Pricing Transparency Pharmacy

CPT/HCPCS,Description,Quantity,unit,price,CDM,Bill Item ID
0,ABH Cream 1 EA Cream ,1,mL,24.95,2504302,22554081
0,acetaminophen 120 mg Supp ,1,supp,4.5,2507392,3454187
0,acetaminophen 160 mg/5 mL Liq ,1,mL,4.5,2503385,22754934
0,acetaminophen 160 mg/5 mL Sus ,1,mL,4.5,2506354,22630331
0,acetaminophen 325 mg Tab UD ,1,tab(s),4.5,2501632,3778319
0,acetaminophen 500 mg Tab ,1,tab(s),4.5,2502383,3778320
0,acetaminophen 650 mg Supp ,1,supp,4.5,2506798,3454188
0,acetaminophen-codeine 120 mg-12 mg/5 mL Oral Liq 10 mL ,10,mL,4.5,2508143,3454189
0,acetaminophen-codeine 300 mg-30 mg Tab ,1,tab(s),4.5,2505909,22961956
0,acetaminophen-hydrocodone 325 mg-10 mg Tab ,1,tab(s),5.5,2505222,22975253
0,acetaminophen-hydrocodone 325 mg-5 mg Tab ,1,tab(s),4.5,2509048,23364770
0,acetaminophen-hydrocodone 325 mg-7.5 mg Tab ,1,tab(s),4.5,2503161,22975252
0,acetaminophen-hydrocodone 325 mg-7.5 mg/15 mL Sol ,1,mL,4.5,2504846,23562943
0,acetaminophen-HYDROcodone 5mg-325m,6,EA,20.5,2501270,23146588
0,acetaminophen-oxycodone 325 mg-10 mg Tab ,1,tab(s),17.75,2503208,23010650
0,acetaminophen-oxycodone 325 mg-5 mg Tab ,1,tab(s),6.84,2502717,23540441
0,acetaminophen-oxyCODONE 325 mg-10 mg Tab THP ,6,EA,45.7,2504261,5264984
0,acetaminophen-oxyCODONE 325 mg-7.5 mg Tab ,1,tab(s),13.58,2502457,22577194
0,acetaZOLAMIDE 250 mg Tab ,1,tab(s),14.42,2502238,4574190
0,acetaZOLAMIDE 500 mg ER ,1,cap(s),21.45,2509779,23175091
J1120,acetaZOLAMIDE 500 mg REC ,1,vial(s),199.2,2505993,4574201
J7608,acetylcysteine 10% Sol 10 mL ,10,mL,29.34,2502271,4572181
0,acetylcysteine 20% Sol 30mL ,1,mL,4.5,2503119,7856640
J0133,acyclovir 50 mg/mL Sol ,1,mL,10.5,2509853,23189135
0,acyclovir 400 mg Tab ,1,tab(s),10.84,2505817,22512350
0,acyclovir 50 mg/mL IV Sol ,10,mL,90.24,2509944,3454202
J0153,adenosine 3 mg/mL Sol ,2,mL,52.56,2508270,23094693
0,Al hydroxide/Mg hydroxide/simethicone ,1,mL,4.5,2503134,3755592
P9047,albumin human 25% Sol ,50,mL,315,2505425,23147806
P9045,albumin human 5% Sol ,500,mL,349.95,2508813,22460056
J7613,albuterol 0.083% Inh Sol 3 mL ,3,vial(s),11.05,2508214,3454204
J7613,albuterol 1.25 mg/3 mL (0.042%) Sol UD ,3,vial(s),13.3,2503885,3778309
0,albuterol 1 EA,1,EA,5,2509899,23168534
0,albuterol 5 mg/mL Sol 20mL ,1,inh,15,2501162,7856639
0,albuterol CFC free 90 mcg/inh Inh Aer w/Adapt ,8,puff(s),93.13,2504745,3454206
0,albuterol-ipratropium 103 mcg-18 mcg/inh Aer ,14.7,inh,485.7,2504636,3778280
J7620,albuterol-ipratropium 2.5 mg-0.5 mg/3 mL Sol ,3,mL,15.94,2508088,22014398
0,allopurinol 100 mg Tab ,1,tab(s),4.5,2504269,11201370
0,allopurinol 300 mg Tab ,1,tab(s),4.62,2506844,23235541
0,ALPRAZolam 0.25 mg Tab ,1,tab(s),4.5,2507646,23094768
0,ALPRAZolam 0.5 mg Tab ,1,tab(s),4.5,2501715,23371060
0,ALPRAZolam 1 mg Tab ,1,-,9.78,2507791,22067486
J2997,alteplase 100 mg REC ,1,mL,11650.97,2502537,6025472
0,amantadine 100 mg Tab ,1,-,8.92,2501873,22116960
J0278,amikacin 250 mg/mL Sol ,1,mL,20.31,2505725,14736045
0,amiodarone 200 mg Tab ,1,tab(s),4.5,2506094,3454208
J0282,amiodarone 50 mg/mL Sol ,9,mL,24.95,2507519,22922081
0,amitriptyline 10 mg Tab ,1,tab(s),4.5,2502989,4574192
0,amitriptyline 25 mg Tab ,1,tab(s),4.5,2507350,3454210
0,amitriptyline 50 mg Tab ,1,tab(s),4.5,2501866,3454211
0,amLODIPine 5 mg Tab ,1,tab(s),8.21,2508962,23219594
0,amLODIPine 10 mg Tab UD ,1,tab(s),4.5,2508016,5264995
0,amLODIPine 2.5 mg Tab ,1,tab(s),4.5,2504307,22441813
0,amoxicillin 250 mg/5 mL REC ,1,mL,4.5,2503940,22149643
0,amoxicillin 400 mg/5 mL REC ,75,mL,33.08,2501823,22709077
0,amoxicillin 500 mg Cap ,1,cap(s),4.5,2503172,4584179
0,amoxicillin 875 mg Tab ,1,tab(s),4.5,2505621,23547239
0,amoxicillin 875 mg Tab THP ,2,EA,4.5,2505387,5254996
0,amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 50 mL ,50,mL,140.6,2502729,3454216
0,amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 50 mL THP ,50,EA,143.1,2506091,3454217
0,amoxicillin-clavulanate 500 mg-125 mg Tab ,1,tab(s),18.92,2505496,22577206
0,amoxicillin-clavulanate 600 mg-42.9 mg/5 mL REC ,75,mL,153,2507561,23127340
0,amoxicillin-clavulanate 875 mg-125 mg Tab ,1,tab(s),10.13,2504870,3454219
0,amoxicillin-clavulanate 875 mg-125 mg Tab THP ,1,EA,4.5,2502617,5254997
J0285,amphotericin B 50 mg REC ,1,-,182.4,2501132,22720423
J0290,ampicillin 1 g REC ,1,vial(s),36.92,2504376,23028347
J0290,ampicillin 2 g REC ,1,vial(s),63.66,2505830,23027743
J0290,ampicillin 250 mg Inj ,1,vial(s),13.5,2504119,3454222
J0290,ampicillin 500 mg REC ,1,vial(s),20.93,2504767,23413495
J0295,ampicillin-sulbactam 1 g-0.5 g REC ,1,-,36.63,2507227,23278726
J0295,ampicillin-sulbactam 2 g-1 g REC ,1,EA,44.95,2508776,23321201
0,antipyrine-benzocaine otic 54 mg-14 mg/mL Sol ,15,drop(s),51.6,2507261,7632609
J0840,antivenin (Crotalidae) polyvalent Inj Sol ,1,vial(s),2910.24,2508787,3454224
0,APAP/butalbital/caffeine 325 mg-50 mg-40 mg Tab ,1,tab(s),8.02,2504479,3454225
0,apixaban 5 mg Tab ,1,tab(s),34.95,2508703,23059417
0,apraclonidine ophthalmic 0.5% Sol ,5,drop(s),303.7,2506138,3778268
0,apraclonidine ophthalmic 1% Sol UD ,1,drop(s),112.81,2506889,3778269
J7605,arformoterol  15 mcg / 2 m,1,mL,44.95,2505668,9513368
0,arginine 500 mg Tab ,1,tab(s),4.5,2502530,5288978
0,ARIPiprazole 5 mg Tab ,1,tab(s),128.44,2503891,23083730
0,ascorbic acid 250 mg Tab ,1,tab(s),4.5,2503912,5288981
0,ascorbic acid 500 mg Tab ,1,tab(s),4.5,2501783,23503228
0,aspirin 300 mg Supp ,1,supp,7.29,2502905,3454226
0,aspirin 325 mg DR ,1,tab(s),4.5,2507123,23281265
0,aspirin 81 mg Chew Tab ,1,tab(s),4.5,2506372,3454228
0,aspirin 81 mg Oral EC Tab ,1,tab(s),4.5,2507874,3454229
0,aspirin-dipyridamole 25 mg-200 mg ER ,1,cap(s),41.82,2504274,13279382
0,atenolol 25 mg Tab ,1,tab(s),4.5,2507667,5289009
0,atenolol 50 mg Tab ,1,tab(s),4.5,2506523,3454230
0,atorvastatin 10 mg Tab ,1,tab(s),4.5,2506972,22961964
0,atorvastatin 20 mg Tab ,1,tab(s),24.95,2501487,4574189
0,atorvastatin 40 mg Tab ,1,tab(s),4.5,2505084,23235526
0,atorvastatin 80 mg Tab ,1,tab(s),25.98,0,22162252
J0461,atropine 0.1 mg/mL Inj Sol 10mL ,1,mL,4.5,2507411,3454232
J0461,atropine 0.4 mg/mL Inj Sol ,1,mL,21.88,2507376,3454233
0,atropine-diphenoxylate 0.025 mg-2.5 mg Tab ,1,tab(s),4.5,2505799,3454235
0,atropine/hyoscyamine/PB/scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5 mL Eli ,1,mL,10.79,2506834,4584196
0,azithromycin 100 mg/5 mL Oral Liq ,15,mL,139.52,2504451,3454236
0,azithromycin 200 mg/5 mL Oral Liq ,15,mL,139.52,2505236,3454237
0,azithromycin 250 mg Tab ,1,tab(s),8.44,2504024,3454238
0,azithromycin 250 mg Tab THP ,1,EA,4.5,2504485,5264973
J0456,azithromycin 500 mg IV Inj ,1,vial(s),137.56,2506341,3454240
0,azithromycin 500 mg Tab ,1,tab(s),62.27,2509021,14685412
S0073,aztreonam 1 g Inj ,1,vial(s),139.2,2501921,3454242
0,bacitracin Top 500 units/g Oint ,0.9,app,4.5,2502672,3454243
0,bacitracin/neomycin/polymyxin B Top Oint ,1,app,4.5,2501398,3454244
0,baclofen 10 mg Tab ,1,-,12.36,0,22026928
0,baclofen 20 mg Tab ,1,tab(s),24.95,2508769,3454245
0,benazepril 20 mg Tab ,1,tab(s),4.5,2509909,3454246
0,benazepril-hydroCHLOROthiazide 20 mg-25 mg Tab ,1,tab(s),10.34,2507738,22606413
0,benzocaine Top 20% Spry ,56,spray(s),24.95,2507873,3454247
0,benzocaine/butamben/tetracaine topical 14%-2%-2% Aer ,56,spray(s),276.5,2508754,7632624
0,benzonatate 200 mg Cap ,1,cap(s),7.55,2503737,23127332
J0515,benztropine 1 mg/mL Inj Sol ,2,mL,262.5,2506296,4584188
J0702,betamethasone acetate-betamethasone sodium phosphate 3 mg-3 mg Inj Susp 5 mL ,1,mL,36,2507061,3454249
0,bisacodyl 10 mg Supp ,1,supp,4.5,2501990,3454250
0,bisacodyl 5 mg Oral EC Tab ,1,tab(s),4.5,2502741,3454251
0,bismuth subsalicylate 262 mg/15 mL Sus ,15,mL,4.5,2507640,3778315
0,budesonide 0.25 mg/2 mL Inh SOLN. ,2,mL,47.36,2501751,3454252
0,budesonide 1 EA,1,EA,5,2501518,23168547
0,budesonide 0.5 mg/2 mL Inh SOLN. ,2,mL,49.32,2507463,3454253
0,budesonide 90 mcg/inh Pow ,1,inh,349.95,2503611,22087182
0,budesonide-formoterol 160 mcg-4.5 mcg/inh Aer ,1,inh,134.28,0,22014396
S0171,bumetanide 0.25 mg/mL Inj Sol ,4,mL,10.5,2503961,3454254
0,bumetanide 1 mg Tab ,1,tab(s),6.87,2507247,3454255
0,bumetanide 2 mg Tab ,1,tab(s),14.69,2506987,22606418
0,bumetanide 2.5mg/10ml inj ,10,mL,14.82,2501782,6064982
S0020,bupivacaine 0.25% PF Inj Sol 10 mL ,10,mL,20.9,2509183,3454256
S0020,bupivacaine 0.5% preservative-free Sol ,30,mL,34.02,2509142,23357946
0,bupivacaine 0.75%-D8.25% preservative-free Sol ,1,mL,7.49,2508610,23356352
0,bupivacaine 0.75%-D8.25% preservative-free Sol ,2,mL,23.6,2509893,3778282
0,"bupivacaine-EPINEPHrine 0.25%-1:200,000 Sol ",1,mL,4.5,2504223,14443178
0,"bupivacaine-epinephrine 0.5%-1:200,000 PF Inj Sol 10 mL ",10,mL,22.98,2508210,3454257
0,"bupivacaine-EPINEPHrine 0.5%-1:200,000 Sol 50 mL ",1,mL,4.5,2504790,5316976
0,buPROPion 100 mg Tab ,1,tab(s),9.82,2504039,6064985
0,buPROPion 200 mg/12 hours ER ,1,-,19.17,2508660,5270593
0,buPROPion SR 150 mg/12 hours ER ,1,tab(s),9.68,2503913,4752126
0,busPIRone 15 mg Tab ,1,tab(s),9.95,2509848,7632614
J0595,butorphanol 2 mg/mL Inj Sol ,1,mL,28.14,2502653,3454258
J0595,butorphanol 4mg/2ml injection ,1,mL,18.87,2509063,4564814
J0706,caffeine citrate 20 mg/mL Sol ,1,mL,53.33,0,23503229
0,Calcium & Vitamin D Liq 480mL ,1,mL,4.5,0,7860611
0,calcium carbonate 500 (1250) mg Tab ,1,tab(s),4.5,2508541,5293000
0,calcium carbonate 750 mg Che ,1,tab(s),4.5,2501343,3778316
0,calcium chloride 100 mg/mL Sol ,10,mL,44.95,2505530,22709075
0,calcium citrate 250 mg elemental calcium Tab ,1,tab(s),4.5,2504663,5289005
J0610,calcium gluconate 100 mg/mL Sol ,1,mL,5.49,2509911,23366672
0,calcium-vitamin D 315 mg-250 intl units Tab ,1,tab(s),4.5,2504032,5288980
0,calcium-vitamin D 500 mg-200 intl units Tab ,1,tab(s),4.5,2503700,3454261
0,calcium-vitamin D 600 mg-400 intl units Tab ,1,tab(s),4.5,2501028,5288976
0,calfactant intratracheal Susp 3 mL ,3,mL,596.64,2505676,3454262
0,calfactant intratracheal Susp 6 mL ,6,mL,1208,2506427,3454263
0,carBAMazepine 200 mg Tab ,1,tab(s),8,2509781,4574187
0,carbamide peroxide otic 6.5% Sol ,1,mL,4.5,0,14483374
0,carbidopa-levodopa 25 mg-100 mg Tab ,1,tab(s),5.82,2505541,4574207
0,carbidopa-levodopa 25 mg-250 mg Tab ,1,tab(s),7.51,2506527,13279392
0,carboprost 250 mcg/mL Sol ,1,mL,545.16,2506627,22393837
0,carisoprodol 350 mg Tab ,1,tab(s),4.5,2501905,3454264
0,carvedilol 12.5 mg Tab ,1,tab(s),10.51,2503305,23368064
0,carvedilol 25 mg Tab ,1,tab(s),10.51,2502479,23452365
0,carvedilol 3.125 mg Tab ,1,tab(s),10.68,2501266,11453568
0,carvedilol 6.25 mg Tab ,1,tab(s),10.51,2503315,23016723
J0690,cefazolin 1 g Inj ,1,EA,23.05,2503507,8863840
J0690,ceFAZolin 1 g REC ,1,mL,24.95,2505126,23308168
J0690,ceFAZolin 2 g/50 mL Sol ,1,mL,39.42,2502559,22854953
0,cefdinir 125 mg/5 mL REC ,1,mL,4.5,2502351,23185801
0,cefdinir 125 mg/5 mL REC ,60,mL,199.95,2507678,4584202
0,cefdinir 250 mg/5 mL Oral Susp ,60,mL,348.18,2503306,3454268
0,cefdinir 300 mg Cap ,1,cap(s),24.95,2505700,23555968
0,cefdinir 1 E,1,EA,4.5,2502269,23168556
J0692,cefepime 1 g REC ,1,EA,81.34,2507929,23548000
J0692,cefepime 2 g REC ,1,-,161.44,2504210,23564205
J0694,cefOXitin 1 g REC ,1,-,32.4,2502049,22546898
J0713,cefTAZidime 1 g REC ,1,-,28.08,2507952,23043807
J0713,cefTAZidime 1 g/50 mL-D5% Sol ,1,mL,50.11,2507140,22784416
J0713,cefTAZidime 500 mg REC ,1,vial(s),35.64,2505273,23152253
J0696,cefTRIAXone 1 gm Inj ,1,EA,11.51,2508680,3454273
J0696,ceftriaxone 2 g Inj ,1,EA,17.25,2504075,3454274
J0696,ceftriaxone 250 mg Inj ,1,-,5.45,2503776,3454275
J0696,cefTRIAXone 500 mg Inj ,1,-,6.9,2508530,3454276
0,celecoxib 200 mg Cap ,1,cap(s),34.12,2506292,23458612
0,cephalexin 250 mg/5 mL Oral Liq ,100,mL,115,2507134,3454277
0,cephalexin 500 mg Cap ,1,cap(s),6.11,2506825,22831286
0,cephalexin 500 mg Cap ,4,EA,107.4,2509431,23195303
0,cetirizine 10 mg Tab ,1,tab(s),12.13,2508588,22849995
0,charcoal-sorbitol 50 g Oral Susp 240 mL ,240,mL,94.6,2504020,3454280
0,chlordiazePOXIDE 25 mg Cap ,1,cap(s),4.5,2502986,4592190
0,chlorhexidine topical 0.12% Liq ,1,mL,4.5,0,21810747
0,cholecalciferol 1000 intl units Tab ,1,tab(s),4.5,2505414,5289006
0,cholecalciferol 2000 intl units Cap ,1,cap(s),4.5,2503284,5292985
0,cholecalciferol 2000 intl units Tab ,1,tab(s),4.5,2502410,5289000
0,cholecalciferol 400 intl units Tab ,1,-,4.5,2507695,22165167
0,cholecalciferol 5000 intl units Cap ,1,cap(s),4.5,2507065,22866770
0,ciprofloxacin 250 mg Tab ,1,tab(s),22.97,2504092,3454282
J0744,ciprofloxacin 400 mg/200 mL IV Sol ,200,mL,24,2503764,3454283
0,ciprofloxacin 500 mg Tab ,1,tab(s),24.95,2502550,22623477
0,ciprofloxacin 500 mg Tab ,2,EA,198.14,2502094,23326222
0,citalopram 10 mg Tab ,1,tab(s),11.61,2501659,5288999
0,citalopram 20 mg Tab ,1,tab(s),12.81,2506464,3454285
0,citalopram 40 mg Tab ,1,-,13.22,2501124,22114039
0,citric acid-sodium citrate 640 mg-490 mg/5 mL Sol ,5,mL,5.03,2502411,4592219
0,clarithromycin 500 mg Tab ,1,tab(s),27.07,2509488,23336526
0,clindamycin 150 mg Cap ,1,cap(s),5.75,2503836,22961968
0,clindamycin 150 mg Cap ,4,EA,46.26,2502008,23278101
0,clindamycin 300 mg Cap ,1,cap(s),4.5,2503085,22598285
0,clindamycin 150 mg/mL Sol ,4,mL,15.64,2502334,23252103
S0077,clindamycin 150 mg/mL IV Sol 6 mL ,6,mL,74,2509025,3454289
0,clobetasol topical 0.05% Cre ,1,-,22.71,2501851,22620387
0,clobetasol topical 0.05% Gel ,15,app,349.95,2502686,22176670
0,clonazePAM 0.5 mg Tab ,1,tab(s),4.5,2505393,23088418
0,clonazePAM 1 mg Tab ,1,tab(s),4.53,2503090,23413483
0,clonazePAM 2 mg Tab ,1,-,5.92,2503446,22954907
0,clonidine 0.1mg tablet ,1,tab(s),4.5,2506810,4564790
0,cloNIDine 0.2 mg Tab ,1,tab(s),4.5,2509559,8174483
0,clopidogrel 75 mg Tab ,1,tab(s),34.8,2504504,3454292
0,clotrimazole topical 1%  ,15,app,26.95,2506829,4564791
0,Cod Liver Oil Cap ,1,cap(s),4.5,2501779,5288977
0,codeine-guaifenesin 10 mg-100 mg/5 mL Oral Syrup ,10,mL,5.65,2509026,3454293
0,codeine-promethazine 10 mg-6.25 mg/5 mL Syr ,10,mL,4.5,2507618,23570557
0,codeine-promethazine 10 mg-6.25 mg/5 mL Syr THP ,118,EA,39.67,2503331,5274975
0,colchicine 0.6 mg Tab ,1,tab(s),26.19,2501018,3454295
0,conjugated estrogens 1.25 mg Tab ,1,tab(s),24.95,2507794,6064989
0,cyanocobalamin 1000 mcg Tab ,1,tab(s),4.5,2504787,23503220
J3420,cyanocobalamin 1000 mcg/mL Sol ,1,mL,599.8,2504587,22917717
0,cyclobenzaprine 10 mg Tab ,1,tab(s),4.5,2504359,23172775
0,cyclobenzaprine 10 mg Tab ,3,EA,103.72,2502845,23236442
0,cyclobenzaprine 5 mg Tab ,1,tab(s),8.2,2502772,7632638
0,cyclopentolate ophthalmic 1% Sol ,2,drop(s),6.15,2507600,23029727
0,cycloSPORINE ophthalmic 0.05% Emu UD ,1,drop(s),34.91,2502664,7858610
0,dabigatran 150 m,1,-,19.35,2509505,7265343
0,dantrolene 20 m,1,-,349.95,0,7580613
J0878,DAPTOmycin 500 mg REC ,1,EA,999.95,2502527,23329597
J0881,darbepoetin alfa 300 mcg/0.6 mL Sol ,1,mL,5805,2508397,23105817
J0881,darbepoetin alfa 40 mcg/0.4 mL Sol ,1,mL,999.95,2509931,4584212
J0895,deferoxamine 500 mg REC ,1,-,62.16,2502250,23458611
0,desflurane 100% Liq* ,1,mL,4.5,2503596,3778283
0,desmopressin 10 mcg/inh Spr ,1,spray(s),202.01,2505630,22116971
J1100,dexamethasone 10 mg/mL Sol ,1,mL,7.8,2501032,22038374
J1100,dexamethasone 10 mg/mL Inj Sol ,10,mL,51.98,2506089,3454300
0,dexamethasone 4 mg Tab ,1,tab(s),4.5,2506285,5288985
J1100,dexamethasone 4 mg/mL Inj Sol ,1,mL,13.2,2501372,3454301
0,dexamethasone/neomycin/polymyxin B Opth Susp ,5,drop(s),176,2502335,3454302
0,dextromethorphan-guaiFENesin 10 mg-100 mg/5 mL Liq ,5,mL,4.5,2509745,22659998
0,Dextrose 10% in Water Sol 500 mL ,500,mL,44.95,2589126,3778326
J7120,Dextrose 5% in Lactated Ringers Injection Sol 1000 mL ,1000,mL,24.95,2587810,3778333
J7060,Dextrose 5% in Water Sol 100 mL ,100,mL,12.4,2588561,3778336
J7070,Dextrose 5% in Water Sol 1000 mL ,1000,mL,23.65,2589312,3778332
J7070,Dextrose 5% in Water Sol 250 mL ,250,mL,11.7,2581606,3778323
J7070,Dextrose 5% in Water Sol 500 mL ,500,mL,19.2,2582357,3778331
J7042,Dextrose 5% with 0.2% NaCl Sol 500 mL ,500,mL,23.9,2583859,3778329
J7042,Dextrose 5% with 0.225% NaCl Sol 1000 mL ,1000,mL,38.16,2583108,3778328
J3480,LVP solution with potassium Dextrose 5% with 0.45% NaCl and KCl 20 mEq/L Sol ,1000,mL,25.79,2505053,22554177
J7042,Dextrose 5% with 0.45% NaCl Sol 1000 mL ,1000,mL,24.95,2584610,3778334
J7042,Dextrose 5% with 0.45% NaCl Sol 500 mL ,500,mL,44.71,2504674,4584182
J7042,Dextrose 5% with 0.9% NaCl Sol 1000 mL ,1000,mL,23.9,2585361,3778330
0,diazepam 10 mg Tab ,1,tab(s),4.5,2509591,3454303
J3360,diazepam 5 mg/mL Inj Sol ,2,mL,113.87,2508840,3454304
J3360,diazePAM 50 mg/10 mL Sol ,1,mL,20,2501600,23177914
0,dicyclomine 20 mg Tab ,1,tab(s),4.5,2501544,22577209
0,digoxin 125 mcg (0.125 mg) Tab ,1,tab(s),11.5,2507823,23168683
J1160,digoxin 250 mcg/mL (0.25 mg/mL) Sol ,2,mL,33.64,2503546,22577201
0,dilTIAZem 120 mg/24 hours ER ,1,cap(s),4.5,2502235,22850003
0,diltiazem 125 mg/25 mL Sol ,1,mL,4.5,2509385,22137362
0,dilTIAZem 180 mg/24 hours ER ,1,cap(s),4.5,2506332,23350580
0,dilTIAZem 5 mg/mL Sol ,5,mL,13.08,2507148,23291673
0,diltiazem 5 mg/mL Sol 10 mL ,1,mL,4.5,2504503,7632650
0,diltiazem 60 mg Tab ,1,tab(s),7.83,2507036,5288986
0,dinoprostone 0.3 mg/hr Vag Insert ,1,EA,735.04,2501075,3454311
Q0163,diphenhydrAMINE 12.5 mg/5 mL Liq ,5,mL,4.5,2506777,4572218
0,diphenhydrAMINE 25 mg Cap ,1,cap(s),4.5,2506840,3454312
0,diphenhydrAMINE 25 mg Tab,1,tab(s),4.5,2506840,6700651
J1200,diphenhydrAMINE 50 mg/mL Inj Sol ,1,mL,4.9,2506088,3454313
0,diphtheria-tetanus toxoids pediatric IM  ,0.5,mL,194.35,2507033,3454314
0,diphtheria/tetanus/pertussis (DTaP) ped 6.7 units-5 units-46.8 mcg/0.5 mL Sus ,0.5,mL,67.34,2504488,4592204
0,divalproex sodium 125 mg DR ,1,cap(s),5.6,0,23568944
0,divalproex sodium 250 mg DR,1,tab(s),8.81,2507909,5270592
0,divalproex sodium 500 mg DR ,1,tab(s),16.07,2509030,23175987
0,divalproex sodium 500 mg ER Tab ,1,tab(s),20.37,2507131,3454315
J1250,DOBUTamine 1 mg/mL-D5W intravenous solution ,500,mL,158.28,2507591,3454316
J1250,DOBUTamine 12.5 mg/mL IV Sol ,20,mL,25.5,2504127,3454317
0,docusate sodium 100 mg Cap ,1,cap(s),4.5,2509414,3454318
0,docusate sodium 60 mg/15 mL ,1,mL,4.5,2509480,15733368
0,docusate-senna 50 mg-8.6 mg Tab ,1,tab(s),4.5,2504347,3778305
0,donepezil 10 mg Tab ,1,tab(s),4.5,2502750,22662965
0,donepezil 5 mg Tab ,1,tab(s),35.02,0,22021445
J1265,DOPamine 1.6 mg/mL-D5,250,mL,75.07,2508919,22955605
J1265,DOPamine 40 mg/mL IV Sol ,5,mL,12.78,2508342,3454321
0,doxycycline hyclate 100 mg Tab ,1,tab(s),4.5,2509844,3454322
0,doxycycline monohydrate 100 mg Cap ,1,cap(s),11.85,2507099,23547240
Q0167,dronabinol 2.5 mg Cap ,1,cap(s),26.51,2505485,22606419
0,DULoxetine 30 mg DR ,1,cap(s),35.29,2504557,23569183
0,DULoxetine 60 mg DR ,1,cap(s),35.29,2509777,23176408
0,dutasteride 0.5 mg Cap ,1,cap(s),25.73,2501706,3454324
0,enalapril 1.25 mg/mL IV Sol ,1,mL,20.1,2503837,3454325
0,enalapril 20 mg Tab UD ,1,tab(s),13.83,2508246,4574205
J1650,enoxaparin 100 mg/mL Sol 1mL ,1,mL,231,2508545,6064991
J1650,enoxaparin 300 mg/3 mL Sol ,1,mL,329.9,2504710,23570554
J1650,enoxaparin 30 mg/0.3 mL SC Sol ,0.3,mL,79.2,2503444,8296190
J1650,enoxaparin 40 mg/0.4 mL SC Sol ,0.4,mL,105.6,2503959,4196398
0,ephedrine 50 mg/mL Inj Sol ,1,mL,8.2,2509092,3454329
J0171,epinephrine 0.1 mg/mL Inj Sol 10mL ,10,mL,24.95,2507895,3454330
J0171,EPINEPHrine 1 mg/mL Sol ,1,mL,70,2508341,23010969
0,"epinephrine-lidocaine 1:100,000-1% Inj Sol 10 mL ",10,mL,17.95,2505693,3454332
0,"EPINEPHrine-lidocaine 1:100,000-1% Inj Sol 20 mL ",20,mL,11.91,2508607,3454333
0,EPINEPHrine-lidocaine 1:100000-2% Sol ,1,mL,4.5,2506026,4572216
0,"epinephrine-lidocaine 1:200,000-0.5% Inj Sol 50 mL ",50,mL,20.77,2507681,3454334
0,"epinephrine-lidocaine 1:200,000-2% PF Inj Sol 10 mL ",10,mL,40.19,2501541,3454335
0,"EPINEPHrine-lidocaine 1:200,000-2% preservative-free 20 mL Sol ",20,mL,61.52,2505849,3778274
0,EPINEPHrine/lidocaine/tetracaine topical 180 mg-4000 mg-500 mg/100 mL REC ,1,mL,4.5,2501499,15827710
J1327,eptifibatide 0.75 mg/mL IV Sol ,100,mL,999.95,2504022,3454336
0,"ergocalciferol 50,000 intl units Cap ",1,cap(s),9.86,2504887,23373829
J1335,ertapenem 1 g REC ,1,EA,349.95,2507566,23413497
0,erythromycin ophthalmic 0.5% Oin ,1,app,39.13,2508581,23376239
0,escitalopram 10 mg Tab ,1,tab(s),39.54,2502502,3454339
0,esmolol 10 mg/mL Sol ,10,mL,39.6,2509230,23174511
0,esomeprazole 20 mg Oral EC Cap ,1,cap(s),41.06,2506212,3454341
0,esomeprazole 40 mg ER ,1,-,42.61,2509590,22039243
0,estradiol 1 mg Tab ,1,tab(s),4.5,2502404,23562942
0,etodolac 400 mg Tab ,1,tab(s),6.62,2503146,5289024
0,etomidate 2 mg/mL Sol ,1,mL,4.8,2509008,23007136
0,exenatide 10 mcg/0.04 mL SC Sol ,2.4,mL,949.08,2506963,3454343
0,famotidine 10 mg/mL Sol ,1,mL,4.5,2501219,13595368
0,famotidine 20 mg Tab ,1,tab(s),8.67,2509532,3454344
J3010,fentaNYL 50 mcg/mL Sol ,2,mL,13.6,2507714,23321972
0,fentaNYL 100 mcg/hr ER ,1,patch(es),199.95,2505710,22928876
0,fentaNYL 12 mcg/hr ER ,1,patch(es),81.21,2505497,23235543
0,fentaNYL 25 mcg/hr ER ,1,patch(es),85.06,2503457,23479880
0,fentanyl 50 mcg/hr Transderm ER Film ,1,patch(es),105.03,2504208,3454350
J3010,fentaNYL 50 mcg/mL Sol ,1,mL,4.5,2502700,21607936
0,fentanyl 75 mcg/hr Transderm ER Film ,1,patch(es),160.98,2504959,3454351
J1439,ferric carboxymaltose (as elemental iron) 50 mg/mL Sol ,15,mL,1703.45,2501100,22593629
0,ferrous sulfate 325 mg Tab ,1,tab(s),4.5,2502313,23235514
Q0138,ferumoxytol 510 mg/17 mL Sol ,17,mL,1263.48,2507337,22030207
J1440,filgrastim 300 mcg/mL Inj Sol ,1,mL,723.46,2509641,3454353
J1442,filgrastim 480 mcg/0.8 mL Sol ,1,mL,1144.8,2504948,22981133
S0138,finasteride 5 mg Tab ,1,tab(s),15.63,2507278,13279393
0,fluconazole 100 mg Tab ,1,tab(s),8.93,2509296,22619898
0,fluconazole 150 mg Tab ,1,tab(s),14.21,2502102,23308178
J1450,fluconazole 200 mg/100 mL-0.9% Sol ,1,mL,4.5,2506944,22160035
J1450,fluconazole 400 mg/200 mL-0.9% Sol ,200,mL,44.95,2505415,4752160
0,fludrocortisone 0.1 mg Tab ,1,tab(s),4.5,0,7632651
0,flumazenil 0.1 mg/mL Sol ,1,mL,33.7,2503301,23278729
0,fluoxetine 10 mg Cap ,1,cap(s),12.99,2508465,3454357
0,fluoxetine 20 mg Cap ,1,cap(s),13.07,2505372,3454358
0,fluticasone Nasal 0.05 mg/inh Spry ,16,spray(s),295.12,2509585,3454359
0,fluticasone-salmeterol 100 mcg-50 mcg Inh Pwdr ,14,EA,349.95,2502475,3454360
0,fluticasone-salmeterol 250 mcg-50 mcg Inh Pwdr ,14,EA,349.95,2509484,3454361
0,fluticasone-salmeterol 500 mcg-50 mcg Inh Pwdr ,14,EA,490.83,2509678,3454362
0,folic acid 1 mg Tab ,1,tab(s),4.5,2508501,3454363
Q2009,fosphenytoin 500 mgPE/10 mL Sol ,10,mL,190.4,2509337,23494470
Q2009,fosphenytoin 100 mgPE/2 mL Sol ,1,mL,40.5,2508243,23150023
J1940,furosemide 10 mg/mL Inj 10mL Sol ,10,mL,29.77,2509967,3454365
0,furosemide 20 mg Tab ,1,tab(s),4.5,2504297,3454368
J1940,furosemide 10 mg/mL Sol ,2,mL,16.38,2505362,22704648
0,furosemide 40 mg Tab ,1,tab(s),4.5,2505048,22956756
J1940,furosemide 10 mg/mL Inj 4mL Sol ,4,mL,10.94,2509216,3454367
0,furosemide 40 mg/5 mL Sol ,5,mL,4.5,2505534,5288982
0,furosemide 80 mg Tab ,1,tab(s),4.5,2502810,6546971
0,gabapentin 100 mg Cap ,1,cap(s),4.5,2503558,23543425
0,gabapentin 300 mg Cap ,1,cap(s),4.5,2504365,23094694
0,gabapentin 400 mg Cap ,1,cap(s),7.98,2504750,3454371
0,gabapentin 600 mg Tab ,1,-,12.63,2501730,22316408
0,ganciclovir ophthalmic 0.15% Gel ,1,in,234.29,2503102,23186965
0,gemfibrozil 600 mg Tab ,1,tab(s),11.58,2503923,4584181
J1580,gentamicin 10 mg/mL Sol ,1,mL,11.82,2504309,9894231
J1580,gentamicin 100 mg/50 mL-NS IV Sol ,50,mL,20.34,2502289,3454372
0,gentamicin 80 mg/100 mL-0.9% Sol ,1,mL,4.5,0,7632653
J1580,gentamicin 80 mg/2mL Inj Sol ,2,mL,7.59,2506791,3454373
0,GI Cocktail 1 E,1,mL,31.5,2501476,22571986
0,glimepiride 2 mg Tab ,1,tab(s),4.5,2505606,22676126
0,glipiZIDE 10 mg Tab ,1,tab(s),4.5,2503523,13279378
0,glipiZIDE 2.5 mg ER ,1,tab(s),4.5,2503040,23336525
0,glipiZIDE 5 mg Tab ,1,tab(s),4.5,2505861,23336524
0,glipizide-metformin 5 mg-500 mg Tab ,1,tab(s),4.94,2504136,22759068
J1610,glucagon recombinant 1 mg Inj ,1,mL,557.77,2505110,3454376
0,glucose 25% IV Sol 10 mL ,10,mL,39.37,2502520,3454377
0,glucose 25% Liq ,59,EA,39.51,2504542,3454378
0,glucose 40% Gel ,40,-,21.07,2506560,11979368
0,glucose 50% IV Sol 50 mL ,50,mL,33.86,2503835,3454379
0,glyBURIDE 5 mg Tab ,1,tab(s),4.5,2506176,4584190
0,glyBURIDE-metFORMIN 5 mg-500 mg Tab ,1,tab(s),4.84,2502626,22116124
0,glycerin adult Supp ,1,supp,4.5,2507190,3454380
0,glycerin pediatric Supp ,1,supp,4.5,2501229,3454381
250,glycerin-witch hazel topical 50% Pad ,1,EA,4.5,2501944,22928789
0,glycopyrrolate 0.2 mg/mL Sol ,1,mL,38.05,2503025,23546688
0,guaiFENesin 400 mg Tab ,1,tab(s),4.5,2509920,5289019
0,guaifenesin 600 mg ER Tab ,1,tab(s),4.5,2501827,3454383
0,guaifenesin-pseudoephedrine 600 mg-60 mg ER ,1,tab(s),4.5,2506044,22849994
0,haemophilus b conjugate (PRP-T) vaccine - REC ,1,EA,76.27,2507492,4592210
0,haloperidol 0.5 mg Tab ,1,tab(s),4.5,2502977,3454385
0,haloperidol 2 mg Tab ,1,tab(s),4.5,2501303,22414419
0,haloperidol 2 mg/mL Con ,1,mL,4.5,2507891,22827818
0,haloperidol 5 mg Tab ,1,tab(s),4.87,2507378,22396343
J1630,haloperidol 5 mg/mL Inj Sol ,1,mL,99.05,2509044,3454386
J1644,heparin 1000 units/mL Sol ,1,mL,14.4,2503472,14443131
J1644,"heparin 10,000 units/mL Inj Sol ",1,mL,24,2501969,3454387
J1644,"heparin 25,000 units/250 mL-NaCl 0.45% Premix",250,mL,44.95,2503288,20073202
J1644,heparin 5000 units/mL Sol ,1,mL,10.38,2508729,23193431
J1642,heparin flush 100 units/mL Sol ,3,mL,16.95,2506780,3454388
0,hepatitis A pediatric vaccine 720 units/0.5 mL PF IM Susp ,0.5,mL,73.83,2502947,3454389
0,hepatitis A-hepatitis B vaccine 720 units-20 mcg/mL PF IM Susp 1 mL ,1,mL,227.94,2508811,3454390
0,hepatitis B adult vaccine 20 mcg/mL Sus ,1,mL,133.52,2501980,3454391
0,hepatitis B pediatric vaccine 10 mcg/0.5 mL Sus ,1,mL,109.61,2502196,3454392
0,hetastarch 60 mg/mL-NaCl 0.9% Sol 500 mL ,500,mL,127.62,2508102,3778327
0,homatropine-HYDROcodone 1.5 mg-5 mg/5 mL Syr ,1,mL,4.5,0,7632658
0,"human papillomavirus vaccine type 6,11,16,18 Sus ",1,mL,824.31,2506741,4592208
J1815,insulin isophane-insulin regular human recombinant 70 units-30 units/mL SubQ Inj 10 mL ,1,mL,52.36,2509490,3454422
J3470,hyaluronidase 150 units/mL Sol ,1,mL,234.36,2509318,22921495
J0360,hydrALAZINE 20 mg/mL Inj Sol ,1,mL,199.95,2506753,3454393
0,hydrALAZINE 25 mg Tab ,1,tab(s),4.5,2508142,5382972
0,hydrochlorothiazide 12.5 mg Cap ,1,cap(s),4.5,2506795,3454394
0,hydrochlorothiazide 25 mg Tab ,1,tab(s),4.5,2506662,3454395
0,hydrochlorothiazide-lisinopril 12.5 mg-10 mg Tab ,1,tab(s),5.52,2503557,3454396
0,hydrochlorothiazide-losartan 25 mg-100 mg Tab ,1,tab(s),17.04,2508861,3454397
0,hydrochlorothiazide-triamterene 25 mg-37.5 mg Tab ,1,cap(s),4.5,2509289,5288989
0,hydrocortisone 10 mg Tab ,1,tab(s),4.5,2501935,23365947
J1720,hydrocortisone 100 mg preservative-free REC ,1,mL,35.66,2502112,3454398
0,hydrocortisone 100 mg/60 mL Sus ,60,mL,44.95,2502718,7520619
J1720,hydrocortisone 1000 mg preservative-free REC ,1,-,267.49,2501808,22758636
0,hydrocortisone 2.5% Rectal Crm w/Appl ,28,app,305.66,2501832,3454399
0,hydrocortisone 20 mg Tab ,1,tab(s),5.44,2504879,22116966
0,hydrocortisone 25 mg Supp ,1,supp,90.59,2501081,3454400
J1720,hydrocortisone 250 mg preservative-free REC ,1,mL,76.4,2509033,3454401
J1720,hydrocortisone 500 mg Inj ,1,mL,76.16,2508282,3454402
0,hydrocortisone topical 1% Cre ,28,app,19.95,2509599,23206500
0,hydrocortisone/neomycin/polymyxin B Otic 10mL Sol ,10,drop(s),123.2,2506461,3454404
0,hydrocortisone/neomycin/polymyxin B Otic Susp ,10,drop(s),123.2,2503949,3454405
J1170,HYDROmorphone 2 mg/mL Sol ,1,mL,8.64,2501587,23088858
0,hydromorphone 4 mg Tab ,1,tab(s),4.5,2505904,3454406
J1170,hydromorphone 4 mg/mL Inj Sol ,1,mL,19.36,2503334,3454407
0,hydrOXYzine hydrochloride 10 mg Tab ,1,tab(s),4.5,2506236,22606235
0,hydrOXYzine hydrochloride 25 mg Tab ,1,tab(s),4.6,2504786,5292994
J3410,hydrOXYzine hydrochloride 25 mg/mL IM Sol ,1,mL,24.95,2504973,3454408
0,hydrOXYzine hydrochloride 50 mg Tab ,1,tab(s),5.61,2509292,5293001
J3410,hydrOXYzine hydrochloride 50 mg/mL Sol ,1,mL,36.56,2507040,22058227
Q0177,hydrOXYzine pamoate 25 mg Cap ,1,cap(s),4.5,2508279,22430540
0,hyoscyamine/methenam/m-blue/phenyl salicyl 0.12 mg-81.6 mg-10.8 mg-36.2 mg Tab ,1,tab(s),16.19,2506381,22116969
J7131,Hypertonic saline Sodium Chloride 3% Sol 500 mL ,500,mL,27.7,2583118,3778324
J1740,ibandronate 3 mg/3 mL Sol ,1,mL,349.95,2507526,23166251
0,ibuprofen 100 mg/5 mL Sus ,5,mL,4.5,2508853,22758641
0,ibuprofen 200 mg Oral Cap ,1,cap(s),4.5,2504987,3454409
0,ibuprofen 400 mg Tab ,1,tab(s),4.5,2504085,3454410
0,ibuprofen 600 m,1,tab(s),4.5,2502337,23336523
0,ibuprofen 800 mg Tab ,1,tab(s),4.5,2507000,23420025
0,ibuprofen 800 mg Tab THP ,4,EA,6.38,2509604,5264990
J0743,imipenem-cilastatin 500 mg Inj ,1,EA,162.88,2503865,3454413
0,immune globulin IM Sol 2 mL ,2,mL,195.52,2501306,3454414
J1459,immune globulin intravenous 10% Sol ,200,mL,3330,2503623,22379604
J1561,immune globulin intravenous and subcutaneous 10% Sol ,200,mL,2899.8,2506562,10061468
J1569,immune globulin intravenous and subcutaneous 10% Sol 200mL ,1,mL,51.93,2505587,7634611
0,indomethacin 75 mg ERCap ,1,cap(s),15.18,2504222,3454417
J1745,inFLIXimab 100 mg REC ,1,vial(s),1852.07,2501097,7636609
Q2038,"influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus ",1,mL,221.9,2503088,23417867
0,Influenza Virus Vaccine (Fluzone) PEDs ,1,mL,148.97,2509180,4584210
0,"influenza virus vaccine, inactivated preservative-free quadrivalent Sus ",0.25,mL,101.23,2505254,17143371
90686,"influenza virus vaccine, inactivated preservative-free quadrivalent Sus ",1,mL,134.56,2501638,23063824
90688,"influenza virus vaccine, inactivated quadrivalent Sus ",1,mL,158.37,2509454,23417868
0,"influenza virus vaccine, live, trivalent Nasal Spry ",1,mL,48.89,2506338,3454420
J1815,insulin aspart 100 units/mL Sol ,1,mL,143.49,2503551,22552551
J1815,insulin detemir 100 units/mL Sol ,1,mL,117.38,2508064,10301368
J1815,insulin isophane human recombinant 100 units/mL Sus ,1,mL,52.36,2508429,4584207
J1815,insulin lispro 100 units/mL SubQ Inj ,1,mL,98.15,2503482,3454423
J1815,insulin regular human recombinant 100 units/mL Inj Sol ,1,mL,52.36,2504233,3454424
J1815,insulin regular human recombinant 100 units/mL Sol 10mL ,1,mL,52.37,2507913,7632656
J7644,ipratropium 500 mcg/2.5 mL Sol UD ,2.5,vial(s),11.6,2501051,3778310
0,iron polysaccharide 150 mg Cap ,1,cap(s),4.5,2503740,4574193
J1756,iron sucrose 20 mg/mL Sol ,5,mL,210,2501802,3778281
0,isosorbide mononitrate 30 mg ER Tab ,1,tab(s),4.5,2506328,3454425
0,ketamine 50 mg/mL Inj Sol ,1,mL,7.96,2502336,3454426
0,ketamine 50 mg/mL Sol ,1,mL,4.5,2502553,23562944
J1885,ketorolac 15 mg/mL Sol ,1,mL,15.79,2505113,22010931
J1885,ketorolac 30 mg/mL 1ml Sol ,1,mL,31.05,2503806,3966805
J1885,ketorolac 30 mg/m,2,mL,12,2507840,23106027
0,ketorolac ophthalmic 0.45% Sol ,1,drop(s),41.41,2503304,3778270
0,ketotifen ophthalmic 0.025% Sol 10mL ,1,mL,5.18,0,7860609
0,L-Arginine Capsules ,1,cap(s),4.5,2503897,5293007
0,L-Glutamine Capsules ,1,cap(s),4.5,2504648,5294977
0,labetalol 100 mg Tab ,1,tab(s),4.5,2508591,7614633
0,labetalol 5 mg/mL IV 20mL Sol ,1,mL,4.5,2505857,4196396
J7120,Lactated Ringers Injection Sol 1000 mL ,1000,mL,24,2586112,3778335
0,lactulose 10 g/15 mL Liq ,15,mL,4.5,2504362,7636610
0,lactulose 10 g/15 mL Syr ,15,mL,5.7,2505308,4564771
0,lactulose 20 g/30 mL Syr ,1,mL,4.5,2502438,22961944
0,lamoTRIgine 100 mg Tab ,1,tab(s),23.76,2509748,23503215
0,lamoTRIgine 25 mg Tab ,1,tab(s),20.8,2508029,13332387
0,lanolin Top Oint ,7.5,app,10.6,2509342,3454430
0,lansoprazole 30 mg Oral EC Cap ,1,cap(s),25.51,2503389,3454431
J1815,Lantus Solostar insulin pen ,3,mL,313.12,2502138,4564806
0,latanoprost Opth 0.005% Sol ,2.5,drop(s),333.45,2505438,3454432
0,levalbuterol 1.25 mg/0.5 mL Sol UD ,1,mL,38.53,2504055,3778278
0,levalbuterol 1.25 mg/3 mL Sol ,1,mL,16.17,2502768,11559385
J1953,levETIRAcetam 100 mg/mL Sol ,1,mL,9.6,2503189,22141175
0,levETIRAcetam 250 mg Tab ,1,tab(s),4.5,2501913,23308708
0,levETIRAcetam 500 mg Tab ,1,tab(s),17.57,2501033,6064993
J1956,levoFLOXacin 25 mg/mL Sol ,1,mL,11,2506522,23235528
0,levoFLOXacin 500 mg Tab ,1,tab(s),67.28,2509062,23235522
J1956,levoFLOXacin 500 mg/100 mL Sol ,1,mL,4.5,2505771,23010968
0,levoFLOXacin 750 mg Tab ,1,tab(s),144.47,2503231,23235542
J1956,levoFLOXacin 750 mg/150 mL Sol ,150,mL,44.95,2502699,23278751
J1956,Levofloxacin INJ in 5% D 500mg/100mL premix ,100,mL,44.95,2501484,4590178
0,levonorgestrel 1.5 mg Tab ,1,tab(s),146.65,2505060,23278727
0,levothyroxine 100 mcg (0.1 mg) Tab ,1,tab(s),4.5,2503450,22850007
0,levothyroxine 112 mcg (0.112 mg) Tab ,1,tab(s),4.5,2501305,23235529
0,levothyroxine 125 mcg (0.125 mg) Tab ,1,tab(s),4.5,2504952,3454438
0,levothyroxine 150 mcg (0.15 mg) Tab ,1,tab(s),4.5,2506454,3454439
0,levothyroxine 175 mcg (0.175 mg) Tab ,1,tab(s),4.5,2504978,3454440
0,levothyroxine 25 mcg (0.025 mg) Tab ,1,tab(s),4.5,2503154,3454441
0,levothyroxine 50 mcg (0.05 mg) Tab ,1,tab(s),4.5,2504755,3454442
0,levothyroxine 75 mcg (0.075 mg) Tab ,1,tab(s),6.19,2504201,10300586
0,levothyroxine 75 mcg (0.075 mg) Tab ,1,tab(s),4.5,2504201,4547358
0,levothyroxine 88 mcg (0.088 mg) Tab ,1,tab(s),4.5,2509562,23127334
J2001,lidocaine 0.5% Sol,1,mL,4.5,2504974,14443186
J2001,lidocaine 5%-0.8,250,mL,36.07,0,22961313
0,lidocaine 1.5% PF Inj Sol 10 mL ,10,mL,35.87,2505071,3454448
0,lidocaine 1% 50mL Sol ,1,mL,4.5,2505557,3778276
0,lidocaine 1% Inj 20mL Sol ,1,EA,4.5,2507459,3454446
0,lidocaine 1% preservative-free Sol ,5,mL,20.34,2504806,14443179
0,lidocaine 2% PF Inj Sol 2 mL ,2,mL,14.06,2506986,3454449
J2001,lidocaine 2% preservative-free 5 mL Sol ,5,mL,16.38,2506310,3778275
J2001,lidocaine 2% Sol ,1,mL,4.5,2508815,10495768
0,lidocaine 5%-D7.5% Inj Sol 2 mL ,2,mL,44.95,2508961,3454450
0,Lidocaine HCI 0.5% PF INJ 5mg/mL 50mL ,1,mL,4.5,2504524,4572212
0,Lidocaine HCI 1% inj 10mL ,1,mL,4.5,2505275,4572213
0,lidocaine topical 2% Gel ,5,app,32.4,2504545,23569905
0,lidocaine topical 2% Sol ,1,mL,4.5,2504104,22647312
0,lidocaine topical 5% Fil ,1,patch(es),57.5,2501848,7636611
0,lidocaine Top 2% Sol 100 mL ,1,mL,4.5,2509309,3454452
0,lidocaine-prilocaine Top 2.5%-2.5% 30g Crm ,1,app,9.36,2501410,3454453
0,linaclotide 145 mcg Cap ,1,cap(s),46.95,2508489,22606412
0,linezolid 600 mg Tab ,1,tab(s),374.46,2504491,4574194
J2020,linezolid 2 mg/mL-D5% Sol ,300,mL,273.45,2503089,23571020
0,lisinopril 10 mg Tab ,1,tab(s),4.87,2503968,3454454
0,lisinopril 2.5 mg Tab ,1,tab(s),4.5,2503498,3454455
0,lisinopril 20 mg Tab ,1,tab(s),5.21,2504719,3454456
0,lisinopril 30 mg Tab ,1,tab(s),7.54,2505058,22441815
0,lisinopril 40 mg Tab ,1,tab(s),7.47,2507975,7654614
0,lisinopril 5 mg Tab ,1,tab(s),5.39,2503086,3454457
0,lisinopril 5 mg Tab ,1,tab(s),4.57,2503086,22861302
0,lithium 300 mg Cap ,1,cap(s),4.5,2501361,23235527
0,loperamide 2 mg Cap ,1,cap(s),4.5,2507787,5288987
0,loperamide 2 mg Tab ,1,tab(s),4.5,2508707,22709078
0,loratadine 10 mg Tab ,1,tab(s),4.5,2509458,22961951
0,loratadine-pseudoephedrine 5 mg-120 mg ER Tab ,1,tab(s),4.5,2506371,3454461
0,LORazepam 0.5 mg Tab ,1,tab(s),4.5,2505584,5278971
0,LORazepam 1 mg Tab ,1,tab(s),4.5,2509694,3454462
0,LORazepam 1 mg Tab,4,EA,17.5,2506901,23146591
0,LORazepam 2 mg Tab ,1,tab(s),6.28,2508726,7654615
0,LORazepam 2 mg/mL Con ,1,mL,6.63,2507306,22757289
J2060,LORazepam 2 mg/mL Inj Sol ,1,mL,8.5,2506516,4505785
J2060,LORazepam 2 mg/mL Sol ,1,mL,6,2505355,23193437
0,losartan 100 mg Tab ,1,tab(s),15.41,2507170,9206072
0,losartan 25 mg Tab ,1,tab(s),8.4,2502873,23240844
0,losartan 50 mg Tab ,1,tab(s),11.31,2504942,23120698
0,lovastatin 40 mg Tab ,1,tab(s),21.36,2504226,3454465
0,lutein 6 mg Cap ,1,cap(s),4.5,2503281,5288979
0,magnesium citrate 1.745 g/30 mL Liq ,296,mL,6.96,2502881,23532894
0,magnesium hydroxide 311 mg Che ,1,tab(s),4.5,2501644,5293002
0,magnesium hydroxide 8% Sus ,15,mL,4.5,2503869,3778314
0,magnesium oxide 250 mg Tab ,1,tab(s),4.5,2509477,7654616
0,magnesium oxide 400 mg Tab ,1,tab(s),4.5,2508816,3454467
J3475,magnesium sulfate 10 mg/mL-D5% Sol ,100,mL,40.86,2508096,23434373
J3475,magnesium sulfate 4 g/100 mL-sterile water Sol ,1,mL,4.5,2503981,23542803
0,mannitol 20% Sol ,1,mL,4.5,0,7630620
0,mannitol 25% IV Sol 50 mL ,50,mL,10.98,2503712,3454470
0,measles/mumps/rubella virus vaccine SubQ Inj ,1,EA,167.14,2501116,3454471
0,meclizine 12.5 mg Tab ,1,tab(s),4.5,2507020,3454472
0,meclizine 25 mg Chew tab ,1,-,4.5,2506476,15025368
0,meclizine 25 mg Tab ,1,tab(s),4.5,2502395,5293003
J1050,medroxyPROGESTERone 150 mg/mL Sus ,1,mL,231,2509323,23301511
0,megestrol 40 mg/mL Sus ,1,mL,4.5,2505804,22623528
250,melatonin 5 mg Tab ,1,-,4.5,2505603,22691945
0,melatonin 5 mg t,1,-,4.5,2504036,9011368
0,meloxicam 15 mg Tab ,1,tab(s),24.2,2501203,3454474
0,memantine 10 mg Tab ,1,tab(s),4.77,2509393,22827811
0,memantine 28 mg ER ,1,tab(s),51.49,2506357,22676220
0,meningococcal conjugate vaccine IM Sol ,1,EA,652.49,2503705,3454475
J2175,meperidine 100 mg/mL Inj Sol ,1,mL,29.9,2508490,3454476
J2175,meperidine 25 mg/mL Inj Sol ,1,mL,30.73,2503148,3454477
J2175,meperidine 50 mg/mL Inj Sol ,1,mL,31.62,2503899,3454478
J2175,meperidine 75 mg/mL Inj Sol ,1,mL,29.89,2504650,3454479
J2185,meropenem 1000 mg REC ,1,-,96,2502017,11555413
J2185,meropenem 500 mg REC ,1,EA,104,2502434,23096967
J2185,Meropenem for INJ 1g per vial ,1,vial(s),4.5,2506927,4584201
0,metformin 500 mg ER Tab ,1,tab(s),4.5,2502536,3454481
0,metformin 500 mg Tab ,1,tab(s),4.5,2502057,3454482
0,metFORMIN 750 mg ER ,1,tab(s),5.99,2503624,23298839
0,metFORMIN 850 mg Tab ,1,tab(s),5.99,2501785,23235540
0,methadone 10 mg Tab ,1,tab(s),4.5,2507215,3454484
0,methadone 5 mg Tab ,1,tab(s),4.5,2507240,3454485
0,methocarbamol 500 mg Tab ,1,tab(s),4.5,2501728,23452364
0,methocarbamol 750 mg Tab ,1,tab(s),4.5,2508538,23503286
0,methohexital 500 mg IV Inj ,1,EA,236.46,2506960,3454486
0,methotrexate 2.5 mg Tab ,1,tab(s),17.82,2505965,3454487
J9250,methotrexate 25 mg/mL preservative-free Sol,1,mL,13.2,2501206,11201375
0,methylergonovine 0.2 mg Tab ,1,tab(s),32.96,2507179,3454488
J2210,methylergonovine 0.2 mg/mL Sol ,1,mL,67.45,2502361,22850026
J2930,methylPREDNISolone 1 g Inj ,1,EA,164.13,2507096,3454490
J2930,methylPREDNISolone 125 mg preservative-free REC ,1,mL,42.74,2504452,3454491
0,methylPREDNISolone 4 mg Tab ,1,tab(s),7.15,2506710,23127336
0,methylPREDNISolone 4 mg Tab THP ,1,packet(s),9.65,2504620,3778353
J2920,Solu-Medrol 40mg/1mL PF ,1,vial(s),26.45,2503773,4572206
J2930,methylPREDNISolone 500 mg Inj ,1,EA,90.62,2501151,3454494
J1040,methylPREDNISolone 80 mg/mL Inj Susp ,1,mL,68.96,2501582,3454495
0,metoclopramide 10 mg Tab ,1,tab(s),4.5,2506759,23125799
0,metoclopramide 5 mg Tab ,1,tab(s),4.5,2509028,23174563
J2765,metoclopramide 5 mg/mL Sol ,2,mL,6.09,2509889,23074805
0,metolazone 2.5 mg Tab ,1,tab(s),6.64,2504502,3454498
0,metoprolol 1 mg/mL Inj 5mL Sol ,5,mL,4.6,2509930,7568644
0,metoprolol 100 mg ER ,1,tab(s),10.78,2507792,6065005
0,metoprolol 25 mg ER Tab ,1,tab(s),5.27,2503054,3454500
0,metoprolol 25 mg Tab ,1,tab(s),4.5,2503528,3454501
0,metoprolol 50 mg ER Tab ,1,tab(s),5.27,2504891,5516981
0,metoprolol 50 mg Tab ,1,tab(s),4.5,2506550,22849996
0,metronidazole 250 mg Tab ,1,tab(s),4.5,2506040,3454504
0,metroNIDAZOLE 500 mg Tab ,4,EA,54.74,2505371,23281264
0,metroNIDAZOLE 500 mg Tab ,1,tab(s),4.6,2501520,22670454
S0030,metroNIDAZOLE 500 mg/100 mL Sol ,100,mL,13.18,2508681,22880265
J2248,micafungin 100 mg REC ,1,vial(s),448.8,2504657,5358976
J2248,micafungin 50 mg per vial ,1,vial(s),349.95,2503906,5358975
J2250,midazolam 1 mg/mL Sol ,1,mL,4.5,2501193,22926283
J2250,midazolam 5 mg/mL Sol 2mL ,1,mL,4.5,2501784,6064995
J2250,midazolam 2 mg/2 mL preservative-free Sol ,2,mL,4.5,2509991,22692628
J2250,midazolam 1 mg/mL preservative-free Sol 5 mL ,1,mL,4.5,2501670,4574212
J2250,midazolam 5 mg/mL preservative-free Inj Sol ,1,mL,6.35,2501379,3454506
J2250,midazolam 5 mg/mL Sol ,1,mL,7.2,2504604,23193424
0,mirtazapine 15 mg Tab ,1,tab(s),16.97,2508997,22961967
0,misoprostol 200 mcg Tab ,1,tab(s),6.05,2503087,3454507
0,montelukast 10 mg Tab ,1,tab(s),24.91,2506705,23562940
J2270,morphine 10 mg/5 mL Sol ,1,mL,4.5,2502535,6064996
J2270,morphine 10 mg/mL Inj Sol ,1,mL,15.8,2502393,3454509
J2274,morphine 10 mg/mL preservative-free Sol ,1,mL,6.06,0,23282675
J2274,morphine 1 mg/mL preservative-free 10 mg / 10 mL Sol* ,10,mL,36.06,2506873,3778290
0,morphine 15 mg 12 hr ER ,1,tab(s),9.22,2508005,23413482
0,morphine 15 mg Tab ,1,tab(s),4.5,2506860,3454511
J2270,morphine 2 mg/mL preservative-fre,1,mL,15.17,2509156,16035398
0,morphine 20 mg/mL Con ,0.25,mL,4.5,2502056,23503227
0,morphine 30 mg ER Tab ,1,tab(s),15.86,2501204,3454513
J2270,morphine 4 mg/mL Inj Sol ,1,mL,15.8,2503144,3454514
J2274,morphine 4 mg/mL preservative-free Sol ,1,mL,11.29,2506985,23570577
0,moxifloxacin ophthalmic 0.5% Sol ,3,drop(s),349.95,2506175,23205723
0,moxifloxacin 400 mg Tab ,1,tab(s),146.14,2501983,3454516
0,Multiple Vitamins IV Sol 10 mL ,10,mL,48.55,2502912,3454517
0,Multiple Vitamins Liq ,1,mL,4.5,2508994,4592215
0,multivitamin Multiple Vitamins Tab ,1,tab(s),4.5,2503663,22546897
0,multivitamin Therapeutic Multiple Vitamins Tab ,1,tab(s),4.5,2505811,9904705
0,multivitamin with minerals Antioxidant Multiple Vitamins and Minerals Cap ,1,cap(s),4.5,2508418,5289011
0,multivitamin with minerals Therapeutic Multiple Vitamins with Minerals Tab ,1,tab(s),4.5,2506744,22662966
0,mupirocin Top 2% Crm ,15,app,349.95,2504754,3454519
0,mupirocin topical 2% Oin ,22,app,171,2504003,22986271
0,nabumetone 750 mg Tab ,1,tab(s),8.12,2504788,6065000
0,nafcillin 2 g REC ,1,-,105.6,2505877,23357447
J2300,nalbuphine 10 mg/mL Inj Sol ,1,mL,13.69,2506913,3454521
J2300,nalbuphine 20 mg/mL Sol ,1,mL,24.95,2506555,22009964
J2310,naloxone 0.4 mg/mL Sol* ,1,mL,44.95,2507624,3778294
J2310,naloxone 1 mg/mL Inj Sol ,2,mL,158.4,2504884,3454522
0,naproxen 500 mg Tab ,1,tab(s),6.29,2506234,23569182
0,naproxen sodium 220 mg tab ,1,tab(s),4.5,2509339,5288975
0,nebivolol 5 mg Tab ,1,tab(s),19.93,2503287,3454523
J2710,neostigmine 1 mg/mL Inj Sol ,1,mL,4.59,2503158,3454524
0,nepafenac ophthalmic 0.1% Sus ,3,mL,519.32,2505020,10303370
0,niacin 500 mg ER ,1,cap(s),4.5,2507495,4574203
0,nicotine 14 mg/24 hr Transderm ER Film ,1,patch(es),19.06,2508234,3454525
0,nicotine 21 mg/24 hr ER ,1,patch(es),10.67,2504421,22201927
0,NIFEdipine 10 mg Cap ,1,cap(s),4.5,2504038,3454527
0,NIFEdipine 30 mg ER Tab ,1,tab(s),6.82,2509291,3454528
0,NIFEdipine 60 ,1,tab(s),11.57,2503561,6628620
0,NIFEdipine 90 mg ER ,1,-,12.81,2505021,11713092
0,nitrofurantoin macrocrystals 100 mg Cap ,1,cap(s),16.88,2508375,22521911
0,nitrofurantoin macrocrystals 50 mg Cap ,1,cap(s),11.36,2505809,22445768
0,nitrofurantoin macrocrystals 100 mg Cap THP ,2,EA,31.5,2509154,5308972
0,nitroglycerin 0.4 mg Tab ,1,EA,5.21,2508406,23302227
0,nitroglycerin 2% Top 1g Oint ,1,in,12.53,2509833,3454531
0,nitroglycerin 200 mcg/mL-D5% Sol ,250,mL,84.33,2503519,11579646
0,nitroglycerin 5 mg/mL IV Sol ,10,mL,50,2505181,3454532
0,nitroprusside 25 mg/mL IV 2 mL Sol ,2,mL,242.13,2507418,3454533
0,norepinephrine 1 mg/mL Sol ,1,mL,10.97,2506756,19111368
0,nortriptyline 25 mg Cap ,1,cap(s),7.33,2507831,3454534
J1815,NovoLIN 70/30,1,mL,60.08,2509423,9354557
0,"nystatin 100,000 units/mL Oral Susp ",5,mL,7.32,2508783,3454535
0,nystatin 1 EA,1,EA,4.5,2503020,23168579
0,"nystatin Top 100,000 units/g Crm 15g ",15,app,70.2,2502748,3454536
0,nystatin topical 100000 units/,15,app,149.84,0,7860619
J2354,octreotide 50 mcg/mL Sol ,1,mL,23.44,2508359,23206474
0,ocular lubricant - Oin ,1,-,9.27,2501034,7636619
0,ocular lubricant - Sol ,15,drop(s),29.99,0,7860616
0,ocular lubricant preserved Sol 15ml ,1,mL,4.5,2507265,5264994
0,olmesartan 20 mg Tab ,1,tab(s),31.43,2507361,3454537
0,olmesartan 40 mg Tab ,1,tab(s),43.69,2504789,3454538
0,omega-3 polyunsaturated fatty acids 1000 mg Cap ,1,cap(s),4.5,2507366,22647365
0,omeprazole 20 mg ER ,1,cap(s),4.5,2507986,22979551
0,omeprazole 40 mg ER ,1,cap(s),30.11,2506916,5289008
J2405,ondansetron 2 mg/mL Sol ,2,mL,4.5,2503271,23567636
0,ondansetron 4 mg Dis Tab ,1,tab(s),5,2504899,3454541
Q0162,ondansetron 4 mg DIS ,1,EA,78.26,2509905,23166073
0,"ophthalmic irrigation, extraocular - Sol ",120,EA,19.58,2509293,22643379
J2407,oritavancin 400 mg REC ,1,-,1740,2505699,22985145
0,oseltamivir 1 E,1,EA,4.5,2504522,23168593
0,oseltamivir 6 mg/mL REC ,1,mL,13.67,2503459,23569925
0,oseltamivir 75 mg Cap ,1,cap(s),68.77,2508094,3454544
0,oseltamivir 30 mg Cap ,1,tab(s),56.72,2506059,23086290
0,oxcarbazepine 300 mg Tab ,1,tab(s),13.2,2503185,3454545
0,oxybutynin 5 mg Tab ,1,tab(s),4.5,2505540,22554201
0,oxyCODONE 10 mg ER ,1,tab(s),18.31,2502421,4574214
0,oxyCODONE 15 mg Tab ,1,tab(s),9.47,2506291,23235593
0,oxycodone 20 mg ER Tab ,1,tab(s),30.74,2505116,3454548
0,oxyCODONE 20 mg/mL Con ,1,mL,45.37,2509240,22613900
0,oxycodone 40 mg ER Tab ,1,tab(s),46.79,2507793,3454549
0,oxyCODONE 5 mg Tab ,1,tab(s),4.5,2507042,22211291
0,oxyCODONE 60 mg ER ,1,tab(s),66.25,2509564,22467245
0,oxymetazoline Nasal 0.05% Spry ,30,spray(s),20.5,2503943,8497379
0,oxymorphone 5 m,1,tab(s),16.2,2503350,6322077
J2590,oxytocin 10 intl units/mL Inj Sol ,1,mL,6.3,2503130,3454552
J2426,paliperidone 156 mg/mL ER ,1,mL,2088.71,2509148,23144379
C9113,pantoprazole 40 mg REC ,1,-,27,2506704,23169689
0,pantoprazole 40 mg DR ,1,tab(s),24.95,2501191,23154193
0,parenteral nutrition solution Dextrose 10% in Wate,500,mL,44.95,2589126,9830308
0,parenteral nutrition solution w/electrolytes Amino Acids 3% and Glycerin 3% with Electrolytes (ProcalAmine) Sol ,1000,mL,122.08,2589877,3778303
0,paroxetine 10 mg Tab ,1,tab(s),13.09,2509058,3454555
0,PARoxetine 20 mg Tab ,1,tab(s),13.64,2508544,23336521
J0561,"penicillin G benzathine 1,200,000 units/2 mL Sus ",2,mL,349.95,2502957,3454557
J0561,"penicillin G benzathine 600,000 units/mL Sus ",1,mL,291.14,2503708,3454558
0,penicillin V potassium 250 mg Tab ,1,tab(s),4.5,2504315,23295100
0,Penicillin V Potassium 500 mg Tab ,1,tab(s),4.5,2509710,3454559
0,perphenazine 8 mg,1,-,9.66,2509097,8543383
0,phenazopyridine 100 mg Tab ,1,tab(s),5.32,2503755,3454560
0,phenazopyridine 95 mg Tab ,1,tab(s),4.5,2502800,22547961
J2370,phenylephrine 10 mg/mL Sol ,1,mL,57.6,2509295,22787879
0,phenylephrine Opth 2.5% Sol ,2,drop(s),58.32,2508351,3454562
0,phenytoin 100 mg ERCap ,1,cap(s),4.5,2504833,3454563
J1165,phenytoin 50 mg/mL Sol ,2,mL,6.9,2504375,23299107
J1165,phenytoin 250 mg/5 mL Sol ,5,mL,9.9,2505337,15851407
0,phenytoin 50 mg Che ,1,tab(s),4.5,2506165,5289007
0,physostigmine 1 mg/mL Inj Sol ,2,mL,162.05,2504660,3454565
0,phytonadione 1 mg/0.5 mL Inj Sol ,0.5,mL,24.95,2505085,3454566
0,phytonadione 10 mg/mL Inj Sol ,1,mL,173.78,2501250,3454567
0,pioglitazone 45 mg Tab ,1,tab(s),90.96,2507322,3454568
J2543,piperacillin-tazobactam 2 g-0.25 g REC ,1,EA,58,2507993,22619741
J2543,piperacillin-tazobactam 3 g-0.375 g IV Inj ,1,EA,83.27,2501196,3454570
J2543,piperacillin-tazobactam 4 g-0.5 g IV Inj ,1,EA,105.45,2501947,3454571
90670,pneumococcal 13-valent conjugate vaccine - Sus ,0.5,mL,404.05,2506895,23094701
90732,pneumococcal 23-valent vaccine Inj Sol  ,0.5,mL,223.71,2505807,4592207
0,"poliovirus vaccine, inactivated - Sus ",0.5,mL,82.15,2505990,4592206
0,polyethylene glycol 3350 - REC ,1,EA,7.63,2507593,22796588
0,polyethylene glycol 3350 with electrolytes - REC ,4000,mL,98.24,2501093,3778313
0,polymyxin B-trimethoprim ophthalmic 10000 units-1 mg/mL Sol ,10,drop(s),52.28,2501559,22859629
0,potassium acetate 2 mEq/mL Sol ,20,mL,12.35,2501844,3778272
0,potassium chloride 10 mEq ER Cap,1,cap(s),4.96,2506288,5292996
0,potassium chloride 10 mEq ER Tab ,1,tab(s),4.5,2502120,3454575
0,potassium chloride 20 mEq ER ,1,tab(s),4.5,2508775,11241438
0,potassium chloride 20 mEq REC ,1,-,27.2,2502805,22423720
J3480,potassium chloride 20 mEq/100 mL Sol ,1,mL,4.5,2503310,23161904
J3480,potassium chloride 2 mEq/mL Sol ,10,mL,6,2503248,23567637
0,potassium chloride 20 mEq/15 mL Liq ,15,mL,4.5,2503162,4592220
J3480,potassium chloride 40mEq/20mL Sol ,20,mL,23.49,2503055,3966804
0,pramipexole 0.125 mg Tab ,1,tab(s),16.21,2503556,22424030
0,pramipexole 0.25 mg Tab ,1,tab(s),16.71,2505005,23439577
0,pramipexole 0.5 mg Tab ,1,tab(s),4.5,2503778,3454579
0,pramipexole 0.75 mg Tab ,1,tab(s),14.75,2507108,22676164
0,pramipexole 1.5 m,1,tab(s),14.75,2509361,22717267
0,pravastatin 20 mg Tab ,1,tab(s),16.34,2508414,3454580
0,prednisoLONE 15 mg/5 mL Syr ,5,mL,12.04,2502573,23278728
0,prednisoLONE Opth acetate 1% Susp ,5,drop(s),63,2505786,3454582
0,gatifloxacin ophthalmic 0.5 %,1,drop(s),4.5,0,23152665
0,predniSONE 10 mg Tab ,1,tab(s),4.5,2502497,3454583
0,predniSONE 20 mg Tab ,1,tab(s),4.5,2504672,3454584
0,predniSONE 20 mg Tab THP ,2,EA,4.5,2502580,5270591
J7512,predniSONE 5 mg Tab ,1,tab(s),4.5,2502054,22414415
0,pregabalin 150 mg oral capsule ,1,cap(s),28.49,2503449,3454585
0,pregabalin 50 mg Cap ,1,cap(s),28.49,2505539,6065001
0,pregabalin 75 mg oral capsule ,1,cap(s),28.49,2508963,3454586
0,primidone 50 mg Tab ,1,tab(s),4.5,2501842,7636625
J2690,procainamide 100 mg/mL Sol 10 mL ,1,mL,35.61,2503022,4572205
0,prochlorperazine 10 mg Tab ,1,tab(s),4.5,2507024,3454587
0,prochlorperazine 25 mg Supp ,1,supp,53.59,2504186,3454588
0,prochlorperazine 5 mg Tab ,1,tab(s),4.5,2501815,3454589
J0780,prochlorperazine 5 mg/mL Inj Sol ,1,mL,13.95,2506273,3454590
0,promethazine 12.5 mg Supp ,1,supp,70.82,2505554,3454591
0,promethazine 25 mg Sup ,1,supp,70.82,2503170,22850027
0,promethazine 25 mg Tab ,1,tab(s),4.5,2502819,22662968
J2550,promethazine 25 mg/mL Inj Sol ,1,mL,9,2509640,4196402
0,promethazine 25 mg Tab ,1,EA,13.73,2503771,23278102
J2250,promethazine 50 mg/mL Sol ,1,mL,11.1,2506290,6065002
0,proparacaine Opth 0.5% Sol ,15,drop(s),168.44,2509262,3454595
J2704,propofol 10 mg/mL Emu 100 mL* ,100,mL,165.6,2502595,3778293
J2704,propofol 10 mg/mL Emu ,50,mL,82.8,2509411,10995025
J2704,propofol 10 mg/mL IV 20mL Emul ,20,mL,33.75,2503926,3454596
0,propranolol 20 mg Tab ,1,tab(s),4.5,2502697,3454597
J2720,protamine 10 mg/mL Inj 5mL Sol ,5,mL,56.16,2504200,3454598
0,pseudoephedrine 30 mg Tab ,1,tab(s),4.5,2503004,3454599
0,pyridostigmine 5 mg/mL Sol ,1,mL,76.8,2503230,23540721
0,pyridoxine 100 mg Tab ,1,-,4.5,2508446,22998944
J3415,pyridoxine 100 mg/mL Inj Sol ,1,mL,72.96,2503341,3454600
0,QUEtiapine 100 mg Tab ,1,tab(s),4.5,2503001,23168685
0,QUEtiapine 25 mg Tab ,1,tab(s),18.57,2505367,23278343
0,QUEtiapine 50 mg oral tablet ,1,tab(s),34.47,2504951,3454602
90375,"rabies immune globulin, human 150 intl units/mL IM Sol ",2,mL,1710.24,2504043,3454603
90675,"rabies vaccine, human diploid cell 2.5 intl units IM Inj ",1,EA,831.53,2503292,3454604
90675,"rabies vaccine, purified chick embyro cell 2.5 intl units IM Inj ",1,EA,657.28,2505702,3454605
0,racepinephrine 2.25% Sol UD ,1,mL,14,2504097,3778312
0,raNITIdine 150 mg Tab ,1,tab(s),7.79,2502602,23278730
J2780,ranitidine 25 mg/mL Inj 2mL Sol ,1,mL,9.98,2504826,3454606
0,rifAMPin 300 mg Cap ,1,cap(s),10.05,2507379,23366678
0,risperiDONE 0.5 mg Tab ,1,tab(s),21.41,2505597,7918609
0,risperiDONE 1 mg Tab ,1,tab(s),22.76,2502059,9513369
0,rivastigmine 6 mg Cap ,1,cap(s),21.22,2508642,22827813
0,rocuronium 10 mg/mL IV Sol ,1,mL,6.06,2506970,3454608
0,rocuronium 10 mg/mL Sol ,5,mL,78.64,2504848,22857068
0,roflumilast 500 mcg Tab,1,-,44.95,2506419,9107406
0,rOPINIRole 1 mg Tab ,1,tab(s),12.53,2505025,13279390
J2795,ropivacaine 0.2% Sol ,100,mL,185.42,2507859,23413892
J2795,ropivacaine 0.2% Inj Sol 200 mL ,200,mL,341.53,2502024,3454609
0,rosuvastatin 10 mg Tab ,1,tab(s),35.36,2504035,5292991
0,rosuvastatin 20 mg Tab ,1,tab(s),35.36,2507086,5288972
0,rotavirus vaccine monovalent REC ,1,mL,349.95,2505242,4574198
0,saccharomyces boulardii lyo 250 mg oral capsule ,1,cap(s),4.5,2508485,3454610
0,senna 8.6 mg Tab ,1,tab(s),4.5,2508870,3454611
0,sertraline 100 mg Tab ,1,tab(s),4.5,2509197,22165215
0,sertraline 25 mg Tab ,1,tab(s),14.08,2508117,22026927
0,sertraline 50 mg Tab ,1,tab(s),14.24,2505987,3454612
0,sevoflurane 100% Liq* ,1,mL,9.85,2506350,3778279
0,silver sulfadiazine cream 85 g ,85,app,105.88,2509814,4564820
0,silver sulfADIAZINE topical 1% Cre ,400,app,222.57,2502130,22026748
0,silver sulfADIAZINE topical 1% Cre 50 gm,50,app,59.52,2505864,22099297
0,simethicone 125 mg Cap ,1,cap(s),4.5,2502056,7636861
0,simethicone 80 mg Che UD ,1,tab(s),4.5,2507837,5288973
0,simvastatin 10 mg Tab ,1,tab(s),14.1,2502807,9738644
0,simvastatin 20 mg Tab ,1,tab(s),24.6,2503150,3454615
0,simvastatin 40 mg Tab ,1,tab(s),24.6,2505537,5292995
0,sitagliptin 100 mg oral tablet ,1,tab(s),58.14,2501960,3454616
0,sitaGLIPtin 50 mg Tab ,1,tab(s),58.14,2504101,7639542
0,sodium bicarbonate 4.2% IV Sol 10 mL ,10,mL,49.73,2506029,3454617
0,sodium bicarbonate 8.4% IV Sol 50 mL ,50,mL,44.95,2505278,3454618
0,Sodium Chloride 0.45% Sol 1000 mL ,1000,mL,25.07,2586863,3778339
J3480,Sodium Chloride 0.45% with KCl 20 mEq/L intravenous solution Sodium Chloride 0.45% with KCl 20 mEq/L Sol,1000,mL,31.55,2502695,22867685
0,sodium chloride 0.9% Inj Sol 10 mL ,10,mL,4.5,2501370,3454620
0,sodium chloride 0.9% Inj Sol 5 mL ,5,mL,15.95,2506610,3454621
0,sodium chloride 0.9% Irr Sol 1000 mL ,1000,mL,18.8,2507101,3778321
J7040,Sodium Chloride 0.9% Sol 100 mL ,1,mL,4.5,2588365,3778338
J7030,Sodium Chloride 0.9% Sol 1000 mL ,1000,mL,22.9,2589116,3778342
J7050,Sodium Chloride 0.9% Sol 250 mL ,250,mL,18.39,2589867,3778340
J7050,Sodium Chloride 0.9% Sol 50 mL ,50,mL,43.52,2581616,3778337
J7040,Sodium Chloride 0.9% Sol 500 mL ,500,mL,19.73,2582367,3778341
0,sodium chloride 0.9% Sol UD ,3,mL,5.63,2507852,3778311
J3480,Sodium Chloride 0.9% with KCl 20 mEq/l IV Sol 1000 mL ,1000,mL,40.82,2506885,3454622
J3480,LVP solution with potassium Sodium Chloride 0.9% with KCl 40 mEq/L Sol ,1000,mL,78.36,2503752,14483410
0,sodium hyaluronate 10 mg/mL intra-articular Sol ,2,mL,456,2507955,3454623
0,sodium polystyrene sulfonate 15 g/60 mL Oral Susp ,60,mL,47.6,2507896,3454624
0,sotalol 120 mg Tab ,1,tab(s),17.09,2507041,6065004
0,sotalol 80 mg Tab ,1,tab(s),4.5,2506615,7639543
0,spironolactone 25 m,1,tab(s),4.5,2503635,7146609
0,spironolactone 50 mg Tab ,1,tab(s),4.5,2509169,5289012
0,sterile water - Sol 1000 mL ,1000,mL,17.4,2508603,3778322
0,sterile water Inj Sol ,1,mL,4.5,2501686,3454626
J0330,succinylcholine 20 mg/mL Inj Sol ,10,mL,14.51,2508979,3454627
0,sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL Oral Susp  ,60,mL,33.08,2503512,3454628
0,sulfamethoxazole-trimethoprim 400 mg-80 mg Tab ,1,tab(s),4.5,2505776,13279391
0,sulfamethoxazole-trimethoprim 800 mg-160 mg Tab ,1,tab(s),4.5,2509763,23532893
0,sulfamethoxazole-trimethoprim 800 mg-160 mg Tab THP ,2,EA,4.5,2507204,5268327
0,sulfasalazine 500 mg Tab ,1,tab(s),4.5,2508876,3454631
0,sumatriptan 100 mg Tab ,1,tab(s),100.56,2502935,3454632
0,SUMAtriptan 50 mg Tab ,1,tab(s),100.56,2509526,11449420
J3030,sumatriptan 6 mg/0.5 mL SubQ Sol ,0.5,mL,256.2,2506755,3454633
0,tamsulosin 0.4 mg Oral Cap ,1,cap(s),21.09,2502564,3454634
0,telmisartan 40 mg Tab ,1,tab(s),31.44,2502330,3454635
0,temazepam 15 mg Cap ,1,cap(s),4.5,2506472,3454636
0,temazepam 30 mg Cap ,1,-,4.5,2508839,22031243
0,Template Non-Formulary 1 EA No De,1,EA,0,2509999,22069552
J3101,tenecteplase 50 mg IV Inj ,1,EA,8066.79,2503963,4547433
0,terbutaline 1 mg/mL Inj Sol ,1,mL,24,2507434,3454638
0,terbutaline 5 mg Tab ,1,tab(s),4.5,2507756,3454639
J1071,testosterone cypionate 200 mg/mL IM Sol ,1,mL,118.52,2505667,3454640
0,tetanus immune globulin 250 units IM Sol 1 EA ,1,EA,906.26,2505923,3454641
0,tetanus-diphth toxoids (Td) adult/adol 5 units-2units/0.5 mL Sus UD ,1,mL,165.24,2505239,4592205
0,tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 mL Sus ,0.5,mL,113.18,2506235,23494459
0,tetracaine ophthalmic 0.5% Sol ,1,drop(s),44.82,1,23329388
250,tetracaine ophthalmic 0.5% Sol ,15,drop(s),44.95,2508003,22250837
0,tetracaine ophthalmic 0.5% Sol 2 mL ,2,drop(s),43.41,2508312,4564813
0,theophylline 200 mg ER Tab ,1,tab(s),4.5,2506374,3454645
0,theophylline 300 mg ER ,1,tab(s),4.5,2501035,5540971
0,thiamine 100 mg Tab ,1,tab(s),4.5,2504128,22891481
J3411,thiamine 100 mg/mL Inj Sol ,2,mL,49.75,2505657,3454646
0,thiamine 50 mg Tab ,1,-,4.5,2506005,18995368
0,thyroid desiccated 60 mg Tab ,1,-,4.5,2506463,20085931
0,thyroid desiccated 90 mg Tab ,1,tab(s),6.11,2503518,11201369
0,timolol Opth 0.5% Sol ,15,drop(s),195,2504687,3454647
0,tiotropium 18 mcg Inh Cap ,1,cap(s),80.61,2509596,3454648
0,tobramycin Opth 0.3% 5mL Sol ,5,drop(s),58.24,2501481,3454649
0,tolterodine 2 mg ER Cap ,1,cap(s),44.95,2504270,7632647
0,topiramate 100 mg Tab ,1,tab(s),31.28,2507978,7639680
0,torsemide 20 mg Tab ,1,tab(s),4.5,2504977,3454650
0,tramadol 50 mg Tab ,1,tab(s),4.5,2509809,3454651
0,traMADol 50 mg Tab THP ,6,EA,22.51,2501158,5267982
0,tranexamic acid 100 mg/mL Sol ,1,mL,22.91,2504197,22979415
0,traZODone 100 mg Tab ,1,tab(s),4.5,2504642,23083731
0,trazodone 50 mg Tab ,1,tab(s),4.5,2509982,3454653
J3301,triamcinolone acetonide 40 mg/mL Sus ,1,mL,41.98,2509829,14205368
0,triamcinolone topical 0.1% Cre ,15,app,19.45,2502625,23206501
0,triamcinolone Top 0.1% Oint 15G ,15,app,25.11,2509457,3454656
0,triazolam 0.25 mg Tab UD ,1,tab(s),15.94,2502533,5292981
0,trypan blue ophthalmic 0.06% Sol ,0.5,drop(s),160,2501909,3778271
86580,tuberculin purified protein derivative 5 TU/0.1 mL ID Sol ,0.1,mL,28.36,2504735,3454657
0,"typhoid vaccine, inactivated IM Sol 10 mL ",10,mL,3145.71,2502756,3454658
0,valACYclovir 1 g Tab ,1,tab(s),50.57,2501687,23308179
0,valACYclovir 500 mg Tab ,1,tab(s),15.62,2507528,4574179
0,valsartan 160 mg Tab ,1,tab(s),24.95,2508543,23562941
0,valsartan 80 mg Tab ,1,tab(s),33.65,2501072,3454659
J3370,vancomycin 1 g REC ,1,EA,40.5,2503533,23064783
0,vancomycin 125 mg Cap ,1,cap(s),125.38,2507047,23308180
0,vancomycin 250 mg Cap ,1,cap(s),224.7,2502394,3454662
J3370,vancomycin 500 mg REC ,1,-,43.42,2504852,22077987
J3370,vancomycin 750 mg REC ,1,-,45.6,2505483,23568917
J3490,vasopressin 20 units/mL Inj Sol ,1,mL,24.95,2509193,3454663
0,vecuronium 10 mg REC* ,1,vial(s),32.4,2502660,3778287
J3380,vedolizumab 300 mg REC ,1,-,8794.58,2509632,23376249
0,venlafaxine 75 mg ER ,1,cap(s),23.33,2503698,22704474
0,verapamil 10 mg/4 mL IV Sol ,4,mL,133.91,2501588,3454667
0,verapamil 120 mg ER Cap ,1,cap(s),8.73,0,7108740
0,verapamil 120 mg ER Tab ,1,tab(s),10.67,2508749,3454666
0,verapamil 5 mg/2 mL Sol ,2,mL,75.82,2507072,22331106
0,vitamin A & D topical - Oin ,5,app,4.5,2509861,23238359
0,multivitamin Vitamin B Complex with Folic Acid Tab ,1,tab(s),4.5,0,23205798
0,warfarin 1 mg Tab ,1,tab(s),11.3,2502021,12709681
0,warfarin 2 mg Tab ,1,tab(s),11.79,2505740,3454668
0,warfarin 2.5 mg Tab ,1,tab(s),4.5,2507039,5292998
0,warfarin 3 mg Tab ,1,tab(s),12.21,2502354,3454669
0,warfarin 4 mg Tab ,1,tab(s),12.24,2508157,3454670
0,warfarin 5 mg Tab ,1,tab(s),12.68,2502566,3454671
0,warfarin 7.5 mg Tab ,1,tab(s),4.78,2501710,3454672
0,witch hazel topical 50% Pad ,12,box(es),6.63,2502900,3454673
0,zanamivir 5 mg Powder[,1,inh,22.7,2501660,4592218
0,zinc oxide topical - Cream ,1,-,4.5,2501078,5264998
0,zolpidem 10 mg Tab ,1,tab(s),23.13,2505030,3454674
0,zolpidem 5 mg Tab UD ,1,tab(s),16.57,2508767,5264996