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CPT/HCPCSDescriptionQuantityunitpriceCDMBill Item ID
0ABH Cream 1 EA Cream1mL24.95250430222554081
0acetaminophen 120 mg Supp1supp4.525073923454187
0acetaminophen 160 mg/5 mL Liq1mL4.5250338522754934
0acetaminophen 160 mg/5 mL Sus1mL4.5250635422630331
0acetaminophen 325 mg Tab UD1tab(s)4.525016323778319
0acetaminophen 500 mg Tab1tab(s)4.525023833778320
0acetaminophen 650 mg Supp1supp4.525067983454188
0acetaminophen-codeine 120 mg-12 mg/5 mL Oral Liq 10 mL10mL4.525081433454189
0acetaminophen-codeine 300 mg-30 mg Tab1tab(s)4.5250590922961956
0acetaminophen-hydrocodone 325 mg-10 mg Tab1tab(s)5.5250522222975253
0acetaminophen-hydrocodone 325 mg-5 mg Tab1tab(s)4.5250904823364770
0acetaminophen-hydrocodone 325 mg-7.5 mg Tab1tab(s)4.5250316122975252
0acetaminophen-hydrocodone 325 mg-7.5 mg/15 mL Sol1mL4.5250484623562943
0acetaminophen-HYDROcodone 5mg-325m6EA20.5250127023146588
0acetaminophen-oxycodone 325 mg-10 mg Tab1tab(s)17.75250320823010650
0acetaminophen-oxycodone 325 mg-5 mg Tab1tab(s)6.84250271723540441
0acetaminophen-oxyCODONE 325 mg-10 mg Tab THP6EA45.725042615264984
0acetaminophen-oxyCODONE 325 mg-7.5 mg Tab1tab(s)13.58250245722577194
0acetaZOLAMIDE 250 mg Tab1tab(s)14.4225022384574190
0acetaZOLAMIDE 500 mg ER1cap(s)21.45250977923175091
J1120acetaZOLAMIDE 500 mg REC1vial(s)199.225059934574201
J7608acetylcysteine 10% Sol 10 mL10mL29.3425022714572181
0acetylcysteine 20% Sol 30mL1mL4.525031197856640
J0133acyclovir 50 mg/mL Sol1mL10.5250985323189135
0acyclovir 400 mg Tab1tab(s)10.84250581722512350
0acyclovir 50 mg/mL IV Sol10mL90.2425099443454202
J0153adenosine 3 mg/mL Sol2mL52.56250827023094693
0Al hydroxide/Mg hydroxide/simethicone1mL4.525031343755592
P9047albumin human 25% Sol50mL315250542523147806
P9045albumin human 5% Sol500mL349.95250881322460056
J7613albuterol 0.083% Inh Sol 3 mL3vial(s)11.0525082143454204
J7613albuterol 1.25 mg/3 mL (0.042%) Sol UD3vial(s)13.325038853778309
0albuterol 1 EA1EA5250989923168534
0albuterol 5 mg/mL Sol 20mL1inh1525011627856639
0albuterol CFC free 90 mcg/inh Inh Aer w/Adapt8puff(s)93.1325047453454206
0albuterol-ipratropium 103 mcg-18 mcg/inh Aer14.7inh485.725046363778280
J7620albuterol-ipratropium 2.5 mg-0.5 mg/3 mL Sol3mL15.94250808822014398
0allopurinol 100 mg Tab1tab(s)4.5250426911201370
0allopurinol 300 mg Tab1tab(s)4.62250684423235541
0ALPRAZolam 0.25 mg Tab1tab(s)4.5250764623094768
0ALPRAZolam 0.5 mg Tab1tab(s)4.5250171523371060
0ALPRAZolam 1 mg Tab19.78250779122067486
J2997alteplase 100 mg REC1mL11650.9725025376025472
0amantadine 100 mg Tab18.92250187322116960
J0278amikacin 250 mg/mL Sol1mL20.31250572514736045
0amiodarone 200 mg Tab1tab(s)4.525060943454208
J0282amiodarone 50 mg/mL Sol9mL24.95250751922922081
0amitriptyline 10 mg Tab1tab(s)4.525029894574192
0amitriptyline 25 mg Tab1tab(s)4.525073503454210
0amitriptyline 50 mg Tab1tab(s)4.525018663454211
0amLODIPine 5 mg Tab1tab(s)8.21250896223219594
0amLODIPine 10 mg Tab UD1tab(s)4.525080165264995
0amLODIPine 2.5 mg Tab1tab(s)4.5250430722441813
0amoxicillin 250 mg/5 mL REC1mL4.5250394022149643
0amoxicillin 400 mg/5 mL REC75mL33.08250182322709077
0amoxicillin 500 mg Cap1cap(s)4.525031724584179
0amoxicillin 875 mg Tab1tab(s)4.5250562123547239
0amoxicillin 875 mg Tab THP2EA4.525053875254996
0amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 50 mL50mL140.625027293454216
0amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 50 mL THP50EA143.125060913454217
0amoxicillin-clavulanate 500 mg-125 mg Tab1tab(s)18.92250549622577206
0amoxicillin-clavulanate 600 mg-42.9 mg/5 mL REC75mL153250756123127340
0amoxicillin-clavulanate 875 mg-125 mg Tab1tab(s)10.1325048703454219
0amoxicillin-clavulanate 875 mg-125 mg Tab THP1EA4.525026175254997
J0285amphotericin B 50 mg REC1182.4250113222720423
J0290ampicillin 1 g REC1vial(s)36.92250437623028347
J0290ampicillin 2 g REC1vial(s)63.66250583023027743
J0290ampicillin 250 mg Inj1vial(s)13.525041193454222
J0290ampicillin 500 mg REC1vial(s)20.93250476723413495
J0295ampicillin-sulbactam 1 g-0.5 g REC136.63250722723278726
J0295ampicillin-sulbactam 2 g-1 g REC1EA44.95250877623321201
0antipyrine-benzocaine otic 54 mg-14 mg/mL Sol15drop(s)51.625072617632609
J0840antivenin (Crotalidae) polyvalent Inj Sol1vial(s)2910.2425087873454224
0APAP/butalbital/caffeine 325 mg-50 mg-40 mg Tab1tab(s)8.0225044793454225
0apixaban 5 mg Tab1tab(s)34.95250870323059417
0apraclonidine ophthalmic 0.5% Sol5drop(s)303.725061383778268
0apraclonidine ophthalmic 1% Sol UD1drop(s)112.8125068893778269
J7605arformoterol 15 mcg / 2 m1mL44.9525056689513368
0arginine 500 mg Tab1tab(s)4.525025305288978
0ARIPiprazole 5 mg Tab1tab(s)128.44250389123083730
0ascorbic acid 250 mg Tab1tab(s)4.525039125288981
0ascorbic acid 500 mg Tab1tab(s)4.5250178323503228
0aspirin 300 mg Supp1supp7.2925029053454226
0aspirin 325 mg DR1tab(s)4.5250712323281265
0aspirin 81 mg Chew Tab1tab(s)4.525063723454228
0aspirin 81 mg Oral EC Tab1tab(s)4.525078743454229
0aspirin-dipyridamole 25 mg-200 mg ER1cap(s)41.82250427413279382
0atenolol 25 mg Tab1tab(s)4.525076675289009
0atenolol 50 mg Tab1tab(s)4.525065233454230
0atorvastatin 10 mg Tab1tab(s)4.5250697222961964
0atorvastatin 20 mg Tab1tab(s)24.9525014874574189
0atorvastatin 40 mg Tab1tab(s)4.5250508423235526
0atorvastatin 80 mg Tab1tab(s)25.98022162252
J0461atropine 0.1 mg/mL Inj Sol 10mL1mL4.525074113454232
J0461atropine 0.4 mg/mL Inj Sol1mL21.8825073763454233
0atropine-diphenoxylate 0.025 mg-2.5 mg Tab1tab(s)4.525057993454235
0atropine/hyoscyamine/PB/scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5 mL Eli1mL10.7925068344584196
0azithromycin 100 mg/5 mL Oral Liq15mL139.5225044513454236
0azithromycin 200 mg/5 mL Oral Liq15mL139.5225052363454237
0azithromycin 250 mg Tab1tab(s)8.4425040243454238
0azithromycin 250 mg Tab THP1EA4.525044855264973
J0456azithromycin 500 mg IV Inj1vial(s)137.5625063413454240
0azithromycin 500 mg Tab1tab(s)62.27250902114685412
S0073aztreonam 1 g Inj1vial(s)139.225019213454242
0bacitracin Top 500 units/g Oint0.9app4.525026723454243
0bacitracin/neomycin/polymyxin B Top Oint1app4.525013983454244
0baclofen 10 mg Tab112.36022026928
0baclofen 20 mg Tab1tab(s)24.9525087693454245
0benazepril 20 mg Tab1tab(s)4.525099093454246
0benazepril-hydroCHLOROthiazide 20 mg-25 mg Tab1tab(s)10.34250773822606413
0benzocaine Top 20% Spry56spray(s)24.9525078733454247
0benzocaine/butamben/tetracaine topical 14%-2%-2% Aer56spray(s)276.525087547632624
0benzonatate 200 mg Cap1cap(s)7.55250373723127332
J0515benztropine 1 mg/mL Inj Sol2mL262.525062964584188
J0702betamethasone acetate-betamethasone sodium phosphate 3 mg-3 mg Inj Susp 5 mL1mL3625070613454249
0bisacodyl 10 mg Supp1supp4.525019903454250
0bisacodyl 5 mg Oral EC Tab1tab(s)4.525027413454251
0bismuth subsalicylate 262 mg/15 mL Sus15mL4.525076403778315
0budesonide 0.25 mg/2 mL Inh SOLN.2mL47.3625017513454252
0budesonide 1 EA1EA5250151823168547
0budesonide 0.5 mg/2 mL Inh SOLN.2mL49.3225074633454253
0budesonide 90 mcg/inh Pow1inh349.95250361122087182
0budesonide-formoterol 160 mcg-4.5 mcg/inh Aer1inh134.28022014396
S0171bumetanide 0.25 mg/mL Inj Sol4mL10.525039613454254
0bumetanide 1 mg Tab1tab(s)6.8725072473454255
0bumetanide 2 mg Tab1tab(s)14.69250698722606418
0bumetanide 2.5mg/10ml inj10mL14.8225017826064982
S0020bupivacaine 0.25% PF Inj Sol 10 mL10mL20.925091833454256
S0020bupivacaine 0.5% preservative-free Sol30mL34.02250914223357946
0bupivacaine 0.75%-D8.25% preservative-free Sol1mL7.49250861023356352
0bupivacaine 0.75%-D8.25% preservative-free Sol2mL23.625098933778282
0bupivacaine-EPINEPHrine 0.25%-1:200,000 Sol1mL4.5250422314443178
0bupivacaine-epinephrine 0.5%-1:200,000 PF Inj Sol 10 mL10mL22.9825082103454257
0bupivacaine-EPINEPHrine 0.5%-1:200,000 Sol 50 mL1mL4.525047905316976
0buPROPion 100 mg Tab1tab(s)9.8225040396064985
0buPROPion 200 mg/12 hours ER119.1725086605270593
0buPROPion SR 150 mg/12 hours ER1tab(s)9.6825039134752126
0busPIRone 15 mg Tab1tab(s)9.9525098487632614
J0595butorphanol 2 mg/mL Inj Sol1mL28.1425026533454258
J0595butorphanol 4mg/2ml injection1mL18.8725090634564814
J0706caffeine citrate 20 mg/mL Sol1mL53.33023503229
0Calcium & Vitamin D Liq 480mL1mL4.507860611
0calcium carbonate 500 (1250) mg Tab1tab(s)4.525085415293000
0calcium carbonate 750 mg Che1tab(s)4.525013433778316
0calcium chloride 100 mg/mL Sol10mL44.95250553022709075
0calcium citrate 250 mg elemental calcium Tab1tab(s)4.525046635289005
J0610calcium gluconate 100 mg/mL Sol1mL5.49250991123366672
0calcium-vitamin D 315 mg-250 intl units Tab1tab(s)4.525040325288980
0calcium-vitamin D 500 mg-200 intl units Tab1tab(s)4.525037003454261
0calcium-vitamin D 600 mg-400 intl units Tab1tab(s)4.525010285288976
0calfactant intratracheal Susp 3 mL3mL596.6425056763454262
0calfactant intratracheal Susp 6 mL6mL120825064273454263
0carBAMazepine 200 mg Tab1tab(s)825097814574187
0carbamide peroxide otic 6.5% Sol1mL4.5014483374
0carbidopa-levodopa 25 mg-100 mg Tab1tab(s)5.8225055414574207
0carbidopa-levodopa 25 mg-250 mg Tab1tab(s)7.51250652713279392
0carboprost 250 mcg/mL Sol1mL545.16250662722393837
0carisoprodol 350 mg Tab1tab(s)4.525019053454264
0carvedilol 12.5 mg Tab1tab(s)10.51250330523368064
0carvedilol 25 mg Tab1tab(s)10.51250247923452365
0carvedilol 3.125 mg Tab1tab(s)10.68250126611453568
0carvedilol 6.25 mg Tab1tab(s)10.51250331523016723
J0690cefazolin 1 g Inj1EA23.0525035078863840
J0690ceFAZolin 1 g REC1mL24.95250512623308168
J0690ceFAZolin 2 g/50 mL Sol1mL39.42250255922854953
0cefdinir 125 mg/5 mL REC1mL4.5250235123185801
0cefdinir 125 mg/5 mL REC60mL199.9525076784584202
0cefdinir 250 mg/5 mL Oral Susp60mL348.1825033063454268
0cefdinir 300 mg Cap1cap(s)24.95250570023555968
0cefdinir 1 E1EA4.5250226923168556
J0692cefepime 1 g REC1EA81.34250792923548000
J0692cefepime 2 g REC1161.44250421023564205
J0694cefOXitin 1 g REC132.4250204922546898
J0713cefTAZidime 1 g REC128.08250795223043807
J0713cefTAZidime 1 g/50 mL-D5% Sol1mL50.11250714022784416
J0713cefTAZidime 500 mg REC1vial(s)35.64250527323152253
J0696cefTRIAXone 1 gm Inj1EA11.5125086803454273
J0696ceftriaxone 2 g Inj1EA17.2525040753454274
J0696ceftriaxone 250 mg Inj15.4525037763454275
J0696cefTRIAXone 500 mg Inj16.925085303454276
0celecoxib 200 mg Cap1cap(s)34.12250629223458612
0cephalexin 250 mg/5 mL Oral Liq100mL11525071343454277
0cephalexin 500 mg Cap1cap(s)6.11250682522831286
0cephalexin 500 mg Cap4EA107.4250943123195303
0cetirizine 10 mg Tab1tab(s)12.13250858822849995
0charcoal-sorbitol 50 g Oral Susp 240 mL240mL94.625040203454280
0chlordiazePOXIDE 25 mg Cap1cap(s)4.525029864592190
0chlorhexidine topical 0.12% Liq1mL4.5021810747
0cholecalciferol 1000 intl units Tab1tab(s)4.525054145289006
0cholecalciferol 2000 intl units Cap1cap(s)4.525032845292985
0cholecalciferol 2000 intl units Tab1tab(s)4.525024105289000
0cholecalciferol 400 intl units Tab14.5250769522165167
0cholecalciferol 5000 intl units Cap1cap(s)4.5250706522866770
0ciprofloxacin 250 mg Tab1tab(s)22.9725040923454282
J0744ciprofloxacin 400 mg/200 mL IV Sol200mL2425037643454283
0ciprofloxacin 500 mg Tab1tab(s)24.95250255022623477
0ciprofloxacin 500 mg Tab2EA198.14250209423326222
0citalopram 10 mg Tab1tab(s)11.6125016595288999
0citalopram 20 mg Tab1tab(s)12.8125064643454285
0citalopram 40 mg Tab113.22250112422114039
0citric acid-sodium citrate 640 mg-490 mg/5 mL Sol5mL5.0325024114592219
0clarithromycin 500 mg Tab1tab(s)27.07250948823336526
0clindamycin 150 mg Cap1cap(s)5.75250383622961968
0clindamycin 150 mg Cap4EA46.26250200823278101
0clindamycin 300 mg Cap1cap(s)4.5250308522598285
0clindamycin 150 mg/mL Sol4mL15.64250233423252103
S0077clindamycin 150 mg/mL IV Sol 6 mL6mL7425090253454289
0clobetasol topical 0.05% Cre122.71250185122620387
0clobetasol topical 0.05% Gel15app349.95250268622176670
0clonazePAM 0.5 mg Tab1tab(s)4.5250539323088418
0clonazePAM 1 mg Tab1tab(s)4.53250309023413483
0clonazePAM 2 mg Tab15.92250344622954907
0clonidine 0.1mg tablet1tab(s)4.525068104564790
0cloNIDine 0.2 mg Tab1tab(s)4.525095598174483
0clopidogrel 75 mg Tab1tab(s)34.825045043454292
0clotrimazole topical 1%15app26.9525068294564791
0Cod Liver Oil Cap1cap(s)4.525017795288977
0codeine-guaifenesin 10 mg-100 mg/5 mL Oral Syrup10mL5.6525090263454293
0codeine-promethazine 10 mg-6.25 mg/5 mL Syr10mL4.5250761823570557
0codeine-promethazine 10 mg-6.25 mg/5 mL Syr THP118EA39.6725033315274975
0colchicine 0.6 mg Tab1tab(s)26.1925010183454295
0conjugated estrogens 1.25 mg Tab1tab(s)24.9525077946064989
0cyanocobalamin 1000 mcg Tab1tab(s)4.5250478723503220
J3420cyanocobalamin 1000 mcg/mL Sol1mL599.8250458722917717
0cyclobenzaprine 10 mg Tab1tab(s)4.5250435923172775
0cyclobenzaprine 10 mg Tab3EA103.72250284523236442
0cyclobenzaprine 5 mg Tab1tab(s)8.225027727632638
0cyclopentolate ophthalmic 1% Sol2drop(s)6.15250760023029727
0cycloSPORINE ophthalmic 0.05% Emu UD1drop(s)34.9125026647858610
0dabigatran 150 m119.3525095057265343
0dantrolene 20 m1349.9507580613
J0878DAPTOmycin 500 mg REC1EA999.95250252723329597
J0881darbepoetin alfa 300 mcg/0.6 mL Sol1mL5805250839723105817
J0881darbepoetin alfa 40 mcg/0.4 mL Sol1mL999.9525099314584212
J0895deferoxamine 500 mg REC162.16250225023458611
0desflurane 100% Liq*1mL4.525035963778283
0desmopressin 10 mcg/inh Spr1spray(s)202.01250563022116971
J1100dexamethasone 10 mg/mL Sol1mL7.8250103222038374
J1100dexamethasone 10 mg/mL Inj Sol10mL51.9825060893454300
0dexamethasone 4 mg Tab1tab(s)4.525062855288985
J1100dexamethasone 4 mg/mL Inj Sol1mL13.225013723454301
0dexamethasone/neomycin/polymyxin B Opth Susp5drop(s)17625023353454302
0dextromethorphan-guaiFENesin 10 mg-100 mg/5 mL Liq5mL4.5250974522659998
0Dextrose 10% in Water Sol 500 mL500mL44.9525891263778326
J7120Dextrose 5% in Lactated Ringers Injection Sol 1000 mL1000mL24.9525878103778333
J7060Dextrose 5% in Water Sol 100 mL100mL12.425885613778336
J7070Dextrose 5% in Water Sol 1000 mL1000mL23.6525893123778332
J7070Dextrose 5% in Water Sol 250 mL250mL11.725816063778323
J7070Dextrose 5% in Water Sol 500 mL500mL19.225823573778331
J7042Dextrose 5% with 0.2% NaCl Sol 500 mL500mL23.925838593778329
J7042Dextrose 5% with 0.225% NaCl Sol 1000 mL1000mL38.1625831083778328
J3480LVP solution with potassium Dextrose 5% with 0.45% NaCl and KCl 20 mEq/L Sol1000mL25.79250505322554177
J7042Dextrose 5% with 0.45% NaCl Sol 1000 mL1000mL24.9525846103778334
J7042Dextrose 5% with 0.45% NaCl Sol 500 mL500mL44.7125046744584182
J7042Dextrose 5% with 0.9% NaCl Sol 1000 mL1000mL23.925853613778330
0diazepam 10 mg Tab1tab(s)4.525095913454303
J3360diazepam 5 mg/mL Inj Sol2mL113.8725088403454304
J3360diazePAM 50 mg/10 mL Sol1mL20250160023177914
0dicyclomine 20 mg Tab1tab(s)4.5250154422577209
0digoxin 125 mcg (0.125 mg) Tab1tab(s)11.5250782323168683
J1160digoxin 250 mcg/mL (0.25 mg/mL) Sol2mL33.64250354622577201
0dilTIAZem 120 mg/24 hours ER1cap(s)4.5250223522850003
0diltiazem 125 mg/25 mL Sol1mL4.5250938522137362
0dilTIAZem 180 mg/24 hours ER1cap(s)4.5250633223350580
0dilTIAZem 5 mg/mL Sol5mL13.08250714823291673
0diltiazem 5 mg/mL Sol 10 mL1mL4.525045037632650
0diltiazem 60 mg Tab1tab(s)7.8325070365288986
0dinoprostone 0.3 mg/hr Vag Insert1EA735.0425010753454311
Q0163diphenhydrAMINE 12.5 mg/5 mL Liq5mL4.525067774572218
0diphenhydrAMINE 25 mg Cap1cap(s)4.525068403454312
0diphenhydrAMINE 25 mg Tab1tab(s)4.525068406700651
J1200diphenhydrAMINE 50 mg/mL Inj Sol1mL4.925060883454313
0diphtheria-tetanus toxoids pediatric IM0.5mL194.3525070333454314
0diphtheria/tetanus/pertussis (DTaP) ped 6.7 units-5 units-46.8 mcg/0.5 mL Sus0.5mL67.3425044884592204
0divalproex sodium 125 mg DR1cap(s)5.6023568944
0divalproex sodium 250 mg DR1tab(s)8.8125079095270592
0divalproex sodium 500 mg DR1tab(s)16.07250903023175987
0divalproex sodium 500 mg ER Tab1tab(s)20.3725071313454315
J1250DOBUTamine 1 mg/mL-D5W intravenous solution500mL158.2825075913454316
J1250DOBUTamine 12.5 mg/mL IV Sol20mL25.525041273454317
0docusate sodium 100 mg Cap1cap(s)4.525094143454318
0docusate sodium 60 mg/15 mL1mL4.5250948015733368
0docusate-senna 50 mg-8.6 mg Tab1tab(s)4.525043473778305
0donepezil 10 mg Tab1tab(s)4.5250275022662965
0donepezil 5 mg Tab1tab(s)35.02022021445
J1265DOPamine 1.6 mg/mL-D5250mL75.07250891922955605
J1265DOPamine 40 mg/mL IV Sol5mL12.7825083423454321
0doxycycline hyclate 100 mg Tab1tab(s)4.525098443454322
0doxycycline monohydrate 100 mg Cap1cap(s)11.85250709923547240
Q0167dronabinol 2.5 mg Cap1cap(s)26.51250548522606419
0DULoxetine 30 mg DR1cap(s)35.29250455723569183
0DULoxetine 60 mg DR1cap(s)35.29250977723176408
0dutasteride 0.5 mg Cap1cap(s)25.7325017063454324
0enalapril 1.25 mg/mL IV Sol1mL20.125038373454325
0enalapril 20 mg Tab UD1tab(s)13.8325082464574205
J1650enoxaparin 100 mg/mL Sol 1mL1mL23125085456064991
J1650enoxaparin 300 mg/3 mL Sol1mL329.9250471023570554
J1650enoxaparin 30 mg/0.3 mL SC Sol0.3mL79.225034448296190
J1650enoxaparin 40 mg/0.4 mL SC Sol0.4mL105.625039594196398
0ephedrine 50 mg/mL Inj Sol1mL8.225090923454329
J0171epinephrine 0.1 mg/mL Inj Sol 10mL10mL24.9525078953454330
J0171EPINEPHrine 1 mg/mL Sol1mL70250834123010969
0epinephrine-lidocaine 1:100,000-1% Inj Sol 10 mL10mL17.9525056933454332
0EPINEPHrine-lidocaine 1:100,000-1% Inj Sol 20 mL20mL11.9125086073454333
0EPINEPHrine-lidocaine 1:100000-2% Sol1mL4.525060264572216
0epinephrine-lidocaine 1:200,000-0.5% Inj Sol 50 mL50mL20.7725076813454334
0epinephrine-lidocaine 1:200,000-2% PF Inj Sol 10 mL10mL40.1925015413454335
0EPINEPHrine-lidocaine 1:200,000-2% preservative-free 20 mL Sol20mL61.5225058493778274
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J0561penicillin G benzathine 1,200,000 units/2 mL Sus2mL349.9525029573454557
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J3480potassium chloride 2 mEq/mL Sol10mL6250324823567637
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J7512predniSONE 5 mg Tab1tab(s)4.5250205422414415
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J2690procainamide 100 mg/mL Sol 10 mL1mL35.6125030224572205
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J0780prochlorperazine 5 mg/mL Inj Sol1mL13.9525062733454590
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J2704propofol 10 mg/mL Emu 100 mL*100mL165.625025953778293
J2704propofol 10 mg/mL Emu50mL82.8250941110995025
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J2720protamine 10 mg/mL Inj 5mL Sol5mL56.1625042003454598
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90375rabies immune globulin, human 150 intl units/mL IM Sol2mL1710.2425040433454603
90675rabies vaccine, human diploid cell 2.5 intl units IM Inj1EA831.5325032923454604
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J3480Sodium Chloride 0.45% with KCl 20 mEq/L intravenous solution Sodium Chloride 0.45% with KCl 20 mEq/L Sol1000mL31.55250269522867685
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0sodium chloride 0.9% Inj Sol 5 mL5mL15.9525066103454621
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J3101tenecteplase 50 mg IV Inj1EA8066.7925039634547433
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0tetanus immune globulin 250 units IM Sol 1 EA1EA906.2625059233454641
0tetanus-diphth toxoids (Td) adult/adol 5 units-2units/0.5 mL Sus UD1mL165.2425052394592205
0tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 mL Sus0.5mL113.18250623523494459
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J3411thiamine 100 mg/mL Inj Sol2mL49.7525056573454646
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J3301triamcinolone acetonide 40 mg/mL Sus1mL41.98250982914205368
0triamcinolone topical 0.1% Cre15app19.45250262523206501
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0trypan blue ophthalmic 0.06% Sol0.5drop(s)16025019093778271
86580tuberculin purified protein derivative 5 TU/0.1 mL ID Sol0.1mL28.3625047353454657
0typhoid vaccine, inactivated IM Sol 10 mL10mL3145.7125027563454658
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0valACYclovir 500 mg Tab1tab(s)15.6225075284574179
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0valsartan 80 mg Tab1tab(s)33.6525010723454659
J3370vancomycin 1 g REC1EA40.5250353323064783
0vancomycin 125 mg Cap1cap(s)125.38250704723308180
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J3370vancomycin 500 mg REC143.42250485222077987
J3370vancomycin 750 mg REC145.6250548323568917
J3490vasopressin 20 units/mL Inj Sol1mL24.9525091933454663
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J3380vedolizumab 300 mg REC18794.58250963223376249
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0verapamil 5 mg/2 mL Sol2mL75.82250707222331106
0vitamin A & D topical – Oin5app4.5250986123238359
0multivitamin Vitamin B Complex with Folic Acid Tab1tab(s)4.5023205798
0warfarin 1 mg Tab1tab(s)11.3250202112709681
0warfarin 2 mg Tab1tab(s)11.7925057403454668
0warfarin 2.5 mg Tab1tab(s)4.525070395292998
0warfarin 3 mg Tab1tab(s)12.2125023543454669
0warfarin 4 mg Tab1tab(s)12.2425081573454670
0warfarin 5 mg Tab1tab(s)12.6825025663454671
0warfarin 7.5 mg Tab1tab(s)4.7825017103454672
0witch hazel topical 50% Pad12box(es)6.6325029003454673
0zanamivir 5 mg Powder[1inh22.725016604592218
0zinc oxide topical – Cream14.525010785264998
0zolpidem 10 mg Tab1tab(s)23.1325050303454674
0zolpidem 5 mg Tab UD1tab(s)16.5725087675264996