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CPT/HCPCSDescriptionQuantityunitpriceCDMBill Item ID
0ABH Cream 1 EA Cream 1mL24.95250430222554081
0acetaminophen 120 mg Supp 1supp4.525073923454187
0acetaminophen 160 mg/5 mL Liq 1mL4.5250338522754934
0acetaminophen 160 mg/5 mL Sus 1mL4.5250635422630331
0acetaminophen 325 mg Tab UD 1tab(s)4.525016323778319
0acetaminophen 500 mg Tab 1tab(s)4.525023833778320
0acetaminophen 650 mg Supp 1supp4.525067983454188
0acetaminophen-codeine 120 mg-12 mg/5 mL Oral Liq 10 mL 10mL4.525081433454189
0acetaminophen-codeine 300 mg-30 mg Tab 1tab(s)4.5250590922961956
0acetaminophen-hydrocodone 325 mg-10 mg Tab 1tab(s)5.5250522222975253
0acetaminophen-hydrocodone 325 mg-5 mg Tab 1tab(s)4.5250904823364770
0acetaminophen-hydrocodone 325 mg-7.5 mg Tab 1tab(s)4.5250316122975252
0acetaminophen-hydrocodone 325 mg-7.5 mg/15 mL Sol 1mL4.5250484623562943
0acetaminophen-HYDROcodone 5mg-325m6EA20.5250127023146588
0acetaminophen-oxycodone 325 mg-10 mg Tab 1tab(s)17.75250320823010650
0acetaminophen-oxycodone 325 mg-5 mg Tab 1tab(s)6.84250271723540441
0acetaminophen-oxyCODONE 325 mg-10 mg Tab THP 6EA45.725042615264984
0acetaminophen-oxyCODONE 325 mg-7.5 mg Tab 1tab(s)13.58250245722577194
0acetaZOLAMIDE 250 mg Tab 1tab(s)14.4225022384574190
0acetaZOLAMIDE 500 mg ER 1cap(s)21.45250977923175091
J1120acetaZOLAMIDE 500 mg REC 1vial(s)199.225059934574201
J7608acetylcysteine 10% Sol 10 mL 10mL29.3425022714572181
0acetylcysteine 20% Sol 30mL 1mL4.525031197856640
J0133acyclovir 50 mg/mL Sol 1mL10.5250985323189135
0acyclovir 400 mg Tab 1tab(s)10.84250581722512350
0acyclovir 50 mg/mL IV Sol 10mL90.2425099443454202
J0153adenosine 3 mg/mL Sol 2mL52.56250827023094693
0Al hydroxide/Mg hydroxide/simethicone 1mL4.525031343755592
P9047albumin human 25% Sol 50mL315250542523147806
P9045albumin human 5% Sol 500mL349.95250881322460056
J7613albuterol 0.083% Inh Sol 3 mL 3vial(s)11.0525082143454204
J7613albuterol 1.25 mg/3 mL (0.042%) Sol UD 3vial(s)13.325038853778309
0albuterol 1 EA1EA5250989923168534
0albuterol 5 mg/mL Sol 20mL 1inh1525011627856639
0albuterol CFC free 90 mcg/inh Inh Aer w/Adapt 8puff(s)93.1325047453454206
0albuterol-ipratropium 103 mcg-18 mcg/inh Aer 14.7inh485.725046363778280
J7620albuterol-ipratropium 2.5 mg-0.5 mg/3 mL Sol 3mL15.94250808822014398
0allopurinol 100 mg Tab 1tab(s)4.5250426911201370
0allopurinol 300 mg Tab 1tab(s)4.62250684423235541
0ALPRAZolam 0.25 mg Tab 1tab(s)4.5250764623094768
0ALPRAZolam 0.5 mg Tab 1tab(s)4.5250171523371060
0ALPRAZolam 1 mg Tab 19.78250779122067486
J2997alteplase 100 mg REC 1mL11650.9725025376025472
0amantadine 100 mg Tab 18.92250187322116960
J0278amikacin 250 mg/mL Sol 1mL20.31250572514736045
0amiodarone 200 mg Tab 1tab(s)4.525060943454208
J0282amiodarone 50 mg/mL Sol 9mL24.95250751922922081
0amitriptyline 10 mg Tab 1tab(s)4.525029894574192
0amitriptyline 25 mg Tab 1tab(s)4.525073503454210
0amitriptyline 50 mg Tab 1tab(s)4.525018663454211
0amLODIPine 5 mg Tab 1tab(s)8.21250896223219594
0amLODIPine 10 mg Tab UD 1tab(s)4.525080165264995
0amLODIPine 2.5 mg Tab 1tab(s)4.5250430722441813
0amoxicillin 250 mg/5 mL REC 1mL4.5250394022149643
0amoxicillin 400 mg/5 mL REC 75mL33.08250182322709077
0amoxicillin 500 mg Cap 1cap(s)4.525031724584179
0amoxicillin 875 mg Tab 1tab(s)4.5250562123547239
0amoxicillin 875 mg Tab THP 2EA4.525053875254996
0amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 50 mL 50mL140.625027293454216
0amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 50 mL THP 50EA143.125060913454217
0amoxicillin-clavulanate 500 mg-125 mg Tab 1tab(s)18.92250549622577206
0amoxicillin-clavulanate 600 mg-42.9 mg/5 mL REC 75mL153250756123127340
0amoxicillin-clavulanate 875 mg-125 mg Tab 1tab(s)10.1325048703454219
0amoxicillin-clavulanate 875 mg-125 mg Tab THP 1EA4.525026175254997
J0285amphotericin B 50 mg REC 1182.4250113222720423
J0290ampicillin 1 g REC 1vial(s)36.92250437623028347
J0290ampicillin 2 g REC 1vial(s)63.66250583023027743
J0290ampicillin 250 mg Inj 1vial(s)13.525041193454222
J0290ampicillin 500 mg REC 1vial(s)20.93250476723413495
J0295ampicillin-sulbactam 1 g-0.5 g REC 136.63250722723278726
J0295ampicillin-sulbactam 2 g-1 g REC 1EA44.95250877623321201
0antipyrine-benzocaine otic 54 mg-14 mg/mL Sol 15drop(s)51.625072617632609
J0840antivenin (Crotalidae) polyvalent Inj Sol 1vial(s)2910.2425087873454224
0APAP/butalbital/caffeine 325 mg-50 mg-40 mg Tab 1tab(s)8.0225044793454225
0apixaban 5 mg Tab 1tab(s)34.95250870323059417
0apraclonidine ophthalmic 0.5% Sol 5drop(s)303.725061383778268
0apraclonidine ophthalmic 1% Sol UD 1drop(s)112.8125068893778269
J7605arformoterol 15 mcg / 2 m1mL44.9525056689513368
0arginine 500 mg Tab 1tab(s)4.525025305288978
0ARIPiprazole 5 mg Tab 1tab(s)128.44250389123083730
0ascorbic acid 250 mg Tab 1tab(s)4.525039125288981
0ascorbic acid 500 mg Tab 1tab(s)4.5250178323503228
0aspirin 300 mg Supp 1supp7.2925029053454226
0aspirin 325 mg DR 1tab(s)4.5250712323281265
0aspirin 81 mg Chew Tab 1tab(s)4.525063723454228
0aspirin 81 mg Oral EC Tab 1tab(s)4.525078743454229
0aspirin-dipyridamole 25 mg-200 mg ER 1cap(s)41.82250427413279382
0atenolol 25 mg Tab 1tab(s)4.525076675289009
0atenolol 50 mg Tab 1tab(s)4.525065233454230
0atorvastatin 10 mg Tab 1tab(s)4.5250697222961964
0atorvastatin 20 mg Tab 1tab(s)24.9525014874574189
0atorvastatin 40 mg Tab 1tab(s)4.5250508423235526
0atorvastatin 80 mg Tab 1tab(s)25.98022162252
J0461atropine 0.1 mg/mL Inj Sol 10mL 1mL4.525074113454232
J0461atropine 0.4 mg/mL Inj Sol 1mL21.8825073763454233
0atropine-diphenoxylate 0.025 mg-2.5 mg Tab 1tab(s)4.525057993454235
0atropine/hyoscyamine/PB/scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5 mL Eli 1mL10.7925068344584196
0azithromycin 100 mg/5 mL Oral Liq 15mL139.5225044513454236
0azithromycin 200 mg/5 mL Oral Liq 15mL139.5225052363454237
0azithromycin 250 mg Tab 1tab(s)8.4425040243454238
0azithromycin 250 mg Tab THP 1EA4.525044855264973
J0456azithromycin 500 mg IV Inj 1vial(s)137.5625063413454240
0azithromycin 500 mg Tab 1tab(s)62.27250902114685412
S0073aztreonam 1 g Inj 1vial(s)139.225019213454242
0bacitracin Top 500 units/g Oint 0.9app4.525026723454243
0bacitracin/neomycin/polymyxin B Top Oint 1app4.525013983454244
0baclofen 10 mg Tab 112.36022026928
0baclofen 20 mg Tab 1tab(s)24.9525087693454245
0benazepril 20 mg Tab 1tab(s)4.525099093454246
0benazepril-hydroCHLOROthiazide 20 mg-25 mg Tab 1tab(s)10.34250773822606413
0benzocaine Top 20% Spry 56spray(s)24.9525078733454247
0benzocaine/butamben/tetracaine topical 14%-2%-2% Aer 56spray(s)276.525087547632624
0benzonatate 200 mg Cap 1cap(s)7.55250373723127332
J0515benztropine 1 mg/mL Inj Sol 2mL262.525062964584188
J0702betamethasone acetate-betamethasone sodium phosphate 3 mg-3 mg Inj Susp 5 mL 1mL3625070613454249
0bisacodyl 10 mg Supp 1supp4.525019903454250
0bisacodyl 5 mg Oral EC Tab 1tab(s)4.525027413454251
0bismuth subsalicylate 262 mg/15 mL Sus 15mL4.525076403778315
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 Pow 1inh349.95250361122087182
0budesonide-formoterol 160 mcg-4.5 mcg/inh Aer 1inh134.28022014396
S0171bumetanide 0.25 mg/mL Inj Sol 4mL10.525039613454254
0bumetanide 1 mg Tab 1tab(s)6.8725072473454255
0bumetanide 2 mg Tab 1tab(s)14.69250698722606418
0bumetanide 2.5mg/10ml inj 10mL14.8225017826064982
S0020bupivacaine 0.25% PF Inj Sol 10 mL 10mL20.925091833454256
S0020bupivacaine 0.5% preservative-free Sol 30mL34.02250914223357946
0bupivacaine 0.75%-D8.25% preservative-free Sol 1mL7.49250861023356352
0bupivacaine 0.75%-D8.25% preservative-free Sol 2mL23.625098933778282
0bupivacaine-EPINEPHrine 0.25%-1:200,000 Sol 1mL4.5250422314443178
0bupivacaine-epinephrine 0.5%-1:200,000 PF Inj Sol 10 mL 10mL22.9825082103454257
0bupivacaine-EPINEPHrine 0.5%-1:200,000 Sol 50 mL 1mL4.525047905316976
0buPROPion 100 mg Tab 1tab(s)9.8225040396064985
0buPROPion 200 mg/12 hours ER 119.1725086605270593
0buPROPion SR 150 mg/12 hours ER 1tab(s)9.6825039134752126
0busPIRone 15 mg Tab 1tab(s)9.9525098487632614
J0595butorphanol 2 mg/mL Inj Sol 1mL28.1425026533454258
J0595butorphanol 4mg/2ml injection 1mL18.8725090634564814
J0706caffeine citrate 20 mg/mL Sol 1mL53.33023503229
0Calcium & Vitamin D Liq 480mL 1mL4.507860611
0calcium carbonate 500 (1250) mg Tab 1tab(s)4.525085415293000
0calcium carbonate 750 mg Che 1tab(s)4.525013433778316
0calcium chloride 100 mg/mL Sol 10mL44.95250553022709075
0calcium citrate 250 mg elemental calcium Tab 1tab(s)4.525046635289005
J0610calcium gluconate 100 mg/mL Sol 1mL5.49250991123366672
0calcium-vitamin D 315 mg-250 intl units Tab 1tab(s)4.525040325288980
0calcium-vitamin D 500 mg-200 intl units Tab 1tab(s)4.525037003454261
0calcium-vitamin D 600 mg-400 intl units Tab 1tab(s)4.525010285288976
0calfactant intratracheal Susp 3 mL 3mL596.6425056763454262
0calfactant intratracheal Susp 6 mL 6mL120825064273454263
0carBAMazepine 200 mg Tab 1tab(s)825097814574187
0carbamide peroxide otic 6.5% Sol 1mL4.5014483374
0carbidopa-levodopa 25 mg-100 mg Tab 1tab(s)5.8225055414574207
0carbidopa-levodopa 25 mg-250 mg Tab 1tab(s)7.51250652713279392
0carboprost 250 mcg/mL Sol 1mL545.16250662722393837
0carisoprodol 350 mg Tab 1tab(s)4.525019053454264
0carvedilol 12.5 mg Tab 1tab(s)10.51250330523368064
0carvedilol 25 mg Tab 1tab(s)10.51250247923452365
0carvedilol 3.125 mg Tab 1tab(s)10.68250126611453568
0carvedilol 6.25 mg Tab 1tab(s)10.51250331523016723
J0690cefazolin 1 g Inj 1EA23.0525035078863840
J0690ceFAZolin 1 g REC 1mL24.95250512623308168
J0690ceFAZolin 2 g/50 mL Sol 1mL39.42250255922854953
0cefdinir 125 mg/5 mL REC 1mL4.5250235123185801
0cefdinir 125 mg/5 mL REC 60mL199.9525076784584202
0cefdinir 250 mg/5 mL Oral Susp 60mL348.1825033063454268
0cefdinir 300 mg Cap 1cap(s)24.95250570023555968
0cefdinir 1 E1EA4.5250226923168556
J0692cefepime 1 g REC 1EA81.34250792923548000
J0692cefepime 2 g REC 1161.44250421023564205
J0694cefOXitin 1 g REC 132.4250204922546898
J0713cefTAZidime 1 g REC 128.08250795223043807
J0713cefTAZidime 1 g/50 mL-D5% Sol 1mL50.11250714022784416
J0713cefTAZidime 500 mg REC 1vial(s)35.64250527323152253
J0696cefTRIAXone 1 gm Inj 1EA11.5125086803454273
J0696ceftriaxone 2 g Inj 1EA17.2525040753454274
J0696ceftriaxone 250 mg Inj 15.4525037763454275
J0696cefTRIAXone 500 mg Inj 16.925085303454276
0celecoxib 200 mg Cap 1cap(s)34.12250629223458612
0cephalexin 250 mg/5 mL Oral Liq 100mL11525071343454277
0cephalexin 500 mg Cap 1cap(s)6.11250682522831286
0cephalexin 500 mg Cap 4EA107.4250943123195303
0cetirizine 10 mg Tab 1tab(s)12.13250858822849995
0charcoal-sorbitol 50 g Oral Susp 240 mL 240mL94.625040203454280
0chlordiazePOXIDE 25 mg Cap 1cap(s)4.525029864592190
0chlorhexidine topical 0.12% Liq 1mL4.5021810747
0cholecalciferol 1000 intl units Tab 1tab(s)4.525054145289006
0cholecalciferol 2000 intl units Cap 1cap(s)4.525032845292985
0cholecalciferol 2000 intl units Tab 1tab(s)4.525024105289000
0cholecalciferol 400 intl units Tab 14.5250769522165167
0cholecalciferol 5000 intl units Cap 1cap(s)4.5250706522866770
0ciprofloxacin 250 mg Tab 1tab(s)22.9725040923454282
J0744ciprofloxacin 400 mg/200 mL IV Sol 200mL2425037643454283
0ciprofloxacin 500 mg Tab 1tab(s)24.95250255022623477
0ciprofloxacin 500 mg Tab 2EA198.14250209423326222
0citalopram 10 mg Tab 1tab(s)11.6125016595288999
0citalopram 20 mg Tab 1tab(s)12.8125064643454285
0citalopram 40 mg Tab 113.22250112422114039
0citric acid-sodium citrate 640 mg-490 mg/5 mL Sol 5mL5.0325024114592219
0clarithromycin 500 mg Tab 1tab(s)27.07250948823336526
0clindamycin 150 mg Cap 1cap(s)5.75250383622961968
0clindamycin 150 mg Cap 4EA46.26250200823278101
0clindamycin 300 mg Cap 1cap(s)4.5250308522598285
0clindamycin 150 mg/mL Sol 4mL15.64250233423252103
S0077clindamycin 150 mg/mL IV Sol 6 mL 6mL7425090253454289
0clobetasol topical 0.05% Cre 122.71250185122620387
0clobetasol topical 0.05% Gel 15app349.95250268622176670
0clonazePAM 0.5 mg Tab 1tab(s)4.5250539323088418
0clonazePAM 1 mg Tab 1tab(s)4.53250309023413483
0clonazePAM 2 mg Tab 15.92250344622954907
0clonidine 0.1mg tablet 1tab(s)4.525068104564790
0cloNIDine 0.2 mg Tab 1tab(s)4.525095598174483
0clopidogrel 75 mg Tab 1tab(s)34.825045043454292
0clotrimazole topical 1% 15app26.9525068294564791
0Cod Liver Oil Cap 1cap(s)4.525017795288977
0codeine-guaifenesin 10 mg-100 mg/5 mL Oral Syrup 10mL5.6525090263454293
0codeine-promethazine 10 mg-6.25 mg/5 mL Syr 10mL4.5250761823570557
0codeine-promethazine 10 mg-6.25 mg/5 mL Syr THP 118EA39.6725033315274975
0colchicine 0.6 mg Tab 1tab(s)26.1925010183454295
0conjugated estrogens 1.25 mg Tab 1tab(s)24.9525077946064989
0cyanocobalamin 1000 mcg Tab 1tab(s)4.5250478723503220
J3420cyanocobalamin 1000 mcg/mL Sol 1mL599.8250458722917717
0cyclobenzaprine 10 mg Tab 1tab(s)4.5250435923172775
0cyclobenzaprine 10 mg Tab 3EA103.72250284523236442
0cyclobenzaprine 5 mg Tab 1tab(s)8.225027727632638
0cyclopentolate ophthalmic 1% Sol 2drop(s)6.15250760023029727
0cycloSPORINE ophthalmic 0.05% Emu UD 1drop(s)34.9125026647858610
0dabigatran 150 m119.3525095057265343
0dantrolene 20 m1349.9507580613
J0878DAPTOmycin 500 mg REC 1EA999.95250252723329597
J0881darbepoetin alfa 300 mcg/0.6 mL Sol 1mL5805250839723105817
J0881darbepoetin alfa 40 mcg/0.4 mL Sol 1mL999.9525099314584212
J0895deferoxamine 500 mg REC 162.16250225023458611
0desflurane 100% Liq* 1mL4.525035963778283
0desmopressin 10 mcg/inh Spr 1spray(s)202.01250563022116971
J1100dexamethasone 10 mg/mL Sol 1mL7.8250103222038374
J1100dexamethasone 10 mg/mL Inj Sol 10mL51.9825060893454300
0dexamethasone 4 mg Tab 1tab(s)4.525062855288985
J1100dexamethasone 4 mg/mL Inj Sol 1mL13.225013723454301
0dexamethasone/neomycin/polymyxin B Opth Susp 5drop(s)17625023353454302
0dextromethorphan-guaiFENesin 10 mg-100 mg/5 mL Liq 5mL4.5250974522659998
0Dextrose 10% in Water Sol 500 mL 500mL44.9525891263778326
J7120Dextrose 5% in Lactated Ringers Injection Sol 1000 mL 1000mL24.9525878103778333
J7060Dextrose 5% in Water Sol 100 mL 100mL12.425885613778336
J7070Dextrose 5% in Water Sol 1000 mL 1000mL23.6525893123778332
J7070Dextrose 5% in Water Sol 250 mL 250mL11.725816063778323
J7070Dextrose 5% in Water Sol 500 mL 500mL19.225823573778331
J7042Dextrose 5% with 0.2% NaCl Sol 500 mL 500mL23.925838593778329
J7042Dextrose 5% with 0.225% NaCl Sol 1000 mL 1000mL38.1625831083778328
J3480LVP solution with potassium Dextrose 5% with 0.45% NaCl and KCl 20 mEq/L Sol 1000mL25.79250505322554177
J7042Dextrose 5% with 0.45% NaCl Sol 1000 mL 1000mL24.9525846103778334
J7042Dextrose 5% with 0.45% NaCl Sol 500 mL 500mL44.7125046744584182
J7042Dextrose 5% with 0.9% NaCl Sol 1000 mL 1000mL23.925853613778330
0diazepam 10 mg Tab 1tab(s)4.525095913454303
J3360diazepam 5 mg/mL Inj Sol 2mL113.8725088403454304
J3360diazePAM 50 mg/10 mL Sol 1mL20250160023177914
0dicyclomine 20 mg Tab 1tab(s)4.5250154422577209
0digoxin 125 mcg (0.125 mg) Tab 1tab(s)11.5250782323168683
J1160digoxin 250 mcg/mL (0.25 mg/mL) Sol 2mL33.64250354622577201
0dilTIAZem 120 mg/24 hours ER 1cap(s)4.5250223522850003
0diltiazem 125 mg/25 mL Sol 1mL4.5250938522137362
0dilTIAZem 180 mg/24 hours ER 1cap(s)4.5250633223350580
0dilTIAZem 5 mg/mL Sol 5mL13.08250714823291673
0diltiazem 5 mg/mL Sol 10 mL 1mL4.525045037632650
0diltiazem 60 mg Tab 1tab(s)7.8325070365288986
0dinoprostone 0.3 mg/hr Vag Insert 1EA735.0425010753454311
Q0163diphenhydrAMINE 12.5 mg/5 mL Liq 5mL4.525067774572218
0diphenhydrAMINE 25 mg Cap 1cap(s)4.525068403454312
0diphenhydrAMINE 25 mg Tab1tab(s)4.525068406700651
J1200diphenhydrAMINE 50 mg/mL Inj Sol 1mL4.925060883454313
0diphtheria-tetanus toxoids pediatric IM 0.5mL194.3525070333454314
0diphtheria/tetanus/pertussis (DTaP) ped 6.7 units-5 units-46.8 mcg/0.5 mL Sus 0.5mL67.3425044884592204
0divalproex sodium 125 mg DR 1cap(s)5.6023568944
0divalproex sodium 250 mg DR1tab(s)8.8125079095270592
0divalproex sodium 500 mg DR 1tab(s)16.07250903023175987
0divalproex sodium 500 mg ER Tab 1tab(s)20.3725071313454315
J1250DOBUTamine 1 mg/mL-D5W intravenous solution 500mL158.2825075913454316
J1250DOBUTamine 12.5 mg/mL IV Sol 20mL25.525041273454317
0docusate sodium 100 mg Cap 1cap(s)4.525094143454318
0docusate sodium 60 mg/15 mL 1mL4.5250948015733368
0docusate-senna 50 mg-8.6 mg Tab 1tab(s)4.525043473778305
0donepezil 10 mg Tab 1tab(s)4.5250275022662965
0donepezil 5 mg Tab 1tab(s)35.02022021445
J1265DOPamine 1.6 mg/mL-D5250mL75.07250891922955605
J1265DOPamine 40 mg/mL IV Sol 5mL12.7825083423454321
0doxycycline hyclate 100 mg Tab 1tab(s)4.525098443454322
0doxycycline monohydrate 100 mg Cap 1cap(s)11.85250709923547240
Q0167dronabinol 2.5 mg Cap 1cap(s)26.51250548522606419
0DULoxetine 30 mg DR 1cap(s)35.29250455723569183
0DULoxetine 60 mg DR 1cap(s)35.29250977723176408
0dutasteride 0.5 mg Cap 1cap(s)25.7325017063454324
0enalapril 1.25 mg/mL IV Sol 1mL20.125038373454325
0enalapril 20 mg Tab UD 1tab(s)13.8325082464574205
J1650enoxaparin 100 mg/mL Sol 1mL 1mL23125085456064991
J1650enoxaparin 300 mg/3 mL Sol 1mL329.9250471023570554
J1650enoxaparin 30 mg/0.3 mL SC Sol 0.3mL79.225034448296190
J1650enoxaparin 40 mg/0.4 mL SC Sol 0.4mL105.625039594196398
0ephedrine 50 mg/mL Inj Sol 1mL8.225090923454329
J0171epinephrine 0.1 mg/mL Inj Sol 10mL 10mL24.9525078953454330
J0171EPINEPHrine 1 mg/mL Sol 1mL70250834123010969
0epinephrine-lidocaine 1:100,000-1% Inj Sol 10 mL 10mL17.9525056933454332
0EPINEPHrine-lidocaine 1:100,000-1% Inj Sol 20 mL 20mL11.9125086073454333
0EPINEPHrine-lidocaine 1:100000-2% Sol 1mL4.525060264572216
0epinephrine-lidocaine 1:200,000-0.5% Inj Sol 50 mL 50mL20.7725076813454334
0epinephrine-lidocaine 1:200,000-2% PF Inj Sol 10 mL 10mL40.1925015413454335
0EPINEPHrine-lidocaine 1:200,000-2% preservative-free 20 mL Sol 20mL61.5225058493778274
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0montelukast 10 mg Tab 1tab(s)24.91250670523562940
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J2270morphine 2 mg/mL preservative-fre1mL15.17250915616035398
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0moxifloxacin 400 mg Tab 1tab(s)146.1425019833454516
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0multivitamin with minerals Antioxidant Multiple Vitamins and Minerals Cap 1cap(s)4.525084185289011
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0mupirocin topical 2% Oin 22app171250400322986271
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J2300nalbuphine 20 mg/mL Sol 1mL24.95250655522009964
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0naproxen sodium 220 mg tab 1tab(s)4.525093395288975
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J2710neostigmine 1 mg/mL Inj Sol 1mL4.5925031583454524
0nepafenac ophthalmic 0.1% Sus 3mL519.32250502010303370
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0nicotine 14 mg/24 hr Transderm ER Film 1patch(es)19.0625082343454525
0nicotine 21 mg/24 hr ER 1patch(es)10.67250442122201927
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0NIFEdipine 30 mg ER Tab 1tab(s)6.8225092913454528
0NIFEdipine 60 1tab(s)11.5725035616628620
0NIFEdipine 90 mg ER 112.81250502111713092
0nitrofurantoin macrocrystals 100 mg Cap 1cap(s)16.88250837522521911
0nitrofurantoin macrocrystals 50 mg Cap 1cap(s)11.36250580922445768
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0nystatin topical 100000 units/15app149.8407860619
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J2405ondansetron 2 mg/mL Sol 2mL4.5250327123567636
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Q0162ondansetron 4 mg DIS 1EA78.26250990523166073
0ophthalmic irrigation, extraocular – Sol 120EA19.58250929322643379
J2407oritavancin 400 mg REC 11740250569922985145
0oseltamivir 1 E1EA4.5250452223168593
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0oseltamivir 30 mg Cap 1tab(s)56.72250605923086290
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0oxyCODONE 15 mg Tab 1tab(s)9.47250629123235593
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0oxyCODONE 20 mg/mL Con 1mL45.37250924022613900
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0oxyCODONE 5 mg Tab 1tab(s)4.5250704222211291
0oxyCODONE 60 mg ER 1tab(s)66.25250956422467245
0oxymetazoline Nasal 0.05% Spry 30spray(s)20.525039438497379
0oxymorphone 5 m1tab(s)16.225033506322077
J2590oxytocin 10 intl units/mL Inj Sol 1mL6.325031303454552
J2426paliperidone 156 mg/mL ER 1mL2088.71250914823144379
C9113pantoprazole 40 mg REC 127250670423169689
0pantoprazole 40 mg DR 1tab(s)24.95250119123154193
0parenteral nutrition solution Dextrose 10% in Wate500mL44.9525891269830308
0parenteral nutrition solution w/electrolytes Amino Acids 3% and Glycerin 3% with Electrolytes (ProcalAmine) Sol 1000mL122.0825898773778303
0paroxetine 10 mg Tab 1tab(s)13.0925090583454555
0PARoxetine 20 mg Tab 1tab(s)13.64250854423336521
J0561penicillin G benzathine 1,200,000 units/2 mL Sus 2mL349.9525029573454557
J0561penicillin G benzathine 600,000 units/mL Sus 1mL291.1425037083454558
0penicillin V potassium 250 mg Tab 1tab(s)4.5250431523295100
0Penicillin V Potassium 500 mg Tab 1tab(s)4.525097103454559
0perphenazine 8 mg19.6625090978543383
0phenazopyridine 100 mg Tab 1tab(s)5.3225037553454560
0phenazopyridine 95 mg Tab 1tab(s)4.5250280022547961
J2370phenylephrine 10 mg/mL Sol 1mL57.6250929522787879
0phenylephrine Opth 2.5% Sol 2drop(s)58.3225083513454562
0phenytoin 100 mg ERCap 1cap(s)4.525048333454563
J1165phenytoin 50 mg/mL Sol 2mL6.9250437523299107
J1165phenytoin 250 mg/5 mL Sol 5mL9.9250533715851407
0phenytoin 50 mg Che 1tab(s)4.525061655289007
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0phytonadione 10 mg/mL Inj Sol 1mL173.7825012503454567
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J2543piperacillin-tazobactam 2 g-0.25 g REC 1EA58250799322619741
J2543piperacillin-tazobactam 3 g-0.375 g IV Inj 1EA83.2725011963454570
J2543piperacillin-tazobactam 4 g-0.5 g IV Inj 1EA105.4525019473454571
90670pneumococcal 13-valent conjugate vaccine – Sus 0.5mL404.05250689523094701
90732pneumococcal 23-valent vaccine Inj Sol 0.5mL223.7125058074592207
0poliovirus vaccine, inactivated – Sus 0.5mL82.1525059904592206
0polyethylene glycol 3350 – REC 1EA7.63250759322796588
0polyethylene glycol 3350 with electrolytes – REC 4000mL98.2425010933778313
0polymyxin B-trimethoprim ophthalmic 10000 units-1 mg/mL Sol 10drop(s)52.28250155922859629
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0potassium chloride 10 mEq ER Cap1cap(s)4.9625062885292996
0potassium chloride 10 mEq ER Tab 1tab(s)4.525021203454575
0potassium chloride 20 mEq ER 1tab(s)4.5250877511241438
0potassium chloride 20 mEq REC 127.2250280522423720
J3480potassium chloride 20 mEq/100 mL Sol 1mL4.5250331023161904
J3480potassium chloride 2 mEq/mL Sol 10mL6250324823567637
0potassium chloride 20 mEq/15 mL Liq 15mL4.525031624592220
J3480potassium chloride 40mEq/20mL Sol 20mL23.4925030553966804
0pramipexole 0.125 mg Tab 1tab(s)16.21250355622424030
0pramipexole 0.25 mg Tab 1tab(s)16.71250500523439577
0pramipexole 0.5 mg Tab 1tab(s)4.525037783454579
0pramipexole 0.75 mg Tab 1tab(s)14.75250710822676164
0pramipexole 1.5 m1tab(s)14.75250936122717267
0pravastatin 20 mg Tab 1tab(s)16.3425084143454580
0prednisoLONE 15 mg/5 mL Syr 5mL12.04250257323278728
0prednisoLONE Opth acetate 1% Susp 5drop(s)6325057863454582
0gatifloxacin ophthalmic 0.5 %1drop(s)4.5023152665
0predniSONE 10 mg Tab 1tab(s)4.525024973454583
0predniSONE 20 mg Tab 1tab(s)4.525046723454584
0predniSONE 20 mg Tab THP 2EA4.525025805270591
J7512predniSONE 5 mg Tab 1tab(s)4.5250205422414415
0pregabalin 150 mg oral capsule 1cap(s)28.4925034493454585
0pregabalin 50 mg Cap 1cap(s)28.4925055396065001
0pregabalin 75 mg oral capsule 1cap(s)28.4925089633454586
0primidone 50 mg Tab 1tab(s)4.525018427636625
J2690procainamide 100 mg/mL Sol 10 mL 1mL35.6125030224572205
0prochlorperazine 10 mg Tab 1tab(s)4.525070243454587
0prochlorperazine 25 mg Supp 1supp53.5925041863454588
0prochlorperazine 5 mg Tab 1tab(s)4.525018153454589
J0780prochlorperazine 5 mg/mL Inj Sol 1mL13.9525062733454590
0promethazine 12.5 mg Supp 1supp70.8225055543454591
0promethazine 25 mg Sup 1supp70.82250317022850027
0promethazine 25 mg Tab 1tab(s)4.5250281922662968
J2550promethazine 25 mg/mL Inj Sol 1mL925096404196402
0promethazine 25 mg Tab 1EA13.73250377123278102
J2250promethazine 50 mg/mL Sol 1mL11.125062906065002
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J2704propofol 10 mg/mL Emu 100 mL* 100mL165.625025953778293
J2704propofol 10 mg/mL Emu 50mL82.8250941110995025
J2704propofol 10 mg/mL IV 20mL Emul 20mL33.7525039263454596
0propranolol 20 mg Tab 1tab(s)4.525026973454597
J2720protamine 10 mg/mL Inj 5mL Sol 5mL56.1625042003454598
0pseudoephedrine 30 mg Tab 1tab(s)4.525030043454599
0pyridostigmine 5 mg/mL Sol 1mL76.8250323023540721
0pyridoxine 100 mg Tab 14.5250844622998944
J3415pyridoxine 100 mg/mL Inj Sol 1mL72.9625033413454600
0QUEtiapine 100 mg Tab 1tab(s)4.5250300123168685
0QUEtiapine 25 mg Tab 1tab(s)18.57250536723278343
0QUEtiapine 50 mg oral tablet 1tab(s)34.4725049513454602
90375rabies immune globulin, human 150 intl units/mL IM Sol 2mL1710.2425040433454603
90675rabies vaccine, human diploid cell 2.5 intl units IM Inj 1EA831.5325032923454604
90675rabies vaccine, purified chick embyro cell 2.5 intl units IM Inj 1EA657.2825057023454605
0racepinephrine 2.25% Sol UD 1mL1425040973778312
0raNITIdine 150 mg Tab 1tab(s)7.79250260223278730
J2780ranitidine 25 mg/mL Inj 2mL Sol 1mL9.9825048263454606
0rifAMPin 300 mg Cap 1cap(s)10.05250737923366678
0risperiDONE 0.5 mg Tab 1tab(s)21.4125055977918609
0risperiDONE 1 mg Tab 1tab(s)22.7625020599513369
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0rocuronium 10 mg/mL Sol 5mL78.64250484822857068
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0rOPINIRole 1 mg Tab 1tab(s)12.53250502513279390
J2795ropivacaine 0.2% Sol 100mL185.42250785923413892
J2795ropivacaine 0.2% Inj Sol 200 mL 200mL341.5325020243454609
0rosuvastatin 10 mg Tab 1tab(s)35.3625040355292991
0rosuvastatin 20 mg Tab 1tab(s)35.3625070865288972
0rotavirus vaccine monovalent REC 1mL349.9525052424574198
0saccharomyces boulardii lyo 250 mg oral capsule 1cap(s)4.525084853454610
0senna 8.6 mg Tab 1tab(s)4.525088703454611
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0silver sulfadiazine cream 85 g 85app105.8825098144564820
0silver sulfADIAZINE topical 1% Cre 400app222.57250213022026748
0silver sulfADIAZINE topical 1% Cre 50 gm50app59.52250586422099297
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0simvastatin 20 mg Tab 1tab(s)24.625031503454615
0simvastatin 40 mg Tab 1tab(s)24.625055375292995
0sitagliptin 100 mg oral tablet 1tab(s)58.1425019603454616
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0sodium bicarbonate 4.2% IV Sol 10 mL 10mL49.7325060293454617
0sodium bicarbonate 8.4% IV Sol 50 mL 50mL44.9525052783454618
0Sodium Chloride 0.45% Sol 1000 mL 1000mL25.0725868633778339
J3480Sodium Chloride 0.45% with KCl 20 mEq/L intravenous solution Sodium Chloride 0.45% with KCl 20 mEq/L Sol1000mL31.55250269522867685
0sodium chloride 0.9% Inj Sol 10 mL 10mL4.525013703454620
0sodium chloride 0.9% Inj Sol 5 mL 5mL15.9525066103454621
0sodium chloride 0.9% Irr Sol 1000 mL 1000mL18.825071013778321
J7040Sodium Chloride 0.9% Sol 100 mL 1mL4.525883653778338
J7030Sodium Chloride 0.9% Sol 1000 mL 1000mL22.925891163778342
J7050Sodium Chloride 0.9% Sol 250 mL 250mL18.3925898673778340
J7050Sodium Chloride 0.9% Sol 50 mL 50mL43.5225816163778337
J7040Sodium Chloride 0.9% Sol 500 mL 500mL19.7325823673778341
0sodium chloride 0.9% Sol UD 3mL5.6325078523778311
J3480Sodium Chloride 0.9% with KCl 20 mEq/l IV Sol 1000 mL 1000mL40.8225068853454622
J3480LVP solution with potassium Sodium Chloride 0.9% with KCl 40 mEq/L Sol 1000mL78.36250375214483410
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0sodium polystyrene sulfonate 15 g/60 mL Oral Susp 60mL47.625078963454624
0sotalol 120 mg Tab 1tab(s)17.0925070416065004
0sotalol 80 mg Tab 1tab(s)4.525066157639543
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0spironolactone 50 mg Tab 1tab(s)4.525091695289012
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J0330succinylcholine 20 mg/mL Inj Sol 10mL14.5125089793454627
0sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL Oral Susp 60mL33.0825035123454628
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0sulfamethoxazole-trimethoprim 800 mg-160 mg Tab 1tab(s)4.5250976323532893
0sulfamethoxazole-trimethoprim 800 mg-160 mg Tab THP 2EA4.525072045268327
0sulfasalazine 500 mg Tab 1tab(s)4.525088763454631
0sumatriptan 100 mg Tab 1tab(s)100.5625029353454632
0SUMAtriptan 50 mg Tab 1tab(s)100.56250952611449420
J3030sumatriptan 6 mg/0.5 mL SubQ Sol 0.5mL256.225067553454633
0tamsulosin 0.4 mg Oral Cap 1cap(s)21.0925025643454634
0telmisartan 40 mg Tab 1tab(s)31.4425023303454635
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0temazepam 30 mg Cap 14.5250883922031243
0Template Non-Formulary 1 EA No De1EA0250999922069552
J3101tenecteplase 50 mg IV Inj 1EA8066.7925039634547433
0terbutaline 1 mg/mL Inj Sol 1mL2425074343454638
0terbutaline 5 mg Tab 1tab(s)4.525077563454639
J1071testosterone cypionate 200 mg/mL IM Sol 1mL118.5225056673454640
0tetanus immune globulin 250 units IM Sol 1 EA 1EA906.2625059233454641
0tetanus-diphth toxoids (Td) adult/adol 5 units-2units/0.5 mL Sus UD 1mL165.2425052394592205
0tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 mL Sus 0.5mL113.18250623523494459
0tetracaine ophthalmic 0.5% Sol 1drop(s)44.82123329388
250tetracaine ophthalmic 0.5% Sol 15drop(s)44.95250800322250837
0tetracaine ophthalmic 0.5% Sol 2 mL 2drop(s)43.4125083124564813
0theophylline 200 mg ER Tab 1tab(s)4.525063743454645
0theophylline 300 mg ER 1tab(s)4.525010355540971
0thiamine 100 mg Tab 1tab(s)4.5250412822891481
J3411thiamine 100 mg/mL Inj Sol 2mL49.7525056573454646
0thiamine 50 mg Tab 14.5250600518995368
0thyroid desiccated 60 mg Tab 14.5250646320085931
0thyroid desiccated 90 mg Tab 1tab(s)6.11250351811201369
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0tobramycin Opth 0.3% 5mL Sol 5drop(s)58.2425014813454649
0tolterodine 2 mg ER Cap 1cap(s)44.9525042707632647
0topiramate 100 mg Tab 1tab(s)31.2825079787639680
0torsemide 20 mg Tab 1tab(s)4.525049773454650
0tramadol 50 mg Tab 1tab(s)4.525098093454651
0traMADol 50 mg Tab THP 6EA22.5125011585267982
0tranexamic acid 100 mg/mL Sol 1mL22.91250419722979415
0traZODone 100 mg Tab 1tab(s)4.5250464223083731
0trazodone 50 mg Tab 1tab(s)4.525099823454653
J3301triamcinolone acetonide 40 mg/mL Sus 1mL41.98250982914205368
0triamcinolone topical 0.1% Cre 15app19.45250262523206501
0triamcinolone Top 0.1% Oint 15G 15app25.1125094573454656
0triazolam 0.25 mg Tab UD 1tab(s)15.9425025335292981
0trypan blue ophthalmic 0.06% Sol 0.5drop(s)16025019093778271
86580tuberculin purified protein derivative 5 TU/0.1 mL ID Sol 0.1mL28.3625047353454657
0typhoid vaccine, inactivated IM Sol 10 mL 10mL3145.7125027563454658
0valACYclovir 1 g Tab 1tab(s)50.57250168723308179
0valACYclovir 500 mg Tab 1tab(s)15.6225075284574179
0valsartan 160 mg Tab 1tab(s)24.95250854323562941
0valsartan 80 mg Tab 1tab(s)33.6525010723454659
J3370vancomycin 1 g REC 1EA40.5250353323064783
0vancomycin 125 mg Cap 1cap(s)125.38250704723308180
0vancomycin 250 mg Cap 1cap(s)224.725023943454662
J3370vancomycin 500 mg REC 143.42250485222077987
J3370vancomycin 750 mg REC 145.6250548323568917
J3490vasopressin 20 units/mL Inj Sol 1mL24.9525091933454663
0vecuronium 10 mg REC* 1vial(s)32.425026603778287
J3380vedolizumab 300 mg REC 18794.58250963223376249
0venlafaxine 75 mg ER 1cap(s)23.33250369822704474
0verapamil 10 mg/4 mL IV Sol 4mL133.9125015883454667
0verapamil 120 mg ER Cap 1cap(s)8.7307108740
0verapamil 120 mg ER Tab 1tab(s)10.6725087493454666
0verapamil 5 mg/2 mL Sol 2mL75.82250707222331106
0vitamin A & D topical – Oin 5app4.5250986123238359
0multivitamin Vitamin B Complex with Folic Acid Tab 1tab(s)4.5023205798
0warfarin 1 mg Tab 1tab(s)11.3250202112709681
0warfarin 2 mg Tab 1tab(s)11.7925057403454668
0warfarin 2.5 mg Tab 1tab(s)4.525070395292998
0warfarin 3 mg Tab 1tab(s)12.2125023543454669
0warfarin 4 mg Tab 1tab(s)12.2425081573454670
0warfarin 5 mg Tab 1tab(s)12.6825025663454671
0warfarin 7.5 mg Tab 1tab(s)4.7825017103454672
0witch hazel topical 50% Pad 12box(es)6.6325029003454673
0zanamivir 5 mg Powder[1inh22.725016604592218
0zinc oxide topical – Cream 14.525010785264998
0zolpidem 10 mg Tab 1tab(s)23.1325050303454674
0zolpidem 5 mg Tab UD 1tab(s)16.5725087675264996