","58016025902","58016-0259-02","Hydroxyzine Pamoate","25 MG",120,1,120,120,,
"Q0177","Hydroxyzine pamoate 25mg","SOUTHWOOD PHARMACEUTICALS","58016025910","58016-0259-10","Hydroxyzine Pamoate","25 MG",10,1,10,10,,
"Q0177","Hydroxyzine pamoate 25mg","SOUTHWOOD PHARMACEUTICALS","58016025920","58016-0259-20","Hydroxyzine Pamoate","25 MG",20,1,20,20,,
"Q0177","Hydroxyzine pamoate 25mg","SOUTHWOOD PHARMACEUTICALS","58016025930","58016-0259-30","Hydroxyzine Pamoate","25 MG",30,1,30,30,,
"Q0177","Hydroxyzine pamoate 25mg","SOUTHWOOD PHARMACEUTICALS","58016025950","58016-0259-50","Hydroxyzine Pamoate","25 MG",50,1,50,50,,
"Q0177","Hydroxyzine pamoate 25mg","SOUTHWOOD PHARMACEUTICALS","58016025960","58016-0259-60","Hydroxyzine Pamoate","25 MG",60,1,60,60,,
"Q0177","Hydroxyzine pamoate 25mg","SOUTHWOOD PHARMACEUTICALS","58016025990","58016-0259-90","Hydroxyzine Pamoate","25 MG",90,1,90,90,,
"Q0169","Promethazine HCl oral","SOUTHWOOD PHARMACEUTICALS","58016028300","58016-0283-00","Promethazine Hcl","12.5 MG",100,1,100,100,,
"Q0169","Promethazine HCl oral","SOUTHWOOD PHARMACEUTICALS","58016028302","58016-0283-02","Promethazine Hcl","12.5 MG",120,1,120,120,,
"Q0169","Promethazine HCl oral","SOUTHWOOD PHARMACEUTICALS","58016028330","58016-0283-30","Promethazine Hcl","12.5 MG",30,1,30,30,,
"Q0169","Promethazine HCl oral","SOUTHWOOD PHARMACEUTICALS","58016028360","58016-0283-60","Promethazine Hcl","12.5 MG",60,1,60,60,,
"Q0169","Promethazine HCl oral","SOUTHWOOD PHARMACEUTICALS","58016028390","58016-0283-90","Promethazine Hcl","12.5 MG",90,1,90,90,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029000","58016-0290-00","DEXAMETHASONE TAB","0.25 MG",100,1,200,200,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029002","58016-0290-02","DEXAMETHASONE TAB","0.25 MG",120,1,240,240,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029003","58016-0290-03","DEXAMETHASONE TAB","0.25 MG",150,1,300,300,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029012","58016-0290-12","DEXAMETHASONE TAB","0.25 MG",12,1,24,24,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029015","58016-0290-15","DEXAMETHASONE TAB","0.25 MG",15,1,30,30,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029020","58016-0290-20","DEXAMETHASONE TAB","0.25 MG",20,1,40,40,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029030","58016-0290-30","DEXAMETHASONE 0.5 MG TABLET","0.25 MG",30,1,60,60,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029060","58016-0290-60","DEXAMETHASONE 0.5MG TABLETS","0.25 MG",60,1,120,120,,
"J8540","Oral dexamethasone","Southwood Pharmaceuticals","58016029073","58016-0290-73","DEXAMETHASONE TAB",,300,1,,,,"0.25 MG"
"J8540","Oral dexamethasone","Southwood Pharmaceuticals","58016029089","58016-0290-89","DEXAMETHASONE TAB",,200,1,,,,"0.25 MG"
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029300","58016-0293-00","DEXAMETHASONE TAB","0.25 MG",100,1,300,300,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029306","58016-0293-06","DEXAMETHASONE 0.75MG TABLETS","0.25 MG",6,1,18,18,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029309","58016-0293-09","DEXAMETHASONE 0.75MG TABLETS","0.25 MG",9,1,27,27,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029312","58016-0293-12","DEXAMETHASONE TAB","0.25 MG",12,1,36,36,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029315","58016-0293-15","DEXAMETHASONE TAB","0.25 MG",15,1,45,45,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029316","58016-0293-16","DEXAMETHASONE TAB","0.25 MG",16,1,48,48,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029318","58016-0293-18","DEXAMETHASONE 0.75MG TABLETS        ","0.25 MG",18,1,54,54,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029320","58016-0293-20","DEXAMETHASONE TAB","0.25 MG",20,1,60,60,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016029330","58016-0293-30","DEXAMETHASONE TAB","0.25 MG",30,1,90,90,,
"J7506","Prednisone oral","SOUTHWOOD PHARMACEUTICALS","58016032020","58016-0320-20","Prednisone",,20,1,4,4,,"5 MG"
"Q0164","Prochlorperazine maleate 5mg","SOUTHWOOD PHARMACEUTICALS","58016032612","58016-0326-12","Prochlorperazine Maleate","5 MG",12,1,12,12,,
"Q0164","Prochlorperazine maleate 5mg","SOUTHWOOD PHARMACEUTICALS","58016032630","58016-0326-30","Prochlorperazine Maleate","5 MG",30,1,30,30,,
"Q0164","Prochlorperazine maleate 5mg","SOUTHWOOD PHARMACEUTICALS","58016032660","58016-0326-60","Prochlorperazine Maleate","5 MG",60,1,60,60,,
"J8540","Oral dexamethasone","SOUTHWOOD PHARM., INC.","58016035020","58016-0350-20","DEXAMETHASONE","0.25 MG",,1,5,5,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040810","58016-0408-10","Diphenhydramine Hcl","50 MG",10,1,5,5,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040812","58016-0408-12","Diphenhydramine Hcl","50 MG",12,1,6,6,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040815","58016-0408-15","Diphenhydramine Hcl","50 MG",15,1,7.5,7.5,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040820","58016-0408-20","Diphenhydramine Hcl","50 MG",20,1,10,10,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040821","58016-0408-21","Diphenhydramine Hcl","50 MG",21,1,10.5,10.5,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040824","58016-0408-24","Diphenhydramine Hcl","50 MG",24,1,12,12,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040825","58016-0408-25","Diphenhydramine Hcl","50 MG",25,1,12.5,12.5,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040830","58016-0408-30","Diphenhydramine Hcl","50 MG",30,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040860","58016-0408-60","Diphenhydramine Hcl","50 MG",60,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040900","58016-0409-00","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040910","58016-0409-10","Diphenhydramine Hcl","50 MG",10,1,10,10,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040912","58016-0409-12","Diphenhydramine Hcl","50 MG",12,1,12,12,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040915","58016-0409-15","Diphenhydramine Hcl","50 MG",15,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040920","58016-0409-20","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040921","58016-0409-21","Diphenhydramine Hcl","50 MG",21,1,21,21,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040924","58016-0409-24","Diphenhydramine Hcl","50 MG",24,1,24,24,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040930","58016-0409-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040940","58016-0409-40","Diphenhydramine Hcl","50 MG",40,1,40,40,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040960","58016-0409-60","Diphenhydramine Hcl","50 MG",60,1,60,60,,
"Q0163","Diphenhydramine HCl 50mg","SOUTHWOOD PHARMACEUTICALS","58016040990","58016-0409-90","Diphenhydramine Hcl","50 MG",1,90,1,90,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042400","58016-0424-00","Promethazine Hcl","25 MG",100,1,100,100,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042402","58016-0424-02","Promethazine Hcl","25 MG",120,1,120,120,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042403","58016-0424-03","Promethazine Hcl","25 MG",150,1,150,150,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042410","58016-0424-10","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042412","58016-0424-12","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042415","58016-0424-15","Promethazine Hcl","25 MG",15,1,15,15,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042420","58016-0424-20","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042430","58016-0424-30","Promethazine Hcl","25 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042440","58016-0424-40","Promethazine Hcl","25 MG",40,1,1,40,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042448","58016-0424-48","Promethazine Hcl","25 MG",48,1,1,48,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042450","58016-0424-50","Promethazine Hcl","25 MG",50,1,50,50,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042460","58016-0424-60","Promethazine Hcl","25 MG",60,1,60,60,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042473","58016-0424-73","Promethazine Hcl","25 MG",300,1,300,300,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042489","58016-0424-89","Promethazine Hcl","25 MG",200,1,200,200,,
"Q0170","Promethazine HCl 25 mg oral","SOUTHWOOD PHARMACEUTICALS","58016042490","58016-0424-90","Promethazine Hcl","25 MG",90,1,90,90,,
"Q0178","Hydroxyzine pamoate 50mg","SOUTHWOOD PHARMACEUTICALS","58016046410","58016-0464-10","Hydroxyzine Pamoate","50 MG",10,1,10,10,,
"Q0178","Hydroxyzine pamoate 50mg","SOUTHWOOD PHARMACEUTICALS","58016046415","58016-0464-15","Hydroxyzine Pamoate","50 MG",15,1,15,15,,
"Q0178","Hydroxyzine pamoate 50mg","SOUTHWOOD PHARMACEUTICALS","58016046420","58016-0464-20","Hydroxyzine Pamoate","50 MG",20,1,20,20,,
"Q0178","Hydroxyzine pamoate 50mg","SOUTHWOOD PHARMACEUTICALS","58016046430","58016-0464-30","Hydroxyzine Pamoate","50 MG",30,1,30,30,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070600","58016-0706-00","Prochlorperazine Maleate","10 MG",100,1,1,100,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070602","58016-0706-02","PROCHLORPERAZINE MALEATE","10 MG",120,1,120,120,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070603","58016-0706-03","PROCHLORPERAZINE MALEATE","10 MG",150,1,150,150,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070608","58016-0706-08","Prochlorperazine Maleate","10 MG",8,1,8,8,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070610","58016-0706-10","Prochlorperazine Maleate","10 MG",10,1,10,10,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070612","58016-0706-12","Prochlorperazine Maleate","10 MG",12,1,12,12,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070620","58016-0706-20","Prochlorperazine Maleate","10 MG",20,1,20,20,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070630","58016-0706-30","Prochlorperazine Maleate","10 MG",30,1,30,30,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070660","58016-0706-60","Prochlorperazine Maleate","10 MG",60,1,60,60,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070687","58016-0706-87","Prochlorperazine Maleate","10 MG",4,1,4,4,,
"Q0165","Prochlorperazine maleate10mg","SOUTHWOOD PHARMACEUTICALS","58016070690","58016-0706-90","PROCHLORPERAZINE MALEATE","10 MG",90,1,90,90,,
"J8540","Oral dexamethasone","SOUTHWOOD","58016078100","58016-0781-00","DEXAMETHASONE","0.25 MG",,1,40,40,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016078108","58016-0781-08","DEXAMETHASONE 4MG TABLETS","0.25 MG",8,1,128,128,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016078183","58016-0781-83","DEXAMETHASONE 4MG TABLETS","0.25 MG",3,1,48,48,,
"Q0179","Ondansetron hcl 8 mg oral","SOUTHWOOD PHARMACEUTICALS","58016082600","58016-0826-00","Zofran","8 MG",1,100,0.5,50,,
"Q0179","Ondansetron hcl 8 mg oral","SOUTHWOOD PHARMACEUTICALS","58016082630","58016-0826-30","Zofran","8 MG",1,30,0.5,15,,
"Q0179","Ondansetron hcl 8 mg oral","SOUTHWOOD PHARMACEUTICALS","58016082660","58016-0826-60","Zofran","8 MG",1,60,0.5,30,,
"Q0179","Ondansetron hcl 8 mg oral","SOUTHWOOD PHARMACEUTICALS","58016082690","58016-0826-90","Zofran","8 MG",1,90,0.5,45,,
"Q0168","Dronabinol 5mg oral","SOUTHWOOD PHARMACEUTICALS","58016095100","58016-0951-00","Marinol","5 MG",100,1,100,100,,
"Q0168","Dronabinol 5mg oral","SOUTHWOOD PHARMACEUTICALS","58016095130","58016-0951-30","Marinol","5 MG",30,1,30,30,,
"Q0168","Dronabinol 5mg oral","SOUTHWOOD PHARMACEUTICALS","58016095160","58016-0951-60","Marinol","5 MG",60,1,60,60,,
"Q0168","Dronabinol 5mg oral","SOUTHWOOD PHARMACEUTICALS","58016095190","58016-0951-90","Marinol","5 MG",90,1,90,90,,
"J8540","Oral dexamethasone","SouthWood Pharmaceuticals","58016096500","58016-0965-00","DEXAMETHASONE 1.5MG TABLETS","0.25 MG",100,1,600,600,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097300","58016-0973-00","Trimethobenzamide Hcl","250 MG",100,1,100,100,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097302","58016-0973-02","Trimethobenzamide Hcl","250 MG",120,1,120,120,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097303","58016-0973-03","Trimethobenzamide Hcl","250 MG",150,1,150,150,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097308","58016-0973-08","Trimethobenzamide Hcl","250 MG",8,1,8,8,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097310","58016-0973-10","Trimethobenzamide Hcl","250 MG",10,1,10,10,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097312","58016-0973-12","Trimethobenzamide Hcl","250 MG",12,1,12,12,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097315","58016-0973-15","Trimethobenzamide Hcl","250 MG",15,1,15,15,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097320","58016-0973-20","Trimethobenzamide Hcl","250 MG",20,1,20,20,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097324","58016-0973-24","Trimethobenzamide Hcl","250 MG",24,1,24,24,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097330","58016-0973-30","Trimethobenzamide Hcl","250 MG",30,1,30,30,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097350","58016-0973-50","Trimethobenzamide Hcl","250 MG",50,1,50,50,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097360","58016-0973-60","Trimethobenzamide Hcl","250 MG",60,1,60,60,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097373","58016-0973-73","Trimethobenzamide Hcl","250 MG",300,1,300,300,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097389","58016-0973-89","Trimethobenzamide Hcl","250 MG",200,1,200,200,,
"Q0173","Trimethobenzamide HCl 250mg","SOUTHWOOD PHARMACEUTICALS","58016097390","58016-0973-90","Trimethobenzamide Hcl","250 MG",90,1,90,90,,
"J7509","Methylprednisolone oral","SOUTHWOOD PHARMACEUTICALS","58016099330","58016-0993-30","Methylprednisolone","4 MG",30,1,30,30,,
"J7509","Methylprednisolone oral","SOUTHWOOD PHARMACEUTICALS","58016200401","58016-2004-01","Methylprednisolone (Pak)",,21,1,21,21,,"4 MG"
"J3303","Triamcinolone hexacetonl inj","SOUTHWOOD PHARMACEUTICALS","58016485501","58016-4855-01","TRIAMCINOLONE HEXACETONIDE","5 MG",5,1,20,20,,
"J7611","Albuterol concentrated form","SOUTHWOOD PHARMACEUTICALS","58016501801","58016-5018-01","Albuterol Sulfate",,20,1,100,100,,"1 MG"
"J7611","Albuterol concentrated form","SOUTHWOOD PHARMACEUTICALS","58016501820","58016-5018-20","Albuterol Sulfate",,20,1,100,100,,"1 MG"
"J7648","Isoetharine hcl inh sol con","SOUTHWOOD PHARMACEUTICALS","58016631801","58016-6318-01","Bronkosol",,30,1,300,300,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","SOUTHWOOD PHARMACEUTICALS","58016631801","58016-6318-01","Bronkosol",,30,1,300,300,,"1 MG"
"J7648","Isoetharine hcl inh sol con","SOUTHWOOD PHARMACEUTICALS","58016631803","58016-6318-03","Bronkosol",,10,1,100,100,,"1 MG"
"J7649","Isoetharine hcl inh sol u d","SOUTHWOOD PHARMACEUTICALS","58016631803","58016-6318-03","Bronkosol",,10,1,100,100,,"1 MG"
"J7611","Albuterol concentrated form","SOUTHWOOD PHARMACEUTICALS","58016640420","58016-6404-20","Albuterol Sulfate",,20,1,100,100,,"1 MG"
"J0702","Betamethasone acet&sod phosp","SOUTHWOOD PHARMACEUTICALS","58016919101","58016-9191-01","Celestone Soluspan",,5,1,5,5,,"3 MG"
"J3410","Hydroxyzine hcl injection","SOUTHWOOD PHARMACEUTICALS","58016929901","58016-9299-01","Hydroxyzine Hcl",,10,1,20,20,,"25 MG"
"J2300","Inj nalbuphine hydrochloride","SOUTHWOOD PHARMACEUTICALS","58016938401","58016-9384-01","Nalbuphine Hcl",,10,1,10,10,,"10 MG"
"J1885","Ketorolac tromethamine inj","SOUTHWOOD PHARMACEUTICALS","58016941301","58016-9413-01","Ketorolac Tromethamine",,2,1,4,4,,"15 MG"
"J0696","Ceftriaxone sodium injection","SOUTHWOOD PHARMACEUTICALS","58016943801","58016-9438-01","Rocephin",,1,1,4,4,,"250 MG"
"J2930","Methylprednisolone injection","SOUTHWOOD PHARMACEUTICALS","58016945201","58016-9452-01","Solu-Medrol",,2,1,2,2,,"125 MG"
"J0696","Ceftriaxone sodium injection","SOUTHWOOD PHARMACEUTICALS","58016945301","58016-9453-01","Rocephin",,1,10,10,1,,"250 MG"
"J7051","Sterile saline/water","SOUTHWOOD PHARMACEUTICALS","58016946401","58016-9464-01","Sterile Water For Injection",,50,1,10,10,,"5 CC"
"J0696","Ceftriaxone sodium injection","SOUTHWOOD PHARMACEUTICALS","58016955101","58016-9551-01","Rocephin",,1,10,20,2,,"250 MG"
"J3301","Triamcinolone acetonide inj","SOUTHWOOD PHARMACEUTICALS","58016979901","58016-9799-01","Kenalog",,1,1,4,4,,"10 MG"
"J1040","Methylprednisolone 80 MG inj","SOUTHWOOD PHARMACEUTICALS","58016993401","58016-9934-01","Depo-Medrol",,5,1,5,5,,"80 MG"
"J1436","Etidronate disodium inj","MGI PHARMA","58063045701","58063-0457-01","Didronel","300 MG",6,6,1.002,6.012,,
"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,,
"J2469","Palonosetron hcl","Eisai, Inc","58063079737","58063-0797-37","Aloxi","25 MCG",1.5,5,3,15,,
"90648","Hib vaccine, prp-t, im","GLAXO SMITHKLINE PHARMACEUTICALS","58160080605","58160-0806-05","Hiberix","1 VACCINE",1,10,1,10,,
"90700","Dtap vaccine, < 7 yo, im","GLAXOSMITHKLINE","58160081011","58160-0810-11","INFANRIX DTP","0.5 ML",0.5,10,1,10,,
"90700","Dtap vaccine, < 7 yo, im","GLAXOSMITHKLINE","58160081041","58160-0810-41","Infanrix","0.5 ML",0.5,1,1,1,,
"90700","Dtap vaccine, < 7 yo, im","GLAXOSMITHKLINE","58160081046","58160-0810-46","Infanrix","0.5 ML",0.5,5,1,5,,
"90740","Hepb vacc, ill pat 3 dose im","GLAXOSMITHKLINE","58160082146","58160-0821-46","Engerix-B","40 MCG",1,5,0.5,2.5,,
"90746","Hep b vaccine, adult, im","GLAXOSMITHKLINE","58160082146","58160-0821-46","Engerix-B","1 EACH",1,5,1,5,,
"90747","Hepb vacc, ill pat 4 dose im","GLAXOSMITHKLINE","58160082146","58160-0821-46","Engerix-B","40 MCG",1,5,0.5,2.5,,
"90633","Hep a vacc, ped/adol, 2 dose","GLAXOSMITHKLINE","58160082511","58160-0825-11","Havrix","0.5 ML",0.5,10,1,10,,
"90633","Hep a vacc, ped/adol, 2 dose","GLAXOSMITHKLINE","58160082546","58160-0825-46","Havrix","0.5 ML",0.5,5,1,5,,
"90633","Hep a vacc, ped/adol, 2 dose","GLAXO SMITH KLINE","58160082551","58160-0825-51","HAVRIX","0.5 ML",0.5,10,1,10,,
"90632","Hepa 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","Hepa vaccine adult im","GlaxoSmithkline","58160082652","58160-0826-52","Havrix","1 ML",1,10,1,10,,
"90632","Hep a vaccine, adult im","GLAXOSMITHKLINE","58160083501","58160-0835-01","Havrix","1 ML",1,1,1,1,,
"90632","Hep a vaccine, adult im","GLAXOSMITHKLINE","58160083507","58160-0835-07","Havrix",,10,1,10,10,,"1 ML"
"90632","Hep a vaccine, adult im","GLAXOSMITHKLINE","58160083511","58160-0835-11","Havrix","1 ML",1,10,1,10,,
"90632","Hep a vaccine, adult im","GLAXOSMITHKLINE","58160083532","58160-0835-32","Havrix","1 ML",1,1,1,1,,
"90632","Hep a vaccine, adult im","GLAXOSMITHKLINE","58160083535","58160-0835-35","Havrix","1 ML",1,5,1,5,,
"90632","Hep a vaccine, adult im","GLAXOSMITHKLINE","58160083541","58160-0835-41","Havrix","1 ML",1,1,1,1,,
"90632","Hep a vaccine, adult im","GLAXOSMITHKLINE","58160083546","58160-0835-46","Havrix","1 ML",1,5,1,5,,
"90633","Hep a vacc, ped/adol, 2 dose","GLAXOSMITHKLINE","58160083701","58160-0837-01","Havrix","0.5 ML",0.5,1,1,1,,
"90634","Hep a vacc, ped/adol, 3 dose","GLAXOSMITHKLINE","58160083701","58160-0837-01","Havrix Pediatric","0.5 ML",0.5,1,1,1,,
"90633","Hep a vacc, ped/adol, 2 dose","GLAXOSMITHKLINE","58160083711","58160-0837-11","Havrix","0.5 ML",0.5,10,1,10,,
"90634","Hep a vacc, ped/adol, 3 dose","GLAXOSMITHKLINE","58160083711","58160-0837-11","Havrix Pediatric","0.5 ML",0.5,10,1,10,,
"90633","Hep a vacc, ped/adol, 2 dose","GLAXO SMITHKLINE","58160083726","58160-0837-26","Havrix",,0.5,25,25,1,,"1 ML"
"90633","Hep a vacc, ped/adol, 2 dose","GLAXOSMITHKLINE","58160083735","58160-0837-35","Havrix",,0.5,5,5,1,,"1 ML"
"90633","Hep a vacc, ped/adol, 2 dose","GLAXOSMITHKLINE","58160083746","58160-0837-46","Havrix","0.5 ML",0.5,5,1,5,,
"90634","Hep a vacc, ped/adol, 3 dose","GLAXOSMITHKLINE","58160083746","58160-0837-46","HAVRIX PEDIATRIC","0.5 ML",0.5,5,1,5,,
"90633","Hep a vacc, ped/adol, 2 dose","GLAXOSMITHKLINE","58160083750","58160-0837-50","Havrix","0.5 ML",0.5,25,1,25,,
"90633","Hep a vacc, ped/adol, 2 dose","GLAXOSMITHKLINE","58160083756","58160-0837-56","Havrix",,0.5,25,25,1,,"1 ML"
"90633","Hep a vacc, ped/adol, 2 dose","GLAXOSMITHKLINE","58160083758","58160-0837-58","Havrix",,0.5,25,25,1,,"1 ML"
"90700","Dtap vaccine, < 7 yo, im","GLAXOSMITHKLINE","58160084011","58160-0840-11","Infanrix","0.5 ML",0.5,10,1,10,,
"90700","Dtap vaccine, < 7 yo, im","GLAXOSMITHKLINE","58160084046","58160-0840-46","Infanrix","0.5 ML",0.5,5,1,5,,
"90700","Dtap vaccine, < 7 yo, im","GLAXOSMITHKLINE","58160084050","58160-0840-50","Infanrix","0.5 ML",0.5,25,1,25,,
"90700","Dtap vaccine, < 7 yrs, im","GLAXOSMITHKLINE","58160084211","58160-0842-11","BOOSTRIX","0.5 ML",0.5,10,1,10,,
"90715","Tdap vaccine 7 yrs/> im","GlaxoSmithkline","58160084211","58160-0842-11","BOOSTRIX","0.5 ML",0.5,10,1,10,,
"90715","Tdap => 7 yo, im","GLAXOSMITHKLINE","58160084232","58160-0842-32","BOOSTRIX","0.5 ML",0.5,1,1,1,,
"90700","Dtap vaccine, < 7 yrs, im","GLAXOSMITHKLINE","58160084246","58160-0842-46","BOOSTRIX","0.5 ML",0.5,5,1,5,,
"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 vaccine 7 yrs/> im","GlaxoSmithkline","58160084252","58160-0842-52","BOOSTRIX","0.5 ML",0.5,10,1,10,,
"90636","Hep a/hep b vacc, adult im","GLAXO SMITHKLINE","58160085001","58160-0850-01","Twinrix",,1,1,1,1,,"1 ML"
"90636","Hep a/hep b vacc, adult im","GLAXO SMITHKLINE","58160085011","58160-0850-11","Twinrix",,1,10,10,1,,"1 ML"
"90636","Hep a/hep b vacc, adult im","GLAXOSMITHKLINE","58160085035","58160-0850-35","Twinrix",,1,5,5,1,,"1 ML"
"90636","Hep a/hep b vacc, adult im","GLAXO SMITHKLINE","58160085046","58160-0850-46","Twinrix",,1,5,5,1,,"1 ML"
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085601","58160-0856-01","Engerix-B","1 DOSE",0.5,1,1,1,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085601","58160-0856-01","Engerix-B","1 DOSE",0.5,1,1,1,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085611","58160-0856-11","Engerix-B","1 DOSE",0.5,10,1,10,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085611","58160-0856-11","Engerix-B","1 DOSE",0.5,10,1,10,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085626","58160-0856-26","Engerix-B","1 DOSE",0.5,25,1,25,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085626","58160-0856-26","Engerix-B","1 DOSE",0.5,25,1,25,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085627","58160-0856-27","Engerix-B","1 DOSE",0.5,25,1,25,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085627","58160-0856-27","Engerix-B","1 DOSE",0.5,25,1,25,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085635","58160-0856-35","Engerix-B","1 DOSE",0.5,5,1,5,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085635","58160-0856-35","Engerix-B","1 DOSE",0.5,5,1,5,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085636","58160-0856-36","Engerix-B","1 DOSE",0.5,5,1,5,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085636","58160-0856-36","Engerix-B","1 DOSE",0.5,5,1,5,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085646","58160-0856-46","Engerix-B","1 DOSE",0.5,5,1,5,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085646","58160-0856-46","Engerix-B","1 DOSE",0.5,5,1,5,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085650","58160-0856-50","Engerix-B","1 DOSE",0.5,25,1,25,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085650","58160-0856-50","Engerix-B","1 DOSE",0.5,25,1,25,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085656","58160-0856-56","Engerix-B","1 DOSE",0.5,25,1,25,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085656","58160-0856-56","Engerix-B","1 DOSE",0.5,25,1,25,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085657","58160-0856-57","Engerix-B","1 DOSE",0.5,25,1,25,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085657","58160-0856-57","Engerix-B","1 DOSE",0.5,25,1,25,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085658","58160-0856-58","Engerix-B","1 DOSE",0.5,25,1,25,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085658","58160-0856-58","Engerix-B","1 DOSE",0.5,25,1,25,,
"90740","Hepb vacc, ill pat 3 dose im","EMT-RX","58160085701","58160-0857-01","Engerix-B","40 MCG",1,1,0.5,0.5,,
"90746","Hep b vaccine, adult, im","GLAXOSMITHKLINE","58160085701","58160-0857-01","Engerix-B","1 EACH",1,1,1,1,,
"90747","Hepb vacc, ill pat 4 dose im","GLAXOSMITHKLINE","58160085701","58160-0857-01","Engerix-B","40 MCG",1,1,0.5,0.5,,
"90740","Hepb vacc, ill pat 3 dose im","GLAXOSMITHKLINE","58160085711","58160-0857-11","Engerix-B","40 MCG",1,10,0.5,5,,
"90746","Hep b vaccine, adult, im","GLAXOSMITHKLINE","58160085711","58160-0857-11","Engerix-B","1 EACH",1,10,1,10,,
"90747","Hepb vacc, ill pat 4 dose im","GLAXOSMITHKLINE","58160085711","58160-0857-11","Engerix-B","40 MCG",1,10,0.5,5,,
"90740","Hepb vacc, ill pat 3 dose im","GLAXOSMITHKLINE","58160085716","58160-0857-16","Engerix-B","40 MCG",1,25,0.5,12.5,,
"90746","Hep b vaccine, adult, im","GLAXOSMITHKLINE","58160085716","58160-0857-16","Engerix-B","1 EACH",1,25,1,25,,
"90747","Hepb vacc, ill pat 4 dose im","GLAXOSMITHKLINE","58160085716","58160-0857-16","Engerix-B","40 MCG",1,25,0.5,12.5,,
"90740","Hepb vacc, ill pat 3 dose im","GLAXOSMITHKLINE","58160085746","58160-0857-46","Engerix-B","40 MCG",1,5,0.5,2.5,,
"90746","Hep b vaccine, adult, im","GLAXOSMITHKLINE","58160085746","58160-0857-46","Engerix-B","1 EACH",1,5,1,5,,
"90747","Hepb vacc, ill pat 4 dose im","GLAXOSMITHKLINE","58160085746","58160-0857-46","Engerix-B","40 MCG",1,5,0.5,2.5,,
"90740","Hepb vacc, ill pat 3 dose im","GLAXOSMITHKLINE","58160085750","58160-0857-50","Engerix-B","40 MCG",1,25,0.5,12.5,,
"90746","Hep b vaccine, adult, im","GLAXOSMITHKLINE","58160085750","58160-0857-50","Engerix-B","1 EACH",1,25,1,25,,
"90747","Hepb vacc, ill pat 4 dose im","GLAXOSMITHKLINE","58160085750","58160-0857-50","Engerix-B","40 MCG",1,25,0.5,12.5,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085901","58160-0859-01","Engerix-B","1 DOSE",0.5,1,1,1,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085901","58160-0859-01","Engerix-B","1 DOSE",0.5,1,1,1,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085905","58160-0859-05","Engerix-B","1 DOSE",0.5,5,1,5,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085905","58160-0859-05","Engerix-B","1 DOSE",0.5,5,1,5,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085911","58160-0859-11","Engerix-B","1 DOSE",0.5,10,1,10,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085911","58160-0859-11","Engerix-B","1 DOSE",0.5,10,1,10,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085926","58160-0859-26","Engerix-B","1 DOSE",0.5,25,1,25,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085926","58160-0859-26","Engerix-B","1 DOSE",0.5,25,1,25,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085927","58160-0859-27","Engerix-B","1 DOSE",0.5,25,1,25,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085927","58160-0859-27","Engerix-B","1 DOSE",0.5,25,1,25,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085935","58160-0859-35","Engerix-B","1 DOSE",0.5,5,1,5,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085935","58160-0859-35","Engerix-B","1 DOSE",0.5,5,1,5,,
"90743","Hep b vacc, adol, 2 dose, im","GLAXOSMITHKLINE","58160085936","58160-0859-36","Engerix-B","1 DOSE",0.5,5,1,5,,
"90744","Hepb vacc ped/adol 3 dose im","GLAXOSMITHKLINE","58160085936","58160-0859-36","Engerix-B","1 DOSE",0.5,5,1,5,,
"90656","Flu vaccine no preserv 3 & >","GLAXOSMITHKLINE","58160087251","58160-0872-51","FLUARIX","0.5 ML",0.5,10,1,10,,
"90658","Flu vaccine age 3 & over, im","GLAXOSMITHKLINE","58160087251","58160-0872-51","FLUARIX","0.5 ML",0.5,10,1,10,,
"90656","Flu vaccine no preserv 3 yo & >, im","GLAXOSMITHKLINE","58160087346","58160-0873-46","FLUARIX","0.5 ML",0.5,5,1,5,,
"90675","Rabies vaccine im","GLAXO SMITH KLINE","58160096412","58160-0964-12","RABAVERT","1 ML",1,1,1,1,,
"J0207","Amifostine","MEDIMMUNE","58178001701","58178-0017-01","Ethyol","500 MG",1,1,1,1,,
"J0207","Amifostine","MedImmune","58178001703","58178-0017-03","Ethyol","500 MG",1,3,1,3,,
"J3305","Inj trimetrexate glucoronate","MEDIMMUNE","58178002001","58178-0020-01","Neutrexin","25 MG",1,1,1,1,,
"J3305","Inj trimetrexate glucoronate","MEDIMMUNE","58178002010","58178-0020-10","Neutrexin","25 MG",1,10,1,10,,
"J3305","Inj trimetrexate glucoronate","MEDIMMUNE","58178002101","58178-0021-01","Neutrexin","25 MG",1,1,8,8,,
"J0475","Baclofen 10 mg injection","Saol Therapeutics","58281056001","58281-0560-01","Lioresal","10 MG",20,1,1,1,,
"J0475","Baclofen 10 mg injection","Saol Therapeutics","58281056002","58281-0560-02","Lioresal","10 MG",40,1,2,2,,
"J0475","Baclofen 10 mg injection","Saol Therapeutics","58281056102","58281-0561-02","Lioresal","10 MG",10,1,2,2,,
"J0476","Baclofen intrathecal trial","Saol Therapeutics","58281056201","58281-0562-01","Lioresal","50 MCG",1,1,1,1,,
"J0475","Baclofen 10 mg injection","Saol Therapeutics","58281056301","58281-0563-01","Lioresal","10 MG",20,1,4,4,,
"J0475","Baclofen 10 mg injection","Saol Therapeutics","58281056302","58281-0563-02","Lioresal","10 MG",40,1,8,8,,
"J0570","Buprenorphine implant 74.2mg","Braeburn Pharmaceuticals","58284010014","58284-0100-14","PROBUPHINE SYSTEM KIT","74.2 MG",1,4,1,4,,
"90690","Typhoid vaccine, oral","BERNA","58337000301","58337-0003-01","Vivotif Berna Vaccine",,4,1,1,1,,"4 CAPSULES"
"90703","Tetanus vaccine, im","BERNA","58337130101","58337-1301-01","Te Anatoxal Berna",,5,1,20,20,,"0.5 ML"
"90703","Tetanus vaccine, im","BERNA","58337130102","58337-1301-02","Te Anatoxal Berna",,0.5,10,20,2,,"0.5 ML"
"Q9955","Inj perflexane lip micros, ml","IMCOR","58366015001","58366-0150-01","Imagent",,1,1,10,10,,"1 ML"
"J7195","Factor IX recombinant","WYETH LLC","58394000101","58394-0001-01","Benefix","1 IU",1,1,1,1,,
"J7195","Factor IX recombinant","PFIZER INC.","58394000106","58394-0001-06","Benefix","1 IU",1,1,1,1,,
"J7195","Factor IX recombinant","WYETH LLC","58394000201","58394-0002-01","Benefix","1 IU",1,1,1,1,,
"J7195","Factor IX recombinant","PFIZER INC.","58394000206","58394-0002-06","Benefix","1 IU",1,1,1,1,,
"J7195","Factor IX recombinant","WYETH LLC","58394000301","58394-0003-01","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","58394000401","58394-0004-01","Neumega","5 MG",1,10,1,10,,
"J2355","Oprelvekin injection","WYETH","58394000402","58394-0004-02","Neumega","5 MG",1,7,1,7,,
"J2355","Oprelvekin injection","PFIZER INC.","58394000408","58394-0004-08","Neumega","5 MG",1,1,1,1,,
"J7192","Factor viii recombinant","WYETH","58394000501","58394-0005-01","Refacto",,1,1000,1000,1,,"1 IU"
"J7192","Factor viii recombinant NOS","WYETH","58394000502","58394-0005-02","Refacto","1 IU",1,1000,1,1000,,
"J7192","Factor viii recombinant NOS","WYETH","58394000504","58394-0005-04","Refacto","1 IU",1,1000,1,1000,,
"J7192","Factor viii recombinant","WYETH","58394000601","58394-0006-01","Refacto",,1,500,500,1,,"1 IU"
"J7192","Factor viii recombinant NOS","WYETH","58394000602","58394-0006-02","Refacto","1 IU",1,500,1,500,,
"J7192","Factor viii recombinant NOS","WYETH","58394000604","58394-0006-04","Refacto","1 IU",1,500,1,500,,
"J7192","Factor viii recombinant","WYETH","58394000701","58394-0007-01","Refacto",,1,250,250,1,,"1 IU"
"J7192","Factor viii recombinant NOS","WYETH","58394000702","58394-0007-02","Refacto","1 IU",1,250,1,250,,
"J7192","Factor viii recombinant NOS","WYETH LLC","58394000704","58394-0007-04","REFACTO ANTIHEMOPHILIC FACTOR KIT ","1 IU",1,1,1,1,,
"J7195","Factor IX recombinant","PFIZER INC.","58394000802","58394-0008-02","Benefix","1 IU",1,1,1,1,,
"J7192","Factor viii recombinant","WYETH","58394001101","58394-0011-01","Refacto",,1,2000,2000,1,,"1 IU"
"J7192","Factor viii recombinant NOS","WYETH","58394001102","58394-0011-02","Refacto","1 IU",1,2000,1,2000,,
"J7192","Factor viii recombinant NOS","WYETH","58394001104","58394-0011-04","Refacto","1 IU",1,2000,1,2000,,
"J7185","Xyntha inj","PFIZER INC.","58394001201","58394-0012-01","XYNTHA","1 IU",1,1,1,1,,
"Q2023","Xyntha, inj","WYETH","58394001201","58394-0012-01","XYNTHA","1 IU",1,1,250,250,,
"J7185","Xyntha inj","PFIZER INC.","58394001301","58394-0013-01","XYNTHA","1 IU",1,1,1,1,,
"Q2023","Xyntha, inj","WYETH","58394001301","58394-0013-01","XYNTHA","1 IU",1,1,500,500,,
"J7185","Xyntha inj","PFIZER INC.","58394001401","58394-0014-01","XYNTHA","1 IU",1,1,1,1,,
"Q2023","Xyntha, inj","WYETH","58394001401","58394-0014-01","XYNTHA","1 IU",1,1,1000,1000,,
"J7185","Xyntha inj","PFIZER INC.","58394001501","58394-0015-01","XYNTHA","1 IU",1,1,1,1,,
"Q2023","Xyntha, inj","WYETH","58394001501","58394-0015-01","XYNTHA","1 IU",1,1,2000,2000,,
"J7185","Xyntha inj","PFIZER INC.","58394001603","58394-0016-03","XYNTHA","1 IU",1,1,1,1,,
"J7185","Xyntha inj","PFIZER INC.","58394002203","58394-0022-03","XYNTHA","1 IU",1,1,1,1,,
"J7185","Xyntha inj","PFIZER INC.","58394002303","58394-0023-03","XYNTHA","1 IU",1,1,1,1,,
"J7185","Xyntha inj","PFIZER INC.","58394002403","58394-0024-03","XYNTHA","1 IU",1,1,1,1,,
"J7185","Xyntha inj","PFIZER INC.","58394002503","58394-0025-03","XYNTHA","1 IU",1,1,1,1,,
"J7195","Factor ix recombinant nos","PFIZER INC.","58394063303","58394-0633-03","BENEFIX","1 IU",1,1,1,1,,
"J7195","Factor ix recombinant nos","PFIZER INC.","58394063403","58394-0634-03","BENEFIX","1 IU",1,1,1,1,,
"J7195","Factor ix recombinant nos","PFIZER INC.","58394063503","58394-0635-03","BENEFIX","1 IU",1,1,1,1,,
"J7195","Factor ix recombinant nos","PFIZER INC.","58394063603","58394-0636-03","BENEFIX","1 IU",1,1,1,1,,
"J7195","Factor ix recombinant nos","PFIZER INC.","58394063703","58394-0637-03","BENEFIX","1 IU",1,1,1,1,,
"J2820","Sargramostim injection","BERLEX","58406000201","58406-0002-01","Leukine","50 MCG",1,1,5,5,,
"J2820","Sargramostim injection","BERLEX","58406000233","58406-0002-33","Leukine",,1,5,25,5,,"50 MCG"
"J2820","Sargramostim injection","BERLEX","58406005014","58406-0050-14","Leukine","50 MCG",1,1,10,10,,
"J2820","Sargramostim injection","BERLEX","58406005030","58406-0050-30","Leukine",,1,5,50,10,,"50 MCG"
"J1438","Etanercept injection","Amgen USA, Inc.","58406042534","58406-0425-34","Enbrel","25 MG",1,4,1,4,,
"J1438","Etanercept injection","AMGEN","58406042541","58406-0425-41","Enbrel","25 MG",1,1,1,1,,
"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,,
"J0640","Leucovorin calcium injection","IMMUNEX","58406062307","58406-0623-07","Leucovorin Calcium","50 MG",1,1,7,7,,
"J0640","Leucovorin calcium injection","IMMUNEX","58406062674","58406-0626-74","Leucovorin Calcium","50 MG",24,1,7.2,7.2,,
"J9293","Mitoxantrone hydrochl / 5 MG","SERONO","58406064003","58406-0640-03","Novantrone","5 MG",10,1,4,4,,
"J9293","Mitoxantrone hydrochl / 5 MG","SERONO","58406064005","58406-0640-05","Novantrone","5 MG",12.5,1,5,5,,
"J9293","Mitoxantrone hydrochl / 5 MG","SERONO","58406064007","58406-0640-07","Novantrone","5 MG",15,1,6,6,,
"J9250","Methotrexate sodium inj","XANODYNE PHARMACAL, INC","58406068114","58406-0681-14","Methotrexate Sodium",,2,1,10,10,,"5 MG"
"J9250","Methotrexate sodium inj","XANODYNE PHARMACAL, INC","58406068117","58406-0681-17","Methotrexate Sodium",,10,1,50,50,,"5 MG"
"J9250","Methotrexate sodium inj","XANODYNE PHARMACAL, INC","58406068315","58406-0683-15","Methotrexate Sodium Lpf",,2,1,10,10,,"5 MG"
"J9250","Methotrexate sodium inj","XANODYNE PHARMACAL, INC","58406068316","58406-0683-16","Methotrexate Sodium Lpf",,10,1,50,50,,"5 MG"
"J9250","Methotrexate sodium inj","XANODYNE PHARMACAL, INC","58406068318","58406-0683-18","Methotrexate Sodium Lpf",,4,1,20,20,,"5 MG"
"J7637","Dexamethasone inhal sol con","INSOURCE","58441110303","58441-1103-03","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","INSOURCE","58441110303","58441-1103-03","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7637","Dexamethasone inhal sol con","INSOURCE","58441112805","58441-1128-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","INSOURCE","58441112805","58441-1128-05","Dexamethasone Sodium Phosphate",,5,1,20,20,,"1 MG"
"J3240","Thyrotropin injection","Genzyme Corporation","58468003002","58468-0030-02","Thyrogen","0.9 MG",1,2,1,2,,
"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,,
"J7320","Hylan G-F 20 injection","GENZYME","58468009001","58468-0090-01","Synvisc","16 MG",2,3,1,3,,
"J7322","Synvisc, inj","GENZYME","58468009001","58468-0090-01","Synvisc","PER DOSE",2,3,1,3,,
"J7325","Synvisc or synvisc-one","Genzyme Corporation","58468009001","58468-0090-01","Synvisc","1 MG",2,3,16,48,,
"Q4084","Synvisc, inj","GENZYME","58468009001","58468-0090-01","Synvisc","PER DOSE",2,3,1,3,,
"J7325","Synvisc or synvisc-one","Genzyme Corporation","58468009003","58468-0090-03","SynviscOne","1 MG",6,1,48,48,,
"J9027","Clofarabine injection","SANOFI-AVENTIS","58468010001","58468-0100-01","Clolar","1 MG",20,1,20,20,,
"J9027","Clofarabine injection","GENZYME","58468010002","58468-0100-02","Clolar","1 MG",20,4,20,80,,
"J1270","Injection, doxercalciferol","Genzyme Corporation","58468012201","58468-0122-01","Hectorol","1 MCG",2,50,4,200,,
"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,,
"J1270","Injection, doxercalciferol","Genzyme Corporation","58468012701","58468-0127-01","Hectorol","1 MCG",2,50,4,200,,
"C9252","Injection, plerixafor","Genzyme Corporation","58468014001","58468-0140-01","Mozobil (Plerixaflor)","1 MG",1.2,1,24,24,,
"J2562","Plerixafor injection","SANOFI-AVENTIS","58468014001","58468-0140-01","Mozobil (PLERIXAFOR)","1 MG",1.2,1,24,24,,
"C9234","Inj, alglucosidase alfa","Genzyme Corporation","58468015001","58468-0150-01","MYOZYME","10 MG",1,1,5,5,,
"J0220","Alglucosidase alfa injection","Genzyme Corporation","58468015001","58468-0150-01","Myozyme","10 MG",1,1,5,5,,
"C9277","Lumizyme, 1 mg","Genzyme Corporation","58468016001","58468-0160-01","Lumizyme","1 MG",1,1,50,50,,
"J0221","Lumizyme injection","Genzyme Corporation","58468016001","58468-0160-01","Lumizyme","10 MG",1,1,5,5,,
"J0221","Lumizyme injection","Genzyme Corporation","58468016002","58468-0160-02","Lumizyme","10 MG",1,10,5,50,,
"J9185","Fludarabine phosphate inj","Genzyme Corporation","58468017001","58468-0170-01","Fludara","50 MG",1,1,1,1,,
"J2820","Sargramostim injection","SANOFI-AVENTIS","58468018002","58468-0180-02","Leukine","50 MCG",1,5,5,25,,
"J2820","Sargramostim injection","SANOFI-AVENTIS","58468018102","58468-0181-02","Leukine","50 MCG",1,5,10,50,,
"J0202","Injection, alemtuzumab","Genzyme Corporation","58468020001","58468-0200-01","LEMTRADA","1 MG",1.2,1,12,12,,
"Q9979","Injection, Alemtuzumab","GENZYME CORPORATION","58468020001","58468-0200-01","LEMTRADA","1 MG",1.2,1,12,12,,
"J8540","Oral dexamethasone","PHYSICIANS TOTAL CARE","58468021802","58468-0218-02","DEXAMETHASONE",,,1,1,1,,"0.25 MG"
"J9010","Alemtuzumab injection","GENZYME","58468035701","58468-0357-01","Campath","10 MG",1,1,3,3,,
"J9010","Alemtuzumab injection","Genzyme Corporation","58468035703","58468-0357-03","Campath","10 MG",1,3,3,9,,
"J7330","Cultured chondrocytes implnt","Genzyme Corporation","58468102501","58468-1025-01","Carticel","1 EA",1,1,1,1,,
"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,,
"J1785","Injection imiglucerase /unit","GENZYME","58468198301","58468-1983-01","Cerezyme","1 UNIT",1,1,200,200,,
"J1786","Imuglucerase injection","Genzyme Corporation","58468198301","58468-1983-01","Cerezyme","10 UNITS",1,1,20,20,,
"J1785","Injection imiglucerase /unit","GENZYME","58468466301","58468-4663-01","Cerezyme","1 UNIT",1,1,400,400,,
"J1786","Imuglucerase injection","Genzyme Corporation","58468466301","58468-4663-01","Cerezyme","10 UNITS",1,1,40,40,,
"J3396","Verteporfin injection","NOVARTIS","58768015015","58768-0150-15","Visudyne","0.1 MG",1,1,150,150,,
"J1452","Intraocular Fomivirsen na","NOVARTIS","58768090235","58768-0902-35","Vitravene","1.65 MG",0.25,1,4,4,,
"Q0163","Diphenhydramine HCl 50mg","PDRX PHARMACEUTICAL","58864016301","58864-0163-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","PDRX PHARMACEUTICAL","58864016330","58864-0163-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","PDRX PHARMACEUTICAL","58864016360","58864-0163-60","Diphenhydramine Hcl","50 MG",60,1,60,60,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","58864036220","58864-0362-20","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","58864036256","58864-0362-56","Prednisone","5 MG",56,1,56,56,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","58864042230","58864-0422-30","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","PD-RX PHARMACEUTICALS INC.","58864042315","58864-0423-15","Prednisone","5 MG",,1,4000,4000,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","58864042320","58864-0423-20","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","58864042330","58864-0423-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","58864042340","58864-0423-40","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","58864042409","58864-0424-09","Prednisone","5 MG",9,1,36,36,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","58864042414","58864-0424-14","Prednisone","5 MG",14,1,56,56,,
"J7506","Prednisone oral","PDRX PHARMACEUTICAL","58864042430","58864-0424-30","Prednisone","5 MG",30,1,120,120,,
"Q0165","Prochlorperazine maleate10mg","PDRX PHARMACEUTICAL","58864064442","58864-0644-42","Prochlorperazine Maleate","10 MG",42,1,42,42,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","58864067110","58864-0671-10","Phenergan","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","58864067142","58864-0671-42","Phenergan","25 MG",42,1,42,42,,
"Q0164","Prochlorperazine maleate 5mg","PDRX PHARMACEUTICAL","58864070215","58864-0702-15","Prochlorperazine Maleate","5 MG",15,1,15,15,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","58864076110","58864-0761-10","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","58864076130","58864-0761-30","Promethazine Hcl","25 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","PDRX PHARMACEUTICAL","58864076142","58864-0761-42","Promethazine Hcl","25 MG",42,1,42,42,,
"J0500","Dicyclomine injection","AXCAN SCANDIPHARM","58914001310","58914-0013-10","Bentyl","20 MG",2,5,1,5,,
"J0500","Dicyclomine injection","Aptalis Pharmaceuticals","58914008052","58914-0080-52","Bentyl","20 MG",2,5,1,5,,
"J9600","Porfimer sodium injection","AXCAN SCANDIPHARM","58914015575","58914-0155-75","Photofrin","75 MG",1,1,1,1,,
"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,,
"J1815","Insulin injection","NOVO NORDISK","59060018332","59060-0183-32","Relion R","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060018332","59060-0183-32","Relion R","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","59060018342","59060-0183-42","Relion N","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060018342","59060-0183-42","Relion N","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","59060018372","59060-0183-72","Relion 70/30","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060018372","59060-0183-72","Relion 70/30","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","59060023144","59060-0231-44","Relion N Innolet","5 UNITS",3,5,60,300,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060023144","59060-0231-44","Relion N Innolet","50 UNITS",3,5,6,30,,
"J1815","Insulin injection","NOVO NORDISK","59060023174","59060-0231-74","Relion 70/30 Innolet","5 UNITS",3,5,60,300,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060023174","59060-0231-74","Relion 70/30 Innolet","50 UNITS",3,5,6,30,,
"J1815","Insulin injection","NOVO NORDISK","59060183302","59060-1833-02","Relion R","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060183302","59060-1833-02","Relion R","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","59060183318","59060-1833-18","Relion R","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060183318","59060-1833-18","Relion R","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","59060183320","59060-1833-20","Reli-On R  (human insulin)","5 UNITS",10,1,200,200,,
"J1815","Insulin injection","NOVO NORDISK","59060183402","59060-1834-02","Relion N","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060183402","59060-1834-02","Relion N","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","59060183418","59060-1834-18","Relion N","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060183418","59060-1834-18","Relion N","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","59060183702","59060-1837-02","Relion 70/30","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060183702","59060-1837-02","Relion 70/30","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","59060183718","59060-1837-18","Relion 70/30","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060183718","59060-1837-18","Relion 70/30","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","NOVO NORDISK","59060231404","59060-2314-04","Relion N Innolet","5 UNITS",3,3,60,180,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060231404","59060-2314-04","Relion N Innolet","50 UNITS",3,3,6,18,,
"J1815","Insulin injection","NOVO NORDISK","59060231440","59060-2314-40","Relion N Innolet","5 UNITS",3,5,60,300,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060231440","59060-2314-40","Relion N Innolet","50 UNITS",3,5,6,30,,
"J1815","Insulin injection","NOVO NORDISK","59060231704","59060-2317-04","Relion 70/30 Innolet","5 UNITS",3,3,60,180,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060231704","59060-2317-04","Relion 70/30 Innolet","50 UNITS",3,3,6,18,,
"J1815","Insulin injection","NOVO NORDISK","59060231740","59060-2317-40","Relion 70/30 Innolet","5 UNITS",3,5,60,300,,
"J1817","Insulin for insulin pump use","NOVO NORDISK","59060231740","59060-2317-40","Relion 70/30 Innolet","50 UNITS",3,5,6,30,,
"J0587","Botulinum toxin type B","ELAN","59075071010","59075-0710-10","Myobloc","100 UNITS",0.5,1,25,25,,
"J0587","Botulinum toxin type B","ELAN","59075071110","59075-0711-10","Myobloc","100 UNITS",1,1,50,50,,
"J0587","Botulinum toxin type B","ELAN","59075071210","59075-0712-10","Myobloc","100 UNITS",2,1,100,100,,
"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","Biogen Idec ","59075073015","59075-0730-15","NATALIZUMAB","1 MG",1,1,300,300,,
"Q4079","Natalizumab injection","ELAN","59075073015","59075-0730-15","Tysabri","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,,
"J0401","Inj aripiprazole ext rel 1mg","Otsuka America Pharmaceutical, Inc.","59148001871","59148-0018-71","ABILIFY MAINTENA","1 MG",1,1,300,300,,
"J0401","Inj aripiprazole ext rel 1mg","Otsuka America Pharmaceutical, Inc.","59148001971","59148-0019-71","ABILIFY MAINTENA","1 MG",1,1,400,400,,
"J0401","Inj aripiprazole ext rel 1mg","Otsuka America Pharmaceutical, Inc.","59148004580","59148-0045-80","ABILIFY MAINTENA","1 MG",1,1,300,300,,
"J0894","Decitabine injection","Otsuka America Pharmaceutical, Inc.","59148004670","59148-0046-70","DACOGEN","1 MG",1,1,50,50,,
"J0594","Busulfan injection","OTSUKA AMERICA","59148007090","59148-0070-90","BUSULFAN","1 MG",10,1,60,60,,
"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,,
"J0401","Inj aripiprazole ext rel 1mg","Otsuka America Pharmaceutical, Inc.","59148007280","59148-0072-80","ABILIFY MAINTENA","1 MG",1,1,400,400,,
"C9481","Injection, reslizumab","IVAX LABS INC.","59310061031","59310-0610-31","CINQAIR","1mg",10,1,100,100,,
"Q9953","Inj Fe-based MR contrast,1ml","Bayer HealthCare Pharmaceuticals Inc.","59338070351","59338-0703-51","Feridex IV","1 ML",5,1,5,5,,
"Q9953","Inj Fe-based MR contrast,1ml","Bayer HealthCare Pharmaceuticals Inc.","59338070355","59338-0703-55","Feridex IV","1 ML",5,5,5,25,,
"Q0138","Ferumoxytol, non-esrd","AMAG Pharmaceuticals","59338077501","59338-0775-01","Feraheme","1 MG",1,1,510,510,,
"Q0139","Ferumoxytol, esrd use","AMAG Pharmaceuticals","59338077501","59338-0775-01","Feraheme","1 MG",1,1,510,510,,
"Q0138","Ferumoxytol, non-esrd","AMAG Pharmaceuticals","59338077510","59338-0775-10","Feraheme","1 MG",1,10,510,5100,,
"Q0139","Ferumoxytol, esrd use","AMAG Pharmaceuticals","59338077510","59338-0775-10","Feraheme","1 MG",1,10,510,5100,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","59353040009","59353-0400-09","Mircera","1 MCG",0.3,1,30,30,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","59353040009","59353-0400-09","Mircera","1 MCG",0.3,1,30,30,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","59353040109","59353-0401-09","Mircera","1 MCG",0.3,1,50,50,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","59353040109","59353-0401-09","Mircera","1 MCG",0.3,1,50,50,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","59353040209","59353-0402-09","Mircera","1 MCG",0.3,1,75,75,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","59353040209","59353-0402-09","Mircera","1 MCG",0.3,1,75,75,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","59353040309","59353-0403-09","Mircera","1 MCG",0.3,1,100,100,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","59353040309","59353-0403-09","Mircera","1 MCG",0.3,1,100,100,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","59353040409","59353-0404-09","Mircera","1 MCG",0.3,1,150,150,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","59353040409","59353-0404-09","Mircera","1 MCG",0.3,1,150,150,,
"J0887","Epoetin beta esrd use","Vifor (International) Ltd.","59353040509","59353-0405-09","Mircera","1 MCG",0.3,1,200,200,,
"J0888","Epoetin beta non esrd","Vifor (International) Ltd.","59353040509","59353-0405-09","Mircera","1 MCG",0.3,1,200,200,,
"J7637","Dexamethasone inhal sol con","ROBERTS/HAUCK PHARM. CORP.","59441055505","59441-0555-05","Dexasone",,5,1,20,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ROBERTS/HAUCK PHARM. CORP.","59441055505","59441-0555-05","Dexasone",,5,1,20,20,,"1 MG"
"J7637","Dexamethasone inhal sol con","ROBERTS/HAUCK PHARM. CORP.","59441055530","59441-0555-30","Dexasone",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","ROBERTS/HAUCK PHARM. CORP.","59441055530","59441-0555-30","Dexasone",,30,1,120,120,,"1 MG"
"J9025","Azacitidine injection","Celgene Corporation","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 Corporation","59572098301","59572-0983-01","Istodax (romidepsin)","1 MG",1,1,10,10,,
"J9315","Romidepsin injection","CELGENE CORPORATION","59572098401","59572-0984-01","Istodax (romidepsin)","1 MG",1,1,10,10,,
"Q3025","IM inj interferon beta 1-a","Biogen Idec","59627000103","59627-0001-03","Avonex","11 MCG",1,4,3,12,,
"Q3027","Inj beta interferon im 1 mcg","Biogen Idec","59627000103","59627-0001-03","Avonex","1 MCG",1,4,30,120,,
"Q3025","IM inj interferon beta 1-a","Biogen Idec","59627000205","59627-0002-05","Avonex","11 MCG",1,4,3,12,,
"Q3027","Inj beta interferon im 1 mcg","Biogen Idec","59627000205","59627-0002-05","Avonex","1 MCG",1,4,30,120,,
"Q3025","IM inj interferon beta 1-a","Biogen Idec","59627000304","59627-0003-04","Avonex","11 MCG",0.5,4,3,12,,
"Q3027","Inj beta interferon im 1 mcg","Biogen Idec","59627000304","59627-0003-04","Avonex","1 MCG",0.5,4,30,120,,
"J0215","Alefacept","BIOGEN IDEC","59627002001","59627-0020-01","Amevive","0.5 MG",4,1,60,60,,
"J0215","Alefacept","BIOGEN IDEC","59627002002","59627-0020-02","Amevive","0.5 MG",1,1,15,15,,
"J0215","Alefacept","ASTELLAS PHARMA US, INC.","59627002103","59627-0021-03","Amevive","0.5 MG",1,4,30,120,,
"J0215","Alefacept","ASTELLAS PHARMA US, INC.","59627002104","59627-0021-04","Amevive","0.5 MG",1,1,30,30,,
"Q3027","Inj beta interferon im 1 mcg","Biogen","59627011103","59627-0111-03","Avonex","1 MCG",1,4,30,120,,
"Q3027","Inj beta interferon im 1 mcg","Biogen","59627022205","59627-0222-05","Avonex","1 MCG",1,4,30,120,,
"Q3027","Inj beta interferon im 1 mcg","Biogen","59627033304","59627-0333-04","AVONEX PEN","1 MCG",1,4,30,120,,
"J1267","Doripenem injection","Shionogi Inc","59630030910","59630-0309-10","DORIBAX","10 MG",1,10,25,250,,
"J1267","Doripenem injection","Shionogi Inc","59630032010","59630-0320-10","DORIBAX","10 MG",1,10,50,500,,
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676030201","59676-0302-01","Procrit",,1,6,12,2,,"1000 UNITS"
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676030202","59676-0302-02","Procrit",,1,25,50,2,,"1000 UNITS"
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676030301","59676-0303-01","Procrit",,1,6,18,3,,"1000 UNITS"
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676030302","59676-0303-02","Procrit",,1,25,75,3,,"1000 UNITS"
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676030401","59676-0304-01","Procrit",,1,6,24,4,,"1000 UNITS"
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676030402","59676-0304-02","Procrit",,1,25,100,4,,"1000 UNITS"
"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","ORTHO BIOTECH","59676031000","59676-0310-00","Procrit","1000 UNITS",1,1,10,100,,
"J0886","Epoetin alfa 1000 units ESRD","ORTHO BIOTECH","59676031000","59676-0310-00","Procrit","1000 UNITS",1,1,10,100,,
"Q4081","Epoetin alfa, 100 units ESRD","ORTHO BIOTECH","59676031000","59676-0310-00","Procrit","100 UNITS",1,1,100,100,,
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676031001","59676-0310-01","Procrit",,1,6,60,10,,"1000 UNITS"
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676031002","59676-0310-02","Procrit",,1,25,250,10,,"1000 UNITS"
"Q4081","Epoetin alfa, 100 units esrd","Janssen Products, LP","59676031002","59676-0310-02","Procrit","100 UNITS",1,25,100,2500,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676031200","59676-0312-00","Procrit",,2,6,120,20,,"1000 UNITS"
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676031201","59676-0312-01","Procrit",,2,6,120,20,,"1000 UNITS"
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676032001","59676-0320-01","Procrit",,1,6,120,20,,"1000 UNITS"
"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,,
"Q0136","Non esrd epoetin alpha inj","ORTHO BIOTECH","59676034001","59676-0340-01","Procrit",,1,4,160,40,,"1000 UNITS"
"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 Synthes Sales, Inc.","59676036001","59676-0360-01","Orthovisc","per dose",2,1,1,1,,
"Q4086","Orthovisc, inj","DEPUY MITEK","59676036001","59676-0360-01","Orthovisc","PER DOSE",2,1,1,1,,
"C9480","Injection, trabectedin","Janssen Products, LP","59676061001","59676-0610-01","YONDELIS","0.1 MG",1,1,10,10,,
"J9352","Injection trabectedin 0.1mg","Janssen Products, LP","59676061001","59676-0610-01","YONDELIS","0.1 MG",1,1,10,10,,
"J7327","Monovisc inj per dose","Depuy Synthes Sales, Inc.","59676082001","59676-0820-01","Monovisc","per dose",1,1,1,1,,
"J9001","Doxorubicin hcl liposome inj","Janssen Products, LP","59676096001","59676-0960-01","DOXIL","10 MG",10,1,2,2,,
"J9002","Doxil injection","Janssen Products, LP","59676096001","59676-0960-01","Doxil","10 MG",10,1,2,2,,
"Q2048","Doxil injection","Janssen Products, LP","59676096001","59676-0960-01","Doxil","10 MG",10,1,2,2,,
"Q2050","Doxorubicin inj 10mg","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,,
"J9002","Doxil injection","Janssen Products, LP","59676096002","59676-0960-02","Doxil","10 MG",25,1,5,5,,
"Q2048","Doxil injection","Janssen Products, LP","59676096002","59676-0960-02","Doxil","10 MG",25,1,5,5,,
"Q2050","Doxorubicin inj 10mg","Janssen Products, LP","59676096002","59676-0960-02","Doxil","10 MG",25,1,5,5,,
"Q2050","Doxorubicin inj 10mg","PATRIOT PHARMACEUTICALS LLC","59676096601","59676-0966-01","Doxorubicin Hcl, Liposomal,","10 MG",10,1,2,2,,
"Q2050","Doxorubicin inj 10mg","PATRIOT PHARMACEUTICALS LLC","59676096602","59676-0966-02","Doxorubicin Hcl, Liposomal,","10 MG",25,1,5,5,,
"90371","Hep b ig im","Biotest Pharmaceuticals Corporation","59730420201","59730-4202-01","Nabi-Hb","1 ML",1,1,1,1,,
"90371","Hep b ig im","Biotest Pharmaceuticals Corporation","59730420301","59730-4203-01","Nabi-Hb","1 ML",5,1,5,5,,
"90371","Hep b ig, im","NABI (NORTH AMERICAN BIO, INC)","59730420401","59730-4204-01","H-Big","1 ML",5,1,5,5,,
"90371","Hep b ig, im","NABI (NORTH AMERICAN BIO, INC)","59730420501","59730-4205-01","Novaplus Nabi-Hb","1 ML",5,1,5,5,,
"J7198","Anti-inhibitor","NABI (NORTH AMERICAN BIO, INC)","59730605907","59730-6059-07","Autoplex T","1 IU",1,1,1,1,,
"C9130","Injection, IVIG Bivigam","Biotest Pharmaceuticals Corporation","59730650201","59730-6502-01","BIVIGAM","500 MG",50,1,10,10,,
"J1556","Inj, imm glob bivigam, 500mg","Biotest Pharmaceuticals Corporation","59730650201","59730-6502-01","BIVIGAM","500 MG",50,1,10,10,,
"C9130","Injection, IVIG Bivigam","Biotest Pharmaceuticals Corporation","59730650301","59730-6503-01","BIVIGAM","500 MG",100,1,20,20,,
"J1556","Inj, imm glob bivigam, 500mg","Biotest Pharmaceuticals Corporation","59730650301","59730-6503-01","BIVIGAM","500 MG",100,1,20,20,,
"J7509","Methylprednisolone oral","TRIGEN LABS","59746000103","59746-0001-03","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7509","Methylprednisolone oral","TRIGEN LABS","59746000106","59746-0001-06","Methylprednisolone (Pak)","4 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","TRIGEN LABS","59746000109","59746-0001-09","Methylprednisolone (Pak)","4 MG",500,1,500,500,,
"J7509","Methylprednisolone oral","TRIGEN LABS","59746000204","59746-0002-04","Methylprednisolone","4 MG",21,1,42,42,,
"J7509","Methylprednisolone oral","TRIGEN LABS","59746000206","59746-0002-06","Methylprednisolone","4 MG",100,1,200,200,,
"Q0164","Prochlorperazine maleate 5mg","TRIGEN LABS","59746011306","59746-0113-06","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"Q0164","Prochlorperazine maleate 5mg","TRIGEN LABS","59746011310","59746-0113-10","Prochlorperazine Maleate","5 MG",1000,1,1000,1000,,
"Q0165","Prochlorperazine maleate10mg","TRIGEN LABS","59746011506","59746-0115-06","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"Q0165","Prochlorperazine maleate10mg","TRIGEN LABS","59746011510","59746-0115-10","Prochlorperazine Maleate","10 MG",1000,1,1000,1000,,
"J7506","Prednisone oral","Trigen Labs","59746017106","59746-0171-06","Prednisone","5 MG",,1,21,21,,
"J7506","Prednisone oral","Trigen Labs","59746017110","59746-0171-10","Prednisone","5 MG",,1,4000,4000,,
"J7509","Methylprednisolone oral","GREENSTONE","59762004901","59762-0049-01","Methylprednisolone","4 MG",25,1,50,50,,
"J7509","Methylprednisolone oral","GREENSTONE","59762005001","59762-0050-01","Methylprednisolone","4 MG",50,1,200,200,,
"J7509","Methylprednisolone oral","GREENSTONE","59762005101","59762-0051-01","Methylprednisolone","4 MG",25,1,200,200,,
"J8515","Cabergoline, oral 0.25mg","GREENSTONE LIMITED","59762010001","59762-0100-01","CABERGOLINE",,,1,400,400,,"0.25 MG"
"J7517","Mycophenolate mofetil oral","GREENSTONE","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","GREENSTONE","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,,
"J7520","Sirolimus, oral","GREENSTONE","59762100101","59762-1001-01","SIROLIMUS","1 MG",100,1,50,50,,
"J7520","Sirolimus, oral","GREENSTONE","59762100201","59762-1002-01","SIROLIMUS","1 MG",100,1,100,100,,
"J7520","Sirolimus, oral","GREENSTONE","59762100301","59762-1003-01","SIROLIMUS","1 MG",100,1,200,200,,
"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,,
"Q0162","Ondansetron oral","Pfizer, Inc.","59762299001","59762-2990-01","Ondansetron Hydrochloride Tablets 4mg","1 MG",1,30,4,120,,
"Q0162","Ondansetron oral","Pfizer, Inc.","59762299002","59762-2990-02","Ondansetron Hydrochloride Tablets 4mg","1 MG",1,500,4,2000,,
"Q0162","Ondansetron oral","Pfizer, Inc.","59762299301","59762-2993-01","Ondansetron Hydrochloride Tablets 8mg","1 MG",1,30,8,240,,
"Q0162","Ondansetron oral","Pfizer, Inc.","59762299302","59762-2993-02","Ondansetron Hydrochloride Tablets 8mg","1 MG",1,500,8,4000,,
"J7509","Methylprednisolone oral","PFIZER","59762332701","59762-3327-01","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7509","Methylprednisolone oral","GREENSTONE","59762332702","59762-3327-02","Methylprednisolone","4 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","GREENSTONE","59762444003","59762-4440-03","Methylprednisolone","4 MG",100,1,100,100,,
"J1450","Fluconazole","GREENSTONE","59762503402","59762-5034-02","Fluconazole In Sodium Chloride","200 MG",100,6,1,6,,
"J1450","Fluconazole","GREENSTONE","59762503502","59762-5035-02","Fluconazole In Sodium Chloride","200 MG",200,6,2,12,,
"J1450","Fluconazole","GREENSTONE","59762503602","59762-5036-02","Fluconazole In Dextrose","200 MG",100,6,1,6,,
"J1450","Fluconazole","GREENSTONE","59762503702","59762-5037-02","Fluconazole In Dextrose","200 MG",200,6,2,12,,
"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,,
"Q4075","Acyclovir, 5 mg","ESI LEDERLE GENERICS","59911246302","59911-2463-02","Acyclovir Sodium",,100,1,1000,100,,"5 MG"
"Q4075","Acyclovir, 5 mg","ESI LEDERLE GENERICS","59911246402","59911-2464-02","Acyclovir Sodium",,200,1,1000,100,,"5 MG"
"Q4075","Acyclovir, 5 mg","ESI LEDERLE GENERICS","59911246502","59911-2465-02","Acyclovir Sodium",,1,10,1000,100,,"5 MG"
"Q4075","Acyclovir, 5 mg","ESI LEDERLE GENERICS","59911246602","59911-2466-02","Acyclovir Sodium",,1,10,2000,200,,"5 MG"
"J0295","Ampicillin sodium per 1.5 gm","BAXTER MEDICATION DELIVERY","59911590001","59911-5900-01","Ampicillin-Sulbactam",,1,1,10,10,,"1.5 GM"
"J0295","Ampicillin sodium per 1.5 gm","BAXTER MEDICATION DELIVERY","59911590102","59911-5901-02","Ampicillin-Sulbactam",,1,10,10,1,,"1.5 GM"
"J0295","Ampicillin sodium per 1.5 gm","BAXTER MEDICATION DELIVERY","59911590202","59911-5902-02","Ampicillin-Sulbactam",,1,10,20,2,,"1.5 GM"
"J2260","Inj milrinone lactate / 5 MG","ESI LEDERLE GENERICS","59911590702","59911-5907-02","Milrinone In Dextrose","5 MG",100,10,4,40,,
"J7613","Albuterol non-comp unit dose1","WARRICK PHARMACEUTICALS","59930151701","59930-1517-01","Albuterol Sulfate","1 MG",3,24,2.5,60,,
"Q4094","Albuterol inh non-comp u d ","WARRICK PHARMACEUTICALS","59930151701","59930-1517-01","Albuterol Sulfate","1 MG",3,24,2.5,60,,
"J7613","Albuterol non-comp unit dose1","WARRICK PHARMACEUTICALS","59930151702","59930-1517-02","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"Q4094","Albuterol inh non-comp u d ","WARRICK PHARMACEUTICALS","59930151702","59930-1517-02","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7611","Albuterol non-comp con1","WARRICK PHARMACEUTICALS","59930164702","59930-1647-02","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","WARRICK PHARMACEUTICALS","59930164702","59930-1647-02","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","NEIL LABS","60242020201","60242-0202-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","NEIL LABS","60242020210","60242-0202-10","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"Q0163","Diphenhydramine HCl 50mg","NEIL LABS","60242202001","60242-2020-01","Diphenhydramine Hcl","50 MG",1,1,1,1,,
"Q0163","Diphenhydramine HCl 50mg","NEIL LABS","60242202010","60242-2020-10","Diphenhydramine Hcl","50 MG",1,1,1,1,,
"J7346","Injectable human tissue","LIFECELL","603010","603010","Cymetra","1 CC",1,1,1,1,,
"J7350","Injectable human tissue","LIFECELL","603010","603010","Cymetra","10 MG",1,1,33,33,,
"Q4112","Cymetra allograft","LIFECELL","603010","603010","Cymetra","1 CC",1,1,1,1,,
"J7350","Injectable human tissue","LIFECELL","60301010","60301-0-10","Cymetra",,1,1,33,33,,"10 MG"
"J7346","Injectable human tissue","LIFECELL","603020","603020","Cymetra","1 CC",1,1,2,2,,
"J7350","Injectable human tissue","LIFECELL","603020","603020","Cymetra","10 MG",1,1,66,66,,
"Q4112","Cymetra injectable","LifeCell Corporation","603020","603020","Cymetra","1 CC",2,1,2,2,,
"J7506","Prednisone oral","QUALITY CARE","60346005812","60346-0058-12","Prednisone","5 MG",12,1,24,24,,
"J7506","Prednisone oral","QUALITY CARE","60346005815","60346-0058-15","Prednisone","5 MG",15,1,30,30,,
"J7506","Prednisone oral","QUALITY CARE","60346005818","60346-0058-18","Prednisone","5 MG",18,1,36,36,,
"J7506","Prednisone oral","QUALITY CARE","60346005820","60346-0058-20","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","QUALITY CARE","60346005821","60346-0058-21","Prednisone","5 MG",21,1,42,42,,
"J7506","Prednisone oral","QUALITY CARE","60346005827","60346-0058-27","Prednisone","5 MG",27,1,54,54,,
"J7506","Prednisone oral","QUALITY CARE","60346005830","60346-0058-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","QUALITY CARE","60346005840","60346-0058-40","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","QUALITY CARE","60346005850","60346-0058-50","Prednisone","5 MG",50,1,100,100,,
"J7506","Prednisone oral","QUALITY CARE","60346005854","60346-0058-54","Prednisone","5 MG",54,1,108,108,,
"J7506","Prednisone oral","QUALITY CARE","60346005860","60346-0058-60","Prednisone","5 MG",60,1,120,120,,
"J7506","Prednisone oral","QUALITY CARE","60346005890","60346-0058-90","Prednisone","5 MG",90,1,180,180,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","60346008510","60346-0085-10","Promethazine Hcl","25 MG",10,1,10,10,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","60346008512","60346-0085-12","Promethazine Hcl","25 MG",12,1,12,12,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","60346008520","60346-0085-20","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","60346008530","60346-0085-30","Promethazine Hcl","25 MG",30,1,30,30,,
"Q0170","Promethazine HCl 25 mg oral","QUALITY CARE","60346008560","60346-0085-60","Promethazine Hcl","25 MG",60,1,60,60,,
"J7506","Prednisone oral","QUALITY CARE","60346009409","60346-0094-09","Prednisone","5 MG",9,1,36,36,,
"J7506","Prednisone oral","QUALITY CARE","60346009410","60346-0094-10","Prednisone","5 MG",10,1,40,40,,
"J7506","Prednisone oral","QUALITY CARE","60346009412","60346-0094-12","Prednisone","5 MG",12,1,48,48,,
"J7506","Prednisone oral","QUALITY CARE","60346009415","60346-0094-15","Prednisone","5 MG",15,1,60,60,,
"J7506","Prednisone oral","QUALITY CARE","60346009418","60346-0094-18","Prednisone","5 MG",18,1,72,72,,
"J7506","Prednisone oral","QUALITY CARE","60346009420","60346-0094-20","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","QUALITY CARE","60346009424","60346-0094-24","Prednisone","5 MG",24,1,96,96,,
"J7506","Prednisone oral","QUALITY CARE","60346009425","60346-0094-25","Prednisone","5 MG",25,1,100,100,,
"J7506","Prednisone oral","QUALITY CARE","60346009430","60346-0094-30","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","QUALITY CARE","60346009440","60346-0094-40","Prednisone","5 MG",40,1,160,160,,
"J7506","Prednisone oral","QUALITY CARE","60346009490","60346-0094-90","Prednisone","5 MG",90,1,360,360,,
"J7506","Prednisone oral","QUALITY CARE","60346024904","60346-0249-04","Liquid Pred","5 MG",120,1,24,24,,
"Q0165","Prochlorperazine maleate10mg","QUALITY CARE","60346043410","60346-0434-10","Compazine","10 MG",10,1,10,10,,
"J7506","Prednisone oral","QUALITY CARE","60346051508","60346-0515-08","Prednisone","5 MG",8,1,8,8,,
"J7506","Prednisone oral","QUALITY CARE","60346051512","60346-0515-12","Prednisone","5 MG",12,1,12,12,,
"J7506","Prednisone oral","QUALITY CARE","60346051520","60346-0515-20","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","QUALITY CARE","60346051521","60346-0515-21","Prednisone","5 MG",21,1,21,21,,
"J7506","Prednisone oral","QUALITY CARE","60346051530","60346-0515-30","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","QUALITY CARE","60346051536","60346-0515-36","Prednisone","5 MG",36,1,36,36,,
"J7506","Prednisone oral","QUALITY CARE","60346051540","60346-0515-40","Prednisone","5 MG",40,1,40,40,,
"J7506","Prednisone oral","QUALITY CARE","60346051550","60346-0515-50","Prednisone","5 MG",50,1,50,50,,
"J7506","Prednisone oral","QUALITY CARE","60346051555","60346-0515-55","Prednisone","5 MG",55,1,55,55,,
"J7506","Prednisone oral","QUALITY CARE","60346051560","60346-0515-60","Prednisone","5 MG",60,1,60,60,,
"J7506","Prednisone oral","QUALITY CARE","60346051575","60346-0515-75","Prednisone","5 MG",75,1,75,75,,
"J7506","Prednisone oral","QUALITY CARE","60346051590","60346-0515-90","Prednisone","5 MG",90,1,90,90,,
"J7509","Methylprednisolone oral","QUALITY CARE","60346060810","60346-0608-10","Methylprednisolone","4 MG",10,1,10,10,,
"J7509","Methylprednisolone oral","QUALITY CARE","60346060820","60346-0608-20","Methylprednisolone","4 MG",20,1,20,20,,
"J7509","Methylprednisolone oral","QUALITY CARE","60346060844","60346-0608-44","Methylprednisolone","4 MG",4,1,4,4,,
"Q0169","Promethazine HCl 12.5mg oral","QUALITY CARE","60346071206","60346-0712-06","Phenergan","12.5 MG",6,1,6,6,,
"Q0169","Promethazine HCl 12.5mg oral","QUALITY CARE","60346071212","60346-0712-12","Phenergan","12.5 MG",12,1,12,12,,
"Q0169","Promethazine HCl 12.5mg oral","QUALITY CARE","60346071244","60346-0712-44","Phenergan","12.5 MG",4,1,4,4,,
"J7506","Prednisone oral","QUALITY CARE","60346072140","60346-0721-40","Deltasone","5 MG",40,1,80,80,,
"Q0165","Prochlorperazine maleate10mg","QUALITY CARE","60346086010","60346-0860-10","Compazine","10 MG",10,1,10,10,,
"Q0165","Prochlorperazine maleate10mg","QUALITY CARE","60346086015","60346-0860-15","Compazine","10 MG",15,1,15,15,,
"Q0165","Prochlorperazine maleate10mg","QUALITY CARE","60346086025","60346-0860-25","Compazine","10 MG",25,1,25,25,,
"Q0165","Prochlorperazine maleate10mg","QUALITY CARE","60346086030","60346-0860-30","Compazine","10 MG",30,1,30,30,,
"J7502","Cyclosporine oral 100 mg","Morton Grove Pharm.","60432014050","60432-0140-50","Cyclosporine","100 MG",50,1,50,50,,
"J7631","Cromolyn sodium inh sol u d","APOTHECON","60432015706","60432-0157-06","Cromolyn Sodium","10 MG",2,60,2,120,,
"J7631","Cromolyn sodium inh sol u d","APOTHECON","60432015721","60432-0157-21","Cromolyn Sodium","10 MG",2,120,2,240,,
"J8540","Oral dexamethasone","Morton Grove Pharm.","60432046608","60432-0466-08","DEXAMETHASONE","0.25 MG",237,1,94.8,94.8,,
"Q0169","Promethazine hcl 12.5mg oral","Morton Grove Pharm.","60432060804","60432-0608-04","Promethazine Hcl","12.5 MG",120,1,12,12,,
"Q0170","Promethazine HCl 25 mg oral","Morton Grove Pharm.","60432060804","60432-0608-04","Promethazine Hcl","25 MG",120,1,6,6,,
"J2792","Rho(D) immune globulin h, sd","NABI (NORTH AMERICAN BIO, INC)","60492002101","60492-0021-01","Winrho Sdf","100 IU",1,1,6,6,,
"J2790","Rho d immune globulin inj","NABI (NORTH AMERICAN BIO, INC)","60492002301","60492-0023-01","Winrho Sdf",,1,1,1,1,,"300 MCG"
"J2792","Rho(D) immune globulin h, sd","NABI (NORTH AMERICAN BIO, INC)","60492002301","60492-0023-01","Winrho Sdf","100 IU",1,1,15,15,,
"J2790","Rho d immune globulin inj","NABI (NORTH AMERICAN BIO, INC)","60492002401","60492-0024-01","Winrho Sdf",,1,1,3.33,3.33,,"300 MCG"
"J2792","Rho(D) immune globulin h, sd","NABI (NORTH AMERICAN BIO, INC)","60492002401","60492-0024-01","Winrho Sdf","100 IU",1,1,50,50,,
"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,,
"Q4090","HepaGam B IM Injection","APOTEX","60492005101","60492-0051-01","HepaGam B IM","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,,
"Q4090","HepaGam B IM Injection","APOTEX","60492005201","60492-0052-01","HepaGam B IM","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,,
"J7515","Cyclosporine oral 25 mg","APOTEX","60505013300","60505-0133-00","Cyclosporine","25 MG",30,1,30,30,,
"J7502","Cyclosporine oral 100 mg","APOTEX","60505013400","60505-0134-00","Cyclosporine","100 MG",30,1,30,30,,
"J2440","Papaverin hcl injection","APOTEX","60505065301","60505-0653-01","Papaverine Hcl",,,,,,,"60 MG"
"J2270","Morphine sulfate injection","APOTEX","60505065500","60505-0655-00","Morphine Sulfate",,,,,,,"10 MG"
"J2271","Morphine so4 injection 100mg","APOTEX CORP.","60505065500","60505-0655-00","Morphine Sulfate","100 MG",10,1,2.5,2.5,,
"J2270","Morphine sulfate injection","APOTEX","60505065501","60505-0655-01","Morphine Sulfate",,,,,,,"10 MG"
"J2271","Morphine so4 injection 100mg","APOTEX CORP.","60505065501","60505-0655-01","Morphine Sulfate","100 MG",20,1,5,5,,
"J2270","Morphine sulfate injection","APOTEX","60505065502","60505-0655-02","Morphine Sulfate",,,,,,,"10 MG"
"J2271","Morphine so4 injection 100mg","APOTEX CORP.","60505065502","60505-0655-02","Morphine Sulfate","100 MG",40,1,10,10,,
"J2270","Morphine sulfate injection","APOTEX","60505065600","60505-0656-00","Morphine Sulfate",,,,,,,"10 MG"
"J2271","Morphine so4 injection 100mg","APOTEX CORP.","60505065600","60505-0656-00","Morphine Sulfate","100 MG",20,1,10,10,,
"J2270","Morphine sulfate injection","APOTEX","60505065601","60505-0656-01","Morphine Sulfate",,,,,,,"10 MG"
"J2271","Morphine so4 injection 100mg","APOTEX CORP.","60505065601","60505-0656-01","Morphine Sulfate","100 MG",40,1,20,20,,
"J2270","Morphine sulfate injection","APOTEX","60505065602","60505-0656-02","Morphine Sulfate",,,,,,,"10 MG"
"J2271","Morphine so4 injection 100mg","APOTEX CORP.","60505065602","60505-0656-02","Morphine Sulfate","100 MG",50,1,25,25,,
"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","60505070500","60505-0705-00","Ketorolac Tromethamine","15 MG",1,25,1,25,,
"J1885","Ketorolac tromethamine inj","APOTEX","60505070600","60505-0706-00","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J1885","Ketorolac tromethamine inj","APOTEX","60505070601","60505-0706-01","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"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,,
"J1245","Dipyridamole injection","APOTEX","60505071500","60505-0715-00","Dipyridamole","10 MG",2,25,1,25,,
"J1245","Dipyridamole injection","APOTEX","60505071501","60505-0715-01","Dipyridamole","10 MG",10,10,5,50,,
"J0282","Amiodarone HCl","APOTEX","60505072200","60505-0722-00","Amiodarone Hcl","30 MG",3,10,5,50,,
"J2405","Ondansetron hcl injection","APOTEX USA","60505074401","60505-0744-01","ONDANSETRON HCL","1 MG",2,5,4,20,,
"J2405","Ondansetron hcl injection","APOTEX USA","60505074406","60505-0744-06","ONDANSETRON HCL","1 MG",20,1,40,40,,
"Q2009","Fosphenytoin inj PE","APOTEX USA","60505074605","60505-0746-05","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,1,2,2,,
"J1626","Granisetron hcl injection","APOTEX USA","60505076402","60505-0764-02","Granisetron HCl","100 MCG",1,5,1,5,,
"Q2009","Fosphenytoin inj PE","APOTEX USA","60505076504","60505-0765-04","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,1,10,10,,
"J7631","Cromolyn sodium noncomp unit","Apotex Corp.","60505080201","60505-0802-01","Cromolyn Sodium","10 MG",2,60,2,120,,
"J7631","Cromolyn sodium inh sol u d","APOTEX","60505080202","60505-0802-02","Cromolyn Sodium","10 MG",2,120,2,240,,
"J7644","Ipratropium bromide non-comp","Apotex Corp.","60505080601","60505-0806-01","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7669","Metaproterenol non-comp unit dose","APOTEX","60505080701","60505-0807-01","Metaproterenol Sulfate","10 MG",2.5,25,1,25,,
"J7669","Metaproterenol non-comp unit dose","APOTEX","60505080801","60505-0808-01","Metaproterenol Sulfate","10 MG",2.5,25,1.5,37.5,,
"J0595","Butorphanol tartrate 1 mg","APOTEX","60505081301","60505-0813-01","Butorphanol Tartrate","1 MG",2.5,1,25,25,,
"J7517","Mycophenolate mofetil oral","APOTEX CORP.","60505296701","60505-2967-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200,,
"J7517","Mycophenolate mofetil oral","APOTEX CORP.","60505296705","60505-2967-05","MYCOPHENOLATE MOFETIL","250 mg",1,500,1000,1000,,
"J7517","Mycophenolate mofetil oral","APOTEX CORP.","60505296707","60505-2967-07","MYCOPHENOLATE MOFETIL","250 mg",1,3500,7000,7000,,
"J7517","Mycophenolate mofetil oral","APOTEX CORP.","60505296801","60505-2968-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,100,100,,
"J7517","Mycophenolate mofetil oral","APOTEX CORP.","60505296805","60505-2968-05","MYCOPHENOLATE MOFETIL","250 mg",1,500,500,500,,
"J0694","Cefoxitin sodium injection","APOTEX CORP.","60505602505","60505-6025-05","Cefoxitin Sodium","1 GM",25,1,25,25,,
"J0694","Cefoxitin sodium injection","APOTEX CORP.","60505602605","60505-6026-05","Cefoxitin Sodium","1 GM",25,1,50,50,,
"J0692","Cefepime HCl for injection","APOTEX CORP.","60505603004","60505-6030-04","Maxipime","500 MG",1,10,2,20,,
"J0692","Cefepime HCl for injection","APOTEX CORP.","60505603104","60505-6031-04","Maxipime","500 MG",1,10,4,40,,
"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,,
"J0456","Azithromycin","APOTEX CORP.","60505607604","60505-6076-04","AZITHROMYCIN","500 MG",1,10,1,10,,
"J9017","Arsenic trioxide","Cephalon, Inc.","60553011110","60553-0111-10","Trisenox","1 MG",10,10,10,100,,
"J1565","RSV-ivig","MEDIMMUNE","60574210101","60574-2101-01","Respigam","50 MG",50,1,50,50,,
"J0850","Cytomegalovirus imm IV /vial","MEDIMMUNE","60574310101","60574-3101-01","Cytogam","PER VIAL",50,1,1,1,,
"90378","Rsv ig, im, 50mg","MEDIMMUNE","60574411101","60574-4111-01","Synagis",,1,1,2,2,,"50 MG"
"C9003","Palivizumab, per 50 mg","MEDIMMUNE","60574411101","60574-4111-01","Synagis","50 MG",1,1,2,2,,
"90378","Rsv ig, im, 50mg","MEDIMMUNE","60574411201","60574-4112-01","Synagis",,1,1,1,1,,"50 MG"
"C9003","Palivizumab, per 50 mg","MEDIMMUNE","60574411201","60574-4112-01","Synagis","50 MG",1,1,1,1,,
"C9003","Palivizumab, per 50 mg","MEDIMMUNE","60574411301","60574-4113-01","Synagis","50 MG",1,1,2,2,,
"C9003","Palivizumab, per 50 mg","MEDIMMUNE","60574411401","60574-4114-01","Synagis","50 MG",1,1,1,1,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","606004104","606-004-104","SurgiMend","0.5 SQ CM",225,1,225,225,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","606200002","606-200-002","SurgiMend ","0.5 SQ CM",30,1,30,30,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","606300019","606-300-019","SurgiMend ","0.5 SQ CM",400,1,400,400,,
"J7512","Prednisone ir or dr oral 1mg","American Health Packaging","60687012201","60687-0122-01","Prednisone","1 MG",100,1,500,500,,
"J7512","Prednisone ir or dr oral 1mg","American Health Packaging","60687013401","60687-0134-01","Prednisone","1 MG",100,1,1000,1000,,
"J7512","Prednisone ir or dr oral 1mg","American Health Packaging","60687014501","60687-0145-01","PREDNISONE","1 MG",100,1,2000,2000,,
"J8521","Capecitabine, oral, 500 mg","American Health Packaging","60687014994","60687-0149-94","CAPECITABINE","500 MG",20,1,20,20,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","607001112","607-001-112","PriMatrix","1 SQ CM",120,1,120,120,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","607005330","607-005-330","PriMatrix ","1 SQ CM",9,1,9,9,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","607005550","607-005-550","PriMatrix","1 SQ CM",25,1,25,25,,
"J7506","Prednisone oral","ST MARY'S MPP","60760000221","60760-0002-21","Prednisone","5 MG",21,1,84,84,,
"J7506","Prednisone oral","ST MARY'S MPP","60760013830","60760-0138-30","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","ST MARY'S MPP","60760063028","60760-0630-28","Prednisone","5 MG",28,1,56,56,,
"J7631","Cromolyn sodium inh sol u d","KING PHARM","60793001012","60793-0010-12","INTAL","10 MG",2,120,2,240,,
"J7631","Cromolyn sodium noncomp unit","KING PHARM","60793001060","60793-0010-60","INTAL","10 MG",2,60,2,120,,
"J2510","Penicillin g procaine inj","PFIZER INC.","60793013010","60793-0130-10","Penicillin G Procaine","up to 600000 UNITS",1,10,1,10,,
"J2510","Penicillin g procaine inj","PFIZER INC.","60793013110","60793-0131-10","Penicillin G Procaine","up to 600000 UNITS",2,10,2,20,,
"J0540","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","60793060010","60793-0600-10","BICILLIN C-R"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","60793060010","60793-0600-10","BICILLIN C-R"," UP TO 2400000 UNITS",2,10,1,10,,
"J0558","Peng benzathine/procaine inj","PFIZER INC.","60793060010","60793-0600-10","BICILLIN C-R","100,000 UNITS",2,10,12,120,,
"J0559","PenG benzathine/procaine inj","KING PHARMACEUTICALS","60793060010","60793-0600-10","BICILLIN C-R"," 2500 UNITS",2,10,480,4800,,
"J0540","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","60793060110","60793-0601-10","Bicillin CR Pediatric"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","60793060110","60793-0601-10","Bicillin CR Pediatric"," UP TO 2400000 UNITS",2,10,1,10,,
"J0558","Peng benzathine/procaine inj","PFIZER INC.","60793060110","60793-0601-10","Bicillin CR Pediatric","100,000 UNITS",2,10,12,120,,
"J0559","PenG benzathine/procaine inj","KING PHARMACEUTICALS","60793060110","60793-0601-10","Bicillin CR Pediatric"," 2500 UNITS",2,10,480,4800,,
"J0540","Penicillin g benzathine inj","Monarch Pharmaceuticals, Inc.","60793060210","60793-0602-10","BICILLIN C-R"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","Monarch Pharmaceuticals, Inc.","60793060210","60793-0602-10","BICILLIN C-R"," UP TO 2400000 UNITS",2,10,1,10,,
"J0558","Peng benzathine/procaine inj","PFIZER INC.","60793060210","60793-0602-10","BICILLIN C-R","100,000 UNITS",2,10,12,120,,
"J0559","PenG benzathine/procaine inj","KING PHARMACEUTICALS","60793060210","60793-0602-10","BICILLIN C-R"," 2500 UNITS",2,10,480,4800,,
"J0560","Penicillin g benzathine inj","KING PHARMA","60793070010","60793-0700-10","Bicillin L-A","600000 UNITS",1,10,1,10,,
"J0561","Penicillin g benzathine inj","PFIZER INC.","60793070010","60793-0700-10","Bicillin L-A","100,000 UNITS",1,10,6,60,,
"J0561","Penicillin g benzathine inj","PFIZER INC.","60793070110","60793-0701-10","Bicillin L-A","100,000 UNITS",2,10,12,120,,
"J0570","Penicillin g benzathine inj","KING PHARMA","60793070110","60793-0701-10","Bicillin L-A","up to 1200000 UNITS",2,10,1,10,,
"J0580","Penicillin g benzathine inj","KING PHARMA","60793070110","60793-0701-10","Bicillin L-A","up to 2400000 UNITS",2,10,1,10,,
"J0561","Penicillin g benzathine inj","PFIZER INC.","60793070210","60793-0702-10","Bicillin L-A","100,000 UNITS",4,10,24,240,,
"J0580","Penicillin g benzathine inj","KING PHARMA","60793070210","60793-0702-10","Bicillin L-A","up to 2400000 UNITS",4,10,1,10,,
"J2507","Pegloticase injection","Crealta","60809080101","60809-0801-01","Krystexxa","1 MG",1,1,8,8,,
"J9390","Vinorelbine tartrate/10 mg","PIERRE FABRE PHARMACEUTICALS","60831030861","60831-0308-61","Navelbine","10 MG",1,10,1,1,,
"J9390","Vinorelbine tartrate/10 mg","PIERRE FABRE PHARMACEUTICALS","60831030862","60831-0308-62","Navelbine","10 MG",5,10,5,5,,
"J9390","Vinorelbine tartrate/10 mg","PIERRE FABRE PHARMACEUTICALS","60831308601","60831-3086-01","NAVELBINE",,,,,,,"10 MG"
"J9390","Vinorelbine tartrate/10 mg","PIERRE FABRE PHARMACEUTICALS","60831308602","60831-3086-02","NAVELBINE",,,,,,,"10 MG"
"J7506","Prednisone oral","HORIZON PHARMACEUTICAL","60904028620","60904-0286-20","Prednisone (Pak)","5 MG",21,1,21,21,,
"C9484","Injection, eteplirsen","Sarepta Therapeutics","60923028410","60923-0284-10","EXONDYS 51 10mL","10 MG",10,1,50,50,,
"C9484","Injection, eteplirsen","Sarepta Therapeutics","60923036302","60923-0363-02","EXONDYS 51","10 MG",2,1,10,10,,
"J7517","Mycophenolate mofetil oral","ENDO PHARMACEUTICALS","60951073570","60951-0735-70","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200,,
"J7517","Mycophenolate mofetil oral","ENDO PHARMACEUTICALS","60951073585","60951-0735-85","MYCOPHENOLATE MOFETIL","250 mg",1,500,1000,1000,,
"J7500","Azathioprine oral 50mg","PROMETHEUS","60976059755","60976-0597-55","Imuran","50 MG",100,1,100,100,,
"J7501","Azathioprine parenteral","PROMETHEUS","60976059871","60976-0598-71","Imuran","100 MG",1,1,1,1,,
"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,,
"J2270","Morphine sulfate injection","BAXTER","60977001703","60977-0017-03","Duramorph","10 MG",10,10,10,100,,
"J2275","Morphine sulfate injection","BAXTER","60977001703","60977-0017-03","Duramorph","10 MG",10,10,1,10,,
"J1620","Gonadorelin hydroch/ 100 mcg","BAXTER","60977010393","60977-0103-93","Factrel","100 MCG",1,1,1,1,,
"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","BAXTER","60977011271","60977-0112-71","Ativan","2 MG",10,1,10,10,,
"J2060","Lorazepam injection","BAXTER","60977011281","60977-0112-81","Ativan","2 MG",1,1,1,1,,
"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,,
"J2270","Morphine sulfate injection","BAXTER","60977011401","60977-0114-01","Infumorph 200",,20,1,20,20,,"10 MG"
"J2275","Morphine sulfate injection","West-Ward Pharmaceuticals Corp","60977011401","60977-0114-01","Infumorph 200","10 MG",20,1,20,20,,
"J2270","Morphine sulfate injection","BAXTER","60977011501","60977-0115-01","Infumorph 500",,20,1,50,50,,"10 MG"
"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,,
"J7642","Glycopyrrolate inhal sol con","BAXTER","60977015501","60977-0155-01","Glycopyrrolate",,1,25,5,0.2,,"1 MG"
"J7643","Glycopyrrolate inhal sol u d","BAXTER","60977015501","60977-0155-01","Glycopyrrolate",,1,25,5,0.2,,"1 MG"
"J7642","Glycopyrrolate inhal sol con","BAXTER","60977015502","60977-0155-02","Glycopyrrolate",,2,6,2.4,0.4,,"1 MG"
"J7643","Glycopyrrolate inhal sol u d","BAXTER","60977015502","60977-0155-02","Glycopyrrolate",,2,6,2.4,0.4,,"1 MG"
"J7642","Glycopyrrolate inhal sol con","BAXTER","60977015503","60977-0155-03","Glycopyrrolate",,5,25,25,1,,"1 MG"
"J7643","Glycopyrrolate inhal sol u d","BAXTER","60977015503","60977-0155-03","Glycopyrrolate",,5,25,25,1,,"1 MG"
"J7642","Glycopyrrolate inhal sol con","BAXTER","60977015505","60977-0155-05","Glycopyrrolate",,20,25,100,4,,"1 MG"
"J7643","Glycopyrrolate inhal sol u d","BAXTER","60977015505","60977-0155-05","Glycopyrrolate",,20,25,100,4,,"1 MG"
"J3473","Hyaluronidase recombinant","Baxter Healthcare Corporation","60977031903","60977-0319-03","HYALURONIDASE","1 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,,
"Q0163","Diphenhydramine HCl 50mg","AMKAS LABORATORIES","61073000601","61073-0006-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","AMKAS LABORATORIES","61073000610","61073-0006-10","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"Q5101","Inj filgrastim gcsf biosimil","Sandoz, Inc.","61314030401","61314-0304-01","ZARXIO™ (filgrastim-sndz)","1 MCG",0.5,1,300,300,,
"Q5101","Inj filgrastim gcsf biosimil","Sandoz, Inc.","61314030410","61314-0304-10","ZARXIO™ (filgrastim-sndz)","1 MCG",0.5,10,300,3000,,
"Q5101","Inj filgrastim gcsf biosimil","Sandoz, Inc.","61314031201","61314-0312-01","ZARXIO™ (filgrastim-sndz)","1 MCG",0.8,1,480,480,,
"Q5101","Inj filgrastim gcsf biosimil","Sandoz, Inc.","61314031210","61314-0312-10","ZARXIO™ (filgrastim-sndz)","1 MCG",0.8,10,480,4800,,
"C9451","Injection, peramivir","BioCryst Pharmaceuticals, Inc.","61364018103","61364-0181-03","Rapivab","1 MG",20,3,200,600,,
"J3246","Tirofiban HCl","GUILFORD PHARMACEUTICALS","61379001205","61379-0012-05","Aggrastat","0.25 MG",50,1,50,50,,
"J3246","Tirofiban HCl","Medicure Pharma","61379012001","61379-0120-01","Aggrastat","0.25 MG",100,1,20,20,,
"J3246","Tirofiban HCl","Medicure Pharma","61379012002","61379-0120-02","Aggrastat","0.25 MG",250,1,50,50,,
"J3246","Tirofiban HCl","Medicure Pharma","61379012005","61379-0120-05","Aggrastat","0.25 MG",50,1,50,50,,
"J3010","Fentanyl citrate injeciton","PHARMEDIUM SERVICES, L.L.C.","61553011841","61553-0118-41","FENTANYL CITRATE","0.1 MG",50,1,25,25,,
"J7100","Dextran 40 infusion","MEDISAN PHARMACEUTICALS INC.","61563021165","61563-0211-65","Rheomacrodex In Nacl","500 ML",500,1,1,1,,
"J7100","Dextran 40 infusion","MEDISAN PHARMACEUTICALS INC.","61563021265","61563-0212-65","Rheomacrodex In D5W",,500,1,1,1,,"500 ML"
"Q0173","TrimethobenzAMIde HCl 250mg","MONARCH PHARM","61570007901","61570-0079-01","Tigan",,,1,10,10,,"250 MG"
"J2510","Penicillin g procaine inj","MONARCH PHARMACEUTICALS","61570008510","61570-0085-10","Penicillin G Procaine","up to 600000 UNITS",1,10,1,10,,
"J2510","Penicillin g procaine inj","MONARCH PHARMACEUTICALS","61570008610","61570-0086-10","Penicillin G Procaine","up to 600000 UNITS",2,10,2,20,,
"J0530","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570013910","61570-0139-10","Bicillin C-R (600000)"," up to 600000 UNITS",1,10,1,10,,
"J0540","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014010","61570-0140-10","Bicillin C-R (1200000)"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014010","61570-0140-10","Bicillin C-R"," UP TO 2400000 UNITS",2,10,1,10,,
"J0558","PenG benzathine/procaine inj","MONARCH PHARMACEUTICALS","61570014010","61570-0140-10","Bicillin C-R (1.2Million Units/Syr)","100,000 units",2,10,12,120,,
"J0559","PenG benzathine/procaine inj","MONARCH PHARMACEUTICALS","61570014010","61570-0140-10","Bicillin C-R (1.2Million Units/Syr)"," 2500 UNITS",2,10,480,4800,,
"J0540","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014110","61570-0141-10","Bicillin C-R (600000)"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014110","61570-0141-10","Bicillin C-R"," UP TO 2400000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014210","61570-0142-10","Bicillin C-R (2400000)"," UP TO 2400000 UNITS",4,10,1,10,,
"J0540","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014310","61570-0143-10","Bicillin C-R"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014310","61570-0143-10","Bicillin C-R"," UP TO 2400000 UNITS",2,10,1,10,,
"J0540","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014410","61570-0144-10","Bicillin C-R"," up to 1200000 UNITS",2,10,1,10,,
"J0550","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014410","61570-0144-10","Bicillin C-R"," UP TO 2400000 UNITS",2,10,1,10,,
"J0560","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014610","61570-0146-10","Bicillin L-A","600000 UNITS",1,10,1,10,,
"J0570","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014710","61570-0147-10","Bicillin L-A","up to 1200000 UNITS",2,10,1,10,,
"J0580","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014710","61570-0147-10","Bicillin L-A","up to 2400000 UNITS",2,10,1,10,,
"J0580","Penicillin g benzathine inj","MONARCH PHARMACEUTICALS","61570014810","61570-0148-10","Bicillin L-A","up to 2400000 UNITS",4,10,1,10,,
"J0970","Estradiol valerate injection","MONARCH PHARMACEUTICALS","61570018001","61570-0180-01","Delestrogen","40 MG",5,1,1.25,1.25,,
"J1380","Estradiol valerate 10 MG inj","MONARCH PHARMACEUTICALS","61570018001","61570-0180-01","Delestrogen","10 MG",5,1,5,5,,
"J1390","Estradiol valerate 20 MG inj","MONARCH PHARMACEUTICALS","61570018001","61570-0180-01","Delestrogen","20 MG",5,1,2.5,2.5,,
"J0970","Estradiol valerate injection","MONARCH PHARMACEUTICALS","61570018101","61570-0181-01","Delestrogen","40 MG",5,1,2.5,2.5,,
"J1380","Estradiol valerate 10 MG inj","MONARCH PHARMACEUTICALS","61570018101","61570-0181-01","Delestrogen","10 MG",5,1,10,10,,
"J1390","Estradiol valerate 20 MG inj","MONARCH PHARMACEUTICALS","61570018101","61570-0181-01","Delestrogen","20 MG",5,1,5,5,,
"J0970","Estradiol valerate injection","MONARCH PHARMACEUTICALS","61570018201","61570-0182-01","Delestrogen","40 MG",5,1,5,10,,
"J1380","Estradiol valerate 10 MG inj","MONARCH PHARMACEUTICALS","61570018201","61570-0182-01","Delestrogen","10 MG",5,1,20,20,,
"J1390","Estradiol valerate 20 MG inj","MONARCH PHARMACEUTICALS","61570018201","61570-0182-01","Delestrogen","20 MG",5,1,10,10,,
"J2770","Quinupristin/dalfopristin","PFIZER INC.","61570026010","61570-0260-10","Synercid","500 MG",1,10,1,10,,
"J2770","Quinupristin/dalfopristin","MONARCH PHARMACEUTICALS","61570026110","61570-0261-10","Synercid",,1,10,12,1.2,,"500 MG"
"J0170","Adrenalin epinephrin inject","MONARCH PHARMACEUTICALS","61570040111","61570-0401-11","Adrenalin","1 ML",30,1,30,30,,
"J0720","Chloramphenicol sodium injec","MONARCH PHARMACEUTICALS","61570040571","61570-0405-71","Chloromycetin","1 GM",1,10,1,10,,
"J0770","Colistimethate sodium inj","MONARCH PHARMACEUTICALS","61570041451","61570-0414-51","Coly-Mycin M","UP TO 150 MG",1,1,1,1,,
"J2590","Oxytocin injection","MONARCH PHARMACEUTICALS","61570041601","61570-0416-01","Pitocin",,1,10,10,1,,"10 UNITS"
"J2590","Oxytocin injection","MONARCH PHARMACEUTICALS","61570041605","61570-0416-05","Pitocin","10 UNITS",1,25,1,25,,
"J0170","Adrenalin epinephrin inject","MONARCH PHARMACEUTICALS","61570041881","61570-0418-81","Adrenalin","1 ML",1,10,1,10,,
"J0171","Adrenalin epinephrine inject","MONARCH PHARMACEUTICALS","61570041881","61570-0418-81","Adrenalin","0.1 MG",1,10,10,100,,
"J3250","Trimethobenzamide hcl inj","MONARCH PHARMACEUTICALS","61570054002","61570-0540-02","Tigan","200 MG",2,10,1,10,,
"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,,
"J7608","Acetylcysteine non-comp unit","MAYNE PHARMA","61703020331","61703-0203-31","Acetylcysteine","1 GM",30,10,3,30,,
"J7608","Acetylcysteine inh sol u d","MAYNE PHARMA","61703020404","61703-0204-04","Acetylcysteine",,4,10,8,0.8,,"1 GM"
"J7608","Acetylcysteine non-comp unit","MAYNE PHARMA","61703020431","61703-0204-31","Acetylcysteine","1 GM",30,10,6,60,,
"J2765","Metoclopramide hcl injection","MAYNE PHARMA","61703021007","61703-0210-07","Metoclopramide Hcl","10 MG",2,25,1,25,,
"J2765","Metoclopramide hcl injection","MAYNE PHARMA","61703021011","61703-0210-11","Metoclopramide Hcl","10 MG",10,25,5,125,,
"J2765","Metoclopramide hcl injection","MAYNE PHARMA","61703021021","61703-0210-21","Metoclopramide Hcl","10 MG",20,10,10,100,,
"J2765","Metoclopramide hcl injection","MAYNE PHARMA","61703021031","61703-0210-31","Metoclopramide Hcl","10 MG",30,10,15,150,,
"J2765","Metoclopramide hcl injection","MAYNE PHARMA","61703021035","61703-0210-35","Metoclopramide Hcl","10 MG",30,1,15,15,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703021975","61703-0219-75","Morphine Sulfate",,30,1,3,3,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703021975","61703-0219-75","Morphine Sulfate",,30,1,0.3,0.3,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703021980","61703-0219-80","Morphine Sulfate",,10,1,1,1,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703021980","61703-0219-80","Morphine Sulfate",,10,1,0.1,0.1,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703021985","61703-0219-85","Morphine Sulfate",,30,1,3,3,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703021985","61703-0219-85","Morphine Sulfate",,30,1,0.3,0.3,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022175","61703-0221-75","Morphine Sulfate",,30,1,15,15,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022175","61703-0221-75","Morphine Sulfate",,30,1,1.5,1.5,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022185","61703-0221-85","Morphine Sulfate",,30,1,15,15,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022185","61703-0221-85","Morphine Sulfate",,30,1,1.5,1.5,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022321","61703-0223-21","Morphine Sulfate",,20,10,500,50,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022321","61703-0223-21","Morphine Sulfate","100 MG",20,10,5,50,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022343","61703-0223-43","Morphine Sulfate",,40,10,1000,100,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022343","61703-0223-43","Morphine Sulfate",,40,10,100,10,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022471","61703-0224-71","Morphine Sulfate","10 MG",4,1,10,10,,
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022471","61703-0224-71","Morphine Sulfate","100 MG",4,1,1,1,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022472","61703-0224-72","Morphine Sulfate","10 MG",20,1,50,50,,
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022472","61703-0224-72","Morphine Sulfate","100 MG",20,1,5,5,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022476","61703-0224-76","Morphine Sulfate",,50,1,125,125,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022476","61703-0224-76","Morphine Sulfate",,50,1,12.5,12.5,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022480","61703-0224-80","Morphine Sulfate","10 MG",10,1,25,25,,
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022480","61703-0224-80","Morphine Sulfate","100 MG",10,1,2.5,2.5,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022486","61703-0224-86","Morphine Sulfate",,30,1,75,75,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022486","61703-0224-86","Morphine Sulfate",,30,1,7.5,7.5,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022521","61703-0225-21","Morphine Sulfate",,20,10,1000,100,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022521","61703-0225-21","Morphine Sulfate","100 MG",20,10,10,100,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022543","61703-0225-43","Morphine Sulfate",,40,10,2000,200,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022543","61703-0225-43","Morphine Sulfate","100 MG",40,10,20,200,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022672","61703-0226-72","Morphine Sulfate","10 MG",20,1,100,100,,
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022672","61703-0226-72","Morphine Sulfate","100 MG",20,1,10,10,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022676","61703-0226-76","Morphine Sulfate","10 MG",50,1,250,250,,
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022676","61703-0226-76","Morphine Sulfate","100 MG",50,1,25,25,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022680","61703-0226-80","Morphine Sulfate","10 MG",10,1,50,50,,
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022680","61703-0226-80","Morphine Sulfate","100 MG",10,1,5,5,,
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703022686","61703-0226-86","Morphine Sulfate",,30,1,150,150,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703022686","61703-0226-86","Morphine Sulfate",,30,1,15,15,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703023132","61703-0231-32","Morphine Sulfate",,10,10,100,10,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703023132","61703-0231-32","Morphine Sulfate",,10,10,10,1,,"100 MG"
"J2270","Morphine sulfate injection","MAYNE PHARMA","61703023286","61703-0232-86","Morphine Sulfate",,30,1,30,30,,"10 MG"
"J2271","Morphine so4 injection 100mg","MAYNE PHARMA","61703023286","61703-0232-86","Morphine Sulfate",,30,1,3,3,,"100 MG"
"J0636","Inj calcitriol per 0.1 mcg","MAYNE PHARMA","61703023429","61703-0234-29","Calcitriol","0.1 MCG",1,5,10,50,,
"J2175","Meperidine hydrochl /100 MG","MAYNE PHARMA","61703023675","61703-0236-75","Meperidine Hcl",,30,1,3,3,,"100 MG"
"J2175","Meperidine hydrochl /100 MG","MAYNE PHARMA","61703023685","61703-0236-85","Meperidine Hcl",,30,1,3,3,,"100 MG"
"J0282","Amiodarone HCl","MAYNE PHARMA","61703024103","61703-0241-03","Amiodarone Hcl","30 MG",3,10,5,50,,
"J2260","Inj milrinone lactate / 5 MG","MAYNE PHARMA","61703024221","61703-0242-21","Milrinone Lactate","5 MG",20,10,4,40,,
"J2260","Inj milrinone lactate / 5 MG","MAYNE PHARMA","61703024232","61703-0242-32","Milrinone Lactate","5 MG",10,10,2,20,,
"J2260","Inj milrinone lactate / 5 MG","MAYNE PHARMA","61703024250","61703-0242-50","Milrinone Lactate","5 MG",50,1,10,10,,
"J2405","Ondansetron hcl injection","MAYNE PHARMA","61703024407","61703-0244-07","ONDANSETRON HCL","1 MG",2,10,8,80,,
"J2405","Ondansetron hcl injection","MAYNE PHARMA","61703024522","61703-0245-22","ONDANSETRON HCL","1 MG",20,1,80,80,,
"J1170","Hydromorphone injection","MAYNE PHARMA","61703024615","61703-0246-15","Hydromorphone Hcl","4 MG",1,25,0.5,12.5,,
"J9100","Cytarabine hcl 100 mg inj","HOSPIRA, INC","61703030346","61703-0303-46","Cytarabine","100 MG",50,1,10,10,,
"J9110","Cytarabine hcl 500 MG inj","MAYNE PHARMA","61703030346","61703-0303-46","Cytarabine","500 MG",50,1,2,2,,
"J9100","Cytarabine hcl 100 MG inj","MAYNE PHARMA","61703030350","61703-0303-50","Cytarabine","100 MG",50,1,10,10,,
"J9110","Cytarabine hcl 500 MG inj","MAYNE PHARMA","61703030350","61703-0303-50","Cytarabine","500 MG",50,1,2,2,,
"J9100","Cytarabine hcl 100 mg inj","HOSPIRA, INC","61703030436","61703-0304-36","Cytarabine","100 MG",25,1,5,5,,
"J9110","Cytarabine hcl 500 MG inj","MAYNE PHARMA","61703030436","61703-0304-36","Cytarabine","500 MG",25,1,1,1,,
"J9100","Cytarabine hcl 100 MG inj","MAYNE PHARMA","61703030509","61703-0305-09","Cytarabine","100 MG",50,1,10,10,,
"J9110","Cytarabine hcl 500 MG inj","MAYNE PHARMA","61703030509","61703-0305-09","Cytarabine","500 MG",50,1,2,2,,
"J9100","Cytarabine hcl 100 mg inj","HOSPIRA, INC","61703030538","61703-0305-38","Cytarabine","100 MG",5,5,1,5,,
"J9110","Cytarabine hcl 500 MG inj","MAYNE PHARMA","61703030538","61703-0305-38","Cytarabine","500 MG",5,5,0.2,1,,
"J9370","Vincristine sulfate 1 mg inj","HOSPIRA, INC","61703030906","61703-0309-06","Vincristine Sulfate","1 MG",1,1,1,1,,
"J9375","Vincristine sulfate 2 MG inj","MAYNE PHARMA","61703030906","61703-0309-06","Vincristine Sulfate","2 MG",1,1,0.5,0.5,,
"J9380","Vincristine sulfate 5 MG inj","MAYNE PHARMA","61703030906","61703-0309-06","Vincristine Sulfate","5 MG",1,1,0.2,0.2,,
"J9370","Vincristine sulfate 1 mg inj","HOSPIRA, INC","61703030916","61703-0309-16","Vincristine Sulfate","1 MG",2,1,2,2,,
"J9375","Vincristine sulfate 2 MG inj","MAYNE PHARMA","61703030916","61703-0309-16","Vincristine Sulfate","2 MG",2,1,1,1,,
"J9380","Vincristine sulfate 5 MG inj","MAYNE PHARMA","61703030916","61703-0309-16","Vincristine Sulfate","5 MG",2,1,0.4,0.4,,
"J9370","Vincristine sulfate 1 mg inj","HOSPIRA, INC","61703030925","61703-0309-25","Vincristine Sulfate","1 MG",2,1,2,2,,
"J9370","Vincristine sulfate 1 mg inj","HOSPIRA, INC","61703030926","61703-0309-26","Vincristine Sulfate","1 MG",1,1,1,1,,
"J9360","Vinblastine sulfate inj","MAYNE PHARMA","61703031018","61703-0310-18","Vinblastine Sulfate",,1,1,10,10,,"1 MG"
"J0133","Acyclovir injection","MAYNE PHARMA","61703031121","61703-0311-21","Acyclovir Sodium","5 MG",20,10,100,1000,,
"Q4075","Acyclovir, 5 mg","MAYNE PHARMA","61703031121","61703-0311-21","Acyclovir Sodium",,20,10,1000,100,,"5 MG"
"J0133","Acyclovir injection","MAYNE PHARMA","61703031143","61703-0311-43","Acyclovir Sodium","5 MG",40,10,200,2000,,
"Q4075","Acyclovir, 5 mg","MAYNE PHARMA","61703031143","61703-0311-43","Acyclovir Sodium",,40,10,2000,200,,"5 MG"
"J0595","Butorphanol tartrate 1 mg","MAYNE PHARMA","61703031706","61703-0317-06","Butorphanol Tartrate","1 MG",1,10,1,10,,
"J0595","Butorphanol tartrate 1 mg","MAYNE PHARMA","61703031745","61703-0317-45","Butorphanol Tartrate","1 MG",1,10,1,10,,
"J0595","Butorphanol tartrate 1 mg","MAYNE","61703031806","61703-0318-06","Butorphanol Tartrate",,1,1,2,2,,"1 MG"
"J0595","Butorphanol tartrate 1 mg","MAYNE PHARMA","61703031845","61703-0318-45","Butorphanol Tartrate","1 MG",2,10,2,20,,
"J9100","Cytarabine hcl 100 mg inj","HOSPIRA, INC","61703031922","61703-0319-22","Cytarabine","100 MG",20,1,20,20,,
"J9110","Cytarabine hcl 500 MG inj","MAYNE PHARMA","61703031922","61703-0319-22","Cytarabine","500 MG",20,1,4,4,,
"J2250","Inj midazolam hydrochloride","MAYNE PHARMA","61703032107","61703-0321-07","Midazolam Hcl","1 MG",2,10,10,100,,
"J2250","Inj midazolam hydrochloride","MAYNE PHARMA","61703032132","61703-0321-32","Midazolam Hcl","1 MG",10,10,50,500,,
"J2250","Inj midazolam hydrochloride","MAYNE PHARMA","61703032142","61703-0321-42","Midazolam Hcl","1 MG",1,10,5,50,,
"J2250","Inj midazolam hydrochloride","MAYNE PHARMA","61703032153","61703-0321-53","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","MAYNE PHARMA","61703032173","61703-0321-73","Midazolam Hcl",,2,1,10,10,,"1 MG"
"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","MAYNE PHARMA","61703032439","61703-0324-39","Pamidronate Disodium","30 MG",10,4,1,4,,
"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,,
"J9140","Dacarbazine 200 MG inj","MAYNE PHARMA","61703032722","61703-0327-22","Dacarbazine","200 MG",1,1,1,1,,
"J0690","Cefazolin sodium injection","MAYNE PHARMA","61703032911","61703-0329-11","Cefazolin Sodium",,25,1,50,50,,"500 MG"
"J0690","Cefazolin sodium injection","MAYNE PHARMA","61703033060","61703-0330-60","Cefazolin Sodium",,1,10,200,20,,"500 MG"
"J9200","Floxuridine injection","MAYNE PHARMA","61703033109","61703-0331-09","Fudr","500 MG",1,1,1,1,,
"J9040","Bleomycin sulfate injection","HOSPIRA, INC","61703033218","61703-0332-18","Bleomycin Sulfate","15 UNITS",1,1,1,1,,
"J0697","Sterile cefuroxime injection","MAYNE PHARMA","61703033433","61703-0334-33","Cefuroxime Sodium",,1,25,50,2,,"750 MG"
"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,,
"J9267","Paclitaxel injection","HOSPIRA, INC","61703034209","61703-0342-09","Paclitaxel","1 MG",5,1,30,30,,
"J9265","Paclitaxel injection","HOSPIRA, INC","61703034222","61703-0342-22","Paclitaxel","30 MG",16.7,1,3.33,3.33,,
"J9267","Paclitaxel injection","HOSPIRA, INC","61703034222","61703-0342-22","Paclitaxel","1 MG",16.7,1,100,100,,
"J9265","Paclitaxel injection","HOSPIRA, INC","61703034250","61703-0342-50","Paclitaxel","30 MG",50,1,10,10,,
"J9267","Paclitaxel injection","HOSPIRA, INC","61703034250","61703-0342-50","Paclitaxel","1 MG",50,1,300,300,,
"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,,
"J9178","Inj, epirubicin hcl, 2 mg","MAYNE PHARMA","61703034859","61703-0348-59","Epirubicin","2 MG",1,1,100,100,,
"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,,
"J9206","Irinotecan injection","HOSPIRA, INC.","61703034961","61703-0349-61","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","HOSPIRA, INC.","61703034962","61703-0349-62","Irinotecan HCL","20 MG",5,1,5,5,,
"J9250","Methotrexate sodium inj","HOSPIRA, INC","61703035010","61703-0350-10","Methotrexate Sodium","5 MG",2,5,10,50,,
"J9260","Methotrexate sodium inj","HOSPIRA, INC","61703035010","61703-0350-10","Methotrexate Sodium","50 MG",2,5,1,5,,
"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","61703035991","61703-0359-91","Epirubicin","2 MG",75,1,75,75,,
"J9178","Inj, epirubicin hcl, 2 mg","HOSPIRA","61703035992","61703-0359-92","Epirubicin","2 MG",5,1,5,5,,
"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,,
"J9263","Oxaliplatin","HOSPIRA, INC","61703036318","61703-0363-18","Oxaliplatin","0.5 MG",10,1,100,100,,
"J9263","Oxaliplatin","HOSPIRA, INC","61703036322","61703-0363-22","Oxaliplatin","0.5 MG",20,1,200,200,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","61703040707","61703-0407-07","Methotrexate Sodium",,2,1,10,10,,"5 MG"
"J9250","Methotrexate sodium inj","MAYNE PHARMA","61703040732","61703-0407-32","Methotrexate Sodium",,10,1,50,50,,"5 MG"
"J9250","Methotrexate sodium inj","MAYNE PHARMA","61703040804","61703-0408-04","Methotrexate Sodium",,4,1,20,20,,"5 MG"
"J9250","Methotrexate sodium inj","MAYNE PHARMA","61703040807","61703-0408-07","Methotrexate Sodium",,2,1,10,10,,"5 MG"
"J9250","Methotrexate sodium inj","MAYNE PHARMA","61703040813","61703-0408-13","Methotrexate Sodium",,8,1,40,40,,"5 MG"
"J9250","Methotrexate sodium inj","MAYNE PHARMA","61703040822","61703-0408-22","Methotrexate Sodium",,20,1,100,100,,"5 MG"
"J9260","Methotrexate sodium inj","MAYNE PHARMA","61703040822","61703-0408-22","Methotrexate Sodium",,20,1,10,10,,"50 MG"
"J9250","Methotrexate sodium inj","HOSPIRA, INC","61703040825","61703-0408-25","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","HOSPIRA, INC","61703040825","61703-0408-25","Methotrexate Sodium","50 MG",40,1,20,20,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","61703040832","61703-0408-32","Methotrexate Sodium",,10,1,50,50,,"5 MG"
"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,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","61703040858","61703-0408-58","Methotrexate Sodium",,8,1,40,40,,"5 MG"
"J9260","Methotrexate sodium inj","MAYNE PHARMA","61703040858","61703-0408-58","Methotrexate Sodium",,8,1,4,4,,"50 MG"
"J9190","Fluorouracil injection","MAYNE PHARMA","61703040932","61703-0409-32","Fluorouracil",,10,10,10,1,,"500 MG"
"J9190","Fluorouracil injection","MAYNE PHARMA","61703040953","61703-0409-53","Fluorouracil",,5,10,5,0.5,,"500 MG"
"J9190","Fluorouracil injection","MAYNE PHARMA","61703040967","61703-0409-67","Fluorouracil",,100,5,50,10,,"500 MG"
"J0640","Leucovorin calcium injection","MAYNE PHARMA","61703041050","61703-0410-50","Leucovorin Calcium",,50,1,200,200,,"50 MG"
"J9250","Methotrexate sodium inj","HOSPIRA, INC (import)","61703041101","61703-0411-01","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","HOSPIRA, INC (import)","61703041101","61703-0411-01","Methotrexate Sodium","50 MG",40,1,20,20,,
"J1450","Fluconazole","MAYNE PHARMA","61703041463","61703-0414-63","Fluconazole In Sodium Chloride","200 MG",100,10,1,10,,
"J1450","Fluconazole","MAYNE PHARMA","61703041464","61703-0414-64","Fluconazole In Sodium Chloride","200 MG",200,10,2,20,,
"J1170","Hydromorphone injection","MAYNE PHARMA","61703042594","61703-0425-94","Hydromorphone Hcl","4 MG",1,25,2.5,62.5,,
"J1170","Hydromorphone injection","MAYNE PHARMA","61703042595","61703-0425-95","Hydromorphone Hcl","4 MG",5,10,12.5,125,,
"C9291","Injection, aflibercept","Regeneron Pharmaceuticals, Inc.","61755000502","61755-0005-02","EYLEA","2mg vial",1,1,1,1,,
"J0178","Aflibercept injection","Regeneron Pharmaceuticals, Inc.","61755000502","61755-0005-02","EYLEA","1 MG",0.05,1,2,2,,
"Q2046","Aflibercept injection","Regeneron Pharmaceuticals, Inc.","61755000502","61755-0005-02","EYLEA","1 MG",0.05,1,2,2,,
"J7310","Ganciclovir long act implant","BAUSCH & LOMB","61772000201","61772-0002-01","Vitrasert","4.5 MG",1,1,1,1,,
"J0287","Amphotericin b lipid complex","ENZON","61799010141","61799-0101-41","Abelcet","10 MG",20,1,10,10,,
"J2912","Sodium chloride injection","IVAC CORPORATION","61825200301","61825-2003-01","Sodium Chloride","2 ML",50,1,25,25,,
"J7130","Hypertonic saline solution","IVAC CORPORATION","61825200301","61825-2003-01","Sodium Chloride",,50,1,2.5,2.5,,"20 CC"
"J2912","Sodium chloride injection","IVAC CORPORATION","61825200401","61825-2004-01","Sodium Chloride","2 ML",100,1,50,50,,
"J7130","Hypertonic saline solution","IVAC CORPORATION","61825200401","61825-2004-01","Sodium Chloride",,100,1,5,5,,"20 CC"
"J7060","5% dextrose/water","IVAC CORPORATION","61825200501","61825-2005-01","Dextrose","500 ML",250,1,0.5,0.5,,
"J7070","D5W infusion","IVAC CORPORATION","61825200501","61825-2005-01","Dextrose","1000 CC",250,1,0.25,0.25,,
"J7030","Normal saline solution infus","IVAC CORPORATION","61825200601","61825-2006-01","Sodium Chloride","1000 CC",250,1,0.25,0.25,,
"J7040","Normal saline solution infus","IVAC CORPORATION","61825200601","61825-2006-01","Sodium Chloride","500 ML",250,1,0.5,0.5,,
"J7050","Normal saline solution infus","IVAC CORPORATION","61825200601","61825-2006-01","Sodium Chloride","250 CC",250,1,1,1,,
"J7060","5% dextrose/water","IVAC CORPORATION","61825201701","61825-2017-01","Dextrose","500 ML",250,1,0.5,0.5,,
"J7070","D5W infusion","IVAC CORPORATION","61825201701","61825-2017-01","Dextrose","1000 CC",250,1,0.25,0.25,,
"J2912","Sodium chloride injection","IVAC CORPORATION","61825201801","61825-2018-01","Sodium Chloride","2 ML",50,1,25,25,,
"J7130","Hypertonic saline solution","IVAC CORPORATION","61825201801","61825-2018-01","Sodium Chloride",,50,1,2.5,2.5,,"20 CC"
"J2912","Sodium chloride injection","IVAC CORPORATION","61825201901","61825-2019-01","Sodium Chloride","2 ML",100,1,50,50,,
"J7130","Hypertonic saline solution","IVAC CORPORATION","61825201901","61825-2019-01","Sodium Chloride",,100,1,5,5,,"20 CC"
"J7030","Normal saline solution infus","IVAC CORPORATION","61825202001","61825-2020-01","Sodium Chloride","1000 CC",250,1,0.25,0.25,,
"J7040","Normal saline solution infus","IVAC CORPORATION","61825202001","61825-2020-01","Sodium Chloride","500 ML",250,1,0.5,0.5,,
"J7050","Normal saline solution infus","IVAC CORPORATION","61825202001","61825-2020-01","Sodium Chloride","250 CC",250,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","GRIFOLS","61953000101","61953-0001-01","Human Albumin Grifols","20 ML",50,1,2.5,2.5,,
"P9046","Albumin (human), 25%, 20 ml","GRIFOLS","61953000201","61953-0002-01","Human Albumin Grifols","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","GRIFOLS","61953000201","61953-0002-01","Human Albumin Grifols","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","GRIFOLS","61953000202","61953-0002-02","Human Albumin Grifols","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","GRIFOLS","61953000202","61953-0002-02","Human Albumin Grifols","50 ML",100,1,2,2,,
"J1563","IV immune globulin","GRIFOLS","61953000301","61953-0003-01","Flebogamma",,10,1,0.5,0.5,,"1 GRAM"
"J1564","Immune globulin 10 mg","GRIFOLS","61953000301","61953-0003-01","Flebogamma",,10,1,50,50,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","61953000301","61953-0003-01","Flebogamma","500 MG",10,1,1,1,,
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000301","61953-0003-01","Flebogamma","500 MG",10,1,1,1,,
"Q4091","Flebogamma injection","GRIFOLS","61953000301","61953-0003-01","Flebogamma","500 MG",10,1,1,1,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","61953000301","61953-0003-01","Flebogamma",,10,1,0.5,0.5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","61953000301","61953-0003-01","Flebogamma",,10,1,50,50,,"10 MG"
"J1563","IV immune globulin","GRIFOLS","61953000302","61953-0003-02","Flebogamma",,50,1,2.5,2.5,,"1 GRAM"
"J1564","Immune globulin 10 mg","GRIFOLS","61953000302","61953-0003-02","Flebogamma",,50,1,250,250,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","61953000302","61953-0003-02","Flebogamma","500 MG",50,1,5,5,,
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000302","61953-0003-02","Flebogamma","500 MG",50,1,5,5,,
"Q4091","Flebogamma injection","GRIFOLS","61953000302","61953-0003-02","Flebogamma","500 MG",50,1,5,5,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","61953000302","61953-0003-02","Flebogamma",,50,1,2.5,2.5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","61953000302","61953-0003-02","Flebogamma",,50,1,250,250,,"10 MG"
"J1563","IV immune globulin","GRIFOLS","61953000303","61953-0003-03","Flebogamma",,100,1,5,5,,"1 GRAM"
"J1564","Immune globulin 10 mg","GRIFOLS","61953000303","61953-0003-03","Flebogamma",,100,1,500,500,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","61953000303","61953-0003-03","Flebogamma","500 MG",100,1,10,10,,
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000303","61953-0003-03","Flebogamma","500 MG",100,1,10,10,,
"Q4091","Flebogamma injection","GRIFOLS","61953000303","61953-0003-03","Flebogamma","500 MG",100,1,10,10,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","61953000303","61953-0003-03","Flebogamma",,100,1,5,5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","61953000303","61953-0003-03","Flebogamma",,100,1,500,500,,"10 MG"
"J1563","IV immune globulin","GRIFOLS","61953000304","61953-0003-04","Flebogamma",,200,1,10,10,,"1 GRAM"
"J1564","Immune globulin 10 mg","GRIFOLS","61953000304","61953-0003-04","Flebogamma",,200,1,1000,1000,,"10 MG"
"J1567","Immune globulin, liquid","GRIFOLS","61953000304","61953-0003-04","Flebogamma","500 MG",200,1,20,20,,
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000304","61953-0003-04","Flebogamma","500 MG",200,1,20,20,,
"Q4091","Flebogamma injection","GRIFOLS","61953000304","61953-0003-04","Flebogamma","500 MG",200,1,20,20,,
"Q9943","IVIG non-lyophil 1G","GRIFOLS","61953000304","61953-0003-04","Flebogamma",,200,1,10,10,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","GRIFOLS","61953000304","61953-0003-04","Flebogamma",,200,1,1000,1000,,"10 MG"
"J1572","Flebogamma injection","INSTITUTO GRIFOLS","61953000401","61953-0004-01","Flebogamma DIF","500 MG",10,1,1,1,,
"Q4091","Flebogamma injection","GRIFOLS","61953000401","61953-0004-01","Flebogamma DIF","500 MG",10,1,1,1,,
"J1572","Flebogamma injection","Grifols USA, LLC.","61953000402","61953-0004-02","Flebogamma DIF","500 MG",50,1,5,5,,
"Q4091","Flebogamma injection","GRIFOLS","61953000402","61953-0004-02","Flebogamma DIF","500 MG",50,1,5,5,,
"J1572","Flebogamma injection","Grifols USA, LLC.","61953000403","61953-0004-03","Flebogamma DIF","500 MG",100,1,10,10,,
"Q4091","Flebogamma injection","GRIFOLS","61953000403","61953-0004-03","Flebogamma DIF","500 MG",100,1,10,10,,
"J1572","Flebogamma injection","Grifols USA, LLC.","61953000404","61953-0004-04","Flebogamma DIF","500 MG",200,1,20,20,,
"Q4091","Flebogamma injection","GRIFOLS","61953000404","61953-0004-04","Flebogamma DIF","500 MG",200,1,20,20,,
"J1572","Flebogamma injection","Grifols USA, LLC.","61953000405","61953-0004-05","Flebogamma DIF","500 MG",400,1,40,40,,
"Q4091","Flebogamma injection","GRIFOLS","61953000405","61953-0004-05","Flebogamma DIF","500 MG",400,1,40,40,,
"J1572","Flebogamma injection","Grifols USA, LLC.","61953000501","61953-0005-01","FLEBOGAMMA 10%  DIF","500 MG",50,1,10,10,,
"J1572","Flebogamma injection","Grifols USA, LLC.","61953000502","61953-0005-02","FLEBOGAMMA 10%  DIF","500 MG",100,1,20,20,,
"J1572","Flebogamma injection","Grifols USA, LLC.","61953000503","61953-0005-03","FLEBOGAMMA 10%  DIF","500 MG",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,,
"J1650","Inj enoxaparin sodium","Watson Pharmaceuticals","62037083920","62037-0839-20","ENOXAPARIN SODIUM","10 MG",0.3,10,3,30,,
"J1650","Inj enoxaparin sodium","Watson Pharmaceuticals","62037084920","62037-0849-20","ENOXAPARIN SODIUM","10 MG",0.4,10,4,40,,
"J1650","Inj enoxaparin sodium","Watson Pharmaceuticals","62037086120","62037-0861-20","ENOXAPARIN SODIUM","10 MG",0.6,10,6,60,,
"J1650","Inj enoxaparin sodium","Watson Pharmaceuticals","62037086220","62037-0862-20","ENOXAPARIN SODIUM","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","Watson Pharmaceuticals","62037086320","62037-0863-20","ENOXAPARIN SODIUM","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","Watson Pharmaceuticals","62037086420","62037-0864-20","ENOXAPARIN SODIUM","10 MG",0.8,10,12,120,,
"J1650","Inj enoxaparin sodium","Watson Pharmaceuticals","62037086620","62037-0866-20","ENOXAPARIN SODIUM","10 MG",1,10,15,150,,
"J7511","Antithymocyte globuln rabbit","SANGSTAT","62053053425","62053-0534-25","Thymoglobulin","25 MG",1,1,1,1,,
"J2550","Promethazine hcl injection","BIONICHE PHARMA GROUP","62086015410","62086-0154-10","Promethazine Hcl","50 MG",10,1,5,5,,
"J1451","Fomepizole, 15 mg","ORPHAN MEDICAL","62161000334","62161-0003-34","Antizol","15 MG",1.5,4,100,400,,
"Q2008","Fomepizole, 15 mg","ORPHAN MEDICAL","62161000334","62161-0003-34","Antizol",,1.5,4,400.02,100.005,,"15 MG"
"J0460","Atropine sulfate injection","PROMETIC PHARMA USA","62174040507","62174-0405-07","Atropine Sulfate",,1,1,1.33,1.33,,"0.3 MG"
"J0460","Atropine sulfate injection","PROMETIC PHARMA USA","62174040807","62174-0408-07","Atropine Sulfate",,1,1,3.33,3.33,,"0.3 MG"
"J2440","Papaverin hcl injection","PROMETIC PHARMA USA","62174046619","62174-0466-19","Papaverine Hcl","60 MG",2,1,1,1,,
"J2440","Papaverin hcl injection","PROMETIC PHARMA USA","62174046651","62174-0466-51","Papaverine Hcl","60 MG",10,1,5,5,,
"J1330","Ergonovine maleate injection","PROMETIC PHARMA USA","62174048107","62174-0481-07","Ergonovine Maleate",,1,1,1,1,,"0.2 MG"
"J0170","Adrenalin epinephrin inject","PROMETIC PHARMA USA","62174053707","62174-0537-07","Epinephrine Hcl",,1,1,1,1,,"1 ML"
"C9447","Inj, phenylephrine ketorolac","Omeros Corporation","62225060000","62225-0600-00","Omidria (phenylephrine + ketorolac irrigation)","4 ML",4,1,1,1,,
"C9447","Inj, phenylephrine ketorolac","Omeros","62225060004","62225-0600-04","Omidria (phenylephrine + ketorolac irrigation)","4 ML",4,4,1,4,,
"C9447","Inj, phenylephrine ketorolac","Omeros Corporation","62225060010","62225-0600-10","Omidria (phenylephrine + ketorolac irrigation)","4 ML",4,10,1,10,,
"J7509","Methylprednisolone oral","APOTHECON","62269035121","62269-0351-21","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7509","Methylprednisolone oral","SANDOZ","62269035124","62269-0351-24","Methylprednisolone",,100,1,100,100,,"4 MG"
"J0275","Alprostadil urethral suppos","VIVUS","62541011001","62541-0110-01","Muse",,1,1,1,1,,"125 MCG"
"J0275","Alprostadil urethral suppos","VIVUS","62541011006","62541-0110-06","Muse","125 MCG",6,1,6,6,,
"J0275","Alprostadil urethral suppos","VIVUS","62541012001","62541-0120-01","Muse",,1,1,1,1,,"125 MCG"
"J0275","Alprostadil urethral suppos","VIVUS","62541012006","62541-0120-06","Muse","125 MCG",6,1,6,6,,
"J0275","Alprostadil urethral suppos","VIVUS","62541013001","62541-0130-01","Muse",,1,1,1,1,,"125 MCG"
"J0275","Alprostadil urethral suppos","VIVUS","62541013006","62541-0130-06","Muse","125 MCG",6,1,6,6,,
"J0275","Alprostadil urethral suppos","VIVUS","62541014001","62541-0140-01","Muse",,1,1,1,1,,"125 MCG"
"J0275","Alprostadil urethral suppos","VIVUS","62541014006","62541-0140-06","Muse","125 MCG",6,1,6,6,,
"Q0172","Chlorpromazine HCl 25mg oral","AMERICAN HEALTH PACKAGING","62584033001","62584-0330-01","Chlorpromazine Hcl","25 MG",100,1,100,100,,
"Q0171","Chlorpromazine HCl 10mg oral","AMERICAN HEALTH PACKAGING","62584033101","62584-0331-01","Chlorpromazine Hcl","10 MG",100,1,10,1000,,
"Q0172","Chlorpromazine HCl 25mg oral","AMERICAN HEALTH PACKAGING","62584033101","62584-0331-01","Chlorpromazine Hcl","25 MG",100,1,4,400,,
"J7502","Cyclosporine oral 100 mg","AMERICAN HEALTH PACKAGING","62584082721","62584-0827-21","Cyclosporine","100 MG",30,1,30,30,,
"J9280","Mitomycin 5 MG inj","SUPERGEN","62701001001","62701-0010-01","Mitomycin","5 MG",1,1,1,1,,
"J9290","Mitomycin 20 MG inj","SUPERGEN","62701001001","62701-0010-01","Mitomycin","20 MG",1,1,0.25,0.125,,
"J9291","Mitomycin 40 MG inj","SUPERGEN","62701001001","62701-0010-01","Mitomycin","40 MG",1,1,0.125,0.125,,
"J9280","Mitomycin 5 MG inj","SUPERGEN","62701001101","62701-0011-01","Mitomycin","5 MG",1,1,4,4,,
"J9290","Mitomycin 20 MG inj","SUPERGEN","62701001101","62701-0011-01","Mitomycin","20 MG",1,1,1,0.5,,
"J9291","Mitomycin 40 MG inj","SUPERGEN","62701001101","62701-0011-01","Mitomycin","40 MG",1,1,0.5,0.5,,
"J9268","Pentostatin injection","HOSPIRA","62701080001","62701-0800-01","Nipent","10 MG",1,1,1,1,,
"J0640","Leucovorin calcium injection","SUPERGEN","62701090030","62701-0900-30","Leucovorin Calcium","50 MG",30,1,3,3,,
"J0640","Leucovorin calcium injection","SUPERGEN","62701090099","62701-0900-99","Leucovorin Calcium","50 MG",100,1,10,10,,
"J0640","Leucovorin calcium injection","SUPERGEN","62701090125","62701-0901-25","Leucovorin Calcium","50 MG",25,1,12.5,12.5,,
"J1071","Inj testosterone cypionate","Sun Pharmaceutical Industries, Ltd.","62756001540","62756-0015-40","Testosterone Cypionate","1 MG",1,1,200,200,,
"J1080","Testosterone cypionat 200 MG","CARACO PHARM. LABS., LTD.","62756001540","62756-0015-40","Testosterone Cypionate","200 MG",1,1,1,1,,
"J1071","Inj testosterone cypionate","Sun Pharmaceutical Industries, Ltd.","62756001640","62756-0016-40","Testosterone Cypionate","1 MG",10,1,2000,2000,,
"J1080","Testosterone cypionat 200 MG","SUN PHARMACEUTICAL","62756001640","62756-0016-40","Testosterone Cypionate","200 MG",10,1,10,10,,
"J1070","Testosterone cypionat 100 MG","CARACO PHARM. LABS., LTD.","62756001740","62756-0017-40","Testosterone Cypionate","100 MG",10,1,10,10,,
"J1071","Inj testosterone cypionate","Sun Pharmaceutical Industries, Ltd.","62756001740","62756-0017-40","Testosterone Cypionate","1 MG",10,1,1000,1000,,
"J9351","Topotecan injection","Sun Pharmaceutical Industries, Ltd.","62756002340","62756-0023-40","Topotecan","0.1 MG",1,1,40,40,,
"J2354","Octreotide inj, non-depot","Sun Pharmaceutical Industries, Ltd.","62756009444","62756-0094-44","OCTREOTIDE ACETATE","25 MCG",1,10,4,40,,
"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,,
"J1740","Ibandronate sodium injection","Sun Pharmaceutical Industries, Ltd.","62756021840","62756-0218-40","IBANDRONATE SODIUM","1 MG",3,1,3,3,,
"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",1,10,20,200,,
"J2354","Octreotide inj, non-depot","Sun Pharmaceutical Industries, Ltd.","62756035240","62756-0352-40","OCTREOTIDE ACETATE","25 MCG",5,1,200,200,,
"J0456","Azithromycin","Sun Pharmaceutical Industries, Ltd.","62756051244","62756-0512-44","AZITHROMYCIN","500 MG",1,10,1,10,,
"J1953","Levetiracetam injection","Sun Pharmaceutical Industries, Ltd.","62756051344","62756-0513-44","Levetiracetam","10 MG",5,10,50,500,,
"J2597","Inj desmopressin acetate","Sun Pharmaceutical Industries, Ltd.","62756052926","62756-0529-26","Desmopressin Acetate","1 MCG",10,1,40,40,,
"J2597","Inj desmopressin acetate","Sun Pharmaceutical Industries, Ltd.","62756052940","62756-0529-40","Desmopressin Acetate","1 MCG",10,1,40,40,,
"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,,
"J9000","Doxorubicin hcl injection","Sun Pharmaceutical Industries, Ltd.","62756082640","62756-0826-40","Doxorubicin Hcl","10 MG",25,1,5,5,,
"J9000","Doxorubicin hcl injection","Sun Pharmaceutical Industries, Ltd.","62756082740","62756-0827-40","Doxorubicin Hcl","10 MG",100,1,20,20,,
"J0364","Apomorphine hcl, inj","VERNALIS","62794025513","62794-0255-13","Apokyn","1 MG",3,1,30,30,,
"J0364","Apomorphine hcl, inj","VERNALIS","62794025537","62794-0255-37","Apokyn","1 MG",3,5,30,150,,
"J3095","Telavancin injection","THERAVANCE BIOPHARMA ANTIBIOTICS, I","62847000101","62847-0001-01","VIBATIV","10 MG",1,1,75,75,,
"J1645","Dalteparin sodium","Eisai, Inc","62856010010","62856-0100-10","Fragmin","2500 IU",0.4,10,4,40,,
"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,,
"C9280","Injection, eribulin mesylate","Eisai Inc","62856038901","62856-0389-01","Halaven","1MG",2,1,1,1,,
"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","Otsuka America Pharmaceutical, 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,,
"C9448","Oral netupitant palonosetron","Eisai INC.","62856079601","62856-0796-01","Akynzeo","300 MG/0.5 MG",1,1,1,1,,
"J8655","Netupitant palonosetron oral","Eisai INC.","62856079601","62856-0796-01","Akynzeo","300 MG/0.5 MG",1,1,1,1,,
"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,,
"Q0178","Hydroxyzine pamoate 50mg","MONUMENT","62927062104","62927-0621-04","Hydroxyzine Pamoate",,,10,,,,"50 MG"
"Q0178","Hydroxyzine pamoate 50mg","MONUMENT","62927062116","62927-0621-16","Hydroxyzine Pamoate",,,10,,,,"50 MG"
"J9217","Leuprolide acetate suspnsion","TOLMAR","62935022205","62935-0222-05","Eligard","7.5 MG",1,1,3,3,,
"J9217","Leuprolide acetate suspnsion","TOLMAR","62935022305","62935-0223-05","Eligard","7.5 MG",1,1,3,3,,
"J9217","Leuprolide acetate suspnsion","TOLMAR","62935030230","62935-0302-30","Eligard","7.5 MG",1,1,4,4,,
"J9217","Leuprolide acetate suspnsion","TOLMAR","62935030330","62935-0303-30","Eligard","7.5 MG",1,1,4,4,,
"J9217","Leuprolide acetate suspnsion","TOLMAR","62935045245","62935-0452-45","Eligard","7.5 MG",1,1,6,6,,
"J9217","Leuprolide acetate suspnsion","TOLMAR","62935045345","62935-0453-45","Eligard","7.5 MG",1,1,6,6,,
"J9217","Leuprolide acetate suspnsion","TOLMAR","62935075275","62935-0752-75","Eligard","7.5 MG",1,1,1,1,,
"J9217","Leuprolide acetate suspnsion","TOLMAR","62935075375","62935-0753-75","Eligard","7.5 MG",1,1,1,1,,
"J7602","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100601","62991-1006-01","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7603","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100601","62991-1006-01","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7611","Albuterol non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100601","62991-1006-01","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7613","Albuterol non-comp unit","MERIDIAN CHEMICAL & EQUIPMENT","62991100601","62991-1006-01","Albuterol Sulfate","1 MG",25,1,25,25,,
"Q4093","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100601","62991-1006-01","Albuterol Sulfate","1 MG",25,1,25,25,,
"Q4094","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100601","62991-1006-01","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7602","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100602","62991-1006-02","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7603","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100602","62991-1006-02","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7611","Albuterol non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100602","62991-1006-02","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7613","Albuterol non-comp unit","MERIDIAN CHEMICAL & EQUIPMENT","62991100602","62991-1006-02","Albuterol Sulfate","1 MG",100,1,100,100,,
"Q4093","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100602","62991-1006-02","Albuterol Sulfate","1 MG",100,1,100,100,,
"Q4094","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100602","62991-1006-02","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7602","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100603","62991-1006-03","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7603","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100603","62991-1006-03","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7611","Albuterol non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100603","62991-1006-03","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7613","Albuterol non-comp unit","MERIDIAN CHEMICAL & EQUIPMENT","62991100603","62991-1006-03","Albuterol Sulfate","1 MG",500,1,500,500,,
"Q4093","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100603","62991-1006-03","Albuterol Sulfate","1 MG",500,1,500,500,,
"Q4094","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100603","62991-1006-03","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7602","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100604","62991-1006-04","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7603","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100604","62991-1006-04","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7611","Albuterol non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100604","62991-1006-04","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7613","Albuterol non-comp unit","MERIDIAN CHEMICAL & EQUIPMENT","62991100604","62991-1006-04","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4093","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100604","62991-1006-04","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4094","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100604","62991-1006-04","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7602","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100605","62991-1006-05","Albuterol Sulfate","1 MG",5000,1,5000,5000,,
"J7603","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100605","62991-1006-05","Albuterol Sulfate","1 MG",5000,1,5000,5000,,
"J7611","Albuterol non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100605","62991-1006-05","Albuterol Sulfate","1 MG",5000,1,5000,5000,,
"J7613","Albuterol non-comp unit","MERIDIAN CHEMICAL & EQUIPMENT","62991100605","62991-1006-05","Albuterol Sulfate","1 MG",5000,1,5000,5000,,
"Q4093","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100605","62991-1006-05","Albuterol Sulfate","1 MG",5000,1,5000,5000,,
"Q4094","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100605","62991-1006-05","Albuterol Sulfate","1 MG",5000,1,5000,5000,,
"J7602","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100606","62991-1006-06","Albuterol Sulfate","1 MG",10000,1,10000,10000,,
"J7603","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100606","62991-1006-06","Albuterol Sulfate","1 MG",10000,1,10000,10000,,
"J7611","Albuterol non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100606","62991-1006-06","Albuterol Sulfate","1 MG",10000,1,10000,10000,,
"J7613","Albuterol non-comp unit","MERIDIAN CHEMICAL & EQUIPMENT","62991100606","62991-1006-06","Albuterol Sulfate","1 MG",10000,1,10000,10000,,
"Q4093","Albuterol inh non-comp con","MERIDIAN CHEMICAL & EQUIPMENT","62991100606","62991-1006-06","Albuterol Sulfate","1 MG",10000,1,10000,10000,,
"Q4094","Albuterol inh non-comp u d ","MERIDIAN CHEMICAL & EQUIPMENT","62991100606","62991-1006-06","Albuterol Sulfate","1 MG",10000,1,10000,10000,,
"J7622","Beclomethasone inhalatn sol","MERIDIAN PHARMACEUTICALS, INC.","62991102301","62991-1023-01","Betamethasone Dipropionate",,1,1,1000,1000,,"1 MG"
"J7622","Beclomethasone inhalatn sol","MERIDIAN PHARMACEUTICALS, INC.","62991102302","62991-1023-02","Betamethasone Dipropionate",,1,1,5000,5000,,"1 MG"
"J7622","Beclomethasone inhalatn sol","MERIDIAN PHARMACEUTICALS, INC.","62991102303","62991-1023-03","Betamethasone Dipropionate",,1,1,10000,10000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","MERIDIAN PHARMACEUTICALS, INC.","62991115201","62991-1152-01","Terbutaline Sulfate",,1,1,10000,10000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","MERIDIAN PHARMACEUTICALS, INC.","62991115201","62991-1152-01","Terbutaline Sulfate",,1,1,10000,10000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","MERIDIAN PHARMACEUTICALS, INC.","62991115202","62991-1152-02","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","MERIDIAN PHARMACEUTICALS, INC.","62991115202","62991-1152-02","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","MERIDIAN PHARMACEUTICALS, INC.","62991115203","62991-1152-03","Terbutaline Sulfate",,1,1,100000,100000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","MERIDIAN PHARMACEUTICALS, INC.","62991115203","62991-1152-03","Terbutaline Sulfate",,1,1,100000,100000,,"1 MG"
"J7051","Sterile saline/water","MERIDIAN CHEMICAL & EQUIPMENT","62991170301","62991-1703-01","Sterile Water For Irrigation",,1000,1,200,200,,"5 CC"
"J1430","Ethanolamine oleate 100 mg","QUESTCOR","63004479006","63004-4790-06","Ethamolin","100 MG",2,10,1,10,,
"Q2007","Ethanolamine oleate 100 mg","QUESTCOR","63004479006","63004-4790-06","Ethamolin",,2,10,10,1,,"100 MG"
"J0800","Corticotropin injection","Questcor Pharmaceuticals, Inc.","63004773101","63004-7731-01","Acthar Hp","40 UNITS",5,1,10,10,,
"J0800","Corticotropin injection","Mallinckrodt","63004871001","63004-8710-01","H.P. ACTHAR","40 Units",5,1,10,10,,
"J9041","Bortezomib injection","Millennium Pharmaceuticals","63020004901","63020-0049-01","Velcade","0.1 MG",1,1,35,35,,
"J3301","Triamcinolone acetonide inj","RADFORD THERAPEUTICS","63252029307","63252-0293-07","Triamcinolone Acetonide",,5,1,20,20,,"10 MG"
"J0300","Amobarbital 125 MG inj","RANBAXY PHARMACEUTICALS","63304030310","63304-0303-10","Amytal Sodium","125 MG",1,10,4,40,,
"J0300","Amobarbital 125 MG inj","RANBAXY PHARMACEUTICALS","63304030325","63304-0303-25","Amytal Sodium","125 MG",1,25,4,100,,
"Q0165","Prochlorperazine maleate10mg","RANBAXY PHARMACEUTICALS","63304058901","63304-0589-01","Prochlorperazine Maleate","10 MG",100,1,100,100,,
"Q0164","Prochlorperazine maleate 5mg","RANBAXY PHARMACEUTICALS","63304059001","63304-0590-01","Prochlorperazine Maleate","5 MG",100,1,100,100,,
"J7509","Methylprednisolone oral","RANBAXY PHARMACEUTICALS","63304059122","63304-0591-22","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J1580","Garamycin gentamicin inj","Fresenius Kabi USA LLC","63323001002","63323-0010-02","Gentamicin Sulfate","80 MG",2,25,1,25,,
"J1580","Garamycin gentamicin inj","Fresenius Kabi USA LLC","63323001020","63323-0010-20","Gentamicin Sulfate","80 MG",20,25,10,250,,
"J1580","Garamycin gentamicin inj","Fresenius Kabi USA LLC","63323001094","63323-0010-94","Gentamicin Sulfate","80 MG",2,25,1,25,,
"J1580","Garamycin gentamicin inj","Fresenius Kabi USA LLC","63323001095","63323-0010-95","Gentamicin Sulfate","80 MG",20,25,10,250,,
"J1580","Garamycin gentamicin inj","Fresenius Kabi USA LLC","63323001096","63323-0010-96","Gentamicin Sulfate","80 MG",20,25,10,250,,
"J0720","Chloramphenicol sodium injec","Fresenius Kabi USA LLC","63323001115","63323-0011-15","Chloramphenicol Sod Succinate","1 GM",1,10,1,10,,
"J2590","Oxytocin injection","Fresenius Kabi USA, LLC","63323001201","63323-0012-01","Oxytocin","10 UNITS",1,25,1,25,,
"J2590","Oxytocin injection","Fresenius Kabi USA, LLC","63323001210","63323-0012-10","Oxytocin","10 UNITS",10,25,10,250,,
"J2590","Oxytocin injection","Fresenius Kabi USA, LLC","63323001212","63323-0012-12","Oxytocin","10 UNITS",1,25,1,25,,
"J2590","Oxytocin injection","Fresenius Kabi USA, LLC","63323001230","63323-0012-30","Oxytocin","10 UNITS",30,10,30,300,,
"J3411","Thiamine hcl 100 mg","Fresenius Kabi USA LLC","63323001302","63323-0013-02","Thiamine Hcl","100 MG",2,25,2,50,,
"J3411","Thiamine hcl 100 mg","Fresenius Kabi USA LLC","63323001309","63323-0013-09","Thiamine Hcl","100 MG",2,25,2,50,,
"J3411","Thiamine hcl 100 mg","FRESENIUS KABI USA","63323001326","63323-0013-26","Thiamine Hcl","100 MG",2,25,2,50,,
"J1642","Inj heparin sodium per 10 u","AMERICAN PHARMACEUTICAL PARTNERS","63323001710","63323-0017-10","Hep Flush-10","10 UNITS",10,25,10,250,,
"J3410","Hydroxyzine hcl injection","APP Pharmaceutical","63323002101","63323-0021-01","Hydroxyzine Hcl","25 MG",1,25,1,25,,
"J2150","Mannitol injection","Fresenius Kabi USA LLC","63323002425","63323-0024-25","Mannitol","50 ML",50,25,1,25,,
"J2150","Mannitol injection","Fresenius Kabi USA LLC","63323002429","63323-0024-29","Mannitol","50 ML",50,25,1,25,,
"J2150","Mannitol injection","AMERICAN PHARMACEUTICAL PARTNERS","63323002450","63323-0024-50","Mannitol",,50,1,1,1,,"50 ML"
"J0725","Chorionic gonadotropin/1000u","Fresenius Kabi USA LLC","63323002510","63323-0025-10","Chorionic Gonadotropin","1000 UNITS",1,10,10,100,,
"J0725","Chorionic gonadotropin/1000u","FRESENIUS KABI USA, LLC","63323003011","63323-0030-11","Chorionic Gonadotropin","1000 UNITS",1,1,10,10,,
"J3420","Vitamin b12 injection","Fresenius Kabi USA LLC","63323004401","63323-0044-01","Cyanocobalamin","1000 MCG",1,25,1,25,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323004710","63323-0047-10","Heparin Sodium (Porcine)","1000 UNITS",10,25,50,1250,,
"J3410","Hydroxyzine hcl injection","APP Pharmaceutical","63323005101","63323-0051-01","Hydroxyzine Hcl","25 MG",1,25,2,50,,
"J3410","Hydroxyzine hcl injection","APP Pharmaceutical","63323005102","63323-0051-02","Hydroxyzine Hcl","25 MG",2,25,4,100,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323006402","63323-0064-02","Magnesium Sulfate","500 MG",2,25,2,50,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323006409","63323-0064-09","Magnesium Sulfate","500 MG",2,25,2,50,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323006410","63323-0064-10","Magnesium Sulfate","500 MG",10,25,10,250,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323006420","63323-0064-20","Magnesium Sulfate","500 MG",20,25,20,500,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323006426","63323-0064-26","Magnesium Sulfate","500 MG",2,25,2,50,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323006429","63323-0064-29","Magnesium Sulfate","500 MG",20,25,20,500,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323006450","63323-0064-50","Magnesium Sulfate","500 MG",50,25,50,1250,,
"J2912","Sodium chloride injection","AMERICAN PHARMACEUTICAL PARTNERS","63323008861","63323-0088-61","Sodium Chl Conc 400Meq In 100Ml Maxivial","2 ML",100,40,50,2000,,
"J9000","Doxorubicin hcl injection","Fresenius Kabi USA LLC","63323010161","63323-0101-61","Doxorubicin Hcl","10 MG",100,1,20,20,,
"J9201","Gemcitabine hcl injection","Fresenius Kabi USA, LLC","63323010210","63323-0102-10","GEMCITABINE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Fresenius Kabi USA LLC","63323010213","63323-0102-13","GEMCITABINE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","Fresenius Kabi USA LLC","63323010294","63323-0102-94","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1,,
"J9060","Cisplatin 10 mg injection","Fresenius Kabi USA LLC","63323010351","63323-0103-51","Cisplatin","10 MG",50,1,5,5,,
"J9062","Cisplatin 50 MG injection","AMERICAN PHARMACEUTICAL PARTNERS","63323010351","63323-0103-51","Cisplatin","50 MG",50,1,1,1,,
"J9060","Cisplatin 10 mg injection","Fresenius Kabi USA LLC","63323010364","63323-0103-64","Cisplatin","10 MG",200,1,20,20,,
"J9062","Cisplatin 50 MG injection","AMERICAN PHARMACEUTICAL PARTNERS","63323010364","63323-0103-64","Cisplatin","50 MG",200,1,4,4,,
"J9060","Cisplatin 10 mg injection","Fresenius Kabi USA LLC","63323010365","63323-0103-65","Cisplatin","10 MG",100,1,10,10,,
"J9062","Cisplatin 50 MG injection","AMERICAN PHARMACEUTICAL PARTNERS","63323010365","63323-0103-65","Cisplatin","50 MG",100,1,2,2,,
"J9060","Cisplatin 10 MG injection","AMERICAN PHARMACEUTICAL PARTNERS","63323010391","63323-0103-91","Cisplatin","10 MG",50,1,5,5,,
"J9062","Cisplatin 50 MG injection","AMERICAN PHARMACEUTICAL PARTNERS","63323010391","63323-0103-91","Cisplatin","50 MG",50,1,1,1,,
"J9060","Cisplatin 10 MG injection","AMERICAN PHARMACEUTICAL PARTNERS","63323010395","63323-0103-95","Cisplatin","10 MG",100,1,10,10,,
"J9062","Cisplatin 50 MG injection","AMERICAN PHARMACEUTICAL PARTNERS","63323010395","63323-0103-95","Cisplatin","50 MG",100,1,2,2,,
"J9181","Etoposide injection","Fresenius Kabi USA LLC","63323010405","63323-0104-05","Etoposide","10 MG",5,10,10,100,,
"J9182","Etoposide 100 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323010405","63323-0104-05","Etoposide","100 MG",5,10,1,10,,
"J9181","Etoposide injection","Fresenius Kabi USA LLC","63323010425","63323-0104-25","Etoposide","10 MG",25,1,50,50,,
"J9182","Etoposide 100 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323010425","63323-0104-25","Etoposide","100 MG",25,1,5,5,,
"J9181","Etoposide injection","Fresenius Kabi USA LLC","63323010450","63323-0104-50","Etoposide","10 MG",50,1,100,100,,
"J9182","Etoposide 100 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323010450","63323-0104-50","Etoposide","100 MG",50,1,10,10,,
"J9181","Etoposide injection","AMERICAN PHARMACEUTICAL PARTNERS","63323010465","63323-0104-65","Etoposide","10 MG",50,1,100,100,,
"J9182","Etoposide 100 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323010465","63323-0104-65","Etoposide","100 MG",50,1,10,10,,
"J0133","Acyclovir injection","Fresenius Kabi USA, LLC","63323010510","63323-0105-10","Acyclovir Sodium","5 MG",10,10,100,1000,,
"Q4075","Acyclovir, 5 mg","AMERICAN PHARMACEUTICAL PARTNERS","63323010510","63323-0105-10","Acyclovir Sodium",,10,10,1000,100,,"5 MG"
"J3475","Inj magnesium sulfate","FRESENIUS KABI USA","63323010601","63323-0106-01","MAGNESIUM SULFATE","500 mg",100,24,8,192,,
"J3475","Inj magnesium sulfate","FRESENIUS KABI USA","63323010605","63323-0106-05","MAGNESIUM SULFATE","500 mg",50,24,4,96,,
"J3475","Inj magnesium sulfate","FRESENIUS KABI USA","63323010610","63323-0106-10","MAGNESIUM SULFATE","500 mg",1000,12,80,960,,
"J3475","Inj magnesium sulfate","FRESENIUS KABI USA","63323010615","63323-0106-15","MAGNESIUM SULFATE","500 mg",500,24,40,960,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323010626","63323-0106-26","MAGNESIUM SULFATE","500 mg",50,24,4,96,,
"J3475","Inj magnesium sulfate","FRESENIUS KABI USA","63323010705","63323-0107-05","MAGNESIUM SULFATE","500 mg",50,24,8,216,,
"J3475","Inj magnesium sulfate","FRESENIUS KABI USA","63323010826","63323-0108-26","Magnesium Sulfate in 5% Dextrose","500 MG",100,24,2,48,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011710","63323-0117-10","Fluorouracil","500 MG",10,10,1,10,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011718","63323-0117-18","Fluorouracil","500 MG",10,10,1,10,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011719","63323-0117-19","Fluorouracil","500 MG",10,10,1,10,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011720","63323-0117-20","Fluorouracil","500 MG",20,10,2,20,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011728","63323-0117-28","Fluorouracil","500 MG",20,10,2,20,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011751","63323-0117-51","Fluorouracil","500 MG",50,1,5,5,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011758","63323-0117-58","Fluorouracil","500 MG",50,1,5,5,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011759","63323-0117-59","Fluorouracil","500 MG",50,1,5,5,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011761","63323-0117-61","Fluorouracil","500 MG",100,1,10,10,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011768","63323-0117-68","Fluorouracil","500 MG",100,1,10,10,,
"J9190","Fluorouracil injection","Fresenius Kabi USA LLC","63323011769","63323-0117-69","Fluorouracil","500 MG",100,1,10,10,,
"J9150","Daunorubicin injection","APP Pharmaceutical","63323011908","63323-0119-08","Daunorubicin Hcl","10 MG",1,10,2,20,,
"J9100","Cytarabine hcl 100 mg inj","Fresenius Kabi USA LLC","63323012020","63323-0120-20","Cytarabine","100 MG",1,1,20,20,,
"J9110","Cytarabine hcl 500 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323012020","63323-0120-20","Cytarabine","500 MG",1,1,4,4,,
"J9250","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012102","63323-0121-02","Methotrexate Sodium","5 MG",2,1,10,10,,
"J9260","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012102","63323-0121-02","Methotrexate Sodium","50 MG",2,1,1,1,,
"J9250","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012104","63323-0121-04","Methotrexate Sodium","5 MG",4,1,20,20,,
"J9260","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012104","63323-0121-04","Methotrexate Sodium","50 MG",4,1,2,2,,
"J9250","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012108","63323-0121-08","Methotrexate Sodium","5 MG",8,1,40,40,,
"J9260","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012108","63323-0121-08","Methotrexate Sodium","50 MG",8,1,4,4,,
"J9250","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012110","63323-0121-10","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012110","63323-0121-10","Methotrexate Sodium","50 MG",10,1,5,5,,
"J9250","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012140","63323-0121-40","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012140","63323-0121-40","Methotrexate Sodium","50 MG",40,1,20,20,,
"J9250","Methotrexate sodium inj","Fresenius Kabi USA LLC","63323012250","63323-0122-50","Methotrexate PoWder 1Gm In 50Ml Sd Vial (P.F.)","5 MG",1,1,200,200,,
"J9260","Methotrexate sodium inj","Fresenius Kabi USA LLC","63323012250","63323-0122-50","Methotrexate PoWder 1Gm In 50Ml Sd Vial (P.F.)","50 MG",1,1,20,20,,
"J9250","Methotrexate sodium inj","Fresenius Kabi USA LLC","63323012259","63323-0122-59","Methotrexate Sodium","5 MG",1,1,200,200,,
"J9260","Methotrexate sodium inj","Fresenius Kabi USA LLC","63323012259","63323-0122-59","Methotrexate Sodium","50 MG",1,1,20,20,,
"J9250","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012302","63323-0123-02","Methotrexate Sodium","5 MG",2,1,10,10,,
"J9260","Methotrexate sodium inj","Fresenius Kabi USA, LLC","63323012302","63323-0123-02","Methotrexate Sodium","50 MG",2,1,1,1,,
"J9250","Methotrexate sodium inj","Fresenius Kabi USA LLC","63323012310","63323-0123-10","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","Fresenius Kabi USA LLC","63323012310","63323-0123-10","Methotrexate Sodium","50 MG",10,1,5,5,,
"J9150","Daunorubicin injection","APP Pharmaceutical","63323012404","63323-0124-04","Daunorubicin Hcl","10 MG",4,1,2,2,,
"J9201","Gemcitabine hcl injection","Fresenius Kabi USA, LLC","63323012550","63323-0125-50","GEMCITABINE","200 MG",1,1,5,5,,
"J9201","Gemcitabine hcl injection","Fresenius Kabi USA LLC","63323012553","63323-0125-53","GEMCITABINE","200 MG",1,1,5,5,,
"J9201","Gemcitabine hcl injection","Fresenius Kabi USA LLC","63323012594","63323-0125-94","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5,,
"J9201","Gemcitabine hcl injection","Fresenius Kabi USA LLC","63323012600","63323-0126-00","GEMCITABINE","200 MG",1,1,10,10,,
"J9130","Dacarbazine 100 mg inj","Fresenius Kabi USA LLC","63323012710","63323-0127-10","Dacarbazine","100 MG",1,10,1,10,,
"J9140","Dacarbazine 200 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323012710","63323-0127-10","Dacarbazine","200 MG",1,10,0.5,5,,
"J9130","Dacarbazine 100 mg inj","APP Pharmaceutical","63323012812","63323-0128-12","Dacarbazine","100 MG",1,10,2,20,,
"J9140","Dacarbazine 200 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323012812","63323-0128-12","Dacarbazine","200 MG",1,10,1,10,,
"J9130","Dacarbazine 100 mg inj","Fresenius Kabi USA LLC","63323012820","63323-0128-20","Dacarbazine","100 MG",1,10,2,20,,
"J9140","Dacarbazine 200 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323012820","63323-0128-20","Dacarbazine","200 MG",1,10,1,10,,
"J9293","Mitoxantrone hydrochl / 5 mg","Fresenius Kabi USA LLC","63323013210","63323-0132-10","MITOXANTRONE HYDROCHLORIDE","5 MG",10,1,4,4,,
"J9293","Mitoxantrone hydrochl / 5 mg","Fresenius Kabi USA LLC","63323013212","63323-0132-12","MITOXANTRONE HYDROCHLORIDE","5 MG",12.5,1,5,5,,
"J9293","Mitoxantrone hydrochl / 5 mg","Fresenius Kabi USA LLC","63323013215","63323-0132-15","MITOXANTRONE HYDROCHLORIDE","5 MG",15,1,6,6,,
"J9040","Bleomycin sulfate injection","Fresenius Kabi USA LLC","63323013610","63323-0136-10","Bleomycin Sulfate","15 UNITS",1,1,1,1,,
"J9040","Bleomycin sulfate injection","Fresenius Kabi USA LLC","63323013720","63323-0137-20","Bleomycin","15 UNITS",1,1,1,2,,
"J9065","Inj cladribine per 1 mg","Fresenius Kabi USA LLC","63323014010","63323-0140-10","Cladribine","1 MG",10,1,10,10,,
"J9208","Ifosfamide injection","Fresenius Kabi USA LLC","63323014210","63323-0142-10","Ifosfamide","1 GM",1,1,1,1,,
"J9208","Ifosfamide injection","Fresenius Kabi USA LLC","63323014212","63323-0142-12","Ifosfamide","1 GM",1,1,1,1,,
"J9200","Floxuridine injection","Fresenius Kabi USA LLC","63323014507","63323-0145-07","Floxuridine","500 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate inj","Fresenius Kabi USA, LLC","63323014801","63323-0148-01","Vinorelbine Tartrate","10 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate inj","Fresenius Kabi USA, LLC","63323014805","63323-0148-05","Vinorelbine Tartrate","10 MG",5,1,5,5,,
"J9178","Inj, epirubicin hcl, 2 mg","Fresenius Kabi USA, LLC","63323015100","63323-0151-00","Epirubicin","2 MG",100,1,100,100,,
"J9178","Inj, epirubicin hcl, 2 mg","APP Pharmaceutical","63323015105","63323-0151-05","Epirubicin","2 MG",5,1,5,5,,
"J9178","Inj, epirubicin hcl, 2 mg","Fresenius Kabi USA, LLC","63323015125","63323-0151-25","Epirubicin","2 MG",25,1,25,25,,
"J9178","Inj, epirubicin hcl, 2 mg","APP Pharmaceutical","63323015175","63323-0151-75","Epirubicin","2 MG",75,1,75,75,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","63323016101","63323-0161-01","Ketorolac Tromethamine","15 MG",1,25,1,25,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","63323016112","63323-0161-12","Ketorolac Tromethamine","15 MG",1,25,1,25,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","63323016116","63323-0161-16","Ketorolac Tromethamine","15 MG",1,25,1,25,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","63323016201","63323-0162-01","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","63323016202","63323-0162-02","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","63323016212","63323-0162-12","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","63323016214","63323-0162-14","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","63323016216","63323-0162-16","Ketorolac Tromethamine","15 MG",1,25,2,50,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","63323016226","63323-0162-26","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J1100","Dexamethasone sodium phos","Fresenius Kabi USA LLC","63323016501","63323-0165-01","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100,,
"J7637","Dexamethasone inhal sol con","AMERICAN PHARMACEUTICAL PARTNERS","63323016501","63323-0165-01","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J7638","Dexamethasone inhal sol u d","AMERICAN PHARMACEUTICAL PARTNERS","63323016501","63323-0165-01","Dexamethasone Sodium Phosphate",,1,25,100,4,,"1 MG"
"J1100","Dexamethasone sodium phos","Fresenius Kabi USA LLC","63323016505","63323-0165-05","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500,,
"J7637","Dexamethasone inhal sol con","AMERICAN PHARMACEUTICAL PARTNERS","63323016505","63323-0165-05","Dexamethasone Sodium Phosphate",,5,25,500,20,,"1 MG"
"J7638","Dexamethasone inhal sol u d","AMERICAN PHARMACEUTICAL PARTNERS","63323016505","63323-0165-05","Dexamethasone Sodium Phosphate",,5,25,500,20,,"1 MG"
"J1100","Dexamethasone sodium phos","Fresenius Kabi USA LLC","63323016516","63323-0165-16","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100,,
"J1100","Dexamethasone sodium phos","Fresenius Kabi USA LLC","63323016526","63323-0165-26","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500,,
"J1100","Dexamethasone sodium phos","Fresenius Kabi USA LLC","63323016530","63323-0165-30","Dexamethasone Sodium Phosphate","1 MG",30,1,120,120,,
"J7637","Dexamethasone inhal sol con","AMERICAN PHARMACEUTICAL PARTNERS","63323016530","63323-0165-30","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J7638","Dexamethasone inhal sol u d","AMERICAN PHARMACEUTICAL PARTNERS","63323016530","63323-0165-30","Dexamethasone Sodium Phosphate",,30,1,120,120,,"1 MG"
"J9045","Carboplatin injection","APP Pharmaceutical","63323016610","63323-0166-10","Carboplatin","50 MG",1,1,1,1,,
"J9045","Carboplatin injection","AMERICAN PHARMACEUTICAL PARTNERS","63323016720","63323-0167-20","Carboplatin","50 MG",10,10,3,30,,
"J9045","Carboplatin injection","Fresenius Kabi USA, LLC","63323016721","63323-0167-21","Carboplatin","50 MG",1,1,3,3,,
"J9045","Carboplatin injection","APP Pharmaceutical","63323016800","63323-0168-00","Carboplatin","50 MG",1,1,9,9,,
"J9045","Carboplatin injection","AMERICAN PHARMACEUTICAL PARTNERS","63323016905","63323-0169-05","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","AMERICAN PHARMACEUTICAL PARTNERS","63323016915","63323-0169-15","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","AMERICAN PHARMACEUTICAL PARTNERS","63323016945","63323-0169-45","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","Fresenius Kabi USA, LLC","63323017205","63323-0172-05","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","Fresenius Kabi USA, LLC","63323017215","63323-0172-15","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","Fresenius Kabi USA LLC","63323017245","63323-0172-45","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","Fresenius Kabi USA LLC","63323017260","63323-0172-60","Carboplatin","50 MG",60,1,12,12,,
"J1580","Garamycin gentamicin inj","Fresenius Kabi USA LLC","63323017302","63323-0173-02","Gentamicin Sulfate","80 MG",2,25,0.25,6.25,,
"J1580","Garamycin gentamicin inj","Fresenius Kabi USA LLC","63323017394","63323-0173-94","Gentamicin Sulfate","80 MG",2,25,0.25,6.25,,
"J1580","Garamycin gentamicin inj","Fresenius Kabi USA LLC","63323017395","63323-0173-95","Gentamicin Sulfate","80 MG",2,25,0.25,6.25,,
"J9208","Ifosfamide injection","Fresenius Kabi USA, LLC","63323017420","63323-0174-20","Ifosfamide","1 GM",1,1,1,1,,
"J9208","Ifosfamide injection","Fresenius Kabi USA, LLC","63323017460","63323-0174-60","Ifosfamide","1 GM",1,1,3,3,,
"J9263","Oxaliplatin","Fresenius Kabi USA, LLC","63323017530","63323-0175-30","Oxaliplatin","0.5 MG",1,1,100,100,,
"J9263","Oxaliplatin","Fresenius Kabi USA, LLC","63323017650","63323-0176-50","Oxaliplatin","0.5 MG",1,1,200,200,,
"J3415","Pyridoxine hcl 100 mg","Fresenius Kabi USA LLC","63323018001","63323-0180-01","Pyridoxine Hcl","100 MG",1,25,1,25,,
"J7051","Sterile saline/water","AMERICAN PHARMACEUTICAL PARTNERS","63323018500","63323-0185-00","Sterile Water For Injection",,100,25,500,20,,"5 CC"
"J7051","Sterile saline/water","AMERICAN PHARMACEUTICAL PARTNERS","63323018505","63323-0185-05","Sterile Water For Injection",,5,25,25,1,,"5 CC"
"J7051","Sterile saline/water","AMERICAN PHARMACEUTICAL PARTNERS","63323018510","63323-0185-10","Sterile Water For Injection",,10,25,50,2,,"5 CC"
"J7051","Sterile saline/water","AMERICAN PHARMACEUTICAL PARTNERS","63323018520","63323-0185-20","Sterile Water For Injection",,20,25,100,4,,"5 CC"
"J7051","Sterile saline/water","AMERICAN PHARMACEUTICAL PARTNERS","63323018550","63323-0185-50","Sterile Water For Injection",,50,25,250,10,,"5 CC"
"J2912","Sodium chloride injection","AMERICAN PHARMACEUTICAL PARTNERS","63323018600","63323-0186-00","Sodium Chloride","2 ML",100,25,50,1250,,
"J7130","Hypertonic saline solution","AMERICAN PHARMACEUTICAL PARTNERS","63323018600","63323-0186-00","Sodium Chloride",,100,25,125,5,,"20 CC"
"J2912","Sodium chloride injection","AMERICAN PHARMACEUTICAL PARTNERS","63323018602","63323-0186-02","Sodium Chloride","2 ML",2,25,1,25,,
"J7130","Hypertonic saline solution","AMERICAN PHARMACEUTICAL PARTNERS","63323018602","63323-0186-02","Sodium Chloride",,2,25,2.5,0.1,,"20 CC"
"J2912","Sodium chloride injection","AMERICAN PHARMACEUTICAL PARTNERS","63323018610","63323-0186-10","Sodium Chloride","2 ML",10,25,5,125,,
"J7130","Hypertonic saline solution","AMERICAN PHARMACEUTICAL PARTNERS","63323018610","63323-0186-10","Sodium Chloride",,10,25,12.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","AMERICAN PHARMACEUTICAL PARTNERS","63323018620","63323-0186-20","Sodium Chloride","2 ML",20,25,10,250,,
"J7130","Hypertonic saline solution","AMERICAN PHARMACEUTICAL PARTNERS","63323018620","63323-0186-20","Sodium Chloride",,20,25,25,1,,"20 CC"
"J9185","Fludarabine phosphate inj","APP Pharmaceutical","63323019002","63323-0190-02","Fludarabine Phosphate","50 MG",2,1,1,1,,
"J9280","Mitomycin 5 MG inj","APP Pharmaceutical","63323019020","63323-0190-20","Mitomycin","5 MG",1,1,1,1,,
"J9290","Mitomycin 20 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323019020","63323-0190-20","Mitomycin","20 MG",1,1,0.25,0.125,,
"J9291","Mitomycin 40 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323019020","63323-0190-20","Mitomycin","40 MG",1,1,0.125,0.125,,
"J9280","Mitomycin 5 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323019120","63323-0191-20","Mitomycin","5 MG",1,1,1,1,,
"J9290","Mitomycin 20 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323019120","63323-0191-20","Mitomycin","20 MG",1,1,0.25,0.25,,
"J9291","Mitomycin 40 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323019120","63323-0191-20","Mitomycin","40 MG",1,1,0.125,0.125,,
"J9280","Mitomycin 5 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323019140","63323-0191-40","Mitomycin","5 MG",1,1,4,4,,
"J9290","Mitomycin 20 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323019140","63323-0191-40","Mitomycin","20 MG",1,1,1,1,,
"J9291","Mitomycin 40 MG inj","AMERICAN PHARMACEUTICAL PARTNERS","63323019140","63323-0191-40","Mitomycin","40 MG",1,1,0.5,0.5,,
"J9185","Fludarabine phosphate inj","Fresenius Kabi USA LLC","63323019202","63323-0192-02","Fludarabine Phosphate","50 MG",1,1,1,1,,
"J9206","Irinotecan injection","Fresenius Kabi USA, LLC","63323019302","63323-0193-02","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","Fresenius Kabi USA, LLC","63323019305","63323-0193-05","Irinotecan HCL","20 MG",5,1,5,5,,
"J9206","Irinotecan injection","Fresenius Kabi USA LLC","63323019352","63323-0193-52","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","Fresenius Kabi USA LLC","63323019355","63323-0193-55","Irinotecan HCL","20 MG",5,1,5,5,,
"J9211","Idarubicin hcl injection","Fresenius Kabi USA LLC","63323019405","63323-0194-05","Idarubicin","5 MG",5,1,1,1,,
"J9211","Idarubicin hcl injection","Fresenius Kabi USA LLC","63323019410","63323-0194-10","Idarubicin","5 MG",10,1,2,2,,
"J9211","Idarubicin hcl injection","Fresenius Kabi USA LLC","63323019420","63323-0194-20","Idarubicin","5 MG",20,1,4,4,,
"J9185","Fludarabine phosphate inj","Fresenius Kabi USA LLC","63323019606","63323-0196-06","Fludarabine Phosphate","50 MG",1,1,1,1,,
"J3370","Vancomycin hcl injection","FRESENIUS KABI USA, LLC","63323020320","63323-0203-20","Vancomycin Hcl","500 MG",1,10,1.5,15,,
"J9263","Oxaliplatin","Fresenius Kabi USA LLC","63323021110","63323-0211-10","Oxaliplatin","0.5 MG",10,1,100,100,,
"J9263","Oxaliplatin","Fresenius Kabi USA LLC","63323021220","63323-0212-20","Oxaliplatin","0.5 MG",20,1,200,200,,
"J3370","Vancomycin hcl injection","Fresenius Kabi USA LLC","63323022110","63323-0221-10","Vancomycin Hcl","500 MG",1,25,1,25,,
"J3370","Vancomycin hcl injection","Fresenius Kabi USA LLC","63323022116","63323-0221-16","Vancomycin HCl","500 MG",1,25,1,25,,
"J2720","Inj protamine sulfate/10 mg","Fresenius Kabi USA LLC","63323022905","63323-0229-05","Protamine Sulfate","10 MG",5,25,5,125,,
"J2720","Inj protamine sulfate/10 mg","Fresenius Kabi USA LLC","63323022915","63323-0229-15","Protamine Sulfate","10 MG",5,25,5,125,,
"J2720","Inj protamine sulfate/10 mg","Fresenius Kabi USA LLC","63323022930","63323-0229-30","Protamine Sulfate","10 MG",25,1,25,25,,
"J2720","Inj protamine sulfate/10 mg","Fresenius Kabi USA LLC","63323022935","63323-0229-35","Protamine Sulfate","10 MG",25,1,25,25,,
"J2720","Inj protamine sulfate/10 mg","Fresenius Kabi USA LLC","63323022994","63323-0229-94","Protamine Sulfate","10 MG",5,25,5,125,,
"J2720","Inj protamine sulfate/10 mg","Fresenius Kabi USA LLC","63323022995","63323-0229-95","Protamine Sulfate","10 MG",25,1,25,25,,
"J0460","Atropine sulfate injection","AMERICAN PHARMACEUTICAL PARTNERS","63323023401","63323-0234-01","Atropine Sulfate","0.3 MG",1,25,1.33,33.25,,
"J0461","Atropine sulfate injection","APP Pharmaceutical","63323023401","63323-0234-01","Atropine Sulfate","0.01 MG",1,25,40,1000,,
"J0460","Atropine sulfate injection","AMERICAN PHARMACEUTICAL PARTNERS","63323023420","63323-0234-20","Atropine Sulfate","0.3 MG",20,25,26.6,200,,
"J0461","Atropine sulfate injection","APP Pharmaceutical","63323023420","63323-0234-20","Atropine Sulfate","0.01 MG",20,1,800,800,,
"J7635","Atropine inhal sol con","AMERICAN PHARMACEUTICAL PARTNERS","63323023420","63323-0234-20","Atropine Sulfate",,20,25,200,8,,"1 MG"
"J7636","Atropine inhal sol unit dose","AMERICAN PHARMACEUTICAL PARTNERS","63323023420","63323-0234-20","Atropine Sulfate",,20,25,200,8,,"1 MG"
"J0690","Cefazolin sodium injection","Fresenius Kabi USA LLC","63323023610","63323-0236-10","Cefazolin Sodium","500 MG",1,25,1,25,,
"J0690","Cefazolin sodium injection","Fresenius Kabi USA LLC","63323023710","63323-0237-10","Cefazolin Sodium","500 MG",1,25,2,50,,
"J0690","Cefazolin sodium injection","APP Pharmaceutical","63323023765","63323-0237-65","Cefazolin Sodium","500 MG",1,10,2,20,,
"J0690","Cefazolin sodium injection","Fresenius Kabi USA LLC","63323023861","63323-0238-61","Cefazolin Sodium","500 MG",1,10,20,200,,
"J0460","Atropine sulfate injection","AMERICAN PHARMACEUTICAL PARTNERS","63323024301","63323-0243-01","Atropine Sulfate","0.3 MG",1,25,1.67,41.75,,
"J0460","Atropine sulfate injection","AMERICAN PHARMACEUTICAL PARTNERS","63323024601","63323-0246-01","Atropine Sulfate","0.3 MG",1,25,3.33,83.25,,
"J0461","Atropine sulfate injection","APP Pharmaceutical","63323024601","63323-0246-01","Atropine Sulfate","0.01 MG",1,25,100,2500,,
"J7051","Sterile saline/water","AMERICAN PHARMACEUTICAL PARTNERS","63323024910","63323-0249-10","Bacteriostatic Water(Parabens)",,10,25,50,2,,"5 CC"
"J7051","Sterile saline/water","AMERICAN PHARMACEUTICAL PARTNERS","63323024930","63323-0249-30","Bacteriostatic Water(Parabens)",,30,25,150,6,,"5 CC"
"J2920","Methylprednisolone injection","Fresenius Kabi USA LLC","63323025503","63323-0255-03","Methylprednisolone Sodium Succ","40 MG",3,25,1,25,,
"J2930","Methylprednisolone injection","Fresenius Kabi USA LLC","63323025803","63323-0258-03","Methylprednisolone Sodium Succ","125 MG",1,25,1,25,,
"J2912","Sodium chloride injection","AMERICAN PHARMACEUTICAL PARTNERS","63323025910","63323-0259-10","Saline Bacteriostatic","2 ML",10,25,5,125,,
"J7130","Hypertonic saline solution","AMERICAN PHARMACEUTICAL PARTNERS","63323025910","63323-0259-10","Saline Bacteriostatic",,10,25,12.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","AMERICAN PHARMACEUTICAL PARTNERS","63323025930","63323-0259-30","Saline Bacteriostatic","2 ML",30,25,15,375,,
"J7130","Hypertonic saline solution","AMERICAN PHARMACEUTICAL PARTNERS","63323025930","63323-0259-30","Saline Bacteriostatic",,30,25,37.5,1.5,,"20 CC"
"J0670","Inj mepivacaine HCL/10 ml","Fresenius Kabi USA, LLC","63323026030","63323-0260-30","Polocaine-MPF","10 ML",30,1,3,3,,
"J0670","Inj mepivacaine hcl/10 ml","Fresenius Kabi USA LLC","63323026037","63323-0260-37","Polocaine-Mpf","10 ML",30,25,3,75,,
"J2675","Inj progesterone per 50 mg","Fresenius Kabi USA LLC","63323026110","63323-0261-10","Progesterone","50 MG",10,1,10,10,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323026201","63323-0262-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323026255","63323-0262-55","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125,,
"J2930","Methylprednisolone injection","Fresenius Kabi USA LLC","63323026530","63323-0265-30","Methylprednisolone Sodium Succ","125 MG",1,1,8,8,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026910","63323-0269-10","DIPRIVAN","10 MG",10,10,10,100,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026929","63323-0269-29","DIPRIVAN","10 MG",20,10,20,200,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026937","63323-0269-37","DIPRIVAN","10 MG",20,10,20,200,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026950","63323-0269-50","Propofol","10 MG",50,20,50,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026957","63323-0269-57","Propofol","10 MG",50,20,50,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026959","63323-0269-59","DIPRIVAN","10 MG",50,20,50,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026965","63323-0269-65","Propofol","10 MG",100,10,100,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026967","63323-0269-67","Propofol","10 MG",100,10,100,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026969","63323-0269-69","DIPRIVAN","10 MG",100,10,100,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026970","63323-0269-70","DIPRIVAN","10 MG",20,10,20,200,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026977","63323-0269-77","DIPRIVAN","10 MG",50,20,50,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026978","63323-0269-78","Propofol","10 MG",100,10,100,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA LLC","63323026994","63323-0269-94","DIPRIVAN","10 MG",20,10,20,200,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA, LLC","63323027026","63323-0270-26","PROPOFOL NOVAPLUS","10 MG",20,10,20,200,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA, LLC","63323027050","63323-0270-50","Propofol","10 MG",50,20,50,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA, LLC","63323027057","63323-0270-57","Propofol","10 MG",50,20,50,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA, LLC","63323027065","63323-0270-65","Propofol","10 MG",100,10,100,1000,,
"J2704","Inj, propofol, 10 mg","Fresenius Kabi USA, LLC","63323027067","63323-0270-67","Propofol","10 MG",100,10,100,1000,,
"J2680","Fluphenazine decanoate 25 mg","Fresenius Kabi USA LLC","63323027205","63323-0272-05","Fluphenazine Decanoate","25 MG",5,1,5,5,,
"J2680","Fluphenazine decanoate 25 MG","APP Pharmaceutical","63323027255","63323-0272-55","Fluphenazine Decanoate","25 MG",5,1,5,5,,
"J3030","Sumatriptan succinate / 6 MG","APP Pharmaceutical","63323027301","63323-0273-01","Sumatriptan Succinate Injection","6 MG",0.5,1,1,1,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323027602","63323-0276-02","Heparin Sodium (Porcine)","1000 UNITS",2,25,2,50,,
"J9360","Vinblastine sulfate inj","Fresenius Kabi USA LLC","63323027810","63323-0278-10","Vinblastine Sulfate","1 MG",10,1,10,10,,
"J1940","Furosemide injection","Fresenius Kabi USA LLC","63323028002","63323-0280-02","Furosemide","20 MG",2,25,1,25,,
"J1940","Furosemide injection","Fresenius Kabi USA LLC","63323028004","63323-0280-04","Furosemide","20 MG",4,25,2,50,,
"J1940","Furosemide injection","Fresenius Kabi USA LLC","63323028010","63323-0280-10","Furosemide","20 MG",10,25,5,125,,
"J1940","Furosemide injection","Fresenius Kabi USA LLC","63323028016","63323-0280-16","Furosemide","20 MG",2,25,1,25,,
"J1940","Furosemide injection","Fresenius Kabi USA LLC","63323028026","63323-0280-26","Furosemide","20 MG",4,25,2,50,,
"J1940","Furosemide injection","Fresenius Kabi USA LLC","63323028036","63323-0280-36","Furosemide","20 MG",10,25,5,125,,
"J0670","Inj mepivacaine HCL/10 ml","Fresenius Kabi USA, LLC","63323028350","63323-0283-50","Polocaine-MPF","10 ML",50,1,5,5,,
"J0670","Inj mepivacaine hcl/10 ml","Fresenius Kabi USA LLC","63323028357","63323-0283-57","Polocaine","10 ML",50,25,5,125,,
"J3370","Vancomycin hcl injection","Fresenius Kabi USA LLC","63323028420","63323-0284-20","Vancomycin Hcl","500 MG",1,10,2,20,,
"J3370","Vancomycin hcl injection","Fresenius Kabi USA LLC","63323028421","63323-0284-21","Vancomycin HCl","500 MG",1,10,2,20,,
"J3370","Vancomycin hcl injection","Fresenius Kabi USA LLC","63323028426","63323-0284-26","Vancomycin HCl","500 MG",1,10,2,20,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028510","63323-0285-10","Naropin","1 MG",10,5,20,100,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028513","63323-0285-13","Naropin","1 MG",10,25,20,500,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028520","63323-0285-20","Naropin ","1 MG",20,5,40,200,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028523","63323-0285-23","Naropin","1 MG",20,25,40,1000,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028528","63323-0285-28","Naropin","1 MG",20,25,40,1000,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028561","63323-0285-61","Naropin","1 MG",100,24,200,4800,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028563","63323-0285-63","Naropin","1 MG",200,24,400,9600,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028564","63323-0285-64","Naropin","1 MG",200,1,400,400,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028565","63323-0285-65","Naropin","1 MG",100,1,200,200,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028567","63323-0285-67","Naropin","1 MG",100,1,200,200,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028568","63323-0285-68","Naropin","1 MG",100,1,200,200,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028573","63323-0285-73","Naropin","1 MG",200,1,400,400,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028600","63323-0286-00","NAROPIN","1 MG",100,12,500,6000,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028620","63323-0286-20","Naropin","1 MG",20,5,100,500,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028623","63323-0286-23","Naropin","1 MG",20,25,100,2500,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028627","63323-0286-27","Naropin","1 MG",20,25,100,2500,,
"J2795","Ropivacaine HCl injection","Fresenius Kabi USA, LLC","63323028630","63323-0286-30","Naropin ","1 MG",30,1,150,150,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028631","63323-0286-31","Naropin ","1 MG",30,5,150,750,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028635","63323-0286-35","Naropin","1 MG",30,25,150,3750,,
"J2795","Ropivacaine HCl injection","Fresenius Kabi USA, LLC","63323028637","63323-0286-37","Naropin (Novaplus)","1 MG",30,1,150,150,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028638","63323-0286-38","Naropin","1 MG",30,25,150,3750,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028663","63323-0286-63","NAROPIN","1 MG",200,12,1000,12000,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028695","63323-0286-95","Naropin","1 MG",30,25,150,3750,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028720","63323-0287-20","Naropin","1 MG",20,5,150,750,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028721","63323-0287-21","Naropin","1 MG",20,25,150,3750,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028810","63323-0288-10","Naropin","1 MG",10,5,100,500,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028811","63323-0288-11","Naropin","1 MG",10,25,100,2500,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028820","63323-0288-20","Naropin","1 MG",20,5,200,1000,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028821","63323-0288-21","Naropin","1 MG",20,25,200,5000,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028827","63323-0288-27","Naropin","1 MG",20,5,200,1000,,
"J2795","Ropivacaine hcl injection","Fresenius Kabi USA LLC","63323028829","63323-0288-29","Naropin","1 MG",20,25,200,5000,,
"J2275","Morphine sulfate injection","Fresenius Kabi USA, LLC","63323029110","63323-0291-10","Astramorph","10 MG",10,5,0.5,2.5,,
"J2275","Morphine sulfate injection","Fresenius Kabi USA, LLC","63323029180","63323-0291-80","Astramorph","10 MG",2,10,0.1,1,,
"J2275","Morphine sulfate injection","Fresenius Kabi USA, LLC","63323029197","63323-0291-97","ASTRAMORPH/PF","10 MG",10,5,0.5,2.5,,
"J2275","Morphine sulfate injection","Fresenius Kabi USA, LLC","63323029210","63323-0292-10","ASTRAMORPH/PF","10 MG",10,5,5,5,,
"J2275","Morphine sulfate injection","Fresenius Kabi USA, LLC","63323029280","63323-0292-80","Astramorph","10 MG",2,10,0.2,2,,
"J2275","Morphine sulfate injection","Fresenius Kabi USA, LLC","63323029297","63323-0292-97","ASTRAMORPH/PF","10 MG",10,5,1,5,,
"J0670","Inj mepivacaine HCL/10 ml","Fresenius Kabi USA, LLC","63323029330","63323-0293-30","Polocaine-MPF","10 ML",30,1,3,3,,
"J0670","Inj mepivacaine hcl/10 ml","Fresenius Kabi USA LLC","63323029337","63323-0293-37","Polocaine-Mpf","10 ML",30,25,3,75,,
"J0670","Inj mepivacaine HCL/10 ml","Fresenius Kabi USA, LLC","63323029420","63323-0294-20","POLOCAINE-MPF","10 ML",20,1,2,2,,
"J0670","Inj mepivacaine hcl/10 ml","Fresenius Kabi USA LLC","63323029427","63323-0294-27","Polocaine-Mpf","10 ML",20,25,2,50,,
"J3370","Vancomycin hcl injection","Fresenius Kabi USA LLC","63323029561","63323-0295-61","Vancomycin Hcl","500 MG",1,1,10,10,,
"J3370","Vancomycin hcl injection","Fresenius Kabi USA LLC","63323029566","63323-0295-66","Vancomycin HCl","500 MG",1,1,10,10,,
"J0670","Inj mepivacaine HCL/10 ml","Fresenius Kabi USA, LLC","63323029650","63323-0296-50","Polocaine-MPF","10 ML",50,1,5,5,,
"J0670","Inj mepivacaine hcl/10 ml","Fresenius Kabi USA LLC","63323029657","63323-0296-57","Polocaine","10 ML",50,25,5,125,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA, LLC","63323030020","63323-0300-20","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA LLC","63323030030","63323-0300-30","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA LLC","63323030036","63323-0300-36","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",1,10,3,30,,
"J3260","Tobramycin sulfate injection","Fresenius Kabi USA LLC","63323030351","63323-0303-51","Tobramycin Sulfate","80 MG",1,6,15,90,,
"J3260","Tobramycin sulfate injection","Fresenius Kabi USA LLC","63323030355","63323-0303-55","Tobramycin Sulfate","80 MG",1,6,15,90,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA LLC","63323030474","63323-0304-74","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,1,36,36,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA LLC","63323030478","63323-0304-78","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,1,36,36,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA LLC","63323030494","63323-0304-94","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,1,36,36,,
"J3260","Tobramycin sulfate injection","Fresenius Kabi USA LLC","63323030502","63323-0305-02","Tobramycin Sulfate","80 MG",2,25,0.25,6.25,,
"J3260","Tobramycin sulfate injection","Fresenius Kabi USA LLC","63323030602","63323-0306-02","Tobramycin Sulfate","80 MG",2,25,1,25,,
"J3260","Tobramycin sulfate injection","Fresenius Kabi USA LLC","63323030630","63323-0306-30","Tobramycin Sulfate","80 MG",30,10,15,150,,
"J3260","Tobramycin sulfate injection","Fresenius Kabi USA, LLC","63323030655","63323-0306-55","Tobramycin Sulfate","80 MG",1,25,1,25,,
"J3260","Tobramycin sulfate injection","Fresenius Kabi USA, LLC","63323030656","63323-0306-56","Tobramycin Sulfate","80 MG",1,10,15,150,,
"J3260","Tobramycin sulfate injection","Fresenius Kabi USA LLC","63323030751","63323-0307-51","Tobramycin Sulfate","80 MG",50,1,25,25,,
"J1450","Fluconazole","AMERICAN PHARMACEUTICAL PARTNERS","63323030861","63323-0308-61","Fluconazole In Sodium Chloride","200 MG",100,10,1,10,,
"J1450","Fluconazole","AMERICAN PHARMACEUTICAL PARTNERS","63323030863","63323-0308-63","Fluconazole In Sodium Chloride","200 MG",200,10,2,20,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA LLC","63323030920","63323-0309-20","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA LLC","63323030926","63323-0309-26","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",1,10,2,20,,
"J0610","Calcium gluconate injection","Fresenius Kabi USA LLC","63323031110","63323-0311-10","Calcium Gluconate","10 ML",10,25,1,25,,
"J0610","Calcium gluconate injection","Fresenius Kabi USA LLC","63323031119","63323-0311-19","Calcium Gluconate","10 ML",10,25,1,25,,
"J0610","Calcium gluconate injection","Fresenius Kabi USA LLC","63323031150","63323-0311-50","Calcium Gluconate","10 ML",50,25,5,125,,
"J0610","Calcium gluconate injection","Fresenius Kabi USA LLC","63323031159","63323-0311-59","Calcium Gluconate","10 ML",50,25,5,125,,
"J0610","Calcium gluconate injection","Fresenius Kabi USA LLC","63323031161","63323-0311-61","Calcium Gluconate","10 ML",100,20,10,200,,
"J0610","Calcium gluconate injection","APP Pharmaceutical","63323031163","63323-0311-63","Calcium Gluconate","10 ML",200,10,20,200,,
"J0610","Calcium gluconate injection","Fresenius Kabi USA LLC","63323031166","63323-0311-66","Calcium Gluconate","10 ML",100,20,10,200,,
"J0697","Sterile cefuroxime injection","AMERICAN PHARMACEUTICAL PARTNERS","63323031220","63323-0312-20","Cefuroxime Sodium","750 MG",1,10,2,20,,
"J0697","Sterile cefuroxime injection","APP Pharmaceutical","63323031361","63323-0313-61","Cefuroxime Sodium","750 MG",1,6,10,60,,
"J3370","Vancomycin hcl injection","Fresenius Kabi USA LLC","63323031461","63323-0314-61","Vancomycin Hcl","500 MG",1,1,20,20,,
"J3370","Vancomycin hcl injection","Fresenius Kabi USA LLC","63323031466","63323-0314-66","Vancomycin HCl","500 MG",1,1,20,20,,
"J1570","Ganciclovir sodium injection","Fresenius Kabi USA LLC","63323031510","63323-0315-10","Cytovene","500 MG",1,25,1,25,,
"J1570","Ganciclovir sodium injection","Fresenius Kabi USA LLC","63323031594","63323-0315-94","GANCICLOVIR ","500 MG",1,25,1,25,,
"J1626","Granisetron hcl injection","Fresenius Kabi USA LLC","63323031701","63323-0317-01","Granisetron HCl","100 MCG",1,10,1,10,,
"J1626","Granisetron hcl injection","Fresenius Kabi USA LLC","63323031801","63323-0318-01","Granisetron HCl","100 MCG",1,1,10,10,,
"J1626","Granisetron hcl injection","Fresenius Kabi USA LLC","63323031904","63323-0319-04","Granisetron HCl","100 MCG",4,1,40,40,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA LLC","63323032050","63323-0320-50","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,4,40,,
"J2543","Piperacillin/tazobactam","Fresenius Kabi USA LLC","63323032056","63323-0320-56","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,4,40,,
"J0743","Cilastatin sodium injection","Fresenius Kabi USA, LLC","63323032220","63323-0322-20","IMIPENEM AND CILASTATIN","250 MG",1,10,2,20,,
"J0743","Cilastatin sodium injection","Fresenius Kabi USA LLC","63323032225","63323-0322-25","IMIPENEM AND CILASTATIN","250 MG",1,25,2,50,,
"J0743","Cilastatin sodium injection","NOVAPLUS/FRESENIUS KABI","63323032293","63323-0322-93","IMIPENEM AND CILASTATIN","250 MG",1,25,2,50,,
"J0743","Cilastatin sodium injection","Fresenius Kabi USA LLC","63323032294","63323-0322-94","IMIPENEM AND CILASTATIN","250 MG",1,25,2,50,,
"J2540","Penicillin g potassium inj","Fresenius Kabi USA, LLC","63323032320","63323-0323-20","Penicillin G Potassium","600000 UNITS",1,10,8.33,83.3,,
"J2540","Penicillin g potassium inj","Fresenius Kabi USA LLC","63323032462","63323-0324-62","Penicillin G Potassium","600000 UNITS",1,1,33.33,33.33,,
"J0133","Acyclovir injection","Fresenius Kabi USA LLC","63323032510","63323-0325-10","Acyclovir Sodium","5 MG",20,10,100,1000,,
"Q4075","Acyclovir, 5 mg","AMERICAN PHARMACEUTICAL PARTNERS","63323032510","63323-0325-10","Acyclovir Sodium",,20,10,1000,100,,"5 MG"
"J0133","Acyclovir injection","Fresenius Kabi USA LLC","63323032514","63323-0325-14","Acyclovir Sodium","5 MG",10,10,100,1000,,
"J0133","Acyclovir injection","Fresenius Kabi USA LLC","63323032520","63323-0325-20","Acyclovir Sodium","5 MG",20,10,200,2000,,
"Q4075","Acyclovir, 5 mg","AMERICAN PHARMACEUTICAL PARTNERS","63323032520","63323-0325-20","Acyclovir Sodium",,20,10,2000,200,,"5 MG"
"J0133","Acyclovir injection","Fresenius Kabi USA LLC","63323032524","63323-0325-24","Acyclovir Sodium","5 MG",20,10,200,2000,,
"J0692","Cefepime hcl for injection","Fresenius Kabi USA LLC","63323032620","63323-0326-20","Maxipime","500 MG",1,10,2,20,,
"J0698","Cefotaxime sodium injection","Fresenius Kabi USA, LLC","63323033115","63323-0331-15","Cefotaxime Sodium","1 GM",1,25,1,25,,
"J0698","Cefotaxime sodium injection","Fresenius Kabi USA, LLC","63323033215","63323-0332-15","Cefotaxime Sodium","1 GM",1,25,2,50,,
"J0698","Cefotaxime sodium injection","Fresenius Kabi USA, LLC","63323033361","63323-0333-61","Cefotaxime Sodium","1 GM",1,10,10,100,,
"J0698","Cefotaxime sodium injection","APP Pharmaceutical","63323033461","63323-0334-61","Cefotaxime Sodium","1 GM",1,10,20,200,,
"J0698","Cefotaxime sodium injection","Fresenius Kabi USA, LLC","63323033510","63323-0335-10","Cefotaxime Sodium","1 GM",1,25,0.5,12.5,,
"J0692","Cefepime hcl for injection","Fresenius Kabi USA LLC","63323034020","63323-0340-20","Maxipime","500 MG",1,10,4,40,,
"J0692","Cefepime HCl for injection","Fresenius Kabi USA, LLC","63323034050","63323-0340-50","Maxipime","500 MG",1,10,4,40,,
"J0694","Cefoxitin sodium injection","Fresenius Kabi USA, LLC","63323034120","63323-0341-20","Cefoxitin Sodium","1 GM",1,25,1,25,,
"J0694","Cefoxitin sodium injection","Fresenius Kabi USA LLC","63323034125","63323-0341-25","CEFOXITIN SODIUM","1 GM",1,25,1,25,,
"J0694","Cefoxitin sodium injection","Fresenius Kabi USA LLC","63323034129","63323-0341-29","PREMIERPRO RX CEFOXITIN SODIUM","1 GM",1,25,1,25,,
"J0694","Cefoxitin sodium injection","Fresenius Kabi USA, LLC","63323034220","63323-0342-20","Cefoxitin Sodium","1 GM",1,25,2,50,,
"J0694","Cefoxitin sodium injection","Fresenius Kabi USA LLC","63323034225","63323-0342-25","CEFOXITIN SODIUM","1 GM",1,25,2,50,,
"J0694","Cefoxitin sodium injection","Fresenius Kabi USA LLC","63323034229","63323-0342-29","PREMIERPRO RX CEFOXITIN SODIUM","1 GM",1,25,2,50,,
"J0694","Cefoxitin sodium injection","Fresenius Kabi USA, LLC","63323034361","63323-0343-61","Cefoxitin Sodium","1 GM",1,10,10,100,,
"J0694","Cefoxitin sodium injection","Fresenius Kabi USA LLC","63323034366","63323-0343-66","Cefoxitin Sodium","1 GM",10,10,100,100,,
"J0696","Ceftriaxone sodium injection","Fresenius Kabi USA, LLC","63323034410","63323-0344-10","CEFTRIAXONE SODIUM","250 MG",1,25,1,25,,
"J0696","Ceftriaxone sodium injection","Fresenius Kabi USA LLC","63323034510","63323-0345-10","CEFTRIAXONE SODIUM","250 MG",1,25,2,50,,
"J0696","Ceftriaxone sodium injection","Fresenius Kabi USA LLC","63323034610","63323-0346-10","CEFTRIAXONE SODIUM","250 MG",1,25,4,100,,
"J0696","Ceftriaxone sodium injection","Fresenius Kabi USA LLC","63323034720","63323-0347-20","CEFTRIAXONE SODIUM","250 MG",1,10,8,80,,
"J0696","Ceftriaxone sodium injection","Fresenius Kabi USA LLC","63323034861","63323-0348-61","CEFTRIAXONE SODIUM","250 MG",1,1,40,40,,
"J0743","Cilastatin sodium injection","Fresenius Kabi USA, LLC","63323034920","63323-0349-20","IMIPENEM AND CILASTATIN","250 MG",1,10,1,10,,
"J0743","Cilastatin sodium injection","Fresenius Kabi USA LLC","63323034925","63323-0349-25","IMIPENEM AND CILASTATIN","250 MG",1,25,1,25,,
"J0743","Cilastatin sodium injection","NOVAPLUS/FRESENIUS KABI","63323034993","63323-0349-93","IMIPENEM AND CILASTATIN","250 MG",1,25,1,25,,
"J0743","Cilastatin sodium injection","Fresenius Kabi USA LLC","63323034994","63323-0349-94","IMIPENEM AND CILASTATIN","250 MG",1,25,1,25,,
"J0697","Sterile cefuroxime injection","APP Pharmaceutical","63323035210","63323-0352-10","Cefuroxime Sodium","750 MG",1,25,1,25,,
"J0697","Sterile cefuroxime injection","Fresenius Kabi USA, LLC","63323035245","63323-0352-45","Cefuroxime Sodium","750 MG",1,25,1,25,,
"J0697","Sterile cefuroxime injection","APP Pharmaceutical","63323035320","63323-0353-20","Cefuroxime Sodium","750 MG",20,25,2,50,,
"J0697","Sterile cefuroxime injection","Fresenius Kabi USA, LLC","63323035345","63323-0353-45","Cefuroxime Sodium","750 MG",2,25,2,50,,
"J0697","Sterile cefuroxime injection","Fresenius Kabi USA, LLC","63323035445","63323-0354-45","Cefuroxime Sodium","750 MG",1,10,10,100,,
"J0697","Sterile cefuroxime injection","APP Pharmaceutical","63323035461","63323-0354-61","Cefuroxime Sodium","750 MG",1,10,10,100,,
"J1956","Levofloxacin injection","Fresenius Kabi USA LLC","63323035550","63323-0355-50","LEVOFLOXACIN","250 MG",50,24,1,24,,
"J1956","Levofloxacin injection","Fresenius Kabi USA LLC","63323035560","63323-0355-60","LEVOFLOXACIN","250 MG",150,24,3,48,,
"J1956","Levofloxacin injection","Fresenius Kabi USA LLC","63323035565","63323-0355-65","LEVOFLOXACIN","250 MG",100,24,2,72,,
"J0637","Caspofungin acetate","FRESENIUS KABI USA, LLC","63323035610","63323-0356-10","CASPOFUNGIN ACETATE","5 MG",1,10,10,100,,
"J0637","Caspofungin acetate","FRESENIUS KABI USA, LLC","63323035810","63323-0358-10","CASPOFUNGIN ACETATE","5 MG",1,10,14,140,,
"J1840","Kanamycin sulfate 500 MG inj","Fresenius Kabi USA, LLC","63323035903","63323-0359-03","Kanamycin Sulfate","500 MG",3,10,2,20,,
"J1850","Kanamycin sulfate 75 MG inj","Fresenius Kabi USA, LLC","63323035903","63323-0359-03","Kanamycin Sulfate","75 MG",3,10,13.33,133.3,,
"J2354","Octreotide inj, non-depot","Fresenius Kabi USA LLC","63323036501","63323-0365-01","OCTREOTIDE ACETATE","25 MCG",1,10,2,20,,
"J2354","Octreotide inj, non-depot","Fresenius Kabi USA LLC","63323036504","63323-0365-04","OCTREOTIDE ACETATE","25 MCG",1,10,2,20,,
"J1240","Dimenhydrinate injection","Fresenius Kabi USA LLC","63323036601","63323-0366-01","Dimenhydrinate","50 MG",1,25,1,25,,
"J0295","Ampicillin sodium per 1.5 gm","Fresenius Kabi USA LLC","63323036820","63323-0368-20","Ampicillin-Sulbactam","1.5 GM",1,10,1,10,,
"J0295","Ampicillin sodium per 1.5 gm","Fresenius Kabi USA LLC","63323036920","63323-0369-20","Ampicillin-Sulbactam","1.5 GM",1,10,2,20,,
"J0295","Ampicillin sodium per 1.5 gm","Fresenius Kabi USA LLC","63323037062","63323-0370-62","Ampicillin-Sulbactam","1.5 GM",1,1,10,10,,
"J2405","Ondansetron hcl injection","Fresenius Kabi USA LLC","63323037302","63323-0373-02","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J2405","Ondansetron hcl injection","Fresenius Kabi USA LLC","63323037420","63323-0374-20","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J2354","Octreotide inj, non-depot","Fresenius Kabi USA LLC","63323037601","63323-0376-01","OCTREOTIDE ACETATE","25 MCG",1,10,4,40,,
"J2354","Octreotide inj, non-depot","Fresenius Kabi USA LLC","63323037604","63323-0376-04","OCTREOTIDE ACETATE","25 MCG",1,10,4,40,,
"J2354","Octreotide inj, non-depot","Fresenius Kabi USA LLC","63323037701","63323-0377-01","OCTREOTIDE ACETATE","25 MCG",1,10,20,200,,
"J2354","Octreotide inj, non-depot","Fresenius Kabi USA LLC","63323037704","63323-0377-04","OCTREOTIDE ACETATE","25 MCG",1,10,20,200,,
"J2354","Octreotide inj, non-depot","Fresenius Kabi USA LLC","63323037805","63323-0378-05","OCTREOTIDE ACETATE","25 MCG",5,1,40,40,,
"J2354","Octreotide inj, non-depot","Fresenius Kabi USA LLC","63323037905","63323-0379-05","OCTREOTIDE ACETATE","25 MCG",5,1,200,200,,
"J2710","Neostigmine methylslfte inj","AMERICAN PHARMACEUTICAL PARTNERS","63323038210","63323-0382-10","Neostigmine Methylsulfate","0.5 MG",10,10,10,100,,
"J2710","Neostigmine methylslfte inj","AMERICAN PHARMACEUTICAL PARTNERS","63323038310","63323-0383-10","Neostigmine Methylsulfate","0.5 MG",10,10,20,200,,
"J0290","Ampicillin 500 mg inj","Fresenius Kabi USA LLC","63323038710","63323-0387-10","Ampicillin Sodium","500 MG",10,10,0.5,5,,
"J0290","Ampicillin 500 mg inj","Fresenius Kabi USA LLC","63323038810","63323-0388-10","Ampicillin Sodium","500 MG",1,10,1,10,,
"J0290","Ampicillin 500 mg inj","Fresenius Kabi USA LLC","63323038910","63323-0389-10","Ampicillin Sodium","500 MG",10,10,2,20,,
"J0770","Colistimethate sodium inj","Fresenius Kabi USA LLC","63323039306","63323-0393-06","Colistimethate Sodium","UP TO 150 MG",1,1,1,1,,
"J0456","Azithromycin","Fresenius Kabi USA LLC","63323039810","63323-0398-10","AZITHROMYCIN","500 MG",1,10,10,10,,
"J0456","Azithromycin","Fresenius Kabi USA LLC","63323039812","63323-0398-12","AZITHROMYCIN","500 MG",1,10,10,10,,
"J0456","Azithromycin","Fresenius Kabi USA LLC","63323039814","63323-0398-14","AZITHROMYCIN","500 MG",1,10,1,10,,
"J0290","Ampicillin 500 mg inj","Fresenius Kabi USA LLC","63323039923","63323-0399-23","Ampicillin Sodium","500 MG",1,10,4,40,,
"J1953","Levetiracetam injection","Fresenius Kabi USA LLC","63323040005","63323-0400-05","Levetiracetam","10 MG",5,10,50,500,,
"J1953","Levetiracetam injection","Fresenius Kabi USA LLC","63323040009","63323-0400-09","Levetiracetam","10 MG",5,10,50,500,,
"Q2009","Fosphenytoin inj PE","Fresenius Kabi USA, LLC","63323040302","63323-0403-02","FOSPHENYTOIN SODIUM","50 MG PE/ML",2,25,2,50,,
"Q2009","Fosphenytoin inj PE","Fresenius Kabi USA, LLC","63323040310","63323-0403-10","FOSPHENYTOIN SODIUM","50 MG PE/ML",10,10,10,100,,
"J0290","Ampicillin 500 mg inj","Fresenius Kabi USA LLC","63323040400","63323-0404-00","Ampicillin Sodium","500 MG",1,1,20,20,,
"J0735","Clonidine hydrochloride","Fresenius Kabi USA LLC","63323040510","63323-0405-10","CLONIDINE HYDROCHLORIDE","1 MG",10,1,1,1,,
"J0706","Caffeine citrate injection","Fresenius Kabi USA, 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","AMERICAN PHARMACEUTICAL PARTNERS","63323041105","63323-0411-05","Midazolam Hcl",,5,1,50,5,,"1 MG"
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","63323041110","63323-0411-10","Midazolam Hcl","1 MG",10,10,10,100,,
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","63323041112","63323-0411-12","Midazolam Hcl","1 MG",2,25,2,50,,
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","63323041125","63323-0411-25","Midazolam Hcl","1 MG",5,25,5,125,,
"J2250","Inj midazolam hydrochloride","AMERICAN PHARMACEUTICAL PARTNERS","63323041201","63323-0412-01","Midazolam Hcl",,1,1,5,5,,"1 MG"
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","63323041202","63323-0412-02","Midazolam Hcl","1 MG",2,10,10,100,,
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","63323041205","63323-0412-05","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","63323041210","63323-0412-10","Midazolam Hcl","1 MG",10,10,50,500,,
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","63323041225","63323-0412-25","Midazolam Hcl","1 MG",1,25,5,125,,
"J0735","Clonidine hydrochloride","Fresenius Kabi USA LLC","63323042710","63323-0427-10","Clonidine Hydrochloride Injection","1 MG",10,1,5,5,,
"J0690","Cefazolin sodium injection","APP Pharmaceutical","63323044661","63323-0446-61","Cefazolin Sodium","500 MG",1,10,40,400,,
"J0690","Cefazolin sodium injection","Fresenius Kabi USA, LLC","63323044666","63323-0446-66","Cefazolin Sodium","500 MG",1,10,40,400,,
"J0690","Cefazolin sodium injection","Fresenius Kabi USA LLC","63323044961","63323-0449-61","Cefazolin Sodium","500 MG",1,10,40,400,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA, LLC","63323045909","63323-0459-09","Heparin Sodium (Porcine)","1000 UNITS",4,25,40,1000,,
"J1631","Haloperidol decanoate inj","Fresenius Kabi USA LLC","63323046901","63323-0469-01","Haloperidol Decanoate","50 MG",1,1,1,1,,
"J1631","Haloperidol decanoate inj","Fresenius Kabi USA LLC","63323046905","63323-0469-05","Haloperidol Decanoate","50 MG",5,1,5,5,,
"J1631","Haloperidol decanoate inj","AMERICAN PHARMACEUTICAL PARTNERS","63323046951","63323-0469-51","Haloperidol Decanoate","50 MG",1,1,1,1,,
"J1631","Haloperidol decanoate inj","Fresenius Kabi USA LLC","63323047101","63323-0471-01","Haloperidol Decanoate","50 MG",1,1,2,2,,
"J1631","Haloperidol decanoate inj","Fresenius Kabi USA LLC","63323047105","63323-0471-05","Haloperidol Decanoate","50 MG",5,1,10,10,,
"J1631","Haloperidol decanoate inj","APP Pharmaceutical","63323047151","63323-0471-51","Haloperidol Decanoate","50 MG",1,1,2,2,,
"J1631","Haloperidol decanoate inj","AMERICAN PHARMACEUTICAL PARTNERS","63323047155","63323-0471-55","Haloperidol Decanoate","50 MG",5,1,10,10,,
"J1630","Haloperidol injection","Fresenius Kabi USA LLC","63323047401","63323-0474-01","Haloperidol Lactate","5 MG",1,25,1,25,,
"J1630","Haloperidol injection","Fresenius Kabi USA LLC","63323047410","63323-0474-10","Haloperidol Lactate","5 MG",10,1,10,10,,
"J1630","Haloperidol injection","Fresenius Kabi USA, LLC","63323047491","63323-0474-91","Haloperidol Lactate","5 MG",1,25,1,25,,
"J2400","Chloroprocaine hcl injection","APP Pharmaceutical","63323047530","63323-0475-30","Nesacaine","30 ML",30,1,1,1,,
"J2400","Chloroprocaine hcl injection","Fresenius Kabi USA LLC","63323047537","63323-0475-37","Nesacaine","30 ML",30,25,1,25,,
"J2400","Chloroprocaine hcl injection","Fresenius Kabi USA, LLC","63323047630","63323-0476-30","Nesacaine","30 ML",30,1,1,1,,
"J2400","Chloroprocaine hcl injection","Fresenius Kabi USA LLC","63323047637","63323-0476-37","Nesacaine","30 ML",30,25,1,25,,
"J2400","Chloroprocaine hcl injection","Fresenius Kabi USA, LLC","63323047720","63323-0477-20","Nesacaine","30 ML",20,1,0.667,0.667,,
"J2400","Chloroprocaine hcl injection","Fresenius Kabi USA LLC","63323047727","63323-0477-27","Nesacaine-Mpf","30 ML",20,25,0.667,16.667,,
"J2400","Chloroprocaine hcl injection","Fresenius Kabi USA, LLC","63323047820","63323-0478-20","Nesacaine","30 ML",20,1,0.667,0.667,,
"J2400","Chloroprocaine hcl injection","Fresenius Kabi USA LLC","63323047827","63323-0478-27","Nesacaine-Mpf","30 ML",20,25,0.667,16.667,,
"J1100","Dexamethasone sodium phos","Fresenius Kabi USA LLC","63323050601","63323-0506-01","Dexamethasone Sodium Phosphate","1 MG",1,25,10,250,,
"J7637","Dexamethasone inhal sol con","AMERICAN PHARMACEUTICAL PARTNERS","63323050601","63323-0506-01","Dexamethasone Sodium Phosphate",,1,25,2500,100,,"1 MG"
"J7638","Dexamethasone inhal sol u d","AMERICAN PHARMACEUTICAL PARTNERS","63323050601","63323-0506-01","Dexamethasone Sodium Phosphate",,1,25,250,10,,"1 MG"
"J1100","Dexamethasone sodium phos","Fresenius Kabi USA LLC","63323050616","63323-0506-16","Dexamethasone Sodium Phosphate","1 MG",1,25,10,250,,
"J2185","Meropenem","Fresenius Kabi USA LLC","63323050720","63323-0507-20","MEROPENEM","100 MG",1,10,5,50,,
"J2185","Meropenem","Fresenius Kabi USA LLC","63323050721","63323-0507-21","MEROPENEM","100 MG",1,10,5,50,,
"J2185","Meropenem","Fresenius Kabi USA LLC","63323050725","63323-0507-25","MEROPENEM","100 MG",1,25,5,125,,
"J2185","Meropenem","Fresenius Kabi USA LLC","63323050825","63323-0508-25","MEROPENEM","100 MG",1,25,10,250,,
"J2185","Meropenem","Fresenius Kabi USA LLC","63323050830","63323-0508-30","MEROPENEM","100 MG",1,10,10,100,,
"J2185","Meropenem","Fresenius Kabi USA LLC","63323050831","63323-0508-31","MEROPENEM","100 MG",1,10,10,100,,
"J1580","Garamycin gentamicin inj","Fresenius Kabi USA, LLC","63323051302","63323-0513-02","Gentamicin Sulfate","80 MG",2,25,0.25,6.25,,
"J1100","Dexamethasone sodium phos","Fresenius Kabi USA LLC","63323051610","63323-0516-10","Dexamethasone Sodium Phosphate","1 MG",10,1,100,100,,
"C9121","Injection, argatroban","FRESENIUS KABI USA","63323052603","63323-0526-03","Argatroban","5 MG",2.5,1,50,50,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323054001","63323-0540-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,1,25,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323054011","63323-0540-11","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323054031","63323-0540-31","Heparin Sodium (Porcine)","1000 UNITS",30,25,30,750,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323054057","63323-0540-57","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323054201","63323-0542-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323054207","63323-0542-07","Heparin Sodium (Porcine)","1000 UNITS",5,25,50,1250,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323054302","63323-0543-02","Heparin Sodium (Porcine)","1000 UNITS",0.5,25,5,125,,
"J1642","Inj heparin sodium per 10 u","AMERICAN PHARMACEUTICAL PARTNERS","63323054401","63323-0544-01","Heparin (Porcine) Lock Flush","10 UNITS",1,25,1,25,,
"J1642","Inj heparin sodium per 10 u","AMERICAN PHARMACEUTICAL PARTNERS","63323054411","63323-0544-11","Heparin (Porcine) Lock Flush","10 UNITS",10,25,10,250,,
"J1642","Inj heparin sodium per 10 u","AMERICAN PHARMACEUTICAL PARTNERS","63323054431","63323-0544-31","Heparin (Porcine) Lock Flush","10 UNITS",30,25,30,750,,
"J1642","Inj heparin sodium per 10 u","AMERICAN PHARMACEUTICAL PARTNERS","63323054501","63323-0545-01","Heparin Sodium Lock Flush","10 UNITS",1,25,10,250,,
"J1642","Inj heparin sodium per 10 u","AMERICAN PHARMACEUTICAL PARTNERS","63323054505","63323-0545-05","Heparin Sodium Lock Flush","10 UNITS",5,25,50,1250,,
"J0583","Bivalirudin","Fresenius Kabi USA LLC","63323056210","63323-0562-10","BIVALIRUDIN","1 MG",1,10,250,2500,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056586","63323-0565-86","ENOXAPARIN SODIUM","10 MG",3,1,30,30,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056593","63323-0565-93","ENOXAPARIN SODIUM","10 MG",3,1,30,30,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056883","63323-0568-83","ENOXAPARIN SODIUM","10 MG",0.3,10,3,30,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056884","63323-0568-84","ENOXAPARIN SODIUM","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056887","63323-0568-87","ENOXAPARIN SODIUM","10 MG",0.4,10,4,40,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056888","63323-0568-88","ENOXAPARIN SODIUM","10 MG",0.6,10,6,60,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056890","63323-0568-90","ENOXAPARIN SODIUM","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056894","63323-0568-94","ENOXAPARIN SODIUM","10 MG",0.3,10,3,30,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056895","63323-0568-95","ENOXAPARIN SODIUM","10 MG",1,10,10,100,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056896","63323-0568-96","ENOXAPARIN SODIUM","10 MG",0.4,10,4,40,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056898","63323-0568-98","ENOXAPARIN SODIUM","10 MG",0.6,10,6,60,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056899","63323-0568-99","ENOXAPARIN SODIUM","10 MG",0.8,10,8,80,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056984","63323-0569-84","ENOXAPARIN SODIUM","10 MG",1,10,15,150,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056990","63323-0569-90","ENOXAPARIN SODIUM","10 MG",0.8,10,12,120,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056995","63323-0569-95","ENOXAPARIN SODIUM","10 MG",1,10,15,150,,
"J1650","Inj enoxaparin sodium","Fresenius Kabi USA LLC","63323056999","63323-0569-99","ENOXAPARIN SODIUM","10 MG",0.8,10,12,120,,
"J9027","Clofarabine injection","FRESENIUS KABI USA, LLC","63323057270","63323-0572-70","Clofarabine","1 MG",20,1,20,20,,
"J1610","Glucagon hydrochloride/1 mg","Fresenius Kabi USA LLC","63323059303","63323-0593-03","GLUCAGON HYDROCHLORIDE KIT","1 MG",1,1,1,1,,
"J1610","Glucagon hydrochloride/1 mg","Fresenius Kabi USA LLC","63323059403","63323-0594-03","Glucagen Diagnostic Kit","1 MG",1,1,1,1,,
"J1610","Glucagon hydrochloride/1 mg","Fresenius Kabi USA LLC","63323059613","63323-0596-13","GLUCAGON HYDROCHLORIDE","1 MG",1,10,1,10,,
"J0895","Deferoxamine mesylate inj","Fresenius Kabi USA LLC","63323059710","63323-0597-10","Deferoxamine Mesylate","500 MG",1,1,1,1,,
"J0895","Deferoxamine mesylate inj","Fresenius Kabi USA LLC","63323059930","63323-0599-30","Deferoxamine Mesylate","500 MG",1,1,4,4,,
"J1800","Propranolol injection","Fresenius Kabi USA LLC","63323060401","63323-0604-01","Propranolol Hcl","1 MG",1,10,1,10,,
"J1245","Dipyridamole injection","AMERICAN PHARMACEUTICAL PARTNERS","63323061302","63323-0613-02","Dipyridamole","10 MG",2,1,1,25,,
"J1245","Dipyridamole injection","AMERICAN PHARMACEUTICAL PARTNERS","63323061310","63323-0613-10","Dipyridamole","10 MG",10,10,5,50,,
"J0360","Hydralazine hcl injection","Fresenius Kabi USA LLC","63323061401","63323-0614-01","Hydralazine Hcl","20 MG",1,25,1,25,,
"J0360","Hydralazine hcl injection","Fresenius Kabi USA LLC","63323061416","63323-0614-16","Hydralazine HCl","20 MG",1,25,1,25,,
"J0360","Hydralazine hcl injection","Fresenius Kabi USA LLC","63323061455","63323-0614-55","Hydralazine Hcl","20 MG",1,25,1,25,,
"J0282","Amiodarone HCl","AMERICAN PHARMACEUTICAL PARTNERS","63323061603","63323-0616-03","Amiodarone Hcl","30 MG",3,25,5,125,,
"J0282","Amiodarone HCl","AMERICAN PHARMACEUTICAL PARTNERS","63323061609","63323-0616-09","Amiodarone Hcl","30 MG",9,10,15,150,,
"J0282","Amiodarone HCl","AMERICAN PHARMACEUTICAL PARTNERS","63323061613","63323-0616-13","Amiodarone Hcl","30 MG",3,25,5,125,,
"J0282","Amiodarone HCl","AMERICAN PHARMACEUTICAL PARTNERS","63323061618","63323-0616-18","Amiodarone Hcl","30 MG",18,1,30,30,,
"J2260","Inj milrinone lactate / 5 mg","Fresenius Kabi USA LLC","63323061710","63323-0617-10","Milrinone Lactate","5 MG",10,10,2,20,,
"J2260","Inj milrinone lactate / 5 mg","Fresenius Kabi USA LLC","63323061720","63323-0617-20","Milrinone Lactate","5 MG",20,10,4,40,,
"J2260","Inj milrinone lactate / 5 mg","Fresenius Kabi USA LLC","63323061750","63323-0617-50","Milrinone Lactate","5 MG",50,1,10,10,,
"J7030","Normal saline solution infus","Fresenius Kabi USA LLC","63323062310","63323-0623-10","Sodium Chloride","1000 ML",1000,10,1,10,,
"J7040","Normal saline solution infus","Fresenius Kabi USA LLC","63323062310","63323-0623-10","Sodium Chloride","500 ML",1000,10,2,20,,
"J7050","Normal saline solution infus","Fresenius Kabi USA LLC","63323062310","63323-0623-10","Sodium Chloride","250 ML",1000,10,4,40,,
"J7030","Normal saline solution infus","FRESENIUS KABI USA, LLC","63323062351","63323-0623-51","Sodium Chloride (FDA OK'd Import)","1000 ML",500,20,0.5,10,,
"J7040","Normal saline solution infus","FRESENIUS KABI USA, LLC","63323062351","63323-0623-51","Sodium Chloride (FDA OK'd Import)","500 ML",500,20,1,20,,
"J7050","Normal saline solution infus","FRESENIUS KABI USA, LLC","63323062351","63323-0623-51","Sodium Chloride (FDA OK'd Import)","250 ML",500,20,2,40,,
"J7030","Normal saline solution infus","Fresenius Kabi USA LLC","63323062359","63323-0623-59","Sodium Chloride","1000 ML",500,20,0.5,10,,
"J7040","Normal saline solution infus","Fresenius Kabi USA LLC","63323062359","63323-0623-59","Sodium Chloride","500 ML",500,20,1,20,,
"J7050","Normal saline solution infus","Fresenius Kabi USA LLC","63323062359","63323-0623-59","Sodium Chloride","250 ML",500,20,2,40,,
"J7060","5% dextrose/water","FRESENIUS KABI USA, LLC","63323062474","63323-0624-74","Dextrose","500 ML",250,30,0.5,15,,
"J7070","D5w infusion","FRESENIUS KABI USA, LLC","63323062474","63323-0624-74","Dextrose","1000 CC",250,30,0.25,7.5,,
"J7060","5% dextrose/water","FRESENIUS KABI USA, LLC","63323062475","63323-0624-75","Dextrose","500 ML",500,20,1,20,,
"J7070","D5w infusion","FRESENIUS KABI USA, LLC","63323062475","63323-0624-75","Dextrose","1000 CC",500,20,0.5,10,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323064220","63323-0642-20","Magnesium Sulfate","500 MG",20,25,20,500,,
"J3475","Inj magnesium sulfate","Fresenius Kabi USA LLC","63323064250","63323-0642-50","Magnesium Sulfate","500 MG",50,25,50,1250,,
"J9263","Oxaliplatin","Fresenius Kabi USA LLC","63323065010","63323-0650-10","OXALIPLATIN","0.5 MG",10,1,100,100,,
"J9263","Oxaliplatin","Fresenius Kabi USA, LLC","63323065017","63323-0650-17","Oxaliplatin","0.5 MG",10,10,100,1000,,
"J9263","Oxaliplatin","Fresenius Kabi USA LLC","63323065020","63323-0650-20","OXALIPLATIN","0.5 MG",20,1,200,200,,
"J9263","Oxaliplatin","Fresenius Kabi USA, LLC","63323065027","63323-0650-27","Oxaliplatin","0.5 MG",20,10,200,2000,,
"J0150","Injection adenosine 6 MG","Fresenius Kabi USA, LLC","63323065102","63323-0651-02","Adenosine","6 MG",2,10,1,10,,
"J0153","Adenosine inj 1mg","Fresenius Kabi USA LLC","63323065102","63323-0651-02","Adenosine","1 MG",2,10,6,60,,
"J0150","Injection adenosine 6 MG","Fresenius Kabi USA, LLC","63323065104","63323-0651-04","Adenosine","6 MG",4,10,2,20,,
"J0153","Adenosine inj 1mg","Fresenius Kabi USA LLC","63323065104","63323-0651-04","Adenosine","1 MG",4,10,12,120,,
"J1205","Chlorothiazide sodium inj","Fresenius Kabi USA LLC","63323065820","63323-0658-20","Chlorothiazide Sodium","500 MG",1,1,1,1,,
"J1205","Chlorothiazide sodium inj","Fresenius Kabi USA LLC","63323065827","63323-0658-27","Chlorothiazide Sodium","500 MG",1,1,1,1,,
"J1205","Chlorothiazide sodium inj","Fresenius Kabi USA LLC","63323065894","63323-0658-94","Chlorothiazide Sodium","500 MG",1,1,1,1,,
"J1200","Diphenhydramine hcl injectio","Fresenius Kabi USA LLC","63323066401","63323-0664-01","Diphenhydramine Hcl","50 MG",1,25,1,25,,
"J1200","Diphenhydramine hcl injectio","Fresenius Kabi USA LLC","63323066416","63323-0664-16","Diphenhydramine Hcl","50 MG",1,25,1,25,,
"J3105","Terbutaline sulfate inj","Fresenius Kabi USA LLC","63323066501","63323-0665-01","Terbutaline Sulfate","1 MG",1,25,1,25,,
"J7608","Acetylcysteine non-comp unit","Fresenius Kabi USA LLC","63323069030","63323-0690-30","Acetylcysteine","1 GM",30,3,6,18,,
"J7608","Acetylcysteine non-comp unit","Fresenius Kabi USA LLC","63323069130","63323-0691-30","Acetylcysteine","1 GM",30,3,3,9,,
"J7608","Acetylcysteine non-comp unit","Fresenius Kabi USA LLC","63323069210","63323-0692-10","Acetylcysteine","1 GM",10,3,2,6,,
"J7608","Acetylcysteine non-comp unit","Fresenius Kabi USA LLC","63323069310","63323-0693-10","Acetylcysteine","1 GM",10,3,1,3,,
"J7608","Acetylcysteine non-comp unit","Fresenius Kabi USA LLC","63323069404","63323-0694-04","Acetylcysteine","1 GM",4,25,0.8,20,,
"J7608","Acetylcysteine non-comp unit","Fresenius Kabi USA LLC","63323069504","63323-0695-04","Acetylcysteine","1 GM",4,25,0.4,10,,
"J0290","Ampicillin 500 mg inj","FRESENIUS KABI USA","63323070408","63323-0704-08","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 mg inj","FRESENIUS KABI USA","63323070508","63323-0705-08","AMPICILLIN SODIUM","500 MG",1,10,4,40,,
"J0290","Ampicillin 500 mg inj","FRESENIUS KABI USA","63323070720","63323-0707-20","AMPICILLIN SODIUM","500 MG",1,10,0.5,5,,
"J0640","Leucovorin calcium injection","Fresenius Kabi USA LLC","63323071050","63323-0710-50","Leucovorin Calcium","50 MG",1,1,4,4,,
"J0640","Leucovorin calcium injection","Fresenius Kabi USA LLC","63323071059","63323-0710-59","Leucovorin Calcium","50 MG",1,1,4,4,,
"J0640","Leucovorin calcium injection","Fresenius Kabi USA LLC","63323071100","63323-0711-00","Leucovorin Calcium","50 MG",1,1,10,10,,
"J2020","Linezolid injection","Fresenius Kabi USA LLC","63323071313","63323-0713-13","Linezolid","200 MG",300,10,3,30,,
"J0636","Inj calcitriol per 0.1 mcg","Fresenius Kabi USA, LLC","63323073101","63323-0731-01","Calcitriol","0.1 MCG",1,50,10,500,,
"J9209","Mesna injection","Fresenius Kabi USA LLC","63323073310","63323-0733-10","Mesna","200 MG",10,10,5,50,,
"J9209","Mesna injection","Fresenius Kabi USA LLC","63323073311","63323-0733-11","Mesna","200 MG",10,1,5,5,,
"J9209","Mesna injection","APP Pharmaceutical","63323073312","63323-0733-12","Mesna","200 MG",10,10,5,50,,
"J2430","Pamidronate disodium /30 mg","Fresenius Kabi USA LLC","63323073410","63323-0734-10","Pamidronate Disodium","30 MG",10,1,1,1,,
"J2430","Pamidronate disodium /30 MG","Fresenius Kabi USA, LLC","63323073435","63323-0734-35","Pamidronate Disodium","30 MG",10,1,1,1,,
"J2430","Pamidronate disodium /30 mg","Fresenius Kabi USA LLC","63323073510","63323-0735-10","Pamidronate Disodium","30 MG",10,1,3,3,,
"J2430","Pamidronate disodium /30 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323073535","63323-0735-35","Pamidronate Disodium","30 MG",10,1,3,3,,
"J9263","Oxaliplatin","Fresenius Kabi USA LLC","63323075010","63323-0750-10","Oxaliplatin","0.5 MG",10,1,100,100,,
"J9263","Oxaliplatin","Fresenius Kabi USA LLC","63323075020","63323-0750-20","Oxaliplatin","0.5 MG",20,1,200,200,,
"J9351","Topotecan injection","Fresenius Kabi USA LLC","63323076210","63323-0762-10","Topotecan","0.1 MG",1,1,40,40,,
"J9351","Topotecan injection","Fresenius Kabi USA LLC","63323076217","63323-0762-17","Topotecan","0.1 MG",1,5,40,200,,
"J9351","Topotecan injection","Fresenius Kabi USA LLC","63323076294","63323-0762-94","Topotecan","0.1 MG",1,1,40,40,,
"J9265","Paclitaxel injection","Fresenius Kabi USA, LLC","63323076305","63323-0763-05","Paclitaxel","30 MG",5,1,1,1,,
"J9267","Paclitaxel injection","Fresenius Kabi USA LLC","63323076305","63323-0763-05","Paclitaxel","1 MG",5,1,30,30,,
"J9267","Paclitaxel injection","Fresenius Kabi USA LLC","63323076306","63323-0763-06","Paclitaxel","1 MG",5,1,30,30,,
"J9265","Paclitaxel injection","Fresenius Kabi USA, LLC","63323076316","63323-0763-16","Paclitaxel","30 MG",16.7,1,3.33,3.33,,
"J9267","Paclitaxel injection","Fresenius Kabi USA LLC","63323076316","63323-0763-16","Paclitaxel","1 MG",16.7,1,100,100,,
"J9267","Paclitaxel injection","Fresenius Kabi USA LLC","63323076317","63323-0763-17","Paclitaxel","1 MG",16.7,1,100,100,,
"J9265","Paclitaxel injection","Fresenius Kabi USA, LLC","63323076350","63323-0763-50","Paclitaxel","30 MG",50,1,10,10,,
"J9267","Paclitaxel injection","Fresenius Kabi USA LLC","63323076350","63323-0763-50","Paclitaxel","1 MG",50,1,300,300,,
"J9267","Paclitaxel injection","Fresenius Kabi USA LLC","63323076352","63323-0763-52","Paclitaxel","1 MG",50,1,300,300,,
"J9025","Azacitidine injection","FRESENIUS KABI USA, LLC","63323077139","63323-0771-39","Azacitidine","1 MG",1,1,100,100,,
"J0278","Amikacin sulfate injection","Fresenius Kabi USA LLC","63323081502","63323-0815-02","Amikacin Sulfate","100 MG",2,10,5,50,,
"J0278","Amikacin sulfate injection","Fresenius Kabi USA LLC","63323081504","63323-0815-04","Amikacin Sulfate","100 MG",4,10,10,100,,
"J2280","Inj, moxifloxacin 100 mg","Fresenius Kabi USA LLC","63323085074","63323-0850-74","MOXIFLOXACIN HCL","100 MG",250,12,4,48,,
"J0878","Daptomycin injection","FRESENIUS KABI USA","63323087115","63323-0871-15","Daptomycin","1 MG",1,1,500,500,,
"J2545","Pentamidine non-comp unit","Fresenius Kabi USA LLC","63323087715","63323-0877-15","Nebupent","300 MG",1,1,1,1,,
"J9000","Doxorubicin hcl injection","Fresenius Kabi USA LLC","63323088305","63323-0883-05","Doxorubicin Hcl","10 MG",5,1,1,1,,
"J9000","Doxorubicin hcl injection","Fresenius Kabi USA LLC","63323088310","63323-0883-10","Doxorubicin Hcl","10 MG",10,1,2,2,,
"J9000","Doxorubicin hcl injection","Fresenius Kabi USA LLC","63323088330","63323-0883-30","Doxorubicin Hcl","10 MG",25,1,5,5,,
"J1644","Inj heparin sodium per 1000u","Fresenius Kabi USA LLC","63323091501","63323-0915-01","Heparin Sodium (Porcine)","1000 UNITS",1,25,20,500,,
"J2912","Sodium chloride injection","AMERICAN PHARMACEUTICAL PARTNERS","63323092410","63323-0924-10","Sodium Chloride Bact Inj 10Ml Md Vial 0.9%","2 ML",10,25,5,125,,
"J2912","Sodium chloride injection","AMERICAN PHARMACEUTICAL PARTNERS","63323092430","63323-0924-30","Saline Bacteriostatic","2 ML",30,25,15,375,,
"J7130","Hypertonic saline solution","AMERICAN PHARMACEUTICAL PARTNERS","63323092430","63323-0924-30","Saline Bacteriostatic",,30,1,1.5,1.5,,"20 CC"
"J1642","Inj heparin sodium per 10 u","AMERICAN PHARMACEUTICAL PARTNERS","63323092905","63323-0929-05","Heparin Lock Flush Smartamp",,5,1,5,5,,"10 UNITS"
"J3243","Tigecycline injection","FRESENIUS KABI USA","63323096010","63323-0960-10","Tigecycline","1 MG",1,10,50,500,,
"J3489","Zoledronic acid 1mg","Fresenius Kabi USA LLC","63323096198","63323-0961-98","ZOLEDRONIC ACID","1 MG",5,1,4,4,,
"J0132","Acetylcysteine injection","Fresenius Kabi USA LLC","63323096330","63323-0963-30","ACETYLCYSTEINE","100 MG",30,4,60,240,,
"J3480","Inj potassium chloride","Fresenius Kabi USA LLC","63323096505","63323-0965-05","Potassium Chloride","2 MEQ",5,25,5,125,,
"J3480","Inj potassium chloride","Fresenius Kabi USA LLC","63323096510","63323-0965-10","Potassium Chloride","2 MEQ",10,25,10,250,,
"J3480","Inj potassium chloride","Fresenius Kabi USA, LLC","63323096515","63323-0965-15","Potassium Chloride","2 MEQ",15,25,15,375,,
"J3480","Inj potassium chloride","Fresenius Kabi USA LLC","63323096520","63323-0965-20","Potassium Chloride","2 MEQ",20,25,20,500,,
"J3489","Zoledronic acid 1mg","FRESENIUS KABI USA, LLC","63323096600","63323-0966-00","ZOLEDRONIC ACID","1 MG",100,1,5,5,,
"J3480","Inj potassium chloride","Fresenius Kabi USA LLC","63323096730","63323-0967-30","Potassium Chloride","2 MEQ",30,25,30,750,,
"J0515","Inj benztropine mesylate","Fresenius Kabi USA LLC","63323097002","63323-0970-02","BENZTROPINE","1 MG",2,5,2,10,,
"J7602","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001015","63370-0010-15","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7603","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001015","63370-0010-15","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7611","Albuterol non-comp con","HAWKINS CHEMICAL","63370001015","63370-0010-15","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7613","Albuterol non-comp unit","HAWKINS CHEMICAL","63370001015","63370-0010-15","Albuterol Sulfate","1 MG",5,1,5,5,,
"Q4093","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001015","63370-0010-15","Albuterol Sulfate","1 MG",5,1,5,5,,
"Q4094","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001015","63370-0010-15","Albuterol Sulfate","1 MG",5,1,5,5,,
"J7602","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001025","63370-0010-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7603","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001025","63370-0010-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7611","Albuterol non-comp con","HAWKINS CHEMICAL","63370001025","63370-0010-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7613","Albuterol non-comp unit","HAWKINS CHEMICAL","63370001025","63370-0010-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"Q4093","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001025","63370-0010-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"Q4094","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001025","63370-0010-25","Albuterol Sulfate","1 MG",25,1,25,25,,
"J7602","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001035","63370-0010-35","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7603","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001035","63370-0010-35","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7611","Albuterol non-comp con","HAWKINS CHEMICAL","63370001035","63370-0010-35","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7613","Albuterol non-comp unit","HAWKINS CHEMICAL","63370001035","63370-0010-35","Albuterol Sulfate","1 MG",100,1,100,100,,
"Q4093","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001035","63370-0010-35","Albuterol Sulfate","1 MG",100,1,100,100,,
"Q4094","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001035","63370-0010-35","Albuterol Sulfate","1 MG",100,1,100,100,,
"J7602","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001045","63370-0010-45","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7603","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001045","63370-0010-45","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7611","Albuterol non-comp con","HAWKINS CHEMICAL","63370001045","63370-0010-45","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7613","Albuterol non-comp unit","HAWKINS CHEMICAL","63370001045","63370-0010-45","Albuterol Sulfate","1 MG",500,1,500,500,,
"Q4093","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001045","63370-0010-45","Albuterol Sulfate","1 MG",500,1,500,500,,
"Q4094","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001045","63370-0010-45","Albuterol Sulfate","1 MG",500,1,500,500,,
"J7602","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001050","63370-0010-50","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7603","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001050","63370-0010-50","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7611","Albuterol non-comp con","HAWKINS CHEMICAL","63370001050","63370-0010-50","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7613","Albuterol non-comp unit","HAWKINS CHEMICAL","63370001050","63370-0010-50","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4093","Albuterol inh non-comp con","HAWKINS CHEMICAL","63370001050","63370-0010-50","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"Q4094","Albuterol inh non-comp u d ","HAWKINS CHEMICAL","63370001050","63370-0010-50","Albuterol Sulfate","1 MG",1000,1,1000,1000,,
"J7680","Terbutaline so4 inh sol con","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025015","63370-0250-15","Terbutaline Sulfate",,1,1,5000,5000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025015","63370-0250-15","Terbutaline Sulfate",,1,1,5000,5000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025020","63370-0250-20","Terbutaline Sulfate",,1,1,10000,10000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025020","63370-0250-20","Terbutaline Sulfate",,1,1,10000,10000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025025","63370-0250-25","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025025","63370-0250-25","Terbutaline Sulfate",,1,1,25000,25000,,"1 MG"
"J7680","Terbutaline so4 inh sol con","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025035","63370-0250-35","Terbutaline Sulfate",,1,1,100000,100000,,"1 MG"
"J7681","Terbutaline so4 inh sol u d","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025035","63370-0250-35","Terbutaline Sulfate",,1,1,100000,100000,,"1 MG"
"J7603","Albuterol inh non-comp u d ","SEPRACOR","63402051124","63402-0511-24","Xopenex","0.5 MG",3,24,0.62,15,,
"J7614","Levalbuterol non-comp unit","Sunovion Pharmaceuticals Inc.","63402051124","63402-0511-24","Xopenex","0.5 MG",3,24,0.62,15,,
"Q4094","Albuterol inh non-comp u d ","SEPRACOR","63402051124","63402-0511-24","Xopenex","0.5 MG",3,24,0.62,15,,
"J7603","Albuterol inh non-comp u d ","SEPRACOR","63402051224","63402-0512-24","Xopenex","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","Sunovion Pharmaceuticals Inc.","63402051224","63402-0512-24","Xopenex","0.5 MG",3,24,1.25,30,,
"Q4094","Albuterol inh non-comp u d ","SEPRACOR","63402051224","63402-0512-24","Xopenex","0.5 MG",3,24,1.25,30,,
"J7603","Albuterol inh non-comp u d ","SEPRACOR","63402051324","63402-0513-24","Xopenex","0.5 MG",3,24,2.5,60,,
"J7614","Levalbuterol non-comp unit","Sunovion Pharmaceuticals Inc.","63402051324","63402-0513-24","Xopenex","0.5 MG",3,24,2.5,60,,
"Q4094","Albuterol inh non-comp u d ","SEPRACOR","63402051324","63402-0513-24","Xopenex","0.5 MG",3,24,2.5,60,,
"J7602","Albuterol inh non-comp con","SEPRACOR","63402051530","63402-0515-30","Xopenex","0.5 MG",0.5,30,2.5,75,,
"J7612","Levalbuterol non-comp con","Sunovion Pharmaceuticals Inc.","63402051530","63402-0515-30","Xopenex","0.5 MG",0.5,30,2.5,75,,
"Q4093","Albuterol inh non-comp con","SEPRACOR","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","SEPRACOR","63402091160","63402-0911-60","ARFORMOTEROL ","15 MCG",1,60,1,60,,
"J7605","Arformoterol non-comp unit","Sunovion Pharmaceuticals Inc.","63402091164","63402-0911-64","ARFORMOTEROL ","15 mcg",2,60,1,60,,
"C9297","Omacetaxine mepesuccinate","TEVA PHARMACEUTICALS","63459017714","63459-0177-14","SYNRIBO","0.01 mg",1,1,350,350,,
"J2315","Naltrexone, depot form","Cephalon, Inc.","63459030042","63459-0300-42","naltrexone","1 MG",1,1,380,380,,
"J9034","Inj., bendeka 1 mg","CEPHALON INC.","63459034804","63459-0348-04","BENDEKA","1 MG",4,1,100,100,,
"J9033","Inj., treanda 1 mg","CEPHALON INC.","63459039008","63459-0390-08","TREANDA","1 MG",1,1,25,25,,
"C9243","Injection, bendamustine hcl","Cephalon, Inc.","63459039120","63459-0391-20","Bendamustine HCl","1 MG",1,1,100,100,,
"J9033","Inj., treanda 1 mg","CEPHALON INC.","63459039120","63459-0391-20","TREANDA","1 MG",1,1,100,100,,
"J9033","Inj., treanda 1 mg","CEPHALON INC.","63459039502","63459-0395-02","TREANDA","1 MG",0.5,1,45,45,,
"J9033","Inj., treanda 1 mg","CEPHALON INC.","63459039602","63459-0396-02","TREANDA","1 MG",2,1,180,180,,
"J9017","Arsenic trioxide injection","CEPHALON INC.","63459060010","63459-0600-10","Trisenox","1 MG",10,10,10,100,,
"J1446","Inj., tbo-Filgrastim, 5 mcg","TEVA PHARMACEUTICALS USA","63459091011","63459-0910-11","GRANIX","5 MCG",0.5,1,60,60,,
"J1447","Inj tbo filgrastim 1 microg","CEPHALON INC.","63459091011","63459-0910-11","GRANIX","1 MCG",0.5,1,300,300,,
"J1446","Inj., tbo-Filgrastim, 5 mcg","TEVA PHARMACEUTICALS USA","63459091015","63459-0910-15","GRANIX","5 MCG",0.5,10,60,600,,
"J1447","Inj tbo filgrastim 1 microg","CEPHALON INC.","63459091015","63459-0910-15","GRANIX","1 MCG",0.5,10,300,3000,,
"J1446","Inj., tbo-Filgrastim, 5 mcg","TEVA PHARMACEUTICALS USA","63459091017","63459-0910-17","GRANIX","5 MCG",0.5,1,60,60,,
"J1447","Inj tbo filgrastim 1 microg","CEPHALON INC.","63459091017","63459-0910-17","GRANIX","1 MCG",0.5,1,300,300,,
"J1446","Inj., tbo-Filgrastim, 5 mcg","TEVA PHARMACEUTICALS USA","63459091036","63459-0910-36","GRANIX","5 MCG",0.5,5,60,300,,
"J1447","Inj tbo filgrastim 1 microg","CEPHALON INC.","63459091036","63459-0910-36","GRANIX","1 MCG",0.5,5,300,1500,,
"J1446","Inj., tbo-Filgrastim, 5 mcg","TEVA PHARMACEUTICALS USA","63459091211","63459-0912-11","GRANIX","5 MCG",0.8,1,96,96,,
"J1447","Inj tbo filgrastim 1 microg","CEPHALON INC.","63459091211","63459-0912-11","GRANIX","1 MCG",0.8,1,480,480,,
"J1446","Inj., tbo-Filgrastim, 5 mcg","TEVA PHARMACEUTICALS USA","63459091215","63459-0912-15","GRANIX","5 MCG",0.8,10,96,960,,
"J1447","Inj tbo filgrastim 1 microg","CEPHALON INC.","63459091215","63459-0912-15","GRANIX","1 MCG",0.8,10,480,4800,,
"J1446","Inj., tbo-Filgrastim, 5 mcg","TEVA PHARMACEUTICALS USA","63459091217","63459-0912-17","GRANIX","5 MCG",0.8,1,96,96,,
"J1447","Inj tbo filgrastim 1 microg","CEPHALON INC.","63459091217","63459-0912-17","GRANIX","1 MCG",0.8,1,480,480,,
"J1446","Inj., tbo-Filgrastim, 5 mcg","TEVA PHARMACEUTICALS USA","63459091236","63459-0912-36","GRANIX","5 MCG",0.8,5,96,480,,
"J1447","Inj tbo filgrastim 1 microg","CEPHALON INC.","63459091236","63459-0912-36","GRANIX","1 MCG",0.8,5,480,2400,,
"J2310","Inj naloxone hydrochloride","ENDO PHARMACEUTICALS","63481035810","63481-0358-10","Naloxone Hcl","1 MG",1,10,0.4,4,,
"J2310","Inj naloxone hydrochloride","ENDO PHARMACEUTICALS","63481036505","63481-0365-05","Naloxone Hcl","1 MG",10,1,4,4,,
"J2310","Inj naloxone hydrochloride","ENDO PHARMACEUTICALS","63481036805","63481-0368-05","Naloxone Hcl","1 MG",10,1,10,10,,
"J2310","Inj naloxone hydrochloride","ENDO PHARMACEUTICALS","63481037710","63481-0377-10","Naloxone Hcl","1 MG",2,10,2,20,,
"J2300","Inj nalbuphine hydrochloride","ENDO PHARMACEUTICALS","63481043210","63481-0432-10","Nubain","10 MG",1,10,1,10,,
"J2300","Inj nalbuphine hydrochloride","ENDO PHARMACEUTICALS","63481043310","63481-0433-10","Nubain","10 MG",1,10,2,20,,
"J2410","Oxymorphone hcl injection","Endo Pharmaceuticals Inc","63481044410","63481-0444-10","Numorphan","1 MG",1,10,1,10,,
"J2300","Inj nalbuphine hydrochloride","ENDO PHARMACEUTICALS","63481050805","63481-0508-05","Nubain","10 MG",10,1,10,10,,
"J2300","Inj nalbuphine hydrochloride","ENDO PHARMACEUTICALS","63481050905","63481-0509-05","Nubain","10 MG",10,1,20,20,,
"J2410","Oxymorphone hcl injection","Endo Pharmaceuticals Inc","63481062410","63481-0624-10","OPANA","1 MG",1,10,1,10,,
"P9046","Albumin (human), 25%, 20 ml","ALPINE BIOLOGICS","63546025105","63546-0251-05","Albumin-Zlb","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","ALPINE BIOLOGICS","63546025105","63546-0251-05","Albumin-Zlb","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","ALPINE BIOLOGICS","63546025110","63546-0251-10","Albumin-Zlb","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","ALPINE BIOLOGICS","63546025110","63546-0251-10","Albumin-Zlb","50 ML",100,1,2,2,,
"P9041","Albumin (human),5%, 50ml","ALPINE BIOLOGICS","63546031025","63546-0310-25","Albumin-Zlb","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","ALPINE BIOLOGICS","63546031025","63546-0310-25","Albumin-Zlb","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","ALPINE BIOLOGICS","63546031050","63546-0310-50","Albumin-Zlb","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","ALPINE BIOLOGICS","63546031050","63546-0310-50","Albumin-Zlb","250 ML",500,1,2,2,,
"Q0169","Promethazine HCl 12.5mg oral","BRYANT RANCH PREPACK","63629159101","63629-1591-01","Promethazine Hcl","12.5 MG",12,1,12,12,,
"Q0169","Promethazine HCl 12.5mg oral","BRYANT RANCH PREPACK","63629159102","63629-1591-02","Promethazine Hcl","12.5 MG",4,1,4,4,,
"Q0169","Promethazine HCl 12.5mg oral","BRYANT RANCH PREPACK","63629159103","63629-1591-03","Promethazine Hcl","12.5 MG",2,1,2,2,,
"J7509","Methylprednisolone oral","MCKESSON PACKAGING SERVICES","63739016115","63739-0161-15","Methylprednisolone","4 MG",150,1,150,150,,
"J7506","Prednisone oral","MCKESSON PACKAGING SERVICES","63739020715","63739-0207-15","Prednisone","5 MG",150,1,150,150,,
"J7506","Prednisone oral","MCKESSON PACKAGING SERVICES","63739020815","63739-0208-15","Prednisone","5 MG",150,1,300,300,,
"J7506","Prednisone oral","MCKESSON PACKAGING SERVICES","63739020915","63739-0209-15","Prednisone","5 MG",150,1,600,600,,
"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,,
"J1644","Inj heparin sodium per 1000u","McKesson Packaging Services","63739090026","63739-0900-26","Heparin Sodium (Porcine)","1000 UNITS",2,25,2,50,,
"J1644","Inj heparin sodium per 1000u","McKesson Packaging Services","63739090128","63739-0901-28","Heparin Sodium (Porcine)","1000 UNITS",10,25,50,1250,,
"J1644","Inj heparin sodium per 1000u","McKesson Packaging Services","63739092025","63739-0920-25","Heparin Sodium (Porcine)","1000 UNITS",1,25,1,25,,
"J1644","Inj heparin sodium per 1000u","McKesson Packaging Services","63739093128","63739-0931-28","Heparin Sodium (Porcine)","1000 UNITS",10,25,10,250,,
"J9171","Docetaxel injection","McKesson Packaging Services","63739093211","63739-0932-11","Docetaxel","1 MG",1,1,20,20,,
"J1644","Inj heparin sodium per 1000u","McKesson Packaging Services","63739094229","63739-0942-29","Heparin Sodium (Porcine)","1000 UNITS",30,25,30,750,,
"J1644","Inj heparin sodium per 1000u","McKesson Packaging Services","63739095325","63739-0953-25","Heparin Sodium (Porcine)","1000 UNITS",1,25,5,125,,
"J1644","Inj heparin sodium per 1000u","McKesson Packaging Services","63739096425","63739-0964-25","Heparin Sodium (Porcine)","1000 UNITS",1,25,10,250,,
"J9171","Docetaxel injection","McKesson Packaging Services","63739097117","63739-0971-17","Docetaxel","1 MG",4,1,80,80,,
"J1644","Inj heparin sodium per 1000u","McKesson Packaging Services","63739098625","63739-0986-25","Heparin Sodium (Porcine)","1000 UNITS",1,25,20,500,,
"J2912","Sodium chloride injection","HOSPIRA","63807010003","63807-0100-03","Sodium Chloride","2 ML",2.5,1,1.25,1.25,,
"J7130","Hypertonic saline solution","HOSPIRA","63807010003","63807-0100-03","Sodium Chloride",,2.5,1,0.125,0.125,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","63807010005","63807-0100-05","Sodium Chloride","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","HOSPIRA","63807010005","63807-0100-05","Sodium Chloride",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","63807010010","63807-0100-10","Sodium Chloride","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","HOSPIRA","63807010010","63807-0100-10","Sodium Chloride",,10,1,0.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","HOSPIRA","63807010011","63807-0100-11","Sodium Chloride","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","HOSPIRA","63807010011","63807-0100-11","Sodium Chloride",,10,1,0.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","ABBOTT","63807010030","63807-0100-30","Saline Flush","2 ML",2.5,100,1.25,125,,
"J7130","Hypertonic saline solution","ABBOTT","63807010030","63807-0100-30","Saline Flush",,2.5,100,12.5,0.125,,"20 CC"
"J2912","Sodium chloride injection","EXCELSIOR MEDICAL CORPORATION","63807010033","63807-0100-33","Saline Flush","2 ML",2.5,1,1.25,1.25,,
"J7130","Hypertonic saline solution","EXCELSIOR MEDICAL CORPORATION","63807010033","63807-0100-33","Saline Flush",,2.5,1,0.125,0.125,,"20 CC"
"J2912","Sodium chloride injection","ABBOTT","63807010050","63807-0100-50","Saline Flush","2 ML",5,100,2.5,250,,
"J7130","Hypertonic saline solution","ABBOTT","63807010050","63807-0100-50","Saline Flush",,5,100,25,0.25,,"20 CC"
"J2912","Sodium chloride injection","EXCELSIOR MEDICAL CORPORATION","63807010051","63807-0100-51","Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","EXCELSIOR MEDICAL CORPORATION","63807010051","63807-0100-51","Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","EXCELSIOR MEDICAL CORPORATION","63807010056","63807-0100-56","Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","EXCELSIOR MEDICAL CORPORATION","63807010056","63807-0100-56","Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","ABBOTT","63807010075","63807-0100-75","Saline Flush","2 ML",10,100,5,500,,
"J7130","Hypertonic saline solution","ABBOTT","63807010075","63807-0100-75","Saline Flush",,10,100,50,0.5,,"20 CC"
"J2912","Sodium chloride injection","EXCELSIOR MEDICAL CORPORATION","63807010092","63807-0100-92","Saline Flush","2 ML",10,2,5,10,,
"J7130","Hypertonic saline solution","EXCELSIOR MEDICAL CORPORATION","63807010092","63807-0100-92","Saline Flush",,10,2,1,0.5,,"20 CC"
"J1642","Inj heparin sodium per 10 u","EXCELSIOR MEDICAL CORPORATION","63807050050","63807-0500-50","Heparin Sodium Lock Flush","10 UNITS",5,1,5,5,,
"J1642","Inj heparin sodium per 10 u","EXCELSIOR MEDICAL CORPORATION","63807050051","63807-0500-51","Heparin Sodium Lock Flush","10 UNITS",5,1,5,5,,
"J1642","Inj heparin sodium per 10 u","EXCELSIOR MEDICAL CORPORATION","63807060050","63807-0600-50","Heparin Sodium Lock Flush","10 UNITS",5,1,50,50,,
"J1642","Inj heparin sodium per 10 u","EXCELSIOR MEDICAL CORPORATION","63807060051","63807-0600-51","Heparin Sodium Lock Flush","10 UNITS",5,1,50,50,,
"C9132","Kcentra, per i.u.","CSL Behring GmbH","63833038602","63833-0386-02","Kcentra","1 IU",1,1,1,1,,
"C9132","Kcentra, per i.u.","CSL Behring GmbH","63833038702","63833-0387-02","Kcentra","1 IU",1,1,1,1,,
"J7180","Factor xiii anti-hem factor","CSL Behring GmbH","63833051802","63833-0518-02","Corifact","1 IU",1,1,1,1,,
"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,,
"C9269","C-1 esterase, berinert","CSL Behring","63833082502","63833-0825-02","BERINERT","10 Units",1,1,50,50,,
"J0597","C-1 esterase, berinert","CSL Behring GmbH","63833082502","63833-0825-02","BERINERT","10 UNITS",1,1,50,50,,
"C9015","C-1 esterase, Haegarda","CSL BEHRING","63833082802","63833-0828-02","Haegarda","10 UNITS",1,1,200,200,,
"C9015","C-1 esterase, Haegarda","CSL BEHRING","63833082902","63833-0829-02","Haegarda","10 UNITS",1,1,300,300,,
"90675","Rabies vaccine im","Novartis Vaccines & Diagnostics","63851050101","63851-0501-01","RABAVERT","1 ML",1,1,1,1,,
"90675","Rabies vaccine im","GlaxoSmithkline","63851050102","63851-0501-02","RABAVERT","1 ML",1,1,1,1,,
"J7330","Cultured chondrocytes implnt","Genzyme Corporation","63861102501","63861-1025-01","Carticel","1 EA",1,1,1,1,,
"J1080","Testosterone cypionat 200 MG","ALTURA PHARMACEUTICALS, INC.","63874106101","63874-1061-01","Testosterone Cypionate","200 MG",10,1,10,10,,
"J0595","Butorphanol tartrate 1 mg","ALTURA PHARMACEUTICALS","63874108901","63874-1089-01","Butorphanol Tartrate","1 MG",1,1,2,2,,
"J2912","Sodium chloride injection","SALIENT HCT","64054090203","64054-0902-03","Sodium Chloride","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","SALIENT HCT","64054090203","64054-0902-03","Sodium Chloride",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","SALIENT HCT","64054090302","64054-0903-02","Sodium Chloride","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","SALIENT HCT","64054090302","64054-0903-02","Sodium Chloride",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","SALIENT HCT","64054090303","64054-0903-03","Sodium Chloride","2 ML",1,1,0.5,0.5,,
"J7130","Hypertonic saline solution","SALIENT HCT","64054090303","64054-0903-03","Sodium Chloride",,1,1,0.05,0.05,,"20 CC"
"J2912","Sodium chloride injection","SALIENT HCT","64054090306","64054-0903-06","Sodium Chloride","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","SALIENT HCT","64054090306","64054-0903-06","Sodium Chloride",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","SALIENT HCT","64054090502","64054-0905-02","Sodium Chloride","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","SALIENT HCT","64054090502","64054-0905-02","Sodium Chloride",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","SALIENT HCT","64054090506","64054-0905-06","Sodium Chloride","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","SALIENT HCT","64054090506","64054-0905-06","Sodium Chloride",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","SALIENT HCT","64054091002","64054-0910-02","Sodium Chloride","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","SALIENT HCT","64054091002","64054-0910-02","Sodium Chloride",,10,1,0.5,0.5,,"20 CC"
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100003","64054-1000-03","Heparin (Porcine) In Nacl","10 UNITS",1,1,10,10,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100103","64054-1001-03","Heparin (Porcine) In Nacl","10 UNITS",1,1,1,1,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100202","64054-1002-02","Heparin (Porcine) In Nacl","10 UNITS",2,1,20,20,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100203","64054-1002-03","Heparin (Porcine) In Nacl","10 UNITS",2,1,2,2,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100206","64054-1002-06","Heparin (Porcine) In Nacl","10 UNITS",3,1,30,30,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100301","64054-1003-01","Heparin (Porcine) In Nacl","10 UNITS",3,1,30,30,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100302","64054-1003-02","Heparin (Porcine) In Nacl","10 UNITS",5,1,50,50,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100306","64054-1003-06","Heparin (Porcine) In Nacl","10 UNITS",3,1,30,30,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100402","64054-1004-02","Heparin (Porcine) In Nacl","10 UNITS",5,1,50,50,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100406","64054-1004-06","Heparin Lock Flush","10 UNITS",5,1,50,50,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100502","64054-1005-02","Heparin (Porcine) In Nacl","10 UNITS",5,1,5,5,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100506","64054-1005-06","Heparin (Porcine) In Nacl","10 UNITS",5,1,5,5,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054100902","64054-1009-02","Heparin (Porcine) In Nacl","10 UNITS",10,1,100,100,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054101002","64054-1010-02","Heparin (Porcine) In Nacl","10 UNITS",10,1,10,10,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054300003","64054-3000-03","Heparin Combination","10 UNITS",1,1,10,10,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054300202","64054-3002-02","Heparin Combination","10 UNITS",1,1,10,10,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054300206","64054-3002-06","Heparin Combination","10 UNITS",1,1,10,10,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054300301","64054-3003-01","Heparin Combination","10 UNITS",1,1,10,10,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054300402","64054-3004-02","Heparin Combination","10 UNITS",1,1,10,10,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054300406","64054-3004-06","Heparin Combination","10 UNITS",1,1,10,10,,
"J1642","Inj heparin sodium per 10 u","SALIENT HCT","64054300902","64054-3009-02","Heparin Combination","10 UNITS",1,1,10,10,,
"J9216","Interferon gamma 1-b inj","INTERMUNE PHARMACEUTICALS","64116001101","64116-0011-01","Actimmune","3 MIL UNITS",0.5,1,0.666,0.666,,
"J9216","Interferon gamma 1-b inj","INTERMUNE PHARMACEUTICALS","64116001112","64116-0011-12","Actimmune","3 MIL UNITS",0.5,12,0.666,7.992,,
"J0288","Ampho b cholesteryl sulfate","INTERMUNE PHARMACEUTICALS","64116002101","64116-0021-01","Amphotec","10 MG",1,1,10,10,,
"J0288","Ampho b cholesteryl sulfate","INTERMUNE PHARMACEUTICALS","64116002501","64116-0025-01","Amphotec","10 MG",1,1,5,5,,
"J9212","Interferon alfacon-1","INTERMUNE PHARMACEUTICALS","64116003101","64116-0031-01","Infergen","1 MCG",0.5,1,15,15,,
"J9212","Interferon alfacon-1","INTERMUNE PHARMACEUTICALS","64116003106","64116-0031-06","Infergen","1 MCG",0.5,6,15,90,,
"J9212","Interferon alfacon-1","INTERMUNE PHARMACEUTICALS","64116003124","64116-0031-24","Infergen","1 MCG",0.5,24,15,360,,
"J9212","Interferon alfacon-1","INTERMUNE PHARMACEUTICALS","64116003901","64116-0039-01","Infergen","1 MCG",0.3,1,9,9,,
"J9212","Interferon alfacon-1","INTERMUNE PHARMACEUTICALS","64116003906","64116-0039-06","Infergen","1 MCG",0.3,6,9,54,,
"J9212","Interferon alfacon-1","INTERMUNE PHARMACEUTICALS","64116003924","64116-0039-24","Infergen","1 MCG",0.3,24,9,216,,
"P9041","Albumin (human),5%, 50ml","HYLAND IMMUNO","64193021805","64193-0218-05","Albumin (Human)","50 ML",50,1,1,1,,
"P9045","Albumin (human), 5%, 250 ml","HYLAND IMMUNO","64193021805","64193-0218-05","Albumin (Human)","250 ML",50,1,0.2,0.2,,
"P9041","Albumin (human),5%, 50ml","HYLAND IMMUNO","64193021825","64193-0218-25","Albumin (Human)","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","HYLAND IMMUNO","64193021825","64193-0218-25","Albumin (Human)","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","HYLAND IMMUNO","64193021850","64193-0218-50","Albumin (Human)","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","HYLAND IMMUNO","64193021850","64193-0218-50","Albumin (Human)","250 ML",500,1,2,2,,
"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,,
"P9046","Albumin (human), 25%, 20 ml","HYLAND IMMUNO","64193022802","64193-0228-02","Albumin (Human)","20 ML",20,1,1,1,,
"P9047","Albumin (human), 25%, 50ml","HYLAND IMMUNO","64193022802","64193-0228-02","Albumin (Human)","50 ML",20,1,0.4,0.4,,
"P9046","Albumin (human), 25%, 20 ml","HYLAND IMMUNO","64193022805","64193-0228-05","Albumin (Human)","20 ML",50,1,2.5,2.5,,
"P9047","Albumin (human), 25%, 50ml","HYLAND IMMUNO","64193022805","64193-0228-05","Albumin (Human)","50 ML",50,1,1,1,,
"P9046","Albumin (human), 25%, 20 ml","HYLAND IMMUNO","64193022810","64193-0228-10","Albumin (Human)","20 ML",100,1,5,5,,
"P9047","Albumin (human), 25%, 50ml","HYLAND IMMUNO","64193022810","64193-0228-10","Albumin (Human)","50 ML",100,1,2,2,,
"J7194","Factor ix complex","Baxter Healthcare Corporation","64193024402","64193-0244-02","Bebulin Vh","1 IU",1,1,1,1,,
"J1563","IV immune globulin","HYLAND IMMUNO","64193025050","64193-0250-50","Iveegam En",,1,1,5,5,,"1 GRAM"
"J1564","Immune globulin 10 mg","HYLAND IMMUNO","64193025050","64193-0250-50","Iveegam En",,1,1,500,500,,"10 MG"
"J1566","Immune globulin, powder","HYLAND IMMUNO","64193025050","64193-0250-50","Iveegam En","500 MG",1,1,10,10,,
"Q9941","IVIG lyophil 1G","HYLAND IMMUNO","64193025050","64193-0250-50","Iveegam En",,1,1,5,5,,"1 GRAM"
"Q9942","IVIG lyophil 10 mg","HYLAND IMMUNO","64193025050","64193-0250-50","Iveegam En",,1,1,500,500,,"10 MG"
"J7198","Anti-inhibitor","Baxalta US Inc.","64193042302","64193-0423-02","FEIBA NF","1 IU",1,1,1,1,,
"J7198","Anti-inhibitor","Baxalta US Inc.","64193042402","64193-0424-02","FEIBA NF","1 IU",1,1,1,1,,
"J7198","Anti-inhibitor","Baxalta US Inc.","64193042502","64193-0425-02","FEIBA NF","1 IU",1,1,1,1,,
"J7194","Factor ix complex","Baxalta US Inc.","64193044502","64193-0445-02","Bebulin","1 IU",1,1,1,1,,
"C9270","Gammaplex IVIG","Bio Products Laboratory","64208823401","64208-8234-01","GAMMAPLEX","500mg",50,1,5,5,,
"J1557","Gammaplex injection","Bio Products Laboratory","64208823401","64208-8234-01","GAMMAPLEX","500 MG",50,1,5,5,,
"C9270","Gammaplex IVIG","Bio Products Laboratory","64208823402","64208-8234-02","GAMMAPLEX","500mg",100,1,10,10,,
"J1557","Gammaplex injection","Bio Products Laboratory","64208823402","64208-8234-02","GAMMAPLEX","500 MG",100,1,10,10,,
"C9270","Gammaplex IVIG","Bio Products Laboratory","64208823403","64208-8234-03","GAMMAPLEX","500mg",200,1,20,20,,
"J1557","Gammaplex injection","Bio Products Laboratory","64208823403","64208-8234-03","GAMMAPLEX","500 MG",200,1,20,20,,
"J1557","Gammaplex injection","Bio Products Laboratory","64208823404","64208-8234-04","GAMMAPLEX","500 MG",100,1,40,40,,
"J1557","Gammaplex injection","Bio Products Laboratory","64208823501","64208-8235-01","GAMMAPLEX","500 MG",100,1,10,10,,
"J1557","Gammaplex injection","Bio Products Laboratory","64208823502","64208-8235-02","GAMMAPLEX","500 MG",200,1,20,20,,
"J1557","Gammaplex injection","Bio Products Laboratory","64208823503","64208-8235-03","GAMMAPLEX","500 MG",100,1,40,40,,
"J2912","Sodium chloride injection","MEDEFIL, INC","64253011121","64253-0111-21","Normal Saline Flush","2 ML",1,1,0.5,0.5,,
"J7130","Hypertonic saline solution","MEDEFIL, INC","64253011121","64253-0111-21","Normal Saline Flush",,1,1,0.05,0.05,,"20 CC"
"J2912","Sodium chloride injection","MEDEFIL, INC","64253011122","64253-0111-22","Normal Saline Flush","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","MEDEFIL, INC","64253011122","64253-0111-22","Normal Saline Flush",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","MEDEFIL, INC","64253011123","64253-0111-23","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","MEDEFIL, INC","64253011123","64253-0111-23","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","MEDEFIL, INC","64253011125","64253-0111-25","Normal Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","MEDEFIL, INC","64253011125","64253-0111-25","Normal Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","MEDEFIL, INC","64253011130","64253-0111-30","Normal Saline Flush","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","MEDEFIL, INC","64253011130","64253-0111-30","Normal Saline Flush",,10,1,0.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","MEDEFIL, INC","64253011133","64253-0111-33","Normal Saline Flush","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","MEDEFIL, INC","64253011133","64253-0111-33","Normal Saline Flush",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","MEDEFIL, INC","64253011135","64253-0111-35","Normal Saline Flush","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","MEDEFIL, INC","64253011135","64253-0111-35","Normal Saline Flush",,5,1,0.25,0.25,,"20 CC"
"J1642","Inj heparin sodium per 10 u","MEDEFIL, INC","64253022211","64253-0222-11","Heparin (Porcine) Lock Flush","10 UNITS",1,1,1,1,,
"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,,
"J9160","Denileukin diftitox, 300 mcg","LIGAND PHARMACEUTICALS","64365050301","64365-0503-01","Ontak","300 MCG",2,1,1,1,,
"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","64370030861","64370-0308-61","Navelbine","10 MG",1,10,1,1,,
"J9390","Vinorelbine tartrate inj","PIERRE FABRE PHARMACEUTICALS","64370030862","64370-0308-62","Navelbine","10 MG",5,10,5,5,,
"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,,
"J9390","Vinorelbine tartrate/10 mg","PIERRE FABRE PHARMACEUTICALS","64370532001","64370-5320-01","Navelbine","10 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate/10 mg","PIERRE FABRE PHARMACEUTICALS","64370532002","64370-5320-02","Navelbine","10 MG",5,1,5,5,,
"J7507","Tacrolimus imme rel oral 1mg","Strides Pharma Inc.","64380072006","64380-0720-06","TACROLIMUS","1 MG",100,1,50,50,,
"J7507","Tacrolimus imme rel oral 1mg","Strides Pharma Inc.","64380072106","64380-0721-06","TACROLIMUS","1 MG",100,1,100,100,,
"J7507","Tacrolimus imme rel oral 1mg","Strides Pharma Inc.","64380072206","64380-0722-06","TACROLIMUS","1 MG",100,1,500,500,,
"J7517","Mycophenolate mofetil oral","Strides Pharma Inc.","64380072506","64380-0725-06","MYCOPHENOLATE MOFETIL","250 MG",100,1,200,200,,
"J7517","Mycophenolate mofetil oral","Strides Pharma Inc.","64380072507","64380-0725-07","MYCOPHENOLATE MOFETIL","250 MG",1,500,1000,1000,,
"J7517","Mycophenolate mofetil oral","Strides Pharma Inc.","64380072606","64380-0726-06","MYCOPHENOLATE MOFETIL","250 MG",100,1,100,100,,
"J7517","Mycophenolate mofetil oral","Strides Pharma Inc.","64380072607","64380-0726-07","MYCOPHENOLATE MOFETIL","250 MG",1,500,500,500,,
"J2323","Natalizumab injection","Biogen","64406000801","64406-0008-01","TYSABRI","1 MG",15,1,300,300,,
"C9489","Injection, nusinersen, 0.1 mg","Biogen","64406005801","64406-0058-01","Spinraza","0.1 MG",5,1,120,120,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406048308","64406-0483-08","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406048408","64406-0484-08","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406048508","64406-0485-08","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406048608","64406-0486-08","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406048708","64406-0487-08","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406048808","64406-0488-08","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406048908","64406-0489-08","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406080101","64406-0801-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","Biogen","64406080101","64406-0801-01","Eloctate","1 IU",1,1,1,1,,
"Q9975","Factor VIII FC Fusion Recomb","Biogen Idec Inc.","64406080101","64406-0801-01","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406080201","64406-0802-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","Biogen","64406080201","64406-0802-01","Eloctate","1 IU",1,1,1,1,,
"Q9975","Factor VIII FC Fusion Recomb","Biogen Idec Inc.","64406080201","64406-0802-01","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406080301","64406-0803-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","Biogen","64406080301","64406-0803-01","Eloctate","1 IU",1,1,1,1,,
"Q9975","Factor VIII FC Fusion Recomb","Biogen Idec Inc.","64406080301","64406-0803-01","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406080401","64406-0804-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","Biogen","64406080401","64406-0804-01","Eloctate","1 IU",1,1,1,1,,
"Q9975","Factor VIII FC Fusion Recomb","Biogen Idec Inc.","64406080401","64406-0804-01","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406080501","64406-0805-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","Biogen","64406080501","64406-0805-01","Eloctate","1 IU",1,1,1,1,,
"Q9975","Factor VIII FC Fusion Recomb","Biogen Idec Inc.","64406080501","64406-0805-01","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406080601","64406-0806-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","Biogen","64406080601","64406-0806-01","Eloctate","1 IU",1,1,1,1,,
"Q9975","Factor VIII FC Fusion Recomb","Biogen Idec Inc.","64406080601","64406-0806-01","Eloctate","1 IU",1,1,1,1,,
"C9136","Factor VIII (Eloctate)","Biogen Idec Inc.","64406080701","64406-0807-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","Biogen","64406080701","64406-0807-01","Eloctate","1 IU",1,1,1,1,,
"Q9975","Factor VIII FC Fusion Recomb","Biogen Idec Inc.","64406080701","64406-0807-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","BIOGEN INC.","64406080801","64406-0808-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","BIOGEN INC.","64406080901","64406-0809-01","Eloctate","1 IU",1,1,1,1,,
"J7205","Factor viii fc fusion recomb","BIOGEN INC.","64406081001","64406-0810-01","Eloctate","1 IU",1,1,1,1,,
"C9135","Factor ix (Alprolix)","BIOGEN IDEC","64406091101","64406-0911-01","ALPROLIX","1 IU",1,1,1,1,,
"J7201","Factor ix alprolix recomb","Biogen","64406091101","64406-0911-01","ALPROLIX","1 IU",1,1,1,1,,
"C9135","Factor ix (Alprolix)","BIOGEN IDEC","64406092201","64406-0922-01","ALPROLIX","1 IU",1,1,1,1,,
"J7201","Factor ix alprolix recomb","Biogen","64406092201","64406-0922-01","ALPROLIX","1 IU",1,1,1,1,,
"C9135","Factor ix (Alprolix)","BIOGEN IDEC","64406093301","64406-0933-01","ALPROLIX","1 IU",1,1,1,1,,
"J7201","Factor ix alprolix recomb","Biogen","64406093301","64406-0933-01","ALPROLIX","1 IU",1,1,1,1,,
"C9135","Factor ix (Alprolix)","BIOGEN IDEC","64406094401","64406-0944-01","ALPROLIX","1 IU",1,1,1,1,,
"J7201","Factor ix alprolix recomb","Biogen","64406094401","64406-0944-01","ALPROLIX","1 IU",1,1,1,1,,
"J7201","Factor ix alprolix recomb","Biogen","64406096601","64406-0966-01","ALPROLIX","1 IU",1,1,1,1,,
"J7201","Factor ix alprolix recomb","BIOGEN INC.","64406097701","64406-0977-01","ALPROLIX","1 IU",1,1,1,1,,
"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,,
"J1940","Furosemide injection","Wockhardt USA Inc","64679075901","64679-0759-01","Furosemide","20 MG",2,25,1,25,,
"J1940","Furosemide injection","Wockhardt USA Inc","64679075902","64679-0759-02","Furosemide","20 MG",10,25,5,125,,
"J1940","Furosemide injection","Wockhardt USA Inc","64679075903","64679-0759-03","Furosemide","20 MG",2,25,1,25,,
"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,,
"C9026","Injection, vedolizumab","Takeda Pharmaceuticals America, Inc.","64764030020","64764-0300-20","ENTYVIO ","1 MG",1,1,300,300,,
"J3380","Injection, vedolizumab","Takeda Pharmaceuticals America, Inc.","64764030020","64764-0300-20","ENTYVIO ","1 MG",1,1,300,300,,
"J0890","Peginesatide injection","Takeda Pharmaceuticals America, Inc.","64764061010","64764-0610-10","Omontys","0.1 MG",1,1,100,100,,
"Q2047","Peginesatide injection","Takeda Pharmaceuticals America, Inc.","64764061010","64764-0610-10","Omontys","0.1 MG",1,1,100,100,,
"J0890","Peginesatide injection","Takeda Pharmaceuticals America, Inc.","64764062020","64764-0620-20","Omontys","0.1 MG",2,1,200,200,,
"Q2047","Peginesatide injection","Takeda Pharmaceuticals America, Inc.","64764062020","64764-0620-20","Omontys","0.1 MG",2,1,200,200,,
"J1270","Injection, doxercalciferol","Genzyme Corporation","64894084050","64894-0840-50","Hectorol","1 MCG",2,50,4,200,,
"Q0169","Promethazine hcl 12.5mg oral","Amneal Pharmaceuticals, LLC","65162052110","65162-0521-10","Promethazine Hcl","12.5 MG",100,1,200,200,,
"Q0170","Promethazine HCl 25 mg oral","Amneal Pharmaceuticals, LLC","65162052110","65162-0521-10","Promethazine Hcl","25 MG",100,1,100,100,,
"Q0169","Promethazine hcl 12.5mg oral","Amneal Pharmaceuticals, LLC","65162052111","65162-0521-11","Promethazine Hcl","12.5 MG",1000,1,2000,2000,,
"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,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080114","65162-0801-14","TEMOZOLOMIDE","5 MG",1,14,1,14,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080151","65162-0801-51","TEMOZOLOMIDE","5 MG",1,5,1,5,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080214","65162-0802-14","TEMOZOLOMIDE","5 MG",1,14,4,56,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080251","65162-0802-51","TEMOZOLOMIDE","5 MG",1,5,4,20,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080314","65162-0803-14","TEMOZOLOMIDE","5 MG",1,14,20,280,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080351","65162-0803-51","TEMOZOLOMIDE","5 MG",1,5,20,100,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080414","65162-0804-14","TEMOZOLOMIDE","5 MG",1,14,28,392,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080451","65162-0804-51","TEMOZOLOMIDE","5 MG",1,5,28,140,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080514","65162-0805-14","TEMOZOLOMIDE","5 MG",1,14,36,504,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080551","65162-0805-51","TEMOZOLOMIDE","5 MG",1,5,36,180,,
"J8700","Temozolomide","Amneal Pharmaceuticals, LLC","65162080651","65162-0806-51","TEMOZOLOMIDE","5 MG",1,5,50,250,,
"J8520","Capecitabine, oral, 150 mg","Amneal Pharmaceuticals, LLC","65162084306","65162-0843-06","CAPECITABINE","150 MG",60,1,60,60,,
"J8521","Capecitabine, oral, 500 mg","Amneal Pharmaceuticals, LLC","65162084416","65162-0844-16","CAPECITABINE","500 MG",120,1,120,120,,
"J7682","Tobramycin non-comp unit","Amneal Pharmaceuticals, LLC","65162091446","65162-0914-46","Tobramycin inhalation","300 MG",5,56,1,56,,
"C9290","Inj, bupivacaine liposome","Pacira Pharmaceuticals","65250013310","65250-0133-10","EXPAREL","1 mg",10,10,133,1330,,
"C9290","Inj, bupivacaine liposome","Pacira Pharmaceuticals","65250026620","65250-0266-20","EXPAREL","1 mg",20,10,266,2660,,
"J7644","Ipratropium brom inh sol u d","ASLUNG PHARMACEUTICALS","65271000112","65271-0001-12","Ipratropium Bromide",,2.5,120,60,0.5,,"1 MG"
"J7644","Ipratropium brom inh sol u d","ASLUNG PHARMACEUTICALS","65271000125","65271-0001-25","Ipratropium Bromide",,2.5,25,12.5,0.5,,"1 MG"
"J7644","Ipratropium brom inh sol u d","ASLUNG PHARMACEUTICALS","65271000130","65271-0001-30","Ipratropium Bromide",,2.5,30,15,0.5,,"1 MG"
"J7644","Ipratropium brom inh sol u d","ASLUNG PHARMACEUTICALS","65271000160","65271-0001-60","Ipratropium Bromide",,2.5,60,30,0.5,,"1 MG"
"J7613","Albuterol unit dose","ASLUNG PHARMACEUTICALS","65271000205","65271-0002-05","Albuterol Sulfate",,3,25,62.25,2.49,,"1 MG"
"J7613","Albuterol unit dose","ASLUNG PHARMACEUTICALS","65271000206","65271-0002-06","Albuterol Sulfate",,3,60,149.4,2.49,,"1 MG"
"J0583","Bivalirudin","The Medicines Company","65293000101","65293-0001-01","Angiomax","1 MG",1,10,250,2500,,
"C9248","Inj, clevidipine butyrate","The Medicines Company","65293000200","65293-0002-00","CLEVIPREX","1 MG",100,1,50,50,,
"C9248","Inj, clevidipine butyrate","The Medicines Company","65293000211","65293-0002-11","CLEVIPREX","1 MG",100,10,50,500,,
"C9248","Inj, clevidipine butyrate","The Medicines Company","65293000250","65293-0002-50","CLEVIPREX","1 MG",50,1,25,25,,
"C9248","Inj, clevidipine butyrate","The Medicines Company","65293000255","65293-0002-55","CLEVIPREX","1 MG",50,10,25,250,,
"C9460","Injection, cangrelor","The Medicines Company","65293000310","65293-0003-10","KENGREAL","1 MG",1,10,50,500,,
"J0583","Bivalirudin","The Medicines Company","65293000422","65293-0004-22","Angiomax","1 MG",1,10,250,2500,,
"C9248","Inj, clevidipine butyrate","The Medicines Company","65293000500","65293-0005-00","CLEVIPREX","1 MG",100,10,50,500,,
"C9248","Inj, clevidipine butyrate","The Medicines Company","65293000511","65293-0005-11","CLEVIPREX","1 MG",100,10,50,500,,
"C9248","Inj, clevidipine butyrate","The Medicines Company","65293000550","65293-0005-50","CLEVIPREX","1 MG",50,10,25,250,,
"C9248","Inj, clevidipine butyrate","The Medicines Company","65293000555","65293-0005-55","CLEVIPREX","1 MG",50,10,25,250,,
"C9444","Injection, oritavancin","The Medicines Company","65293001503","65293-0015-03","Orbactiv","10 MG",1,3,40,120,,
"J2407","Injection, oritavancin","The Medicines Company","65293001503","65293-0015-03","Orbactiv","10 MG",1,3,40,120,,
"J2405","Ondansetron hcl injection","The Medicines Company","65293037325","65293-0373-25","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J2405","Ondansetron hcl injection","The Medicines Company","65293037401","65293-0374-01","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J2250","Inj midazolam hydrochloride","The Medicines Company","65293041125","65293-0411-25","Midazolam Hcl","1 MG",2,25,2,50,,
"J2250","Inj midazolam hydrochloride","The Medicines Company","65293041210","65293-0412-10","Midazolam Hcl","1 MG",10,10,10,100,,
"J2250","Inj midazolam hydrochloride","The Medicines Company","65293041310","65293-0413-10","Midazolam Hcl","1 MG",2,10,10,100,,
"J2250","Inj midazolam hydrochloride","The Medicines Company","65293041410","65293-0414-10","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","The Medicines Company","65293041510","65293-0415-10","Midazolam Hcl","1 MG",1,10,50,500,,
"J2250","Inj midazolam hydrochloride","The Medicines Company","65293041625","65293-0416-25","Midazolam Hcl","1 MG",5,25,5,125,,
"J2250","Inj midazolam hydrochloride","The Medicines Company","65293041725","65293-0417-25","Midazolam Hcl","1 MG",1,25,5,125,,
"J9015","Aldesleukin injection","Prometheus Laboratories Inc.","65483011607","65483-0116-07","Proleukin","1 EA",1,1,1,1,,
"J7501","Azathioprine parenteral","PROMETHEUS","65483055101","65483-0551-01","Imuran",,1,1,1,1,,"100 MG"
"J7500","Azathioprine oral 50mg","PROMETHEUS","65483059010","65483-0590-10","Imuran","50 MG",100,1,100,100,,
"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,,
"C9470","Aripiprazole lauroxil im","Alkermes, Inc.","65757040103","65757-0401-03","Aristada","1 MG",1.6,1,441,441,,
"J1942","Aripiprazole lauroxil 1mg","Alkermes, Inc.","65757040103","65757-0401-03","Aristada","1 MG",1.6,1,441,441,,
"C9470","Aripiprazole lauroxil im","Alkermes, Inc.","65757040203","65757-0402-03","Aristada","1 MG",2.4,1,662,662,,
"J1942","Aripiprazole lauroxil 1mg","Alkermes, Inc.","65757040203","65757-0402-03","Aristada","1 MG",2.4,1,662,662,,
"C9470","Aripiprazole lauroxil im","Alkermes, Inc.","65757040303","65757-0403-03","Aristada","1 MG",3.2,1,882,882,,
"J1942","Aripiprazole lauroxil 1mg","Alkermes, Inc.","65757040303","65757-0403-03","Aristada","1 MG",3.2,1,882,882,,
"J1942","Aripiprazole lauroxil 1mg","Alkermes, Inc.","65757040403","65757-0404-03","Aristada","1 MG",3.9,1,1064,1064,,
"J2324","Nesiritide","SCIOS INC.","65847020525","65847-0205-25","Natrecor",,1,1,6,6,,"0.25 MG"
"J2325","Nesiritide injection","Scios, Inc.","65847020525","65847-0205-25","Natrecor","0.1 MG",1,1,15,15,,
"90660","Flu vaccine, nasal","WYETH","66019010001","66019-0100-01","Flumist",,1,10,10,1,,".5 ML"
"90660","Flu vaccine, nasal","MEDIMMUNE","66019010101","66019-0101-01","Flumist","0.5 ML",1,10,1,10,,
"90660","Flu vaccine, nasal","MEDIMMUNE","66019010201","66019-0102-01","FLUMIST","0.5 ML",1,10,1,10,,
"J7510","Prednisolone oral per 5 mg","MEDVANTX","66116017482","66116-0174-82","Prednisolone",,,25,62.25,2.49,,"5 MG"
"Q0165","Prochlorperazine maleate10mg","MEDVANTX","66116022620","66116-0226-20","Prochlorperazine Maleate","10 MG",20,1,20,20,,
"Q0170","Promethazine HCl 25 mg oral","MEDVANTX","66116028412","66116-0284-12","Promethazine Hcl","25 MG",12,1,12,12,,
"J7506","Prednisone oral","MEDVANTX","66116041005","66116-0410-05","Prednisone","5 MG",5,1,10,10,,
"J7506","Prednisone oral","MEDVANTX","66116041030","66116-0410-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","MEDVANTX","66116042005","66116-0420-05","Prednisone","5 MG",5,1,20,20,,
"J7506","Prednisone oral","MEDVANTX","66116042015","66116-0420-15","Prednisone","5 MG",15,1,60,60,,
"J7506","Prednisone oral","MEDVANTX","66116046530","66116-0465-30","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","MEDVANTX","66116046550","66116-0465-50","Prednisone","5 MG",50,1,200,200,,
"Q0170","Promethazine HCl 25 mg oral","MEDVANTX","66116048830","66116-0488-30","Promethazine Hcl","25 MG",30,1,30,30,,
"J7506","Prednisone oral","MEDVANTX","66116062530","66116-0625-30","Prednisone","5 MG",30,1,30,30,,
"J7509","Methylprednisolone oral","MEDVANTX","66116066221","66116-0662-21","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J1652","Fondaparinux sodium","GLAXOSMITHKLINE","66203230001","66203-2300-01","Arixtra","0.5 MG",0.5,10,5,50,,
"J1652","Fondaparinux sodium","GLAXOSMITHKLINE","66203230002","66203-2300-02","Arixtra","0.5 MG",0.5,10,5,50,,
"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,,
"Q4080","Iloprost inhalation solution","Actelion","66215030230","66215-0302-30","Ventavis","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,,
"J1325","Epoprostenol injection","Actelion Pharmaceuticals U.S, Inc","66215040201","66215-0402-01","Epoprostenol (Veletri)","0.5 MG",1,1,3,3,,
"J1325","Epoprostenol injection","Actelion Pharmaceuticals U.S, Inc","66215040301","66215-0403-01","Epoprostenol (Veletri)","0.5 MG",1,1,1,1,,
"J0207","Amifostine","Cumberland Pharmaceuticals Inc","66220001703","66220-0017-03","Ethyol","500 MG",1,3,1,3,,
"J0132","Acetylcysteine injection","CUMBERLAND PHARMACEUTICALS INC","66220010730","66220-0107-30","Acetylcysteine Inj","100 MG",30,4,60,240,,
"J0132","Acetylcysteine injection","CUMBERLAND","66220010734","66220-0107-34","Acetylcysteine Inj",,30,40,2400,60,,"100 MG"
"J1190","Dexrazoxane hcl injection","CUMBERLAND PHARMACEUTICALS","66220011001","66220-0110-01","TOTECT","250 MG",1,1,2,2,,
"C9488","Conivaptan HCL","CUMBERLAND PHARMACEUTICALS, INC.","66220016010","66220-0160-10","VAPRISOL","1 MG",100,1,20,20,,
"J0132","Acetylcysteine injection","Cumberland Pharmaceuticals Inc","66220020730","66220-0207-30","ACETADOTE","100 MG",30,4,60,240,,
"C9279","Injection, ibuprofen","Cumberland Pharmaceuticals Inc","66220024704","66220-0247-04","Caldolor","100 MG",4,25,4,100,,
"C9279","Injection, ibuprofen","Cumberland Pharmaceuticals Inc","66220028708","66220-0287-08","Caldolor","100 MG",8,25,8,200,,
"J8540","Oral dexamethasone","NUCARE PHARM., INC.","66267006612","66267-0066-12","DEXAMETHASONE",,,10,10,1,,"0.25 MG"
"Q0163","Diphenhydramine HCl 50mg","NUCARE PHARMACEUTICALS, INC","66267008115","66267-0081-15","Diphenhydramine Hcl","50 MG",15,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","NUCARE PHARMACEUTICALS, INC","66267008120","66267-0081-20","Diphenhydramine Hcl","50 MG",20,1,20,20,,
"Q0163","Diphenhydramine HCl 50mg","NUCARE PHARMACEUTICALS, INC","66267008130","66267-0081-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0163","Diphenhydramine HCl 50mg","NUCARE PHARMACEUTICALS, INC","66267008160","66267-0081-60","Diphenhydramine Hcl","50 MG",60,1,60,60,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017115","66267-0171-15","Prednisone","5 MG",15,1,30,30,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017120","66267-0171-20","Prednisone","5 MG",20,1,40,40,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017121","66267-0171-21","Prednisone","5 MG",21,1,42,42,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017130","66267-0171-30","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017140","66267-0171-40","Prednisone","5 MG",40,1,80,80,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017142","66267-0171-42","Prednisone","5 MG",42,1,84,84,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017210","66267-0172-10","Prednisone","5 MG",10,1,40,40,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017215","66267-0172-15","Prednisone","5 MG",15,1,60,60,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017220","66267-0172-20","Prednisone","5 MG",20,1,80,80,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017230","66267-0172-30","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017242","66267-0172-42","Prednisone","5 MG",,1,1000,1000,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017320","66267-0173-20","Prednisone","5 MG",20,1,20,20,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017330","66267-0173-30","Prednisone","5 MG",30,1,30,30,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017340","66267-0173-40","Prednisone","5 MG",40,1,40,40,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017342","66267-0173-42","Prednisone","5 MG",42,1,42,42,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267017360","66267-0173-60","Prednisone","5 MG",60,1,60,60,,
"Q0170","Promethazine HCl 25 mg oral","NUCARE PHARMACEUTICALS, INC","66267017720","66267-0177-20","Promethazine Hcl","25 MG",20,1,20,20,,
"Q0173","Trimethobenzamide HCl 250mg","NUCARE PHARMACEUTICALS, INC","66267020810","66267-0208-10","Trimethobenzamide Hcl","250 MG",10,1,10,10,,
"Q0173","Trimethobenzamide HCl 250mg","NUCARE PHARMACEUTICALS, INC","66267020820","66267-0208-20","Trimethobenzamide Hcl","250 MG",20,1,20,20,,
"Q0164","Prochlorperazine maleate 5mg","NUCARE PHARMACEUTICALS, INC","66267027112","66267-0271-12","Prochlorperazine Maleate","5 MG",12,1,12,12,,
"Q0165","Prochlorperazine maleate10mg","NUCARE PHARMACEUTICALS, INC","66267031830","66267-0318-30","Prochlorperazine Maleate","10 MG",30,1,60,60,,
"J7320","Hylan G-F 20 injection","NUCARE PHARMACEUTICALS, INC","66267092103","66267-0921-03","Synvisc","16 MG",2,3,1,3,,
"Q4084","Synvisc, inj","NUCARE PHARMACEUTICALS, INC","66267092103","66267-0921-03","Synvisc","PER DOSE",2,3,1,3,,
"J7506","Prednisone oral","NUCARE PHARMACEUTICALS, INC","66267094821","66267-0948-21","Prednisone","5 MG",21,1,21,21,,
"J7509","Methylprednisolone oral","NUCARE PHARMACEUTICALS, INC","66267096121","66267-0961-21","Methylprednisolone","4 MG",21,1,21,21,,
"Q0163","Diphenhydramine HCl 50mg","NUCARE PHARMACEUTICALS, INC.","66267097704","66267-0977-04","DIPHENHYDRAMINE HCL","50 MG",6,1,6,6,,
"J0697","Sterile cefuroxime injection","SAMSON MEDICAL TECH. LLC","66288207501","66288-2075-01","Cefuroxime Sodium","750 MG",75,1,7500,7500,,
"J0697","Sterile cefuroxime injection","SAMSON MEDICAL TECH. LLC","66288222501","66288-2225-01","Cefuroxime Sodium","750 MG",225,1,67500,67500,,
"J0694","Cefoxitin sodium injection","SAMSON MEDICAL TECH. LLC","66288410001","66288-4100-01","Cefoxitin","1 GM",100,1,10000,10000,,
"J0713","Inj ceftazidime per 500 mg","SAMSON MEDICAL TECH. LLC","66288510001","66288-5100-01","Ceftazidime","500 MG",100,1,20000,20000,,
"J3285","Treprostinil injection","United Therapeutics","66302010101","66302-0101-01","Remodulin","1 MG",20,1,20,20,,
"Q4077","Treprostinil, 1 mg","UNITED THERAPEUTICS CORP","66302010101","66302-0101-01","Remodulin",,20,1,20,20,,"1 MG"
"J3285","Treprostinil injection","United Therapeutics","66302010201","66302-0102-01","Remodulin","1 MG",20,1,50,50,,
"Q4077","Treprostinil, 1 mg","UNITED THERAPEUTICS CORP","66302010201","66302-0102-01","Remodulin",,20,1,50,50,,"1 MG"
"J3285","Treprostinil injection","United Therapeutics","66302010501","66302-0105-01","Remodulin","1 MG",20,1,100,100,,
"Q4077","Treprostinil, 1 mg","UNITED THERAPEUTICS CORP","66302010501","66302-0105-01","Remodulin",,20,1,100,100,,"1 MG"
"J3285","Treprostinil injection","United Therapeutics","66302011001","66302-0110-01","Remodulin","1 MG",20,1,200,200,,
"Q4077","Treprostinil, 1 mg","UNITED THERAPEUTICS CORP","66302011001","66302-0110-01","Remodulin",,20,1,200,200,,"1 MG"
"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,,
"J7686","Treprostinil, non-comp unit","United Therapeutics","66302020604","66302-0206-04","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,,
"Q0163","Diphenhydramine HCl 50mg","DISPENSING SOLUTIONS","66336004506","66336-0045-06","Diphenhydramine Hcl","50 MG",6,1,6,6,,
"Q0163","Diphenhydramine HCl 50mg","DISPENSING SOLUTIONS","66336004515","66336-0045-15","Diphenhydramine Hcl","50 MG",15,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","DISPENSING SOLUTIONS","66336004530","66336-0045-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"J7506","Prednisone oral","Dispensing Solutions","66336005810","66336-0058-10","Prednisone","5 MG",,1,1000,1000,,
"J7506","Prednisone oral","Dispensing Solutions","66336005812","66336-0058-12","Prednisone","5 MG",,1,120,120,,
"J7506","Prednisone oral","Dispensing Solutions","66336005820","66336-0058-20","Prednisone","5 MG",,1,200,200,,
"J7506","Prednisone oral","Dispensing Solutions","66336005821","66336-0058-21","Prednisone","5 MG",,1,400,400,,
"J7506","Prednisone oral","Dispensing Solutions","66336005830","66336-0058-30","Prednisone","5 MG",,1,100,100,,
"J7506","Prednisone oral","Dispensing Solutions","66336005860","66336-0058-60","Prednisone","5 MG",,1,2000,2000,,
"J7506","Prednisone oral","DISPENSING SOLUTIONS, INC","66336009410","66336-0094-10","Prednisone","5 MG",,1,1000,1000,,
"J7506","Prednisone oral","DISPENSING SOLUTIONS, INC","66336009418","66336-0094-18","Prednisone","5 MG",,1,2000,2000,,
"J7506","Prednisone oral","DISPENSING SOLUTIONS, INC","66336009420","66336-0094-20","Prednisone","5 MG",,1,200,200,,
"J7506","Prednisone oral","DISPENSING SOLUTIONS, INC","66336009430","66336-0094-30","Prednisone","5 MG",,1,0.2,20,,
"Q0165","Prochlorperazine maleate10mg","DISPENSING SOLUTIONS","66336043406","66336-0434-06","Prochlorperazine Maleate","5 MG",6,1,6,6,,
"Q0165","Prochlorperazine maleate10mg","DISPENSING SOLUTIONS","66336043410","66336-0434-10","Prochlorperazine Maleate","5 MG",10,1,10,10,,
"J8540","Oral dexamethasone","DISPENSING SOLUTIONS, INC","66336047906","66336-0479-06","DEXAMETHASONE",,,1,20,20,,"0.25 MG"
"J7506","Prednisone oral","DISPENSING SOLUTIONS, INC","66336051510","66336-0515-10","Prednisone","5 MG",,1,400,400,,
"J7506","Prednisone oral","DISPENSING SOLUTIONS, INC","66336051521","66336-0515-21","Prednisone","5 MG",,1,96,96,,
"J7506","Prednisone oral","DISPENSING SOLUTIONS, INC","66336051530","66336-0515-30","Prednisone","5 MG",,1,42,42,,
"J7506","Prednisone oral","DISPENSING SOLUTIONS, INC","66336051540","66336-0515-40","Prednisone","5 MG",,1,100,100,,
"J8540","Oral dexamethasone","DISPENSING SOLUTIONS INC.","66336055012","66336-0550-12","DEXAMETHASONE",,,3,9,3,,"0.25 MG"
"Q0163","Diphenhydramine HCl 50mg","PROMEDICA LABS","66375010802","66375-0108-02","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","DiphenhydrAMIne HCl 50mg","SDA LABS","66424002001","66424-0020-01","Diphenhydramine Hcl",,,,,,,"50 MG"
"Q0163","Diphenhydramine HCl 50mg","SDA LABS","66424002010","66424-0020-10","Diphenhydramine Hcl","50 MG",1,1,1,1,,
"Q0163","Diphenhydramine HCl 50mg","SDA LABORATORIES INC","66424002101","66424-0021-01","Diphenhydramine Hcl","50 MG",100,1,100,100,,
"Q0163","Diphenhydramine HCl 50mg","SDA LABORATORIES INC","66424002110","66424-0021-10","Diphenhydramine Hcl","50 MG",1000,1,1000,1000,,
"J0288","Ampho b cholesteryl sulfate","THREE RIVERS PHARMACEUTICALS","66435030151","66435-0301-51","Amphotec","10 MG",1,1,5,5,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","66479013501","66479-0135-01","Methotrexate Sodium","5 MG",2,1,10,10,,
"J9260","Methotrexate sodium inj","MAYNE PHARMA","66479013501","66479-0135-01","Methotrexate Sodium","50 MG",2,1,1,1,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","66479013509","66479-0135-09","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","MAYNE PHARMA","66479013509","66479-0135-09","Methotrexate Sodium","50 MG",10,1,5,5,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","66479013611","66479-0136-11","Methotrexate Sodium Lpf","5 MG",2,1,10,10,,
"J9260","Methotrexate sodium inj","MAYNE PHARMA","66479013611","66479-0136-11","Methotrexate Sodium Lpf","50 MG",2,1,1,1,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","66479013613","66479-0136-13","Methotrexate Sodium Lpf","5 MG",4,1,20,20,,
"J9260","Methotrexate sodium inj","MAYNE PHARMA","66479013613","66479-0136-13","Methotrexate Sodium Lpf","50 MG",4,1,2,2,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","66479013619","66479-0136-19","Methotrexate Sodium Lpf","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","MAYNE PHARMA","66479013619","66479-0136-19","Methotrexate Sodium Lpf","50 MG",10,1,5,5,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","66479013721","66479-0137-21","Methotrexate Sodium Lpf","5 MG",1,1,4,4,,
"J9260","Methotrexate sodium inj","MAYNE PHARMA","66479013721","66479-0137-21","Methotrexate Sodium Lpf","50 MG",1,1,0.4,0.4,,
"J9250","Methotrexate sodium inj","MAYNE PHARMA","66479013929","66479-0139-29","Methotrexate Sodium Lpf","5 MG",1,1,200,200,,
"J9260","Methotrexate sodium inj","MAYNE PHARMA","66479013929","66479-0139-29","Methotrexate Sodium Lpf","50 MG",1,1,20,20,,
"J0640","Leucovorin calcium injection","MAYNE PHARMA","66479024725","66479-0247-25","Leucovorin Calcium","50 MG",1,1,7,7,,
"J0735","Clonidine hydrochloride","Mylan Institutional","66479052001","66479-0520-01","Duraclon","1 MG",10,1,1,1,,
"J0735","Clonidine hydrochloride","Mylan Institutional","66479052101","66479-0521-01","Duraclon","1 MG",10,1,5,5,,
"J1230","Methadone injection","Mylan Institutional","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,,
"90656","Flu vaccine no preserv 3 & >","EVANS VACCINES LTD","66521010401","66521-0104-01","Fluvirin","0.5 ML",0.5,10,1,10,,
"90658","Flu vaccine age 3 & over, im","EVANS VACCINES LTD","66521010401","66521-0104-01","Fluvirin","0.5 ML",0.5,10,1,10,,
"90656","Flu vaccine no preserv 3 & >","EVANS VACCINES LTD","66521010410","66521-0104-10","Fluvirin","0.5 ML",5,1,10,10,,
"90658","Flu vaccine age 3 & over, im","EVANS VACCINES LTD","66521010410","66521-0104-10","Fluvirin","0.5 ML",5,1,10,10,,
"90656","Flu vaccine no preserv 3 & >","EVANS VACCINES LTD","66521010501","66521-0105-01","Fluvirin","0.5 ML",0.5,10,1,10,,
"90658","Flu vaccine age 3 & over, im","EVANS VACCINES LTD","66521010501","66521-0105-01","Fluvirin","0.5 ML",0.5,10,1,10,,
"90656","Flu vaccine no preserv 3 & >","EVANS VACCINES LTD","66521010510","66521-0105-10","Fluvirin","0.5 ML",5,1,10,10,,
"90658","Flu vaccine age 3 & over, im","EVANS VACCINES LTD","66521010510","66521-0105-10","Fluvirin","0.5 ML",5,1,10,10,,
"90656","Flu vaccine no preserv 3 & >","EVANS VACCINES LTD","66521010601","66521-0106-01","Fluvirin","0.5 ML",0.5,10,1,10,,
"90656","Flu vaccine no preserv 3 & >","EVANS VACCINES LTD","66521010610","66521-0106-10","Fluvirin","0.5 ML",5,1,10,10,,
"90658","Flu vaccine age 3 & over, im","EVANS VACCINES LTD","66521010610","66521-0106-10","Fluvirin","0.5 ML",5,1,10,10,,
"90656","Flu vaccine no preserv 3 & >","EVANS VACCINES LTD","66521010701","66521-0107-01","Fluvirin","0.5 ML",0.5,10,1,10,,
"90658","Flu vaccine age 3 & over, im","EVANS VACCINES LTD","66521010701","66521-0107-01","Fluvirin","0.5 ML",0.5,10,1,10,,
"90656","Flu vaccine no preserv 3 & >","EVANS VACCINES LTD","66521010710","66521-0107-10","Fluvirin","0.5 ML",5,1,10,10,,
"90658","Flu vaccine age 3 & over, im","EVANS VACCINES LTD","66521010710","66521-0107-10","Fluvirin","0.5 ML",5,1,10,10,,
"90658","Flu vaccine age 3 & over, im","EVANS VACCINES LTD","66521010810","66521-0108-10","FLUVIRIN","0.5 ML",5,1,10,10,,
"90656","Flu vaccine no preserv 3 yo & >, im","CHIRON","66521010901","66521-0109-01","Fluvirin PF","0.5 ML",0.5,10,1,10,,
"J7500","Azathioprine oral 50mg","AAI PHARMA","66591022141","66591-0221-41","Azathioprine","50 MG",100,1,100,100,,
"J7500","Azathioprine oral 50mg","SALIX","66591023141","66591-0231-41","Azasan","50 MG",100,1,150,150,,
"J7500","Azathioprine oral 50mg","SALIX","66591024141","66591-0241-41","Azasan","50 MG",100,1,200,200,,
"J0636","Inj calcitriol per 0.1 mcg","AAI PHARMA","66591031512","66591-0315-12","Calcitriol","0.1 MCG",1,25,10,250,,
"J0636","Inj calcitriol per 0.1 mcg","AAI PHARMA","66591033512","66591-0335-12","Calcitriol","0.1 MCG",1,25,10,250,,
"J0636","Inj calcitriol per 0.1 mcg","AAI PHARMA","66591034512","66591-0345-12","Calcitriol","0.1 MCG",1,25,20,500,,
"J3105","Terbutaline sulfate inj","AAI PHARMA","66591043411","66591-0434-11","Brethine","1 MG",1,10,1,10,,
"J3105","Terbutaline sulfate inj","AAI PHARMA","66591043511","66591-0435-11","Brethine","1 MG",1,10,1,10,,
"J7681","Terbutaline so4 inh sol u d","AAI PHARMA","66591043511","66591-0435-11","Brethine",,1,10,10,1,,"1 MG"
"J1230","Methadone injection","AAI PHARMA","66591081551","66591-0815-51","Methadone Hcl","10 MG",20,1,20,20,,
"J0735","Clonidine hydrochloride","XANODYNE PHARMACEUTICALS, INC.","66591096541","66591-0965-41","Duraclon","1 MG",10,1,1,1,,
"J0735","Clonidine hydrochloride","XANODYNE PHARMACEUTICALS, INC.","66591097541","66591-0975-41","Duraclon","1 MG",10,1,5,5,,
"C9288","Inj, centruroides (scorpion)","Rare Disease Therapeutics, Inc.","66621015001","66621-0150-01","ANASCORP","1 vial",1,1,1,1,,
"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","Sobi","66658011203","66658-0112-03","Kepivance","50 MCG",1,3,125,375,,
"J2425","Palifermin injection","Sobi","66658011206","66658-0112-06","Kepivance/Palifermin","50 MCG",1,6,125,750,,
"J9055","Cetuximab injection","Eli Lilly and Company","66733094823","66733-0948-23","Erbitux","10 MG",50,1,10,10,,
"J9055","Cetuximab injection","Eli Lilly and Company","66733095823","66733-0958-23","Erbitux","10 MG",100,1,20,20,,
"J1600","Gold sodium thiomaleate inj","PARENTA","66758001101","66758-0011-01","Gold Sodium Thiomalate","50 MG",1,1,1,1,,
"J1600","Gold sodium thiomaleate inj","PARENTA","66758001102","66758-0011-02","Gold Sodium Thiomalate","50 MG",1,6,1,6,,
"J1600","Gold sodium thiomaleate inj","PARENTA","66758001103","66758-0011-03","Gold Sodium Thiomalate","50 MG",10,1,10,10,,
"J2440","Papaverin hcl injection","PARENTA","66758001401","66758-0014-01","Papaverine Hcl","60 MG",2,1,1,1,,
"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","66758001601","66758-0016-01","Phenylephrine Hcl","1 ML",1,1,1,1,,
"J2370","Phenylephrine hcl injection","PARENTA","66758001602","66758-0016-02","Phenylephrine Hcl","1 ML",1,25,1,25,,
"J2370","Phenylephrine hcl injection","PARENTA","66758001603","66758-0016-03","Phenylephrine Hcl","1 ML",5,1,5,5,,
"J2370","Phenylephrine hcl injection","Ebew Parenta Pharma","66758001604","66758-0016-04","Phenylephrine Hcl","1 ML",5,25,5,125,,
"J2370","Phenylephrine hcl injection","Ebew Parenta Pharma","66758001701","66758-0017-01","Phenylephrine Hcl","1 ML",10,1,10,10,,
"J2250","Inj midazolam hydrochloride","PARENTA","66758001801","66758-0018-01","Midazolam Hcl","1 MG",10,1,10,10,,
"J2250","Inj midazolam hydrochloride","PARENTA","66758001802","66758-0018-02","Midazolam Hcl","1 MG",10,1,10,10,,
"J2250","Inj midazolam hydrochloride","PARENTA","66758001901","66758-0019-01","Midazolam Hcl","1 MG",10,1,50,50,,
"J2250","Inj midazolam hydrochloride","PARENTA","66758001902","66758-0019-02","Midazolam Hcl","1 MG",10,1,50,50,,
"J3360","Diazepam injection","PARENTA","66758002001","66758-0020-01","Diazepam","5 MG",10,1,10,10,,
"J3360","Diazepam injection","PARENTA","66758002002","66758-0020-02","Diazepam","5 MG",10,10,10,100,,
"J2910","Aurothioglucose injeciton","PARENTA","66758002601","66758-0026-01","Solganal","50 MG",10,1,10,10,,
"J1626","Granisetron hcl injection","Sandoz, Inc.","66758003501","66758-0035-01","Granisetron HCl","100 MCG",1,1,10,10,,
"J1626","Granisetron hcl injection","Sandoz, Inc.","66758003601","66758-0036-01","Granisetron HCl","100 MCG",4,1,40,40,,
"J1626","Granisetron hcl injection","EBEWE Parenta Pharmaceuticals, Inc.","66758003702","66758-0037-02","Granisetron HCl","100 MCG",1,5,1,5,,
"J9250","Methotrexate sodium inj","Ebew Parenta Pharma","66758004002","66758-0040-02","Methotrexate Sodium","5 MG",2,10,10,100,,
"J9260","Methotrexate sodium inj","Ebew Parenta Pharma","66758004002","66758-0040-02","Methotrexate Sodium","50 MG",2,10,1,10,,
"J9250","Methotrexate sodium inj","Ebew Parenta Pharma","66758004008","66758-0040-08","Methotrexate Sodium","5 MG",10,10,50,500,,
"J9260","Methotrexate sodium inj","Ebew Parenta Pharma","66758004008","66758-0040-08","Methotrexate Sodium","50 MG",10,10,5,50,,
"J9250","Methotrexate sodium inj","Sandoz, Inc.","66758004101","66758-0041-01","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","Sandoz, Inc.","66758004101","66758-0041-01","Methotrexate Sodium","50 MG",40,1,20,20,,
"J9178","Inj, epirubicin hcl, 2 mg","Ebew Parenta Pharma","66758004201","66758-0042-01","Epirubicin","2 MG",25,1,25,25,,
"J9178","Inj, epirubicin hcl, 2 mg","Ebew Parenta Pharma","66758004202","66758-0042-02","Epirubicin","2 MG",100,1,100,100,,
"J9265","Paclitaxel injection","Ebew Parenta Pharma","66758004301","66758-0043-01","Paclitaxel","30 MG",5,1,1,1,,
"J9267","Paclitaxel injection","Ebew Parenta Pharma","66758004301","66758-0043-01","Paclitaxel","1 MG",5,1,30,30,,
"J9265","Paclitaxel injection","Ebew Parenta Pharma","66758004302","66758-0043-02","Paclitaxel","30 MG",16.7,1,3.33,3.33,,
"J9267","Paclitaxel injection","Ebew Parenta Pharma","66758004302","66758-0043-02","Paclitaxel","1 MG",16.7,1,100,100,,
"J9265","Paclitaxel injection","Ebew Parenta Pharma","66758004303","66758-0043-03","Paclitaxel","30 MG",50,1,10,10,,
"J9267","Paclitaxel injection","Ebew Parenta Pharma","66758004303","66758-0043-03","Paclitaxel","1 MG",50,1,300,300,,
"J9190","Fluorouracil injection","Ebew Parenta Pharma","66758004401","66758-0044-01","Fluorouracil","500 MG",10,10,1,10,,
"J9190","Fluorouracil injection","Ebew Parenta Pharma","66758004403","66758-0044-03","Fluorouracil","500 MG",10,10,1,10,,
"J9390","Vinorelbine tartrate inj","Ebew Parenta Pharma","66758004501","66758-0045-01","Vinorelbine Tartrate","10 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate inj","Ebew Parenta Pharma","66758004502","66758-0045-02","Vinorelbine Tartrate","10 MG",5,1,5,5,,
"J9185","Fludarabine phosphate inj","Sandoz, Inc.","66758004601","66758-0046-01","Fludarabine Phosphate","50 MG",2,1,1,1,,
"J9045","Carboplatin injection","Ebew Parenta Pharma","66758004701","66758-0047-01","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","Ebew Parenta Pharma","66758004702","66758-0047-02","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","Ebew Parenta Pharma","66758004703","66758-0047-03","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","Ebew Parenta Pharma","66758004704","66758-0047-04","Carboplatin","50 MG",60,1,12,12,,
"J9206","Irinotecan injection","Ebew Parenta Pharma","66758004801","66758-0048-01","Irinotecan HCL","20 MG",2,1,2,2,,
"J9206","Irinotecan injection","Ebew Parenta Pharma","66758004802","66758-0048-02","Irinotecan HCL","20 MG",5,1,5,5,,
"J9171","Docetaxel injection","Sandoz, Inc.","66758005001","66758-0050-01","DOCETAXEL","1 MG",2,1,20,20,,
"J9171","Docetaxel injection","Sandoz, Inc.","66758005002","66758-0050-02","DOCETAXEL","1 MG",8,1,80,80,,
"J9171","Docetaxel injection","Sandoz, Inc.","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,,
"J2550","Promethazine hcl injection","PARENTA","66758060119","66758-0601-19","Promethazine Hcl","50 MG",10,1,10,50,,
"J9171","Docetaxel injection","Sandoz, Inc.","66758095002","66758-0950-02","Docetaxel","1 MG",2,1,20,20,,
"J9171","Docetaxel injection","Sandoz, Inc.","66758095003","66758-0950-03","Docetaxel","1 MG",8,1,80,80,,
"J9171","Docetaxel injection","Sandoz, Inc.","66758095004","66758-0950-04","Docetaxel","1 MG",16,1,160,160,,
"J7603","Albuterol inh non-comp u d ","RX ELITE","66794000125","66794-0001-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","RX ELITE","66794000125","66794-0001-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"Q4094","Albuterol inh non-comp u d ","RX ELITE","66794000125","66794-0001-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7603","Albuterol inh non-comp u d ","RX ELITE","66794000130","66794-0001-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit","RX ELITE","66794000130","66794-0001-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"Q4094","Albuterol inh non-comp u d ","RX ELITE","66794000130","66794-0001-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7603","Albuterol inh non-comp u d ","RX ELITE","66794000160","66794-0001-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7613","Albuterol non-comp unit","RX ELITE","66794000160","66794-0001-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"Q4094","Albuterol inh non-comp u d ","RX ELITE","66794000160","66794-0001-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7644","Ipratropium bromide non-comp","RX ELITE","66794000225","66794-0002-25","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7644","Ipratropium bromide non-comp","RX ELITE","66794000230","66794-0002-30","Ipratropium Bromide","1 MG",2.5,30,0.5,15,,
"J7644","Ipratropium bromide non-comp","RX ELITE","66794000260","66794-0002-60","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"J0690","Cefazolin sodium injection","CURA PHARMACEUTICALS","66860000103","66860-0001-03","Cefazolin Sodium","500 MG",1,25,1,25,,
"J0690","Cefazolin sodium injection","CURA PHARMACEUTICALS","66860000203","66860-0002-03","Cefazolin Sodium","500 MG",1,25,2,50,,
"J0690","Cefazolin sodium injection","CURA PHARMACEUTICALS","66860000302","66860-0003-02","Cefazolin Sodium","500 MG",1,10,20,200,,
"J0290","Ampicillin 500 MG inj","CURA PHARMACEUTICALS","66860001102","66860-0011-02","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 MG inj","CURA PHARMACEUTICALS","66860001202","66860-0012-02","Ampicillin Sodium","500 MG",1,10,4,40,,
"J0170","Adrenalin epinephrin inject","CURA PHARMACEUTICALS","66860002001","66860-0020-01","Epinephrine Hcl","1 ML",30,1,30,30,,
"J0171","Adrenalin epinephrine inject","CURA PHARMACEUTICALS","66860002001","66860-0020-01","Epinephrine Hcl","0.1 MG",30,1,300,300,,
"J0170","Adrenalin epinephrin inject","CURA PHARMACEUTICALS","66860002102","66860-0021-02","Epinephrine Hcl","1 ML",1,10,1,10,,
"J0171","Adrenalin epinephrine inject","CURA PHARMACEUTICALS","66860002102","66860-0021-02","Epinephrine Hcl","0.1 MG",1,10,10,100,,
"J0697","Sterile cefuroxime injection","CURA PHARMACEUTICALS","66860003003","66860-0030-03","Cefuroxime Sodium","750 MG",1,25,1,25,,
"J0697","Sterile cefuroxime injection","CURA PHARMACEUTICALS","66860003103","66860-0031-03","Cefuroxime Sodium","750 MG",1,25,2,50,,
"J0697","Sterile cefuroxime injection","CURA PHARMACEUTICALS","66860003202","66860-0032-02","Cefuroxime Sodium","750 MG",1,10,10,100,,
"J1160","Digoxin injection","CURA PHARMACEUTICALS","66860008002","66860-0080-02","Digoxin","0.5 MG",2,10,1,10,,
"J1885","Ketorolac tromethamine inj","CURA PHARMACEUTICAL","66860008603","66860-0086-03","Ketorolac Tromethamine","15 MG",2,25,4,100,,
"J1800","Propranolol injection","CURA PHARMACEUTICALS","66860009002","66860-0090-02","Propranolol Hcl","1 MG",1,10,1,10,,
"J0697","Sterile cefuroxime injection","CURA PHARMACEUTICALS","66860073003","66860-0730-03","Cefuroxime Sodium","750 MG",10,25,1,25,,
"J0697","Sterile cefuroxime injection","CURA PHARMACEUTICALS","66860073103","66860-0731-03","Cefuroxime Sodium","750 MG",20,25,2,50,,
"J0690","Cefazolin sodium injection","CURA PHARMACEUTICALS","66860090203","66860-0902-03","Cefazolin Sodium","500 MG",1,25,2,50,,
"J0690","Cefazolin sodium injection","CURA PHARMACEUTICALS","66860090302","66860-0903-02","Cefazolin Sodium","500 MG",1,10,20,200,,
"C9266","Collagenase clostridum histo","Auxilium Pharmaceuticals, Inc.","66887000301","66887-0003-01","XIAFLEX (collagenase clostridium histolyticum)","0.1mg",1,1,9,9,,
"J0775","Collagenase, clost hist inj","Auxilium Pharmaceuticals","66887000301","66887-0003-01","XIAFLEX (collagenase clostridium histolyticum)","0.01 MG",1,1,90,90,,
"J7614","Levalbuterol non-comp unit","Prasco Laboratories","66993002127","66993-0021-27","LEVALBUTEROL","0.5 MG",3,24,0.62,15,,
"J7614","Levalbuterol non-comp unit","Prasco Laboratories","66993002227","66993-0022-27","LEVALBUTEROL","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","Prasco Laboratories","66993002327","66993-0023-27","LEVALBUTEROL","0.5 MG",3,24,2.5,60,,
"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,,
"J7509","Methylprednisolone oral","PRASCO LABORATORIES","66993084225","66993-0842-25","Methylprednisolone","4 MG",25,1,50,50,,
"J2850","Inj secretin synthetic human","ChiRhoClin, INC.","67066000501","67066-0005-01","CHIRHOSTIM","1 MCG",1,1,16,16,,
"J2850","Inj secretin synthetic human","REPLIGEN","67066000601","67066-0006-01","Secretin Synthetic Human Inj","1 MCG",1,1,16,16,,
"J9025","Azacitidine injection","Celgene Corporation","67211010201","67211-0102-01","Azacitidine (Vidaza)","1 MG",1,1,100,100,,
"J1655","Tinzaparin sodium injection","PHARMION","67211034208","67211-0342-08","Innohep","1000 IU",2,1,40,40,,
"J1655","Tinzaparin sodium injection","PHARMION","67211034253","67211-0342-53","Innohep","1000 IU",2,10,40,400,,
"J8610","Methotrexate oral 2.5 mg","Par Pharmaceutical","67253032010","67253-0320-10","METHOTREXATE","2.5 MG",100,1,100,100,,
"J8610","Methotrexate oral 2.5 mg","Par Pharmaceutical","67253032036","67253-0320-36","Methotrexate","2.5 MG",36,1,36,36,,
"J8610","Methotrexate oral 2.5 mg","Par Pharmaceutical","67253058042","67253-0580-42","Rheumatrex","2.5 MG",8,1,8,8,,
"J8610","Methotrexate oral 2.5 mg","Par Pharmaceutical","67253058043","67253-0580-43","Rheumatrex","2.5 MG",12,1,12,12,,
"J8610","Methotrexate oral 2.5 mg","Par Pharmaceutical","67253058044","67253-0580-44","Rheumatrex","2.5 MG",16,1,16,16,,
"J8610","Methotrexate oral 2.5 mg","Par Pharmaceutical","67253058045","67253-0580-45","Rheumatrex","2.5 MG",20,1,20,20,,
"J8610","Methotrexate oral 2.5 mg","Par Pharmaceutical","67253058046","67253-0580-46","Rheumatrex","2.5 MG",24,1,24,24,,
"J2993","Reteplase injection","ESP","67286004001","67286-0040-01","Retavase","18.1 MG",2,1,2,2,,
"J2993","Reteplase injection","ESP","67286004002","67286-0040-02","Retavase Half-Kit","18.1 MG",1,1,1,1,,
"J0594","Busulfan injection","PDL BioPharma","67286005308","67286-0053-08","BUSULFAN","1 MG",10,8,60,480,,
"J0594","Busulfan, inj","PDL BIOPHARMA, INC.","67286005408","67286-0054-08","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, NOS","Lundbeck","67386041151","67386-0411-51","Elspar","10000 UNITS",1,1,1,1,,
"J2515","Pentobarbital sodium inj","Lundbeck","67386050152","67386-0501-52","Nembutal","50 MG",20,1,20,20,,
"J2515","Pentobarbital sodium inj","Lundbeck","67386050155","67386-0501-55","Nembutal","50 MG",50,1,50,50,,
"J0515","Inj benztropine mesylate","Lundbeck","67386061152","67386-0611-52","Cogentin","1 MG",2,5,2,10,,
"J1640","Hemin, 1 mg","Lundbeck","67386070154","67386-0701-54","Panhematin","1 MG",1,1,313,313,,
"J1205","Chlorothiazide sodium inj","Lundbeck","67386071155","67386-0711-55","Diuril Iv","500 MG",1,1,1,1,,
"J9120","Dactinomycin injection","Recordati Rare Diseases","67386081155","67386-0811-55","Cosmegen","0.5 MG",1,1,1,1,,
"J9230","Mechlorethamine hcl inj","Lundbeck","67386091151","67386-0911-51","Mustargen","10 MG",1,4,1,4,,
"J3470","Hyaluronidase injection","ISTA PHARMACEUTICALS","67425000102","67425-0001-02","Vitrase",,1,1,41.33,41.33,,"150 UNITS"
"J3472","Ovine, 1000 USP units","ISTA PHARMACEUTICALS","67425000102","67425-0001-02","Vitrase","1000 UNITS",5,1,6.2,6.2,,
"J3472","Ovine, 1000 USP units","ISTA PHARM","67425000110","67425-0001-10","Ovine, 1000 USP units","1000 USP UNITS",1,1,6.2,6.2,,
"J3470","Hyaluronidase injection","ISTA PHARMACEUTICALS","67425000210","67425-0002-10","Vitrase",,2,1,2.6,2.6,,"150 UNITS"
"J3471","Ovine, up to 999 usp units","Bausch & Lomb","67425000210","67425-0002-10","Vitrase","1 UNIT",1.2,1,240,240,,
"J3472","Ovine, 1000 USP units","ISTA PHARMACEUTICALS","67425001002","67425-0010-02","Vitrase","1000 UNITS",5,1,6.2,6.2,,
"J3471","Ovine, up to 999 USP units",,"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,,
"J9209","Mesna injection","Mylan Institutional","67457014810","67457-0148-10","Mesna","200 MG",10,10,5,50,,
"J0282","Amiodarone HCl","BIONICHE PHARMA GROUP","67457015303","67457-0153-03","Amiodarone Hcl","30 MG",3,1,5,5,,
"J0282","Amiodarone HCl","BIONICHE","67457015309","67457-0153-09","Amiodarone Hcl","30 MG",9,10,15,150,,
"J0282","Amiodarone HCl","BIONICHE","67457015318","67457-0153-18","Amiodarone Hcl","30 MG",18,1,30,30,,
"J2550","Promethazine hcl injection","BIONICHE PHARMA GROUP","67457015410","67457-0154-10","Promethazine Hcl","50 MG",10,1,5,5,,
"J2260","Inj milrinone lactate / 5 MG","BIONICHE PHARMA GROUP","67457016020","67457-0160-20","Milrinone Lactate","5 MG",20,1,4,4,,
"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,,
"J3411","Thiamine hcl 100 mg","Mylan Institutional","67457019602","67457-0196-02","Thiamine Hcl","100 MG",2,25,2,50,,
"J1190","Dexrazoxane hcl injection","Mylan Institutional","67457020725","67457-0207-25","DEXRAZOXANE","250 MG",1,1,1,1,,
"J1190","Dexrazoxane hcl injection","Mylan Institutional","67457020850","67457-0208-50","DEXRAZOXANE","250 MG",1,1,2,2,,
"J0740","Cidofovir injection","Mylan Institutional","67457021005","67457-0210-05","CIDOFOVIR","375 MG",5,1,1,1,,
"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,,
"J0694","Cefoxitin sodium injection","Mylan Institutional","67457021650","67457-0216-50","MEFOXIN","1 GM",50,24,2,48,,
"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,,
"J9250","Methotrexate sodium inj","Mylan Institutional","67457022102","67457-0221-02","METHOTREXATE","5 MG",2,1,10,10,,
"J9260","Methotrexate sodium inj","Mylan Institutional","67457022102","67457-0221-02","METHOTREXATE","50 MG",2,1,1,1,,
"J9250","Methotrexate sodium inj","Mylan Institutional","67457022110","67457-0221-10","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","Mylan Institutional","67457022110","67457-0221-10","Methotrexate Sodium","50 MG",10,1,5,5,,
"J9250","Methotrexate sodium inj","Mylan Institutional","67457022140","67457-0221-40","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","Mylan Institutional","67457022140","67457-0221-40","Methotrexate Sodium","50 MG",40,1,20,20,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457022220","67457-0222-20","Vancomycin HCl","500 MG",1,10,2,20,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457022510","67457-0225-10","Vancomycin Hcl","500 MG",1,10,1,10,,
"J0295","Ampicillin sodium per 1.5 gm","MYLAN INSTITUTIONAL LLC","67457022615","67457-0226-15","Ampicillin-Sulbactam","1.5 GM",1,10,2,20,,
"J0834","Cosyntropin cortrosyn inj","Mylan Institutional","67457022702","67457-0227-02","Cosyntropin (Cortrosyn Generic)","0.25 MG",1,10,1,10,,
"J0295","Ampicillin sodium per 1.5 gm","MYLAN INSTITUTIONAL LLC","67457023010","67457-0230-10","Ampicillin-Sulbactam","1.5 GM",1,10,1,10,,
"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,,
"J9025","Azacitidine injection","Mylan Institutional","67457025430","67457-0254-30","Azacitidine","1 MG",1,1,100,100,,
"J1953","Levetiracetam injection","Mylan Institutional","67457025510","67457-0255-10","Levetiracetam","10 MG",100,10,50,500,,
"J0834","Cosyntropin cortrosyn inj","Mylan Institutional","67457025702","67457-0257-02","Cosyntropin Novaplus (Cortrosyn Generic)","0.25 MG",1,10,1,10,,
"J1205","Chlorothiazide sodium inj","Mylan Institutional","67457026330","67457-0263-30","Chlorothiazide Sodium","500 MG",1,1,1,1,,
"J1953","Levetiracetam injection","Mylan Institutional","67457026510","67457-0265-10","Levetiracetam","10 MG",100,10,100,1000,,
"J1953","Levetiracetam injection","Mylan Institutional","67457026610","67457-0266-10","Levetiracetam","10 MG",100,10,150,1500,,
"J2800","Methocarbamol injection","Mylan Institutional","67457027310","67457-0273-10","Methocarbamol","10 ML",10,25,1,25,,
"J3415","Pyridoxine hcl 100 mg","MYLAN INSTITUTIONAL LLC","67457028101","67457-0281-01","Pyridoxine Hcl","100 MG",1,25,1,25,,
"J0360","Hydralazine hcl injection","Mylan Institutional","67457029101","67457-0291-01","Hydralazine Hcl","20 MG",1,25,1,25,,
"J2310","Inj naloxone hydrochloride","Mylan Institutional","67457029202","67457-0292-02","Naloxone Hcl","1 MG",1,10,0.4,4,,
"J2310","Inj naloxone hydrochloride","MYLAN INSTITUTIONAL LLC","67457029910","67457-0299-10","Naloxone Hcl","1 MG",10,10,4,40,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457033950","67457-0339-50","Vancomycin HCl","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457034001","67457-0340-01","Vancomycin HCl","500 MG",1,10,2,20,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457034105","67457-0341-05","Vancomycin HCl","500 MG",1,1,10,10,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457034210","67457-0342-10","Vancomycin HCl","500 MG",1,1,20,20,,
"J0295","Ampicillin sodium per 1.5 gm","Mylan Institutional","67457034815","67457-0348-15","Ampicillin-Sulbactam","1.5 GM",1,1,1,1,,
"J0295","Ampicillin sodium per 1.5 gm","Mylan Institutional","67457034903","67457-0349-03","Ampicillin-Sulbactam","1.5 GM",1,1,2,2,,
"J0295","Ampicillin sodium per 1.5 gm","MYLAN INSTITUTIONAL LLC","67457034910","67457-0349-10","Ampicillin-Sulbactam","1.5 GM",1,10,2,20,,
"J0290","Ampicillin 500 mg inj","MYLAN INSTITUTIONAL LLC","67457035010","67457-0350-10","Ampicillin Sodium","500 MG",1,10,1,10,,
"J0290","Ampicillin 500 mg inj","MYLAN INSTITUTIONAL LLC","67457035110","67457-0351-10","Ampicillin Sodium","500 MG",1,10,2,20,,
"J0290","Ampicillin 500 mg inj","MYLAN INSTITUTIONAL LLC","67457035210","67457-0352-10","Ampicillin Sodium","500 MG",1,10,4,40,,
"J0290","Ampicillin 500 mg inj","MYLAN INSTITUTIONAL LLC","67457035310","67457-0353-10","Ampicillin Sodium","500 MG",1,10,0.5,5,,
"J1742","Ibutilide fumarate injection","Mylan Institutional","67457036610","67457-0366-10","IBUTILIDE FUMARATE","1 MG",10,1,1,1,,
"J1631","Haloperidol decanoate inj","Mylan Institutional","67457038158","67457-0381-58","Haloperidol Decanoate","50 MG",5,5,10,50,,
"J1631","Haloperidol decanoate inj","Mylan Institutional","67457038258","67457-0382-58","Haloperidol Decanoate","50 MG",5,5,5,25,,
"J3489","Zoledronic acid 1mg","Mylan Institutional","67457039054","67457-0390-54","ZOLEDRONIC ACID","1 MG",5,1,4,4,,
"J9000","Doxorubicin hcl injection","Mylan Institutional","67457039354","67457-0393-54","Doxorubicin Hcl","10 MG",5,10,1,10,,
"J9000","Doxorubicin hcl injection","Mylan Institutional","67457039410","67457-0394-10","Doxorubicin Hcl","10 MG",10,10,2,20,,
"J9000","Doxorubicin hcl injection","Mylan Institutional","67457039525","67457-0395-25","Doxorubicin Hcl","10 MG",25,1,5,5,,
"J9000","Doxorubicin hcl injection","Mylan Institutional","67457039610","67457-0396-10","Doxorubicin Hcl","10 MG",100,1,20,20,,
"J3420","Vitamin b12 injection","MYLAN INSTITUTIONAL LLC","67457039925","67457-0399-25","Cyanocobalamin","1000 MCG",10,25,10,250,,
"J3420","Vitamin b12 injection","MYLAN INSTITUTIONAL LLC","67457040005","67457-0400-05","Cyanocobalamin","1000 MCG",30,5,30,150,,
"J0290","Ampicillin 500 mg inj","MYLAN INSTITUTIONAL LLC","67457040410","67457-0404-10","Ampicillin Sodium","500 MG",1,1,20,20,,
"J1631","Haloperidol decanoate inj","Mylan Institutional","67457040913","67457-0409-13","Haloperidol Decanoate","50 MG",1,5,2,10,,
"J1631","Haloperidol decanoate inj","Mylan Institutional","67457041013","67457-0410-13","Haloperidol Decanoate","50 MG",1,10,1,10,,
"J1100","Dexamethasone sodium phos","Mylan Institutional","67457042010","67457-0420-10","Dexamethasone Sodium Phosphate","1 MG",10,10,100,1000,,
"J1100","Dexamethasone sodium phos","Mylan Institutional","67457042130","67457-0421-30","Dexamethasone Sodium Phosphate","1 MG",30,25,120,3000,,
"J1100","Dexamethasone sodium phos","Mylan Institutional","67457042254","67457-0422-54","Dexamethasone Sodium Phosphate","1 MG",5,25,20,500,,
"J1100","Dexamethasone sodium phos","Mylan Institutional","67457042312","67457-0423-12","Dexamethasone Sodium Phosphate","1 MG",1,25,4,100,,
"J9060","Cisplatin 10 mg injection","Mylan Institutional","67457042410","67457-0424-10","Cisplatin","10 MG",100,1,10,10,,
"J9060","Cisplatin 10 mg injection","Mylan Institutional","67457042551","67457-0425-51","Cisplatin","10 MG",50,1,5,5,,
"J1630","Haloperidol injection","Mylan Institutional","67457042612","67457-0426-12","Haloperidol Lactate","5 MG",1,25,1,25,,
"J3260","Tobramycin sulfate injection","Mylan Institutional","67457042730","67457-0427-30","Tobramycin Injection","80 MG",30,10,15,150,,
"J3260","Tobramycin sulfate injection","Mylan Institutional","67457042830","67457-0428-30","Tobramycin Sulfate","80 MG",30,10,15,150,,
"J9208","Ifosfamide injection","Mylan Institutional","67457042920","67457-0429-20","Ifosfamide","1 GM",20,1,1,1,,
"J2430","Pamidronate disodium /30 mg","Mylan Institutional","67457043010","67457-0430-10","Pamidronate Disodium","30 MG",10,1,1,1,,
"J9390","Vinorelbine tartrate inj","Mylan Institutional","67457043111","67457-0431-11","Vinorelbine Tartrate","10 MG",1,1,1,1,,
"J3260","Tobramycin sulfate injection","Mylan Institutional","67457043202","67457-0432-02","Tobramycin Sulfate","80 MG",2,25,1,25,,
"J9267","Paclitaxel injection","Mylan Institutional","67457043451","67457-0434-51","Paclitaxel","1 MG",50,1,300,300,,
"J9000","Doxorubicin hcl injection","Mylan Institutional","67457043650","67457-0436-50","DOXORUBICIN HCL (LYO)","10 MG",1,1,5,5,,
"J2405","Ondansetron hcl injection","Mylan Institutional","67457044022","67457-0440-22","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J2405","Ondansetron hcl injection","Mylan Institutional","67457044120","67457-0441-20","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J9263","Oxaliplatin","Mylan Institutional","67457044220","67457-0442-20","Oxaliplatin","0.5 MG",20,1,200,200,,
"J9208","Ifosfamide injection","Mylan Institutional","67457044360","67457-0443-60","Ifosfamide","1 GM",60,1,3,3,,
"J2430","Pamidronate disodium /30 mg","Mylan Institutional","67457044610","67457-0446-10","Pamidronate Disodium","30 MG",1,1,3,3,,
"J9267","Paclitaxel injection","Mylan Institutional","67457044917","67457-0449-17","Paclitaxel","1 MG",16.7,1,100,100,,
"J9065","Inj cladribine per 1 mg","Mylan Institutional","67457045010","67457-0450-10","Cladribine","1 MG",10,1,10,10,,
"J9065","Inj cladribine per 1 mg","Mylan Institutional","67457045110","67457-0451-10","Cladribine","1 MG",10,1,10,10,,
"J9100","Cytarabine hcl 100 mg inj","Mylan Institutional","67457045220","67457-0452-20","Cytarabine","100 MG",20,1,20,20,,
"J9100","Cytarabine hcl 100 mg inj","Mylan Institutional","67457045450","67457-0454-50","Cytarabine","100 MG",50,1,10,10,,
"J9201","Gemcitabine hcl injection","Mylan Institutional","67457046201","67457-0462-01","GEMCITABINE","200 MG",1,1,5,5,,
"J9201","Gemcitabine hcl injection","Mylan Institutional","67457046302","67457-0463-02","GEMCITABINE","200 MG",1,1,10,10,,
"J9201","Gemcitabine hcl injection","Mylan Institutional","67457046420","67457-0464-20","GEMCITABINE","200 MG",1,1,1,1,,
"J9250","Methotrexate sodium inj","Mylan Institutional","67457046610","67457-0466-10","Methotrexate Sodium","5 MG",10,1,50,50,,
"J9260","Methotrexate sodium inj","Mylan Institutional","67457046610","67457-0466-10","Methotrexate Sodium","50 MG",10,1,5,5,,
"J9250","Methotrexate sodium inj","Mylan Institutional","67457046799","67457-0467-99","Methotrexate Sodium","5 MG",2,5,10,50,,
"J9260","Methotrexate sodium inj","Mylan Institutional","67457046799","67457-0467-99","Methotrexate Sodium","50 MG",2,5,1,5,,
"J9263","Oxaliplatin","Mylan Institutional","67457046910","67457-0469-10","Oxaliplatin","0.5 MG",10,1,100,100,,
"J9267","Paclitaxel injection","Mylan Institutional","67457047152","67457-0471-52","Paclitaxel","1 MG",5,1,30,30,,
"J2430","Pamidronate disodium /30 mg","Mylan Institutional","67457047210","67457-0472-10","Pamidronate Disodium","30 MG",10,1,1,1,,
"J3260","Tobramycin sulfate injection","Mylan Institutional","67457047322","67457-0473-22","Tobramycin Sulfate","80 MG",2,25,1,25,,
"J9351","Topotecan injection","Mylan Institutional","67457047404","67457-0474-04","Topotecan","0.1 MG",1,1,40,40,,
"J9263","Oxaliplatin","Mylan Institutional","67457047610","67457-0476-10","Oxaliplatin","0.5 MG",1,1,200,200,,
"J9000","Doxorubicin hcl injection","Mylan Institutional","67457047810","67457-0478-10","Doxorubicin Hcl","10 MG",1,1,1,1,,
"J9390","Vinorelbine tartrate inj","Mylan Institutional","67457047953","67457-0479-53","Vinorelbine Tartrate","10 MG",5,1,5,5,,
"J9250","Methotrexate sodium inj","Mylan Institutional","67457048040","67457-0480-40","Methotrexate Sodium","5 MG",40,1,200,200,,
"J9260","Methotrexate sodium inj","Mylan Institutional","67457048040","67457-0480-40","Methotrexate Sodium","50 MG",40,1,20,20,,
"J9390","Vinorelbine tartrate inj","Mylan Institutional","67457048101","67457-0481-01","Vinorelbine Tartrate","10 MG",1,1,1,1,,
"J9250","Methotrexate sodium inj","Mylan Institutional","67457048599","67457-0485-99","Methotrexate Sodium","5 MG",8,10,40,400,,
"J9260","Methotrexate sodium inj","Mylan Institutional","67457048599","67457-0485-99","Methotrexate Sodium","50 MG",8,10,4,40,,
"J9250","Methotrexate sodium inj","Mylan Institutional","67457048699","67457-0486-99","Methotrexate Sodium","5 MG",4,10,20,200,,
"J9260","Methotrexate sodium inj","Mylan Institutional","67457048699","67457-0486-99","Methotrexate Sodium","50 MG",4,10,2,20,,
"J9045","Carboplatin injection","Mylan Institutional","67457049154","67457-0491-54","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","Mylan Institutional","67457049215","67457-0492-15","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","Mylan Institutional","67457049346","67457-0493-46","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","Mylan Institutional","67457049461","67457-0494-61","Carboplatin","50 MG",60,1,12,12,,
"J2543","Piperacillin/tazobactam","Mylan Institutional","67457052122","67457-0521-22","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,2,20,,
"J2543","Piperacillin/tazobactam","Mylan Institutional","67457052237","67457-0522-37","Piperacillin Sodium-Tazobactam Sodium","1.125 GM",1,10,3,30,,
"J2543","Piperacillin/tazobactam","Mylan Institutional","67457052345","67457-0523-45","PIPERACILLIN AND TAZOBACTAM","1.125 GM",1,10,4,40,,
"J1740","Ibandronate sodium injection","Mylan Institutional","67457052433","67457-0524-33","IBANDRONATE SODIUM","1 MG",3,1,3,3,,
"J9245","Inj melphalan hydrochl 50 mg","Mylan Institutional","67457057901","67457-0579-01","Melphalan","50 MG",1,1,1,1,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457058210","67457-0582-10","FONDAPARINUX SODIUM","0.5 MG",0.5,10,5,50,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457058304","67457-0583-04","FONDAPARINUX SODIUM","0.5 MG",0.4,10,10,100,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457058406","67457-0584-06","FONDAPARINUX SODIUM","0.5 MG",0.6,10,15,150,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457058508","67457-0585-08","FONDAPARINUX SODIUM","0.5 MG",0.8,10,20,200,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457059210","67457-0592-10","Arixtra","0.5 MG",0.5,10,5,50,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457059304","67457-0593-04","Arixtra","0.5 MG",0.4,10,10,100,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457059406","67457-0594-06","Arixtra","0.5 MG",0.6,10,15,150,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457059508","67457-0595-08","Arixtra","0.5 MG",0.8,10,20,200,,
"J2310","Inj naloxone hydrochloride","Mylan Institutional","67457059902","67457-0599-02","Naloxone Hcl","1 MG",1,10,0.4,4,,
"J0641","Levoleucovorin injection","Mylan Institutional","67457060020","67457-0600-20","Levoleucovorin Calcium","0.5 MG",17.5,1,350,350,,
"J0641","Levoleucovorin injection","Mylan Institutional","67457060130","67457-0601-30","Levoleucovorin Calcium","0.5 MG",17.5,1,350,350,,
"J9045","Carboplatin injection","Mylan Institutional","67457060820","67457-0608-20","Carboplatin","50 MG",15,1,3,3,,
"J9208","Ifosfamide injection","Mylan Institutional","67457060920","67457-0609-20","Ifosfamide","1 GM",1,1,1,1,,
"J2430","Pamidronate disodium /30 mg","Mylan Institutional","67457061010","67457-0610-10","Pamidronate Disodium","30 MG",10,1,3,3,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457061110","67457-0611-10","Vancomycin HCl","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457061220","67457-0612-20","Vancomycin HCl","500 MG",1,10,2,20,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457061310","67457-0613-10","Vancomycin HCl","500 MG",1,1,10,10,,
"J3370","Vancomycin hcl injection","Mylan Institutional","67457061410","67457-0614-10","Vancomycin Hcl","500 MG",1,1,20,20,,
"J3489","Zoledronic acid 1mg","MYLAN INSTITUTIONAL","67457061910","67457-0619-10","ZOLEDRONIC ACID","1 MG",100,1,5,5,,
"J0295","Ampicillin sodium per 1.5 gm","Mylan Institutional","67457064910","67457-0649-10","Ampicillin-Sulbactam","1.5 GM",1,1,10,10,,
"J0630","Calcitonin salmon injection","MYLAN INSTITUTIONAL","67457067502","67457-0675-02","Miacalcin","400 UNITS",2,1,1,1,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457069310","67457-0693-10","FONDAPARINUX SODIUM","0.5 MG",0.5,10,5,50,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457069410","67457-0694-10","FONDAPARINUX SODIUM","0.5 MG",0.4,10,10,100,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457069510","67457-0695-10","FONDAPARINUX SODIUM","0.5 MG",0.6,10,15,150,,
"J1652","Fondaparinux sodium","Mylan Institutional","67457069610","67457-0696-10","FONDAPARINUX SODIUM","0.5 MG",0.8,10,20,200,,
"J1953","Levetiracetam injection","MYLAN INSTITUTIONAL","67457079005","67457-0790-05","Levetiracetam","10 MG",5,10,50,500,,
"J0637","Caspofungin acetate","Mylan Institutional","67457083150","67457-0831-50","Caspofungin ","5 MG",1,1,10,10,,
"J0153","Adenosine inj 1mg","MYLAN INSTITUTIONAL LLC","67457085620","67457-0856-20","Adenosine","1 MG",20,1,60,60,,
"J0153","Adenosine inj 1mg","MYLAN INSTITUTIONAL LLC","67457085730","67457-0857-30","Adenosine","1 MG",30,1,90,90,,
"C9267","Injection, Wilate","OCTAPHARMA USA, INC.","67467018101","67467-0181-01","WILATE","100 IU VWF:RCo",450,1,4.5,4.5,,
"J7183","Wilate injection","Octapharma USA","67467018101","67467-0181-01","WILATE","1 I.U. VWF:RCO",1,1,1,1,,
"J7184","Wilate injection","OCTAPHARMA USA, INC.","67467018101","67467-0181-01","WILATE","100 IU VWF:RCo",450,1,4.5,4.5,,
"Q2041","Wilate injection","OCTAPHARMA USA, INC.","67467018101","67467-0181-01","WILATE","1 IU VWF:RCo",1,1,1,1,,
"C9267","Injection, Wilate","OCTAPHARMA USA, INC.","67467018102","67467-0181-02","WILATE","100 IU VWF:RCo",900,1,9,9,,
"J7183","Wilate injection","Octapharma USA","67467018102","67467-0181-02","WILATE","1 I.U. VWF:RCO",1,1,1,1,,
"J7184","Wilate injection","OCTAPHARMA USA, INC.","67467018102","67467-0181-02","WILATE","100 IU VWF:RCo",900,1,9,9,,
"Q2041","Wilate injection","OCTAPHARMA USA, INC.","67467018102","67467-0181-02","WILATE","1 IU VWF:RCo",1,1,1,1,,
"J7183","Wilate injection","Octapharma USA","67467018201","67467-0182-01","WILATE","1 I.U. VWF:RCO",1,1,1,1,,
"J7183","Wilate injection","Octapharma USA","67467018202","67467-0182-02","WILATE","1 I.U. VWF:RCO",1,1,1,1,,
"P9047","Albumin (human), 25%, 50ml","OCTAPHARMA","67467064301","67467-0643-01","Albumin","50 ML",50,1,1,1,,
"J1563","IV immune globulin","OCTAPHARMA USA","67467084301","67467-0843-01","Octagam",,1,1,1,1,,"1 GRAM"
"J1564","Immune globulin 10 mg","OCTAPHARMA USA","67467084301","67467-0843-01","Octagam",,1,1,100,100,,"10 MG"
"J1567","Immune globulin, liquid","OCTAPHARMA USA","67467084301","67467-0843-01","Octagam","500 MG",20,1,2,2,,
"J1568","Octagam injection","Octapharma USA","67467084301","67467-0843-01","Octagam","500 MG",20,1,2,2,,
"Q9943","IVIG non-lyophil 1G","OCTAPHARMA USA","67467084301","67467-0843-01","Octagam",,20,1,1,1,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","OCTAPHARMA USA","67467084301","67467-0843-01","Octagam",,20,1,100,100,,"10 MG"
"J1563","IV immune globulin","OCTAPHARMA USA","67467084302","67467-0843-02","Octagam",,1,1,2.5,2.5,,"1 GRAM"
"J1564","Immune globulin 10 mg","OCTAPHARMA USA","67467084302","67467-0843-02","Octagam",,1,1,250,250,,"10 MG"
"J1567","Immune globulin, liquid","OCTAPHARMA USA","67467084302","67467-0843-02","Octagam","500 MG",50,1,5,5,,
"J1568","Octagam injection","Octapharma USA","67467084302","67467-0843-02","Octagam","500 MG",50,1,5,5,,
"Q9943","IVIG non-lyophil 1G","OCTAPHARMA USA","67467084302","67467-0843-02","Octagam",,50,1,2.5,2.5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","OCTAPHARMA USA","67467084302","67467-0843-02","Octagam",,50,1,250,250,,"10 MG"
"J1563","IV immune globulin","OCTAPHARMA USA","67467084303","67467-0843-03","Octagam",,1,1,5,5,,"1 GRAM"
"J1564","Immune globulin 10 mg","OCTAPHARMA USA","67467084303","67467-0843-03","Octagam",,1,1,500,500,,"10 MG"
"J1567","Immune globulin, liquid","OCTAPHARMA USA","67467084303","67467-0843-03","Octagam","500 MG",100,1,10,10,,
"J1568","Octagam injection","Octapharma USA","67467084303","67467-0843-03","Octagam","500 MG",100,1,10,10,,
"Q4087","Octagam Injection","OCTAPHARMA USA","67467084303","67467-0843-03","Octagam","500 MG",100,1,10,10,,
"Q9943","IVIG non-lyophil 1G","OCTAPHARMA USA","67467084303","67467-0843-03","Octagam",,100,1,5,5,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","OCTAPHARMA USA","67467084303","67467-0843-03","Octagam",,100,1,500,500,,"10 MG"
"J1563","IV immune globulin","OCTAPHARMA USA","67467084304","67467-0843-04","Octagam",,1,1,10,10,,"1 GRAM"
"J1565","RSV-ivig","OCTAPHARMA USA","67467084304","67467-0843-04","Octagam",,1,1,1000,1000,,"50 MG"
"J1567","Immune globulin, liquid","OCTAPHARMA USA","67467084304","67467-0843-04","Octagam","500 MG",200,1,20,20,,
"J1568","Octagam injection","Octapharma USA","67467084304","67467-0843-04","Octagam","500 MG",200,1,20,20,,
"Q4087","Octagam Injection","OCTAPHARMA USA","67467084304","67467-0843-04","Octagam","500 MG",200,1,20,20,,
"Q9943","IVIG non-lyophil 1G","OCTAPHARMA USA","67467084304","67467-0843-04","Octagam",,200,1,10,10,,"1 GRAM"
"Q9944","IVIG non-lyophil 10 mg","OCTAPHARMA USA","67467084304","67467-0843-04","Octagam",,200,1,1000,1000,,"10 MG"
"J1568","Octagam injection","Octapharma USA","67467084305","67467-0843-05","Octagam 5%, 25 g in 500 ml","500 MG",500,1,50,50,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GUERBET","67684100001","67684-1000-01","Oxilan 300","1 ML",50,10,50,500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684100001","67684-1000-01","Oxilan 300","1 ML",50,10,50,500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GUERBET","67684100002","67684-1000-02","Oxilan 300","1 ML",100,10,100,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684100002","67684-1000-02","Oxilan 300","1 ML",100,10,100,1000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GUERBET","67684100003","67684-1000-03","Oxilan 300","1 ML",150,10,150,1500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684100003","67684-1000-03","Oxilan 300","1 ML",150,10,150,1500,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GUERBET","67684100004","67684-1000-04","Oxilan 300","1 ML",200,10,200,2000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet LLC","67684100004","67684-1000-04","Oxilan 300","1 ML",200,10,200,2000,,
"Q9949","LOCM 300-349mg/ml iodine,1ml","GUERBET","67684100005","67684-1000-05","Oxilan 300","1 ML",500,6,500,3000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684100005","67684-1000-05","Oxilan 300","1 ML",500,6,500,3000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GUERBET","67684100101","67684-1001-01","Oxilan 350","1 ML",50,10,50,500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684100101","67684-1001-01","Oxilan 350","1 ML",50,10,50,500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GUERBET","67684100102","67684-1001-02","Oxilan 350","1 ML",100,10,100,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684100102","67684-1001-02","Oxilan 350","1 ML",100,10,100,1000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GUERBET","67684100103","67684-1001-03","Oxilan 350","1 ML",150,10,150,1500,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684100103","67684-1001-03","Oxilan 350","1 ML",150,10,150,1500,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GUERBET","67684100104","67684-1001-04","Oxilan 350","1 ML",200,10,200,2000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684100104","67684-1001-04","Oxilan 350","1 ML",200,10,200,2000,,
"Q9950","LOCM 350-399mg/ml iodine,1ml","GUERBET","67684100105","67684-1001-05","Oxilan 350","1 ML",500,6,500,3000,,
"Q9967","LOCM 300-399mg/ml iodine,1ml","Guerbet LLC","67684100105","67684-1001-05","Oxilan 350","1 ML",500,6,500,3000,,
"A9575","Inj gadoterate meglumi 0.1ml","Guerbet LLC","67684200001","67684-2000-01","Dotarem","0.1 ML",10,10,100,1000,,
"A9575","Inj gadoterate meglumi 0.1ml","Guerbet LLC","67684200002","67684-2000-02","Dotarem","0.1 ML",15,10,150,1500,,
"A9575","Inj gadoterate meglumi 0.1ml","Guerbet LLC","67684200003","67684-2000-03","Dotarem","0.1 ML",20,10,200,2000,,
"A9575","Inj gadoterate meglumi 0.1ml","Guerbet LLC","67684200004","67684-2000-04","Dotarem","0.1 ML",100,6,1000,6000,,
"A9575","Inj gadoterate meglumi 0.1ml","Guerbet LLC","67684200005","67684-2000-05","Dotarem","0.1 ML",10,5,100,500,,
"A9575","Inj gadoterate meglumi 0.1ml","Guerbet LLC","67684200006","67684-2000-06","Dotarem","0.1 ML",15,5,150,750,,
"A9575","Inj gadoterate meglumi 0.1ml","Guerbet LLC","67684200007","67684-2000-07","Dotarem","0.1 ML",20,5,200,1000,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684550502","67684-5505-02","Hexabrix 320 mgl/mL, 50mL volume","1 ML",50,25,50,1250,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684550503","67684-5505-03","Hexabrix 320 mgl/mL, 100mL volume","1 ML",100,12,100,1200,,
"Q9967","Locm 300-399mg/ml iodine,1ml","Guerbet LLC","67684550505","67684-5505-05","Hexabrix 320 mgl/mL, 200mL volume","1 ML",200,12,200,2400,,
"J9045","Carboplatin injection","OTN","67817006112","67817-0061-12","Carboplatin","50 MG",5,1,1,1,,
"J9045","Carboplatin injection","OTN","67817006312","67817-0063-12","Carboplatin","50 MG",15,1,3,3,,
"J9045","Carboplatin injection","OTN","67817006612","67817-0066-12","Carboplatin","50 MG",45,1,9,9,,
"J9045","Carboplatin injection","OTN","67817006712","67817-0067-12","Carboplatin","50 MG",60,1,12,12,,
"J9175","Elliotts b solution per ml","QOL Medical","67871000710","67871-0007-10","Elliotts B","1 ML",10,10,10,100,,
"Q2002","Elliotts b solution per ml","QOL MEDICAL","67871000710","67871-0007-10","Elliotts B",,10,10,100,10,,"1 ML"
"J1430","Ethanolamine oleate 100 mg","QOL Medical","67871479006","67871-4790-06","ETHANOLAMINE OLEATE","100 MG",2,10,1,10,,
"Q0162","Ondansetron oral","Ascend Laboratories","67877016930","67877-0169-30","Ondansetron","1 MG",1,30,4,120,,
"Q0162","Ondansetron oral","Ascend Laboratories","67877017030","67877-0170-30","Ondansetron","1 MG",1,30,8,240,,
"J7517","Mycophenolate mofetil oral","Ascend Laboratories","67877022501","67877-0225-01","MYCOPHENOLATE MOFETIL","250 MG",100,1,200,200,,
"J7517","Mycophenolate mofetil oral","Ascend Laboratories","67877022505","67877-0225-05","MYCOPHENOLATE MOFETIL","250 MG",500,1,1000,1000,,
"J7517","Mycophenolate mofetil oral","Ascend Laboratories","67877023022","67877-0230-22","MYCOPHENOLATE MOFETIL","250 MG",225,1,180,180,,
"J7517","Mycophenolate mofetil oral","Ascend Laboratories","67877026601","67877-0266-01","MYCOPHENOLATE MOFETIL","250 MG",100,1,100,100,,
"J7517","Mycophenolate mofetil oral","Ascend Laboratories","67877026605","67877-0266-05","MYCOPHENOLATE MOFETIL","250 MG",500,1,500,500,,
"J0878","Daptomycin injection","Cubist Pharmaceuticals","67919001101","67919-0011-01","Cubicin","1 MG",1,1,500,500,,
"J0878","Daptomycin injection","MERCK SHARP & DOHME CORP.","67919001201","67919-0012-01","Cubicin","1 MG",1,1,500,500,,
"J0878","Daptomycin injection","MERCK SHARP & DOHME CORP.","67919001202","67919-0012-02","Cubicin","1 MG",1,1,500,500,,
"C9452","Inj, ceftolozane/tazobactam","Cubist Pharmaceuticals","67919003001","67919-0030-01","ZERBAXA","75mg (50mg cft/25mg taz)",1,10,20,200,,
"C9446","Inj, tedizolid phosphate","Cubist Pharmaceuticals","67919004001","67919-0040-01","Sivextro","1 MG",1,10,200,2000,,
"J3090","Inj tedizolid phosphate","Cubist Pharmaceuticals","67919004001","67919-0040-01","Sivextro","1 MG",1,10,200,2000,,
"J9357","Valrubicin injection","Endo Pharmaceuticals Valera Inc.","67979000101","67979-0001-01","Valstar","200 MG",5,4,1,4,,
"J9357","Valrubicin injection","Endo Pharmaceutical Solutions Inc","67979000102","67979-0001-02","Valstar","200 MG",200,24,1,24,,
"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,,
"J3121","Inj testostero enanthate 1mg","Endo Pharmaceutical Solutions Inc.","67979050140","67979-0501-40","Delatestryl","1 MG",5,1,1000,1000,,
"J3130","Testosterone enanthate inj","Endo Pharmaceutical Solutions Inc.","67979050140","67979-0501-40","Delatestryl","200 MG",5,1,5,5,,
"C9023","Inj testosterone undecanoate","Endo Pharmaceutical Solutions Inc.","67979051143","67979-0511-43","Aveed ","1 MG",3,1,750,750,,
"J7509","Methylprednisolone oral","American Health Packaging","68001000501","68001-0005-01","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"Q0169","Promethazine hcl 12.5mg oral","American Health Packaging","68001016100","68001-0161-00","PROMETHAZINE HCL","12.5 MG",100,1,100,100,,
"Q0169","Promethazine hcl 12.5mg oral","American Health Packaging","68001016200","68001-0162-00","PROMETHAZINE HCL","12.5 MG",100,1,200,200,,
"Q0169","Promethazine hcl 12.5mg oral","American Health Packaging","68001016208","68001-0162-08","PROMETHAZINE HCL","12.5 MG",1000,1,2000,2000,,
"Q0169","Promethazine hcl 12.5mg oral","American Health Packaging","68001016300","68001-0163-00","PROMETHAZINE HCL","12.5 MG",100,1,400,400,,
"Q0162","Ondansetron oral","American Health Packaging","68001024617","68001-0246-17","Ondansetron ODT","1 MG",30,1,120,120,,
"Q0162","Ondansetron oral","American Health Packaging","68001024701","68001-0247-01","Ondansetron ODT","1 MG",10,1,80,80,,
"Q0162","Ondansetron oral","American Health Packaging","68001024717","68001-0247-17","Ondansetron ODT","1 MG",30,1,240,240,,
"J9181","Etoposide injection","American Health Packaging","68001026525","68001-0265-25","Etoposide","10 MG",5,1,10,10,,
"J9181","Etoposide injection","American Health Packaging","68001026526","68001-0265-26","Etoposide","10 MG",25,1,50,50,,
"J9181","Etoposide injection","American Health Packaging","68001026527","68001-0265-27","Etoposide","10 MG",50,1,100,100,,
"J9190","Fluorouracil injection","BLUEPOINT LABORATORIES","68001026627","68001-0266-27","Fluorouracil","500 MG",50,1,5,5,,
"J9190","Fluorouracil injection","BLUEPOINT LABORATORIES","68001026630","68001-0266-30","Fluorouracil","500 MG",10,10,1,10,,
"J9190","Fluorouracil injection","BLUEPOINT LABORATORIES","68001026631","68001-0266-31","Fluorouracil","500 MG",20,10,2,20,,
"J9190","Fluorouracil injection","BLUEPOINT LABORATORIES","68001026632","68001-0266-32","Fluorouracil","500 MG",100,1,10,10,,
"J9201","Gemcitabine hcl injection","BLUEPOINT LABORATORIES","68001028225","68001-0282-25","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,1,1,,
"J9201","Gemcitabine hcl injection","BLUEPOINT LABORATORIES","68001028226","68001-0282-26","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,5,5,,
"J9201","Gemcitabine hcl injection","BLUEPOINT LABORATORIES","68001028227","68001-0282-27","GEMCITABINE HYDROCHLORIDE","200 MG",1,1,10,10,,
"J9060","Cisplatin 10 mg injection","BLUE POINT LABORATORIES","68001028327","68001-0283-27","Cisplatin","10 MG",50,1,5,5,,
"J9060","Cisplatin 10 mg injection","BLUE POINT LABORATORIES","68001028332","68001-0283-32","Cisplatin","10 MG",100,1,10,10,,
"J9206","Irinotecan injection","BLUE POINT LABORATORIES","68001028425","68001-0284-25","Irinotecan HCL","20 MG",5,1,5,5,,
"J9206","Irinotecan injection","BLUE POINT LABORATORIES","68001028434","68001-0284-34","Irinotecan HCL","20 MG",2,1,2,2,,
"J0640","Leucovorin calcium injection","BLUE POINT LABORATORIES","68001028536","68001-0285-36","Leucovorin Calcium","50 MG",1,1,2,2,,
"J0640","Leucovorin calcium injection","BLUE POINT LABORATORIES","68001028537","68001-0285-37","Leucovorin Calcium","50 MG",1,1,4,4,,
"J0640","Leucovorin calcium injection","BLUE POINT LABORATORIES","68001028540","68001-0285-40","Leucovorin Calcium","50 MG",1,10,1,10,,
"J0640","Leucovorin calcium injection","BLUE POINT LABORATORIES","68001028638","68001-0286-38","Leucovorin Calcium","50 MG",1,1,7,7,,
"J9025","Azacitidine injection","BLUEPOINT LABORATORIES","68001031356","68001-0313-56","Azacitidine","1 MG",1,1,100,100,,
"J2185","Meropenem","PAR PHARMACEUTICAL","68001032331","68001-0323-31","MEROPENEM","100 MG",1,10,5,50,,
"J2185","Meropenem","PAR PHARMACEUTICAL","68001032457","68001-0324-57","MEROPENEM","100 MG",1,10,10,100,,
"C9445","C-1 esterase, Ruconest","Santarus, Inc.","68012035001","68012-0350-01","Ruconest ","10 UNITS",1,1,210,210,,
"J0596","Injection, ruconest","Santarus Pharmaceuticals, Inc.","68012035001","68012-0350-01","Ruconest ","10 UNITS",1,1,210,210,,
"C9445","C-1 esterase, Ruconest","Santarus, Inc.","68012035002","68012-0350-02","Ruconest ","10 Units",1,1,210,210,,
"J0596","Injection, ruconest","Santarus Pharmaceuticals, Inc.","68012035002","68012-0350-02","Ruconest ","10 Units",1,1,210,210,,
"J1885","Ketorolac tromethamine inj","DIRECT DISPENSING INC","68030015901","68030-0159-01","Ketorolac Tromethamine","15 MG",2,10,4,40,,
"J7509","Methylprednisolone oral","DIRECT DISPENSING INC","68030403701","68030-4037-01","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","68030432501","68030-4325-01","Prednisone","5 MG",30,1,60,60,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","68030432602","68030-4326-02","Prednisone","5 MG",30,1,120,120,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","68030432608","68030-4326-08","Prednisone","5 MG",18,1,72,72,,
"Q0170","Promethazine HCl 25 mg oral","DIRECT DISPENSING INC","68030437902","68030-4379-02","Promethazine Hcl","25 MG",12,1,12,12,,
"J0696","Ceftriaxone sodium injection","DIRECT DISPENSING INC","68030713901","68030-7139-01","Rocephin","250 MG",1,10,4,40,,
"J0696","Ceftriaxone sodium injection","DIRECT DISPENSING INC","68030721001","68030-7210-01","Rocephin","250 MG",1,1,2,2,,
"J0696","Ceftriaxone sodium injection","DIRECT DISPENSING INC","68030737201","68030-7372-01","Rocephin","250 MG",1,10,2,20,,
"J7506","Prednisone oral","DIRECT DISPENSING INC","68030978601","68030-9786-01","Prednisone","5 MG",30,1,120,120,,
"J7509","Methylprednisolone oral","American Health Packaging","68084014901","68084-0149-01","Methylprednisolone","4 MG",100,1,100,100,,
"Q0169","Promethazine hcl 12.5mg oral","American Health Packaging","68084015401","68084-0154-01","Promethazine Hcl","12.5 MG",100,1,100,100,,
"Q0169","Promethazine HCl 12.5mg oral","AMERICAN HEALTH PACKAGING","68084015411","68084-0154-11","Promethazine Hcl","12.5 MG",1,1,1,1,,
"Q0169","Promethazine hcl 12.5mg oral","American Health Packaging","68084015501","68084-0155-01","Promethazine Hcl","12.5 MG",100,1,200,200,,
"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,,
"Q0167","Dronabinol 2.5mg oral","American Health Packaging","68084017521","68084-0175-21","DRONABINOL","2.5 MG",30,1,60,60,,
"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,,
"Q0162","Ondansetron oral","American Health Packaging","68084022001","68084-0220-01","ONDANSETRON","1 MG",1,100,4,400,,
"Q0162","Ondansetron oral","American Health Packaging","68084022101","68084-0221-01","Ondansetron","1 MG",1,100,8,800,,
"J7500","Azathioprine oral 50mg","American Health Packaging","68084022901","68084-0229-01","Azathioprine","50 MG",100,1,100,100,,
"J8515","Cabergoline, oral 0.25mg","AMERICAN HEALTH PACKAGING","68084024521","68084-0245-21","CABERGOLINE","0.25 MG",30,1,60,60,,
"Q0171","Chlorpromazine HCl 10mg oral","AMERICAN HEALTH PACKAGING","68084042001","68084-0420-01","Chlorpromazine Hcl","10 MG",100,1,100,100,,
"Q0171","Chlorpromazine HCl 10mg oral","AMERICAN HEALTH PACKAGING","68084042101","68084-0421-01","Chlorpromazine Hcl","10 MG",100,1,5,500,,
"Q0172","Chlorpromazine HCl 25mg oral","AMERICAN HEALTH PACKAGING","68084042101","68084-0421-01","Chlorpromazine Hcl","25 MG",100,1,2,200,,
"Q0171","Chlorpromazine HCl 10mg oral","AMERICAN HEALTH PACKAGING","68084042201","68084-0422-01","Chlorpromazine Hcl","10 MG",100,1,20,2000,,
"Q0172","Chlorpromazine HCl 25mg oral","AMERICAN HEALTH PACKAGING","68084042201","68084-0422-01","Chlorpromazine Hcl","25 MG",100,1,8,800,,
"J7507","Tacrolimus imme rel oral 1mg","American Health Packaging","68084044901","68084-0449-01","TACROLIMUS","1 MG",100,1,50,50,,
"J7507","Tacrolimus imme rel oral 1mg","American Health Packaging","68084045001","68084-0450-01","TACROLIMUS","1 MG",100,1,100,100,,
"J7507","Tacrolimus imme rel oral 1mg","American Health Packaging","68084045101","68084-0451-01","TACROLIMUS","1 MG",100,1,500,500,,
"J7517","Mycophenolate mofetil oral","American Health Packaging","68084058701","68084-0587-01","MYCOPHENOLATE MOFETIL","250 MG",100,1,100,100,,
"J7517","Mycophenolate mofetil oral","American Health Packaging","68084058801","68084-0588-01","MYCOPHENOLATE MOFETIL","250 MG",100,1,200,200,,
"J7517","Mycophenolate mofetil oral","American Health Packaging","68084079501","68084-0795-01","MYCOPHENOLATE MOFETIL","250 MG",1,100,100,100,,
"J7517","Mycophenolate mofetil oral","American Health Packaging","68084080101","68084-0801-01","MYCOPHENOLATE MOFETIL","250 MG",100,1,200,200,,
"Q0164","Prochlorperazine maleate 5mg","American Health Packaging","68084083921","68084-0839-21","Prochlorperazine Maleate","5 MG",30,1,60,60,,
"J7515","Cyclosporine oral 25 mg","American Health Packaging","68084087925","68084-0879-25","Cyclosporine","25 MG",30,1,30,30,,
"J7518","Mycophenolic acid","American Health Packaging","68084090721","68084-0907-21","MYCOPHENOLIC ACID DR","180 MG",30,1,30,30,,
"J7520","Sirolimus, oral","American Health Packaging","68084091525","68084-0915-25","SIROLIMUS","1 MG",30,1,30,30,,
"J7518","Mycophenolic acid","American Health Packaging","68084091825","68084-0918-25","MYCOPHENOLIC ACID","180 MG",30,1,60,60,,
"J7502","Cyclosporine oral 100 mg","American Health Packaging","68084092125","68084-0921-25","Cyclosporine","100 MG",30,1,30,30,,
"J7520","Sirolimus, oral","American Health Packaging","68084095625","68084-0956-25","SIROLIMUS","1 MG",30,1,15,15,,
"J8540","Oral dexamethasone","DISPENSEXPRESS, INC.","68115009612","68115-0096-12","DEXAMETHASONE",,,10,10,1,,"0.25 MG"
"J8540","Oral dexamethasone","DISPENSEXPRESS, INC.","68115009614","68115-0096-14","DEXAMETHASONE",,,1,20,20,,"0.25 MG"
"J8540","Oral dexamethasone","DISPENSEXPRESS, INC.","68115009630","68115-0096-30","DEXAMETHASONE",,,10,20,2,,"0.25 MG"
"J8540","Oral dexamethasone","DISPENSEXPRESS, INC.","68115009704","68115-0097-04","DEXAMETHASONE",,,1,5,5,,"0.25 MG"
"J8540","Oral dexamethasone","DISPENSE EXPRESS","68115009715","68115-0097-15","DEXAMETHASONE",,,1,10,10,,"0.25 MG"
"Q0163","Diphenhydramine HCl 50mg","DISPENSEXPRESS","68115011706","68115-0117-06","Diphenhydramine Hcl","50 MG",6,1,6,6,,
"Q0163","Diphenhydramine HCl 50mg","DISPENSEXPRESS","68115011715","68115-0117-15","Diphenhydramine Hcl","50 MG",15,1,15,15,,
"Q0163","Diphenhydramine HCl 50mg","DISPENSEXPRESS","68115011730","68115-0117-30","Diphenhydramine Hcl","50 MG",30,1,30,30,,
"Q0177","Hydroxyzine pamoate 25mg","DISPENSEXPRESS","68115017700","68115-0177-00","Hydroxyzine Pamoate","25 MG",100,1,100,100,,
"Q0177","Hydroxyzine pamoate 25mg","DISPENSEXPRESS","68115017730","68115-0177-30","Hydroxyzine Pamoate","25 MG",30,1,30,30,,
"Q0177","Hydroxyzine pamoate 25mg","DISPENSEXPRESS","68115017760","68115-0177-60","Hydroxyzine Pamoate","25 MG",60,1,60,60,,
"Q0178","Hydroxyzine pamoate 50mg","DISPENSEXPRESS","68115017820","68115-0178-20","Hydroxyzine Pamoate","50 MG",20,1,20,20,,
"Q0178","Hydroxyzine pamoate 50mg","DISPENSEXPRESS","68115017860","68115-0178-60","Hydroxyzine Pamoate","50 MG",60,1,60,60,,
"J7506","Prednisone oral","DISPENSEXPRESS","68115028930","68115-0289-30","Prednisone","5 MG",30,1,60,60,,
"Q0165","Prochlorperazine maleate10mg","DISPENSEXPRESS","68115029812","68115-0298-12","Prochlorperazine Maleate","10 MG",12,1,12,12,,
"Q0165","Prochlorperazine maleate10mg","DISPENSEXPRESS","68115029830","68115-0298-30","Prochlorperazine Maleate","10 MG",30,1,60,60,,
"Q0165","Prochlorperazine maleate10mg","DISPENSEXPRESS, INC.","68115029860","68115-0298-60","Prochlorperazine Maleate","10 MG",60,1,120,120,,
"Q0170","Promethazine HCl 25 mg oral","DISPENSEXPRESS","68115030230","68115-0302-30","Promethazine Hcl","25 MG",30,1,30,30,,
"Q0173","Trimethobenzamide HCl 250mg","DISPENSEXPRESS","68115033920","68115-0339-20","Trimethobenzamide Hcl","250 MG",20,1,20,20,,
"J8540","Oral dexamethasone","DISPENSE EXPRESS","68115043510","68115-0435-10","DEXAMETHASONE",,,1,1,1,,"0.25 MG"
"J7320","Hylan G-F 20 injection","DISPENSEXPRESS, INC.","68115053503","68115-0535-03","Synvisc","16 MG",2,3,1,3,,
"J7325","Synvisc or Synvisc-One","DISPENSEXPRESS, INC.","68115053503","68115-0535-03","Synvisc","PER DOSE",2,3,1,3,,
"Q4084","Synvisc, inj","DISPENSEXPRESS, INC.","68115053503","68115-0535-03","Synvisc","PER DOSE",2,3,1,3,,
"Q0173","TrimethobenzAMIde HCl 250mg","DISPENSEXPRESS, INC.","68115058800","68115-0588-00","Trimethobenzamide Hcl",,,1,60,60,,"250 MG"
"J8610","Methotrexate oral 2.5 MG","DISPENSEXPRESS","68115063200","68115-0632-00","Methotrexate","2.5 MG",100,1,100,100,,
"Q0168","Dronabinol 5mg oral","DISPENSEXPRESS","68115069225","68115-0692-25","Marinol","5 MG",25,1,25,25,,
"J1815","Insulin injection","DISPENSEXPRESS","68115070905","68115-0709-05","Novolin R Penfill","5 UNITS",3,5,60,300,,
"J1817","Insulin for insulin pump use","DISPENSEXPRESS","68115070905","68115-0709-05","Novolin R Penfill","50 UNITS",3,5,6,30,,
"J7602","Albuterol inh non-comp con","DISPENSEXPRESS","68115071120","68115-0711-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"J7611","Albuterol non-comp con","DISPENSEXPRESS","68115071120","68115-0711-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"Q4093","Albuterol inh non-comp con","DISPENSEXPRESS","68115071120","68115-0711-20","Albuterol Sulfate","1 MG",20,1,100,100,,
"J1815","Insulin injection","DISPENSEXPRESS","68115072810","68115-0728-10","Humulin R","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","DISPENSEXPRESS","68115072810","68115-0728-10","Humulin R","50 UNITS",10,1,20,20,,
"J1815","Insulin injection","DISPENSEXPRESS","68115072905","68115-0729-05","Humulin N Pen","5 UNITS",3,5,60,300,,
"J1817","Insulin for insulin pump use","DISPENSEXPRESS","68115072905","68115-0729-05","Humulin N Pen","50 UNITS",3,5,6,30,,
"J1815","Insulin injection","DISPENSEXPRESS","68115074610","68115-0746-10","Humalog","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","DISPENSEXPRESS","68115074610","68115-0746-10","Humalog","50 UNITS",10,1,20,20,,
"J1650","Inj enoxaparin sodium","DISPENSEXPRESS","68115074910","68115-0749-10","Lovenox","10 MG",0.4,10,4,40,,
"J1595","Injection glatiramer acetate","DISPENSEXPRESS","68115075030","68115-0750-30","Copaxone","20 MG",1,1,30,30,,
"J3030","Sumatriptan succinate / 6 MG","DISPENSEXPRESS","68115077002","68115-0770-02","Imitrex Statdose Pen","6 MG",1,1,2,2,,
"J1650","Inj enoxaparin sodium","DISPENSEXPRESS","68115077410","68115-0774-10","Lovenox","10 MG",0.6,10,6,60,,
"Q0179","Ondansetron hcl 8 mg oral","DISPENSEXPRESS","68115080230","68115-0802-30","Zofran","8 MG",1,30,0.5,15,,
"J1815","Insulin injection","DISPENSEXPRESS","68115083910","68115-0839-10","Lantus","5 UNITS",10,1,200,200,,
"J1817","Insulin for insulin pump use","DISPENSEXPRESS","68115083910","68115-0839-10","Lantus","50 UNITS",10,1,20,20,,
"J7506","Prednisone oral","DISPENSEXPRESS","68115094721","68115-0947-21","Prednisone","5 MG",21,1,21,21,,
"J7509","Methylprednisolone oral","DISPENSEXPRESS","68115096021","68115-0960-21","Methylprednisolone","4 MG",21,1,21,21,,
"J1458","Galsulfase injection","BioMarin Pharmaceutical, Inc.","68135002001","68135-0020-01","Naglazyme","1 MG",1,1,1,5,,
"C9022","Injection, elosulfase alfa","BioMarin Pharmaceutical, Inc.","68135010001","68135-0100-01","VIMIZIM","1 MG",5,1,5,5,,
"C9014","Injection, cerliponase alfa","BIOMARIN PHARMACEUTICAL. INC.","68135081102","68135-0811-02","Brineura","1 MG",1,2,150,300,,
"J0641","Levoleucovorin injection","Spectrum Pharmaceuticals","68152010100","68152-0101-00","Levoleucovorin Calcium","0.5 MG",1,1,100,100,,
"A9543","Y90 ibritumomab, rx","Spectrum Pharmaceuticals","68152010303","68152-0103-03","ZEVALIN Y-90","UP TO 40 millicuries",1,1,1,1,,
"C9442","Injection, belinostat","Spectrum Pharmaceuticals","68152010809","68152-0108-09","Beleodaq","10 MG",1,1,50,50,,
"J9032","Injection, belinostat, 10mg","Spectrum Pharmaceuticals","68152010809","68152-0108-09","Beleodaq","10 MG",1,1,50,50,,
"J9245","Inj melphalan hydrochl 50 mg","Spectrum Pharmaceuticals","68152010900","68152-0109-00","EVOMELA","50 MG",1,1,1,1,,
"J0128","Abarelix injection","PRAECIS PHARMACEUTICALS","68158014951","68158-0149-51","Plenaxis","10 MG",1,1,10,10,,
"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,,
"Q4087","Octagam Injection","OCTAPHARMA USA","68209084304","68209-0843-04","Octagam","500 MG",200,1,20,20,,
"J1980","Hyoscyamine sulfate inj","Meda Pharmaceuticals","68220011105","68220-0111-05","LEVSIN Injection .5mg/mL","0.25 MG",5,1,10,10,,
"J8521","Capecitabine, oral, 500 mg","DISPENSING SOLUTIONS INC.","68258903601","68258-9036-01","Xeloda","500 MG",,1,5,5,,
"J7507","Tacrolimus oral per 1 MG","DISPENSING SOLUTIONS","68258909901","68258-9099-01","Prograf",,,1,60,60,,"1 MG"
"J0696","Ceftriaxone sodium injection","CEPHAZONE PHAMA, LLC","68330000201","68330-0002-01","CEFTRIAXONE SODIUM","250 MG",1,1,2,2,,
"J0696","Ceftriaxone sodium injection","CEPHAZONE PHAMA, LLC","68330000210","68330-0002-10","CEFTRIAXONE SODIUM","250 MG",1,10,2,20,,
"J0696","Ceftriaxone sodium injection","CEPHAZONE PHAMA, LLC","68330000301","68330-0003-01","CEFTRIAXONE SODIUM","250 MG",1,1,4,4,,
"J0696","Ceftriaxone sodium injection","CEPHAZONE PHAMA, LLC","68330000310","68330-0003-10","CEFTRIAXONE SODIUM","250 MG",1,10,4,40,,
"J0696","Ceftriaxone sodium injection","CEPHAZONE PHAMA, LLC","68330000401","68330-0004-01","CEFTRIAXONE SODIUM","250 MG",1,1,8,8,,
"J0696","Ceftriaxone sodium injection","CEPHAZONE PHAMA, LLC","68330000410","68330-0004-10","CEFTRIAXONE SODIUM","250 MG",1,10,8,80,,
"J0696","Ceftriaxone sodium injection","CEPHAZONE PHAMA, LLC","68330000501","68330-0005-01","CEFTRIAXONE SODIUM","250 MG",100,1,4,4,,
"J0696","Ceftriaxone sodium injection","CEPHAZONE PHAMA, LLC","68330000601","68330-0006-01","CEFTRIAXONE SODIUM","250 MG",100,1,8,8,,
"Q0169","Promethazine HCl 12.5mg oral","ZYDUS ","68382004001","68382-0040-01","Promethazine Hcl Usp/Nf","12.5 MG",100,1,100,100,,
"Q0169","Promethazine HCl 12.5mg oral","ZYDUS PHARMACEUTICALS (USA)","68382004010","68382-0040-10","Promethazine Hcl","12.5 MG",1000,1,1000,1000,,
"J7517","Mycophenolate mofetil oral","ZYDUS PHARMACEUTICALS (USA) INC.","68382013101","68382-0131-01","MYCOPHENOLATE MOFETIL","250 mg",1,100,200,200,,
"J7517","Mycophenolate mofetil oral","ZYDUS PHARMACEUTICALS (USA) INC.","68382013105","68382-0131-05","MYCOPHENOLATE MOFETIL","250 mg",1,500,1000,1000,,
"J7517","Mycophenolate mofetil oral","ZYDUS PHARMACEUTICALS (USA) INC.","68382013110","68382-0131-10","MYCOPHENOLATE MOFETIL","250 mg",1,1000,2000,2000,,
"J2780","Ranitidine hydrochloride inj","Zydus Pharmaceuticals USA Inc","68382042202","68382-0422-02","Ranitidine","25 MG",2,10,2,20,,
"J2780","Ranitidine hydrochloride inj","Zydus Pharmaceuticals USA Inc","68382042306","68382-0423-06","Ranitidine","25 MG",6,1,6,6,,
"J0515","Inj benztropine mesylate","Zydus Pharmaceuticals USA Inc","68382086010","68382-0860-10","BENZTROPINE","1 MG",2,5,2,10,,
"J7509","Methylprednisolone oral","KELTMAN PHARMACEUTICALS","68387017001","68387-0170-01","Methylprednisolone (Pak)","4 MG",21,1,21,21,,
"J7506","Prednisone oral","KELTMAN PHARMACEUTICALS","68387024025","68387-0240-25","Prednisone","5 MG",25,1,100,100,,
"Q0162","Ondansetron oral","Glenmark Pharmaceuticals, USA","68462010530","68462-0105-30","Ondansetron","1 MG",30,1,120,120,,
"Q0162","Ondansetron oral","Glenmark Pharmaceuticals, USA","68462010630","68462-0106-30","Ondansetron","1 MG",30,1,240,240,,
"Q0162","Ondansetron oral","Glenmark Pharmaceuticals, USA","68462015713","68462-0157-13","Ondansetron","1 MG",30,1,120,120,,
"Q0162","Ondansetron oral","Glenmark Pharmaceuticals, USA","68462015811","68462-0158-11","Ondansetron","1 MG",10,1,80,80,,
"Q0162","Ondansetron oral","Glenmark Pharmaceuticals, USA","68462015813","68462-0158-13","Ondansetron","1 MG",30,1,240,240,,
"J7500","Azathioprine oral 50mg","Glenmark Pharmaceuticals, USA","68462050201","68462-0502-01","Azathioprine","50 MG",100,1,100,100,,
"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 IU",1,1,1,1,,
"J7194","Factor ix complex","GRIFOLS BIOLOGICALS INC.","68516320005","68516-3200-05","Profilnine® SD FIX SD(1500)","1 IU",1,1,1,1,,
"J7194","Factor ix complex","Grifols USA, LLC.","68516320101","68516-3201-01","Profilnine® SD FIX SD M2V(500)","1 IU",1,1,1,1,,
"J7194","Factor ix complex","Grifols USA, LLC.","68516320202","68516-3202-02","Profilnine® SD FIX SD M2V(1000)","1 IU",1,1,1,1,,
"J7194","Factor ix complex","Grifols USA, LLC.","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 USA, LLC.","68516360102","68516-3601-02","Alphanine®SD VF 500 IU M2V USA","1 IU",1,1,1,1,,
"J7193","Factor ix non-recombinant","Grifols USA, LLC.","68516360202","68516-3602-02","Alphanine®SD VF 1000 IU M2V USA","1 IU",1,1,1,1,,
"J7193","Factor ix non-recombinant","Grifols USA, LLC.","68516360302","68516-3603-02","Alphanine®SD VF 1500 IU M2V USA","1 IU",1,1,1,1,,
"J7190","Factor viii","GRIFOLS","68516460001","68516-4600-01","Alphanate","1 IU",1,1,1,1,,
"J7190","Factor viii","GRIFOLS","68516460002","68516-4600-02","Alphanate","1 IU",1,1,1,1,,
"J7186","Antihemophilic viii/vwf comp","Grifols USA, LLC.","68516460101","68516-4601-01","Alphanate /von Willebrand Factor Complex","PER FACTOR VIII IU",1,1,1,1,,
"J7190","Factor viii","Grifols USA, LLC.","68516460101","68516-4601-01","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1,,
"Q4096","VWF complex, NOS","GRIFOLS","68516460101","68516-4601-01","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1,,
"J7186","Antihemophilic viii/vwf comp","Grifols USA, LLC.","68516460201","68516-4602-01","Alphanate /von Willebrand Factor Complex","PER FACTOR VIII IU",1,1,1,1,,
"J7190","Factor viii","Grifols USA, LLC.","68516460201","68516-4602-01","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1,,
"Q4096","VWF complex, NOS","GRIFOLS","68516460201","68516-4602-01","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1,,
"J7186","Antihemophilic viii/vwf comp","Grifols USA, LLC.","68516460302","68516-4603-02","Alphanate /von Willebrand Factor Complex","PER FACTOR VIII IU",1,1,1,1,,
"J7190","Factor viii","Grifols USA, LLC.","68516460302","68516-4603-02","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1,,
"Q4096","VWF complex, NOS","GRIFOLS","68516460302","68516-4603-02","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1,,
"J7186","Antihemophilic viii/vwf comp","Grifols USA, LLC.","68516460402","68516-4604-02","Alphanate /von Willebrand Factor Complex","PER FACTOR VIII IU",1,1,1,1,,
"J7190","Factor viii","Grifols USA, LLC.","68516460402","68516-4604-02","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1,,
"Q4096","VWF complex, NOS","GRIFOLS","68516460402","68516-4604-02","Alphanate /von Willebrand Factor Complex","1 IU",1,1,1,1,,
"J7186","Antihemophilic viii/vwf comp","Grifols USA, LLC.","68516460902","68516-4609-02","Alphanate /von Willebrand Factor Complex","PER FACTOR VIII IU",1,1,1,1,,
"P9041","Albumin (human),5%, 50ml","GRIFOLS","68516521101","68516-5211-01","Albumin (Human)","50 ML",250,1,5,5,,
"P9045","Albumin (human), 5%, 250 ml","GRIFOLS","68516521101","68516-5211-01","Albumin (Human)","250 ML",250,1,1,1,,
"P9041","Albumin (human),5%, 50ml","GRIFOLS","68516521102","68516-5211-02","Albumin (Human)","50 ML",500,1,10,10,,
"P9045","Albumin (human), 5%, 250 ml","GRIFOLS","68516521102","68516-5211-02","Albumin (Human)","250 ML",500,1,2,2,,
"P9046","Albumin (human), 25%, 20 ml","GRIFOLS","68516521302","68516-5213-02","Human Albumin Grifols",,,,,,,"20 ML"
"P9047","Albumin (human), 25%, 50ml","GRIFOLS","68516521302","68516-5213-02","Human Albumin Grifols",,,,,,,"50 ML"
"P9046","Albumin (human), 25%, 20 ml","GRIFOLS","68516521303","68516-5213-03","Human Albumin Grifols",,,,,,,"20 ML"
"P9047","Albumin (human), 25%, 50ml","GRIFOLS","68516521303","68516-5213-03","Human Albumin Grifols",,,,,,,"50 ML"
"J1595","Injection glatiramer acetate","TEVA NEUROSCIENCE, INC.","68546031730","68546-0317-30","Copaxone","20 MG",1,30,1,30,,
"C9450","Fluocinolone acetonide implt","Alimera Sciences, Inc.","68611019002","68611-0190-02","Iluvien","0.01 MG",1,1,19,19,,
"J7313","Fluocinol acet intravit imp","Alimera Sciences, Inc.","68611019002","68611-0190-02","Iluvien","0.01 MG",1,1,19,19,,
"J1451","Fomepizole, 15 mg","Jazz Pharmaceuticals, Inc.","68727020002","68727-0200-02","Antizol","15 MG",1.5,4,100,400,,
"C9024","Inj, daunorubicin-cytarabine","JAZZ PHARMACEUTICALS, INC.","68727074501","68727-0745-01","Vyxeos","1 MG/2.27 MG",1,1,44,44,,
"C9024","Inj, daunorubicin-cytarabine","JAZZ PHARMACEUTICALS, INC.","68727074502","68727-0745-02","Vyxeos","1 MG/2.27 MG",1,2,44,88,,
"C9024","Inj, daunorubicin-cytarabine","JAZZ PHARMACEUTICALS, INC.","68727074505","68727-0745-05","Vyxeos","1 MG/2.27 MG",1,5,44,220,,
"J2503","Pegaptanib sodium injection","EYE TECH","68782000101","68782-0001-01","Macugen","0.3 MG",1,1,1,1,,
"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,,
"J0636","Inj calcitriol per 0.1 mcg","NEPHRX, LLC","68830031980","68830-0319-80","Calcijex","0.1 MCG",1,1,10,10,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","68883001003","68883-0010-03","Heparin Lock Flush","10 UNITS",3,1,3,3,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","68883001005","68883-0010-05","Heparin Lock Flush","10 UNITS",5,1,5,5,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","68883001013","68883-0010-13","Heparin Lock Flush","10 UNITS",3,1,3,3,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","68883001015","68883-0010-15","Heparin Lock Flush","10 UNITS",5,1,5,5,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","68883010003","68883-0100-03","Heparin Lock Flush","10 UNITS",3,1,30,30,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","68883010004","68883-0100-04","Heparin Lock Flush","10 UNITS",3,1,30,30,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","68883010005","68883-0100-05","Heparin Lock Flush","10 UNITS",5,1,50,50,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","68883010013","68883-0100-13","Heparin Lock Flush","10 UNITS",3,1,30,30,,
"J1642","Inj heparin sodium per 10 u","DEEN PRE-FILLED SYRINGES","68883010015","68883-0100-15","Heparin Lock Flush","10 UNITS",5,1,50,50,,
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","68883090002","68883-0900-02","Sodium Chloride","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","68883090002","68883-0900-02","Sodium Chloride",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","68883090003","68883-0900-03","Sodium Chloride","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","68883090003","68883-0900-03","Sodium Chloride",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","68883090005","68883-0900-05","Sodium Chloride","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","68883090005","68883-0900-05","Sodium Chloride",,5,1,0.25,0.25,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","68883090010","68883-0900-10","Sodium Chloride","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","68883090010","68883-0900-10","Sodium Chloride",,10,1,0.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","68883090011","68883-0900-11","Sodium Chloride","2 ML",10,1,5,5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","68883090011","68883-0900-11","Sodium Chloride",,10,1,0.5,0.5,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","68883090012","68883-0900-12","Sodium Chloride","2 ML",2,1,1,1,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","68883090012","68883-0900-12","Sodium Chloride",,2,1,0.1,0.1,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","68883090013","68883-0900-13","Sodium Chloride","2 ML",3,1,1.5,1.5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","68883090013","68883-0900-13","Sodium Chloride",,3,1,0.15,0.15,,"20 CC"
"J2912","Sodium chloride injection","DEEN PRE-FILLED SYRINGES","68883090015","68883-0900-15","Sodium Chloride","2 ML",5,1,2.5,2.5,,
"J7130","Hypertonic saline solution","DEEN PRE-FILLED SYRINGES","68883090015","68883-0900-15","Sodium Chloride",,5,1,0.25,0.25,,"20 CC"
"C9138","Nuwiq Factor VIII recomb","OCTAPHARMA USA, INC.","68982013901","68982-0139-01","NUWIQ","1 IU",1,1,1,1,,
"C9138","Nuwiq Factor VIII recomb","OCTAPHARMA USA, INC.","68982014101","68982-0141-01","NUWIQ","1 IU",1,1,1,1,,
"C9138","Nuwiq Factor VIII recomb","OCTAPHARMA USA, INC.","68982014301","68982-0143-01","NUWIQ","1 IU",1,1,1,1,,
"C9138","Nuwiq Factor VIII recomb","OCTAPHARMA USA, INC.","68982014501","68982-0145-01","NUWIQ","1 IU",1,1,1,1,,
"J7183","Wilate injection","OCTAPHARMA USA, INC.","68982018201","68982-0182-01","WILATE","1 I.U. VWF:RCO",1,1,1,1,,
"J7183","Wilate injection","Octapharma USA","68982018202","68982-0182-02","WILATE","1 I.U. VWF:RCO",1,1,1,1,,
"J1568","Octagam injection","Octapharma USA","68982084001","68982-0840-01","Octagam","500 MG",20,1,2,2,,
"J1568","Octagam injection","Octapharma USA","68982084002","68982-0840-02","Octagam","500 MG",50,1,5,5,,
"J1568","Octagam injection","Octapharma USA","68982084003","68982-0840-03","Octagam","500 MG",100,1,10,10,,
"J1568","Octagam injection","Octapharma USA","68982084004","68982-0840-04","Octagam","500 MG",200,1,20,20,,
"J1568","Octagam injection","Octapharma USA","68982084005","68982-0840-05","Octagam","500 MG",500,1,50,50,,
"J1568","Octagam injection","Octapharma USA","68982084301","68982-0843-01","Octagam","500 MG",20,1,2,2,,
"J1568","Octagam injection","Octapharma USA","68982085001","68982-0850-01","Octagam","500 MG",20,1,4,4,,
"J1568","Octagam injection","Octapharma USA","68982085002","68982-0850-02","Octagam","500 MG",50,1,10,10,,
"J1568","Octagam injection","Octapharma USA","68982085003","68982-0850-03","Octagam","500 MG",100,1,20,20,,
"J1568","Octagam injection","Octapharma USA","68982085004","68982-0850-04","Octagam","500 MG",200,1,40,40,,
"J7503","Tacrol envarsus ex rel oral","Veloxis Pharmaceuticals","68992301001","68992-3010-01","Envarsus XR","0.25 MG",100,1,400,400,,
"J7503","Tacrol envarsus ex rel oral","Veloxis Pharmaceuticals","68992301003","68992-3010-03","Envarsus XR","0.25 MG",30,1,120,120,,
"J7503","Tacrol envarsus ex rel oral","Veloxis Pharmaceuticals","68992304001","68992-3040-01","Envarsus XR","0.25 MG",100,1,1600,1600,,
"J7503","Tacrol envarsus ex rel oral","Veloxis Pharmaceuticals","68992304003","68992-3040-03","Envarsus XR","0.25 MG",30,1,480,480,,
"J7503","Tacrol envarsus ex rel oral","Veloxis Pharmaceuticals","68992307501","68992-3075-01","Envarsus XR","0.25 MG",100,1,300,300,,
"J7503","Tacrol envarsus ex rel oral","Veloxis Pharmaceuticals","68992307503","68992-3075-03","Envarsus XR","0.25 MG",30,1,90,90,,
"A9515","Choline C 11, diagnostic","ZEVACOR MOLECULAR","69126000401","69126-0004-01","CHOLINE C 11","Per Study Dose",30,1,1,1,,
"C9461","Choline C 11, diagnostic","ZEVACOR MOLECULAR","69126000401","69126-0004-01","CHOLINE C 11","Per Study Dose",30,1,1,1,,
"C9474","Inj, irinotecan liposome","Merrimack Pharmaceuticals","69171039801","69171-0398-01","Onivyde 43MG/10ML per vial","1 MG",10,1,43,43,,
"J9205","Inj irinotecan liposome 1 mg","Merrimack Pharmaceuticals","69171039801","69171-0398-01","Onivyde 43MG/10ML per vial","1 MG",10,1,43,43,,
"C9479","Inject, ciprofloxacin otic ","Otonomy","69251020101","69251-0201-01","OTIPRIO","6 MG",1,1,10,10,,
"A9587","Gallium Ga-68","Advanced Accelerator Applications","69488000140","69488-0001-40","NETSPOT","0.1 mCi",1,1,54,54,,
"J8655","Netupitant palonosetron oral","Helsinn Therapeutics","69639010101","69639-0101-01","Akynzeo","300 MG/0.5 MG",1,1,1,1,,
"J8655","Netupitant palonosetron oral","Helsinn Therapeutics","69639010104","69639-0101-04","Akynzeo","300 MG/0.5 MG",1,4,1,4,,
"C9482","Sotalol hydrochloride IV","ALTATHERA PHARMACEUTICALS LLC","69724011210","69724-0112-10","Sotalol","1MG",10,1,150,150,,
"C9140","Afstyla Factor VIII recomb","CSL BEHRING LLC","69911047402","69911-0474-02","AFSTYLA","1 IU",1,1,1,1,,
"C9140","Afstyla Factor VIII recomb","CSL BEHRING LLC","69911047502","69911-0475-02","AFSTYLA","1 IU",1,1,1,1,,
"C9140","Afstyla Factor VIII recomb","CSL BEHRING LLC","69911047602","69911-0476-02","AFSTYLA","1 IU",1,1,1,1,,
"C9140","Afstyla Factor VIII recomb","CSL BEHRING LLC","69911047702","69911-0477-02","AFSTYLA","1 IU",1,1,1,1,,
"C9140","Afstyla Factor VIII recomb","CSL BEHRING LLC","69911047802","69911-0478-02","AFSTYLA","1 IU",1,1,1,1,,
"C9139","Idelvion, 1 i.u.","CSL Behring","69911086402","69911-0864-02","Idelvion","1 IU",1,1,1,1,,
"C9139","Idelvion, 1 i.u.","CSL Behring","69911086502","69911-0865-02","Idelvion","1 IU",1,1,1,1,,
"C9139","Idelvion, 1 i.u.","CSL Behring","69911086602","69911-0866-02","Idelvion","1 IU",1,1,1,1,,
"C9139","Idelvion, 1 i.u.","CSL Behring","69911086702","69911-0867-02","Idelvion","1 IU",1,1,1,1,,
"J2597","Inj desmopressin acetate","Amring Pharmaceuticals","69918089910","69918-0899-10","Desmopressin Acetate","1 MCG",1,10,4,40,,
"J2597","Inj desmopressin acetate","Amring Pharmaceuticals","69918090110","69918-0901-10","Desmopressin Acetate","1 MCG",10,1,40,40,,
"A9588","Fluciclovine F-18","Blue Earth Diagnostics","69932000101","69932-0001-01","AXUMIN","1 mCi",5,1,10,10,,
"A9588","Fluciciovine F-18","Blue Earth Diagnostics","69932000101 ","69932-0001-01 ","AXUMIN","1 mCi",5,1,10,10,,
"J9207","Ixabepilone injection","R-Pharm US","70020191001","70020-1910-01","IXEMPRA KIT","1 MG",1,1,15,15,,
"J9207","Ixabepilone injection","R-Pharm US","70020191101","70020-1911-01","IXEMPRA KIT","1 MG",1,1,45,45,,
"J2920","Methylprednisolone injection","Amneal Biosciences","70121100005","70121-1000-05","Methylprednisolone Sodium Succ","40 MG",1,25,1,25,,
"J2930","Methylprednisolone injection","Amneal Biosciences","70121100105","70121-1001-05","Methylprednisolone Sodium Succ","125 MG",1,25,1,25,,
"J0641","Levoleucovorin injection","AMNEAL PHARMACEUTICALS LLC","70121109901","70121-1099-01","Levoleucovorin Calcium","0.5 MG",1,1,100,100,,
"J1940","Furosemide injection","Amneal Biosciences","70121116305","70121-1163-05","Furosemide","20 MG",2,25,1,25,,
"J1940","Furosemide injection","Amneal Biosciences","70121116405","70121-1164-05","Furosemide","20 MG",4,25,2,50,,
"J1270","Injection, doxercalciferol","AMNEAL BIOSCIENCES","70121140805","70121-1408-05","DOXERCALCIFEROL","1 MCG",2,50,4,200,,
"J2185","Meropenem","AMNEAL BIOSCIENCES","70121145307","70121-1453-07","MEROPENEM","100 MG",1,10,10,100,,
"J2185","Meropenem","AMNEAL BIOSCIENCES","70121145407","70121-1454-07","MEROPENEM","100 MG",1,10,5,50,,
"J9040","Bleomycin sulfate injection","AMNEAL BIOSCIENCES","70121156701","70121-1567-01","BLEO 15K","15 UNITS",1,1,1,1,,
"J0476","Baclofen intrathecal trial","SAOL THERAPEUTICS","70257056255","70257-0562-55","Lioresal","50 MCG",1,5,1,5,,
"J0475","Baclofen 10 mg injection","SAOL THERAPEUTICS","70257056301","70257-0563-01","Lioresal","10 MG",20,1,4,4,,
"J0475","Baclofen 10 mg injection","SAOL THERAPEUTICS","70257056302","70257-0563-02","Lioresal","10 MG",20,2,4,8,,
"J1571","Hepagam b im injection","Aptevo BioTherapeutics, LLC.","70504005102","70504-0051-02","CBI HepaGam B 5 mL","0.5 ML",5,1,10,10,,
"J1571","Hepagam b im injection","Aptevo BioTherapeutics, LLC.","70504005202","70504-0052-02","CBI HepaGam B 1 mL","0.5 ML",1,1,2,2,,
"J2792","Rho(d) immune globulin h, sd","Aptevo BioTherapeutics, LLC.","70504300002","70504-3000-02","WINRHO SDF","100 IU",13,1,150,150,,
"J2792","Rho(d) immune globulin h, sd","Aptevo BioTherapeutics, LLC.","70504310002","70504-3100-02","WINRHO SDF","100 IU",4.4,1,50,50,,
"J2792","Rho(d) immune globulin h, sd","Aptevo BioTherapeutics, LLC.","70504330002","70504-3300-02","WinRho SDF","100 IU",1.3,1,15,15,,
"J2792","Rho(d) immune globulin h, sd","Aptevo BioTherapeutics, LLC.","70504350002","70504-3500-02","WINRHO SDF","100 IU",2.2,1,25,25,,
"C9493","Injection, edaravone","MT PHARMA AMERICA, INC.","70510217102","70510-2171-02","RADICAVA","1 MG",100,2,30,60,,
"J7682","Tobramycin non-comp unit","Genericus, Inc.","70644089999","70644-0899-99","Tobramycin inhalation","300 MG",5,56,1,56,,
"J2800","Methocarbamol injection","RENAISSANCE LAKEWOOD","70655007125","70655-0071-25","Methocarbamol","10 ML",10,25,1,25,,
"J0456","Azithromycin","ATHENEX","70860010010","70860-0100-10","AZITHROMYCIN","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","ATHENEX","70860010410","70860-0104-10","Vancomycin HCl","500 MG",1,10,1,10,,
"J3370","Vancomycin hcl injection","ATHENEX","70860010520","70860-0105-20","Vancomycin HCl","500 MG",1,10,2,20,,
"J9263","Oxaliplatin","ATHENEX","70860020110","70860-0201-10","Oxaliplatin","0.5 MG",10,10,100,100,,
"J9263","Oxaliplatin","ATHENEX","70860020120","70860-0201-20","Oxaliplatin","0.5 MG",20,10,200,200,,
"J2250","Inj midazolam hydrochloride","ATHENEX","70860060002","70860-0600-02","Midazolam HCl","1 MG",2,25,2,50,,
"J2250","Inj midazolam hydrochloride","ATHENEX","70860060105","70860-0601-05","Midazolam Hcl","1 MG",5,10,25,250,,
"J2250","Inj midazolam hydrochloride","ATHENEX","70860060110","70860-0601-10","Midazolam Hcl","1 MG",10,10,50,500,,
"J1885","Ketorolac tromethamine inj","ATHENEX","70860070001","70860-0700-01","Ketorolac Tromethamine","15 MG",1,10,1,10,,
"J1885","Ketorolac tromethamine inj","ATHENEX","70860070101","70860-0701-01","Ketorolac Tromethamine","15 MG",1,10,2,20,,
"J1885","Ketorolac tromethamine inj","ATHENEX","70860070102","70860-0701-02","Ketorolac Tromethamine","15 MG",2,10,4,40,,
"J2405","Ondansetron hcl injection","ATHENEX","70860077602","70860-0776-02","ONDANSETRON HCL","1 MG",2,25,4,100,,
"J2405","Ondansetron hcl injection","ATHENEX","70860077720","70860-0777-20","ONDANSETRON HCL","1 MG",20,1,40,40,,
"J3105","Terbutaline sulfate inj","ATHENEX PHARMACEUTICAL","70860080101","70860-0801-01","Terbutaline Sulfate","1 MG",1,10,1,10,,
"Q0163","Diphenhydramine HCl 50mg","MEDTECH","75137021215","75137-0212-15","Compoz","50 MG",16,1,16,16,,
"J2507","Pegloticase injection","HORIZON PHARMA USA, INC.","75987008010","75987-0080-10","Krystexxa","1 MG",1,1,8,8,,
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","76045000120","76045-0001-20","Midazolam Hcl","1 MG",2,24,2,48,,
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","76045000210","76045-0002-10","Midazolam Hcl","1 MG",1,24,5,120,,
"J2250","Inj midazolam hydrochloride","Fresenius Kabi USA LLC","76045000320","76045-0003-20","Midazolam Hcl","1 MG",2,24,10,240,,
"J2270","Morphine sulfate injection","Fresenius Kabi USA LLC","76045000410","76045-0004-10","Morphine Sulfate","10 MG",1,24,0.2,4.8,,
"J2270","Morphine sulfate injection","Fresenius Kabi USA LLC","76045000510","76045-0005-10","Morphine Sulfate","10 MG",1,24,0.4,9.6,,
"J2270","Morphine sulfate injection","Fresenius Kabi USA LLC","76045000610","76045-0006-10","Morphine Sulfate","10 MG",1,24,0.5,12,,
"J2270","Morphine sulfate injection","Fresenius Kabi USA LLC","76045000710","76045-0007-10","Morphine Sulfate","10 MG",1,24,0.8,19.2,,
"J2270","Morphine sulfate injection","Fresenius Kabi USA LLC","76045000810","76045-0008-10","Morphine Sulfate","10 MG",1,24,1,24,,
"J1170","Hydromorphone injection","FRESENIUS KABI USA, LLC","76045000905","76045-0009-05","DILAUDID (PFSyr)","4 MG",0.5,24,0.125,3,,
"J1170","Hydromorphone injection","FRESENIUS KABI USA, LLC","76045000910","76045-0009-10","DILAUDID (PFSyr)","4 MG",1,24,0.25,6,,
"J1170","Hydromorphone injection","FRESENIUS KABI USA, LLC","76045001010","76045-0010-10","DILAUDID (PFSyr)","4 MG",1,24,0.5,12,,
"J1170","Hydromorphone injection","FRESENIUS KABI USA, LLC","76045001110","76045-0011-10","DILAUDID (PFSyr)","4 MG",1,24,1,24,,
"J2765","Metoclopramide hcl injection","Fresenius Kabi USA LLC","76045010120","76045-0101-20","Metoclopramide HCl","10 MG",2,24,1,24,,
"J1200","Diphenhydramine hcl injectio","Fresenius Kabi USA LLC","76045010210","76045-0102-10","Diphenhydramine Hcl","50 MG",1,24,1,24,,
"J2405","Ondansetron hcl injection","Fresenius Kabi USA LLC","76045010320","76045-0103-20","ONDANSETRON HCL","1 MG",2,24,4,96,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","76045010410","76045-0104-10","Ketorolac Tromethamine","15 MG",1,24,2,48,,
"J1885","Ketorolac tromethamine inj","Fresenius Kabi USA LLC","76045010520","76045-0105-20","Ketorolac Tromethamine","15 MG",2,24,4,96,,
"J1100","Dexamethasone sodium phos","Fresenius Kabi USA LLC","76045010610","76045-0106-10","Dexamethasone Sodium Phosphate","1 MG",1,24,4,96,,
"J1885","Ketorolac tromethamine inj","FRESENIUS KABI USA","76045010710","76045-0107-10","Ketorolac Tromethamine","15 MG",1,24,1,24,,
"J1644","Inj heparin sodium per 1000u","FRESENIUS KABI USA","76045010810","76045-0108-10","Heparin Sodium (Porcine)","1000 UNITS",1,24,5,120,,
"C9295","Injection, carfilzomib","Onyx Pharmaceuticals, Inc.","76075010101","76075-0101-01","Kyprolis","1 mg",1,1,60,60,,
"J9047","Injection, carfilzomib, 1 mg","Amgen USA, Inc.","76075010101","76075-0101-01","Kyprolis","1 mg",1,1,60,60,,
"J9047","Injection, carfilzomib, 1 mg","AMGEN USA INC.","76075010201","76075-0102-01","Kyprolis","1 mg",1,1,30,30,,
"J7190","Factor viii","Kedrion BioPharma, Inc.","76125025020","76125-0250-20","Koate-Dvi","1 IU",1,1,1,1,,
"J7190","Factor viii","KEDRION BIOPHARMA","76125025620","76125-0256-20","Koate","1 IU",1,1,1,1,,
"J7190","Factor viii","Kedrion BioPharma, Inc.","76125050030","76125-0500-30","Koate-Dvi","1 IU",1,1,1,1,,
"J7190","Factor viii","Kedrion BioPharma, Inc.","76125066730","76125-0667-30","Koate-Dvi","1 IU",1,1,1,1,,
"J7190","Factor viii","Kedrion BioPharma, Inc.","76125066750","76125-0667-50","Koate-Dvi","1 IU",1,1,1,1,,
"J7190","Factor viii","KEDRION BIOPHARMA","76125066830","76125-0668-30","Koate","1 IU",1,1,1,1,,
"J7190","Factor viii","Kedrion BioPharma, Inc.","76125067250","76125-0672-50","KOATE-DVI","1 IU",1,1,1,1,,
"J7190","Factor viii","Kedrion BioPharma, Inc.","76125067650","76125-0676-50","Koate-DVI","1 IU",1,1,1,1,,
"J1561","Gamunex-c/gammaked","Kedrion BioPharma, Inc.","76125090001","76125-0900-01","GAMMAKED","500 MG",10,1,2,2,,
"J1561","Gamunex-c/gammaked","Kedrion BioPharma, Inc.","76125090010","76125-0900-10","GAMMAKED","500 MG",100,1,20,20,,
"J1561","Gamunex-c/gammaked","Kedrion BioPharma, Inc.","76125090020","76125-0900-20","GAMMAKED","500 MG",200,1,40,40,,
"J1561","Gamunex-C/Gammaked","Kedrion BioPharma, Inc.","76125090025","76125-0900-25","GAMMAKED","500 MG",25,1,5,5,,
"J1561","Gamunex-c/gammaked","Kedrion BioPharma, Inc.","76125090050","76125-0900-50","GAMMAKED","500 MG",50,1,10,10,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICAL LLC","76204000224","76204-0002-24","LEVALBUTEROL","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICAL LLC","76204000324","76204-0003-24","LEVALBUTEROL","0.5 MG",3,24,2.5,60,,
"J7644","Ipratropium bromide non-comp","RITEDOSE PHARMACEUTICAL LLC","76204010001","76204-0100-01","Ipratropium Bromide","1 MG",2.5,30,0.5,15,,
"J7644","Ipratropium bromide non-comp","RITEDOSE PHARMACEUTICAL LLC","76204010025","76204-0100-25","Ipratropium Bromide","1 MG",2.5,25,0.5,12.5,,
"J7644","Ipratropium bromide non-comp","RITEDOSE PHARMACEUTICAL LLC","76204010030","76204-0100-30","Ipratropium Bromide","1 MG",2.5,30,0.5,15,,
"J7644","Ipratropium bromide non-comp","RITEDOSE PHARMACEUTICAL LLC","76204010060","76204-0100-60","Ipratropium Bromide","1 MG",2.5,60,0.5,30,,
"J7613","Albuterol non-comp unit","RITEDOSE PHARMACEUTICAL LLC","76204020001","76204-0200-01","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit","RITEDOSE PHARMACEUTICAL LLC","76204020025","76204-0200-25","Albuterol Sulfate","1 MG",3,25,2.5,62.5,,
"J7613","Albuterol non-comp unit","RITEDOSE PHARMACEUTICAL LLC","76204020030","76204-0200-30","Albuterol Sulfate","1 MG",3,30,2.5,75,,
"J7613","Albuterol non-comp unit","RITEDOSE PHARMACEUTICAL LLC","76204020060","76204-0200-60","Albuterol Sulfate","1 MG",3,60,2.5,150,,
"J7620","Albuterol ipratrop non-comp","RITEDOSE PHARMACEUTICAL LLC","76204060001","76204-0600-01","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","RITEDOSE PHARMACEUTICAL LLC","76204060005","76204-0600-05","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","RITEDOSE PHARMACEUTICAL LLC","76204060012","76204-0600-12","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60,,
"J7620","Albuterol ipratrop non-comp","RITEDOSE PHARMACEUTICAL LLC","76204060030","76204-0600-30","Albuterol ipratropium","2.5 MG/0.5 MG",3,30,1,30,,
"J7620","Albuterol ipratrop non-comp","RITEDOSE PHARMACEUTICAL LLC","76204060060","76204-0600-60","Albuterol ipratropium","2.5 MG/0.5 MG",3,60,1,60,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICALS, LLC","76204070001","76204-0700-01","LEVALBUTEROL","0.5 MG",3,30,0.62,18.6,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICALS","76204070025","76204-0700-25","LEVALBUTEROL","0.5 MG",3,25,0.62,15.5,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICALS, LLC","76204080001","76204-0800-01","LEVALBUTEROL","0.5 MG",3,30,1.25,37.5,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICAL LLC","76204080024","76204-0800-24","LEVALBUTEROL","0.5 MG",3,24,1.25,30,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICALS","76204080025","76204-0800-25","LEVALBUTEROL","0.5 MG",3,25,1.25,31.25,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICALS, LLC","76204090001","76204-0900-01","LEVALBUTEROL","0.5 MG",3,30,2.5,75,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICAL LLC","76204090024","76204-0900-24","LEVALBUTEROL","0.5 MG",3,24,2.5,60,,
"J7614","Levalbuterol non-comp unit","RITEDOSE PHARMACEUTICALS","76204090025","76204-0900-25","LEVALBUTEROL","0.5 MG",3,25,2.5,62.5,,
"J1455","Foscarnet sodium injection","HOSPIRA, INC (import)","76310000125","76310-0001-25","FOSCARNET SODIUM","1000 MG",250,10,6,60,,
"J8510","Oral busulfan","Aspen","76388071325","76388-0713-25","Myleran","2 MG",1,25,1,25,,
"J2515","Pentobarbital sodium inj","Oak","76478050120","76478-0501-20","Nembutal","50 MG",20,1,20,20,,
"J2515","Pentobarbital sodium inj","Oak","76478050150","76478-0501-50","Nembutal","50 MG",50,1,50,50,,
"J0515","Inj benztropine mesylate","Oak","76478061102","76478-0611-02","COGENTIN","1 MG",2,5,2,10,,
"J1205","Chlorothiazide sodium inj","Oak","76478071140","76478-0711-40","Diuril IV","500 MG",1,1,1,1,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860024","8121-860024","Maxforce Thick","1 SQ CM",1,1,8,8,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860047","8121-860047","Maxforce Thick","1 SQ CM",1,1,28,28,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860055","8121-860055","Maxforce Thick","1 SQ CM",1,1,25,25,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860204","8121-860204","Handjacket Scaffold Thin","1 SQ CM",1,1,8,8,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","81218604004","81218-6040-04","Ulcerjacket Scaffold",,1,1,16,16,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","8121860404","8121860404","Ulcerjacket Scaffold",,1,1,16,16,,"1 SQ CM"
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860404","8121-860404","Ulcerjacket Scaffold","1 SQ CM",1,1,16,16,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860407","8121-860407","Ultra Maxforce","1 SQ CM",1,1,28,28,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860408","8121-860408","Ulcerjacket Scaffold","1 SQ CM",1,1,32,32,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860505","8121-860505","Graftjacket Std","1 SQ CM",1,1,25,25,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860510","8121-860510","Graftjacket Std","1 SQ CM",1,1,50,50,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","8121860530","8121-860530","Graftjacket Small Ligament Repair Matrix","1 SQ CM",1,1,1.5,1.5,,
"J7340","Metabolic active D/E tissue","Advanced BioHealing Inc","81720000101","81720-0001-01","Transcyte","1 SQ CM",2,1,494,494,,
"J7344","Nonmetabolic active tissue","SMITH & NEPHEW","81720000101","81720-0001-01","Transcyte",,1,1,10,10,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","SMITH & NEPHEW","81720001010","81720-0010-10",,,,1,27,27,,"1 SQ CM"
"Q4113","Graftjacket express allograf","Wright Medical Technology, Inc.","8181860200","8181-860200","GRAFTJACKET® FLOWABLE SOFT 2CC","1 CC",1,1,2,2,,
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","84784004002","84784-0040-02","Integra - Bmwd",,1,1,25,25,,"1 SQ CM"
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","84784004005","84784-0040-05","Integra - Bmwd",,1,1,125,125,,"1 SQ CM"
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","84784004006","84784-0040-06","Integra - Bmwd",,1,1,250,250,,"1 SQ CM"
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","84784004008","84784-0040-08","Integra - Bmwd",,1,1,500,500,,"1 SQ CM"
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","84788004005","84788-0040-05","Integra - Drt",,1,1,125,125,,"1 SQ CM"
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","84788004006","84788-0040-06","Integra - Drt",,1,1,250,250,,"1 SQ CM"
"J7343","Nonmetabolic act d/e tissue","INTEGRA LIFESCIENCES","84788004008","84788-0040-08","Integra - Drt",,1,1,500,500,,"1 SQ CM"
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601002","8533601002","SurgiMend, Thick","0.5 SQ CM",30,1,60,60,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601004","8533601004","SurgiMend, Thick","0.5 SQ CM",72,1,144,144,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601005","8533601005","SurgiMend, Thick","0.5 SQ CM",100,1,200,200,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601006","8533601006","SurgiMend, Thick","0.5 SQ CM",150,1,300,300,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601007","8533601007","SurgiMend, Thick","0.5 SQ CM",200,1,400,400,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601008","8533601008","SurgiMend, Thick","0.5 SQ CM",320,1,640,640,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601009","8533601009","SurgiMend, Thick","0.5 SQ CM",325,1,650,650,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601010","8533601010","SurgiMend, Thick","0.5 SQ CM",64,1,128,128,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601012","8533601012","SurgiMend, Thick","0.5 SQ CM",9,1,18,18,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601013","8533601013","SurgiMend,Thick","0.5 SQ CM",28,1,56,56,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601014","8533601014","SurgiMend, Thick","0.5 SQ CM",48,1,96,96,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601015","8533601015","SurgiMend, Thick","0.5 SQ CM",96,1,192,192,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601016","8533601016","SurgiMend, Thick","0.5 SQ CM",1000,1,2000,2000,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533601018","8533601018","SurgiMend","0.5 SQ CM",128,1,256,256,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533602002","8533602002","SurgiMend, Thin","0.5 SQ CM",28,1,56,2,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533602003","8533602003","SurgiMend, Thin","0.5 SQ CM",30,1,60,2,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533602005","8533602005","SurgiMend, Thin","0.5 SQ CM",9,1,18,2,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533603001","8533603001","SurgiMend, Strip","0.5 SQ CM",7.5,1,15,15,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533603002","8533603002","SurgiMend, Strip","0.5 SQ CM",15,1,30,30,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533603003","8533603003","SurgiMend, Strip","0.5 SQ CM",25,1,50,50,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533604100","8533604100","SurgiMend PRS","0.5 SQ CM",150,1,300,300,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533604101","8533604101","SurgiMend PRS","0.5 SQ CM",119,1,238,238,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533604102","8533604102","SurgiMend PRS","0.5 SQ CM",200,1,400,400,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533604103","8533604103","SurgiMend ","0.5 SQ CM",128,1,256,256,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533605001","8533605001","SurgiMend, Inguinal, Fenestrated Oval","0.5 SQ CM",96,1,192,2,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533605002","8533605002","SurgiMend, Inguinal, Fenestrated Oval","0.5 SQ CM",150,1,300,2,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533605003","8533605003","SurgiMend, Inguinal, Rectangle","0.5 SQ CM",96,1,192,2,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533605004","8533605004","SurgiMend, Inguinal, Rectangle","0.5 SQ CM",150,1,300,2,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336070009","85336-0700-09","PriMatrix","1 SQ CM",0.53,3,0.53,1.59,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533607009","8533607009","PriMatrix","1 SQ CM",15.9,3,5.3,15.9,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336071112","85336-0711-12","PriMatrix","1 SQ CM",120,1,120,120,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533607112","8533607112","PriMatrix","1 SQ CM",120,1,120,120,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336071225","85336-0712-25","PriMatrix","1 SQ CM",250,1,250,250,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533607125","8533607125","PriMatrix","1 SQ CM",250,1,250,250,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336072225","85336-0722-25","PriMatrix","1 SQ CM",500,1,500,500,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533607225","8533607225","PriMatrix","1 SQ CM",500,1,500,500,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533607440","8533607440","PriMatrix","1 SQ CM",16,1,16,16,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336074440","85336-0744-40","PriMatrix ","1 SQ CM",16,1,16,16,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533607660","8533607660","PriMatrix","1 SQ CM",36,1,36,36,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336076660","85336-0766-60","PriMatrix ","1 SQ CM",36,1,36,36,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336078112","85336-0781-12","PriMatrix","1 SQ CM",96,1,96,96,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533607812","8533607812","PriMatrix","1 SQ CM",96,1,96,96,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533607880","8533607880","PriMatrix","1 SQ CM",64,1,64,64,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336078880","85336-0788-80","PriMatrix","1 SQ CM",64,1,64,64,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533620004","8533620004","Neonatal SurgiMend, 6x12 cm x 2.0 mm; 1 each","0.5 sqcm",72,1,144,144,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533620006","8533620006","Neonatal SurgiMend, 10x15 cm x 2.0 mm; 1 each","0.5 sqcm",150,1,300,300,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533620008","8533620008","SurgiMend","0.5 SQ CM",320,1,640,640,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533620009","8533620009","Neonatal SurgiMend, 13x25 cm x 2.0 mm; 1 each","0.5 sqcm",325,1,650,650,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533620016","8533620016","Neonatal SurgiMend, 25x40 cm x 2.0 mm; 1 each","0.5 sqcm",1000,1,2000,2000,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533620017","8533620017","Neonatal SurgiMend, 20x30 cm x 2.0 mm; 1 each","0.5 sqcm",600,1,1200,1200,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533620019","8533620019","SurgiMend ","0.5 SQ CM",400,1,800,800,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533620020","8533620020","SurgiMend ","0.5 SQ CM",500,1,1000,1000,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533630002","8533630002","SurgiMend ","0.5 SQ CM",30,1,60,60,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533630004","8533630004","Neonatal SurgiMend, 6x12 cm x 3.0 mm; 1 each","0.5 sqcm",72,1,144,144,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533630006","8533630006","Neonatal SurgiMend, 10x15 cm x 3.0 mm; 1 each","0.5 sqcm",150,1,300,300,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533630008","8533630008","SurgiMend ","0.5 SQ CM",320,1,640,640,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533630009","8533630009","Neonatal SurgiMend, 13x25 cm x 3.0 mm; 1 each","0.5 sqcm",325,1,650,650,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533630016","8533630016","Neonatal SurgiMend, 25x40 cm x 3.0 mm; 1 each","0.5 sqcm",1000,1,2000,2000,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533630017","8533630017","Neonatal SurgiMend, 20x30 cm x 3.0 mm; 1 each","0.5 sqcm",600,1,1200,1200,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533630019","8533630019","SurgiMend ","0.5 SQ CM",400,1,800,2,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533630020","8533630020","SurgiMend ","0.5 SQ CM",500,1,1000,1000,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533640002","8533640002","SurgiMend ","0.5 SQ CM",30,1,60,60,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533640004","8533640004","Neonatal SurgiMend, 6x12 cm x 4.0 mm; 1 each","0.5 sqcm",72,1,144,144,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533640006","8533640006","Neonatal SurgiMend, 10x15 cm x 4.0 mm; 1 each","0.5 sqcm",150,1,300,300,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533640009","8533640009","Neonatal SurgiMend, 13x25 cm x 4.0 mm; 1 each","0.5 sqcm",325,1,650,650,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533640016","8533640016","Neonatal SurgiMend, 25x40 cm x 4.0 mm; 1 each","0.5 sqcm",1000,1,2000,2000,,
"C9360","SurgiMend, neonatal","TEI Biosciences Inc.","8533640017","8533640017","Neonatal SurgiMend, 20x30 cm x 4.0 mm; 1 each","0.5 sqcm",600,1,1200,1200,,
"C9358","SurgiMend, fetal","TEI Biosciences Inc.","8533643001","8533643001","SurgiMend, ","0.5 SQ CM",10,1,20,20,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533674440","8533674440","PriMatrix","1 SQ CM",16,1,16,16,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336744440","85336-7444-40","PriMatrix ","1 SQ CM",16,1,16,16,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533674660","8533674660","PriMatrix","1 SQ CM",36,1,36,36,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336746660","85336-7466-60","PriMatrix","1 SQ CM",36,1,36,36,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533674880","8533674880","PriMatrix","1 SQ CM",64,1,64,64,,
"Q4110","Primatrix skin sub","TEI BIOSCIENCES INC.","85336748880","85336-7488-80","PriMatrix","1 SQ CM",64,1,64,64,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533675440","8533675440","PriMatrix 4 x 4 cm, Meshed; 1 each","1 SQ CM",16,1,16,16,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533675660","8533675660","PriMatrix 6 x 6 cm, Meshed; 1 each","1 SQ CM",36,1,36,36,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533675880","8533675880","PriMatrix 8 x 8 cm, Meshed; 1 each","1 SQ CM",64,1,64,64,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533711125","8533711125","PriMatrix","1 SQ CM",250,1,250,250,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533711225","8533711225","PriMatrix","1 SQ CM",500,1,500,500,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533711440","8533711440","PriMatrix","1 SQ CM",16,1,16,16,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533711660","8533711660","PriMatrix","1 SQ CM",36,1,36,36,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533711880","8533711880","PriMatrix","1 SQ CM",64,1,64,64,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533714440","8533714440","PriMatrix","1 SQ CM",16,1,16,16,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533714660","8533714660","PriMatrix","1 SQ CM",36,1,36,36,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533714880","8533714880","PriMatrix","1 SQ CM",64,1,64,64,,
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8533715440","8533715440","PriMatrix","1 SQ CM",16,1,16,16,,
"J7342","Metabolically active tissue","ADVANCED BIOHEALING, INC.","85410000101","85410-0001-01","Dermagraft","1 SQ CM",1,1,1,1,,
"Q4106","Dermagraft skin sub","Advanced BioHealing, a Shire Company","85410000101","85410-0001-01","Dermagraft","1 SQ CM",1,1,37.5,37.5,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003018","855310003018","EpiFix Amniotic Membrane Allograft","1 sq cm",6,1,6,6,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003025","855310003025","EpiFix Amniotic Membrane Allograft","1 sq cm",16,1,16,16,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003032","855310003032","EpiFix Amniotic Membrane Allograft","1 sq cm",49,1,49,49,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003087","855310003087","EpiFix Amniotic Membrane Allograft","1 sq cm",2,1,1.54,1.54,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003124","855310003124","EpiFix Amniotic Membrane Allograft","1 sq cm",6,1,30,30,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003391","855310003391","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,4.5,4.5,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003414","855310003414","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,2.5,2.5,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003421","855310003421","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,4,4,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003438","855310003438","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,8,8,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003445","855310003445","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,9,9,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003452","855310003452","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,12,12,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003469","855310003469","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,15,15,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003476","855310003476","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,24,24,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003483","855310003483","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,8,8,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003490","855310003490","EpiFix Amniotic Membrane Allograft","1 SQ CM",1,1,12,12,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003766","855310003766","EpiFix Amniotic Membrane Allograft","1 SQ CM",4,1,4,4,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003797","855310003797","EpiCord ","1 SQ CM",6,1,6,6,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003803","855310003803","EpiCord ","1 SQ CM",15,1,15,15,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003858","855310003858","EpiFix Amniotic Membrane Allograft","1 sq cm",9.5,1,9.5,9.5,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003865","855310003865","EpiFix Amniotic Membrane Allograft","1 sq cm",16.9,1,16.9,16.9,,
"Q4131","Epifix or epicord","MiMedx Group, Inc.","855310003872","855310003872","EpiFix","1 SQ CM",10.1,1,10.1,10.1,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","856005X1010","85600-5X10-10","Graftjacket Std",,1,1,50,50,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86000530","86000530","Graftjacket Small Ligament Repair Matrix",,1,1,1.5,1.5,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86000530000","86000-5300-00","Graftjacket Small Ligament Repair Matrix",,1,1,1.5,1.5,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86002X04","86002X04","Handjacket Scaffold Thin",,1,1,8,8,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86002X0404","86002-X04-04","Handjacket Scaffold Thin",,1,1,8,8,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86004X07","86004X07","Maxforce Thick",,1,1,28,28,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86004X0707","86004-X07-07","Maxforce Thick",,1,1,28,28,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86005X05","86005X05","Graftjacket Std",,1,1,25,25,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86005X0505","86005-X05-05","Graftjacket Std",,1,1,25,25,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86005X10","86005X10","Graftjacket Std",,1,1,50,50,,"1 SQ CM"
"Q4110","Primatrix skin sub","TEI Biosciences Inc.","8633675812","8633675812","PriMatrix 8 x 12 cm, Meshed; 1 each","1 SQ CM",96,1,96,96,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86MX1X12","86MX1X12","GRAFTJACKET MAXSTRIP","1 SQ CM",1,1,12,12,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","86MX1X12","86MX1X12","GRAFTJACKET MAXSTRIP","1 SQ CM",1,1,12,12,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86MX2X04","86MX2X04","Maxforce Thick",,1,1,8,8,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86MX5X05","86MX5X05","Maxforce Thick",,1,1,25,25,,"1 SQ CM"
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86ST4X07","86ST4X07","Graftjacket Std","1 SQ CM",1,1,28,28,,
"Q4107","Graftjacket skin sub","Wright Medical Technology, Inc.","86ST4X07","86ST4X07","Graftjacket Std","1 SQ CM",1,1,28,28,,
"J7344","Nonmetabolic active tissue","WRIGHT MEDICAL TECHNOLOGY","86UM4X07","86UM4X07","Ultra Maxforce",,1,1,28,28,,"1 SQ CM"
"J7326","Gel-one","Zimmer Biomet, Inc. (supplied by Seikagaku Corp.)","87541030091","87541-0300-91","Gel-One","PER DOSE",3,1,1,1,,
"J7321","Hyalgan supartz visco-3 dose","Zimmer US, Inc.","87541030131","87541-0301-31","VISCO-3","per dose",2.5,3,1,3,,
"C9471","Hymovis, 1 mg","Fidia Pharma USA Inc","89122049663","89122-0496-63","Hymovis ","1 mg",3,2,24,48,,
"J7321","Hyalgan supartz visco-3 dose","Fidia Pharma USA Inc","89122072412","89122-0724-12","Hyalgan","per dose",2,1,1,1,,
"J7321","Hyalgan supartz visco-3 dose","Fidia Pharma USA Inc","89122072420","89122-0724-20","Hyalgan","per dose",2,1,1,1,,
"J7321","Hyalgan supartz visco-3 dose","Bioventus LLC","89130555501","89130-5555-01","Supartz","per dose",2.5,1,1,1,,
"Q4116","Alloderm","LifeCell Corporation","982001","982001","AlloDerm","1 SQ CM",1,1,1,1,,
"Q4116","Alloderm","LifeCell Corporation","982003","982003","AlloDerm","1 SQ CM",2,1,2,2,,
"Q4116","Alloderm","LifeCell Corporation","982007","982007","AlloDerm","1 SQ CM",4,1,4,4,,
"Q4116","Alloderm","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","LifeCell Corporation","982016","982016","AlloDerm","1 SQ CM",1,1,160,160,,
"Q4116","Alloderm","LifeCell Corporation","982021","982021","AlloDerm","1 SQ CM",21,1,21,21,,
"Q4116","Alloderm","LifeCell Corporation","982024","982024","AlloDerm","1 SQ CM",1,1,24,24,,
"Q4116","Alloderm","LifeCell Corporation","982028","982028","AlloDerm","1 SQ CM",28,1,28,28,,
"Q4116","Alloderm","LifeCell Corporation","982048","982048","AlloDerm","1 SQ CM",1,1,48,48,,
"Q4116","Alloderm","LifeCell Corporation","982060","982060","AlloDerm","1 SQ CM",50,1,50,50,,
"Q4116","Alloderm","LifeCell Corporation","982070","982070","AlloDerm","1 SQ CM",72,1,72,72,,
"Q4116","Alloderm","LifeCell Corporation","982080","982080","AlloDerm","1 SQ CM",64,1,64,64,,
"Q4116","Alloderm","LifeCell Corporation","982096","982096","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","982108","982108","AlloDerm","1 SQ CM",108,1,108,108,,
"Q4116","Alloderm","LifeCell Corporation","982128","982128","AlloDerm","1 SQ CM",128,1,128,128,,
"Q4116","Alloderm","LifeCell Corporation","982144","982144","AlloDerm","1 SQ CM",144,1,144,144,,
"Q4116","Alloderm","LifeCell Corporation","982196","982196","AlloDerm","1 SQ CM",96,1,96,96,,
"Q4116","Alloderm","LifeCell Corporation","982320","982320","AlloDerm","1 SQ CM",320,1,320,320,,
"Q4116","Alloderm","LifeCell Corporation","992003","992003","AlloDerm","1 SQ CM",1,1,2,2,,
"Q4116","Alloderm","LifeCell Corporation","992007","992007","AlloDerm","1 SQ CM",1,1,4,4,,
"J0600","Edetate calcium disodium inj","Medicis Pharmaceuticals, Inc.","99207024005","99207-0240-05","Calcium Disodium Versenate","1000 MG",5,5,1,5,,
"J0586","Abobotulinumtoxina","Medicis Pharmaceuticals, Inc.","99207050030","99207-0500-30","Dysport","5 Unit",1,1,60,60,,
"Q4116","Alloderm","LifeCell Corporation","992128","992128","AlloDerm","1 SQ CM",1,1,128,128,,
"Q4116","Alloderm","LifeCell Corporation","992196","992196","AlloDerm","1 SQ CM",1,1,96,96,,
"Q4107","Graftjacket","Kinetic Concepts Incorporated ","9978251644","9978251644","Graftjacket Std","1 SQ CM",1,1,16,16,,
"Q4107","Graftjacket","Kinetic Concepts Incorporated ","9978253248","9978253248","Graftjacket Std","1 SQ CM",1,1,32,32,,
"Q4113","Graftjacket xpress","Kinetic Concepts Incorporated ","9979300202","9979300202","GraftJacket Xpress","1 CC",1,1,2,2,,
"Q4116","Alloderm","LifeCell Corporation","CL1516","CL1516","AlloDerm","1 SQ CM",1,1,164,164,,
"Q4116","Alloderm","LifeCell Corporation","CL1516P","CL1516P","AlloDerm","1 SQ CM",164,1,164,164,,
"Q4116","Alloderm","LifeCell Corporation","CL1518","CL1518","AlloDerm","1 SQ CM",164,1,164,164,,
"Q4116","Alloderm","LifeCell Corporation","CL1518P","CL1518P","AlloDerm","1 SQ CM",164,1,164,164,,
"Q4116","Alloderm","LifeCell Corporation","CL1519","CL1519","AlloDerm","1 SQ CM",164,1,164,164,,
"Q4116","Alloderm","LifeCell Corporation","CL1520","CL1520","AlloDerm","1 SQ CM",1,1,164,164,,
"Q4116","Alloderm","LifeCell Corporation","CL1520P","CL1520P","AlloDerm","1 SQ CM",1,1,164,164,,
"Q4116","Alloderm","LifeCell Corporation","CM1516","CM1516","AlloDerm","1 SQ CM",1,1,132,132,,
"Q4116","Alloderm","LifeCell Corporation","CM1516P","CM1516P","AlloDerm","1 SQ CM",132,1,132,132,,
"Q4116","Alloderm","LifeCell Corporation","CM1518","CM1518","AlloDerm","1 SQ CM",132,1,132,132,,
"Q4116","Alloderm","LifeCell Corporation","CM1518P","CM1518P","AlloDerm","1 SQ CM",132,1,132,132,,
"Q4116","Alloderm","LifeCell Corporation","CM1519","CM1519","AlloDerm","1 SQ CM",132,1,132,132,,
"Q4116","Alloderm","LifeCell Corporation","CM1519P","CM1519P","AlloDerm","1 SQ CM",132,1,132,132,,
"Q4116","Alloderm","LifeCell Corporation","CM1520","CM1520","AlloDerm","1 SQ CM",1,1,132,132,,
"Q4116","Alloderm","LifeCell Corporation","CM1520P","CM1520P","AlloDerm","1 SQ CM",1,1,132,132,,
"Q4116","Alloderm","LifeCell Corporation","CS1516","CS1516","AlloDerm","1 SQ CM",1,1,77,77,,
"Q4116","Alloderm","LifeCell Corporation","CS1516P","CS1516P","AlloDerm","1 SQ CM",77,1,77,77,,
"Q4116","Alloderm","LifeCell Corporation","CS1518","CS1518","AlloDerm","1 SQ CM",77,1,77,77,,
"Q4116","Alloderm","LifeCell Corporation","CS1518P","CS1518P","AlloDerm","1 SQ CM",77,1,77,77,,
"Q4116","Alloderm","LifeCell Corporation","CS1519","CS1519","AlloDerm Select Contour","1 SQ CM",77,1,77,77,,
"Q4116","Alloderm","LifeCell Corporation","CS1519P","CS1519P","AlloDerm","1 SQ CM",77,1,77,77,,
"Q4116","Alloderm","LifeCell Corporation","CS1520","CS1520","AlloDerm","1 SQ CM",1,1,77,77,,
"Q4116","Alloderm","LifeCell Corporation","CS1520P","CS1520P","AlloDerm","1 SQ CM",1,1,77,77,,
"Q4111","Gammagraft","Promethean LifeSciences, Inc.","GG 100","GG 100","GammaGraft","1 SQ CM",2.25,1,2.25,2.25,,
"Q4111","Gammagraft","Promethean LifeSciences, Inc.","GG 225","GG 225","GammaGraft","1 SQ CM",7.5,1,7.5,7.5,,
"Q4111","Gammagraft","Promethean LifeSciences, Inc.","GG 400","GG 400","GammaGraft","1 SQ CM",18,1,18,18,,
"Q4111","Gammagraft","Promethean LifeSciences, Inc.","GG 625","GG 625","GammaGraft","1 SQ CM",56,1,56,56,,
"Q4111","Gammagraft","Promethean LifeSciences, Inc.","GG100","GG100","GammaGraft","1 SQ CM",2.25,1,2.25,2.25,,
"Q4111","Gammagraft","Promethean LifeSciences, Inc.","GG225","GG225","GammaGraft","1 SQ CM",7.5,1,7.5,7.5,,
"Q4111","Gammagraft","Promethean LifeSciences, Inc.","GG400","GG400","GammaGraft","1 SQ CM",18,1,18,18,,
"Q4111","Gammagraft","Promethean LifeSciences, Inc.","GG625","GG625","GammaGraft","1 SQ CM",56,1,56,56,,
"J7326","Gel-one","Zimmer Biomet, Inc. (supplied by Seikagaku Corp.)","H13100111100100","H13100111100100","Gel-One","PER DOSE",3,1,1,1,,
"Q4133","Grafix prime grafix pl prime","Osiris Therapeutics","PS01014","PS01014","Grafix prime","1 SQ CM",1,1,1.54,1.54,,
"Q4133","Grafix prime grafix pl prime","Osiris Therapeutics","PS02014","PS02014","Grafix prime","1 SQ CM",1,1,1.54,1.54,,
"Q4133","Grafix prime grafix pl prime","Osiris Therapeutics","PS11015","PS11015","Grafix prime","1 SQ CM",1,1,3,3,,
"Q4133","Grafix prime grafix pl prime","Osiris Therapeutics","PS11023","PS11023","Grafix prime","1 SQ CM",1,1,6,6,,
"Q4133","Grafix prime grafix pl prime","Osiris Therapeutics","PS11034","PS11034","Grafix prime","1 SQ CM",1,1,12,12,,
"Q4133","Grafix prime","Osiris Therapeutics","PS11044","PS11044","Grafix prime","1 SQ CM",1,1,16,16,,
"Q4133","Grafix prime grafix pl prime","Osiris Therapeutics","PS11055","PS11055","Grafix prime","1 SQ CM",1,1,25,25,,
"Q4132","Grafix core, grafixpl core","Osiris Therapeutics","PS12015","PS12015","Grafix core","1 SQ CM",1,1,3,3,,
"Q4132","Grafix core, grafixpl core","Osiris Therapeutics","PS12023","PS12023","Grafix core","1 SQ CM",1,1,6,6,,
"Q4132","Grafix core, grafixpl core","Osiris Therapeutics","PS12034","PS12034","Grafix core","1 SQ CM",1,1,12,12,,
"Q4132","Grafix core","Osiris Therapeutics","PS12044","PS12044","Grafix core","1 SQ CM",1,1,16,16,,
"Q4132","Grafix core, grafixpl core","Osiris Therapeutics","PS12055","PS12055","Grafix core","1 SQ CM",1,1,25,25,,
"C9369","Grafix prime","Osiris Therapeutics","PS21022","PS21022","Grafix prime","1 SQ CM",1,1,4,4,,
"Q4133","Grafix prime","Osiris Therapeutics","PS21022","PS21022","Grafix prime","1 SQ CM",1,1,4,4,,
"C9369","Grafix prime","Osiris Therapeutics","PS21055","PS21055","Grafix prime","1 SQ CM",1,1,25,25,,
"Q4133","Grafix prime","Osiris Therapeutics","PS21055","PS21055","Grafix prime","1 SQ CM",1,1,25,25,,
"C9369","Grafix prime","Osiris Therapeutics","PS21075","PS21075","Grafix prime","1 SQ CM",1,1,112.5,112.5,,
"C9368","Grafix core","Osiris Therapeutics","PS22022","PS22022","Grafix core","1 SQ CM",1,1,4,4,,
"Q4132","Grafix core, grafixpl core","Osiris Therapeutics","PS22022","PS22022","Grafix core","1 SQ CM",1,1,4,4,,
"C9368","Grafix core","Osiris Therapeutics","PS22055","PS22055","Grafix core","1 SQ CM",1,1,25,25,,
"Q4132","Grafix core, grafixpl core","Osiris Therapeutics","PS22055","PS22055","Grafix core","1 SQ CM",1,1,25,25,,
