CAD_NDC|CAD_NDC_MOD|CAD_HCPCS_CODE|CAD_HCPCS_MOD_CODE|CAD_RELATION_START_DATE|CAD_RELATION_END_DATE|CAD_HCPCS_DESCRIPTION|CAD_NDC_LABEL|CAD_NDC_PKG_SIZE_QTY|CAD_NDC_PKG_SIZE_MEASURE|CAD_NDC_PKG_TYPE_MEASURE|CAD_ROUTE_OF_ADMINISTRATION|CAD_BILLING_UNITS|CAD_CONVERSION_FACTOR|CAD_EFFECTIVE_DATE|CAD_END_DATE|CAD_NDC_PRIOR_EFF_DATE_2|CAD_NDC_PRIOR_END_DATE_2|CAD_PRIOR_CF_2|CAD_NDC_PRIOR_EFF_DATE_3|CAD_NDC_PRIOR_END_DATE_3|CAD_PRIOR_CF_3
00131181067||C9254||01/01/2010|12/31/3999|Injection, lacosamide, 1 mg|VIMPAT 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|01/01/2010|12/31/3999| | || | |
50242006001||C9257||01/01/2010|12/31/3999|Injection, bevacizumab, 0.25 mg|AVASTIN 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.01|01/01/2010|12/31/3999| | || | |
50242006101||C9257||01/01/2010|12/31/3999|Injection, bevacizumab, 0.25 mg|AVASTIN 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.01|01/01/2010|12/31/3999| | || | |
13533080012||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C 1 GRAM/10 ML VIAL|10|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080015||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C 2.5 GRAM/25 ML VIAL|25|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080020||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C 5 GRAM/50 ML VIAL|50|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080024||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C 20 GRAM/200 ML VIAL|200|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080071||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C 10 GRAM/100 ML VIAL|100|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
44206045101||90284||04/15/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|HIZENTRA 1 GRAM/5 ML VIAL|5|ML|VIAL|SQ|EA|.5|04/15/2010|12/31/3999| | || | |
44206045202||90284||04/15/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|HIZENTRA 2 GRAM/10 ML VIAL|10|ML|VIAL|SQ|EA|.5|04/15/2010|12/31/3999| | || | |
44206045404||90284||04/15/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|HIZENTRA 4 GRAM/20 ML VIAL|20|ML|VIAL|SQ|EA|.5|04/15/2010|12/31/3999| | || | |
76125090001||90284||12/29/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMMAKED 1 GRAM/10 ML VIAL|10|ML|VIAL|IJ|ML|1|12/29/2010|12/31/3999| | || | |
76125090010||90284||12/29/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMMAKED 10 GRAM/100 ML VIAL|100|ML|VIAL|IJ|ML|1|12/29/2010|12/31/3999| | || | |
76125090020||90284||12/29/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMMAKED 20 GRAM/200 ML VIAL|200|ML|VIAL|IJ|ML|1|12/29/2010|12/31/3999| | || | |
76125090025||90284||12/29/2010|01/01/2021|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMMAKED 2.5 GRAM/25 ML VIAL|25|ML|VIAL|IJ|ML|1|12/29/2010|01/01/2021| | || | |
76125090050||90284||12/29/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMMAKED 5 GRAM/50 ML VIAL|50|ML|VIAL|IJ|ML|1|12/29/2010|12/31/3999| | || | |
13533063602||90371||03/01/1999|11/22/2021|Hepatitis B immune globulin (HBIG), human, for intramuscular use|HYPERHEP B S-D SYRINGE|1|ML|SYRINGE|IM|ML|1|03/01/1999|11/22/2021| | || | |
13533063603||90371||03/01/1999|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|HYPERHEP B S-D NEONATAL SYRIN.|0.5|ML|SYRINGE|IM|ML|1|03/01/1999|12/31/3999| | || | |
13533063605||90371||03/01/1999|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|HYPERHEP B S-D VIAL|5|ML|VIAL|IM|ML|1|03/01/1999|12/31/3999| | || | |
59730420201||90371||04/01/2002|12/31/2021|Hepatitis B immune globulin (HBIG), human, for intramuscular use|NABI-HB VIAL|1|ML|VIAL|IM|EA|1|04/01/2002|12/31/2021| | || | |
59730420301||90371||04/01/2002|06/01/2022|Hepatitis B immune globulin (HBIG), human, for intramuscular use|NABI-HB VIAL|5|ML|VIAL|IM|EA|1|04/01/2002|06/01/2022| | || | |
00409492134||J0171||01/01/2011|05/01/2022|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.1 MG/ML SYRINGE|10|ML|SYRINGE|IJ|ML|1|01/01/2011|05/01/2022| | || | |
00409724161||J0171||01/01/2011|09/01/2018|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|01/01/2011|09/01/2018| | || | |
00517107125||J0171||01/01/2011|09/30/2014|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|01/01/2011|09/30/2014| | || | |
00517113005||J0171||01/01/2011|09/30/2014|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 1 MG/ML VIAL|30|ML|VIAL|IJ|ML|.1|01/01/2011|09/30/2014| | || | |
42023015925||J0171||08/07/2013|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|ADRENALIN 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|08/07/2013|12/31/3999| | || | |
42023016801||J0171||04/01/2014|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|ADRENALIN 1 MG/ML VIAL|30|ML|VIAL|IJ|ML|.1|04/01/2014|12/31/3999| | || | |
49502050002||J0171||01/01/2011|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPIPEN 2-PAK 0.3 MG AUTO-INJCT|2|UN|SYRINGE|IJ|ML|1|01/01/2011|12/31/3999| | || | |
49502050102||J0171||01/01/2011|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPIPEN JR 2-PAK 0.15 MG INJCTR|2|UN|SYRINGE|IJ|ML|1|01/01/2011|12/31/3999| | || | |
52054080302||J0171||01/01/2011|11/01/2016|Injection, adrenalin, epinephrine, 0.1 mg|ADRENACLICK 0.15 MG AUTO-INJCT|2|UN|SYRINGE|IJ|EA|1|01/01/2011|11/01/2016| | || | |
52054080402||J0171||01/01/2011|11/01/2016|Injection, adrenalin, epinephrine, 0.1 mg|ADRENACLICK 0.3 MG AUTO-INJECT|2|UN|SYRINGE|IJ|EA|1|01/01/2011|11/01/2016| | || | |
54505010201||J0171||01/01/2011|02/16/2018|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.3 MG AUTO-INJECT|1|UN|SYRINGE|IJ|EA|1|01/01/2011|02/16/2018| | || | |
76329331601||J0171||10/05/2012|04/30/2024|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.1 MG/ML SYRINGE|10|ML|SYRINGE|IJ|ML|1|10/05/2012|04/30/2024| | || | |
58468004101||J0180||01/01/2005|12/31/3999|Injection, agalsidase beta, 1 mg|FABRAZYME 5 MG VIAL|1|UN|VIAL|IV|EA|.2|01/01/2005|12/31/3999| | || | |
47335058140||J0207||02/21/2011|01/02/2022|Injection, amifostine, 500 mg|AMIFOSTINE 500 MG VIAL|1|UN|VIAL|IV|ML|1|02/21/2011|01/02/2022| | || | |
47335058142||J0207||02/21/2011|01/02/2022|Injection, amifostine, 500 mg|AMIFOSTINE 500 MG VIAL|3|UN|VIAL|IV|ML|1|02/21/2011|01/02/2022| | || | |
00003218710||J0129||12/01/2007|07/31/2021|Injection, abatacept, 10 mg (code may be used for medicare when drug admini...|ORENCIA 250 MG VIAL|1|UN|VIAL|IV|EA|.04|12/01/2007|07/31/2021| | || | |
00003218811||J0129||10/18/2011|12/31/3999|Injection, abatacept, 10 mg (code may be used for medicare when drug admini...|ORENCIA 125 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.08|10/18/2011|12/31/3999| | || | |
00574080530||J0132||01/01/2006|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML VL|30|ML|VIAL|IV|ML|.5|01/01/2006|12/31/3999| | || | |
00574081530||J0132||01/01/2006|02/01/2021|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|01/01/2006|02/01/2021| | || | |
66220020730||J0132||01/01/2006|12/31/3999|Injection, acetylcysteine, 100 mg|ACETADOTE 200 MG/ML VIAL|30|ML|VIAL|IV|ML|.5|01/01/2006|12/31/3999| | || | |
55150015410||J0133||02/20/2014|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 500 MG/10 ML VIAL|10|ML|VIAL|IV|EA|.1|02/20/2014|12/31/3999| | || | |
55150015411||J0133||02/20/2014|06/30/2021|Injection, acyclovir, 5 mg|acyclovir sodium injection 500MG/10ML|10|ML|VIAL|IJ|EA|.1|02/20/2014|06/30/2021| | || | |
55150015520||J0133||02/20/2014|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 1,000 MG/20 ML VIAL|20|ML|VIAL|IV|EA|.1|02/20/2014|12/31/3999| | || | |
55150015521||J0133||02/20/2014|06/30/2021|Injection, acyclovir, 5 mg|ACYCLOVIR 1,000 MG/20 ML VIAL|20|ML|VIAL|IJ|EA|.1|02/20/2014|06/30/2021| | || | |
63323032510||J0133||01/01/2006|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|01/01/2006|12/31/3999| | || | |
63323032514||J0133||01/01/2006|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.1|01/01/2006|12/31/3999| | || | |
63323032520||J0133||01/01/2006|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 1,000 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|01/01/2006|12/31/3999| | || | |
63323032524||J0133||01/01/2006|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 1,000 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|.1|01/01/2006|12/31/3999| | || | |
00781940995||J0290||02/23/2006|07/31/2024|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|.05|02/23/2006|07/31/2024| | || | |
25021013510||J0290||09/21/2010|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|GM|1|09/21/2010|12/31/3999| | || | |
44567010110||J0290||07/01/2009|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|07/01/2009|12/31/3999| | || | |
55150011210||J0290||09/13/2012|09/30/2021|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|09/13/2012|09/30/2021| | || | |
00049001381||J0295||04/01/1995|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|UNASYN 1.5 GM VIAL|1|UN|VIAL|IJ|EA|1|04/01/1995|12/31/3999| | || | |
17478093415||J0360||11/06/2009|10/31/2022|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|11/06/2009|10/31/2022| | || | |
63323061401||J0360||04/06/2001|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/06/2001|12/31/3999| | || | |
63323061455||J0360||04/06/2001|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/06/2001|12/31/3999| | || | |
00069040001||J0456||02/01/2000|03/31/2023|Injection, azithromycin, 500 mg|ZITHROMAX I.V. 500 MG VIAL|1|UN|VIAL|IV|ML|1|02/01/2000|03/31/2023| | || | |
00069040010||J0456||02/01/2000|03/31/2023|Injection, azithromycin, 500 mg|ZITHROMAX I.V. 500 MG VIAL|1|UN|VIAL|IV|ML|1|02/01/2000|03/31/2023| | || | |
00049001383||J0295||04/01/1995|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|UNASYN 1.5 GM VIAL|1|UN|VIAL|IJ|EA|1|04/01/1995|12/31/3999| | || | |
00049002428||J0295||04/01/1995|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|UNASYN 15 GM VIAL|1|UN|VIAL|IJ|EA|.1|04/01/1995|12/31/3999| | || | |
00641611601||J0295||07/03/2012|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM VL|1|UN|VIAL|IJ|GM|1|07/03/2012|12/31/3999| | || | |
00641611610||J0295||07/03/2012|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM VL|1|UN|VIAL|IJ|GM|1|07/03/2012|12/31/3999| | || | |
25021014220||J0295||08/09/2010|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM VL|1|UN|VIAL|IJ|GM|1|08/09/2010|12/31/3999| | || | |
44567021010||J0295||03/10/2014|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM VL|1|UN|VIAL|IJ|EA|1|03/10/2014|12/31/3999| | || | |
55150011620||J0295||09/13/2012|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM VL|1|UN|VIAL|IJ|EA|1|09/13/2012|12/31/3999| | || | |
00409662902||J0330||09/30/1990|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|QUELICIN 20 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00409662925||J0330||09/30/1990|10/01/2019|Injection, succinylcholine chloride, up to 20 mg|QUELICIN 200 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|10/01/2019| | || | |
00517090125||J0360||06/30/1997|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/30/1997|12/31/3999| | || | |
67457015300||J0282||10/15/2002|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 150 MG/3 ML VIAL|3|ML|VIAL|IV|ML|1|10/15/2002|12/31/3999| | || | |
39822105505||J0285||03/01/1999|12/31/3999|Injection, amphotericin b, 50 mg|AMPHOTERICIN B 50 MG VIAL|1|UN|VIAL|IJ|EA|1|03/01/1999|12/31/3999| | || | |
00469305130||J0289||06/01/2003|12/31/3999|Injection, amphotericin b liposome, 10 mg|AMBISOME 50 MG VIAL|1|UN|VIAL|IV|EA|.2|06/01/2003|12/31/3999| | || | |
00781340778||J0290||12/01/2005|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|ML|1|12/01/2005|12/31/3999| | || | |
00781340795||J0290||12/01/2005|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|ML|1|12/01/2005|12/31/3999| | || | |
00781340995||J0290||05/11/2004|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|.05|05/11/2004|12/31/3999| | || | |
00781940778||J0290||02/28/2006|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|ML|1|02/28/2006|12/31/3999| | || | |
00781940795||J0290||02/28/2006|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|ML|1|02/28/2006|12/31/3999| | || | |
46783016001||J0588||01/01/2012|01/02/2012|Injection, incobotulinumtoxin a, 1 unit|XEOMIN|1|UN|VIAL|IM|EA|1|01/01/2012|01/02/2012| | || | |
46783016101||J0588||01/01/2012|12/31/3999|Injection, incobotulinumtoxin a, 1 unit|XEOMIN|1|UN|VIAL|IM|EA|1|01/01/2012|12/31/3999| | || | |
00409162301||J0595||05/01/2005|12/31/3999|Injection, butorphanol tartrate, 1 mg|BUTORPHANOL 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
00517013225||J0636||03/14/2005|09/30/2014|Injection, calcitriol, 0.1 mcg|CALCITRIOL 1 MCG/ML AMPUL|1|ML|AMPUL|IV|ML|.1|03/14/2005|09/30/2014| | || | |
00006382210||J0637||06/01/2003|12/31/3999|Injection, caspofungin acetate, 5 mg|CANCIDAS IV 50 MG VIAL|1|UN|VIAL|IV|EA|.1|06/01/2003|12/31/3999| | || | |
25021081310||J0640||12/17/2012|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 50 MG VIAL|1|UN|VIAL|IJ|EA|1|12/17/2012|12/31/3999| | || | |
25021081366||J0640||12/17/2012|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 50 MG VIAL|1|UN|VIAL|IJ|EA|1|12/17/2012|12/31/3999| | || | |
00069315083||J0456||02/01/2000|12/31/3999|Injection, azithromycin, 500 mg|ZITHROMAX I.V. 500 MG VIAL|1|UN|VIAL|IV|EA|1|02/01/2000|12/31/3999| | || | |
00409014411||J0456||06/26/2009|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VIAL|1|UN|VIAL|IV|EA|1|06/26/2009|12/31/3999| | || | |
50111079478||J0456||08/17/2007|06/30/2023|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VIAL|10|UN|VIAL|IV|EA|1|08/17/2007|06/30/2023| | || | |
60505607604||J0456||11/01/2010|06/30/2021|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VIAL|1|UN|VIAL|IV|ML|1|11/01/2010|06/30/2021| | || | |
62756051244||J0456||09/06/2013|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VIAL|1|UN|VIAL|IV|EA|1|09/06/2013|12/31/3999| | || | |
63323039810||J0456||03/20/2006|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VIAL|1|UN|VIAL|IV|EA|1|03/20/2006|12/31/3999| | || | |
63323039814||J0456||03/20/2006|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN|1|UN|VIAL|IV|EA|1|03/20/2006|12/31/3999| | || | |
45945015101||J0476||02/18/2011|11/01/2019|Injection, baclofen, 50 mcg for intrathecal trial|GABLOFEN 50 MCG/ML SYRINGE|1|ML|SYRINGE|IT|ML|1|02/18/2011|11/01/2019| | || | |
00078033184||J0480||05/19/1998|12/31/3999|Injection, basiliximab, 20 mg|SIMULECT 20 MG VIAL|1|UN|VIAL|IV|EA|1|05/19/1998|12/31/3999| | || | |
00143972905||J0515||11/19/2009|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|BENZTROPINE 2 MG/2 ML AMPULE|2|ML|AMPUL|IJ|ML|1|11/19/2009|12/31/3999| | || | |
00517078505||J0515||02/04/2011|09/30/2014|Injection, dicyclomine hcl, up to 20 mg|BENZTROPINE 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|02/04/2011|09/30/2014| | || | |
63323097002||J0515||07/29/2009|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|BENZTROPINE 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|07/29/2009|12/31/3999| | || | |
65293000101||J0583||05/01/2005|02/28/2021|Injection, bivalirudin, 1 mg|ANGIOMAX 250 MG VIAL|1|UN|VIAL|IV|GM|.004|05/01/2005|02/28/2021| | || | |
25021010910||J0694||12/08/2009|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM VIAL|1|UN|VIAL|IV|GM|1|12/08/2009|12/31/3999| | || | |
60505075905||J0694||02/13/2006|10/03/2018|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM VIAL|1|UN|VIAL|IV|ML|1|02/13/2006|10/03/2018| | || | |
60505076104||J0694||02/13/2006|07/10/2021|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 10 GM VIAL|10|UN|VIAL|IV|ML|.1|02/13/2006|07/10/2021| | || | |
63323034125||J0694||07/26/2000|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM VIAL|1|UN|VIAL|IV|EA|1|07/26/2000|12/31/3999| | || | |
00143985925||J0696||04/01/2008|08/23/2020|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|ML|1|04/01/2008|08/23/2020| | || | |
00409733201||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|GM|.25|07/20/2005|12/31/3999| | || | |
00409733304||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IV|GM|.25|07/20/2005|12/31/3999| | || | |
00409733349||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IV|GM|.25|07/20/2005|12/31/3999| | || | |
68180061101||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|EA|1|07/20/2005|12/31/3999| | || | |
68180061110||J0696||07/20/2005|07/17/2021|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|EA|1|07/20/2005|07/17/2021| | || | |
68180063301||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|07/20/2005|12/31/3999| | || | |
68180063310||J0696||07/20/2005|07/17/2021|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|07/20/2005|07/17/2021| | || | |
00143997922||J0697||12/28/2005|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 750 MG VIAL|1|UN|VIAL|IJ|GM|1|12/28/2005|12/31/3999| | || | |
25021011810||J0697||07/07/2008|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 750 MG VIAL|1|UN|VIAL|IJ|GM|1|07/07/2008|12/31/3999| | || | |
00409733701||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|GM|1|07/20/2005|12/31/3999| | || | |
00781320685||J0696||07/19/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|ML|1|07/19/2005|12/31/3999| | || | |
00781320695||J0696||07/19/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|ML|1|07/19/2005|12/31/3999| | || | |
00781320895||J0696||07/19/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|ML|.25|07/19/2005|12/31/3999| | || | |
60505075000||J0696||08/02/2005|06/30/2019|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|ML|1|08/02/2005|06/30/2019| | || | |
60505075004||J0696||08/02/2005|06/30/2019|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|ML|1|08/02/2005|06/30/2019| | || | |
60505075204||J0696||08/02/2005|02/28/2018|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|ML|.25|08/02/2005|02/28/2018| | || | |
63323034610||J0696||02/20/2006|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|02/20/2006|12/31/3999| | || | |
00143992390||J0690||05/30/2002|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 500 MG VIAL|1|UN|VIAL|IJ|ML|1|05/30/2002|12/31/3999| | || | |
00781345070||J0690||11/08/2006|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 500 MG VIAL|1|UN|VIAL|IJ|ML|1|11/08/2006|12/31/3999| | || | |
00781345095||J0690||11/08/2006|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 500 MG VIAL|1|UN|VIAL|IJ|ML|1|11/08/2006|12/31/3999| | || | |
00781345295||J0690||09/13/2006|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|.05|09/13/2006|12/31/3999| | || | |
25021010010||J0690||04/01/2009|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 500 MG VIAL|1|UN|VIAL|IJ|GM|1|04/01/2009|12/31/3999| | || | |
44567070625||J0690||12/24/2012|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|12/24/2012|12/31/3999| | || | |
63323023610||J0690||09/30/1990|10/03/2022|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|10/03/2022| | || | |
63323023861||J0690||09/30/1990|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|09/30/1990|12/31/3999| | || | |
60505603104||J0692||12/01/2008|07/19/2021|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|ML|.25|12/01/2008|07/19/2021| | || | |
00143987825||J0694||09/01/2010|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM VIAL|1|UN|VIAL|IV|GM|1|09/01/2010|12/31/3999| | || | |
00264312311||J0694||07/01/2006|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM PIGGYBACK BAG|1|UN|BAG|IV|ML|1|07/01/2006|12/31/3999| | || | |
63323034925||J0743||03/21/2012|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 250 MG VL|1|UN|VIAL|IV|EA|1|03/21/2012|12/31/3999| | || | |
63323034994||J0743||03/21/2012|11/13/2022|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 250 MG VL|1|UN|VIAL|IJ|EA|1|03/21/2012|11/13/2022| | || | |
25021011482||J0744||03/24/2008|09/30/2013|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACN-D5W 200 MG/100 ML|100|ML|BAG|IV|ML|1|03/24/2008|09/30/2013| | || | |
39822061501||J0770||02/26/1999|06/30/2023|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|02/26/1999|06/30/2023| | || | |
39822061502||J0770||02/26/1999|11/30/2021|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|02/26/1999|11/30/2021| | || | |
42023010701||J0770||09/30/1990|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLY-MYCIN M 150 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
42023010706||J0770||09/30/1990|10/31/2024|Injection, colistimethate sodium, up to 150 mg|COLY-MYCIN M 150 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|10/31/2024| | || | |
42023013101||J0770||09/30/1990|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
42023013106||J0770||09/30/1990|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
63323039306||J0770||04/22/2008|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|04/22/2008|12/31/3999| | || | |
00548590000||J0833||01/01/2010|12/31/2022|Injection, cosyntropin, not otherwise specified, 0.25 mg|CORTROSYN 0.25 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2010|12/31/2022| | || | |
00781305271||J0833||01/01/2010|09/30/2014|Injection, cosyntropin, not otherwise specified, 0.25 mg|COSYNTROPIN 0.25 MG/ML|1|ML|VIAL|IV|ML|1|01/01/2010|09/30/2014| | || | |
00781344071||J0833||04/05/2013|12/31/2022|Injection, cosyntropin, not otherwise specified, 0.25 mg|COSYNTROPIN 0.25 MG VIAL|1|UN|VIAL|IJ|ML|1|04/05/2013|12/31/2022| | || | |
00781344095||J0833||04/05/2013|12/31/2022|Injection, cosyntropin, not otherwise specified, 0.25 mg|COSYNTROPIN 0.25 MG VIAL|1|UN|VIAL|IJ|ML|1|04/05/2013|12/31/2022| | || | |
67457022700||J0833||09/11/2012|12/31/2022|Injection, cosyntropin, not otherwise specified, 0.25 mg|COSYNTROPIN 0.25 MG VIAL|1|UN|VIAL|IJ|EA|1|09/11/2012|12/31/2022| | || | |
67457022702||J0833||09/11/2012|12/31/2022|Injection, cosyntropin, not otherwise specified, 0.25 mg|COSYNTROPIN 0.25 MG VIAL|1|UN|VIAL|IJ|EA|1|09/11/2012|12/31/2022| | || | |
00548590000||J0834||01/01/2010|12/31/3999|Injection, cosyntropin (cortrosyn), 0.25 mg|CORTROSYN 0.25 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2010|12/31/3999| | || | |
00781305271||J0834||01/01/2010|09/30/2014|Injection, cosyntropin (cortrosyn), 0.25 mg|COSYNTROPIN 0.25 MG/ML|1|ML|VIAL|IV|ML|1|01/01/2010|09/30/2014| | || | |
00781344071||J0834||04/05/2013|12/31/3999|Injection, cosyntropin (cortrosyn), 0.25 mg|COSYNTROPIN 0.25 MG VIAL|1|UN|VIAL|IJ|ML|1|04/05/2013|12/31/3999| | || | |
00781344095||J0834||04/05/2013|12/31/3999|Injection, cosyntropin (cortrosyn), 0.25 mg|COSYNTROPIN 0.25 MG VIAL|1|UN|VIAL|IJ|ML|1|04/05/2013|12/31/3999| | || | |
67457022700||J0834||09/11/2012|12/31/3999|Injection, cosyntropin (cortrosyn), 0.25 mg|COSYNTROPIN 0.25 MG VIAL|1|UN|VIAL|IJ|EA|1|09/11/2012|12/31/3999| | || | |
67457022702||J0834||09/11/2012|12/31/3999|Injection, cosyntropin (cortrosyn), 0.25 mg|COSYNTROPIN 0.25 MG VIAL|1|UN|VIAL|IJ|EA|1|09/11/2012|12/31/3999| | || | |
67919001101||J0878||06/01/2005|06/30/2022|Injection, daptomycin, 1 mg|CUBICIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|06/01/2005|06/30/2022| | || | |
55513000201||J0881||09/11/2006|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 25 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.04|09/11/2006|12/31/3999| | || | |
55513000204||J0881||09/11/2006|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 25 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.04|09/11/2006|12/31/3999| | || | |
55513000401||J0881||09/11/2006|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 60 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.01667|09/11/2006|12/31/3999| | || | |
55513000404||J0881||09/11/2006|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 60 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.01667|09/11/2006|12/31/3999| | || | |
00517072001||J0702||04/28/2010|12/31/3999|Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg|BETAMETHASONE AC-SP 6 MG/ML VL|5|ML|VIAL|IJ|ML|1|04/28/2010|12/31/3999| | || | |
00409508411||J0713||02/01/1996|12/31/3999|Injection, ceftazidime, per 500 mg|TAZICEF 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|02/01/1996|12/31/3999| | || | |
00409508611||J0713||02/01/1996|12/31/3999|Injection, ceftazidime, per 500 mg|TAZICEF 6 GRAM VIAL|1|UN|VIAL|IJ|EA|.0833|02/01/1996|12/31/3999| | || | |
00409509311||J0713||02/01/1996|12/31/3999|Injection, ceftazidime, per 500 mg|TAZICEF 2 GM ADD-VANTAGE|1|UN|VIAL|IV|EA|.25|02/01/1996|12/31/3999| | || | |
24987037710||J0713||02/01/1996|04/01/2021|Injection, ceftazidime, per 500 mg|FORTAZ 500 MG VIAL|1|UN|VIAL|IJ|EA|1|02/01/1996|04/01/2021| | || | |
63323001115||J0720||09/30/1990|12/31/3999|Injection, chloramphenicol sodium succinate, up to 1 gm|CHLORAMPHEN NA SUCC 1 GM VL|1|UN|VIAL|IV|EA|1|09/30/1990|12/31/3999| | || | |
00009307301||J1030||12/10/1991|12/31/3999|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 40 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/10/1991|12/31/3999| | || | |
00009307303||J1030||12/10/1991|12/31/3999|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 40 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/10/1991|12/31/3999| | || | |
00009307322||J1030||12/10/1991|12/31/3999|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 40 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/10/1991|12/31/3999| | || | |
00009307323||J1030||12/10/1991|12/31/3999|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 40 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/10/1991|12/31/3999| | || | |
00078046761||J0895||04/01/1992|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DESFERAL MESYLATE 500 MG VL|1|UN|VIAL|IJ|EA|1|04/01/1992|12/31/3999| | || | |
00078046791||J0895||04/01/1992|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DESFERAL MESYLATE 500 MG VL|4|UN|VIAL|IJ|EA|1|04/01/1992|12/31/3999| | || | |
00409233610||J0895||05/04/2004|09/01/2021|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 500 MG VIAL|1|UN|VIAL|IJ|GM|1|05/04/2004|09/01/2021| | || | |
00409233725||J0895||05/04/2004|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 2 GRAM VIAL|1|UN|VIAL|IJ|GM|.25|05/04/2004|12/31/3999| | || | |
63323059710||J0895||12/21/2009|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 500 MG VIAL|1|UN|VIAL|IJ|EA|1|12/21/2009|12/31/3999| | || | |
00009027101||J1000||09/30/1990|12/31/3999|Injection, depo-estradiol cypionate, up to 5 mg|DEPO-ESTRADIOL 5 MG/ML VIAL|5|ML|VIAL|IM|ML|1|09/30/1990|12/31/3999| | || | |
00009027401||J1020||09/30/1990|12/31/3999|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 20 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
55513005701||J0881||08/22/2006|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 25 MCG/0.42 ML SYRING|0.42|ML|SYRINGE|IJ|ML|.01667|08/22/2006|12/31/3999| | || | |
55513005704||J0881||08/22/2006|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 25 MCG/0.42 ML SYRING|0.42|ML|SYRINGE|IJ|ML|.01667|08/22/2006|12/31/3999| | || | |
55513000201||J0882||09/11/2006|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 25 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.04|09/11/2006|03/31/2023| | || | |
55513000204||J0882||09/11/2006|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 25 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.04|09/11/2006|03/31/2023| | || | |
55513000401||J0882||09/11/2006|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 60 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.01667|09/11/2006|03/31/2023| | || | |
55513000404||J0882||09/11/2006|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 60 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.01667|09/11/2006|03/31/2023| | || | |
55513005701||J0882||08/22/2006|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 25 MCG/0.42 ML SYRING|0.42|ML|SYRINGE|IJ|ML|.01667|08/22/2006|03/31/2023| | || | |
55513005704||J0882||08/22/2006|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 25 MCG/0.42 ML SYRING|0.42|ML|SYRINGE|IJ|ML|.01667|08/22/2006|03/31/2023| | || | |
55513014401||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.1|01/01/2006|12/31/3999| | || | |
55513014410||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.1|01/01/2006|12/31/3999| | || | |
55513014801||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 4,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.25|01/01/2006|12/31/3999| | || | |
55513014810||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 4,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.25|01/01/2006|12/31/3999| | || | |
55513028301||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 20,000 UNITS/2 ML VIAL|2|ML|VIAL|IJ|ML|.1|01/01/2006|12/31/3999| | || | |
55513028310||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 20,000 UNITS/2 ML VIAL|2|ML|VIAL|IJ|ML|.1|01/01/2006|12/31/3999| | || | |
55513047801||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 20,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.05|01/01/2006|12/31/3999| | || | |
55513047810||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 20,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.05|01/01/2006|12/31/3999| | || | |
59676030401||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 4,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.25|01/01/2006|12/31/3999| | || | |
59676031001||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.1|01/01/2006|12/31/3999| | || | |
59676031002||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.1|01/01/2006|12/31/3999| | || | |
59676031204||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 10,000 UNITS/ML VIAL|2|ML|VIAL|IJ|ML|.1|01/01/2006|12/31/3999| | || | |
59676032004||J0885||01/01/2006|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 20,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.05|01/01/2006|12/31/3999| | || | |
63323050601||J1100||05/29/2003|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|05/29/2003|12/31/3999| | || | |
63323051610||J1100||10/06/2005|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 100 MG/10 ML VL|10|ML|VIAL|IJ|ML|.1|10/06/2005|12/31/3999| | || | |
00574085005||J1110||08/07/2003|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML AM|1|ML|AMPUL|IJ|EA|1|08/07/2003|12/31/3999| | || | |
00574085010||J1110||08/07/2003|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML AM|1|ML|AMPUL|IJ|EA|1|08/07/2003|12/31/3999| | || | |
39822019001||J1120||03/01/2009|12/31/3999|Injection, acetazolamide sodium, up to 500 mg|ACETAZOLAMIDE SOD 500 MG VIAL|1|UN|VIAL|IJ|EA|1|03/01/2009|12/31/3999| | || | |
39822019007||J1120||03/01/2009|01/31/2023|Injection, acetazolamide sodium, up to 500 mg|ACETAZOLAMIDE SOD 500 MG VIAL|1|UN|VIAL|IJ|EA|1|03/01/2009|01/31/2023| | || | |
00641049321||J1165||07/01/1993|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 50 MG/ML VIAL|2|ML|VIAL|IV|ML|1|07/01/1993|12/31/3999| | || | |
00641049325||J1165||07/01/1993|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 50 MG/ML VIAL|2|ML|VIAL|IV|ML|1|07/01/1993|12/31/3999| | || | |
00641255541||J1165||09/30/1990|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 50 MG/ML VIAL|5|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00641255545||J1165||09/30/1990|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 50 MG/ML VIAL|5|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00641613801||J1165||04/01/2013|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 100 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|04/01/2013|12/31/3999| | || | |
00641613825||J1165||04/01/2013|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 100 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|04/01/2013|12/31/3999| | || | |
00641613901||J1165||04/01/2013|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 250 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|04/01/2013|12/31/3999| | || | |
00641613925||J1165||04/01/2013|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 250 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|04/01/2013|12/31/3999| | || | |
00409254001||J1170||10/01/2005|09/30/2020|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE HCL 4 MG/ML AMP|1|ML|AMPUL|IJ|ML|1|10/01/2005|09/30/2020| | || | |
00703003101||J1030||03/08/2005|11/30/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML VL|1|ML|VIAL|IJ|ML|1|03/08/2005|11/30/2022| | || | |
00703003104||J1030||03/08/2005|03/31/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML VL|1|ML|VIAL|IJ|ML|1|03/08/2005|03/31/2022| | || | |
00703004301||J1030||10/31/2006|12/31/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML VL|5|ML|VIAL|IJ|ML|1|10/31/2006|12/31/2022| | || | |
00703004501||J1030||10/31/2006|04/30/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML VL|10|ML|VIAL|IJ|ML|1|10/31/2006|04/30/2022| | || | |
00009347501||J1040||12/01/1991|12/31/3999|Injection, methylprednisolone acetate, 80 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/01/1991|12/31/3999| | || | |
00009347503||J1040||12/01/1991|12/31/3999|Injection, methylprednisolone acetate, 80 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/01/1991|12/31/3999| | || | |
00009347522||J1040||12/01/1991|09/30/2022|Injection, methylprednisolone acetate, 80 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/01/1991|09/30/2022| | || | |
00009347523||J1040||12/01/1991|10/31/2022|Injection, methylprednisolone acetate, 80 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/01/1991|10/31/2022| | || | |
00703005101||J1040||03/08/2005|12/31/2022|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML VL|1|ML|VIAL|IJ|ML|1|03/08/2005|12/31/2022| | || | |
00703005104||J1040||03/08/2005|03/31/2022|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML VL|1|ML|VIAL|IJ|ML|1|03/08/2005|03/31/2022| | || | |
00703006301||J1040||10/31/2006|02/28/2022|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML VL|5|ML|VIAL|IJ|ML|1|10/31/2006|02/28/2022| | || | |
00409582001||J1265||01/01/2006|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 40 MG/ML VIAL|5|ML|VIAL|IV|ML|1|01/01/2006|12/31/3999| | || | |
00409910420||J1265||01/01/2006|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 40 MG/ML VIAL|10|ML|VIAL|IV|ML|1|01/01/2006|12/31/3999| | || | |
00517180525||J1265||01/01/2006|12/31/2014|Injection, dopamine hcl, 40 mg|DOPAMINE 40 MG/ML VIAL|5|ML|VIAL|IV|ML|1|01/01/2006|12/31/2014| | || | |
25682000101||J1300||04/10/2007|12/31/3999|Injection, eculizumab, 10 mg|SOLIRIS 300 MG/30 ML VIAL|30|ML|VIAL|IV|EA|1|04/10/2007|12/31/3999| | || | |
68135010001||J1322||01/01/2015|12/31/3999|Injection, elosulfase alfa, 1mg|VIMIZIM 5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|01/01/2015|12/31/3999| | || | |
00173051700||J1325||03/01/1998|12/31/3999|Injection, epoprostenol, 0.5 mg|FLOLAN 0.5 MG VIAL|1|UN|VIAL|IV|EA|1|03/01/1998|12/31/3999| | || | |
00703198501||J1325||04/23/2008|03/31/2022|Injection, epoprostenol, 0.5 mg|EPOPROSTENOL SODIUM 0.5 MG VL|1|UN|VIAL|IV|EA|1|04/23/2008|03/31/2022| | || | |
66215040301||J1325||10/15/2012|12/31/3999|Injection, epoprostenol, 0.5 mg|VELETRI 0.5 MG VIAL|1|UN|VIAL|IV|EA|1|10/15/2012|12/31/3999| | || | |
00409647644||J1364||04/01/1995|12/31/3999|Injection, erythromycin lactobionate, per 500 mg|ERYTHROCIN 500 MG ADDVNT VL|1|UN|VIAL|IV|EA|1|04/01/1995|12/31/3999| | || | |
00409648201||J1364||04/01/1995|12/31/3999|Injection, erythromycin lactobionate, per 500 mg|ERYTHROCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/1995|12/31/3999| | || | |
42023011001||J1380||09/30/1990|12/31/3999|Injection, estradiol valerate, up to 10 mg|DELESTROGEN 10 MG/ML VIAL|5|ML|VIAL|IM|ML|1|09/30/1990|12/31/3999| | || | |
00046074905||J1410||09/30/1990|12/31/3999|Injection, estrogen conjugated, per 25 mg|PREMARIN 25 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
58406042534||J1438||02/01/2000|05/31/2023|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 25 MG KIT|4|UN|KIT|SQ|EA|1|02/01/2000|05/31/2023| | || | |
58406042541||J1438||02/01/2000|05/31/2023|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 25 MG KIT|1|UN|KIT|SQ|EA|1|02/01/2000|05/31/2023| | || | |
51552068201||J1170||08/14/1998|12/31/2010|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE HCL POWDER|1|GR|JAR|MC|GM|1|08/14/1998|12/31/2010| | || | |
00013871762||J1190||09/14/2009|04/30/2021|Injection, dexrazoxane hydrochloride, per 250 mg|ZINECARD 250 MG VIAL|1|UN|VIAL|IV|EA|1|09/14/2009|04/30/2021| | || | |
67457020725||J1190||11/18/2011|10/17/2024|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 250 MG VIAL|1|UN|VIAL|IV|EA|1|11/18/2011|10/17/2024| | || | |
63323066401||J1200||06/26/2002|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/26/2002|12/31/3999| | || | |
76045010210||J1200||04/17/2013|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE HCL 50 MG/ML|1|ML|SYRINGE|IJ|ML|1|04/17/2013|12/31/3999| | || | |
17478041940||J1205||03/01/2000|06/30/2023|Injection, chlorothiazide sodium, per 500 mg|CHLOROTHIAZIDE SOD 500 MG V|1|UN|VIAL|IV|EA|1|03/01/2000|06/30/2023| | || | |
47335033040||J1205||10/10/2011|12/31/3999|Injection, chlorothiazide sodium, per 500 mg|CHLOROTHIAZIDE SOD 500 MG VIAL|1|UN|VIAL|IV|EA|1|10/10/2011|12/31/3999| | || | |
63323065820||J1205||11/09/2009|12/31/3999|Injection, chlorothiazide sodium, per 500 mg|CHLOROTHIAZIDE SOD 500 MG VIAL|1|UN|VIAL|IV|EA|1|11/09/2009|12/31/3999| | || | |
63323065827||J1205||11/09/2009|12/31/3999|Injection, chlorothiazide sodium, per 500 mg|CHLOROTHIAZIDE SOD 500 MG VIAL|1|UN|VIAL|IV|EA|1|11/09/2009|12/31/3999| | || | |
63323065894||J1205||11/09/2009|12/31/3999|Injection, chlorothiazide sodium, per 500 mg|CHLOROTHIAZIDE SOD 500 MG VIAL|1|UN|VIAL|IV|EA|1|11/09/2009|12/31/3999| | || | |
67457026330||J1205||08/11/2014|11/30/2021|Injection, chlorothiazide sodium, per 500 mg|CHLOROTHIAZIDE SOD 500 MG VIAL|1|UN|VIAL|IJ|EA|1|08/11/2014|11/30/2021| | || | |
63323036601||J1240||07/27/2004|12/31/3999|Injection, dimenhydrinate, up to 50 mg|DIMENHYDRINATE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/27/2004|12/31/3999| | || | |
59730420201||J1573||01/01/2008|12/31/2021|Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml|NABI-HB VIAL|1|ML|VIAL|IM|EA|1|01/01/2008|12/31/2021| | || | |
59730420301||J1573||01/01/2008|09/30/2022|Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml|NABI-HB VIAL|5|ML|VIAL|IM|EA|1|01/01/2008|09/30/2022| | || | |
68135002001||J1458||02/01/2007|12/31/3999|Injection, galsulfase, 1 mg|NAGLAZYME 5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|02/01/2007|12/31/3999| | || | |
63323031510||J1570||09/02/2010|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG VIAL|1|UN|VIAL|IV|EA|1|09/02/2010|12/31/3999| | || | |
59730420201||J1571||01/01/2008|12/31/2021|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|NABI-HB VIAL|1|ML|VIAL|IM|EA|1|01/01/2008|12/31/2021| | || | |
59730420301||J1571||01/01/2008|09/30/2022|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|NABI-HB VIAL|5|ML|VIAL|IM|EA|1|01/01/2008|09/30/2022| | || | |
25021040001||J1644||07/06/2010|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|07/06/2010|12/31/3999| | || | |
25021040010||J1644||07/06/2010|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|07/06/2010|12/31/3999| | || | |
25021040030||J1644||07/06/2010|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|07/06/2010|12/31/3999| | || | |
25021040067||J1644||07/06/2010|10/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|07/06/2010|10/31/2021| | || | |
25021040102||J1644||08/18/2010|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIAL|2|ML|VIAL|IJ|ML|1|08/18/2010|12/31/3999| | || | |
63323027602||J1644||04/01/1995|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIAL|2|ML|VIAL|IJ|ML|1|04/01/1995|12/31/3999| | || | |
00069005801||J1644||08/15/2011|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|08/15/2011|12/31/2022| | || | |
00069005802||J1644||08/15/2011|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|08/15/2011|12/31/2022| | || | |
00069013701||J1644||08/15/2011|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|08/15/2011|12/31/2022| | || | |
00069013703||J1644||08/15/2011|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|08/15/2011|12/31/2022| | || | |
00409272001||J1644||08/31/2009|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|08/31/2009|12/31/3999| | || | |
00409272002||J1644||08/31/2009|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|08/31/2009|12/31/3999| | || | |
00409272003||J1644||08/31/2009|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|08/31/2009|12/31/3999| | || | |
00641039112||J1644||04/01/1995|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/1995|12/31/3999| | || | |
00641039137||J1644||04/01/1995|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/1995|12/31/3999| | || | |
00002803101||J1610||02/22/1999|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGON 1 MG EMERGENCY KIT|1|UN|KIT|IJ|EA|1|02/22/1999|12/31/2022| | || | |
00169706515||J1610||06/22/2005|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGEN 1 MG HYPOKIT|1|UN|VIAL|IJ|ML|1|06/22/2005|12/31/2022| | || | |
00703789101||J1626||01/02/2008|12/31/3999|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 0.1 MG/ML VIAL|1|ML|VIAL|IV|ML|1|01/02/2008|12/31/3999| | || | |
00703797103||J1626||01/03/2008|06/30/2023|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 1 MG/ML VIAL|1|ML|VIAL|IV|ML|.1|01/03/2008|06/30/2023| | || | |
00703797301||J1626||06/30/2008|06/30/2023|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.1|06/30/2008|06/30/2023| | || | |
63323031801||J1626||07/16/2008|12/31/3999|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 1 MG/ML VIAL|1|ML|VIAL|IV|ML|.1|07/16/2008|12/31/3999| | || | |
63323031904||J1626||07/15/2008|12/31/3999|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.1|07/15/2008|12/31/3999| | || | |
00703704101||J1630||03/01/2002|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|03/01/2002|12/31/3999| | || | |
00703704501||J1630||03/01/2002|06/30/2023|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|03/01/2002|06/30/2023| | || | |
25021080601||J1630||12/02/2011|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/02/2011|12/31/3999| | || | |
25021082310||J1630||11/30/2011|01/25/2021|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 50 MG/10 ML VL|10|ML|VIAL|IJ|ML|1|11/30/2011|01/25/2021| | || | |
50458025501||J1630||09/30/1990|08/31/2021|Injection, haloperidol, up to 5 mg|HALDOL 5 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|09/30/1990|08/31/2021| | || | |
63323047401||J1630||03/29/2001|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|03/29/2001|12/31/3999| | || | |
63323047410||J1630||03/29/2001|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|03/29/2001|12/31/3999| | || | |
10147092103||J1631||09/30/1990|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DECAN 50 MG/ML AMP|1|ML|AMPUL|IM|ML|1|09/30/1990|12/31/3999| | || | |
50458025303||J1631||09/30/1990|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALDOL DECANOATE 50 AMPUL|1|ML|AMPUL|IM|ML|1|09/30/1990|12/31/3999| | || | |
63323046901||J1631||03/27/1998|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VIAL|1|ML|VIAL|IM|ML|1|03/27/1998|12/31/3999| | || | |
63323046905||J1631||03/27/1998|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VIAL|5|ML|VIAL|IM|ML|1|03/27/1998|12/31/3999| | || | |
67457041000||J1631||07/25/2014|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/25/2014|12/31/3999| | || | |
67457041013||J1631||07/25/2014|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/25/2014|12/31/3999| | || | |
00004019109||J1740||03/02/2006|06/30/2021|Injection, ibandronate sodium, 1 mg|BONIVA 3 MG/3 ML SYRINGE|3|ML|SYRINGE|IV|ML|1|03/02/2006|06/30/2021| | || | |
25021082761||J1740||09/04/2014|12/31/3999|Injection, ibandronate sodium, 1 mg|BONIVA 3 MG/3 ML SYRINGE|3|ML|SYRINGE|IV|ML|1|09/04/2014|12/31/3999| | || | |
62756021840||J1740||03/19/2014|12/31/3999|Injection, ibandronate sodium, 1 mg|IBANDRONATE 3 MG/3 ML VIAL|3|ML|VIAL|IV|ML|1|03/19/2014|12/31/3999| | || | |
67457052433||J1740||09/02/2014|12/31/3999|Injection, ibandronate sodium, 1 mg|BONIVA 3 MG/3 ML SYRINGE|3|ML|SYRINGE|IV|ML|1|09/02/2014|12/31/3999| | || | |
66220028708||J1741||04/01/2010|12/31/3999|Injection, ibuprofen, 100 mg|CALDOLOR 800 MG/8 ML VIAL|8|ML|VIAL|IV|ML|1|04/01/2010|12/31/3999| | || | |
00517013410||J1750||03/01/1996|09/30/2021|Injection, iron dextran, 50 mg|DEXFERRUM 50 MG/ML VIAL|1|ML|VIAL|IV|ML|1|03/01/1996|09/30/2021| | || | |
52544093102||J1750||06/09/1992|08/31/2021|Injection, iron dextran, 50 mg|INFED 100 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/09/1992|08/31/2021| | || | |
52544093107||J1750||06/09/1992|08/30/2021|Injection, iron dextran, 50 mg|INFED 100 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/09/1992|08/30/2021| | || | |
58468466301||J1786||01/01/2011|12/31/3999|Injection, imiglucerase, 10 units|CEREZYME 400 UNITS VIAL|1|UN|VIAL|IV|EA|.025|01/01/2011|12/31/3999| | || | |
00143987201||J1800||05/15/2008|12/31/3999|Injection, propranolol hcl, up to 1 mg|PROPRANOLOL 1 MG/ML VIAL|1|ML|VIAL|IV|ML|1|05/15/2008|12/31/3999| | || | |
63323060401||J1800||09/18/2001|12/31/3999|Injection, propranolol hcl, up to 1 mg|PROPRANOLOL 1 MG/ML VIAL|1|ML|VIAL|IV|ML|1|09/18/2001|12/31/3999| | || | |
44087002203||J1826||01/01/2011|12/31/2022|Injection, interferon beta-1a, 30 mcg|REBIF 22 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SQ|ML|4|01/01/2011|12/31/2022| | || | |
44087004403||J1826||01/01/2011|12/31/2022|Injection, interferon beta-1a, 30 mcg|REBIF 44 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SQ|ML|8|01/01/2011|12/31/2022| | || | |
44087018801||J1826||01/01/2011|12/31/2022|Injection, interferon beta-1a, 30 mcg|REBIF REBIDOSE TITRATION PACK|4.2|ML|SYRINGE|SQ|ML|1|01/01/2011|12/31/2022| | || | |
44087332201||J1826||01/01/2011|12/31/2022|Injection, interferon beta-1a, 30 mcg|REBIF REBIDOSE 22 MCG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|1|01/01/2011|12/31/2022| | || | |
44087334401||J1826||01/01/2011|12/31/2022|Injection, interferon beta-1a, 30 mcg|REBIF REBIDOSE 44 MCG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|1|01/01/2011|12/31/2022| | || | |
44087882201||J1826||01/01/2011|12/31/2022|Injection, interferon beta-1a, 30 mcg|REBIF TITRATION PACK|4.2|ML|SYRINGE|SQ|ML|4|01/01/2011|12/31/2022| | || | |
00078056912||J1830||10/02/2009|12/31/3999|Injection interferon beta-1b, 0.25 mg (code may be used for medicare when d...|EXTAVIA 0.3 MG KIT|1|UN|KIT|SQ|EA|1|10/02/2009|12/31/3999| | || | |
00078056961||J1830||10/02/2009|12/31/3999|Injection interferon beta-1b, 0.25 mg (code may be used for medicare when d...|EXTAVIA 0.3 MG VIAL|1|UN|VIAL|SQ|EA|1|10/02/2009|12/31/3999| | || | |
50419052435||J1830||05/15/2002|12/31/3999|Injection interferon beta-1b, 0.25 mg (code may be used for medicare when d...|BETASERON 0.3 MG KIT|1|UN|KIT|SQ|EA|1|05/15/2002|12/31/3999| | || | |
63323054001||J1644||04/01/1995|12/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/1995|12/31/2021| | || | |
63323054011||J1644||04/01/1995|09/30/2021|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|04/01/1995|09/30/2021| | || | |
63323054031||J1644||04/01/1995|09/30/2021|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|04/01/1995|09/30/2021| | || | |
63323054057||J1644||04/01/1995|10/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|04/01/1995|10/31/2021| | || | |
63739092025||J1644||09/08/2014|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|09/08/2014|12/31/3999| | || | |
63739093128||J1644||11/19/2014|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|11/19/2014|12/31/3999| | || | |
63739094229||J1644||09/08/2014|09/30/2020|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|09/08/2014|09/30/2020| | || | |
55111067811||J1652||07/19/2011|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML SYR|0.5|ML|SYRINGE|SQ|ML|1|07/19/2011|12/31/3999| | || | |
55111067911||J1652||07/19/2011|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|1|07/19/2011|12/31/3999| | || | |
55111068011||J1652||07/19/2011|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|1|07/19/2011|12/31/3999| | || | |
55111068111||J1652||07/19/2011|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|1|07/19/2011|12/31/3999| | || | |
13533063402||J1670||08/14/1996|12/31/3999|Injection, tetanus immune globulin, human, up to 250 units|HYPERTET S-D 250 UNITS SYRINGE|1|UN|SYRINGE|IM|ML|1|08/14/1996|12/31/3999| | || | |
13533063420||J1670||08/14/1996|12/31/3999|Injection, tetanus immune globulin, human, up to 250 units|HYPERTET S-D|1|UN|SYRINGE|IM|ML|1|08/14/1996|12/31/3999| | || | |
00009001103||J1720||09/30/1990|12/31/3999|Injection, hydrocortisone sodium succinate, up to 100 mg|SOLU-CORTEF 100 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
00009001104||J1720||09/30/1990|12/31/3999|Injection, hydrocortisone sodium succinate, up to 100 mg|SOLU-CORTEF 100 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
00009082501||J1720||09/30/1990|12/31/3999|Injection, hydrocortisone sodium succinate, up to 100 mg|SOLU-CORTEF 100 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
76329826101||J2060||11/12/2012|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|11/12/2012|12/31/3999| | || | |
00264757810||J2150||07/27/1993|12/31/3999|Injection, mannitol, 25% in 50 ml|MANNITOL 20% IV SOLUTION|500|ML|BAG|IV|ML|1|07/27/1993|12/31/3999| | || | |
00338035104||J2150||09/30/1990|12/31/3999|Injection, mannitol, 25% in 50 ml|OSMITROL 5% IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338035303||J2150||09/30/1990|12/31/3999|Injection, mannitol, 25% in 50 ml|OSMITROL 10% IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338035503||J2150||09/30/1990|12/31/2021|Injection, mannitol, 25% in 50 ml|OSMITROL 15% IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/2021| | || | |
00338035702||J2150||09/30/1990|12/31/3999|Injection, mannitol, 25% in 50 ml|OSMITROL 20% IV SOLUTION|250|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338035703||J2150||09/30/1990|12/31/3999|Injection, mannitol, 25% in 50 ml|OSMITROL 20% IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409771502||J2150||09/30/1990|04/01/2021|Injection, mannitol, 25% in 50 ml|MANNITOL 20% IV SOLUTION|250|ML|FLEX CONT|IV|ML|1|09/30/1990|04/01/2021| | || | |
00409118069||J2175||09/30/1990|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 100 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00409120120||J2175||09/30/1990|10/01/2017|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 100 MG/ML VIAL|20|ML|VIAL|IJ|ML|1|09/30/1990|10/01/2017| | || | |
00009055501||J2010||09/30/1990|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOCIN 300 MG/ML VIAL|2|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00009055502||J2010||09/30/1990|11/30/2021|Injection, lincomycin hcl, up to 300 mg|LINCOCIN 300 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|11/30/2021| | || | |
00409198530||J2060||07/01/1997|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML CARPUJECT|1|ML|SYRINGE|IJ|ML|1|07/01/1997|12/31/3999| | || | |
00409677802||J2060||08/04/1994|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|08/04/1994|12/31/3999| | || | |
00409678002||J2060||08/04/1994|05/01/2020|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|08/04/1994|05/01/2020| | || | |
00641600001||J2060||09/15/2003|12/31/3999|Injection, lorazepam, 2 mg|ATIVAN 20 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|09/15/2003|12/31/3999| | || | |
00641600010||J2060||09/15/2003|12/31/3999|Injection, lorazepam, 2 mg|ATIVAN 20 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|09/15/2003|12/31/3999| | || | |
00641600101||J2060||09/15/2003|12/31/3999|Injection, lorazepam, 2 mg|ATIVAN 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/15/2003|12/31/3999| | || | |
00641600125||J2060||09/15/2003|12/31/3999|Injection, lorazepam, 2 mg|ATIVAN 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/15/2003|12/31/3999| | || | |
00641604401||J2060||04/06/2012|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/06/2012|12/31/3999| | || | |
00641604425||J2060||04/06/2012|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/06/2012|12/31/3999| | || | |
00641604601||J2060||10/07/1998|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 20 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/07/1998|12/31/3999| | || | |
00641604610||J2060||10/07/1998|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 20 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/07/1998|12/31/3999| | || | |
00641604801||J2060||01/17/2005|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|01/17/2005|12/31/3999| | || | |
00641604825||J2060||01/17/2005|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|01/17/2005|12/31/3999| | || | |
00641605001||J2060||01/17/2005|08/23/2020|Injection, lorazepam, 2 mg|LORAZEPAM 20 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/17/2005|08/23/2020| | || | |
00641605010||J2060||01/17/2005|08/23/2020|Injection, lorazepam, 2 mg|LORAZEPAM 20 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/17/2005|08/23/2020| | || | |
17478004001||J2060||07/23/1998|06/30/2023|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/23/1998|06/30/2023| | || | |
00409379301||J1885||06/05/1997|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/05/1997|12/31/3999| | || | |
25021070001||J1885||09/17/2014|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/17/2014|12/31/3999| | || | |
63323016101||J1885||02/07/2002|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/07/2002|12/31/3999| | || | |
00074334603||J1950||09/30/1998|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT 22.5 MG 3MO KIT|1|UN|KIT|IM|EA|3|09/30/1998|12/31/3999| | || | |
00074347303||J1950||06/27/2011|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT 45 MG 6MO KIT|1|UN|KIT|IM|EA|6|06/27/2011|12/31/3999| | || | |
00074368303||J1950||09/30/1998|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT-4 MONTH KIT|1|UN|KIT|IM|EA|4|09/30/1998|12/31/3999| | || | |
00703401418||J1950||11/06/2000|08/05/2015|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LEUPROLIDE 2WK 1 MG/0.2 ML KIT|1|UN|KIT|SQ|EA|14|11/06/2000|08/05/2015| | || | |
00781400332||J1950||01/28/2013|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LEUPROLIDE 2WK 1 MG/0.2 ML KIT|1|UN|KIT|SQ|ML|1|01/28/2013|12/31/3999| | || | |
67457026500||J1953||01/16/2012|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/100|100|ML|BAG|IV|EA|1|01/16/2012|12/31/3999| | || | |
67457026510||J1953||01/16/2012|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/100|100|ML|BAG|IV|EA|1|01/16/2012|12/31/3999| | || | |
00641605401||J2175||12/01/2011|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|MEPERIDINE 100 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/01/2011|12/31/3999| | || | |
00641605425||J2175||12/01/2011|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|MEPERIDINE 100 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|12/01/2011|12/31/3999| | || | |
63704000401||J2210||05/24/2013|12/31/3999|Injection, methylergonovine maleate, up to 0.2 mg|METHYLERGONOVINE 0.2 MG/ML AMP|1|ML|AMPUL|IJ|ML|1|05/24/2013|12/31/3999| | || | |
00409230505||J2250||04/15/2003|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 1 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|04/15/2003|12/31/3999| | || | |
00409230517||J2250||04/15/2003|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 1 MG/ML VIAL|2|ML|VIAL|IJ|ML|1|04/15/2003|12/31/3999| | || | |
00409230550||J2250||04/15/2003|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 1 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|04/15/2003|12/31/3999| | || | |
00409230612||J2250||04/15/2003|09/30/2021|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/15/2003|09/30/2021| | || | |
00409230662||J2250||04/15/2003|05/01/2019|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 1 MG/ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/15/2003|05/01/2019| | || | |
00409258705||J2250||06/20/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|06/20/2000|12/31/3999| | || | |
00409258753||J2250||06/20/2000|09/30/2018|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|06/20/2000|09/30/2018| | || | |
00641605601||J2250||06/21/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|06/21/2000|12/31/3999| | || | |
00641605610||J2250||06/21/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|06/21/2000|12/31/3999| | || | |
00641605701||J2250||01/01/2012|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|01/01/2012|12/31/3999| | || | |
00641605725||J2250||01/01/2012|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|01/01/2012|12/31/3999| | || | |
00641605901||J2250||01/01/2012|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|01/01/2012|12/31/3999| | || | |
00641605910||J2250||01/01/2012|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|01/01/2012|12/31/3999| | || | |
00641606101||J2250||01/01/2012|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|01/01/2012|12/31/3999| | || | |
57664063340||J2250||08/27/2012|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|08/27/2012|12/31/3999| | || | |
57664063343||J2250||08/27/2012|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|08/27/2012|12/31/3999| | || | |
63323041110||J2250||06/20/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|06/20/2000|12/31/3999| | || | |
63323041112||J2250||06/20/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/20/2000|12/31/3999| | || | |
63323041125||J2250||06/20/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|06/20/2000|12/31/3999| | || | |
00409189301||J2270||08/20/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 10 MG/ML CARPUJECT|1|ML|SYRINGE|IV|ML|1|08/20/2012|12/31/3999| | || | |
62756035240||J2353||10/19/2007|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE 1,000 MCG/ML VIAL|5|ML|VIAL|IJ|ML|1|10/19/2007|12/31/3999| | || | |
67457023900||J2353||04/04/2011|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 50 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|1|04/04/2011|12/31/3999| | || | |
67457023901||J2353||04/04/2011|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 50 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|1|04/04/2011|12/31/3999| | || | |
67457024500||J2353||04/04/2011|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 100 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|1|04/04/2011|12/31/3999| | || | |
67457024501||J2353||04/04/2011|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 100 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|1|04/04/2011|12/31/3999| | || | |
67457024600||J2353||04/04/2011|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 500 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|1|04/04/2011|12/31/3999| | || | |
67457024601||J2353||04/04/2011|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 500 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|1|04/04/2011|12/31/3999| | || | |
50242004062||J2357||01/01/2005|12/31/3999|Injection, omalizumab, 5 mg|XOLAIR 150 MG VIAL|1|UN|VIAL|SQ|EA|.0333|01/01/2005|12/31/3999| | || | |
00409146301||J2300||09/30/1990|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00409146349||J2300||09/30/1990|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00409146401||J2300||09/30/1990|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 100 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
76329146901||J2310||04/19/2012|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/19/2012|12/31/3999| | || | |
76329336901||J2310||04/19/2012|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/19/2012|12/31/3999| | || | |
25021045201||J2353||01/13/2014|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 100 MCG/ML VL|1|ML|VIAL|IJ|ML|1|01/13/2014|12/31/3999| | || | |
25021045505||J2353||02/10/2014|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE 5,000 MCG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|02/10/2014|12/31/3999| | || | |
63323087715||J2545||04/01/1992|12/31/3999|Pentamidine isethionate, inhalation solution, fda-approved final product, n...|NEBUPENT 300 MG INHAL POWDER|1|UN|VIAL|IH|EA|1|04/01/1992|12/31/3999| | || | |
00641092921||J2550||01/20/2003|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|01/20/2003|12/31/3999| | || | |
00641092925||J2550||01/20/2003|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|01/20/2003|12/31/3999| | || | |
00641094931||J2550||01/08/2003|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|01/08/2003|12/31/3999| | || | |
00641614201||J2370||02/01/2013|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/01/2013|06/30/2023| | || | |
00641614225||J2370||02/01/2013|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/01/2013|06/30/2023| | || | |
60793013010||J2510||09/30/1990|09/30/2023|Injection, penicillin g procaine, aqueous, up to 600,000 units|PENICILLIN G 600,000 UNIT/1 ML|1|ML|SYRINGE|IM|ML|1|09/30/1990|09/30/2023| | || | |
60793013110||J2510||09/30/1990|09/30/2023|Injection, penicillin g procaine, aqueous, up to 600,000 units|PEN G 1.2 MILLION UNIT/2 ML|2|ML|SYRINGE|IM|ML|1|09/30/1990|09/30/2023| | || | |
44087115001||J3490||11/06/2003|09/30/2021|Unclassified drugs|OVIDREL 250 MCG/0.5 ML SYRG|0.5|ML|SYRINGE|SQ|EA|1|11/06/2003|09/30/2021| | || | |
44087900501||J3490||06/01/2004|12/31/2021|Unclassified drugs|GONAL-F RFF 75 IU|1|UN|VL|SC|EA|1|06/01/2004|12/31/2021| | || | |
44087900506||J3490||06/01/2004|12/31/2021|Unclassified drugs|GONAL-F RFF 75 IU|1|UN|VL|SC|EA|1|06/01/2004|12/31/2021| | || | |
44087903001||J3490||05/15/2004|12/31/2021|Unclassified drugs|GONAL-F (M.D.V.) 450 IU|1|UN|VL|SC|EA|1|05/15/2004|12/31/2021| | || | |
44087907001||J3490||05/07/2007|12/31/2021|Unclassified drugs|GONAL-F (MDV) 1200 IU|1|UN|VL|SC|EA|1|05/07/2007|12/31/2021| | || | |
44567022110||J3490||04/15/2013|12/31/3999|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|04/15/2013|12/31/3999| | || | |
44567022210||J3490||04/15/2013|12/31/3999|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|04/15/2013|12/31/3999| | || | |
17478005001||J3490||02/01/2011|06/30/2023|Unclassified drugs|SUFENTA 50 MCG/ML AMPUL|1|ML|AMPUL|IV|ML|1|02/01/2011|06/30/2023| | || | |
00641600701||J3490||05/01/2012|12/31/2023|Unclassified drugs|BUMETANIDE 2.5 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|05/01/2012|12/31/2023| | || | |
00641600710||J3490||05/01/2012|12/31/2023|Unclassified drugs|BUMETANIDE 2.5 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|05/01/2012|12/31/2023| | || | |
00641600801||J3490||05/01/2012|12/31/2023|Unclassified drugs|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|1|05/01/2012|12/31/2023| | || | |
00641600810||J3490||05/01/2012|12/31/2023|Unclassified drugs|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|1|05/01/2012|12/31/2023| | || | |
00641601301||J3490||01/06/2012|12/31/3999|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|01/06/2012|12/31/3999| | || | |
00641601310||J3490||01/06/2012|12/31/3999|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|01/06/2012|12/31/3999| | || | |
00641601401||J3490||01/06/2012|12/31/3999|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/06/2012|12/31/3999| | || | |
00641601410||J3490||01/06/2012|12/31/3999|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/06/2012|12/31/3999| | || | |
00641601501||J3490||01/06/2012|12/31/3999|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|01/06/2012|12/31/3999| | || | |
00641601510||J3490||01/06/2012|12/31/3999|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|01/06/2012|12/31/3999| | || | |
00641601801||J3490||11/01/2003|05/01/2024|Unclassified drugs|DOPRAM 400 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|11/01/2003|05/01/2024| | || | |
00641601806||J3490||11/01/2003|03/31/2023|Unclassified drugs|DOPRAM 400 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|11/01/2003|03/31/2023| | || | |
17478005002||J3490||02/01/2011|06/30/2023|Unclassified drugs|SUFENTA 100 MCG/2 ML AMPUL|2|ML|AMPUL|IV|ML|1|02/01/2011|06/30/2023| | || | |
17478005005||J3490||02/01/2011|06/30/2023|Unclassified drugs|SUFENTA 250 MCG/5 ML AMPULE|5|ML|AMPUL|IV|ML|1|02/01/2011|06/30/2023| | || | |
17478006702||J3490||03/12/2010|12/31/2021|Unclassified drugs|ALFENTA 500 MCG/ML AMPUL|2|ML|AMPUL|IJ|ML|1|03/12/2010|12/31/2021| | || | |
17478006705||J3490||03/12/2010|12/31/2021|Unclassified drugs|ALFENTA 500 MCG/ML AMPUL|5|ML|AMPUL|IJ|ML|1|03/12/2010|12/31/2021| | || | |
17478008050||J3490||09/30/1990|06/30/2021|Unclassified drugs|CAPASTAT SULFATE 1 GM VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|06/30/2021| | || | |
17478012050||J3490||06/24/2013|03/31/2021|Unclassified drugs|CLINDAMYCIN-D5W 300 MG/50 ML|50|ML|BOTTLE|IV|ML|1|06/24/2013|03/31/2021| | || | |
17478012150||J3490||06/24/2013|02/28/2021|Unclassified drugs|CLINDAMYCIN-D5W 600 MG/50 ML|50|ML|BOTTLE|IV|ML|1|06/24/2013|02/28/2021| | || | |
17478012250||J3490||06/24/2013|02/28/2021|Unclassified drugs|CLINDAMYCIN-D5W 900 MG/50 ML|50|ML|BOTTLE|IV|ML|1|06/24/2013|02/28/2021| | || | |
17478025020||J3490||11/06/2012|12/31/2021|Unclassified drugs|AK-FLUOR 25% VIAL|2|ML|VIAL|IV|ML|1|11/06/2012|12/31/2021| | || | |
00703150102||J3490||04/30/1999|12/31/2021|Unclassified drugs|ALPROSTADIL 500 MCG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/30/1999|12/31/2021| | || | |
00703239403||J3490||12/01/2008|06/30/2023|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/01/2008|06/30/2023| | || | |
00703239503||J3490||12/01/2008|06/30/2023|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/01/2008|06/30/2023| | || | |
00703291403||J3490||11/14/2002|07/31/2023|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|11/14/2002|07/31/2023| | || | |
00703292503||J3490||11/14/2002|06/30/2023|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|11/14/2002|06/30/2023| | || | |
00703840104||J3490||10/06/2005|06/30/2023|Unclassified drugs|ENALAPRILAT 1.25 MG/ML VIAL|1|ML|VIAL|IV|ML|1|10/06/2005|06/30/2023| | || | |
00703841104||J3490||10/06/2005|06/30/2023|Unclassified drugs|ENALAPRILAT 1.25 MG/ML VIAL|2|ML|VIAL|IV|ML|1|10/06/2005|06/30/2023| | || | |
00703950303||J3490||11/01/1991|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP VIAL|5|ML|VIAL|IV|ML|1|11/01/1991|12/31/3999| | || | |
00703951401||J3490||11/01/1991|03/31/2022|Unclassified drugs|SULFAMETHOXAZOLE-TMP VIAL|10|ML|VIAL|IV|ML|1|11/01/1991|03/31/2022| | || | |
00703951403||J3490||11/01/1991|03/31/2022|Unclassified drugs|SULFAMETHOXAZOLE-TMP VIAL|10|ML|VIAL|IV|ML|1|11/01/1991|03/31/2022| | || | |
00703952601||J3490||11/01/1991|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP VIAL|30|ML|VIAL|IV|ML|1|11/01/1991|12/31/3999| | || | |
17478042020||J3490||09/13/2004|06/30/2023|Unclassified drugs|LABETALOL HCL 5 MG/ML VIAL|20|ML|VIAL|IV|ML|1|09/13/2004|06/30/2023| | || | |
17478042040||J3490||09/13/2004|06/30/2023|Unclassified drugs|LABETALOL HCL 5 MG/ML VIAL|40|ML|VIAL|IV|ML|1|09/13/2004|06/30/2023| | || | |
17478050305||J3490||12/13/2011|12/31/2021|Unclassified drugs|ALCOHOL,DEHYDRATED 98% VIAL|5|ML|VIAL|IJ|ML|1|12/13/2011|12/31/2021| | || | |
17478051002||J3490||08/01/2010|06/30/2023|Unclassified drugs|PHYSOSTIGMINE 1 MG/ML AMPUL|2|ML|AMPUL|IJ|ML|1|08/01/2010|06/30/2023| | || | |
17478051500||J3490||12/01/2009|01/31/2021|Unclassified drugs|EPHEDRINE 50 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|12/01/2009|01/31/2021| | || | |
17478080801||J3490||06/15/2013|09/30/2018|Unclassified drugs|INDIGO CARMINE 0.8% AMPUL|5|ML|AMPUL|IJ|ML|1|06/15/2013|09/30/2018| | || | |
17478093705||J3490||12/21/2006|06/30/2023|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/21/2006|06/30/2023| | || | |
17478093710||J3490||12/21/2006|06/30/2023|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/21/2006|06/30/2023| | || | |
17478093725||J3490||12/21/2006|06/30/2023|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|12/21/2006|06/30/2023| | || | |
17478093726||J3490||12/21/2006|06/30/2023|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IJ|ML|1|12/21/2006|06/30/2023| | || | |
46783012152||J3490||07/13/2010|08/31/2022|Unclassified drugs|ASCLERA 10 MG/2 ML (0.5%) AMP|2|ML|AMPUL|IV|ML|1|07/13/2010|08/31/2022| | || | |
46783022152||J3490||07/13/2010|08/31/2022|Unclassified drugs|ASCLERA 20 MG/2 ML (1%) AMPULE|2|ML|AMPUL|IV|ML|1|07/13/2010|08/31/2022| | || | |
47335050840||J3490||01/15/2014|04/07/2017|Unclassified drugs|ESOMEPRAZOLE SODIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|01/15/2014|04/07/2017| | || | |
00409110502||J3490||05/29/2013|12/31/3999|Unclassified drugs|ATRACURIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/29/2013|12/31/3999| | || | |
00409110901||J3490||02/25/2013|12/31/3999|Unclassified drugs|ATRACURIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|02/25/2013|12/31/3999| | || | |
00409114405||J3490||09/30/1990|12/31/3999|Unclassified drugs|VERAPAMIL 2.5 MG/ML VIAL|2|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409117101||J3490||06/23/1998|02/01/2017|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|06/23/1998|02/01/2017| | || | |
00409117102||J3490||06/23/1998|09/01/2021|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|06/23/1998|09/01/2021| | || | |
47335050844||J3490||01/15/2014|04/07/2017|Unclassified drugs|ESOMEPRAZOLE SODIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|01/15/2014|04/07/2017| | || | |
47335050940||J3490||01/15/2014|04/07/2017|Unclassified drugs|ESOMEPRAZOLE SODIUM 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/15/2014|04/07/2017| | || | |
47335050944||J3490||01/15/2014|04/07/2017|Unclassified drugs|ESOMEPRAZOLE SODIUM 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/15/2014|04/07/2017| | || | |
00409141204||J3490||07/01/1997|12/31/2023|Unclassified drugs|BUMETANIDE 0.25 MG/ML VIAL|4|ML|VIAL|IJ|ML|1|07/01/1997|12/31/2023| | || | |
00409141210||J3490||07/01/1997|12/31/2023|Unclassified drugs|BUMETANIDE 0.25 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|07/01/1997|12/31/2023| | || | |
00409144325||J3490||09/30/1990|03/31/2020|Unclassified drugs|LEVOPHED 4 MG/4 ML AMPUL|4|ML|AMPUL|IV|ML|1|09/30/1990|03/31/2020| | || | |
00409155554||J3490||06/23/1999|12/31/3999|Unclassified drugs|HEXTEND 6%-LACT ELEC BAG|500|ML|BAG|IV|ML|1|06/23/1999|12/31/3999| | || | |
00409163110||J3490||12/22/2000|12/31/3999|Unclassified drugs|CALCIUM CHLORIDE 10% SYRNG|10|ML|SYRINGE|IV|ML|1|12/22/2000|12/31/3999| | || | |
00409163201||J3490||08/09/1999|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|ML|1|08/09/1999|12/31/3999| | || | |
00409163249||J3490||08/09/1999|09/30/2018|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|ML|1|08/09/1999|09/30/2018| | || | |
00409163401||J3490||08/09/1999|05/01/2023|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|ML|1|08/09/1999|05/01/2023| | || | |
00409163802||J3490||01/28/2000|12/31/3999|Unclassified drugs|PRECEDEX 200 MCG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/28/2000|12/31/3999| | || | |
00409166010||J3490||04/08/2013|12/31/3999|Unclassified drugs|PRECEDEX 400 MCG/100 ML INJECT|100|ML|BOTTLE|IV|ML|1|04/08/2013|12/31/3999| | || | |
00409166050||J3490||04/08/2013|12/31/3999|Unclassified drugs|PRECEDEX 200 MCG/50 ML INJECT|50|ML|BOTTLE|IV|ML|1|04/08/2013|12/31/3999| | || | |
00409177805||J3490||07/01/1997|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|07/01/1997|12/31/3999| | || | |
00409177835||J3490||07/01/1997|02/01/2019|Unclassified drugs|METOPROLOL 1 MG/ML CARPUJECT|5|ML|SYRINGE|IV|ML|1|07/01/1997|02/01/2019| | || | |
00781304095||J3490||05/10/2005|12/31/3999|Unclassified drugs|REGONOL 10 MG/2 ML AMPUL|2|ML|AMPUL|IJ|ML|1|05/10/2005|12/31/3999| | || | |
00781305670||J3490||05/01/2006|12/31/3999|Unclassified drugs|ISONIAZID 100 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|05/01/2006|12/31/3999| | || | |
00409205105||J3490||07/01/1997|12/31/3999|Unclassified drugs|KETAMINE 100 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|07/01/1997|12/31/3999| | || | |
00409205310||J3490||07/01/1997|12/31/3999|Unclassified drugs|KETAMINE 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|07/01/1997|12/31/3999| | || | |
00409212201||J3490||01/06/2000|03/01/2019|Unclassified drugs|ENALAPRILAT 1.25 MG/ML VIAL|1|ML|VIAL|IV|ML|1|01/06/2000|03/01/2019| | || | |
00409212202||J3490||01/06/2000|02/01/2019|Unclassified drugs|ENALAPRILAT 1.25 MG/ML VIAL|2|ML|VIAL|IV|ML|1|01/06/2000|02/01/2019| | || | |
00409226602||J3490||12/01/1999|05/01/2021|Unclassified drugs|ALFENTANIL 500 MCG/ML AMPUL|2|ML|AMPUL|IJ|ML|1|12/01/1999|05/01/2021| | || | |
00409226720||J3490||10/21/1999|06/30/2023|Unclassified drugs|LABETALOL HCL 5 MG/ML VIAL|20|ML|VIAL|IV|ML|1|10/21/1999|06/30/2023| | || | |
00409226725||J3490||10/21/1999|11/10/2018|Unclassified drugs|LABETALOL HCL 100 MG/20 ML VL|20|ML|VIAL|IV|ML|1|10/21/1999|11/10/2018| | || | |
00409226726||J3490||10/21/1999|12/20/2018|Unclassified drugs|LABETALOL HCL 200 MG/40 ML VL|40|ML|VIAL|IV|ML|1|10/21/1999|12/20/2018| | || | |
00409226754||J3490||10/21/1999|06/30/2023|Unclassified drugs|LABETALOL HCL 5 MG/ML VIAL|40|ML|VIAL|IV|ML|1|10/21/1999|06/30/2023| | || | |
00409230401||J3490||02/23/2000|01/01/2021|Unclassified drugs|CORLOPAM 10 MG/ML AMPUL|1|ML|AMPUL|IV|ML|1|02/23/2000|01/01/2021| | || | |
00409230402||J3490||02/23/2000|01/01/2021|Unclassified drugs|CORLOPAM 10 MG/ML AMPUL|2|ML|AMPUL|IV|ML|1|02/23/2000|01/01/2021| | || | |
00409233934||J3490||11/19/1999|06/30/2023|Unclassified drugs|LABETALOL HCL 20 MG/4 ML CRPJ|4|ML|SYRINGE|IV|ML|1|11/19/1999|06/30/2023| | || | |
00409329425||J3490||09/30/1990|12/31/3999|Unclassified drugs|POTASSIUM ACET 100 MEQ/50 ML|50|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409329451||J3490||09/30/1990|12/31/3999|Unclassified drugs|POTASSIUM ACET 2 MEQ/ML VIAL|50|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409329905||J3490||09/30/1990|12/31/3999|Unclassified drugs|SODIUM ACETATE 2 MEQ/ML VIAL|50|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409329906||J3490||09/30/1990|12/31/3999|Unclassified drugs|SODIUM ACETATE 2 MEQ/ML VIAL|100|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409329925||J3490||09/30/1990|12/31/3999|Unclassified drugs|SODIUM ACETATE 200 MEQ/100 ML|100|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409329926||J3490||09/30/1990|12/31/3999|Unclassified drugs|SODIUM ACETATE 100 MEQ/50 ML|50|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409337504||J3490||04/27/2009|03/31/2023|Unclassified drugs|LEVOPHED 1 MG/ML VIAL|4|ML|VIAL|IV|ML|1|04/27/2009|03/31/2023| | || | |
00409337525||J3490||04/27/2009|06/01/2019|Unclassified drugs|LEVOPHED 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|04/27/2009|06/01/2019| | || | |
00781312585||J3490||05/03/2004|05/31/2022|Unclassified drugs|NAFCILLIN SODIUM 2 GM|1|UN|VL|IJ|EA|1|05/03/2004|05/31/2022| | || | |
00781312595||J3490||05/03/2004|05/31/2022|Unclassified drugs|NAFCILLIN SODIUM (VIAL) 2 GM|1|UN|VL|IJ|EA|1|05/03/2004|05/31/2022| | || | |
00781312646||J3490||05/03/2004|05/31/2022|Unclassified drugs|NAFCILLIN SODIUM 10 GM|1|UN|VL|IJ|EA|1|05/03/2004|05/31/2022| | || | |
00781312695||J3490||05/03/2004|05/31/2022|Unclassified drugs|NAFCILLIN SODIUM (VIAL,PHARMACY BULK) 10 GM|1|UN|VL|IJ|EA|1|05/03/2004|05/31/2022| | || | |
00781312815||J3490||04/17/2006|07/31/2020|Unclassified drugs|NAFCILLIN 1 GM ADD-VAN VIAL|1|UN|VIAL|IV|ML|1|04/17/2006|07/31/2020| | || | |
00781312892||J3490||04/17/2006|07/31/2020|Unclassified drugs|NAFCILLIN (USP,ADD-VANTAGE VIAL) 1 GM|1|UN|VL|IV|EA|1|04/17/2006|07/31/2020| | || | |
00781312915||J3490||02/27/2006|05/31/2022|Unclassified drugs|NAFCILLIN 2 GM ADD-VANT VIAL|1|UN|VIAL|IV|ML|1|02/27/2006|05/31/2022| | || | |
00781312992||J3490||04/27/2006|05/31/2022|Unclassified drugs|NAFCILLIN SODIUM (2GMX10, ADD-VANTAGE) 2 GM|1|UN|VL|IV|EA|1|04/27/2006|05/31/2022| | || | |
00781315075||J3490||08/07/2012|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5ML VIAL|5|ML|VIAL|IV|ML|1|08/07/2012|12/31/3999| | || | |
00781315095||J3490||08/07/2012|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5ML VIAL|5|ML|VIAL|IV|ML|1|08/07/2012|12/31/3999| | || | |
00781315270||J3490||08/07/2012|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|08/07/2012|12/31/3999| | || | |
00781315295||J3490||08/07/2012|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|08/07/2012|12/31/3999| | || | |
00781315395||J3490||08/07/2012|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML VL|20|ML|VIAL|IV|ML|1|08/07/2012|12/31/3999| | || | |
00781322070||J3490||12/10/2008|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/10/2008|12/31/3999| | || | |
00781322075||J3490||12/10/2008|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/10/2008|12/31/3999| | || | |
00781322092||J3490||12/10/2008|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/10/2008|12/31/3999| | || | |
00781322095||J3490||12/10/2008|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/10/2008|12/31/3999| | || | |
00781328809||J3490||02/04/2013|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 300 MG/50 ML|50|ML|BAG|IV|ML|1|02/04/2013|06/30/2023| | || | |
00781328909||J3490||02/04/2013|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 600 MG/50 ML|50|ML|BAG|IV|ML|1|02/04/2013|06/30/2023| | || | |
00781329009||J3490||02/04/2013|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 900 MG/50 ML|50|ML|BAG|IV|ML|1|02/04/2013|06/30/2023| | || | |
00781340946||J3490||05/11/2004|09/30/2023|Unclassified drugs|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|1|05/11/2004|09/30/2023| | || | |
25010021027||J3490||09/30/1990|12/31/3999|Unclassified drugs|SODIUM EDECRIN 50 MG VIAL|1|UN|VIAL|IV|EA|1|09/30/1990|12/31/3999| | || | |
25021011502||J3490||07/11/2012|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 300 MG/2 ML VL|2|ML|VIAL|IJ|ML|1|07/11/2012|06/30/2023| | || | |
25021011504||J3490||07/11/2012|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 600 MG/4 ML VL|4|ML|VIAL|IJ|ML|1|07/11/2012|06/30/2023| | || | |
25021011506||J3490||07/11/2012|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 900 MG/6 ML VL|6|ML|VIAL|IJ|ML|1|07/11/2012|06/30/2023| | || | |
25021011551||J3490||07/11/2012|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 9 G/60 ML VIAL|60|ML|BOTTLE|IJ|ML|1|07/11/2012|06/30/2023| | || | |
25021013910||J3490||11/27/2012|12/31/3999|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|11/27/2012|12/31/3999| | || | |
25021014010||J3490||11/27/2012|12/31/3999|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|11/27/2012|12/31/3999| | || | |
25021014199||J3490||11/27/2012|12/31/3999|Unclassified drugs|NAFCILLIN 10 GM VIAL|1|UN|BOTTLE|IJ|EA|1|11/27/2012|12/31/3999| | || | |
00409338221||J3490||12/18/1996|12/31/3999|Unclassified drugs|SUFENTANIL 50 MCG/ML VIAL|1|ML|VIAL|IV|ML|1|12/18/1996|12/31/3999| | || | |
00409338222||J3490||12/18/1996|02/01/2022|Unclassified drugs|SUFENTANIL 50 MCG/ML VIAL|2|ML|VIAL|IV|ML|1|12/18/1996|02/01/2022| | || | |
00409338225||J3490||12/18/1996|02/01/2022|Unclassified drugs|SUFENTANIL 50 MCG/ML VIAL|5|ML|VIAL|IV|ML|1|12/18/1996|02/01/2022| | || | |
00409361301||J3490||09/30/1990|12/31/3999|Unclassified drugs|BUPIVACAINE-DEXTR 0.75% AMP|2|ML|AMPUL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00409401101||J3490||09/30/1990|12/31/3999|Unclassified drugs|VERAPAMIL 2.5 MG/ML AMPUL|2|ML|AMPUL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409409001||J3490||09/30/1990|12/31/3999|Unclassified drugs|ZINC CHLORIDE 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409409101||J3490||09/30/1990|12/31/3999|Unclassified drugs|MANGANESE 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409409301||J3490||09/30/1990|12/31/3999|Unclassified drugs|CHROMIUM CL 40 MCG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409435003||J3490||04/21/2003|12/31/3999|Unclassified drugs|DILTIAZEM HCL 100 MG VIAL|1|UN|VIAL|IV|ML|1|04/21/2003|12/31/3999| | || | |
00409464601||J3490||09/30/1990|09/30/2022|Unclassified drugs|PANCURONIUM 1 MG/ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|09/30/2022| | || | |
00409490034||J3490||09/30/1990|08/01/2021|Unclassified drugs|SODIUM BICARB 8.4% ABBOJECT|10|ML|SYRINGE|IV|ML|1|09/30/1990|08/01/2021| | || | |
00409491634||J3490||09/30/1990|02/01/2022|Unclassified drugs|SODIUM BICARB 7.5% ABBOJECT|50|ML|SYRINGE|IV|ML|1|09/30/1990|02/01/2022| | || | |
00409492834||J3490||09/30/1990|12/31/3999|Unclassified drugs|CALCIUM CHLORIDE 10% ABBJCT|10|ML|SYRINGE|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409553434||J3490||09/30/1990|05/01/2022|Unclassified drugs|SODIUM BICARB 4.2% ABBJCT|10|ML|SYRINGE|IV|ML|1|09/30/1990|05/01/2022| | || | |
00409577901||J3490||09/30/1990|12/31/3999|Unclassified drugs|TPN ELECTROLYTES VIAL|20|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00781615394||J3490||01/02/2003|07/09/2023|Unclassified drugs|PENICILLIN G NA 5 MILLION UNIT|1|UN|VIAL|IJ|ML|1|01/02/2003|07/09/2023| | || | |
00781615395||J3490||01/02/2003|12/31/3999|Unclassified drugs|PENICILLIN G NA 5 MILLION UNIT|1|UN|VIAL|IJ|ML|1|01/02/2003|12/31/3999| | || | |
25021065905||J3490||05/21/2012|12/31/3999|Unclassified drugs|ATRACURIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|05/21/2012|12/31/3999| | || | |
25021066205||J3490||12/21/2011|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/21/2011|12/31/3999| | || | |
25021066210||J3490||12/21/2011|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/21/2011|12/31/3999| | || | |
25021067210||J3490||07/16/2012|12/31/3999|Unclassified drugs|ATRACURIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|07/16/2012|12/31/3999| | || | |
27505000367||J3490||06/04/2012|08/31/2023|Unclassified drugs|REVONTO 20 MG VIAL|1|UN|VIAL|IV|EA|1|06/04/2012|08/31/2023| | || | |
00409660925||J3490||09/30/1990|04/01/2020|Unclassified drugs|NEUT 4% VIAL|5|ML|VIAL|IV|ML|1|09/30/1990|04/01/2020| | || | |
00409662502||J3490||09/30/1990|10/25/2023|Unclassified drugs|SODIUM BICARB 8.4% VIAL|50|ML|VIAL|IV|ML|1|09/30/1990|10/25/2023| | || | |
00409662525||J3490||09/30/1990|03/01/2022|Unclassified drugs|SODIUM BICARB 8.4% VIAL|50|ML|VIAL|IV|ML|1|09/30/1990|03/01/2022| | || | |
00409663734||J3490||09/30/1990|04/01/2022|Unclassified drugs|SODIUM BICARB 8.4% ABBOJECT|50|ML|SYRINGE|IV|ML|1|09/30/1990|04/01/2022| | || | |
00409669501||J3490||06/03/1997|12/31/3999|Unclassified drugs|AMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|06/03/1997|12/31/3999| | || | |
00409669502||J3490||06/03/1997|12/31/3999|Unclassified drugs|AMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|06/03/1997|12/31/3999| | || | |
00409724803||J3490||10/26/1994|12/31/3999|Unclassified drugs|HETASTARCH 6% IN NS|500|ML|BAG|IV|ML|1|10/26/1994|12/31/3999| | || | |
00409729501||J3490||09/30/1990|12/31/3999|Unclassified drugs|POTASSIUM PH 3MM/ML VIAL|15|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409729925||J3490||09/30/1990|12/31/3999|Unclassified drugs|SODIUM ACETATE 40 MEQ/20 ML VL|20|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409729973||J3490||09/30/1990|12/31/3999|Unclassified drugs|SODIUM ACETATE 2 MEQ/ML VIAL|20|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409739172||J3490||09/30/1990|12/31/3999|Unclassified drugs|SODIUM PHOSPHATE 3MM/ML VIAL|15|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409781124||J3490||09/30/1990|06/30/2023|Unclassified drugs|METRONIDAZOLE (S.D.V.,LATEX-FREE) 500 MG/100 ML|100|ML|FC|IV|ML|1|09/30/1990|06/30/2023| | || | |
00409781137||J3490||09/30/1990|06/30/2023|Unclassified drugs|METRONIDAZOLE (LIFECARE,QUAD PACK) 500 MG/100 ML|100|ML|FC|IV|ML|1|09/30/1990|06/30/2023| | || | |
00409796509||J3490||09/30/1990|05/01/2021|Unclassified drugs|NORMOSOL-M AND DEXTROSE 5%|1000|ML|FLEX CONT|IV|ML|1|09/30/1990|05/01/2021| | || | |
00409796709||J3490||09/30/1990|09/01/2021|Unclassified drugs|NORMOSOL-R IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|09/01/2021| | || | |
00409806029||J3490||09/30/1990|05/01/2017|Unclassified drugs|AMIDATE 2 MG/ML ABBOJECT|20|ML|SYRINGE|IV|ML|1|09/30/1990|05/01/2017| | || | |
00409818301||J3490||09/30/1990|12/31/3999|Unclassified drugs|POTASSIUM ACET 2 MEQ/ML VIAL|20|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409818325||J3490||09/30/1990|12/31/3999|Unclassified drugs|POTASSIUM ACET 40 MEQ/20 ML VL|20|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409955805||J3490||12/01/2008|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/01/2008|12/31/3999| | || | |
00409955810||J3490||12/01/2008|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/01/2008|12/31/3999| | || | |
00409955849||J3490||12/01/2008|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/01/2008|12/31/3999| | || | |
00409955850||J3490||12/01/2008|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/01/2008|12/31/3999| | || | |
00409963305||J3490||06/24/1999|12/31/3999|Unclassified drugs|VERAPAMIL 2.5 MG/ML SYRINGE|4|ML|SYRINGE|IV|ML|1|06/24/1999|12/31/3999| | || | |
50419020801||J3490||05/24/2013|03/31/2023|Unclassified drugs|XOFIGO 1,000 KBQ/ML VIAL|1|UN|VIAL|IV|EA|1|05/24/2013|03/31/2023| | || | |
00456040010||J3490||01/26/2011|02/28/2023|Unclassified drugs|TEFLARO 400 MG VIAL|1|UN|VIAL|IV|EA|1|01/26/2011|02/28/2023| | || | |
00456060010||J3490||01/03/2011|02/28/2023|Unclassified drugs|TEFLARO 600 MG VIAL|1|UN|VIAL|IV|EA|1|01/03/2011|02/28/2023| | || | |
39822015101||J3490||09/18/2006|12/31/3999|Unclassified drugs|LIOTHYRONINE SOD 10 MCG/ML VL|1|ML|VIAL|IV|ML|1|09/18/2006|12/31/3999| | || | |
39822016605||J3490||06/30/2007|02/28/2018|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|06/30/2007|02/28/2018| | || | |
39822027702||J3490||08/01/1997|12/31/2019|Unclassified drugs|BACIIM STRL 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|08/01/1997|12/31/2019| | || | |
39822027705||J3490||08/01/1997|12/31/2019|Unclassified drugs|BACIIM STRL 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|08/01/1997|12/31/2019| | || | |
39822420001||J3490||02/06/2013|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|EA|1|02/06/2013|12/31/3999| | || | |
39822420002||J3490||02/06/2013|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|EA|1|02/06/2013|12/31/3999| | || | |
39822420005||J3490||02/06/2013|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|EA|1|02/06/2013|12/31/3999| | || | |
39822420006||J3490||02/06/2013|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|EA|1|02/06/2013|12/31/3999| | || | |
00517013125||J3490||08/20/1993|03/31/2023|Unclassified drugs|DEXPANTHENOL 250 MG/ML VIAL|2|ML|VIAL|IJ|ML|1|08/20/1993|03/31/2023| | || | |
00517041010||J3490||08/15/1996|09/30/2014|Unclassified drugs|VASOPRESSIN 20 UNITS/ML VIAL|10|ML|VIAL|IJ|ML|1|08/15/1996|09/30/2014| | || | |
00517051025||J3490||10/01/1992|09/30/2014|Unclassified drugs|VASOPRESSIN 10 UNIT/0.5 ML VL|0.5|ML|VIAL|IJ|ML|1|10/01/1992|09/30/2014| | || | |
00517102025||J3490||10/01/1992|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|1|10/01/1992|06/30/2023| | || | |
00517205005||J3490||01/01/2000|09/30/2014|Unclassified drugs|L-CYSTEINE 50 MG/ML VIAL|50|ML|VIAL|IV|ML|1|01/01/2000|09/30/2014| | || | |
00517206425||J3490||09/30/1990|09/30/2014|Unclassified drugs|L-CYSTEINE 50 MG/ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|09/30/2014| | || | |
00517209625||J3490||09/30/1990|09/30/2014|Unclassified drugs|SODIUM ACETATE 2 MEQ/ML VIAL|20|ML|VIAL|IV|ML|1|09/30/1990|09/30/2014| | || | |
00517345025||J3490||09/30/1990|12/31/2014|Unclassified drugs|SODIUM PHOSPHATE 3MM/ML VIAL|50|ML|VIAL|IV|ML|1|09/30/1990|12/31/2014| | || | |
00517460125||J3490||09/30/1990|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00517460225||J3490||09/30/1990|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VIAL|2|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00517460525||J3490||09/30/1990|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00517462025||J3490||09/30/1990|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VIAL|20|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
41616088244||J3490||11/17/2009|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML AMPULE|10|ML|AMPUL|IV|ML|1|11/17/2009|12/31/2023| | || | |
41616093140||J3490||09/08/2009|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|09/08/2009|12/31/3999| | || | |
41616093144||J3490||09/08/2009|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|09/08/2009|12/31/3999| | || | |
41616093240||J3490||09/10/2009|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|09/10/2009|12/31/3999| | || | |
41616093244||J3490||09/10/2009|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|09/10/2009|12/31/3999| | || | |
42023010501||J3490||09/30/1990|12/31/3999|Unclassified drugs|BREVITAL SODIUM 500 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
42023010601||J3490||09/30/1990|08/11/2022|Unclassified drugs|BREVITAL SODIUM 2.5 GM VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|08/11/2022| | || | |
42023011310||J3490||09/30/1990|12/31/3999|Unclassified drugs|KETALAR 200 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
42023011410||J3490||09/30/1990|12/31/3999|Unclassified drugs|KETALAR 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
42023011510||J3490||09/30/1990|12/31/3999|Unclassified drugs|KETALAR 500 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
42023012001||J3490||12/31/1991|02/28/2023|Unclassified drugs|TRIOSTAT 10 MCG/ML VIAL|1|ML|VIAL|IV|ML|1|12/31/1991|02/28/2023| | || | |
42023012006||J3490||12/31/1991|02/28/2023|Unclassified drugs|TRIOSTAT 10 MCG/ML VIAL|1|ML|VIAL|IV|ML|1|12/31/1991|02/28/2023| | || | |
42023012306||J3490||09/30/1990|12/31/3999|Unclassified drugs|DANTRIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|09/30/1990|12/31/3999| | || | |
00517481025||J3490||09/30/1990|06/30/2023|Unclassified drugs|NITROGLYCERIN 5 MG/ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|06/30/2023| | || | |
00517502425||J3490||09/30/1990|12/31/2014|Unclassified drugs|POTASSIUM ACET 4 MEQ/ML VIAL|50|ML|VIAL|IV|ML|1|09/30/1990|12/31/2014| | || | |
00517620225||J3490||09/30/1990|10/27/2021|Unclassified drugs|MULTITRACE-4 VIAL|2|ML|VIAL|IV|ML|1|09/30/1990|10/27/2021| | || | |
00517631025||J3490||09/30/1990|09/30/2014|Unclassified drugs|CHROMIUM CL 40 MCG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|09/30/2014| | || | |
00517720125||J3490||12/07/1993|09/30/2021|Unclassified drugs|MULTITRACE-4 CONC VIAL|1|ML|VIAL|IV|ML|1|12/07/1993|09/30/2021| | || | |
00517820125||J3490||12/17/1993|09/30/2021|Unclassified drugs|MULTITRACE-5 CONC VIAL|1|ML|VIAL|IV|ML|1|12/17/1993|09/30/2021| | || | |
00517821025||J3490||09/14/1993|09/30/2021|Unclassified drugs|MULTITRACE-5 CONC VIAL|10|ML|VIAL|IV|ML|1|09/14/1993|09/30/2021| | || | |
00517851025||J3490||02/17/1994|09/30/2021|Unclassified drugs|MULTITRACE-5 VIAL|10|ML|VIAL|IV|ML|1|02/17/1994|09/30/2021| | || | |
00517857110||J3490||09/30/1990|12/31/2021|Unclassified drugs|ALCOHOL,DEHYDRATED 98% AMPULE|1|ML|AMPUL|IJ|ML|1|09/30/1990|12/31/2021| | || | |
00517920325||J3490||12/09/1993|07/31/2021|Unclassified drugs|MULTITRACE-4 VIAL|3|ML|VIAL|IV|ML|1|12/09/1993|07/31/2021| | || | |
10019005561||J3490||03/01/2001|06/30/2023|Unclassified drugs|BREVIBLOC 10 MG/ML IV BAG|250|ML|FLEX CONT|IV|ML|1|03/01/2001|06/30/2023| | || | |
10019007587||J3490||05/27/2003|06/30/2023|Unclassified drugs|BREVIBLOC 20 MG/ML IV BAG|100|ML|FLEX CONT|IV|ML|1|05/27/2003|06/30/2023| | || | |
10019011501||J3490||07/03/2003|06/30/2023|Unclassified drugs|BREVIBLOC 10 MG/ML VIAL|10|ML|VIAL|IV|ML|1|07/03/2003|06/30/2023| | || | |
10019011539||J3490||07/03/2003|06/30/2023|Unclassified drugs|BREVIBLOC 10 MG/ML VIAL|10|ML|VIAL|IV|ML|1|07/03/2003|06/30/2023| | || | |
10019012001||J3490||07/03/2003|06/30/2023|Unclassified drugs|ESMOLOL HCL 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|07/03/2003|06/30/2023| | || | |
10019012039||J3490||07/03/2003|06/30/2023|Unclassified drugs|ESMOLOL HCL 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|07/03/2003|06/30/2023| | || | |
10122031310||J3490||09/08/2008|09/30/2021|Unclassified drugs|CARDENE-NACL 20 MG/200 ML SOLN|200|ML|BAG|IV|ML|1|09/08/2008|09/30/2021| | || | |
10122031410||J3490||09/08/2008|08/31/2021|Unclassified drugs|CARDENE-DEX 20 MG/200 ML SOLN|200|ML|BAG|IV|ML|1|09/08/2008|08/31/2021| | || | |
10122032510||J3490||11/24/2008|11/30/2021|Unclassified drugs|CARDENE-NACL 40 MG/200 ML IV|200|ML|BAG|IV|ML|1|11/24/2008|11/30/2021| | || | |
00703735101||J3030||02/06/2009|11/25/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|1|02/06/2009|11/25/2021| | || | |
00641094935||J2550||01/08/2003|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|01/08/2003|12/31/3999| | || | |
00641095621||J2550||10/13/1997|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/13/1997|12/31/3999| | || | |
00641095625||J2550||10/13/1997|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/13/1997|12/31/3999| | || | |
00641149631||J2550||09/30/1990|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00641149635||J2550||09/30/1990|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00641608301||J2550||11/01/2003|12/31/3999|Injection, promethazine hcl, up to 50 mg|PHENERGAN 50 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|11/01/2003|12/31/3999| | || | |
00641608325||J2550||11/01/2003|12/31/3999|Injection, promethazine hcl, up to 50 mg|PHENERGAN 50 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|11/01/2003|12/31/3999| | || | |
00641608501||J2550||07/01/2013|12/31/3999|Injection, promethazine hcl, up to 50 mg|PHENERGAN 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/01/2013|12/31/3999| | || | |
00641608525||J2550||07/01/2013|12/31/3999|Injection, promethazine hcl, up to 50 mg|PHENERGAN 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/01/2013|12/31/3999| | || | |
00003256016||J3490||09/30/1990|06/30/2023|Unclassified drugs|AZACTAM 1 GM VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|06/30/2023| | || | |
00003257016||J3490||09/30/1990|06/30/2023|Unclassified drugs|AZACTAM 2 GM VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|06/30/2023| | || | |
00006542402||J3490||12/10/2014|12/31/2021|Unclassified drugs|ANTIVENIN (LATRODECTUS) VIAL|1|UN|VIAL|IJ|EA|1|12/10/2014|12/31/2021| | || | |
42023011602||J2590||09/30/1990|12/31/3999|Injection, oxytocin, up to 10 units|PITOCIN 10 UNITS/ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
42023011625||J2590||09/30/1990|12/31/3999|Injection, oxytocin, up to 10 units|PITOCIN 10 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
63323001201||J2590||09/30/1990|01/31/2021|Injection, oxytocin, up to 10 units|OXYTOCIN 10 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|1|09/30/1990|01/31/2021| | || | |
63323001210||J2590||09/30/1990|12/31/3999|Injection, oxytocin, up to 10 units|OXYTOCIN 10 UNITS/ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
63323001230||J2590||09/30/1990|12/31/3999|Injection, oxytocin, up to 10 units|OXYTOCIN 10 UNITS/ML VIAL|30|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00143974610||J3105||05/25/2010|12/31/3999|Injection, terbutaline sulfate, up to 1 mg|TERBUTALINE SULF 1 MG/ML VIAL|1|ML|VIAL|SQ|ML|1|05/25/2010|12/31/3999| | || | |
63323066501||J3105||06/22/2004|12/31/3999|Injection, terbutaline sulfate, up to 1 mg|TERBUTALINE SULF 1 MG/ML VIAL|1|ML|VIAL|SQ|ML|1|06/22/2004|12/31/3999| | || | |
00009023301||J3490||09/30/1990|01/31/2022|Unclassified drugs|BACITRACIN 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|09/30/1990|01/31/2022| | || | |
00009023303||J3490||09/30/1990|01/31/2022|Unclassified drugs|BACITRACIN 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|09/30/1990|01/31/2022| | || | |
00009023344||J3490||09/30/1990|01/31/2022|Unclassified drugs|BACITRACIN 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|09/30/1990|01/31/2022| | || | |
00009023345||J3490||09/30/1990|01/31/2022|Unclassified drugs|BACITRACIN 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|09/30/1990|01/31/2022| | || | |
00009023401||J3490||09/30/1990|01/31/2021|Unclassified drugs|BACITRACIN 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|09/30/1990|01/31/2021| | || | |
00009023402||J3490||09/30/1990|03/31/2021|Unclassified drugs|BACITRACIN 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|09/30/1990|03/31/2021| | || | |
00009024101||J3490||09/30/1990|11/30/2021|Unclassified drugs|BACITRACIN 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|09/30/1990|11/30/2021| | || | |
00009024110||J3490||09/30/1990|01/31/2022|Unclassified drugs|BACITRACIN 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|09/30/1990|01/31/2022| | || | |
00009043601||J3490||09/07/2000|03/31/2023|Unclassified drugs|R-GENE 10 VIAL|300|ML|BAG|IV|ML|1|09/07/2000|03/31/2023| | || | |
00009085605||J3490||09/30/1990|12/31/3999|Unclassified drugs|HEMABATE 250 MCG/ML AMPUL|1|ML|AMPUL|IM|ML|1|09/30/1990|12/31/3999| | || | |
00009085608||J3490||09/30/1990|12/31/3999|Unclassified drugs|HEMABATE 250 MCG/ML AMPUL|1|ML|AMPUL|IM|ML|1|09/30/1990|12/31/3999| | || | |
00143972501||J2675||12/30/2003|12/31/3999|Injection, progesterone, per 50 mg|PROGESTERONE OIL 50 MG/ML VL|10|ML|VIAL|IM|EA|1|12/30/2003|12/31/3999| | || | |
00591312879||J2675||09/30/1990|12/31/3999|Injection, progesterone, per 50 mg|PROGESTERONE OIL 50 MG/ML VL|10|ML|VIAL|IM|ML|1|09/30/1990|12/31/3999| | || | |
00143963701||J3490||08/01/2013|12/31/3999|Unclassified drugs|VALPROATE SOD 500 MG/5 ML VL|5|ML|VIAL|IV|ML|1|08/01/2013|12/31/3999| | || | |
00143963710||J3490||08/01/2013|12/31/3999|Unclassified drugs|VALPROATE SOD 500 MG/5 ML VL|5|ML|VIAL|IV|ML|1|08/01/2013|12/31/3999| | || | |
00143966010||J3490||07/27/2012|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|07/27/2012|12/31/3999| | || | |
00143967901||J3490||07/01/2013|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|1|07/01/2013|12/31/3999| | || | |
00009370105||J3490||08/10/1995|08/11/1995|Unclassified drugs|CAVERJECT 20 MCG VIAL|6|UN|VIAL|IC|EA|1|08/10/1995|08/11/1995| | || | |
00009518101||J3490||07/01/2002|07/02/2002|Unclassified drugs|CAVERJECT IMPULSE 10 MCG KIT|2|UN|KIT|IC|EA|1|07/01/2002|07/02/2002| | || | |
00009518201||J3490||09/23/2002|09/24/2002|Unclassified drugs|CAVERJECT IMPULSE 20 MCG KIT|2|UN|KIT|IC|EA|1|09/23/2002|09/24/2002| | || | |
00009768601||J3490||08/08/1997|08/09/1997|Unclassified drugs|CAVERJECT 40 MCG VIAL|6|UN|VIAL|IC|EA|1|08/08/1997|08/09/1997| | || | |
00009768604||J3490||08/08/1997|08/09/1997|Unclassified drugs|CAVERJECT 40 MCG VIAL|6|UN|VIAL|IC|EA|1|08/08/1997|08/09/1997| | || | |
00013111401||J3490||11/01/1991|12/31/3999|Unclassified drugs|CYKLOKAPRON 100 MG/ML AMPUL|10|ML|AMPUL|IV|ML|1|11/01/1991|12/31/3999| | || | |
42023012901||J2680||07/09/2014|12/31/3999|Injection, fluphenazine decanoate, up to 25 mg|FLUPHENAZINE DEC 125 MG/5 ML|5|ML|VIAL|IJ|ML|1|07/09/2014|12/31/3999| | || | |
63323027205||J2680||09/30/1990|12/31/3999|Injection, fluphenazine decanoate, up to 25 mg|FLUPHENAZINE DEC 25 MG/ML VL|5|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00143967910||J3490||07/01/2013|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|1|07/01/2013|12/31/3999| | || | |
00143968001||J3490||09/01/2013|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|09/01/2013|12/31/3999| | || | |
00143968025||J3490||09/01/2013|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|09/01/2013|12/31/3999| | || | |
00143968101||J3490||07/01/2013|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML VL|2|ML|VIAL|IJ|ML|1|07/01/2013|12/31/3999| | || | |
00143968125||J3490||07/01/2013|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML VL|2|ML|VIAL|IJ|ML|1|07/01/2013|12/31/3999| | || | |
00143968201||J3490||08/01/2013|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|08/01/2013|12/31/3999| | || | |
00143968225||J3490||08/01/2013|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|08/01/2013|12/31/3999| | || | |
00143968310||J3490||06/01/2011|12/31/3999|Unclassified drugs|FLUMAZENIL 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|06/01/2011|12/31/3999| | || | |
00143968410||J3490||06/01/2011|12/31/3999|Unclassified drugs|FLUMAZENIL 0.5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|06/01/2011|12/31/3999| | || | |
00143968910||J3490||06/01/2012|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|06/01/2012|12/31/2023| | || | |
00143978310||J3490||10/20/2009|12/31/3999|Unclassified drugs|FLUMAZENIL 0.1 MG/ML VIAL|10|ML|VIAL|IV|ML|1|10/20/2009|12/31/3999| | || | |
00143978410||J3490||10/20/2009|12/31/3999|Unclassified drugs|FLUMAZENIL 0.1 MG/ML VIAL|5|ML|VIAL|IV|ML|1|10/20/2009|12/31/3999| | || | |
00143978510||J3490||09/27/2010|12/31/3999|Unclassified drugs|VALPROATE SOD 500 MG/5 ML VL|5|ML|VIAL|IV|ML|1|09/27/2010|12/31/3999| | || | |
00143978610||J3490||01/28/2010|12/31/3999|Unclassified drugs|ENALAPRILAT 1.25 MG/ML VIAL|2|ML|VIAL|IV|ML|1|01/28/2010|12/31/3999| | || | |
00143978710||J3490||01/26/2010|12/31/3999|Unclassified drugs|ENALAPRILAT 1.25 MG/ML VIAL|1|ML|VIAL|IV|ML|1|01/26/2010|12/31/3999| | || | |
00052030151||J3490||05/01/2003|09/30/2021|Unclassified drugs|GANIRELIX ACETATE 250 MCG/0.5 ML|0.5|ML|SR|SC|ML|1|05/01/2003|09/30/2021| | || | |
63323022905||J2720||09/30/1990|12/31/3999|Injection, protamine sulfate, per 10 mg|PROTAMINE 10 MG/ML VIAL|5|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
63323022915||J2720||09/30/1990|12/31/3999|Injection, protamine sulfate, per 10 mg|PROTAMINE 10 MG/ML VIAL|5|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
63323022930||J2720||09/30/1990|12/31/3999|Injection, protamine sulfate, per 10 mg|PROTAMINE 10 MG/ML VIAL|25|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
63323022935||J2720||09/30/1990|12/31/3999|Injection, protamine sulfate, per 10 mg|PROTAMINE 10 MG/ML VIAL|25|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
63323022994||J2720||09/30/1990|12/31/3999|Injection, protamine sulfate, per 10 mg|PROTAMINE 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
63323022995||J2720||09/30/1990|12/31/3999|Injection, protamine sulfate, per 10 mg|PROTAMINE 250 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
60977014101||J2730||09/30/1990|12/31/3999|Injection, pralidoxime chloride, up to 1 gm|PROTOPAM CHLORIDE 1 GM VIAL|6|UN|VIAL|IJ|GM|1|09/30/1990|12/31/3999| | || | |
50242013801||J3262||11/06/2013|12/31/3999|Injection, tocilizumab, 1 mg|ACTEMRA 162 MG/0.9 ML SYRINGE|0.9|ML|SYRINGE|SQ|ML|1|11/06/2013|12/31/3999| | || | |
66302010101||J3285||01/01/2006|12/31/3999|Injection, treprostinil, 1 mg|REMODULIN 1 MG/ML VIAL|20|ML|VIAL|IJ|ML|1|01/01/2006|12/31/3999| | || | |
00003049420||J3301||09/30/1990|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|KENALOG-10 10 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
60977014127||J2730||09/30/1990|12/31/3999|Injection, pralidoxime chloride, up to 1 gm|PROTOPAM CHLORIDE 1 GM VIAL|1|UN|VIAL|IJ|GM|1|09/30/1990|12/31/3999| | || | |
61570026010||J2770||09/22/1999|04/30/2022|Injection, quinupristin/dalfopristin, 500 mg (150/350)|SYNERCID 500 MG VIAL|1|UN|VIAL|IV|ML|1|09/22/1999|04/30/2022| | || | |
00409127332||J3360||06/09/1997|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 5 MG/ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|06/09/1997|12/31/3999| | || | |
00409321312||J3360||09/30/1990|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 5 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00065009265||J3490||09/30/1990|03/31/2023|Unclassified drugs|FLUORESCITE 10% VIAL|5|ML|VIAL|IV|ML|1|09/30/1990|03/31/2023| | || | |
00562780500||J2788||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|RHOGAM ULTRA-FILTERED PLUS SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780501||J2788||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|RHOGAM ULTRA-FILTERED PLUS SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780505||J2788||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|RHOGAM ULTRA-FILTERED PLUS SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780525||J2788||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|RHOGAM ULTRA-FILTERED PLUS SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780600||J2788||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|MICRHOGAM ULTRA-FILTD PLUS|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780601||J2788||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|MICRHOGAM PLUS ULTRA-FILTD SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780605||J2788||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|MICRHOGAM PLUS ULTRA-FILTD SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780625||J2788||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|MICRHOGAM PLUS ULTRA-FILTD SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
13533066106||J2788||10/30/2013|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|HYPERRHO S-D SYRINGE|5|UN|SYRINGE|IM|ML|1|10/30/2013|12/31/3999| | || | |
00562780500||J2790||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|RHOGAM ULTRA-FILTERED PLUS SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780501||J2790||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|RHOGAM ULTRA-FILTERED PLUS SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780505||J2790||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|RHOGAM ULTRA-FILTERED PLUS SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00562780525||J2790||09/17/2007|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|RHOGAM ULTRA-FILTERED PLUS SYR|1|UN|SYRINGE|IM|EA|1|09/17/2007|12/31/3999| | || | |
00409433201||J3370||09/30/1990|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|09/30/1990|12/31/3999| | || | |
00409653401||J3370||08/01/1991|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG A-V VIAL|1|UN|VIAL|IV|EA|1|08/01/1991|12/31/3999| | || | |
00068059701||J3490||09/30/1990|12/31/3999|Unclassified drugs|RIFADIN IV 600 MG VIAL|1|UN|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
44206030001||J2790||03/01/2004|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|RHOPHYLAC 300 MCG/2 ML SYR|2|ML|SYRINGE|IJ|EA|7.5|03/01/2004|12/31/3999| | || | |
44206030010||J2790||03/01/2004|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|RHOPHYLAC 300 MCG/2 ML SYR|2|ML|SYRINGE|IJ|EA|7.5|03/01/2004|12/31/3999| | || | |
00169406012||J3490||02/04/2010|02/04/2010|Unclassified drugs|VICTOZA 2-PAK 18 MG/3 ML PEN|3|ML|SYRINGE|SQ|ML|1|02/04/2010|02/04/2010| | || | |
00169406013||J3490||02/04/2010|02/04/2010|Unclassified drugs|VICTOZA 3-PAK 18 MG/3 ML PEN|3|ML|SYRINGE|SQ|ML|1|02/04/2010|02/04/2010| | || | |
67457033900||J3370||01/02/2014|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/02/2014|12/31/3999| | || | |
67457033950||J3370||01/02/2014|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/02/2014|12/31/3999| | || | |
63323001302||J3411||05/01/2005|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 100 MG/ML VIAL|2|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
63323001309||J3411||05/01/2005|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
67457019600||J3411||06/25/2012|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/25/2012|12/31/3999| | || | |
67457019602||J3411||06/25/2012|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/25/2012|12/31/3999| | || | |
00069033801||J3490||03/08/2010|12/31/3999|Unclassified drugs|REVATIO 10 MG/12.5 ML VIAL|12.5|ML|VIAL|IV|ML|1|03/08/2010|12/31/3999| | || | |
63323018001||J3415||05/01/2005|12/31/3999|Injection, pyridoxine hcl, 100 mg|PYRIDOXINE 100 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
00517003125||J3420||11/07/1996|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|11/07/1996|12/31/3999| | || | |
00517003225||J3420||09/30/1990|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|10|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00591288830||J3420||12/01/1999|12/31/2023|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|HYDROXOCOBALAMIN 1,000 MCG/ML|30|ML|VIAL|IM|ML|1|12/01/1999|12/31/2023| | || | |
63323004401||J3420||09/30/1990|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
00074105205||J3490||02/06/2014|10/31/2021|Unclassified drugs|LUPANETA PK 3.75-5 MG 1MO KIT|1|UN|KIT|IJ|EA|1|02/06/2014|10/31/2021| | || | |
00074105305||J3490||02/06/2014|10/31/2021|Unclassified drugs|LUPANETA PK 11.25-5 MG 3MO KIT|1|UN|KIT|IJ|EA|1|02/06/2014|10/31/2021| | || | |
00074437805||J3490||01/23/1996|12/31/3999|Unclassified drugs|NIMBEX 2 MG/ML VIAL|5|ML|VIAL|IV|ML|1|01/23/1996|12/31/3999| | || | |
00074438010||J3490||01/23/1996|12/31/3999|Unclassified drugs|NIMBEX 2 MG/ML VIAL|10|ML|VIAL|IV|ML|1|01/23/1996|12/31/3999| | || | |
00074438220||J3490||01/23/1996|12/31/3999|Unclassified drugs|NIMBEX 10 MG/ML VIAL|20|ML|VIAL|IV|ML|1|01/23/1996|12/31/3999| | || | |
00186604001||J3490||05/03/2005|12/31/3999|Unclassified drugs|NEXIUM I.V. 40 MG VIAL|1|UN|VIAL|IV|EA|1|05/03/2005|12/31/3999| | || | |
00049319028||J3465||05/01/2005|12/31/3999|Injection, voriconazole, 10 mg|VFEND IV 200 MG VIAL|1|UN|VIAL|IV|EA|.05|05/01/2005|12/31/3999| | || | |
00548909000||J3470||11/02/2004|01/01/2012|Injection, hyaluronidase, up to 150 units|AMPHADASE 150 U/ML|1|ML|VL|SC|ML|1|11/02/2004|01/01/2012| | || | |
00548909010||J3470||11/02/2004|12/31/3999|Injection, hyaluronidase, up to 150 units|AMPHADASE 150 U/ML|1|ML|VL|SC|ML|1|11/02/2004|12/31/3999| | || | |
00024279210||J2916||04/14/2011|12/31/3999|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|FERRLECIT 62.5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|04/14/2011|12/31/3999| | || | |
00024279410||J2916||04/14/2011|12/31/3999|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|FERRLECIT 62.5 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|04/14/2011|12/31/3999| | || | |
00591014926||J2916||04/01/2011|06/30/2021|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|SOD FER GLUC CPLX 62.5 MG/5 ML|5|ML|VIAL|IV|ML|1|04/01/2011|06/30/2021| | || | |
00409175410||J3475||12/22/2000|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% SYRINGE|10|ML|SYRINGE|IJ|ML|1|12/22/2000|12/31/3999| | || | |
00409216802||J3475||02/01/1996|07/01/2017|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|20|ML|VIAL|IJ|ML|1|02/01/1996|07/01/2017| | || | |
00517260225||J3475||02/01/1996|09/30/2014|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|2|ML|VIAL|IJ|ML|1|02/01/1996|09/30/2014| | || | |
00517261025||J3475||02/01/1996|09/30/2014|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|10|ML|VIAL|IJ|ML|1|02/01/1996|09/30/2014| | || | |
00009003928||J2920||09/30/1990|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|SOLU-MEDROL 40 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
00009003930||J2920||09/30/1990|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|SOLU-MEDROL 40 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
00009003932||J2920||09/30/1990|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|SOLU-MEDROL 40 MG VIAL|25|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
00009003933||J2920||09/30/1990|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|SOLU-MEDROL 40 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
63323025503||J2920||11/02/2004|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|METHYLPREDNISOLONE 40 MG VIAL|1|UN|VIAL|IJ|EA|1|11/02/2004|12/31/3999| | || | |
00009004722||J2930||09/30/1990|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 125 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
00009004725||J2930||09/30/1990|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 125 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
00009004726||J2930||09/30/1990|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 125 MG VIAL|25|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
00009004727||J2930||09/30/1990|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 125 MG VIAL|1|UN|VIAL|IJ|EA|1|09/30/1990|12/31/3999| | || | |
63323025803||J2930||08/30/2004|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE 125 MG VIAL|1|UN|VIAL|IJ|EA|1|08/30/2004|12/31/3999| | || | |
00002814801||J2941||06/01/2002|12/31/3999|Injection, somatropin, 1 mg|HUMATROPE 12 MG CARTRIDGE|1|UN|CARTRIDGE|IJ|EA|.0833|06/01/2002|12/31/3999| | || | |
00264194020||J3480||09/30/1990|09/30/2022|Injection, potassium chloride, per 2 meq|POTASSIUM CL 2 MEQ/ML VIAL|250|ML|VIAL|IV|ML|1|09/30/1990|09/30/2022| | || | |
00264762500||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264763400||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 10 MEQ/L IV SOL|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264763500||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-1/2 NS|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264763600||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 30 MEQ/L IV SOL|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264763800||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 40 MEQ/L IV SOL|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264764500||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-1/4 NS|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264765200||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-NS|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00085433101||J3490||04/07/2014|12/31/3999|Unclassified drugs|NOXAFIL 300 MG/16.7 ML VIAL|16.7|ML|VIAL|IJ|ML|1|04/07/2014|12/31/3999| | || | |
00013264681||J2941||06/01/2002|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN 12 MG CARTRIDGE|1|UN|CARTRIDGE|SQ|EA|.0833|06/01/2002|12/31/3999| | || | |
00013265302||J2941||06/01/2002|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 1 MG|7|UN|CARTRIDGE|SQ|EA|1|06/01/2002|12/31/3999| | || | |
00264194320||J3490||09/30/1990|09/30/2022|Unclassified drugs|HYPERLYTE CR VIAL|250|ML|VIAL|IV|ML|1|09/30/1990|09/30/2022| | || | |
00264196510||J3490||04/20/1991|03/31/2023|Unclassified drugs|HESPAN 6%-NS INFUSION BAG|500|ML|BAG|IV|ML|1|04/20/1991|03/31/2023| | || | |
00264317311||J3490||10/08/2007|01/31/2023|Unclassified drugs|CEFOTETAN-DEXTR 1 G DUPLEX BAG|1|UN|BAG|IV|ML|1|10/08/2007|01/31/2023| | || | |
00264317511||J3490||10/08/2007|01/31/2023|Unclassified drugs|CEFOTETAN-DEXTR 2 G DUPLEX BAG|1|UN|BAG|IV|ML|1|10/08/2007|01/31/2023| | || | |
00264553532||J3490||09/30/1990|06/30/2023|Unclassified drugs|METRONIDAZOLE (150 ML PAB CONTAINER) 500 MG/100 ML|100|ML|FC|IV|ML|1|09/30/1990|06/30/2023| | || | |
00264770300||J3490||09/30/1990|12/31/3999|Unclassified drugs|ISOLYTE S IV SOLUTION-EXCEL|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264770700||J3490||09/30/1990|12/31/3999|Unclassified drugs|ISOLYTE S IV SOLN PH7.4|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264770710||J3490||09/30/1990|12/31/3999|Unclassified drugs|ISOLYTE S IV SOLN PH7.4|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264773010||J3490||06/30/1993|12/31/3999|Unclassified drugs|ISOLYTE P-DEXTROSE 5% SOLN|500|ML|BAG|IV|ML|1|06/30/1993|12/31/3999| | || | |
00338066303||J3480||09/30/1990|11/30/2021|Injection, potassium chloride, per 2 meq|KCL 10 MEQ IN D5W-1/4 NS|500|ML|BAG|IV|ML|1|09/30/1990|11/30/2021| | || | |
00338066304||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-1/4 NS|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338066904||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 10 MEQ/L IV SOL|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338067103||J3480||09/30/1990|10/31/2021|Injection, potassium chloride, per 2 meq|KCL 10 MEQ IN D5W-1/2 NS|500|ML|BAG|IV|ML|1|09/30/1990|10/31/2021| | || | |
00338067304||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 30 MEQ/L IV SOL|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338067504||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 40 MEQ/L IV SOL|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338068304||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338080304||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-NS|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338080704||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 40 MEQ IN D5W-NACL 0.9%|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409663501||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 2 MEQ/ML VIAL|5|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409665106||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 2 MEQ/ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409665305||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 2 MEQ/ML VIAL|20|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00310653004||J3490||09/08/2014|12/31/2021|Unclassified drugs|BYDUREON 2 MG PEN INJECT|4|UN|SYRINGE|IJ|EA|1|09/08/2014|12/31/2021| | || | |
00338014303||J3490||09/30/1990|12/31/3999|Unclassified drugs|DEXTROSE 5%-ELECTROLYTE 48|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338017903||J3490||09/30/1990|05/31/2022|Unclassified drugs|PLASMA-LYTE 148 IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|05/31/2022| | || | |
00338017904||J3490||09/30/1990|04/30/2022|Unclassified drugs|PLASMA-LYTE 148 IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|04/30/2022| | || | |
00338022103||J3490||09/30/1990|12/31/3999|Unclassified drugs|PLASMA-LYTE A PH 7.4 SOLN.|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338022104||J3490||09/30/1990|12/31/3999|Unclassified drugs|PLASMA-LYTE A PH 7.4 SOLN.|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338101741||J3490||09/30/1990|12/31/3999|Unclassified drugs|NAFCILLIN SODIUM (GALAXY,PREMIX) 1 GM/50 ML|50|ML|PC|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338101948||J3490||03/01/1999|12/31/3999|Unclassified drugs|NAFCILLIN SODIUM (GALAXY,PREMIX) 1 GM/50 ML|100|ML|FC|IV|ML|1|03/01/1999|12/31/3999| | || | |
00338104702||J3490||09/30/1990|12/31/3999|Unclassified drugs|NTG 25 MG/250 ML IN D5W|250|ML|BOTTLE|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338104902||J3490||09/30/1990|12/31/3999|Unclassified drugs|NTG 0.2 MG/ML IN D5W|250|ML|BOTTLE|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338105102||J3490||09/30/1990|12/31/3999|Unclassified drugs|NTG 100 MG/250 ML IN D5W|250|ML|BOTTLE|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338105548||J3490||01/01/1991|06/30/2023|Unclassified drugs|METRONIDAZOLE 500 MG/100 ML|100|ML|FC|IV|ML|1|01/01/1991|06/30/2023| | || | |
00409790103||J3480||09/30/1990|12/31/2017|Injection, potassium chloride, per 2 meq|KCL 10 MEQ IN D5W-1/4 NS|500|ML|BAG|IV|ML|1|09/30/1990|12/31/2017| | || | |
00409790203||J3480||09/30/1990|02/01/2021|Injection, potassium chloride, per 2 meq|KCL 10 MEQ IN D5W-1/2 NS|500|ML|BAG|IV|ML|1|09/30/1990|02/01/2021| | || | |
00409790309||J3480||09/30/1990|03/01/2021|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 30 MEQ/L IV SOL|1000|ML|BAG|IV|ML|1|09/30/1990|03/01/2021| | || | |
00409790409||J3480||09/30/1990|08/01/2021|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 40 MEQ/L IV SOL|1000|ML|BAG|IV|ML|1|09/30/1990|08/01/2021| | || | |
00409790509||J3480||09/30/1990|03/01/2021|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|03/01/2021| | || | |
00409799309||J3480||09/30/1990|03/01/2021|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 10 MEQ/L IV SOL|1000|ML|BAG|IV|ML|1|09/30/1990|03/01/2021| | || | |
63323096505||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 2 MEQ/ML VIAL|5|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
63323096510||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 2 MEQ/ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
63323096520||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 2 MEQ/ML VIAL|20|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
63323096730||J3480||09/30/1990|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 2 MEQ/ML VIAL|30|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
39822070602||J3000||06/30/1998|12/31/3999|Injection, streptomycin, up to 1 gm|STREPTOMYCIN SULF 1 GM VIAL|1|UN|VIAL|IM|EA|1|06/30/1998|12/31/3999| | || | |
42388001114||J8999||01/23/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|COMETRIQ 140 MG DAILY-DOSE PK|28|UN|BLIST PACK|PO|CAP|1|01/23/2013|12/31/3999| | || | |
42388001214||J8999||01/23/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|COMETRIQ 100 MG DAILY-DOSE PK|14|UN|BLIST PACK|PO|CAP|1|01/23/2013|12/31/3999| | || | |
42388001314||J8999||01/23/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|COMETRIQ 60 MG DAILY-DOSE PACK|21|UN|BLIST PACK|PO|CAP|1|01/23/2013|12/31/3999| | || | |
42747032730||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FARESTON 60 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
47781010830||J8999||07/30/2014|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|EXEMESTANE 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|07/30/2014|12/31/3999| | || | |
00409018501||J9201||07/26/2011|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|UN|VIAL|IV|EA|1|07/26/2011|12/31/3999| | || | |
00703577501||J9201||07/14/2011|08/31/2013|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|UN|VIAL|IV|EA|1|07/14/2011|08/31/2013| | || | |
47335015340||J9201||07/25/2011|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|UN|VIAL|IV|EA|1|07/25/2011|12/31/3999| | || | |
63323010213||J9201||01/25/2011|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|UN|VIAL|IV|EA|1|01/25/2011|12/31/3999| | || | |
00004029809||J7599||09/21/1998|09/30/2023|IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE SPECIFIED|CELLCEPT 500 MG VIAL|4|UN|VIAL|IV|EA|1|09/21/1998|09/30/2023| | || | |
00172640605||J7631||04/01/2010|12/31/3999|Cromolyn sodium, inhalation solution, fda-approved final product, non-compo...|CROMOLYN 20 MG/2 ML NEB SOLN|2|ML|VIAL|IH|ML|1|04/01/2010|12/31/3999| | || | |
00172640649||J7631||04/01/2010|12/31/3999|Cromolyn sodium, inhalation solution, fda-approved final product, non-compo...|CROMOLYN 20 MG/2 ML NEB SOLN|2|ML|VIAL|IH|ML|1|04/01/2010|12/31/3999| | || | |
50242006201||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TARCEVA 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
50242006301||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TARCEVA 100 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
50242006401||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TARCEVA 150 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
50242014001||J8999||02/02/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERIVEDGE 150 MG CAPSULE|28|UN|BOTTLE|PO|CAP|1|02/02/2012|12/31/3999| | || | |
50419017103||J8999||09/27/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|STIVARGA 40 MG TABLET|28|UN|BOTTLE|PO|TAB|1|09/27/2012|12/31/3999| | || | |
50419048858||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NEXAVAR 200 MG TABLET|120|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
50881000560||J8999||11/22/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|JAKAFI 5 MG TABLET|60|UN|BOTTLE|PO|TAB|1|11/22/2011|12/31/3999| | || | |
50881001060||J8999||11/22/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|JAKAFI 10 MG TABLET|60|UN|BOTTLE|PO|TAB|1|11/22/2011|12/31/3999| | || | |
50881001560||J8999||11/22/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|JAKAFI 15 MG TABLET|60|UN|BOTTLE|PO|TAB|1|11/22/2011|12/31/3999| | || | |
50881002060||J8999||11/22/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|JAKAFI 20 MG TABLET|60|UN|BOTTLE|PO|TAB|1|11/22/2011|12/31/3999| | || | |
50881002560||J8999||11/22/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|JAKAFI 25 MG TABLET|60|UN|BOTTLE|PO|TAB|1|11/22/2011|12/31/3999| | || | |
00409792409||J7060||09/30/1990|07/01/2021|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-1/4NS IV SOLUTION|1000|ML|FLEX CONT|IV|ML|1|09/30/1990|07/01/2021| | || | |
00409792509||J7060||09/30/1990|08/01/2021|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-1/3NS IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|08/01/2021| | || | |
00409792603||J7060||09/30/1990|04/01/2021|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-1/2NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|04/01/2021| | || | |
51991075910||J8999||06/04/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|06/04/2011|12/31/3999| | || | |
51991075933||J8999||06/04/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|30|UN|BOTTLE|PO|TAB|1|06/04/2011|12/31/3999| | || | |
52609000105||J8999||01/01/2011|09/30/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ALKERAN 2 MG TABLET|50|UN|BOTTLE|PO|TAB|1|01/01/2011|09/30/2022| | || | |
54879000101||J8999||12/31/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ETHAMBUTOL HCL 100 MG TABLET|100|UN|BOTTLE|PO|TAB|1|12/31/2012|12/31/3999| | || | |
54879000201||J8999||12/01/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ETHAMBUTOL HCL 400 MG TABLET|100|UN|BOTTLE|PO|TAB|1|12/01/2012|12/31/3999| | || | |
57894015012||J8999||05/09/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ZYTIGA 250 MG TABLET|120|UN|BOTTLE|PO|TAB|1|05/09/2011|12/31/3999| | || | |
57962014009||J8999||11/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMBRUVICA 140 MG CAPSULE|90|UN|BOTTLE|PO|CAP|1|11/13/2013|12/31/3999| | || | |
57962014012||J8999||11/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMBRUVICA 140 MG CAPSULE|120|UN|BOTTLE|PO|CAP|1|11/13/2013|12/31/3999| | || | |
00264752000||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 10%-WATER IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264752010||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 10%-WATER IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264752020||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 10%-WATER IV SOLUTION|250|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761200||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-1/2NS IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761210||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-1/2NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761410||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-1/3NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761600||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-SOD CHLORIDE 0.2%|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761610||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-SOD CHLORIDE 0.2%|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761620||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-SOD CHLORIDE 0.2%|250|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264762200||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|D10%-1/2NS SOLN/EXCEL CONT|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264762320||J7070||06/01/1991|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 10%-0.2% NACL IV SOLN|250|ML|BAG|IV|ML|1|06/01/1991|12/31/3999| | || | |
00338002302||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 10%-WATER IV SOLUTION|250|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338002303||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 10%-WATER IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
50242010039||J7639||04/01/2010|12/31/3999|Dornase alfa, inhalation solution, fda-approved final product, non-compound...|PULMOZYME 1 MG/ML AMPUL|2.5|ML|AMPUL|IH|ML|1|04/01/2010|12/31/3999| | || | |
50242010040||J7639||04/01/2010|12/31/3999|Dornase alfa, inhalation solution, fda-approved final product, non-compound...|PULMOZYME 1 MG/ML AMPUL|2.5|ML|AMPUL|IH|ML|1|04/01/2010|12/31/3999| | || | |
00054004544||J7644||04/01/2010|12/31/2022|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM 0.03% SPRAY|30|ML|CANISTER|NS|ML|1|04/01/2010|12/31/2022| | || | |
00054004641||J7644||04/01/2010|12/31/2022|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM 0.06% SPRAY|15|ML|CANISTER|NS|ML|1|04/01/2010|12/31/2022| | || | |
59572040200||J8999||04/16/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 2.5 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|04/16/2012|12/31/3999| | || | |
59572040228||J8999||04/16/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 2.5 MG CAPSULE|28|UN|BOTTLE|PO|CAP|1|04/16/2012|12/31/3999| | || | |
59572040500||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 5 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572040528||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 5 MG CAPSULE|28|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572041000||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 10 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572041028||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 10 MG CAPSULE|28|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572041500||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 15 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572041521||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 15 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572042000||J8999||06/18/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 20 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|06/18/2013|12/31/3999| | || | |
59572042021||J8999||06/18/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 20 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|06/18/2013|12/31/3999| | || | |
59572042500||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 25 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572042521||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|REVLIMID 25 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59762285801||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|EXEMESTANE 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00338002304||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 10%-WATER IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338007304||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 2.5%-1/2NS IV SOLN|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338008103||J7070||09/30/1990|12/31/2021|Infusion, d5w, 1000 cc|DEXTROSE 5%-1/3NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/2021| | || | |
00338008503||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-1/2NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338008504||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-1/2NS IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338071906||J7070||01/01/1994|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 70%-WATER IV SOLN|2000|ML|BAG|IV|ML|1|01/01/1994|12/31/3999| | || | |
00409177510||J7070||06/24/1999|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 25%-WATER SYRINGE|10|ML|SYRINGE|IV|ML|1|06/24/1999|12/31/3999| | || | |
00409490234||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 50%-WATER ABBOJECT|50|ML|SYRINGE|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409664802||J7070||09/30/1990|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 50%-WATER VIAL|50|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409751716||J7070||06/24/1999|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 50%-WATER SYRINGE|50|ML|SYRINGE|IV|ML|1|06/24/1999|12/31/3999| | || | |
00597008717||J7644||04/01/2010|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|ATROVENT HFA INHALER|12.9|GR|AER W/ADAP|IH|GM|1|04/01/2010|12/31/3999| | || | |
24208039830||J7644||04/01/2010|12/31/2022|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM 0.03% SPRAY|30|ML|CANISTER|NS|ML|1|04/01/2010|12/31/2022| | || | |
24208039915||J7644||04/01/2010|12/31/2022|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM 0.06% SPRAY|15|ML|CANISTER|NS|ML|1|04/01/2010|12/31/2022| | || | |
60505264201||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
60505264203||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
60505325503||J8999||05/30/2012|01/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|30|UN|BOTTLE|PO|TAB|1|05/30/2012|01/31/2022| | || | |
60505325508||J8999||05/30/2012|05/31/2019|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|05/30/2012|05/31/2019| | || | |
61748001101||J8999||01/01/2011|02/29/2020|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ETHAMBUTOL HCL 100 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|02/29/2020| | || | |
61748001401||J8999||01/01/2011|02/29/2020|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ETHAMBUTOL HCL 400 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|02/29/2020| | || | |
61958170101||J8999||07/24/2014|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ZYDELIG 100 MG TABLET|60|UN|BOTTLE|PO|TAB|1|07/24/2014|12/31/3999| | || | |
61958170201||J8999||07/24/2014|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ZYDELIG 150 MG TABLET|60|UN|BOTTLE|PO|TAB|1|07/24/2014|12/31/3999| | || | |
62756051183||J8999||06/13/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|30|UN|BOTTLE|PO|TAB|1|06/13/2011|12/31/3999| | || | |
00409792409||J7070||09/30/1990|07/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 5%-1/4NS IV SOLUTION|1000|ML|FLEX CONT|IV|ML|1|09/30/1990|07/01/2021| | || | |
00409792509||J7070||09/30/1990|08/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 5%-1/3NS IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|08/01/2021| | || | |
00409792603||J7070||09/30/1990|04/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 5%-1/2NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|04/01/2021| | || | |
00409793003||J7070||09/30/1990|08/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 10%-WATER IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|08/01/2021| | || | |
00409793009||J7070||09/30/1990|07/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 10%-WATER IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|07/01/2021| | || | |
00409793619||J7070||09/30/1990|10/01/2022|Infusion, d5w, 1000 cc|DEXTROSE 50%-WATER IV SOLN|500|ML|BAG|IV|ML|1|09/30/1990|10/01/2022| | || | |
00409793719||J7070||09/30/1990|08/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 40%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1|09/30/1990|08/01/2021| | || | |
00409793819||J7070||09/30/1990|06/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 10%-WATER IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|06/01/2021| | || | |
00409800415||J7070||09/30/1990|12/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 30%-WATER IV SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/01/2021| | || | |
76329330101||J7070||11/29/2012|11/04/2021|Infusion, d5w, 1000 cc|DEXTROSE 50%-WATER SYRINGE|50|ML|SYRINGE|IV|ML|1|11/29/2012|11/04/2021| | || | |
64380075216||J8999||07/11/2014|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|METHOXSALEN 10 MG CAPSULE|50|UN|BOTTLE|PO|CAP|1|07/11/2014|12/31/3999| | || | |
68084007511||J8999||07/18/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TRETINOIN 10 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|07/18/2013|12/31/3999| | || | |
68084007521||J8999||07/18/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TRETINOIN 10 MG CAPSULE|30|UN|BLIST PACK|PO|CAP|1|07/18/2013|12/31/3999| | || | |
68084028001||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ETHAMBUTOL HCL 400 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
68084028011||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ETHAMBUTOL HCL 400 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
68084028411||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|HYDROXYUREA 500 MG CAPSULE|100|UN|BLIST PACK|PO|CAP|1|01/01/2011|12/31/3999| | || | |
68180028001||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ETHAMBUTOL HCL 100 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
68180028101||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ETHAMBUTOL HCL 400 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
68682006510||J8999||01/01/2011|05/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|METHOXSALEN 10 MG CAPSULE|50|UN|BOTTLE|PO|CAP|1|01/01/2011|05/31/2021| | || | |
63833089151||J7178||01/01/2013|12/31/3999|Injection, human fibrinogen concentrate, 1 mg|RIASTAP VIAL|1|UN|VIAL|IV|EA|1|01/01/2013|12/31/3999| | || | |
63833051802||J7180||06/01/2011|12/31/3999|Injection, factor xiii (antihemophilic factor, human), 1 i.u.|CORIFACT KIT|1|UN|KIT|IV|AHF|1|06/01/2011|12/31/3999| | || | |
00169701301||J7181||01/01/2015|12/31/3999|Injection, factor xiii a-subunit, (recombinant), per iu|TRETTEN 2,500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2015|12/31/3999| | || | |
58394001201||J7185||01/01/2010|12/31/3999|Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i...|XYNTHA 250 UNIT KIT|1|UN|KIT|IV|AHF|1|01/01/2010|12/31/3999| | || | |
68850001201||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MYAMBUTOL 400 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
68850001202||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MYAMBUTOL 400 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
76388088025||J8999||01/01/2011|12/30/2024|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TABLOID 40 MG TABLET|25|UN|BOTTLE|PO|TAB|1|01/01/2011|12/30/2024| | || | |
58394001301||J7185||01/01/2010|12/31/3999|Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i...|XYNTHA 500 UNIT KIT|1|UN|KIT|IV|AHF|1|01/01/2010|12/31/3999| | || | |
58394001401||J7185||01/01/2010|12/31/3999|Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i...|XYNTHA 1,000 UNIT KIT|1|UN|KIT|IV|AHF|1|01/01/2010|12/31/3999| | || | |
58394001501||J7185||01/01/2010|12/31/3999|Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i...|XYNTHA 2,000 UNIT KIT|1|UN|KIT|IV|AHF|1|01/01/2010|12/31/3999| | || | |
58394001603||J7185||01/03/2011|12/31/3999|Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i...|XYNTHA 3,000 UNIT SYRINGE KIT|1|UN|KIT|IV|AHF|1|01/03/2011|12/31/3999| | || | |
58394002203||J7185||01/01/2010|12/31/3999|Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i...|XYNTHA SOLOFUSE 250 UNIT KIT|1|UN|KIT|IV|AHF|1|01/01/2010|12/31/3999| | || | |
58394002303||J7185||01/01/2010|12/31/3999|Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i...|XYNTHA SOLOFUSE 500 UNIT KIT|1|UN|KIT|IV|AHF|1|01/01/2010|12/31/3999| | || | |
58394002403||J7185||01/01/2010|12/31/3999|Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i...|XYNTHA SOLOFUSE 1,000 UNIT KIT|1|UN|KIT|IV|AHF|1|01/01/2010|12/31/3999| | || | |
58394002503||J7185||01/01/2010|12/31/3999|Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i...|XYNTHA SOLOFUSE 2,000 UNIT KIT|1|UN|KIT|IV|AHF|1|01/01/2010|12/31/3999| | || | |
63833061502||J7187||01/01/2007|12/31/3999|Injection, von willebrand factor complex (humate-p), per iu vwf:rco|HUMATE-P 600 UNIT VWF:RCO|1|UN|KIT|IV|AHF|1|01/01/2007|12/31/3999| | || | |
63833061602||J7187||01/01/2007|12/31/3999|Injection, von willebrand factor complex (humate-p), per iu vwf:rco|HUMATE-P 1,200 UNIT VWF:RCO|1|UN|KIT|IV|AHF|1|01/01/2007|12/31/3999| | || | |
66220020730||J7608||04/01/2010|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETADOTE 200 MG/ML VIAL|30|ML|VIAL|IV|ML|1|04/01/2010|12/31/3999| | || | |
00173068220||J7611||01/01/2005|09/30/2023|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|VENTOLIN HFA 90 MCG INHALER|18|GR|CANISTER|IH|GM|1|01/01/2005|09/30/2023| | || | |
00173068224||J7611||01/01/2005|09/30/2023|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|VENTOLIN HFA 90 MCG INHALER|8|GR|CANISTER|IH|GM|1|01/01/2005|09/30/2023| | || | |
65483011607||J9015||02/01/1996|10/31/2020|Injection, aldesleukin, per single use vial|PROLEUKIN 22 MILLION UNIT VIAL|1|UN|VIAL|IV|EA|1|02/01/1996|10/31/2020| | || | |
63459060010||J9017||01/01/2011|08/31/2021|Injection, arsenic trioxide, 1 mg|TRISENOX 10 MG/10 ML AMPULE|10|ML|AMPUL|IV|ML|1|01/01/2011|08/31/2021| | || | |
63833061702||J7187||01/01/2007|12/31/3999|Injection, von willebrand factor complex (humate-p), per iu vwf:rco|HUMATE-P 2,400 UNIT VWF:RCO|1|UN|KIT|IV|AHF|1|01/01/2007|12/31/3999| | || | |
00169720101||J7189||08/04/2008|12/31/3999|Factor viia (antihemophilic factor, recombinant), per 1 microgram|NOVOSEVEN RT 1 MG VIAL|1|UN|VIAL|IV|EA|1|08/04/2008|12/31/3999| | || | |
00169720201||J7189||08/04/2008|12/31/3999|Factor viia (antihemophilic factor, recombinant), per 1 microgram|NOVOSEVEN RT 2 MG VIAL|1|UN|VIAL|IV|EA|1|08/04/2008|12/31/3999| | || | |
00169720501||J7189||08/04/2008|12/31/3999|Factor viia (antihemophilic factor, recombinant), per 1 microgram|NOVOSEVEN RT 5 MG VIAL|1|UN|VIAL|IV|EA|1|08/04/2008|12/31/3999| | || | |
00169720801||J7189||10/04/2010|12/31/3999|Factor viia (antihemophilic factor, recombinant), per 1 microgram|NOVOSEVEN RT 8 MG VIAL|1|UN|VIAL|IV|EA|1|10/04/2010|12/31/3999| | || | |
00944394002||J7190||09/30/1990|12/31/3999|Factor viii (antihemophilic factor, human) per i.u.|HEMOFIL M 250 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|09/30/1990|12/31/3999| | || | |
00944394202||J7190||09/30/1990|12/31/3999|Factor viii (antihemophilic factor, human) per i.u.|HEMOFIL M 500 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|09/30/1990|12/31/3999| | || | |
00944394402||J7190||09/30/1990|12/31/3999|Factor viii (antihemophilic factor, human) per i.u.|HEMOFIL M 1,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|09/30/1990|12/31/3999| | || | |
00944394602||J7190||09/30/1990|12/31/3999|Factor viii (antihemophilic factor, human) per i.u.|HEMOFIL M 1,700 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|09/30/1990|12/31/3999| | || | |
00026378225||J7192||09/06/2000|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|KOGENATE FS 250 UNIT VIAL|1|F2|VIAL|IV|AHF|1|09/06/2000|12/31/3999| | || | |
00026378335||J7192||09/06/2000|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|KOGENATE FS 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|09/06/2000|12/31/3999| | || | |
59310057922||J7611||01/01/2005|01/02/2005|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|PROAIR HFA 90 MCG INHALER|8.5|GR|CANISTER|IH|GM|1|01/01/2005|01/02/2005| | || | |
00093414504||J7612||04/29/2013|12/14/2020|Levalbuteral, inhalation solution, fda-approved final product, non-compounded,...|LEVALBUTEROL 0.31 MG/3 ML SOL|3|ML|VIAL|IH|ML|1|04/29/2013|12/14/2020| | || | |
00093414804||J7612||04/29/2013|09/30/2019|Levalbuteral, inhalation solution, fda-approved final product, non-compounded,...|LEVALBUTEROL 1.25 MG/3 ML SOL|3|ML|VIAL|IH|ML|1|04/29/2013|09/30/2019| | || | |
63402051001||J7612||11/23/2005|12/31/3999|Levalbuteral, inhalation solution, fda-approved final product, non-compounded,...|XOPENEX HFA 45 MCG INHALER|15|GR|AER W/ADAP|IH|GM|1|11/23/2005|12/31/3999| | || | |
00173068220||J7613||01/01/2005|09/30/2023|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|VENTOLIN HFA 90 MCG INHALER|18|GR|CANISTER|IH|GM|1|01/01/2005|09/30/2023| | || | |
00003052411||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SPRYCEL 70 MG TABLET|60|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00003052711||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SPRYCEL 20 MG TABLET|60|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00003052811||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SPRYCEL 50 MG TABLET|60|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00003085222||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SPRYCEL 100 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00003085522||J8999||01/21/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SPRYCEL 80 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/21/2011|12/31/3999| | || | |
00003085722||J8999||01/21/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SPRYCEL 140 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/21/2011|12/31/3999| | || | |
00006056840||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ZOLINZA 100 MG CAPSULE|120|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00024586001||J9027||01/01/2006|12/31/3999|Injection, clofarabine, 1 mg|CLOLAR 20 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|01/01/2006|12/31/3999| | || | |
50242006001||J9035||01/01/2005|12/31/3999|Injection, bevacizumab, 10 mg|AVASTIN 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|01/01/2005|12/31/3999| | || | |
50242006101||J9035||01/01/2005|12/31/3999|Injection, bevacizumab, 10 mg|AVASTIN 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.4|01/01/2005|12/31/3999| | || | |
00703315401||J9040||06/30/2000|07/31/2023|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 15 UNIT VIAL|1|UN|VIAL|IJ|EA|1|06/30/2000|07/31/2023| | || | |
61703033218||J9040||04/11/2000|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 15 UNIT VIAL|1|UN|VIAL|IJ|ML|1|04/11/2000|12/31/3999| | || | |
63323013610||J9040||02/16/2009|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 15 UNIT VIAL|1|UN|VIAL|IJ|EA|1|02/16/2009|12/31/3999| | || | |
00026378555||J7192||09/06/2000|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|KOGENATE FS 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|09/06/2000|12/31/3999| | || | |
00026378665||J7192||07/09/2007|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|KOGENATE FS 2,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/09/2007|12/31/3999| | || | |
00026378775||J7192||08/07/2009|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|KOGENATE FS 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|08/07/2009|12/31/3999| | || | |
00944284110||J7192||04/01/1994|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|RECOMBINATE 220-400 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/1994|12/31/3999| | || | |
00944284210||J7192||04/01/1994|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|RECOMBINATE 401-800 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/1994|12/31/3999| | || | |
00944284310||J7192||04/01/1994|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|RECOMBINATE 801-1,240 UNIT VL|1|F2|VIAL|IV|AHF|1|04/01/1994|12/31/3999| | || | |
00944284410||J7192||04/01/1994|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|RECOMBINATE 1,241-1,800 UNIT V|1|F2|VIAL|IV|AHF|1|04/01/1994|12/31/3999| | || | |
00944284510||J7192||04/01/1994|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|RECOMBINATE 1,801-2,400 UNIT V|1|F2|VIAL|IV|AHF|1|04/01/1994|12/31/3999| | || | |
00173068224||J7613||01/01/2005|09/30/2023|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|VENTOLIN HFA 90 MCG INHALER|8|GR|CANISTER|IH|GM|1|01/01/2005|09/30/2023| | || | |
00013013202||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|EMCYT 140 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00054008013||J8999||04/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|EXEMESTANE 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|04/01/2011|12/31/3999| | || | |
00069013501||J8999||09/24/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BOSULIF 100 MG TABLET|120|UN|BOTTLE|PO|TAB|1|09/24/2012|12/31/3999| | || | |
00069013601||J8999||09/19/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BOSULIF 500 MG TABLET|30|UN|BOTTLE|PO|TAB|1|09/19/2012|12/31/3999| | || | |
00069014501||J8999||02/07/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|INLYTA 1 MG TABLET|180|UN|BOTTLE|PO|TAB|1|02/07/2012|12/31/3999| | || | |
00069015111||J8999||02/07/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|INLYTA 5 MG TABLET|60|UN|BOTTLE|PO|TAB|1|02/07/2012|12/31/3999| | || | |
00069055038||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUTENT 12.5 MG CAPSULE|28|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
23155026131||J9050||09/30/1990|12/31/3999|Injection, carmustine, 100 mg|BICNU 100 MG VIAL|1|F2|VIAL|IV|AHF|1|09/30/1990|12/31/3999| | || | |
23155026141||J9050||09/30/1990|12/31/3999|Injection, carmustine, 100 mg|BICNU 100 MG VIAL|1|F2|VIAL|IV|AHF|1|09/30/1990|12/31/3999| | || | |
00944304510||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944304610||J7192||08/13/2004|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE|1|F2|VIAL|IV|AHF|1|08/13/2004|12/31/3999| | || | |
00944304710||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305102||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305202||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305302||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305402||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00053623302||J7193||06/01/2002|12/10/2021|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|MONONINE 1,000 UNITS KIT|1|UN|KIT|IV|AHF|1|06/01/2002|12/10/2021| | || | |
68516360102||J7193||06/01/2002|12/31/2022|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 500 UNITS VIAL|1|F2|VIAL|IV|AHF|1|06/01/2002|12/31/2022| | || | |
59310057922||J7613||01/01/2005|01/02/2005|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|PROAIR HFA 90 MCG INHALER|8.5|GR|CANISTER|IH|GM|1|01/01/2005|01/02/2005| | || | |
00378699393||J7614||08/28/2009|12/31/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL CONC 1.25 MG/0.5|1|UN|VIAL|IH|ML|5|08/28/2009|12/31/2022| | || | |
00069077038||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUTENT 25 MG CAPSULE|28|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00069083038||J8999||07/21/2014|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUTENT 37.5 MG CAPSULE|28|UN|BOTTLE|PO|CAP|1|07/21/2014|12/31/3999| | || | |
00069098038||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUTENT 50 MG CAPSULE|28|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00069814020||J8999||08/29/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XALKORI 250 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|08/29/2011|12/31/3999| | || | |
00069814120||J8999||08/29/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XALKORI 200 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|08/29/2011|12/31/3999| | || | |
00078024915||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FEMARA 2.5 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
63323014010||J9065||09/15/2004|12/31/3999|Injection, cladribine, per 1 mg|CLADRIBINE 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/15/2004|12/31/3999| | || | |
58394063303||J7195||02/12/1997|12/31/3999|Factor ix (antihemophilic factor, recombinant) per i.u.|BENEFIX 250 UNIT KIT|1|UN|KIT|IV|AHF|1|02/12/1997|12/31/3999| | || | |
58394063403||J7195||02/12/1997|12/31/3999|Factor ix (antihemophilic factor, recombinant) per i.u.|BENEFIX 500 UNIT KIT|1|UN|KIT|IV|AHF|1|02/12/1997|12/31/3999| | || | |
58394063503||J7195||02/12/1997|12/31/3999|Factor ix (antihemophilic factor, recombinant) per i.u.|BENEFIX 1,000 UNIT KIT|1|UN|KIT|IV|AHF|1|02/12/1997|12/31/3999| | || | |
58394063603||J7195||07/10/2007|12/31/3999|Factor ix (antihemophilic factor, recombinant) per i.u.|BENEFIX 2,000 UNIT KIT|1|UN|KIT|IV|AHF|1|07/10/2007|12/31/3999| | || | |
58394063703||J7195||02/13/2012|12/31/3999|Factor ix (antihemophilic factor, recombinant) per i.u.|BENEFIX 3,000 UNIT KIT|1|UN|KIT|IV|AHF|1|02/13/2012|12/31/3999| | || | |
13533060320||J7197||04/01/1992|09/13/2019|Antithrombin iii (human), per i.u.|THROMBATE III 500 UNITS VIAL|1|UN|VIAL|IV|EA|1|04/01/1992|09/13/2019| | || | |
64193042402||J7198||02/01/2000|12/31/3999|Anti-inhibitor, per i.u.|FEIBA NF 1,000 UNIT (NOMINAL)|1|F2|VIAL|IV|AHF|1|02/01/2000|12/31/3999| | || | |
64193042502||J7198||02/01/2000|12/31/3999|Anti-inhibitor, per i.u.|FEIBA NF 2,500 UNIT (NOMINAL)|1|F2|VIAL|IV|AHF|1|02/01/2000|12/31/3999| | || | |
00093762056||J8999||06/03/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|30|UN|BOTTLE|PO|TAB|1|06/03/2011|12/31/3999| | || | |
67457045220||J9100||03/06/2014|12/31/2022|Injection, cytarabine, 100 mg|CYTARABINE 2 G/20 ML VIAL|20|ML|VIAL|IJ|ML|1|03/06/2014|12/31/2022| | || | |
55292081155||J9120||09/30/1990|12/31/3999|Injection, dactinomycin, 0.5 mg|COSMEGEN 0.5 MG VIAL|1|UN|VIAL|IV|EA|1|09/30/1990|12/31/3999| | || | |
63323012710||J9130||10/04/1999|12/31/3999|Dacarbazine, 100 mg|DACARBAZINE 100 MG VIAL|1|UN|VIAL|IV|EA|1|10/04/1999|12/31/3999| | || | |
00597002402||J7620||08/27/2012|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|COMBIVENT RESPIMAT INHAL SPRAY|4|GR|AER W/ADAP|IH|GM|1|08/27/2012|12/31/3999| | || | |
00187065042||J8999||01/01/2011|05/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|OXSORALEN-ULTRA 10 MG CAP|50|UN|BOTTLE|PO|CAP|1|01/01/2011|05/31/2021| | || | |
00187552675||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TARGRETIN 75 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00009509101||J9178||07/01/2004|12/31/3999|Injection, epirubicin hcl, 2 mg|ELLENCE 2 MG/ML VIAL|25|ML|VIAL|IV|ML|1|07/01/2004|12/31/3999| | || | |
00009509301||J9178||07/01/2004|12/31/3999|Injection, epirubicin hcl, 2 mg|ELLENCE 2 MG/ML VIAL|100|ML|VIAL|IV|ML|1|07/01/2004|12/31/3999| | || | |
25021020325||J9178||08/24/2009|09/30/2021|Injection, epirubicin hcl, 2 mg|EPIRUBICIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|08/24/2009|09/30/2021| | || | |
25021020351||J9178||08/24/2009|09/30/2021|Injection, epirubicin hcl, 2 mg|EPIRUBICIN 200 MG/100 ML VIAL|100|ML|VIAL|IV|ML|1|08/24/2009|09/30/2021| | || | |
00944302602||J7200||01/01/2015|12/31/3999|Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu|RIXUBIS 250 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|01/01/2015|12/31/3999| | || | |
00944302802||J7200||01/01/2015|12/31/3999|Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu|RIXUBIS 500 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|01/01/2015|12/31/3999| | || | |
00944303002||J7200||01/01/2015|12/31/3999|Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu|RIXUBIS 1,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|01/01/2015|12/31/3999| | || | |
00944303202||J7200||01/01/2015|12/31/3999|Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu|RIXUBIS 2,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|01/01/2015|12/31/3999| | || | |
00944303402||J7200||01/01/2015|12/31/3999|Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu|RIXUBIS 3,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|01/01/2015|12/31/3999| | || | |
64406091101||J7201||01/01/2015|04/30/2021|Injection, factor ix, fc fusion protein (recombinant), per iu|ALPROLIX|1|F2|VIAL|IV|AHF|1|01/01/2015|04/30/2021| | || | |
64406092201||J7201||01/01/2015|04/30/2021|Injection, factor ix, fc fusion protein (recombinant), per iu|ALPROLIX|1|F2|VIAL|IV|AHF|1|01/01/2015|04/30/2021| | || | |
51285020401||J7300||01/01/2004|04/30/2024|Intrauterine copper contraceptive|PARAGARD T 380-A IUD|1|UN|PACKET|IY|EA|1|01/01/2004|04/30/2024| | || | |
50419042201||J7301||01/01/2014|12/31/3999|Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg|SKYLA SYSTEM|1|UN|KIT|IY|EA|1|01/01/2014|12/31/3999| | || | |
00052027301||J7303||09/01/2007|09/30/2021|Contraceptive supply, hormone containing vaginal ring, each|NUVARING VAGINAL RING|1|UN|BOX|VG|EA|1|09/01/2007|09/30/2021| | || | |
00052027303||J7303||09/01/2007|09/30/2021|Contraceptive supply, hormone containing vaginal ring, each|NUVARING VAGINAL RING|3|UN|BOX|VG|EA|1|09/01/2007|09/30/2021| | || | |
00378334053||J7304||04/16/2014|12/31/3999|Contraceptive supply, hormone containing patch, each|XULANE PATCH|3|UN|BOX|TD|TDP|1|04/16/2014|12/31/3999| | || | |
00469012599||J8999||09/12/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XTANDI 40 MG CAPSULE|120|UN|BOTTLE|PO|CAP|1|09/12/2012|12/31/3999| | || | |
00555080802||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TRETINOIN 10 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00555092302||J8999||01/01/2011|10/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ETHAMBUTOL HCL 400 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|10/31/2021| | || | |
00597013730||J8999||08/26/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|GILOTRIF 30 MG TABLET|30|UN|BOTTLE|PO|EA|1|08/26/2013|12/31/3999| | || | |
00597013830||J8999||08/26/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|GILOTRIF 40 MG TABLET|30|UN|BOTTLE|PO|EA|1|08/26/2013|12/31/3999| | || | |
00597014130||J8999||08/26/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|GILOTRIF 20 MG TABLET|30|UN|BOTTLE|PO|EA|1|08/26/2013|12/31/3999| | || | |
00015340420||J9181||07/12/1996|04/30/2021|Injection, etoposide, 10 mg|ETOPOPHOS 100 MG VIAL|1|UN|VIAL|IV|ML|.1|07/12/1996|04/30/2021| | || | |
61703034418||J9185||09/25/2008|09/30/2021|Injection, fludarabine phosphate, 50 mg|FLUDARABINE 50 MG VIAL|1|UN|VIAL|IV|EA|1|09/25/2008|09/30/2021| | || | |
00052433001||J7307||04/08/2014|05/30/2024|Etonogestrel (contraceptive) implant system, including implant and supplies|NEXPLANON 68 MG IMPLANT|1|UN|PF APPLI|SQ|EA|1|04/08/2014|05/30/2024| | || | |
24208041601||J7311||02/01/2007|12/31/3999|Fluocinolone acetonide, intravitreal implant|RETISERT IMPLANT|1|UN|PACKET|IO|EA|1|02/01/2007|12/31/3999| | || | |
58468008001||J7511||06/01/2002|12/31/3999|Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25m...|THYMOGLOBULIN 25 MG VIAL|1|UN|VIAL|IV|EA|1|06/01/2002|12/31/3999| | || | |
00904601946||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
10370026801||J8999||11/06/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TRETINOIN 10 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|11/06/2012|12/31/3999| | || | |
16729002301||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
16729002310||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
16729003410||J8999||06/03/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|30|UN|BOTTLE|PO|TAB|1|06/03/2011|12/31/3999| | || | |
16729003415||J8999||06/03/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|90|UN|BOTTLE|PO|TAB|1|06/03/2011|12/31/3999| | || | |
00469301601||J7525||04/01/2001|12/31/3999|Tacrolimus, parenteral, 5 mg|PROGRAF 5 MG/ML AMPULE|1|ML|AMPUL|IV|ML|1|04/01/2001|12/31/3999| | || | |
61703042153||J3490||09/30/1990|04/30/2019|Unclassified drugs|M.V.I. PEDIATRIC VIAL|1|UN|VIAL|IV|EA|1|09/30/1990|04/30/2019| | || | |
61703042283||J3490||07/15/2004|05/01/2019|Unclassified drugs|M.V.I. ADULT VIAL|100|ML|VIAL|IV|ML|1|07/15/2004|05/01/2019| | || | |
00338007304||J7060||09/30/1990|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 2.5%-1/2NS IV SOLN|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338008103||J7060||09/30/1990|12/31/2021|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-1/3NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/2021| | || | |
00338008503||J7060||09/30/1990|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-1/2NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338008504||J7060||09/30/1990|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-1/2NS IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
67457000100||J3490||02/01/2002|11/28/2024|Unclassified drugs|KETAMINE 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|02/01/2002|11/28/2024| | || | |
67457000110||J3490||02/01/2002|11/28/2024|Unclassified drugs|KETAMINE 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|02/01/2002|11/28/2024| | || | |
67457010810||J3490||03/01/2003|11/28/2024|Unclassified drugs|KETAMINE 100 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|03/01/2003|11/28/2024| | || | |
67457013450||J3490||07/01/2000|12/31/3999|Unclassified drugs|MAGNESIUM CHL 200 MG/ML VIAL|50|ML|VIAL|IJ|ML|1|07/01/2000|12/31/3999| | || | |
67457014630||J3490||11/01/2001|12/31/3999|Unclassified drugs|B-COMPLEX 100 INJECTION|30|ML|VIAL|IJ|ML|1|11/01/2001|12/31/3999| | || | |
67457016200||J3490||02/09/2010|12/31/3999|Unclassified drugs|SOTRADECOL 1% VIAL|2|ML|VIAL|IJ|ML|1|02/09/2010|12/31/3999| | || | |
67457016202||J3490||02/09/2010|12/31/3999|Unclassified drugs|SOTRADECOL 1% VIAL|2|ML|VIAL|IV|ML|1|02/09/2010|12/31/3999| | || | |
67457016302||J3490||02/09/2010|12/31/3999|Unclassified drugs|SOTRADECOL 3% VIAL|2|ML|VIAL|IV|ML|1|02/09/2010|12/31/3999| | || | |
67457018100||J3490||10/01/2008|11/28/2024|Unclassified drugs|KETAMINE 200 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|1|10/01/2008|11/28/2024| | || | |
67457018120||J3490||10/01/2008|11/28/2024|Unclassified drugs|KETAMINE 200 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|1|10/01/2008|11/28/2024| | || | |
67457018210||J3490||05/29/2007|06/30/2023|Unclassified drugs|ESMOLOL HCL 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/29/2007|06/30/2023| | || | |
67457018750||J3490||05/15/2007|06/30/2023|Unclassified drugs|ALOPRIM 500 MG VIAL|1|UN|VIAL|IV|EA|1|05/15/2007|06/30/2023| | || | |
67457019800||J3490||11/06/1996|10/31/2024|Unclassified drugs|ULTIVA 1 MG VIAL|1|UN|VIAL|IV|ML|1|11/06/1996|10/31/2024| | || | |
67457019803||J3490||11/06/1996|10/31/2024|Unclassified drugs|ULTIVA 1 MG VIAL|1|UN|VIAL|IV|ML|1|11/06/1996|10/31/2024| | || | |
67457019805||J3490||11/06/1996|12/31/3999|Unclassified drugs|ULTIVA 2 MG VIAL|1|UN|VIAL|IV|ML|1|11/06/1996|12/31/3999| | || | |
67457019810||J3490||11/06/1996|12/31/3999|Unclassified drugs|ULTIVA 5 MG VIAL|1|UN|VIAL|IV|ML|1|11/06/1996|12/31/3999| | || | |
67457019899||J3490||11/06/1996|12/31/3999|Unclassified drugs|ULTIVA 2 MG VIAL|1|UN|VIAL|IV|ML|1|11/06/1996|12/31/3999| | || | |
67457022800||J3490||02/06/2012|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|02/06/2012|12/31/3999| | || | |
67457022805||J3490||02/06/2012|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|02/06/2012|12/31/3999| | || | |
67457022810||J3490||02/06/2012|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|02/06/2012|12/31/3999| | || | |
63323008861||J7030||09/30/1990|05/15/2024|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 4 MEQ/ML VL|100|ML|VIAL|IV|ML|1|09/30/1990|05/15/2024| | || | |
63323008863||J7030||09/30/1990|07/27/2025|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 4 MEQ/ML VL|200|ML|VIAL|IV|ML|1|09/30/1990|07/27/2025| | || | |
63323018600||J7030||09/30/1990|06/30/2022|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|100|ML|VIAL|IJ|ML|.004|09/30/1990|06/30/2022| | || | |
63323018602||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|2|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
63323018610||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
63323018620||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|20|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
67457043800||J3490||03/20/2014|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|03/20/2014|12/31/3999| | || | |
67457043810||J3490||03/20/2014|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|03/20/2014|12/31/3999| | || | |
00264780000||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SALINE 0.9% SOLN-EXCEL CONT|1000|ML|BAG|IV|ML|.001|09/30/1990|12/31/3999| | || | |
00264780020||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SALINE 0.9% SOLN-EXCEL CONT|250|ML|BAG|IV|ML|.004|09/30/1990|12/31/3999| | || | |
00264780200||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SALINE 0.45% SOLN-EXCEL CON|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264780210||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SALINE 0.45% SOLN-EXCEL CON|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264780510||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 3% IV SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264780610||J7040||01/01/1994|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 5% IV SOLN|500|ML|BAG|IV|ML|1|01/01/1994|12/31/3999| | || | |
00338004303||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.45% SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338004304||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.45% SOLN|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338004902||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|250|ML|FLEX CONT|IV|ML|.004|09/30/1990|12/31/3999| | || | |
00338004904||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|1000|ML|FLEX CONT|IV|ML|.001|09/30/1990|12/31/3999| | || | |
63323013011||J3490||09/30/1990|12/31/3999|Unclassified drugs|DOXY 100 VIAL|1|UN|VIAL|IV|EA|1|09/30/1990|12/31/3999| | || | |
63323013013||J3490||09/30/1990|12/31/3999|Unclassified drugs|DOXY 100 VIAL|1|UN|VIAL|IV|EA|1|09/30/1990|12/31/3999| | || | |
63323017005||J3490||01/24/2014|10/07/2024|Unclassified drugs|SODIUM PHOSPHATE 3MM/ML VIAL|5|ML|VIAL|IV|ML|1|01/24/2014|10/07/2024| | || | |
63323017015||J3490||01/24/2014|07/24/2024|Unclassified drugs|SODIUM PHOSPHATE 3MM/ML VIAL|15|ML|VIAL|IV|ML|1|01/24/2014|07/24/2024| | || | |
63323018410||J3490||09/30/1990|12/31/3999|Unclassified drugs|FOLIC ACID 5 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|12/31/3999| | || | |
52244001002||J3490||11/09/1998|09/30/2021|Unclassified drugs|EDEX 10 MCG CARTRIDGE 2-PK KIT|1|UN|KIT|IC|EA|1|11/09/1998|09/30/2021| | || | |
52244001006||J3490||11/09/1998|09/30/2021|Unclassified drugs|EDEX 10 MCG CARTRIDGE 6-PK KIT|1|UN|KIT|IC|EA|1|11/09/1998|09/30/2021| | || | |
52244002002||J3490||11/09/1998|09/30/2021|Unclassified drugs|EDEX 20 MCG CARTRIDGE 2-PK KIT|1|UN|KIT|IC|EA|1|11/09/1998|09/30/2021| | || | |
52244002006||J3490||11/09/1998|09/30/2021|Unclassified drugs|EDEX 20 MCG CARTRIDGE 6-PK KIT|1|UN|KIT|IC|EA|1|11/09/1998|09/30/2021| | || | |
52244004002||J3490||11/09/1998|09/30/2021|Unclassified drugs|EDEX 40 MCG CARTRIDGE 2-PK KIT|1|UN|KIT|IC|EA|1|11/09/1998|09/30/2021| | || | |
52244004006||J3490||11/09/1998|09/30/2021|Unclassified drugs|EDEX 40 MCG CARTRIDGE 6-PK KIT|1|UN|KIT|IC|EA|1|11/09/1998|09/30/2021| | || | |
00338005603||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 5% IV SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409114102||J7040||07/03/1991|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 4 MEQ/ML VL|100|ML|VIAL|IV|ML|1|07/03/1991|12/31/3999| | || | |
00409488812||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
00409488820||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|20|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
00409488850||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|50|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
00409666075||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CL 2.5 MEQ/ML VIAL|40|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
63323028110||J3490||09/30/1990|12/31/2023|Unclassified drugs|FLUPHENAZINE 2.5 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|09/30/1990|12/31/2023| | || | |
63323032710||J3490||07/28/2011|12/31/3999|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|07/28/2011|12/31/3999| | || | |
63323032820||J3490||07/28/2011|12/31/3999|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|07/28/2011|12/31/3999| | || | |
63323032931||J3490||05/24/2004|09/30/2021|Unclassified drugs|BACITRACIN 50,000 UNITS VIAL|1|UN|VIAL|IM|EA|1|05/24/2004|09/30/2021| | || | |
63323033060||J3490||07/14/2011|12/31/3999|Unclassified drugs|NAFCILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|1|07/14/2011|12/31/3999| | || | |
63323038510||J3490||09/12/2007|12/31/3999|Unclassified drugs|CEFOTETAN 1 GM|1|UN|VL|IJ|EA|1|09/12/2007|12/31/3999| | || | |
63323038620||J3490||09/11/2007|12/31/3999|Unclassified drugs|CEFOTETAN 2 GM|1|UN|VL|IJ|EA|1|09/11/2007|12/31/3999| | || | |
63323040120||J3490||06/28/2010|06/30/2023|Unclassified drugs|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|1|06/28/2010|06/30/2023| | || | |
63323040220||J3490||06/30/2010|06/30/2023|Unclassified drugs|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|1|06/30/2010|06/30/2023| | || | |
63323042405||J3490||10/12/2004|12/31/3999|Unclassified drugs|FLUMAZENIL 0.1 MG/ML VIAL|5|ML|VIAL|IV|ML|1|10/12/2004|12/31/3999| | || | |
63323042410||J3490||10/12/2004|12/31/3999|Unclassified drugs|FLUMAZENIL 0.1 MG/ML VIAL|10|ML|VIAL|IV|ML|1|10/12/2004|12/31/3999| | || | |
63323042605||J3490||12/29/2008|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/29/2008|12/31/3999| | || | |
63323042610||J3490||12/29/2008|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/29/2008|12/31/3999| | || | |
00409798353||J7040||09/30/1990|07/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|250|ML|BAG|IV|ML|.004|09/30/1990|07/01/2021| | || | |
00409798503||J7040||09/30/1990|06/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.45% SOLN|500|ML|BAG|IV|ML|1|09/30/1990|06/01/2021| | || | |
63323049405||J3490||08/20/2003|12/31/3999|Unclassified drugs|VALPROATE SOD 500 MG/5 ML VL|5|ML|VIAL|IV|ML|1|08/20/2003|12/31/3999| | || | |
63323064710||J3490||07/16/2013|12/31/3999|Unclassified drugs|LEVOTHYROXINE 200 MCG VIAL|1|UN|VIAL|IV|EA|1|07/16/2013|12/31/3999| | || | |
63323064810||J3490||11/16/2011|12/31/3999|Unclassified drugs|LEVOTHYROXINE 500 MCG VIAL|1|UN|VIAL|IV|EA|1|11/16/2011|12/31/3999| | || | |
63323064907||J3490||11/16/2011|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG VIAL|1|UN|VIAL|IV|EA|1|11/16/2011|12/31/3999| | || | |
63323064994||J3490||11/16/2011|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG VIAL|1|UN|VIAL|IV|EA|1|11/16/2011|12/31/3999| | || | |
63323065210||J3490||05/04/2005|06/30/2023|Unclassified drugs|ESMOLOL HCL 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/04/2005|06/30/2023| | || | |
63323065903||J3490||06/14/2010|12/31/3999|Unclassified drugs|INDOMETHACIN 1 MG VIAL|1|UN|VIAL|IV|EA|1|06/14/2010|12/31/3999| | || | |
63323065909||J3490||06/14/2010|12/31/3999|Unclassified drugs|INDOMETHACIN 1 MG VIAL|1|UN|VIAL|IV|EA|1|06/14/2010|12/31/3999| | || | |
63323065994||J3490||06/14/2010|12/31/3999|Unclassified drugs|INDOMETHACIN 1 MG VIAL|1|UN|VIAL|IV|EA|1|06/14/2010|12/31/3999| | || | |
63323066005||J3490||03/23/2011|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|03/23/2011|12/31/3999| | || | |
54643564601||J3490||05/01/2001|12/31/3999|Unclassified drugs|INFUVITE PEDIATRIC VIAL|5|ML|VIAL|IV|ML|1|05/01/2001|12/31/3999| | || | |
54643564700||J3490||03/01/2004|12/31/3999|Unclassified drugs|INFUVITE PEDIATRIC VIAL|50|ML|VIAL|IV|ML|1|03/01/2004|12/31/3999| | || | |
54643564901||J3490||11/08/2001|12/31/3999|Unclassified drugs|INFUVITE ADULT VIAL|10|ML|VIAL|IV|ML|1|11/08/2001|12/31/3999| | || | |
54643565002||J3490||11/08/2001|12/31/3999|Unclassified drugs|INFUVITE ADULT BULK VIAL|100|ML|VIAL|IV|ML|1|11/08/2001|12/31/3999| | || | |
55150012215||J3490||01/03/2013|12/31/3999|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|01/03/2013|12/31/3999| | || | |
55150012315||J3490||01/03/2013|12/31/3999|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|01/03/2013|12/31/3999| | || | |
55150012499||J3490||01/03/2013|12/31/3999|Unclassified drugs|NAFCILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|1|01/03/2013|12/31/3999| | || | |
00409798509||J7040||09/30/1990|01/01/2022|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.45% SOLN|1000|ML|BAG|IV|ML|1|09/30/1990|01/01/2022| | || | |
00517293025||J7040||09/30/1990|09/30/2014|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 4 MEQ/ML VL|30|ML|VIAL|IV|ML|1|09/30/1990|09/30/2014| | || | |
55292012252||J3490||07/24/2006|12/31/3999|Unclassified drugs|NEOPROFEN 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|07/24/2006|12/31/3999| | || | |
63323008861||J7040||09/30/1990|05/15/2024|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 4 MEQ/ML VL|100|ML|VIAL|IV|ML|1|09/30/1990|05/15/2024| | || | |
63323008863||J7040||09/30/1990|07/27/2025|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 4 MEQ/ML VL|200|ML|VIAL|IV|ML|1|09/30/1990|07/27/2025| | || | |
63323018600||J7040||09/30/1990|06/30/2022|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|100|ML|VIAL|IJ|ML|.004|09/30/1990|06/30/2022| | || | |
63323018602||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|2|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
63323018610||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
63323018620||J7040||09/30/1990|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|20|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
68875010201||J3490||02/01/2013|03/31/2023|Unclassified drugs|GATTEX 5 MG 30-VIAL KIT|1|UN|KIT|SQ|EA|1|02/01/2013|03/31/2023| | || | |
68875010301||J3490||02/01/2013|12/31/3999|Unclassified drugs|GATTEX 5 MG ONE-VIAL KIT|1|UN|KIT|SQ|EA|1|02/01/2013|12/31/3999| | || | |
76329330401||J3490||01/25/2013|12/31/3999|Unclassified drugs|CALCIUM CHLORIDE 10% SYRINGE|10|ML|SYRINGE|IV|ML|1|01/25/2013|12/31/3999| | || | |
76329335201||J3490||11/28/2012|12/31/3999|Unclassified drugs|SODIUM BICARB 8.4% SYRINGE|50|ML|SYRINGE|IV|ML|1|11/28/2012|12/31/3999| | || | |
00264761200||J7042||09/30/1990|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-1/2NS IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761210||J7042||09/30/1990|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-1/2NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00085461001||J3535||07/20/2010|07/28/2022|Drug administered through a metered dose inhaler|DULERA 200 MCG/5 MCG INHALER|13|GR|AER W/ADAP|IH|GM|1|07/20/2010|07/28/2022| | || | |
00085461005||J3535||07/20/2010|07/26/2022|Drug administered through a metered dose inhaler|DULERA 200 MCG/5 MCG INHALER|8.8|GR|AER W/ADAP|IH|GM|1|07/20/2010|07/26/2022| | || | |
00085720601||J3535||07/20/2010|12/21/2022|Drug administered through a metered dose inhaler|DULERA 100 MCG/5 MCG INHALER|13|GR|AER W/ADAP|IH|GM|1|07/20/2010|12/21/2022| | || | |
00085720607||J3535||07/20/2010|10/27/2022|Drug administered through a metered dose inhaler|DULERA 100 MCG/5 MCG INHALER|8.8|GR|AER W/ADAP|IH|GM|1|07/20/2010|10/27/2022| | || | |
00264761410||J7042||09/30/1990|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-1/3NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338008103||J7042||09/30/1990|12/31/2021|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-1/3NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/2021| | || | |
00409792409||J7042||09/30/1990|07/01/2021|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-1/4NS IV SOLUTION|1000|ML|FLEX CONT|IV|ML|1|09/30/1990|07/01/2021| | || | |
00409792509||J7042||09/30/1990|08/01/2021|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-1/3NS IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|08/01/2021| | || | |
00409792603||J7042||09/30/1990|04/01/2021|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-1/2NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|04/01/2021| | || | |
00264780000||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SALINE 0.9% SOLN-EXCEL CONT|1000|ML|BAG|IV|ML|.001|09/30/1990|12/31/3999| | || | |
00264780010||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SALINE 0.9% SOLN-EXCEL CONT|500|ML|BAG|IV|ML|.002|09/30/1990|12/31/3999| | || | |
00264780200||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SALINE 0.45% SOLN-EXCEL CON|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264780210||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SALINE 0.45% SOLN-EXCEL CON|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264780510||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 3% IV SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264780610||J7050||01/01/1994|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 5% IV SOLN|500|ML|BAG|IV|ML|1|01/01/1994|12/31/3999| | || | |
00338004303||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.45% SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338004304||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.45% SOLN|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338004903||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|FLEX CONT|IV|ML|.002|09/30/1990|12/31/3999| | || | |
00338004904||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|1000|ML|FLEX CONT|IV|ML|.001|09/30/1990|12/31/3999| | || | |
00338005603||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 5% IV SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
65649055103||J3490||05/27/2008|12/31/3999|Unclassified drugs|RELISTOR 12 MG/0.6 ML SYRINGE|0.6|ML|SYRINGE|SQ|EA|1|05/27/2008|12/31/3999| | || | |
65649055107||J3490||05/27/2008|12/31/3999|Unclassified drugs|RELISTOR 12 MG/0.6 ML SYRINGE|0.6|ML|SYRINGE|SQ|EA|1|05/27/2008|12/31/3999| | || | |
65649055204||J3490||03/26/2012|12/31/3999|Unclassified drugs|RELISTOR 8 MG/0.4 ML SYRINGE|0.4|ML|SYRINGE|SQ|EA|1|03/26/2012|12/31/3999| | || | |
00409114102||J7050||07/03/1991|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 4 MEQ/ML VL|100|ML|VIAL|IV|ML|1|07/03/1991|12/31/3999| | || | |
00409488812||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
00409488820||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|20|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
00409488850||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|50|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
00409666075||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CL 2.5 MEQ/ML VIAL|40|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409798303||J7050||09/30/1990|08/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|BAG|IV|ML|.002|09/30/1990|08/01/2021| | || | |
00409798355||J7050||09/30/1990|04/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|BAG|IV|ML|.002|09/30/1990|04/01/2021| | || | |
00409798503||J7050||09/30/1990|06/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.45% SOLN|500|ML|BAG|IV|ML|1|09/30/1990|06/01/2021| | || | |
00409798509||J7050||09/30/1990|01/01/2022|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.45% SOLN|1000|ML|BAG|IV|ML|1|09/30/1990|01/01/2022| | || | |
00517293025||J7050||09/30/1990|09/30/2014|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 4 MEQ/ML VL|30|ML|VIAL|IV|ML|1|09/30/1990|09/30/2014| | || | |
76179002501||J3590||10/18/2011|10/31/2020|Unclassified Biologics|KEDBUMIN 25% VIAL|50|ML|VIAL|IV|ML|1|10/18/2011|10/31/2020| | || | |
76179002504||J3590||10/18/2011|10/31/2020|Unclassified Biologics|KEDBUMIN 25% VIAL|100|ML|VIAL|IV|ML|1|10/18/2011|10/31/2020| | || | |
00264780020||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SALINE 0.9% SOLN-EXCEL CONT|250|ML|BAG|IV|ML|.004|09/30/1990|12/31/3999| | || | |
00264780200||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SALINE 0.45% SOLN-EXCEL CON|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264780210||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SALINE 0.45% SOLN-EXCEL CON|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264780510||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 3% IV SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264780610||J7030||01/01/1994|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 5% IV SOLN|500|ML|BAG|IV|ML|1|01/01/1994|12/31/3999| | || | |
00338004303||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.45% SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00338004304||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.45% SOLN|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
66658023401||J3490||11/25/2001|12/31/3999|Unclassified drugs|KINERET 100 MG/0.67 ML SYRINGE|0.67|ML|SYRINGE|SC|ML|1|11/25/2001|12/31/3999| | || | |
66658023407||J3490||11/25/2001|12/31/3999|Unclassified drugs|KINERET 100 MG/0.67 ML SYRINGE|0.67|ML|SYRINGE|SQ|ML|1|11/25/2001|12/31/3999| | || | |
00338004902||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|250|ML|FLEX CONT|IV|ML|.004|09/30/1990|12/31/3999| | || | |
00338005603||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 5% IV SOLN|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409114102||J7030||07/03/1991|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 4 MEQ/ML VL|100|ML|VIAL|IV|ML|1|07/03/1991|12/31/3999| | || | |
00409488812||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
00409488820||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|20|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
63323008861||J7050||09/30/1990|05/15/2024|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 4 MEQ/ML VL|100|ML|VIAL|IV|ML|1|09/30/1990|05/15/2024| | || | |
63323008863||J7050||09/30/1990|07/27/2025|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 4 MEQ/ML VL|200|ML|VIAL|IV|ML|1|09/30/1990|07/27/2025| | || | |
63323018600||J7050||09/30/1990|06/30/2022|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|100|ML|VIAL|IJ|ML|.004|09/30/1990|06/30/2022| | || | |
63323018602||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|2|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
63323018610||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
63323018620||J7050||09/30/1990|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|20|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
00409488850||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|50|ML|VIAL|IJ|ML|.1|09/30/1990|12/31/3999| | || | |
00409666075||J7030||09/30/1990|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CL 2.5 MEQ/ML VIAL|40|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409798353||J7030||09/30/1990|07/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|250|ML|BAG|IV|ML|.004|09/30/1990|07/01/2021| | || | |
00264761200||J7060||09/30/1990|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-1/2NS IV SOLUTION|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761210||J7060||09/30/1990|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-1/2NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761410||J7060||09/30/1990|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-1/3NS IV SOLUTION|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761600||J7060||09/30/1990|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-SOD CHLORIDE 0.2%|1000|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761610||J7060||09/30/1990|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-SOD CHLORIDE 0.2%|500|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00264761620||J7060||09/30/1990|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-SOD CHLORIDE 0.2%|250|ML|BAG|IV|ML|1|09/30/1990|12/31/3999| | || | |
00409798503||J7030||09/30/1990|06/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.45% SOLN|500|ML|BAG|IV|ML|1|09/30/1990|06/01/2021| | || | |
00409798509||J7030||09/30/1990|01/01/2022|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.45% SOLN|1000|ML|BAG|IV|ML|1|09/30/1990|01/01/2022| | || | |
00517293025||J7030||09/30/1990|09/30/2014|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 4 MEQ/ML VL|30|ML|VIAL|IV|ML|1|09/30/1990|09/30/2014| | || | |
00169633910||S5550||01/01/2011|12/31/3999|Insulin, rapid onset, 5 units|NOVOLOG FLEXPEN SYRINGE|3|ML|SYRINGE|SQ|ML|20|01/01/2011|12/31/3999| | || | |
00085434701||S0148||11/10/2014|10/11/2020|Injection, pegylated interferon alfa-2b, 10 mcg|SYLATRON 200 MCG KIT|1|UN|KIT|SQ|EA|1|11/10/2014|10/11/2020| | || | |
00085434801||S0148||11/19/2014|10/18/2020|Injection, pegylated interferon alfa-2b, 10 mcg|SYLATRON 300 MCG KIT|1|UN|KIT|SQ|EA|1|11/19/2014|10/18/2020| | || | |
00008092351||S0164||01/01/2005|12/31/3999|Injection, pantoprazole sodium, 40 mg|PROTONIX IV 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2005|12/31/3999| | || | |
00008092355||S0164||01/01/2005|12/31/3999|Injection, pantoprazole sodium, 40 mg|PROTONIX IV 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2005|12/31/3999| | || | |
00008092360||S0164||01/01/2005|12/31/3999|Injection, pantoprazole sodium, 40 mg|PROTONIX IV 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2005|12/31/3999| | || | |
00008200101||S0164||01/01/2005|02/28/2022|Injection, pantoprazole sodium, 40 mg|PROTONIX IV 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2005|02/28/2022| | || | |
00008200110||S0164||01/01/2005|04/30/2022|Injection, pantoprazole sodium, 40 mg|PROTONIX IV 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2005|04/30/2022| | || | |
00008200125||S0164||01/01/2005|02/28/2022|Injection, pantoprazole sodium, 40 mg|PROTONIX IV 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2005|02/28/2022| | || | |
00008400101||S0164||01/01/2005|12/31/3999|Injection, pantoprazole sodium, 40 mg|PROTONIX IV 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2005|12/31/3999| | || | |
00008400110||S0164||01/01/2005|12/31/3999|Injection, pantoprazole sodium, 40 mg|PROTONIX IV 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2005|12/31/3999| | || | |
00169633910||S5551||01/01/2011|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|NOVOLOG FLEXPEN SYRINGE|3|ML|SYRINGE|SQ|ML|20|01/01/2011|12/31/3999| | || | |
00008400125||S0164||01/01/2005|12/31/3999|Injection, pantoprazole sodium, 40 mg|PROTONIX IV 40 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2005|12/31/3999| | || | |
00093312242||S4993||02/17/2011|12/31/3999|Contraceptive pills for birth control|JINTELI 1 MG-5 MCG TABLET|28|UN|BLIST PACK|PO|TAB|1|02/17/2011|12/31/3999| | || | |
00093312298||S4993||02/17/2011|12/31/3999|Contraceptive pills for birth control|JINTELI 1 MG-5 MCG TABLET|90|UN|BOTTLE|PO|TAB|1|02/17/2011|12/31/3999| | || | |
00093313482||S4993||07/10/2006|12/31/3999|Contraceptive pills for birth control|CAMRESE 0.15-0.03-0.01 MG TAB|91|UN|BLIST PACK|PO|TAB|1|07/10/2006|12/31/3999| | || | |
00093313491||S4993||07/10/2006|12/31/3999|Contraceptive pills for birth control|CAMRESE 0.15-0.03-0.01 MG TAB|91|UN|BLIST PACK|PO|TAB|1|07/10/2006|12/31/3999| | || | |
00093542328||S4993||04/03/2006|03/02/2023|Contraceptive pills for birth control|GIANVI 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|04/03/2006|03/02/2023| | || | |
00093542358||S4993||04/03/2006|07/31/2021|Contraceptive pills for birth control|GIANVI 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|04/03/2006|07/31/2021| | || | |
00093614882||S4993||03/23/2009|12/31/3999|Contraceptive pills for birth control|CAMRESE LO TABLET|91|UN|BLIST PACK|PO|TAB|1|03/23/2009|12/31/3999| | || | |
00093614891||S4993||03/23/2009|12/31/3999|Contraceptive pills for birth control|CAMRESE LO TABLET|91|UN|BLIST PACK|PO|TAB|1|03/23/2009|12/31/3999| | || | |
00378655053||S4993||12/27/2012|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.15-0.03|28|UN|BLIST PACK|PO|TAB|1|12/27/2012|12/31/3999| | || | |
00378727253||S4993||06/24/2013|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/24/2013|12/31/3999| | || | |
00378728053||S4993||07/11/2014|12/31/3999|Contraceptive pills for birth control|NORETHIND-ETH ESTRAD 1-0.02 MG|21|UN|BLIST PACK|PO|TAB|1|07/11/2014|12/31/3999| | || | |
00378728353||S4993||07/16/2014|12/31/3999|Contraceptive pills for birth control|NORETHIN-ESTRAD-FERR 1-0.02 MG|28|UN|BLIST PACK|PO|TAB|1|07/16/2014|12/31/3999| | || | |
00378728753||S4993||06/26/2014|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.1-0.02 MG|28|UN|BLIST PACK|PO|TAB|1|06/26/2014|12/31/3999| | || | |
00378729253||S4993||07/12/2013|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/12/2013|12/31/3999| | || | |
00378729653||S4993||07/16/2014|12/31/3999|Contraceptive pills for birth control|DESOGESTR-ETH ESTRAD ETH ESTRA|28|UN|BLIST PACK|PO|TAB|1|07/16/2014|12/31/3999| | || | |
00430014514||S4993||12/15/2005|04/30/2022|Contraceptive pills for birth control|FEMHRT 0.5 MG-2.5 MCG TABLE|28|UN|BLIST PACK|PO|TAB|1|12/15/2005|04/30/2022| | || | |
00430042014||S4993||12/29/2010|12/31/3999|Contraceptive pills for birth control|LO LOESTRIN FE 1-10 TABLET|28|UN|BLIST PACK|PO|TAB|1|12/29/2010|12/31/3999| | || | |
00555021110||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 5 MG TABLET|50|UN|BOTTLE|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555900867||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORTREL 0.5-35 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555900942||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORTREL 1-35 TABLET|21|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555901058||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORTREL 1-35 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555901258||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORTREL 7-7-7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555901467||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|LESSINA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555901658||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|SPRINTEC 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555901858||S4993||12/29/2003|12/31/3999|Contraceptive pills for birth control|TRI-SPRINTEC TABLET|28|UN|BLIST PACK|PO|TAB|1|12/29/2003|12/31/3999| | || | |
00555902058||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|PORTIA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555902542||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|JUNEL 1 MG-20 MCG TABLET|21|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555902658||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|JUNEL FE 1 MG-20 MCG TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555902742||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|JUNEL 1.5 MG-30 MCG TABLET|21|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555902858||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|JUNEL FE 1.5 MG-30 MCG TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555903270||S4993||10/26/2007|12/31/3999|Contraceptive pills for birth control|TRI-LEGEST FE-28 DAY TABLET|28|UN|PACKET|PO|TAB|1|10/26/2007|12/31/3999| | || | |
00555903458||S4993||10/16/2006|12/31/3999|Contraceptive pills for birth control|BALZIVA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2006|12/31/3999| | || | |
00555904358||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|APRI 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555904558||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|AVIANE-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555904758||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|ENPRESSE-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555904958||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|CRYSELLE-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555905058||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|KARIVA 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555905167||S4993||03/01/2004|12/31/3999|Contraceptive pills for birth control|VELIVET 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|03/01/2004|12/31/3999| | || | |
00555906458||S4993||06/20/2005|12/31/3999|Contraceptive pills for birth control|KELNOR 1-35 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/20/2005|12/31/3999| | || | |
00555906667||S4993||10/04/2004|12/31/3999|Contraceptive pills for birth control|ARANELLE 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/04/2004|12/31/3999| | || | |
00555912366||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|JOLESSA 0.15 MG-0.03 MG TABLET|91|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555913167||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|OCELLA 3 MG-0.03 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555913179||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|OCELLA 3 MG-0.03 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00603752117||S4993||01/01/2011|04/30/2022|Contraceptive pills for birth control|CYCLAFEM 1-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2011|04/30/2022| | || | |
00603752149||S4993||01/01/2011|04/30/2022|Contraceptive pills for birth control|CYCLAFEM 1-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2011|04/30/2022| | || | |
00603752517||S4993||01/01/2011|04/30/2022|Contraceptive pills for birth control|CYCLAFEM 7-7-7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2011|04/30/2022| | || | |
00603752549||S4993||01/01/2011|04/30/2022|Contraceptive pills for birth control|CYCLAFEM 7-7-7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2011|04/30/2022| | || | |
43386062230||S4993||03/07/2014|03/07/2014|Contraceptive pills for birth control|MY WAY 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|03/07/2014|03/07/2014| | || | |
50102010001||S4993||07/16/2013|12/31/3999|Contraceptive pills for birth control|LYZA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/16/2013|12/31/3999| | || | |
50102010048||S4993||07/16/2013|12/31/3999|Contraceptive pills for birth control|LYZA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/16/2013|12/31/3999| | || | |
50102012001||S4993||01/15/2014|12/31/3999|Contraceptive pills for birth control|AUBRA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/15/2014|12/31/3999| | || | |
50102012048||S4993||01/15/2014|12/31/3999|Contraceptive pills for birth control|AUBRA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/15/2014|12/31/3999| | || | |
50102013001||S4993||02/11/2013|12/31/3999|Contraceptive pills for birth control|CHATEAL-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/11/2013|12/31/3999| | || | |
50102013048||S4993||02/11/2013|12/31/3999|Contraceptive pills for birth control|CHATEAL-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/11/2013|12/31/3999| | || | |
50102013090||S4993||02/11/2013|12/31/3999|Contraceptive pills for birth control|CHATEAL-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/11/2013|12/31/3999| | || | |
50102091101||S4993||12/01/2010|05/31/2022|Contraceptive pills for birth control|ELLA 30 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|12/01/2010|05/31/2022| | || | |
50419040203||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|YASMIN 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
50419040303||S4993||01/10/2011|12/31/3999|Contraceptive pills for birth control|SAFYRAL TABLET|28|UN|BLIST PACK|PO|TAB|1|01/10/2011|12/31/3999| | || | |
50419040503||S4993||04/03/2006|12/31/3999|Contraceptive pills for birth control|YAZ 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/03/2006|12/31/3999| | || | |
50419040703||S4993||10/12/2010|12/31/3999|Contraceptive pills for birth control|BEYAZ 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/12/2010|12/31/3999| | || | |
50419040903||S4993||07/06/2010|12/31/3999|Contraceptive pills for birth control|NATAZIA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/06/2010|12/31/3999| | || | |
50419048203||S4993||09/05/2006|12/31/3999|Contraceptive pills for birth control|ANGELIQ 0.25 MG-0.5 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|09/05/2006|12/31/3999| | || | |
50419048303||S4993||09/05/2006|12/31/3999|Contraceptive pills for birth control|ANGELIQ 0.5 MG-1 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|09/05/2006|12/31/3999| | || | |
63323031594||J1570||09/02/2010|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG VIAL|1|UN|VIAL|IV|EA|1|09/02/2010|12/31/3999| | || | |
51285008787||S4993||07/10/2006|09/03/2025|Contraceptive pills for birth control|SEASONIQUE 0.15-0.03-0.01 TAB|91|UN|BLIST PACK|PO|TAB|1|07/10/2006|09/03/2025| | || | |
51285009287||S4993||03/23/2009|04/30/2024|Contraceptive pills for birth control|LOSEASONIQUE TABLET|91|UN|BLIST PACK|PO|TAB|1|03/23/2009|04/30/2024| | || | |
51285010088||S4993||02/17/2014|12/31/2020|Contraceptive pills for birth control|TAKE ACTION 1.5 MG TABLET|1|UN|BLIST PACK|PO|EA|1|02/17/2014|12/31/2020| | || | |
51285012058||S4993||09/15/2014|09/03/2025|Contraceptive pills for birth control|MIRCETTE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|09/15/2014|09/03/2025| | || | |
51285014619||S4993||12/18/2013|03/31/2021|Contraceptive pills for birth control|PLAN B ONE-STEP 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|12/18/2013|03/31/2021| | || | |
51285016288||S4993||08/26/2013|03/31/2021|Contraceptive pills for birth control|PLAN B ONE-STEP 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|08/26/2013|03/31/2021| | || | |
51285042410||S4993||10/16/2003|09/03/2025|Contraceptive pills for birth control|AYGESTIN 5 MG TABLET|50|UN|BOTTLE|PO|TAB|1|10/16/2003|09/03/2025| | || | |
51285043165||S4993||07/25/2013|12/31/3999|Contraceptive pills for birth control|QUARTETTE TABLET|91|UN|BLIST PACK|PO|TAB|1|07/25/2013|12/31/3999| | || | |
51285096319||S4993||07/28/2009|04/30/2018|Contraceptive pills for birth control|PLAN B ONE-STEP 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|07/28/2009|04/30/2018| | || | |
52544024828||S4993||10/16/2003|04/30/2020|Contraceptive pills for birth control|TRINESSA TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|04/30/2020| | || | |
52544026829||S4993||07/28/2011|03/31/2020|Contraceptive pills for birth control|AMETHIA 0.15-0.03-0.01 MG TAB|91|UN|BLIST PACK|PO|TAB|1|07/28/2011|03/31/2020| | || | |
52544026884||S4993||07/28/2011|11/01/2018|Contraceptive pills for birth control|AMETHIA 0.15-0.03-0.01 MG TAB|91|UN|BLIST PACK|PO|TAB|1|07/28/2011|11/01/2018| | || | |
52544029528||S4993||06/13/2011|07/31/2024|Contraceptive pills for birth control|AMETHYST 90-20 MCG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/13/2011|07/31/2024| | || | |
52544062928||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORA-BE TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
52544089228||S4993||10/16/2003|12/31/2020|Contraceptive pills for birth control|JOLIVETTE TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/2020| | || | |
52544094928||S4993||11/22/2004|09/20/2018|Contraceptive pills for birth control|LUTERA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|11/22/2004|09/20/2018| | || | |
52544095428||S4993||07/29/2005|03/31/2020|Contraceptive pills for birth control|RECLIPSEN 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|07/29/2005|03/31/2020| | || | |
65162047505||S4993||07/31/2012|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 5 MG TABLET|50|UN|BOTTLE|PO|TAB|1|07/31/2012|12/31/3999| | || | |
65162047509||S4993||07/31/2012|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 5 MG TABLET|90|UN|BOTTLE|PO|TAB|1|07/31/2012|12/31/3999| | || | |
68180084311||S4993||10/26/2012|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.15-0.03|91|UN|BLIST PACK|PO|TAB|1|10/26/2012|12/31/3999| | || | |
68180084313||S4993||10/26/2012|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.15-0.03|91|UN|BLIST PACK|PO|TAB|1|10/26/2012|12/31/3999| | || | |
68180084411||S4993||10/29/2012|04/15/2022|Contraceptive pills for birth control|KURVELO TABLET|28|UN|BLIST PACK|PO|TAB|1|10/29/2012|04/15/2022| | || | |
68180084413||S4993||10/29/2012|04/15/2022|Contraceptive pills for birth control|KURVELO TABLET|28|UN|BLIST PACK|PO|TAB|1|10/29/2012|04/15/2022| | || | |
68180084611||S4993||04/12/2013|12/31/3999|Contraceptive pills for birth control|DAYSEE 0.15-0.03-0.01 MG TAB|91|UN|BLIST PACK|PO|TAB|1|04/12/2013|12/31/3999| | || | |
68180084613||S4993||04/12/2013|12/31/3999|Contraceptive pills for birth control|DAYSEE 0.15-0.03-0.01 MG TAB|91|UN|BLIST PACK|PO|TAB|1|04/12/2013|12/31/3999| | || | |
68180084811||S4993||12/09/2011|12/31/3999|Contraceptive pills for birth control|LEVONORG-ETH ESTRAD ETH ESTRAD|91|UN|BLIST PACK|PO|TAB|1|12/09/2011|12/31/3999| | || | |
68180084813||S4993||12/09/2011|12/31/3999|Contraceptive pills for birth control|LEVONORG-ETH ESTRAD ETH ESTRAD|91|UN|BLIST PACK|PO|TAB|1|12/09/2011|12/31/3999| | || | |
68180085313||S4993||09/09/2014|01/01/2019|Contraceptive pills for birth control|FALLBACK SOLO 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|09/09/2014|01/01/2019| | || | |
68180085411||S4993||03/14/2013|10/11/2021|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.1-0.02 MG|28|UN|BLIST PACK|PO|TAB|1|03/14/2013|10/11/2021| | || | |
68180085413||S4993||03/14/2013|10/11/2021|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.1-0.02 MG|28|UN|BLIST PACK|PO|TAB|1|03/14/2013|10/11/2021| | || | |
68180087511||S4993||02/05/2014|01/26/2023|Contraceptive pills for birth control|VYFEMLA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/05/2014|01/26/2023| | || | |
68180087513||S4993||02/05/2014|01/26/2023|Contraceptive pills for birth control|VYFEMLA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/05/2014|01/26/2023| | || | |
68180087611||S4993||11/16/2011|04/01/2023|Contraceptive pills for birth control|NORETHINDRONE 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|11/16/2011|04/01/2023| | || | |
68180087613||S4993||11/16/2011|04/01/2023|Contraceptive pills for birth control|NORETHINDRONE 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|11/16/2011|04/01/2023| | || | |
68180087711||S4993||07/22/2013|08/03/2022|Contraceptive pills for birth control|JENCYCLA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/22/2013|08/03/2022| | || | |
68180087713||S4993||07/22/2013|08/03/2022|Contraceptive pills for birth control|JENCYCLA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/22/2013|08/03/2022| | || | |
68180088211||S4993||07/01/2013|06/19/2020|Contraceptive pills for birth control|ENSKYCE 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/01/2013|06/19/2020| | || | |
68180088213||S4993||07/01/2013|06/19/2020|Contraceptive pills for birth control|ENSKYCE 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/01/2013|06/19/2020| | || | |
68180088613||S4993||07/23/2014|12/03/2021|Contraceptive pills for birth control|NIKKI 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/23/2014|12/03/2021| | || | |
68180089211||S4993||07/22/2013|12/03/2021|Contraceptive pills for birth control|PIRMELLA 7-7-7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/22/2013|12/03/2021| | || | |
68180089213||S4993||07/22/2013|12/03/2021|Contraceptive pills for birth control|PIRMELLA 7-7-7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/22/2013|12/03/2021| | || | |
68180089311||S4993||07/22/2013|11/18/2021|Contraceptive pills for birth control|PIRMELLA 1-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/22/2013|11/18/2021| | || | |
68180089313||S4993||07/22/2013|11/18/2021|Contraceptive pills for birth control|PIRMELLA 1-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/22/2013|11/18/2021| | || | |
68180089811||S4993||11/01/2006|10/06/2016|Contraceptive pills for birth control|WYMZYA FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|11/01/2006|10/06/2016| | || | |
68180089813||S4993||11/01/2006|08/30/2015|Contraceptive pills for birth control|WYMZYA FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|11/01/2006|08/30/2015| | || | |
68180089911||S4993||11/01/2006|12/01/2018|Contraceptive pills for birth control|WYMZYA FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|11/01/2006|12/01/2018| | || | |
68180089913||S4993||11/01/2006|11/30/2017|Contraceptive pills for birth control|WYMZYA FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|11/01/2006|11/30/2017| | || | |
68180090211||S4993||07/10/2013|12/24/2022|Contraceptive pills for birth control|DROSPIRENONE-ETH ESTRADIOL TAB|28|UN|BLIST PACK|PO|TAB|1|07/10/2013|12/24/2022| | || | |
68180090213||S4993||07/10/2013|04/05/2023|Contraceptive pills for birth control|DROSPIRENONE-ETH ESTRADIOL TAB|28|UN|BLIST PACK|PO|TAB|1|07/10/2013|04/05/2023| | || | |
68462030329||S4993||08/01/2010|12/31/3999|Contraceptive pills for birth control|HEATHER TABLET|28|UN|BLIST PACK|PO|TAB|1|08/01/2010|12/31/3999| | || | |
68462030450||S4993||09/01/2010|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 5 MG TABLET|50|UN|BOTTLE|PO|TAB|1|09/01/2010|12/31/3999| | || | |
68462030529||S4993||11/01/2010|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|11/01/2010|12/31/3999| | || | |
68462030929||S4993||04/17/2012|12/31/3999|Contraceptive pills for birth control|NORG-ETHIN ESTRA 0.25-0.035 MG|28|UN|BLIST PACK|PO|TAB|1|04/17/2012|12/31/3999| | || | |
68462030984||S4993||04/17/2012|12/31/3999|Contraceptive pills for birth control|NORG-ETHIN ESTRA 0.25-0.035 MG|28|UN|BLIST PACK|PO|TAB|1|04/17/2012|12/31/3999| | || | |
68462031629||S4993||06/02/2011|12/31/3999|Contraceptive pills for birth control|BRIELLYN TABLET|28|UN|BLIST PACK|PO|TAB|1|06/02/2011|12/31/3999| | || | |
68462031829||S4993||05/01/2012|12/31/3999|Contraceptive pills for birth control|VIORELE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|05/01/2012|12/31/3999| | || | |
68462038829||S4993||05/01/2012|12/31/3999|Contraceptive pills for birth control|MARLISSA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|05/01/2012|12/31/3999| | || | |
68462038884||S4993||05/01/2012|12/31/3999|Contraceptive pills for birth control|MARLISSA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|05/01/2012|12/31/3999| | || | |
68462039429||S4993||05/01/2012|12/31/3999|Contraceptive pills for birth control|ALYACEN 1-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|05/01/2012|12/31/3999| | || | |
68462039484||S4993||05/01/2012|12/31/3999|Contraceptive pills for birth control|ALYACEN 1/35|28|UN|BLIST PACK|PO|TAB|1|05/01/2012|12/31/3999| | || | |
68462055629||S4993||05/01/2012|12/31/3999|Contraceptive pills for birth control|ALYACEN 7-7-7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|05/01/2012|12/31/3999| | || | |
68462056529||S4993||09/19/2011|12/31/3999|Contraceptive pills for birth control|NORGESTIMATE-ETH ESTRADIOL TAB|28|UN|BLIST PACK|PO|TAB|1|09/19/2011|12/31/3999| | || | |
75854060101||S4993||02/25/2014|03/16/2017|Contraceptive pills for birth control|FALESSA 1 MG TABLET|56|UN|BLIST PACK|PO|TAB|1|02/25/2014|03/16/2017| | || | |
00002850101||S5550||01/01/2011|12/31/3999|Insulin, rapid onset, 5 units|HUMULIN R 500 UNITS/ML VIAL|20|ML|VIAL|SQ|ML|.1|01/01/2011|12/31/3999| | || | |
67457046420||J9201||07/29/2014|06/30/2021|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|UN|VIAL|IJ|EA|1|07/29/2014|06/30/2021| | || | |
00009752903||J9206||03/01/1998|12/31/3999|Injection, irinotecan, 20 mg|CAMPTOSAR 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|03/01/1998|12/31/3999| | || | |
00009752904||J9206||03/01/1998|12/31/3999|Injection, irinotecan, 20 mg|CAMPTOSAR 40 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|03/01/1998|12/31/3999| | || | |
00009752905||J9206||03/01/1998|12/31/3999|Injection, irinotecan, 20 mg|CAMPTOSAR 300 MG/15 ML VIAL|15|ML|VIAL|IV|ML|1|03/01/1998|12/31/3999| | || | |
00143970101||J9206||02/08/2013|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML VL|5|ML|VIAL|IV|ML|1|02/08/2013|12/31/3999| | || | |
00143970201||J9206||03/01/2013|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|03/01/2013|12/31/3999| | || | |
61703034909||J9206||02/27/2008|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML VL|5|ML|VIAL|IV|ML|1|02/27/2008|12/31/3999| | || | |
61703034916||J9206||02/27/2008|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|02/27/2008|12/31/3999| | || | |
61703034936||J9206||02/27/2008|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 500 MG/25 ML VL|25|ML|VIAL|IV|ML|1|02/27/2008|12/31/3999| | || | |
63323019352||J9206||02/27/2008|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|02/27/2008|12/31/3999| | || | |
63323019355||J9206||02/27/2008|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML VL|5|ML|VIAL|IV|ML|1|02/27/2008|12/31/3999| | || | |
62559016501||Q0181||07/05/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|REGLAN 5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|07/05/2011|12/31/3999| | || | |
62559016601||Q0181||07/05/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|REGLAN 10 MG TABLET|100|UN|BOTTLE|PO|TAB|1|07/05/2011|12/31/3999| | || | |
68152010303||J9999||07/01/2009|05/31/2020|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|ZEVALIN Y-90 VIAL|1|UN|KIT|IV|EA|1|07/01/2009|05/31/2020| | || | |
10702000201||Q0169||01/01/2011|08/01/2023|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 12.5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|08/01/2023| | || | |
00338399101||J9208||09/30/1990|12/31/3999|Injection, ifosfamide, 1 gram|IFEX 1 GM VIAL|1|UN|VIAL|IV|EA|1|09/30/1990|12/31/3999| | || | |
10019092501||J9208||10/10/1992|12/31/3999|Injection, ifosfamide, 1 gram|IFOSFAMIDE 1 GM VIAL|1|UN|VIAL|IV|GM|1|10/10/1992|12/31/3999| | || | |
10019092582||J9208||10/10/1992|12/31/3999|Injection, ifosfamide, 1 gram|IFOSFAMIDE 1 GM VIAL|1|UN|VIAL|IV|GM|1|10/10/1992|12/31/3999| | || | |
63323014210||J9208||07/31/2002|12/31/3999|Injection, ifosfamide, 1 gram|IFOSFAMIDE 1 GM VIAL|1|UN|VIAL|IV|EA|1|07/31/2002|12/31/3999| | || | |
63868016012||Q0181||01/01/2011|01/24/2019|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|TRAVEL SICKNESS 50 MG TABLET|12|UN|BLIST PACK|PO|TAB|1|01/01/2011|01/24/2019| | || | |
65162044110||Q0181||04/06/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|04/06/2011|12/31/3999| | || | |
65162044111||Q0181||04/06/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|04/06/2011|12/31/3999| | || | |
65162044150||Q0181||04/06/2011|05/31/2021|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|500|UN|BOTTLE|PO|TAB|1|04/06/2011|05/31/2021| | || | |
65162044210||Q0181||04/06/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|1|04/06/2011|12/31/3999| | || | |
65162044211||Q0181||04/06/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|04/06/2011|12/31/3999| | || | |
65162044250||Q0181||04/06/2011|10/09/2021|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 25 MG TABLET|500|UN|BOTTLE|PO|TAB|1|04/06/2011|10/09/2021| | || | |
57664010788||Q0169||01/01/2011|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 12.5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
65162074510||Q0169||04/13/2011|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 12.5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|04/13/2011|12/31/3999| | || | |
68001016100||Q0169||02/18/2014|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 12.5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|02/18/2014|12/31/3999| | || | |
00085113301||J9214||02/04/1997|10/21/2021|Injection, interferon, alfa-2b, recombinant, 1 million units|INTRON A 10 MILLION UNIT/ML|3.2|ML|VIAL|IJ|ML|.1|02/04/1997|10/21/2021| | || | |
66689003101||Q0181||01/01/2011|07/31/2023|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG/5 ML SOLN|10|ML|CUP|PO|ML|1|01/01/2011|07/31/2023| | || | |
66689003150||Q0181||01/01/2011|07/31/2023|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG/5 ML SOLN|10|ML|CUP|PO|ML|1|01/01/2011|07/31/2023| | || | |
68084049001||Q0181||08/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|08/01/2011|12/31/3999| | || | |
68084049101||Q0181||08/01/2011|06/30/2024|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 25 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|08/01/2011|06/30/2024| | || | |
68084015401||Q0169||01/01/2011|03/31/2023|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 12.5 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|03/31/2023| | || | |
68382004001||Q0169||01/01/2011|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 12.5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
43386066003||Q0173||02/26/2011|03/04/2022|Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription an...|TRIMETHOBENZAMIDE 300 MG CAP|30|UN|BOTTLE|PO|CAP|1|02/26/2011|03/04/2022| | || | |
43386066024||Q0173||02/26/2011|03/04/2022|Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription an...|TRIMETHOBENZAMIDE 300 MG CAP|100|UN|BOTTLE|PO|CAP|1|02/26/2011|03/04/2022| | || | |
53489037601||Q0173||01/01/2011|12/31/3999|Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription an...|TRIMETHOBENZAMIDE 300 MG CAP|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
61570007901||Q0173||01/01/2011|09/30/2021|Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription an...|TIGAN 300 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|09/30/2021| | || | |
00603506121||Q0175||03/08/2012|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|100|UN|BOTTLE|PO|TAB|1|03/08/2012|12/31/3999| | || | |
00603506128||Q0175||03/08/2012|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|500|UN|BOTTLE|PO|TAB|1|03/08/2012|12/31/3999| | || | |
00074228203||J9217||05/12/1997|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|LUPRON DEPOT-PED 11.25 MG KIT|1|UN|KIT|IM|EA|3|05/12/1997|12/31/3999| | || | |
00074244003||J9217||06/30/1997|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|LUPRON DEPOT-PED 15 MG KIT|1|UN|KIT|IM|EA|4|06/30/1997|12/31/3999| | || | |
00074377903||J9217||08/23/2011|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|LUPRON DEPOT-PED 11.25 MG 3MO|1|UN|KIT|IM|EA|3|08/23/2011|12/31/3999| | || | |
00074969403||J9217||08/23/2011|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|LUPRON DEPOT-PED 30 MG 3MO KIT|1|UN|KIT|IM|EA|8|08/23/2011|12/31/3999| | || | |
67979050001||J9225||01/01/2006|03/31/2022|Histrelin implant (vantas), 50 mg|VANTAS 50 MG KIT|1|UN|KIT|IL|EA|1|01/01/2006|03/31/2022| | || | |
67979000201||J9226||01/01/2008|12/31/3999|Histrelin implant (supprelin la), 50 mg|SUPPRELIN LA 50 MG KIT|1|UN|KIT|IL|EA|1|01/01/2008|12/31/3999| | || | |
00069600102||Q2009||04/01/2001|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|CEREBYX 100 MG PE/2 ML VIAL|2|ML|VIAL|IJ|ML|1|04/01/2001|12/31/2022| | || | |
00069600110||Q2009||04/01/2001|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|CEREBYX 500 MG PE/10 ML VIA|10|ML|VIAL|IJ|ML|1|04/01/2001|12/31/2022| | || | |
00069600121||Q2009||04/01/2001|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|CEREBYX 500 MG PE/10 ML VIA|10|ML|VIAL|IJ|ML|1|04/01/2001|12/31/2022| | || | |
00069600125||Q2009||04/01/2001|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|CEREBYX 100 MG PE/2 ML VIAL|2|ML|VIAL|IJ|ML|1|04/01/2001|12/31/2022| | || | |
00904205661||Q0163||01/01/2011|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 50 MG CAPSULE|100|UN|BLIST PACK|PO|CAP|1|01/01/2011|12/31/3999| | || | |
68084060201||Q0175||08/15/2012|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|08/15/2012|12/31/3999| | || | |
00069541066||Q0177||01/01/2011|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|VISTARIL 25 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
52609300100||J9245||04/01/1995|09/30/2022|Injection, melphalan hydrochloride, 50 mg|ALKERAN 50 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/1995|09/30/2022| | || | |
67457019501||J9245||06/10/2009|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN HCL 50 MG VIAL|1|UN|VIAL|IV|EA|1|06/10/2009|12/31/3999| | || | |
67457021501||J9245||03/29/2010|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN HCL 50 MG VIAL|1|UN|VIAL|IV|EA|1|03/29/2010|12/31/3999| | || | |
00641613601||Q2009||08/01/2013|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 100 MG PE/2 ML VL|2|ML|VIAL|IJ|ML|1|08/01/2013|12/31/2022| | || | |
00641613625||Q2009||08/01/2013|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 100 MG PE/2 ML VL|2|ML|VIAL|IJ|ML|1|08/01/2013|12/31/2022| | || | |
00641613701||Q2009||08/01/2013|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 500 MG PE/10 ML|10|ML|VIAL|IJ|ML|1|08/01/2013|12/31/2022| | || | |
00641613710||Q2009||08/01/2013|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 500 MG PE/10 ML|10|ML|VIAL|IJ|ML|1|08/01/2013|12/31/2022| | || | |
00904530760||Q0163||01/01/2011|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|BANOPHEN 50 MG CAPSULE|100|UN|BOTTLE|PO|EA|1|01/01/2011|12/31/3999| | || | |
00904530780||Q0163||01/01/2011|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|BANOPHEN 50 MG CAPSULE|1000|UN|BOTTLE|PO|EA|1|01/01/2011|12/31/3999| | || | |
00555032302||Q0177||01/01/2011|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00555032304||Q0177||01/01/2011|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|500|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
66215030200||Q4074||01/01/2010|12/31/3999|Iloprost, inhalation solution, fda-approved final product, non-compounded, ...|VENTAVIS 10 MCG/1 ML SOLUTION|1|ML|AMPUL|IH|EA|1|01/01/2010|12/31/3999| | || | |
16103034711||Q0163||01/01/2011|04/01/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|PHARBEDRYL 50 MG CAPSULE|1000|UN|BOTTLE|PO|CAP|1|01/01/2011|04/01/2021| | || | |
10139006202||J9260||06/07/2007|12/31/2014|Methotrexate sodium, 50 mg|METHOTREXATE 50 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|5|06/07/2007|12/31/2014| | || | |
54436001004||J9260||01/06/2014|12/31/3999|Methotrexate sodium, 50 mg|OTREXUP 10 MG/0.4 ML AUTO-INJ|0.4|ML|SYRINGE|IJ|ML|1|01/06/2014|12/31/3999| | || | |
54436001504||J9260||01/06/2014|12/31/3999|Methotrexate sodium, 50 mg|OTREXUP 15 MG/0.4 ML AUTO-INJ|0.4|ML|SYRINGE|IJ|ML|1|01/06/2014|12/31/3999| | || | |
54436002004||J9260||01/06/2014|12/31/3999|Methotrexate sodium, 50 mg|OTREXUP 20 MG/0.4 ML AUTO-INJ|0.4|ML|SYRINGE|IJ|ML|1|01/06/2014|12/31/3999| | || | |
54436002504||J9260||01/06/2014|12/31/3999|Methotrexate sodium, 50 mg|OTREXUP 25 MG/0.4 ML AUTO-INJ|0.4|ML|SYRINGE|IJ|ML|1|01/06/2014|12/31/3999| | || | |
66215030230||Q4074||01/01/2010|12/31/3999|Iloprost, inhalation solution, fda-approved final product, non-compounded, ...|VENTAVIS 10 MCG/1 ML SOLUTION|1|ML|AMPUL|IH|EA|1|01/01/2010|12/31/3999| | || | |
66215030300||Q4074||01/01/2010|12/31/3999|Iloprost, inhalation solution, fda-approved final product, non-compounded, ...|VENTAVIS 20 MCG/1 ML SOLUTION|1|ML|AMPUL|IH|EA|1|01/01/2010|12/31/3999| | || | |
66215030330||Q4074||01/01/2010|12/31/3999|Iloprost, inhalation solution, fda-approved final product, non-compounded, ...|VENTAVIS 20 MCG/1 ML SOLUTION|1|ML|AMPUL|IH|EA|1|01/01/2010|12/31/3999| | || | |
24385043178||Q0163||01/01/2011|03/10/2022|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|NIGHTTIME SLEEP AID CPLT|100|UN|BOTTLE|PO|CAP|1|01/01/2011|03/10/2022| | || | |
00093220301||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 10 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00093220305||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 10 MG TABLET|500|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00093220310||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 10 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00093220401||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00093220405||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG TABLET|500|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00121057616||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG/5 ML SOLN|473|ML|BOTTLE|PO|ML|1|01/01/2011|12/31/3999| | || | |
00121157610||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 10 MG/10 ML SOL|10|ML|BLIST PACK|PO|ML|1|01/01/2011|12/31/3999| | || | |
59137050504||J9260||09/29/2014|12/31/3999|Methotrexate sodium, 50 mg|RASUVO 7.5 MG/0.15 ML AUTOINJ|0.15|ML|SYRINGE|IJ|EA|1|09/29/2014|12/31/3999| | || | |
59137051004||J9260||09/29/2014|12/31/3999|Methotrexate sodium, 50 mg|RASUVO 10 MG/0.2 ML AUTOINJ|0.2|ML|SYRINGE|IJ|EA|1|09/29/2014|12/31/3999| | || | |
59137051504||J9260||09/29/2014|12/31/3999|Methotrexate sodium, 50 mg|RASUVO 12.5 MG/0.25 ML AUTOINJ|0.25|ML|SYRINGE|IJ|EA|1|09/29/2014|12/31/3999| | || | |
59137052004||J9260||09/29/2014|12/31/3999|Methotrexate sodium, 50 mg|RASUVO 15 MG/0.3 ML AUTOINJ|0.3|ML|SYRINGE|IJ|EA|1|09/29/2014|12/31/3999| | || | |
59137052504||J9260||09/29/2014|12/31/3999|Methotrexate sodium, 50 mg|RASUVO 17.5 MG/0.35 ML AUTOINJ|0.35|ML|SYRINGE|IJ|EA|1|09/29/2014|12/31/3999| | || | |
59137053004||J9260||09/29/2014|12/31/3999|Methotrexate sodium, 50 mg|RASUVO 20 MG/0.4 ML AUTOINJ|0.4|ML|SYRINGE|IJ|EA|1|09/29/2014|12/31/3999| | || | |
59137053504||J9260||09/29/2014|12/31/3999|Methotrexate sodium, 50 mg|RASUVO 22.5 MG/0.45 ML AUTOINJ|0.45|ML|SYRINGE|IJ|EA|1|09/29/2014|12/31/3999| | || | |
59137054004||J9260||09/29/2014|12/31/3999|Methotrexate sodium, 50 mg|RASUVO 25 MG/0.5 ML AUTOINJ|0.5|ML|SYRINGE|IJ|EA|1|09/29/2014|12/31/3999| | || | |
59137055004||J9260||09/29/2014|12/31/3999|Methotrexate sodium, 50 mg|RASUVO 30 MG/0.6 ML AUTOINJ|0.6|ML|SYRINGE|IJ|EA|1|09/29/2014|12/31/3999| | || | |
00407270703||Q9956||01/01/2011|12/31/2021|Injection, octafluoropropane microspheres, per ml|OPTISON VIAL|3|ML|VIAL|IV|ML|1|01/01/2011|12/31/2021| | || | |
00407270703||Q9957||01/01/2011|12/31/2021|Injection, perflutren lipid microspheres, per ml|OPTISON VIAL|3|ML|VIAL|IV|ML|1|01/01/2011|12/31/2021| | || | |
11994001104||Q9957||01/01/2011|12/31/2021|Injection, perflutren lipid microspheres, per ml|DEFINITY 1.1 MG/ML VIAL|2|ML|VIAL|IV|ML|1|01/01/2011|12/31/2021| | || | |
11994001116||Q9957||01/01/2011|12/31/2021|Injection, perflutren lipid microspheres, per ml|DEFINITY 1.1 MG/ML VIAL|2|ML|VIAL|IV|ML|1|01/01/2011|12/31/2021| | || | |
37000050006||Q0163||06/25/2012|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ZZZQUIL 50 MG/30 ML LIQUID|177|ML|BOTTLE|PO|ML|1|06/25/2012|03/31/2016| | || | |
37000050012||Q0163||06/25/2012|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ZZZQUIL 50 MG/30 ML LIQUID|354|ML|BOTTLE|PO|ML|1|06/25/2012|03/31/2016| | || | |
46122020430||Q0163||10/01/2013|06/30/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SLEEP TIME 50 MG/30 ML LIQUID|177|ML|BOTTLE|PO|ML|1|10/01/2013|06/30/2020| | || | |
00781134501||Q0181||01/01/2011|09/30/2014|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|09/30/2014| | || | |
54838015440||Q0163||01/01/2011|03/01/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SILPHEN COUGH SYRUP|118|ML|BOTTLE|PO|ML|.05|01/01/2011|03/01/2020| | || | |
54838015470||Q0163||01/01/2011|03/01/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SILPHEN COUGH SYRUP|237|ML|BOTTLE|PO|ML|.05|01/01/2011|03/01/2020| | || | |
00409080101||J9268||07/20/2007|12/31/3999|Injection, pentostatin, 10 mg|NIPENT 10 MG VIAL|1|UN|VIAL|IV|EA|1|07/20/2007|12/31/3999| | || | |
16729011505||J9280||06/18/2009|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 5 MG VIAL|1|UN|VIAL|IV|EA|1|06/18/2009|12/31/3999| | || | |
16729024605||J9280||06/27/2013|04/30/2023|Injection, mitomycin, 5 mg|MITOMYCIN 5 MG VIAL|1|UN|VIAL|IV|EA|1|06/27/2013|04/30/2023| | || | |
00409175250||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.25%-EPI 0.0005 VIAL|50|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
00409904201||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE-EPI 0.25%-0.0005|10|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
00409904217||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE-EPI 0.25%-0.0005|30|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
00409904301||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE-EPI 0.25%-0.0005|50|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
00409904501||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE-EPI 0.5%-0.0005|10|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
00409904517||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE-EPI 0.5%-0.0005|30|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
00409904601||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE-EPI 0.5%-0.0005|50|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
54838015480||Q0163||01/01/2011|03/01/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SILPHEN COUGH SYRUP|473|ML|BOTTLE|PO|ML|.05|01/01/2011|03/01/2020| | || | |
00904205112||Q0181||01/01/2011|07/31/2021|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|DRIMINATE 50 MG TABLET|12|UN|BLIST PACK|PO|TAB|1|01/01/2011|07/31/2021| | || | |
00904205159||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|DRIMINATE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00002764001||J9305||01/10/2008|01/10/2008|Injection, pemetrexed, 10 mg|ALIMTA 100 MG VIAL|1|UN|VIAL|IV|EA|.1|01/10/2008|01/10/2008| | || | |
00703463601||J9320||08/15/1993|12/31/3999|Injection, streptozocin, 1 gram|ZANOSAR 1 GM POWDER VIAL|1|UN|VIAL|IV|EA|1|08/15/1993|12/31/3999| | || | |
55150017110||S0020||12/23/2013|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|1|12/23/2013|06/30/2023| | || | |
55150017230||S0020||12/23/2013|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|1|12/23/2013|06/30/2023| | || | |
63323046037||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-EPI 0.75%-0.0005|30|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
63323046157||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-EPI 0.25%-0.0005|50|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
63323046217||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAIN-MPF EPI 0.5%-0.0005|10|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
63323046231||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAIN-MPF EPI 0.5%-0.0005|30|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
63323046237||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAIN-MPF EPI 0.5%-0.0005|30|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
63323046357||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-EPI 0.5%-0.0005|50|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
66424002101||Q0163||01/01/2011|06/30/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 50 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|06/30/2020| | || | |
66424002110||Q0163||01/01/2011|06/30/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 50 MG CAPSULE|1000|UN|BOTTLE|PO|CAP|1|01/01/2011|06/30/2020| | || | |
00378510501||Q0164||01/01/2011|12/31/2020|Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emeti...|PROCHLORPERAZINE 5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/2020| | || | |
42747072601||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|SANCUSO 3.1 MG/24 HR PATCH|1|UN|BOX|TD|TDP|1|01/01/2011|12/31/3999| | || | |
63323046437||S0020||10/16/2003|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.25% VIAL|30|ML|VIAL|IJ|ML|1|10/16/2003|06/30/2023| | || | |
63323046817||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-EPI 0.25%-0.0005|10|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
63323046837||S0020||10/16/2003|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-EPI 0.25%-0.0005|30|ML|VIAL|IJ|ML|1|10/16/2003|03/31/2023| | || | |
59746011306||Q0164||01/01/2011|12/31/3999|Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emeti...|PROCHLORPERAZINE 5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
63323027810||J9360||09/30/1990|12/31/3999|Injection, vinblastine sulfate, 1 mg|VINBLASTINE 1 MG/ML VIAL|10|ML|VIAL|IV|ML|1|09/30/1990|12/31/3999| | || | |
00703440211||J9370||04/10/2000|12/31/3999|Vincristine sulfate, 1 mg|VINCRISTINE 1 MG/ML VIAL|1|ML|VIAL|IV|ML|1|04/10/2000|12/31/3999| | || | |
61703030906||J9370||01/01/1996|12/31/3999|Vincristine sulfate, 1 mg|VINCRISTINE 1 MG/ML VIAL|1|ML|VIAL|IV|ML|1|01/01/1996|12/31/3999| | || | |
61703030916||J9370||01/01/1996|12/31/3999|Vincristine sulfate, 1 mg|VINCRISTINE 2 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/01/1996|12/31/3999| | || | |
61703030925||J9370||01/01/1996|12/31/3999|Vincristine sulfate, 1 mg|VINCRISTINE 2 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/01/1996|12/31/3999| | || | |
61703030926||J9370||01/01/1996|12/31/3999|Vincristine sulfate, 1 mg|VINCRISTINE 1 MG/ML VIAL|1|ML|VIAL|IV|ML|1|01/01/1996|12/31/3999| | || | |
00703418201||J9390||02/03/2003|06/30/2023|Injection, vinorelbine tartrate, 10 mg|VINORELBINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|02/03/2003|06/30/2023| | || | |
00703418301||J9390||02/03/2003|06/30/2023|Injection, vinorelbine tartrate, 10 mg|VINORELBINE 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|02/03/2003|06/30/2023| | || | |
25021020401||J9390||10/01/2009|12/31/3999|Injection, vinorelbine tartrate, 10 mg|VINORELBINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|10/01/2009|12/31/3999| | || | |
25021020405||J9390||10/01/2009|12/31/3999|Injection, vinorelbine tartrate, 10 mg|VINORELBINE 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|10/01/2009|12/31/3999| | || | |
00054014308||Q0166||01/01/2011|08/31/2021|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|20|UN|BLIST PACK|PO|TAB|1|01/01/2011|08/31/2021| | || | |
00054014387||Q0166||01/01/2011|08/31/2021|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|2|UN|BOTTLE|PO|TAB|1|01/01/2011|08/31/2021| | || | |
51672413806||Q0166||05/25/2011|12/01/2019|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|20|UN|BOTTLE|PO|TAB|1|05/25/2011|12/01/2019| | || | |
51991073520||Q0166||01/01/2011|12/31/3999|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|20|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
51991073532||Q0166||01/01/2011|12/31/3999|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|2|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
51079051901||Q0181||01/01/2011|01/31/2021|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|CHLORPROMAZINE 25 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|01/31/2021| | || | |
51079051920||Q0181||01/01/2011|01/31/2021|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|CHLORPROMAZINE 25 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|01/31/2021| | || | |
67457044800||S0028||09/24/2014|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|09/24/2014|12/31/3999| | || | |
67457044843||S0028||09/24/2014|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|09/24/2014|12/31/3999| | || | |
39822061501||S0142||01/01/2014|01/02/2014|Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2014|01/02/2014| | || | |
39822061502||S0142||01/01/2014|01/02/2014|Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2014|01/02/2014| | || | |
42023013101||S0142||01/01/2014|01/02/2014|Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2014|01/02/2014| | || | |
42023013106||S0142||01/01/2014|01/02/2014|Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2014|01/02/2014| | || | |
63323039306||S0142||01/01/2014|01/02/2014|Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2014|01/02/2014| | || | |
00004035009||S0145||08/10/2005|12/31/3999|Injection, pegylated interferon alfa-2a, 180 mcg per ml|PEGASYS 180 MCG/ML VIAL|1|ML|VIAL|SQ|ML|1|08/10/2005|12/31/3999| | || | |
00051002121||Q0167||01/01/2011|03/31/2021|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|MARINOL 2.5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|01/01/2011|03/31/2021| | || | |
51079062901||Q0181||01/01/2011|09/30/2017|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|09/30/2017| | || | |
51079062920||Q0181||01/01/2011|09/30/2017|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|09/30/2017| | || | |
51079088801||Q0181||02/05/2014|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 10 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|02/05/2014|12/31/3999| | || | |
51079088820||Q0181||02/05/2014|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 10 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|02/05/2014|12/31/3999| | || | |
59746012106||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
59746012110||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
59746012206||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
59746012210||Q0181||01/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00378967130||J7620||06/19/2013|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|06/19/2013|12/31/3999| | || | |
67457025430||J9025||05/23/2016|08/31/2020|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|05/23/2016|08/31/2020| | || | |
00703424481||J9045||05/04/2006|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|05/04/2006|12/31/3999| | || | |
00409174970||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.5%-EPI 1:200,000|10|ML|VIAL|IJ|ML|3|10/28/2004|03/31/2023| | || | |
00002882427||S5550||01/01/2011|12/31/3999|Insulin, rapid onset, 5 units|HUMULIN R 500 UNITS/ML KWIK|3|ML|SYRINGE|SQ|ML|.01|01/01/2011|12/31/3999| | || | |
45963079056||J9171||03/28/2015|02/28/2021|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.05|03/28/2015|02/28/2021| | || | |
68001026628||J9190||04/13/2015|06/30/2023|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|04/13/2015|06/30/2023| | || | |
68001028223||J9201||06/08/2016|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|F2|VIAL|IV|AHF|.2|06/08/2016|12/31/3999| | || | |
00781315894||J0583||05/01/2005|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|05/01/2005|12/31/3999| | || | |
00259162001||J0588||01/25/2016|12/31/3999|Injection, incobotulinumtoxin a, 1 unit|XEOMIN 200 UNIT VIAL|1|UN|VIAL|IM|EA|.005|01/25/2016|12/31/3999| | || | |
00409162610||J0595||05/01/2005|04/01/2021|Injection, butorphanol tartrate, 1 mg|BUTORPHANOL 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/01/2005|04/01/2021| | || | |
68001028225||J9201||06/08/2016|08/27/2020|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|F2|VIAL|IV|AHF|1|06/08/2016|08/27/2020| | || | |
55513054601||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|IJ|ML|.0033|01/01/2016|01/02/2016| | || | |
55513092410||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.0016|01/01/2016|01/02/2016| | || | |
00409651001||J3370||02/16/2016|08/01/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|02/16/2016|08/01/2023| | || | |
66758005001||J9171||02/16/2016|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|02/16/2016|12/31/3999| | || | |
17478034038||J7682||02/16/2016|02/16/2016|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPULE|5|ML|AMPUL|OP|ML|5|02/16/2016|02/16/2016| | || | |
00143956501||J9340||09/01/2015|12/31/3999|Thiotepa injection|THIOTEPA 15 MG VIAL|1|UN|VIAL|IJ|ML|1|09/01/2015|12/31/3999| | || | |
45963062458||J9201||04/18/2016|01/31/2021|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 1 GRAM/26.3 ML|26.3|ML|VIAL|IV|ML|5.26|04/18/2016|01/31/2021| | || | |
63323010294||J9201||01/25/2011|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|UN|VIAL|IV|EA|1|01/25/2011|12/31/3999| | || | |
63323012594||J9201||01/25/2011|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IV|EA|.2|01/25/2011|12/31/3999| | || | |
68001028222||J9201||06/08/2016|08/27/2020|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|F2|VIAL|IV|AHF|1|06/08/2016|08/27/2020| | || | |
68001028226||J9201||06/08/2016|03/31/2023|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|F2|VIAL|IV|AHF|.2|06/08/2016|03/31/2023| | || | |
00143958301||J9206||05/25/2016|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|05/25/2016|12/31/3999| | || | |
55150023930||J1100||02/19/2016|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 120 MG/30 ML|30|ML|VIAL|IJ|EA|.25|02/19/2016|12/31/3999| | || | |
63323016526||J1100||04/01/1998|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VI|5|ML|VIAL|IJ|ML|.25|04/01/1998|12/31/3999| | || | |
00409468818||J1450||10/28/2004|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 200 MG/100|100|ML|FLEX CONT|IV|ML|100|10/28/2004|12/31/3999| | || | |
00409468822||J1450||10/28/2004|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 200 MG/100|100|ML|FLEX CONT|IV|ML|100|10/28/2004|12/31/3999| | || | |
63323059303||J1610||02/22/2016|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGON 1 MG VIAL|1|UN|VIAL|IJ|EA|1|02/22/2016|12/31/2022| | || | |
63323059403||J1610||02/22/2016|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGON 1 MG VIAL|1|UN|VIAL|IJ|EA|1|02/22/2016|12/31/2022| | || | |
00409128031||J1642||10/28/2004|12/31/2014|Injection, heparin sodium, (heparin lock flush), per 10 units|HEPARIN LOCK FLUSH 10 UNITS|1|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/2014| | || | |
00069315084||J0456||02/01/2000|12/31/3999|Injection, azithromycin, 500 mg|ZITHROMAX I.V. 500 MG VIAL|1|UN|VIAL|IV|EA|1|02/01/2000|12/31/3999| | || | |
55150011310||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|02/15/2017|12/31/3999| | || | |
55150011599||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|02/15/2017|12/31/3999| | || | |
55150011420||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|02/15/2017|12/31/3999| | || | |
59148001871||J0401||02/15/2017|12/31/3999|Injection, aripiprazole, extended release, 1 mg|ABILIFY MAINTENA ER 300 MG VL|1|UN|VIAL|IM|EA|.00333|02/15/2017|12/31/3999| | || | |
59148001971||J0401||02/15/2017|12/31/3999|Injection, aripiprazole, extended release, 1 mg|ABILIFY MAINTENA ER 400 MG VL|1|UN|VIAL|IM|EA|.0025|02/15/2017|12/31/3999| | || | |
00409163010||J0461||02/15/2017|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.1 MG/ML SYRINGE|10|ML|SYRINGE|IJ|ML|.1|02/15/2017|12/31/3999| | || | |
00409963005||J0461||02/15/2017|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.05 MG/ML SYRINGE|5|ML|SYRINGE|IJ|ML|.2|02/15/2017|12/31/3999| | || | |
00517040125||J0461||02/15/2017|07/01/2023|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.025|02/15/2017|07/01/2023| | || | |
00517101025||J0461||02/15/2017|07/01/2023|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|.01|02/15/2017|07/01/2023| | || | |
00641600601||J0461||02/15/2017|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 8 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|.025|02/15/2017|12/31/3999| | || | |
00641600610||J0461||02/15/2017|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 8 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|.025|02/15/2017|12/31/3999| | || | |
10019025139||J0461||02/15/2017|02/15/2017|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|.01|02/15/2017|02/15/2017| | || | |
76329333901||J0461||02/15/2017|03/31/2022|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.1 MG/ML SYRINGE|10|ML|SYRINGE|IJ|ML|.1|02/15/2017|03/31/2022| | || | |
45945015702||J0476||02/15/2017|04/01/2020|Injection, baclofen, 50 mcg for intrathecal trial|GABLOFEN 40,000 MCG/20 ML VIAL|20|ML|VIAL|IT|ML|.025|02/15/2017|04/01/2020| | || | |
45945015702||J0475||02/15/2017|04/01/2020|Injection, baclofen, 10 mg|GABLOFEN 40,000 MCG/20 ML VIAL|20|ML|VIAL|IT|ML|5|02/15/2017|04/01/2020| | || | |
76075010201||J9047||07/18/2016|12/31/3999|Injection, carfilzomib, 1 mg|KYPROLIS 30 MG VIAL|1|UN|VIAL|IV|EA|.0333|07/18/2016|12/31/3999| | || | |
00781940195||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 125 MG VIAL|1|UN|VIAL|IJ|ML|4|02/15/2017|12/31/3999| | || | |
00781340295||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|ML|2|02/15/2017|12/31/3999| | || | |
00781941315||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM A-V VIAL|1|UN|VIAL|IV|ML|.25|02/15/2017|12/31/3999| | || | |
00781941392||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM A-V VIAL|1|UN|VIAL|IV|ML|.25|02/15/2017|12/31/3999| | || | |
25021013610||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|GM|.5|02/15/2017|12/31/3999| | || | |
44567010410||J0290||02/15/2017|03/31/2023|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|02/15/2017|03/31/2023| | || | |
55150011110||J0290||02/15/2017|03/31/2023|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|02/15/2017|03/31/2023| | || | |
58914008052||J0500||02/15/2017|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|BENTYL 10 MG/ML AMPUL|2|ML|AMPUL|IM|ML|2|02/15/2017|12/31/3999| | || | |
00003037113||J0485||02/15/2017|12/31/3999|Injection, belatacept, 1 mg|NULOJIX 250 MG VIAL|1|UN|VIAL|IV|EA|.004|02/15/2017|12/31/3999| | || | |
00078066913||J9302||01/01/2011|12/31/3999|Injection, ofatumumab, 10 mg|ARZERRA 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|01/01/2011|12/31/3999| | || | |
00078069061||J9302||01/01/2011|12/31/3999|Injection, ofatumumab, 10 mg|ARZERRA 1,000 MG/50 ML VIAL|50|ML|VIAL|IV|ML|.5|01/01/2011|12/31/3999| | || | |
39822035305||J2010||01/25/2016|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOMYCIN HCL 3 GM/10 ML V|10|ML|VIAL|IJ|ML|1|01/25/2016|12/31/3999| | || | |
39822103001||J1741||04/28/2016|06/30/2023|Injection, ibuprofen, 100 mg|IBUPROFEN LYSINE 20 MG/2 ML|2|ML|VIAL|IV|ML|10|04/28/2016|06/30/2023| | || | |
39822035306||J2010||01/25/2016|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOMYCIN HCL 3 GM/10 ML V|10|ML|VIAL|IJ|ML|1|01/25/2016|12/31/3999| | || | |
00641613225||J2310||11/12/2015|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|11/12/2015|12/31/3999| | || | |
60505613005||J2405||05/27/2016|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|05/27/2016|12/31/3999| | || | |
63739094215||J1644||09/08/2014|09/30/2022|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|09/08/2014|09/30/2022| | || | |
63739095311||J1644||07/31/2014|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|07/31/2014|12/31/3999| | || | |
67457059400||J1652||02/05/2009|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|ARIXTRA 7.5 MG/0.6 ML SYRIN|.6|ML|SYRINGE|SQ|EA|.04|02/05/2009|12/31/3999| | || | |
00187430305||J0300||01/21/2009|12/31/3999|Injection, amobarbital, up to 125 mg|AMYTAL SODIUM 0.5 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|01/21/2009|12/31/3999| | || | |
67457029100||J0360||04/28/2016|09/30/2022|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/28/2016|09/30/2022| | || | |
67457029101||J0360||04/28/2016|09/30/2022|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/28/2016|09/30/2022| | || | |
39822103002||J1741||04/28/2016|06/30/2023|Injection, ibuprofen, 100 mg|IBUPROFEN LYSINE 20 MG/2 ML|2|ML|VIAL|IV|ML|10|04/28/2016|06/30/2023| | || | |
66993049036||J1741||07/24/2006|06/30/2023|Injection, ibuprofen, 100 mg|IBUPROFEN LYSINE 20 MG/2 ML|2|ML|VIAL|IV|ML|10|07/24/2006|06/30/2023| | || | |
39822035001||J2010||01/25/2016|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOMYCIN HCL 600 MG/2 ML|2|ML|VIAL|IJ|ML|1|01/25/2016|12/31/3999| | || | |
39822035002||J2010||01/25/2016|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOMYCIN HCL 600 MG/2 ML|2|ML|VIAL|IJ|ML|1|01/25/2016|12/31/3999| | || | |
00409230721||J2250||10/28/2004|09/30/2021|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 5 MG/ML ISECURE S|1|ML|SYRINGE|IJ|ML|.2|10/28/2004|09/30/2021| | || | |
63739090114||J1644||11/19/2014|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|11/19/2014|12/31/3999| | || | |
63739092011||J1644||09/08/2014|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|09/08/2014|12/31/3999| | || | |
63739096411||J1644||09/08/2014|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|09/08/2014|12/31/3999| | || | |
63739098611||J1644||11/19/2014|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|11/19/2014|12/31/3999| | || | |
67457059406||J1652||02/05/2009|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|ARIXTRA 7.5 MG/0.6 ML SYRIN|.6|ML|SYRINGE|SQ|EA|.04|02/05/2009|12/31/3999| | || | |
67457052300||J2543||06/02/2016|07/31/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|06/02/2016|07/31/2021| | || | |
67457052345||J2543||06/02/2016|07/31/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|06/02/2016|07/31/2021| | || | |
63323041536||J2710||03/27/2015|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|03/27/2015|12/31/3999| | || | |
58468003002||J3240||04/01/2016|12/31/3999|Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial|THYROGEN 1.1 MG VIAL|1|UN|VIAL|IM|EA|1|04/01/2016|12/31/3999| | || | |
17478032745||J3489||08/23/2015|04/30/2020|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|EA|1.25|08/23/2015|04/30/2020| | || | |
00409114401||J3490||10/28/2004|09/30/2013|Unclassified drugs|VERAPAMIL 2.5 MG/ML VIAL|2|ML|VIAL|IV|ML|1|10/28/2004|09/30/2013| | || | |
00409155564||J3490||10/28/2004|12/31/3999|Unclassified drugs|HEXTEND 6%-LACT ELEC BAG|500|ML|BAG|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409409309||J3490||10/28/2004|12/31/3999|Unclassified drugs|CHROMIUM CL 40 MCG/10 ML VI|10|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409409310||J3490||10/28/2004|12/31/3999|Unclassified drugs|CHROMIUM CL 40 MCG/10 ML VI|10|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
67457052100||J2543||06/23/2016|04/30/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|06/23/2016|04/30/2021| | || | |
00409350511||J2185||06/24/2010|03/31/2020|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|06/24/2010|03/31/2020| | || | |
55513022201||J2796||10/15/2016|12/31/3999|Injection, romiplostim, 10 micrograms|NPLATE 500 MCG VIAL|1|UN|VIAL|SQ|EA|.02|10/15/2016|12/31/3999| | || | |
00641613201||J2310||11/12/2015|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|11/12/2015|12/31/3999| | || | |
50474097075||J3490||06/07/2016|12/31/3999|Unclassified drugs|BRIVIACT 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|06/07/2016|12/31/3999| | || | |
55150019410||J3490||02/12/2016|06/30/2023|Unclassified drugs|ESMOLOL HCL 100 MG/10 ML VI|10|ML|VIAL|IV|EA|1|02/12/2016|06/30/2023| | || | |
63323036711||J3490||01/04/2016|08/31/2022|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|01/04/2016|08/31/2022| | || | |
68682001227||J3490||03/31/2007|09/30/2023|Unclassified drugs|ETHACRYNATE SODIUM 50 MG VI|1|UN|VIAL|IV|EA|1|03/31/2007|09/30/2023| | || | |
76431021001||J3490||06/02/2014|12/31/3999|Unclassified drugs|MYALEPT 11.3 MG (5 MG/ML) V|1|UN|VIAL|SQ|EA|1|06/02/2014|12/31/3999| | || | |
00002144511||J3590||04/15/2016|12/31/3999|Unclassified Biologics|TALTZ 80 MG/ML AUTOINJECTOR|1|ML|SYRINGE|SQ|ML|1|04/15/2016|12/31/3999| | || | |
00002772411||J3590||04/25/2016|12/31/3999|Unclassified Biologics|TALTZ 80 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|1|04/25/2016|12/31/3999| | || | |
00338954304||J7050||01/01/1991|01/02/1991|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% 500 ML|500|ML|FLEX CONT|IV|ML|.5|01/01/1991|01/02/1991| | || | |
00338954306||J7050||01/01/1991|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% 1,000|1000|ML|FLEX CONT|IV|ML|.25|01/01/1991|12/31/3999| | || | |
00143956601||J7501||04/21/2016|12/31/3999|Azathioprine, parenteral, 100 mg|AZATHIOPRINE SOD 100 MG VIA|1|UN|VIAL|IJ|ML|1|04/21/2016|12/31/3999| | || | |
00378967131||J7620||06/19/2013|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|06/19/2013|12/31/3999| | || | |
00378967160||J7620||06/19/2013|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|06/19/2013|12/31/3999| | || | |
00023585801||J7297||01/01/2016|12/31/3999|Levonorgestrel iu 52mg 3 yr|LILETTA 52 MG SYSTEM|1|UN|BOX|IY|EA|1|01/01/2016|12/31/3999| | || | |
00781940946||J0290||02/23/2006|07/31/2024|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|.05|02/23/2006|07/31/2024| | || | |
61755000502||J0178||02/15/2017|12/31/3999|Injection, aflibercept, 1 mg|EYLEA 2 MG/0.05 ML VIAL|0.05|ML|VIAL|IO|ML|.025|02/15/2017|12/31/3999| | || | |
62935045345||J1950||02/15/2017|02/16/2017|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|ELIGARD 45 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|.0833|02/15/2017|02/16/2017| | || | |
00024584101||J9400||02/15/2017|12/31/3999|Injection, ziv-aflibercept, 1 mg|ZALTRAP 200 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.04|02/15/2017|12/31/3999| | || | |
00781940495||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|02/15/2017|12/31/3999| | || | |
55513022101||J2796||10/15/2016|12/31/3999|Injection, romiplostim, 10 micrograms|NPLATE 250 MCG VIAL|1|UN|VIAL|SQ|EA|.04|10/15/2016|12/31/3999| | || | |
00641617310||J0500||03/23/2016|04/30/2021|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|03/23/2016|04/30/2021| | || | |
00299596230||J0586||01/01/2010|06/30/2023|Injection, abobotulinumtoxina, 5 units|DYSPORT 300 UNIT VIAL|1|UN|VIAL|IM|EA|.0166|01/01/2010|06/30/2023| | || | |
00409162609||J0595||05/01/2005|04/01/2021|Injection, butorphanol tartrate, 1 mg|BUTORPHANOL 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/01/2005|04/01/2021| | || | |
00409021711||J0692||10/28/2004|09/30/2020|Injection, cefepime hydrochloride, 500 mg|MAXIPIME 1 GM ADD-VANTAGE V|1|UN|VIAL|IV|EA|.5|10/28/2004|09/30/2020| | || | |
00409022011||J0692||10/28/2004|09/30/2020|Injection, cefepime hydrochloride, 500 mg|MAXIPIME 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|10/28/2004|09/30/2020| | || | |
00143987701||J0694||09/01/2010|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 2 GM VIAL|1|UN|VIAL|IV|GM|.5|09/01/2010|12/31/3999| | || | |
00143987801||J0694||09/01/2010|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM VIAL|1|UN|VIAL|IV|GM|1|09/01/2010|12/31/3999| | || | |
55150023701||J1100||02/19/2016|03/31/2023|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|EA|.25|02/19/2016|03/31/2023| | || | |
55150023805||J1100||02/19/2016|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VI|5|ML|VIAL|IJ|EA|.25|02/19/2016|12/31/3999| | || | |
63323016516||J1100||04/01/1998|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|04/01/1998|12/31/3999| | || | |
63323050616||J1100||05/29/2003|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|05/29/2003|12/31/3999| | || | |
67457052122||J2543||06/23/2016|04/30/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|06/23/2016|04/30/2021| | || | |
63323081502||J0278||03/21/2016|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|03/21/2016|12/31/3999| | || | |
63323081504||J0278||03/21/2016|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1,000 MG/4 ML|4|ML|VIAL|IJ|ML|.4|03/21/2016|12/31/3999| | || | |
00781340485||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|02/15/2017|12/31/3999| | || | |
00781340895||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|ML|.25|02/15/2017|12/31/3999| | || | |
00781341392||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM A-V VIAL|1|UN|VIAL|IV|ML|.25|02/15/2017|12/31/3999| | || | |
00781940178||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 125 MG VIAL|1|UN|VIAL|IJ|ML|4|02/15/2017|12/31/3999| | || | |
00781940295||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|ML|2|02/15/2017|12/31/3999| | || | |
00781940895||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|ML|.25|02/15/2017|12/31/3999| | || | |
63833061502||J7186||01/01/2009|01/02/2009|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|HUMATE-P 600 UNIT VWF:RCO|1|UN|KIT|IV|AHF|.001667|01/01/2009|01/02/2009| | || | |
63833061602||J7186||06/12/2009|06/13/2009|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|HUMATE-P 1,200 UNIT VWF:RCO|1|UN|KIT|IV|AHF|.000833|06/12/2009|06/13/2009| | || | |
63459091015||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SAFE|.5|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
63459091215||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SAFE|.8|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
65162052111||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
00597005345||J1610||02/16/2016|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGEN DIAGNOSTIC 1 MG VI|1|UN|VIAL|IJ|EA|1|02/16/2016|12/31/2022| | || | |
00597026010||J1610||02/16/2016|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGEN DIAGNOSTIC 1 MG VI|1|UN|VIAL|IJ|EA|1|02/16/2016|12/31/2022| | || | |
00113047978||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY RELIEF 25 MG TABLET|100|UN|BOTTLE|PO|TAB|2|02/16/2016|12/31/3999| | || | |
00006302602||J9271||01/01/2016|12/31/3999|Inj pembrolizumab|KEYTRUDA 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.04|01/01/2016|12/31/3999| | || | |
00003377211||J9299||01/01/2016|12/31/3999|Injection, nivolumab|OPDIVO 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.1|01/01/2016|12/31/3999| | || | |
00003377412||J9299||01/01/2016|12/31/3999|Injection, nivolumab|OPDIVO 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|01/01/2016|12/31/3999| | || | |
00113043162||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|NIGHTTIME SLEEP AID 25 MG CPLT|24|UN|BLIST PACK|PO|TAB|2|02/16/2016|12/31/3999| | || | |
00113046262||Q0163||02/16/2016|11/12/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY RELIEF 25 MG CAPSULE|24|UN|BLIST PACK|PO|CAP|2|02/16/2016|11/12/2021| | || | |
57894042101||J2860||01/01/2016|01/31/2021|Injection, siltuximab|SYLVANT 400 MG VIAL|1|UN|VIAL|IV|EA|.025|01/01/2016|01/31/2021| | || | |
00469042099||J1833||01/01/2016|06/23/2024|Injection, isavuconazonium|CRESEMBA 372 MG VIAL|1|UN|VIAL|IV|EA|.0026|01/01/2016|06/23/2024| | || | |
67919004001||J3090||01/01/2016|07/31/2022|Inj tedizolid phosphate|SIVEXTRO 200 MG VIAL|1|UN|VIAL|IV|EA|.005|01/01/2016|07/31/2022| | || | |
67457045010||J9065||06/18/2014|12/31/2022|Injection, cladribine, per 1 mg|CLADRIBINE 10 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|06/18/2014|12/31/2022| | || | |
63833061702||J7186||01/01/2009|01/02/2009|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|HUMATE-P 2,400 UNIT VWF:RCO|1|UN|KIT|IV|AHF|.0004167|01/01/2009|01/02/2009| | || | |
00904427451||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SLEEP TABS 25 MG TABLET|50|UN|BOTTLE|PO|TAB|2|02/16/2016|12/31/3999| | || | |
49483006110||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ANTIHISTAMINE 25 MG|1000|UN|BO|PO|EA|2|02/16/2016|12/31/3999| | || | |
49483006101||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ANTIHISTAMINE 25 MG|100|UN|BO|PO|EA|2|02/16/2016|12/31/3999| | || | |
49348004537||Q0163||02/16/2016|10/31/2023|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SM ALLERGY RELIEF 12.5 MG/5 ML|237|ML|BOTTLE|PO|ML|20|02/16/2016|10/31/2023| | || | |
00591530701||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
36800043162||Q0163||02/16/2016|06/30/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|NIGHTTIME SLEEP AID 25 MG CPLT|24|UN|BLIST PACK|PO|CAP|2|02/16/2016|06/30/2021| | || | |
37000050112||Q0163||02/16/2016|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ZZZQUIL 25 MG LIQUICAP|12|UN|BLIST PACK|PO|EA|2|02/16/2016|03/31/2016| | || | |
36800046262||Q0163||02/16/2016|02/17/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY 25 MG CAPSULE|24|UN|BLIST PACK|PO|CAP|2|02/16/2016|02/17/2016| | || | |
36800037926||Q0163||02/16/2016|06/30/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|CHILD'S ALLERGY 12.5 MG/5 ML|118|ML|BOTTLE|PO|GM|20|02/16/2016|06/30/2021| | || | |
36800047962||Q0163||02/16/2016|06/30/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY 25 MG TABLET|24|UN|BLIST PACK|PO|TAB|2|02/16/2016|06/30/2021| | || | |
36800043167||Q0163||02/16/2016|06/30/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|NIGHTTIME SLEEP AID 25 MG CPLT|48|UN|BLIST PACK|PO|CAP|2|02/16/2016|06/30/2021| | || | |
36800047978||Q0163||02/16/2016|06/30/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY 25 MG TABLET|100|UN|BOTTLE|PO|TAB|2|02/16/2016|06/30/2021| | || | |
36800046267||Q0163||02/16/2016|02/17/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY 25 MG CAPSULE|48|UN|BLIST PACK|PO|CAP|2|02/16/2016|02/17/2016| | || | |
36800047967||Q0163||02/16/2016|06/30/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY 25 MG TABLET|48|UN|BLIST PACK|PO|TAB|2|02/16/2016|06/30/2021| | || | |
37000050172||Q0163||02/16/2016|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ZZZQUIL 25 MG LIQUICAP|72|UN|BLIST PACK|PO|EA|2|02/16/2016|03/31/2016| | || | |
54838013570||Q0163||02/16/2016|01/27/2024|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SILADRYL 12.5 MG/5 ML LIQUID|240|ML|BOTTLE|PO|ML|20|02/16/2016|01/27/2024| | || | |
63868099524||Q0163||02/16/2016|02/17/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|QUALITY CHOICE DYE-FREE ALLERGY MEDICINE (DYE-FREE,SOFTGEL) 25 MG|24|UN|BX|PO|EA|2|02/16/2016|02/17/2016| | || | |
00904555159||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|BANOPHEN 25 MG TABLET|100|UN|BLIST PACK|PO|EA|2|02/16/2016|12/31/3999| | || | |
00430054050||S4993||03/27/2006|12/31/3999|Contraceptive pills for birth control|MINASTRIN 24 FE CHEWABLE TA|28|UN|BLIST PACK|PO|TAB|1|03/27/2006|12/31/3999| | || | |
50102012801||S4993||01/07/2015|12/31/3999|Contraceptive pills for birth control|TARINA FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/07/2015|12/31/3999| | || | |
51285012570||S4993||02/26/2015|12/31/3999|Contraceptive pills for birth control|LOESTRIN FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/26/2015|12/31/3999| | || | |
51285012797||S4993||02/26/2015|12/31/3999|Contraceptive pills for birth control|LOESTRIN 21 1.5-30 TABLET|21|UN|BLIST PACK|PO|TAB|1|02/26/2015|12/31/3999| | || | |
52544006431||S4993||04/25/2011|12/31/3999|Contraceptive pills for birth control|LAYOLIS FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|04/25/2011|12/31/3999| | || | |
68180088611||S4993||07/23/2014|12/03/2021|Contraceptive pills for birth control|NIKKI 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/23/2014|12/03/2021| | || | |
00338007704||J7042||04/16/2016|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-SOD CHLORIDE 0.2%|1000|ML|BAG|IV|ML|.5|04/16/2016|12/31/3999| | || | |
00904122800||Q0163||02/16/2016|01/31/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|BANOPHEN ALLERGY 12.5 MG/5 ML|118|ML|BOTTLE|PO|ML|20|02/16/2016|01/31/2021| | || | |
55513053001||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.0033|01/01/2016|01/02/2016| | || | |
55513092491||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.0016|01/01/2016|01/02/2016| | || | |
55513053010||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.0033|01/01/2016|01/02/2016| | || | |
57664010818||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
55513054610||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|IJ|ML|.0033|01/01/2016|01/02/2016| | || | |
55513092401||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.0016|01/01/2016|01/02/2016| | || | |
63459091012||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SAFE|.5|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
63459091017||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SYRIN|.5|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
63459091036||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SYRIN|.5|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
63459091217||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SYRIN|.8|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
00944251002||J1575||01/01/2016|12/31/3999|Hyqvia 100mg immuneglobulin|HYQVIA 2.5 GM/200 UNIT VIAL|26.25|ML|VIAL|SQ|GM|1|01/01/2016|12/31/3999| | || | |
00944251102||J1575||01/01/2016|12/31/3999|Hyqvia 100mg immuneglobulin|HYQVIA 5 GM/400 UNIT VIAL|52.5|ML|VIAL|SQ|GM|1|01/01/2016|12/31/3999| | || | |
00944251402||J1575||01/01/2016|12/31/3999|Hyqvia 100mg immuneglobulin|HYQVIA 30 GM/2,400 UNIT VIAL|315|ML|VIAL|SQ|GM|1|01/01/2016|12/31/3999| | || | |
00904555124||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|BANOPHEN 25 MG TABLET|24|UN|BLIST PACK|PO|EA|2|02/16/2016|12/31/3999| | || | |
00591530710||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
57664010888||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
55150012030||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM VL|1|UN|VIAL|IV|EA|.333|02/16/2016|12/31/3999| | || | |
55150011720||J0295||02/16/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM VIAL|1|UN|VIAL|IJ|EA|.5|02/16/2016|12/31/3999| | || | |
63739021310||Q0169||02/16/2016|07/31/2023|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BLIST PACK|PO|TAB|.5|02/16/2016|07/31/2023| | || | |
65162052210||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|02/16/2016|12/31/3999| | || | |
64764030020||J3380||01/01/2016|01/02/2016|Injection, vedolizumab|ENTYVIO 300 MG VIAL|1|UN|VIAL|IJ|EA|.003|01/01/2016|01/02/2016| | || | |
68001016200||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
68001016208||Q0169||02/16/2016|08/14/2025|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|.5|02/16/2016|08/14/2025| | || | |
68001016300||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|02/16/2016|12/31/3999| | || | |
47335004640||J9263||02/16/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|02/16/2016|12/31/3999| | || | |
68462063784||S4993||04/22/2015|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRA 0.09-0.02|28|UN|BLIST PACK|PO|TAB|1|04/22/2015|12/31/3999| | || | |
68462064691||S4993||03/16/2015|12/31/3999|Contraceptive pills for birth control|ASHLYNA 0.15-0.03-0.01 MG T|91|UN|BLIST PACK|PO|TAB|1|03/16/2015|12/31/3999| | || | |
68462064693||S4993||03/16/2015|12/31/3999|Contraceptive pills for birth control|ASHLYNA 0.15-0.03-0.01 MG T|91|UN|BLIST PACK|PO|TAB|1|03/16/2015|12/31/3999| | || | |
68462065729||S4993||06/03/2015|12/31/3999|Contraceptive pills for birth control|NORETHIN-ETH ESTRAD 1 MG-5|28|UN|BLIST PACK|PO|TAB|1|06/03/2015|12/31/3999| | || | |
68462065784||S4993||06/03/2015|12/31/3999|Contraceptive pills for birth control|NORETHIN-ETH ESTRAD 1 MG-5|28|UN|BLIST PACK|PO|TAB|1|06/03/2015|12/31/3999| | || | |
47335028440||J9045||02/02/2015|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VI|60|ML|VIAL|IV|ML|5|02/02/2015|12/31/3999| | || | |
47335030040||J9045||12/12/2014|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|12/12/2014|12/31/3999| | || | |
00641616610||J0278||12/02/2015|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1 GRAM/4 ML V|4|ML|VIAL|IJ|ML|.4|12/02/2015|12/31/3999| | || | |
00703424681||J9045||05/01/2006|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 150 MG/15 ML VI|15|ML|VIAL|IV|ML|5|05/01/2006|12/31/3999| | || | |
00641616710||J0278||12/02/2015|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|12/02/2015|12/31/3999| | || | |
16729027603||J9190||03/14/2014|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|03/14/2014|12/31/3999| | || | |
63323029566||J3370||04/01/1998|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|04/01/1998|12/31/3999| | || | |
00049392020||J3486||01/01/2011|12/31/3999|Injection, ziprasidone mesylate, 10 mg|GEODON 20 MG/ML VIAL|1|UN|VIAL|IM|EA|.5|01/01/2011|12/31/3999| | || | |
00781910572||S0166||12/11/2015|12/31/3999|Injection, olanzapine, 2.5 mg|OLANZAPINE 10 MG VIAL|1|UN|VIAL|IJ|EA|.25|12/11/2015|12/31/3999| | || | |
61703036318||J9263||02/16/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|02/16/2016|12/31/3999| | || | |
55150011930||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM VL|1|UN|VIAL|IV|EA|.5|02/16/2016|12/31/3999| | || | |
67919003001||J0695||01/01/2016|12/31/3999|Inj ceftolozane tazobactam|ZERBAXA 1.5 GRAM VIAL|1|UN|VIAL|IV|EA|.05|01/01/2016|12/31/3999| | || | |
00944251302||J1575||01/01/2016|12/31/3999|Hyqvia 100mg immuneglobulin|HYQVIA 20 GM/1,600 UNIT VIAL|210|ML|VIAL|SQ|GM|1|01/01/2016|12/31/3999| | || | |
00904203524||Q0163||02/16/2016|08/31/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|BANOPHEN 25 MG CAPSULE|24|UN|BOTTLE|PO|CAP|2|02/16/2016|08/31/2021| | || | |
00002766901||J9308||01/01/2016|12/31/3999|Injection, ramucirumab|CYRAMZA 100 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.5|01/01/2016|12/31/3999| | || | |
00002767801||J9308||01/01/2016|12/31/3999|Injection, ramucirumab|CYRAMZA 500 MG/50 ML VIAL|50|ML|VIAL|IJ|ML|.5|01/01/2016|12/31/3999| | || | |
00113047962||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY RELIEF 25 MG TABLET|24|UN|BOTTLE|PO|TAB|2|02/16/2016|12/31/3999| | || | |
55513016001||J9039||01/01/2016|01/02/2016|Injection, blinatumomab|BLINCYTO 35MCG VIAL+STABILI|1|UN|VIAL|IV|EA|.028|01/01/2016|01/02/2016| | || | |
00904646161||Q0169||02/16/2016|08/31/2024|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BLIST PACK|PO|TAB|.5|02/16/2016|08/31/2024| | || | |
00548563200||J1650||02/16/2016|01/15/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|02/16/2016|01/15/2021| | || | |
00548563400||J1650||02/16/2016|02/04/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/16/2016|02/04/2021| | || | |
00703854021||J1650||02/16/2016|10/31/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|02/16/2016|10/31/2023| | || | |
10702000310||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
10702000401||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|02/16/2016|12/31/3999| | || | |
67457046910||J9263||02/16/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|02/16/2016|12/31/3999| | || | |
45963060755||J9390||02/16/2016|12/31/3999|Injection, vinorelbine tartrate, 10 mg|VINORELBINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|02/16/2016|12/31/3999| | || | |
25021023310||J9263||02/16/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|02/16/2016|12/31/3999| | || | |
00049319001||J3465||02/16/2016|12/31/3999|Injection, voriconazole, 10 mg|VFEND IV 200 MG VIAL|1|UN|VIAL|IV|EA|.05|02/16/2016|12/31/3999| | || | |
68084084701||Q0177||02/24/2015|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|100|UN|BLIST PACK|PO|CAP|1|02/24/2015|12/31/3999| | || | |
00093532828||S4993||06/08/2015|12/31/3999|Contraceptive pills for birth control|JUNEL FE 24 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/08/2015|12/31/3999| | || | |
00378728590||S4993||05/28/2015|12/31/3999|Contraceptive pills for birth control|LEVONO-E ESTRAD 0.15-0.03-0|91|UN|BLIST PACK|PO|TAB|1|05/28/2015|12/31/3999| | || | |
00378730853||S4993||04/01/2015|12/31/3999|Contraceptive pills for birth control|NORETHIN-ESTRA-FE 0.8-0.025|28|UN|BLIST PACK|PO|TAB|1|04/01/2015|12/31/3999| | || | |
00430000531||S4993||10/16/2003|03/31/2022|Contraceptive pills for birth control|ESTROSTEP FE-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|03/31/2022| | || | |
50102012803||S4993||01/07/2015|12/31/3999|Contraceptive pills for birth control|TARINA FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/07/2015|12/31/3999| | || | |
51285012870||S4993||02/26/2015|12/31/3999|Contraceptive pills for birth control|LOESTRIN FE 1.5-30 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/26/2015|12/31/3999| | || | |
51285013197||S4993||02/26/2015|12/31/3999|Contraceptive pills for birth control|LOESTRIN 21 1-20 TABLET|21|UN|BLIST PACK|PO|TAB|1|02/26/2015|12/31/3999| | || | |
68462055684||S4993||05/01/2012|12/31/3999|Contraceptive pills for birth control|ALYACEN 7-7-7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|05/01/2012|12/31/3999| | || | |
68462063729||S4993||04/22/2015|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRA 0.09-0.02|28|UN|BLIST PACK|PO|TAB|1|04/22/2015|12/31/3999| | || | |
68462065629||S4993||05/14/2015|12/31/3999|Contraceptive pills for birth control|NORETHIND-ETH ESTRAD 0.5-2.|28|UN|BLIST PACK|PO|TAB|1|05/14/2015|12/31/3999| | || | |
68462065790||S4993||06/03/2015|12/31/3999|Contraceptive pills for birth control|NORETHIN-ETH ESTRAD 1 MG-5|90|UN|BOTTLE|PO|TAB|1|06/03/2015|12/31/3999| | || | |
00955173110||J9263||10/16/2015|07/31/2023|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|EA|.1|10/16/2015|07/31/2023| | || | |
00955173320||J9263||10/16/2015|08/31/2023|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|EA|.1|10/16/2015|08/31/2023| | || | |
68982084001||J1568||01/09/2015|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 5% VIAL|20|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
68982084002||J1568||01/09/2015|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 5% VIAL|50|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
68982084004||J1568||01/09/2015|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 5% VIAL|200|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
68982084005||J1568||01/09/2015|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 5% VIAL|500|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
00781342868||J1650||02/16/2016|01/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/16/2016|01/31/2021| | || | |
00955101010||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.1|02/16/2016|12/31/3999| | || | |
25021016430||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM VL|1|UN|VIAL|IV|EA|.5|02/16/2016|12/31/3999| | || | |
63459091212||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SAFE|.8|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
63459091236||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SYRIN|.8|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
00641602110||S0028||02/16/2016|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|2|02/16/2016|12/31/3999| | || | |
00904530680||Q0163||02/16/2016|04/30/2025|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|BANOPHEN 25 MG CAPSULE|1000|UN|BOTTLE|PO|EA|2|02/16/2016|04/30/2025| | || | |
00955172510||J9263||02/16/2016|07/31/2023|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIAL|10|ML|VIAL|IV|EA|.1|02/16/2016|07/31/2023| | || | |
00591531901||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|02/16/2016|12/31/3999| | || | |
57664010988||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|02/16/2016|12/31/3999| | || | |
65162052110||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
68382004110||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
00456270010||J0714||01/01/2016|12/31/3999|Ceftazidime and avibactam|AVYCAZ 2 GM-0.5 GM VIAL|1|UN|VIAL|IV|EA|.25|01/01/2016|12/31/3999| | || | |
55513020910||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|IJ|ML|.0016|01/01/2016|01/02/2016| | || | |
25021014330||J0295||02/16/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM VIAL|1|UN|VIAL|IJ|GM|.5|02/16/2016|12/31/3999| | || | |
25021014499||J0295||02/16/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM VL|1|UN|VIAL|IJ|GM|.1|02/16/2016|12/31/3999| | || | |
63323059616||J1610||07/01/2015|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGON 1 MG VIAL|1|UN|VIAL|IJ|EA|1|07/01/2015|12/31/2022| | || | |
76045010410||J1885||11/11/2015|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|.5|11/11/2015|12/31/3999| | || | |
63323040005||J1953||06/03/2010|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|06/03/2010|12/31/3999| | || | |
00409100802||J2501||11/01/2014|04/01/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 10 MCG/2 ML VI|2|ML|VIAL|IJ|ML|.2|11/01/2014|04/01/2022| | || | |
68982084003||J1568||01/09/2015|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 5% VIAL|100|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
00703332101||J2353||11/14/2005|03/31/2023|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 500 MCG/ML|1|ML|VIAL|IJ|ML|2|11/14/2005|03/31/2023| | || | |
00703332101||J2354||11/14/2005|03/31/2023|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML|1|ML|VIAL|IJ|ML|.05|11/14/2005|03/31/2023| | || | |
00338954302||J7030||01/01/1991|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% 250 ML|250|ML|FLEX CONT|IV|ML|4|01/01/1991|12/31/3999| | || | |
00409488801||J7030||10/28/2004|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|100|10/28/2004|12/31/3999| | || | |
00409488803||J7030||10/28/2004|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|20|ML|VIAL|IJ|ML|50|10/28/2004|12/31/3999| | || | |
00409488806||J7030||10/28/2004|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|50|ML|VIAL|IJ|ML|20|10/28/2004|12/31/3999| | || | |
00409379619||J1885||10/28/2004|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|10/28/2004|12/31/3999| | || | |
00409100812||J2501||11/01/2014|09/30/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 10 MCG/2 ML VI|2|ML|VIAL|IJ|ML|.2|11/01/2014|09/30/2022| | || | |
00409100801||J2501||11/01/2014|04/01/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 5 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.2|11/01/2014|04/01/2022| | || | |
00143967301||J1953||03/28/2012|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|03/28/2012|12/31/3999| | || | |
23155054741||J2405||12/01/2015|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|12/01/2015|12/31/3999| | || | |
23155054742||J2405||12/01/2015|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|12/01/2015|12/31/3999| | || | |
23155054841||J2405||12/01/2015|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|12/01/2015|12/31/3999| | || | |
00409100811||J2501||11/01/2014|09/30/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 5 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.2|11/01/2014|09/30/2022| | || | |
25021030520||J1205||10/27/2015|12/31/3999|Injection, chlorothiazide sodium, per 500 mg|CHLOROTHIAZIDE SOD 500 MG V|1|UN|VIAL|IV|EA|1|10/27/2015|12/31/3999| | || | |
00641614901||J2710||12/28/2015|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|12/28/2015|12/31/3999| | || | |
00641614910||J2710||12/28/2015|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|12/28/2015|12/31/3999| | || | |
55150011899||J0295||02/16/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM VL|1|UN|VIAL|IJ|EA|.1|02/16/2016|12/31/3999| | || | |
00548560400||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/16/2016|12/31/3999| | || | |
00548563100||J1650||02/16/2016|03/27/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|02/16/2016|03/27/2021| | || | |
67457034000||J3370||02/16/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|02/16/2016|12/31/3999| | || | |
00603506021||Q0175||02/16/2016|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 2 MG TABLET|100|UN|BOTTLE|PO|TAB|2|02/16/2016|12/31/3999| | || | |
00603506321||Q0175||02/16/2016|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 16 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|02/16/2016|12/31/3999| | || | |
63323061609||J0282||02/16/2016|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 450 MG/9 ML VIAL|9|ML|VIAL|IV|ML|.6|02/16/2016|12/31/3999| | || | |
00781322464||J1650||02/16/2016|05/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|02/16/2016|05/31/2021| | || | |
00781342804||J1650||02/16/2016|01/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/16/2016|01/31/2021| | || | |
00781350069||J1650||02/16/2016|01/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.1|02/16/2016|01/31/2021| | || | |
00955100410||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|EA|.1|02/16/2016|12/31/3999| | || | |
00955100810||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|EA|.1|02/16/2016|12/31/3999| | || | |
76204060005||J7620||02/16/2016|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3 ML|3|ML|VIAL|IH|ML|3|02/16/2016|12/31/3999| | || | |
00603506228||Q0175||02/16/2016|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|500|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
00121048905||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 12.5 MG/5 ML|5|ML|BLIST PACK|PO|ML|20|02/16/2016|12/31/3999| | || | |
63868082354||Q0163||02/16/2016|06/30/2023|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|QC CHILD ALLERGY 12.5 MG/5 ML|118|ML|BOTTLE|PO|ML|20|02/16/2016|06/30/2023| | || | |
00113037926||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHEDRYL 12.5 MG/5 ML ELIXIR|120|ML|BOTTLE|PO|ML|20|02/16/2016|12/31/3999| | || | |
36800037934||Q0163||02/16/2016|06/30/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|CHILD'S ALLERGY 12.5 MG/5 ML|236|ML|BOTTLE|PO|GM|20|02/16/2016|06/30/2021| | || | |
54838013580||Q0163||02/16/2016|01/27/2024|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SILADRYL 12.5 MG/5 ML LIQUID|473|ML|BOTTLE|PO|ML|20|02/16/2016|01/27/2024| | || | |
37000050124||Q0163||02/16/2016|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ZZZQUIL 25 MG LIQUICAP|24|UN|BLIST PACK|PO|EA|2|02/16/2016|03/31/2016| | || | |
00143956401||J2760||11/11/2015|12/31/3999|Injection, phentolamine mesylate, up to 5 mg|PHENTOLAMINE 5 MG VIAL|1|UN|VIAL|IJ|EA|1|11/11/2015|12/31/3999| | || | |
00143956410||J2760||11/11/2015|12/31/3999|Injection, phentolamine mesylate, up to 5 mg|PHENTOLAMINE 5 MG VIAL|1|UN|VIAL|IJ|EA|1|11/11/2015|12/31/3999| | || | |
00143974601||J3105||05/25/2010|12/31/3999|Injection, terbutaline sulfate, up to 1 mg|TERBUTALINE SULF 1 MG/ML VI|1|ML|VIAL|SQ|ML|1|05/25/2010|12/31/3999| | || | |
25021082667||J3489||01/01/2014|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/100 ML|100|ML|BAG|IV|ML|25|01/01/2014|12/31/3999| | || | |
63323031466||J3370||04/01/1998|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|04/01/1998|12/31/3999| | || | |
00409663518||J3480||10/28/2004|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/5 ML CO|5|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00904530661||Q0163||02/16/2016|12/30/2024|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 25 MG CAPSULE|100|UN|BLIST PACK|PO|EA|2|02/16/2016|12/30/2024| | || | |
24385047978||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHEDRYL 25 MG TABLET|100|UN|BOTTLE|PO|TAB|2|02/16/2016|12/31/3999| | || | |
36800046278||Q0163||02/16/2016|02/17/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY 25 MG CAPSULE|100|UN|BOTTLE|PO|CAP|2|02/16/2016|02/17/2016| | || | |
66424002001||Q0163||02/16/2016|06/30/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 25 MG CAPSULE|100|UN|BOTTLE|PO|CAP|2|02/16/2016|06/30/2020| | || | |
36800047979||Q0163||02/16/2016|06/30/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY 25 MG TABLET|400|UN|BOTTLE|PO|TAB|2|02/16/2016|06/30/2021| | || | |
57894042001||J2860||01/01/2016|01/31/2021|Injection, siltuximab|SYLVANT 100 MG VIAL|1|UN|VIAL|IV|EA|.1|01/01/2016|01/31/2021| | || | |
63459091211||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SAFE|.8|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
00781322402||J1650||02/16/2016|05/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|02/16/2016|05/31/2021| | || | |
00781335666||J1650||02/16/2016|02/28/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/16/2016|02/28/2021| | || | |
00185061505||Q0177||02/16/2016|09/13/2023|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|500|UN|BOTTLE|PO|CAP|.5|02/16/2016|09/13/2023| | || | |
00548563500||J1650||02/16/2016|05/04/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.1|02/16/2016|05/04/2021| | || | |
00548560200||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|02/16/2016|12/31/3999| | || | |
00548560100||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|02/16/2016|12/31/3999| | || | |
00555030204||Q0177||02/16/2016|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|500|UN|BOTTLE|PO|CAP|.5|02/16/2016|12/31/3999| | || | |
00409174610||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE-EPI 0.25%-0.0005 VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|03/31/2023| | || | |
76045010610||J1100||11/11/2015|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML SYRIN|1|ML|SYRINGE|IJ|ML|.25|11/11/2015|12/31/3999| | || | |
00703117901||J1327||12/14/2015|06/30/2023|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|ML|6.666|12/14/2015|06/30/2023| | || | |
00703797101||J1626||01/03/2008|04/08/2011|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 1 MG/ML VIA|1|ML|VIAL|IV|ML|.1|01/03/2008|04/08/2011| | || | |
00409379519||J1885||10/28/2004|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|10/28/2004|12/31/3999| | || | |
76045010520||J1885||11/11/2015|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML SYRING|2|ML|SYRINGE|IM|ML|.5|11/11/2015|12/31/3999| | || | |
00641616601||J0278||12/02/2015|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1 GRAM/4 ML V|4|ML|VIAL|IJ|ML|.4|12/02/2015|12/31/3999| | || | |
00641616701||J0278||12/02/2015|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|12/02/2015|12/31/3999| | || | |
25021080167||J3489||01/01/2014|11/15/2020|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|01/01/2014|11/15/2020| | || | |
25021082666||J3489||01/01/2014|11/15/2020|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/100 ML|100|ML|BAG|IV|ML|25|01/01/2014|11/15/2020| | || | |
00641612625||J2270||11/20/2015|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 8 MG/ML VI|1|ML|VIAL|IV|ML|1.25|11/20/2015|12/31/3999| | || | |
00703331101||J2353||11/14/2005|05/31/2023|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 100 MCG/ML|1|ML|VIAL|IJ|ML|10|11/14/2005|05/31/2023| | || | |
00703331101||J2354||11/14/2005|05/31/2023|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML|1|ML|VIAL|IJ|ML|.25|11/14/2005|05/31/2023| | || | |
67457059500||J1652||02/05/2009|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|ARIXTRA 10 MG/0.8 ML SYRING|.8|ML|SYRINGE|SQ|EA|.04|02/05/2009|12/31/3999| | || | |
67457059508||J1652||02/05/2009|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|ARIXTRA 10 MG/0.8 ML SYRING|.8|ML|SYRINGE|SQ|EA|.04|02/05/2009|12/31/3999| | || | |
17478017324||J7612||08/20/2015|06/30/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|XOPENEX 0.63 MG/3 ML SOLUTI|3|ML|VIAL|IH|EA|2.381|08/20/2015|06/30/2023| | || | |
17478017424||J7612||08/20/2015|06/30/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|XOPENEX 1.25 MG/3 ML SOLUTI|3|ML|VIAL|IH|EA|1.2|08/20/2015|06/30/2023| | || | |
23155054842||J2405||12/01/2015|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|12/01/2015|12/31/3999| | || | |
00641615001||J2710||12/28/2015|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/28/2015|12/31/3999| | || | |
00548560500||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.1|02/16/2016|12/31/3999| | || | |
00548563300||J1650||02/16/2016|03/27/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/16/2016|03/27/2021| | || | |
00641602101||S0028||02/16/2016|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|2|02/16/2016|12/31/3999| | || | |
00603506221||Q0175||02/16/2016|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
00078063406||J2502||01/01/2016|04/30/2023|Inj, pasireotide long acting|SIGNIFOR 0.6 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|1.67|01/01/2016|04/30/2023| | || | |
00078063506||J2502||01/01/2016|03/31/2023|Inj, pasireotide long acting|SIGNIFOR 0.9 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|1.111|01/01/2016|03/31/2023| | || | |
00078063361||J2502||01/01/2016|07/31/2022|Inj, pasireotide long acting|SIGNIFOR 0.3 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|3.33|01/01/2016|07/31/2022| | || | |
00078063461||J2502||01/01/2016|04/30/2023|Inj, pasireotide long acting|SIGNIFOR 0.6 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|1.667|01/01/2016|04/30/2023| | || | |
00093408563||J7682||02/16/2016|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|02/16/2016|12/31/3999| | || | |
00078064181||J2502||01/01/2016|09/30/2022|Inj, pasireotide long acting|SIGNIFOR LAR 20 MG KIT|1|UN|VIAL|IM|EA|.05|01/01/2016|09/30/2022| | || | |
00078064261||J2502||01/01/2016|12/31/2021|Inj, pasireotide long acting|SIGNIFOR LAR 40 MG VIAL|1|UN|VIAL|IM|EA|.025|01/01/2016|12/31/2021| | || | |
00078064281||J2502||01/01/2016|12/31/2021|Inj, pasireotide long acting|SIGNIFOR LAR 40 MG KIT|1|UN|VIAL|IM|EA|.025|01/01/2016|12/31/2021| | || | |
00078064361||J2502||01/01/2016|07/31/2023|Inj, pasireotide long acting|SIGNIFOR LAR 60 MG VIAL|1|UN|VIAL|IM|EA|.0166|01/01/2016|07/31/2023| | || | |
00078064161||J2502||01/01/2016|09/30/2022|Inj, pasireotide long acting|SIGNIFOR LAR 20 MG VIAL|1|UN|VIAL|IM|EA|.05|01/01/2016|09/30/2022| | || | |
00781183001||Q0169||02/16/2016|04/30/2024|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|04/30/2024| | || | |
00781313363||J1650||02/16/2016|04/30/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|02/16/2016|04/30/2021| | || | |
00781183201||Q0169||02/16/2016|11/30/2023|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|02/16/2016|11/30/2023| | || | |
00703853021||J1650||02/16/2016|09/30/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|02/16/2016|09/30/2023| | || | |
00703853023||J1650||02/16/2016|09/30/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|02/16/2016|09/30/2023| | || | |
00703856021||J1650||02/16/2016|05/31/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/16/2016|05/31/2022| | || | |
00703856023||J1650||02/16/2016|05/31/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/16/2016|05/31/2022| | || | |
00703858021||J1650||02/16/2016|10/31/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.1|02/16/2016|10/31/2022| | || | |
00703854023||J1650||02/16/2016|10/31/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|02/16/2016|10/31/2023| | || | |
00703868021||J1650||02/16/2016|09/30/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/16/2016|09/30/2022| | || | |
00703858023||J1650||02/16/2016|10/31/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.1|02/16/2016|10/31/2022| | || | |
00703424891||J9045||02/01/2006|01/31/2023|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|02/01/2006|01/31/2023| | || | |
47335015040||J9045||02/02/2015|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|02/02/2015|12/31/3999| | || | |
47335015140||J9045||02/02/2015|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 150 MG/15 ML VI|15|ML|VIAL|IV|ML|5|02/02/2015|12/31/3999| | || | |
00641615010||J2710||12/28/2015|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/28/2015|12/31/3999| | || | |
00781924278||J0290||12/14/2015|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|ML|2|12/14/2015|12/31/3999| | || | |
00781915894||J0583||05/01/2005|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|05/01/2005|12/31/3999| | || | |
00781915895||J0583||05/01/2005|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|05/01/2005|12/31/3999| | || | |
00143985701||J0696||04/01/2008|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|ML|.25|04/01/2008|12/31/3999| | || | |
00143985801||J0696||04/01/2008|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|ML|.5|04/01/2008|12/31/3999| | || | |
00143985901||J0696||04/01/2008|08/23/2020|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|ML|1|04/01/2008|08/23/2020| | || | |
00781924295||J0290||12/14/2015|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|ML|2|12/14/2015|12/31/3999| | || | |
00781925095||J0290||12/14/2015|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|ML|1|12/14/2015|12/31/3999| | || | |
00781926195||J0290||12/10/2015|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|12/10/2015|12/31/3999| | || | |
00781927380||J0290||12/10/2015|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|ML|.25|12/10/2015|12/31/3999| | || | |
63323061416||J0360||04/06/2001|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/06/2001|12/31/3999| | || | |
63323073916||S0028||01/01/2011|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|01/01/2011|12/31/3999| | || | |
00409488801||J7040||10/28/2004|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|50|10/28/2004|12/31/3999| | || | |
00409488801||J7050||10/28/2004|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|25|10/28/2004|12/31/3999| | || | |
00409488803||J7040||10/28/2004|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|20|ML|VIAL|IJ|ML|25|10/28/2004|12/31/3999| | || | |
00409488803||J7050||10/28/2004|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|20|ML|VIAL|IJ|ML|12.5|10/28/2004|12/31/3999| | || | |
00409488806||J7040||10/28/2004|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|50|ML|VIAL|IJ|ML|10|10/28/2004|12/31/3999| | || | |
00703868023||J1650||02/16/2016|09/30/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/16/2016|09/30/2022| | || | |
10702000301||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
68382004101||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
68152010809||J9032||01/01/2016|01/24/2022|Injection, belinostat, 10mg|Beleodaq 500MG VIAL|1|UN|VIAL|IV|EA|.02|01/01/2016|01/24/2022| | || | |
68084060701||Q0175||02/16/2016|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|100|UN|BLIST PACK|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
63323030474||J2543||02/16/2016|04/29/2023|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRAM|1|UN|VIAL|IV|EA|.027778|02/16/2016|04/29/2023| | || | |
67457015309||J0282||02/16/2016|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 450 MG/9 ML VIAL|9|ML|VIAL|IV|ML|.6|02/16/2016|12/31/3999| | || | |
67457034001||J3370||02/16/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|02/16/2016|12/31/3999| | || | |
67457034210||J3370||02/16/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|02/16/2016|12/31/3999| | || | |
44567080110||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM VL|1|UN|VIAL|IV|EA|.5|02/16/2016|12/31/3999| | || | |
44567021110||J0295||02/16/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM VIAL|1|UN|VIAL|IJ|EA|.5|02/16/2016|12/31/3999| | || | |
44567080210||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM VL|1|UN|VIAL|IV|EA|.333|02/16/2016|12/31/3999| | || | |
44567080401||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRAM|1|UN|BOTTLE|IV|EA|.027778|02/16/2016|12/31/3999| | || | |
44567021201||J0295||02/16/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM VL|1|UN|VIAL|IJ|EA|.1|02/16/2016|12/31/3999| | || | |
00378511001||Q0164||02/16/2016|12/31/2020|Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emeti...|PROCHLORPERAZINE 10 MG TAB|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/2020| | || | |
59746011506||Q0164||02/16/2016|12/31/3999|Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emeti...|PROCHLORPERAZINE 10 MG TAB|100|UN|BOTTLE|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
00409020102||J9171||02/16/2016|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|02/16/2016|12/31/3999| | || | |
00703398501||J9263||02/16/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|02/16/2016|12/31/3999| | || | |
00641611801||J0295||02/16/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM VL|1|UN|VIAL|IJ|GM|.1|02/16/2016|12/31/3999| | || | |
00641611710||J0295||02/16/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM VIAL|1|UN|VIAL|IJ|GM|.5|02/16/2016|12/31/3999| | || | |
17478076106||Q0167||02/24/2015|06/30/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|02/24/2015|06/30/2023| | || | |
43386058130||Q0181||06/15/2015|08/15/2019|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE HCL ODT 5 MG|100|UN|BLIST PACK|PO|TAB|1|06/15/2015|08/15/2019| | || | |
00093532862||S4993||06/08/2015|12/31/3999|Contraceptive pills for birth control|JUNEL FE 24 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/08/2015|12/31/3999| | || | |
00409488806||J7050||10/28/2004|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|50|ML|VIAL|IJ|ML|5|10/28/2004|12/31/3999| | || | |
00781925078||J0290||12/14/2015|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|ML|1|12/14/2015|12/31/3999| | || | |
00781926185||J0290||12/10/2015|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|12/10/2015|12/31/3999| | || | |
00781927395||J0290||12/10/2015|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|ML|.25|12/10/2015|12/31/3999| | || | |
00143985601||J0696||04/01/2008|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|ML|.125|04/01/2008|12/31/3999| | || | |
00143997790||J0697||12/14/2005|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 1.5 GM VIAL|1|UN|VIAL|IJ|GM|.5|12/14/2005|12/31/3999| | || | |
00143957401||J1953||07/10/2015|05/23/2023|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|07/10/2015|05/23/2023| | || | |
00641612601||J2270||11/20/2015|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 8 MG/ML VI|1|ML|VIAL|IV|ML|1.25|11/20/2015|12/31/3999| | || | |
00338954302||J7040||01/01/1991|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% 250 ML|250|ML|FLEX CONT|IV|ML|2|01/01/1991|12/31/3999| | || | |
00703424881||J9045||02/01/2006|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|02/01/2006|12/31/3999| | || | |
16729027605||J9190||03/14/2014|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1,000 MG/20 ML|20|ML|VIAL|IV|ML|10|03/14/2014|12/31/3999| | || | |
37000050148||Q0163||02/16/2016|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ZZZQUIL 25 MG LIQUICAP|48|UN|BLIST PACK|PO|EA|2|02/16/2016|03/31/2016| | || | |
60505068704||J2543||02/16/2016|11/01/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM VL|1|UN|VIAL|IV|ML|.333|02/16/2016|11/01/2021| | || | |
60505077300||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRAM|1|UN|BOTTLE|IV|ML|.027778|02/16/2016|12/31/3999| | || | |
50419042301||J7298||01/01/2016|12/31/3999|Levonorgestrel iu 52mg 5 yr|MIRENA SYSTEM|1|UN|KIT|IY|EA|1|01/01/2016|12/31/3999| | || | |
00049319038||J3465||02/16/2016|09/30/2022|Injection, voriconazole, 10 mg|VFEND IV 200 MG VIAL|1|UN|VIAL|IV|EA|.05|02/16/2016|09/30/2022| | || | |
76204060012||J7620||02/16/2016|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3 ML|3|ML|VIAL|IH|ML|3|02/16/2016|12/31/3999| | || | |
00781335603||J1650||02/16/2016|02/28/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/16/2016|02/28/2021| | || | |
00781313301||J1650||02/16/2016|04/30/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|02/16/2016|04/30/2021| | || | |
00955100310||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|EA|.1|02/16/2016|12/31/3999| | || | |
63323056883||J1650||02/16/2016|01/27/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|.3|ML|SYRINGE|SQ|ML|.1|02/16/2016|01/27/2022| | || | |
63323056887||J1650||02/16/2016|05/07/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|.4|ML|SYRINGE|SQ|ML|.1|02/16/2016|05/07/2022| | || | |
63323056890||J1650||02/16/2016|05/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|.8|ML|SYRINGE|SQ|ML|.1|02/16/2016|05/31/2021| | || | |
63323056884||J1650||02/16/2016|09/30/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|02/16/2016|09/30/2021| | || | |
63323056888||J1650||02/16/2016|05/07/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|.6|ML|SYRINGE|SQ|ML|.1|02/16/2016|05/07/2021| | || | |
00781331570||J9263||02/16/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|02/16/2016|12/31/3999| | || | |
00781341694||J3465||02/16/2016|12/31/3999|Injection, voriconazole, 10 mg|VORICONAZOLE 200 MG VIAL|1|UN|VIAL|IV|ML|.05|02/16/2016|12/31/3999| | || | |
25021016530||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM VL|1|UN|VIAL|IV|EA|.333|02/16/2016|12/31/3999| | || | |
00378728153||S4993||04/27/2015|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.15-0.0|91|UN|BLIST PACK|PO|TAB|1|04/27/2015|12/31/3999| | || | |
00409174630||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE-EPI 0.25%-0.0005 VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|03/31/2023| | || | |
00409174910||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.5%-EPI 0.0005 VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|03/31/2023| | || | |
00409175550||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.5%-EPI 0.0005 VIAL|50|ML|VIAL|IJ|ML|1|10/28/2004|03/31/2023| | || | |
00264738750||J7070||06/24/2015|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 70%-WATER IV SOLN|2000|ML|BAG|IV|ML|.5|06/24/2015|12/31/3999| | || | |
00456270001||J0714||01/01/2016|12/31/3999|Ceftazidime and avibactam|AVYCAZ 2.5 GRAM VIAL|1|UN|VIAL|IV|EA|.25|01/01/2016|12/31/3999| | || | |
59148004670||J0894||01/01/2007|08/30/2024|Injection, decitabine, 1 mg|DACOGEN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|01/01/2007|08/30/2024| | || | |
00264318311||J2185||09/15/2015|12/31/2022|Injection, meropenem, 100 mg|MEROPENEM-0.9% NACL 500 MG/|1|UN|FLEX CONT|IV|ML|10|09/15/2015|12/31/2022| | || | |
55150018703||J0706||11/28/2015|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIA|3|ML|VIAL|IV|EA|.25|11/28/2015|12/31/3999| | || | |
55150021910||J1327||12/21/2015|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|ML|VIAL|IV|EA|2.5|12/21/2015|12/31/3999| | || | |
55150022099||J1327||12/21/2015|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 200 MG/100 ML|100|ML|VIAL|IV|EA|2.5|12/21/2015|12/31/3999| | || | |
55150021899||J1327||12/21/2015|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|EA|6.66666|12/21/2015|12/31/3999| | || | |
64406001102||J1826||10/27/2014|10/28/2014|Injection, interferon beta-1a, 30 mcg|PLEGRIDY 125 MCG/0.5 ML PEN|.5|ML|SYRINGE|SQ|EA|.12|10/27/2014|10/28/2014| | || | |
64406001502||J1826||10/27/2014|10/28/2014|Injection, interferon beta-1a, 30 mcg|PLEGRIDY 125 MCG/0.5 ML SYR|.5|ML|SYRINGE|SQ|EA|.12|10/27/2014|10/28/2014| | || | |
00409830015||J0583||07/30/2015|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG ADD-VANT|1|UN|VIAL|IV|EA|.004|07/30/2015|12/31/3999| | || | |
00409830025||J0583||07/30/2015|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG ADD-VANT|1|UN|VIAL|IV|EA|.004|07/30/2015|12/31/3999| | || | |
51754050201||J0706||10/12/2015|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIA|3|ML|VIAL|IV|ML|.25|10/12/2015|12/31/3999| | || | |
00517002010||J0706||08/19/2015|10/27/2021|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.25|08/19/2015|10/27/2021| | || | |
00409337402||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZO 2.25 GM ADD VL|1|UN|VIAL|IV|EA|.5|02/16/2016|12/31/3999| | || | |
00409338513||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM VL|1|UN|VIAL|IV|EA|.333|02/16/2016|12/31/3999| | || | |
00781183010||Q0169||02/16/2016|09/30/2024|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|.5|02/16/2016|09/30/2024| | || | |
00641611701||J0295||02/16/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM VIAL|1|UN|VIAL|IJ|GM|.5|02/16/2016|12/31/3999| | || | |
00944251202||J1575||01/01/2016|12/31/3999|Hyqvia 100mg immuneglobulin|HYQVIA 10 GM/800 UNIT VIAL|105|ML|VIAL|SQ|GM|1|01/01/2016|12/31/3999| | || | |
00904530660||Q0163||02/16/2016|12/30/2024|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|BANOPHEN 25 MG CAPSULE|100|UN|BOTTLE|PO|EA|2|02/16/2016|12/30/2024| | || | |
68382004201||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|02/16/2016|12/31/3999| | || | |
17478076206||Q0167||02/16/2016|06/30/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.5|02/16/2016|06/30/2023| | || | |
17478076306||Q0167||02/16/2016|06/30/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 10 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.25|02/16/2016|06/30/2023| | || | |
00555030202||Q0177||02/16/2016|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|100|UN|BOTTLE|PO|CAP|.5|02/16/2016|12/31/3999| | || | |
00548560300||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/16/2016|12/31/3999| | || | |
00555032402||Q0177||02/16/2016|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 100 MG CAP|100|UN|BOTTLE|PO|CAP|.25|02/16/2016|12/31/3999| | || | |
00078049461||J7682||02/16/2016|09/30/2022|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBI 300 MG/5 ML SOLUTION|5|ML|AMPUL|IH|ML|5|02/16/2016|09/30/2022| | || | |
00078063306||J2502||01/01/2016|07/31/2022|Inj, pasireotide long acting|SIGNIFOR 0.3 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|3.33|01/01/2016|07/31/2022| | || | |
59676031200||J0885||01/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 10,000 UNITS/ML VIAL|2|ML|VIAL|IJ|ML|.1|01/15/2017|12/31/3999| | || | |
59676032000||J0885||01/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 20,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.05|01/15/2017|12/31/3999| | || | |
59676030301||J0885||01/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 3,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.333|01/15/2017|12/31/3999| | || | |
59676031000||J0885||01/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.1|01/15/2017|12/31/3999| | || | |
59676030201||J0885||01/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 2,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.5|01/15/2017|12/31/3999| | || | |
00338007702||J7042||04/16/2016|02/28/2022|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-SOD CHLORIDE 0.2%|250|ML|BAG|IV|ML|2|04/16/2016|02/28/2022| | || | |
00338007703||J7042||04/16/2016|12/31/2021|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-SOD CHLORIDE 0.2%|500|ML|BAG|IV|ML|1|04/16/2016|12/31/2021| | || | |
70020191101||J9207||01/20/2016|12/31/3999|Injection, ixabepilone, 1 mg|IXEMPRA 45 MG KIT|1|UN|VIAL|IV|EA|.0222|01/20/2016|12/31/3999| | || | |
54436001704||J9250||04/12/2016|12/31/3999|Methotrexate sodium, 5 mg|OTREXUP 17.5 MG/0.4 ML AUTO|.4|ML|SYRINGE|SQ|ML|.11428|04/12/2016|12/31/3999| | || | |
54436002204||J9250||04/12/2016|12/31/3999|Methotrexate sodium, 5 mg|OTREXUP 22.5 MG/0.4 ML AUTO|.4|ML|SYRINGE|SQ|ML|.08888|04/12/2016|12/31/3999| | || | |
00781931570||J9263||06/29/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|06/29/2016|12/31/3999| | || | |
63323075020||J9263||08/12/2015|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|08/12/2015|12/31/3999| | || | |
00078066961||J9302||01/01/2011|12/31/3999|Injection, ofatumumab, 10 mg|ARZERRA 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|01/01/2011|12/31/3999| | || | |
00078063520||J2502||01/01/2016|03/31/2023|Inj, pasireotide long acting|SIGNIFOR 0.9 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|1.111|01/01/2016|03/31/2023| | || | |
00078049471||J7682||02/16/2016|09/30/2022|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBI 300 MG/5 ML SOLUTION|5|ML|AMPUL|IH|ML|5|02/16/2016|09/30/2022| | || | |
00078063320||J2502||01/01/2016|07/31/2022|Inj, pasireotide long acting|SIGNIFOR 0.3 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|3.33|01/01/2016|07/31/2022| | || | |
16103034811||Q0163||02/16/2016|04/01/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|PHARBEDRYL 25 MG CAPSULE|1000|UN|BOTTLE|PO|CAP|2|02/16/2016|04/01/2021| | || | |
66424002010||Q0163||02/16/2016|06/30/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 25 MG CAPSULE|1000|UN|BOTTLE|PO|CAP|2|02/16/2016|06/30/2020| | || | |
00078063420||J2502||01/01/2016|04/30/2023|Inj, pasireotide long acting|SIGNIFOR 0.6 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|1.667|01/01/2016|04/30/2023| | || | |
00078063561||J2502||01/01/2016|03/31/2023|Inj, pasireotide long acting|SIGNIFOR 0.9 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|1.111|01/01/2016|03/31/2023| | || | |
00781717156||J7682||02/16/2016|05/31/2023|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPULE|5|ML|AMPUL|IH|ML|5|02/16/2016|05/31/2023| | || | |
00051002321||Q0167||02/16/2016|01/31/2021|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|MARINOL 10 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.25|02/16/2016|01/31/2021| | || | |
68084015501||Q0169||02/16/2016|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BLIST PACK|PO|TAB|.5|02/16/2016|12/31/3999| | || | |
63459091011||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SAFE|.5|ML|SYRINGE|IJ|ML|.0016|01/01/2016|12/31/2022| | || | |
55513020901||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|IJ|ML|.0016|01/01/2016|01/02/2016| | || | |
54838013540||Q0163||02/16/2016|01/27/2024|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SILADRYL 12.5 MG/5 ML LIQUID|118|ML|BOTTLE|PO|ML|20|02/16/2016|01/27/2024| | || | |
00409120703||J1580||02/16/2016|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 40 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|02/16/2016|12/31/3999| | || | |
25021015899||J3370||02/16/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|GM|.05|02/16/2016|12/31/3999| | || | |
63323031461||J3370||02/16/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|02/16/2016|12/31/3999| | || | |
00093672345||J7620||02/16/2016|07/31/2017|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|02/16/2016|07/31/2017| | || | |
00409174929||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.5%-EPI 0.0005 VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|03/31/2023| | || | |
00409491034||J0461||02/15/2017|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.1 MG/ML ABBOJECT|5|ML|SYRINGE|IJ|ML|.1|02/15/2017|12/31/3999| | || | |
00409491134||J0461||02/15/2017|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.1 MG/ML ABBOJECT|10|ML|SYRINGE|IJ|ML|.1|02/15/2017|12/31/3999| | || | |
10019025112||J0461||02/15/2017|02/15/2017|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|.01|02/15/2017|02/15/2017| | || | |
62935045345||J9217||06/02/2014|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|ELIGARD 45 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|.1666|06/02/2014|12/31/3999| | || | |
00781340078||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 125 MG VIAL|1|UN|VIAL|IJ|ML|4|02/15/2017|12/31/3999| | || | |
00781340095||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 125 MG VIAL|1|UN|VIAL|IJ|ML|4|02/15/2017|12/31/3999| | || | |
00781340278||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|ML|2|02/15/2017|12/31/3999| | || | |
00781340495||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|02/15/2017|12/31/3999| | || | |
00781340880||J0290||02/15/2017|01/20/2024|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|ML|.25|02/15/2017|01/20/2024| | || | |
00781341292||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM A-V VIAL|1|UN|VIAL|IV|ML|.5|02/15/2017|12/31/3999| | || | |
00781940278||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|ML|2|02/15/2017|12/31/3999| | || | |
45945015701||J0475||02/15/2017|01/01/2020|Injection, baclofen, 10 mg|GABLOFEN 40,000 MCG/20 ML SYRG|20|ML|SYRINGE|IT|ML|5|02/15/2017|01/01/2020| | || | |
45945015602||J0475||02/15/2017|04/01/2020|Injection, baclofen, 10 mg|GABLOFEN 20,000 MCG/20 ML VIAL|20|ML|VIAL|IT|ML|10|02/15/2017|04/01/2020| | || | |
45945015602||J0476||02/15/2017|04/01/2020|Injection, baclofen, 50 mcg for intrathecal trial|GABLOFEN 20,000 MCG/20 ML VIAL|20|ML|VIAL|IT|ML|.05|02/15/2017|04/01/2020| | || | |
45945015701||J0476||02/15/2017|01/01/2020|Injection, baclofen, 50 mcg for intrathecal trial|GABLOFEN 40,000 MCG/20 ML SYRG|20|ML|SYRINGE|IT|ML|.025|02/15/2017|01/01/2020| | || | |
00781941215||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM A-V VIAL|1|UN|VIAL|IV|ML|.5|02/15/2017|12/31/3999| | || | |
00781941292||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM A-V VIAL|1|UN|VIAL|IV|ML|.5|02/15/2017|12/31/3999| | || | |
00781940485||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|02/15/2017|12/31/3999| | || | |
00781940880||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|ML|.25|02/15/2017|12/31/3999| | || | |
25021013410||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|GM|2|02/15/2017|12/31/3999| | || | |
25021013720||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|GM|.25|02/15/2017|12/31/3999| | || | |
44567010210||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|02/15/2017|12/31/3999| | || | |
44567010310||J0290||02/15/2017|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|02/15/2017|12/31/3999| | || | |
45945015101||J0475||02/15/2017|11/01/2019|Injection, baclofen, 10 mg|GABLOFEN 50 MCG/ML SYRINGE|1|ML|SYRINGE|IT|ML|200|02/15/2017|11/01/2019| | || | |
45945015601||J0475||02/15/2017|02/01/2020|Injection, baclofen, 10 mg|GABLOFEN 20,000 MCG/20 ML SYRG|20|ML|SYRINGE|IT|ML|10|02/15/2017|02/01/2020| | || | |
45945015601||J0476||02/15/2017|02/01/2020|Injection, baclofen, 50 mcg for intrathecal trial|GABLOFEN 20,000 MCG/20 ML SYRG|20|ML|SYRINGE|IT|ML|.05|02/15/2017|02/01/2020| | || | |
45945015501||J0476||02/15/2017|01/01/2020|Injection, baclofen, 50 mcg for intrathecal trial|GABLOFEN 10,000 MCG/20 ML SYRG|20|ML|SYRINGE|IT|ML|.1|02/15/2017|01/01/2020| | || | |
45945015502||J0476||02/15/2017|04/01/2020|Injection, baclofen, 50 mcg for intrathecal trial|GABLOFEN 10,000 MCG/20 ML VIAL|20|ML|VIAL|IT|ML|.1|02/15/2017|04/01/2020| | || | |
45945015501||J0475||02/15/2017|01/01/2020|Injection, baclofen, 10 mg|GABLOFEN 10,000 MCG/20 ML SYRG|20|ML|SYRINGE|IT|ML|20|02/15/2017|01/01/2020| | || | |
45945015502||J0475||02/15/2017|04/01/2020|Injection, baclofen, 10 mg|GABLOFEN 10,000 MCG/20 ML VIAL|20|ML|VIAL|IT|ML|20|02/15/2017|04/01/2020| | || | |
00409158219||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00002882401||S5550||01/01/2011|12/31/3999|Insulin, rapid onset, 5 units|HUMULIN R 500 UNITS/ML KWIK|3|ML|SYRINGE|SQ|ML|.01|01/01/2011|12/31/3999| | || | |
00409724813||J3490||10/28/2004|12/31/3999|Unclassified drugs|HETASTARCH 6%-0.9% NACL BAG|500|ML|BAG|IV|ML|1|10/28/2004|12/31/3999| | || | |
42023015789||J3490||08/01/2015|11/30/2024|Unclassified drugs|ETHACRYNATE SODIUM 50 MG VI|1|UN|VIAL|IV|EA|1|08/01/2015|11/30/2024| | || | |
51754020302||J3490||01/23/2015|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/23/2015|12/31/3999| | || | |
51754200104||J3490||02/17/2016|12/31/3999|Unclassified drugs|POTASSIUM ACET 40 MEQ/20 ML|20|ML|VIAL|IV|ML|1|02/17/2016|12/31/3999| | || | |
55150020902||J3490||05/26/2016|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|05/26/2016|12/31/3999| | || | |
68727080001||J3490||04/04/2016|12/31/3999|Unclassified drugs|DEFITELIO 200 MG/2.5 ML VIA|2.5|ML|VIAL|IV|ML|1|04/04/2016|12/31/3999| | || | |
68727080002||J3490||04/04/2016|12/31/3999|Unclassified drugs|DEFITELIO 200 MG/2.5 ML VIA|2.5|ML|VIAL|IV|ML|1|04/04/2016|12/31/3999| | || | |
00002144501||J3590||04/15/2016|12/31/3999|Unclassified Biologics|TALTZ 80 MG/ML AUTOINJECTOR|1|ML|SYRINGE|SQ|ML|1|04/15/2016|12/31/3999| | || | |
00002144509||J3590||04/15/2016|12/31/3999|Unclassified Biologics|TALTZ 80 MG/ML AUTOINJ (3-P|1|ML|SYRINGE|SQ|ML|1|04/15/2016|12/31/3999| | || | |
00002144527||J3590||04/15/2016|12/31/3999|Unclassified Biologics|TALTZ 80 MG/ML AUTOINJ (2-P|1|ML|SYRINGE|SQ|ML|1|04/15/2016|12/31/3999| | || | |
00002772401||J3590||04/25/2016|12/31/3999|Unclassified Biologics|TALTZ 80 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|1|04/25/2016|12/31/3999| | || | |
00338954306||J7040||01/01/1991|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% 1,000|1000|ML|FLEX CONT|IV|ML|.5|01/01/1991|12/31/3999| | || | |
00378967193||J7620||02/16/2016|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3 ML|3|ML|VIAL|IH|ML|3|02/16/2016|12/31/3999| | || | |
00487020101||J7620||02/16/2016|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3 ML|3|ML|VIAL|IH|ML|3|02/16/2016|12/31/3999| | || | |
00487020160||J7620||02/16/2016|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3 ML|3|ML|VIAL|IH|ML|3|02/16/2016|12/31/3999| | || | |
00051002221||Q0167||02/16/2016|03/31/2021|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|MARINOL 5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.5|02/16/2016|03/31/2021| | || | |
00069542066||Q0177||02/16/2016|12/31/2023|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|VISTARIL 50 MG CAPSULE|100|UN|BOTTLE|PO|CAP|.5|02/16/2016|12/31/2023| | || | |
00185061501||Q0177||02/16/2016|09/13/2023|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|100|UN|BOTTLE|PO|CAP|.5|02/16/2016|09/13/2023| | || | |
00781350005||J1650||02/16/2016|01/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.1|02/16/2016|01/31/2021| | || | |
00955100610||J1650||02/16/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|EA|.1|02/16/2016|12/31/3999| | || | |
16103034803||Q0163||02/16/2016|04/01/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY RELIEF 25 MG CAPSULE|24|UN|BOTTLE|PO|CAP|2|02/16/2016|04/01/2021| | || | |
00409337813||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM VL|1|UN|VIAL|IV|EA|.333|02/16/2016|12/31/3999| | || | |
00409338302||J2543||02/16/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM VL|1|UN|VIAL|IV|EA|.5|02/16/2016|12/31/3999| | || | |
00049419001||J3465||02/16/2016|12/31/3999|Injection, voriconazole, 10 mg|VFEND IV 200 MG VIAL|1|UN|VIAL|IV|EA|.05|02/16/2016|12/31/3999| | || | |
24385037926||Q0163||02/16/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHEDRYL 12.5 MG/5 ML ELIXIR|118|ML|BOTTLE|PO|ML|20|02/16/2016|12/31/3999| | || | |
24385046262||Q0163||02/16/2016|12/31/2019|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY 25 MG CAPSULE|24|UN|BOTTLE|PO|CAP|2|02/16/2016|12/31/2019| | || | |
49348004534||Q0163||02/16/2016|12/31/2023|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SM ALLERGY RELIEF 12.5 MG/5 ML|118|ML|BOTTLE|PO|ML|20|02/16/2016|12/31/2023| | || | |
24385043126||Q0163||02/16/2016|10/31/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|NIGHTTIME SLEEP AID 25 MG CPLT|24|UN|BLIST PACK|PO|CAP|2|02/16/2016|10/31/2021| | || | |
00078064381||J2502||01/01/2016|07/31/2023|Inj, pasireotide long acting|SIGNIFOR LAR 60 MG KIT|1|UN|VIAL|IM|EA|.0166|01/01/2016|07/31/2023| | || | |
55513020991||J1447||01/01/2016|01/02/2016|Inj tbo filgrastim 1 microg|NEUPOGEN 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|IJ|ML|.0016|01/01/2016|01/02/2016| | || | |
00002879801||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG MIX 50-50 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002751659||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG 100 UNITS/ML CARTRIDGE|3|ML|CARTRIDGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002880501||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|HUMULIN N 100 UNITS/ML KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002879701||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG MIX 75-25 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002879701||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG MIX 75-25 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002751659||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG 100 UNITS/ML CARTRIDGE|3|ML|CARTRIDGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002880559||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|HUMULIN N 100 UNITS/ML KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00088250205||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|APIDRA SOLOSTAR 100 UNITS/ML|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00409909441||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 2,500 MCG/50 ML VI|50|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00703239501||J3490||12/16/2016|06/30/2023|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|12/16/2016|06/30/2023| | || | |
00703291401||J3490||12/16/2016|07/31/2023|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|12/16/2016|07/31/2023| | || | |
00703292501||J3490||12/16/2016|06/30/2023|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|12/16/2016|06/30/2023| | || | |
00641618425||J1160||07/22/2016|12/31/3999|Injection, digoxin, up to 0.5 mg|DIGOXIN 500 MCG/2 ML AMPULE|2|ML|AMPUL|IJ|ML|2|07/22/2016|12/31/3999| | || | |
00703012501||J0878||06/01/2005|11/30/2022|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|ML|.002|06/01/2005|11/30/2022| | || | |
47781046469||J3490||01/29/2010|11/10/2019|Unclassified drugs|CLINDAMYCIN 900 MG/6 ML ADD|6|ML|VIAL|IV|ML|1|01/29/2010|11/10/2019| | || | |
47781046671||J3465||03/23/2016|12/31/3999|Injection, voriconazole, 10 mg|VORICONAZOLE 200 MG VIAL|1|UN|VIAL|IV|ML|.05|03/23/2016|12/31/3999| | || | |
70069000510||J3420||07/15/2016|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|07/15/2016|12/31/3999| | || | |
00169183702||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|RELION NOVOLIN 70-30 VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
68001026632||J9190||12/16/2016|07/25/2024|Injection, fluorouracil, 500 mg|FLUOROURACIL 5 GM/100 ML VI|100|ML|VIAL|IV|ML|10|12/16/2016|07/25/2024| | || | |
45963061153||J9263||12/16/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG VIAL|1|UN|VIAL|IV|GM|.01|12/16/2016|12/31/3999| | || | |
00143955801||J0641||08/01/2016|09/30/2022|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 50 MG VIAL|1|UN|VIAL|IV|ML|.01|08/01/2016|09/30/2022| | || | |
00002879901||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG 100 UNITS/ML KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002880359||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|HUMULIN 70/30 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00088250033||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|APIDRA 100 UNITS/ML VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
43598056311||J2501||09/16/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 2 MCG/ML VIAL|1|ML|VIAL|IV|EA|.5|09/16/2016|12/31/3999| | || | |
00781320795||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
25021010510||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|GM|.5|06/15/2016|12/31/3999| | || | |
25021010299||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|GM|.05|06/15/2016|12/31/3999| | || | |
25021010566||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|GM|.5|06/15/2016|12/31/3999| | || | |
44567070125||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|06/15/2016|12/31/3999| | || | |
44567070301||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|EA|.025|06/15/2016|12/31/3999| | || | |
60505067905||J0696||06/15/2016|07/10/2021|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|ML|.025|06/15/2016|07/10/2021| | || | |
60505075100||J0696||06/15/2016|04/30/2019|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|04/30/2019| | || | |
60505075304||J0696||06/15/2016|04/30/2019|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|ML|.125|06/15/2016|04/30/2019| | || | |
00409258501||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM ADD-VAN VIAL|1|UN|VIAL|IV|GM|.5|06/15/2016|12/31/3999| | || | |
00781345246||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|.05|06/15/2016|12/31/3999| | || | |
63323028561||J2795||06/15/2016|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 200 MG/100 ML|100|ML|FLEX CONT|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
00143985825||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
00409733410||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|GM|.025|06/15/2016|12/31/3999| | || | |
00409733801||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|GM|.5|06/15/2016|12/31/3999| | || | |
00409733604||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM ADD VIAL|1|UN|VIAL|IV|GM|.125|06/15/2016|12/31/3999| | || | |
25021010610||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|GM|.25|06/15/2016|12/31/3999| | || | |
25021010899||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|GM|.025|06/15/2016|12/31/3999| | || | |
60505075104||J0696||06/15/2016|04/30/2019|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|04/30/2019| | || | |
00074366303||J9218||09/30/1998|12/31/3999|Leuprolide acetate, per 1 mg|LUPRON DEPOT 11.25 MG 3MO KIT|1|UN|KIT|IM|EA|.0888|09/30/1998|12/31/3999| | || | |
13533068471||P9047||07/21/2005|09/30/2020|ALBUMIN (HUMAN), 25%, 50 ML|PLASBUMIN-25 IV SOLUTION|100|ML|VIAL|IV|ML|50|07/21/2005|09/30/2020| | || | |
00074364103||J9218||08/01/1997|12/31/3999|Leuprolide acetate, per 1 mg|LUPRON DEPOT 3.75 MG KIT|1|UN|KIT|IM|EA|.2666|08/01/1997|12/31/3999| | || | |
00074364203||J9218||09/30/1998|12/31/3999|Leuprolide acetate, per 1 mg|LUPRON DEPOT 7.5 MG KIT|1|UN|KIT|IM|EA|.1333|09/30/1998|12/31/3999| | || | |
68516521402||P9045||05/05/2009|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUTEIN 5% IV SOLUTION|500|ML|VIAL|IV|ML|250|05/05/2009|12/31/3999| | || | |
68516521601||P9047||05/06/2009|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUTEIN 25% VIAL|50|ML|VIAL|IV|ML|50|05/06/2009|12/31/3999| | || | |
00703423981||J9045||10/23/2014|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VI|60|ML|VIAL|IV|ML|5|10/23/2014|12/31/3999| | || | |
68516521602||P9047||05/06/2009|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUTEIN 25% VIAL|100|ML|VIAL|IV|ML|50|05/06/2009|12/31/3999| | || | |
00002759701||J2358||01/01/2011|09/30/2023|Injection, olanzapine, long-acting, 1 mg|ZYPREXA 10 MG VIAL|1|UN|VIAL|IM|EA|.1|01/01/2011|09/30/2023| | || | |
00310651201||J3490||03/15/2017|12/31/2021|Unclassified drugs|BYETTA 5 MCG DOSE PEN INJ|1.2|ML|CARTRIDGE|SQ|ML|1|03/15/2017|12/31/2021| | || | |
00310652401||J3490||03/15/2017|12/31/2021|Unclassified drugs|BYETTA 10 MCG DOSE PEN INJ|2.4|ML|CARTRIDGE|SQ|ML|1|03/15/2017|12/31/2021| | || | |
00078066815||J8999||06/17/2013|04/30/2024|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEKINIST 2 MG TABLET|30|UN|BOTTLE|PO|TAB|1|06/17/2013|04/30/2024| | || | |
00143967325||J1953||03/28/2012|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|03/28/2012|12/31/3999| | || | |
00944285005||90284||11/16/2016|09/30/2023|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUVITRU 4 GRAM/20 ML VIAL|20|ML|VIAL|SQ|ML|.5|11/16/2016|09/30/2023| | || | |
13533063650||90371||07/21/2005|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|HYPERHEP B S-D VIAL|5|ML|VIAL|IM|ML|1|07/21/2005|12/31/3999| | || | |
65162091446||J7682||07/16/2015|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|07/16/2015|12/31/3999| | || | |
00008411701||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TRECATOR 250 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
68016027706||Q0163||09/25/2015|09/25/2015|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|PV ALLERGY MEDICINE 25 MG CAP|24|UN|BLIST PACK|PO|CAP|2|09/25/2015|09/25/2015| | || | |
63323056895||J1650||04/01/2015|09/30/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/01/2015|09/30/2021| | || | |
63323056896||J1650||04/01/2015|10/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|.4|ML|SYRINGE|SQ|ML|.1|04/01/2015|10/31/2021| | || | |
63323056899||J1650||04/01/2015|09/30/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|.8|ML|SYRINGE|SQ|ML|.1|04/01/2015|09/30/2021| | || | |
64406001501||J1826||10/27/2014|10/28/2014|Injection, interferon beta-1a, 30 mcg|PLEGRIDY 125 MCG/0.5 ML SYR|.5|ML|SYRINGE|SQ|EA|.12|10/27/2014|10/28/2014| | || | |
64406001601||J1826||10/27/2014|10/28/2014|Injection, interferon beta-1a, 30 mcg|PLEGRIDY SYRINGE STARTER PA|1|ML|SYRINGE|SQ|EA|.19|10/27/2014|10/28/2014| | || | |
43598056508||J2501||09/16/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 10 MCG/2 ML VI|2|ML|VIAL|IV|EA|.2|09/16/2016|12/31/3999| | || | |
43598056510||J2501||09/16/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 10 MCG/2 ML VI|2|ML|VIAL|IV|EA|.2|09/16/2016|12/31/3999| | || | |
00703951481||J3490||07/01/1992|02/29/2020|Unclassified drugs|SULFAMETHOXAZOLE-TMP INJ VI|10|ML|VIAL|IV|ML|1|07/01/1992|02/29/2020| | || | |
63459034804||J9034||01/01/2017|12/31/3999|Inj., bendeka 1 mg|BENDEKA 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.04|01/01/2017|12/31/3999| | || | |
68001026522||J9181||12/16/2016|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|12/16/2016|12/31/3999| | || | |
68001026523||J9181||12/16/2016|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 500 MG/25 ML VIAL|25|ML|VIAL|IV|ML|.5|12/16/2016|12/31/3999| | || | |
68001026524||J9181||12/16/2016|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 1,000 MG/50 ML VI|50|ML|VIAL|IV|ML|.5|12/16/2016|12/31/3999| | || | |
68001026525||J9181||12/16/2016|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|12/16/2016|12/31/3999| | || | |
68001026526||J9181||12/16/2016|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 500 MG/25 ML VIAL|25|ML|VIAL|IV|ML|.5|12/16/2016|12/31/3999| | || | |
68001026527||J9181||12/16/2016|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 1,000 MG/50 ML VIAL|50|ML|VIAL|IV|ML|.5|12/16/2016|12/31/3999| | || | |
59676061001||J9352||01/01/2017|12/31/3999|Injection trabectedin 0.1mg|YONDELIS 1 MG VIAL|1|UN|VIAL|IV|EA|.1|01/01/2017|12/31/3999| | || | |
00088221905||S5553||12/15/2016|12/31/3999|Insulin, long acting; 5 units|LANTUS SOLOSTAR 100 UNITS/ML|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169369619||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|NOVOLOG MIX 70-30 FLEXPEN SYRN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169369619||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|NOVOLOG MIX 70-30 FLEXPEN SYRN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169368512||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|NOVOLOG MIX 70-30 VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
67457047520||J3490||12/16/2016|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|12/16/2016|12/31/3999| | || | |
00143955201||J0640||08/24/2016|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG V|1|UN|VIAL|IJ|ML|.14285|08/24/2016|12/31/3999| | || | |
00143961901||J3420||04/11/2016|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|04/11/2016|12/31/3999| | || | |
60505074905||J0690||06/15/2016|11/30/2016|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|11/30/2016| | || | |
00338350341||J0690||06/15/2016|12/31/2022|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM-D5W BAG|50|ML|BAG|IV|ML|25|06/15/2016|12/31/2022| | || | |
10019068804||J0696||06/15/2016|06/15/2016|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|GM|.125|06/15/2016|06/15/2016| | || | |
10019068905||J0696||06/15/2016|06/15/2016|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|GM|.025|06/15/2016|06/15/2016| | || | |
10019068827||J0696||06/15/2016|06/15/2016|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|GM|.125|06/15/2016|06/15/2016| | || | |
10019068911||J0696||06/15/2016|06/15/2016|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|GM|.025|06/15/2016|06/15/2016| | || | |
68180064401||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|06/15/2016|12/31/3999| | || | |
68180062201||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|06/15/2016|12/31/3999| | || | |
68180062210||J0696||06/15/2016|07/17/2021|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|06/15/2016|07/17/2021| | || | |
68180064410||J0696||06/15/2016|07/17/2021|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|06/15/2016|07/17/2021| | || | |
55513000304||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 40 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.025|09/15/2016|03/31/2023| | || | |
55513000304||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 40 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.025|09/15/2016|12/31/3999| | || | |
63739090128||J1644||04/15/2017|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
25021040266||J1644||04/15/2017|10/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.2|04/15/2017|10/31/2021| | || | |
15054053006||J0586||03/15/2017|12/31/3999|Injection, abobotulinumtoxina, 5 units|DYSPORT 300 UNIT VIAL|1|UN|VIAL|IM|EA|.01666|03/15/2017|12/31/3999| | || | |
60432015004||Q0177||01/01/2011|05/31/2022|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE 10 MG/5 ML SOLN|118|ML|BOTTLE|PO|ML|12.5|01/01/2011|05/31/2022| | || | |
00409509216||J0713||10/28/2004|12/31/3999|Injection, ceftazidime, per 500 mg|TAZICEF 1 GM ADD-VANTAGE VIAL|1|UN|VIAL|IV|EA|.5|10/28/2004|12/31/3999| | || | |
00143972301||J0735||05/15/2017|12/31/3999|Injection, clonidine hydrochloride, 1 mg|CLONIDINE 5,000 MCG/10 ML VIAL|10|ML|VIAL|EP|ML|2|05/15/2017|12/31/3999| | || | |
59148007091||J0594||05/15/2017|12/31/3999|Injection, busulfan, 1 mg|BUSULFEX 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1666|05/15/2017|12/31/3999| | || | |
00409162601||J0595||05/15/2017|12/31/3999|Injection, butorphanol tartrate, 1 mg|BUTORPHANOL 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
00409201232||J0592||05/15/2017|12/31/3999|Injection, buprenorphine hydrochloride, 0.1 mg|BUPRENORPHINE 0.3 MG/ML SYRN|1|ML|SYRINGE|IJ|ML|.3333|05/15/2017|12/31/3999| | || | |
00143972401||J0735||05/15/2017|12/31/3999|Injection, clonidine hydrochloride, 1 mg|CLONIDINE 1000 MCG/10 ML VIAL|10|ML|VIAL|EP|ML|10|05/15/2017|12/31/3999| | || | |
25021011487||J0744||08/06/2008|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACN-D5W 400 MG/200 ML|200|ML|BAG|IV|ML|100|08/06/2008|12/31/3999| | || | |
99207024005||J0600||05/15/2017|09/30/2021|Injection, edetate calcium disodium, up to 1000 mg|CAL DISOD VERSEN 1,000 MG/5 ML|5|ML|AMPUL|IJ|ML|5|05/15/2017|09/30/2021| | || | |
50419075901||J0744||05/15/2017|06/30/2020|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPRO I.V. 400 MG/200 ML D5W|200|ML|BAG|IV|ML|100|05/15/2017|06/30/2020| | || | |
00009028002||J1030||01/01/1991|12/31/3999|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 40 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|01/01/1991|12/31/3999| | || | |
00409477702||J0744||05/15/2017|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACN-D5W 400 MG/200 ML|200|ML|BAG|IV|ML|100|05/15/2017|12/31/3999| | || | |
63004871001||J0800||05/15/2017|09/30/2023|Injection, corticotropin, up to 40 units|HP ACTHAR GEL 80 UNIT/ML VIAL|5|ML|VIAL|IJ|ML|.5|05/15/2017|09/30/2023| | || | |
55513012601||Q4081||05/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 2,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.05|05/15/2017|12/31/2022| | || | |
00409100701||J2501||12/01/2014|04/01/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 2 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.5|12/01/2014|04/01/2022| | || | |
00409100711||J2501||12/01/2014|04/01/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 2 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.5|12/01/2014|04/01/2022| | || | |
00517641025||J3490||10/01/2015|10/02/2015|Unclassified drugs|MANGANESE 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|10/01/2015|10/02/2015| | || | |
00069018821||J8999||02/03/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IBRANCE 100 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|02/03/2015|12/31/3999| | || | |
00069018921||J8999||02/03/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IBRANCE 125 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|02/03/2015|12/31/3999| | || | |
00069019502||J1645||02/01/1997|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 2,500 UNITS/0.2 ML|.2|ML|SYRINGE|SQ|ML|.2|02/01/1997|12/31/3999| | || | |
00069019601||J1645||02/01/1997|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 5,000 UNITS/0.2 ML|.2|ML|SYRINGE|SQ|ML|.1|02/01/1997|12/31/3999| | || | |
00069019602||J1645||02/01/1997|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 5,000 UNITS/0.2 ML|.2|ML|SYRINGE|SQ|ML|.1|02/01/1997|12/31/3999| | || | |
00069021701||J1645||04/01/2002|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 10,000 UNITS/ML SYR|1|ML|SYRINGE|SQ|ML|.25|04/01/2002|12/31/3999| | || | |
00069023201||J1645||04/01/2002|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 95,000 UNITS/3.8 ML|3.8|ML|VIAL|SQ|ML|.1|04/01/2002|12/31/3999| | || | |
00078065006||J8999||03/13/2015|12/23/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FARYDAK 10 MG CAPSULE|6|UN|BLIST PACK|PO|CAP|1|03/13/2015|12/23/2022| | || | |
00078065106||J8999||03/13/2015|12/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FARYDAK 15 MG CAPSULE|6|UN|BLIST PACK|PO|CAP|1|03/13/2015|12/31/2022| | || | |
00703904091||J0278||01/01/2006|09/30/2016|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1 GRAM/4 ML V|4|ML|VIAL|IJ|ML|.4|01/01/2006|09/30/2016| | || | |
45963073357||J9000||12/16/2016|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 20 MG/10 ML VIA|10|ML|VIAL|IV|ML|5|12/16/2016|12/31/3999| | || | |
45963073368||J9000||12/16/2016|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 50 MG/25 ML VIA|25|ML|VIAL|IV|ML|5|12/16/2016|12/31/3999| | || | |
00781323394||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|12/16/2016|12/31/3999| | || | |
00169368512||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|NOVOLOG MIX 70-30 VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169330312||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|NOVOLOG 100 UNIT/ML CARTRIDGE|3|ML|CARTRIDGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169330312||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|NOVOLOG 100 UNIT/ML CARTRIDGE|3|ML|CARTRIDGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00088250205||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|APIDRA SOLOSTAR 100 UNITS/ML|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00088250033||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|APIDRA 100 UNITS/ML VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002879901||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG 100 UNITS/ML KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002879859||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG MIX 50-50 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002879859||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG MIX 50-50 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
16729031193||J2501||03/24/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 10 MCG/2 ML VI|2|ML|VIAL|IJ|ML|.2|03/24/2016|12/31/3999| | || | |
25021017302||J0278||07/15/2016|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|07/15/2016|12/31/3999| | || | |
00078063941||J3590||12/16/2016|12/31/3999|Unclassified Biologics|COSENTYX 300 MG DOSE-2 PENS|1|ML|SYRINGE|SQ|ML|1|12/16/2016|12/31/3999| | || | |
00078063997||J3590||12/16/2016|12/31/3999|Unclassified Biologics|COSENTYX 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|1|12/16/2016|12/31/3999| | || | |
16729031163||J2501||03/24/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 5 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.2|03/24/2016|12/31/3999| | || | |
39822552502||J2550||08/05/2016|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|08/05/2016|12/31/3999| | || | |
00002879801||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG MIX 50-50 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002879759||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG MIX 75-25 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002879759||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG MIX 75-25 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002751601||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG 100 UNITS/ML CARTRIDGE|3|ML|CARTRIDGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002751601||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG 100 UNITS/ML CARTRIDGE|3|ML|CARTRIDGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002751201||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG MIX 50-50 VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00002751201||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG MIX 50-50 VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
68875020402||J3590||12/16/2016|10/04/2022|Unclassified Biologics|NATPARA 75 MCG DOSE CARTRID|2|UN|CARTRIDGE|SQ|EA|1|12/16/2016|10/04/2022| | || | |
68875020502||J3590||12/16/2016|10/04/2022|Unclassified Biologics|NATPARA 100 MCG DOSE CARTRI|2|UN|CARTRIDGE|SQ|EA|1|12/16/2016|10/04/2022| | || | |
55513000301||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 40 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.025|09/15/2016|12/31/3999| | || | |
55513000301||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 40 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.025|09/15/2016|03/31/2023| | || | |
55513000501||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 100 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.01|09/15/2016|12/31/3999| | || | |
55513002104||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 40 MCG/0.4 ML SYRINGE|0.4|ML|SYRINGE|IJ|ML|.01|09/15/2016|03/31/2023| | || | |
55513002501||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 100 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|IJ|ML|.005|09/15/2016|12/31/3999| | || | |
55513002501||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 100 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|IJ|ML|.005|09/15/2016|03/31/2023| | || | |
55513002504||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 100 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|IJ|ML|.005|09/15/2016|03/31/2023| | || | |
55513002104||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 40 MCG/0.4 ML SYRINGE|0.4|ML|SYRINGE|IJ|ML|.01|09/15/2016|12/31/3999| | || | |
55513011101||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 300 MCG/0.6 ML SYRINGE|0.6|ML|SYRINGE|IJ|ML|.002|09/15/2016|12/31/3999| | || | |
55513011101||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 300 MCG/0.6 ML SYRINGE|0.6|ML|SYRINGE|IJ|ML|.002|09/15/2016|03/31/2023| | || | |
55513000501||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 100 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.01|09/15/2016|03/31/2023| | || | |
55513000504||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 100 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.01|09/15/2016|12/31/3999| | || | |
55513000504||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 100 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.01|09/15/2016|03/31/2023| | || | |
55513002504||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 100 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|IJ|ML|.005|09/15/2016|12/31/3999| | || | |
55513002701||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 150 MCG/0.3 ML SYRINGE|0.3|ML|SYRINGE|IJ|ML|.002|09/15/2016|12/31/3999| | || | |
55513002304||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 60 MCG/0.3 ML SYRINGE|0.3|ML|SYRINGE|IJ|ML|.005|09/15/2016|12/31/3999| | || | |
55513002304||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 60 MCG/0.3 ML SYRINGE|0.3|ML|SYRINGE|IJ|ML|.005|09/15/2016|03/31/2023| | || | |
55513002801||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 200 MCG/0.4 ML SYRINGE|0.4|ML|SYRINGE|IJ|ML|.002|09/15/2016|12/31/3999| | || | |
55513002801||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 200 MCG/0.4 ML SYRINGE|0.4|ML|SYRINGE|IJ|ML|.002|09/15/2016|03/31/2023| | || | |
00023114501||J0585||09/15/2016|12/31/3999|Injection, onabotulinumtoxina, 1 unit|BOTOX 100 UNITS VIAL|1|UN|VIAL|IJ|EA|.01|09/15/2016|12/31/3999| | || | |
00023392102||J0585||09/15/2016|12/31/3999|Injection, onabotulinumtoxina, 1 unit|BOTOX 200 UNITS VIAL|1|UN|VIAL|IJ|EA|.005|09/15/2016|12/31/3999| | || | |
00009008510||J1071||09/15/2016|12/31/3999|Injection, testosterone cypionate, 1mg|DEPO-TESTOSTERONE 100 MG/ML VL|10|ML|VIAL|IJ|ML|.01|09/15/2016|12/31/3999| | || | |
00006384371||J1335||09/15/2016|06/30/2023|Injection, ertapenem sodium, 500 mg|INVANZ 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|09/15/2016|06/30/2023| | || | |
00049052083||J2540||09/15/2016|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PFIZERPEN 5 MILLION UNITS VIAL|1|UN|VIAL|IJ|EA|.12|09/15/2016|12/31/3999| | || | |
00009008601||J1071||09/15/2016|12/31/3999|Injection, testosterone cypionate, 1mg|DEPO-TESTOSTERONE 200 MG/ML VL|1|ML|VIAL|IJ|ML|.005|09/15/2016|12/31/3999| | || | |
00009030612||J1020||05/15/2017|05/15/2017|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 80 MG/ML VIAL|5|ML|VIAL|IJ|ML|.25|05/15/2017|05/15/2017| | || | |
00009307303||J1020||05/15/2017|12/31/3999|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 40 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
00009307323||J1020||05/15/2017|12/31/3999|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 40 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
00009347501||J1020||05/15/2017|05/15/2017|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|05/15/2017|05/15/2017| | || | |
00409508216||J0713||10/28/2004|12/31/3999|Injection, ceftazidime, per 500 mg|TAZICEF 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|10/28/2004|12/31/3999| | || | |
00006351659||J0743||05/15/2017|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|PRIMAXIN 500 MG VIAL|1|UN|VIAL|IV|EA|.5|05/15/2017|12/31/3999| | || | |
63323032225||J0743||05/15/2017|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 500 MG VL|1|UN|VIAL|IV|EA|.5|05/15/2017|12/31/3999| | || | |
00009028002||J1020||05/15/2017|12/31/3999|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 40 MG/ML VIAL|5|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
00009028052||J1030||01/01/1991|12/31/3999|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 40 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|01/01/1991|12/31/3999| | || | |
00009030602||J1040||01/01/1991|12/31/3999|Injection, methylprednisolone acetate, 80 mg|DEPO-MEDROL 80 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|01/01/1991|12/31/3999| | || | |
00703003101||J1020||05/15/2017|11/30/2022|Injection, methylprednisolone acetate, 20 mg|METHYLPREDNISOLONE 40 MG/ML VL|1|ML|VIAL|IJ|ML|.5|05/15/2017|11/30/2022| | || | |
00703003104||J1020||05/15/2017|03/31/2022|Injection, methylprednisolone acetate, 20 mg|METHYLPREDNISOLONE 40 MG/ML VL|1|ML|VIAL|IJ|ML|.5|05/15/2017|03/31/2022| | || | |
00703004301||J1020||05/15/2017|12/31/2022|Injection, methylprednisolone acetate, 20 mg|METHYLPREDNISOLONE 40 MG/ML VL|5|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/2022| | || | |
00703004501||J1020||05/15/2017|04/30/2022|Injection, methylprednisolone acetate, 20 mg|METHYLPREDNISOLONE 40 MG/ML VL|10|ML|VIAL|IJ|ML|.5|05/15/2017|04/30/2022| | || | |
00703005104||J1020||05/15/2017|03/31/2022|Injection, methylprednisolone acetate, 20 mg|METHYLPREDNISOLONE 80 MG/ML VL|1|ML|VIAL|IJ|ML|.25|05/15/2017|03/31/2022| | || | |
00703005104||J1030||05/15/2017|03/31/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 80 MG/ML VL|1|ML|VIAL|IJ|ML|.5|05/15/2017|03/31/2022| | || | |
00703006301||J1030||05/15/2017|02/28/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 80 MG/ML VL|5|ML|VIAL|IJ|ML|.5|05/15/2017|02/28/2022| | || | |
00409162602||J0595||05/15/2017|12/31/3999|Injection, butorphanol tartrate, 1 mg|BUTORPHANOL 2 MG/ML VIAL|2|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
42227008105||J0598||05/15/2017|07/31/2023|Injection, c-1 esterase inhibitor (human), cinryze, 10 units|CINRYZE 500 UNIT VIAL|1|UN|VIAL|IV|EA|.02|05/15/2017|07/31/2023| | || | |
17478093101||J0636||05/15/2017|06/30/2023|Injection, calcitriol, 0.1 mcg|CALCITRIOL 1 MCG/ML AMPUL|1|ML|AMPUL|IV|EA|.1|05/15/2017|06/30/2023| | || | |
67457015399||J0282||02/05/2009|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 450 MG/9 ML VIAL|9|ML|VIAL|IV|ML|.6|02/05/2009|12/31/3999| | || | |
39822050001||J0360||09/01/2015|03/31/2021|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/01/2015|03/31/2021| | || | |
55150017410||J0456||07/07/2015|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|07/07/2015|12/31/3999| | || | |
00409830020||J0583||07/30/2015|08/01/2024|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|07/30/2015|08/01/2024| | || | |
00781315895||J0583||05/01/2005|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|05/01/2005|12/31/3999| | || | |
42023017905||J0592||07/30/2015|12/31/3999|Injection, buprenorphine hydrochloride, 0.1 mg|BUPRENORPHINE 0.3 MG/ML VIA|1|ML|VIAL|IJ|ML|.333|07/30/2015|12/31/3999| | || | |
25021010269||J0690||08/06/2008|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|GM|.05|08/06/2008|12/31/3999| | || | |
25021012267||J0692||08/06/2008|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|GM|.25|08/06/2008|12/31/3999| | || | |
00143956701||J0697||07/06/2015|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 1.5 GM VIAL|1|UN|VIAL|IJ|GM|.5|07/06/2015|12/31/3999| | || | |
00143956825||J0697||07/08/2015|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 750 MG VIAL|1|UN|VIAL|IJ|GM|1|07/08/2015|12/31/3999| | || | |
00143956901||J0697||07/08/2015|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 7.5 GM VIAL|1|UN|VIAL|IV|GM|.1|07/08/2015|12/31/3999| | || | |
39822070601||J3000||04/13/2000|09/30/2007|Injection, streptomycin, up to 1 gm|STREPTOMYCIN SULF 1 GM VIAL|1|UN|VIAL|IM|EA|1|04/13/2000|09/30/2007| | || | |
67457061110||J3370||07/16/2015|09/30/2018|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|07/16/2015|09/30/2018| | || | |
18657011701||J3470||02/03/2012|12/31/3999|Injection, hyaluronidase, up to 150 units|HYLENEX 150 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|1|02/03/2012|12/31/3999| | || | |
25021012867||J0713||08/06/2008|12/31/3999|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 2 GM VIAL|1|UN|VIAL|IJ|GM|.25|08/06/2008|12/31/3999| | || | |
25021012969||J0713||08/06/2008|12/31/3999|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 6 GM VIAL|1|UN|VIAL|IJ|GM|.0833|08/06/2008|12/31/3999| | || | |
00703011001||J1170||01/18/2011|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.4|01/18/2011|12/31/3999| | || | |
63323059613||J1610||07/01/2015|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGON 1 MG VIAL|1|UN|VIAL|IJ|EA|1|07/01/2015|12/31/2022| | || | |
00703401411||J1950||11/06/2000|06/30/2003|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LEUPROLIDE 1 MG/0.2 ML VIAL|2.8|ML|VIAL|SQ|EA|.75|11/06/2000|06/30/2003| | || | |
00641612501||J2270||09/29/2015|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 4 MG/ML VI|1|ML|VIAL|IV|ML|2.5|09/29/2015|12/31/3999| | || | |
00143958725||J3490||12/16/2016|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|12/16/2016|12/31/3999| | || | |
00143959301||J3490||12/16/2016|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|12/16/2016|12/31/2023| | || | |
00143978501||J3490||12/16/2016|12/31/3999|Unclassified drugs|VALPROATE SOD 500 MG/5 ML V|5|ML|VIAL|IV|ML|.2|12/16/2016|12/31/3999| | || | |
00169280015||J3490||12/16/2016|12/31/2021|Unclassified drugs|SAXENDA 18 MG/3 ML PEN|3|ML|SYRINGE|SQ|ML|.33|12/16/2016|12/31/2021| | || | |
00703239401||J3490||12/16/2016|06/30/2023|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.2|12/16/2016|06/30/2023| | || | |
67457035110||J0290||09/13/2016|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|09/13/2016|12/31/3999| | || | |
76045010710||J1885||09/19/2016|04/30/2022|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|1|09/19/2016|04/30/2022| | || | |
67919001202||J0878||08/01/2016|10/20/2022|Injection, daptomycin, 1 mg|CUBICIN RF 500 MG VIAL|1|UN|VIAL|IV|EA|.002|08/01/2016|10/20/2022| | || | |
68001028224||J9201||06/08/2016|08/27/2020|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 2 GRAM VIAL|1|F2|VIAL|IV|AHF|.1|06/08/2016|08/27/2020| | || | |
68001028227||J9201||06/08/2016|08/27/2020|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 2 GRAM VIAL|1|F2|VIAL|IV|AHF|.1|06/08/2016|08/27/2020| | || | |
10019093601||J9070||12/16/2016|01/31/2023|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|12/16/2016|01/31/2023| | || | |
10019093710||J9070||12/16/2016|02/28/2023|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|12/16/2016|02/28/2023| | || | |
10019093801||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|12/16/2016|12/31/3999| | || | |
10019094210||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|12/16/2016|12/31/3999| | || | |
10019094301||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|12/16/2016|12/31/3999| | || | |
10019094450||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
10019094501||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|12/16/2016|12/31/3999| | || | |
55566220000||J2597||02/01/1996|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DDAVP 4 MCG/ML AMPUL|1|ML|AMPUL|IJ|ML|.25|02/01/1996|12/31/3999| | || | |
63323011728||J9190||12/16/2016|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1,000 MG/20 ML|20|ML|VIAL|IV|ML|10|12/16/2016|12/31/3999| | || | |
68001026630||J9190||12/16/2016|06/30/2023|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|12/16/2016|06/30/2023| | || | |
00143961910||J3420||04/11/2016|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|04/11/2016|12/31/3999| | || | |
00143962010||J3420||04/11/2016|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|04/11/2016|12/31/3999| | || | |
43598056325||J2501||09/16/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 2 MCG/ML VIAL|1|ML|VIAL|IV|EA|.5|09/16/2016|12/31/3999| | || | |
43598056411||J2501||09/16/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 5 MCG/ML VIAL|1|ML|VIAL|IV|EA|.2|09/16/2016|12/31/3999| | || | |
43598056425||J2501||09/16/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 5 MCG/ML VIAL|1|ML|VIAL|IV|EA|.2|09/16/2016|12/31/3999| | || | |
00074438291||J3490||12/16/2016|12/31/3999|Unclassified drugs|NIMBEX 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.05|12/16/2016|12/31/3999| | || | |
68001026633||J9190||12/16/2016|07/25/2024|Injection, fluorouracil, 500 mg|FLUOROURACIL 5 GM/100 ML VI|100|ML|VIAL|IV|ML|10|12/16/2016|07/25/2024| | || | |
45963061159||J9263||12/16/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG VIAL|1|UN|VIAL|IV|GM|.005|12/16/2016|12/31/3999| | || | |
00008499019||J3243||09/15/2016|12/31/3999|Injection, tigecycline, 1 mg|TYGACIL 50 MG VIAL|1|UN|VIAL|IV|EA|.02|09/15/2016|12/31/3999| | || | |
00009001820||J2930||09/15/2016|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 1,000 MG VIAL|1|UN|VIAL|IV|EA|.125|09/15/2016|12/31/3999| | || | |
00003029328||J3301||09/15/2016|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|KENALOG-40 40 MG/ML VIAL|10|ML|VIAL|IJ|ML|.25|09/15/2016|12/31/3999| | || | |
00003029305||J3301||09/15/2016|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|KENALOG-40 40 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|09/15/2016|12/31/3999| | || | |
00003029320||J3301||09/15/2016|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|KENALOG-40 40 MG/ML VIAL|5|ML|VIAL|IJ|ML|.25|09/15/2016|12/31/3999| | || | |
00024582411||J9043||09/15/2016|12/31/3999|Injection, cabazitaxel, 1 mg|JEVTANA 60 MG/1.5 ML KIT|1.5|ML|VIAL|IV|EA|.025|09/15/2016|12/31/3999| | || | |
00009041701||J1071||09/15/2016|12/31/3999|Injection, testosterone cypionate, 1mg|DEPO-TESTOSTERONE 200 MG/ML|1|ML|VIAL|IM|ML|.005|09/15/2016|12/31/3999| | || | |
00009001305||J1720||09/15/2016|12/31/3999|Injection, hydrocortisone sodium succinate, up to 100 mg|SOLU-CORTEF 250 MG VIAL|1|UN|VIAL|IJ|EA|.4|09/15/2016|12/31/3999| | || | |
00002871501||S5552||09/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|HUMULIN 70-30 VIAL|10|ML|VIAL|IJ|ML|.05|09/15/2016|12/31/3999| | || | |
00009379422||J1742||09/15/2016|12/31/3999|Injection, ibutilide fumarate, 1 mg|CORVERT 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|09/15/2016|12/31/3999| | || | |
00009041702||J1071||09/15/2016|12/31/3999|Injection, testosterone cypionate, 1mg|DEPO-TESTOSTERONE 200 MG/ML|10|ML|VIAL|IM|ML|.005|09/15/2016|12/31/3999| | || | |
00009000302||J2930||09/15/2016|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 500 MG VIAL|1|UN|VIAL|IV|EA|.25|09/15/2016|12/31/3999| | || | |
00009075801||J2930||09/15/2016|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 500 MG VIAL|1|UN|VIAL|IV|EA|.25|09/15/2016|12/31/3999| | || | |
00002762301||J9305||09/15/2016|09/15/2016|Injection, pemetrexed, 10 mg|ALIMTA 500 MG VIAL|1|UN|VIAL|IV|EA|.02|09/15/2016|09/15/2016| | || | |
00009069801||J2930||09/15/2016|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 1 GM VIAL|1|UN|VIAL|IV|EA|.125|09/15/2016|12/31/3999| | || | |
55513002301||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 60 MCG/0.3 ML SYRINGE|0.3|ML|SYRINGE|IJ|ML|.005|09/15/2016|03/31/2023| | || | |
55513002301||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 60 MCG/0.3 ML SYRINGE|0.3|ML|SYRINGE|IJ|ML|.005|09/15/2016|12/31/3999| | || | |
55513002704||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 150 MCG/0.3 ML SYRINGE|0.3|ML|SYRINGE|IJ|ML|.002|09/15/2016|12/31/3999| | || | |
55513002704||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 150 MCG/0.3 ML SYRINGE|0.3|ML|SYRINGE|IJ|ML|.002|09/15/2016|03/31/2023| | || | |
55513002101||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 40 MCG/0.4 ML SYRINGE|0.4|ML|SYRINGE|IJ|ML|.01|09/15/2016|03/31/2023| | || | |
55513002101||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 40 MCG/0.4 ML SYRINGE|0.4|ML|SYRINGE|IJ|ML|.01|09/15/2016|12/31/3999| | || | |
00409021701||J0692||05/15/2017|09/30/2020|Injection, cefepime hydrochloride, 500 mg|MAXIPIME 1 GM ADD-VANTAGE VL|1|UN|VIAL|IV|EA|.5|05/15/2017|09/30/2020| | || | |
00409022001||J0692||05/15/2017|09/30/2020|Injection, cefepime hydrochloride, 500 mg|MAXIPIME 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|05/15/2017|09/30/2020| | || | |
44567024010||J0692||05/15/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|05/15/2017|12/31/3999| | || | |
60505603004||J0692||05/15/2017|07/19/2021|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|05/15/2017|07/19/2021| | || | |
63323032620||J0692||05/15/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|05/15/2017|12/31/3999| | || | |
00143987610||J0694||05/15/2017|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 10 GM VIAL|1|UN|VIAL|IV|GM|.1|05/15/2017|12/31/3999| | || | |
00143987725||J0694||05/15/2017|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 2 GM VIAL|1|UN|VIAL|IV|GM|.5|05/15/2017|12/31/3999| | || | |
00264312511||J0694||05/15/2017|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 2 GM PIGGYBACK BAG|1|UN|BAG|IV|ML|.5|05/15/2017|12/31/3999| | || | |
25021011020||J0694||05/15/2017|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 2 GM VIAL|1|UN|VIAL|IV|GM|.5|05/15/2017|12/31/3999| | || | |
25021011199||J0694||05/15/2017|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 10 GM VIAL|1|UN|BOTTLE|IV|GM|.1|05/15/2017|12/31/3999| | || | |
63323034225||J0694||05/15/2017|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 2 GM VIAL|1|UN|VIAL|IV|EA|.5|05/15/2017|12/31/3999| | || | |
00143997722||J0697||05/15/2017|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 1.5 GM VIAL|1|UN|VIAL|IJ|GM|.5|05/15/2017|12/31/3999| | || | |
25021011920||J0697||05/15/2017|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 1.5 GM VIAL|1|UN|VIAL|IJ|GM|.5|05/15/2017|12/31/3999| | || | |
00264314311||J0713||05/15/2017|05/30/2025|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 1 GM PIGGYBACK|1|UN|BAG|IV|ML|.5|05/15/2017|05/30/2025| | || | |
00009028003||J1020||05/15/2017|12/31/3999|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 40 MG/ML VIAL|10|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
00009028051||J1020||05/15/2017|12/31/3999|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 40 MG/ML VIAL|5|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
00009030612||J1040||01/01/1991|12/31/3999|Injection, methylprednisolone acetate, 80 mg|DEPO-MEDROL 80 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|01/01/1991|12/31/3999| | || | |
17478083101||J0636||05/15/2017|01/31/2018|Injection, calcitriol, 0.1 mcg|CALCITRIOL 1 MCG/ML AMPUL|1|ML|AMPUL|IV|EA|.1|05/15/2017|01/31/2018| | || | |
00006382310||J0637||05/15/2017|12/31/3999|Injection, caspofungin acetate, 5 mg|CANCIDAS IV 70 MG VIAL|1|UN|VIAL|IV|EA|.07142|05/15/2017|12/31/3999| | || | |
00264319311||J0692||05/15/2017|12/31/2022|Injection, cefepime hydrochloride, 500 mg|CEFEPIME-DEXTROSE 1 GM/50 ML|1|UN|BAG|IV|ML|25|05/15/2017|12/31/2022| | || | |
00264319511||J0692||05/15/2017|12/31/2022|Injection, cefepime hydrochloride, 500 mg|CEFEPIME-DEXTROSE 2 GM/50 ML|1|UN|BAG|IV|ML|12.5|05/15/2017|12/31/2022| | || | |
00703330101||J2353||11/14/2005|09/30/2022|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 0.05 MG/ML|1|ML|VIAL|IJ|ML|20|11/14/2005|09/30/2022| | || | |
63323030494||J2543||06/20/2011|10/29/2023|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|EA|.027778|06/20/2011|10/29/2023| | || | |
00703450281||J2765||07/01/1992|03/31/2021|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|07/01/1992|03/31/2021| | || | |
00703450284||J2765||07/01/1992|03/31/2021|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|07/01/1992|03/31/2021| | || | |
61748001205||J8999||01/01/2011|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|500|UN|BOTTLE|PO|TAB|1|01/01/2011|06/30/2023| | || | |
18657011702||J3470||02/03/2012|12/31/3999|Injection, hyaluronidase, up to 150 units|HYLENEX 150 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|1|02/03/2012|12/31/3999| | || | |
00049053028||J2540||09/15/2016|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PFIZERPEN 20 MILLION UNIT VIAL|1|UN|VIAL|IJ|EA|.03|09/15/2016|12/31/3999| | || | |
00024584001||J9400||09/15/2016|12/31/3999|Injection, ziv-aflibercept, 1 mg|ZALTRAP 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.04|09/15/2016|12/31/3999| | || | |
00024584305||J2820||09/15/2016|06/30/2021|Injection, sargramostim (gm-csf), 50 mcg|LEUKINE 250 MCG VIAL|1|UN|VIAL|IJ|EA|.2|09/15/2016|06/30/2021| | || | |
00002831517||S5552||09/15/2016|12/10/2024|Insulin, intermediate acting (nph or lente); 5 units|HUMULIN N 100 UNITS/ML VIAL|3|ML|VIAL|SQ|ML|.05|09/15/2016|12/10/2024| | || | |
55513002701||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 150 MCG/0.3 ML SYRINGE|0.3|ML|SYRINGE|IJ|ML|.002|09/15/2016|03/31/2023| | || | |
55513003201||J0881||09/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 500 MCG/1 ML SYRINGE|1|ML|SYRINGE|IJ|ML|.002|09/15/2016|12/31/3999| | || | |
55513003201||J0882||09/15/2016|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 500 MCG/1 ML SYRINGE|1|ML|SYRINGE|IJ|ML|.002|09/15/2016|03/31/2023| | || | |
00015301260||J9050||10/01/2015|12/31/2016|Injection, carmustine, 100 mg|BICNU 100 MG VIAL|1|UN|VIAL|IV|EA|1|10/01/2015|12/31/2016| | || | |
00009030602||J1020||09/15/2016|09/15/2016|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 80 MG/ML VIAL|5|ML|VIAL|IJ|ML|.25|09/15/2016|09/15/2016| | || | |
00009030602||J1030||09/15/2016|09/15/2016|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 80 MG/ML VIAL|5|ML|VIAL|IJ|ML|.5|09/15/2016|09/15/2016| | || | |
25021012120||J0692||05/15/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|GM|.5|05/15/2017|12/31/3999| | || | |
25021012250||J0692||05/15/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|GM|.25|05/15/2017|12/31/3999| | || | |
44567024110||J0692||05/15/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|05/15/2017|12/31/3999| | || | |
63323034020||J0692||05/15/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|05/15/2017|12/31/3999| | || | |
00264315511||J0696||05/15/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM-D5W BAG|1|UN|BAG|IV|ML|.125|05/15/2017|12/31/3999| | || | |
25021012059||J0697||05/15/2017|05/16/2017|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 7.5 GM VIAL|1|UN|VIAL|IV|GM|.1|05/15/2017|05/16/2017| | || | |
00264314511||J0713||05/15/2017|05/30/2025|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 2 GM PIGGYBACK|1|UN|BAG|IV|ML|.25|05/15/2017|05/30/2025| | || | |
55566030201||J0795||05/15/2017|12/31/2020|Injection, corticorelin ovine triflutate, 1 microgram|ACTHREL 100 MCG VIAL|1|UN|VIAL|IV|EA|.01|05/15/2017|12/31/2020| | || | |
55111055610||J0894||05/15/2017|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|05/15/2017|12/31/3999| | || | |
55513071001||J0897||05/15/2017|12/31/3999|Injection, denosumab, 1 mg|PROLIA 60 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.01667|05/15/2017|12/31/3999| | || | |
00009347523||J1030||05/15/2017|10/31/2022|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|10/31/2022| | || | |
00703005101||J1020||05/15/2017|12/31/2022|Injection, methylprednisolone acetate, 20 mg|METHYLPREDNISOLONE 80 MG/ML VL|1|ML|VIAL|IJ|ML|.25|05/15/2017|12/31/2022| | || | |
00703005101||J1030||05/15/2017|12/31/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 80 MG/ML VL|1|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/2022| | || | |
00703006301||J1020||05/15/2017|02/28/2022|Injection, methylprednisolone acetate, 20 mg|METHYLPREDNISOLONE 80 MG/ML VL|5|ML|VIAL|IJ|ML|.25|05/15/2017|02/28/2022| | || | |
00009028051||J1030||01/01/1991|12/31/3999|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 40 MG/ML VIAL|5|ML|VIAL|IJ|ML|1|01/01/1991|12/31/3999| | || | |
00009030612||J1030||05/15/2017|05/15/2017|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 80 MG/ML VIAL|5|ML|VIAL|IJ|ML|.5|05/15/2017|05/15/2017| | || | |
00009028003||J1030||01/01/1991|12/31/3999|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 40 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|01/01/1991|12/31/3999| | || | |
00009028052||J1020||05/15/2017|12/31/3999|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 40 MG/ML VIAL|10|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
18657011702||J3473||02/03/2012|12/31/3999|Injection, hyaluronidase, recombinant, 1 usp unit|HYLENEX 150 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|1|02/03/2012|12/31/3999| | || | |
68611019002||J7311||07/23/2015|07/24/2015|Fluocinolone acetonide, intravitreal implant|ILUVIEN 0.19 MG IMPLANT|1|UN|PF APPLI|IO|EA|1|07/23/2015|07/24/2015| | || | |
00527110901||J8999||01/01/2011|12/30/2019|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 300 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/30/2019| | || | |
00527110910||J8999||01/01/2011|12/30/2019|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 300 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|01/01/2011|12/30/2019| | || | |
00555007102||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 300 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00555007105||J8999||01/01/2011|05/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 300 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|01/01/2011|05/31/2021| | || | |
58468004001||J0180||02/15/2017|12/31/3999|Injection, agalsidase beta, 1 mg|FABRAZYME 35 MG VIAL|1|UN|VIAL|IV|EA|.028|02/15/2017|12/31/3999| | || | |
58468016002||J0221||02/15/2017|04/06/2023|Injection, alglucosidase alfa, (lumizyme), 10 mg|LUMIZYME 50 MG VIAL|1|UN|VIAL|IV|EA|.2|02/15/2017|04/06/2023| | || | |
58468016001||J0221||02/15/2017|12/31/3999|Injection, alglucosidase alfa, (lumizyme), 10 mg|LUMIZYME 50 MG VIAL|1|UN|VIAL|IV|EA|.2|02/15/2017|12/31/3999| | || | |
49401010101||J0490||02/15/2017|12/31/3999|Injection, belimumab, 10 mg|BENLYSTA 120 MG VIAL|1|UN|VIAL|IV|EA|.08333|02/15/2017|12/31/3999| | || | |
23155029041||J0278||02/15/2017|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.4|02/15/2017|12/31/3999| | || | |
23155029042||J0278||02/15/2017|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1 GRAM/4 ML VIAL|4|ML|VIAL|IJ|ML|.4|02/15/2017|12/31/3999| | || | |
49401010201||J0490||02/15/2017|12/31/3999|Injection, belimumab, 10 mg|BENLYSTA 400 MG VIAL|1|UN|VIAL|IV|EA|.025|02/15/2017|12/31/3999| | || | |
00703904003||J0278||02/15/2017|08/31/2022|Injection, amikacin sulfate, 100 mg|AMIKACIN 1,000 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|.4|02/15/2017|08/31/2022| | || | |
00703903201||J0278||02/15/2017|08/31/2022|Injection, amikacin sulfate, 100 mg|AMIKACIN 500 MG/2 ML|2|ML|VIAL|IJ|ML|.4|02/15/2017|08/31/2022| | || | |
00703904001||J0278||02/15/2017|08/31/2022|Injection, amikacin sulfate, 100 mg|AMIKACIN 1,000 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|.4|02/15/2017|08/31/2022| | || | |
00703903203||J0278||02/15/2017|08/31/2022|Injection, amikacin sulfate, 100 mg|AMIKACIN 500 MG/2 ML|2|ML|VIAL|IJ|ML|.4|02/15/2017|08/31/2022| | || | |
00078039361||J0480||02/15/2017|12/31/3999|Injection, basiliximab, 20 mg|SIMULECT 10 MG VIAL|1|UN|VIAL|IV|EA|2|02/15/2017|12/31/3999| | || | |
00517890510||J0210||02/15/2017|02/15/2017|Injection, methyldopate hcl, up to 250 mg|METHYLDOPATE 250 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|02/15/2017|02/15/2017| | || | |
00703301911||J9190||02/01/2014|10/31/2020|Injection, fluorouracil, 500 mg|ADRUCIL 5 GRAM/100 ML VIAL|100|ML|VIAL|IV|ML|10|02/01/2014|10/31/2020| | || | |
67457021810||J0735||05/15/2017|12/31/3999|Injection, clonidine hydrochloride, 1 mg|DURACLON 100 MCG/ML VIAL|10|ML|VIAL|EP|ML|10|05/15/2017|12/31/3999| | || | |
23155021631||J0740||05/15/2017|12/31/3999|Injection, cidofovir, 375 mg|CIDOFOVIR 375 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|05/15/2017|12/31/3999| | || | |
67457021005||J0740||05/15/2017|12/31/3999|Injection, cidofovir, 375 mg|CIDOFOVIR 375 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|05/15/2017|12/31/3999| | || | |
63323032294||J0743||05/15/2017|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 500 MG VL|1|UN|VIAL|IJ|EA|.5|05/15/2017|12/31/3999| | || | |
00409477723||J0744||05/15/2017|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACN-D5W 200 MG/100 ML|100|ML|BAG|IV|ML|100|05/15/2017|12/31/3999| | || | |
55513012601||J0885||05/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 2,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
55513012610||J0885||05/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 2,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
43598042737||J0894||05/15/2017|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IJ|ML|.02|05/15/2017|12/31/3999| | || | |
00009307301||J1020||05/15/2017|12/31/3999|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 40 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
00009307322||J1020||05/15/2017|12/31/3999|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 40 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|12/31/3999| | || | |
00009347503||J1020||05/15/2017|05/15/2017|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|05/15/2017|05/15/2017| | || | |
00009347503||J1030||05/15/2017|05/15/2017|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|05/15/2017| | || | |
00009347522||J1020||05/15/2017|09/30/2022|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|05/15/2017|09/30/2022| | || | |
00009347522||J1030||05/15/2017|09/30/2022|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|09/30/2022| | || | |
00009347523||J1020||05/15/2017|10/31/2022|Injection, methylprednisolone acetate, 20 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|05/15/2017|10/31/2022| | || | |
39822200001||J0735||05/15/2017|12/31/3999|Injection, clonidine hydrochloride, 1 mg|CLONIDINE 1,000 MCG/10 ML VIAL|10|ML|VIAL|EP|ML|10|05/15/2017|12/31/3999| | || | |
39822201001||J0735||05/15/2017|12/31/3999|Injection, clonidine hydrochloride, 1 mg|CLONIDINE 5,000 MCG/10 ML VIAL|10|ML|VIAL|EP|ML|2|05/15/2017|12/31/3999| | || | |
63323059930||J0895||05/15/2017|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|05/15/2017|12/31/3999| | || | |
55513073001||J0897||05/15/2017|12/31/3999|Injection, denosumab, 1 mg|XGEVA 120 MG/1.7 ML VIAL|1.7|ML|VIAL|SQ|ML|.014167|05/15/2017|12/31/3999| | || | |
00009347501||J1030||05/15/2017|05/15/2017|Injection, methylprednisolone acetate, 40 mg|DEPO-MEDROL 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/15/2017|05/15/2017| | || | |
66887000301||J0775||05/15/2017|12/31/3999|Injection, collagenase, clostridium histolyticum, 0.01 mg|XIAFLEX 0.9 MG VIAL|1|UN|VIAL|IJ|EA|.0111|05/15/2017|12/31/3999| | || | |
55513012610||Q4081||05/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 2,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.05|05/15/2017|12/31/2022| | || | |
55513026710||J0885||05/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 3,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.333|05/15/2017|12/31/3999| | || | |
55513026710||Q4081||05/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 3,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.0333|05/15/2017|12/31/2022| | || | |
50242009002||J8999||08/22/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ZELBORAF 240 MG TABLET|112|UN|BOTTLE|PO|TAB|1|08/22/2011|12/31/3999| | || | |
62856071405||J8999||02/24/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 14 MG DAILY DOSE|10|UN|BLIST PACK|PO|EA|1|02/24/2015|12/31/3999| | || | |
62856071430||J8999||02/24/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 14 MG DAILY DOSE|60|UN|BLIST PACK|PO|EA|1|02/24/2015|12/31/3999| | || | |
67253066010||J8999||01/01/2011|03/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|03/31/2022| | || | |
68180028501||J8999||03/26/2014|02/21/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RIFABUTIN 150 MG CAPSULE|100|UN|BOTTLE|PO|TAB|1|03/26/2014|02/21/2022| | || | |
43598046562||J9025||07/02/2015|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|07/02/2015|12/31/3999| | || | |
10019093650||J9070||12/04/2014|01/31/2023|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|12/04/2014|01/31/2023| | || | |
66758095002||J9171||07/30/2015|07/31/2022|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|07/30/2015|07/31/2022| | || | |
66758095003||J9171||07/30/2015|07/31/2022|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|07/30/2015|07/31/2022| | || | |
66758095004||J9171||07/30/2015|07/31/2022|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|07/30/2015|07/31/2022| | || | |
00703301811||J9190||10/01/2003|10/31/2020|Injection, fluorouracil, 500 mg|ADRUCIL|50|ML|VIAL|IV|ML|10|10/01/2003|10/31/2020| | || | |
63323075010||J9263||08/12/2015|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|08/12/2015|12/31/3999| | || | |
37000043012||Q0163||07/16/2015|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ZZZQUIL 50 MG/30 ML LIQUID|354|ML|BOTTLE|PO|ML|30|07/16/2015|03/31/2016| | || | |
37000043106||Q0163||07/11/2015|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ZZZQUIL 50 MG/30 ML LIQUID|177|ML|BOTTLE|PO|ML|30|07/11/2015|03/31/2016| | || | |
37000043112||Q0163||07/11/2015|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ZZZQUIL 50 MG/30 ML LIQUID|354|ML|BOTTLE|PO|ML|30|07/11/2015|03/31/2016| | || | |
00024590102||J3490||03/15/2017|06/30/2021|Unclassified drugs|PRALUENT 75 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|03/15/2017|06/30/2021| | || | |
00024590202||J3490||03/15/2017|06/30/2021|Unclassified drugs|PRALUENT 150 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|03/15/2017|06/30/2021| | || | |
00049001483||J0295||03/15/2017|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|UNASYN 3 GM VIAL|1|UN|VIAL|IJ|EA|.5|03/15/2017|12/31/3999| | || | |
00049011428||J0348||03/15/2017|12/31/3999|Injection, anidulafungin, 1 mg|ERAXIS(WATER DIL) 50 MG VIAL|1|UN|VIAL|IV|EA|.02|03/15/2017|12/31/3999| | || | |
00049011628||J0348||03/15/2017|12/31/3999|Injection, anidulafungin, 1 mg|ERAXIS(WATER DIL) 100 MG VIAL|1|UN|VIAL|IV|EA|.01|03/15/2017|12/31/3999| | || | |
00023391950||J0585||03/15/2017|12/31/3999|Injection, onabotulinumtoxina, 1 unit|BOTOX COSMETIC 50 UNITS VIAL|1|UN|VIAL|IM|EA|.02|03/15/2017|12/31/3999| | || | |
00023923201||J0585||03/15/2017|12/31/3999|Injection, onabotulinumtoxina, 1 unit|BOTOX COSMETIC 100 UNITS VIAL|1|UN|VIAL|IJ|EA|.01|03/15/2017|12/31/3999| | || | |
49502010101||J0171||01/01/2011|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.15 MG AUTO-IN|1|UN|SYRINGE|IJ|ML|.6666|01/01/2011|12/31/3999| | || | |
00641613525||J0780||11/01/2016|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|11/01/2016|12/31/3999| | || | |
00409492120||J0171||01/01/2011|05/01/2022|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.1 MG/ML SYRIN|10|ML|SYRINGE|IJ|ML|1|01/01/2011|05/01/2022| | || | |
67457034910||J0295||09/04/2015|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|09/04/2015|12/31/3999| | || | |
68001028522||J0640||12/01/2016|03/31/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 50 MG VI|1|UN|VIAL|IJ|ML|1|12/01/2016|03/31/2023| | || | |
68001028540||J0640||12/01/2016|03/31/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 50 MG VI|1|UN|VIAL|IJ|ML|1|12/01/2016|03/31/2023| | || | |
68001028639||J0640||12/01/2016|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG V|1|UN|VIAL|IJ|ML|.14285|12/01/2016|12/31/3999| | || | |
00143966001||J3490||03/15/2017|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|03/15/2017|12/31/3999| | || | |
00143968901||J3490||06/01/2012|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|06/01/2012|12/31/2023| | || | |
00944285001||90284||11/16/2016|09/30/2023|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUVITRU 1 GRAM/5 ML VIAL|5|ML|VIAL|SQ|ML|.5|11/16/2016|09/30/2023| | || | |
00641613501||J0780||11/01/2016|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|11/01/2016|12/31/3999| | || | |
00143950701||J3490||09/19/2016|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|09/19/2016|12/31/3999| | || | |
00143950710||J3490||09/19/2016|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|09/19/2016|12/31/3999| | || | |
55150025930||J0132||10/06/2016|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|10/06/2016|12/31/3999| | || | |
63323056210||J0583||11/03/2016|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|11/03/2016|12/31/3999| | || | |
59676034001||J0885||05/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 40,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.025|05/15/2017|12/31/3999| | || | |
59676034001||Q4081||05/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 40,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.0025|05/15/2017|12/31/2022| | || | |
43598034837||J0894||05/15/2017|09/30/2021|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|05/15/2017|09/30/2021| | || | |
47335036141||J0894||05/15/2017|12/31/2022|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|05/15/2017|12/31/2022| | || | |
00003281411||J0129||06/05/2017|12/31/3999|Injection, abatacept, 10 mg (code may be used for medicare when drug admini...|ORENCIA 50 MG/0.4 ML SYRING|.4|ML|SYRINGE|SC|ML|.08|06/05/2017|12/31/3999| | || | |
00143955301||J0640||06/23/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG V|1|UN|VIAL|IJ|ML|.25|06/23/2017|12/31/3999| | || | |
00143955501||J0640||06/27/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 50 MG VI|1|UN|VIAL|IJ|ML|1|06/27/2017|12/31/3999| | || | |
00003281811||J0129||06/05/2017|12/31/3999|Injection, abatacept, 10 mg (code may be used for medicare when drug admini...|ORENCIA 87.5 MG/0.7 ML SYRI|.7|ML|SYRINGE|SC|ML|.08|06/05/2017|12/31/3999| | || | |
00143955401||J0640||06/27/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 100 MG V|1|UN|VIAL|IJ|ML|.5|06/27/2017|12/31/3999| | || | |
00143950201||J1630||04/25/2017|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 50 MG/10 ML|10|ML|VIAL|IJ|ML|1|04/25/2017|12/31/3999| | || | |
00409052835||J1956||06/12/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/150 ML-|150|ML|BAG|IV|ML|50|06/12/2017|12/31/3999| | || | |
00143950125||J1630||04/25/2017|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIA|1|ML|VIAL|IJ|ML|1|04/25/2017|12/31/3999| | || | |
00143950101||J1630||04/25/2017|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIA|1|ML|VIAL|IJ|ML|1|04/25/2017|12/31/3999| | || | |
00409779352||J1644||10/28/2004|01/23/2025|Injection, heparin sodium, per 1000 units|HEPARIN-D5W 25,000 UNIT/250|250|ML|BAG|IV|ML|10|10/28/2004|01/23/2025| | || | |
64679003401||J2543||06/14/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|06/14/2017|12/31/3999| | || | |
64208823502||90283||04/01/2017|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 10 GRAM/100 ML VI|100|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
64208823505||90283||04/01/2017|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 5 GRAM/50 ML VIAL|50|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
64208823501||90283||04/01/2017|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 5 GRAM/50 ML VIAL|50|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
64208823503||90283||04/01/2017|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 20 GRAM/200 ML VI|200|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
64208823506||90283||04/01/2017|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 10 GRAM/100 ML VI|100|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
64208823503||J1557||04/01/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 20 GRAM/200 ML VI|200|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
64208823507||J1557||04/01/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 20 GRAM/200 ML VI|200|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
25021024110||J0594||06/15/2017|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|06/15/2017|12/31/3999| | || | |
55111065237||J0583||06/05/2017|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|06/05/2017|12/31/3999| | || | |
60505614600||J0692||06/01/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|06/01/2017|12/31/3999| | || | |
60505614700||J0692||06/01/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|ML|.25|06/01/2017|12/31/3999| | || | |
42806001201||Q0181||04/30/2014|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|100|UN|BOTTLE|PO|TAB|1|04/30/2014|12/31/3999| | || | |
49884068901||Q0181||11/09/2012|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 10 MG TABLET|100|UN|BOTTLE|PO|TAB|1|11/09/2012|12/31/3999| | || | |
76388028301||S4993||06/21/2012|12/15/2019|Contraceptive pills for birth control|CYCLESSA 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|06/21/2012|12/15/2019| | || | |
00409020120||J9171||09/25/2015|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|09/25/2015|12/31/3999| | || | |
51079088601||Q0181||06/16/2014|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG TABLET|1|UN|BOTTLE|PO|TAB|1|06/16/2014|12/31/3999| | || | |
51079088620||Q0181||06/16/2014|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|06/16/2014|12/31/3999| | || | |
68084049011||Q0181||08/01/2011|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|08/01/2011|12/31/3999| | || | |
67457045700||S0028||08/19/2015|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|2|08/19/2015|12/31/3999| | || | |
00430054014||S4993||03/27/2006|12/31/3999|Contraceptive pills for birth control|MINASTRIN 24 FE CHEWABLE TA|28|UN|BLIST PACK|PO|TAB|1|03/27/2006|12/31/3999| | || | |
16714036603||S4993||09/17/2015|12/31/3999|Contraceptive pills for birth control|SETLAKIN 0.15 MG-0.03 MG TA|91|UN|BLIST PACK|PO|TAB|1|09/17/2015|12/31/3999| | || | |
16714041603||S4993||06/12/2015|12/31/3999|Contraceptive pills for birth control|LARIN 24 FE 1 MG-20 MCG TAB|28|UN|BLIST PACK|PO|TAB|1|06/12/2015|12/31/3999| | || | |
16714046404||S4993||07/01/2015|12/31/3999|Contraceptive pills for birth control|JULEBER 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|07/01/2015|12/31/3999| | || | |
50102011101||S4993||03/06/2015|09/30/2022|Contraceptive pills for birth control|ECONTRA EZ 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|03/06/2015|09/30/2022| | || | |
50102011112||S4993||03/06/2015|09/30/2022|Contraceptive pills for birth control|ECONTRA EZ 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|03/06/2015|09/30/2022| | || | |
50102015401||S4993||09/23/2015|12/31/3999|Contraceptive pills for birth control|CYRED 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|09/23/2015|12/31/3999| | || | |
50102015403||S4993||09/23/2015|12/31/3999|Contraceptive pills for birth control|CYRED 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|09/23/2015|12/31/3999| | || | |
51285010388||S4993||10/20/2014|05/31/2020|Contraceptive pills for birth control|AFTERA 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|10/20/2014|05/31/2020| | || | |
62756071860||S4993||02/05/2015|09/30/2022|Contraceptive pills for birth control|OPCICON ONE-STEP 1.5 MG TAB|1|UN|BLIST PACK|PO|TAB|1|02/05/2015|09/30/2022| | || | |
00093201334||J3030||07/20/2016|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 4 MG/0.5 ML INJ|.5|ML|SYRINGE|SQ|ML|.75|07/20/2016|12/31/3999| | || | |
00093201434||J3030||07/20/2016|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML INJ|.5|ML|SYRINGE|SQ|ML|.5|07/20/2016|12/31/3999| | || | |
00143989010||J2405||12/28/2006|07/31/2021|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIA|20|ML|VIAL|IV|ML|.5|12/28/2006|07/31/2021| | || | |
00409656201||J1071||08/09/2016|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|08/09/2016|12/31/3999| | || | |
16729031008||J2501||03/24/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 2 MCG/ML VIAL|1|ML|VIAL|IJ|EA|.5|03/24/2016|12/31/3999| | || | |
16729031063||J2501||03/24/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 2 MCG/ML VIAL|1|ML|VIAL|IJ|EA|.5|03/24/2016|12/31/3999| | || | |
44567043524||J1956||07/07/2011|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 250 MG/50 ML-D|50|ML|BAG|IV|ML|50|07/07/2011|12/31/3999| | || | |
16729031108||J2501||03/24/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 5 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.2|03/24/2016|12/31/3999| | || | |
00781309895||J2185||09/13/2016|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|09/13/2016|12/31/3999| | || | |
44567043624||J1956||07/07/2011|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/100 ML-|100|ML|BAG|IV|ML|50|07/07/2011|12/31/3999| | || | |
47781046168||J3490||01/29/2010|02/24/2020|Unclassified drugs|CLINDAMYCIN PH 900 MG/6 ML|6|ML|VIAL|IJ|ML|1|01/29/2010|02/24/2020| | || | |
00003218851||J0129||10/18/2011|12/31/3999|Injection, abatacept, 10 mg (code may be used for medicare when drug admini...|ORENCIA CLICKJECT 125 MG/ML|1|ML|SYRINGE|SQ|ML|.08|10/18/2011|12/31/3999| | || | |
60505609700||J1740||02/03/2016|12/31/3999|Injection, ibandronate sodium, 1 mg|IBANDRONATE 3 MG/3 ML SYRIN|3|ML|SYRINGE|IV|ML|1|02/03/2016|12/31/3999| | || | |
00187001050||J3490||12/16/2016|12/31/3999|Unclassified drugs|AMMONUL 10%-10% VIAL|50|ML|VIAL|IV|EA|.02|12/16/2016|12/31/3999| | || | |
00310661502||J3490||12/16/2016|12/31/3999|Unclassified drugs|SYMLINPEN 60 PEN INJECTOR|1.5|ML|SYRINGE|SQ|ML|.67|12/16/2016|12/31/3999| | || | |
00310662702||J3490||12/16/2016|12/31/3999|Unclassified drugs|SYMLINPEN 120 PEN INJECTOR|2.7|ML|SYRINGE|SQ|ML|.37|12/16/2016|12/31/3999| | || | |
00002771201||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG 200 UNITS/ML KWIKPE|3|ML|SYRINGE|SQ|ML|.025|12/15/2016|12/31/3999| | || | |
68001028638||J0640||12/01/2016|03/31/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG V|1|UN|VIAL|IJ|ML|.14285|12/01/2016|03/31/2023| | || | |
00002143380||J3490||10/20/2014|10/20/2014|Unclassified drugs|TRULICITY 0.75 MG/0.5 ML PE|.5|ML|SYRINGE|SQ|ML|1|10/20/2014|10/20/2014| | || | |
00002143480||J3490||10/20/2014|10/20/2014|Unclassified drugs|TRULICITY 1.5 MG/0.5 ML PEN|.5|ML|SYRINGE|SQ|ML|1|10/20/2014|10/20/2014| | || | |
51754020301||J3490||01/23/2015|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/23/2015|12/31/3999| | || | |
00143950610||J3490||09/19/2016|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/19/2016|12/31/3999| | || | |
00143953301||J3490||11/30/2016|06/30/2023|Unclassified drugs|ALLOPURINOL SODIUM 500 MG V|1|UN|VIAL|IV|ML|1|11/30/2016|06/30/2023| | || | |
00002821501||S5550||01/01/2011|12/31/3999|Insulin, rapid onset, 5 units|HUMULIN R 100 UNITS/ML VIAL|10|ML|VIAL|IJ|ML|.05|01/01/2011|12/31/3999| | || | |
00409592101||J0280||03/15/2017|12/31/3999|Injection, aminophyllin, up to 250 mg|AMINOPHYLLINE 250 MG/10 ML VL|10|ML|VIAL|IV|ML|10|03/15/2017|12/31/3999| | || | |
00409592201||J0280||03/15/2017|12/31/3999|Injection, aminophyllin, up to 250 mg|AMINOPHYLLINE 500 MG/20 ML VL|20|ML|VIAL|IV|ML|10|03/15/2017|12/31/3999| | || | |
57665010141||J0287||03/15/2017|12/31/3999|Injection, amphotericin b lipid complex, 10 mg|ABELCET 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|2|03/15/2017|12/31/3999| | || | |
27505000401||J0364||03/15/2017|12/31/3999|Injection, apomorphine hydrochloride, 1 mg|APOKYN 30 MG/3 ML CARTRIDGE|3|ML|CARTRIDGE|SQ|ML|.1|03/15/2017|12/31/3999| | || | |
27505000405||J0364||03/15/2017|12/31/3999|Injection, apomorphine hydrochloride, 1 mg|APOKYN 30 MG/3 ML CARTRIDGE|3|ML|CARTRIDGE|SQ|ML|.1|03/15/2017|12/31/3999| | || | |
60793070010||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN L-A 600,000 UNIT/ML|1|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
60793070102||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN L-A 1,200,000 UNITS|2|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
60793070110||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN L-A 1,200,000 UNITS|2|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
60793070210||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN L-A 2,400,000 UNITS|4|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
60793070204||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN L-A 2,400,000 UNITS|4|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
00338954124||J3490||03/15/2017|06/30/2023|Unclassified drugs|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|1|03/15/2017|06/30/2023| | || | |
00409163449||J3490||03/15/2017|09/30/2018|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|ML|1|03/15/2017|09/30/2018| | || | |
00517250210||J3490||03/15/2017|03/31/2023|Unclassified drugs|CAFFEINE-SOD BENZOAT 250 MG|2|ML|VIAL|IJ|ML|1|03/15/2017|03/31/2023| | || | |
00409166020||J3490||03/15/2017|12/31/3999|Unclassified drugs|PRECEDEX 80 MCG/20 ML INJEC|20|ML|VIAL|IV|ML|1|03/15/2017|12/31/3999| | || | |
00456060001||J3490||03/15/2017|02/28/2023|Unclassified drugs|TEFLARO 600 MG VIAL|1|UN|VIAL|IV|EA|1|03/15/2017|02/28/2023| | || | |
50242008003||J2778||01/30/2017|12/31/3999|Injection, ranibizumab, 0.1 mg|LUCENTIS 0.5 MG/0.05 ML SYR|.05|ML|SYRINGE|HQ|ML|.01|01/30/2017|12/31/3999| | || | |
50242008202||J2778||05/15/2017|09/30/2022|Injection, ranibizumab, 0.1 mg|LUCENTIS 0.3 MG/0.05 ML VIA|.05|ML|VIAL|IO|ML|.016666|05/15/2017|09/30/2022| | || | |
50242013201||J9355||05/30/2017|12/31/3999|Injection, trastuzumab, 10 mg|HERCEPTIN 150 MG VIAL|1|UN|VIAL|IV|EA|.06666|05/30/2017|12/31/3999| | || | |
50242008002||J2778||05/15/2017|04/30/2022|Injection, ranibizumab, 0.1 mg|LUCENTIS 0.5 MG/0.05 ML VIA|.05|ML|VIAL|HQ|ML|.01|05/15/2017|04/30/2022| | || | |
00085432001||J0702||04/01/1995|08/24/2022|Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg|CELESTONE SOLUSPAN 30 MG/5|5|ML|VIAL|IJ|ML|1|04/01/1995|08/24/2022| | || | |
76045000905||J1170||04/18/2013|02/28/2021|Injection, hydromorphone, up to 4 mg|DILAUDID 0.5 MG/0.5 ML SYRI|.5|ML|SYRINGE|IJ|ML|4|04/18/2013|02/28/2021| | || | |
76045001010||J1170||04/18/2013|01/31/2021|Injection, hydromorphone, up to 4 mg|DILAUDID 2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|04/18/2013|01/31/2021| | || | |
00006306100||J1453||11/15/2010|12/31/3999|Injection, fosaprepitant, 1 mg|EMEND 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|11/15/2010|12/31/3999| | || | |
64208823501||J1557||04/01/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 5 GRAM/50 ML VIAL|50|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
64208823502||J1557||04/01/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 10 GRAM/100 ML VI|100|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
64208823505||J1557||04/01/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 5 GRAM/50 ML VIAL|50|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
64208823506||J1557||04/01/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 10 GRAM/100 ML VI|100|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
42023017301||J1570||04/05/2017|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/05/2017|12/31/3999| | || | |
63323062475||J7070||04/27/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1000|04/27/2017|12/31/3999| | || | |
25021015515||J2185||04/01/2017|09/04/2020|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|04/01/2017|09/04/2020| | || | |
70860060002||J2250||05/01/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|05/01/2017|12/31/3999| | || | |
70860060105||J2250||05/01/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 25 MG/5 ML VI|5|ML|VIAL|IJ|ML|.2|05/01/2017|12/31/3999| | || | |
00049052023||J2540||01/01/1991|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PFIZERPEN 5 MILLION UNIT VI|1|UN|VIAL|IJ|EA|.12|01/01/1991|12/31/3999| | || | |
64679001201||J2543||06/20/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|06/20/2017|12/31/3999| | || | |
69238153106||S4993||08/09/2016|06/30/2023|Contraceptive pills for birth control|LARISSIA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|08/09/2016|06/30/2023| | || | |
69238158306||S4993||05/25/2017|07/11/2024|Contraceptive pills for birth control|NORLYDA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|05/25/2017|07/11/2024| | || | |
75834012929||S4993||02/14/2017|07/31/2023|Contraceptive pills for birth control|NORETHIND-ETH ESTRAD 0.5-2.|28|UN|BLIST PACK|PO|TAB|1|02/14/2017|07/31/2023| | || | |
68180085713||S4993||03/29/2016|08/21/2022|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD TRIPHASI|28|UN|BLIST PACK|PO|TAB|1|03/29/2016|08/21/2022| | || | |
68180086012||S4993||04/03/2017|03/13/2021|Contraceptive pills for birth control|FAYOSIM TABLET|91|UN|BLIST PACK|PO|TAB|1|04/03/2017|03/13/2021| | || | |
68180086413||S4993||01/14/2016|11/18/2021|Contraceptive pills for birth control|BLISOVI 24 FE TABLET|28|UN|BLIST PACK|PO|TAB|1|01/14/2016|11/18/2021| | || | |
68180086513||S4993||04/07/2016|08/20/2021|Contraceptive pills for birth control|BLISOVI FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/07/2016|08/20/2021| | || | |
68180086613||S4993||04/07/2016|11/18/2021|Contraceptive pills for birth control|BLISOVI FE 1.5-30 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/07/2016|11/18/2021| | || | |
66758005002||J9171||10/01/2015|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|10/01/2015|12/31/3999| | || | |
75834013029||S4993||02/14/2017|07/31/2023|Contraceptive pills for birth control|NORETHIN-ETH ESTRAD 1 MG-5|28|UN|BLIST PACK|PO|TAB|1|02/14/2017|07/31/2023| | || | |
69238160706||S4993||05/08/2017|09/30/2024|Contraceptive pills for birth control|TRI FEMYNOR 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|05/08/2017|09/30/2024| | || | |
68180086011||S4993||04/03/2017|03/13/2021|Contraceptive pills for birth control|FAYOSIM TABLET|91|UN|BLIST PACK|PO|TAB|1|04/03/2017|03/13/2021| | || | |
68180086411||S4993||01/14/2016|11/18/2021|Contraceptive pills for birth control|BLISOVI 24 FE TABLET|28|UN|BLIST PACK|PO|TAB|1|01/14/2016|11/18/2021| | || | |
68180086511||S4993||04/07/2016|08/20/2021|Contraceptive pills for birth control|BLISOVI FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/07/2016|08/20/2021| | || | |
68180086611||S4993||04/07/2016|11/18/2021|Contraceptive pills for birth control|BLISOVI FE 1.5-30 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/07/2016|11/18/2021| | || | |
68180087311||S4993||12/01/2016|01/26/2023|Contraceptive pills for birth control|WYMZYA FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|12/01/2016|01/26/2023| | || | |
44087001601||J2941||11/08/2004|05/31/2023|Injection, somatropin, 1 mg|SAIZEN 8.8 MG SAIZENPREP CA|1|UN|CARTRIDGE|IJ|EA|.1136|11/08/2004|05/31/2023| | || | |
00023590204||J3315||06/01/2003|12/31/2021|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 3.75 MG SYRINGE|1|UN|BOX|IM|EA|1|06/01/2003|12/31/2021| | || | |
00338358201||J3370||05/17/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCO 750 MG/150 ML-0.9% NA|150|ML|FLEX CONT|IV|ML|100|05/17/2016|12/31/3999| | || | |
51862031803||S4993||06/15/2011|04/30/2022|Contraceptive pills for birth control|NECON 0.5-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|04/30/2022| | || | |
51862026006||S4993||06/15/2011|03/31/2022|Contraceptive pills for birth control|ZOVIA 1-35E TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|03/31/2022| | || | |
51862028403||S4993||06/15/2011|12/31/2021|Contraceptive pills for birth control|TILIA FE 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/2021| | || | |
68462073384||S4993||05/17/2016|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.03 MG T|28|UN|BLIST PACK|PO|TAB|1|05/17/2016|12/31/3999| | || | |
69238155106||S4993||01/09/2017|09/30/2023|Contraceptive pills for birth control|FEMYNOR 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/09/2017|09/30/2023| | || | |
00093603191||S4993||07/25/2013|12/31/3999|Contraceptive pills for birth control|RIVELSA TABLET|91|UN|BLIST PACK|PO|TAB|1|07/25/2013|12/31/3999| | || | |
51862023803||S4993||06/15/2011|04/30/2021|Contraceptive pills for birth control|CAZIANT 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|04/30/2021| | || | |
68180088011||S4993||12/09/2015|04/24/2020|Contraceptive pills for birth control|BEKYREE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|12/09/2015|04/24/2020| | || | |
68084060711||Q0175||08/09/2012|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|1|UN|BLIST PACK|PO|TAB|.5|08/09/2012|12/31/3999| | || | |
00002771227||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|HUMALOG 200 UNITS/ML KWIKPE|3|ML|SYRINGE|SQ|ML|.025|12/15/2016|12/31/3999| | || | |
68001026627||J9190||12/16/2016|09/30/2023|Injection, fluorouracil, 500 mg|FLUOROURACIL 2.5 GM/50 ML V|50|ML|VIAL|IV|ML|10|12/16/2016|09/30/2023| | || | |
00143954201||J3490||12/16/2016|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|12/16/2016|12/31/2023| | || | |
68001026631||J9190||12/16/2016|10/03/2023|Injection, fluorouracil, 500 mg|FLUOROURACIL 1,000 MG/20 ML|20|ML|VIAL|IV|ML|10|12/16/2016|10/03/2023| | || | |
00088222033||S5553||12/15/2016|12/31/3999|Insulin, long acting; 5 units|LANTUS 100 UNITS/ML VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169183711||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|NOVOLIN 70-30 100 UNIT/ML VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169368712||S5553||12/15/2016|12/31/3999|Insulin, long acting; 5 units|LEVEMIR 100 UNITS/ML VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169183411||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|NOVOLIN N 100 UNITS/ML VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169183402||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|RELION NOVOLIN N 100 UNIT/ML|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169750111||S5550||12/15/2016|12/31/3999|Insulin, rapid onset, 5 units|NOVOLOG 100 UNIT/ML VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169750111||S5551||12/15/2016|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|NOVOLOG 100 UNIT/ML VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
00169183311||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|NOVOLIN R 100 UNITS/ML VIAL|10|ML|VIAL|IJ|ML|.05|12/15/2016|12/31/3999| | || | |
00078063968||J3590||12/16/2016|12/31/3999|Unclassified Biologics|COSENTYX 150 MG/ML PEN INJE|1|ML|SYRINGE|SQ|ML|1|12/16/2016|12/31/3999| | || | |
00781331780||J9263||12/16/2016|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
59310061031||J2786||01/01/2017|12/31/3999|Injection, reslizumab, 1mg|CINQAIR 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|01/01/2017|12/31/3999| | || | |
25682000701||J2840||01/01/2017|12/31/3999|Inj sebelipase alfa 1 mg|KANUMA 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|01/01/2017|12/31/3999| | || | |
00173088101||J2182||01/01/2017|12/31/3999|Injection, mepolizumab, 1mg|NUCALA 100 MG VIAL|1|UN|VIAL|SQ|EA|.01|01/01/2017|12/31/3999| | || | |
00013111420||J3490||12/16/2016|12/31/3999|Unclassified drugs|CYKLOKAPRON 1,000 MG/10 ML|10|ML|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
00517560125||J3410||06/09/2015|12/31/3999|Injection, hydroxyzine hcl, up to 25 mg|HYDROXYZINE 50 MG/ML VIAL|1|ML|VIAL|IM|ML|.5|06/09/2015|12/31/3999| | || | |
00013111421||J3490||12/16/2016|12/31/3999|Unclassified drugs|CYKLOKAPRON 1,000 MG/10 ML|10|ML|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
41616093640||J9218||08/15/2016|03/02/2017|Leuprolide acetate, per 1 mg|LEUPROLIDE 2WK 1 MG/0.2 ML KIT|1|UN|KIT|SQ|ML|.2|08/15/2016|03/02/2017| | || | |
41616093640||J1950||08/15/2016|03/02/2017|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LEUPROLIDE 2WK 1 MG/0.2 ML KIT|1|UN|KIT|SQ|ML|.75|08/15/2016|03/02/2017| | || | |
67425000210||J3471||08/15/2016|08/15/2016|Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 9...|VITRASE 200 UNITS/ML VIAL|1.2|ML|VIAL|IJ|ML|.005|08/15/2016|08/15/2016| | || | |
67425000210||J3470||08/15/2016|08/15/2016|Injection, hyaluronidase, up to 150 units|VITRASE 200 UNITS/ML VIAL|1.2|ML|VIAL|IJ|ML|.75|08/15/2016|08/15/2016| | || | |
67425000210||J3472||08/15/2016|08/15/2016|Injection, hyaluronidase, ovine, preservative free, per 1000 usp units|VITRASE 200 UNITS/ML VIAL|1.2|ML|VIAL|IJ|ML|5|08/15/2016|08/15/2016| | || | |
00517420125||J3410||06/09/2015|12/31/3999|Injection, hydroxyzine hcl, up to 25 mg|HYDROXYZINE 25 MG/ML VIAL|1|ML|VIAL|IM|ML|1|06/09/2015|12/31/3999| | || | |
63868008724||Q0163||10/01/2015|06/30/2023|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|QC COMPLETE ALLERGY 25 MG CAP|24|UN|BOTTLE|PO|CAP|2|10/01/2015|06/30/2023| | || | |
23155019631||J2405||02/07/2013|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|02/07/2013|12/31/3999| | || | |
67457061100||J3370||07/16/2015|09/30/2018|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|07/16/2015|09/30/2018| | || | |
24208000202||J3470||02/02/2005|08/15/2025|Injection, hyaluronidase, up to 150 units|VITRASE 200 UNITS/ML VIAL|1.2|ML|VIAL|IJ|ML|.75|02/02/2005|08/15/2025| | || | |
24208000202||J3472||01/01/2006|08/15/2025|Injection, hyaluronidase, ovine, preservative free, per 1000 usp units|VITRASE 200 UNITS/ML VIAL|1.2|ML|VIAL|IJ|ML|5|01/01/2006|08/15/2025| | || | |
00409665318||J3480||10/28/2004|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 40 MEQ/20 ML C|20|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
76045000910||J1170||04/18/2013|02/28/2021|Injection, hydromorphone, up to 4 mg|DILAUDID 1 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|4|04/18/2013|02/28/2021| | || | |
42023017325||J1570||04/05/2017|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/05/2017|12/31/3999| | || | |
63323062474||J7070||04/27/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|1000|04/27/2017|12/31/3999| | || | |
00409052813||J1956||06/12/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 250 MG/50 ML-D|50|ML|BAG|IV|ML|50|06/12/2017|12/31/3999| | || | |
00409052823||J1956||06/12/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/100 ML-|100|ML|BAG|IV|ML|50|06/12/2017|12/31/3999| | || | |
00409052825||J1956||06/12/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/100 ML-|100|ML|BAG|IV|ML|50|06/12/2017|12/31/3999| | || | |
25021015630||J2185||04/01/2017|09/04/2020|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|04/01/2017|09/04/2020| | || | |
55150020720||J2185||04/06/2017|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|04/06/2017|12/31/3999| | || | |
70860060110||J2250||05/01/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|05/01/2017|12/31/3999| | || | |
00078081181||J2353||01/01/2005|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 10 MG|1|UN|VIAL|IM|EA|.1|01/01/2005|12/31/3999| | || | |
42023018810||J2710||05/23/2017|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/23/2017|12/31/3999| | || | |
42023018910||J2710||05/23/2017|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|05/23/2017|12/31/3999| | || | |
25021080705||J2920||04/01/2017|09/24/2022|Injection, methylprednisolone sodium succinate, up to 40 mg|METHYLPREDNISOLONE SS 40 MG|1|UN|VIAL|IJ|EA|1|04/01/2017|09/24/2022| | || | |
25021080810||J2930||04/01/2017|09/24/2022|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 125 M|1|UN|VIAL|IJ|EA|1|04/01/2017|09/24/2022| | || | |
39822107701||J3465||04/24/2017|12/31/3999|Injection, voriconazole, 10 mg|VORICONAZOLE 200 MG VIAL|1|UN|VIAL|IV|EA|.05|04/24/2017|12/31/3999| | || | |
00078073461||J0638||04/05/2017|12/31/3999|Injection, canakinumab, 1 mg|ILARIS 150 MG/ML VIAL|1|ML|VIAL|SC|ML|.0067|04/05/2017|12/31/3999| | || | |
00409381412||J2270||08/10/2005|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 0.5 MG/ML VIAL|10|ML|VIAL|IJ|ML|20|08/10/2005|12/31/3999| | || | |
00409228703||J1885||04/28/2005|01/01/2019|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML CARPUJEC|1|ML|CARTRIDGE|IJ|ML|.5|04/28/2005|01/01/2019| | || | |
64679005601||J2543||06/20/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|06/20/2017|12/31/3999| | || | |
42023018801||J2710||05/23/2017|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/23/2017|12/31/3999| | || | |
63323069504||J7608||07/24/2014|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE|4|ML|VIAL|MC|ML|10|07/24/2014|12/31/3999| | || | |
63323069310||J7608||07/24/2014|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE|10|ML|VIAL/KIT|MC|ML|10|07/24/2014|12/31/3999| | || | |
68982085001||J1568||06/15/2016|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 10% VIAL|20|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
68982085002||90283||06/15/2016|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 10% VIAL|50|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
44567031110||J2540||06/15/2016|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PENICILLIN G K 5 MILLION UN|1|UN|VIAL|IJ|EA|.12|06/15/2016|12/31/3999| | || | |
68982085002||J1568||06/15/2016|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 10% VIAL|50|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
44567070725||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|06/15/2016|12/31/3999| | || | |
44567070810||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|06/15/2016|12/31/3999| | || | |
68982085003||90283||06/15/2016|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 10% VIAL|100|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
68982085004||90283||06/15/2016|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 10% VIAL|200|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
68982085004||J1568||06/15/2016|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 10% VIAL|200|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
54505010101||J0171||06/15/2016|02/16/2018|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.15 MG AUTO-IN|1|UN|SYRINGE|IJ|EA|1|06/15/2016|02/16/2018| | || | |
59923060310||J2430||06/15/2016|02/01/2021|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE DISOD 90 MG VIAL|1|UN|VIAL|IV|EA|.333|06/15/2016|02/01/2021| | || | |
00409592110||J0280||06/15/2016|03/31/2020|Injection, aminophyllin, up to 250 mg|AMINOPHYLLINE 250 MG/10 ML|10|ML|VIAL|IV|ML|10|06/15/2016|03/31/2020| | || | |
59923060110||J2430||06/15/2016|02/01/2021|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE DISOD 30 MG VIAL|1|UN|VIAL|IV|EA|1|06/15/2016|02/01/2021| | || | |
63323041310||J2710||06/15/2016|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|06/15/2016|12/31/3999| | || | |
00409930011||J2795||06/15/2016|02/01/2023|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 20 MG/10 M|10|ML|VIAL|IJ|ML|.5|06/15/2016|02/01/2023| | || | |
60505609305||J0690||06/15/2016|05/31/2020|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|05/31/2020| | || | |
63323023710||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|06/15/2016|12/31/3999| | || | |
63323056586||J1650||06/15/2016|05/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 300 MG/3 ML VIAL|3|ML|VIAL|SQ|ML|.1|06/15/2016|05/31/2021| | || | |
25021015910||J0770||06/15/2016|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|06/15/2016|12/31/3999| | || | |
25021015910||S0142||06/15/2016|06/16/2016|Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|06/15/2016|06/16/2016| | || | |
68016002508||Q0163||08/15/2016|08/15/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|PV CHILD ALLERGY 12.5 MG/5 ML|237|ML|BOTTLE|PO|ML|20|08/15/2016|08/15/2016| | || | |
00517571025||J1940||08/15/2016|08/15/2016|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML VIAL|10|ML|VIAL|IJ|ML|2|08/15/2016|08/15/2016| | || | |
00517570425||J1940||08/15/2016|08/15/2016|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML VIAL|4|ML|VIAL|IJ|ML|2|08/15/2016|08/15/2016| | || | |
00517570225||J1940||08/15/2016|08/15/2016|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|08/15/2016|08/15/2016| | || | |
00517074601||J2430||08/15/2016|08/15/2016|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE 90 MG/10 ML VIAL|10|ML|VIAL|IV|ML|3.333|08/15/2016|08/15/2016| | || | |
00517104525||J1955||08/15/2016|08/15/2016|Injection, levocarnitine, per 1 gm|LEVOCARNITINE 200 MG/ML VIAL|5|ML|VIAL|IV|ML|5|08/15/2016|08/15/2016| | || | |
00517040525||J2370||08/15/2016|08/15/2016|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|5|ML|VIAL|IJ|ML|.1|08/15/2016|08/15/2016| | || | |
00517074501||J2430||08/15/2016|08/15/2016|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE 30 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|08/15/2016|08/15/2016| | || | |
00517029925||J2370||08/15/2016|08/15/2016|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|08/15/2016|08/15/2016| | || | |
00069021702||J1645||04/01/2002|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 10,000 UNITS/ML SYR|1|ML|SYRINGE|SQ|ML|.25|04/01/2002|12/31/3999| | || | |
25021010066||J0690||04/01/2009|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 500 MG VIAL|1|UN|VIAL|IJ|GM|1|04/01/2009|12/31/3999| | || | |
25021010167||J0690||08/06/2008|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|GM|.5|08/06/2008|12/31/3999| | || | |
25021012166||J0692||08/06/2008|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|GM|.5|08/06/2008|12/31/3999| | || | |
25021010768||J0696||08/06/2008|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|GM|.125|08/06/2008|12/31/3999| | || | |
25021010869||J0696||12/17/2009|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|GM|.025|12/17/2009|12/31/3999| | || | |
00143956725||J0697||07/06/2015|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 1.5 GM VIAL|1|UN|VIAL|IJ|GM|.5|07/06/2015|12/31/3999| | || | |
00143956801||J0697||07/08/2015|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 750 MG VIAL|1|UN|VIAL|IJ|GM|1|07/08/2015|12/31/3999| | || | |
25021012766||J0713||08/06/2008|12/31/3999|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 1 GM VIAL|1|UN|VIAL|IJ|GM|.5|08/06/2008|12/31/3999| | || | |
23155052341||J0780||07/01/2015|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/01/2015|12/31/3999| | || | |
17478098702||J1270||09/21/2015|02/29/2020|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|09/21/2015|02/29/2020| | || | |
63323056894||J1650||04/01/2015|09/30/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|.3|ML|SYRINGE|SQ|ML|.1|04/01/2015|09/30/2021| | || | |
63323056898||J1650||04/01/2015|05/31/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|.6|ML|SYRINGE|SQ|ML|.1|04/01/2015|05/31/2021| | || | |
55150019183||J1740||09/22/2015|12/31/3999|Injection, ibandronate sodium, 1 mg|IBANDRONATE 3 MG/3 ML SYRIN|3|ML|SYRINGE|IV|EA|1|09/22/2015|12/31/3999| | || | |
64406001101||J1826||10/27/2014|10/28/2014|Injection, interferon beta-1a, 30 mcg|PLEGRIDY 125 MCG/0.5 ML PEN|.5|ML|SYRINGE|SQ|EA|.12|10/27/2014|10/28/2014| | || | |
64406001201||J1826||10/27/2014|10/28/2014|Injection, interferon beta-1a, 30 mcg|PLEGRIDY PEN INJ STARTER PA|1|ML|SYRINGE|SQ|EA|.19|10/27/2014|10/28/2014| | || | |
62935030330||J1950||06/02/2014|06/03/2014|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|ELIGARD 30 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|8|06/02/2014|06/03/2014| | || | |
00069018721||J8999||02/03/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IBRANCE 75 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|02/03/2015|12/31/3999| | || | |
00069019501||J1645||02/01/1997|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 2,500 UNITS/0.2 ML|.2|ML|SYRINGE|SQ|ML|.2|02/01/1997|12/31/3999| | || | |
00069022001||J1645||09/03/2007|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 12,500 UNITS/0.5 ML|.5|ML|SYRINGE|SQ|ML|.1|09/03/2007|12/31/3999| | || | |
68180087313||S4993||12/01/2016|01/26/2023|Contraceptive pills for birth control|WYMZYA FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|12/01/2016|01/26/2023| | || | |
68180088013||S4993||12/09/2015|04/24/2020|Contraceptive pills for birth control|BEKYREE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|12/09/2015|04/24/2020| | || | |
63323062474||J7060||04/27/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|04/27/2017|12/31/3999| | || | |
70504028405||J7195||03/02/2017|06/30/2023|Factor ix (antihemophilic factor, recombinant) per i.u.|IXINITY 1,500 UNIT RANGE|1|F2|VIAL|IV|AHF|1|03/02/2017|06/30/2023| | || | |
70504028305||J7195||03/02/2017|06/30/2023|Factor ix (antihemophilic factor, recombinant) per i.u.|IXINITY 1,000 UNIT RANGE|1|F2|VIAL|IV|AHF|1|03/02/2017|06/30/2023| | || | |
60505614604||J0692||06/01/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|06/01/2017|12/31/3999| | || | |
60505614704||J0692||06/01/2017|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|ML|.25|06/01/2017|12/31/3999| | || | |
76204070001||J7614||06/12/2017|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|06/12/2017|12/31/3999| | || | |
63323077139||J9025||05/10/2017|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|05/10/2017|12/31/3999| | || | |
42806064910||Q0163||11/22/2016|01/01/2022|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 50 MG CAPSU|1000|UN|BOTTLE|PO|CAP|1|11/22/2016|01/01/2022| | || | |
43598028335||Q2050||05/24/2017|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/1|10|ML|VIAL|IV|ML|5|05/24/2017|12/31/3999| | || | |
00409116318||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409116018||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00023586228||S4993||10/31/2016|12/31/3999|Contraceptive pills for birth control|TAYTULLA 1 MG-20 MCG CAPSUL|28|UN|BLIST PACK|PO|CAP|1|10/31/2016|12/31/3999| | || | |
00023586230||S4993||10/31/2016|12/31/3999|Contraceptive pills for birth control|TAYTULLA 1 MG-20 MCG CAPSUL|28|UN|BLIST PACK|PO|CAP|1|10/31/2016|12/31/3999| | || | |
51862047106||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|LEENA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
51862051006||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|TRIVORA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
51862054506||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|SRONYX 0.10-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
51862056406||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|LOW-OGESTREL-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
52544005841||S4993||03/27/2006|04/30/2023|Contraceptive pills for birth control|NORETH-ESTRAD-FE 1-0.02(24)|28|UN|BLIST PACK|PO|TAB|1|03/27/2006|04/30/2023| | || | |
52544005872||S4993||03/27/2006|04/30/2023|Contraceptive pills for birth control|NORETH-ESTRAD-FE 1-0.02(24)|28|UN|BLIST PACK|PO|TAB|1|03/27/2006|04/30/2023| | || | |
52544008728||S4993||10/16/2003|10/11/2019|Contraceptive pills for birth control|TRINESSA LO TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|10/11/2019| | || | |
25021010110||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|GM|.5|06/15/2016|12/31/3999| | || | |
00703903293||J0278||06/15/2016|10/31/2016|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|06/15/2016|10/31/2016| | || | |
00143997990||J0697||06/15/2016|12/31/3999|Injection, sterile cefuroxime sodium, per 750 mg|CEFUROXIME SOD 750 MG VIAL|1|GR|VIAL|IJ|GM|1|06/15/2016|12/31/3999| | || | |
17478052603||J0470||06/15/2016|06/30/2023|Injection, dimercaprol, per 100 mg|BAL IN OIL 100 MG/ML AMPULE|3|ML|AMPUL|IM|ML|1|06/15/2016|06/30/2023| | || | |
60793013101||J2510||06/15/2016|09/30/2023|Injection, penicillin g procaine, aqueous, up to 600,000 units|PEN G 1.2 MILLION UNIT/2 ML|2|ML|SYRINGE|IM|ML|1|06/15/2016|09/30/2023| | || | |
55150012825||J2700||06/15/2016|05/31/2019|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|06/15/2016|05/31/2019| | || | |
67457061310||J3370||06/15/2016|05/31/2019|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|06/15/2016|05/31/2019| | || | |
62756051240||J0456||06/15/2016|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|06/15/2016|12/31/3999| | || | |
44567024710||J0694||06/15/2016|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 10 GM VIAL|1|UN|VIAL|IV|EA|.1|06/15/2016|12/31/3999| | || | |
00078064681||J2353||06/15/2016|11/30/2018|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 10 MG|1|UN|VIAL|IM|EA|.1|06/15/2016|11/30/2018| | || | |
55566180101||J2941||06/15/2016|12/31/3999|Injection, somatropin, 1 mg|ZOMACTON 5 MG VIAL|1|UN|VIAL|SQ|EA|.2|06/15/2016|12/31/3999| | || | |
67457059210||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|ARIXTRA 2.5 MG/0.5 ML SYRIN|.5|ML|SYRINGE|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
00075802001||J1650||06/15/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
59676030400||J0885||06/15/2016|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 4,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.25|06/15/2016|12/31/3999| | || | |
25021040066||J1644||06/15/2016|10/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|06/15/2016|10/31/2021| | || | |
00409475518||J2405||06/15/2016|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
55566230000||J2597||06/15/2016|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DDAVP 4 MCG/ML VIAL|10|ML|VIAL|IJ|ML|.25|06/15/2016|12/31/3999| | || | |
00703450294||J2765||06/15/2016|07/31/2020|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|06/15/2016|07/31/2020| | || | |
67457058200||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
67457058300||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|EA|.04|06/15/2016|12/31/3999| | || | |
67457058406||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|EA|.04|06/15/2016|12/31/3999| | || | |
67457058508||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|EA|.04|06/15/2016|12/31/3999| | || | |
00703851021||J1650||06/15/2016|09/30/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0666|06/15/2016|09/30/2023| | || | |
00703851023||J1650||06/15/2016|09/30/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0666|06/15/2016|09/30/2023| | || | |
00703861023||J1650||06/15/2016|09/30/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0666|06/15/2016|09/30/2022| | || | |
67457058304||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|EA|.04|06/15/2016|12/31/3999| | || | |
00143992490||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
00143998303||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|GM|.05|06/15/2016|12/31/3999| | || | |
00143998391||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|GM|.05|06/15/2016|12/31/3999| | || | |
00597019705||J3490||03/15/2017|12/31/3999|Unclassified drugs|PRAXBIND 2.5 GM/50 ML VIAL|50|ML|VIAL|IV|ML|1|03/15/2017|12/31/3999| | || | |
00259160501||J0588||03/15/2017|12/31/3999|Injection, incobotulinumtoxin a, 1 unit|XEOMIN 50 UNITS VIAL|1|UN|VIAL|IM|EA|.02|03/15/2017|12/31/3999| | || | |
49502010102||J0171||01/01/2011|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.15 MG AUTO-IN|2|UN|SYRINGE|IJ|ML|.6666|01/01/2011|12/31/3999| | || | |
49502010201||J0171||01/01/2011|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.3 MG AUTO-INJ|1|UN|SYRINGE|IJ|ML|.3333|01/01/2011|12/31/3999| | || | |
49502010202||J0171||01/01/2011|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.3 MG AUTO-INJ|2|UN|SYRINGE|IJ|ML|.3333|01/01/2011|12/31/3999| | || | |
51991014417||J2210||11/09/2016|12/31/3999|Injection, methylergonovine maleate, up to 0.2 mg|METHYLERGONOVINE 0.2 MG/ML|1|ML|AMPUL|IJ|ML|1|11/09/2016|12/31/3999| | || | |
00641619010||J2250||12/28/2016|08/23/2020|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|EA|.2|12/28/2016|08/23/2020| | || | |
00641616101||J3490||03/15/2017|05/31/2023|Unclassified drugs|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|1|03/15/2017|05/31/2023| | || | |
00641616110||J3490||03/15/2017|05/31/2023|Unclassified drugs|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|1|03/15/2017|05/31/2023| | || | |
00641616201||J3490||03/15/2017|05/31/2023|Unclassified drugs|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|1|03/15/2017|05/31/2023| | || | |
00641921701||J3490||08/12/2016|12/31/3999|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|08/12/2016|12/31/3999| | || | |
00456040001||J3490||03/15/2017|02/28/2023|Unclassified drugs|TEFLARO 400 MG VIAL|1|UN|VIAL|IV|EA|1|03/15/2017|02/28/2023| | || | |
00781311491||J2543||10/05/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM VIAL|1|UN|VIAL|IV|ML|.25|10/05/2016|12/31/3999| | || | |
00781311495||J2543||10/05/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM VIAL|1|UN|VIAL|IV|ML|.25|10/05/2016|12/31/3999| | || | |
00002143301||J3490||10/20/2014|10/20/2014|Unclassified drugs|TRULICITY 0.75 MG/0.5 ML PE|.5|ML|SYRINGE|SQ|ML|1|10/20/2014|10/20/2014| | || | |
00143950601||J3490||09/19/2016|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/19/2016|12/31/3999| | || | |
00069022002||J1645||09/03/2007|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 12,500 UNITS/0.5 ML|.5|ML|SYRINGE|SQ|ML|.1|09/03/2007|12/31/3999| | || | |
00078065206||J8999||03/13/2015|12/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FARYDAK 20 MG CAPSULE|6|UN|BLIST PACK|PO|CAP|1|03/13/2015|12/31/2022| | || | |
00093312228||S4993||02/17/2011|12/31/3999|Contraceptive pills for birth control|JINTELI 1 MG-5 MCG TABLET|28|UN|BLIST PACK|PO|TAB|1|02/17/2011|12/31/3999| | || | |
00703903291||J0278||01/01/2006|10/31/2016|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|01/01/2006|10/31/2016| | || | |
00143987501||J0282||07/23/2008|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 150 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.6|07/23/2008|12/31/3999| | || | |
67457064910||J0295||09/04/2015|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM|1|UN|VIAL|IJ|EA|.1|09/04/2015|12/31/3999| | || | |
39822050004||J0360||09/01/2015|03/31/2021|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/01/2015|03/31/2021| | || | |
68016082354||Q0163||09/25/2015|09/25/2015|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|PV CHILD ALLERGY 12.5 MG/5 ML|118|ML|BOTTLE|PO|ML|20|09/25/2015|09/25/2015| | || | |
62935075375||J1950||06/02/2014|06/03/2014|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|ELIGARD 7.5 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|2|06/02/2014|06/03/2014| | || | |
00703040401||J1955||05/04/2001|12/31/2012|Injection, levocarnitine, per 1 gm|LEVOCARNITINE 200 MG/ML VIA|5|ML|VIAL|IV|ML|5|05/04/2001|12/31/2012| | || | |
00703040501||J1955||05/04/2001|11/30/2011|Injection, levocarnitine, per 1 gm|LEVOCARNITINE 200 MG/ML VIA|12.5|ML|VIAL|IV|ML|5|05/04/2001|11/30/2011| | || | |
00641612525||J2270||09/29/2015|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 4 MG/ML VI|1|ML|VIAL|IV|ML|2.5|09/29/2015|12/31/3999| | || | |
00641612701||J2270||09/28/2015|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 10 MG/ML V|1|ML|VIAL|IV|ML|1|09/28/2015|12/31/3999| | || | |
00641612725||J2270||09/28/2015|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 10 MG/ML V|1|ML|VIAL|IV|ML|1|09/28/2015|12/31/3999| | || | |
63323085074||J2280||09/09/2015|12/31/2022|Injection, moxifloxacin, 100 mg|MOXIFLOXACIN 400 MG/250 ML|250|ML|BAG|IV|ML|62.5|09/09/2015|12/31/2022| | || | |
63323030478||J2543||06/20/2011|04/29/2023|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|EA|.027778|06/20/2011|04/29/2023| | || | |
18657011704||J3470||02/03/2012|12/31/3999|Injection, hyaluronidase, up to 150 units|HYLENEX 150 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|1|02/03/2012|12/31/3999| | || | |
55150020830||J2185||04/06/2017|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|04/06/2017|12/31/3999| | || | |
64679067901||J2543||06/20/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|EA|.0278|06/20/2017|12/31/3999| | || | |
42023018901||J2710||05/23/2017|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|05/23/2017|12/31/3999| | || | |
25021081030||J2930||04/01/2017|09/24/2022|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 1 GM|1|UN|VIAL|IJ|EA|.125|04/01/2017|09/24/2022| | || | |
00409909345||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 250 MCG/5 ML AMPUL|5|ML|AMPUL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409909417||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 500 MCG/10 ML VIAL|10|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00023590623||J3315||04/15/2010|10/31/2021|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 22.5 MG SYRINGE|1|UN|BOX|IM|EA|.1667|04/15/2010|10/31/2021| | || | |
70860010410||J3370||05/01/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|05/01/2017|12/31/3999| | || | |
70860010520||J3370||05/01/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|05/01/2017|12/31/3999| | || | |
00338358101||J3370||05/17/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCO 500 MG/100 ML-0.9% NA|100|ML|FLEX CONT|IV|ML|100|05/17/2016|12/31/3999| | || | |
00338358301||J3370||04/19/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 G/200ML-0.9% N|200|ML|FLEX CONT|IV|ML|100|04/19/2016|12/31/3999| | || | |
63323010626||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|07/01/2016|12/31/3999| | || | |
51862007206||S4993||06/15/2011|03/31/2022|Contraceptive pills for birth control|AZURETTE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|03/31/2022| | || | |
51862009706||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|LEVORA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
68180083711||S4993||01/19/2016|01/06/2022|Contraceptive pills for birth control|TRI-LO-MARZIA TABLET|28|UN|BLIST PACK|PO|TAB|1|01/19/2016|01/06/2022| | || | |
00409052815||J1956||06/12/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 250 MG/50 ML-D|50|ML|BAG|IV|ML|50|06/12/2017|12/31/3999| | || | |
00409052831||J1956||06/12/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/150 ML-|150|ML|BAG|IV|ML|50|06/12/2017|12/31/3999| | || | |
64208823507||90283||04/01/2017|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 20 GRAM/200 ML VI|200|ML|VIAL|IV|ML|5|04/01/2017|12/31/3999| | || | |
51754050001||J0706||06/15/2016|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.25|06/15/2016|12/31/3999| | || | |
00409592109||J0280||06/15/2016|03/31/2020|Injection, aminophyllin, up to 250 mg|AMINOPHYLLINE 250 MG/10 ML|10|ML|VIAL|IV|ML|10|06/15/2016|03/31/2020| | || | |
44567024625||J0694||06/15/2016|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 2 GM VIAL|1|UN|VIAL|IV|EA|.5|06/15/2016|12/31/3999| | || | |
63323034129||J0694||06/15/2016|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM VIAL|1|UN|VIAL|IV|EA|1|06/15/2016|12/31/3999| | || | |
00078064661||J2353||06/15/2016|11/30/2018|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 10 MG|1|UN|VIAL|IM|EA|.1|06/15/2016|11/30/2018| | || | |
00078064861||J2353||06/15/2016|03/31/2019|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 30 MG|1|UN|VIAL|IM|EA|.0333|06/15/2016|03/31/2019| | || | |
00075801401||J1650||06/15/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 40 MG/0.4 ML SYRING|.4|ML|SYRINGE|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
63323016112||J1885||06/15/2016|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/15/2016|12/31/3999| | || | |
63323016214||J1885||06/15/2016|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|06/15/2016|12/31/3999| | || | |
25021040366||J1644||06/15/2016|10/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|06/15/2016|10/31/2021| | || | |
00703450291||J2765||06/15/2016|07/31/2020|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|06/15/2016|07/31/2020| | || | |
55513019201||J2505||06/15/2016|12/31/2021|Injection, pegfilgrastim, 6 mg|NEULASTA 6 MG/0.6 ML DLVRY|0.6|ML|SYRINGE|SQ|ML|.6|06/15/2016|12/31/2021| | || | |
61570026001||J2770||06/15/2016|04/30/2022|Injection, quinupristin/dalfopristin, 500 mg (150/350)|SYNERCID 500 MG VIAL|1|UN|VIAL|IV|ML|1|06/15/2016|04/30/2022| | || | |
00069547101||Q2009||06/15/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|CEREBYX 100 MG PE/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/15/2016|12/31/2022| | || | |
00069547102||Q2009||06/15/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|CEREBYX 100 MG PE/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/15/2016|12/31/2022| | || | |
00409762013||J1644||06/15/2016|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN-NS 1,000 UNITS/500|500|ML|BAG|IV|ML|500|06/15/2016|12/31/2022| | || | |
00409765052||J1644||06/15/2016|02/26/2025|Injection, heparin sodium, per 1000 units|HEPARIN-1/2NS 25,000 UNITS/|250|ML|BAG|IV|ML|10|06/15/2016|02/26/2025| | || | |
00781320194||J0641||06/15/2016|04/30/2023|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 175 MG/17.5|17.5|ML|VIAL|IV|EA|.05|06/15/2016|04/30/2023| | || | |
00781305972||J1160||06/15/2016|12/31/3999|Injection, digoxin, up to 0.5 mg|DIGOXIN 500 MCG/2 ML AMPULE|2|ML|AMPUL|IJ|ML|2|06/15/2016|12/31/3999| | || | |
47335028927||J0706||06/15/2016|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.25|06/15/2016|12/31/3999| | || | |
00591412879||J1071||06/15/2016|05/31/2025|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 2,000 MG/10|10|ML|VIAL|IM|ML|.005|06/15/2016|05/31/2025| | || | |
67457042010||J1100||06/15/2016|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.1|06/15/2016|12/31/3999| | || | |
00517182001||J1205||06/15/2016|12/31/3999|Injection, chlorothiazide sodium, per 500 mg|CHLOROTHIAZIDE SOD 500 MG V|1|ML|VIAL|IV|ML|1|06/15/2016|12/31/3999| | || | |
15054106003||J1930||06/15/2016|12/31/2021|Injection, lanreotide, 1 mg|SOMATULINE DEPOT 60 MG/0.2|0.2|ML|SYRINGE|SQ|ML|.00333|06/15/2016|12/31/2021| | || | |
13533066160||J2788||06/15/2016|12/31/3999|Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)|HYPERRHO S-D 250 UNITS SYRI|1|UN|SYRINGE|IM|ML|1|06/15/2016|12/31/3999| | || | |
60793060002||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN C-R 1.2 MILLION UN|2|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
60793060110||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN C-R 1.2 MILLION UNIT|2|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
60793060210||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN C-R 900-300 SYRINGE|2|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
00641921710||J3490||08/12/2016|12/31/3999|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|08/12/2016|12/31/3999| | || | |
00641921801||J3490||08/12/2016|12/31/3999|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|08/12/2016|12/31/3999| | || | |
00641921810||J3490||08/12/2016|12/31/3999|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|08/12/2016|12/31/3999| | || | |
00641921910||J3490||08/12/2016|12/31/3999|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|08/12/2016|12/31/3999| | || | |
25021031002||J3490||12/08/2016|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|EA|1|12/08/2016|12/31/3999| | || | |
51754020304||J3490||01/23/2015|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/23/2015|12/31/3999| | || | |
00013530117||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MYCOBUTIN 150 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572050100||J8999||02/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|POMALYST 1 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|02/13/2013|12/31/3999| | || | |
00641921901||J3490||08/12/2016|12/31/3999|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|08/12/2016|12/31/3999| | || | |
55150018505||J3490||11/04/2016|12/31/3999|Unclassified drugs|ESOMEPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|11/04/2016|12/31/3999| | || | |
00781311390||J2543||10/05/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM VL|1|UN|VIAL|IV|ML|.333|10/05/2016|12/31/3999| | || | |
00781311395||J2543||10/05/2016|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM VL|1|UN|VIAL|IV|ML|.333|10/05/2016|12/31/3999| | || | |
60793060010||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN C-R 1.2 MILLION UNIT|2|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
60793060102||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN C|2|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
60793070001||J0558||03/15/2017|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN L|1|ML|SYRINGE|IM|ML|.16666|03/15/2017|12/31/3999| | || | |
00259161001||J0588||03/15/2017|12/31/3999|Injection, incobotulinumtoxin a, 1 unit|XEOMIN 100 UNITS VIAL|1|UN|VIAL|IM|EA|.01|03/15/2017|12/31/3999| | || | |
00944462201||J7207||01/01/2017|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 200-400 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2017|12/31/3999| | || | |
00944462301||J7207||01/01/2017|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 401-800 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2017|12/31/3999| | || | |
00944462302||J7207||01/01/2017|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 401-800 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2017|12/31/3999| | || | |
00944462401||J7207||01/01/2017|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 801-1,250 UNIT VI|1|F2|VIAL|IV|AHF|1|01/01/2017|12/31/3999| | || | |
00409830010||J0583||07/30/2015|08/01/2024|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|07/30/2015|08/01/2024| | || | |
00517560225||J3410||06/17/2015|12/31/3999|Injection, hydroxyzine hcl, up to 25 mg|HYDROXYZINE 50 MG/ML VIAL|2|ML|VIAL|IM|ML|.5|06/17/2015|12/31/3999| | || | |
00527110930||J8999||01/01/2011|12/30/2019|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 300 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/30/2019| | || | |
00555006602||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 100 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00555007101||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 300 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00093201312||J3030||07/20/2016|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 4 MG/0.5 ML INJ|.5|ML|SYRINGE|SQ|ML|.75|07/20/2016|12/31/3999| | || | |
00003452211||J9176||01/01/2017|12/31/3999|Injection, elotuzumab, 1mg|EMPLICITI 400 MG VIAL|1|UN|VIAL|IV|EA|.0025|01/01/2017|12/31/3999| | || | |
57894050205||J9145||01/01/2017|12/31/3999|Injection, daratumumab 10 mg|DARZALEX 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|01/01/2017|12/31/3999| | || | |
57894050220||J9145||01/01/2017|12/31/3999|Injection, daratumumab 10 mg|DARZALEX 400 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|01/01/2017|12/31/3999| | || | |
00003229111||J9176||01/01/2017|12/31/3999|Injection, elotuzumab, 1mg|EMPLICITI 300 MG VIAL|1|UN|VIAL|IV|EA|.003333|01/01/2017|12/31/3999| | || | |
55513007801||J9325||01/01/2017|12/31/3999|Inj talimogene laherparepvec|IMLYGIC 1 MILLION PFU/ML VI|1|ML|VIAL|IV|ML|1|01/01/2017|12/31/3999| | || | |
55513007901||J9325||01/01/2017|12/31/3999|Inj talimogene laherparepvec|IMLYGIC 100 MILLION PFU/ML|1|ML|VIAL|IV|ML|.01|01/01/2017|12/31/3999| | || | |
00002880301||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|HUMULIN 70/30 KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
47335093140||J3490||12/16/2016|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|12/16/2016|12/31/3999| | || | |
47335093240||J3490||12/16/2016|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|12/16/2016|12/31/3999| | || | |
47335093244||J3490||12/16/2016|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|12/16/2016|12/31/3999| | || | |
47335093144||J3490||12/16/2016|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|12/16/2016|12/31/3999| | || | |
00002871517||S5552||12/15/2016|12/11/2023|Insulin, intermediate acting (nph or lente); 5 units|HUMULIN 70-30 VIAL|3|ML|VIAL|IJ|ML|.05|12/15/2016|12/11/2023| | || | |
67457022899||J3490||12/16/2016|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
68875020202||J3590||12/16/2016|10/04/2022|Unclassified Biologics|NATPARA 25 MCG DOSE CARTRID|2|UN|CARTRIDGE|SQ|EA|1|12/16/2016|10/04/2022| | || | |
16729011408||J9181||12/16/2016|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 500 MG/25 ML VIAL|25|ML|VIAL|IV|EA|.5|12/16/2016|12/31/3999| | || | |
16729011411||J9181||12/16/2016|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 1,000 MG/50 ML VI|50|ML|VIAL|IV|EA|.5|12/16/2016|12/31/3999| | || | |
63323040126||J3490||06/28/2010|06/30/2023|Unclassified drugs|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|1|06/28/2010|06/30/2023| | || | |
10019093901||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
10019093525||J9070||12/16/2016|05/31/2023|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|12/16/2016|05/31/2023| | || | |
10019093825||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|12/16/2016|12/31/3999| | || | |
10019093950||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
10019094201||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|12/16/2016|12/31/3999| | || | |
10019094325||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|12/16/2016|12/31/3999| | || | |
00703220101||J2550||06/15/2016|06/16/2016|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/15/2016|06/16/2016| | || | |
00409930020||J2795||06/15/2016|03/01/2024|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|06/15/2016|03/01/2024| | || | |
00409930021||J2795||06/15/2016|03/01/2024|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|06/15/2016|03/01/2024| | || | |
00143985725||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|ML|.25|06/15/2016|12/31/3999| | || | |
25021010720||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|GM|.125|06/15/2016|12/31/3999| | || | |
15054112003||J1930||06/15/2016|12/31/2021|Injection, lanreotide, 1 mg|SOMATULINE DEPOT 120 MG/0.5|0.5|ML|SYRINGE|SQ|ML|.00416|06/15/2016|12/31/2021| | || | |
62935022305||J1950||06/15/2016|06/16/2016|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|ELIGARD 22.5 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|1|06/15/2016|06/16/2016| | || | |
76045000120||J2250||06/15/2016|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|06/15/2016|12/31/3999| | || | |
00409021210||J2260||06/15/2016|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
00143957001||J2916||06/15/2016|12/31/3999|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|SOD FER GLUC CPLX 62.5 MG/5|5|ML|VIAL|IV|ML|1|06/15/2016|12/31/3999| | || | |
44567070225||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|06/15/2016|12/31/3999| | || | |
00703861021||J1650||06/15/2016|09/30/2022|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0666|06/15/2016|09/30/2022| | || | |
67457059200||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|ARIXTRA 2.5 MG/0.5 ML SYRIN|.5|ML|SYRINGE|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
00049001481||J0295||06/15/2016|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|UNASYN 3 GM VIAL|1|UN|VIAL|IJ|EA|.5|06/15/2016|12/31/3999| | || | |
00078056999||J1830||06/15/2016|12/31/3999|Injection interferon beta-1b, 0.25 mg (code may be used for medicare when d...|EXTAVIA 0.3 MG KIT|1|UN|KIT|SQ|EA|1|06/15/2016|12/31/3999| | || | |
63323016212||J1885||06/15/2016|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
15054109003||J1930||06/15/2016|12/31/2021|Injection, lanreotide, 1 mg|SOMATULINE DEPOT 90 MG/0.3|0.3|ML|SYRINGE|SQ|ML|.00333|06/15/2016|12/31/2021| | || | |
76045000210||J2250||06/15/2016|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 5 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|.2|06/15/2016|12/31/3999| | || | |
00944462501||J7207||01/01/2017|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 1,251-2,500 UNIT|1|F2|VIAL|IV|AHF|1|01/01/2017|12/31/3999| | || | |
00944462202||J7207||01/01/2017|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 200-400 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2017|12/31/3999| | || | |
00944462402||J7207||01/01/2017|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 801-1,250 UNIT VI|1|F2|VIAL|IV|AHF|1|01/01/2017|12/31/3999| | || | |
00944462502||J7207||01/01/2017|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 1,251-2,500 UNIT|1|F2|VIAL|IV|AHF|1|01/01/2017|12/31/3999| | || | |
70121100201||J1327||12/28/2016|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|ML|VIAL|IV|ML|2.5|12/28/2016|12/31/3999| | || | |
70121100301||J1327||12/28/2016|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|ML|6.6666|12/28/2016|12/31/3999| | || | |
70121145307||J2185||10/10/2016|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|ML|.1|10/10/2016|12/31/3999| | || | |
70121145407||J2185||10/10/2016|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|ML|.2|10/10/2016|12/31/3999| | || | |
68682000310||J8999||01/01/2011|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BEXAROTENE 75 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|06/30/2023| | || | |
63459091201||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SAFE|.8|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
00409117603||J2175||10/28/2004|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 25 MG/ML CARPUJECT|1|ML|SYRINGE|IJ|ML|4|10/28/2004|12/31/3999| | || | |
00078081881||J2353||01/01/2005|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 20 MG|1|UN|VIAL|IM|EA|.05|01/01/2005|12/31/3999| | || | |
00078082581||J2353||01/01/2005|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 30 MG|1|UN|VIAL|IM|EA|.0333|01/01/2005|12/31/3999| | || | |
00078066615||J8999||06/17/2013|10/03/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEKINIST 0.5 MG TABLET|30|UN|BOTTLE|PO|TAB|1|06/17/2013|10/03/2023| | || | |
00078067066||J8999||01/01/2011|10/31/2024|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VOTRIENT 200 MG TABLET|120|UN|BOTTLE|PO|TAB|1|01/01/2011|10/31/2024| | || | |
13811070550||J3490||06/09/2016|12/31/3999|Unclassified drugs|SOD PHENYLACET-SOD BENZOATE|50|ML|VIAL|IV|ML|1|06/09/2016|12/31/3999| | || | |
00310134930||J8999||11/19/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAGRISSO 40 MG TABLET|30|UN|BOTTLE|PO|TAB|1|11/19/2015|12/31/3999| | || | |
00310135030||J8999||11/23/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAGRISSO 80 MG TABLET|30|UN|BOTTLE|PO|TAB|1|11/23/2015|12/31/3999| | || | |
50242071701||J8999||11/16/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|COTELLIC 20 MG TABLET|63|UN|BOTTLE|PO|TAB|1|11/16/2015|12/31/3999| | || | |
00378695501||J8999||07/09/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BEXAROTENE 75 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|07/09/2015|12/31/3999| | || | |
42388002326||J8999||04/28/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|CABOMETYX 60 MG TABLET|30|UN|BOTTLE|PO|TAB|1|04/28/2016|12/31/3999| | || | |
42388002426||J8999||04/28/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|CABOMETYX 20 MG TABLET|30|UN|BOTTLE|PO|TAB|1|04/28/2016|12/31/3999| | || | |
42388002526||J8999||04/28/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|CABOMETYX 40 MG TABLET|30|UN|BOTTLE|PO|TAB|1|04/28/2016|12/31/3999| | || | |
68382039601||J3490||10/05/2016|12/31/3999|Unclassified drugs|SOD PHENYLACET-SOD BENZOATE|50|ML|VIAL|IV|ML|1|10/05/2016|12/31/3999| | || | |
00781894070||J3490||07/21/2016|03/31/2021|Unclassified drugs|L-CYSTEINE 50 MG/ML VIAL|10|ML|VIAL|IV|ML|1|07/21/2016|03/31/2021| | || | |
00781894095||J3490||07/21/2016|03/31/2021|Unclassified drugs|L-CYSTEINE 50 MG/ML VIAL|10|ML|VIAL|IV|ML|1|07/21/2016|03/31/2021| | || | |
63323003011||J0725||04/01/1998|12/31/3999|Injection, chorionic gonadotropin, per 1,000 usp units|CHORIONIC GONAD 10,000 UNIT|1|UN|VIAL|IM|EA|.1|04/01/1998|12/31/3999| | || | |
16729023930||J3490||12/21/2016|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|EA|1|12/21/2016|12/31/3999| | || | |
51079008301||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 300 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
51079008320||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 300 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
59762135001||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RIFABUTIN 150 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
61748001201||J8999||01/01/2011|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|06/30/2023| | || | |
62856071005||J8999||02/24/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 10 MG DAILY DOSE|5|UN|BLIST PACK|PO|EA|1|02/24/2015|12/31/3999| | || | |
62856071030||J8999||02/24/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 10 MG DAILY DOSE|30|UN|BLIST PACK|PO|EA|1|02/24/2015|12/31/3999| | || | |
62856072005||J8999||02/24/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 20 MG DAILY DOSE|10|UN|BLIST PACK|PO|EA|1|02/24/2015|12/31/3999| | || | |
63868008701||Q0163||10/01/2015|06/30/2023|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|QC COMPLETE ALLERGY 25 MG CAP|100|UN|BOTTLE|PO|CAP|2|10/01/2015|06/30/2023| | || | |
63868061132||Q0163||10/01/2015|04/01/2024|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|QC NIGHTTIME SLEEP 25 MG TAB|32|UN|BOTTLE|PO|TAB|2|10/01/2015|04/01/2024| | || | |
10019094401||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
10019094510||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|12/16/2016|12/31/3999| | || | |
55150012409||J3490||12/16/2016|12/31/3999|Unclassified drugs|NAFCILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|1|12/16/2016|12/31/3999| | || | |
55150012316||J3490||12/16/2016|12/31/3999|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|12/16/2016|12/31/3999| | || | |
67457047500||J3490||12/16/2016|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|12/16/2016|12/31/3999| | || | |
45963073360||J9000||12/16/2016|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 200 MG/100 ML V|100|ML|VIAL|IV|ML|5|12/16/2016|12/31/3999| | || | |
16729026231||J9181||12/16/2016|10/31/2021|Injection, etoposide, 10 mg|ETOPOSIDE 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|12/16/2016|10/31/2021| | || | |
45963073355||J9000||12/16/2016|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|12/16/2016|12/31/3999| | || | |
00781325594||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|12/16/2016|12/31/3999| | || | |
10019093501||J9070||12/16/2016|05/31/2023|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|12/16/2016|05/31/2023| | || | |
68875020302||J3590||12/16/2016|10/04/2022|Unclassified Biologics|NATPARA 50 MCG DOSE CARTRID|2|UN|CARTRIDGE|SQ|EA|1|12/16/2016|10/04/2022| | || | |
69918089910||J2597||10/27/2015|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML AM|1|ML|AMPUL|IJ|ML|.25|10/27/2015|12/31/3999| | || | |
63323028026||J1940||04/01/1998|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|04/01/1998|12/31/3999| | || | |
00169183302||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|RELION NOVOLIN R 100 UNIT/ML|10|ML|VIAL|IJ|ML|.05|12/15/2016|12/31/3999| | || | |
63323041820||J3490||12/16/2016|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|.05|12/16/2016|12/31/3999| | || | |
00078063998||J3590||12/16/2016|12/31/3999|Unclassified Biologics|COSENTYX 300 MG DOSE-2 SYRI|1|ML|SYRINGE|SQ|ML|1|12/16/2016|12/31/3999| | || | |
00074437824||J3490||12/16/2016|12/31/3999|Unclassified drugs|NIMBEX 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.2|12/16/2016|12/31/3999| | || | |
00074438079||J3490||12/16/2016|12/31/3999|Unclassified drugs|NIMBEX 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
00703951483||J3490||07/01/1992|02/29/2020|Unclassified drugs|SULFAMETHOXAZOLE-TMP INJ VI|10|ML|VIAL|IV|ML|1|07/01/1992|02/29/2020| | || | |
00781300095||J2185||09/13/2016|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|09/13/2016|12/31/3999| | || | |
00409021201||J2260||06/15/2016|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
00409021202||J2260||06/15/2016|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
00409021203||J2260||06/15/2016|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 50 MG/50 ML|50|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
00409021211||J2260||06/15/2016|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
00078064761||J2353||06/15/2016|06/30/2019|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 20 MG|1|UN|VIAL|IM|EA|.05|06/15/2016|06/30/2019| | || | |
00078064781||J2353||06/15/2016|06/30/2019|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 20 MG|1|UN|VIAL|IM|EA|.05|06/15/2016|06/30/2019| | || | |
00078064881||J2353||06/15/2016|03/31/2019|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 30 MG|1|UN|VIAL|IM|EA|.0333|06/15/2016|03/31/2019| | || | |
50458060901||J2426||06/15/2016|03/05/2022|Injection, paliperidone palmitate extended release, 1 mg|INVEGA TRINZA 819 MG/2.625|2.625|ML|SYRINGE|IM|ML|.003205|06/15/2016|03/05/2022| | || | |
00703219101||J2550||06/15/2016|06/16/2016|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|06/15/2016|06/16/2016| | || | |
63323041510||J2710||06/15/2016|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|06/15/2016|12/31/3999| | || | |
00409930010||J2795||06/15/2016|02/01/2023|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 20 MG/10 M|10|ML|VIAL|IJ|ML|.5|06/15/2016|02/01/2023| | || | |
63323096198||J3489||06/15/2016|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|06/15/2016|12/31/3999| | || | |
67457039054||J3489||06/15/2016|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|06/15/2016|12/31/3999| | || | |
68982085003||J1568||06/15/2016|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 10% VIAL|100|ML|VIAL|IV|ML|5|06/15/2016|12/31/3999| | || | |
55566190101||J2941||06/15/2016|12/31/3999|Injection, somatropin, 1 mg|ZOMACTON 10 MG VIAL|1|UN|VIAL|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
63323040704||J0706||06/15/2016|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.25|06/15/2016|12/31/3999| | || | |
59676030300||J0885||06/15/2016|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 3,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.333|06/15/2016|12/31/3999| | || | |
59676034000||J0885||06/15/2016|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 40,000 UNITS/ML VIA|1|ML|VIAL|IJ|ML|.025|06/15/2016|12/31/3999| | || | |
67457042000||J1100||06/15/2016|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.1|06/15/2016|12/31/3999| | || | |
17478066030||J0132||06/15/2016|06/30/2023|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|06/15/2016|06/30/2023| | || | |
00075801301||J1650||06/15/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 30 MG/0.3 ML SYRING|.3|ML|SYRINGE|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
00075801601||J1650||06/15/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 60 MG/0.6 ML SYRING|.6|ML|SYRINGE|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
00703904093||J0278||06/15/2016|09/30/2016|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1 GRAM/4 ML V|4|ML|VIAL|IJ|ML|.4|06/15/2016|09/30/2016| | || | |
12496075705||J0592||06/15/2016|12/31/3999|Injection, buprenorphine hydrochloride, 0.1 mg|BUPRENEX 0.3 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.333|06/15/2016|12/31/3999| | || | |
16729023993||J3490||12/21/2016|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|EA|1|12/21/2016|12/31/3999| | || | |
44567060004||J3490||09/26/2016|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 400 MCG/4 M|4|ML|VIAL|IV|ML|1|09/26/2016|12/31/3999| | || | |
44567060104||J3490||09/26/2016|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 1,000 MCG/1|10|ML|VIAL|IV|ML|1|09/26/2016|12/31/3999| | || | |
59572050121||J8999||02/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|POMALYST 1 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|02/13/2013|12/31/3999| | || | |
59572050200||J8999||02/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|POMALYST 2 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|02/13/2013|12/31/3999| | || | |
59572050221||J8999||02/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|POMALYST 2 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|02/13/2013|12/31/3999| | || | |
59572050300||J8999||02/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|POMALYST 3 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|02/13/2013|12/31/3999| | || | |
59572050321||J8999||02/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|POMALYST 3 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|02/13/2013|12/31/3999| | || | |
59572050400||J8999||02/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|POMALYST 4 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|02/13/2013|12/31/3999| | || | |
59572050421||J8999||02/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|POMALYST 4 MG CAPSULE|21|UN|BOTTLE|PO|CAP|1|02/13/2013|12/31/3999| | || | |
00143968301||J3490||03/15/2017|12/31/3999|Unclassified drugs|FLUMAZENIL 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|03/15/2017|12/31/3999| | || | |
00187433001||J3490||03/15/2017|10/01/2020|Unclassified drugs|ISUPREL 0.2 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|03/15/2017|10/01/2020| | || | |
00409228720||J1885||04/28/2005|09/30/2021|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML ISECURE|1|ML|SYRINGE|IJ|ML|.5|04/28/2005|09/30/2021| | || | |
55150024346||J1956||09/01/2016|08/31/2019|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 250 MG/50 ML-D|50|ML|BAG|IV|ML|50|09/01/2016|08/31/2019| | || | |
00009316901||J3490||03/15/2017|03/31/2023|Unclassified drugs|PROSTIN VR PEDI 500 MCG/ML|1|ML|AMPUL|IJ|ML|1|03/15/2017|03/31/2023| | || | |
00009370108||J3490||03/15/2017|03/16/2017|Unclassified drugs|CAVERJECT 20 MCG VIAL|6|UN|VIAL|IC|EA|1|03/15/2017|03/16/2017| | || | |
00078068266||J8999||06/10/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAFINLAR 50 MG CAPSULE|120|UN|BOTTLE|PO|CAP|1|06/10/2013|12/31/3999| | || | |
62856070805||J8999||05/23/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 8 MG DAILY DOSE|10|UN|BLIST PACK|PO|EA|1|05/23/2016|12/31/3999| | || | |
62856070830||J8999||05/23/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 8 MG DAILY DOSE|60|UN|BLIST PACK|PO|EA|1|05/23/2016|12/31/3999| | || | |
62856071805||J8999||05/23/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 18 MG DAILY DOSE|15|UN|BLIST PACK|PO|EA|1|05/23/2016|12/31/3999| | || | |
00641049717||J7040||02/05/2014|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|2|ML|VIAL|IJ|ML|.5|02/05/2014|12/31/3999| | || | |
00641049717||J7050||02/05/2014|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|2|ML|VIAL|IJ|ML|.25|02/05/2014|12/31/3999| | || | |
00378334016||J7304||04/16/2014|12/31/3999|Contraceptive supply, hormone containing patch, each|XULANE PATCH|1|UN|PACKET|TD|TDP|1|04/16/2014|12/31/3999| | || | |
61748001206||J8999||01/01/2011|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|60|UN|BOTTLE|PO|TAB|1|01/01/2011|06/30/2023| | || | |
61748001209||J8999||01/01/2011|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|90|UN|BOTTLE|PO|TAB|1|01/01/2011|06/30/2023| | || | |
61748001211||J8999||01/01/2011|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|06/30/2023| | || | |
62856072030||J8999||02/24/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 20 MG DAILY DOSE|60|UN|BLIST PACK|PO|EA|1|02/24/2015|12/31/3999| | || | |
62856072405||J8999||02/24/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 24 MG DAILY DOSE|15|UN|BLIST PACK|PO|EA|1|02/24/2015|12/31/3999| | || | |
62856072430||J8999||02/24/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 24 MG DAILY DOSE|90|UN|BLIST PACK|PO|EA|1|02/24/2015|12/31/3999| | || | |
00703301511||J9190||01/27/2000|10/31/2020|Injection, fluorouracil, 500 mg|ALDRUCIL|10|ML|VIAL|IV|ML|10|01/27/2000|10/31/2020| | || | |
00185064824||Q0163||01/01/2011|06/30/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 25 MG CAPS|24|UN|BOTTLE|PO|CAP|2|01/01/2011|06/30/2020| | || | |
00185064924||Q0163||01/01/2011|06/30/2020|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 50 MG CAPS|24|UN|BOTTLE|PO|CAP|1|01/01/2011|06/30/2020| | || | |
00536101001||Q0163||08/20/2014|03/31/2025|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHIST 25 MG CAPSULE|100|UN|BOTTLE|PO|CAP|2|08/20/2014|03/31/2025| | || | |
00536101601||Q0163||01/05/2015|08/31/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHIST 25 MG CAPTAB|100|UN|BOTTLE|PO|TAB|2|01/05/2015|08/31/2021| | || | |
67457035010||J0290||09/13/2016|04/30/2022|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|09/13/2016|04/30/2022| | || | |
25021017304||J0278||07/15/2016|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1 GRAM/4 ML V|4|ML|VIAL|IJ|ML|.4|07/15/2016|12/31/3999| | || | |
63323010601||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|FLEX CONT|IV|ML|12.5|07/01/2016|12/31/3999| | || | |
63323010801||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|FLEX CONT|IV|ML|50|07/01/2016|12/31/3999| | || | |
63323016116||J1885||02/07/2002|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/07/2002|12/31/3999| | || | |
63323066416||J1200||06/26/2002|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/26/2002|12/31/3999| | || | |
63323010610||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 40 G/1,000 M|1000|ML|FLEX CONT|IV|ML|12.5|07/01/2016|12/31/3999| | || | |
63323028016||J1940||04/01/1998|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/01/1998|12/31/3999| | || | |
63323028036||J1940||04/01/1998|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|04/01/1998|12/31/3999| | || | |
00143954210||J3490||12/16/2016|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|12/16/2016|12/31/2023| | || | |
00143958501||J3490||12/16/2016|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|.2|12/16/2016|12/31/3999| | || | |
00143958525||J3490||12/16/2016|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|.2|12/16/2016|12/31/3999| | || | |
10019093701||J9070||12/16/2016|02/28/2023|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|12/16/2016|02/28/2023| | || | |
00409127303||J3360||10/28/2004|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML CARPUJE|2|ML|SYRINGE|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409189003||J2270||08/23/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 2 MG/ML CARPUJECT|1|ML|SYRINGE|IV|ML|5|08/23/2012|12/31/3999| | || | |
00409379319||J1885||10/28/2004|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
63323016216||J1885||02/06/2002|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|02/06/2002|12/31/3999| | || | |
63323016226||J1885||02/06/2002|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|02/06/2002|12/31/3999| | || | |
63323028421||J3370||04/01/1998|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|04/01/1998|12/31/3999| | || | |
00143958601||J3490||12/16/2016|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|.5|12/16/2016|12/31/3999| | || | |
00703909501||J3490||12/16/2016|12/16/2016|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|ML|VIAL|IJ|ML|1|12/16/2016|12/16/2016| | || | |
00703909503||J3490||12/16/2016|12/16/2016|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|ML|VIAL|IJ|ML|1|12/16/2016|12/16/2016| | || | |
00703910501||J3490||12/16/2016|12/23/2016|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|ML|1|12/16/2016|12/23/2016| | || | |
00703910503||J3490||12/16/2016|12/23/2016|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|ML|1|12/16/2016|12/23/2016| | || | |
00781315380||J3490||12/16/2016|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|.05|12/16/2016|12/31/3999| | || | |
44567022301||J3490||12/16/2016|12/31/3999|Unclassified drugs|NAFCILLIN 10 GM BULK VIAL|1|UN|VIAL|IJ|EA|1|12/16/2016|12/31/3999| | || | |
63323032293||J0743||03/21/2012|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 500 MG|1|UN|VIAL|IV|EA|.5|03/21/2012|12/31/3999| | || | |
44567024525||J0694||06/15/2016|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM VIAL|1|UN|VIAL|IV|EA|1|06/15/2016|12/31/3999| | || | |
63323034229||J0694||06/15/2016|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 2 GM VIAL|1|UN|VIAL|IV|EA|.5|06/15/2016|12/31/3999| | || | |
25021010667||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|GM|.25|06/15/2016|12/31/3999| | || | |
00641616401||J0706||06/15/2016|12/31/3999|Injection, caffeine citrate, 5mg|CAFCIT 60 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.25|06/15/2016|12/31/3999| | || | |
00641616410||J0706||06/15/2016|12/31/3999|Injection, caffeine citrate, 5mg|CAFCIT 60 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.25|06/15/2016|12/31/3999| | || | |
23155049742||J0780||06/15/2016|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|06/15/2016|12/31/3999| | || | |
55513009801||J0881||06/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 10 MCG/0.4 ML SYRINGE|4|ML|SYRINGE|IJ|ML|.04|06/15/2016|12/31/3999| | || | |
55513009804||J0881||06/15/2016|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 10 MCG/0.4 ML SYRINGE|4|ML|SYRINGE|IJ|ML|.04|06/15/2016|12/31/3999| | || | |
00075801801||J1650||06/15/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 80 MG/0.8 ML SYRING|.8|ML|SYRINGE|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
00075802201||J1650||06/15/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 120 MG/0.8 ML SYRIN|.8|ML|SYRINGE|SQ|EA|.0666|06/15/2016|12/31/3999| | || | |
59676030200||J0885||06/15/2016|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|PROCRIT 2,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
00069547401||Q2009||06/15/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|CEREBYX 500 MG PE/10 ML VIAL|10|ML|VIAL|IJ|ML|1|06/15/2016|12/31/2022| | || | |
00069547402||Q2009||06/15/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|CEREBYX 500 MG PE/10 ML VIAL|10|ML|VIAL|IJ|ML|1|06/15/2016|12/31/2022| | || | |
00085117703||J1327||06/15/2016|09/28/2020|Injection, eptifibatide, 5 mg|INTEGRILIN 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|2.5|06/15/2016|09/28/2020| | || | |
00085117705||J1327||06/15/2016|09/28/2020|Injection, eptifibatide, 5 mg|INTEGRILIN 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|2.5|06/15/2016|09/28/2020| | || | |
00781323434||J1595||06/15/2016|12/31/3999|Injection, glatiramer acetate, 20 mg|GLATOPA 20 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|1|06/15/2016|12/31/3999| | || | |
00409762049||J1644||06/15/2016|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN-NS 2,000 UNIT/1,000|1000|ML|BAG|IV|ML|500|06/15/2016|12/31/2022| | || | |
00409765113||J1644||06/15/2016|05/01/2023|Injection, heparin sodium, per 1000 units|HEPARIN-1/2NS 25,000 UNITS/|500|ML|BAG|IV|ML|20|06/15/2016|05/01/2023| | || | |
00075802501||J1650||06/15/2016|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.0666|06/15/2016|12/31/3999| | || | |
67457058210||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|EA|.1|06/15/2016|12/31/3999| | || | |
67457058400||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|EA|.04|06/15/2016|12/31/3999| | || | |
67457058500||J1652||06/15/2016|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|EA|.04|06/15/2016|12/31/3999| | || | |
00143957010||J2916||06/15/2016|12/31/3999|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|SOD FER GLUC CPLX 62.5 MG/5|5|ML|VIAL|IV|ML|1|06/15/2016|12/31/3999| | || | |
00069020601||J1645||06/15/2016|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 7,500 UNITS/0.3 ML|.3|ML|SYRINGE|SQ|ML|.1|06/15/2016|12/31/3999| | || | |
00069022301||J1645||06/15/2016|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 15,000 UNITS/0.6 ML|.6|ML|SYRINGE|SQ|ML|.1|06/15/2016|12/31/3999| | || | |
00069020602||J1645||06/15/2016|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 7,500 UNITS/0.3 ML|.3|ML|SYRINGE|SQ|ML|.1|06/15/2016|12/31/3999| | || | |
62856071830||J8999||05/23/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 18 MG DAILY DOSE|90|UN|BLIST PACK|PO|EA|1|05/23/2016|12/31/3999| | || | |
00078068166||J8999||06/10/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAFINLAR 75 MG CAPSULE|120|UN|BOTTLE|PO|CAP|1|06/10/2013|12/31/3999| | || | |
00078067119||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TYKERB 250 MG TABLET|150|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
45963032550||J8999||10/07/2016|02/28/2019|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|METHOXSALEN 10 MG SOFTGEL|50|UN|BOTTLE|PO|CAP|1|10/07/2016|02/28/2019| | || | |
00187433005||J3490||03/15/2017|04/01/2018|Unclassified drugs|ISUPREL 1 MG/5 ML AMPUL|5|ML|AMPUL|IJ|ML|1|03/15/2017|04/01/2018| | || | |
00310652004||J3490||03/15/2017|11/30/2020|Unclassified drugs|BYDUREON 2 MG VIAL|4|UN|VIAL|SQ|EA|1|03/15/2017|11/30/2020| | || | |
00143965901||J1071||11/16/2016|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|11/16/2016|12/31/3999| | || | |
00409128303||J1170||10/28/2004|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 1 MG/ML SYRIN|1|ML|SYRINGE|IJ|ML|4|10/28/2004|12/31/3999| | || | |
00409128304||J1170||10/28/2004|05/01/2024|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 0.5 MG/0.5 ML|.5|ML|SYRINGE|IJ|ML|4|10/28/2004|05/01/2024| | || | |
00409255211||J1170||10/01/2005|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE HCL 1 MG/ML A|1|ML|AMPUL|IJ|ML|4|10/01/2005|12/31/3999| | || | |
00409336511||J1170||10/01/2005|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|10/01/2005|12/31/3999| | || | |
63459091001||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SAFE|.5|ML|SYRINGE|SQ|ML|.0016|01/01/2016|12/31/2022| | || | |
76045010810||J1642||12/08/2016|12/08/2016|Injection, heparin sodium, (heparin lock flush), per 10 units|HEPARIN SOD 5,000 UNIT/ML S|1|ML|SYRINGE|IJ|ML|.002|12/08/2016|12/08/2016| | || | |
00944285007||90284||11/16/2016|09/30/2023|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUVITRU 8 GRAM/ 40 ML VIAL|40|ML|VIAL|SQ|ML|.5|11/16/2016|09/30/2023| | || | |
55150024447||J1956||09/01/2016|08/31/2019|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/100 ML-|100|ML|BAG|IV|ML|50|09/01/2016|08/31/2019| | || | |
55150024552||J1956||09/01/2016|09/30/2019|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/150 ML-|150|ML|BAG|IV|ML|50|09/01/2016|09/30/2019| | || | |
62847000101||J3095||01/01/2011|04/01/2021|Injection, telavancin, 10 mg|VIBATIV 750 MG VIAL|1|UN|VIAL|IV|EA|.0133|01/01/2011|04/01/2021| | || | |
60687013801||J8999||11/08/2016|09/30/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|11/08/2016|09/30/2021| | || | |
60687013811||J8999||11/08/2016|09/30/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|11/08/2016|09/30/2021| | || | |
60687019825||J8999||07/12/2016|02/24/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RIFABUTIN 150 MG CAPSULE|30|UN|BLIST PACK|PO|CAP|1|07/12/2016|02/24/2022| | || | |
60687019895||J8999||07/12/2016|02/24/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RIFABUTIN 150 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|07/12/2016|02/24/2022| | || | |
37000040624||Q0163||06/22/2014|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|VICKS QLEARQUIL NIGHT 25 MG|24|UN|BLIST PACK|PO|EA|2|06/22/2014|03/31/2016| | || | |
37000040648||Q0163||06/22/2014|03/31/2016|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|VICKS QLEARQUIL NIGHT 25 MG|48|UN|BLIST PACK|PO|EA|2|06/22/2014|03/31/2016| | || | |
68084084711||Q0177||02/24/2015|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|1|UN|BLIST PACK|PO|CAP|1|02/24/2015|12/31/3999| | || | |
00536101801||Q0181||07/24/2014|09/30/2022|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|TRAVEL SICKNESS 25 MG TAB C|100|UN|BOTTLE|PO|TAB|1|07/24/2014|09/30/2022| | || | |
00536101810||Q0181||07/24/2014|09/30/2022|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|TRAVEL SICKNESS 25 MG TAB C|1000|UN|BOTTLE|PO|TAB|1|07/24/2014|09/30/2022| | || | |
42806001210||Q0181||04/30/2014|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 12.5 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|04/30/2014|12/31/3999| | || | |
42806001401||Q0181||04/30/2014|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|1|04/30/2014|12/31/3999| | || | |
42806001410||Q0181||04/30/2014|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 25 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|04/30/2014|12/31/3999| | || | |
49884068905||Q0181||11/09/2012|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 10 MG TABLET|500|UN|BOTTLE|PO|TAB|1|11/09/2012|12/31/3999| | || | |
67457045720||S0028||08/19/2015|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|2|08/19/2015|12/31/3999| | || | |
00378730053||S4993||08/28/2015|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-ETH ESTRADIOL|28|UN|BLIST PACK|PO|TAB|1|08/28/2015|12/31/3999| | || | |
68462065684||S4993||05/14/2015|12/31/3999|Contraceptive pills for birth control|NORETHIND-ETH ESTRAD 0.5-2.|28|UN|BLIST PACK|PO|TAB|1|05/14/2015|12/31/3999| | || | |
68462067291||S4993||07/06/2015|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.15-0.0|91|UN|BLIST PACK|PO|TAB|1|07/06/2015|12/31/3999| | || | |
68462067295||S4993||07/06/2015|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.15-0.0|91|UN|BLIST PACK|PO|TAB|1|07/06/2015|12/31/3999| | || | |
63323034993||J0743||03/21/2012|11/13/2022|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 250 MG|1|UN|VIAL|IV|EA|1|03/21/2012|11/13/2022| | || | |
63323087115||J0878||09/12/2016|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|09/12/2016|12/31/3999| | || | |
63481022906||J3030||10/10/2014|09/30/2018|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMAVEL DOSEPRO 4 MG/0.5 ML|.5|ML|SYRINGE|SQ|ML|.75|10/10/2014|09/30/2018| | || | |
67457029900||J2310||09/14/2016|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|09/14/2016|12/31/3999| | || | |
67457029910||J2310||09/14/2016|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|09/14/2016|12/31/3999| | || | |
39822552503||J2550||08/05/2016|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|08/05/2016|12/31/3999| | || | |
39822555006||J2550||08/05/2016|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|08/05/2016|12/31/3999| | || | |
00781324494||J9070||12/16/2016|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|12/16/2016|12/31/3999| | || | |
00143962001||J3420||04/11/2016|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|04/11/2016|12/31/3999| | || | |
00143962101||J3420||04/11/2016|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|04/11/2016|12/31/3999| | || | |
00143962125||J3420||04/11/2016|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|04/11/2016|12/31/3999| | || | |
00093201412||J3030||07/20/2016|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML INJ|.5|ML|SYRINGE|SQ|ML|.5|07/20/2016|12/31/3999| | || | |
00409036601||J9171||08/24/2016|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|08/24/2016|12/31/3999| | || | |
00409036701||J9171||08/24/2016|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|08/24/2016|12/31/3999| | || | |
00409120725||J1580||10/28/2004|07/01/2022|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|07/01/2022| | || | |
00409341418||J2765||10/28/2004|12/31/3999|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409656220||J1071||08/09/2016|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|10|ML|VIAL|IM|ML|.005|08/09/2016|12/31/3999| | || | |
47781046068||J3490||01/29/2010|04/30/2020|Unclassified drugs|CLINDAMYCIN PH 600 MG/4 ML|4|ML|VIAL|IJ|ML|1|01/29/2010|04/30/2020| | || | |
47781046269||J3490||01/29/2010|11/10/2019|Unclassified drugs|CLINDAMYCIN 300 MG/2 ML ADD|2|ML|VIAL|IV|ML|1|01/29/2010|11/10/2019| | || | |
00409655701||J1071||08/10/2016|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 100 MG/ML|10|ML|VIAL|IM|ML|.01|08/10/2016|12/31/3999| | || | |
47781046570||J3490||01/29/2010|03/30/2020|Unclassified drugs|CLINDAMYCIN PH 9 G/60 ML VI|60|ML|VIAL|IV|ML|1|01/29/2010|03/30/2020| | || | |
00069022302||J1645||06/15/2016|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 15,000 UNITS/0.6 ML|.6|ML|SYRINGE|SQ|ML|.1|06/15/2016|12/31/3999| | || | |
00069022801||J1645||06/15/2016|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 18,000 UNITS/0.72 M|.72|ML|SYRINGE|SQ|ML|.1|06/15/2016|12/31/3999| | || | |
00069022802||J1645||06/15/2016|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 18,000 UNITS/0.72 M|.72|ML|SYRINGE|SQ|ML|.1|06/15/2016|12/31/3999| | || | |
00409765152||J1644||06/15/2016|06/01/2023|Injection, heparin sodium, per 1000 units|HEPARIN-1/2NS 12,500 UNITS/|250|ML|BAG|IV|ML|20|06/15/2016|06/01/2023| | || | |
50458060701||J2426||06/15/2016|03/05/2022|Injection, paliperidone palmitate extended release, 1 mg|INVEGA TRINZA 410 MG/1.315|1.315|ML|SYRINGE|IM|ML|.003205|06/15/2016|03/05/2022| | || | |
00169770321||J2941||06/15/2016|12/31/3999|Injection, somatropin, 1 mg|NORDITROPIN FLEXPRO 30 MG/3|3|ML|SYRINGE|SQ|ML|.1|06/15/2016|12/31/3999| | || | |
50458060601||J2426||06/15/2016|03/05/2022|Injection, paliperidone palmitate extended release, 1 mg|INVEGA TRINZA 273 MG/0.875|.875|ML|SYRINGE|IM|ML|.003205|06/15/2016|03/05/2022| | || | |
50458060801||J2426||06/15/2016|06/30/2023|Injection, paliperidone palmitate extended release, 1 mg|INVEGA TRINZA 546 MG/1.75 M|1.75|ML|SYRINGE|IM|ML|.003205|06/15/2016|06/30/2023| | || | |
60793013001||J2510||06/15/2016|09/30/2023|Injection, penicillin g procaine, aqueous, up to 600,000 units|PENICILLIN G 600,000 UNIT/1|1|ML|SYRINGE|IM|ML|1|06/15/2016|09/30/2023| | || | |
00143985625||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|ML|.125|06/15/2016|12/31/3999| | || | |
00264315311||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM-D5W BAG|1|UN|BAG|IV|ML|.25|06/15/2016|12/31/3999| | || | |
00409733503||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|GM|.125|06/15/2016|12/31/3999| | || | |
00781320785||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
00781320885||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|ML|.25|06/15/2016|12/31/3999| | || | |
00781320990||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|ML|.125|06/15/2016|12/31/3999| | || | |
00781321046||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|ML|.025|06/15/2016|12/31/3999| | || | |
00781320995||J0696||06/15/2016|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|ML|.125|06/15/2016|12/31/3999| | || | |
00781345170||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
00781345196||J0690||06/15/2016|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|06/15/2016|12/31/3999| | || | |
62559017331||J8999||07/24/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NILUTAMIDE 150 MG TABLET|30|UN|BLIST PACK|PO|TAB|1|07/24/2016|12/31/3999| | || | |
00955102208||J9171||12/13/2016|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.05|12/13/2016|12/31/3999| | || | |
59572098401||J9315||01/01/2011|09/30/2021|Injection, romidepsin, 1 mg|ISTODAX 10 MG KIT|1|UN|VIAL|IV|EA|.1|01/01/2011|09/30/2021| | || | |
69618002401||Q0163||06/02/2016|12/31/2017|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 25 MG CAPSU|100|UN|BOTTLE|PO|CAP|2|06/02/2016|12/31/2017| | || | |
42043039002||Q0166||05/01/2016|09/30/2022|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|2|UN|BLIST PACK|PO|TAB|1|05/01/2016|09/30/2022| | || | |
16714022112||Q0166||01/01/2011|08/31/2023|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|01/01/2011|08/31/2023| | || | |
00002143401||J3490||10/20/2014|10/20/2014|Unclassified drugs|TRULICITY 1.5 MG/0.5 ML PEN|.5|ML|SYRINGE|SQ|ML|1|10/20/2014|10/20/2014| | || | |
00944285003||90284||11/16/2016|09/30/2023|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUVITRU 2 GRAM/10 ML VIAL|10|ML|VIAL|SQ|ML|.5|11/16/2016|09/30/2023| | || | |
60432015016||Q0177||01/01/2011|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE 10 MG/5 ML SOLN|473|ML|BOTTLE|PO|ML|12.5|01/01/2011|12/31/3999| | || | |
15054050001||J0586||03/15/2017|12/31/3999|Injection, abobotulinumtoxina, 5 units|DYSPORT 500 UNITS VIAL|1|UN|VIAL|IM|EA|.01|03/15/2017|12/31/3999| | || | |
10454071210||J0587||03/15/2017|12/31/3999|Injection, rimabotulinumtoxinb, 100 units|MYOBLOC 10,000 UNITS/2 ML VIAL|2|ML|VIAL|IM|EA|.02|03/15/2017|12/31/3999| | || | |
10454071010||J0587||03/15/2017|12/31/3999|Injection, rimabotulinumtoxinb, 100 units|MYOBLOC 2,500 UNIT/0.5 ML VIAL|0.5|ML|VIAL|IM|EA|.02|03/15/2017|12/31/3999| | || | |
10454071110||J0587||03/15/2017|12/31/3999|Injection, rimabotulinumtoxinb, 100 units|MYOBLOC 5,000 UNITS/1 ML VIAL|1|ML|VIAL|IM|EA|.02|03/15/2017|12/31/3999| | || | |
69618002501||Q0163||06/02/2016|12/31/2017|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 25 MG CAPLE|100|UN|BOTTLE|PO|TAB|2|06/02/2016|12/31/2017| | || | |
58809064330||Q0163||05/01/2016|04/01/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|VANAMINE PD 6.25 MG/ML DROP|30|ML|BOTTLE|PO|ML|8|05/01/2016|04/01/2021| | || | |
42043039020||Q0166||05/01/2016|09/30/2022|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|20|UN|BOTTLE|PO|TAB|1|05/01/2016|09/30/2022| | || | |
42043039021||Q0166||05/01/2016|09/30/2022|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|20|UN|BLIST PACK|PO|TAB|1|05/01/2016|09/30/2022| | || | |
16714022110||Q0166||01/01/2011|08/31/2023|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|01/01/2011|08/31/2023| | || | |
00187430202||J3490||03/15/2017|08/01/2020|Unclassified drugs|NITROPRESS 50 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|03/15/2017|08/01/2020| | || | |
68462072029||S4993||09/18/2015|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.02 MG T|28|UN|BLIST PACK|PO|TAB|1|09/18/2015|12/31/3999| | || | |
68462072084||S4993||09/18/2015|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.02 MG T|28|UN|BLIST PACK|PO|TAB|1|09/18/2015|12/31/3999| | || | |
00409020110||J9171||09/25/2015|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|09/25/2015|12/31/3999| | || | |
66758005003||J9171||10/01/2015|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|10/01/2015|12/31/3999| | || | |
00641049717||J7030||02/05/2014|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|2|ML|VIAL|IJ|ML|1|02/05/2014|12/31/3999| | || | |
00641049725||J7030||02/05/2014|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|2|ML|VIAL|IJ|ML|1|02/05/2014|12/31/3999| | || | |
00641049725||J7040||02/05/2014|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|2|ML|VIAL|IJ|ML|.5|02/05/2014|12/31/3999| | || | |
00641049725||J7050||02/05/2014|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|2|ML|VIAL|IJ|ML|.25|02/05/2014|12/31/3999| | || | |
63323001326||J3411||05/01/2005|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
63323010605||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|07/01/2016|12/31/3999| | || | |
63323010615||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 20 G/500 ML|500|ML|FLEX CONT|IV|ML|12.5|07/01/2016|12/31/3999| | || | |
63323010705||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/50 ML BA|50|ML|FLEX CONT|IV|ML|6.25|07/01/2016|12/31/3999| | || | |
67457040410||J0290||09/13/2016|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|09/13/2016|12/31/3999| | || | |
67457067502||J0630||02/05/2009|12/31/3999|Injection, calcitonin salmon, up to 400 units|MIACALCIN 400 UNIT/2 ML VIA|2|ML|VIAL|IJ|ML|2|02/05/2009|12/31/3999| | || | |
67919001201||J0878||08/01/2016|12/31/3999|Injection, daptomycin, 1 mg|CUBICIN RF 500 MG VIAL|1|UN|VIAL|IV|EA|.002|08/01/2016|12/31/3999| | || | |
69918090110||J2597||10/27/2015|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML VI|10|ML|VIAL|IJ|ML|.25|10/27/2015|12/31/3999| | || | |
70069000501||J3420||07/15/2016|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|07/15/2016|12/31/3999| | || | |
00143958401||J3490||12/16/2016|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|.05|12/16/2016|12/31/3999| | || | |
00143958410||J3490||12/16/2016|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|.05|12/16/2016|12/31/3999| | || | |
00143958625||J3490||12/16/2016|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|.5|12/16/2016|12/31/3999| | || | |
00143958701||J3490||12/16/2016|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|12/16/2016|12/31/3999| | || | |
00409665119||J3480||10/28/2004|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/10 ML C|10|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409666001||J7030||10/28/2004|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 100 MEQ/40|40|ML|VIAL|IV|ML|25|10/28/2004|12/31/3999| | || | |
00143959310||J3490||12/16/2016|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|12/16/2016|12/31/2023| | || | |
00143968401||J3490||12/16/2016|12/31/3999|Unclassified drugs|FLUMAZENIL 0.5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.2|12/16/2016|12/31/3999| | || | |
68001026624||J9190||12/16/2016|09/30/2023|Injection, fluorouracil, 500 mg|FLUOROURACIL 2.5 GM/50 ML V|50|ML|VIAL|IV|ML|10|12/16/2016|09/30/2023| | || | |
68001026629||J9190||12/16/2016|10/31/2023|Injection, fluorouracil, 500 mg|FLUOROURACIL 1,000 MG/20 ML|20|ML|VIAL|IV|ML|10|12/16/2016|10/31/2023| | || | |
00002831501||S5552||12/15/2016|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|HUMULIN N 100 UNITS/ML VIAL|10|ML|VIAL|SQ|ML|.05|12/15/2016|12/31/3999| | || | |
16729031130||J2501||03/24/2016|12/31/3999|Injection, paricalcitol, 1 mcg|PARICALCITOL 10 MCG/2 ML VI|2|ML|VIAL|IJ|ML|.2|03/24/2016|12/31/3999| | || | |
39822061701||J0770||08/10/2016|04/30/2022|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|08/10/2016|04/30/2022| | || | |
39822555005||J2550||08/05/2016|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 50 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|08/05/2016|12/31/3999| | || | |
44567043724||J1956||07/07/2011|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/150 ML-|150|ML|BAG|IV|ML|50|07/07/2011|12/31/3999| | || | |
47781045968||J3490||01/29/2010|05/31/2020|Unclassified drugs|CLINDAMYCIN PH 300 MG/2 ML|2|ML|VIAL|IJ|ML|1|01/29/2010|05/31/2020| | || | |
47781046369||J3490||01/29/2010|11/10/2019|Unclassified drugs|CLINDAMYCIN 600 MG/4 ML ADD|4|ML|VIAL|IV|ML|1|01/29/2010|11/10/2019| | || | |
76125090050||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 5 GRAM/50 ML VIAL|50|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
76125090025||J1561||07/15/2017|01/01/2021|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 2.5 GRAM/25 ML VIAL|25|ML|VIAL|IJ|ML|5|07/15/2017|01/01/2021| | || | |
00264220200||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|RINGERS IRRIGATION SOLUTION|1000|ML|BOTTLE|IR|ML|1000|07/15/2017|12/31/3999| | || | |
00264738960||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS IRRIGATION|3000|ML|BAG|IR|ML|1000|07/15/2017|12/31/3999| | || | |
00409795303||J7120||07/15/2017|06/01/2021|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|500|ML|BAG|IV|ML|1000|07/15/2017|06/01/2021| | || | |
00004038140||J1324||07/15/2017|12/31/3999|Injection, enfuvirtide, 1 mg|FUZEON 90 MG VIAL|60|UN|KIT|SQ|EA|.0111|07/15/2017|12/31/3999| | || | |
00703199501||J1325||07/15/2017|05/31/2022|Injection, epoprostenol, 0.5 mg|EPOPROSTENOL SODIUM 1.5 MG VL|1|UN|VIAL|IV|EA|.3333|07/15/2017|05/31/2022| | || | |
58406044501||J1438||07/15/2017|04/01/2022|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML SURECLICK SYR|0.98|ML|SYRINGE|SQ|ML|.5|07/15/2017|04/01/2022| | || | |
55513020910||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|IJ|ML|.0016|07/15/2017|12/31/2022| | || | |
55513053010||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.0033|07/15/2017|12/31/2022| | || | |
55513054601||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|IJ|ML|.0033|07/15/2017|12/31/2022| | || | |
55513092410||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.0016|07/15/2017|12/31/2022| | || | |
67457021102||J1451||07/15/2017|12/31/3999|Injection, fomepizole, 15 mg|FOMEPIZOLE 1.5 GM/1.5 ML VIAL|1.5|ML|VIAL|IV|ML|.015|07/15/2017|12/31/3999| | || | |
00143989001||J2405||07/15/2017|07/31/2021|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|07/15/2017|07/31/2021| | || | |
00641607801||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|12/31/3999| | || | |
00641607825||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|12/31/3999| | || | |
00641607901||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|07/15/2017|12/31/3999| | || | |
00641608001||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|12/31/3999| | || | |
00641608025||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|12/31/3999| | || | |
25021011387||J1450||04/15/2017|05/05/2022|Injection fluconazole, 200 mg|FLUCONAZOLE-NS 400 MG/200 ML|200|ML|FLEX CONT|IV|ML|100|04/15/2017|05/05/2022| | || | |
63323050720||J2185||04/15/2017|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|04/15/2017|12/31/3999| | || | |
63323050825||J2185||04/15/2017|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|04/15/2017|12/31/3999| | || | |
63323050725||J2185||04/15/2017|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IJ|EA|.2|04/15/2017|12/31/3999| | || | |
00409230802||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|2|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
00409230849||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
00409259605||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|10|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
45963060955||J9185||04/15/2017|12/31/3999|Injection, fludarabine phosphate, 50 mg|FLUDARABINE 50 MG VIAL|1|UN|VIAL|IV|ML|1|04/15/2017|12/31/3999| | || | |
63739090128||J1642||04/15/2017|04/15/2017|Injection, heparin sodium, (heparin lock flush), per 10 units|HEPARIN 50,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|.002|04/15/2017|04/15/2017| | || | |
63323041210||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|10|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
63323041225||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
00078018001||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN 0.05 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|20|04/15/2017|12/31/3999| | || | |
00078018001||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|SANDOSTATIN 0.05 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.5|04/15/2017|12/31/3999| | || | |
00078018061||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN 0.05 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|20|04/15/2017|12/31/3999| | || | |
00078018101||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN 0.1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|10|04/15/2017|12/31/3999| | || | |
00078018161||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN 0.1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|10|04/15/2017|12/31/3999| | || | |
00078018201||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN 0.5 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
00078018261||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN 0.5 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
00078018261||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|SANDOSTATIN 0.5 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.05|04/15/2017|12/31/3999| | || | |
47781058629||J3490||06/12/2017|06/30/2023|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|EA|1|06/12/2017|06/30/2023| | || | |
47781058656||J3490||06/12/2017|06/30/2023|Unclassified drugs|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|EA|1|06/12/2017|06/30/2023| | || | |
47781060191||J3490||09/14/2017|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|09/14/2017|12/31/3999| | || | |
51991093498||J3490||04/18/2017|01/31/2021|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|04/18/2017|01/31/2021| | || | |
54643786201||J3490||06/23/2017|12/31/3999|Unclassified drugs|INFUVITE ADULT VIAL|10|ML|VIAL|IV|ML|1|06/23/2017|12/31/3999| | || | |
54643788601||J3490||06/26/2017|12/31/3999|Unclassified drugs|INFUVITE PEDIATRIC VIAL|5|ML|VIAL|IV|ML|1|06/26/2017|12/31/3999| | || | |
54643900701||J3490||06/23/2017|12/31/3999|Unclassified drugs|INFUVITE ADULT VIAL|10|ML|VIAL|IV|ML|1|06/23/2017|12/31/3999| | || | |
54643901502||J3490||06/23/2017|12/31/3999|Unclassified drugs|INFUVITE ADULT BULK VIAL|100|ML|VIAL|IV|ML|1|06/23/2017|12/31/3999| | || | |
54643902301||J3490||06/23/2017|12/31/3999|Unclassified drugs|INFUVITE PEDIATRIC VIAL|5|ML|VIAL|IV|ML|1|06/23/2017|12/31/3999| | || | |
51991079798||J9025||09/27/2017|01/31/2025|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|ML|.01|09/27/2017|01/31/2025| | || | |
16729029533||J9045||09/19/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 150 MG/15 ML VI|15|ML|VIAL|IV|ML|5|09/19/2017|12/31/3999| | || | |
16729029534||J9045||09/19/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|09/19/2017|12/31/3999| | || | |
43598061111||J9171||08/25/2017|05/31/2021|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|08/25/2017|05/31/2021| | || | |
00143921801||J9211||08/01/2017|12/31/3999|Injection, idarubicin hydrochloride, 5 mg|IDARUBICIN HCL 10 MG/10 ML|10|ML|VIAL|IV|ML|5|08/01/2017|12/31/3999| | || | |
00409422901||J3489||09/25/2017|07/30/2021|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/100 ML|100|ML|BAG|IV|ML|25|09/25/2017|07/30/2021| | || | |
00143953201||J3490||08/19/2017|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|08/19/2017|12/31/3999| | || | |
00143953225||J3490||08/19/2017|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|08/19/2017|12/31/3999| | || | |
00143962301||J3490||11/29/1999|06/30/2023|Unclassified drugs|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|11/29/1999|06/30/2023| | || | |
47781058868||J2250||08/21/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|08/21/2017|12/31/3999| | || | |
47781058917||J2250||08/21/2017|01/31/2020|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 25 MG/5 ML VI|5|ML|VIAL|IJ|ML|.2|08/21/2017|01/31/2020| | || | |
47781058991||J2250||08/21/2017|01/31/2020|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|08/21/2017|01/31/2020| | || | |
51991094298||J1190||09/25/2017|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 500 MG VIAL|1|UN|VIAL|IV|ML|.5|09/25/2017|12/31/3999| | || | |
70121140805||J1270||07/10/2017|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|07/10/2017|12/31/3999| | || | |
63833038602||C9132||04/15/2018|06/30/2021|Prothrombin complex concentrate (human), kcentra, per i.u|KCENTRA 500 UNIT KIT|1|UN|KIT|IV|AHF|1|04/15/2018|06/30/2021| | || | |
00074379902||J0135||04/15/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA 40 MG/0.8 ML SYRINGE|2|UN|KIT|SQ|EA|.5|04/15/2018|12/31/3999| | || | |
00944500101||J7188||04/15/2018|12/31/3999|Injection, factor viii|OBIZUR 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
00944462701||J7207||04/15/2018|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 1,500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
00944500105||J7188||04/15/2018|09/30/2019|Injection, factor viii|OBIZUR 500 UNIT VIAL - 5 VI|1|F2|VIAL|IV|AHF|1|04/15/2018|09/30/2019| | || | |
00409653102||J3370||10/28/2004|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|EA|.6667|10/28/2004|12/31/3999| | || | |
00409710002||J7060||10/28/2004|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|BAG|IV|ML|500|10/28/2004|12/31/3999| | || | |
00409710002||J7070||10/28/2004|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|BAG|IV|ML|1000|10/28/2004|12/31/3999| | || | |
00409710066||J7070||10/28/2004|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1000|10/28/2004|12/31/3999| | || | |
64406080801||J7205||04/15/2018|01/31/2021|Factor viii fc fusion recomb|ELOCTATE 4,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|04/15/2018|01/31/2021| | || | |
00409115902||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409116001||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409116201||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409116301||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409116502||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
44206041812||J1566||04/15/2018|05/28/2021|Injection, immune globulin, intravenous, lyophilized (e.g. powder), not oth...|CARIMUNE NF 12 GM VIAL|1|UN|VIAL|IV|EA|.0417|04/15/2018|05/28/2021| | || | |
00075291501||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.0667|04/15/2018|12/31/3999| | || | |
00074433906||J0135||04/15/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA CROHN'S STARTER PACK|6|UN|KIT|SQ|EA|.5|04/15/2018|12/31/3999| | || | |
00074433907||J0135||04/15/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA PSORIASIS STARTER PACK|4|UN|KIT|SQ|EA|.5|04/15/2018|12/31/3999| | || | |
57970010001||J0875||04/15/2018|12/31/3999|Injection, dalbavancin|DALVANCE 500 MG VIAL|1|UN|VIAL|IJ|EA|.01|04/15/2018|12/31/3999| | || | |
25021023550||J9201||04/15/2018|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IV|GM|.2|04/15/2018|12/31/3999| | || | |
00703505101||J2597||04/15/2018|03/31/2021|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.25|04/15/2018|03/31/2021| | || | |
00703505103||J2597||04/15/2018|03/31/2021|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.25|04/15/2018|03/31/2021| | || | |
00703505401||J2597||04/15/2018|06/30/2021|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML VIAL|10|ML|VIAL|IJ|ML|.25|04/15/2018|06/30/2021| | || | |
57894006003||J3357||04/15/2018|12/31/3999|Injection, ustekinumab, 1 mg|STELARA 45 MG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SQ|ML|.0111|04/15/2018|12/31/3999| | || | |
57894006103||J3357||04/15/2018|12/31/3999|Injection, ustekinumab, 1 mg|STELARA 90 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0111|04/15/2018|12/31/3999| | || | |
55111068002||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.04|04/15/2018|12/31/3999| | || | |
00641139731||J3230||01/01/1991|12/31/3999|Injection, chlorpromazine hcl, up to 50 mg|CHLORPROMAZINE 25 MG/ML AMP|1|ML|AMPUL|IJ|ML|2|01/01/1991|12/31/3999| | || | |
00641139831||J3230||01/01/1991|12/31/3999|Injection, chlorpromazine hcl, up to 50 mg|CHLORPROMAZINE 25 MG/ML AMP|2|ML|AMPUL|IJ|ML|2|01/01/1991|12/31/3999| | || | |
55513009804||J0882||03/23/2015|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 10 MCG/0.4 ML SYRINGE|4|ML|SYRINGE|IJ|ML|.04|03/23/2015|03/31/2023| | || | |
55513009801||J0882||03/23/2015|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 10 MCG/0.4 ML SYRINGE|4|ML|SYRINGE|IJ|ML|.04|03/23/2015|03/31/2023| | || | |
67457079005||J1953||07/24/2017|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|07/24/2017|12/31/3999| | || | |
00037900105||J1980||01/01/1991|10/31/2023|Injection, hyoscyamine sulfate, up to 0.25 mg|LEVSIN 0.5 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.5|01/01/1991|10/31/2023| | || | |
70121145301||J2185||10/10/2016|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|ML|.1|10/10/2016|12/31/3999| | || | |
51991014499||J2210||11/09/2016|12/31/3999|Injection, methylergonovine maleate, up to 0.2 mg|METHYLERGONOVINE 0.2 MG/ML|1|ML|AMPUL|IJ|ML|1|11/09/2016|12/31/3999| | || | |
00703722601||J2405||07/15/2017|09/30/2018|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|07/15/2017|09/30/2018| | || | |
23155019642||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|12/31/3999| | || | |
23155054931||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIA|20|ML|VIAL|IV|ML|.5|07/15/2017|12/31/3999| | || | |
00173051900||J1325||07/15/2017|12/31/3999|Injection, epoprostenol, 0.5 mg|FLOLAN 1.5 MG VIAL|1|UN|VIAL|IV|EA|.3333|07/15/2017|12/31/3999| | || | |
66215040201||J1325||07/15/2017|12/31/3999|Injection, epoprostenol, 0.5 mg|VELETRI 1.5 MG VIAL|1|UN|VIAL|IV|EA|.3333|07/15/2017|12/31/3999| | || | |
00517065001||J1439||07/15/2017|12/31/3999|Injection, ferric carboxymaltose, 1 mg|INJECTAFER 750 MG/15 ML VIAL|15|ML|VIAL|IV|ML|.02|07/15/2017|12/31/3999| | || | |
44206043605||J1459||07/15/2017|12/31/3999|Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g. l...|PRIVIGEN 10% VIAL|50|ML|VIAL|IV|EA|5|07/15/2017|12/31/3999| | || | |
44206043710||J1459||07/15/2017|12/31/3999|Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g. l...|PRIVIGEN 10% VIAL|100|ML|VIAL|IV|EA|5|07/15/2017|12/31/3999| | || | |
44206043820||J1459||07/15/2017|12/31/3999|Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g. l...|PRIVIGEN 10% VIAL|200|ML|VIAL|IV|EA|5|07/15/2017|12/31/3999| | || | |
44206043940||J1459||07/15/2017|12/31/3999|Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g. l...|PRIVIGEN 10% VIAL|400|ML|VIAL|IV|EA|5|07/15/2017|12/31/3999| | || | |
00703330104||J2353||04/15/2017|09/30/2022|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 50 MCG/ML VIAL|1|ML|VIAL|IJ|ML|20|04/15/2017|09/30/2022| | || | |
00703330104||J2354||04/15/2017|09/30/2022|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.5|04/15/2017|09/30/2022| | || | |
25021081567||J0640||04/15/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG V|1|UN|VIAL|IJ|EA|.25|04/15/2017|12/31/3999| | || | |
25021081630||J0640||04/15/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG VIAL|1|UN|VIAL|IJ|EA|.14285|04/15/2017|12/31/3999| | || | |
00703333301||J2354||04/15/2017|05/31/2023|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 200 MCG/ML VL|5|ML|VIAL|IJ|ML|.125|04/15/2017|05/31/2023| | || | |
00703334301||J2353||04/15/2017|05/31/2023|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE 1,000 MCG/ML VIAL|5|ML|VIAL|IJ|ML|1|04/15/2017|05/31/2023| | || | |
00703334301||J2354||04/15/2017|05/31/2023|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE 1,000 MCG/ML VIAL|5|ML|VIAL|IJ|ML|.025|04/15/2017|05/31/2023| | || | |
25021045101||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 50 MCG/ML V|1|ML|VIAL|IJ|ML|20|04/15/2017|12/31/3999| | || | |
25021045101||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML V|1|ML|VIAL|IJ|ML|.5|04/15/2017|12/31/3999| | || | |
25021045301||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 500 MCG/ML VL|1|ML|VIAL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
25021045301||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML VL|1|ML|VIAL|IJ|ML|.05|04/15/2017|12/31/3999| | || | |
25021045405||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE 1,000 MCG/5 ML VIAL|5|ML|VIAL|IJ|ML|5|04/15/2017|12/31/3999| | || | |
25021045405||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE 1,000 MCG/5 ML VIAL|5|ML|VIAL|IJ|ML|.125|04/15/2017|12/31/3999| | || | |
25021045505||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE 5,000 MCG/5 ML VIAL|5|ML|VIAL|IJ|ML|.025|04/15/2017|12/31/3999| | || | |
62756034944||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 100 MCG/ML AMP|1|ML|AMPUL|IJ|ML|10|04/15/2017|12/31/3999| | || | |
62756034944||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML AMP|1|ML|AMPUL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
63323037601||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 100 MCG/ML VL|1|ML|VIAL|IJ|ML|10|04/15/2017|12/31/3999| | || | |
63323037601||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML VL|1|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
63323037604||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 100 MCG/ML VL|1|ML|VIAL|IJ|ML|10|04/15/2017|12/31/3999| | || | |
63323037604||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML VL|1|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
63323037701||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 500 MCG/ML VL|1|ML|VIAL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
63323037701||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML VL|1|ML|VIAL|IJ|ML|.05|04/15/2017|12/31/3999| | || | |
00781323471||J1595||06/18/2015|12/31/3999|Injection, glatiramer acetate, 20 mg|GLATOPA 20 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|1|06/18/2015|12/31/3999| | || | |
70121116305||J1940||04/19/2017|05/09/2021|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/19/2017|05/09/2021| | || | |
67457079000||J1953||07/24/2017|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|07/24/2017|12/31/3999| | || | |
55292070254||J1640||07/01/2017|12/31/3999|Injection, hemin, 1 mg|PANHEMATIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|07/01/2017|12/31/3999| | || | |
55292070255||J1640||07/01/2017|12/31/3999|Injection, hemin, 1 mg|PANHEMATIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|07/01/2017|12/31/3999| | || | |
43598060602||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|.8|ML|SYRINGE|SQ|ML|.04|07/27/2017|12/31/3999| | || | |
43598060611||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|.8|ML|SYRINGE|SQ|ML|.04|07/27/2017|12/31/3999| | || | |
43598060711||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|.5|ML|SYRINGE|SQ|ML|.1|07/27/2017|12/31/3999| | || | |
43598060802||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|.4|ML|SYRINGE|SQ|ML|.04|07/27/2017|12/31/3999| | || | |
43598060810||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|.4|ML|SYRINGE|SQ|ML|.04|07/27/2017|12/31/3999| | || | |
43598060910||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|.6|ML|SYRINGE|SQ|ML|.04|07/27/2017|12/31/3999| | || | |
43598060911||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|.6|ML|SYRINGE|SQ|ML|.04|07/27/2017|12/31/3999| | || | |
70121116405||J1940||04/19/2017|09/30/2019|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|04/19/2017|09/30/2019| | || | |
49401008801||J0490||08/14/2017|12/31/3999|Injection, belimumab, 10 mg|BENLYSTA 200 MG/ML AUTOINJE|1|ML|SYRINGE|SQ|ML|.05|08/14/2017|12/31/3999| | || | |
49401008835||J0490||08/14/2017|12/31/3999|Injection, belimumab, 10 mg|BENLYSTA 200 MG/ML AUTOINJE|1|ML|SYRINGE|SQ|ML|.05|08/14/2017|12/31/3999| | || | |
49401008842||J0490||08/14/2017|12/31/3999|Injection, belimumab, 10 mg|BENLYSTA 200 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.05|08/14/2017|12/31/3999| | || | |
49401008847||J0490||08/14/2017|12/31/3999|Injection, belimumab, 10 mg|BENLYSTA 200 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.05|08/14/2017|12/31/3999| | || | |
70539000101||J3490||05/24/2017|12/31/3999|Unclassified drugs|TYMLOS 80 MCG DOSE PEN INJE|1.56|ML|BOX|SQ|ML|1|05/24/2017|12/31/3999| | || | |
70539000102||J3490||05/24/2017|12/31/3999|Unclassified drugs|TYMLOS 80 MCG DOSE PEN INJE|1.56|ML|BOX|SQ|ML|1|05/24/2017|12/31/3999| | || | |
00378797052||J7644||01/15/2018|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|01/15/2018|12/31/3999| | || | |
00378797055||J7644||01/15/2018|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|01/15/2018|12/31/3999| | || | |
00378797091||J7644||01/15/2018|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|01/15/2018|12/31/3999| | || | |
00378797093||J7644||01/15/2018|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|01/15/2018|12/31/3999| | || | |
00069303020||J9000||01/15/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00069303120||J9000||01/15/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00069303220||J9000||01/15/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00085138101||J9328||01/15/2018|12/31/3999|Injection, temozolomide, 1 mg|TEMODAR 100 MG VIAL|1|UN|VIAL|IV|EA|.01|01/15/2018|12/31/3999| | || | |
00409114001||J0883||03/06/2017|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 250 MG/2.5 ML VI|2.5|ML|VIAL|IV|ML|.01|03/06/2017|12/31/3999| | || | |
00703002032||J0883||01/01/2017|03/31/2017|Argatroban nonesrd use 1mg|ARGATROBN-0.9% NACL 250 MG/|250|ML|FLEX CONT|IV|ML|1|01/01/2017|03/31/2017| | || | |
00703002031||J0883||01/01/2017|03/31/2017|Argatroban nonesrd use 1mg|ARGATROBN-0.9% NACL 250 MG/|250|ML|FLEX CONT|IV|ML|1|01/01/2017|03/31/2017| | || | |
00264780009||J7040||07/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% 1000 ML|1000|ML|BAG|IV|ML|1|07/15/2017|12/31/3999| | || | |
00264780009||J7050||07/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% 1000 ML|1000|ML|BAG|IV|ML|1|07/15/2017|12/31/3999| | || | |
63323052603||J0883||01/01/2017|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 250 MG/2.5 ML VI|2.5|ML|VIAL|IV|ML|.01|01/01/2017|12/31/3999| | || | |
00781331491||J0883||01/01/2017|01/31/2021|Argatroban nonesrd use 1mg|ARGATROBAN-NACL 50 MG/50 ML VL|50|ML|VIAL|IV|ML|1|01/01/2017|01/31/2021| | || | |
00781331495||J0883||01/01/2017|01/31/2021|Argatroban nonesrd use 1mg|ARGATROBAN-NACL 50 MG/50 ML VL|50|ML|VIAL|IV|ML|1|01/01/2017|01/31/2021| | || | |
00781328512||J0883||01/01/2017|03/31/2021|Argatroban nonesrd use 1mg|ARGATROBAN-NACL 125 MG/125 ML|125|ML|VIAL|IV|ML|1|01/01/2017|03/31/2021| | || | |
42023011101||J1380||07/15/2017|12/31/3999|Injection, estradiol valerate, up to 10 mg|DELESTROGEN 20 MG/ML VIAL|5|ML|VIAL|IM|ML|.5|07/15/2017|12/31/3999| | || | |
42023011201||J1380||07/15/2017|12/31/3999|Injection, estradiol valerate, up to 10 mg|DELESTROGEN 40 MG/ML VIAL|5|ML|VIAL|IM|ML|.25|07/15/2017|12/31/3999| | || | |
00264775010||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|500|ML|BAG|IV|ML|1000|07/15/2017|12/31/3999| | || | |
00264778000||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|RINGER'S IV SOLUTION|1000|ML|BAG|IV|ML|1000|07/15/2017|12/31/3999| | || | |
00264775000||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|1000|ML|BAG|IV|ML|1000|07/15/2017|12/31/3999| | || | |
00338011404||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS IRRIGATION|1000|ML|BOTTLE|IR|ML|1000|07/15/2017|12/31/3999| | || | |
00338010504||J7120||07/15/2017|06/30/2022|Ringers lactate infusion, up to 1000 cc|RINGER'S IV SOLUTION|1000|ML|BAG|IV|ML|1000|07/15/2017|06/30/2022| | || | |
00409372001||J0290||12/01/2005|02/29/2024|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|12/01/2005|02/29/2024| | || | |
00409372010||J0290||12/01/2005|02/29/2024|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|12/01/2005|02/29/2024| | || | |
00409372511||J0290||10/28/2004|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|10/28/2004|12/31/3999| | || | |
00409372610||J0290||12/01/2005|12/01/2023|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|12/01/2005|12/01/2023| | || | |
63323070408||J0290||01/03/2001|06/30/2021|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|01/03/2001|06/30/2021| | || | |
00781341195||J0330||04/15/2005|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|ANECTINE 20 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|04/15/2005|12/31/3999| | || | |
63323035610||J0637||08/28/2017|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|EA|.1|08/28/2017|12/31/3999| | || | |
67457083150||J0637||09/29/2017|11/30/2021|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|EA|.1|09/29/2017|11/30/2021| | || | |
00143926101||J0690||12/08/2005|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|.05|12/08/2005|12/31/3999| | || | |
60505615101||J0696||06/23/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|ML|1|06/23/2017|12/31/3999| | || | |
60505615201||J0696||06/23/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|ML|.5|06/23/2017|12/31/3999| | || | |
23155029431||J0780||01/13/2014|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|01/13/2014|12/31/3999| | || | |
47781057807||J1190||09/14/2017|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 500 MG VIAL|1|UN|VIAL|IV|EA|.5|09/14/2017|12/31/3999| | || | |
55150022310||J2800||12/15/2017|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|12/15/2017|12/31/3999| | || | |
00703701101||J1631||02/14/2005|12/31/2020|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VL|1|ML|VIAL|IM|ML|1|02/14/2005|12/31/2020| | || | |
00703702101||J1631||04/09/2011|01/01/2021|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|04/09/2011|01/01/2021| | || | |
00074364203||J1950||10/02/1998|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT 7.5 MG KIT|1|UN|KIT|IM|EA|.5|10/02/1998|12/31/3999| | || | |
00074364103||J1950||08/03/1997|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT 3.75 MG KIT|1|UN|KIT|IM|EA|1|08/03/1997|12/31/3999| | || | |
00074366303||J1950||10/02/1998|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT 11.25 MG 3MO KIT|1|UN|KIT|IM|EA|.3333|10/02/1998|12/31/3999| | || | |
00143921901||J9211||08/01/2017|12/31/3999|Injection, idarubicin hydrochloride, 5 mg|IDARUBICIN HCL 20 MG/20 ML|20|ML|VIAL|IV|ML|5|08/01/2017|12/31/3999| | || | |
17478042240||J7599||06/09/2017|06/30/2023|IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE SPECIFIED|MYCOPHENOLATE 500 MG VIAL|4|UN|VIAL|IV|ML|1|06/09/2017|06/30/2023| | || | |
16729029531||J9045||09/19/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|09/19/2017|12/31/3999| | || | |
43598061040||J9171||08/25/2017|02/28/2021|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|08/25/2017|02/28/2021| | || | |
00143921701||J9211||08/01/2017|12/31/3999|Injection, idarubicin hydrochloride, 5 mg|IDARUBICIN HCL 5 MG/5 ML VI|5|ML|VIAL|IV|ML|5|08/01/2017|12/31/3999| | || | |
63323037704||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 500 MCG/ML VL|1|ML|VIAL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
63323037704||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML VL|1|ML|VIAL|IJ|ML|.05|04/15/2017|12/31/3999| | || | |
63323037805||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 200 MCG/ML VL|5|ML|VIAL|IJ|ML|5|04/15/2017|12/31/3999| | || | |
23155029442||J0780||04/15/2017|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML VL|2|ML|VIAL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
00409263401||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.4|04/15/2017|12/31/3999| | || | |
00409263405||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 50 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.4|04/15/2017|12/31/3999| | || | |
00641234141||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML VIAL|20|ML|VIAL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
00409128331||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 1 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|4|04/15/2017|12/31/3999| | || | |
63323016505||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
00703102930||J1450||04/15/2017|06/30/2023|Injection fluconazole, 200 mg|FLUCONAZOLE-NS 200 MG/100 ML|100|ML|BAG|IV|ML|100|04/15/2017|06/30/2023| | || | |
63739093128||J1642||04/15/2017|04/15/2017|Injection, heparin sodium, (heparin lock flush), per 10 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|.01|04/15/2017|04/15/2017| | || | |
00409228723||J1885||04/15/2017|09/30/2021|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML ISECURE SYR|1|ML|SYRINGE|IJ|ML|.5|04/15/2017|09/30/2021| | || | |
00409228731||J1885||04/15/2017|01/01/2019|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML CARPUJECT|1|ML|CARTRIDGE|IJ|ML|.5|04/15/2017|01/01/2019| | || | |
00409228761||J1885||04/15/2017|03/01/2018|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML CARPUJECT|2|ML|CARTRIDGE|IJ|ML|.5|04/15/2017|03/01/2018| | || | |
00409379501||J1885||04/15/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|04/15/2017|12/31/3999| | || | |
00409379601||J1885||04/15/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|04/15/2017|12/31/3999| | || | |
25021070101||J1885||04/15/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|04/15/2017|12/31/3999| | || | |
25021070102||J1885||04/15/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|04/15/2017|12/31/3999| | || | |
63323016201||J1885||04/15/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|04/15/2017|12/31/3999| | || | |
00409131230||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|04/15/2017|12/31/3999| | || | |
00409336501||J1170||04/15/2017|08/01/2022|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|04/15/2017|08/01/2022| | || | |
00641234139||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML VIAL|20|ML|VIAL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
00703001801||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 10 MG/ML VIAL|50|ML|VIAL|IJ|ML|.4|04/15/2017|12/31/3999| | || | |
00409272030||J1644||08/31/2009|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|08/31/2009|12/31/3999| | || | |
00409272031||J1644||08/31/2009|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|08/31/2009|12/31/3999| | || | |
00409272032||J1644||08/31/2009|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|08/31/2009|12/31/3999| | || | |
47781058368||J1885||10/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/10/2017|12/31/3999| | || | |
00409229003||J1200||10/28/2004|05/01/2018|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML SY|1|ML|SYRINGE|IJ|ML|1|10/28/2004|05/01/2018| | || | |
70069017210||J3420||08/10/2017|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|10|ML|VIAL|IJ|ML|1|08/10/2017|12/31/3999| | || | |
70801000101||J3490||10/26/2017|12/31/2018|Unclassified drugs|ZILRETTA 32 MG VIAL|1|UN|VIAL|IU|EA|1|10/26/2017|12/31/2018| | || | |
00409188622||J1953||11/02/2012|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|11/02/2012|12/31/3999| | || | |
70069007210||J2310||09/14/2017|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|09/14/2017|12/31/3999| | || | |
70121104905||J3301||12/19/2017|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|12/19/2017|12/31/3999| | || | |
00310072010||J9395||01/15/2018|12/31/3999|Injection, fulvestrant, 25 mg|FASLODEX 250 MG/5 ML SYRINGE|5|ML|SYRINGE|IM|ML|.5|01/15/2018|12/31/3999| | || | |
00004035730||S0145||01/15/2018|12/31/3999|Injection, pegylated interferon alfa-2a, 180 mcg per ml|PEGASYS 180 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SQ|ML|.5|01/15/2018|12/31/3999| | || | |
00338008504||S5010||01/15/2018|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|Dextrose-NaCl 5-0.45 % SOLN|1000|ML|BAG|IV|ML|1000|01/15/2018|12/31/3999| | || | |
00409104130||J0670||01/15/2018|03/01/2020|Injection, mepivacaine hydrochloride, per 10 ml|CARBOCAINE 1.5% VIAL|30|ML|VIAL|IJ|ML|10|01/15/2018|03/01/2020| | || | |
00409204750||J0670||01/15/2018|01/01/2020|Injection, mepivacaine hydrochloride, per 10 ml|CARBOCAINE 2% VIAL|50|ML|VIAL|IJ|ML|10|01/15/2018|01/01/2020| | || | |
00409140212||J1644||01/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML SYR|1|ML|CARTRIDGE|IJ|ML|.2|01/15/2018|12/31/3999| | || | |
00409272101||J1644||01/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML VL|1|ML|VIAL|IJ|ML|.1|01/15/2018|12/31/3999| | || | |
00075802210||J1650||01/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 120 MG/0.8 ML SYRINGE|0.8|ML|SYRINGE|SQ|EA|.0667|01/15/2018|12/31/3999| | || | |
00009379401||J1742||01/15/2018|12/31/3999|Injection, ibutilide fumarate, 1 mg|CORVERT 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|01/15/2018|12/31/3999| | || | |
00264999910||J7050||07/15/2017|02/28/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% 500 ML|500|ML|BAG|IV|ML|1|07/15/2017|02/28/2021| | || | |
00338010404||J7120||07/15/2017|06/30/2023|Ringers lactate infusion, up to 1000 cc|RINGERS IRRIGATION SOLUTION|1000|ML|BOTTLE|IR|ML|1000|07/15/2017|06/30/2023| | || | |
00338011702||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|250|ML|BAG|IV|ML|1000|07/15/2017|12/31/3999| | || | |
00338013727||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS IRRIGATION|3000|ML|BOTTLE|IR|ML|1000|07/15/2017|12/31/3999| | || | |
00143967401||J0883||01/01/2017|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 250 MG/2.5 ML VIAL|2.5|ML|VIAL|IV|ML|.01|01/01/2017|12/31/3999| | || | |
00143955901||J0883||01/01/2017|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|01/01/2017|12/31/3999| | || | |
00409614009||J7120||07/15/2017|06/01/2022|Ringers lactate infusion, up to 1000 cc|RINGERS IRRIGATION SOLUTION|1000|ML|BOTTLE|IR|ML|1000|07/15/2017|06/01/2022| | || | |
00409782808||J7120||07/15/2017|03/01/2021|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS IRRIGATION|3000|ML|BOTTLE|IR|ML|1000|07/15/2017|03/01/2021| | || | |
00409475901||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|07/15/2017|12/31/3999| | || | |
00409795302||J7120||07/15/2017|02/01/2021|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|250|ML|BAG|IV|ML|1000|07/15/2017|02/01/2021| | || | |
25021077702||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|12/31/3999| | || | |
25021078220||J2405||07/15/2017|10/07/2022|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|07/15/2017|10/07/2022| | || | |
63323037420||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|07/15/2017|12/31/3999| | || | |
63323037302||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|12/31/3999| | || | |
42023018201||J0883||01/01/2017|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 250 MG/2.5 ML VI|2.5|ML|VIAL|IV|ML|.01|01/01/2017|12/31/3999| | || | |
00409475503||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|12/31/3999| | || | |
00781328554||J0883||01/01/2017|03/31/2021|Argatroban nonesrd use 1mg|ARGATROBN-0.9% NACL 125 MG/|125|ML|VIAL|IV|ML|1|01/01/2017|03/31/2021| | || | |
00264775020||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|250|ML|BAG|IV|ML|1000|07/15/2017|12/31/3999| | || | |
43598060610||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|.8|ML|SYRINGE|SQ|ML|.04|07/27/2017|12/31/3999| | || | |
43598060702||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|.5|ML|SYRINGE|SQ|ML|.1|07/27/2017|12/31/3999| | || | |
43598060710||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|.5|ML|SYRINGE|SQ|ML|.1|07/27/2017|12/31/3999| | || | |
00409268901||J0295||07/31/2017|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM VL|1|UN|VIAL|IV|GM|1|07/31/2017|12/31/3999| | || | |
50419052401||J1830||05/15/2002|12/31/3999|Injection interferon beta-1b, 0.25 mg (code may be used for medicare when d...|BETASERON 0.3 MG KIT|1|UN|KIT|SQ|EA|1|05/15/2002|12/31/3999| | || | |
00088502005||S5553||01/01/2011|11/30/2023|Insulin, long acting; 5 units|LANTUS SOLOSTAR 100 UNIT/ML|3|ML|SYRINGE|SQ|ML|.05|01/01/2011|11/30/2023| | || | |
42023021625||J3490||02/16/2017|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|02/16/2017|12/31/3999| | || | |
42023021601||J3490||02/16/2017|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|02/16/2017|12/31/3999| | || | |
42023019001||J3490||11/12/2014|06/30/2023|Unclassified drugs|VASOSTRICT 200 UNIT/10 ML V|10|ML|VIAL|IV|ML|1|11/12/2014|06/30/2023| | || | |
00548902100||J1885||03/14/2016|09/19/2021|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|03/14/2016|09/19/2021| | || | |
67457039910||J3420||07/06/2017|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
67457039925||J3420||07/06/2017|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
67457040005||J3420||07/06/2017|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
67457040031||J3420||07/06/2017|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
00169291115||J3490||04/24/2017|12/31/3999|Unclassified drugs|XULTOPHY 100 UNIT-3.6MG/ML|3|ML|SYRINGE|SQ|ML|1|04/24/2017|12/31/3999| | || | |
00187000402||J3590||07/13/2017|12/31/3999|Unclassified Biologics|SILIQ 210 MG/1.5 ML SYRINGE|1.5|ML|SYRINGE|SQ|ML|1|07/13/2017|12/31/3999| | || | |
25208000203||J3246||05/15/2008|12/31/3999|Injection, tirofiban hcl, 0.25mg|AGGRASTAT 5 MG/100 ML VIAL|100|ML|VIAL|IV|ML|5|05/15/2008|12/31/3999| | || | |
68001031356||J9025||09/07/2017|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|09/07/2017|12/31/3999| | || | |
68001032329||J2185||07/31/2017|11/05/2021|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|07/31/2017|11/05/2021| | || | |
00955174601||J9027||01/01/2006|12/31/3999|Injection, clofarabine, 1 mg|CLOFARABINE 20 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|01/01/2006|12/31/3999| | || | |
00703011003||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.4|04/15/2017|12/31/3999| | || | |
00143972101||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 500 MG/100 ML|100|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
00955102001||J9171||04/15/2017|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|04/15/2017|12/31/3999| | || | |
00955102104||J9171||04/15/2017|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|04/15/2017|12/31/3999| | || | |
16729026763||J9171||04/15/2017|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|04/15/2017|12/31/3999| | || | |
16729026764||J9171||04/15/2017|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|04/15/2017|12/31/3999| | || | |
16729026765||J9171||04/15/2017|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.05|04/15/2017|12/31/3999| | || | |
17478052410||J2250||04/15/2017|06/30/2023|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|10|ML|VIAL|IJ|ML|.2|04/15/2017|06/30/2023| | || | |
17478010720||J1956||04/15/2017|06/30/2023|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/20 ML VIAL|20|ML|VIAL|IV|ML|10|04/15/2017|06/30/2023| | || | |
24987038237||J0713||04/15/2017|04/01/2021|Injection, ceftazidime, per 500 mg|FORTAZ 6 GM VIAL|1|UN|VIAL|IJ|EA|.08333|04/15/2017|04/01/2021| | || | |
17478010730||J1956||04/15/2017|06/30/2023|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/30 ML VIAL|30|ML|VIAL|IV|ML|10|04/15/2017|06/30/2023| | || | |
43598025811||J9171||04/15/2017|05/31/2021|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|04/15/2017|05/31/2021| | || | |
44567023610||J0713||04/15/2017|12/31/3999|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|04/15/2017|12/31/3999| | || | |
44567023525||J0713||04/15/2017|12/31/3999|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|04/15/2017|12/31/3999| | || | |
44567023706||J0713||04/15/2017|12/31/3999|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 6 GM VIAL|1|UN|VIAL|IJ|EA|.08333|04/15/2017|12/31/3999| | || | |
00143972024||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 750 MG/150 ML|150|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
00143972001||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 750 MG/150 ML|150|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
00143972124||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 500 MG/100|100|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
00143972224||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 250 MG/50 ML|50|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
00143972601||J1071||04/15/2017|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 2,000 MG/10 ML|10|ML|VIAL|IM|ML|.005|04/15/2017|12/31/3999| | || | |
00338011703||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|500|ML|BAG|IV|ML|1000|07/15/2017|12/31/3999| | || | |
00338011704||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|1000|ML|BAG|IV|ML|1000|07/15/2017|12/31/3999| | || | |
00264220300||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS IRRIGATION|1000|ML|BOTTLE|IR|ML|1000|07/15/2017|12/31/3999| | || | |
00264220350||J7120||07/15/2017|12/31/2020|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS IRRIGATION|2000|ML|BOTTLE|IR|ML|1000|07/15/2017|12/31/2020| | || | |
00264220370||J7120||07/15/2017|04/30/2021|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS IRRIGATION|4000|ML|BOTTLE|IR|ML|1000|07/15/2017|04/30/2021| | || | |
00338013729||J7120||07/15/2017|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS IRRIGATION|5000|ML|BOTTLE|IR|ML|1000|07/15/2017|12/31/3999| | || | |
00338630704||J7120||07/15/2017|07/16/2017|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|1000|ML|FLEX CONT|IV|ML|1000|07/15/2017|07/16/2017| | || | |
00409795309||J7120||07/15/2017|10/01/2021|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|1000|ML|BAG|IV|ML|1000|07/15/2017|10/01/2021| | || | |
00409710167||J7030||10/28/2004|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLN|100|ML|BAG|IV|ML|1000|10/28/2004|12/31/3999| | || | |
00409710167||J7040||10/28/2004|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLN|100|ML|BAG|IV|ML|500|10/28/2004|12/31/3999| | || | |
00409710167||J7050||10/28/2004|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLN|100|ML|BAG|IV|ML|250|10/28/2004|12/31/3999| | || | |
63323002425||J2150||04/01/1998|12/31/3999|Injection, mannitol, 25% in 50 ml|MANNITOL 25% VIAL|50|ML|VIAL|IV|ML|50|04/01/1998|12/31/3999| | || | |
00409146501||J2300||10/28/2004|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 20 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.5|10/28/2004|12/31/3999| | || | |
00409146549||J2300||10/28/2004|09/30/2017|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 20 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.5|10/28/2004|09/30/2017| | || | |
00409146701||J2300||10/28/2004|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 200 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.5|10/28/2004|12/31/3999| | || | |
00409121525||J2310||10/28/2004|06/01/2020|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|10/28/2004|06/01/2020| | || | |
00409121901||J2310||10/28/2004|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|10|ML|VIAL|IJ|ML|2.5|10/28/2004|12/31/3999| | || | |
00641149535||J2550||01/01/1991|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|01/01/1991|12/31/3999| | || | |
00338101541||J2700||01/01/1991|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM/ 50 ML INJ|50|ML|BAG|IV|ML|6.25|01/01/1991|12/31/3999| | || | |
00703450204||J2765||07/01/1992|12/31/3999|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|07/01/1992|12/31/3999| | || | |
00409127632||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 0.05 MG/ML SYRINGE|2|ML|SYRINGE|IV|ML|2|10/28/2004|12/31/3999| | || | |
00409710066||J7060||10/28/2004|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|500|10/28/2004|12/31/3999| | || | |
00002814701||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|HUMATROPE 6 MG CARTRIDGE|1|UN|CARTRIDGE|IJ|EA|.1667|04/15/2018|12/31/3999| | || | |
45963061353||J9267||04/15/2018|03/25/2022|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML VIAL|16.7|ML|VIAL|IV|ML|.1667|04/15/2018|03/25/2022| | || | |
45963061356||J9267||04/15/2018|04/30/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|04/15/2018|04/30/2021| | || | |
55566150201||J0725||09/18/2017|12/31/3999|Injection, chorionic gonadotropin, per 1,000 usp units|NOVAREL 5,000 UNIT VIAL|1|UN|VIAL|IM|EA|.2|09/18/2017|12/31/3999| | || | |
67308010101||J7308||01/01/2018|12/31/3999|Aminolevulinic acid hcl top|LEVULAN KERASTICK|1|UN|PF APPLI|TP|EA|1|01/01/2018|12/31/3999| | || | |
67457027310||J2800||12/15/2017|09/30/2022|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|12/15/2017|09/30/2022| | || | |
67308010106||J7308||01/01/2018|12/31/3999|Aminolevulinic acid hcl top|LEVULAN KERASTICK|1|UN|PF APPLI|TP|EA|1|01/01/2018|12/31/3999| | || | |
67457027300||J2800||12/15/2017|09/30/2022|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|12/15/2017|09/30/2022| | || | |
00002733511||J2941||04/15/2018|09/30/2021|Injection, somatropin, 1 mg|HUMATROPE 5 MG VIAL|1|UN|VIAL|IJ|EA|.2|04/15/2018|09/30/2021| | || | |
00409710067||J7060||10/28/2004|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|500|10/28/2004|12/31/3999| | || | |
10147092205||J1631||04/15/2017|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML AMP|1|ML|AMPUL|IM|ML|.5|04/15/2017|12/31/3999| | || | |
50458025414||J1631||04/15/2017|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALDOL DECANOATE 100 AMPUL|1|ML|AMPUL|IM|ML|.5|04/15/2017|12/31/3999| | || | |
55150015620||J1956||04/15/2017|02/28/2022|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/20 ML VIAL|20|ML|VIAL|IV|EA|10|04/15/2017|02/28/2022| | || | |
00052031510||J0725||04/15/2017|12/31/3999|Injection, chorionic gonadotropin, per 1,000 usp units|PREGNYL 10,000 UNITS VIAL|1|UN|VIAL|IM|EA|.1|04/15/2017|12/31/3999| | || | |
55566150101||J0725||04/15/2017|09/30/2022|Injection, chorionic gonadotropin, per 1,000 usp units|NOVAREL 10,000 UNITS VIAL|1|UN|VIAL|IM|EA|.1|04/15/2017|09/30/2022| | || | |
57664063445||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
62756001740||J1071||04/15/2017|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 1,000 MG/10|10|ML|VIAL|IM|ML|.01|04/15/2017|12/31/3999| | || | |
62756001540||J1071||04/15/2017|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|04/15/2017|12/31/3999| | || | |
00703331104||J2353||04/15/2017|05/31/2023|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 100 MCG/ML VL|1|ML|VIAL|IJ|ML|10|04/15/2017|05/31/2023| | || | |
00703331104||J2354||04/15/2017|05/31/2023|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML VL|1|ML|VIAL|IJ|ML|.25|04/15/2017|05/31/2023| | || | |
00703332104||J2353||04/15/2017|03/31/2023|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 500 MCG/ML VL|1|ML|VIAL|IJ|ML|2|04/15/2017|03/31/2023| | || | |
00703332104||J2354||04/15/2017|03/31/2023|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML VL|1|ML|VIAL|IJ|ML|.05|04/15/2017|03/31/2023| | || | |
00703011303||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 50 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.4|04/15/2017|12/31/3999| | || | |
63323071050||J0640||04/15/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG VIAL|1|UN|VIAL|IJ|EA|.25|04/15/2017|12/31/3999| | || | |
63323071059||J0640||04/15/2017|08/31/2021|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG VIAL|1|UN|VIAL|IJ|EA|.25|04/15/2017|08/31/2021| | || | |
62756009444||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 100 MCG/ML|1|ML|VIAL|IJ|ML|10|04/15/2017|12/31/3999| | || | |
62756009444||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML|1|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
70121116901||J3301||12/19/2017|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE 400 MG/10 ML|10|ML|VIAL|IJ|ML|.25|12/19/2017|12/31/3999| | || | |
70860010610||J0637||10/09/2017|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|EA|.1|10/09/2017|12/31/3999| | || | |
14789001101||J3490||01/09/2018|12/31/3999|Unclassified drugs|ISOPROTERENOL 0.2 MG/ML VIA|1|ML|VIAL|IJ|ML|1|01/09/2018|12/31/3999| | || | |
14789001505||J3490||01/09/2018|12/31/3999|Unclassified drugs|ISOPROTERENOL 1 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|01/09/2018|12/31/3999| | || | |
00008451001||J9203||01/01/2018|12/31/3999|Gemtuzumab ozogamicin 0.1 mg|MYLOTARG 4.5 MG VIAL|1|UN|VIAL|IV|EA|.0222|01/01/2018|12/31/3999| | || | |
67457034810||J0295||09/04/2015|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|09/04/2015|12/31/3999| | || | |
67457021202||J0883||11/14/2017|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 250 MG/2.5 ML VI|2.5|ML|VIAL|IV|ML|.01|11/14/2017|12/31/3999| | || | |
67457032325||J2280||10/03/2017|12/31/3999|Injection, moxifloxacin, 100 mg|MOXIFLOXACIN 400 MG/250 ML|250|ML|BAG|IV|ML|62.5|10/03/2017|12/31/3999| | || | |
17478038020||J1230||11/14/2017|06/30/2023|Injection, methadone hcl, up to 10 mg|METHADONE HCL 200 MG/20 ML|20|ML|VIAL|IJ|ML|1|11/14/2017|06/30/2023| | || | |
58406045604||J1438||11/18/2004|12/01/2021|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML MINI CARTRI|0.98|ML|CARTRIDGE|SQ|ML|.4902|11/18/2004|12/01/2021| | || | |
00517065002||J1439||08/12/2013|09/30/2020|Injection, ferric carboxymaltose, 1 mg|INJECTAFER 750 MG/15 ML VIA|15|ML|VIAL|IV|ML|.02|08/12/2013|09/30/2020| | || | |
00517198005||J0500||08/14/2017|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|08/14/2017|12/31/3999| | || | |
00517092008||J0594||03/06/2017|08/31/2021|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|03/06/2017|08/31/2021| | || | |
00378696112||J1595||10/04/2017|12/31/3999|Injection, glatiramer acetate, 20 mg|GLATIRAMER 40 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.5|10/04/2017|12/31/3999| | || | |
00409130431||J1170||10/28/2004|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 4 MG/ML SYRIN|1|ML|SYRINGE|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00009062601||J1050||01/01/1991|10/31/2020|Injection, medroxyprogesterone acetate, 1 mg|DEPO-PROVERA 400 MG/ML VIAL|2.5|ML|VIAL|IM|ML|.0025|01/01/1991|10/31/2020| | || | |
00409158218||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|4|10/28/2004|06/30/2023| | || | |
00409174670||S0020||10/28/2004|10/28/2004|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.25%-EPI 1:200,00|10|ML|VIAL|IJ|ML|12|10/28/2004|10/28/2004| | || | |
00409176119||S0020||10/28/2004|06/01/2022|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE SPINAL AMPUL|2|ML|AMPUL|IJ|ML|1|10/28/2004|06/01/2022| | || | |
57894006002||J3357||04/03/2017|12/31/3999|Injection, ustekinumab, 1 mg|STELARA 45 MG/0.5 ML VIAL|.5|ML|VIAL|SQ|ML|.01111|04/03/2017|12/31/3999| | || | |
00024591401||J3490||03/31/2017|04/01/2017|Unclassified drugs|DUPIXENT 300 MG/2 ML SAFE S|2|ML|SYRINGE|SQ|ML|1|03/31/2017|04/01/2017| | || | |
45963068602||J9245||01/25/2017|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|01/25/2017|12/31/3999| | || | |
00143950810||J3490||01/16/2017|12/31/3999|Unclassified drugs|KETAMINE 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/16/2017|12/31/3999| | || | |
51754020404||J3490||01/23/2015|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/23/2015|12/31/3999| | || | |
00078067461||J9351||01/01/2011|12/31/3999|Injection, topotecan, 0.1 mg|HYCAMTIN 4 MG VIAL|1|UN|VIAL|IV|EA|.025|01/01/2011|12/31/3999| | || | |
66490004101||J1110||04/02/2002|04/30/2022|Injection, dihydroergotamine mesylate, per 1 mg|D.H.E.45 1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|04/02/2002|04/30/2022| | || | |
00641141031||J1160||01/01/1991|12/31/3999|Injection, digoxin, up to 0.5 mg|DIGOXIN 0.25 MG/ML AMPUL|2|ML|AMPUL|IJ|ML|2|01/01/1991|12/31/3999| | || | |
00641141035||J1160||01/01/1991|12/31/3999|Injection, digoxin, up to 0.5 mg|DIGOXIN 0.25 MG/ML AMPUL|2|ML|AMPUL|IJ|ML|2|01/01/1991|12/31/3999| | || | |
00409234732||J1250||10/28/2004|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 500 MG-D5W 250 ML|250|ML|BAG|IV|ML|125|10/28/2004|12/31/3999| | || | |
00409115901||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409116202||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409153931||J2060||10/28/2004|08/01/2018|Injection, lorazepam, 2 mg|LORAZEPAM 4 MG/ML CARPUJECT|1|ML|SYRINGE|IJ|ML|.5|10/28/2004|08/01/2018| | || | |
00409403101||J2150||10/28/2004|12/31/3999|Injection, mannitol, 25% in 50 ml|MANNITOL 25% VIAL|50|ML|VIAL|IV|ML|50|10/28/2004|12/31/3999| | || | |
00409158210||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409121501||J2310||10/28/2004|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|10/28/2004|12/31/3999| | || | |
00409178269||J2310||10/28/2004|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2.5|10/28/2004|12/31/3999| | || | |
00409156010||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409116501||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409121925||J2310||10/28/2004|07/01/2020|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|10/28/2004|07/01/2020| | || | |
17478003002||J3010||04/15/2018|06/30/2023|Injection, fentanyl citrate, 0.1 mg|SUBLIMAZE 50 MCG/ML AMPULE|2|ML|AMPUL|IJ|ML|2|04/15/2018|06/30/2023| | || | |
17478003005||J3010||04/15/2018|06/30/2023|Injection, fentanyl citrate, 0.1 mg|SUBLIMAZE 50 MCG/ML AMPULE|5|ML|AMPUL|IJ|ML|2|04/15/2018|06/30/2023| | || | |
18860072010||J2278||10/10/2006|09/26/2021|Injection, ziconotide, 1 microgram|PRIALT 100 MCG/ML VIAL|1|ML|VIAL|IT|ML|.01|10/10/2006|09/26/2021| | || | |
17478003055||J3010||04/15/2018|06/30/2023|Injection, fentanyl citrate, 0.1 mg|SUBLIMAZE 50 MCG/ML AMPULE|5|ML|AMPUL|IJ|ML|2|04/15/2018|06/30/2023| | || | |
00173044902||J3030||04/15/2018|04/30/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|IMITREX 6 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|.5|04/15/2018|04/30/2021| | || | |
25021016399||J2700||04/15/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.025|04/15/2018|12/31/3999| | || | |
25021016369||J2700||04/15/2018|08/31/2020|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|BOTTLE|IJ|EA|.025|04/15/2018|08/31/2020| | || | |
44087018801||Q3028||04/15/2018|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF REBIDOSE TITRATION PACK|4.2|ML|SYRINGE|SQ|ML|.0227|04/15/2018|12/31/3999| | || | |
00075291201||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 120 MG/0.8 ML SYRINGE|0.8|ML|SYRINGE|SQ|EA|.0667|04/15/2018|12/31/3999| | || | |
00074634702||J0135||04/15/2018|01/31/2021|Injection, adalimumab, 20 mg|HUMIRA 10 MG/0.2 ML SYRINGE|2|UN|KIT|SQ|EA|2|04/15/2018|01/31/2021| | || | |
00074937402||J0135||04/15/2018|01/31/2021|Injection, adalimumab, 20 mg|HUMIRA 20 MG/0.4 ML SYRINGE|2|UN|KIT|SQ|EA|1|04/15/2018|01/31/2021| | || | |
00074334603||J9217||04/15/2018|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|LUPRON DEPOT 22.5 MG 3MO KIT|1|UN|KIT|IM|EA|.3333|04/15/2018|12/31/3999| | || | |
60793070010||J0561||04/15/2018|12/31/3999|Injection, penicillin g benzathine, 100,000 units|BICILLIN L-A 600,000 UNIT/ML|1|ML|SYRINGE|IM|ML|.1667|04/15/2018|12/31/3999| | || | |
60793070110||J0561||04/15/2018|12/31/3999|Injection, penicillin g benzathine, 100,000 units|BICILLIN L-A 1,200,000 UNITS|2|ML|SYRINGE|IM|ML|.1667|04/15/2018|12/31/3999| | || | |
62756035040||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 200 MCG/ML VL|5|ML|VIAL|IJ|ML|5|04/15/2017|12/31/3999| | || | |
62756035040||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 200 MCG/ML VL|5|ML|VIAL|IJ|ML|.125|04/15/2017|12/31/3999| | || | |
62756034844||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 50 MCG/ML AMP|1|ML|AMPUL|IJ|ML|20|04/15/2017|12/31/3999| | || | |
62756034844||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML AMP|1|ML|AMPUL|IJ|ML|.5|04/15/2017|12/31/3999| | || | |
62756035144||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 500 MCG/ML AMP|1|ML|AMPUL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
62756035144||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML AMP|1|ML|AMPUL|IJ|ML|.05|04/15/2017|12/31/3999| | || | |
63323016501||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
62756035240||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE 1,000 MCG/ML VIAL|5|ML|VIAL|IJ|ML|.025|04/15/2017|12/31/3999| | || | |
62756001640||J1071||04/15/2017|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 2,000 MG/10|10|ML|VIAL|IM|ML|.005|04/15/2017|12/31/3999| | || | |
00703011301||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 50 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.4|04/15/2017|12/31/3999| | || | |
17478054001||J1170||04/15/2017|06/30/2023|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE HCL 10 MG/ML AMP|1|ML|AMPUL|IJ|ML|.4|04/15/2017|06/30/2023| | || | |
17478054050||J1170||04/15/2017|06/30/2023|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE HCL 10 MG/ML VL|50|ML|VIAL|IJ|ML|.4|04/15/2017|06/30/2023| | || | |
17478054005||J1170||04/15/2017|06/30/2023|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE HCL 10 MG/ML AMP|5|ML|AMPUL|IJ|ML|.4|04/15/2017|06/30/2023| | || | |
00409468812||J1450||04/15/2017|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 400 MG/200|200|ML|FLEX CONT|IV|ML|100|04/15/2017|12/31/3999| | || | |
00409468816||J1450||04/15/2017|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 400 MG/200|200|ML|FLEX CONT|IV|ML|100|04/15/2017|12/31/3999| | || | |
00409255201||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE HCL 1 MG/ML AMP|1|ML|AMPUL|IJ|ML|4|04/15/2017|12/31/3999| | || | |
00409263450||J1170||04/15/2017|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 500 MG/50 ML VIA|50|ML|VIAL|IJ|ML|.4|04/15/2017|12/31/3999| | || | |
00085113602||J1327||04/15/2017|01/01/2021|Injection, eptifibatide, 5 mg|INTEGRILIN 75 MG/100 ML VIAL|100|ML|VIAL|IJ|ML|6.6666|04/15/2017|01/01/2021| | || | |
00143972201||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 250 MG/50 ML|50|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
00378696132||J1595||10/04/2017|12/31/3999|Injection, glatiramer acetate, 20 mg|GLATIRAMER 40 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.5|10/04/2017|12/31/3999| | || | |
23155047331||J1940||12/01/2014|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|12/01/2014|12/31/3999| | || | |
23155047332||J1940||12/01/2014|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|12/01/2014|12/31/3999| | || | |
23155049731||J0780||04/01/2015|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|04/01/2015|12/31/3999| | || | |
00409125512||J2175||10/28/2004|06/01/2021|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 100 MG/2 ML AMPUL|2|ML|AMPUL|IJ|ML|2|10/28/2004|06/01/2021| | || | |
00641620901||J2250||01/02/2012|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|01/02/2012|12/31/3999| | || | |
00641620925||J2250||01/02/2012|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|01/02/2012|12/31/3999| | || | |
00641621001||J2250||12/02/2002|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|12/02/2002|12/31/3999| | || | |
00641621010||J2250||12/02/2002|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|12/02/2002|12/31/3999| | || | |
00641617401||J2354||04/04/2005|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML V|1|ML|VIAL|IJ|ML|.5|04/04/2005|12/31/3999| | || | |
00641617410||J2354||04/04/2005|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML V|1|ML|VIAL|IJ|ML|.5|04/04/2005|12/31/3999| | || | |
00641617501||J2354||04/04/2005|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML|1|ML|VIAL|IJ|ML|.25|04/04/2005|12/31/3999| | || | |
00641617510||J2354||04/04/2005|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML|1|ML|VIAL|IJ|ML|.25|04/04/2005|12/31/3999| | || | |
00641617601||J2354||04/04/2005|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML|1|ML|VIAL|IJ|ML|.05|04/04/2005|12/31/3999| | || | |
00641617610||J2354||04/04/2005|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML|1|ML|VIAL|IJ|ML|.05|04/04/2005|12/31/3999| | || | |
00641617701||J2354||04/04/2005|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE 1,000 MCG/5 ML V|5|ML|VIAL|IJ|ML|.125|04/04/2005|12/31/3999| | || | |
00641617801||J2354||05/25/2005|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE 5,000 MCG/5 ML V|5|ML|VIAL|IJ|ML|.025|05/25/2005|12/31/3999| | || | |
00781348192||J3243||12/01/2017|12/31/3999|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|12/01/2017|12/31/3999| | || | |
59148001870||J0401||01/01/2014|12/31/3999|Injection, aripiprazole, extended release, 1 mg|ABILIFY MAINTENA ER 300 MG|1|UN|VIAL|IM|EA|.0033|01/01/2014|12/31/3999| | || | |
59148001970||J0401||01/01/2014|12/31/3999|Injection, aripiprazole, extended release, 1 mg|ABILIFY MAINTENA ER 400 MG|1|UN|VIAL|IM|EA|.0025|01/01/2014|12/31/3999| | || | |
67457083270||J0637||12/22/2017|10/31/2021|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|IV|EA|.0714|12/22/2017|10/31/2021| | || | |
44567024585||J0694||05/01/2015|03/30/2023|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM VIAL|1|UN|VIAL|IV|EA|1|05/01/2015|03/30/2023| | || | |
00409610237||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
16729024231||J3489||10/16/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|EA|1.25|10/16/2017|12/31/3999| | || | |
51991006598||J3489||11/20/2017|05/31/2022|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|11/20/2017|05/31/2022| | || | |
00409329916||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM ACETATE 200 MEQ/100|100|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00781326971||J3490||10/31/2017|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|10/31/2017|12/31/3999| | || | |
00115167572||J9178||11/03/2016|04/30/2021|Injection, epirubicin hcl, 2 mg|EPIRUBICIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|11/03/2016|04/30/2021| | || | |
00409372432||J1250||10/28/2004|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 1 GM-D5W 250 ML|250|ML|BAG|IV|ML|62.5|10/28/2004|12/31/3999| | || | |
00409780924||J1265||06/15/2017|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 800 MG-D5W 500 ML|500|ML|BAG|IV|ML|25|06/15/2017|12/31/3999| | || | |
00338100503||J1265||06/15/2017|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 400 MG-D5W 500 ML|500|ML|BAG|IV|ML|50|06/15/2017|12/31/3999| | || | |
25021021598||J9190||10/01/2016|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 2.5 GM/50 ML B|50|ML|BOTTLE|IV|ML|10|10/01/2016|12/31/3999| | || | |
00078068361||J9261||01/01/2007|08/31/2022|Injection, nelarabine, 50 mg|ARRANON 250 MG/50 ML VIAL|50|ML|VIAL|IV|ML|10|01/01/2007|08/31/2022| | || | |
58468012301||J1270||06/15/2017|12/31/3999|Injection, doxercalciferol, 1 mcg|HECTOROL 4 MCG/2 ML VIAL|2|ML|VIAL|IV|ML|.5|06/15/2017|12/31/3999| | || | |
58468012601||J1270||06/15/2017|04/30/2021|Injection, doxercalciferol, 1 mcg|HECTOROL 2 MCG/ML VIAL|1|ML|VIAL|IV|ML|.5|06/15/2017|04/30/2021| | || | |
00023590411||J3315||06/01/2003|12/31/2021|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 11.25 MG VIAL|1|UN|VIAL|IM|EA|.3333|06/01/2003|12/31/2021| | || | |
44567041024||J3475||10/24/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|BAG|IV|ML|50|10/24/2016|12/31/3999| | || | |
45963090642||J3490||01/13/2017|06/30/2019|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|01/13/2017|06/30/2019| | || | |
00143962201||J3490||03/09/2017|06/30/2023|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|03/09/2017|06/30/2023| | || | |
51754100601||J3490||03/28/2017|12/31/3999|Unclassified drugs|NIPRIDE RTU 50 MG/100 ML VI|100|ML|VIAL|IV|ML|1|03/28/2017|12/31/3999| | || | |
00093681773||J7633||03/11/2016|09/30/2022|Budesonide, inhalation solution, fda-approved final product, non-compounded...|BUDESONIDE 1 MG/2 ML INH SU|2|ML|AMPUL|IH|ML|2|03/11/2016|09/30/2022| | || | |
00487970130||J7633||06/10/2016|09/30/2022|Budesonide, inhalation solution, fda-approved final product, non-compounded...|BUDESONIDE 0.5 MG/2 ML SUSP|2|ML|AMPUL|IH|ML|4|06/10/2016|09/30/2022| | || | |
00143954601||J9000||11/15/2016|01/31/2023|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 200 MG/100 ML VI|100|ML|VIAL|IV|ML|5|11/15/2016|01/31/2023| | || | |
00143954801||J9000||11/15/2016|12/31/2022|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|5|11/15/2016|12/31/2022| | || | |
00143954901||J9000||11/15/2016|11/30/2022|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|11/15/2016|11/30/2022| | || | |
44567051101||J9060||04/28/2009|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 200 MG/200 ML VIA|200|ML|VIAL|IV|ML|10|04/28/2009|12/31/3999| | || | |
67457026600||J1953||04/15/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/100|100|ML|BAG|IV|EA|.6667|04/15/2018|12/31/3999| | || | |
67457025510||J1953||04/15/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/100|100|ML|BAG|IV|EA|2|04/15/2018|12/31/3999| | || | |
67457026610||J1953||04/15/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/100|100|ML|BAG|IV|EA|.6667|04/15/2018|12/31/3999| | || | |
00781316907||J3030||04/15/2018|09/30/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 4 MG/0.5 ML INJECT|1|ML|SYRINGE|SQ|ML|.75|04/15/2018|09/30/2021| | || | |
00781317007||J3030||04/15/2018|09/30/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 4 MG/0.5 ML CART|1|ML|KIT-REFILL|SQ|ML|.75|04/15/2018|09/30/2021| | || | |
00781317207||J3030||04/15/2018|11/30/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML INJECT|1|ML|SYRINGE|SQ|ML|.5|04/15/2018|11/30/2021| | || | |
00781317414||J3030||04/15/2018|03/31/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|.5|04/15/2018|03/31/2021| | || | |
00781365569||J1650||04/15/2018|02/28/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0667|04/15/2018|02/28/2021| | || | |
00781317471||J3030||04/15/2018|03/31/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|.5|04/15/2018|03/31/2021| | || | |
00781325394||J9025||04/15/2018|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|ML|.01|04/15/2018|12/31/3999| | || | |
00781315972||S0166||04/15/2018|12/31/3999|Injection, olanzapine, 2.5 mg|OLANZAPINE 10 MG VIAL|1|UN|VIAL|IM|EA|.25|04/15/2018|12/31/3999| | || | |
00944755102||J7179||04/15/2018|12/31/3999|Vonvendi inj 1 iu vwf:rco|VONVENDI 650 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
00944755302||J7179||04/15/2018|12/31/3999|Vonvendi inj 1 iu vwf:rco|VONVENDI 1,300 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
00944265804||J1566||04/15/2018|12/31/3999|Injection, immune globulin, intravenous, lyophilized (e.g. powder), not oth...|GAMMAGARD S-D 10 G (IGA<1) SOL|1|UN|VIAL|IV|GM|.05|04/15/2018|12/31/3999| | || | |
13533063102||J2790||07/21/2005|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|HYPERRHO S-D SYRINGE|1|UN|SYRINGE|IM|ML|1|07/21/2005|12/31/3999| | || | |
00409909332||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 0.05 MG/ML AMPUL|2|ML|AMPUL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409909431||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 0.05 MG/ML VIAL|20|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409909461||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 0.05 MG/ML VIAL|50|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409909335||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 0.05 MG/ML AMPUL|5|ML|AMPUL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409930310||J2795||04/15/2018|11/01/2022|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 100 MG/10 ML VL|10|ML|VIAL|IJ|ML|.1|04/15/2018|11/01/2022| | || | |
00409357801||J3260||10/28/2004|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409915701||J3430||10/28/2004|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|VITAMIN K 1 MG/0.5 ML AMPUL|0.5|ML|AMPUL|IJ|ML|.5|10/28/2004|12/31/3999| | || | |
00409915801||J3430||10/28/2004|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|VITAMIN K 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|10/28/2004|12/31/3999| | || | |
00409909425||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 0.05 MG/ML VIAL|5|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409909428||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 0.05 MG/ML VIAL|10|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
63323035560||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 750 MG/150 ML|150|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
00409117830||J2175||04/15/2017|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 50 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|04/15/2017|12/31/3999| | || | |
00409118130||J2175||04/15/2017|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 50 MG/ML VIAL|30|ML|VIAL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
63323016530||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 120 MG/30 ML VL|30|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
67457042312||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
00703514501||J0640||04/15/2017|09/30/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG VIAL|1|UN|VIAL|IJ|EA|.14285|04/15/2017|09/30/2023| | || | |
67457038158||J1631||04/15/2017|01/31/2023|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML VIAL|5|ML|VIAL|IJ|ML|.5|04/15/2017|01/31/2023| | || | |
23155016641||J3490||07/01/2015|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|07/01/2015|12/31/3999| | || | |
00009008610||J1071||04/15/2017|12/31/3999|Injection, testosterone cypionate, 1mg|DEPO-TESTOSTERONE 200 MG/ML VL|10|ML|VIAL|IJ|ML|.005|04/15/2017|12/31/3999| | || | |
00009034702||J1071||04/15/2017|12/31/3999|Injection, testosterone cypionate, 1mg|DEPO-TESTOSTERONE 100 MG/ML VL|10|ML|VIAL|IM|ML|.01|04/15/2017|12/31/3999| | || | |
00574082001||J1071||04/15/2017|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|04/15/2017|12/31/3999| | || | |
00574082010||J1071||04/15/2017|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|10|ML|VIAL|IM|ML|.005|04/15/2017|12/31/3999| | || | |
00085113601||J1327||04/15/2017|04/12/2021|Injection, eptifibatide, 5 mg|INTEGRILIN 75 MG/100 ML VIAL|100|ML|VIAL|IV|ML|6.6666|04/15/2017|04/12/2021| | || | |
00085117701||J1327||04/15/2017|05/11/2021|Injection, eptifibatide, 5 mg|INTEGRILIN 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|2.5|04/15/2017|05/11/2021| | || | |
00085117702||J1327||04/15/2017|12/29/2020|Injection, eptifibatide, 5 mg|INTEGRILIN 200 MG/100 ML VIAL|100|ML|VIAL|IV|ML|2.5|04/15/2017|12/29/2020| | || | |
00338604537||J1450||04/15/2017|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NS 400 MG/200 ML|200|ML|FLEX CONT|IV|ML|100|04/15/2017|12/31/3999| | || | |
00338604648||J1450||04/15/2017|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NS 200 MG/100 ML|100|ML|FLEX CONT|IV|ML|100|04/15/2017|12/31/3999| | || | |
55150015730||J1956||04/15/2017|04/30/2022|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/30 ML VIAL|30|ML|VIAL|IV|EA|10|04/15/2017|04/30/2022| | || | |
67457042100||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 120 MG/30 ML VL|30|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
67457042130||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 120 MG/30 ML VL|30|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
67457042254||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
16729029805||J2405||10/20/2016|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIA|20|ML|VIAL|IV|ML|.5|10/20/2016|12/31/3999| | || | |
00781341315||J0290||03/20/2007|12/31/3999|Injection, ampicillin sodium, 500 mg|Ampicillin Sodium 2 GM SOLR|1|UN|VIAL|IV|ML|.25|03/20/2007|12/31/3999| | || | |
64679072801||J3030||12/19/2017|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|.5|12/19/2017|12/31/3999| | || | |
00517037505||J3490||10/01/1991|03/31/2023|Unclassified drugs|INDIGO CARMINE 0.8% AMPUL|5|ML|AMPUL|IJ|ML|1|10/01/1991|03/31/2023| | || | |
14789001202||J3490||01/09/2018|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|01/09/2018|12/31/3999| | || | |
10122031301||J3490||09/08/2008|09/30/2021|Unclassified drugs|CARDENE-NACL 20 MG/200 ML S|200|ML|BAG|IV|ML|1|09/08/2008|09/30/2021| | || | |
10122031401||J3490||09/08/2008|08/31/2021|Unclassified drugs|CARDENE-DEX 20 MG/200 ML SO|200|ML|BAG|IV|ML|1|09/08/2008|08/31/2021| | || | |
10122032501||J3490||11/24/2008|11/30/2021|Unclassified drugs|CARDENE-NACL 40 MG/200 ML I|200|ML|BAG|IV|ML|1|11/24/2008|11/30/2021| | || | |
63323008950||J3490||07/25/2017|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|ML|1|07/25/2017|12/31/3999| | || | |
68682000150||J3490||03/31/2007|12/31/3999|Unclassified drugs|SOD PHENYLACET-SOD BENZOATE|50|ML|VIAL|IV|EA|1|03/31/2007|12/31/3999| | || | |
64193042602||J7198||03/24/2000|12/31/3999|Anti-inhibitor, per i.u.|FEIBA NF 500 UNIT (NOMINAL)|1|F2|VIAL|IV|AHF|1|03/24/2000|12/31/3999| | || | |
63323062410||J7070||04/27/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|1000|ML|FLEX CONT|IV|ML|1000|04/27/2017|12/31/3999| | || | |
69784020560||J7631||10/24/2017|12/31/3999|Cromolyn sodium, inhalation solution, fda-approved final product, non-compo...|CROMOLYN 20 MG/2 ML NEB SOL|2|ML|VIAL|IH|ML|1|10/24/2017|12/31/3999| | || | |
10122082004||J7682||11/20/2013|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|BETHKIS 300 MG/4 ML AMPULE|4|ML|AMPUL|IH|ML|4|11/20/2013|12/31/3999| | || | |
59310082206||J7699||04/24/2017|12/31/3999|NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME|AIRDUO RESPICLICK 232-14 MC|1|UN|AER W/ADAP|IH|GM|1|04/24/2017|12/31/3999| | || | |
00641618201||J2360||04/23/2003|12/31/3999|Injection, orphenadrine citrate, up to 60 mg|ORPHENADRINE 60 MG/2 ML VIA|2|ML|VIAL|IJ|ML|2|04/23/2003|12/31/3999| | || | |
00641620825||J2550||01/20/2003|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|01/20/2003|12/31/3999| | || | |
00409909337||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML AMPUL|2|ML|AMPUL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00143952901||J2680||12/21/2016|12/31/3999|Injection, fluphenazine decanoate, up to 25 mg|FLUPHENAZINE DEC 125 MG/5 M|5|ML|VIAL|IJ|ML|1|12/21/2016|12/31/3999| | || | |
00641036721||J1100||01/01/1991|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|01/01/1991|12/31/3999| | || | |
00409229031||J1200||10/28/2004|05/01/2018|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML SYRNG|1|ML|SYRINGE|IJ|ML|1|10/28/2004|05/01/2018| | || | |
00409202520||J1250||10/28/2004|11/01/2017|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 12.5 MG/ML VIAL|20|ML|VIAL|IV|ML|20|10/28/2004|11/01/2017| | || | |
00641037625||J1200||01/01/1991|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|01/01/1991|12/31/3999| | || | |
00641256941||J1245||06/15/2017|12/31/3999|Injection, dipyridamole, per 10 mg|DIPYRIDAMOLE 5 MG/ML VIAL|10|ML|VIAL|IV|ML|2|06/15/2017|12/31/3999| | || | |
00338107502||J1250||06/15/2017|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 500 MG-D5W 250 ML|250|ML|BAG|IV|ML|125|06/15/2017|12/31/3999| | || | |
00409202554||J1250||10/28/2004|03/31/2020|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 12.5 MG/ML VIAL|40|ML|VIAL|IV|ML|20|10/28/2004|03/31/2020| | || | |
00409234488||J1250||10/28/2004|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 12.5 MG/ML VIAL|20|ML|VIAL|IV|ML|20|10/28/2004|12/31/3999| | || | |
70860077602||J2405||03/30/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|03/30/2017|12/31/3999| | || | |
70860077720||J2405||03/30/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIA|20|ML|VIAL|IV|ML|.5|03/30/2017|12/31/3999| | || | |
00409299914||J2543||01/24/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 13.5 GM|1|UN|VIAL|IV|EA|.083333|01/24/2017|12/31/3999| | || | |
70121100105||J2930||02/28/2017|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 125 M|1|UN|VIAL|IJ|ML|1|02/28/2017|12/31/3999| | || | |
70121100005||J2930||02/28/2017|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 40 MG|1|UN|VIAL|IJ|ML|3.125|02/28/2017|12/31/3999| | || | |
00409909418||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 250 MCG/5 ML VIAL|5|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409909416||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 1,000 MCG/20 ML VI|20|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00008499420||J3243||07/27/2007|12/31/3999|Injection, tigecycline, 1 mg|TYGACIL 50 MG VIAL|1|UN|VIAL|IV|EA|.02|07/27/2007|12/31/3999| | || | |
00409792209||J7060||10/28/2004|08/01/2021|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|1000|ML|BAG|IV|ML|500|10/28/2004|08/01/2021| | || | |
00409792209||J7070||10/28/2004|08/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|1000|ML|BAG|IV|ML|1000|10/28/2004|08/01/2021| | || | |
00409653101||J3370||10/28/2004|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 750 MG VIAL|1|UN|VIAL|IV|EA|.6667|10/28/2004|12/31/3999| | || | |
00409653301||J3370||10/28/2004|11/01/2021|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/28/2004|11/01/2021| | || | |
00409710166||J7030||10/28/2004|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLN|50|ML|BAG|IV|ML|1000|10/28/2004|12/31/3999| | || | |
00409710166||J7040||10/28/2004|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLN|50|ML|BAG|IV|ML|500|10/28/2004|12/31/3999| | || | |
00409710166||J7050||10/28/2004|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLN|50|ML|BAG|IV|ML|250|10/28/2004|12/31/3999| | || | |
00409710102||J7030||10/28/2004|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLN|250|ML|BAG|IV|ML|1000|10/28/2004|12/31/3999| | || | |
00409710102||J7040||10/28/2004|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLN|250|ML|BAG|IV|ML|500|10/28/2004|12/31/3999| | || | |
00409710102||J7050||10/28/2004|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLN|250|ML|BAG|IV|ML|250|10/28/2004|12/31/3999| | || | |
00409677902||J2060||10/28/2004|02/01/2021|Injection, lorazepam, 2 mg|LORAZEPAM 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|10/28/2004|02/01/2021| | || | |
17478003025||J3010||04/15/2018|06/30/2023|Injection, fentanyl citrate, 0.1 mg|SUBLIMAZE 50 MCG/ML AMPULE|2|ML|AMPUL|IJ|ML|2|04/15/2018|06/30/2023| | || | |
61703030538||J9100||10/28/2004|12/31/3999|Injection, cytarabine, 100 mg|CYTARABINE 20 MG/ML VIAL|5|ML|VIAL|IJ|ML|5|10/28/2004|12/31/3999| | || | |
61703031922||J9100||10/28/2004|12/31/3999|Injection, cytarabine, 100 mg|CYTARABINE 100 MG/ML VIAL|20|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
61703040841||J9260||10/28/2004|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 25 MG/ML VIAL|40|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
61703032418||J2430||10/28/2004|12/31/3999|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE 30 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|10/28/2004|12/31/3999| | || | |
10019092602||J9208||06/28/2001|12/31/3999|Injection, ifosfamide, 1 gram|IFOSFAMIDE 3 GM VIAL|1|UN|VIAL|IV|GM|.3333|06/28/2001|12/31/3999| | || | |
10019092616||J9208||06/28/2001|12/31/3999|Injection, ifosfamide, 1 gram|IFOSFAMIDE 3 GM VIAL|1|UN|VIAL|IV|GM|.3333|06/28/2001|12/31/3999| | || | |
10019095501||J9070||04/15/2018|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIAL|1|UN|VIAL|IV|ML|.2|04/15/2018|12/31/3999| | || | |
00955101510||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.0667|04/15/2018|12/31/3999| | || | |
62756002340||J9351||04/15/2018|12/31/3999|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG VIAL|1|UN|VIAL|IV|ML|.025|04/15/2018|12/31/3999| | || | |
61703032618||J2430||10/28/2004|12/31/3999|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE 90 MG/10 ML VIAL|10|ML|VIAL|IV|ML|3.3333|10/28/2004|12/31/3999| | || | |
62756051344||J1953||04/15/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
67979000101||J9357||07/31/2007|12/31/3999|Injection, valrubicin, intravesical, 200 mg|VALSTAR 40 MG/ML VIAL|5|ML|VIAL|IS|ML|5|07/31/2007|12/31/3999| | || | |
67457024501||J2354||04/15/2018|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|.25|04/15/2018|12/31/3999| | || | |
00009719901||J3490||09/22/2014|09/22/2014|Unclassified drugs|SOMAVERT 25 MG VIAL|1|UN|VIAL|SQ|EA|1|09/22/2014|09/22/2014| | || | |
52565005210||J3490||12/21/2012|06/30/2023|Unclassified drugs|CEFOTAN 1 GM VIAL|1|UN|VIAL|IJ|GM|1|12/21/2012|06/30/2023| | || | |
55150018810||J3490||03/11/2016|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|EA|1|03/11/2016|12/31/3999| | || | |
00904655161||Q0181||05/05/2016|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|ONDANSETRON HCL 4 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|05/05/2016|12/31/3999| | || | |
00904655261||Q0181||05/05/2016|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|ONDANSETRON HCL 8 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|05/05/2016|12/31/3999| | || | |
67457035050||J0290||09/13/2016|04/30/2022|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|09/13/2016|04/30/2022| | || | |
67457035101||J0290||09/13/2016|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|09/13/2016|12/31/3999| | || | |
63323030626||J3260||04/19/2004|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/19/2004|12/31/3999| | || | |
00009716601||J3490||04/01/2003|04/01/2003|Unclassified drugs|SOMAVERT 10 MG VIAL|1|UN|VIAL|SQ|EA|1|04/01/2003|04/01/2003| | || | |
00009720001||J3490||09/22/2014|09/22/2014|Unclassified drugs|SOMAVERT 30 MG VIAL|1|UN|VIAL|SQ|EA|1|09/22/2014|09/22/2014| | || | |
67457035210||J0290||10/06/2016|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|10/06/2016|12/31/3999| | || | |
67457035310||J0290||10/06/2016|04/30/2022|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|10/06/2016|04/30/2022| | || | |
00009716801||J3490||04/01/2003|04/01/2003|Unclassified drugs|SOMAVERT 15 MG VIAL|1|UN|VIAL|SQ|EA|1|04/01/2003|04/01/2003| | || | |
00009718801||J3490||04/01/2003|04/01/2003|Unclassified drugs|SOMAVERT 20 MG VIAL|1|UN|VIAL|SQ|EA|1|04/01/2003|04/01/2003| | || | |
00409189103||J2270||08/07/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 4 MG/ML CARPUJECT|1|ML|SYRINGE|IV|ML|2.5|08/07/2012|12/31/3999| | || | |
67457040913||J1631||04/15/2017|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|04/15/2017|12/31/3999| | || | |
42023020101||J3490||11/16/2011|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG VIAL|1|UN|VIAL|IV|EA|1|11/16/2011|12/31/3999| | || | |
60842005101||J2310||12/27/2016|03/31/2017|Injection, naloxone hydrochloride, per 1 mg|EVZIO 2 MG AUTO-INJECTOR|.4|ML|SYRINGE|IJ|EA|.5|12/27/2016|03/31/2017| | || | |
76329346901||J2310||07/28/2016|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|07/28/2016|12/31/3999| | || | |
00008042303||J3490||01/01/1991|12/31/2021|Unclassified drugs|ANTIVENIN MICRURUS FULVIUS|1|UN|VIAL|IJ|EA|1|01/01/1991|12/31/2021| | || | |
42023020301||J3490||11/16/2011|12/31/3999|Unclassified drugs|LEVOTHYROXINE 500 MCG VIAL|1|UN|VIAL|IV|EA|1|11/16/2011|12/31/3999| | || | |
52565005310||J3490||12/21/2012|06/30/2023|Unclassified drugs|CEFOTAN 2 GM VIAL|1|UN|VIAL|IJ|GM|1|12/21/2012|06/30/2023| | || | |
00143921001||J2400||11/09/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|CHLOROPROCAINE 3% VIAL|20|ML|VIAL|IJ|ML|30.0003|11/09/1998|12/31/2022| | || | |
00143921010||J2400||11/09/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|CHLOROPROCAINE 3% VIAL|20|ML|VIAL|IJ|ML|30.0003|11/09/1998|12/31/2022| | || | |
00143983001||J9260||09/07/2005|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 1 GM VIAL|1|UN|VIAL|IJ|ML|.05|09/07/2005|12/31/3999| | || | |
43598030920||J9027||11/13/2017|12/31/3999|Injection, clofarabine, 1 mg|CLOFARABINE 20 MG/20 ML VIA|20|ML|VIAL|IV|EA|1|11/13/2017|12/31/3999| | || | |
43598039248||J9245||12/22/2017|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|12/22/2017|12/31/3999| | || | |
00904660061||Q0175||09/01/2017|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|09/01/2017|12/31/3999| | || | |
63459060106||J9017||12/22/2017|12/31/3999|Injection, arsenic trioxide, 1 mg|TRISENOX 12 MG/6 ML VIAL|6|ML|VIAL|IV|ML|.5|12/22/2017|12/31/3999| | || | |
63459060111||J9017||12/22/2017|12/31/3999|Injection, arsenic trioxide, 1 mg|TRISENOX 12 MG/6 ML VIAL|6|ML|VIAL|IV|ML|.5|12/22/2017|12/31/3999| | || | |
67457054620||J9027||11/06/2017|12/31/3999|Injection, clofarabine, 1 mg|CLOFARABINE 20 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|11/06/2017|12/31/3999| | || | |
70121123601||J9027||11/07/2017|12/31/3999|Injection, clofarabine, 1 mg|CLOFARABINE 20 MG/20 ML VIA|20|ML|VIAL|IV|EA|1|11/07/2017|12/31/3999| | || | |
16729029512||J9045||09/19/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VI|60|ML|VIAL|IV|ML|5|09/19/2017|12/31/3999| | || | |
71288010005||J9045||11/15/2017|02/01/2023|Injection, carboplatin, 50 mg|CARBOPLATIN 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|11/15/2017|02/01/2023| | || | |
71288010015||J9045||11/15/2017|02/01/2023|Injection, carboplatin, 50 mg|CARBOPLATIN 150 MG/15 ML VI|15|ML|VIAL|IV|ML|5|11/15/2017|02/01/2023| | || | |
71288010045||J9045||11/15/2017|02/01/2023|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|11/15/2017|02/01/2023| | || | |
71288010051||J9045||11/15/2017|02/01/2023|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VI|60|ML|VIAL|IV|ML|5|11/15/2017|02/01/2023| | || | |
47781061023||J9060||10/09/2017|01/31/2020|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 100 MG/100 ML VIA|100|ML|VIAL|IV|ML|10|10/09/2017|01/31/2020| | || | |
00409116219||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00378730753||S4993||09/19/2017|12/31/3999|Contraceptive pills for birth control|ETHYNODIOL-ETH ESTRA 1MG-35|28|UN|BLIST PACK|PO|TAB|1|09/19/2017|12/31/3999| | || | |
00555903479||S4993||10/16/2006|12/31/3999|Contraceptive pills for birth control|BALZIVA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2006|12/31/3999| | || | |
00093360782||J7699||04/24/2017|12/31/3999|NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME|FLUTICASONE-SALMETEROL 55-1|1|UN|AER W/ADAP|IH|GM|1|04/24/2017|12/31/3999| | || | |
00093360982||J7699||04/24/2017|12/31/3999|NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME|FLUTICASONE-SALMETEROL 232-|1|UN|AER W/ADAP|IH|GM|1|04/24/2017|12/31/3999| | || | |
00143920901||J2400||11/09/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|CHLOROPROCAINE 2% VIAL|20|ML|VIAL|IJ|ML|30.0003|11/09/1998|12/31/2022| | || | |
64679009601||J9025||12/28/2016|01/31/2023|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|12/28/2016|01/31/2023| | || | |
16729028838||J9060||12/13/2016|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 100 MG/100 ML VIA|100|ML|VIAL|IV|ML|10|12/13/2016|12/31/3999| | || | |
68001028332||J9060||10/27/2016|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 100 MG/100 ML VIA|100|ML|VIAL|IV|ML|10|10/27/2016|12/31/3999| | || | |
68001028333||J9060||10/27/2016|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 100 MG/100 ML VIA|100|ML|VIAL|IV|ML|10|10/27/2016|12/31/3999| | || | |
55150019699||J2795||10/31/2016|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 200 MG/100|100|ML|BOTTLE|IJ|ML|.5|10/31/2016|12/31/3999| | || | |
55150019920||J2795||10/31/2016|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.75% 150 MG/20|20|ML|VIAL|IJ|ML|.13333|10/31/2016|12/31/3999| | || | |
55150020120||J2795||10/31/2016|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 200 MG/20 ML|20|ML|VIAL|IJ|ML|.1|10/31/2016|12/31/3999| | || | |
67857080937||J3030||04/11/2016|12/31/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|ZEMBRACE SYMTOUCH 3 MG/0.5|.5|ML|SYRINGE|SQ|ML|1|04/11/2016|12/31/2021| | || | |
55150019520||J2795||10/31/2016|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|10/31/2016|12/31/3999| | || | |
55150019720||J2795||10/31/2016|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 100 MG/20|20|ML|VIAL|IJ|ML|.2|10/31/2016|12/31/3999| | || | |
55150019830||J2795||10/31/2016|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|10/31/2016|12/31/3999| | || | |
55150020010||J2795||10/31/2016|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 100 MG/10 ML|10|ML|VIAL|IJ|ML|.1|10/31/2016|12/31/3999| | || | |
00409909412||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
55150017305||J3030||06/03/2013|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIA|.5|ML|VIAL|SQ|EA|.5|06/03/2013|12/31/3999| | || | |
67857080938||J3030||04/11/2016|12/31/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|ZEMBRACE SYMTOUCH 3 MG/0.5|.5|ML|SYRINGE|SQ|ML|1|04/11/2016|12/31/2021| | || | |
00008499419||J3243||07/27/2007|12/31/3999|Injection, tigecycline, 1 mg|TYGACIL 50 MG VIAL|1|UN|VIAL|IV|EA|.02|07/27/2007|12/31/3999| | || | |
25208000104||J3246||10/19/2016|12/31/3999|Injection, tirofiban hcl, 0.25mg|AGGRASTAT 3.75 MG/15 ML VIA|15|ML|VIAL|IV|ML|1|10/19/2016|12/31/3999| | || | |
00409710067||J7070||10/28/2004|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|1000|10/28/2004|12/31/3999| | || | |
69911086602||J7202||04/15/2018|12/31/3999|Factor ix idelvion inj|IDELVION 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
68982014501||J7209||04/15/2018|12/31/3999|Factor viii nuwiq recomb 1iu|NUWIQ 2,000 UNIT VIAL PACK|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
00409163910||J1940||04/15/2018|07/01/2023|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML SYRINGE|10|ML|SYRINGE|IJ|ML|2|04/15/2018|07/01/2023| | || | |
00641092825||J2550||04/15/2018|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
00641094835||J2550||04/15/2018|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
00641095525||J2550||04/15/2018|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
00641608225||J2550||04/15/2018|12/31/3999|Injection, promethazine hcl, up to 50 mg|PHENERGAN 25 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
00641608425||J2550||04/15/2018|12/31/3999|Injection, promethazine hcl, up to 50 mg|PHENERGAN 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
18657011701||J3473||04/15/2018|12/31/3999|Injection, hyaluronidase, recombinant, 1 usp unit|HYLENEX 150 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.0067|04/15/2018|12/31/3999| | || | |
18657011704||J3473||04/15/2018|12/31/3999|Injection, hyaluronidase, recombinant, 1 usp unit|HYLENEX 150 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.0067|04/15/2018|12/31/3999| | || | |
55566840301||J9155||04/15/2018|12/31/3999|Injection, degarelix, 1 mg|FIRMAGON 2 X 120 MG KIT|2|UN|KIT|SQ|EA|.0083|04/15/2018|12/31/3999| | || | |
50458030811||J2794||04/15/2018|12/31/3999|Injection, risperidone, long acting, 0.5 mg|RISPERDAL CONSTA 50 MG SYR|1|UN|BOX|IM|EA|.01|04/15/2018|12/31/3999| | || | |
43598030562||J9025||04/15/2018|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|04/15/2018|12/31/3999| | || | |
44087334401||Q3028||04/15/2018|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF REBIDOSE 44 MCG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|.0114|04/15/2018|12/31/3999| | || | |
68611019002||J7313||04/15/2018|12/31/3999|Fluocinol acet intravit imp|ILUVIEN 0.19 MG IMPLANT|1|UN|PF APPLI|IO|EA|.0526|04/15/2018|12/31/3999| | || | |
00409188602||J1953||04/15/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
55150012909||J2700||04/15/2018|05/31/2019|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.025|04/15/2018|05/31/2019| | || | |
55150012999||J2700||04/15/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.025|04/15/2018|12/31/3999| | || | |
70504012602||90396||04/15/2018|02/28/2021|Varicella-zoster immune globulin|VARIZIG 125 UNIT/1.2 ML VIA|1.2|ML|VIAL|IM|EA|1.2|04/15/2018|02/28/2021| | || | |
00074433902||J0135||04/15/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA 40 MG/0.8 ML PEN|2|UN|KIT|SQ|EA|.5|04/15/2018|12/31/3999| | || | |
13533070101||J0256||04/15/2018|09/30/2020|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|PROLASTIN C 1,000 MG VIAL|1|UN|VIAL|IV|EA|10|04/15/2018|09/30/2020| | || | |
00944462601||J7207||04/15/2018|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 750 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
55513095401||J9303||04/15/2018|12/31/3999|Injection, panitumumab, 10 mg|VECTIBIX 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|04/15/2018|12/31/3999| | || | |
55513095601||J9303||04/15/2018|12/31/3999|Injection, panitumumab, 10 mg|VECTIBIX 400 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|04/15/2018|12/31/3999| | || | |
58468020001||J0202||04/15/2018|12/31/3999|Injection, alemtuzumab|LEMTRADA 12 MG/1.2 ML VIAL|1.2|ML|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
63323049416||J3490||08/20/2003|12/31/3999|Unclassified drugs|VALPROATE SOD 500 MG/5 ML V|5|ML|VIAL|IV|ML|1|08/20/2003|12/31/3999| | || | |
67457029750||J3490||08/31/2016|12/31/3999|Unclassified drugs|ETHACRYNATE SODIUM 50 MG VI|1|UN|VIAL|IV|EA|1|08/31/2016|12/31/3999| | || | |
00409176102||S0020||10/28/2004|06/01/2022|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE SPINAL AMPUL|2|ML|AMPUL|IJ|ML|15|10/28/2004|06/01/2022| | || | |
00641036725||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|04/15/2017|12/31/3999| | || | |
67457042200||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
67457042300||J1100||04/15/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
67457040900||J1631||04/15/2017|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|04/15/2017|12/31/3999| | || | |
60793060202||J0558||01/01/2011|12/31/3999|Injection, penicillin g benzathine and penicillin g procaine, 100,000 units|BICILLIN C-R 900-300 SYRINGE|2|ML|SYRINGE|IJ|ML|.16666|01/01/2011|12/31/3999| | || | |
68084049111||Q0181||08/01/2011|06/30/2024|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|MECLIZINE 25 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|08/01/2011|06/30/2024| | || | |
00008042301||J3490||01/01/1991|12/31/2021|Unclassified drugs|ANTIVENIN MICRURUS FULVIUS|1|UN|VIAL|IJ|EA|1|01/01/1991|12/31/2021| | || | |
67457042600||J1631||04/15/2017|04/16/2017|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL LAC 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|10|04/15/2017|04/16/2017| | || | |
51862002806||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|LUTERA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
51862003603||S4993||06/15/2011|07/31/2019|Contraceptive pills for birth control|ZARAH TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|07/31/2019| | || | |
51862004591||S4993||12/07/2011|03/31/2021|Contraceptive pills for birth control|AMETHIA LO TABLET|91|UN|BLIST PACK|PO|TAB|1|12/07/2011|03/31/2021| | || | |
51862004791||S4993||07/28/2011|12/31/3999|Contraceptive pills for birth control|AMETHIA 0.15-0.03-0.01 MG T|91|UN|BLIST PACK|PO|TAB|1|07/28/2011|12/31/3999| | || | |
68180083713||S4993||01/19/2016|01/06/2022|Contraceptive pills for birth control|TRI-LO-MARZIA TABLET|28|UN|BLIST PACK|PO|TAB|1|01/19/2016|01/06/2022| | || | |
68180083811||S4993||07/18/2016|09/24/2021|Contraceptive pills for birth control|NORG-EE 0.18-0.215-0.25/0.0|28|UN|BLIST PACK|PO|TAB|1|07/18/2016|09/24/2021| | || | |
68180083813||S4993||07/18/2016|09/24/2021|Contraceptive pills for birth control|NORG-EE 0.18-0.215-0.25/0.0|28|UN|BLIST PACK|PO|TAB|1|07/18/2016|09/24/2021| | || | |
68180084011||S4993||01/23/2017|07/23/2022|Contraceptive pills for birth control|NORG-ETHIN ESTRA 0.25-0.035|28|UN|BLIST PACK|PO|TAB|1|01/23/2017|07/23/2022| | || | |
68180084013||S4993||01/23/2017|07/23/2022|Contraceptive pills for birth control|NORG-ETHIN ESTRA 0.25-0.035|28|UN|BLIST PACK|PO|TAB|1|01/23/2017|07/23/2022| | || | |
68180090311||S4993||01/20/2016|03/12/2023|Contraceptive pills for birth control|KAITLIB FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|01/20/2016|03/12/2023| | || | |
68180090313||S4993||01/20/2016|03/12/2023|Contraceptive pills for birth control|KAITLIB FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|01/20/2016|03/12/2023| | || | |
00904660161||Q0175||09/01/2017|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|100|UN|BLIST PACK|PO|TAB|.5|09/01/2017|12/31/3999| | || | |
55150024950||S0020||09/12/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|30|09/12/2017|06/30/2023| | || | |
55150025050||S0020||09/12/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|30|09/12/2017|06/30/2023| | || | |
00555901079||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORTREL 1-35 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555901479||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|LESSINA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555904979||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|CRYSELLE-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555905079||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|KARIVA 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555905179||S4993||03/01/2004|12/31/3999|Contraceptive pills for birth control|VELIVET 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|03/01/2004|12/31/3999| | || | |
00555906479||S4993||06/20/2005|12/31/3999|Contraceptive pills for birth control|KELNOR 1-35 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/20/2005|12/31/3999| | || | |
00555906679||S4993||10/04/2004|12/31/3999|Contraceptive pills for birth control|ARANELLE 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/04/2004|12/31/3999| | || | |
50102012003||S4993||01/15/2014|12/31/3999|Contraceptive pills for birth control|AUBRA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/15/2014|12/31/3999| | || | |
50102012010||S4993||01/15/2014|12/31/3999|Contraceptive pills for birth control|AUBRA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/15/2014|12/31/3999| | || | |
50102013010||S4993||02/11/2013|12/31/3999|Contraceptive pills for birth control|CHATEAL-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/11/2013|12/31/3999| | || | |
69097028537||J0894||12/06/2017|03/31/2020|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|ML|.02|12/06/2017|03/31/2020| | || | |
00143927301||J1110||12/28/2017|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML A|1|ML|AMPUL|IJ|ML|1|12/28/2017|12/31/3999| | || | |
00143927310||J1110||12/28/2017|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML A|1|ML|AMPUL|IJ|ML|1|12/28/2017|12/31/3999| | || | |
00409254011||J1170||10/01/2005|09/30/2020|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE HCL 4 MG/ML A|1|ML|AMPUL|IJ|ML|1|10/01/2005|09/30/2020| | || | |
58406045601||J1438||11/18/2004|12/01/2021|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML MINI CARTRI|0.98|ML|CARTRIDGE|SQ|ML|.4902|11/18/2004|12/01/2021| | || | |
00378696032||J1595||10/04/2017|12/31/3999|Injection, glatiramer acetate, 20 mg|GLATIRAMER 20 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|1|10/04/2017|12/31/3999| | || | |
00378696093||J1595||10/04/2017|12/31/3999|Injection, glatiramer acetate, 20 mg|GLATIRAMER 20 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|1|10/04/2017|12/31/3999| | || | |
00409131611||J1644||10/28/2004|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|SYRINGE|IJ|ML|.1|10/28/2004|12/31/3999| | || | |
00409272130||J1644||08/31/2009|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|08/31/2009|12/31/3999| | || | |
00409272330||J1644||08/31/2009|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|08/31/2009|12/31/3999| | || | |
00409272331||J1644||08/31/2009|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|08/31/2009|12/31/3999| | || | |
47781058468||J1885||10/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|10/10/2017|12/31/3999| | || | |
47781058568||J1885||11/22/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|11/22/2017|12/31/3999| | || | |
00409610219||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409610220||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409610235||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00641620701||J2060||04/06/2012|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 20 MG/10 ML VIAL|1|ML|VIAL|IJ|ML|1|04/06/2012|12/31/3999| | || | |
00023590412||J3315||06/01/2003|12/31/2021|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 11.25 MG SYRINGE|1|UN|BOX|IM|EA|.3333|06/01/2003|12/31/2021| | || | |
00143950801||J3490||01/16/2017|12/31/3999|Unclassified drugs|KETAMINE 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/16/2017|12/31/3999| | || | |
00143950901||J3490||01/05/2017|12/31/3999|Unclassified drugs|KETAMINE 500 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|01/05/2017|12/31/3999| | || | |
00143950910||J3490||01/05/2017|12/31/3999|Unclassified drugs|KETAMINE 500 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|01/05/2017|12/31/3999| | || | |
00409111301||J3490||01/31/2017|03/31/2023|Unclassified drugs|INDOMETHACIN 1 MG VIAL|1|UN|VIAL|IV|EA|1|01/31/2017|03/31/2023| | || | |
51754020401||J3490||01/23/2015|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/23/2015|12/31/3999| | || | |
70860030005||J3490||03/09/2017|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|03/09/2017|12/31/3999| | || | |
42023017204||J7599||11/22/2016|09/30/2023|IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE SPECIFIED|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|1|11/22/2016|09/30/2023| | || | |
00093681745||J7633||03/11/2016|09/30/2022|Budesonide, inhalation solution, fda-approved final product, non-compounded...|BUDESONIDE 1 MG/2 ML INH SU|2|ML|AMPUL|IH|ML|2|03/11/2016|09/30/2022| | || | |
00487960130||J7633||06/10/2016|09/30/2022|Budesonide, inhalation solution, fda-approved final product, non-compounded...|BUDESONIDE 0.25 MG/2 ML SUS|2|ML|AMPUL|IH|ML|8|06/10/2016|09/30/2022| | || | |
00781751714||J7633||07/27/2015|09/30/2022|Budesonide, inhalation solution, fda-approved final product, non-compounded...|BUDESONIDE 1 MG/2 ML INH SU|2|ML|AMPUL|IH|ML|2|07/27/2015|09/30/2022| | || | |
00143954701||J9000||11/15/2016|01/31/2023|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|5|11/15/2016|01/31/2023| | || | |
16729028811||J9060||12/13/2016|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 50 MG/50 ML VIAL|50|ML|VIAL|IV|ML|10|12/13/2016|12/31/3999| | || | |
13533080024||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C 20 GRAM/200 ML VIAL|200|ML|VIAL|IJ|ML|5|01/15/2018|12/31/3999| | || | |
13533080071||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C 10 GRAM/100 ML VIAL|100|ML|VIAL|IJ|ML|5|01/15/2018|12/31/3999| | || | |
44206043605||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|PRIVIGEN 10% VIAL|50|ML|VIAL|IV|EA|5|01/15/2018|12/31/3999| | || | |
44206043710||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|PRIVIGEN 10% VIAL|100|ML|VIAL|IV|EA|5|01/15/2018|12/31/3999| | || | |
44206043820||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|PRIVIGEN 10% VIAL|200|ML|VIAL|IV|EA|5|01/15/2018|12/31/3999| | || | |
44206043940||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|PRIVIGEN 10% VIAL|400|ML|VIAL|IV|EA|5|01/15/2018|12/31/3999| | || | |
59730650201||90283||01/15/2018|07/31/2021|Immune globulin (IGIV), human, for intravenous use|BIVIGAM LIQUID 10% VIAL|50|ML|VIAL|IV|EA|5|01/15/2018|07/31/2021| | || | |
64208823407||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 5% VIAL|200|ML|VIAL|IV|ML|10|01/15/2018|12/31/3999| | || | |
00409272301||J1644||01/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.2|01/15/2018|12/31/3999| | || | |
00409272302||J1644||01/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNITS/10 ML VL|10|ML|VIAL|IJ|ML|.2|01/15/2018|12/31/3999| | || | |
00409762003||J1644||01/15/2018|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN-NS 1,000 UNITS/500 ML|500|ML|BAG|IV|ML|500|01/15/2018|12/31/2022| | || | |
00409762059||J1644||01/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN-NS 2,000 UNIT/1,000 ML|1000|ML|BAG|IV|ML|500|01/15/2018|12/31/3999| | || | |
00409765103||J1644||01/15/2018|05/01/2023|Injection, heparin sodium, per 1000 units|HEPARIN-1/2NS 25,000 UNITS/500|500|ML|BAG|IV|ML|20|01/15/2018|05/01/2023| | || | |
00075801310||J1650||01/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 30 MG/0.3 ML SYRINGE|0.3|ML|SYRINGE|SQ|EA|.1|01/15/2018|12/31/3999| | || | |
00075801410||J1650||01/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 40 MG/0.4 ML SYRINGE|0.4|ML|SYRINGE|SQ|EA|.1|01/15/2018|12/31/3999| | || | |
00143971910||J2260||01/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|25|01/15/2018|12/31/3999| | || | |
00338601137||J2260||01/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|25|01/15/2018|12/31/3999| | || | |
00002763611||J2358||01/15/2018|12/31/3999|Injection, olanzapine, long-acting, 1 mg|ZYPREXA RELPREVV 300 MG VIAL|1|UN|VIAL|IM|EA|.0033|01/15/2018|12/31/3999| | || | |
68180091111||S4993||03/15/2017|04/15/2022|Contraceptive pills for birth control|MIBELAS 24 FE CHEWABLE TABL|28|UN|BLIST PACK|PO|TAB|1|03/15/2017|04/15/2022| | || | |
68180091113||S4993||03/15/2017|04/15/2022|Contraceptive pills for birth control|MIBELAS 24 FE CHEWABLE TABL|28|UN|BLIST PACK|PO|TAB|1|03/15/2017|04/15/2022| | || | |
68462013279||S4993||05/17/2016|12/31/3999|Contraceptive pills for birth control|NORETHIND-ETH ESTRAD 1-0.02|21|UN|BLIST PACK|PO|TAB|1|05/17/2016|12/31/3999| | || | |
68462013281||S4993||05/17/2016|12/31/3999|Contraceptive pills for birth control|NORETHIND-ETH ESTRAD 1-0.02|21|UN|BLIST PACK|PO|TAB|1|05/17/2016|12/31/3999| | || | |
68462071929||S4993||03/14/2016|06/30/2023|Contraceptive pills for birth control|NORG-EE 0.18-0.215-0.25/0.0|28|UN|BLIST PACK|PO|TAB|1|03/14/2016|06/30/2023| | || | |
51285043187||S4993||07/25/2013|09/03/2025|Contraceptive pills for birth control|QUARTETTE TABLET|91|UN|BLIST PACK|PO|TAB|1|07/25/2013|09/03/2025| | || | |
68084060211||Q0175||08/15/2012|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|08/15/2012|12/31/3999| | || | |
00409381512||J2270||06/29/2005|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 1 MG/ML VIAL P-F|10|ML|VIAL|IJ|ML|10|06/29/2005|12/31/3999| | || | |
63323069130||J7608||07/24/2014|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE|30|ML|VIAL|MC|ML|10|07/24/2014|12/31/3999| | || | |
68516521603||P9047||05/06/2009|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUTEIN 2|50|ML|VIAL|IV|ML|50|05/06/2009|12/31/3999| | || | |
76179002502||P9047||01/26/2012|10/31/2020|ALBUMIN (HUMAN), 25%, 50 ML|KEDBUMIN 25% VIAL|50|ML|VIAL|IV|ML|50|01/26/2012|10/31/2020| | || | |
68516521604||P9047||05/06/2009|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUTEIN 2|100|ML|VIAL|IV|ML|50|05/06/2009|12/31/3999| | || | |
65862090525||J7644||03/29/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|03/29/2017|12/31/3999| | || | |
65862090560||J7644||03/29/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|03/29/2017|12/31/3999| | || | |
65862090530||J7644||03/29/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|03/29/2017|12/31/3999| | || | |
67457061910||J3489||05/19/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|BOTTLE|IV|ML|20|05/19/2017|12/31/3999| | || | |
00591410201||Q0175||06/27/2017|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|100|UN|BOTTLE|PO|TAB|1|06/27/2017|12/31/3999| | || | |
00591410401||Q0175||06/27/2017|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 16 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|06/27/2017|12/31/3999| | || | |
00591410101||Q0175||06/27/2017|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 2 MG TABLET|100|UN|BOTTLE|PO|TAB|2|06/27/2017|12/31/3999| | || | |
00591410301||Q0175||06/27/2017|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|06/27/2017|12/31/3999| | || | |
00781407515||S4993||10/12/2010|12/31/3999|Contraceptive pills for birth control|DROSP-EE-LEVOMEF 3-0.02-0.4|28|UN|BLIST PACK|PO|TAB|1|10/12/2010|12/31/3999| | || | |
50419053701||J2280||12/03/2001|06/01/2020|Injection, moxifloxacin, 100 mg|AVELOX IV 400 MG/250 ML|250|ML|FLEX CONT|IV|ML|62.5|12/03/2001|06/01/2020| | || | |
00944462801||J7207||01/01/2017|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2017|12/31/3999| | || | |
17478017130||J7612||01/01/2005|06/30/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|XOPENEX CONC 1.25 MG/0.5 ML|1|UN|VIAL|IH|ML|.4|01/01/2005|06/30/2023| | || | |
00641620725||J2060||04/06/2012|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 20 MG/10 ML VIAL|1|ML|VIAL|IJ|ML|1|04/06/2012|12/31/3999| | || | |
00641621101||J2250||12/02/2002|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|12/02/2002|12/31/3999| | || | |
00641621110||J2250||12/02/2002|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|12/02/2002|12/31/3999| | || | |
00641618210||J2360||04/23/2003|12/31/3999|Injection, orphenadrine citrate, up to 60 mg|ORPHENADRINE 60 MG/2 ML VIA|2|ML|VIAL|IJ|ML|2|04/23/2003|12/31/3999| | || | |
00143920910||J2400||11/09/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|CHLOROPROCAINE 2% VIAL|20|ML|VIAL|IJ|ML|30.0003|11/09/1998|12/31/2022| | || | |
00641620801||J2550||01/20/2003|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|01/20/2003|12/31/3999| | || | |
00548960100||J2710||12/08/2017|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/08/2017|12/31/3999| | || | |
00548960200||J2710||11/25/2017|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|11/25/2017|12/31/3999| | || | |
70121100101||J2930||02/28/2017|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 125 M|1|UN|VIAL|IJ|ML|1|02/28/2017|12/31/3999| | || | |
70121116801||J3301||12/19/2017|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE 200 MG/5 ML V|5|ML|VIAL|IJ|EA|.25|12/19/2017|12/31/3999| | || | |
00781326995||J3490||10/31/2017|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|10/31/2017|12/31/3999| | || | |
47781058717||J3490||11/03/2017|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|11/03/2017|12/31/3999| | || | |
63323008305||J3490||07/25/2017|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 4.2% VIA|5|ML|VIAL|IV|ML|1|07/25/2017|12/31/3999| | || | |
63402067530||J3535||03/16/2012|01/31/2021|Drug administered through a metered dose inhaler|ARCAPTA NEOHALER 75 MCG CAP|30|UN|BLIST PACK|IH|CAP|1|03/16/2012|01/31/2021| | || | |
68001028324||J9060||10/27/2016|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 50 MG/50 ML VIAL|50|ML|VIAL|IV|ML|10|10/27/2016|12/31/3999| | || | |
68001028327||J9060||10/27/2016|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 50 MG/50 ML VIAL|50|ML|VIAL|IV|ML|10|10/27/2016|12/31/3999| | || | |
45963076552||J9171||01/17/2017|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|01/17/2017|12/31/3999| | || | |
00115167573||J9178||11/03/2016|10/31/2020|Injection, epirubicin hcl, 2 mg|EPIRUBICIN 200 MG/100 ML VI|100|ML|VIAL|IV|ML|1|11/03/2016|10/31/2020| | || | |
25021024202||J9185||03/27/2017|12/31/3999|Injection, fludarabine phosphate, 50 mg|FLUDARABINE 50 MG/2 ML VIAL|2|ML|VIAL|IV|EA|2|03/27/2017|12/31/3999| | || | |
25021021599||J9190||10/01/2016|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 5 GM/100 ML BT|100|ML|BOTTLE|IV|ML|10|10/01/2016|12/31/3999| | || | |
70020191001||J9207||01/20/2016|12/31/3999|Injection, ixabepilone, 1 mg|IXEMPRA 15 MG KIT|1|UN|VIAL|IV|EA|.06667|01/20/2016|12/31/3999| | || | |
54436001204||J9250||07/13/2016|12/31/3999|Methotrexate sodium, 5 mg|OTREXUP 12.5 MG/0.4 ML AUTO|.4|ML|SYRINGE|SQ|ML|.16|07/13/2016|12/31/3999| | || | |
54436001204||J9260||07/13/2016|12/31/3999|Methotrexate sodium, 50 mg|OTREXUP 12.5 MG/0.4 ML AUTO|.4|ML|SYRINGE|SQ|ML|1.6|07/13/2016|12/31/3999| | || | |
00078068306||J9261||01/01/2007|08/31/2022|Injection, nelarabine, 50 mg|ARRANON 250 MG/50 ML VIAL|50|ML|VIAL|IV|ML|10|01/01/2007|08/31/2022| | || | |
00781931780||J9263||04/15/2015|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|04/15/2015|12/31/3999| | || | |
00409174671||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.25%-EPI 1:200,00|30|ML|VIAL|IJ|ML|12|10/28/2004|03/31/2023| | || | |
00409174971||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.5%-EPI 1:200,000|30|ML|VIAL|IJ|ML|6|10/28/2004|03/31/2023| | || | |
00409128305||J1170||10/28/2004|05/01/2024|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 0.5 MG/0.5 ML|0.5|ML|SYRINGE|IJ|ML|4|10/28/2004|05/01/2024| | || | |
00013872789||J1190||06/15/2017|09/30/2020|Injection, dexrazoxane hydrochloride, per 250 mg|ZINECARD 500 MG VIAL|1|UN|VIAL|IV|EA|.5|06/15/2017|09/30/2020| | || | |
00641256944||J1245||06/15/2017|12/31/3999|Injection, dipyridamole, per 10 mg|DIPYRIDAMOLE 5 MG/ML VIAL|10|ML|VIAL|IV|ML|2|06/15/2017|12/31/3999| | || | |
00409234401||J1250||10/28/2004|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 12.5 MG/ML VIAL|20|ML|VIAL|IV|ML|20|10/28/2004|12/31/3999| | || | |
00409234402||J1250||10/28/2004|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 12.5 MG/ML VIAL|20|ML|VIAL|IV|ML|20|10/28/2004|12/31/3999| | || | |
00409904216||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25%-EPI 1:200|30|ML|VIAL|IJ|ML|1|10/28/2004|03/31/2023| | || | |
00409904516||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5%-EPI 1:200,|30|ML|VIAL|IJ|ML|1|10/28/2004|03/31/2023| | || | |
55150020210||S0164||04/07/2016|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|04/07/2016|12/31/3999| | || | |
00024574502||S5553||01/26/2017|01/26/2017|Insulin, long acting; 5 units|ADLYXIN 10-20 MCG STARTER P|3|ML|SYRINGE|SQ|ML|1|01/26/2017|01/26/2017| | || | |
00024574702||S5553||01/19/2017|01/19/2017|Insulin, long acting; 5 units|ADLYXIN 20 MCG MAINTENANCE|3|ML|SYRINGE|SQ|ML|1|01/19/2017|01/19/2017| | || | |
00024576105||S5553||01/04/2017|12/31/3999|Insulin, long acting; 5 units|SOLIQUA 100 UNIT-33 MCG/ML|3|ML|SYRINGE|SQ|ML|1|01/04/2017|12/31/3999| | || | |
23155060041||J2250||03/17/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|03/17/2017|12/31/3999| | || | |
00002763711||J2358||01/15/2018|12/31/3999|Injection, olanzapine, long-acting, 1 mg|ZYPREXA RELPREVV 405 MG VIAL|1|UN|VIAL|IM|EA|.0025|01/15/2018|12/31/3999| | || | |
00049052084||J2540||01/15/2018|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PFIZERPEN 5 MILLION UNITS V|1|UN|VIAL|IJ|EA|.12|01/15/2018|12/31/3999| | || | |
00075801610||J1650||01/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 60 MG/0.6 ML SYRINGE|0.6|ML|SYRINGE|SQ|EA|.1|01/15/2018|12/31/3999| | || | |
00075802010||J1650||01/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.1|01/15/2018|12/31/3999| | || | |
00338102141||J2540||01/15/2018|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PEN G K 1 MILLION UNIT/50 ML|50|ML|BAG|IV|ML|30.0003|01/15/2018|12/31/3999| | || | |
00206885408||J2543||01/15/2018|09/30/2020|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 3.375 GRAM VIAL|1|UN|VIAL|IV|EA|.3333|01/15/2018|09/30/2020| | || | |
00206886002||J2543||01/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 2.25 GM PRE-MIX BAG|50|ML|BAG|IV|EA|25|01/15/2018|12/31/3999| | || | |
00206886101||J2543||01/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 3.375 GM PRE MIX-BAG|50|ML|BAG|IV|EA|16.6667|01/15/2018|12/31/3999| | || | |
00206886202||J2543||01/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 4.5 GM PRE-MIX BAG|100|ML|BAG|IV|EA|25|01/15/2018|12/31/3999| | || | |
00013265002||J2941||01/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 0.4 MG|7|UN|CARTRIDGE|SQ|EA|2.5|01/15/2018|12/31/3999| | || | |
00013265102||J2941||01/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 0.6 MG|7|UN|CARTRIDGE|SQ|EA|1.6667|01/15/2018|12/31/3999| | || | |
00013265202||J2941||01/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 0.8 MG|7|UN|CARTRIDGE|SQ|EA|1.25|01/15/2018|12/31/3999| | || | |
00169770421||J2941||01/15/2018|12/31/3999|Injection, somatropin, 1 mg|NORDITROPIN FLEXPRO 5 MG/1.5|1.5|ML|SYRINGE|SQ|ML|.3|01/15/2018|12/31/3999| | || | |
13533080015||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C 2.5 GRAM/25 ML VIAL|25|ML|VIAL|IJ|ML|5|01/15/2018|12/31/3999| | || | |
13533080020||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C 5 GRAM/50 ML VIAL|50|ML|VIAL|IJ|ML|5|01/15/2018|12/31/3999| | || | |
61953000401||90283||01/15/2018|01/16/2018|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|10|ML|VIAL|IV|ML|10|01/15/2018|01/16/2018| | || | |
61953000402||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|50|ML|VIAL|IV|ML|10|01/15/2018|12/31/3999| | || | |
61953000403||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|100|ML|VIAL|IV|ML|10|01/15/2018|12/31/3999| | || | |
61953000404||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|200|ML|VIAL|IV|ML|10|01/15/2018|12/31/3999| | || | |
61953000405||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|400|ML|VIAL|IV|ML|10|01/15/2018|12/31/3999| | || | |
61953000501||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 10% VIAL|50|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
61953000502||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 10% VIAL|100|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
61953000503||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 10% VIAL|200|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
64208823402||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 5% VIAL|100|ML|VIAL|IV|ML|10|01/15/2018|12/31/3999| | || | |
64208823403||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 5% VIAL|200|ML|VIAL|IV|ML|10|01/15/2018|12/31/3999| | || | |
64208823406||90283||01/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 5% VIAL|100|ML|VIAL|IV|ML|10|01/15/2018|12/31/3999| | || | |
17478017224||J7614||01/01/2005|06/30/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|XOPENEX 0.31 MG/3 ML SOLUTI|3|ML|VIAL|IH|ML|4.8387|01/01/2005|06/30/2023| | || | |
16714041601||S4993||06/12/2015|12/31/3999|Contraceptive pills for birth control|LARIN 24 FE 1 MG-20 MCG TAB|28|UN|BLIST PACK|PO|TAB|1|06/12/2015|12/31/3999| | || | |
16714046401||S4993||07/01/2015|12/31/3999|Contraceptive pills for birth control|JULEBER 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|07/01/2015|12/31/3999| | || | |
68084015411||Q0169||01/01/2011|03/31/2023|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 12.5 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2011|03/31/2023| | || | |
68084015511||Q0169||01/01/2011|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|100|UN|BLIST PACK|PO|TAB|.5|01/01/2011|12/31/3999| | || | |
00115167002||Q0177||02/24/2017|08/31/2019|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|500|UN|BOTTLE|PO|CAP|1|02/24/2017|08/31/2019| | || | |
00115167102||Q0177||01/11/2017|01/31/2020|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|500|UN|BOTTLE|PO|CAP|.5|01/11/2017|01/31/2020| | || | |
00115167001||Q0177||02/24/2017|01/31/2020|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|100|UN|BOTTLE|PO|CAP|1|02/24/2017|01/31/2020| | || | |
00115167101||Q0177||01/11/2017|11/30/2019|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|100|UN|BOTTLE|PO|CAP|.5|01/11/2017|11/30/2019| | || | |
00185067405||Q0177||01/01/2011|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|500|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00185067401||Q0177||01/01/2011|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00378729753||S4993||10/28/2016|12/31/3999|Contraceptive pills for birth control|NORET-ESTR-FE 0.4-0.035(21)|28|UN|BLIST PACK|PO|TAB|1|10/28/2016|12/31/3999| | || | |
00378730653||S4993||11/30/2016|12/31/3999|Contraceptive pills for birth control|ETHYNODIOL-ETH ESTRA 1MG-50|28|UN|BLIST PACK|PO|TAB|1|11/30/2016|12/31/3999| | || | |
00378728490||S4993||11/07/2016|12/31/3999|Contraceptive pills for birth control|LEVONO-E ESTRAD 0.10-0.02-0|91|UN|BLIST PACK|PO|TAB|1|11/07/2016|12/31/3999| | || | |
13533060250||J7197||07/21/2005|12/31/3999|Antithrombin iii (human), per i.u.|THROMBATE III 500 UNIT VIAL|1|UN|VIAL|IV|EA|1|07/21/2005|12/31/3999| | || | |
00703367881||J9260||08/01/2012|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 1 GRAM/40 ML V|40|ML|VIAL|IJ|ML|2|08/01/2012|12/31/3999| | || | |
00641602001||J2270||05/11/2004|12/31/3999|Injection, morphine sulfate, up to 10 mg|DURAMORPH 5 MG/10 ML AMPUL|10|ML|AMPUL|IJ|ML|20|05/11/2004|12/31/3999| | || | |
00641602010||J2270||05/11/2004|12/31/3999|Injection, morphine sulfate, up to 10 mg|DURAMORPH 5 MG/10 ML AMPUL|10|ML|AMPUL|IJ|ML|20|05/11/2004|12/31/3999| | || | |
00143971810||J2260||01/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|25|01/15/2018|12/31/3999| | || | |
00093360882||J7699||04/24/2017|12/31/3999|NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME|FLUTICASONE-SALMETEROL 113-|1|UN|AER W/ADAP|IH|GM|1|04/24/2017|12/31/3999| | || | |
59310080506||J7699||04/24/2017|12/31/3999|NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME|AIRDUO RESPICLICK 55-14 MCG|1|UN|AER W/ADAP|IH|GM|1|04/24/2017|12/31/3999| | || | |
59310081206||J7699||04/24/2017|12/31/3999|NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME|AIRDUO RESPICLICK 113-14 MC|1|UN|AER W/ADAP|IH|GM|1|04/24/2017|12/31/3999| | || | |
67457061730||J9201||12/18/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 1 GRAM/26.3 ML|26.3|ML|VIAL|IV|ML|5.26|12/18/2017|12/31/3999| | || | |
67457061810||J9201||12/18/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 2 GRAM/52.6 ML|52.6|ML|VIAL|IV|ML|5.26|12/18/2017|12/31/3999| | || | |
15054004301||J9205||01/01/2017|12/31/3999|Inj irinotecan liposome 1 mg|ONIVYDE 43 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.2326|01/01/2017|12/31/3999| | || | |
71288010110||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|11/15/2017|12/31/3999| | || | |
71288010120||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|11/15/2017|12/31/3999| | || | |
20482033530||Q0167||07/14/2017|12/31/2019|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|SYNDROS 5 MG/ML SOLUTION|30|ML|BOTTLE|PO|ML|.5|07/14/2017|12/31/2019| | || | |
67877056860||Q0167||11/07/2017|06/21/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|11/07/2017|06/21/2023| | || | |
67877056960||Q0167||11/07/2017|02/08/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.5|11/07/2017|02/08/2023| | || | |
00378535001||Q0175||08/18/2017|02/28/2022|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 2 MG TABLET|100|UN|BOTTLE|PO|TAB|2|08/18/2017|02/28/2022| | || | |
00378535101||Q0175||08/18/2017|02/28/2022|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|100|UN|BOTTLE|PO|TAB|1|08/18/2017|02/28/2022| | || | |
00378535201||Q0175||08/18/2017|12/31/2021|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|08/18/2017|12/31/2021| | || | |
00378535301||Q0175||09/25/2017|08/31/2021|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 16 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|09/25/2017|08/31/2021| | || | |
00378730785||S4993||09/19/2017|12/31/3999|Contraceptive pills for birth control|ETHYNODIOL-ETH ESTRA 1MG-35|28|UN|BLIST PACK|PO|TAB|1|09/19/2017|12/31/3999| | || | |
00378731685||S4993||10/02/2017|12/31/3999|Contraceptive pills for birth control|LEVONORG 0.15MG-EE 20-25-30|91|UN|BLIST PACK|PO|TAB|1|10/02/2017|12/31/3999| | || | |
00555900879||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORTREL 0.5-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
68001028537||J0640||12/01/2016|03/31/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG V|1|UN|VIAL|IJ|ML|.25|12/01/2016|03/31/2023| | || | |
00641618401||J1160||06/15/2017|12/31/3999|Injection, digoxin, up to 0.5 mg|DIGOXIN 500 MCG/2 ML AMPULE|2|ML|AMPUL|IJ|ML|2|06/15/2017|12/31/3999| | || | |
67457021720||J1230||02/05/2009|12/31/3999|Injection, methadone hcl, up to 10 mg|METHADONE HCL 10 MG/ML VIAL|20|ML|VIAL|IJ|ML|1|02/05/2009|12/31/3999| | || | |
00409116209||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
67457020850||J1190||06/15/2017|10/17/2024|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 500 MG VIAL|1|UN|VIAL|IV|EA|.5|06/15/2017|10/17/2024| | || | |
00641037621||J1200||01/01/1991|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|01/01/1991|12/31/3999| | || | |
67457012410||J1200||02/05/2009|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|02/05/2009|12/31/3999| | || | |
00338107302||J1250||06/15/2017|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 250 MG-D5W 250 ML|250|ML|BAG|IV|ML|250|06/15/2017|12/31/3999| | || | |
00338107702||J1250||06/15/2017|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 1 GM-D5W 250 ML|250|ML|BAG|IV|ML|62.5|06/15/2017|12/31/3999| | || | |
00409234632||J1250||10/28/2004|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 250 MG-D5W 250 ML|250|ML|BAG|IV|ML|250|10/28/2004|12/31/3999| | || | |
00338100502||J1265||06/15/2017|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 200 MG-D5W 250 ML|250|ML|BAG|IV|ML|50|06/15/2017|12/31/3999| | || | |
00338100702||J1265||06/15/2017|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 400 MG-D5W 250 ML|250|ML|BAG|IV|ML|25|06/15/2017|12/31/3999| | || | |
00338100902||J1265||06/15/2017|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 800 MG-D5W 250 ML|250|ML|BAG|IV|ML|12.5|06/15/2017|12/31/3999| | || | |
00338100703||J1265||06/15/2017|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 800 MG-D5W 500 ML|500|ML|BAG|IV|ML|25|06/15/2017|12/31/3999| | || | |
00409780922||J1265||06/15/2017|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 400 MG-D5W 250 ML|250|ML|BAG|IV|ML|25|06/15/2017|12/31/3999| | || | |
00409781022||J1265||06/15/2017|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 800 MG-D5W 250 ML|250|ML|BAG|IV|ML|12.5|06/15/2017|12/31/3999| | || | |
58468012701||J1270||06/15/2017|12/31/3999|Injection, doxercalciferol, 1 mcg|HECTOROL 4 MCG/2 ML VIAL|2|ML|VIAL|IV|ML|.5|06/15/2017|12/31/3999| | || | |
70860010010||J0456||03/09/2017|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|03/09/2017|12/31/3999| | || | |
68001028529||J0640||12/01/2016|03/31/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG V|1|UN|VIAL|IJ|ML|.25|12/01/2016|03/31/2023| | || | |
00169770521||J2941||01/15/2018|12/31/3999|Injection, somatropin, 1 mg|NORDITROPIN FLEXPRO 10 MG/1.5|1.5|ML|SYRINGE|SQ|ML|.15|01/15/2018|12/31/3999| | || | |
00173047800||J3030||01/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|IMITREX 6 MG/0.5 ML CARTRIDGES|1|ML|KIT-REFILL|SQ|ML|.5|01/15/2018|12/31/3999| | || | |
00173073900||J3030||01/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|IMITREX 4 MG/0.5 ML PEN INJECT|1|ML|KIT|SQ|EA|.75|01/15/2018|12/31/3999| | || | |
00069010601||J3060||01/15/2018|12/31/3999|Injection, taliglucerace alfa, 10 units|ELELYSO 200 UNITS VIAL|1|UN|VIAL|IV|EA|.05|01/15/2018|12/31/3999| | || | |
00187560015||J3396||01/15/2018|12/31/3999|Injection, verteporfin, 0.1 mg|VISUDYNE 15 MG VIAL|1|UN|VIAL|IV|EA|.0067|01/15/2018|12/31/3999| | || | |
00169781001||J7182||01/15/2018|12/31/3999|Factor viii recomb novoeight|NOVOEIGHT 1,000 UNIT VIAL|1|UN|VIAL|IV|AHF|1|01/15/2018|12/31/3999| | || | |
00169781501||J7182||01/15/2018|12/31/3999|Factor viii recomb novoeight|NOVOEIGHT 1,500 UNIT VIAL|1|UN|VIAL|IV|AHF|1|01/15/2018|12/31/3999| | || | |
00013259691||J9211||01/15/2018|12/31/3999|Injection, idarubicin hydrochloride, 5 mg|IDAMYCIN PFS 1 MG/ML VIAL|20|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00338601048||J2260||01/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|25|01/15/2018|12/31/3999| | || | |
00002763511||J2358||01/15/2018|12/31/3999|Injection, olanzapine, long-acting, 1 mg|ZYPREXA RELPREVV 210 MG VIAL|1|UN|VIAL|IM|EA|.0048|01/15/2018|12/31/3999| | || | |
00206886001||J2543||01/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 2.25 GM PRE-MIX BAG|50|ML|BAG|IV|EA|25|01/15/2018|12/31/3999| | || | |
00206886102||J2543||01/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 3.375 GM PRE MIX-BAG|50|ML|BAG|IV|EA|16.6667|01/15/2018|12/31/3999| | || | |
00206886201||J2543||01/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 4.5 GM PRE-MIX BAG|100|ML|BAG|IV|EA|25|01/15/2018|12/31/3999| | || | |
00023334807||J7312||01/15/2018|12/31/3999|Injection, dexamethasone, intravitreal implant, 0.1 mg|OZURDEX 0.7 MG IMPLANT|1|UN|PF APPLI|IO|EA|.1429|01/15/2018|12/31/3999| | || | |
00074301207||J7340||01/15/2018|12/31/3999|Carbidopa 5 mg/levodopa 20 mg|DUOPA 4.63 MG-20 MG/ML SUSP|100|ML|CARTRIDGE|MC|EA|100|01/15/2018|12/31/3999| | || | |
00009722401||J7504||01/15/2018|12/31/3999|Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250...|ATGAM 50 MG/ML AMPUL|5|ML|AMPUL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00009722402||J7504||01/15/2018|12/31/3999|Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250...|ATGAM 50 MG/ML AMPUL|5|ML|AMPUL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00093414719||J7612||01/15/2018|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL CONC 1.25 MG/0.5|1|ML|VIAL|IH|ML|.4|01/15/2018|12/31/3999| | || | |
00093414756||J7612||01/15/2018|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL CONC 1.25 MG/0.5|1|ML|VIAL|IH|ML|.4|01/15/2018|12/31/3999| | || | |
00378699152||J7613||01/15/2018|09/30/2023|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SULFATE (25X3ML,PF) 0.63 MG/3 ML|3|ML|EA|IH|ML|4.7619|01/15/2018|09/30/2023| | || | |
00378699252||J7613||01/15/2018|10/07/2024|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 1.25 MG/3 ML SOL|3|ML|VIAL|IH|ML|2.4|01/15/2018|10/07/2024| | || | |
00069303320||J9000||01/15/2018|07/31/2024|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 150 MG/75 ML VIAL|75|ML|VIAL|IV|ML|5|01/15/2018|07/31/2024| | || | |
00069303420||J9000||01/15/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 200 MG/100 ML VIAL|100|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00024586201||J2562||01/15/2018|12/31/3999|Injection, plerixafor, 1 mg|MOZOBIL 24 MG/1.2 ML VIAL|1.2|UN|VIAL|SQ|EA|.05|01/15/2018|12/31/3999| | || | |
00409765062||J1644||01/15/2018|02/26/2025|Injection, heparin sodium, per 1000 units|HEPARIN-1/2NS 25,000 UNITS/250|250|ML|BAG|IV|ML|10|01/15/2018|02/26/2025| | || | |
00409765162||J1644||01/15/2018|06/01/2023|Injection, heparin sodium, per 1000 units|HEPARIN-1/2NS 12,500 UNITS/250|250|ML|BAG|IV|ML|20|01/15/2018|06/01/2023| | || | |
00409103630||J0670||01/15/2018|07/01/2020|Injection, mepivacaine hydrochloride, per 10 ml|CARBOCAINE 1% VIAL|30|ML|VIAL|IJ|ML|10|01/15/2018|07/01/2020| | || | |
00409103850||J0670||01/15/2018|03/31/2023|Injection, mepivacaine hydrochloride, per 10 ml|CARBOCAINE 1% VIAL|50|ML|VIAL|IJ|ML|10|01/15/2018|03/31/2023| | || | |
00409106720||J0670||01/15/2018|08/01/2020|Injection, mepivacaine hydrochloride, per 10 ml|CARBOCAINE 2% VIAL|20|ML|VIAL|IJ|ML|10|01/15/2018|08/01/2020| | || | |
00075801810||J1650||01/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 80 MG/0.8 ML SYRINGE|0.8|ML|SYRINGE|SQ|EA|.1|01/15/2018|12/31/3999| | || | |
00173073902||J3030||01/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|IMITREX 4 MG/0.5 ML CARTRIDGES|1|ML|KIT-REFILL|SQ|EA|.75|01/15/2018|12/31/3999| | || | |
00002840001||J3110||01/15/2018|12/31/3999|Injection, teriparatide, 10 mcg|FORTEO 600 MCG/2.4 ML PEN INJ|2.4|ML|SYRINGE|SQ|ML|.04|01/15/2018|12/31/3999| | || | |
00143975001||J3121||01/15/2018|12/31/3999|Injection, testosterone enanthate, 1mg|TESTOSTERON ENAN 1,000 MG/5 ML|5|ML|VIAL|IM|ML|.005|01/15/2018|12/31/3999| | || | |
00008499020||J3243||01/15/2018|12/31/3999|Injection, tigecycline, 1 mg|TYGACIL 50 MG VIAL|1|UN|VIAL|IV|EA|.02|01/15/2018|12/31/3999| | || | |
00169782001||J7182||01/15/2018|12/31/3999|Factor viii recomb novoeight|NOVOEIGHT 2,000 UNIT VIAL|1|UN|VIAL|IV|AHF|1|01/15/2018|12/31/3999| | || | |
00169782501||J7182||01/15/2018|12/31/3999|Factor viii recomb novoeight|NOVOEIGHT 250 UNIT VIAL|1|UN|VIAL|IV|AHF|1|01/15/2018|12/31/3999| | || | |
00169783001||J7182||01/15/2018|12/31/3999|Factor viii recomb novoeight|NOVOEIGHT 3,000 UNIT VIAL|1|UN|VIAL|IV|AHF|1|01/15/2018|12/31/3999| | || | |
00169785001||J7182||01/15/2018|12/31/3999|Factor viii recomb novoeight|NOVOEIGHT 500 UNIT VIAL|1|UN|VIAL|IV|AHF|1|01/15/2018|12/31/3999| | || | |
00078010901||J7516||01/15/2018|12/31/3999|Cyclosporin, parenteral, 250 mg|SANDIMMUNE 50 MG/ML AMPUL|5|ML|AMPUL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00078010961||J7516||01/15/2018|12/31/3999|Cyclosporin, parenteral, 250 mg|SANDIMMUNE 50 MG/ML AMPUL|5|ML|AMPUL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00069403301||J9000||01/15/2018|11/30/2020|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 150 MG/75 ML VIAL|75|ML|VIAL|IV|ML|5|01/15/2018|11/30/2020| | || | |
00013257691||J9211||01/15/2018|12/31/3999|Injection, idarubicin hydrochloride, 5 mg|IDAMYCIN PFS 1 MG/ML VIAL|5|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00013258691||J9211||01/15/2018|12/31/3999|Injection, idarubicin hydrochloride, 5 mg|IDAMYCIN PFS 1 MG/ML VIAL|10|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00085435101||J9214||01/15/2018|08/14/2022|Injection, interferon, alfa-2b, recombinant, 1 million units|INTRON A 50 MILLION UNITS VIAL|1|UN|VIAL|IJ|EA|.0556|01/15/2018|08/14/2022| | || | |
00003232711||J9228||01/15/2018|12/31/3999|Injection, ipilimumab, 1 mg|YERVOY 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.2|01/15/2018|12/31/3999| | || | |
00169770821||J2941||01/15/2018|12/31/3999|Injection, somatropin, 1 mg|NORDITROPIN FLEXPRO 15 MG/1.5|1.5|ML|SYRINGE|SQ|ML|.1|01/15/2018|12/31/3999| | || | |
00143963801||J3030||01/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|.5|01/15/2018|12/31/3999| | || | |
00143963805||J3030||01/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|.5|01/15/2018|12/31/3999| | || | |
00173047900||J3030||01/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|IMITREX 6 MG/0.5 ML PEN INJECT|1|ML|SYRINGE|SQ|EA|.5|01/15/2018|12/31/3999| | || | |
68180085212||S4993||03/07/2014|11/04/2021|Contraceptive pills for birth control|MY WAY 1.5 MG TABLET|2|UN|BLIST PACK|PO|TAB|1|03/07/2014|11/04/2021| | || | |
00006430502||Q5104||04/01/2018|12/31/3999|INJECTION, INFLIXIMAB-ABDA, (RENFLEXIS), 10 MG|RENFLEXIS 100 MG VIAL|1|UN|VIAL|IV|EA|.1|04/01/2018|12/31/3999| | || | |
50102013003||S4993||02/11/2013|12/31/3999|Contraceptive pills for birth control|CHATEAL-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/11/2013|12/31/3999| | || | |
51862026001||S4993||06/15/2011|03/31/2022|Contraceptive pills for birth control|ZOVIA 1-35E TABLET|28|UN|BLIST PACK|PO|EA|1|06/15/2011|03/31/2022| | || | |
69238103107||S4993||09/27/2017|01/31/2022|Contraceptive pills for birth control|MELODETTA 24 FE CHEWABLE TA|28|UN|BLIST PACK|PO|TAB|1|09/27/2017|01/31/2022| | || | |
00338850302||C9250||01/01/2010|12/31/2022|Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2ml|ARTISS FROZEN 2 ML SYRINGE|2|ML|SYRINGE|TP|ML|1|01/01/2010|12/31/2022| | || | |
00338850304||C9250||01/01/2010|12/31/2022|Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2ml|ARTISS FROZEN 4 ML SYRINGE|4|ML|SYRINGE|TP|ML|1|01/01/2010|12/31/2022| | || | |
00338850310||C9250||01/01/2010|12/31/2022|Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2ml|ARTISS FROZEN 10 ML SYRINGE|10|ML|SYRINGE|TP|ML|1|01/01/2010|12/31/2022| | || | |
23155029031||J0278||03/18/2014|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|03/18/2014|12/31/3999| | || | |
67457089300||J0594||11/21/2017|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|11/21/2017|12/31/3999| | || | |
67457089308||J0594||11/21/2017|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|11/21/2017|12/31/3999| | || | |
47781061307||J0637||12/12/2017|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|EA|.1|12/12/2017|12/31/3999| | || | |
47781061407||J0637||12/12/2017|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|IV|EA|.0714|12/12/2017|12/31/3999| | || | |
70860010710||J0637||10/09/2017|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|IV|EA|.0714|10/09/2017|12/31/3999| | || | |
00143928801||J0883||01/01/2017|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 250 MG/2.5 ML VI|2.5|ML|VIAL|IV|ML|.01|01/01/2017|12/31/3999| | || | |
00409127603||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML SYRIN|2|ML|SYRINGE|IV|ML|2|10/28/2004|12/31/3999| | || | |
55150017705||J1953||04/21/2016|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|04/21/2016|12/31/3999| | || | |
44206031050||P9045||06/01/2002|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBURX (HUMAN) 5% VIAL|500|ML|VIAL|IV|ML|250|06/01/2002|12/31/3999| | || | |
50419048201||S4993||09/05/2006|12/31/3999|Contraceptive pills for birth control|ANGELIQ 0.25 MG-0.5 MG TABL|28|UN|BLIST PACK|PO|TAB|1|09/05/2006|12/31/3999| | || | |
00310654004||J3490||12/04/2017|12/31/2021|Unclassified drugs|BYDUREON BCISE 2 MG AUTOINJ|0.85|ML|SYRINGE|SQ|ML|1|12/04/2017|12/31/2021| | || | |
66993048983||J9120||06/05/2002|12/31/3999|Injection, dactinomycin, 0.5 mg|DACTINOMYCIN 0.5 MG VIAL|1|UN|VIAL|IV|EA|1|06/05/2002|12/31/3999| | || | |
68180085211||S4993||03/07/2014|09/30/2022|Contraceptive pills for birth control|MY WAY 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|03/07/2014|09/30/2022| | || | |
00641614601||J1100||01/27/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VI|5|ML|VIAL|IJ|ML|.25|01/27/2017|12/31/3999| | || | |
00143957425||J1953||07/10/2015|05/23/2023|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|07/10/2015|05/23/2023| | || | |
55150024747||J1953||01/06/2017|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|ML|1|01/06/2017|12/31/3999| | || | |
00641614501||J1100||01/27/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|01/27/2017|12/31/3999| | || | |
00143950301||J1120||03/17/2017|12/31/3999|Injection, acetazolamide sodium, up to 500 mg|ACETAZOLAMIDE SOD 500 MG VI|1|UN|VIAL|IJ|GM|1|03/17/2017|12/31/3999| | || | |
67457035202||J0290||10/06/2016|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|10/06/2016|12/31/3999| | || | |
68001028528||J0640||12/01/2016|03/31/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 100 MG V|1|UN|VIAL|IJ|ML|.5|12/01/2016|03/31/2023| | || | |
70121109901||J0641||02/28/2017|12/31/3999|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 50 MG VIAL|1|UN|VIAL|IV|ML|.01|02/28/2017|12/31/3999| | || | |
68001028536||J0640||12/01/2016|03/31/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 100 MG V|1|UN|VIAL|IJ|ML|.5|12/01/2016|03/31/2023| | || | |
00641614625||J1100||01/27/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VI|5|ML|VIAL|IJ|ML|.25|01/27/2017|12/31/3999| | || | |
00115169549||J0171||02/17/2017|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.15 MG AUTO-IN|2|UN|SYRINGE|IJ|EA|.6667|02/17/2017|12/31/3999| | || | |
00409130403||J1170||10/28/2004|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 4 MG/ML CARPU|1|ML|SYRINGE|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409131203||J1170||10/28/2004|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML CARPU|1|ML|SYRINGE|IJ|ML|2|10/28/2004|12/31/3999| | || | |
67457035325||J0290||10/06/2016|04/30/2022|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|10/06/2016|04/30/2022| | || | |
55150024847||J1953||01/06/2017|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|ML|.66667|01/06/2017|12/31/3999| | || | |
00641619001||J2250||12/28/2016|08/23/2020|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|EA|.2|12/28/2016|08/23/2020| | || | |
23155060142||J2250||03/17/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|03/17/2017|12/31/3999| | || | |
00591250826||J2916||09/01/2012|11/20/2019|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|SOD FER GLUC CPLX 62.5 MG/5|5|ML|VIAL|IV|ML|1|09/01/2012|11/20/2019| | || | |
63323096010||J3243||12/05/2016|12/31/3999|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|12/05/2016|12/31/3999| | || | |
00338101341||J2700||01/15/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM/ 50 ML INJ|50|ML|BAG|IV|ML|12.5|01/15/2018|12/31/3999| | || | |
00013264902||J2941||01/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 0.2 MG|7|UN|CARTRIDGE|SQ|EA|5|01/15/2018|12/31/3999| | || | |
00069400405||J9000||01/15/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00069401510||J9000||01/15/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00069402625||J9000||01/15/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00069403001||J9000||01/15/2018|08/31/2021|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|01/15/2018|08/31/2021| | || | |
00069403101||J9000||01/15/2018|04/30/2021|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|5|01/15/2018|04/30/2021| | || | |
00069403201||J9000||01/15/2018|08/31/2021|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|5|01/15/2018|08/31/2021| | || | |
00069403401||J9000||01/15/2018|09/30/2021|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 200 MG/100 ML VIAL|100|ML|VIAL|IV|ML|5|01/15/2018|09/30/2021| | || | |
00069403701||J9000||01/15/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 200 MG/100 ML VIAL|100|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00338130501||J9209||01/15/2018|12/31/3999|Injection, mesna, 200 mg|MESNEX 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|EA|2|01/15/2018|12/31/3999| | || | |
00085435001||J9214||01/15/2018|10/31/2022|Injection, interferon, alfa-2b, recombinant, 1 million units|INTRON A 10 MILLION UNITS VIAL|1|UN|VIAL|IJ|EA|.1|01/15/2018|10/31/2022| | || | |
00003232822||J9228||01/15/2018|12/31/3999|Injection, ipilimumab, 1 mg|YERVOY 200 MG/40 ML VIAL|40|ML|VIAL|IV|ML|.2|01/15/2018|12/31/3999| | || | |
00002771601||J9295||01/15/2018|12/31/3999|Injection, necitumumab, 1 mg|PORTRAZZA 800 MG/50 ML VIAL|50|ML|VIAL|IV|ML|.0625|01/15/2018|12/31/3999| | || | |
00008117901||J9330||01/15/2018|12/31/3999|Injection, temsirolimus, 1 mg|TORISEL 25 MG KIT|1|ML|VIAL|IV|EA|.04|01/15/2018|12/31/3999| | || | |
00085435301||S0148||01/15/2018|06/27/2021|Injection, pegylated interferon alfa-2b, 10 mcg|PEGINTRON 50 MCG KIT|1|UN|KIT|SQ|EA|.2|01/15/2018|06/27/2021| | || | |
00264761200||S5010||01/15/2018|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|Dextrose-NaCl 5-0.45 % SOLN|1000|ML|BAG|IV|ML|1000|01/15/2018|12/31/3999| | || | |
00264761210||S5010||01/15/2018|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|Dextrose-NaCl 5-0.45 % SOLN|500|ML|BAG|IV|ML|1000|01/15/2018|12/31/3999| | || | |
00338008503||S5010||01/15/2018|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|Dextrose-NaCl 5-0.45 % SOLN|500|ML|BAG|IV|ML|1000|01/15/2018|12/31/3999| | || | |
00075802510||J1650||01/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.0667|01/15/2018|12/31/3999| | || | |
00075803001||J1650||01/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 300 MG/3 ML VIAL|3|ML|VIAL|SQ|EA|.1|01/15/2018|12/31/3999| | || | |
00143970801||J2260||01/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 50 MG/50 ML VL|50|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00143970910||J2260||01/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML VL|20|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
00143971010||J2260||01/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML VL|10|ML|VIAL|IV|ML|5|01/15/2018|12/31/3999| | || | |
23155052331||J0780||07/01/2015|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/01/2015|12/31/3999| | || | |
63739093114||J1644||11/19/2014|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|11/19/2014|12/31/3999| | || | |
00409372501||J0290||10/28/2004|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|10/28/2004|12/31/3999| | || | |
00409372601||J0290||12/01/2005|12/01/2023|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|12/01/2005|12/01/2023| | || | |
00409371901||J0290||12/05/2005|08/31/2021|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|12/05/2005|08/31/2021| | || | |
00409371910||J0290||12/05/2005|08/31/2021|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|12/05/2005|08/31/2021| | || | |
70069017201||J3420||08/10/2017|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|10|ML|VIAL|IJ|ML|1|08/10/2017|12/31/3999| | || | |
00409371810||J0290||12/01/2005|11/30/2024|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|12/01/2005|11/30/2024| | || | |
00409371801||J0290||12/01/2005|11/30/2024|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|12/01/2005|11/30/2024| | || | |
43598060902||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|.6|ML|SYRINGE|SQ|ML|.04|07/27/2017|12/31/3999| | || | |
00143926201||J0690||05/30/2002|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|05/30/2002|12/31/3999| | || | |
60505614205||J0690||08/07/2017|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|08/07/2017|12/31/3999| | || | |
60505615104||J0696||06/23/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|ML|1|06/23/2017|12/31/3999| | || | |
60505614804||J0696||06/23/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|ML|.25|06/23/2017|12/31/3999| | || | |
60505614904||J0696||06/23/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|ML|.125|06/23/2017|12/31/3999| | || | |
00115169449||J0171||12/16/2009|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 0.3 MG AUTO-INJ|2|UN|SYRINGE|IJ|EA|.3333|12/16/2009|12/31/3999| | || | |
49502050001||J0171||01/01/1991|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPIPEN 0.3 MG AUTO-INJECTOR|1|UN|SYRINGE|IJ|ML|.3333|01/01/1991|12/31/3999| | || | |
49502050101||J0171||01/01/1991|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPIPEN JR 0.15 MG AUTO-INJE|1|UN|SYRINGE|IJ|ML|.6666|01/01/1991|12/31/3999| | || | |
00781341170||J0330||04/15/2005|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|ANECTINE 20 MG/ML VIAL|10|ML|VIAL|IJ|ML|1|04/15/2005|12/31/3999| | || | |
60505610104||J0583||07/17/2017|03/01/2021|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|ML|.004|07/17/2017|03/01/2021| | || | |
43598060811||J1652||07/27/2017|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|.4|ML|SYRINGE|SQ|ML|.04|07/27/2017|12/31/3999| | || | |
00143926110||J0690||12/08/2005|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|.05|12/08/2005|12/31/3999| | || | |
00143926225||J0690||05/30/2002|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|05/30/2002|12/31/3999| | || | |
63323035810||J0637||08/28/2017|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|IV|EA|.0714|08/28/2017|12/31/3999| | || | |
23155054731||J2405||12/01/2015|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|12/01/2015|12/31/3999| | || | |
63459039008||J9033||05/01/2017|12/31/3999|Injection, bendamustine hcl, 1 mg|TREANDA 25 MG VIAL|1|UN|VIAL|IV|EA|.04|05/01/2017|12/31/3999| | || | |
63459039120||J9033||05/01/2017|12/31/3999|Injection, bendamustine hcl, 1 mg|TREANDA 100 MG VIAL|1|UN|VIAL|IV|EA|.01|05/01/2017|12/31/3999| | || | |
66993002327||J7614||04/15/2018|10/03/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML SOL|3|ML|VIAL|IH|ML|1.2|04/15/2018|10/03/2022| | || | |
66887000420||S0189||04/15/2018|12/31/3999|Testosterone pellet, 75mg|TESTOPEL 75 MG PELLETS|100|UN|BOX|IL|EA|1|04/15/2018|12/31/3999| | || | |
00591379783||J7613||04/15/2018|10/31/2020|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% (25X3ML)|25|UN|SOL|IH|ML|1.2|04/15/2018|10/31/2020| | || | |
00006500301||J3490||04/15/2018|12/31/3999|Unclassified drugs|PREVYMIS 240 MG/12 ML VIAL|12|ML|VIAL|IJ|ML|1|04/15/2018|12/31/3999| | || | |
00006500302||J3490||04/15/2018|12/31/3999|Unclassified drugs|PREVYMIS 240 MG/12 ML VIAL|12|ML|VIAL|IJ|ML|1|04/15/2018|12/31/3999| | || | |
00006500401||J3490||04/15/2018|12/31/3999|Unclassified drugs|PREVYMIS 480 MG/24 ML VIAL|24|ML|VIAL|IJ|ML|1|04/15/2018|12/31/3999| | || | |
00006500402||J3490||04/15/2018|12/31/3999|Unclassified drugs|PREVYMIS 480 MG/24 ML VIAL|24|ML|VIAL|IJ|ML|1|04/15/2018|12/31/3999| | || | |
68982018202||J7183||04/15/2018|12/31/3999|Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco|WILATE 1,000-1,000 UNIT VIA|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
76125067650||J7190||04/15/2018|03/31/2024|Factor viii (antihemophilic factor, human) per i.u.|KOATE 1,000 UNIT VIAL|1|UN|VIAL|IV|EA|1|04/15/2018|03/31/2024| | || | |
76125025620||J7190||04/15/2018|03/31/2024|Factor viii (antihemophilic factor, human) per i.u.|KOATE 250 UNIT VIAL|1|UN|VIAL|IV|EA|1|04/15/2018|03/31/2024| | || | |
68982015101||J7209||04/15/2018|12/31/3999|Factor viii nuwiq recomb 1iu|NUWIQ 4,000 UNIT VIAL PACK|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
76125066830||J7190||04/15/2018|03/31/2024|Factor viii (antihemophilic factor, human) per i.u.|KOATE 500 UNIT VIAL|1|UN|VIAL|IV|EA|1|04/15/2018|03/31/2024| | || | |
68982014701||J7209||04/15/2018|12/31/3999|Factor viii nuwiq recomb 1iu|NUWIQ 2,500 UNIT VIAL PACK|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
70257056302||J0475||04/27/2017|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 40 MG/20 ML KIT|20|ML|AMPUL|IT|ML|5|04/27/2017|12/31/3999| | || | |
71287011901||Q2041||04/01/2018|12/31/3999|Axicabtagene ciloleucel car+|YESCARTA INFUSION BAG|1|UN|BAG|IV|EA|1|04/01/2018|12/31/3999| | || | |
66302001401||J9999||04/15/2018|12/31/3999|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|UNITUXIN 17.5 MG/ 5 ML VIAL|5|ML|VIAL|IV|ML|1|04/15/2018|12/31/3999| | || | |
70504012601||90396||04/15/2018|02/28/2021|Varicella-zoster immune globulin|VARIZIG 125 UNIT/1.2 ML VIA|1.2|ML|VIAL|IM|EA|1.2|04/15/2018|02/28/2021| | || | |
00409190301||J2690||10/28/2004|08/01/2021|Injection, procainamide hcl, up to 1 gm|PROCAINAMIDE 500 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|08/01/2021| | || | |
00409155930||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409189201||J2270||04/15/2018|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 8 MG/ML SYRINGE|1|ML|SYRINGE|IV|ML|1.25|04/15/2018|12/31/3999| | || | |
00409226501||J2597||10/28/2004|12/01/2012|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML AMPUL|1|ML|AMPUL|IJ|ML|.25|10/28/2004|12/01/2012| | || | |
00409190201||J2690||10/28/2004|12/31/3999|Injection, procainamide hcl, up to 1 gm|PROCAINAMIDE 100 MG/ML VIAL|10|ML|VIAL|IJ|ML|10|10/28/2004|12/31/3999| | || | |
63323020320||J3370||10/19/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|EA|.6666|10/19/2016|12/31/3999| | || | |
49702021326||J3485||10/19/2010|12/31/3999|Injection, zidovudine, 10 mg|RETROVIR 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|10/19/2010|12/31/3999| | || | |
00068059901||J3490||03/02/2017|12/31/3999|Unclassified drugs|RIFADIN IV 600 MG VIAL|1|UN|VIAL|IV|EA|1|03/02/2017|12/31/3999| | || | |
60505613206||J9263||01/25/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|01/25/2017|12/31/3999| | || | |
60505613207||J9263||01/25/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|01/25/2017|12/31/3999| | || | |
60842002201||J0171||05/09/2014|03/31/2017|Injection, adrenalin, epinephrine, 0.1 mg|AUVI-Q 0.15 MG AUTO-INJECTO|2|UN|SYRINGE|IJ|EA|.6667|05/09/2014|03/31/2017| | || | |
60842002301||J0171||05/09/2014|03/31/2017|Injection, adrenalin, epinephrine, 0.1 mg|AUVI-Q 0.3 MG AUTO-INJECTOR|2|UN|SYRINGE|IJ|EA|.3334|05/09/2014|03/31/2017| | || | |
63323070508||J0290||04/01/1998|09/30/2021|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|04/01/1998|09/30/2021| | || | |
23155029441||J0780||01/13/2014|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|01/13/2014|12/31/3999| | || | |
16729022405||J0894||03/08/2017|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|03/08/2017|12/31/3999| | || | |
00641614525||J1100||01/27/2017|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|01/27/2017|12/31/3999| | || | |
00409610218||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
55150024647||J1953||01/06/2017|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|ML|2|01/06/2017|12/31/3999| | || | |
00409117803||J2175||10/28/2004|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 50 MG/ML CARPUJECT|1|ML|SYRINGE|IJ|ML|2|10/28/2004|12/31/3999| | || | |
23155060141||J2250||03/17/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 25 MG/5 ML VI|5|ML|VIAL|IJ|ML|.2|03/17/2017|12/31/3999| | || | |
00409189303||J2270||08/20/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 10 MG/ML CARPUJECT|1|ML|SYRINGE|IV|ML|1|08/20/2012|12/31/3999| | || | |
68462071984||S4993||03/14/2016|06/30/2023|Contraceptive pills for birth control|NORG-EE 0.18-0.215-0.25/0.0|28|UN|BLIST PACK|PO|TAB|1|03/14/2016|06/30/2023| | || | |
68462073329||S4993||05/17/2016|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.03 MG T|28|UN|BLIST PACK|PO|TAB|1|05/17/2016|12/31/3999| | || | |
00088502101||S5553||01/01/2011|07/31/2024|Insulin, long acting; 5 units|LANTUS 100 UNIT/ML VIAL|10|ML|VIAL|SC|ML|.05|01/01/2011|07/31/2024| | || | |
55111065207||J0583||06/05/2017|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|06/05/2017|12/31/3999| | || | |
00409201203||J0592||10/28/2004|12/31/3999|Injection, buprenorphine hydrochloride, 0.1 mg|BUPRENORPHINE 0.3 MG/ML SYR|1|ML|SYRINGE|IJ|ML|.3333|10/28/2004|12/31/3999| | || | |
63323096600||J3489||04/11/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|VIAL|IV|ML|20|04/11/2017|12/31/3999| | || | |
63323062475||J7060||04/27/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|500|04/27/2017|12/31/3999| | || | |
70644089999||J7682||10/26/2016|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN PAK 300 MG/5 ML|5|ML|AMP W/DEV|IH|ML|5|10/26/2016|12/31/3999| | || | |
63323057270||J9027||05/16/2017|12/31/3999|Injection, clofarabine, 1 mg|CLOFARABINE 20 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|05/16/2017|12/31/3999| | || | |
25021022160||J9245||04/01/2017|11/07/2021|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|04/01/2017|11/07/2021| | || | |
42806064901||Q0163||11/22/2016|11/16/2022|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 50 MG CAPSU|100|UN|BOTTLE|PO|CAP|1|11/22/2016|11/16/2022| | || | |
43598054125||Q2050||05/24/2017|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/2|25|ML|VIAL|IV|ML|5|05/24/2017|12/31/3999| | || | |
00409115918||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409116218||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
55150020200||S0164||04/07/2016|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|04/07/2016|12/31/3999| | || | |
00093214028||S4993||12/30/2015|12/31/3999|Contraceptive pills for birth control|TRI-LO-SPRINTEC TABLET|28|UN|BLIST PACK|PO|TAB|1|12/30/2015|12/31/3999| | || | |
00093214062||S4993||12/30/2015|12/31/3999|Contraceptive pills for birth control|TRI-LO-SPRINTEC TABLET|28|UN|BLIST PACK|PO|TAB|1|12/30/2015|12/31/3999| | || | |
00093330416||S4993||04/06/2017|12/31/3999|Contraceptive pills for birth control|RECLIPSEN 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|04/06/2017|12/31/3999| | || | |
00093330428||S4993||04/06/2017|12/31/3999|Contraceptive pills for birth control|RECLIPSEN 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|04/06/2017|12/31/3999| | || | |
00093330516||S4993||04/06/2017|01/31/2019|Contraceptive pills for birth control|ZENCHENT 0.4 MG-35 MCG TABL|28|UN|BLIST PACK|PO|TAB|1|04/06/2017|01/31/2019| | || | |
00093330528||S4993||04/06/2017|01/31/2019|Contraceptive pills for birth control|ZENCHENT 0.4 MG-35 MCG TABL|28|UN|BLIST PACK|PO|TAB|1|04/06/2017|01/31/2019| | || | |
00093542362||S4993||04/03/2006|03/02/2023|Contraceptive pills for birth control|GIANVI 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|04/03/2006|03/02/2023| | || | |
00093603182||S4993||07/25/2013|12/31/3999|Contraceptive pills for birth control|RIVELSA TABLET|91|UN|BLIST PACK|PO|TAB|1|07/25/2013|12/31/3999| | || | |
23155054831||J2405||12/01/2015|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|12/01/2015|12/31/3999| | || | |
47781059791||J3370||09/06/2017|02/10/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|09/06/2017|02/10/2023| | || | |
70121163001||J9340||09/27/2017|12/31/3999|Thiotepa injection|TEPADINA 15 MG VIAL|1|UN|VIAL|IJ|EA|1|09/27/2017|12/31/3999| | || | |
16714074201||Q2050||05/24/2017|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/1|10|ML|VIAL|IV|ML|5|05/24/2017|12/31/3999| | || | |
17478004101||J2310||08/15/2017|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|08/15/2017|12/31/3999| | || | |
17478004210||J2310||08/15/2017|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|08/15/2017|12/31/3999| | || | |
70069001201||J3490||07/06/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
00409421501||J3489||09/25/2017|10/01/2023|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|09/25/2017|10/01/2023| | || | |
00409422801||J3489||09/25/2017|01/30/2022|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|BAG|IV|ML|20|09/25/2017|01/30/2022| | || | |
00409409201||J3490||10/28/2004|12/31/3999|Unclassified drugs|COPPER CHLORIDE 4 MG/10 ML|10|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
17478085010||J3490||05/08/2017|08/31/2021|Unclassified drugs|ESOMEPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|05/08/2017|08/31/2021| | || | |
63323032822||J3490||07/28/2011|12/31/3999|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|07/28/2011|12/31/3999| | || | |
63323078220||J3490||04/03/2017|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|04/03/2017|12/31/3999| | || | |
63323078110||J3490||04/03/2017|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|04/03/2017|12/31/3999| | || | |
47781059891||J3370||09/06/2017|01/21/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|09/06/2017|01/21/2023| | || | |
47335004940||Q2050||12/15/2017|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/10ML|10|ML|VIAL|IV|ML|5|12/15/2017|12/31/3999| | || | |
47335005040||Q2050||12/15/2017|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/25ML|25|ML|VIAL|IV|ML|5|12/15/2017|12/31/3999| | || | |
70121163101||J9340||09/20/2017|12/31/3999|Thiotepa injection|TEPADINA 100 MG VIAL|1|UN|VIAL|IJ|EA|.15|09/20/2017|12/31/3999| | || | |
16714085601||Q2050||05/24/2017|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/2|25|ML|VIAL|IV|ML|5|05/24/2017|12/31/3999| | || | |
70069001125||J3490||07/06/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
70069001101||J3490||07/06/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
00641610301||J2800||12/15/2017|12/31/3999|Injection, methocarbamol, up to 10 ml|ROBAXIN 1,000 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|10|12/15/2017|12/31/3999| | || | |
00641610325||J2800||12/15/2017|12/31/3999|Injection, methocarbamol, up to 10 ml|ROBAXIN 1,000 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|10|12/15/2017|12/31/3999| | || | |
00049120301||J3486||01/01/2011|02/28/2023|Injection, ziprasidone mesylate, 10 mg|GEODON 20 MG/ML VIAL|1|UN|VIAL|IM|EA|.5|01/01/2011|02/28/2023| | || | |
00049120310||J3486||01/01/2011|02/28/2023|Injection, ziprasidone mesylate, 10 mg|GEODON 20 MG/ML VIAL|1|UN|VIAL|IM|EA|.5|01/01/2011|02/28/2023| | || | |
00517970225||J1790||10/01/1991|12/31/3999|Injection, droperidol, up to 5 mg|DROPERIDOL 2.5 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|10/01/1991|12/31/3999| | || | |
63323010405||J9181||04/15/2018|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|04/15/2018|12/31/3999| | || | |
63323010425||J9181||04/15/2018|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 500 MG/25 ML VIAL|25|ML|VIAL|IV|ML|.5|04/15/2018|12/31/3999| | || | |
63323026110||J2675||04/15/2018|12/31/3999|Injection, progesterone, per 50 mg|PROGESTERONE OIL 50 MG/ML VL|10|ML|VIAL|IM|ML|1|04/15/2018|12/31/3999| | || | |
63323010450||J9181||04/15/2018|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 1,000 MG/50 ML VIAL|50|ML|VIAL|IV|ML|.5|04/15/2018|12/31/3999| | || | |
63323013720||J9040||04/15/2018|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 30 UNIT VIAL|1|UN|VIAL|IJ|EA|.5|04/15/2018|12/31/3999| | || | |
63323027301||J3030||04/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|.5|04/15/2018|12/31/3999| | || | |
00013265602||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 1.6 MG|7|UN|CARTRIDGE|SQ|EA|.625|04/15/2018|12/31/3999| | || | |
00049053022||J2540||01/01/1991|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PFIZERPEN 20 MILLION UNIT VIAL|1|UN|VIAL|IJ|EA|.03|01/01/1991|12/31/3999| | || | |
00049392083||J3486||04/15/2018|12/31/3999|Injection, ziprasidone mesylate, 10 mg|GEODON 20 MG/ML VIAL|1|UN|VIAL|IM|EA|.5|04/15/2018|12/31/3999| | || | |
00013265502||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 1.4 MG|7|UN|CARTRIDGE|SQ|EA|.7143|04/15/2018|12/31/3999| | || | |
00013265702||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 1.8 MG|7|UN|CARTRIDGE|SQ|EA|.5556|04/15/2018|12/31/3999| | || | |
00049052022||J2540||01/01/1991|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PFIZERPEN 5 MILLION UNITS VIAL|1|UN|VIAL|IJ|EA|.12|01/01/1991|12/31/3999| | || | |
00703565791||J9181||04/15/2018|04/16/2018|Injection, etoposide, 10 mg|TOPOSAR 1,000 MG/50 ML VIAL|50|ML|VIAL|IV|ML|.5|04/15/2018|04/16/2018| | || | |
00703507501||J9130||04/15/2018|05/31/2024|Dacarbazine, 100 mg|DACARBAZINE 200 MG VIAL|1|UN|VIAL|IV|EA|.5|04/15/2018|05/31/2024| | || | |
64208775201||J7175||04/15/2018|12/31/3999|Inj, factor x, (human), 1iu|COAGADEX 250 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
64208775301||J7175||04/15/2018|12/31/3999|Inj, factor x, (human), 1iu|COAGADEX 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
68982014101||J7209||04/15/2018|12/31/3999|Factor viii nuwiq recomb 1iu|NUWIQ 500 UNIT VIAL PACK|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
00641047721||J2560||04/15/2018|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 130 MG/ML VIAL|1|ML|VIAL|IJ|ML|.9259|04/15/2018|12/31/3999| | || | |
00641139835||J3230||01/01/1991|12/31/3999|Injection, chlorpromazine hcl, up to 50 mg|CHLORPROMAZINE 25 MG/ML AMP|2|ML|AMPUL|IJ|ML|2|01/01/1991|12/31/3999| | || | |
00641047725||J2560||04/15/2018|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 130 MG/ML VIAL|1|ML|VIAL|IJ|ML|.9259|04/15/2018|12/31/3999| | || | |
00641047621||J2560||01/01/1991|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 65 MG/ML VIAL|1|ML|VIAL|IJ|ML|1.8519|01/01/1991|12/31/3999| | || | |
00641047625||J2560||01/01/1991|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 65 MG/ML VIAL|1|ML|VIAL|IJ|ML|1.8519|01/01/1991|12/31/3999| | || | |
00338102541||J2540||01/01/1991|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PEN G K 3 MILLION UNIT/50 ML|50|ML|BAG|IV|ML|10|01/01/1991|12/31/3999| | || | |
55150017301||J3030||04/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|EA|.5|04/15/2018|12/31/3999| | || | |
55111069305||J3030||04/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML INJECT|0.5|ML|SYRINGE|SQ|ML|.5|04/15/2018|12/31/3999| | || | |
55111069312||J3030||04/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML INJECT|0.5|ML|SYRINGE|SQ|ML|.5|04/15/2018|12/31/3999| | || | |
55513053001||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.0033|07/15/2017|12/31/2022| | || | |
55513092491||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.0016|07/15/2017|12/31/2022| | || | |
55150012502||J2405||07/15/2017|08/31/2020|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|EA|.5|07/15/2017|08/31/2020| | || | |
58406045501||J1438||07/15/2017|10/01/2021|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 25 MG/0.5 ML SYRINGE|0.51|ML|SYRINGE|SQ|ML|.5|07/15/2017|10/01/2021| | || | |
55513092401||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.0016|07/15/2017|12/31/2022| | || | |
55150012620||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIAL|20|ML|VIAL|IV|EA|.5|07/15/2017|12/31/3999| | || | |
55513020901||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|IJ|ML|.0016|07/15/2017|12/31/2022| | || | |
67457044000||J2405||07/15/2017|09/30/2022|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|09/30/2022| | || | |
67457044022||J2405||07/15/2017|09/30/2022|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|07/15/2017|09/30/2022| | || | |
67457044120||J2405||07/15/2017|05/31/2023|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|07/15/2017|05/31/2023| | || | |
76045010320||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML SYR|2|ML|SYRINGE|IJ|ML|.5|07/15/2017|12/31/3999| | || | |
76125090001||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 1 GRAM/10 ML VIAL|10|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
76125090010||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 10 GRAM/100 ML VIAL|100|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080025||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C|200|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080013||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C|10|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080020||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C 5 GRAM/50 ML VIAL|50|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080040||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C 40 GRAM/400 ML VIAL|400|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080071||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C 10 GRAM/100 ML VIAL|100|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080072||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C 40 GRAM/400 ML VIAL|100|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080016||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C|25|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
00703333301||J2353||04/15/2017|05/31/2023|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE ACET 200 MCG/ML VL|5|ML|VIAL|IJ|ML|5|04/15/2017|05/31/2023| | || | |
00703702103||J1631||04/15/2017|07/31/2021|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML VIAL|1|ML|VIAL|IM|ML|.5|04/15/2017|07/31/2021| | || | |
00264318511||J2185||04/15/2017|12/31/2022|Injection, meropenem, 100 mg|MEROPENEM-0.9% NACL 1 GRAM/|1|UN|FLEX CONT|IV|ML|5|04/15/2017|12/31/2022| | || | |
00409350501||J2185||04/15/2017|03/31/2020|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|04/15/2017|03/31/2020| | || | |
00409230760||J2250||04/15/2017|06/01/2019|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML SYRING|1|ML|SYRINGE|IJ|ML|.2|04/15/2017|06/01/2019| | || | |
00409259603||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|5|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
00409259653||J2250||04/15/2017|03/31/2020|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|10|ML|VIAL|IJ|ML|.2|04/15/2017|03/31/2020| | || | |
00409230801||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
00409230850||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|2|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
00781326580||J2185||04/15/2017|09/30/2017|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|ML|.2|04/15/2017|09/30/2017| | || | |
00781317780||J0713||04/15/2017|09/30/2017|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|04/15/2017|09/30/2017| | || | |
63323050721||J2185||04/15/2017|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|04/15/2017|12/31/3999| | || | |
63323050830||J2185||04/15/2017|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|04/15/2017|12/31/3999| | || | |
63323047101||J1631||04/15/2017|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML VIAL|1|ML|VIAL|IM|ML|.5|04/15/2017|12/31/3999| | || | |
63323035565||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 500 MG/100 ML|100|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
63323071100||J0640||04/15/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 500 MG VL|1|UN|VIAL|IJ|EA|.1|04/15/2017|12/31/3999| | || | |
00078018061||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|SANDOSTATIN 0.05 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.5|04/15/2017|12/31/3999| | || | |
00078018161||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|SANDOSTATIN 0.1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
00078018101||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|SANDOSTATIN 0.1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.25|04/15/2017|12/31/3999| | || | |
00078018201||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|SANDOSTATIN 0.5 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.05|04/15/2017|12/31/3999| | || | |
00075800404||J9171||04/15/2017|04/30/2021|Injection, docetaxel, 1 mg|TAXOTERE 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|04/15/2017|04/30/2021| | || | |
25021023706||J9185||04/15/2017|10/03/2020|Injection, fludarabine phosphate, 50 mg|FLUDARABINE 50 MG VIAL|1|UN|VIAL|IV|EA|1|04/15/2017|10/03/2020| | || | |
63323019202||J9185||04/15/2017|12/31/3999|Injection, fludarabine phosphate, 50 mg|FLUDARABINE 50 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|04/15/2017|12/31/3999| | || | |
63323016202||J1885||04/15/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|04/15/2017|12/31/3999| | || | |
54643903100||J3490||06/22/2017|12/31/3999|Unclassified drugs|INFUVITE PEDIATRIC BULK VIA|50|ML|VIAL|IV|ML|1|06/22/2017|12/31/3999| | || | |
55150022110||J3490||05/04/2017|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/04/2017|12/31/3999| | || | |
55150022220||J3490||05/04/2017|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|05/04/2017|12/31/3999| | || | |
55150022505||J3490||06/19/2017|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|06/19/2017|12/31/3999| | || | |
55150022610||J3490||06/19/2017|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|06/19/2017|12/31/3999| | || | |
55150023410||J3490||07/28/2017|12/31/3999|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IV|EA|1|07/28/2017|12/31/3999| | || | |
61703043401||J3490||10/28/2004|03/01/2019|Unclassified drugs|M.V.I. ADULT VIAL|10|ML|VIAL|IV|ML|1|10/28/2004|03/01/2019| | || | |
61703043482||J3490||10/28/2004|03/01/2019|Unclassified drugs|M.V.I. ADULT VIAL|10|ML|VIAL|IV|ML|1|10/28/2004|03/01/2019| | || | |
51991094017||J3370||07/11/2017|04/30/2021|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|ML|1|07/11/2017|04/30/2021| | || | |
51991094117||J3370||07/11/2017|04/30/2021|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|ML|.5|07/11/2017|04/30/2021| | || | |
00409771513||J2150||10/28/2004|07/01/2021|Injection, mannitol, 25% in 50 ml|MANNITOL 20% IV SOLUTION|500|ML|FLEX CONT|IV|ML|1|10/28/2004|07/01/2021| | || | |
00409117903||J2175||10/28/2004|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 75 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|1.3333|10/28/2004|12/31/3999| | || | |
00409116519||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00078080461||J2353||01/01/2005|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 30 MG|1|UN|VIAL|IM|EA|.0333|01/01/2005|12/31/3999| | || | |
00078079061||J2353||01/01/2005|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 10 MG|1|UN|VIAL|IM|EA|.1|01/01/2005|12/31/3999| | || | |
00078079761||J2353||01/01/2005|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|SANDOSTATIN LAR DEPOT 20 MG|1|UN|VIAL|IM|EA|.05|01/01/2005|12/31/3999| | || | |
00409176162||S0020||10/28/2004|10/28/2004|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE SPINAL 15 MG/2 ML|2|ML|AMPUL|IJ|ML|1|10/28/2004|10/28/2004| | || | |
00409178203||J2310||10/28/2004|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML CARPUJEC|1|ML|SYRINGE|IJ|ML|2.5|10/28/2004|12/31/3999| | || | |
70069001225||J3490||07/06/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
70069001301||J3490||07/06/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
70069001325||J3490||07/06/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
70069001401||J3490||07/06/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
70069001410||J3490||07/06/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|07/06/2017|12/31/3999| | || | |
70121139405||J3490||06/27/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/27/2017|12/31/3999| | || | |
70121139505||J3490||07/12/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|07/12/2017|12/31/3999| | || | |
70121139605||J3490||07/31/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|07/31/2017|12/31/3999| | || | |
70121139707||J3490||08/16/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|08/16/2017|12/31/3999| | || | |
47335027641||J3030||04/15/2018|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML INJECT|1|ML|SYRINGE|SQ|ML|.5|04/15/2018|12/31/3999| | || | |
00409341401||J2765||10/28/2004|12/31/3999|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 5 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00641602725||J3010||04/15/2018|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
00013265402||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 1.2 MG|7|UN|CARTRIDGE|SQ|EA|.8333|04/15/2018|12/31/3999| | || | |
68982018201||J7183||04/15/2018|12/31/3999|Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco|WILATE 500-500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
00641139735||J3230||01/01/1991|12/31/3999|Injection, chlorpromazine hcl, up to 50 mg|CHLORPROMAZINE 25 MG/ML AMP|1|ML|AMPUL|IJ|ML|2|01/01/1991|12/31/3999| | || | |
69911086402||J7202||04/15/2018|12/31/3999|Factor ix idelvion inj|IDELVION 250 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
69911086702||J7202||04/15/2018|12/31/3999|Factor ix idelvion inj|IDELVION 2,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
69911086502||J7202||04/15/2018|12/31/3999|Factor ix idelvion inj|IDELVION 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
68982013901||J7209||04/15/2018|12/31/3999|Factor viii nuwiq recomb 1iu|NUWIQ 250 UNIT VIAL PACK|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
68982014301||J7209||04/15/2018|12/31/3999|Factor viii nuwiq recomb 1iu|NUWIQ 1,000 UNIT VIAL PACK|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
00338399301||J9208||01/01/1991|12/31/3999|Injection, ifosfamide, 1 gram|IFEX 3 GM VIAL|1|UN|VIAL|IV|EA|.3333|01/01/1991|12/31/3999| | || | |
44567050701||Q2017||04/28/2009|12/31/2022|Injection, teniposide, 50 mg|TENIPOSIDE 50 MG/5 ML AMPULE|5|ML|AMPUL|IV|ML|5|04/28/2009|12/31/2022| | || | |
00409155910||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409156029||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
00409158229||S0020||10/28/2004|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|30|10/28/2004|06/30/2023| | || | |
76329124001||J3430||04/15/2018|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|PHYTONADIONE 1 MG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.5|04/15/2018|12/31/3999| | || | |
70257056255||J0476||04/27/2017|12/31/3999|Injection, baclofen, 50 mcg for intrathecal trial|LIORESAL IT 0.05 MG/1 ML AM|1|ML|AMPUL|IT|ML|1|04/27/2017|12/31/3999| | || | |
70257056301||J0475||04/27/2017|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 40 MG/20 ML KIT|20|ML|AMPUL|IT|ML|5|04/27/2017|12/31/3999| | || | |
00641602925||J3010||04/15/2018|09/30/2023|Injection, fentanyl citrate, 0.1 mg|FENTANYL 1,000 MCG/20 ML VIAL|20|ML|VIAL|IJ|ML|2|04/15/2018|09/30/2023| | || | |
00013265802||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN MINIQUICK 2 MG|7|UN|CARTRIDGE|SQ|EA|.5|04/15/2018|12/31/3999| | || | |
49230053010||J1756||04/15/2018|12/31/3999|Injection, iron sucrose, 1 mg|VENOFER 50 MG/2.5 ML VIAL|2.5|ML|VIAL|IV|ML|.05|04/15/2018|12/31/3999| | || | |
50242013601||J3262||04/15/2018|12/31/3999|Injection, tocilizumab, 1 mg|ACTEMRA 200 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.05|04/15/2018|12/31/3999| | || | |
49230053025||J1756||04/15/2018|12/31/3999|Injection, iron sucrose, 1 mg|VENOFER 50 MG/2.5 ML VIAL|2.5|ML|VIAL|IV|ML|.05|04/15/2018|12/31/3999| | || | |
48818000101||J9307||04/15/2018|12/31/3999|Injection, pralatrexate, 1 mg|FOLOTYN 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|04/15/2018|12/31/3999| | || | |
00944049302||P9046||06/01/2002|12/31/3999|ALBUMIN (HUMAN), 25%, 20 ML|FLEXBUMIN 25% IV SOLUTION|100|ML|FLEX CONT|IV|ML|1|06/01/2002|12/31/3999| | || | |
13533080015||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C 2.5 GRAM/25 ML VIAL|25|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080024||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C 20 GRAM/200 ML VIAL|200|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080041||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C 40 GRAM/400 ML VIAL|400|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
13533080021||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C|50|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
60505074401||J2405||07/15/2017|07/16/2017|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|07/15/2017|07/16/2017| | || | |
00703722603||J2405||07/15/2017|09/30/2017|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|07/15/2017|09/30/2017| | || | |
23155055031||J2405||07/15/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIA|20|ML|VIAL|IV|ML|.5|07/15/2017|12/31/3999| | || | |
00574087205||J1380||07/15/2017|01/31/2022|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 40 MG/ML VL|5|ML|VIAL|IM|ML|.25|07/15/2017|01/31/2022| | || | |
58406043501||J1438||07/15/2017|03/01/2022|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML SYRINGE|0.98|ML|SYRINGE|SQ|ML|.5|07/15/2017|03/01/2022| | || | |
58406044504||J1438||07/15/2017|04/01/2022|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML SURECLICK SYR|0.98|ML|SYRINGE|SQ|ML|.5|07/15/2017|04/01/2022| | || | |
58406045504||J1438||07/15/2017|10/01/2021|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 25 MG/0.5 ML SYRINGE|0.51|ML|SYRINGE|SQ|ML|.5|07/15/2017|10/01/2021| | || | |
55513020991||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|IJ|ML|.0016|07/15/2017|12/31/2022| | || | |
55513054610||J1442||07/15/2017|12/31/2022|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|IJ|ML|.0033|07/15/2017|12/31/2022| | || | |
58406043504||J1438||07/15/2017|03/01/2022|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML SYRINGE|0.98|ML|SYRINGE|SQ|ML|.5|07/15/2017|03/01/2022| | || | |
13533080012||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMUNEX-C 1 GRAM/10 ML VIAL|10|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
76125090020||J1561||07/15/2017|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 20 GRAM/200 ML VIAL|200|ML|VIAL|IJ|ML|5|07/15/2017|12/31/3999| | || | |
00781326790||J2185||04/15/2017|09/30/2018|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|ML|.1|04/15/2017|09/30/2018| | || | |
25021013281||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 250 MG/50 ML|50|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
25021082583||J1956||04/15/2017|07/02/2021|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 750 MG/150 ML|150|ML|BAG|IV|ML|50|04/15/2017|07/02/2021| | || | |
25021081667||J0640||04/15/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG V|1|UN|VIAL|IJ|EA|.14285|04/15/2017|12/31/3999| | || | |
25021040067||J1642||04/15/2017|10/31/2021|Injection, heparin sodium, (heparin lock flush), per 10 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|.01|04/15/2017|10/31/2021| | || | |
25021013267||J1956||04/15/2017|06/19/2021|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 500 MG/100 ML|100|ML|BAG|IV|ML|50|04/15/2017|06/19/2021| | || | |
25021040266||J1642||04/15/2017|10/31/2021|Injection, heparin sodium, (heparin lock flush), per 10 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.002|04/15/2017|10/31/2021| | || | |
25021013268||J1956||04/15/2017|06/19/2021|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 750 MG/150 ML|150|ML|BAG|IV|ML|50|04/15/2017|06/19/2021| | || | |
25021081467||J0640||04/15/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 100 MG VIAL|1|UN|VIAL|IJ|EA|.5|04/15/2017|12/31/3999| | || | |
25021012850||J0713||04/15/2017|12/31/3999|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 2 GM VIAL|1|UN|VIAL|IJ|GM|.25|04/15/2017|12/31/3999| | || | |
25021012999||J0713||04/15/2017|12/31/3999|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 6 GM VIAL|1|UN|VIAL|IJ|GM|.08333|04/15/2017|12/31/3999| | || | |
25021082581||J1956||04/15/2017|07/02/2021|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 250 MG/50 ML|50|ML|BAG|IV|ML|50|04/15/2017|07/02/2021| | || | |
00703702301||J1631||04/15/2017|08/31/2020|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML VIAL|5|ML|VIAL|IM|ML|.5|04/15/2017|08/31/2020| | || | |
00641606001||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
00641606301||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
63323047105||J1631||04/15/2017|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML VIAL|5|ML|VIAL|IM|ML|.5|04/15/2017|12/31/3999| | || | |
67457038100||J1631||04/15/2017|01/31/2023|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML VIAL|5|ML|VIAL|IJ|ML|.5|04/15/2017|01/31/2023| | || | |
25021082582||J1956||04/15/2017|07/02/2021|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 500 MG/100 ML|100|ML|BAG|IV|ML|50|04/15/2017|07/02/2021| | || | |
25021011382||J1450||04/15/2017|05/05/2022|Injection fluconazole, 200 mg|FLUCONAZOLE-NS 200 MG/100 ML|100|ML|FLEX CONT|IV|ML|100|04/15/2017|05/05/2022| | || | |
63323035550||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 250 MG/50 ML|50|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
63323050831||J2185||04/15/2017|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|04/15/2017|12/31/3999| | || | |
00409117630||J2175||04/15/2017|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 25 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|4|04/15/2017|12/31/3999| | || | |
00409117930||J2175||04/15/2017|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 75 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|1.333|04/15/2017|12/31/3999| | || | |
70860010310||J3490||05/01/2017|12/31/3999|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|05/01/2017|12/31/3999| | || | |
70860040010||J3490||06/12/2017|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|06/12/2017|12/31/3999| | || | |
47781059229||J9263||08/09/2017|11/30/2020|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|08/09/2017|11/30/2020| | || | |
70860020110||J9263||07/20/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|07/20/2017|12/31/3999| | || | |
70860020120||J9263||07/20/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|07/20/2017|12/31/3999| | || | |
60505615204||J0696||06/23/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|ML|.5|06/23/2017|12/31/3999| | || | |
70860070001||J1885||07/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/10/2017|12/31/3999| | || | |
70860070101||J1885||07/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|07/10/2017|12/31/3999| | || | |
00409163921||J1940||10/28/2004|07/01/2023|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML SYR|10|ML|SYRINGE|IJ|ML|2|10/28/2004|07/01/2023| | || | |
00409963114||J1940||10/28/2004|04/01/2022|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML SYRIN|4|ML|SYRINGE|IJ|ML|2|10/28/2004|04/01/2022| | || | |
00409771512||J2150||10/28/2004|04/01/2021|Injection, mannitol, 25% in 50 ml|MANNITOL 20% IV SOLUTION|250|ML|FLEX CONT|IV|ML|1|10/28/2004|04/01/2021| | || | |
00024590801||J3590||05/26/2017|12/31/3999|Unclassified Biologics|KEVZARA 150 MG/1.14 ML SYRI|1.14|ML|SYRINGE|SQ|ML|1|05/26/2017|12/31/3999| | || | |
00024591001||J3590||05/26/2017|12/31/3999|Unclassified Biologics|KEVZARA 200 MG/1.14 ML SYRI|1.14|ML|SYRINGE|SQ|ML|1|05/26/2017|12/31/3999| | || | |
70069007101||J2310||08/22/2017|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|08/22/2017|12/31/3999| | || | |
70069007110||J2310||08/22/2017|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|08/22/2017|12/31/3999| | || | |
70069007201||J2310||09/14/2017|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|09/14/2017|12/31/3999| | || | |
70069010101||J2800||09/18/2017|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|09/18/2017|12/31/3999| | || | |
70069010105||J2800||09/18/2017|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|09/18/2017|12/31/3999| | || | |
70069010125||J2800||09/18/2017|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|09/18/2017|12/31/3999| | || | |
70121100001||J2920||02/28/2017|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|METHYLPREDNISOLONE SS 40 MG|1|UN|VIAL|IJ|ML|1|02/28/2017|12/31/3999| | || | |
70860080101||J3105||07/10/2017|12/31/3999|Injection, terbutaline sulfate, up to 1 mg|TERBUTALINE SULF 1 MG/ML VI|1|ML|VIAL|SQ|ML|1|07/10/2017|12/31/3999| | || | |
00023590203||J3315||06/01/2003|12/31/2021|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 3.75 MG VIAL|1|UN|VIAL|IM|EA|1|06/01/2003|12/31/2021| | || | |
67457084450||J3490||05/23/2017|12/31/3999|Unclassified drugs|SOD PHENYLACET-SOD BENZOATE|50|ML|VIAL|IV|ML|1|05/23/2017|12/31/3999| | || | |
67457061200||J3370||11/15/2017|07/31/2018|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|11/15/2017|07/31/2018| | || | |
67457052200||J2543||11/15/2017|09/30/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|11/15/2017|09/30/2021| | || | |
67457052237||J2543||11/15/2017|09/30/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|11/15/2017|09/30/2021| | || | |
00703424601||J9045||11/15/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 150 MG/15 ML VIAL|15|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
00703424801||J9045||11/15/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VIAL|45|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
25021020205||J9045||11/15/2017|08/07/2020|Injection, carboplatin, 50 mg|CARBOPLATIN 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|11/15/2017|08/07/2020| | || | |
25021020251||J9045||11/15/2017|09/15/2022|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VI|60|ML|VIAL|IV|ML|5|11/15/2017|09/15/2022| | || | |
63323028563||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 2 MG/ML SOLN|200|ML|FLEX CONT|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
63323064220||J3475||11/15/2017|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|20|ML|VIAL|IJ|ML|1|11/15/2017|12/31/3999| | || | |
63323028568||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 2 MG/ML SOLN|100|ML|BOTTLE|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
63323011751||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 2,500 MG/50 ML VL|50|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
63323011759||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 2,500 MG/50 ML VL|50|ML|VIAL|TP|ML|10|11/15/2017|12/31/3999| | || | |
63323011718||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML VIAL|10|ML|VIAL|TP|ML|10|11/15/2017|12/31/3999| | || | |
45963073454||J9171||11/15/2017|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|11/15/2017|12/31/3999| | || | |
63323011710||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
63323012553||J9201||11/15/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IV|EA|.2|11/15/2017|12/31/3999| | || | |
00409018125||J9201||11/15/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 1 GRAM/26.3 ML VL|26.3|ML|VIAL|IV|ML|5.26|11/15/2017|12/31/3999| | || | |
00409158750||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
00409018225||J9201||11/15/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 2 GRAM/52.6 ML VL|52.6|ML|VIAL|IV|ML|5.26|11/15/2017|12/31/3999| | || | |
00409018601||J9201||11/15/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IV|EA|.2|11/15/2017|12/31/3999| | || | |
47335015440||J9201||11/15/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IV|EA|.2|11/15/2017|12/31/3999| | || | |
50242013501||J3262||04/15/2018|12/31/3999|Injection, tocilizumab, 1 mg|ACTEMRA 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|04/15/2018|12/31/3999| | || | |
50242013701||J3262||04/15/2018|12/31/3999|Injection, tocilizumab, 1 mg|ACTEMRA 400 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.05|04/15/2018|12/31/3999| | || | |
63323012250||J9260||04/15/2018|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 1 GM VIAL|1|UN|VIAL|IJ|EA|.05|04/15/2018|12/31/3999| | || | |
00703401418||J9218||04/15/2018|04/16/2018|Leuprolide acetate, per 1 mg|LEUPROLIDE 2WK 1 MG/0.2 ML KIT|1|UN|KIT|SQ|EA|.0714|04/15/2018|04/16/2018| | || | |
00781400332||J9218||04/15/2018|12/31/3999|Leuprolide acetate, per 1 mg|LEUPROLIDE 2WK 1 MG/0.2 ML KIT|1|UN|KIT|SQ|ML|.0714|04/15/2018|12/31/3999| | || | |
44206041706||J1566||04/15/2018|05/31/2021|Injection, immune globulin, intravenous, lyophilized (e.g. powder), not oth...|CARIMUNE NF 6 GM VIAL|1|UN|VIAL|IV|EA|.0833|04/15/2018|05/31/2021| | || | |
70504310001||J2792||04/15/2018|05/31/2021|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 5,000 UNIT VIAL|4.4|ML|VIAL|IJ|EA|.088|04/15/2018|05/31/2021| | || | |
44206053211||90291||11/20/2001|03/19/2023|Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use|CYTOGAM 2.5 GM/50 ML VIAL|50|ML|VIAL|IV|ML|50|11/20/2001|03/19/2023| | || | |
43066036020||J0282||08/12/2011|12/31/2022|Injection, amiodarone hydrochloride, 30 mg|NEXTERONE 360 MG/200 ML BAG|200|ML|BAG|IV|ML|16.6667|08/12/2011|12/31/2022| | || | |
67457015303||J0282||02/05/2009|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 150 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.6|02/05/2009|12/31/3999| | || | |
63323029337||J0670||04/01/1998|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE-MPF 1.5% VIAL|30|ML|VIAL|IJ|ML|10|04/01/1998|12/31/3999| | || | |
63323029657||J0670||04/01/1998|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE 2% VIAL|50|ML|VIAL|IJ|ML|10|04/01/1998|12/31/3999| | || | |
49230053410||J1756||01/22/2007|12/31/3999|Injection, iron sucrose, 1 mg|VENOFER 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.05|01/22/2007|12/31/3999| | || | |
00409118701||J1790||10/28/2004|11/01/2012|Injection, droperidol, up to 5 mg|DROPERIDOL 2.5 MG/ML AMPUL|2|ML|AMPUL|IJ|ML|2|10/28/2004|11/01/2012| | || | |
00409610202||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409610204||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML VIAL|4|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409610210||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML VIAL|10|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409610225||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409610226||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409610227||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409963104||J1940||10/28/2004|04/01/2022|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML SYRINGE|4|ML|SYRINGE|IJ|ML|2|10/28/2004|04/01/2022| | || | |
00703280403||J3490||07/15/2018|07/16/2018|Unclassified drugs|PANCURONIUM 1 MG/ML VIAL|10|ML|VIAL|IV|ML|1|07/15/2018|07/16/2018| | || | |
00703281201||J3490||07/15/2018|07/16/2018|Unclassified drugs|PANCURONIUM 2 MG/ML VIAL|2|ML|VIAL|IV|ML|1|07/15/2018|07/16/2018| | || | |
00703281204||J3490||07/15/2018|06/30/2023|Unclassified drugs|PANCURONIUM 2 MG/ML VIAL|2|ML|VIAL|IV|ML|1|07/15/2018|06/30/2023| | || | |
00703282301||J3490||07/15/2018|07/16/2018|Unclassified drugs|PANCURONIUM 2 MG/ML VIAL|5|ML|VIAL|IV|ML|1|07/15/2018|07/16/2018| | || | |
00703282304||J3490||07/15/2018|06/30/2023|Unclassified drugs|PANCURONIUM 2 MG/ML VIAL|5|ML|VIAL|IV|ML|1|07/15/2018|06/30/2023| | || | |
00781328991||J3490||07/15/2018|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|1|07/15/2018|06/30/2023| | || | |
00409488802||J7030||07/15/2018|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|1000|07/15/2018|12/31/3999| | || | |
00409488802||J7040||07/15/2018|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|500|07/15/2018|12/31/3999| | || | |
00409710069||J7060||07/15/2018|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|500|07/15/2018|12/31/3999| | || | |
62559019016||Q0181||07/15/2018|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|METOCLOPRAMIDE 5 MG/5 ML SO|473|ML|BOTTLE|PO|ML|1|07/15/2018|12/31/3999| | || | |
00781922191||J3490||07/15/2018|02/28/2023|Unclassified drugs|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|1|07/15/2018|02/28/2023| | || | |
13533061321||P9048||07/15/2018|07/16/2018|PLASMA PROTEIN FRACT, 5%, 250 ML|PLASMANATE 5% IV SOLUTION|50|ML|VIAL|IV|ML|250|07/15/2018|07/16/2018| | || | |
00409710104||J7030||07/15/2018|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLN|250|ML|BAG|IV|ML|1000|07/15/2018|12/31/3999| | || | |
00409710104||J7040||07/15/2018|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLN|250|ML|BAG|IV|ML|500|07/15/2018|12/31/3999| | || | |
63323054201||J1644||10/15/2017|11/30/2021|Injection, heparin sodium, per 1000 units|Heparin Sodium (Porcine) 10000 UNIT/ML SOLN|1|ML|VIAL|IJ|ML|.1|10/15/2017|11/30/2021| | || | |
63323054207||J1644||10/15/2017|07/31/2021|Injection, heparin sodium, per 1000 units|Heparin Sodium (Porcine) 10000 UNIT/ML SOLN|5|ML|VIAL|IJ|ML|.1|10/15/2017|07/31/2021| | || | |
00517232510||J1756||10/15/2017|12/31/3999|Injection, iron sucrose, 1 mg|Venofer 20 MG/ML SOLN|2.5|ML|VIAL|IV|ML|.05|10/15/2017|12/31/3999| | || | |
00517234010||J1756||10/15/2017|12/31/3999|Injection, iron sucrose, 1 mg|Venofer 20 MG/ML SOLN|5|ML|VIAL|IV|ML|.05|10/15/2017|12/31/3999| | || | |
55513014401||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.01|10/15/2017|12/31/2022| | || | |
63323091501||J1644||10/15/2017|03/31/2021|Injection, heparin sodium, per 1000 units|Heparin Sodium (Porcine) 20000 UNIT/ML SOLN|1|ML|VIAL|IJ|ML|.05|10/15/2017|03/31/2021| | || | |
00409113403||J2270||10/15/2017|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 50 MG/ML VIAL|20|ML|VIAL|IV|ML|.2|10/15/2017|12/31/3999| | || | |
00409113405||J2270||10/15/2017|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 50 MG/ML VIAL|50|ML|VIAL|IV|ML|.2|10/15/2017|12/31/3999| | || | |
00641092821||J2550||10/15/2017|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
00264780000||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SALINE 0.9% SOLN-EXCEL CONT|1000|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00264780009||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% 1000 ML|1000|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00264180032||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00264180036||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|25|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00409710168||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLN|50|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00409710169||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLN|100|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00409798303||J7040||10/15/2017|08/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|BAG|IV|ML|500|10/15/2017|08/01/2021| | || | |
00409798361||J7040||10/15/2017|03/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|150|ML|BAG|IV|ML|500|10/15/2017|03/01/2021| | || | |
00409798406||J7040||10/15/2017|02/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|FLEX CONT|IV|ML|500|10/15/2017|02/01/2021| | || | |
00409798411||J7040||10/15/2017|02/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|FLEX CONT|IV|ML|500|10/15/2017|02/01/2021| | || | |
67457046201||J9201||11/15/2017|04/30/2021|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.2|11/15/2017|04/30/2021| | || | |
44567050601||J9267||11/15/2017|03/08/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIAL|50|ML|VIAL|IJ|ML|.1667|11/15/2017|03/08/2021| | || | |
44567050501||J9267||11/15/2017|03/08/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML VIAL|16.7|ML|VIAL|IJ|ML|.1667|11/15/2017|03/08/2021| | || | |
63323076350||J9267||11/15/2017|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIAL|50|ML|VIAL|IV|ML|.1667|11/15/2017|12/31/3999| | || | |
44567050901||J9060||11/15/2017|03/31/2023|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 50 MG/50 ML VIAL|50|ML|VIAL|IV|ML|10|11/15/2017|03/31/2023| | || | |
44567051001||J9060||11/15/2017|03/31/2023|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 100 MG/100 ML VIA|100|ML|VIAL|IV|ML|10|11/15/2017|03/31/2023| | || | |
47335028541||J9171||11/15/2017|11/16/2017|Injection, docetaxel, 1 mg|DOCEFREZ 20 MG VIAL|1|UN|VIAL|IV|EA|.05|11/15/2017|11/16/2017| | || | |
00409018325||J9201||11/15/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 200 MG/5.26 ML VL|5.26|ML|VIAL|IV|ML|5.26|11/15/2017|12/31/3999| | || | |
00409018701||J9201||11/15/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 2 GRAM VIAL|1|UN|VIAL|IV|EA|.1|11/15/2017|12/31/3999| | || | |
25021023410||J9201||11/15/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|UN|VIAL|IV|EA|1|11/15/2017|12/31/3999| | || | |
25021023320||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|11/15/2017|12/31/3999| | || | |
61703034209||J9267||11/15/2017|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|11/15/2017|12/31/3999| | || | |
61703034250||J9267||11/15/2017|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIAL|50|ML|VIAL|IV|ML|.1667|11/15/2017|12/31/3999| | || | |
61703033956||J9045||11/15/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VIAL|60|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
47335017840||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG VIAL|1|UN|VIAL|IV|EA|.005|11/15/2017|12/31/3999| | || | |
63323046557||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
00641602201||S0028||11/15/2017|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|11/15/2017|12/31/3999| | || | |
63323073912||S0028||11/15/2017|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|11/15/2017|12/31/3999| | || | |
67457043300||S0028||11/15/2017|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|11/15/2017|12/31/3999| | || | |
00338070948||J3480||11/15/2017|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/100 ML SOL|100|ML|BAG|IV|ML|20|11/15/2017|12/31/3999| | || | |
00409277602||J2260||10/28/2004|09/30/2022|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|25|10/28/2004|09/30/2022| | || | |
00409277623||J2260||10/28/2004|09/30/2022|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|25|10/28/2004|09/30/2022| | || | |
63323047637||J2400||04/01/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|NESACAINE 2% VIAL|30|ML|VIAL|IJ|ML|30.0003|04/01/1998|12/31/2022| | || | |
63323047727||J2400||04/01/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|NESACAINE-MPF 2% VIAL|20|ML|VIAL|IJ|ML|30.0003|04/01/1998|12/31/2022| | || | |
66302011001||J3285||04/15/2018|12/31/3999|Injection, treprostinil, 1 mg|REMODULIN 10 MG/ML VIAL|20|ML|VIAL|IJ|ML|.1|04/15/2018|12/31/3999| | || | |
25021015799||J3370||04/15/2018|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|04/15/2018|12/31/3999| | || | |
57902024901||J9019||04/15/2018|08/31/2023|Injection, asparaginase (erwinaze), 1,000 iu|ERWINAZE 10,000 UNITS VIAL|1|UN|VIAL|IM|EA|.1|04/15/2018|08/31/2023| | || | |
57902024905||J9019||04/15/2018|08/31/2023|Injection, asparaginase (erwinaze), 1,000 iu|ERWINAZE 10,000 UNITS VIAL|5|UN|VIAL|IM|EA|.1|04/15/2018|08/31/2023| | || | |
10019095601||J9070||04/15/2018|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
00955172720||J9263||04/15/2018|01/31/2025|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VIAL|20|ML|VIAL|IV|EA|.1|04/15/2018|01/31/2025| | || | |
67457044220||J9263||04/15/2018|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
00409030201||J9351||04/15/2018|12/31/3999|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
00703471401||J9351||04/15/2018|05/31/2023|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.1|04/15/2018|05/31/2023| | || | |
00703471471||J9351||04/15/2018|05/31/2023|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.1|04/15/2018|05/31/2023| | || | |
25021023604||J9351||04/15/2018|01/21/2022|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.1|04/15/2018|01/21/2022| | || | |
44087108801||J2941||04/15/2018|03/31/2024|Injection, somatropin, 1 mg|SAIZEN 8.8 MG VIAL|1|UN|VIAL|SQ|EA|.1136|04/15/2018|03/31/2024| | || | |
44087338807||J2941||04/15/2018|09/30/2023|Injection, somatropin, 1 mg|ZORBTIVE 8.8 MG VIAL|1|UN|VIAL|SQ|EA|.1136|04/15/2018|09/30/2023| | || | |
00781613594||J2540||04/15/2018|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PENICILLIN G K 5 MILLION UNIT|1|UN|VIAL|IJ|ML|.12|04/15/2018|12/31/3999| | || | |
00781613595||J2540||04/15/2018|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PENICILLIN G K 5 MILLION UNIT|1|UN|VIAL|IJ|ML|.12|04/15/2018|12/31/3999| | || | |
63323047827||J2400||04/01/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|NESACAINE-MPF 3% VIAL|20|ML|VIAL|IJ|ML|30.0003|04/01/1998|12/31/2022| | || | |
50242014501||J9306||04/15/2018|04/16/2018|Injection, pertuzumab, 1 mg|PERJETA 420 MG/14 ML VIAL|14|ML|VIAL|IV|ML|.0333|04/15/2018|04/16/2018| | || | |
00074969403||J1950||04/15/2018|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT-PED 30 MG 3MO KIT|1|UN|KIT|IM|EA|.125|04/15/2018|12/31/3999| | || | |
25021016224||J2700||04/15/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|04/15/2018|12/31/3999| | || | |
25021016267||J2700||04/15/2018|09/30/2020|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|04/15/2018|09/30/2020| | || | |
55150016613||J3490||07/15/2018|12/31/3999|Unclassified drugs|SILDENAFIL 10 MG/12.5 ML VI|12.5|ML|VIAL|IV|EA|1|07/15/2018|12/31/3999| | || | |
55150021605||J3490||07/15/2018|03/31/2023|Unclassified drugs|ATRACURIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|EA|1|07/15/2018|03/31/2023| | || | |
55150021710||J3490||07/15/2018|03/31/2022|Unclassified drugs|ATRACURIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|EA|1|07/15/2018|03/31/2022| | || | |
00703940201||J3490||07/15/2018|07/16/2018|Unclassified drugs|TOBRAMYCIN 40 MG/ML VIAL|2|ML|VIAL|IJ|ML|1|07/15/2018|07/16/2018| | || | |
46287000901||J8999||07/15/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ISONIAZID 50 MG/5 ML SOLUTI|473|ML|BOTTLE|PO|ML|1|07/15/2018|12/31/3999| | || | |
13533061320||P9048||07/15/2018|07/16/2018|PLASMA PROTEIN FRACT, 5%, 250 ML|PLASMANATE 5% IV SOLUTION|50|ML|VIAL|IV|ML|250|07/15/2018|07/16/2018| | || | |
00024590200||J3490||07/29/2015|09/30/2019|Unclassified drugs|PRALUENT 150 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|07/29/2015|09/30/2019| | || | |
00078075561||J2502||09/10/2018|10/31/2021|Inj, pasireotide long acting|SIGNIFOR LAR 10 MG VIAL|1|UN|VIAL|IM|EA|.1|09/10/2018|10/31/2021| | || | |
70720095130||J9202||03/29/2017|10/01/2021|Goserelin acetate implant, per 3.6 mg|ZOLADEX 10.8 MG IMPLANT SYR|1|UN|PACKET|IA|EA|.3333|03/29/2017|10/01/2021| | || | |
67457042612||J1630||10/25/2011|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/25/2011|12/31/3999| | || | |
00088221900||J3490||07/09/2007|07/09/2007|Unclassified drugs|LANTUS SOLOSTAR 100 UNIT/ML|3|ML|SYRINGE|SQ|ML|1|07/09/2007|07/09/2007| | || | |
00093414556||J7614||04/29/2013|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|04/29/2013|12/31/3999| | || | |
00409798437||J7040||10/15/2017|04/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|500|10/15/2017|04/01/2021| | || | |
00338004902||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|250|ML|FLEX CONT|IV|ML|250|10/15/2017|12/31/3999| | || | |
00338004910||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|25|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00409113502||J2270||10/15/2017|07/01/2019|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 25 MG/ML VIAL|10|ML|VIAL|IV|ML|.4|10/15/2017|07/01/2019| | || | |
76045000510||J2270||10/15/2017|09/30/2021|Injection, morphine sulfate, up to 10 mg|MORPHINE 4 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2.5|10/15/2017|09/30/2021| | || | |
00641095521||J2550||10/15/2017|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
00009079601||J2930||10/15/2017|01/31/2021|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 2,000 MG VIAL|1|UN|VIAL|IV|EA|.0625|10/15/2017|01/31/2021| | || | |
63323026530||J2930||10/15/2017|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 1 GM VL|1|UN|VIAL|IV|EA|.125|10/15/2017|12/31/3999| | || | |
00641602901||J3010||10/15/2017|05/01/2024|Injection, fentanyl citrate, 0.1 mg|FentaNYL Citrate (PF) 1000 MCG/20ML SOLN|20|ML|VIAL|IJ|ML|2|10/15/2017|05/01/2024| | || | |
00338004911||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338004918||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338055311||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLN.|50|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338055318||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLN.|100|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00409710169||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLN|100|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00409798309||J7030||10/15/2017|10/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|1000|ML|BAG|IV|ML|1000|10/15/2017|10/01/2021| | || | |
00409798355||J7030||10/15/2017|04/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|BAG|IV|ML|1000|10/15/2017|04/01/2021| | || | |
00409798361||J7030||10/15/2017|03/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|150|ML|BAG|IV|ML|1000|10/15/2017|03/01/2021| | || | |
00409798406||J7030||10/15/2017|02/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|FLEX CONT|IV|ML|1000|10/15/2017|02/01/2021| | || | |
66993002227||J7614||05/15/2018|10/03/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL HCL (24X3ML,PF) 0.63 MG/3 ML|24|ML|PC|IH|ML|2.381|05/15/2018|10/03/2022| | || | |
00517750425||J7608||05/15/2018|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 10% VIAL|4|ML|VIAL|MC|ML|10|05/15/2018|12/31/3999| | || | |
16729027735||J9260||05/15/2018|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 1 GRAM/40 ML VIAL|40|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
00409403116||J2150||05/15/2018|12/31/3999|Injection, mannitol, 25% in 50 ml|MANNITOL 25% VIAL|50|ML|VIAL|IV|ML|50|05/15/2018|12/31/3999| | || | |
63402091130||J7605||05/15/2018|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|BROVANA 15 MCG/2 ML SOLUTION|2|ML|VIAL|IH|ML|2|05/15/2018|12/31/3999| | || | |
63402091164||J7605||05/15/2018|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|BROVANA 15 MCG/2 ML SOLUTION|2|ML|VIAL|IH|ML|2|05/15/2018|12/31/3999| | || | |
00409330703||J7608||05/15/2018|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 10% VIAL|30|ML|VIAL|MC|ML|10|05/15/2018|12/31/3999| | || | |
69097017353||J7620||05/15/2018|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|05/15/2018|12/31/3999| | || | |
69097017364||J7620||05/15/2018|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|05/15/2018|12/31/3999| | || | |
76204060001||J7620||05/15/2018|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|05/15/2018|12/31/3999| | || | |
25021020110||J9209||05/15/2018|12/31/3999|Injection, mesna, 200 mg|MESNA 100 MG/ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
25021020111||J9209||05/15/2018|12/31/3999|Injection, mesna, 200 mg|MESNA 100 MG/ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
63323073311||J9209||05/15/2018|12/31/3999|Injection, mesna, 200 mg|MESNA 100 MG/ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
00703415511||J9211||05/15/2018|08/31/2023|Injection, idarubicin hydrochloride, 5 mg|IDARUBICIN HCL 10 MG/10 ML VL|10|ML|VIAL|IV|ML|5|05/15/2018|08/31/2023| | || | |
00703415611||J9211||05/15/2018|01/31/2024|Injection, idarubicin hydrochloride, 5 mg|IDARUBICIN HCL 20 MG/20 ML VL|20|ML|VIAL|IV|ML|5|05/15/2018|01/31/2024| | || | |
00703367101||J9260||05/15/2018|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 50 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
16729011638||J9280||04/15/2018|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|EA|.125|04/15/2018|12/31/3999| | || | |
44206030001||J2791||04/15/2018|12/31/3999|Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or in...|RHOPHYLAC 300 MCG/2 ML SYR|2|ML|SYRINGE|IJ|EA|.1333|04/15/2018|12/31/3999| | || | |
44206030010||J2791||04/15/2018|12/31/3999|Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or in...|RHOPHYLAC 300 MCG/2 ML SYR|2|ML|SYRINGE|IJ|EA|.1333|04/15/2018|12/31/3999| | || | |
00409930220||J2795||04/15/2018|03/01/2024|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.75% 150 MG/20 ML|20|ML|VIAL|IJ|ML|.1333|04/15/2018|03/01/2024| | || | |
00781300407||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|OMNITROPE 10 MG/1.5 ML CRTG|1.5|ML|CARTRIDGE|SQ|ML|.15|04/15/2018|12/31/3999| | || | |
00074347303||J9217||04/15/2018|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|LUPRON DEPOT 45 MG 6MO KIT|1|UN|KIT|IM|EA|.1667|04/15/2018|12/31/3999| | || | |
58468007001||J1931||04/15/2018|12/31/3999|Injection, laronidase, 0.1 mg|ALDURAZYME 2.9 MG/5 ML VIAL|5|ML|VIAL|IV|EA|.1724|04/15/2018|12/31/3999| | || | |
00641040012||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.2|04/15/2018|12/31/3999| | || | |
25021040210||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNITS/10 ML VL|10|ML|VIAL|IJ|ML|.2|04/15/2018|12/31/3999| | || | |
63739095325||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.2|04/15/2018|12/31/3999| | || | |
00409930130||J2795||04/15/2018|05/01/2024|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30 ML|30|ML|VIAL|IJ|ML|.2|04/15/2018|05/01/2024| | || | |
10019095550||J9070||04/15/2018|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIAL|1|UN|VIAL|IV|ML|.2|04/15/2018|12/31/3999| | || | |
62856038901||J9179||04/15/2018|12/31/3999|Injection, eribulin mesylate, 0.1 mg|HALAVEN 1 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.2|04/15/2018|12/31/3999| | || | |
59627033304||Q3027||04/15/2018|12/31/3999|Injection, interferon beta-1a, 1 mcg for intramuscular use|AVONEX PEN 30 MCG/0.5 ML KI|1|UN|KIT|IM|EA|.0333|04/15/2018|12/31/3999| | || | |
50458030911||J2794||04/15/2018|12/31/3999|Injection, risperidone, long acting, 0.5 mg|RISPERDAL CONSTA 12.5 MG SYR|1|UN|BOX|IM|EA|.04|04/15/2018|12/31/3999| | || | |
00641041012||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML VL|1|ML|VIAL|IJ|ML|.1|04/15/2018|12/31/3999| | || | |
25021040301||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML VL|1|ML|VIAL|IJ|ML|.1|04/15/2018|12/31/3999| | || | |
00075062040||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 40 MG/0.4 ML SYRINGE|0.4|ML|SYRINGE|SQ|EA|.1|04/15/2018|12/31/3999| | || | |
00075062160||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 60 MG/0.6 ML SYRINGE|0.6|ML|SYRINGE|SQ|EA|.1|04/15/2018|12/31/3999| | || | |
00075062300||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.1|04/15/2018|12/31/3999| | || | |
00075062603||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 300 MG/3 ML VIAL|3|ML|VIAL|SQ|EA|.1|04/15/2018|12/31/3999| | || | |
00955101601||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 300 MG/3 ML VIAL|3|ML|VIAL|SQ|EA|.1|04/15/2018|12/31/3999| | || | |
00703315501||J9040||04/15/2018|08/31/2023|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 30 UNIT VIAL|1|UN|VIAL|IJ|EA|.5|04/15/2018|08/31/2023| | || | |
00703507503||J9130||04/15/2018|02/29/2024|Dacarbazine, 100 mg|DACARBAZINE 200 MG VIAL|10|UN|VIAL|IV|EA|.5|04/15/2018|02/29/2024| | || | |
63323012820||J9130||04/15/2018|12/31/3999|Dacarbazine, 100 mg|DACARBAZINE 200 MG VIAL|1|UN|VIAL|IV|EA|.5|04/15/2018|12/31/3999| | || | |
00703565301||J9181||04/15/2018|04/30/2022|Injection, etoposide, 10 mg|TOPOSAR 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|04/15/2018|04/30/2022| | || | |
00703565601||J9181||04/15/2018|01/31/2024|Injection, etoposide, 10 mg|TOPOSAR 500 MG/25 ML VIAL|25|ML|VIAL|IV|ML|.5|04/15/2018|01/31/2024| | || | |
00703565691||J9181||04/15/2018|04/16/2018|Injection, etoposide, 10 mg|TOPOSAR 500 MG/25 ML VIAL|25|ML|VIAL|IV|ML|.5|04/15/2018|04/16/2018| | || | |
45963061959||J9201||04/15/2018|07/31/2021|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IV|GM|.2|04/15/2018|07/31/2021| | || | |
00093598627||J3490||11/28/2018|12/31/3999|Unclassified drugs|EPINEPHRINE 0.3 MG AUTO-INJ|2|UN|SYRINGE|IJ|ML|1|11/28/2018|12/31/3999| | || | |
00143927001||J9200||05/16/2000|09/30/2022|Injection, floxuridine, 500 mg|FLOXURIDINE 500 MG VIAL|1|UN|VIAL|IJ|ML|1|05/16/2000|09/30/2022| | || | |
00143930901||J9340||09/01/2015|12/31/3999|Thiotepa injection|THIOTEPA 15 MG VIAL|1|UN|VIAL|IJ|ML|1|09/01/2015|12/31/3999| | || | |
00143931524||J1956||03/13/2012|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 250 MG/50 ML-D|50|ML|BAG|IV|ML|50|03/13/2012|12/31/3999| | || | |
00143931624||J1956||03/13/2012|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/100 ML-|100|ML|BAG|IV|ML|50|03/13/2012|12/31/3999| | || | |
00143931701||J1956||03/13/2012|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/150 ML-|150|ML|BAG|IV|ML|50|03/13/2012|12/31/3999| | || | |
00143931901||J1630||04/25/2017|07/31/2021|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIA|1|ML|VIAL|IJ|ML|1|04/25/2017|07/31/2021| | || | |
00143931925||J1630||04/25/2017|07/31/2021|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIA|1|ML|VIAL|IJ|ML|1|04/25/2017|07/31/2021| | || | |
00378224693||J8999||09/28/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|TAB|1|09/28/2017|12/31/3999| | || | |
00378655085||S4993||12/27/2012|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.15-0.0|28|UN|BLIST PACK|PO|TAB|1|12/27/2012|12/31/3999| | || | |
00378728485||S4993||11/07/2016|12/31/3999|Contraceptive pills for birth control|LEVONO-E ESTRAD 0.10-0.02-0|91|UN|BLIST PACK|PO|TAB|1|11/07/2016|12/31/3999| | || | |
00378730885||S4993||04/01/2015|12/31/3999|Contraceptive pills for birth control|NORETHIN-ESTRA-FE 0.8-0.025|28|UN|BLIST PACK|PO|TAB|1|04/01/2015|12/31/3999| | || | |
00409250410||J2469||11/26/2018|06/30/2025|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|11/26/2018|06/30/2025| | || | |
00409733513||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|07/20/2005|12/31/3999| | || | |
00409733811||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|07/20/2005|12/31/3999| | || | |
00548950100||J3490||07/16/2018|12/31/3999|Unclassified drugs|ISOPROTERENOL 0.2 MG/ML VIA|1|ML|VIAL|IJ|ML|1|07/16/2018|12/31/3999| | || | |
00548950200||J3490||07/18/2018|12/31/3999|Unclassified drugs|ISOPROTERENOL 1 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|07/18/2018|12/31/3999| | || | |
00641604125||J1885||02/22/2013|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/22/2013|12/31/3999| | || | |
00641604201||J1885||02/22/2013|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|02/22/2013|12/31/3999| | || | |
68180089413||S4993||08/22/2018|12/24/2022|Contraceptive pills for birth control|DROSP-EE-LEVOMEF 3-0.02-0.4|28|UN|BLIST PACK|PO|TAB|1|08/22/2018|12/24/2022| | || | |
00641604225||J1885||02/22/2013|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|02/22/2013|12/31/3999| | || | |
00904674604||Q0167||10/11/2018|02/28/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 5 MG CAPSULE|30|UN|BLIST PACK|PO|CAP|.5|10/11/2018|02/28/2023| | || | |
60687038611||Q0167||10/04/2018|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 5 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|.5|10/04/2018|12/31/3999| | || | |
67877057060||Q0167||01/01/2011|04/01/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 10 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.25|01/01/2011|04/01/2023| | || | |
00641604301||J1885||02/22/2013|08/23/2020|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|02/22/2013|08/23/2020| | || | |
00641615101||J1170||10/13/2018|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|10/13/2018|12/31/3999| | || | |
00781342394||J0637||11/13/2018|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|IV|EA|.0714|11/13/2018|12/31/3999| | || | |
00781921090||J2543||10/21/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|10/21/2010|12/31/3999| | || | |
00781921491||J2543||10/21/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|10/21/2010|12/31/3999| | || | |
00781921495||J2543||10/21/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|10/21/2010|12/31/3999| | || | |
00409798411||J7030||10/15/2017|02/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|FLEX CONT|IV|ML|1000|10/15/2017|02/01/2021| | || | |
00338004911||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00338004918||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00338004931||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00338004948||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00338055311||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLN.|50|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00338004911||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00338004918||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00338004938||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00338004948||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00409798406||J7050||10/15/2017|02/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|FLEX CONT|IV|ML|250|10/15/2017|02/01/2021| | || | |
00409798437||J7050||10/15/2017|04/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|250|10/15/2017|04/01/2021| | || | |
00378827055||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|VIAL|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
00487950101||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|VIAL|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
00487950125||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|VIAL|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
00487950160||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|VIAL|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
76204020060||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|30|ML|PC|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
55513026701||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 3,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.0333|10/15/2017|12/31/2022| | || | |
00703367191||J9260||05/15/2018|05/16/2018|Methotrexate sodium, 50 mg|METHOTREXATE 50 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|05/15/2018|05/16/2018| | || | |
00703367193||J9260||05/15/2018|05/16/2018|Methotrexate sodium, 50 mg|METHOTREXATE 50 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|05/15/2018|05/16/2018| | || | |
00703367501||J9260||05/15/2018|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 250 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
00703367591||J9260||05/15/2018|05/16/2018|Methotrexate sodium, 50 mg|METHOTREXATE 250 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2|05/15/2018|05/16/2018| | || | |
16729027730||J9260||05/15/2018|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 50 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
63323012310||J9260||05/15/2018|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 25 MG/ML VIAL|10|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
00409330803||J7608||05/15/2018|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|30|ML|VIAL|MC|ML|5|05/15/2018|12/31/3999| | || | |
00517760425||J7608||05/15/2018|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|4|ML|VIAL|MC|ML|5|05/15/2018|12/31/3999| | || | |
63323069030||J7608||05/15/2018|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|30|ML|VIAL|MC|ML|5|05/15/2018|12/31/3999| | || | |
00487030101||J7613||05/15/2018|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SULFATE (30X3ML,LDPE VIAL,PF) 0.63 MG/3 ML|30|UN|PC|IH|ML|4.7619|05/15/2018|12/31/3999| | || | |
00591346753||J7613||05/15/2018|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SULFATE (25X3ML,PF) 0.021%|3|ML|PC|IH|ML|4.7619|05/15/2018|12/31/3999| | || | |
00591346853||J7613||05/15/2018|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SULFATE (25X3ML,PF) 0.042%|3|ML|PC|IH|ML|2.4|05/15/2018|12/31/3999| | || | |
76204060030||J7620||05/15/2018|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|05/15/2018|12/31/3999| | || | |
76204060060||J7620||05/15/2018|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|05/15/2018|12/31/3999| | || | |
00591379830||J7644||05/15/2018|04/30/2022|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|05/15/2018|04/30/2022| | || | |
00591379860||J7644||05/15/2018|01/31/2022|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|05/15/2018|01/31/2022| | || | |
00591379883||J7644||05/15/2018|04/30/2022|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|05/15/2018|04/30/2022| | || | |
10122082028||J7682||05/15/2018|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|BETHKIS 300 MG/4 ML AMPULE|4|ML|AMPUL|IH|ML|4|05/15/2018|12/31/3999| | || | |
10122082056||J7682||05/15/2018|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|BETHKIS 300 MG/4 ML AMPULE|4|ML|AMPUL|IH|ML|4|05/15/2018|12/31/3999| | || | |
00703523311||J9150||05/15/2018|01/31/2023|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIAL|4|ML|VIAL|IV|ML|2|05/15/2018|01/31/2023| | || | |
66993002127||J7614||05/15/2018|09/30/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL HCL (24X3ML,PF) 0.31 MG/3 ML|24|ML|PC|IH|ML|4.8387|05/15/2018|09/30/2022| | || | |
00703523391||J9150||05/15/2018|06/30/2023|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIAL|4|ML|VIAL|IV|ML|2|05/15/2018|06/30/2023| | || | |
00703523393||J9150||05/15/2018|06/30/2023|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIAL|4|ML|VIAL|IV|ML|2|05/15/2018|06/30/2023| | || | |
20536032201||J9371||04/15/2018|06/30/2020|Injection, vincristine sulfate liposome, 1 mg|MARQIBO KIT|1|UN|KIT|IV|EA|.2|04/15/2018|06/30/2020| | || | |
00074244003||J1950||04/15/2018|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT-PED 15 MG KIT|1|UN|KIT|IM|EA|.25|04/15/2018|12/31/3999| | || | |
25021045201||J2354||04/15/2018|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML VL|1|ML|VIAL|IJ|ML|.25|04/15/2018|12/31/3999| | || | |
67457024500||J2354||04/15/2018|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|.25|04/15/2018|12/31/3999| | || | |
00409337904||J2543||04/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM VIAL|1|UN|VIAL|IV|EA|.25|04/15/2018|12/31/3999| | || | |
00409339004||J2543||04/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM VIAL|1|UN|VIAL|IV|EA|.25|04/15/2018|12/31/3999| | || | |
25021016648||J2543||04/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM VIAL|1|UN|VIAL|IV|EA|.25|04/15/2018|12/31/3999| | || | |
62756052940||J2597||04/15/2018|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN 40 MCG/10 ML VIAL|10|ML|VIAL|IJ|ML|.25|04/15/2018|12/31/3999| | || | |
25021014666||J2700||04/15/2018|09/30/2020|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|04/15/2018|09/30/2020| | || | |
55150012715||J2700||04/15/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|04/15/2018|12/31/3999| | || | |
44087000407||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|SEROSTIM 4 MG VIAL|1|UN|VIAL|SQ|EA|.25|04/15/2018|12/31/3999| | || | |
00074368303||J9217||04/15/2018|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|LUPRON DEPOT-4 MONTH KIT|1|UN|KIT|IM|EA|.25|04/15/2018|12/31/3999| | || | |
16729010811||J9280||04/15/2018|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|EA|.25|04/15/2018|12/31/3999| | || | |
00517095501||S0166||04/15/2018|12/31/3999|Injection, olanzapine, 2.5 mg|OLANZAPINE 10 MG VIAL|1|UN|VIAL|IM|EA|.25|04/15/2018|12/31/3999| | || | |
00074377903||J1950||04/15/2018|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT-PED 11.25 MG 3MO|1|UN|KIT|IM|EA|.3333|04/15/2018|12/31/3999| | || | |
00641600210||J2060||04/15/2018|12/31/3999|Injection, lorazepam, 2 mg|ATIVAN 40 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.5|04/15/2018|12/31/3999| | || | |
00641600325||J2060||04/15/2018|12/31/3999|Injection, lorazepam, 2 mg|ATIVAN 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|04/15/2018|12/31/3999| | || | |
00641604525||J2060||04/15/2018|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|04/15/2018|12/31/3999| | || | |
00641604710||J2060||04/15/2018|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 40 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.5|04/15/2018|12/31/3999| | || | |
00641604925||J2060||04/15/2018|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|04/15/2018|12/31/3999| | || | |
00641605110||J2060||04/15/2018|08/23/2020|Injection, lorazepam, 2 mg|LORAZEPAM 40 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.5|04/15/2018|08/23/2020| | || | |
67457023900||J2354||04/15/2018|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|.5|04/15/2018|12/31/3999| | || | |
00206885216||J2543||04/15/2018|09/30/2020|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 2.25 GRAM VIAL|1|UN|VIAL|IV|EA|.5|04/15/2018|09/30/2020| | || | |
63323028523||J2795||04/15/2018|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 2 MG/ML SOLN|20|ML|VIAL|IJ|ML|.5|04/15/2018|12/31/3999| | || | |
00703565701||J9181||04/15/2018|08/31/2022|Injection, etoposide, 10 mg|TOPOSAR 1,000 MG/50 ML VIAL|50|ML|VIAL|IV|ML|.5|04/15/2018|08/31/2022| | || | |
63323012020||J9100||04/15/2018|12/31/3999|Injection, cytarabine, 100 mg|CYTARABINE 100 MG/ML VIAL|20|ML|VIAL|IJ|ML|1|04/15/2018|12/31/3999| | || | |
59923070125||J9178||04/15/2018|02/01/2021|Injection, epirubicin hcl, 2 mg|EPIRUBICIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|EA|1|04/15/2018|02/01/2021| | || | |
45963062151||J9185||04/15/2018|06/30/2023|Injection, fludarabine phosphate, 50 mg|FLUDARABINE 50 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|04/15/2018|06/30/2023| | || | |
45963061451||J9206||04/15/2018|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|ML|1|04/15/2018|12/31/3999| | || | |
00904670310||J8999||12/27/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 25 MG TA|20|UN|BLIST PACK|PO|TAB|1|12/27/2018|12/31/3999| | || | |
16729027503||J0583||11/07/2018|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|11/07/2018|12/31/3999| | || | |
16729027567||J0583||11/07/2018|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|11/07/2018|12/31/3999| | || | |
17478017212||J7614||01/01/2005|06/30/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|XOPENEX 0.31 MG/3 ML SOLUTI|3|ML|VIAL|IH|ML|4.8287|01/01/2005|06/30/2023| | || | |
25021040910||J1327||10/02/2018|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|ML|VIAL|IV|ML|2.5|10/02/2018|12/31/3999| | || | |
25021078305||J2469||10/04/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|10/04/2018|12/31/3999| | || | |
42023017901||J0592||07/30/2015|12/31/3999|Injection, buprenorphine hydrochloride, 0.1 mg|BUPRENORPHINE 0.3 MG/ML VIA|1|ML|VIAL|IJ|ML|.3333|07/30/2015|12/31/3999| | || | |
42292004401||J8999||09/28/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|1|UN|BLIST PACK|PO|TAB|1|09/28/2017|12/31/3999| | || | |
43598034490||J8999||09/27/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|90|UN|BOTTLE|PO|TAB|1|09/27/2018|12/31/3999| | || | |
43598034530||J8999||09/27/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|TAB|1|09/27/2018|12/31/3999| | || | |
47918087890||J3490||07/01/2017|12/31/3999|Unclassified drugs|AFREZZA 8 UNIT CARTRIDGE|90|UN|CARTRIDGE|IH|EA|1|07/01/2017|12/31/3999| | || | |
50102022821||S4993||11/01/2018|12/31/3999|Contraceptive pills for birth control|TARINA FE 1-20 EQ TABLET|28|UN|BLIST PACK|PO|TAB|1|11/01/2018|12/31/3999| | || | |
50102022823||S4993||11/01/2018|12/31/3999|Contraceptive pills for birth control|TARINA FE 1-20 EQ TABLET|28|UN|BLIST PACK|PO|TAB|1|11/01/2018|12/31/3999| | || | |
50242021401||J2357||12/11/2018|12/31/3999|Injection, omalizumab, 5 mg|XOLAIR 75 MG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SQ|ML|.0667|12/11/2018|12/31/3999| | || | |
50458019428||S4993||10/16/2003|04/30/2021|Contraceptive pills for birth control|ORTHO MICRONOR 0.35 MG TABL|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|04/30/2021| | || | |
60505074901||J0690||10/08/2005|11/30/2016|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|10/08/2005|11/30/2016| | || | |
60505075001||J0696||08/02/2005|06/30/2019|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|ML|1|08/02/2005|06/30/2019| | || | |
62559068030||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|CASODEX 50 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
63323006401||J3475||04/01/1998|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|2|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323006404||J3475||04/01/1998|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323006423||J3475||04/01/1998|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|2|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323036003||J0610||01/03/2018|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 5,000 MG/50 ML|50|ML|VIAL|IV|ML|10|01/03/2018|03/31/2023| | || | |
63323063110||J0640||12/04/2018|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CAL 100 MG/10 ML|10|ML|VIAL|IJ|ML|5|12/04/2018|12/31/3999| | || | |
63323063703||J9017||10/23/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|10/23/2018|12/31/3999| | || | |
63323063710||J9017||10/23/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|10/23/2018|12/31/3999| | || | |
63323067389||J2469||10/15/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON HCL 0.25 MG/5|5|ML|SYRINGE|IV|ML|.5|10/15/2018|12/31/3999| | || | |
63459091853||J1447||11/08/2018|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/ML VIAL|1|ML|VIAL|SQ|ML|.0033|11/08/2018|12/31/2022| | || | |
63459092053||J1447||11/08/2018|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|SQ|ML|.0033|11/08/2018|12/31/2022| | || | |
00517234025||J1756||10/15/2017|12/31/3999|Injection, iron sucrose, 1 mg|Venofer 20 MG/ML SOLN|5|ML|VIAL|IV|ML|.05|10/15/2017|12/31/3999| | || | |
00517231005||J1756||10/15/2017|12/31/3999|Injection, iron sucrose, 1 mg|Venofer 20 MG/ML SOLN|10|ML|VIAL|IV|ML|.05|10/15/2017|12/31/3999| | || | |
00378827093||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|VIAL|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
00487990401||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate 1.25 MG/3ML NEBU|3|ML|VIAL|IH|ML|2.4|10/15/2017|12/31/3999| | || | |
00487990425||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate 1.25 MG/3ML NEBU|3|ML|VIAL|IH|ML|2.4|10/15/2017|12/31/3999| | || | |
00487950103||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|VIAL|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
59676030201||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 2,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.05|10/15/2017|12/31/2022| | || | |
59676031000||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.01|10/15/2017|12/31/2022| | || | |
59676030301||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 3,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.0333|10/15/2017|12/31/2022| | || | |
59676031001||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.01|10/15/2017|12/31/2022| | || | |
59676030401||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 4,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.025|10/15/2017|12/31/2022| | || | |
59676031002||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.01|10/15/2017|12/31/2022| | || | |
59676032000||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 20,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.005|10/15/2017|12/31/2022| | || | |
59676031200||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 10,000 UNITS/ML VIAL|2|ML|VIAL|IJ|ML|.01|10/15/2017|12/31/2022| | || | |
00703342911||J9208||05/15/2018|10/31/2022|Injection, ifosfamide, 1 gram|IFOSFAMIDE 3 GM/ 60 ML VIAL|60|ML|VIAL|IV|ML|20|05/15/2018|10/31/2022| | || | |
10019095301||J9209||05/15/2018|12/31/3999|Injection, mesna, 200 mg|MESNA 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
00703468601||J9293||05/15/2018|09/30/2022|Injection, mitoxantrone hydrochloride, per 5 mg|MITOXANTRONE 30 MG/15 ML VIAL|15|ML|VIAL|IV|ML|2.5|05/15/2018|09/30/2022| | || | |
61703034318||J9293||05/15/2018|12/31/3999|Injection, mitoxantrone hydrochloride, per 5 mg|MITOXANTRONE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|2.5|05/15/2018|12/31/3999| | || | |
61703034365||J9293||05/15/2018|12/31/3999|Injection, mitoxantrone hydrochloride, per 5 mg|MITOXANTRONE 25 MG/12.5 ML VL|12.5|ML|VIAL|IV|ML|2.5|05/15/2018|12/31/3999| | || | |
61703034366||J9293||05/15/2018|12/31/3999|Injection, mitoxantrone hydrochloride, per 5 mg|MITOXANTRONE 30 MG/15 ML VIAL|15|ML|VIAL|IV|ML|2.5|05/15/2018|12/31/3999| | || | |
63323013210||J9293||05/15/2018|12/31/3999|Injection, mitoxantrone hydrochloride, per 5 mg|MITOXANTRONE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|2.5|05/15/2018|12/31/3999| | || | |
63323013212||J9293||05/15/2018|12/31/3999|Injection, mitoxantrone hydrochloride, per 5 mg|MITOXANTRONE 25 MG/12.5 ML VL|12.5|ML|VIAL|IV|ML|2.5|05/15/2018|12/31/3999| | || | |
13533069026||P9045||05/15/2018|02/08/2019|ALBUMIN (HUMAN), 5%, 250 ML|PLASBUMIN-5 IV SOLUTION|250|ML|VIAL|IV|ML|250|05/15/2018|02/08/2019| | || | |
44206031025||P9045||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBURX (HUMAN) 5% VIAL|250|ML|VIAL|IV|ML|250|05/15/2018|12/31/3999| | || | |
68516521401||P9045||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUTEIN 5% IV SOLUTION|250|ML|VIAL|IV|ML|250|05/15/2018|12/31/3999| | || | |
68982062302||P9045||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUMIN (HUMAN) 5% IV SOLUT|250|ML|GLASS CONT|IV|ML|250|05/15/2018|12/31/3999| | || | |
68982062303||P9045||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUMIN (HUMAN) 5% IV SOLUT|500|ML|GLASS CONT|IV|ML|250|05/15/2018|12/31/3999| | || | |
13533068416||P9046||05/15/2018|09/30/2020|ALBUMIN (HUMAN), 25%, 20 ML|PLASBUMIN-25 IV SOLUTION|20|ML|VIAL|IV|ML|20|05/15/2018|09/30/2020| | || | |
13533068417||P9046||05/15/2018|09/30/2020|ALBUMIN (HUMAN), 25%, 20 ML|PLASBUMIN-25 IV SOLUTION|20|ML|VIAL|IV|ML|20|05/15/2018|09/30/2020| | || | |
13533069216||P9046||05/15/2018|08/28/2018|ALBUMIN (HUMAN), 25%, 20 ML|PLASBUMIN-25 IV SOLUTION|20|ML|VIAL|IV|ML|20|05/15/2018|08/28/2018| | || | |
00703523313||J9150||05/15/2018|01/31/2023|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIAL|4|ML|VIAL|IV|ML|2|05/15/2018|01/31/2023| | || | |
10019095362||J9209||05/15/2018|12/31/3999|Injection, mesna, 200 mg|MESNA 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
25021020166||J9209||05/15/2018|12/31/3999|Injection, mesna, 200 mg|MESNA 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
25021020167||J9209||05/15/2018|12/31/3999|Injection, mesna, 200 mg|MESNA 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
25021020168||J9209||05/15/2018|01/31/2020|Injection, mesna, 200 mg|MESNA 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|01/31/2020| | || | |
25021020169||J9209||05/15/2018|01/31/2020|Injection, mesna, 200 mg|MESNA 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|01/31/2020| | || | |
63323073310||J9209||05/15/2018|02/28/2023|Injection, mesna, 200 mg|MESNA 100 MG/ML VIAL|10|ML|VIAL|IV|ML|2|05/15/2018|02/28/2023| | || | |
00703415411||J9211||05/15/2018|08/31/2023|Injection, idarubicin hydrochloride, 5 mg|IDARUBICIN HCL 5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|05/15/2018|08/31/2023| | || | |
45963061455||J9206||04/15/2018|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|04/15/2018|12/31/3999| | || | |
59923070202||J9206||04/15/2018|02/01/2021|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|EA|1|04/15/2018|02/01/2021| | || | |
67457057901||J9245||04/15/2018|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN HCL 50 MG VIAL|1|UN|VIAL|IV|EA|1|04/15/2018|12/31/3999| | || | |
00407270718||Q9956||04/15/2018|12/31/2021|Injection, octafluoropropane microspheres, per ml|OPTISON VIAL|3|ML|VIAL|IV|ML|1|04/15/2018|12/31/2021| | || | |
66887000410||S0189||04/15/2018|12/31/3999|Testosterone pellet, 75mg|TESTOPEL 75 MG PELLETS|10|UN|BOX|IL|EA|1|04/15/2018|12/31/3999| | || | |
00591379730||J7613||04/15/2018|09/30/2020|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SULFATE (30X3ML) 0.083%|30|ML|PC|IH|ML|1.2|04/15/2018|09/30/2020| | || | |
00591379760||J7613||04/15/2018|09/30/2020|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL 0.083% INHAL SOLN|3|ML|VIAL|IH|ML|1.2|04/15/2018|09/30/2020| | || | |
60505611000||J3489||04/15/2018|06/21/2021|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1.25|04/15/2018|06/21/2021| | || | |
17478053802||J2360||04/15/2018|06/30/2023|Injection, orphenadrine citrate, up to 60 mg|ORPHENADRINE 30 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|04/15/2018|06/30/2023| | || | |
25021065102||J2360||04/15/2018|12/31/3999|Injection, orphenadrine citrate, up to 60 mg|ORPHENADRINE 60 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
00641602825||J3010||04/15/2018|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 250 MCG/5 ML VIAL|5|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
00009000501||J1720||01/01/1991|12/31/3999|Injection, hydrocortisone sodium succinate, up to 100 mg|SOLU-CORTEF 1,000 MG VIAL|1|UN|VIAL|IJ|EA|.1|01/01/1991|12/31/3999| | || | |
68012035001||J0596||04/15/2018|01/18/2022|Injection, ruconest|RUCONEST 2,100 UNIT VIAL|1|UN|VIAL|IV|EA|.0048|04/15/2018|01/18/2022| | || | |
00264310311||J0690||04/15/2018|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM-D5W BAG|1|UN|BAG|IV|ML|.5|04/15/2018|12/31/3999| | || | |
63323030351||J3260||04/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.0667|04/15/2018|12/31/3999| | || | |
63323076316||J9267||04/15/2018|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML VIAL|16.7|ML|VIAL|IV|ML|.1667|04/15/2018|12/31/3999| | || | |
63323061603||J0282||04/15/2018|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 150 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.6|04/15/2018|12/31/3999| | || | |
63323029427||J0670||04/01/1998|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE-MPF 2% VIAL|20|ML|VIAL|IJ|ML|10|04/01/1998|12/31/3999| | || | |
60505068804||J2543||04/15/2018|05/31/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM VIAL|1|UN|VIAL|IV|ML|.25|04/15/2018|05/31/2021| | || | |
42023011801||J3250||01/17/2008|03/31/2022|Injection, trimethobenzamide hcl, up to 200 mg|TIGAN 100 MG/ML VIAL|20|ML|VIAL|IM|ML|2|01/17/2008|03/31/2022| | || | |
63459092059||J1447||11/08/2018|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|SQ|ML|.0033|11/08/2018|12/31/2022| | || | |
64679009602||J9025||12/28/2016|01/31/2023|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|12/28/2016|01/31/2023| | || | |
67457037912||J2501||12/21/2018|03/31/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 2 MCG/ML VIAL|1|ML|VIAL|IV|ML|.5|12/21/2018|03/31/2022| | || | |
67457056220||J0475||12/21/2018|12/31/3999|Injection, baclofen, 10 mg|BACLOFEN 10 MG/20 ML VIAL|20|ML|VIAL|IT|ML|20|12/21/2018|12/31/3999| | || | |
67457056320||J0475||12/21/2018|12/31/3999|Injection, baclofen, 10 mg|BACLOFEN 20,000 MCG/20 ML V|20|ML|VIAL|IT|ML|10|12/21/2018|12/31/3999| | || | |
67457062910||J1327||10/01/2018|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|ML|VIAL|IV|ML|2.5|10/01/2018|12/31/3999| | || | |
67457063010||J1327||10/01/2018|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 200 MG/100 ML|100|ML|VIAL|IV|ML|2.5|10/01/2018|12/31/3999| | || | |
67457082415||J3370||12/06/2018|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.3333|12/06/2018|12/31/2022| | || | |
67457087900||J3030||02/07/2011|05/31/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML SYR|0.5|ML|SYRINGE|SQ|ML|.5|02/07/2011|05/31/2021| | || | |
68180085711||S4993||03/29/2016|08/21/2022|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD TRIPHASI|28|UN|BLIST PACK|PO|TAB|1|03/29/2016|08/21/2022| | || | |
68382038306||J8999||12/14/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|EXEMESTANE 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|12/14/2018|12/31/3999| | || | |
68382082701||J8999||03/22/2018|01/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|100|UN|BOTTLE|PO|TAB|1|03/22/2018|01/31/2022| | || | |
68382099701||J9017||12/17/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|12/17/2018|12/31/3999| | || | |
68462031884||S4993||05/01/2012|12/31/3999|Contraceptive pills for birth control|VIORELE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|05/01/2012|12/31/3999| | || | |
68462073184||S4993||12/11/2018|12/31/3999|Contraceptive pills for birth control|HAILEY 24 FE 1 MG-20 MCG TA|28|UN|BLIST PACK|PO|TAB|1|12/11/2018|12/31/3999| | || | |
68982082006||90283||11/26/2018|04/17/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|11/26/2018|04/17/2021| | || | |
68982082084||90283||11/26/2018|05/16/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|11/26/2018|05/16/2021| | || | |
68982082085||90283||11/26/2018|04/22/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|11/26/2018|04/22/2021| | || | |
69097031602||J8999||06/12/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|EXEMESTANE 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|06/12/2018|12/31/3999| | || | |
69543037110||J2469||09/20/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|09/20/2018|12/31/3999| | || | |
70069003003||J1631||10/18/2018|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DECAN 50 MG/ML|1|ML|AMPUL|IM|ML|1|10/18/2018|12/31/3999| | || | |
70069003105||J1631||10/18/2018|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML A|1|ML|AMPUL|IM|ML|.5|10/18/2018|12/31/3999| | || | |
70121147807||J2710||12/20/2018|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|12/20/2018|12/31/3999| | || | |
70121148202||J9050||11/20/2018|12/31/3999|Injection, carmustine, 100 mg|CARMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|1|11/20/2018|12/31/3999| | || | |
70121160407||J3490||10/24/2018|12/31/3999|Unclassified drugs|ISOPROTERENOL 0.2 MG/ML VIA|1|ML|VIAL|IJ|ML|1|10/24/2018|12/31/3999| | || | |
70594004602||J3370||11/06/2018|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|11/06/2018|12/31/3999| | || | |
70655000206||J1450||06/12/2017|04/30/2022|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 200 MG/100|100|ML|FLEX CONT|IV|GM|100|06/12/2017|04/30/2022| | || | |
70655008806||J1450||06/12/2017|02/28/2022|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 400 MG/200|200|ML|FLEX CONT|IV|GM|100|06/12/2017|02/28/2022| | || | |
70655008810||J1450||06/12/2017|02/28/2022|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 400 MG/200|200|ML|FLEX CONT|IV|GM|100|06/12/2017|02/28/2022| | || | |
70710147801||J1451||12/10/2018|12/31/3999|Injection, fomepizole, 15 mg|FOMEPIZOLE 1.5 GM/1.5 ML VI|1.5|ML|VIAL|IV|EA|.015|12/10/2018|12/31/3999| | || | |
59676032004||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 20,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.005|10/15/2017|12/31/2022| | || | |
59676031204||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|PROCRIT 10,000 UNITS/ML VIAL|2|ML|VIAL|IJ|ML|.01|10/15/2017|12/31/2022| | || | |
00517234099||J1756||10/15/2017|12/31/3999|Injection, iron sucrose, 1 mg|Venofer 20 MG/ML SOLN|5|ML|VIAL|IJ|ML|.05|10/15/2017|12/31/3999| | || | |
00641094831||J2550||10/15/2017|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
00641602801||J3010||10/15/2017|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FentaNYL Citrate (PF) 250 MCG/5ML SOLN|5|ML|VIAL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
00641149531||J2550||10/15/2017|12/31/3999|Injection, promethazine hcl, up to 50 mg|PROMETHAZINE 25 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
76045000610||J2270||10/15/2017|07/31/2021|Injection, morphine sulfate, up to 10 mg|MORPHINE 5 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|10/15/2017|07/31/2021| | || | |
76204020030||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|VIAL|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
00074165801||J2501||10/15/2017|12/31/3999|Injection, paricalcitol, 1 mcg|ZEMPLAR 5 MCG/ML VIAL|1|ML|VIAL|IV|ML|.2|10/15/2017|12/31/3999| | || | |
00641603001||J3010||10/15/2017|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FentaNYL Citrate (PF) 2500 MCG/50ML SOLN|50|ML|VIAL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
00338954304||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% 500 ML|500|ML|FLEX CONT|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338954306||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% 1,000|1000|ML|FLEX CONT|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338954304||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% 500 ML|500|ML|FLEX CONT|IV|ML|500|10/15/2017|12/31/3999| | || | |
00378827052||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|PC|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
00378827091||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|PC|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
55513014410||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 10,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.01|10/15/2017|12/31/2022| | || | |
55513014810||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 4,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.025|10/15/2017|12/31/2022| | || | |
55513014801||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 4,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.025|10/15/2017|12/31/2022| | || | |
55513047801||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 20,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.005|10/15/2017|12/31/2022| | || | |
55513028301||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 20,000 UNITS/2 ML VIAL|2|ML|VIAL|IJ|ML|.01|10/15/2017|12/31/2022| | || | |
55513028310||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 20,000 UNITS/2 ML VIAL|2|ML|VIAL|IJ|ML|.01|10/15/2017|12/31/2022| | || | |
55513047810||Q4081||10/15/2017|12/31/2022|Injection, epoetin alfa, 100 units (for esrd on dialysis)|EPOGEN 20,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.005|10/15/2017|12/31/2022| | || | |
00641608401||J2550||10/15/2017|12/31/3999|Injection, promethazine hcl, up to 50 mg|PHENERGAN 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
00641608201||J2550||10/15/2017|12/31/3999|Injection, promethazine hcl, up to 50 mg|PHENERGAN 25 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
00703367801||J9260||05/15/2018|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 1 GRAM/40 ML VIAL|40|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
16729027703||J9260||05/15/2018|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 250 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
67457046610||J9260||05/15/2018|04/30/2021|Methotrexate sodium, 50 mg|METHOTREXATE 250 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2|05/15/2018|04/30/2021| | || | |
45963060756||J9390||05/15/2018|12/31/3999|Injection, vinorelbine tartrate, 10 mg|VINORELBINE 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|05/15/2018|12/31/3999| | || | |
68982062301||P9041||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 5%|ALBUMIN (HUMAN) 5% IV SOLUT|100|ML|GLASS CONT|IV|ML|50|05/15/2018|12/31/3999| | || | |
00944049505||P9045||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|FLEXBUMIN 5% IV SOLUTION|250|ML|FLEX CONT|IV|ML|250|05/15/2018|12/31/3999| | || | |
13533068525||P9045||05/15/2018|09/30/2020|ALBUMIN (HUMAN), 5%, 250 ML|PLASBUMIN-5 IV SOLUTION|250|ML|VIAL|IV|ML|250|05/15/2018|09/30/2020| | || | |
00641602225||S0028||05/15/2018|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
00338130148||J0692||05/15/2018|12/31/2022|Injection, cefepime hydrochloride, 500 mg|CEFEPIME 2 GM INJECTION|100|ML|BAG|IV|ML|25|05/15/2018|12/31/2022| | || | |
67457017750||J1212||05/15/2018|12/31/3999|Injection, dmso, dimethyl sulfoxide, 50%, 50 ml|RIMSO-50 SOLUTION|50|ML|BOTTLE|IS|ML|50|05/15/2018|12/31/3999| | || | |
67457036610||J1742||05/15/2018|12/31/3999|Injection, ibutilide fumarate, 1 mg|IBUTILIDE FUM 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|05/15/2018|12/31/3999| | || | |
13533069217||P9046||05/15/2018|08/28/2018|ALBUMIN (HUMAN), 25%, 20 ML|PLASBUMIN-25 IV SOLUTION|20|ML|VIAL|IV|ML|20|05/15/2018|08/28/2018| | || | |
68516521605||P9046||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 25%, 20 ML|ALBUTEIN 25% VIAL|20|ML|VIAL|IV|ML|20|05/15/2018|12/31/3999| | || | |
68516521606||P9046||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 25%, 20 ML|ALBUTEIN 25% VIAL|20|ML|VIAL|IV|ML|20|05/15/2018|12/31/3999| | || | |
13533068472||P9047||05/15/2018|09/30/2020|ALBUMIN (HUMAN), 25%, 50 ML|PLASBUMIN-25 IV SOLUTION|100|ML|VIAL|IV|ML|50|05/15/2018|09/30/2020| | || | |
00641602325||S0028||05/15/2018|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
62935022305||J9217||06/02/2014|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|ELIGARD 22.5 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|.3333|06/02/2014|12/31/3999| | || | |
62935030330||J9217||06/02/2014|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|ELIGARD 30 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|.25|06/02/2014|12/31/3999| | || | |
00409189101||J2270||05/15/2018|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 4 MG/ML CARPUJECT|1|ML|SYRINGE|IV|ML|2.5|05/15/2018|12/31/3999| | || | |
67457059900||J2310||05/15/2018|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|05/15/2018|12/31/3999| | || | |
67457029200||J2310||05/15/2018|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|05/15/2018|12/31/3999| | || | |
67457059902||J2310||05/15/2018|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|05/15/2018|12/31/3999| | || | |
00703408551||J2430||05/15/2018|06/30/2023|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE 90 MG/10 ML VIAL|10|ML|VIAL|IV|ML|3.3333|05/15/2018|06/30/2023| | || | |
00944417705||J2724||05/15/2018|12/31/3999|Injection, protein c concentrate, intravenous, human, 10 iu|CEPROTIN 400-600 UNITS VIAL|1|UN|VIAL|IV|EA|10|05/15/2018|12/31/3999| | || | |
00944417910||J2724||05/15/2018|12/31/3999|Injection, protein c concentrate, intravenous, human, 10 iu|CEPROTIN 800-1,200 UNITS VI|1|UN|VIAL|IV|EA|10|05/15/2018|12/31/3999| | || | |
63323030502||J3260||05/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 10 MG/ML VIAL|2|ML|VIAL|IJ|ML|8|05/15/2018|12/31/3999| | || | |
43066015010||J0282||08/12/2011|12/31/2022|Injection, amiodarone hydrochloride, 30 mg|NEXTERONE 150 MG/100 ML BAG|100|ML|BAG|IV|ML|20|08/12/2011|12/31/2022| | || | |
39822400001||J1953||04/15/2018|02/28/2023|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML VIAL|5|ML|VIAL|IV|EA|.1|04/15/2018|02/28/2023| | || | |
39822041201||J3260||04/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.0667|04/15/2018|12/31/3999| | || | |
39822041206||J3260||04/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.0667|04/15/2018|12/31/3999| | || | |
50474071079||J0717||04/15/2018|12/31/3999|Injection, certolizumab pegol, 1 mg (code may be used for medicare when dru...|CIMZIA 200 MG/ML SYRINGE KIT|1|UN|SYRINGE|SQ|EA|.0025|04/15/2018|12/31/3999| | || | |
48818000102||J9307||04/15/2018|12/31/3999|Injection, pralatrexate, 1 mg|FOLOTYN 40 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.05|04/15/2018|12/31/3999| | || | |
49230053425||J1756||01/22/2007|12/31/3999|Injection, iron sucrose, 1 mg|VENOFER 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.05|01/22/2007|12/31/3999| | || | |
50242007501||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|NUTROPIN AQ NUSPIN 5 PEN CART|2|ML|CARTRIDGE|SQ|ML|.4|04/15/2018|12/31/3999| | || | |
24208000202||J3471||04/15/2018|08/15/2025|Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 9...|VITRASE 200 UNITS/ML VIAL|1.2|ML|VIAL|IJ|ML|.005|04/15/2018|08/15/2025| | || | |
00469325010||J2248||04/15/2018|12/31/3999|Injection, micafungin sodium, 1 mg|MYCAMINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|04/15/2018|12/31/3999| | || | |
00487990130||J7611||04/15/2018|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SULFATE (UNIT OF USE,PF) 0.5%|0.5|ML|PC|IH|ML|.2|04/15/2018|12/31/3999| | || | |
67457059300||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|ARIXTRA 5 MG/0.4 ML SYRINGE|.4|ML|SYRINGE|SQ|EA|.04|04/15/2018|12/31/3999| | || | |
67457059304||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|ARIXTRA 5 MG/0.4 ML SYRINGE|.4|ML|SYRINGE|SQ|EA|.04|04/15/2018|12/31/3999| | || | |
63739098625||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML VL|1|ML|VIAL|IJ|ML|.05|04/15/2018|12/31/3999| | || | |
67457024601||J2354||04/15/2018|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|.05|04/15/2018|12/31/3999| | || | |
10019095701||J9070||04/15/2018|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|04/15/2018|12/31/3999| | || | |
10019095616||J9070||04/15/2018|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
00944265603||J1566||04/15/2018|12/31/3999|Injection, immune globulin, intravenous, lyophilized (e.g. powder), not oth...|GAMMAGARD S-D 5 G (IGA<1) SOLN|1|UN|VIAL|IV|GM|.1|04/15/2018|12/31/3999| | || | |
10019095711||J9070||04/15/2018|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|04/15/2018|12/31/3999| | || | |
47335093640||J9218||04/15/2018|12/31/3999|Leuprolide acetate, per 1 mg|LEUPROLIDE 2WK 1 MG/0.2 ML|1|UN|KIT|SQ|ML|.0714|04/15/2018|12/31/3999| | || | |
63323028357||J0670||04/01/1998|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE 1% VIAL|50|ML|VIAL|IJ|ML|10|04/01/1998|12/31/3999| | || | |
63323047537||J2400||04/01/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|NESACAINE 1% VIAL|30|ML|VIAL|IJ|ML|30.0003|04/01/1998|12/31/2022| | || | |
63323054302||J1644||04/15/2018|11/30/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ 0.5 ML|0.5|ML|VIAL|IJ|ML|.1|04/15/2018|11/30/2021| | || | |
16729015131||J9351||04/15/2018|12/31/3999|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG VIAL|1|UN|VIAL|IV|EA|.025|04/15/2018|12/31/3999| | || | |
16729024838||J9280||04/15/2018|01/31/2023|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|EA|.125|04/15/2018|01/31/2023| | || | |
70860077802||J0780||11/08/2018|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|11/08/2018|12/31/3999| | || | |
70860077810||J0780||11/08/2018|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 50 MG/10 M|10|ML|VIAL|IJ|ML|2|11/08/2018|12/31/3999| | || | |
75834011584||S4993||11/01/2017|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.03 MG T|28|UN|BLIST PACK|PO|TAB|1|11/01/2017|12/31/3999| | || | |
59353040109||J0888||04/01/2019|12/31/3999|Epoetin beta non-esrd use|MIRCERA 50 MCG/0.3 ML SYRIN|0.3|ML|SYRINGE|IJ|ML|.006|04/01/2019|12/31/3999| | || | |
59353040309||J0888||04/01/2019|12/31/3999|Epoetin beta non-esrd use|MIRCERA 100 MCG/0.3 ML SYRI|0.3|ML|SYRINGE|IJ|ML|.003|04/01/2019|12/31/3999| | || | |
75834011684||S4993||11/01/2017|02/28/2023|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.02 MG T|28|UN|BLIST PACK|PO|TAB|1|11/01/2017|02/28/2023| | || | |
62484002002||J8999||06/25/2014|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PURIXAN 20 MG/ML ORAL SUSP|100|ML|BOTTLE|PO|ML|1|06/25/2014|12/31/3999| | || | |
75987008010||J2507||01/01/2019|12/31/3999|Injection, pegloticase, 1 mg|KRYSTEXXA 8 MG/ML VIAL|1|ML|VIAL|IV|ML|.13|01/01/2019|12/31/3999| | || | |
00024590101||J3590||07/29/2015|06/30/2021|Unclassified Biologics|PRALUENT 75 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|07/29/2015|06/30/2021| | || | |
00024592001||J3590||06/19/2018|12/31/3999|Unclassified Biologics|KEVZARA 150 MG/1.14 ML PEN|1.14|ML|SYRINGE|SQ|ML|1|06/19/2018|12/31/3999| | || | |
00310066812||J8999||08/18/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LYNPARZA 100 MG TABLET|120|UN|BOTTLE|PO|TAB|1|08/18/2017|12/31/3999| | || | |
00310067912||J8999||08/18/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LYNPARZA 150 MG TABLET|120|UN|BOTTLE|PO|TAB|1|08/18/2017|12/31/3999| | || | |
00409371401||J3490||10/28/2004|09/30/2020|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|10/28/2004|09/30/2020| | || | |
00409371410||J3490||10/28/2004|09/30/2020|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|10/28/2004|09/30/2020| | || | |
17478051701||J3490||05/10/2018|06/30/2023|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|05/10/2018|06/30/2023| | || | |
50419017101||J8999||09/27/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|STIVARGA 40 MG TABLET|28|UN|BOTTLE|PO|TAB|1|09/27/2012|12/31/3999| | || | |
51754600004||J3490||09/18/2018|12/31/2023|Unclassified drugs|GLYRX-PF 0.2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/18/2018|12/31/2023| | || | |
51754600104||J3490||09/18/2018|12/31/2023|Unclassified drugs|GLYRX-PF 0.4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|09/18/2018|12/31/2023| | || | |
57894019506||J8999||05/15/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ZYTIGA 500 MG TABLET|60|UN|BOTTLE|PO|TAB|1|05/15/2017|12/31/3999| | || | |
62856070405||J8999||08/20/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 4 MG CAPSULE|5|UN|BLIST PACK|PO|EA|1|08/20/2018|12/31/3999| | || | |
62856071205||J8999||08/20/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 12 MG DAILY DOSE|15|UN|BLIST PACK|PO|EA|1|08/20/2018|12/31/3999| | || | |
62856071230||J8999||08/20/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 12 MG DAILY DOSE|90|UN|BLIST PACK|PO|EA|1|08/20/2018|12/31/3999| | || | |
63020053530||J8999||01/03/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ICLUSIG 15 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/03/2013|12/31/3999| | || | |
67457085204||J3490||10/15/2018|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|10/15/2018|12/31/3999| | || | |
70860011726||J3490||09/25/2018|12/31/3999|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|09/25/2018|12/31/3999| | || | |
72511075001||J3590||10/22/2018|12/31/3999|Unclassified Biologics|REPATHA 140 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|1|10/22/2018|12/31/3999| | || | |
72511076002||J3590||10/22/2018|12/31/3999|Unclassified Biologics|REPATHA 140 MG/ML SURECLICK|1|ML|SYRINGE|SQ|ML|1|10/22/2018|12/31/3999| | || | |
59353040009||J0888||04/01/2019|12/31/3999|Epoetin beta non-esrd use|MIRCERA 30 MCG/0.3 ML SYRIN|0.3|ML|SYRINGE|IJ|ML|.01|04/01/2019|12/31/3999| | || | |
59353040209||J0888||04/01/2019|12/31/3999|Epoetin beta non-esrd use|MIRCERA 75 MCG/0.3 ML SYRIN|0.3|ML|SYRINGE|IJ|ML|.004|04/01/2019|12/31/3999| | || | |
59353040409||J0888||04/01/2019|12/31/3999|Epoetin beta non-esrd use|MIRCERA 150 MCG/0.3 ML SYRI|0.3|ML|SYRINGE|IJ|ML|.002|04/01/2019|12/31/3999| | || | |
00641600201||J2060||11/15/2017|12/31/3999|Injection, lorazepam, 2 mg|Ativan 4 MG/ML SOLN|10|ML|VIAL|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
00641604501||J2060||11/15/2017|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
00641604701||J2060||11/15/2017|12/31/3999|Injection, lorazepam, 2 mg|LORazepam 4 MG/ML SOLN|10|ML|VIAL|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
44567080310||J2543||11/15/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM VIAL|1|UN|VIAL|IV|EA|.25|11/15/2017|12/31/3999| | || | |
00641605101||J2060||11/15/2017|08/23/2020|Injection, lorazepam, 2 mg|LORazepam 4 MG/ML SOLN|10|ML|VIAL|IJ|ML|.5|11/15/2017|08/23/2020| | || | |
61703033918||J9045||11/15/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
63323028695||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 5 MG/ML SOLN|30|ML|VIAL|IJ|ML|.2|11/15/2017|12/31/3999| | || | |
63323028720||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 7.5 MG/ML SOLN|20|ML|AMPUL|IJ|ML|.1333|11/15/2017|12/31/3999| | || | |
63323028810||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 10 MG/ML SOLN|10|ML|AMPUL|IJ|ML|.1|11/15/2017|12/31/3999| | || | |
63323028811||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 10 MG/ML SOLN|10|ML|VIAL|IJ|ML|.1|11/15/2017|12/31/3999| | || | |
63323028627||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 5 MG/ML SOLN|20|ML|VIAL|IJ|ML|.2|11/15/2017|12/31/3999| | || | |
63323028820||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 10 MG/ML SOLN|20|ML|AMPUL|IJ|ML|.1|11/15/2017|12/31/3999| | || | |
63323028635||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 5 MG/ML SOLN|30|ML|VIAL|IJ|ML|.2|11/15/2017|12/31/3999| | || | |
63323028631||J2795||11/15/2017|07/31/2022|Injection, ropivacaine hydrochloride, 1 mg|Naropin 5 MG/ML SOLN|30|ML|VIAL|IJ|ML|.2|11/15/2017|07/31/2022| | || | |
63323028663||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 5 MG/ML INFUSION BTL|200|ML|BOTTLE|IJ|ML|.2|11/15/2017|12/31/3999| | || | |
63323028721||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 7.5 MG/ML SOLN|20|ML|VIAL|IJ|ML|.1333|11/15/2017|12/31/3999| | || | |
63323028821||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 10 MG/ML SOLN|20|ML|VIAL|IJ|ML|.1|11/15/2017|12/31/3999| | || | |
00338008904||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|Dextrose-NaCl 5-0.9 % SOLN|1000|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338008904||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|1000|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00548560600||J1650||11/15/2017|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.0667|11/15/2017|12/31/3999| | || | |
00548560700||J1650||11/15/2017|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0667|11/15/2017|12/31/3999| | || | |
63323030602||J3260||05/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 40 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
63323030630||J3260||05/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 40 MG/ML VIAL|30|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
67457047300||J3260||05/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
67457047322||J3260||05/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
24492085056||J7682||05/15/2018|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|KITABIS PAK 300 MG/5 ML|280|ML|AMP W/DEV|IH|EA|5|05/15/2018|12/31/3999| | || | |
00703423901||J9045||05/15/2018|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VIAL|60|ML|VIAL|IJ|ML|5|05/15/2018|12/31/3999| | || | |
66733094823||J9055||05/15/2018|12/31/3999|Injection, cetuximab, 10 mg|ERBITUX 100 MG/50 ML VIAL|50|ML|VIAL|IV|ML|5|05/15/2018|12/31/3999| | || | |
66733095823||J9055||05/15/2018|12/31/3999|Injection, cetuximab, 10 mg|ERBITUX 200 MG/100 ML VIAL|100|ML|VIAL|IV|ML|5|05/15/2018|12/31/3999| | || | |
67457045450||J9100||05/15/2018|12/31/2021|Injection, cytarabine, 100 mg|CYTARABINE 1000 MG/50 ML VIAL|50|ML|VIAL|IJ|ML|5|05/15/2018|12/31/2021| | || | |
00409018101||J9201||05/15/2018|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 1 GRAM/26.3 ML VL|26.3|ML|VIAL|IV|EA|5.26|05/15/2018|12/31/3999| | || | |
00409018201||J9201||05/15/2018|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 2 GRAM/52.6 ML VL|52.6|ML|VIAL|IV|EA|5.26|05/15/2018|12/31/3999| | || | |
00703342711||J9208||05/15/2018|12/31/2022|Injection, ifosfamide, 1 gram|IFOSFAMIDE 1 GM/ 20 ML VIAL|20|ML|VIAL|IV|ML|20|05/15/2018|12/31/2022| | || | |
63323061720||J2260||05/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML VL|20|ML|VIAL|IV|ML|5|05/15/2018|12/31/3999| | || | |
63323061750||J2260||05/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 50 MG/50 ML VL|50|ML|VIAL|IV|ML|5|05/15/2018|12/31/3999| | || | |
00409189001||J2270||05/15/2018|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 2 MG/ML CARPUJECT|1|ML|SYRINGE|IV|ML|5|05/15/2018|12/31/3999| | || | |
67457029202||J2310||05/15/2018|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|05/15/2018|12/31/3999| | || | |
67457043010||J2430||05/15/2018|12/31/3999|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE 30 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|05/15/2018|12/31/3999| | || | |
67457044610||J2430||05/15/2018|12/31/3999|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE 90 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|3.3333|05/15/2018|12/31/3999| | || | |
63323013215||J9293||05/15/2018|03/31/2022|Injection, mitoxantrone hydrochloride, per 5 mg|MITOXANTRONE 30 MG/15 ML VIAL|15|ML|VIAL|IV|ML|2.5|05/15/2018|03/31/2022| | || | |
13533068520||P9041||05/15/2018|09/30/2020|ALBUMIN (HUMAN), 5%|PLASBUMIN-5 IV SOLUTION|50|ML|VIAL|IV|ML|50|05/15/2018|09/30/2020| | || | |
13533068521||P9041||05/15/2018|09/30/2020|ALBUMIN (HUMAN), 5%|PLASBUMIN-5 IV SOLUTION|50|ML|VIAL|IV|ML|50|05/15/2018|09/30/2020| | || | |
63323030751||J3260||05/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 40 MG/ML VIAL|50|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
00024592505||S5551||02/28/2018|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|ADMELOG SOLOSTAR 100 UNIT/M|3|ML|SYRINGE|SQ|ML|.05|02/28/2018|12/31/3999| | || | |
00093807316||S4993||03/08/2018|12/31/3999|Contraceptive pills for birth control|KELNOR 1-50 TABLET|28|UN|BLIST PACK|PO|TAB|1|03/08/2018|12/31/3999| | || | |
00093807328||S4993||03/08/2018|12/31/3999|Contraceptive pills for birth control|KELNOR 1-50 TABLET|28|UN|BLIST PACK|PO|TAB|1|03/08/2018|12/31/3999| | || | |
65862094324||J7612||01/12/2018|12/31/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|EA|4.8387|01/12/2018|12/31/2022| | || | |
52536017001||Q0175||03/27/2018|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 16 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|03/27/2018|12/31/3999| | || | |
63323072303||J3490||01/23/2018|12/31/3999|Unclassified drugs|REMIFENTANIL 1 MG VIAL|1|UN|VIAL|IV|EA|1|01/23/2018|12/31/3999| | || | |
45963061556||J9351||04/15/2018|12/31/3999|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG VIAL|1|UN|VIAL|IV|GM|.025|04/15/2018|12/31/3999| | || | |
55150012824||J2700||04/15/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|04/15/2018|12/31/3999| | || | |
55111067902||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.04|04/15/2018|12/31/3999| | || | |
54092070001||J1743||04/15/2018|12/31/3999|Injection, idursulfase, 1 mg|ELAPRASE 6 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.5|04/15/2018|12/31/3999| | || | |
00085116801||J9214||04/15/2018|11/26/2021|Injection, interferon, alfa-2b, recombinant, 1 million units|INTRON A 6 MILLION UNIT/ML VL|3.8|ML|VIAL|IJ|ML|.1667|04/15/2018|11/26/2021| | || | |
50383074120||J7611||04/15/2018|06/30/2023|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SULFATE 0.5%|20|ML|BO|IH|ML|.2|04/15/2018|06/30/2023| | || | |
25021040304||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 40,000 UNITS/4 ML VIAL|4|ML|VIAL|IJ|ML|.1|04/15/2018|12/31/3999| | || | |
54092070104||J3385||04/15/2018|12/31/3999|Injection, velaglucerase alfa, 100 units|VPRIV 400 UNITS VIAL|1|UN|VIAL|IV|EA|.25|04/15/2018|12/31/3999| | || | |
16729024711||J9280||04/15/2018|02/28/2023|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|EA|.25|04/15/2018|02/28/2023| | || | |
16729011431||J9181||04/15/2018|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 100 MG/5 ML VIAL|5|ML|VIAL|IV|EA|.5|04/15/2018|12/31/3999| | || | |
00206885416||J2543||04/15/2018|09/30/2020|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 3.375 GRAM VIAL|1|UN|VIAL|IV|EA|.3333|04/15/2018|09/30/2020| | || | |
67457023901||J2354||04/15/2018|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|.5|04/15/2018|12/31/3999| | || | |
00781317307||J3030||04/15/2018|11/30/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML REFILL|1|ML|KIT-REFILL|SQ|ML|.5|04/15/2018|11/30/2021| | || | |
00069080901||Q5103||04/03/2018|12/31/3999|INJECTION, INFLIXIMAB-DYYB, (INFLECTRA), 10MG|INFLECTRA 100 MG VIAL|1|UN|VIAL|IV|EA|.1|04/03/2018|12/31/3999| | || | |
51144005001||J9042||04/15/2018|12/31/3999|Injection, brentuximab vedotin, 1 mg|ADCETRIS 50 MG VIAL|1|UN|VIAL|IV|EA|.02|04/15/2018|12/31/3999| | || | |
63323026201||J1644||10/15/2017|12/31/2021|Injection, heparin sodium, per 1000 units|Heparin Sodium (Porcine) 5000 UNIT/ML SOLN|1|ML|VIAL|IJ|ML|.2|10/15/2017|12/31/2021| | || | |
00264957710||J1644||10/15/2017|12/31/3999|Injection, heparin sodium, per 1000 units|Heparin (Porcine) in D5W 50-5 UNIT/ML-% SOLN|500|ML|BAG|IV|ML|20|10/15/2017|12/31/3999| | || | |
00338004904||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|1000|ML|FLEX CONT|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338004910||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|25|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338004903||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|FLEX CONT|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338500241||J0696||10/15/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CefTRIAXone Sodium in Dextrose 20 MG/ML SOLN|50|ML|BAG|IV|ML|12.5|10/15/2017|12/31/3999| | || | |
00338500341||J0696||10/15/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CefTRIAXone Sodium in Dextrose 40 MG/ML SOLN|50|ML|BAG|IV|ML|6.25|10/15/2017|12/31/3999| | || | |
00264958720||J1644||10/15/2017|12/31/3999|Injection, heparin sodium, per 1000 units|Heparin Sod (Porcine) in D5W 100 UNIT/ML SOLN|250|ML|BAG|IV|ML|10|10/15/2017|12/31/3999| | || | |
63323026255||J1644||10/15/2017|10/31/2021|Injection, heparin sodium, per 1000 units|Heparin Sodium (Porcine) 5000 UNIT/ML SOLN|1|ML|VIAL|IJ|ML|.2|10/15/2017|10/31/2021| | || | |
00264956710||J1644||10/15/2017|12/31/3999|Injection, heparin sodium, per 1000 units|Heparin (Porcine) in D5W 40-5 UNIT/ML-% SOLN|500|ML|BAG|IV|ML|25|10/15/2017|12/31/3999| | || | |
00641602701||J3010||10/15/2017|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FentaNYL Citrate (PF) 100 MCG/2ML SOLN|2|ML|VIAL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
00338069504||J3480||11/15/2017|12/31/3999|Injection, potassium chloride, per 2 meq|Potassium Chloride in NaCl 40-0.9 MEQ/L-% SOLN|1000|ML|BAG|IV|ML|50|11/15/2017|12/31/3999| | || | |
00338070434||J3480||11/15/2017|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ-0.45% NACL|1000|ML|BAG|IV|ML|100|11/15/2017|12/31/3999| | || | |
00338008903||J7042||11/15/2017|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|500|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00781365505||J1650||11/15/2017|02/28/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0667|11/15/2017|02/28/2021| | || | |
00009001306||J1720||11/15/2017|12/31/3999|Injection, hydrocortisone sodium succinate, up to 100 mg|SOLU-CORTEF 250 MG VIAL|1|UN|VIAL|IJ|EA|.4|11/15/2017|12/31/3999| | || | |
00009001612||J1720||11/15/2017|12/31/3999|Injection, hydrocortisone sodium succinate, up to 100 mg|SOLU-CORTEF 500 MG VIAL|1|UN|VIAL|IJ|EA|.2|11/15/2017|12/31/3999| | || | |
67457043451||J9267||11/15/2017|03/31/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIAL|50|ML|VIAL|IJ|ML|.1667|11/15/2017|03/31/2021| | || | |
67457047152||J9267||11/15/2017|02/28/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.1667|11/15/2017|02/28/2021| | || | |
00409115909||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|Bupivacaine HCl (PF) 0.25 % SOLN|30|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
00409115919||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|Bupivacaine HCl (PF) 0.25 % SOLN|30|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
00409155918||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|Marcaine Preservative Free 0.25 % SOLN|10|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
00409155919||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|Marcaine Preservative Free 0.25 % SOLN|30|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
00409156018||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|Marcaine Preservative Free 0.5 % SOLN|10|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
25021020215||J9045||11/15/2017|08/07/2020|Injection, carboplatin, 50 mg|CARBOPLATIN 150 MG/15 ML VI|15|ML|VIAL|IV|ML|5|11/15/2017|08/07/2020| | || | |
25021020245||J9045||11/15/2017|09/15/2022|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|11/15/2017|09/15/2022| | || | |
00548563600||J1650||11/15/2017|04/09/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.0667|11/15/2017|04/09/2021| | || | |
55513019001||J2505||11/15/2017|12/31/2021|Injection, pegfilgrastim, 6 mg|NEULASTA 6 MG/0.6 ML SYRINGE|0.6|ML|SYRINGE|SQ|ML|.6|11/15/2017|12/31/2021| | || | |
57894003001||J1745||11/15/2017|12/31/3999|Injection infliximab, 10 mg|REMICADE 100 MG VIAL|1|UN|VIAL|IV|EA|.1|11/15/2017|12/31/3999| | || | |
00206885508||J2543||11/15/2017|09/30/2020|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 4.5 GRAM VIAL|1|UN|VIAL|IV|EA|.25|11/15/2017|09/30/2020| | || | |
60793070001||J0561||11/15/2017|12/31/3999|Injection, penicillin g benzathine, 100,000 units|BICILLIN L|1|ML|SYRINGE|IM|ML|.1667|11/15/2017|12/31/3999| | || | |
60793070102||J0561||11/15/2017|12/31/3999|Injection, penicillin g benzathine, 100,000 units|Bicillin L-A 1200000 UNIT/2ML SUSP|2|ML|SYRINGE|IM|ML|.1667|11/15/2017|12/31/3999| | || | |
00338050548||J1580||11/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|Gentamicin in Saline 1-0.9 MG/ML-% SOLN|100|ML|BAG|IV|ML|76.9231|11/15/2017|12/31/3999| | || | |
67457042800||J3260||05/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GRAM/30 ML VIAL|30|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
67457042830||J3260||05/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GRAM/30 ML VIAL|30|ML|VIAL|IJ|ML|2|05/15/2018|12/31/3999| | || | |
63323010826||J3475||05/15/2018|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|FLEX CONT|IV|ML|50|05/15/2018|12/31/3999| | || | |
00409710068||J7060||05/15/2018|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|500|05/15/2018|12/31/3999| | || | |
63323069210||J7608||05/15/2018|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|10|ML|VIAL|MC|ML|5|05/15/2018|12/31/3999| | || | |
63323069404||J7608||05/15/2018|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|4|ML|VIAL|MC|ML|5|05/15/2018|12/31/3999| | || | |
00338130141||J0692||05/15/2018|12/31/2022|Injection, cefepime hydrochloride, 500 mg|CEFEPIME 1 GM INJECTION|50|ML|BAG|IV|ML|25|05/15/2018|12/31/2022| | || | |
00703040402||J1955||05/15/2018|05/16/2018|Injection, levocarnitine, per 1 gm|LEVOCARNITINE 200 MG/ML VIAL|5|ML|VIAL|IV|ML|5|05/15/2018|05/16/2018| | || | |
00703040502||J1955||05/15/2018|03/31/2020|Injection, levocarnitine, per 1 gm|LEVOCARNITINE 200 MG/ML VIAL|12.5|ML|VIAL|IV|ML|5|05/15/2018|03/31/2020| | || | |
54482014701||J1955||05/15/2018|12/31/3999|Injection, levocarnitine, per 1 gm|CARNITOR 1 GM/5 ML VIAL|5|ML|VIAL|IV|ML|5|05/15/2018|12/31/3999| | || | |
63323061710||J2260||05/15/2018|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML VL|10|ML|VIAL|IV|ML|5|05/15/2018|12/31/3999| | || | |
67457048040||J9260||05/15/2018|06/30/2021|Methotrexate sodium, 50 mg|METHOTREXATE 1 GRAM/40 ML VIAL|40|ML|VIAL|IJ|ML|2|05/15/2018|06/30/2021| | || | |
00703468001||J9293||05/15/2018|01/31/2023|Injection, mitoxantrone hydrochloride, per 5 mg|MITOXANTRONE 25 MG/12.5 ML VL|12.5|ML|VIAL|IV|ML|2.5|05/15/2018|01/31/2023| | || | |
00703468501||J9293||05/15/2018|09/30/2022|Injection, mitoxantrone hydrochloride, per 5 mg|MITOXANTRONE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|2.5|05/15/2018|09/30/2022| | || | |
13533069020||P9041||05/15/2018|01/22/2019|ALBUMIN (HUMAN), 5%|PLASBUMIN-5 IV SOLUTION|50|ML|VIAL|IV|ML|50|05/15/2018|01/22/2019| | || | |
13533069021||P9041||05/15/2018|01/22/2019|ALBUMIN (HUMAN), 5%|PLASBUMIN-5 IV SOLUTION|50|ML|VIAL|IV|ML|50|05/15/2018|01/22/2019| | || | |
13533068526||P9045||05/15/2018|09/30/2020|ALBUMIN (HUMAN), 5%, 250 ML|PLASBUMIN-5 IV SOLUTION|250|ML|VIAL|IV|ML|250|05/15/2018|09/30/2020| | || | |
13533069025||P9045||05/15/2018|02/08/2019|ALBUMIN (HUMAN), 5%, 250 ML|PLASBUMIN-5 IV SOLUTION|250|ML|VIAL|IV|ML|250|05/15/2018|02/08/2019| | || | |
68516521403||P9045||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUTEIN 5% VIAL|250|ML|VIAL|IV|ML|250|05/15/2018|12/31/3999| | || | |
76125079025||P9045||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUKED-5 VIAL|250|ML|VIAL|IV|ML|250|05/15/2018|12/31/3999| | || | |
13533069271||P9047||05/15/2018|11/18/2019|ALBUMIN (HUMAN), 25%, 50 ML|PLASBUMIN-25 IV SOLUTION|100|ML|VIAL|IV|ML|50|05/15/2018|11/18/2019| | || | |
13533069272||P9047||05/15/2018|11/18/2019|ALBUMIN (HUMAN), 25%, 50 ML|PLASBUMIN-25 IV SOLUTION|100|ML|VIAL|IV|ML|50|05/15/2018|11/18/2019| | || | |
44206025105||P9047||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBURX (HUMAN) 25% VIAL|50|ML|VIAL|IV|ML|50|05/15/2018|12/31/3999| | || | |
44206025110||P9047||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBURX (HUMAN) 25% VIAL|100|ML|VIAL|IV|ML|50|05/15/2018|12/31/3999| | || | |
61953000201||P9047||05/15/2018|05/16/2018|ALBUMIN (HUMAN), 25%, 50 ML|HUMAN ALBUMIN 25% IV SOLUTION|50|ML|VIAL|IV|ML|50|05/15/2018|05/16/2018| | || | |
61953000202||P9047||05/15/2018|05/16/2018|ALBUMIN (HUMAN), 25%, 50 ML|HUMAN ALBUMIN 25% IV SOLUTION|100|ML|VIAL|IV|ML|50|05/15/2018|05/16/2018| | || | |
68982064301||P9047||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMIN (HUMAN) 25% IV SOLN|50|ML|GLASS CONT|IV|ML|50|05/15/2018|12/31/3999| | || | |
68982064302||P9047||05/15/2018|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMIN (HUMAN) 25% IV SOLN|100|ML|GLASS CONT|IV|ML|50|05/15/2018|12/31/3999| | || | |
67457038499||J1644||03/16/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|03/16/2018|12/31/3999| | || | |
64679069901||J2700||03/12/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|GM|.125|03/12/2018|12/31/3999| | || | |
14789090002||J2690||01/09/2018|12/31/3999|Injection, procainamide hcl, up to 1 gm|PROCAINAMIDE 1,000 MG/2 ML|2|ML|VIAL|IJ|ML|2|01/09/2018|12/31/3999| | || | |
14789090010||J2690||01/09/2018|11/30/2019|Injection, procainamide hcl, up to 1 gm|PROCAINAMIDE 1,000 MG/10 ML|10|ML|VIAL|IJ|ML|10|01/09/2018|11/30/2019| | || | |
25021083405||J1630||01/19/2018|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL DEC 500 MG/5 ML|5|ML|VIAL|IM|ML|.5|01/19/2018|12/31/3999| | || | |
00409298703||J0295||10/30/2017|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULB 3 GM ADD VIAL|1|UN|VIAL|IV|GM|.5|10/30/2017|12/31/3999| | || | |
42571024469||J0706||01/30/2018|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIA|3|ML|VIAL|IV|ML|.25|01/30/2018|12/31/3999| | || | |
00024592410||S5551||02/28/2018|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|ADMELOG 100 UNIT/ML VIAL|10|ML|VIAL|SQ|ML|.05|02/28/2018|12/31/3999| | || | |
63323036019||J0610||01/03/2018|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 1,000 MG/10 ML|10|ML|VIAL|IV|ML|10|01/03/2018|03/31/2023| | || | |
63323036059||J0610||01/03/2018|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 5,000 MG/50 ML|50|ML|VIAL|IV|ML|10|01/03/2018|03/31/2023| | || | |
67457038510||J1644||03/16/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|03/16/2018|12/31/3999| | || | |
67457038599||J1644||03/16/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|03/16/2018|12/31/3999| | || | |
67457038431||J1644||03/16/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|03/16/2018|12/31/3999| | || | |
67457037412||J1644||03/16/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IV|ML|.2|03/16/2018|12/31/3999| | || | |
67457037499||J1644||03/16/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|03/16/2018|12/31/3999| | || | |
00143953001||J9208||01/25/2018|12/31/3999|Injection, ifosfamide, 1 gram|IFOSFAMIDE 3 GM/60 ML VIAL|60|ML|VIAL|IV|ML|20|01/25/2018|12/31/3999| | || | |
00143953101||J9208||01/30/2018|12/31/3999|Injection, ifosfamide, 1 gram|IFOSFAMIDE 1 GM/20 ML VIAL|20|ML|VIAL|IV|ML|20|01/30/2018|12/31/3999| | || | |
16714070401||J8999||03/15/2018|02/28/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|90|UN|BOTTLE|PO|TAB|1|03/15/2018|02/28/2023| | || | |
16714070501||J8999||03/15/2018|01/31/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|TAB|1|03/15/2018|01/31/2023| | || | |
50268042611||J8999||01/15/2018|04/29/2024|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|1|UN|BLIST PACK|PO|TAB|1|01/15/2018|04/29/2024| | || | |
50268042612||J8999||01/15/2018|04/29/2024|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|20|UN|BLIST PACK|PO|TAB|1|01/15/2018|04/29/2024| | || | |
50268042711||J8999||01/15/2018|10/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|1|UN|BLIST PACK|PO|TAB|1|01/15/2018|10/31/2022| | || | |
42571026575||J3490||01/30/2018|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|01/30/2018|12/31/3999| | || | |
12496010001||Q9991||07/01/2018|12/31/3999|Buprenorph xr 100 mg or less|SUBLOCADE 100 MG/0.5 ML SYR|0.5|ML|SYRINGE|SQ|ML|.5|07/01/2018|12/31/3999| | || | |
25021083301||J1630||01/19/2018|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|01/19/2018|12/31/3999| | || | |
65862094424||J7612||12/22/2017|12/31/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|EA|2.381|12/22/2017|12/31/2022| | || | |
65862094524||J7612||12/22/2017|12/31/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|EA|1.2|12/22/2017|12/31/2022| | || | |
00338050741||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|ISOTON GENTAMICIN 60 MG/50 ML|50|ML|BAG|IV|ML|66.66|08/15/2017|12/31/3999| | || | |
63323001094||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|08/15/2017|12/31/3999| | || | |
63323001002||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 40 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|08/15/2017|12/31/3999| | || | |
59730650201||J1556||08/15/2017|07/31/2021|Injection, immune globulin (bivigam), 500 mg|BIVIGAM LIQUID 10% VIAL|50|ML|VIAL|IV|EA|5|08/15/2017|07/31/2021| | || | |
44206045101||J1559||08/15/2017|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 1 GRAM/5 ML VIAL|5|ML|VIAL|SQ|EA|.5|08/15/2017|12/31/3999| | || | |
63323017394||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN PED 20 MG/2 ML V|2|ML|VIAL|IJ|ML|8|08/15/2017|12/31/3999| | || | |
63323001020||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 40 MG/ML VIAL|20|ML|VIAL|IJ|ML|2|08/15/2017|12/31/3999| | || | |
00338050348||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|ISOTON GENTAMICIN 80 MG/100 ML|100|ML|BAG|IV|ML|100|08/15/2017|12/31/3999| | || | |
00264786500||J3480||11/15/2017|12/31/3999|Injection, potassium chloride, per 2 meq|Potassium Chloride in NaCl 20-0.9 MEQ/L-% SOLN|1000|ML|BAG|IV|ML|100|11/15/2017|12/31/3999| | || | |
00206885910||J2543||11/15/2017|09/30/2020|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 40.5 GRAM BULK VIAL|1|UN|VIAL|IV|EA|.0278|11/15/2017|09/30/2020| | || | |
00264761010||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|500|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338069104||J3480||11/15/2017|12/31/3999|Injection, potassium chloride, per 2 meq|Potassium Chloride in NaCl 20-0.9 MEQ/L-% SOLN|1000|ML|BAG|IV|ML|100|11/15/2017|12/31/3999| | || | |
00338001702||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001702||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00264761000||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|1000|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00264761000||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|Dextrose-NaCl 5-0.9 % SOLN|1000|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338070348||J3480||11/15/2017|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 40 MEQ/100 ML SOL|100|ML|BAG|IV|ML|5|11/15/2017|12/31/3999| | || | |
00338070548||J3480||11/15/2017|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/100 ML SOL|100|ML|BAG|IV|ML|10|11/15/2017|12/31/3999| | || | |
00338001703||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|500|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001703||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|500|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
63323030036||J2543||11/15/2017|11/30/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|11/15/2017|11/30/2021| | || | |
55513026701||J0885||11/15/2017|12/31/3999|Injection, epoetin alfa, (for non-esrd use), 1000 units|EPOGEN 3,000 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.3333|11/15/2017|12/31/3999| | || | |
00548563700||J1650||11/15/2017|01/15/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0667|11/15/2017|01/15/2021| | || | |
00206885208||J2543||11/15/2017|09/30/2020|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 2.25 GRAM VIAL|1|UN|VIAL|IV|EA|.5|11/15/2017|09/30/2020| | || | |
13533061325||P9048||05/15/2018|09/06/2020|PLASMA PROTEIN FRACT, 5%, 250 ML|PLASMANATE 5% IV SOLUTION|250|ML|VIAL|IV|ML|250|05/15/2018|09/06/2020| | || | |
13533061326||P9048||05/15/2018|09/06/2020|PLASMA PROTEIN FRACT, 5%, 250 ML|PLASMANATE 5% IV SOLUTION|250|ML|VIAL|IV|ML|250|05/15/2018|09/06/2020| | || | |
50383080116||Q0169||05/15/2018|06/30/2023|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 6.25 MG/5 ML SYRP|473|ML|BOTTLE|PO|ML|10|05/15/2018|06/30/2023| | || | |
60432060816||Q0169||05/15/2018|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 6.25 MG/5 ML SYRP|473|ML|BOTTLE|PO|ML|10|05/15/2018|12/31/3999| | || | |
00409434673||S0017||05/15/2018|12/31/2022|Injection, aminocaproic acid, 5 grams|AMINOCAPROIC ACID 250 MG/ML|20|ML|VIAL|IV|ML|20|05/15/2018|12/31/2022| | || | |
00409115910||S0020||05/15/2018|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|30|05/15/2018|06/30/2023| | || | |
00409116210||S0020||05/15/2018|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|30|05/15/2018|06/30/2023| | || | |
55150016710||S0020||05/15/2018|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|30|05/15/2018|06/30/2023| | || | |
55150016830||S0020||05/15/2018|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|30|05/15/2018|06/30/2023| | || | |
55150016910||S0020||05/15/2018|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|30|05/15/2018|06/30/2023| | || | |
55150017030||S0020||05/15/2018|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|30|05/15/2018|06/30/2023| | || | |
67457043322||S0028||05/15/2018|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|05/15/2018|12/31/3999| | || | |
00409792603||S5010||05/15/2018|04/01/2021|5% dextrose and 0.45% normal saline, 1000 ml|Dextrose-NaCl 5-0.45 % SOLN|500|ML|BAG|IV|ML|1000|05/15/2018|04/01/2021| | || | |
00409792609||S5010||05/15/2018|08/01/2021|5% dextrose and 0.45% normal saline, 1000 ml|Dextrose-NaCl 5-0.45 % SOLN|1000|ML|BAG|IV|ML|1000|05/15/2018|08/01/2021| | || | |
62935075375||J9217||06/02/2014|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|ELIGARD 7.5 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|1|06/02/2014|12/31/3999| | || | |
45963064057||J0594||01/09/2018|08/24/2022|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|01/09/2018|08/24/2022| | || | |
45963064077||J0594||01/09/2018|01/31/2021|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|01/09/2018|01/31/2021| | || | |
00517096001||J3490||04/01/2018|08/01/2022|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|04/01/2018|08/01/2022| | || | |
50268042712||J8999||01/15/2018|10/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|20|UN|BLIST PACK|PO|TAB|1|01/15/2018|10/31/2022| | || | |
70257056001||J0475||04/27/2017|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 10 MG/20 ML KIT|20|ML|AMPUL|IJ|ML|20|04/27/2017|12/31/3999| | || | |
00517182501||J2800||02/10/2018|09/11/2023|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|02/10/2018|09/11/2023| | || | |
00517182510||J2800||02/10/2018|09/11/2023|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|02/10/2018|09/11/2023| | || | |
00006302500||J0565||01/01/2018|12/31/3999|Inj, bezlotoxumab, 10 mg|ZINPLAVA 1,000 MG/40 ML VIA|40|ML|VIAL|IV|ML|.4|01/01/2018|12/31/3999| | || | |
00026382650||J7211||01/01/2018|12/31/3999|Inj, kovaltry, 1 i.u.|KOVALTRY 2,000 UNIT KIT|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
00026382850||J7211||01/01/2018|12/31/3999|Inj, kovaltry, 1 i.u.|KOVALTRY 3,000 UNIT KIT|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
60923036302||J1428||01/01/2018|12/31/3999|Inj, eteplirsen, 10 mg|EXONDYS 51 100 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.2|01/01/2018|12/31/3999| | || | |
47426010101||J1627||01/01/2018|12/31/3999|Inj, granisetron, xr, 0.1 mg|SUSTOL 10|1|ML|SYRINGE|SC|EA|.004|01/01/2018|12/31/3999| | || | |
64011024702||J1726||01/01/2018|05/31/2021|Makena, 10 mg|MAKENA 250 MG/ML VIAL|1|ML|VIAL|IM|ML|.04|01/01/2018|05/31/2021| | || | |
57894005427||J3358||01/01/2018|12/31/3999|Ustekinumab, iv inject, 1 mg|STELARA 130 MG/26 ML VIAL|26|ML|VIAL|IV|ML|.2|01/01/2018|12/31/3999| | || | |
69911047502||J7210||01/01/2018|12/31/3999|Inj, afstyla, 1 i.u.|AFSTYLA 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
69911047702||J7210||01/01/2018|12/31/3999|Inj, afstyla, 1 i.u.|AFSTYLA 2,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
00944285007||J1555||01/01/2018|12/31/3999|Inj cuvitru, 100 mg|CUVITRU 8 GRAM/ 40 ML VIAL|40|ML|VIAL|SQ|ML|.5|01/01/2018|12/31/3999| | || | |
64406005801||J2326||01/01/2018|12/31/3999|Inj, nusinersen, 0.1mg|SPINRAZA 12 MG/5 ML VIAL|5|ML|VIAL|IT|ML|.0417|01/01/2018|12/31/3999| | || | |
69911048002||J7210||01/01/2018|12/31/3999|Inj, afstyla, 1 i.u.|AFSTYLA 1,500 UNIT RANGE VI|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
69911048102||J7210||01/01/2018|12/31/3999|Inj, afstyla, 1 i.u.|AFSTYLA 2,500 UNIT RANGE VI|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
50419042401||J7296||01/01/2018|12/31/3999|Kyleena, 19.5 mg|KYLEENA 19.5 MG SYSTEM|1|UN|BOX|IY|EA|1|01/01/2018|12/31/3999| | || | |
50242091701||J9022||01/01/2018|12/31/3999|Inj, atezolizumab,10 mg|TECENTRIQ 1,200 MG/20 ML VI|20|ML|VIAL|IV|ML|.1667|01/01/2018|12/31/3999| | || | |
50242015001||J2350||01/01/2018|12/31/2022|Injection, ocrelizumab, 1 mg|OCREVUS 300 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.0333|01/01/2018|12/31/2022| | || | |
44087353501||J9023||01/01/2018|12/31/3999|Injection, avelumab, 10 mg|BAVENCIO 200 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|01/01/2018|12/31/3999| | || | |
60923028410||J1428||01/01/2018|12/31/3999|Inj, eteplirsen, 10 mg|EXONDYS 51 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.2|01/01/2018|12/31/3999| | || | |
00944285001||J1555||01/01/2018|12/31/3999|Inj cuvitru, 100 mg|CUVITRU 1 GRAM/5 ML VIAL|5|ML|VIAL|SQ|ML|.5|01/01/2018|12/31/3999| | || | |
00944285003||J1555||01/01/2018|12/31/3999|Inj cuvitru, 100 mg|CUVITRU 2 GRAM/10 ML VIAL|10|ML|VIAL|SQ|ML|.5|01/01/2018|12/31/3999| | || | |
47426010106||J1627||01/01/2018|12/31/3999|Inj, granisetron, xr, 0.1 mg|SUSTOL 10 MG/0.4 ML SYRINGE|.4|ML|SYRINGE|SQ|EA|.004|01/01/2018|12/31/3999| | || | |
69911047402||J7210||01/01/2018|12/31/3999|Inj, afstyla, 1 i.u.|AFSTYLA 250 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
69911047602||J7210||01/01/2018|12/31/3999|Inj, afstyla, 1 i.u.|AFSTYLA 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
69911047802||J7210||01/01/2018|12/31/3999|Inj, afstyla, 1 i.u.|AFSTYLA 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
00026382125||J7211||01/01/2018|12/31/3999|Inj, kovaltry, 1 i.u.|KOVALTRY 250 UNIT KIT|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
00026382225||J7211||01/01/2018|12/31/3999|Inj, kovaltry, 1 i.u.|KOVALTRY 500 UNIT KIT|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
00026382425||J7211||01/01/2018|12/31/3999|Inj, kovaltry, 1 i.u.|KOVALTRY 1,000 UNIT KIT|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
00338051141||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|ISOTON GENTAMICIN 100 MG/50 ML|50|ML|BAG|IV|ML|40|08/15/2017|12/31/3999| | || | |
00143987525||J0282||07/23/2008|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 150 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.6|07/23/2008|12/31/3999| | || | |
61953000506||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 10% VIAL|200|ML|VIAL|IV|ML|5|08/15/2017|12/31/3999| | || | |
61953000502||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 10% VIAL|100|ML|VIAL|IV|ML|5|08/15/2017|12/31/3999| | || | |
61953000404||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|200|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
61953000501||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 10% VIAL|50|ML|VIAL|IV|ML|5|08/15/2017|12/31/3999| | || | |
61953000401||J1572||08/15/2017|08/16/2017|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|10|ML|VIAL|IV|ML|10|08/15/2017|08/16/2017| | || | |
61953000402||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|50|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
61953000406||J1572||08/15/2017|08/16/2017|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|10|ML|VIAL|IV|ML|10|08/15/2017|08/16/2017| | || | |
61953000503||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 10% VIAL|200|ML|VIAL|IV|ML|5|08/15/2017|12/31/3999| | || | |
61953000405||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|400|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
61953000408||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|100|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
61953000407||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|50|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
61953000505||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 10% VIAL|100|ML|VIAL|IV|ML|5|08/15/2017|12/31/3999| | || | |
61953000400||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|400|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
61953000504||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 10% VIAL|50|ML|VIAL|IV|ML|5|08/15/2017|12/31/3999| | || | |
63323001095||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 40 MG/ML VIAL|20|ML|VIAL|IJ|ML|2|08/15/2017|12/31/3999| | || | |
61953000403||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|100|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
00338070541||J3480||11/15/2017|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/50 ML SOL|50|ML|BAG|IV|ML|10|11/15/2017|12/31/3999| | || | |
00078043561||J3489||11/15/2017|12/31/3999|Injection, zoledronic acid, 1 mg|RECLAST 5 MG/100 ML SOLUTION|100|ML|BOTTLE|IV|ML|20|11/15/2017|12/31/3999| | || | |
63323028827||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 10 MG/ML SOLN|20|ML|AMPUL|IJ|ML|.1|11/15/2017|12/31/3999| | || | |
00338001718||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001718||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338001738||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001738||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338001741||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001741||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00409930131||J2795||11/15/2017|05/01/2024|Injection, ropivacaine hydrochloride, 1 mg|Ropivacaine HCl 5 MG/ML SOLN|30|ML|VIAL|IJ|ML|.2|11/15/2017|05/01/2024| | || | |
00409930221||J2795||11/15/2017|03/01/2024|Injection, ropivacaine hydrochloride, 1 mg|Ropivacaine HCl 7.5 MG/ML SOLN|20|ML|VIAL|IJ|ML|.1333|11/15/2017|03/01/2024| | || | |
62856079701||J2469||11/15/2017|05/31/2022|Injection, palonosetron hcl, 25 mcg|ALOXI 0.25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|11/15/2017|05/31/2022| | || | |
47335003540||J3489||11/15/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1.25|11/15/2017|12/31/3999| | || | |
47335096241||J3489||11/15/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG VIAL|1|UN|VIAL|IV|EA|.25|11/15/2017|12/31/3999| | || | |
55111068507||J3489||11/15/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1.25|11/15/2017|12/31/3999| | || | |
55111068852||J3489||11/15/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|BOTTLE|IV|ML|20|11/15/2017|12/31/3999| | || | |
00338008904||J7042||11/15/2017|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|1000|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
63323028004||J1940||11/15/2017|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML VIAL|4|ML|VIAL|IJ|ML|2|11/15/2017|12/31/3999| | || | |
00469650189||J2785||11/15/2017|12/31/3999|Injection, regadenoson, 0.1 mg|Lexiscan 0.4 MG/5ML SOLN|5|ML|SYRINGE|IV|ML|1.25|11/15/2017|12/31/3999| | || | |
63323028573||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 2 MG/ML SOLN|200|ML|BOTTLE|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
00264151031||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00264151031||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00264751020||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00264751020||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338001748||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001748||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
76204010030||J7644||11/15/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|11/15/2017|12/31/3999| | || | |
67457061220||J3370||11/15/2017|07/31/2018|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|11/15/2017|07/31/2018| | || | |
00409672909||J3475||11/15/2017|12/31/3999|Injection, magnesium sulfate, per 500 mg|Magnesium Sulfate 40 GM/1000ML SOLN|1000|ML|FLEX CONT|IV|ML|12.5|11/15/2017|12/31/3999| | || | |
00409672923||J3475||11/15/2017|01/24/2025|Injection, magnesium sulfate, per 500 mg|Magnesium Sulfate 4 GM/100ML SOLN|100|ML|FLEX CONT|IV|ML|12.5|11/15/2017|01/24/2025| | || | |
00409672924||J3475||11/15/2017|01/24/2025|Injection, magnesium sulfate, per 500 mg|Magnesium Sulfate 2 GM/50ML SOLN|50|ML|FLEX CONT|IV|ML|12.5|11/15/2017|01/24/2025| | || | |
00338070341||J3480||11/15/2017|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/50 ML SOL|50|ML|BAG|IV|ML|5|11/15/2017|12/31/3999| | || | |
00944285005||J1555||01/01/2018|12/31/3999|Inj cuvitru, 100 mg|CUVITRU 4 GRAM/20 ML VIAL|20|ML|VIAL|SQ|ML|.5|01/01/2018|12/31/3999| | || | |
67457088605||J1729||01/01/2018|12/31/3999|Inj hydroxyprogst capoat nos|HYDROXYPROGESTERONE 1.25 G/|5|ML|VIAL|IM|ML|.04|01/01/2018|12/31/3999| | || | |
63323076020||J9245||03/22/2018|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|03/22/2018|12/31/3999| | || | |
64679069801||J2700||03/12/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM VIAL|1|UN|VIAL|IJ|GM|.25|03/12/2018|12/31/3999| | || | |
70860020005||J9267||02/12/2018|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|02/12/2018|12/31/3999| | || | |
70860020017||J9267||02/12/2018|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML V|16.7|ML|VIAL|IV|ML|.1667|02/12/2018|12/31/3999| | || | |
70860020050||J9267||02/12/2018|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|ML|.1667|02/12/2018|12/31/3999| | || | |
00143951301||J2469||03/27/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/2 ML V|2|ML|VIAL|IV|ML|.2|03/27/2018|12/31/3999| | || | |
16729036566||J2469||03/23/2018|11/30/2022|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|03/23/2018|11/30/2022| | || | |
00143930001||S0164||10/16/2017|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|10/16/2017|12/31/3999| | || | |
00143930010||S0164||10/16/2017|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|10/16/2017|12/31/3999| | || | |
52536016201||Q0175||03/27/2018|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 2 MG TABLET|100|UN|BOTTLE|PO|TAB|2|03/27/2018|12/31/3999| | || | |
52536016401||Q0175||03/27/2018|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|100|UN|BOTTLE|PO|TAB|1|03/27/2018|12/31/3999| | || | |
52536016801||Q0175||03/27/2018|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|03/27/2018|12/31/3999| | || | |
63323072405||J3490||01/23/2018|12/31/3999|Unclassified drugs|REMIFENTANIL 2 MG VIAL|1|UN|VIAL|IV|EA|1|01/23/2018|12/31/3999| | || | |
63323072510||J3490||02/15/2018|12/31/3999|Unclassified drugs|REMIFENTANIL 5 MG VIAL|1|UN|VIAL|IV|EA|1|02/15/2018|12/31/3999| | || | |
12496030001||Q9992||07/01/2018|12/31/3999|Buprenorphine xr over 100 mg|SUBLOCADE 300 MG/1.5 ML SYR|1.5|ML|SYRINGE|SQ|ML|1.5|07/01/2018|12/31/3999| | || | |
70842010203||J3490||01/02/2018|12/31/3999|Unclassified drugs|BAXDELA 300 MG VIAL|1|UN|VIAL|IJ|EA|1|01/02/2018|12/31/3999| | || | |
25021083101||J1630||01/19/2018|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|01/19/2018|12/31/3999| | || | |
51991006498||J3489||11/17/2017|06/30/2021|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|BOTTLE|IV|ML|20|11/17/2017|06/30/2021| | || | |
00074210803||J1950||08/15/2017|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT-PED 7.5 MG KIT|1|UN|KIT|IM|EA|.5|08/15/2017|12/31/3999| | || | |
00074210803||J9217||08/15/2017|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|LUPRON DEPOT-PED 7.5 MG KIT|1|UN|KIT|IM|EA|1|08/15/2017|12/31/3999| | || | |
64208823403||J1557||08/15/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 5% VIAL|200|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
64208823404||J1557||08/15/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 5% VIAL|400|ML|VIAL|IJ|ML|10|08/15/2017|12/31/3999| | || | |
00944270003||J1569||08/15/2017|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|25|ML|VIAL|IV|GM|5|08/15/2017|12/31/3999| | || | |
00944270006||J1569||08/15/2017|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|200|ML|VIAL|IV|GM|5|08/15/2017|12/31/3999| | || | |
63323017302||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN PED 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|8|08/15/2017|12/31/3999| | || | |
64208823402||J1557||08/15/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 5% VIAL|100|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
64208823408||J1557||08/15/2017|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 5% VIAL|400|ML|VIAL|IJ|ML|10|08/15/2017|12/31/3999| | || | |
44206045202||J1559||08/15/2017|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 2 GRAM/10 ML VIAL|10|ML|VIAL|SQ|EA|.5|08/15/2017|12/31/3999| | || | |
44206045404||J1559||08/15/2017|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 4 GRAM/20 ML VIAL|20|ML|VIAL|SQ|EA|.5|08/15/2017|12/31/3999| | || | |
44206045510||J1559||08/15/2017|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA (SINGLE-USE VIAL,PF) 20%|50|ML|VL|SC|ML|.5|08/15/2017|12/31/3999| | || | |
00409792225||J7060||11/15/2017|02/01/2021|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|11/15/2017|02/01/2021| | || | |
00409792225||J7070||11/15/2017|02/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|1000|11/15/2017|02/01/2021| | || | |
00409792203||J7070||11/15/2017|03/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|500|ML|BAG|IV|ML|1000|11/15/2017|03/01/2021| | || | |
00409792311||J7070||11/15/2017|02/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|100|ML|FLEX CONT|IV|ML|1000|11/15/2017|02/01/2021| | || | |
00487980130||J7644||11/15/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|11/15/2017|12/31/3999| | || | |
63323010161||J9000||11/15/2017|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXOrubicin HCl 2 MG/ML SOLN|100|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
63323088310||J9000||11/15/2017|10/31/2021|Injection, doxorubicin hydrochloride, 10 mg|DOXOrubicin HCl 2 MG/ML SOLN|10|ML|VIAL|IV|ML|5|11/15/2017|10/31/2021| | || | |
63323088330||J9000||11/15/2017|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXOrubicin HCl 2 MG/ML SOLN|25|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
00338358048||J3370||11/15/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 750 MG/150 ML BAG|150|ML|BAG|IV|ML|100|11/15/2017|12/31/3999| | || | |
63323046417||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.25% VIAL|10|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
63323046617||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.5% VIAL|10|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
63323047217||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.75% VIAL|10|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
50242004164||J2997||11/15/2017|12/31/3999|Injection, alteplase recombinant, 1 mg|CATHFLO ACTIVASE 2 MG VIAL|1|UN|VIAL|IJ|EA|.5|11/15/2017|12/31/3999| | || | |
50242008527||J2997||11/15/2017|12/31/3999|Injection, alteplase recombinant, 1 mg|ACTIVASE 100 MG VIAL|1|UN|VIAL|IV|EA|.01|11/15/2017|12/31/3999| | || | |
00338355148||J3370||11/15/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN-D5W 500 MG/100 ML|100|ML|BAG|IV|ML|100|11/15/2017|12/31/3999| | || | |
00338355248||J3370||11/15/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1G/200 ML BAG|200|ML|BAG|IV|ML|100|11/15/2017|12/31/3999| | || | |
50242004163||J2997||11/15/2017|12/20/2020|Injection, alteplase recombinant, 1 mg|CATHFLO ACTIVASE 2 MG VIAL|1|UN|VIAL|IJ|EA|.5|11/15/2017|12/20/2020| | || | |
76204010025||J7644||11/15/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|11/15/2017|12/31/3999| | || | |
76204010060||J7644||11/15/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|11/15/2017|12/31/3999| | || | |
00703574711||J9060||11/15/2017|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISplatin 50 MG/50ML SOLN|50|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
00703574811||J9060||11/15/2017|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISplatin 100 MG/100ML SOLN|100|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
00703504301||J9000||11/15/2017|01/08/2021|Injection, doxorubicin hydrochloride, 10 mg|DOXOrubicin HCl 2 MG/ML SOLN|5|ML|VIAL|IV|ML|5|11/15/2017|01/08/2021| | || | |
16729027611||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 2,500 MG/50 ML VL|50|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
16729027638||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 5,000 MG/100 ML|100|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
16729027668||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
16729027667||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1,000 MG/20 ML VL|20|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
76204010001||J7644||11/15/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|11/15/2017|12/31/3999| | || | |
00703424401||J9045||11/15/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
67457061410||J3370||11/15/2017|11/16/2017|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|11/15/2017|11/16/2017| | || | |
60793070210||J0561||04/15/2018|12/31/3999|Injection, penicillin g benzathine, 100,000 units|BICILLIN L-A 2,400,000 UNITS|4|ML|SYRINGE|IM|ML|.1667|04/15/2018|12/31/3999| | || | |
62756052926||J2597||04/15/2018|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN 40 MCG/10 ML VIAL|10|ML|VIAL|IJ|ML|.25|04/15/2018|12/31/3999| | || | |
61703032518||J2430||10/28/2004|12/31/3999|Injection, pamidronate disodium, per 30 mg|PAMIDRONATE 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|5|10/28/2004|12/31/3999| | || | |
50474070062||J0717||04/15/2018|12/31/3999|Injection, certolizumab pegol, 1 mg (code may be used for medicare when dru...|CIMZIA 200 MG VIAL KIT|1|UN|KIT|SQ|EA|.0025|04/15/2018|12/31/3999| | || | |
50474071081||J0717||04/15/2018|12/31/3999|Injection, certolizumab pegol, 1 mg (code may be used for medicare when dru...|CIMZIA 200 MG/ML STARTER KIT|3|UN|KIT|SQ|EA|.0025|04/15/2018|12/31/3999| | || | |
57962007028||J8999||02/26/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMBRUVICA 70 MG CAPSULE|28|UN|BOTTLE|PO|CAP|1|02/26/2018|12/31/3999| | || | |
57962028028||J8999||03/21/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMBRUVICA 280 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|03/21/2018|12/31/3999| | || | |
57962042028||J8999||03/21/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMBRUVICA 420 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|03/21/2018|12/31/3999| | || | |
57962001428||J8999||03/21/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMBRUVICA 140 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|03/21/2018|12/31/3999| | || | |
57962056028||J8999||03/21/2018|02/28/2025|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMBRUVICA 560 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|03/21/2018|02/28/2025| | || | |
00781325089||J1595||03/23/2018|12/31/3999|Injection, glatiramer acetate, 20 mg|GLATOPA 40 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.5|03/23/2018|12/31/3999| | || | |
00781331275||J2469||03/26/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|03/26/2018|12/31/3999| | || | |
00781348170||J3243||12/01/2017|12/31/3999|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|12/01/2017|12/31/3999| | || | |
60505612800||J9206||02/12/2018|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|ML|1|02/12/2018|12/31/3999| | || | |
60505612801||J9206||02/12/2018|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|02/12/2018|12/31/3999| | || | |
67457051805||J9280||02/28/2018|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 5 MG VIAL|1|UN|VIAL|IV|EA|1|02/28/2018|12/31/3999| | || | |
67457051920||J9280||03/02/2018|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|EA|.25|03/02/2018|12/31/3999| | || | |
67457052040||J9280||03/19/2018|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|EA|.125|03/19/2018|12/31/3999| | || | |
62756072060||S4993||01/30/2018|09/30/2022|Contraceptive pills for birth control|MY CHOICE 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|01/30/2018|09/30/2022| | || | |
00003373413||J9299||01/09/2018|12/31/3999|Injection, nivolumab|OPDIVO 240 MG/24 ML VIAL|24|ML|VIAL|IV|ML|.1|01/09/2018|12/31/3999| | || | |
00002448354||J8999||10/10/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VERZENIO 50 MG TABLET|14|UN|BLIST PACK|PO|TAB|1|10/10/2017|12/31/3999| | || | |
00002481554||J8999||10/10/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VERZENIO 100 MG TABLET|14|UN|BLIST PACK|PO|TAB|1|10/10/2017|12/31/3999| | || | |
00002533754||J8999||10/06/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VERZENIO 150 MG TABLET|14|UN|BLIST PACK|PO|TAB|1|10/06/2017|12/31/3999| | || | |
00002621654||J8999||10/09/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VERZENIO 200 MG TABLET|14|UN|BLIST PACK|PO|TAB|1|10/09/2017|12/31/3999| | || | |
43066001401||J9263||03/15/2018|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|03/15/2018|12/31/3999| | || | |
43066001801||J9263||03/15/2018|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|03/15/2018|12/31/3999| | || | |
00169413212||J3490||01/09/2018|01/09/2018|Unclassified drugs|OZEMPIC 0.25-0.5 MG DOSE PE|1.5|ML|SYRINGE|SQ|ML|1|01/09/2018|01/09/2018| | || | |
00169413602||J3490||01/09/2018|10/31/2023|Unclassified drugs|OZEMPIC 1 MG DOSE PEN|1.5|ML|SYRINGE|SQ|ML|1|01/09/2018|10/31/2023| | || | |
47781059307||J9267||01/23/2018|10/23/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|01/23/2018|10/23/2021| | || | |
47781059407||J9267||01/23/2018|10/23/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML V|16.7|ML|VIAL|IV|ML|.1667|01/23/2018|10/23/2021| | || | |
47781059507||J9267||01/23/2018|02/16/2025|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|ML|.1667|01/23/2018|02/16/2025| | || | |
00703409401||J2469||03/23/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|03/23/2018|12/31/3999| | || | |
55111069407||J2469||03/23/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|EA|.5|03/23/2018|12/31/3999| | || | |
17478054602||J1626||08/15/2017|06/30/2023|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 1 MG/ML VIAL|1|ML|VIAL|IV|ML|.1|08/15/2017|06/30/2023| | || | |
00944270002||J1569||08/15/2017|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|10|ML|VIAL|IV|GM|5|08/15/2017|12/31/3999| | || | |
00944270004||J1569||08/15/2017|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|50|ML|VIAL|IV|GM|5|08/15/2017|12/31/3999| | || | |
00944270005||J1569||08/15/2017|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|100|ML|VIAL|IV|GM|5|08/15/2017|12/31/3999| | || | |
00944270007||J1569||08/15/2017|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|300|ML|VIAL|IV|GM|5|08/15/2017|12/31/3999| | || | |
61953000409||J1572||08/15/2017|12/31/3999|Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-l...|FLEBOGAMMA DIF 5% VIAL|200|ML|VIAL|IV|ML|10|08/15/2017|12/31/3999| | || | |
00338050748||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|ISO GENTAMICIN 120 MG/100 ML|100|ML|BAG|IV|ML|66.66|08/15/2017|12/31/3999| | || | |
00338050941||J1580||08/15/2017|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|ISOTON GENTAMICIN 80 MG/50 ML|50|ML|BAG|IV|ML|50|08/15/2017|12/31/3999| | || | |
00143974410||J1626||08/15/2017|12/31/3999|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 1 MG/ML VIAL|1|ML|VIAL|IV|ML|.1|08/15/2017|12/31/3999| | || | |
00143974505||J1626||08/15/2017|12/31/3999|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.1|08/15/2017|12/31/3999| | || | |
17478054605||J1626||08/15/2017|06/30/2023|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.1|08/15/2017|06/30/2023| | || | |
57894007001||J1602||08/15/2017|12/31/3999|Injection, golimumab, 1 mg, for intravenous use|SIMPONI 50 MG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SQ|ML|.01|08/15/2017|12/31/3999| | || | |
57894007101||J1602||08/15/2017|12/31/3999|Injection, golimumab, 1 mg, for intravenous use|SIMPONI 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.01|08/15/2017|12/31/3999| | || | |
57894035001||J1602||08/15/2017|12/31/3999|Injection, golimumab, 1 mg, for intravenous use|SIMPONI ARIA 50 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.08|08/15/2017|12/31/3999| | || | |
68546031730||J1595||08/15/2017|12/31/3999|Injection, glatiramer acetate, 20 mg|COPAXONE 20 MG INJECTION KIT|1|UN|KIT|SQ|ML|1|08/15/2017|12/31/3999| | || | |
68546032512||J1595||08/15/2017|12/31/3999|Injection, glatiramer acetate, 20 mg|COPAXONE 40 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.5|08/15/2017|12/31/3999| | || | |
10147091101||J1630||01/13/2005|01/31/2022|Injection, haloperidol, up to 5 mg|HALOPERIDOL 5 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|01/13/2005|01/31/2022| | || | |
57894007102||J1602||08/15/2017|12/31/3999|Injection, golimumab, 1 mg, for intravenous use|SIMPONI 100 MG/ML PEN INJECTOR|1|ML|SYRINGE|SQ|ML|.01|08/15/2017|12/31/3999| | || | |
57894007002||J1602||08/15/2017|12/31/3999|Injection, golimumab, 1 mg, for intravenous use|SIMPONI 50 MG/0.5 ML PEN INJEC|0.5|ML|SYRINGE|SQ|ML|.01|08/15/2017|12/31/3999| | || | |
00338519741||S0028||11/15/2017|12/31/3999|Injection, famotidine, 20 mg|Famotidine Premixed 20-0.9 MG/50ML-% SOLN|50|ML|BAG|IV|ML|50|11/15/2017|12/31/3999| | || | |
00641602301||S0028||11/15/2017|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|2|11/15/2017|12/31/3999| | || | |
63323073809||S0028||11/15/2017|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 10 MG/ML VIAL|4|ML|VIAL|IV|ML|2|11/15/2017|12/31/3999| | || | |
00264761010||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|Dextrose-NaCl 5-0.9 % SOLN|500|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338008903||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|500|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338008903||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|Dextrose-NaCl 5-0.9 % SOLN|500|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00409794109||J7042||11/15/2017|07/01/2021|5% dextrose/normal saline (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|1000|ML|BAG|IV|ML|500|11/15/2017|07/01/2021| | || | |
00409794109||J7060||11/15/2017|07/01/2021|5% dextrose/water (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|1000|ML|BAG|IV|ML|500|11/15/2017|07/01/2021| | || | |
00409794109||J7070||11/15/2017|07/01/2021|Infusion, d5w, 1000 cc|Dextrose-NaCl 5-0.9 % SOLN|1000|ML|BAG|IV|ML|1000|11/15/2017|07/01/2021| | || | |
25021080166||J3489||11/15/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1.25|11/15/2017|12/31/3999| | || | |
25021083082||J3489||11/15/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|BAG|IV|ML|20|11/15/2017|12/31/3999| | || | |
00264761000||J7042||11/15/2017|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|1000|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001731||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001731||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338055111||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338055111||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338055118||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338055118||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00409792203||J7060||11/15/2017|03/01/2021|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|500|ML|BAG|IV|ML|500|11/15/2017|03/01/2021| | || | |
50242008801||J9354||04/15/2018|12/31/3999|Inj, ado-trastuzumab emt 1mg|KADCYLA 100 MG VIAL|1|UN|VIAL|IV|EA|.01|04/15/2018|12/31/3999| | || | |
63459017714||J9262||04/15/2018|12/31/3999|INJ, OMACETAXINE MEPESUCCINATE, 0.01 mg|SYNRIBO 3.5 MG/ML VIAL|1|UN|VIAL|SQ|EA|.0029|04/15/2018|12/31/3999| | || | |
59627022205||J1826||04/15/2018|12/31/3999|Injection, interferon beta-1a, 30 mcg|AVONEX PREFILLED SYR 30 MCG|1|UN|KIT|IM|EA|.25|04/15/2018|12/31/3999| | || | |
59627033304||J1826||04/15/2018|12/31/3999|Injection, interferon beta-1a, 30 mcg|AVONEX PEN 30 MCG/0.5 ML KI|1|UN|KIT|IM|EA|.25|04/15/2018|12/31/3999| | || | |
55150012150||J2543||04/15/2018|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM VIAL|1|UN|VIAL|IV|EA|.25|04/15/2018|12/31/3999| | || | |
55111068010||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.04|04/15/2018|12/31/3999| | || | |
55111067802||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML SYR|0.5|ML|SYRINGE|SQ|ML|.1|04/15/2018|12/31/3999| | || | |
66302010201||J3285||04/15/2018|12/31/3999|Injection, treprostinil, 1 mg|REMODULIN 2.5 MG/ML VIAL|20|ML|VIAL|IJ|ML|.4|04/15/2018|12/31/3999| | || | |
64406000801||J2323||04/29/2013|12/31/3999|Injection, natalizumab, 1 mg|TYSABRI 300 MG/15 ML VIAL|15|ML|VIAL|IV|EA|.05|04/29/2013|12/31/3999| | || | |
66658011203||J2425||12/15/2008|12/31/3999|Injection, palifermin, 50 micrograms|KEPIVANCE 6.25 MG VIAL|1|UN|VIAL|IV|EA|.008|12/15/2008|12/31/3999| | || | |
66302010501||J3285||04/15/2018|12/31/3999|Injection, treprostinil, 1 mg|REMODULIN 5 MG/ML VIAL|20|ML|VIAL|IJ|ML|.2|04/15/2018|12/31/3999| | || | |
50242007001||J9301||04/15/2018|12/31/3999|Injection, obinutuzumab, 10 mg|GAZYVA 1,000 MG/40 ML VIAL|40|ML|VIAL|IV|ML|.4|04/15/2018|12/31/3999| | || | |
00574087005||J1380||04/15/2018|02/28/2022|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 20 MG/ML VL|5|ML|VIAL|IM|ML|.5|04/15/2018|02/28/2022| | || | |
59572010201||J9025||04/15/2018|12/31/3999|Injection, azacitidine, 1 mg|VIDAZA 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|04/15/2018|12/31/3999| | || | |
44567031201||J2540||04/15/2018|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PENICILLIN GK 20 MILLION UNIT|1|UN|VIAL|IJ|EA|.03|04/15/2018|12/31/3999| | || | |
44087000507||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|SEROSTIM 5 MG VIAL|1|UN|VIAL|SQ|EA|.2|04/15/2018|12/31/3999| | || | |
55111067910||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.04|04/15/2018|12/31/3999| | || | |
55111067810||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML SYR|0.5|ML|SYRINGE|SQ|ML|.1|04/15/2018|12/31/3999| | || | |
00075062280||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 80 MG/0.8 ML SYRINGE|0.8|ML|SYRINGE|SQ|EA|.1|04/15/2018|12/31/3999| | || | |
00074228203||J1950||04/15/2018|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT-PED 11.25 MG KIT|1|UN|KIT|IM|EA|.3333|04/15/2018|12/31/3999| | || | |
00075062430||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 30 MG/0.3 ML SYRINGE|0.3|ML|SYRINGE|SQ|EA|.1|04/15/2018|12/31/3999| | || | |
00409930320||J2795||04/15/2018|08/01/2024|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 200 MG/20 ML VL|20|ML|VIAL|IJ|ML|.1|04/15/2018|08/01/2024| | || | |
00409909422||J3010||10/28/2004|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 0.05 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
50242007601||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|NUTROPIN AQ NUSPIN 20 PEN CART|2|ML|CARTRIDGE|SQ|ML|.1|04/15/2018|12/31/3999| | || | |
00904659961||Q0175||12/26/2017|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 2 MG TABLET|100|UN|BLIST PACK|PO|TAB|2|12/26/2017|12/31/3999| | || | |
68180090411||S4993||03/12/2018|02/11/2023|Contraceptive pills for birth control|TYDEMY TABLET|28|UN|BLIST PACK|PO|TAB|1|03/12/2018|02/11/2023| | || | |
68180090413||S4993||03/12/2018|02/11/2023|Contraceptive pills for birth control|TYDEMY TABLET|28|UN|BLIST PACK|PO|TAB|1|03/12/2018|02/11/2023| | || | |
63323036061||J0610||01/03/2018|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 10,000 MG/100|100|ML|VIAL|IV|ML|10|01/03/2018|03/31/2023| | || | |
60505614404||J0692||03/21/2018|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|03/21/2018|12/31/3999| | || | |
25021024501||J9171||02/21/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|02/21/2018|12/31/3999| | || | |
43066001001||J9171||03/15/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|03/15/2018|12/31/3999| | || | |
43598068235||Q2050||03/27/2018|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/1|10|ML|VIAL|IV|ML|5|03/27/2018|12/31/3999| | || | |
70860020851||J9000||02/12/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 200 MG/100 ML V|100|ML|VIAL|IV|ML|5|02/12/2018|12/31/3999| | || | |
75834011529||S4993||11/01/2017|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.03 MG T|28|UN|BLIST PACK|PO|TAB|1|11/01/2017|12/31/3999| | || | |
75834011629||S4993||11/01/2017|02/28/2023|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.02 MG T|28|UN|BLIST PACK|PO|TAB|1|11/01/2017|02/28/2023| | || | |
17478041510||J3490||02/01/2018|06/30/2023|Unclassified drugs|EPHEDRINE 50 MG/ML AMPUL|1|ML|AMPUL|IV|ML|1|02/01/2018|06/30/2023| | || | |
44567081110||J3490||03/01/2018|06/30/2023|Unclassified drugs|ESMOLOL-WATER 2,500 MG/250|250|ML|BAG|IV|ML|1|03/01/2018|06/30/2023| | || | |
44567081210||J3490||03/01/2018|06/30/2023|Unclassified drugs|ESMOLOL-WATER 2,000 MG/100|100|ML|BAG|IV|ML|1|03/01/2018|06/30/2023| | || | |
70860065210||J3490||01/29/2018|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/29/2018|12/31/3999| | || | |
70860065220||J3490||01/29/2018|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|01/29/2018|12/31/3999| | || | |
00169320415||S5551||01/29/2018|06/30/2023|Insulin, most rapid onset (lispro or aspart); 5 units|FIASP 100 UNIT/ML FLEXTOUCH|3|ML|SYRINGE|SQ|ML|.05|01/29/2018|06/30/2023| | || | |
00169320111||S5551||01/29/2018|06/30/2023|Insulin, most rapid onset (lispro or aspart); 5 units|FIASP 100 UNIT/ML VIAL|10|ML|VIAL|SQ|ML|.05|01/29/2018|06/30/2023| | || | |
16729039130||J9201||01/24/2018|03/31/2023|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG/2 ML|2|ML|VIAL|IV|ML|2|01/24/2018|03/31/2023| | || | |
16729041903||J9201||01/25/2018|03/31/2023|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM/10 M|10|ML|VIAL|IV|ML|2|01/25/2018|03/31/2023| | || | |
16729042333||J9201||01/24/2018|03/31/2023|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1.5 GRAM/15|15|ML|VIAL|IV|ML|2|01/24/2018|03/31/2023| | || | |
60505611306||J9201||03/20/2018|01/31/2021|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 200 MG/5.26 ML|5.26|ML|VIAL|IV|ML|5.26|03/20/2018|01/31/2021| | || | |
60505611400||J9201||03/20/2018|01/31/2021|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 1 GRAM/26.3 ML|26.3|ML|VIAL|IV|ML|5.26|03/20/2018|01/31/2021| | || | |
60505611502||J9201||03/20/2018|01/31/2021|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 2 GRAM/52.6 ML|52.6|ML|VIAL|IV|ML|5.26|03/20/2018|01/31/2021| | || | |
67457061610||J9201||01/03/2018|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 200 MG/5.26 ML|5.26|ML|VIAL|IV|ML|5.26|01/03/2018|12/31/3999| | || | |
70860020550||J9201||01/08/2018|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IV|EA|.2|01/08/2018|12/31/3999| | || | |
70860020650||J9060||02/28/2018|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 50 MG/50 ML VIAL|50|ML|VIAL|IV|ML|10|02/28/2018|12/31/3999| | || | |
55513000601||J0881||10/15/2017|12/31/3999|Injection, darbepoetin alfa, 1 microgram (non-esrd use)|ARANESP 200 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.005|10/15/2017|12/31/3999| | || | |
00264180031||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00264180032||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00264180036||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|25|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338043304||J1644||10/15/2017|12/31/3999|Injection, heparin sodium, per 1000 units|Heparin (Porcine) in NaCl 2-0.9 UNIT/ML-% SOLN|1000|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00409792253||J7070||11/15/2017|11/01/2020|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|BAG|IV|ML|1000|11/15/2017|11/01/2020| | || | |
00409792311||J7060||11/15/2017|02/01/2021|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|FLEX CONT|IV|ML|500|11/15/2017|02/01/2021| | || | |
00487980160||J7644||11/15/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|11/15/2017|12/31/3999| | || | |
63323028002||J1940||11/15/2017|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|11/15/2017|12/31/3999| | || | |
63323028010||J1940||11/15/2017|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 10 MG/ML VIAL|10|ML|VIAL|IJ|ML|2|11/15/2017|12/31/3999| | || | |
00409930311||J2795||11/15/2017|11/01/2022|Injection, ropivacaine hydrochloride, 1 mg|Ropivacaine HCl 10 MG/ML SOLN|10|ML|VIAL|IJ|ML|.1|11/15/2017|11/01/2022| | || | |
00409930321||J2795||11/15/2017|08/01/2024|Injection, ropivacaine hydrochloride, 1 mg|Ropivacaine HCl 10 MG/ML SOLN|20|ML|VIAL|IJ|ML|.1|11/15/2017|08/01/2024| | || | |
00264151032||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00264151032||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00487980101||J7644||11/15/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|11/15/2017|12/31/3999| | || | |
00487980125||J7644||11/15/2017|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|11/15/2017|12/31/3999| | || | |
25021030266||J0282||08/06/2008|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 150 MG/3 ML SYRINGE|3|ML|SYRINGE|IV|ML|.6|08/06/2008|12/31/3999| | || | |
25208000201||J3246||05/15/2008|12/31/3999|Injection, tirofiban hcl, 0.25mg|AGGRASTAT 5 MG/100 ML IV SOLN|100|ML|BAG|IV|ML|5|05/15/2008|12/31/3999| | || | |
25021040201||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.2|04/15/2018|12/31/3999| | || | |
67457015318||J0282||02/05/2009|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 900 MG/18 ML VIAL|18|ML|VIAL|IV|ML|.6|02/05/2009|12/31/3999| | || | |
63323026037||J0670||04/01/1998|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE-MPF 1% VIAL|30|ML|VIAL|IJ|ML|10|04/01/1998|12/31/3999| | || | |
44206053211||J0850||11/20/2001|03/19/2023|Injection, cytomegalovirus immune globulin intravenous (human), per vial|CYTOGAM 2.5 GM/50 ML VIAL|50|ML|VIAL|IV|ML|50|11/20/2001|03/19/2023| | || | |
25208000202||J3246||05/15/2008|12/31/3999|Injection, tirofiban hcl, 0.25mg|AGGRASTAT 12.5 MG/250 ML|250|ML|BAG|IV|ML|5|05/15/2008|12/31/3999| | || | |
25021078005||J1953||04/15/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
25021060103||J0706||04/15/2018|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.25|04/15/2018|12/31/3999| | || | |
25021014610||J2700||04/15/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|04/15/2018|12/31/3999| | || | |
61703032322||J9040||10/28/2004|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 30 UNIT VIAL|1|UN|VIAL|IJ|ML|.5|10/28/2004|12/31/3999| | || | |
62756051340||J1953||04/15/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
61703030346||J9100||10/28/2004|12/31/3999|Injection, cytarabine, 100 mg|CYTARABINE 20 MG/ML VIAL|50|ML|VIAL|IJ|ML|5|10/28/2004|12/31/3999| | || | |
61703035010||J9260||10/28/2004|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 50 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
61703030436||J9100||10/28/2004|12/31/3999|Injection, cytarabine, 100 mg|CYTARABINE 20 MG/ML VIAL|25|ML|VIAL|IJ|ML|5|10/28/2004|12/31/3999| | || | |
61703035038||J9260||10/28/2004|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 25 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
65757030001||J2315||04/30/2009|12/31/3999|Injection, naltrexone, depot form, 1 mg|VIVITROL 380 MG VIAL + DILUENT|1|UN|KIT|IM|EA|.0026|04/30/2009|12/31/3999| | || | |
66658011201||J2425||12/15/2008|12/31/3999|Injection, palifermin, 50 micrograms|KEPIVANCE 6.25 MG VIAL|1|UN|VIAL|IJ|EA|.008|12/15/2008|12/31/3999| | || | |
66658011206||J2425||12/15/2008|12/31/3999|Injection, palifermin, 50 micrograms|KEPIVANCE 6.25 MG VIAL|1|UN|VIAL|IV|EA|.008|12/15/2008|12/31/3999| | || | |
00338102341||J2540||01/01/1991|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PEN G K 2 MILLION UNIT/50 ML|50|ML|BAG|IV|ML|14.9999|01/01/1991|12/31/3999| | || | |
00781361268||J1650||04/15/2018|04/30/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.0667|04/15/2018|04/30/2021| | || | |
70504310002||J2792||04/15/2018|05/31/2021|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 5,000 UNIT VIAL|4.4|ML|VIAL|IJ|EA|.088|04/15/2018|05/31/2021| | || | |
63739096425||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML VL|1|ML|VIAL|IJ|ML|.1|04/15/2018|12/31/3999| | || | |
63833038702||C9132||04/15/2018|06/30/2021|Prothrombin complex concentrate (human), kcentra, per i.u|KCENTRA 1,000 UNIT KIT|1|UN|KIT|IV|AHF|1|04/15/2018|06/30/2021| | || | |
44087000607||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|SEROSTIM 6 MG VIAL|1|UN|VIAL|SQ|EA|.1667|04/15/2018|12/31/3999| | || | |
44087004403||Q3028||04/15/2018|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF 44 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SQ|ML|.0114|04/15/2018|12/31/3999| | || | |
70860020651||J9060||02/28/2018|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 100 MG/100 ML VIA|100|ML|VIAL|IV|ML|10|02/28/2018|12/31/3999| | || | |
67457051305||J9120||01/03/2018|01/30/2025|Injection, dactinomycin, 0.5 mg|DACTINOMYCIN 0.5 MG VIAL|1|UN|VIAL|IV|EA|1|01/03/2018|01/30/2025| | || | |
70860060502||J3490||03/23/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|03/23/2018|12/31/3999| | || | |
70257056002||J0475||04/27/2017|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 10 MG/20 ML KIT|20|ML|AMPUL|IJ|ML|20|04/27/2017|12/31/3999| | || | |
70257056102||J0475||04/27/2017|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 10 MG/5 ML KIT|5|ML|AMPUL|IJ|ML|5|04/27/2017|12/31/3999| | || | |
63020009007||J8999||01/11/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ALUNBRIG 90 MG TABLET|7|UN|BOTTLE|PO|TAB|1|01/11/2018|12/31/3999| | || | |
63020009030||J8999||01/11/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ALUNBRIG 90 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/11/2018|12/31/3999| | || | |
63020018023||J8999||01/11/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ALUNBRIG 180 MG TABLET|23|UN|BOTTLE|PO|TAB|1|01/11/2018|12/31/3999| | || | |
63020018030||J8999||01/11/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ALUNBRIG 180 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/11/2018|12/31/3999| | || | |
63020019830||J8999||01/11/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ALUNBRIG 90 MG-180 MG TAB P|30|UN|BOTTLE|PO|EA|1|01/11/2018|12/31/3999| | || | |
47335048583||J8999||03/23/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|30|UN|BOTTLE|PO|TAB|1|03/23/2018|12/31/3999| | || | |
47335048588||J8999||03/23/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|1|03/23/2018|12/31/3999| | || | |
00517671010||J3490||03/06/2018|12/31/3999|Unclassified drugs|CALCIUM CHLORIDE 10% VIAL|10|ML|VIAL|IV|ML|1|03/06/2018|12/31/3999| | || | |
60505614504||J0692||03/21/2018|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|ML|.25|03/21/2018|12/31/3999| | || | |
60505616600||J9027||03/01/2018|12/31/3999|Injection, clofarabine, 1 mg|CLOFARABINE 20 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|03/01/2018|12/31/3999| | || | |
25021024504||J9171||02/21/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|02/21/2018|12/31/3999| | || | |
43066000101||J9171||03/15/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|03/15/2018|12/31/3999| | || | |
43066000601||J9171||03/15/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|03/15/2018|12/31/3999| | || | |
43598068325||Q2050||03/27/2018|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/2|25|ML|VIAL|IV|ML|5|03/27/2018|12/31/3999| | || | |
00409779362||J1644||10/15/2017|01/23/2025|Injection, heparin sodium, per 1000 units|Heparin Sod (Porcine) in D5W 100 UNIT/ML SOLN|250|ML|BAG|IV|ML|10|10/15/2017|01/23/2025| | || | |
00641040037||J1644||10/15/2017|12/31/3999|Injection, heparin sodium, per 1000 units|Heparin Sodium (Porcine) 5000 UNIT/ML SOLN|1|ML|VIAL|IJ|ML|.2|10/15/2017|12/31/3999| | || | |
00641041037||J1644||10/15/2017|12/31/3999|Injection, heparin sodium, per 1000 units|Heparin Sodium (Porcine) 10000 UNIT/ML SOLN|1|ML|VIAL|IJ|ML|.1|10/15/2017|12/31/3999| | || | |
63323004710||J1644||10/15/2017|12/31/3999|Injection, heparin sodium, per 1000 units|Heparin Sodium (Porcine) 5000 UNIT/ML SOLN|10|ML|VIAL|IJ|ML|.2|10/15/2017|12/31/3999| | || | |
00264987210||J1644||10/15/2017|12/31/3999|Injection, heparin sodium, per 1000 units|Heparin (Porcine) in NaCl 2-0.9 UNIT/ML-% SOLN|500|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00338350841||J0690||10/15/2017|12/31/2022|Injection, cefazolin sodium, 500 mg|CeFAZolin Sodium-Dextrose 2-4 GM/100ML-% SOLN|100|ML|BAG|IV|ML|2.5|10/15/2017|12/31/2022| | || | |
00409672723||J3475||10/28/2004|02/26/2025|Injection, magnesium sulfate, per 500 mg|MAGNESIUM-D5W 1 GM/100 ML SOLN|100|ML|BAG|IV|ML|50|10/28/2004|02/26/2025| | || | |
25021020725||J9000||11/15/2017|10/01/2022|Injection, doxorubicin hydrochloride, 10 mg|DOXOrubicin HCl 2 MG/ML SOLN|25|ML|VIAL|IV|ML|5|11/15/2017|10/01/2022| | || | |
25021020751||J9000||11/15/2017|10/01/2022|Injection, doxorubicin hydrochloride, 10 mg|DOXOrubicin HCl 2 MG/ML SOLN|100|ML|VIAL|IV|ML|5|11/15/2017|10/01/2022| | || | |
62756082640||J9000||11/15/2017|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXOrubicin HCl 2 MG/ML SOLN|25|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
63323088305||J9000||11/15/2017|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXOrubicin HCl 2 MG/ML SOLN|5|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
67457043650||J9000||11/15/2017|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 50 MG VIAL|1|UN|VIAL|IV|EA|.2|11/15/2017|12/31/3999| | || | |
63020004901||J9041||11/15/2017|12/31/3999|Injection, bortezomib, 0.1 mg|VELCADE 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|11/15/2017|12/31/3999| | || | |
00409650901||J3370||11/15/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|11/15/2017|12/31/3999| | || | |
00409653501||J3370||11/15/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM ADD-VAN VIAL|1|UN|VIAL|IV|EA|.5|11/15/2017|12/31/3999| | || | |
50242004413||J2997||11/15/2017|12/31/3999|Injection, alteplase recombinant, 1 mg|ACTIVASE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|11/15/2017|12/31/3999| | || | |
63323046637||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.5% VIAL|30|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
63323046757||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
63323047237||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.75% VIAL|30|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
63323073820||S0028||11/15/2017|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 10 MG/ML VIAL|20|ML|VIAL|IV|ML|2|11/15/2017|12/31/3999| | || | |
60793070204||J0561||11/15/2017|12/31/3999|Injection, penicillin g benzathine, 100,000 units|Bicillin L-A 2400000 UNIT/4ML SUSP|4|ML|SYRINGE|IM|ML|.1667|11/15/2017|12/31/3999| | || | |
67457034105||J3370||11/15/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|11/15/2017|12/31/3999| | || | |
23155017031||J3489||11/15/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1.25|11/15/2017|12/31/3999| | || | |
25021082682||J3489||11/15/2017|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/100 ML|100|ML|BAG|IV|ML|25|11/15/2017|12/31/3999| | || | |
00781361204||J1650||11/15/2017|04/30/2021|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.0667|11/15/2017|04/30/2021| | || | |
00641600301||J2060||11/15/2017|12/31/3999|Injection, lorazepam, 2 mg|ATIVAN 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
00641604901||J2060||11/15/2017|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
44087882201||Q3028||04/15/2018|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF TITRATION PACK|4.2|ML|SYRINGE|SQ|ML|.0227|04/15/2018|12/31/3999| | || | |
45963061359||J9267||04/15/2018|06/30/2022|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIAL|50|ML|VIAL|IV|ML|.1667|04/15/2018|06/30/2022| | || | |
00013262681||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|GENOTROPIN 5 MG CARTRIDGE|1|UN|CARTRIDGE|SQ|EA|.2|04/15/2018|12/31/3999| | || | |
00781400436||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|OMNITROPE 5.8 MG VIAL|1|UN|VIAL|SQ|EA|.2|04/15/2018|12/31/3999| | || | |
44087100502||J2941||04/15/2018|10/31/2024|Injection, somatropin, 1 mg|SAIZEN 5 MG VIAL|1|UN|VIAL|SQ|EA|.2|04/15/2018|10/31/2024| | || | |
50242007401||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|NUTROPIN AQ NUSPIN 10 PEN CART|2|ML|CARTRIDGE|SQ|ML|.2|04/15/2018|12/31/3999| | || | |
47335028940||J0706||04/15/2018|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.25|04/15/2018|12/31/3999| | || | |
00781300107||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|OMNITROPE 5 MG/1.5 ML CRTG|1.5|ML|CARTRIDGE|SQ|ML|.3|04/15/2018|12/31/3999| | || | |
00781305995||J1160||04/15/2018|12/31/3999|Injection, digoxin, up to 0.5 mg|DIGOXIN 0.25 MG/ML AMPUL|2|ML|AMPUL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
68982014901||J7209||04/15/2018|12/31/3999|Factor viii nuwiq recomb 1iu|NUWIQ 3,000 UNIT VIAL PACK|1|F2|VIAL|IV|AHF|1|04/15/2018|12/31/3999| | || | |
45963060868||J9178||04/15/2018|06/30/2021|Injection, epirubicin hcl, 2 mg|EPIRUBICIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|04/15/2018|06/30/2021| | || | |
23155047341||J1940||04/15/2018|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
23155047344||J1940||04/15/2018|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
23155047342||J1940||04/15/2018|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
67457025500||J1953||04/15/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/100|100|ML|BAG|IV|EA|2|04/15/2018|12/31/3999| | || | |
00591322202||J2360||04/15/2018|10/31/2019|Injection, orphenadrine citrate, up to 60 mg|ORPHENADRINE 30 MG/ML AMPULE|2|ML|AMPUL|IJ|ML|2|04/15/2018|10/31/2019| | || | |
68982085001||90283||04/15/2018|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 10% VIAL|20|ML|VIAL|IV|ML|1|04/15/2018|12/31/3999| | || | |
63323096330||J0132||04/15/2018|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML VL|30|ML|VIAL|IV|ML|.5|04/15/2018|12/31/3999| | || | |
00944281401||J0256||04/15/2018|12/31/3999|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|ARALAST NP|1|UN|VIAL|IV|EA|10|04/15/2018|12/31/3999| | || | |
00944281501||J0256||04/15/2018|12/31/3999|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|ARALAST NP|1|UN|VIAL|IV|EA|10|04/15/2018|12/31/3999| | || | |
13533070002||J0256||04/15/2018|06/12/2020|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|PROLASTIN C 1,000 MG VIAL|1|UN|VIAL|IV|EA|10|04/15/2018|06/12/2020| | || | |
00944288401||J0257||04/15/2018|12/31/3999|Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg|GLASSIA 1 GM/50 ML VIAL|1|UN|VIAL|IV|GM|10|04/15/2018|12/31/3999| | || | |
18860072210||J2278||04/15/2018|07/25/2021|Injection, ziconotide, 1 microgram|PRIALT 100 MCG/ML VIAL|5|ML|VIAL|IT|ML|.01|04/15/2018|07/25/2021| | || | |
68817013450||J9264||04/15/2018|12/31/3999|Injection, paclitaxel protein-bound particles, 1 mg|ABRAXANE 100 MG VIAL|1|UN|VIAL|IV|EA|.01|04/15/2018|12/31/3999| | || | |
00955101210||J1650||04/15/2018|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|EA|.0667|04/15/2018|12/31/3999| | || | |
70860020825||J9000||02/12/2018|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 50 MG/25 ML VIA|25|ML|VIAL|IV|ML|5|02/12/2018|12/31/3999| | || | |
00069019301||J8999||12/18/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BOSULIF 400 MG TABLET|30|UN|BOTTLE|PO|TAB|1|12/18/2017|12/31/3999| | || | |
00517096010||J3490||04/01/2018|08/01/2022|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|04/01/2018|08/01/2022| | || | |
00409036801||J9171||01/08/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.05|01/08/2018|12/31/3999| | || | |
17478090210||J1327||12/15/2017|10/31/2019|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|ML|VIAL|IV|ML|2.5|12/15/2017|10/31/2019| | || | |
17478090290||J1327||12/15/2017|09/30/2019|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 200 MG/100 ML|100|ML|VIAL|IV|ML|2.5|12/15/2017|09/30/2019| | || | |
17478090390||J1327||12/15/2017|10/31/2019|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|ML|6.6667|12/15/2017|10/31/2019| | || | |
59676060012||J8999||02/20/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLEADA 60 MG TABLET|120|UN|BOTTLE|PO|TAB|1|02/20/2018|12/31/3999| | || | |
00703115303||J3490||07/15/2018|08/31/2022|Unclassified drugs|NOREPINEPHRINE 1 MG/ML VIAL|4|ML|VIAL|IV|ML|1|07/15/2018|08/31/2022| | || | |
00641616210||J3490||07/15/2018|05/31/2023|Unclassified drugs|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|1|07/15/2018|05/31/2023| | || | |
63323013017||J3490||04/01/1998|12/31/3999|Unclassified drugs|DOXY 100 VIAL|1|UN|VIAL|IV|EA|1|04/01/1998|12/31/3999| | || | |
00703150101||J3490||07/15/2018|12/31/2021|Unclassified drugs|ALPROSTADIL 500 MCG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/15/2018|12/31/2021| | || | |
63323042102||J3490||07/15/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
00703280401||J3490||07/15/2018|07/16/2018|Unclassified drugs|PANCURONIUM 1 MG/ML VIAL|10|ML|VIAL|IV|ML|1|07/15/2018|07/16/2018| | || | |
63323008615||J3490||07/15/2018|05/31/2022|Unclassified drugs|POTASSIUM PHOSP 45 MMOL/15|15|ML|VIAL|IV|ML|1|07/15/2018|05/31/2022| | || | |
63323008650||J3490||07/15/2018|11/13/2022|Unclassified drugs|POTASSIUM PHOSP 150 MMOL/50|50|ML|VIAL|IV|ML|1|07/15/2018|11/13/2022| | || | |
63323035120||J3490||07/15/2018|12/31/3999|Unclassified drugs|RIFAMPIN IV 600 MG VIAL|1|UN|VIAL|IV|EA|1|07/15/2018|12/31/3999| | || | |
63323040124||J3490||07/15/2018|06/30/2023|Unclassified drugs|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|1|07/15/2018|06/30/2023| | || | |
63323040224||J3490||07/15/2018|06/30/2023|Unclassified drugs|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|1|07/15/2018|06/30/2023| | || | |
63323040230||J3490||07/15/2018|06/30/2023|Unclassified drugs|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|1|07/15/2018|06/30/2023| | || | |
63323041605||J3490||07/15/2018|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
63323041710||J3490||07/15/2018|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
67457019898||J3490||07/15/2018|12/31/3999|Unclassified drugs|ULTIVA 5 MG VIAL|1|UN|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
63323056310||J3490||07/15/2018|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
63323064916||J3490||07/15/2018|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG VIAL|1|UN|VIAL|IV|EA|1|07/15/2018|12/31/3999| | || | |
67457044560||J3490||07/15/2018|12/31/3999|Unclassified drugs|RIFAMPIN IV 600 MG VIAL|1|UN|VIAL|IV|EA|1|07/15/2018|12/31/3999| | || | |
00703514591||J0640||04/15/2017|04/30/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG VIAL|1|UN|VIAL|IJ|EA|.14285|04/15/2017|04/30/2023| | || | |
25021081430||J0640||04/15/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 100 MG VIAL|1|UN|VIAL|IJ|EA|.5|04/15/2017|12/31/3999| | || | |
25021081530||J0640||04/15/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG VIAL|1|UN|VIAL|IJ|EA|.25|04/15/2017|12/31/3999| | || | |
00703514001||J0640||04/15/2017|09/30/2023|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 100 MG VIAL|1|UN|VIAL|IJ|EA|.5|04/15/2017|09/30/2023| | || | |
00409125502||J2175||04/15/2017|06/01/2021|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 50 MG/ML AMPUL|2|ML|AMPUL|IJ|ML|2|04/15/2017|06/01/2021| | || | |
25021013266||J1956||04/15/2017|05/31/2021|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 250 MG/50 ML|50|ML|BAG|IJ|ML|50|04/15/2017|05/31/2021| | || | |
25021012720||J0713||04/15/2017|12/31/3999|Injection, ceftazidime, per 500 mg|CEFTAZIDIME 1 GM VIAL|1|UN|VIAL|IJ|GM|.5|04/15/2017|12/31/3999| | || | |
25021013282||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 500 MG/100 ML|100|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
25021013283||J1956||04/15/2017|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN-D5W 750 MG/150 ML|150|ML|BAG|IV|ML|50|04/15/2017|12/31/3999| | || | |
00641605225||J2175||04/15/2017|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|MEPERIDINE 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|4|04/15/2017|12/31/3999| | || | |
00641605301||J2175||04/15/2017|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|MEPERIDINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
00703102030||J1450||04/15/2017|06/30/2023|Injection fluconazole, 200 mg|FLUCONAZOLE-NS 400 MG/200 ML|200|ML|BAG|IV|ML|100|04/15/2017|06/30/2023| | || | |
00641606110||J2250||04/15/2017|01/31/2021|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|.2|04/15/2017|01/31/2021| | || | |
00641606125||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
63323041202||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
63323037905||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE 1,000 MCG/ML VIAL|5|ML|VIAL|IJ|ML|.025|04/15/2017|12/31/3999| | || | |
63323037805||J2354||04/15/2017|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 200 MCG/ML VL|5|ML|VIAL|IJ|ML|.125|04/15/2017|12/31/3999| | || | |
63323037905||J2353||04/15/2017|12/31/3999|Injection, octreotide, depot form for intramuscular injection, 1 mg|OCTREOTIDE 1,000 MCG/ML VIAL|5|ML|VIAL|IJ|ML|1|04/15/2017|12/31/3999| | || | |
00641605201||J2175||04/15/2017|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|MEPERIDINE 25 MG/ML VIAL|1|ML|VIAL|IJ|ML|4|04/15/2017|12/31/3999| | || | |
00641606010||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
00641606325||J2250||04/15/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.2|04/15/2017|12/31/3999| | || | |
00641605325||J2175||04/15/2017|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|MEPERIDINE 50 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|04/15/2017|12/31/3999| | || | |
00264751010||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|500|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00264751010||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|500|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338001701||J7060||11/15/2017|03/31/2019|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|150|ML|BAG|IV|ML|500|11/15/2017|03/31/2019| | || | |
00338001710||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|25|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001710||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|25|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00338001711||J7060||11/15/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
00338001711||J7070||11/15/2017|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1000|11/15/2017|12/31/3999| | || | |
00409792336||J7060||11/15/2017|03/01/2021|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|500|11/15/2017|03/01/2021| | || | |
00409792336||J7070||11/15/2017|03/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1000|11/15/2017|03/01/2021| | || | |
00487020103||J7620||11/15/2017|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3 ML|3|ML|VIAL|IH|ML|3|11/15/2017|12/31/3999| | || | |
00703324911||J9045||11/15/2017|03/31/2020|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VIAL|60|ML|VIAL|IV|ML|5|11/15/2017|03/31/2020| | || | |
63323028528||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 2 MG/ML SOLN|20|ML|VIAL|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
63323028564||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 2 MG/ML INFUSION BTL|200|ML|BOTTLE|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
63323028565||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 2 MG/ML INFUSION BTL|100|ML|BOTTLE|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
63323028620||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 5 MG/ML SOLN|20|ML|AMPUL|IJ|ML|.2|11/15/2017|12/31/3999| | || | |
63323028623||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 5 MG/ML SOLN|20|ML|VIAL|IJ|ML|.2|11/15/2017|12/31/3999| | || | |
63323028638||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 5 MG/ML SOLN|30|ML|VIAL|IJ|ML|.2|11/15/2017|12/31/3999| | || | |
50474000263||J1953||04/15/2018|12/31/3999|Injection, levetiracetam, 10 mg|KEPPRA 500 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1|04/15/2018|12/31/3999| | || | |
44087332201||Q3028||04/15/2018|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF REBIDOSE 22 MCG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|.0227|04/15/2018|12/31/3999| | || | |
68012035002||J0596||04/15/2018|01/18/2022|Injection, ruconest|RUCONEST 2,100 UNIT VIAL|1|UN|VIAL|IV|EA|.0048|04/15/2018|01/18/2022| | || | |
00264310511||J0690||04/15/2018|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 2 GM-D5W BAG|1|UN|BAG|IV|ML|.25|04/15/2018|12/31/3999| | || | |
00206885516||J2543||04/15/2018|09/30/2020|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 4.5 GRAM VIAL|1|UN|VIAL|IV|EA|.25|04/15/2018|09/30/2020| | || | |
63323040703||J0706||04/15/2018|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.25|04/15/2018|12/31/3999| | || | |
63323030355||J3260||04/15/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.0667|04/15/2018|12/31/3999| | || | |
59923070205||J9206||04/15/2018|02/01/2021|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|EA|1|04/15/2018|02/01/2021| | || | |
00781925394||J9025||04/15/2018|09/30/2024|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|ML|.01|04/15/2018|09/30/2024| | || | |
00781613694||J2540||04/15/2018|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PENICILLIN GK 20 MILLION UNIT|1|UN|VIAL|IJ|ML|.03|04/15/2018|12/31/3999| | || | |
42023011925||J3250||01/17/2008|12/31/3999|Injection, trimethobenzamide hcl, up to 200 mg|TIGAN 100 MG/ML VIAL|2|ML|VIAL|IM|ML|2|01/17/2008|12/31/3999| | || | |
00517400225||J2440||04/15/2018|12/31/3999|Injection, papaverine hcl, up to 60 mg|PAPAVERINE 60 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/15/2018|12/31/3999| | || | |
00469321110||J2248||04/15/2018|12/31/3999|Injection, micafungin sodium, 1 mg|MYCAMINE 100 MG VIAL|1|UN|VIAL|IV|EA|.01|04/15/2018|12/31/3999| | || | |
00469321199||J2248||04/15/2018|01/31/2023|Injection, micafungin sodium, 1 mg|MYCAMINE 100 MG VIAL|1|UN|VIAL|IV|EA|.01|04/15/2018|01/31/2023| | || | |
00264751000||J7060||01/01/1991|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|1000|ML|BAG|IV|ML|500|01/01/1991|12/31/3999| | || | |
00264751000||J7070||01/01/1991|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|1000|ML|BAG|IV|ML|1000|01/01/1991|12/31/3999| | || | |
00338001704||J7060||01/01/1991|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|1000|ML|BAG|IV|ML|500|01/01/1991|12/31/3999| | || | |
00338001704||J7070||01/01/1991|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|1000|ML|BAG|IV|ML|1000|01/01/1991|12/31/3999| | || | |
00053720102||J0256||04/15/2018|12/31/3999|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|ZEMAIRA 1,000 MG VIAL|1|UN|VIAL|IV|EA|10|04/15/2018|12/31/3999| | || | |
00065054301||J3300||04/15/2018|12/31/3999|Injection, triamcinolone acetonide, preservative free, 1 mg|TRIESENCE 40 MG/ML VIAL|1|ML|VIAL|IO|ML|.025|04/15/2018|12/31/3999| | || | |
13533070310||J0256||04/15/2018|04/30/2021|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|PROLASTIN C 1,000 MG VIAL|1|UN|VIAL|IV|EA|10|04/15/2018|04/30/2021| | || | |
59148004580||J0401||04/15/2018|12/31/3999|Injection, aripiprazole, extended release, 1 mg|ABILIFY MAINTENA ER 300 MG|1|UN|SYRINGE|IM|EA|.0033|04/15/2018|12/31/3999| | || | |
59148007280||J0401||04/15/2018|12/31/3999|Injection, aripiprazole, extended release, 1 mg|ABILIFY MAINTENA ER 400 MG|1|UN|SYRINGE|IM|EA|.0025|04/15/2018|12/31/3999| | || | |
67979051143||J3145||04/15/2018|12/31/3999|Injection, testosterone undecanoate, 1 mg|AVEED|3|ML|VIAL|IJ|ML|.004|04/15/2018|12/31/3999| | || | |
67457010800||J3490||07/15/2018|11/28/2024|Unclassified drugs|KETAMINE 1,000 MG/10 ML VIA|10|ML|VIAL|IJ|ML|1|07/15/2018|11/28/2024| | || | |
67457016300||J3490||07/15/2018|12/31/3999|Unclassified drugs|SOTRADECOL 3% VIAL|2|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
67457018200||J3490||07/15/2018|06/30/2023|Unclassified drugs|ESMOLOL HCL 100 MG/10 ML VI|10|ML|VIAL|IV|ML|1|07/15/2018|06/30/2023| | || | |
67457019700||J3490||07/15/2018|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
67457019710||J3490||07/15/2018|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
67457025102||J3490||07/15/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
67457025100||J3490||07/15/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
00409488802||J7050||07/15/2018|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% VIAL|10|ML|VIAL|IJ|ML|250|07/15/2018|12/31/3999| | || | |
00703115301||J3490||07/15/2018|08/31/2022|Unclassified drugs|NOREPINEPHRINE 1 MG/ML VIAL|4|ML|VIAL|IV|ML|1|07/15/2018|08/31/2022| | || | |
63323008605||J3490||07/15/2018|10/03/2022|Unclassified drugs|POTASSIUM PHOSPH 15 MMOL/5|5|ML|VIAL|IV|ML|1|07/15/2018|10/03/2022| | || | |
00409710004||J7060||07/15/2018|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|BAG|IV|ML|500|07/15/2018|12/31/3999| | || | |
61703041818||J3490||07/15/2018|07/16/2018|Unclassified drugs|AQUASOL A 50,000 UNITS/ML V|2|ML|VIAL|IM|ML|1|07/15/2018|07/16/2018| | || | |
62756050940||J3490||07/15/2018|12/31/3999|Unclassified drugs|ESOMEPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|07/15/2018|12/31/3999| | || | |
62756050944||J3490||07/15/2018|12/31/3999|Unclassified drugs|ESOMEPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|07/15/2018|12/31/3999| | || | |
00781329091||J3490||07/15/2018|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|1|07/15/2018|06/30/2023| | || | |
00781922209||J3490||07/15/2018|02/28/2023|Unclassified drugs|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|1|07/15/2018|02/28/2023| | || | |
00781922291||J3490||07/15/2018|02/28/2023|Unclassified drugs|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|1|07/15/2018|02/28/2023| | || | |
39822100107||J3490||07/15/2018|11/30/2021|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|07/15/2018|11/30/2021| | || | |
42023016425||J3490||07/15/2018|06/30/2023|Unclassified drugs|VASOSTRICT 20 UNITS/ML VIAL|1|ML|VIAL|IV|ML|1|07/15/2018|06/30/2023| | || | |
17478005502||J3490||07/15/2018|04/30/2020|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|07/15/2018|04/30/2020| | || | |
00703450201||J2765||10/15/2017|12/31/3999|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|10/15/2017|12/31/3999| | || | |
00338004931||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338004938||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00338004948||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00409710168||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLN|50|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00409798303||J7030||10/15/2017|08/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|BAG|IV|ML|1000|10/15/2017|08/01/2021| | || | |
00409798437||J7030||10/15/2017|04/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|1000|10/15/2017|04/01/2021| | || | |
00264180031||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00264780010||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|Sodium Chloride 0.9 % SOLN|500|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00264999910||J7040||10/15/2017|02/28/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% 500 ML|500|ML|BAG|IV|ML|500|10/15/2017|02/28/2021| | || | |
00338004903||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|FLEX CONT|IV|ML|500|10/15/2017|12/31/3999| | || | |
00338004910||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|25|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00338004938||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00338055318||J7040||10/15/2017|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLN.|100|ML|BAG|IV|ML|500|10/15/2017|12/31/3999| | || | |
00409798355||J7040||10/15/2017|04/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|BAG|IV|ML|500|10/15/2017|04/01/2021| | || | |
00264180031||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00264180032||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00264180036||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|25|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00264780020||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SALINE 0.9% SOLN-EXCEL CONT|250|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00338954302||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% 250 ML|250|ML|FLEX CONT|IV|ML|250|10/15/2017|12/31/3999| | || | |
00409710104||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLN|250|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
63323028829||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 10 MG/ML SOLN|20|ML|VIAL|IJ|ML|.1|11/15/2017|12/31/3999| | || | |
00409672903||J3475||11/15/2017|12/06/2024|Injection, magnesium sulfate, per 500 mg|Magnesium Sulfate 20 GM/500ML SOLN|500|ML|FLEX CONT|IV|ML|12.5|11/15/2017|12/06/2024| | || | |
00409673013||J3475||11/15/2017|01/01/2023|Injection, magnesium sulfate, per 500 mg|Magnesium Sulfate 4 GM/50ML SOLN|50|ML|FLEX CONT|IV|ML|6.25|11/15/2017|01/01/2023| | || | |
63323064250||J3475||11/15/2017|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|50|ML|VIAL|IJ|ML|1|11/15/2017|12/31/3999| | || | |
00409707726||J3480||11/15/2017|02/01/2021|Injection, potassium chloride, per 2 meq|POTASSIUM CL 40 MEQ/100 ML SOL|100|ML|BAG|IV|ML|5|11/15/2017|02/01/2021| | || | |
43598033111||J3489||11/15/2017|09/30/2021|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|BOTTLE|IV|ML|20|11/15/2017|09/30/2021| | || | |
63323028510||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 2 MG/ML SOLN|10|ML|AMPUL|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
63323028513||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 2 MG/ML SOLN|10|ML|VIAL|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
63323028520||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|Naropin 2 MG/ML SOLN|20|ML|AMPUL|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
63323028567||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 2 MG/ML INFUSION BTL|100|ML|BOTTLE|IJ|ML|.5|11/15/2017|12/31/3999| | || | |
63323028600||J2795||11/15/2017|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 5 MG/ML INFUSION BTL|100|ML|BOTTLE|IJ|ML|.2|11/15/2017|12/31/3999| | || | |
63323028420||J3370||11/15/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|11/15/2017|12/31/3999| | || | |
63323029561||J3370||11/15/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|11/15/2017|12/31/3999| | || | |
00264761010||J7042||11/15/2017|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|Dextrose-NaCl 5-0.9 % SOLN|500|ML|BAG|IV|ML|500|11/15/2017|12/31/3999| | || | |
25021020705||J9000||11/15/2017|10/01/2022|Injection, doxorubicin hydrochloride, 10 mg|DOXOrubicin HCl 2 MG/ML SOLN|5|ML|VIAL|IV|ML|5|11/15/2017|10/01/2022| | || | |
61755000101||J2793||04/15/2018|01/31/2022|Injection, rilonacept, 1 mg|ARCALYST 220 MG INJECTION|1|UN|VIAL|SQ|EA|.0045|04/15/2018|01/31/2022| | || | |
55513000601||J0882||04/15/2018|03/31/2023|Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)|ARANESP 200 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.005|04/15/2018|03/31/2023| | || | |
00591322126||J3121||04/15/2018|12/31/3999|Injection, testosterone enanthate, 1mg|TESTOSTERONE ENAN 200 MG/ML|5|ML|VIAL|IM|ML|.005|04/15/2018|12/31/3999| | || | |
50242008701||J9354||04/15/2018|12/31/3999|Inj, ado-trastuzumab emt 1mg|KADCYLA 160 MG VIAL|1|UN|VIAL|IV|EA|.0063|04/15/2018|12/31/3999| | || | |
50458056001||J2426||04/15/2018|12/31/3999|Injection, paliperidone palmitate extended release, 1 mg|INVEGA SUSTENNA 39 MG PREF SYR|0.25|ML|SYRINGE|IM|ML|.0064|04/15/2018|12/31/3999| | || | |
50458056101||J2426||04/15/2018|12/31/3999|Injection, paliperidone palmitate extended release, 1 mg|INVEGA SUSTENNA 78 MG PREF SYR|0.5|ML|SYRINGE|IM|ML|.0064|04/15/2018|12/31/3999| | || | |
50458056201||J2426||04/15/2018|12/31/3999|Injection, paliperidone palmitate extended release, 1 mg|INVEGA SUSTENNA 117 MG PREF SY|0.75|ML|SYRINGE|IM|ML|.0064|04/15/2018|12/31/3999| | || | |
50458056301||J2426||04/15/2018|12/31/3999|Injection, paliperidone palmitate extended release, 1 mg|INVEGA SUSTENNA 156 MG PREF SY|1|ML|SYRINGE|IM|ML|.0064|04/15/2018|12/31/3999| | || | |
50458056401||J2426||04/15/2018|12/31/3999|Injection, paliperidone palmitate extended release, 1 mg|INVEGA SUSTENNA 234 MG PREF SY|1.5|ML|SYRINGE|IM|ML|.0064|04/15/2018|12/31/3999| | || | |
55566830301||J9155||04/15/2018|12/31/3999|Injection, degarelix, 1 mg|FIRMAGON 80 MG KIT|1|UN|KIT|SQ|EA|.0125|04/15/2018|12/31/3999| | || | |
50458030711||J2794||04/15/2018|12/31/3999|Injection, risperidone, long acting, 0.5 mg|RISPERDAL CONSTA 37.5 MG SYR|1|UN|BOX|IM|EA|.0133|04/15/2018|12/31/3999| | || | |
76075010101||J9047||04/15/2018|12/31/3999|Injection, carfilzomib, 1 mg|KYPROLIS 60 MG VIAL|1|UN|VIAL|IV|EA|.0167|04/15/2018|12/31/3999| | || | |
00469325050||J2248||04/15/2018|11/30/2021|Injection, micafungin sodium, 1 mg|MYCAMINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|04/15/2018|11/30/2021| | || | |
50458030611||J2794||04/15/2018|12/31/3999|Injection, risperidone, long acting, 0.5 mg|RISPERDAL CONSTA 25 MG SYR|1|UN|BOX|IM|EA|.02|04/15/2018|12/31/3999| | || | |
00085435201||J9214||04/15/2018|09/04/2022|Injection, interferon, alfa-2b, recombinant, 1 million units|INTRON A 18 MILLION UNITS VIAL|1|UN|VIAL|IJ|EA|.02|04/15/2018|09/04/2022| | || | |
44087002203||Q3028||04/15/2018|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF 22 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SQ|ML|.0227|04/15/2018|12/31/3999| | || | |
63323076210||J9351||04/15/2018|12/31/3999|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG VIAL|1|UN|VIAL|IV|EA|.025|04/15/2018|12/31/3999| | || | |
63323076294||J9351||04/15/2018|05/31/2022|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG VIAL|1|UN|VIAL|IV|EA|.025|04/15/2018|05/31/2022| | || | |
55111068102||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.04|04/15/2018|12/31/3999| | || | |
55111068110||J1652||04/15/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.04|04/15/2018|12/31/3999| | || | |
00002814901||J2941||04/15/2018|12/31/3999|Injection, somatropin, 1 mg|HUMATROPE 24 MG CARTRIDGE|1|UN|CARTRIDGE|IJ|EA|.0417|04/15/2018|12/31/3999| | || | |
25021040401||J1644||04/15/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML VL|1|ML|VIAL|IJ|ML|.05|04/15/2018|12/31/3999| | || | |
67457024600||J2354||04/15/2018|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML SYR|1|ML|SYRINGE|IJ|EA|.05|04/15/2018|12/31/3999| | || | |
39822100001||J3490||07/15/2018|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
42023014625||J3490||07/15/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
42023015701||J3490||07/15/2018|12/31/3999|Unclassified drugs|ETHACRYNATE SODIUM 50 MG VI|1|UN|VIAL|IV|EA|1|07/15/2018|12/31/3999| | || | |
25682001012||J3490||07/15/2018|12/31/3999|Unclassified drugs|STRENSIQ 18 MG/0.45 ML VIAL|.45|ML|VIAL|SQ|ML|1|07/15/2018|12/31/3999| | || | |
25682001612||J3490||07/15/2018|12/31/3999|Unclassified drugs|STRENSIQ 40 MG/ML VIAL|1|ML|VIAL|SQ|ML|1|07/15/2018|12/31/3999| | || | |
25682001912||J3490||07/15/2018|12/31/3999|Unclassified drugs|STRENSIQ 80 MG/0.8 ML VIAL|.8|ML|VIAL|SQ|ML|1|07/15/2018|12/31/3999| | || | |
00781304072||J3490||07/15/2018|12/31/3999|Unclassified drugs|REGONOL 10 MG/2 ML AMPUL|2|ML|AMPUL|IJ|ML|1|07/15/2018|12/31/3999| | || | |
00781328891||J3490||07/15/2018|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 300 MG/50 M|50|ML|BAG|IV|ML|1|07/15/2018|06/30/2023| | || | |
00781922091||J3490||07/15/2018|10/31/2022|Unclassified drugs|CLINDAMYCIN-D5W 300 MG/50 M|50|ML|BAG|IV|ML|1|07/15/2018|10/31/2022| | || | |
00781922009||J3490||07/15/2018|10/31/2022|Unclassified drugs|CLINDAMYCIN-D5W 300 MG/50 M|50|ML|BAG|IV|ML|1|07/15/2018|10/31/2022| | || | |
00781922109||J3490||07/15/2018|02/28/2023|Unclassified drugs|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|1|07/15/2018|02/28/2023| | || | |
25021065966||J3490||07/15/2018|05/31/2021|Unclassified drugs|ATRACURIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|07/15/2018|05/31/2021| | || | |
25021067267||J3490||07/15/2018|07/31/2021|Unclassified drugs|ATRACURIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|07/15/2018|07/31/2021| | || | |
25021067269||J3490||07/15/2018|08/09/2021|Unclassified drugs|ATRACURIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|07/15/2018|08/09/2021| | || | |
25021065968||J3490||07/15/2018|08/09/2021|Unclassified drugs|ATRACURIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|07/15/2018|08/09/2021| | || | |
41616088240||J3490||07/15/2018|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML AMP|10|ML|AMPUL|IV|ML|1|07/15/2018|12/31/2023| | || | |
44087111501||J3490||07/15/2018|12/31/2021|Unclassified drugs|GONAL-F RFF REDI-JECT 300 U|0.5|ML|CARTRIDGE|SQ|EA|1|07/15/2018|12/31/2021| | || | |
44087111601||J3490||07/15/2018|12/31/2021|Unclassified drugs|GONAL-F RFF REDI-JECT 450 U|0.75|UN|CARTRIDGE|SQ|EA|1|07/15/2018|12/31/2021| | || | |
25682001312||J3490||07/15/2018|12/31/3999|Unclassified drugs|STRENSIQ 28 MG/0.7 ML VIAL|.7|ML|VIAL|SQ|ML|1|07/15/2018|12/31/3999| | || | |
44087111701||J3490||07/15/2018|12/31/2021|Unclassified drugs|GONAL-F RFF REDI-JECT 900 U|1.5|ML|CARTRIDGE|SQ|EA|1|07/15/2018|12/31/2021| | || | |
44087122501||J3490||07/15/2018|09/30/2021|Unclassified drugs|CETROTIDE 0.25 MG KIT|1|UN|KIT|SQ|EA|1|07/15/2018|09/30/2021| | || | |
57664059640||J3490||07/15/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
57664059650||J3490||07/15/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|07/15/2018|12/31/3999| | || | |
62756050840||J3490||07/15/2018|12/31/3999|Unclassified drugs|ESOMEPRAZOLE SODIUM 20 MG V|1|UN|VIAL|IV|EA|1|07/15/2018|12/31/3999| | || | |
62756050844||J3490||07/15/2018|12/31/3999|Unclassified drugs|ESOMEPRAZOLE SODIUM 20 MG V|1|UN|VIAL|IV|EA|1|07/15/2018|12/31/3999| | || | |
62064001160||J3490||04/30/2014|08/25/2020|Unclassified drugs|EGRIFTA 1 MG VIAL|60|UN|VIAL|SQ|EA|1|04/30/2014|08/25/2020| | || | |
00409710168||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLN|50|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00409710169||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLN|100|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00409798353||J7050||10/15/2017|07/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|250|ML|BAG|IV|ML|250|10/15/2017|07/01/2021| | || | |
00409798361||J7050||10/15/2017|03/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|150|ML|BAG|IV|ML|250|10/15/2017|03/01/2021| | || | |
00409798411||J7050||10/15/2017|02/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|100|ML|FLEX CONT|IV|ML|250|10/15/2017|02/01/2021| | || | |
00264780010||J7030||10/15/2017|12/31/3999|Infusion, normal saline solution , 1000 cc|Sodium Chloride 0.9 % SOLN|500|ML|BAG|IV|ML|1000|10/15/2017|12/31/3999| | || | |
00264999910||J7030||10/15/2017|02/28/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% 500 ML|500|ML|BAG|IV|ML|1000|10/15/2017|02/28/2021| | || | |
00338004931||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00338055311||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLN.|50|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
00338055318||J7050||10/15/2017|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLN.|100|ML|BAG|IV|ML|250|10/15/2017|12/31/3999| | || | |
13533080012||90283||10/15/2017|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C 1 GRAM/10 ML VIAL|10|ML|VIAL|IJ|ML|5|10/15/2017|12/31/3999| | || | |
00074165805||J2501||10/15/2017|12/31/3999|Injection, paricalcitol, 1 mcg|ZEMPLAR 10 MCG/2 ML VIAL|2|ML|VIAL|IV|ML|.2|10/15/2017|12/31/3999| | || | |
00074463701||J2501||10/15/2017|12/31/3999|Injection, paricalcitol, 1 mcg|ZEMPLAR 2 MCG/ML VIAL|1|ML|VIAL|IV|ML|.5|10/15/2017|12/31/3999| | || | |
76045000410||J2270||10/15/2017|11/30/2021|Injection, morphine sulfate, up to 10 mg|MORPHINE 2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|5|10/15/2017|11/30/2021| | || | |
76329191101||J2270||10/15/2017|10/31/2023|Injection, morphine sulfate, up to 10 mg|MORPHINE 30 MG/30 ML SYRINGE|30|ML|SYRINGE|IV|ML|10|10/15/2017|10/31/2023| | || | |
76045010120||J2765||10/15/2017|01/31/2023|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML SYR|2|ML|SYRINGE|IJ|ML|2|10/15/2017|01/31/2023| | || | |
76204020001||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|3|ML|VIAL|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
76204020025||J7613||10/15/2017|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU|30|ML|PC|IH|ML|1.2|10/15/2017|12/31/3999| | || | |
63323010351||J9060||11/15/2017|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISplatin 50 MG/50ML SOLN|50|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
63323010365||J9060||11/15/2017|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISplatin 100 MG/100ML SOLN|100|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
63323011719||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML VIAL|10|ML|VIAL|TP|ML|10|11/15/2017|12/31/3999| | || | |
63323011720||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1,000 MG/20 ML VL|20|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
63323011761||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 5,000 MG/100 ML|100|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
63323011768||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 5,000 MG/100 ML|100|ML|VIAL|TP|ML|10|11/15/2017|12/31/3999| | || | |
63323011769||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 5,000 MG/100 ML|100|ML|VIAL|TP|ML|10|11/15/2017|12/31/3999| | || | |
63323017260||J9045||11/15/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VIAL|60|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
63323012600||J9201||11/15/2017|02/28/2022|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 2 GRAM VIAL|1|UN|VIAL|IV|EA|.1|11/15/2017|02/28/2022| | || | |
63323076305||J9267||11/15/2017|09/30/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|11/15/2017|09/30/2021| | || | |
00409156019||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|Marcaine Preservative Free 0.5 % SOLN|30|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
61703033922||J9045||11/15/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 150 MG/15 ML VIAL|15|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
63323010364||J9060||11/15/2017|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISplatin 200 MG/200ML SOLN|200|ML|VIAL|IV|ML|10|11/15/2017|12/31/3999| | || | |
47335028641||J9171||11/15/2017|11/16/2017|Injection, docetaxel, 1 mg|DOCEFREZ 80 MG VIAL|1|UN|VIAL|IV|EA|.0125|11/15/2017|11/16/2017| | || | |
63323011758||J9190||11/15/2017|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 2,500 MG/50 ML VL|50|ML|VIAL|TP|ML|10|11/15/2017|12/31/3999| | || | |
00409018301||J9201||11/15/2017|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 200 MG/5.26 ML VL|5.26|ML|VIAL|IV|EA|5.26|11/15/2017|12/31/3999| | || | |
00703398601||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|11/15/2017|12/31/3999| | || | |
47335004740||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|11/15/2017|12/31/3999| | || | |
47335017640||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG VIAL|1|UN|VIAL|IV|EA|.01|11/15/2017|12/31/3999| | || | |
61703034222||J9267||11/15/2017|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML VIAL|16.7|ML|VIAL|IV|ML|.1667|11/15/2017|12/31/3999| | || | |
61703033950||J9045||11/15/2017|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VIAL|45|ML|VIAL|IV|ML|5|11/15/2017|12/31/3999| | || | |
61703036322||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|11/15/2017|12/31/3999| | || | |
00409161050||S0020||11/15/2017|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|30|11/15/2017|06/30/2023| | || | |
61755002400||Q0243||11/21/2020|11/22/2020|Casirivimab and imdevimab|CASIRIVIMAB(REGN10933) 1,33|11.1|ML|VIAL|IV|ML|1|11/21/2020|11/22/2020| | || | |
61755002701||Q0243||11/21/2020|11/22/2020|Casirivimab and imdevimab|IMDEVIMAB (REGN10987) 300 M|2.5|ML|VIAL|IV|ML|1|11/21/2020|11/22/2020| | || | |
51754501201||J3490||08/31/2020|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 4.2% VIA|10|ML|VIAL|IV|ML|1|08/31/2020|12/31/3999| | || | |
00143960601||J9025||09/15/2020|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|09/15/2020|12/31/3999| | || | |
63323039841||J0456||03/20/2006|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|03/20/2006|12/31/3999| | || | |
69800650202||J1556||10/31/2019|12/31/3999|Injection, immune globulin (bivigam), 500 mg|BIVIGAM 10% VIAL|50|ML|VIAL|IV|ML|5|10/31/2019|12/31/3999| | || | |
69800650202||90283||10/31/2019|12/31/3999|Immune globulin (IGIV), human, for intravenous use|BIVIGAM 10% VIAL|50|ML|VIAL|IV|ML|5|10/31/2019|12/31/3999| | || | |
66993019594||J7682||11/20/2013|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/4 ML AMPU|4|ML|AMPUL|IH|ML|4|11/20/2013|12/31/3999| | || | |
55150031925||J3230||09/01/2020|12/31/3999|Injection, chlorpromazine hcl, up to 50 mg|CHLORPROMAZINE 50 MG/2 ML A|2|ML|AMPUL|IJ|ML|2|09/01/2020|12/31/3999| | || | |
52565010610||J0713||12/21/2012|06/30/2023|Injection, ceftazidime, per 500 mg|FORTAZ 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|12/21/2012|06/30/2023| | || | |
70700016625||J3490||08/27/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|08/27/2020|12/31/3999| | || | |
70700016725||J3490||08/27/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|08/27/2020|12/31/3999| | || | |
71288040805||J3490||08/05/2019|07/04/2024|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|08/05/2019|07/04/2024| | || | |
00409175415||J3475||10/28/2004|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% SYRIN|10|ML|SYRINGE|IJ|ML|1|10/28/2004|12/31/3999| | || | |
70121157301||J1020||07/16/2020|12/31/3999|Injection, methylprednisolone acetate, 20 mg|METHYLPREDNISOLONE 40 MG/ML|1|ML|VIAL|IJ|ML|.5|07/16/2020|12/31/3999| | || | |
70121157301||J1030||07/16/2020|12/31/3999|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML|1|ML|VIAL|IJ|ML|1|07/16/2020|12/31/3999| | || | |
70121157305||J1020||07/16/2020|12/31/3999|Injection, methylprednisolone acetate, 20 mg|METHYLPREDNISOLONE 40 MG/ML|1|ML|VIAL|IJ|ML|.5|07/16/2020|12/31/3999| | || | |
70121157305||J1030||07/16/2020|12/31/3999|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML|1|ML|VIAL|IJ|ML|1|07/16/2020|12/31/3999| | || | |
70121157405||J1040||07/16/2020|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML|1|ML|VIAL|IJ|ML|1|07/16/2020|12/31/3999| | || | |
00409230555||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
63323075103||J2370||07/26/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/26/2019|06/30/2023| | || | |
63323029401||J0670||04/01/1998|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE-MPF 2% VIAL|20|ML|VIAL|IJ|ML|10|04/01/1998|12/31/3999| | || | |
69918070010||J0330||04/10/2019|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/10/2019|12/31/3999| | || | |
00143924501||J9130||08/08/2001|12/31/3999|Dacarbazine, 100 mg|DACARBAZINE 200 MG VIAL|1|UN|VIAL|IV|EA|.5|08/08/2001|12/31/3999| | || | |
00143924510||J9130||08/08/2001|12/31/3999|Dacarbazine, 100 mg|DACARBAZINE 200 MG VIAL|1|UN|VIAL|IV|EA|.5|08/08/2001|12/31/3999| | || | |
00781329570||J0878||10/14/2019|09/30/2022|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|10/14/2019|09/30/2022| | || | |
25021017966||J0878||06/18/2018|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|06/18/2018|12/31/3999| | || | |
00781349546||J3490||09/11/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|1|09/11/2020|12/31/3999| | || | |
00781349595||J3490||09/11/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|1|09/11/2020|12/31/3999| | || | |
00990794103||J7042||07/12/2018|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-0.9% NACL IV SO|500|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
14789022008||J1953||07/22/2020|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|ML|1|07/22/2020|12/31/3999| | || | |
63323098252||J2543||05/20/2019|08/31/2022|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|05/20/2019|08/31/2022| | || | |
00409338511||J2543||10/22/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|10/22/2010|12/31/3999| | || | |
00409258511||J0690||06/27/2007|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM ADD-VAN VIAL|1|UN|VIAL|IV|EA|.5|06/27/2007|12/31/3999| | || | |
25021078874||J2469||04/25/2019|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON HCL 0.25 MG/5|5|ML|SYRINGE|IV|ML|.5|04/25/2019|12/31/3999| | || | |
55150021201||J2501||06/04/2019|09/30/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 2 MCG/ML VIAL|1|ML|VIAL|IV|ML|.5|06/04/2019|09/30/2022| | || | |
63323067305||J2469||10/15/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|10/15/2018|12/31/3999| | || | |
69639010301||J2469||02/17/2017|06/30/2022|Injection, palonosetron hcl, 25 mcg|ALOXI 0.25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|02/17/2017|06/30/2022| | || | |
70860012020||J2543||05/10/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|GM|.5|05/10/2019|12/31/3999| | || | |
76045038330||J2710||05/23/2019|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 3 MG/3 ML SYRIN|3|ML|SYRINGE|IV|ML|.5|05/23/2019|12/31/3999| | || | |
00409729511||J3490||10/28/2004|12/31/3999|Unclassified drugs|POTASSIUM PHOSP 45 MMOL/15|15|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00781375575||J3490||06/04/2019|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|06/04/2019|12/31/3999| | || | |
00990798423||J3490||07/12/2018|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
42367052125||J9036||10/01/2019|12/31/3999|Inj. belrapzo/bendamustine|BELRAPZO 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.04|10/01/2019|12/31/3999| | || | |
63323003200||J3490||04/01/1998|12/31/3999|Unclassified drugs|SODIUM ACETATE 400 MEQ/100|100|ML|VIAL|IV|ML|1|04/01/1998|12/31/3999| | || | |
63323003204||J3490||04/01/1998|12/31/3999|Unclassified drugs|SODIUM ACETATE 400 MEQ/100|100|ML|VIAL|IV|ML|1|04/01/1998|12/31/3999| | || | |
63323067100||J3490||06/03/2019|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|1|06/03/2019|12/31/3999| | || | |
63323067102||J3490||06/03/2019|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 80 MCG/20ML|20|ML|VIAL|IV|ML|1|06/03/2019|12/31/3999| | || | |
63323067120||J3490||06/03/2019|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 80 MCG/20ML|20|ML|VIAL|IV|ML|1|06/03/2019|12/31/3999| | || | |
63323088510||J3490||06/12/2019|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG/5 ML|5|ML|VIAL|IV|ML|1|06/12/2019|12/31/3999| | || | |
63323089510||J3490||06/20/2019|12/31/3999|Unclassified drugs|LEVOTHYROXINE 500 MCG/5 ML|5|ML|VIAL|IV|ML|1|06/20/2019|12/31/3999| | || | |
70504028905||J7195||03/02/2017|06/30/2023|Factor ix (antihemophilic factor, recombinant) per i.u.|IXINITY 3,000 UNIT RANGE|1|F2|VIAL|IV|AHF|1|03/02/2017|06/30/2023| | || | |
69918072001||J9017||11/15/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|11/15/2018|12/31/3999| | || | |
43598075552||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|EA|2|06/18/2018|12/31/3999| | || | |
25021023905||J9201||03/04/2019|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 200 MG/5.26 ML|5.26|ML|VIAL|IV|ML|5.26|03/04/2019|12/31/3999| | || | |
25021023952||J9201||03/04/2019|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 2 GRAM/52.6 ML|52.6|ML|VIAL|IV|ML|5.26|03/04/2019|12/31/3999| | || | |
00409234468||J1250||04/30/2005|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 250 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|04/30/2005|12/31/3999| | || | |
36000029524||J1956||06/01/2018|06/01/2021|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/100 ML-|100|ML|BAG|IV|ML|50|06/01/2018|06/01/2021| | || | |
70594004201||J3370||03/27/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GRAM/200 ML BA|200|ML|BAG|IV|EA|100|03/27/2019|12/31/2022| | || | |
50242013210||J9355||05/22/2017|12/31/3999|Injection, trastuzumab, 10 mg|HERCEPTIN 150 MG VIAL|1|UN|VIAL|IV|EA|.0667|05/22/2017|12/31/3999| | || | |
00409733420||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|EA|.025|07/20/2005|12/31/3999| | || | |
00409733820||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|07/20/2005|12/31/3999| | || | |
00517198001||J0500||08/14/2017|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|08/14/2017|12/31/3999| | || | |
00555048402||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 5 MG TAB|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00555901279||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORTREL 7-7-7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555902079||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|PORTIA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00555904379||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|APRI 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00703312508||J9315||01/01/2011|10/31/2021|Injection, romidepsin, 1 mg|ROMIDEPSIN 10 MG KIT|1|UN|VIAL|IV|EA|.1|01/01/2011|10/31/2021| | || | |
00781407552||S4993||10/12/2010|12/31/3999|Contraceptive pills for birth control|DROSP-EE-LEVOMEF 3-0.02-0.4|28|UN|BLIST PACK|PO|TAB|1|10/12/2010|12/31/3999| | || | |
00832028500||J8999||08/16/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BEXAROTENE 75 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|08/16/2018|12/31/3999| | || | |
00944285004||90284||11/16/2016|09/30/2023|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUVITRU 2 GRAM/10 ML VIAL|10|ML|VIAL|SQ|ML|.5|11/16/2016|09/30/2023| | || | |
00944285008||90284||11/16/2016|09/30/2023|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUVITRU 8 GRAM/ 40 ML VIAL|40|ML|VIAL|SQ|ML|.5|11/16/2016|09/30/2023| | || | |
10122062010||C9460||01/01/2016|12/31/3999|Injection, cangrelor|KENGREAL 50 MG VIAL|10|UN|VIAL|IV|ML|.02|01/01/2016|12/31/3999| | || | |
10885000305||J2062||01/01/2019|09/30/2021|Loxapine for inhalation, 1 mg|ADASUVE 10 MG INHALATION PO|1|UN|PACKET|IH|EA|1|01/01/2019|09/30/2021| | || | |
13533033512||J1460||07/21/2005|12/31/3999|Injection, gamma globulin, intramuscular, 1 cc|GAMASTAN VIAL|10|ML|VIAL|IM|ML|1|07/21/2005|12/31/3999| | || | |
16729022361||J9330||08/13/2018|12/31/3999|Injection, temsirolimus, 1 mg|TEMSIROLIMUS 25 MG VIAL|1|ML|VIAL|IV|EA|.04|08/13/2018|12/31/3999| | || | |
16729042605||J9201||08/06/2018|03/31/2023|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 2 GRAM/20 M|20|ML|VIAL|IV|ML|2|08/06/2018|03/31/2023| | || | |
17478008130||J2795||06/30/2016|06/30/2023|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|06/30/2016|06/30/2023| | || | |
25021018482||J1450||08/27/2009|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 200 MG/100|100|ML|FLEX CONT|IV|ML|100|08/27/2009|12/31/3999| | || | |
25021023120||J0894||09/24/2018|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|09/24/2018|12/31/3999| | || | |
25021081230||J0132||09/07/2018|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|09/07/2018|12/31/3999| | || | |
36000009201||J3490||06/01/2018|02/01/2022|Unclassified drugs|BUPIVACAIN 0.75%-DEXTROS 8.|2|ML|AMPUL|IJ|ML|1|06/01/2018|02/01/2022| | || | |
36000024425||J3260||06/01/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|06/01/2018|12/31/3999| | || | |
42023022110||J1335||01/17/2008|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|GM|.5|01/17/2008|12/31/3999| | || | |
42858086806||Q0167||01/01/2011|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.5|01/01/2011|12/31/3999| | || | |
43598052836||J2710||09/11/2018|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/11/2018|12/31/3999| | || | |
43598052936||J2710||09/11/2018|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|09/11/2018|12/31/3999| | || | |
44567042024||J3475||07/26/2018|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|BAG|IV|ML|12.5|07/26/2018|12/31/3999| | || | |
66993003883||J1726||01/01/2018|12/31/2022|Makena, 10 mg|HYDROXYPROGEST 250 MG/ML VI|1|ML|VIAL|IM|ML|.04|01/01/2018|12/31/2022| | || | |
44206045593||J1599||10/16/2013|10/17/2013|IVIG NON-LYOPHILIZED, NOS|HIZENTRA 10 GRAM/50 ML VIAL|50|ML|VIAL|SC|EA|1|10/16/2013|10/17/2013| | || | |
50383085911||J8999||02/03/2018|05/08/2020|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 400 MG/10 ML|10|ML|CUP|PO|ML|1|02/03/2018|05/08/2020| | || | |
50383085912||J8999||02/03/2018|09/30/2019|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 400 MG/10 ML|10|ML|CUP|PO|ML|1|02/03/2018|09/30/2019| | || | |
50383085924||J8999||02/03/2018|09/11/2020|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 40 MG/ML SUS|240|ML|BOTTLE|PO|ML|1|02/03/2018|09/11/2020| | || | |
51991031359||J8999||01/05/2018|07/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL 625 MG/5 ML SUSP|150|ML|BOTTLE|PO|ML|1|01/05/2018|07/31/2022| | || | |
51991037690||J8999||08/26/2019|03/31/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|90|UN|BOTTLE|PO|TAB|1|08/26/2019|03/31/2023| | || | |
51991037733||J8999||09/03/2019|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|TAB|1|09/03/2019|06/30/2023| | || | |
57894015512||J8999||09/03/2019|11/30/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE ACETATE 250 MG|120|UN|BOTTLE|PO|TAB|1|09/03/2019|11/30/2021| | || | |
58468782003||J8999||07/25/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|CAPRELSA 100 MG TABLET|30|UN|BOTTLE|PO|TAB|1|07/25/2011|12/31/3999| | || | |
58468784003||J8999||07/25/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|CAPRELSA 300 MG TABLET|30|UN|BOTTLE|PO|TAB|1|07/25/2011|12/31/3999| | || | |
59651018030||J8999||08/12/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|30|UN|BOTTLE|PO|TAB|1|08/12/2019|12/31/3999| | || | |
60505432701||J8999||11/23/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE ACETATE 250 MG|120|UN|BOTTLE|PO|TAB|1|11/23/2018|12/31/3999| | || | |
63020007801||J8999||12/09/2015|10/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 2.3 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|12/09/2015|10/31/2021| | || | |
63020007802||J8999||12/09/2015|10/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 2.3 MG CAPSULE|3|UN|BLIST PACK|PO|CAP|1|12/09/2015|10/31/2021| | || | |
63020007901||J8999||12/09/2015|01/31/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 3 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|12/09/2015|01/31/2023| | || | |
63020007902||J8999||12/09/2015|01/31/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 3 MG CAPSULE|3|UN|BLIST PACK|PO|CAP|1|12/09/2015|01/31/2023| | || | |
63020008001||J8999||12/09/2015|10/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 4 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|12/09/2015|10/31/2022| | || | |
63020008002||J8999||12/09/2015|10/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 4 MG CAPSULE|3|UN|BLIST PACK|PO|CAP|1|12/09/2015|10/31/2022| | || | |
63020011330||J8999||05/09/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ALUNBRIG 30 MG TABLET|30|UN|BOTTLE|PO|TAB|1|05/09/2017|12/31/3999| | || | |
63020053430||J8999||01/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ICLUSIG 45 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/13/2013|12/31/3999| | || | |
63739026942||J8999||01/01/2011|12/31/2020|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 10 MG TABLET|60|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/2020| | || | |
64842102001||J8999||10/14/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LONSURF 20 MG-8.19 MG TABLE|20|UN|BOTTLE|PO|TAB|1|10/14/2015|12/31/3999| | || | |
64842102002||J8999||10/14/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LONSURF 20 MG-8.19 MG TABLE|40|UN|BOTTLE|PO|TAB|1|10/14/2015|12/31/3999| | || | |
64842102003||J8999||10/14/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LONSURF 20 MG-8.19 MG TABLE|60|UN|BOTTLE|PO|TAB|1|10/14/2015|12/31/3999| | || | |
64842102501||J8999||10/14/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LONSURF 15 MG-6.14 MG TABLE|20|UN|BOTTLE|PO|TAB|1|10/14/2015|12/31/3999| | || | |
64842102502||J8999||10/14/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LONSURF 15 MG-6.14 MG TABLE|40|UN|BOTTLE|PO|TAB|1|10/14/2015|12/31/3999| | || | |
64842102503||J8999||10/14/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LONSURF 15 MG-6.14 MG TABLE|60|UN|BOTTLE|PO|TAB|1|10/14/2015|12/31/3999| | || | |
64980040403||J8999||01/18/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TOREMIFENE CITRATE 60 MG TA|30|UN|BOTTLE|PO|TAB|1|01/18/2019|12/31/3999| | || | |
68180039009||J8999||07/08/2019|01/19/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|90|UN|BOTTLE|PO|TAB|1|07/08/2019|01/19/2023| | || | |
14789033008||J1953||07/22/2020|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|ML|.6667|07/22/2020|12/31/3999| | || | |
71288020011||J2260||08/03/2020|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|08/03/2020|12/31/3999| | || | |
71288020021||J2260||08/03/2020|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|08/03/2020|12/31/3999| | || | |
62756000860||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 1,300 MG/130 ML BAG|130|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
62756007360||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 1,200 MG/120 ML BAG|120|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
62756021960||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 1,500 MG/150 ML BAG|150|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
62756053360||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 1,800 MG/180 ML BAG|180|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
62756061460||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 1,900 MG/190 ML BAG|190|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
62756097460||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 2,200 MG/220 ML BAG|220|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
61755002401||Q0243||11/21/2020|11/22/2020|Casirivimab and imdevimab|CASIRIVIMAB(REGN10933) 1,33|11.1|ML|VIAL|IV|ML|1|11/21/2020|11/22/2020| | || | |
61755002500||Q0243||11/21/2020|11/22/2020|Casirivimab and imdevimab|IMDEVIMAB (REGN10987) 1,332|11.1|ML|VIAL|IV|ML|1|11/21/2020|11/22/2020| | || | |
51754501104||J3490||08/31/2020|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|10|ML|VIAL|IV|ML|1|08/31/2020|12/31/3999| | || | |
00378699298||J7613||01/01/2005|10/07/2024|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 1.25 MG/3 ML|3|ML|VIAL|IH|ML|1|01/01/2005|10/07/2024| | || | |
00409956610||J0692||04/01/2008|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|04/01/2008|12/31/3999| | || | |
49502034624||J3535||05/16/2016|05/31/2023|Drug administered through a metered dose inhaler|TOBI PODHALER 28 MG INHALE|56|UN|BOX|IH|CAP|1|05/16/2016|05/31/2023| | || | |
49502034656||J3535||05/16/2016|05/31/2023|Drug administered through a metered dose inhaler|TOBI PODHALER 28 MG INHALE|56|UN|BOX|IH|CAP|1|05/16/2016|05/31/2023| | || | |
00093375004||J7682||09/15/2020|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/4 ML AMPU|4|ML|AMPUL|IH|ML|4|09/15/2020|12/31/3999| | || | |
72572006101||J0696||10/08/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|10/08/2019|12/31/3999| | || | |
72572006125||J0696||10/08/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|10/08/2019|12/31/3999| | || | |
72572006201||J0696||10/08/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|10/08/2019|12/31/3999| | || | |
52565010510||J0713||12/21/2012|06/30/2023|Injection, ceftazidime, per 500 mg|FORTAZ 500 MG VIAL|1|UN|VIAL|IJ|EA|1|12/21/2012|06/30/2023| | || | |
68001041737||J0640||03/05/2020|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG V|1|UN|VIAL|IJ|ML|.25|03/05/2020|12/31/3999| | || | |
70121157401||J1040||07/16/2020|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML|1|ML|VIAL|IJ|ML|1|07/16/2020|12/31/3999| | || | |
61990021301||J2370||09/22/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|09/22/2020|06/30/2023| | || | |
71288080875||J2370||06/01/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|06/01/2020|06/30/2023| | || | |
63323026001||J0670||04/01/1998|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE-MPF 1% VIAL|30|ML|VIAL|IJ|ML|10|04/01/1998|12/31/3999| | || | |
63323029301||J0670||04/01/1998|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE-MPF 1.5% VIAL|30|ML|VIAL|IJ|ML|10|04/01/1998|12/31/3999| | || | |
76045073701||J1630||07/24/2020|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML SYR|1|ML|SYRINGE|IM|ML|1|07/24/2020|12/31/3999| | || | |
50742051902||J9070||07/31/2020|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG/2.5|2.5|ML|VIAL|IV|ML|.5|07/31/2020|12/31/3999| | || | |
71288020050||J2260||08/03/2020|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 50 MG/50 ML|50|ML|VIAL|IV|ML|5|08/03/2020|12/31/3999| | || | |
67457099620||J9280||03/02/2018|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|EA|.25|03/02/2018|12/31/3999| | || | |
70382020410||J1096||10/01/2019|12/31/3999|Dexamethasone insert, 0.1 mg|DEXTENZA 0.4 MG INSERT|10|UN|PACKET|OP|EA|.25|10/01/2019|12/31/3999| | || | |
51759020410||J3031||10/01/2019|12/31/3999|Inj, fremanezumab-vfrm, 1 mg|AJOVY 225 MG/1.5 ML SYRINGE|1.5|ML|SYRINGE|SQ|ML|.0067|10/01/2019|12/31/3999| | || | |
10599000301||J7401||10/01/2019|03/31/2021|Mometasone furoate sinus implant, 10 micrograms|SINUVA 1,350 MCG SINUS IMPL|1|UN|PACKET|NS|EA|.0074|10/01/2019|03/31/2021| | || | |
63323054303||J1644||02/16/2011|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|VIAL|IJ|ML|.1|02/16/2011|12/31/3999| | || | |
63323091513||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|04/01/1998|12/31/3999| | || | |
00409230869||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|.2|10/28/2004|12/31/3999| | || | |
14789033015||J1953||07/22/2020|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|ML|.6667|07/22/2020|12/31/3999| | || | |
44567042100||J3475||07/26/2018|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|BAG|IV|ML|12.5|07/26/2018|12/31/3999| | || | |
72611074001||J3490||02/02/2020|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|02/02/2020|12/31/3999| | || | |
70700017223||J2710||08/27/2020|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|08/27/2020|12/31/3999| | || | |
00169795511||J7203||01/01/2019|12/31/3999|Injection factor ix,(rebinyn)|REBINYN 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2019|12/31/3999| | || | |
66794022902||J3490||07/16/2020|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|07/16/2020|12/31/3999| | || | |
00409490014||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARB 8.4% ABBOJECT|10|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409555511||J3490||11/01/2019|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 4.2% VIA|5|ML|VIAL|IV|ML|1|11/01/2019|12/31/3999| | || | |
00409553414||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARB 4.2% ABBOJECT|10|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
00169711311||J7181||01/01/2015|12/31/3999|Injection, factor xiii a-subunit, (recombinant), per iu|TRETTEN 2,500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2015|12/31/3999| | || | |
67457091200||J3490||02/05/2009|12/31/3999|Unclassified drugs|ULTIVA 1 MG VIAL|1|UN|VIAL|IV|ML|1|02/05/2009|12/31/3999| | || | |
67457091300||J3490||02/05/2009|12/31/3999|Unclassified drugs|ULTIVA 2 MG VIAL|1|UN|VIAL|IV|ML|1|02/05/2009|12/31/3999| | || | |
67457091400||J3490||02/05/2009|12/31/3999|Unclassified drugs|ULTIVA 5 MG VIAL|1|UN|VIAL|IV|ML|1|02/05/2009|12/31/3999| | || | |
70842012001||J2186||01/01/2019|12/31/3999|IJ, meropenem and vaborbactam, 10mg/10mg, (20mg)|VABOMERE 2 GRAM VIAL|1|UN|VIAL|IV|EA|.01|01/01/2019|12/31/3999| | || | |
70594005701||J3370||09/30/2020|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1.25 GM/250 ML B|250|ML|BAG|IV|EA|100|09/30/2020|12/31/2022| | || | |
68001043725||J3489||09/16/2020|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|F2|VIAL|IV|AHF|1.25|09/16/2020|12/31/3999| | || | |
00024591500||J3590||08/18/2020|08/19/2020|Unclassified Biologics|DUPIXENT 300 MG/2 ML PEN|2|ML|SYRINGE|SQ|ML|1|08/18/2020|08/19/2020| | || | |
58406005504||J1438||04/20/2007|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 25 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|1|04/20/2007|12/31/3999| | || | |
71288041080||J1650||04/29/2020|06/25/2025|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/29/2020|06/25/2025| | || | |
70700010185||S4993||04/02/2020|12/31/3999|Contraceptive pills for birth control|NORETH-ESTRAD-FE 1-0.02(24)|28|UN|BLIST PACK|PO|TAB|1|04/02/2020|12/31/3999| | || | |
68180085473||S4993||03/14/2013|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.1-0.02|28|UN|BLIST PACK|PO|TAB|1|03/14/2013|12/31/3999| | || | |
73535020801||C9070||01/01/2021|03/31/2021|Injection, tafasitamab-cxix|MONJUVI 200 MG VIAL|1|UN|VIAL|IV|EA|.01|01/01/2021|03/31/2021| | || | |
62756010260||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 1,400 MG/140 ML BAG|140|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
62756032160||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 1,600 MG/160 ML BAG|160|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
62756043860||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 1,700 MG/170 ML BAG|170|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
62756074660||J9198||01/01/2021|12/31/3999|Inj. infugem, 100 mg|INFUGEM 2,000 MG/200 ML BAG|200|ML|BAG|IV|ML|10|01/01/2021|12/31/3999| | || | |
45963061386||J9267||02/06/2015|03/31/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|02/06/2015|03/31/2021| | || | |
45963063749||J9263||08/06/2018|02/29/2020|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|08/06/2018|02/29/2020| | || | |
47781058493||J1885||10/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|10/10/2017|12/31/3999| | || | |
47781058546||J1885||11/22/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|11/22/2017|12/31/3999| | || | |
47781058846||J2250||08/21/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|08/21/2017|12/31/3999| | || | |
50102022023||S4993||09/04/2018|12/31/3999|Contraceptive pills for birth control|AUBRA EQ-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|09/04/2018|12/31/3999| | || | |
50102025421||S4993||09/04/2018|12/31/3999|Contraceptive pills for birth control|CYRED EQ 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|09/04/2018|12/31/3999| | || | |
50419040701||S4993||10/12/2010|12/31/3999|Contraceptive pills for birth control|BEYAZ 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/12/2010|12/31/3999| | || | |
50742049417||J0641||09/11/2018|07/31/2021|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 175 MG/17.5|17.5|ML|VIAL|IV|ML|.05|09/11/2018|07/31/2021| | || | |
51862003601||S4993||06/15/2011|07/31/2019|Contraceptive pills for birth control|ZARAH TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|07/31/2019| | || | |
51862004701||S4993||07/28/2011|12/31/3999|Contraceptive pills for birth control|AMETHIA 0.15-0.03-0.01 MG T|91|UN|BLIST PACK|PO|TAB|1|07/28/2011|12/31/3999| | || | |
68135081102||J0567||01/01/2019|12/31/3999|Injection, cerliponase alfa, 1 mg|BRINEURA 2X150MG/5ML-ELYTE|1|UN|KIT|IJ|EA|.0033|01/01/2019|12/31/3999| | || | |
00409904311||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25%-EPI 1:200|50|ML|VIAL|IJ|ML|30|10/28/2004|03/31/2023| | || | |
00409904611||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5%-EPI 1:200,|50|ML|VIAL|IJ|ML|30|10/28/2004|03/31/2023| | || | |
51862023801||S4993||06/15/2011|04/30/2021|Contraceptive pills for birth control|CAZIANT 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|04/30/2021| | || | |
51862028401||S4993||06/15/2011|12/31/2021|Contraceptive pills for birth control|TILIA FE 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/2021| | || | |
51862031801||S4993||06/15/2011|04/30/2022|Contraceptive pills for birth control|NECON 0.5-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|04/30/2022| | || | |
51862047101||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|LEENA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
51862051001||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|TRIVORA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
51862056401||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|LOW-OGESTREL-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
51862088403||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|CAMILA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
55150020420||J3370||09/21/2018|09/30/2020|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|09/21/2018|09/30/2020| | || | |
55150028220||J1335||07/20/2018|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|GM|.5|07/20/2018|12/31/3999| | || | |
61314031810||Q5101||09/04/2015|12/31/3999|Inj filgrastim g-csf biosim|ZARXIO 300 MCG/0.5 ML SYRIN|0.5|ML|SYRINGE|IJ|ML|.0017|09/04/2015|12/31/3999| | || | |
61314032610||Q5101||09/04/2015|12/31/3999|Inj filgrastim g-csf biosim|ZARXIO 480 MCG/0.8 ML SYRIN|0.8|ML|SYRINGE|IJ|ML|.0017|09/04/2015|12/31/3999| | || | |
68180039106||J8999||07/08/2019|01/19/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|TAB|1|07/08/2019|01/19/2023| | || | |
68982081001||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081001||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SC|ML|.6|05/23/2019|06/30/2022| | || | |
68982081002||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (1.65 G/10 M|10|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081002||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (1.65 G/10 M|10|ML|VIAL|SC|ML|.6061|05/23/2019|06/30/2022| | || | |
68982081003||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081003||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SC|ML|.6|05/23/2019|06/30/2022| | || | |
68982081004||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (3.3 G/20 ML|20|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081004||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (3.3 G/20 ML|20|ML|VIAL|SC|ML|.6061|05/23/2019|06/30/2022| | || | |
68982081005||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081005||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SC|ML|.6|05/23/2019|06/30/2022| | || | |
68982081006||J3590||05/23/2019|12/31/3999|Unclassified Biologics|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SC|ML|1|05/23/2019|12/31/3999| | || | |
68982081006||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SC|ML|.6|05/23/2019|06/30/2022| | || | |
68982081081||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081081||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SC|ML|.6|05/23/2019|06/30/2022| | || | |
68982081082||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (1.65 G/10 M|10|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081082||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (1.65 G/10 M|10|ML|VIAL|SC|ML|.6061|05/23/2019|06/30/2022| | || | |
68982081083||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081083||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SC|ML|.6|05/23/2019|06/30/2022| | || | |
68982081084||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (3.3 G/20 ML|20|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081084||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (3.3 G/20 ML|20|ML|VIAL|SC|ML|.6061|05/23/2019|06/30/2022| | || | |
68982081085||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081085||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SC|ML|.6|05/23/2019|06/30/2022| | || | |
68982081086||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SC|ML|1|05/23/2019|06/30/2022| | || | |
68982081086||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SC|ML|.6|05/23/2019|06/30/2022| | || | |
69238116507||J8999||01/21/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE ACETATE 250 MG|120|UN|BOTTLE|PO|TAB|1|01/21/2019|12/31/3999| | || | |
69660020191||J8999||01/17/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RUBRACA 200 MG TABLET|60|UN|BOTTLE|PO|TAB|1|01/17/2017|12/31/3999| | || | |
69660020391||J8999||01/17/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RUBRACA 300 MG TABLET|60|UN|BOTTLE|PO|TAB|1|01/17/2017|12/31/3999| | || | |
72205003092||J8999||08/07/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE ACETATE 250 MG|120|UN|BOTTLE|PO|TAB|1|08/07/2019|12/31/3999| | || | |
17478095740||J7599||08/11/2020|06/30/2023|IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE SPECIFIED|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|ML|1|08/11/2020|06/30/2023| | || | |
70700017123||J2710||08/27/2020|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|08/27/2020|12/31/3999| | || | |
72572046201||J2710||10/08/2019|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|10/08/2019|12/31/3999| | || | |
72572046210||J2710||10/08/2019|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|10/08/2019|12/31/3999| | || | |
70842014001||J2407||10/31/2017|12/31/3999|Injection, oritavancin|ORBACTIV 400 MG VIAL|1|UN|VIAL|IV|EA|.025|10/31/2017|12/31/3999| | || | |
55150033201||J9263||07/14/2020|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|07/14/2020|12/31/3999| | || | |
00781323295||S0164||03/31/2020|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|03/31/2020|12/31/3999| | || | |
62756012944||S0164||10/18/2019|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|10/18/2019|12/31/3999| | || | |
71288000330||J2543||08/03/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|08/03/2020|12/31/3999| | || | |
71288000331||J2543||08/03/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|08/03/2020|12/31/3999| | || | |
71288000451||J2543||08/03/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|08/03/2020|12/31/3999| | || | |
70720010010||J1201||07/01/2020|10/01/2021|Inj, cetirizine hydrochloride, 0.5 mg|QUZYTTIR 10 MG/ML VIAL|1|ML|VIAL|IV|EA|.05|07/01/2020|10/01/2021| | || | |
00169791111||J7203||01/01/2019|12/31/3999|Injection factor ix,(rebinyn)|REBINYN 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2019|12/31/3999| | || | |
00169792211||J7203||01/01/2019|12/31/3999|Injection factor ix,(rebinyn)|REBINYN 2,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2019|12/31/3999| | || | |
66794022802||J3490||07/23/2020|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|07/23/2020|12/31/3999| | || | |
66794022841||J3490||07/23/2020|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|07/23/2020|12/31/3999| | || | |
66794022941||J3490||07/16/2020|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|07/16/2020|12/31/3999| | || | |
72611075701||J3490||02/02/2020|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|02/02/2020|12/31/3999| | || | |
72611075710||J3490||02/02/2020|02/16/2025|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|02/02/2020|02/16/2025| | || | |
00990798509||J3490||07/12/2018|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|1000|ML|BAG|IV|ML|1|07/12/2018|12/31/3999| | || | |
72485010501||J3490||07/02/2020|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|07/02/2020|12/31/3999| | || | |
16729024331||J9351||07/08/2020|12/31/3999|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG/4 ML VIA|4|ML|VIAL|IV|ML|.1|07/08/2020|12/31/3999| | || | |
67457091201||J3490||02/05/2009|12/31/3999|Unclassified drugs|ULTIVA 1 MG VIAL|1|UN|VIAL|IV|ML|1|02/05/2009|12/31/3999| | || | |
67457091302||J3490||02/05/2009|12/31/3999|Unclassified drugs|ULTIVA 2 MG VIAL|1|UN|VIAL|IV|ML|1|02/05/2009|12/31/3999| | || | |
00024591800||J3590||10/30/2018|10/31/2018|Unclassified Biologics|DUPIXENT 200 MG/1.14 ML SYR|1.14|ML|SYRINGE|SQ|ML|1|10/30/2018|10/31/2018| | || | |
00024591502||J3590||08/18/2020|08/19/2020|Unclassified Biologics|DUPIXENT 300 MG/2 ML PEN|2|ML|SYRINGE|SQ|ML|1|08/18/2020|08/19/2020| | || | |
58406005501||J1438||04/20/2007|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 25 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|1|04/20/2007|12/31/3999| | || | |
16714006601||J1650||07/29/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|07/29/2020|12/31/3999| | || | |
16714006610||J1650||07/29/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|07/29/2020|12/31/3999| | || | |
51754501101||J3490||08/31/2020|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|10|ML|VIAL|IV|ML|1|08/31/2020|12/31/3999| | || | |
72611070001||J0637||02/02/2020|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|ML|.1|02/02/2020|12/31/3999| | || | |
55513067001||Q5121||01/01/2021|12/31/3999|Inj. avsola, 10 mg|AVSOLA 100 MG VIAL|1|UN|VIAL|IV|EA|.1|01/01/2021|12/31/3999| | || | |
00173089601||C9069||01/01/2021|03/31/2021|Belantamab mafodontin-blmf|BLENREP 100 MG VIAL|1|UN|VIAL|IV|EA|.005|01/01/2021|03/31/2021| | || | |
73292001101||C9071||01/01/2021|03/31/2021|Injection, viltolarsen|VILTEPSO 250 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.2|01/01/2021|03/31/2021| | || | |
59630026601||J0693||01/01/2021|09/30/2021|Inj., cefiderocol, 5 mg|FETROJA 1 GRAM VIAL|1|UN|VIAL|IV|EA|.005|01/01/2021|09/30/2021| | || | |
59630026610||J0693||01/01/2021|09/30/2021|Inj., cefiderocol, 5 mg|FETROJA 1 GRAM VIAL|1|UN|VIAL|IV|EA|.005|01/01/2021|09/30/2021| | || | |
72677055101||J1823||01/01/2021|12/04/2022|Inj. inebilizumab-cdon, 1 mg|UPLIZNA 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|01/01/2021|12/04/2022| | || | |
68727071201||J9223||01/01/2021|12/31/3999|Inj. lurbinectedin, 0.1 mg|ZEPZELCA 4 MG VIAL|1|UN|VIAL|IV|EA|.025|01/01/2021|12/31/3999| | || | |
72493010303||J9281||01/01/2021|01/02/2021|Mitomycin instillation|JELMYTO DOSE CARTON (40MG X|2|UN|VIAL|UR|EA|.0125|01/01/2021|01/02/2021| | || | |
00409298723||J0295||10/04/2006|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULB 3 GM ADD VI|1|UN|VIAL|IV|EA|1|10/04/2006|12/31/3999| | || | |
00143937701||J0883||01/01/2017|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|01/01/2017|12/31/3999| | || | |
44567062001||J0610||01/11/2019|12/31/2022|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|10|01/11/2019|12/31/2022| | || | |
49502034611||J3535||05/16/2016|05/31/2023|Drug administered through a metered dose inhaler|TOBI PODHALER 28 MG INHALE|8|UN|BLIST PACK|IH|CAP|1|05/16/2016|05/31/2023| | || | |
16714011902||J7682||09/03/2020|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|09/03/2020|12/31/3999| | || | |
00093375063||J7682||09/15/2020|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/4 ML AMPU|4|ML|AMPUL|IH|ML|4|09/15/2020|12/31/3999| | || | |
55150031801||J3230||09/01/2020|12/31/3999|Injection, chlorpromazine hcl, up to 50 mg|CHLORPROMAZINE 25 MG/ML AMP|1|ML|AMPUL|IJ|ML|2|09/01/2020|12/31/3999| | || | |
76045000511||J2270||05/06/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE 4 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2.5|05/06/2014|12/31/2022| | || | |
00409490024||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARB 8.4% ABBOJECT|10|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409555501||J3490||11/01/2019|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 4.2% VIA|5|ML|VIAL|IV|ML|1|11/01/2019|12/31/3999| | || | |
00409553424||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARB 4.2% ABBOJECT|10|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
67457091405||J3490||02/05/2009|12/31/3999|Unclassified drugs|ULTIVA 5 MG VIAL|1|UN|VIAL|IV|ML|1|02/05/2009|12/31/3999| | || | |
43066003125||J3490||07/22/2020|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|07/22/2020|12/31/3999| | || | |
55150034201||J3490||08/20/2020|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|08/20/2020|12/31/3999| | || | |
55150034225||J3490||08/20/2020|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|08/20/2020|12/31/3999| | || | |
71288041082||J1650||04/29/2020|06/25/2025|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/29/2020|06/25/2025| | || | |
71288041084||J1650||04/29/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/29/2020|12/31/3999| | || | |
71288041182||J1650||04/24/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|04/24/2020|12/31/3999| | || | |
66993008379||J3030||04/07/2006|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 4 MG/0.5 ML CAR|1|ML|CARTRIDGE|SQ|EA|.75|04/07/2006|12/31/3999| | || | |
66993008398||J3030||04/07/2006|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 4 MG/0.5 ML INJ|1|ML|SYRINGE|SQ|EA|.75|04/07/2006|12/31/3999| | || | |
68462085284||S4993||07/10/2018|12/31/3999|Contraceptive pills for birth control|CHARLOTTE 24 FE CHEWABLE TA|28|UN|BLIST PACK|PO|TAB|1|07/10/2018|12/31/3999| | || | |
31722096060||Q0167||05/07/2020|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|05/07/2020|12/31/3999| | || | |
63323006411||J3475||04/01/1998|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323006443||J3475||04/01/1998|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|2|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323022148||J3370||04/01/1998|04/30/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/1998|04/30/2022| | || | |
63323057811||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
63323057812||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
63323057842||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
63323062375||J7050||04/02/2014|04/30/2025|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|BAG|IV|ML|250|04/02/2014|04/30/2025| | || | |
63323062375||J7040||04/02/2014|04/30/2025|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|BAG|IV|ML|500|04/02/2014|04/30/2025| | || | |
63323062375||J7030||04/02/2014|04/30/2025|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|BAG|IV|ML|1000|04/02/2014|04/30/2025| | || | |
63323070800||J0290||01/03/2001|06/30/2021|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|01/03/2001|06/30/2021| | || | |
63323085103||J1170||07/03/2018|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.4|07/03/2018|12/31/3999| | || | |
63323085110||J1170||07/03/2018|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.4|07/03/2018|12/31/3999| | || | |
63323085150||J1170||07/03/2018|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 500 MG/50 ML|50|ML|VIAL|IJ|ML|.4|07/03/2018|12/31/3999| | || | |
63323085303||J1170||04/30/2009|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|04/30/2009|12/31/3999| | || | |
63323085403||J1170||04/30/2009|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/30/2009|12/31/3999| | || | |
67457035959||J2680||02/05/2009|12/31/3999|Injection, fluphenazine decanoate, up to 25 mg|FLUPHENAZINE DEC 125 MG/5 M|5|ML|VIAL|IJ|ML|1|02/05/2009|12/31/3999| | || | |
67457053102||J9171||09/28/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|09/28/2018|12/31/3999| | || | |
67457053208||J9171||09/28/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|09/28/2018|12/31/3999| | || | |
67457070500||J3370||08/31/2018|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|EA|.6667|08/31/2018|12/31/3999| | || | |
67457082225||J3370||08/31/2018|02/28/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 250 MG VIAL|1|UN|VIAL|IV|EA|2|08/31/2018|02/28/2022| | || | |
00310173030||J0517||01/01/2019|12/31/3999|Injection, benralizumab, 1 mg|FASENRA 30 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0333|01/01/2019|12/31/3999| | || | |
42023020201||J3490||07/16/2013|12/31/3999|Unclassified drugs|LEVOTHYROXINE 200 MCG VIAL|1|UN|VIAL|IV|EA|1|07/16/2013|12/31/3999| | || | |
68001035525||J2469||08/17/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|08/17/2018|12/31/3999| | || | |
68094010120||J2760||06/12/2018|12/31/3999|Injection, phentolamine mesylate, up to 5 mg|PHENTOLAMINE 5 MG VIAL|1|UN|VIAL|IJ|EA|1|06/12/2018|12/31/3999| | || | |
68382086002||J0515||05/22/2018|12/31/3999|Injection, benztropine mesylate, per 1 mg|BENZTROPINE 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|05/22/2018|12/31/3999| | || | |
68462037684||S4993||07/10/2018|02/28/2022|Contraceptive pills for birth control|NORETH-ESTRAD-FE 1-0.02(24)|28|UN|BLIST PACK|PO|CAP|1|07/10/2018|02/28/2022| | || | |
68462079201||J8999||02/08/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TRETINOIN 10 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|02/08/2017|12/31/3999| | || | |
72485020290||J8999||09/13/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|90|UN|BOTTLE|PO|TAB|1|09/13/2019|12/31/3999| | || | |
72485020330||J8999||09/13/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|TAB|1|09/13/2019|12/31/3999| | || | |
00641619901||J1644||09/13/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML S|1|ML|SYRINGE|IJ|ML|.2|09/13/2019|12/31/3999| | || | |
00641619910||J1644||09/13/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML S|1|ML|SYRINGE|IJ|ML|.2|09/13/2019|12/31/3999| | || | |
76125090011||90284||12/05/2011|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMMAKED 10 GRAM/100 ML VIA|100|ML|VIAL|IJ|ML|1|12/05/2011|12/31/3999| | || | |
76125090011||90283||12/05/2011|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAKED 10 GRAM/100 ML VIA|100|ML|VIAL|IJ|ML|5|12/05/2011|12/31/3999| | || | |
16714085901||J9070||07/05/2019|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|EA|.2|07/05/2019|12/31/3999| | || | |
25021065282||J2795||01/15/2015|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 500 MG/100|100|ML|BAG|IJ|ML|.2|01/15/2015|12/31/3999| | || | |
25021065287||J2795||01/15/2015|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 1000 MG/20|200|ML|BAG|IJ|ML|.2|01/15/2015|12/31/3999| | || | |
42023020801||J3285||09/25/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 100 MG/20 ML V|20|ML|VIAL|IJ|ML|.2|09/25/2019|12/31/3999| | || | |
71288040302||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|09/01/2019|12/31/3999| | || | |
71288040311||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|09/01/2019|12/31/3999| | || | |
00409508413||J0713||10/28/2004|12/31/3999|Injection, ceftazidime, per 500 mg|TAZICEF 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|10/28/2004|12/31/3999| | || | |
00409733311||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM ADD-VANT V|1|UN|VIAL|IV|EA|.25|07/20/2005|12/31/3999| | || | |
00703024101||J3301||08/29/2019|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|08/29/2019|12/31/3999| | || | |
00703024301||J3301||08/29/2019|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 200 MG/5|5|ML|VIAL|IJ|ML|.25|08/29/2019|12/31/3999| | || | |
00703024501||J3301||08/29/2019|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 400 MG/1|10|ML|VIAL|IJ|ML|.25|08/29/2019|12/31/3999| | || | |
61990013001||J2543||08/19/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|ML|.25|08/19/2019|12/31/3999| | || | |
61990013002||J2543||08/19/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|ML|.25|08/19/2019|12/31/3999| | || | |
66794021002||J0692||05/20/2019|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|05/20/2019|12/31/3999| | || | |
66794021041||J0692||05/20/2019|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|05/20/2019|12/31/3999| | || | |
66794021302||J0696||09/05/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|09/05/2019|12/31/3999| | || | |
66794021342||J0696||09/05/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|09/05/2019|12/31/3999| | || | |
67457052920||J0640||07/23/2019|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG V|1|UN|VIAL|IJ|EA|.25|07/23/2019|12/31/3999| | || | |
61990012001||J2543||08/19/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|ML|.3333|08/19/2019|12/31/3999| | || | |
00409956601||J0692||04/01/2008|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|04/01/2008|12/31/3999| | || | |
00409973501||J0692||04/01/2008|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|04/01/2008|12/31/3999| | || | |
00409973510||J0692||04/01/2008|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|04/01/2008|12/31/3999| | || | |
55150031825||J3230||09/01/2020|12/31/3999|Injection, chlorpromazine hcl, up to 50 mg|CHLORPROMAZINE 25 MG/ML AMP|1|ML|AMPUL|IJ|ML|2|09/01/2020|12/31/3999| | || | |
55150031901||J3230||09/01/2020|12/31/3999|Injection, chlorpromazine hcl, up to 50 mg|CHLORPROMAZINE 50 MG/2 ML A|2|ML|AMPUL|IJ|ML|2|09/01/2020|12/31/3999| | || | |
63323054007||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323054013||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323091503||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|04/01/1998|12/31/3999| | || | |
00409259613||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 25 MG/5 ML VI|5|ML|VIAL|IJ|ML|.2|10/28/2004|12/31/3999| | || | |
72611074901||J2250||02/02/2020|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|02/02/2020|12/31/3999| | || | |
72611074910||J2250||02/02/2020|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|02/02/2020|12/31/3999| | || | |
76045000501||J2270||05/06/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE 4 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2.5|05/06/2014|12/31/2022| | || | |
00409146461||J2300||10/28/2004|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409146571||J2300||10/28/2004|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 20 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.5|10/28/2004|12/31/3999| | || | |
00409146761||J2300||10/28/2004|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 200 MG/10 ML VIA|10|ML|VIAL|IJ|ML|.5|10/28/2004|12/31/3999| | || | |
63323028611||J2795||04/01/2001|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.5% 150 MG/30 ML V|30|ML|VIAL|IJ|ML|.2|04/01/2001|12/31/3999| | || | |
25021016397||J2700||07/02/2012|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|BOTTLE|IJ|EA|.025|07/02/2012|12/31/3999| | || | |
66794022641||J2700||07/06/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|GM|.125|07/06/2018|12/31/3999| | || | |
66794022741||J2700||01/09/2019|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|BOTTLE|IJ|GM|.025|01/09/2019|12/31/3999| | || | |
17478018120||J2515||08/07/2019|04/30/2022|Injection, pentobarbital sodium, per 50 mg|NEMBUTAL SODIUM 1,000 MG/20|20|ML|VIAL|IJ|ML|1|08/07/2019|04/30/2022| | || | |
61990021103||J2370||09/22/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/22/2020|06/30/2023| | || | |
61990021202||J2370||09/22/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|09/22/2020|06/30/2023| | || | |
76045073710||J1630||07/24/2020|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML SYR|1|ML|SYRINGE|IM|ML|1|07/24/2020|12/31/3999| | || | |
71288071205||J3490||12/16/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|12/16/2019|12/31/3999| | || | |
50742052005||J9070||07/31/2020|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM/5 ML|5|ML|VIAL|IV|ML|.5|07/31/2020|12/31/3999| | || | |
71839010801||J0878||09/23/2020|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|ML|.0029|09/23/2020|12/31/3999| | || | |
00781349491||J3490||09/11/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|1|09/11/2020|12/31/3999| | || | |
43598097511||J3490||09/25/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|VIAL|IV|ML|1|09/25/2020|12/31/3999| | || | |
43598097658||J3490||09/24/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|VIAL|IV|ML|1|09/24/2020|12/31/3999| | || | |
00409751766||J3490||10/28/2004|12/31/3999|Unclassified drugs|DEXTROSE 50%-WATER SYRINGE|50|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
71288080202||J1270||08/01/2020|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|08/01/2020|12/31/3999| | || | |
31722093432||S4993||08/12/2020|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.02 MG T|28|UN|BLIST PACK|PO|TAB|1|08/12/2020|12/31/3999| | || | |
68180087773||S4993||07/22/2013|12/31/3999|Contraceptive pills for birth control|JENCYCLA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/22/2013|12/31/3999| | || | |
53097056860||Q0167||03/02/2016|08/30/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|MARINOL 2.5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|03/02/2016|08/30/2023| | || | |
68180084073||S4993||01/23/2017|12/31/3999|Contraceptive pills for birth control|NORG-ETHIN ESTRA 0.25-0.035|28|UN|BLIST PACK|PO|TAB|1|01/23/2017|12/31/3999| | || | |
71287021901||C9073||01/01/2021|03/31/2021|Brexucabtagene autoleucel ca|TECARTUS INFUSION BAG|1|UN|BAG|IV|EA|1|01/01/2021|03/31/2021| | || | |
13533081005||J1558||07/03/2020|12/31/3999|Inj, immune globulin (xembify), 100 mg|XEMBIFY 20% (1 G/5 ML) VIAL|5|ML|VIAL|SQ|ML|.5|07/03/2020|12/31/3999| | || | |
13533081006||J1558||07/03/2020|12/31/3999|Inj, immune globulin (xembify), 100 mg|XEMBIFY 20% (1 G/5 ML) VIAL|5|ML|VIAL|SQ|ML|.5|07/03/2020|12/31/3999| | || | |
13533081011||J1558||07/03/2020|12/31/3999|Inj, immune globulin (xembify), 100 mg|XEMBIFY 20% (2 G/10 ML) VIA|10|ML|VIAL|SQ|ML|.5|07/03/2020|12/31/3999| | || | |
13533081020||J1558||07/03/2020|12/31/3999|Inj, immune globulin (xembify), 100 mg|XEMBIFY 20% (4 G/20 ML) VIA|20|ML|VIAL|SQ|ML|.5|07/03/2020|12/31/3999| | || | |
13533081021||J1558||07/03/2020|12/31/3999|Inj, immune globulin (xembify), 100 mg|XEMBIFY 20% (4 G/20 ML) VIA|20|ML|VIAL|SQ|ML|.5|07/03/2020|12/31/3999| | || | |
13533081050||J1558||07/03/2020|12/31/3999|Inj, immune globulin (xembify), 100 mg|XEMBIFY 20% (10 G/50 ML) VI|50|ML|VIAL|SQ|ML|.5|07/03/2020|12/31/3999| | || | |
13533081051||J1558||07/03/2020|12/31/3999|Inj, immune globulin (xembify), 100 mg|XEMBIFY 20% (10 G/50 ML) VI|50|ML|VIAL|SQ|ML|.5|07/03/2020|12/31/3999| | || | |
51754501204||J3490||08/31/2020|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 4.2% VIA|10|ML|VIAL|IV|ML|1|08/31/2020|12/31/3999| | || | |
16714011903||J7682||09/03/2020|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|09/03/2020|12/31/3999| | || | |
69680011201||J3420||01/02/2019|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|01/02/2019|12/31/3999| | || | |
52565010710||J0713||12/21/2012|06/30/2023|Injection, ceftazidime, per 500 mg|FORTAZ 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|12/21/2012|06/30/2023| | || | |
70700016525||J3490||08/27/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|08/27/2020|12/31/3999| | || | |
70700016823||J3490||08/27/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|08/27/2020|12/31/3999| | || | |
71288040820||J3490||08/05/2019|05/01/2024|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|08/05/2019|05/01/2024| | || | |
71288041995||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
71288040401||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|09/01/2019|12/31/3999| | || | |
71288042095||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
71288042495||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|09/01/2019|12/31/3999| | || | |
71288040101||J1644||06/01/2020|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|06/01/2020|12/31/3999| | || | |
71288042195||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
71288042295||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|09/01/2019|12/31/3999| | || | |
63323054313||J1644||02/16/2011|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|VIAL|IJ|ML|.1|02/16/2011|12/31/3999| | || | |
17478018150||J2515||08/07/2019|05/31/2022|Injection, pentobarbital sodium, per 50 mg|NEMBUTAL SODIUM 2,500 MG/50|50|ML|VIAL|IJ|ML|1|08/07/2019|05/31/2022| | || | |
71288080701||J2370||06/01/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/01/2020|06/30/2023| | || | |
43598026202||J9395||09/03/2020|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|09/03/2020|12/31/3999| | || | |
25021018487||J1450||08/27/2009|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 400 MG/200|200|ML|FLEX CONT|IV|ML|100|08/27/2009|12/31/3999| | || | |
00074254003||J0135||05/02/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA PED CROHNS 80 MG/0.8|3|UN|KIT|SQ|EA|.25|05/02/2018|12/31/3999| | || | |
25021017915||J0878||06/18/2018|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|06/18/2018|12/31/3999| | || | |
00074055402||J0135||05/02/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA 40 MG/0.4 ML PEN|2|UN|KIT|SQ|EA|.5|05/02/2018|12/31/3999| | || | |
00074061602||J0135||05/02/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA 20 MG/0.2 ML SYRINGE|2|UN|KIT|SQ|EA|1|05/02/2018|12/31/3999| | || | |
55150018003||J0282||05/04/2018|02/28/2021|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 150 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.6|05/04/2018|02/28/2021| | || | |
25021018730||J0295||06/20/2018|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|GM|.5|06/20/2018|12/31/3999| | || | |
00074081702||J0135||05/02/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA 10 MG/0.1 ML SYRINGE|2|UN|KIT|SQ|EA|2|05/02/2018|12/31/3999| | || | |
00074024302||J0135||05/02/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA 40 MG/0.4 ML SYRINGE|2|UN|KIT|SQ|EA|.5|05/02/2018|12/31/3999| | || | |
00074006702||J0135||05/02/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA PEDIATR CROHN'S 80-4|2|UN|KIT|SQ|EA|.3333|05/02/2018|12/31/3999| | || | |
55150018109||J0282||05/04/2018|06/30/2020|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 450 MG/9 ML VIAL|9|ML|VIAL|iv|ML|.6|05/04/2018|06/30/2020| | || | |
55150018218||J0282||05/04/2018|02/28/2021|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 900 MG/18 ML VIA|18|ML|VIAL|IV|ML|.6|05/04/2018|02/28/2021| | || | |
25021018620||J0295||06/27/2018|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|GM|1|06/27/2018|12/31/3999| | || | |
25021018899||J0295||04/17/2018|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM|1|UN|VIAL|IJ|EA|.1|04/17/2018|12/31/3999| | || | |
13533031801||90375||05/22/2018|12/31/3999|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|HYPERRAB 300 UNIT/ML VIAL|1|ML|VIAL|IM|ML|.5|05/22/2018|12/31/3999| | || | |
13533031805||90375||05/22/2018|12/31/3999|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|HYPERRAB 300 UNIT/ML VIAL|5|ML|VIAL|IM|ML|.5|05/22/2018|12/31/3999| | || | |
13533070501||J0256||06/26/2018|12/31/3999|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|PROLASTIN C 1,000 MG/20 ML|1|UN|VIAL|IV|EA|10|06/26/2018|12/31/3999| | || | |
00409733221||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|07/20/2005|12/31/3999| | || | |
00409733520||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|07/20/2005|12/31/3999| | || | |
00409733220||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|07/20/2005|12/31/3999| | || | |
76125015002||90375||03/19/2018|03/31/2022|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|KEDRAB 150 UNIT/ML VIAL|2|ML|VIAL|IM|ML|1|03/19/2018|03/31/2022| | || | |
70069002101||J1100||05/08/2018|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|05/08/2018|12/31/3999| | || | |
66794015602||J0475||01/31/2018|12/31/3999|Injection, baclofen, 10 mg|GABLOFEN 20,000 MCG/20 ML V|20|ML|VIAL|IJ|ML|10|01/31/2018|12/31/3999| | || | |
66794015702||J0475||01/31/2018|12/31/3999|Injection, baclofen, 10 mg|GABLOFEN 40,000 MCG/20 ML V|20|ML|VIAL|IJ|ML|5|01/31/2018|12/31/3999| | || | |
66794015502||J0475||01/31/2018|12/31/3999|Injection, baclofen, 10 mg|GABLOFEN 10,000 MCG/20 ML V|20|ML|VIAL|IJ|ML|20|01/31/2018|12/31/3999| | || | |
00338957224||J0583||05/01/2018|09/16/2022|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG/50 ML-NS|50|ML|BAG|IV|ML|.2|05/01/2018|09/16/2022| | || | |
67457025610||J0583||06/04/2018|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|06/04/2018|12/31/3999| | || | |
67457025600||J0583||06/04/2018|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|06/04/2018|12/31/3999| | || | |
47781062307||J0895||04/26/2018|01/31/2020|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 500 MG VIAL|1|UN|VIAL|IJ|GM|1|04/26/2018|01/31/2020| | || | |
61990012002||J2543||08/19/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|ML|.3333|08/19/2019|12/31/3999| | || | |
63323098321||J2543||05/20/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|05/20/2019|12/31/3999| | || | |
63323098323||J2543||05/20/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|05/20/2019|12/31/3999| | || | |
63323098341||J2543||05/20/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|05/20/2019|12/31/3999| | || | |
63323098353||J2543||05/20/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|05/20/2019|12/31/3999| | || | |
42023020701||J3285||09/25/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 50 MG/20 ML VI|20|ML|VIAL|IJ|ML|.4|09/25/2019|12/31/3999| | || | |
55513020601||Q5107||01/01/2020|12/31/3999|Inj mvasi 10 mg|MVASI 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|01/01/2020|12/31/3999| | || | |
55513020701||Q5107||01/01/2020|12/31/3999|Inj mvasi 10 mg|MVASI 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.4|01/01/2020|12/31/3999| | || | |
58406001001||J1438||04/30/2007|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 25 MG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SC|ML|.4902|04/30/2007|12/31/3999| | || | |
58406001004||J1438||04/30/2007|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 25 MG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SC|ML|.4902|04/30/2007|12/31/3999| | || | |
58406002101||J1438||11/18/2004|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML SYRINGE|1|ML|SYRINGE|SC|ML|.4902|11/18/2004|12/31/3999| | || | |
58406002104||J1438||11/18/2004|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML SYRINGE|1|ML|SYRINGE|SC|ML|.4902|11/18/2004|12/31/3999| | || | |
58406003201||J1438||11/18/2004|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML SURECLICK|1|ML|SYRINGE|SC|ML|.4902|11/18/2004|12/31/3999| | || | |
58406003204||J1438||11/18/2004|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML SURECLICK|1|ML|SYRINGE|SC|ML|.4902|11/18/2004|12/31/3999| | || | |
00409508211||J0713||10/28/2004|12/31/3999|Injection, ceftazidime, per 500 mg|TAZICEF 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|10/28/2004|12/31/3999| | || | |
00409677911||J2060||10/28/2004|02/01/2021|Injection, lorazepam, 2 mg|LORAZEPAM 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|10/28/2004|02/01/2021| | || | |
00409915731||J3430||10/28/2004|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|VITAMIN K-1 1 MG/0.5 ML AMP|0.5|ML|AMPUL|IJ|ML|.5|10/28/2004|12/31/3999| | || | |
00409915750||J3430||10/28/2004|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|VITAMIN K-1 1 MG/0.5 ML AMP|0.5|ML|AMPUL|IJ|ML|.5|10/28/2004|12/31/3999| | || | |
17478008290||J2795||02/08/2019|06/30/2023|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 200 MG/100|100|ML|BOTTLE|IJ|ML|.5|02/08/2019|06/30/2023| | || | |
17478008292||J2795||02/08/2019|06/30/2023|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 400 MG/200|200|ML|BOTTLE|IJ|ML|.5|02/08/2019|06/30/2023| | || | |
25021067182||J2795||01/09/2015|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 200 MG/100|100|ML|BAG|IJ|ML|.5|01/09/2015|12/31/3999| | || | |
25021067187||J2795||01/09/2015|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 400 MG/200|200|ML|BAG|IJ|ML|.5|01/09/2015|12/31/3999| | || | |
44567012025||J0690||08/01/2011|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|08/01/2011|12/31/3999| | || | |
66794020702||J0295||06/20/2018|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|06/20/2018|12/31/3999| | || | |
66794020741||J0295||06/20/2018|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|06/20/2018|12/31/3999| | || | |
66794020902||J0692||05/20/2019|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|05/20/2019|12/31/3999| | || | |
66794020941||J0692||05/20/2019|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|05/20/2019|12/31/3999| | || | |
66794021202||J0696||09/05/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|09/05/2019|12/31/3999| | || | |
00781349775||J1453||10/14/2019|02/29/2024|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|10/14/2019|02/29/2024| | || | |
71288010410||J0641||08/31/2020|12/31/3999|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 50 MG VIAL|1|UN|VIAL|IV|EA|.01|08/31/2020|12/31/3999| | || | |
44567042000||J3475||07/26/2018|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|BAG|IV|ML|12.5|07/26/2018|12/31/3999| | || | |
63323010701||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/50 ML BA|50|ML|FLEX CONT|IV|ML|6.25|07/01/2016|12/31/3999| | || | |
00409277622||J2260||10/28/2004|09/30/2022|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|2.5|10/28/2004|09/30/2022| | || | |
71288020010||J2260||08/03/2020|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|08/03/2020|12/31/3999| | || | |
70594005702||J3370||09/30/2020|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1.25 GM/250 ML B|250|ML|BAG|IV|EA|100|09/30/2020|12/31/2022| | || | |
43066003505||J3490||07/22/2020|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|07/22/2020|12/31/3999| | || | |
50742041605||J3489||07/13/2020|05/01/2023|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|07/13/2020|05/01/2023| | || | |
59572077501||J0896||07/01/2020|12/31/3999|Inj, luspatercept-aamt, 0.25 mg|REBLOZYL 75 MG VIAL|1|UN|VIAL|SQ|EA|.0033|07/01/2020|12/31/3999| | || | |
60923046502||J1429||07/03/2020|12/31/3999|Inj, golodirsen, 10 mg|VYONDYS-53  100 MG/2 ML VIA|2|ML|VIAL|IV|ML|.2|07/03/2020|12/31/3999| | || | |
71288041086||J1650||04/29/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/29/2020|12/31/3999| | || | |
71288041088||J1650||04/29/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/29/2020|12/31/3999| | || | |
71288041180||J1650||04/24/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|04/24/2020|12/31/3999| | || | |
00641620401||J1644||07/01/2020|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|SYRINGE|SQ|ML|.1|07/01/2020|12/31/3999| | || | |
00641620410||J1644||07/01/2020|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|SYRINGE|SQ|ML|.1|07/01/2020|12/31/3999| | || | |
66993008479||J3030||06/05/2002|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML CAR|1|ML|CARTRIDGE|SQ|EA|.5|06/05/2002|12/31/3999| | || | |
66993008498||J3030||06/05/2002|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML INJ|1|ML|SYRINGE|SQ|EA|.5|06/05/2002|12/31/3999| | || | |
68462085229||S4993||07/10/2018|12/31/3999|Contraceptive pills for birth control|CHARLOTTE 24 FE CHEWABLE TA|28|UN|BLIST PACK|PO|TAB|1|07/10/2018|12/31/3999| | || | |
50268068411||Q0164||06/15/2019|12/31/3999|Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emeti...|PROCHLORPERAZINE 5 MG TABLE|1|UN|BLIST PACK|PO|TAB|1|06/15/2019|12/31/3999| | || | |
50242024501||J9316||01/01/2021|01/02/2021|Pertuzu, trastuzu, 10 mg|PHESGO 1,200-600MG-30,000 U|15|ML|VIAL|SQ|ML|.08|01/01/2021|01/02/2021| | || | |
57894050301||J9144||01/01/2021|01/02/2021|Daratumumab, hyaluronidase|DARZALEX FASPRO 1,800MG-30,|15|ML|VIAL|IV|ML|.08|01/01/2021|01/02/2021| | || | |
55135013201||J9317||01/01/2021|01/02/2021|Sacituzumab govitecan-hziy|TRODELVY 180 MG VIAL|1|UN|VIAL|IV|EA|.013888|01/01/2021|01/02/2021| | || | |
13533081010||J1558||07/03/2020|12/31/3999|Inj, immune globulin (xembify), 100 mg|XEMBIFY 20% (2 G/10 ML) VIA|10|ML|VIAL|SQ|ML|.5|07/03/2020|12/31/3999| | || | |
69800025001||C9072||01/01/2021|03/31/2021|Inj, imm glob asceniv|ASCENIV 10% VIAL|50|ML|VIAL|IV|ML|1|01/01/2021|03/31/2021| | || | |
69800025002||C9072||01/01/2021|03/31/2021|Inj, imm glob asceniv|ASCENIV 10% VIAL|50|ML|VIAL|IV|ML|1|01/01/2021|03/31/2021| | || | |
50242026001||J9316||01/01/2021|01/02/2021|Pertuzu, trastuzu, 10 mg|PHESGO 600-600 MG-20,000 UN|10|ML|VIAL|SQ|ML|.08|01/01/2021|01/02/2021| | || | |
00093375028||J7682||09/15/2020|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/4 ML AMPU|4|ML|AMPUL|IH|ML|4|09/15/2020|12/31/3999| | || | |
72572006225||J0696||10/08/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|10/08/2019|12/31/3999| | || | |
63323054003||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323054067||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
43598026211||J9395||09/03/2020|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|09/03/2020|12/31/3999| | || | |
71288055585||J9395||04/22/2020|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|04/22/2020|12/31/3999| | || | |
16714099901||J1050||07/28/2020|06/30/2023|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IM|ML|.00667|07/28/2020|06/30/2023| | || | |
55150028601||J3490||07/07/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|07/07/2020|12/31/3999| | || | |
55150028610||J3490||07/07/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|07/07/2020|12/31/3999| | || | |
71288071320||J3490||12/16/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|12/16/2019|12/31/3999| | || | |
71288071410||J3490||12/16/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|12/16/2019|12/31/3999| | || | |
72603010401||J9070||07/31/2020|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|07/31/2020|12/31/3999| | || | |
72603032601||J9070||07/31/2020|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|07/31/2020|12/31/3999| | || | |
00781349380||J3490||09/11/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 80 MCG/20ML|20|ML|VIAL|IV|ML|1|09/11/2020|12/31/3999| | || | |
00781349395||J3490||09/11/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 80 MCG/20ML|20|ML|VIAL|IV|ML|1|09/11/2020|12/31/3999| | || | |
00781349495||J3490||09/11/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|1|09/11/2020|12/31/3999| | || | |
43598097558||J3490||09/25/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|VIAL|IV|ML|1|09/25/2020|12/31/3999| | || | |
43598097611||J3490||09/24/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|VIAL|IV|ML|1|09/24/2020|12/31/3999| | || | |
00990792306||J3490||07/12/2018|04/01/2024|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1|07/12/2018|04/01/2024| | || | |
71288080203||J1270||08/01/2020|07/10/2024|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|08/01/2020|07/10/2024| | || | |
43598094811||J1453||09/10/2019|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|09/10/2019|12/31/3999| | || | |
00002791001||Q0239||11/09/2020|04/16/2021|bamlanivimab-xxxx|BAMLANIVIMAB 700 MG/20 ML(E|20|ML|VIAL|IV|ML|20|11/09/2020|04/16/2021| | || | |
61755002501||Q0243||11/21/2020|11/22/2020|Casirivimab and imdevimab|IMDEVIMAB (REGN10987) 1,332|11.1|ML|VIAL|IV|ML|1|11/21/2020|11/22/2020| | || | |
61755002700||Q0243||11/21/2020|11/22/2020|Casirivimab and imdevimab|IMDEVIMAB (REGN10987) 300 M|2.5|ML|VIAL|IV|ML|1|11/21/2020|11/22/2020| | || | |
63323075113||J2370||07/26/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/26/2019|06/30/2023| | || | |
00409664816||J3490||10/28/2004|12/31/3999|Unclassified drugs|DEXTROSE 50%-WATER VIAL|50|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
68180069001||J1453||09/25/2020|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|ML|.0067|09/25/2020|12/31/3999| | || | |
72205005401||J1453||05/12/2020|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|ML|.0067|05/12/2020|12/31/3999| | || | |
72485021315||J9206||09/24/2020|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 300 MG/15 ML|15|ML|VIAL|IV|ML|1|09/24/2020|12/31/3999| | || | |
14789011005||J1953||07/22/2020|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|ML|2|07/22/2020|12/31/3999| | || | |
14789011008||J1953||07/22/2020|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|ML|2|07/22/2020|12/31/3999| | || | |
14789022010||J1953||07/22/2020|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|ML|1|07/22/2020|12/31/3999| | || | |
72611074010||J3490||02/02/2020|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|02/02/2020|12/31/3999| | || | |
00409277643||J2260||10/28/2004|09/30/2022|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|2.5|10/28/2004|09/30/2022| | || | |
67457099740||J9280||03/19/2018|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|EA|.125|03/19/2018|12/31/3999| | || | |
00990796809||J3490||07/12/2018|12/31/3999|Unclassified drugs|NORMOSOL-R-DEXTROSE 5% IV S|1000|ML|BAG|IV|ML|1|07/12/2018|12/31/3999| | || | |
55150033101||J9263||07/14/2020|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|07/14/2020|12/31/3999| | || | |
52609450406||J0895||05/23/2018|09/30/2022|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|05/23/2018|09/30/2022| | || | |
69097053637||J1071||06/26/2018|12/31/2020|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 1,000 MG/10|10|ML|VIAL|IM|ML|.01|06/26/2018|12/31/2020| | || | |
69097053731||J1071||06/26/2018|12/31/2020|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|06/26/2018|12/31/2020| | || | |
69097053737||J1071||06/26/2018|12/31/2020|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 2,000 MG/10|10|ML|VIAL|IM|ML|.005|06/26/2018|12/31/2020| | || | |
63323058020||J0461||06/13/2018|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 8 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|.025|06/13/2018|12/31/3999| | || | |
63323052277||J1644||06/27/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/500 ML-|500|ML|BAG|IV|ML|20|06/27/2018|12/31/3999| | || | |
63323052374||J1644||06/27/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/250 ML-|250|ML|BAG|IV|ML|10|06/27/2018|12/31/3999| | || | |
36000000924||J0744||06/01/2018|06/01/2024|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACN-D5W 400 MG/200|200|ML|BAG|IV|ML|100|06/01/2018|06/01/2024| | || | |
67457037312||J1644||06/14/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|06/14/2018|12/31/3999| | || | |
67457038310||J1644||06/14/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|06/14/2018|12/31/3999| | || | |
67457038399||J1644||06/14/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|06/14/2018|12/31/3999| | || | |
67457037212||J1644||05/25/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|05/25/2018|12/31/3999| | || | |
67457037299||J1644||05/25/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|05/25/2018|12/31/3999| | || | |
67457037399||J1644||06/14/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|06/14/2018|12/31/3999| | || | |
67457060399||J1644||06/14/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 40,000 UNIT/4 ML VI|4|ML|VIAL|IJ|ML|.1|06/14/2018|12/31/3999| | || | |
67457060202||J1644||05/25/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|05/25/2018|12/31/3999| | || | |
67457060299||J1644||05/25/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|05/25/2018|12/31/3999| | || | |
67457060305||J1644||06/14/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 40,000 UNIT/4 ML VI|4|ML|VIAL|IJ|ML|.1|06/14/2018|12/31/3999| | || | |
55150023210||J1652||01/12/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|EA|.04|01/12/2018|12/31/3999| | || | |
55150023000||J1652||01/12/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|EA|.1|01/12/2018|12/31/3999| | || | |
55150023100||J1652||01/12/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|EA|.04|01/12/2018|12/31/3999| | || | |
55150023200||J1652||01/12/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|EA|.04|01/12/2018|12/31/3999| | || | |
55150023010||J1652||01/12/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|EA|.1|01/12/2018|12/31/3999| | || | |
55150023110||J1652||01/12/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|EA|.04|01/12/2018|12/31/3999| | || | |
55150023300||J1652||01/12/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|EA|.04|01/12/2018|12/31/3999| | || | |
36000028325||J1940||06/01/2018|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|06/01/2018|12/31/3999| | || | |
43598063610||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|EA|1|06/18/2018|12/31/3999| | || | |
55150023310||J1652||01/12/2018|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|EA|.04|01/12/2018|12/31/3999| | || | |
70860070104||J1885||07/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|07/10/2017|12/31/3999| | || | |
36000028225||J1940||06/01/2018|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|06/01/2018|12/31/3999| | || | |
66794021242||J0696||09/05/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|09/05/2019|12/31/3999| | || | |
67457052810||J0640||07/23/2019|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 100 MG V|1|UN|VIAL|IJ|EA|.5|07/23/2019|12/31/3999| | || | |
72266011801||J1885||09/12/2019|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|09/12/2019|12/31/3999| | || | |
72266011825||J1885||09/12/2019|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|09/12/2019|12/31/3999| | || | |
72266012301||J2405||09/12/2019|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|09/12/2019|12/31/3999| | || | |
72266012325||J2405||09/12/2019|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|09/12/2019|12/31/3999| | || | |
72266012401||J2405||09/12/2019|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIA|20|ML|VIAL|IJ|ML|.5|09/12/2019|12/31/3999| | || | |
00591501902||J9395||08/22/2019|12/31/2022|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|08/22/2019|12/31/2022| | || | |
00591501911||J9395||08/22/2019|12/31/2022|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|08/22/2019|12/31/2022| | || | |
00703713103||J1631||07/09/2019|05/31/2023|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|07/09/2019|05/31/2023| | || | |
25021046274||J9395||08/22/2019|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|08/22/2019|12/31/3999| | || | |
63323071501||J9395||08/22/2019|12/31/2022|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|08/22/2019|12/31/2022| | || | |
63323071505||J9395||08/22/2019|12/31/2022|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|08/22/2019|12/31/2022| | || | |
67457031100||J9395||09/09/2019|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|09/09/2019|12/31/3999| | || | |
67457031105||J9395||09/09/2019|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|09/09/2019|12/31/3999| | || | |
70069038301||J1631||08/15/2019|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|08/15/2019|12/31/3999| | || | |
70069038310||J1631||08/15/2019|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|08/15/2019|12/31/3999| | || | |
72266011901||J1885||09/12/2019|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|09/12/2019|12/31/3999| | || | |
72266011925||J1885||09/12/2019|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|09/12/2019|12/31/3999| | || | |
00409509211||J0713||05/08/2006|12/31/3999|Injection, ceftazidime, per 500 mg|TAZICEF 1 GM ADD-VANTAGE VI|1|UN|VIAL|IV|EA|.5|05/08/2006|12/31/3999| | || | |
00409653311||J3370||10/28/2004|11/01/2021|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/28/2004|11/01/2021| | || | |
61990011001||J2543||08/19/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|ML|.5|08/19/2019|12/31/3999| | || | |
61990011002||J2543||08/19/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|ML|.5|08/19/2019|12/31/3999| | || | |
60687020325||J8999||02/24/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BLIST PACK|PO|TAB|1|02/24/2016|12/31/3999| | || | |
68982084002||90283||01/09/2015|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 5% VIAL|50|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
68982084003||90283||01/09/2015|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 5% VIAL|100|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
68094025059||J8999||06/24/2014|08/10/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 400 MG/10 ML|10|ML|CUP|PO|ML|1|06/24/2014|08/10/2022| | || | |
68094025061||J8999||06/24/2014|08/10/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 400 MG/10 ML|10|ML|CUP|PO|ML|1|06/24/2014|08/10/2022| | || | |
68094025062||J8999||06/24/2014|08/10/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 400 MG/10 ML|10|ML|CUP|PO|ML|1|06/24/2014|08/10/2022| | || | |
60687011211||J8999||02/05/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ANASTROZOLE 1 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|02/05/2016|12/31/3999| | || | |
00069005903||J1644||06/20/2019|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.2|06/20/2019|12/31/2022| | || | |
63323040302||Q2009||09/12/2018|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 100 MG PE/2 ML VL|2|ML|VIAL|IJ|ML|1|09/12/2018|12/31/2022| | || | |
23155024041||J2765||06/03/2019|12/31/3999|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|06/03/2019|12/31/3999| | || | |
00069005904||J1644||06/20/2019|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.2|06/20/2019|12/31/2022| | || | |
63323040310||Q2009||09/17/2018|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 500 MG PE/10 ML|10|ML|VIAL|IJ|ML|1|09/17/2018|12/31/2022| | || | |
72187040101||J9269||10/01/2019|12/31/3999|Inj, tagraxofusp-erzs, 10 mcg|ELZONRIS 1,000 MCG/ML VIAL|1|ML|VIAL|IV|ML|.01|10/01/2019|12/31/3999| | || | |
00078069484||J8999||05/14/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ZYKADIA 150 MG TABLET|84|UN|BOTTLE|PO|TAB|1|05/14/2019|12/31/3999| | || | |
00078070151||J8999||05/29/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PIQRAY 200 MG DAILY DOSE|28|UN|BLIST PACK|PO|TAB|1|05/29/2019|12/31/3999| | || | |
00078070802||J8999||05/29/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PIQRAY 300 MG DAILY DOSE|56|UN|BLIST PACK|PO|TAB|1|05/29/2019|12/31/3999| | || | |
00078071502||J8999||05/29/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PIQRAY 250 MG DAILY DOSE|56|UN|BLIST PACK|PO|TAB|1|05/29/2019|12/31/3999| | || | |
00093766356||J8999||05/09/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 100 MG TABLET|30|UN|BOTTLE|PO|TAB|1|05/09/2019|12/31/3999| | || | |
00143935510||J3370||05/10/2019|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|GM|.6667|05/10/2019|12/31/3999| | || | |
65757040203||J1944||10/01/2019|12/31/3999|Inj, aristada, 1 mg|ARISTADA ER 662 MG/2.4 ML S|2.4|ML|SYRINGE|IM|ML|.0036|10/01/2019|12/31/3999| | || | |
65757040303||J1944||10/01/2019|12/31/3999|Inj, aristada, 1 mg|ARISTADA ER 882 MG/3.2 ML S|3.2|ML|SYRINGE|IM|ML|.0036|10/01/2019|12/31/3999| | || | |
42747076101||J9204||10/01/2019|12/31/3999|Inj, mogamulizumab-kpkc, 1 mg|POTELIGEO 20 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.25|10/01/2019|12/31/3999| | || | |
12496009001||J2798||10/01/2019|12/31/3999|Inj, risperidone,  0.5 mg|PERSERIS ER 90 MG SYRINGE K|1|UN|KIT|SQ|EA|.0056|10/01/2019|12/31/3999| | || | |
71715000102||J0121||10/01/2019|12/31/3999|Inj, omadacycline, 1 mg|NUZYRA 100 MG VIAL|1|UN|VIAL|IV|EA|.01|10/01/2019|12/31/3999| | || | |
00143935901||J3370||05/10/2019|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|GM|.05|05/10/2019|12/31/3999| | || | |
00143950401||J9060||06/07/2019|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 50 MG/50 ML VIAL|50|ML|VIAL|IV|ML|10|06/07/2019|12/31/3999| | || | |
00254203273||S4993||09/28/2018|05/31/2022|Contraceptive pills for birth control|ORSYTHIA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|05/31/2022| | || | |
00254203291||S4993||09/28/2018|05/31/2022|Contraceptive pills for birth control|ORSYTHIA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|05/31/2022| | || | |
00254203373||S4993||09/28/2018|01/31/2022|Contraceptive pills for birth control|EMOQUETTE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|01/31/2022| | || | |
00254203391||S4993||09/28/2018|09/30/2022|Contraceptive pills for birth control|EMOQUETTE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|09/30/2022| | || | |
00378713293||J8999||05/09/2019|11/30/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 100 MG TABLET|30|UN|BOTTLE|PO|TAB|1|05/09/2019|11/30/2022| | || | |
00378728785||S4993||06/26/2014|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD 0.1-0.02|28|UN|BLIST PACK|PO|TAB|1|06/26/2014|12/31/3999| | || | |
00378729453||S4993||07/24/2018|12/31/3999|Contraceptive pills for birth control|ESTRADIOL-NORETH 0.5-0.1 MG|28|UN|BLIST PACK|PO|TAB|1|07/24/2018|12/31/3999| | || | |
00378729485||S4993||07/24/2018|12/31/3999|Contraceptive pills for birth control|ESTRADIOL-NORETH 0.5-0.1 MG|28|UN|BLIST PACK|PO|TAB|1|07/24/2018|12/31/3999| | || | |
00378729553||S4993||07/24/2018|12/31/3999|Contraceptive pills for birth control|ESTRADIOL-NORETH 1-0.5 MG T|28|UN|BLIST PACK|PO|TAB|1|07/24/2018|12/31/3999| | || | |
00378729585||S4993||07/24/2018|12/31/3999|Contraceptive pills for birth control|ESTRADIOL-NORETH 1-0.5 MG T|28|UN|BLIST PACK|PO|TAB|1|07/24/2018|12/31/3999| | || | |
00781323294||S0164||03/31/2020|05/07/2022|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|03/31/2020|05/07/2022| | || | |
69448000538||J9045||02/12/2020|12/31/3999|Injection, carboplatin, 50 mg|PARAPLATIN 1,000 MG/100 ML|100|ML|VIAL|IV|ML|5|02/12/2020|12/31/3999| | || | |
71288000230||J2543||08/03/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|08/03/2020|12/31/3999| | || | |
71288000231||J2543||08/03/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|08/03/2020|12/31/3999| | || | |
71288000450||J2543||08/03/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|08/03/2020|12/31/3999| | || | |
50242010301||J9309||09/28/2020|12/31/3999|Injection, polatuzumab vedotin-piiq, 1 mg|POLIVY 30 MG VIAL|1|UN|VIAL|IV|EA|.0333|09/28/2020|12/31/3999| | || | |
00990790109||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-0.225% NA|1000|ML|BAG|IV|ML|100|07/12/2018|12/31/3999| | || | |
00024591400||J3590||03/31/2017|04/01/2017|Unclassified Biologics|DUPIXENT 300 MG/2 ML SYRING|2|ML|SYRINGE|SQ|ML|1|03/31/2017|04/01/2017| | || | |
61755002600||Q0243||11/21/2020|11/22/2020|Casirivimab and imdevimab|CASIRIVIMAB (REGN10933) 300|2.5|ML|VIAL|IV|ML|1|11/21/2020|11/22/2020| | || | |
61755002601||Q0243||11/21/2020|11/22/2020|Casirivimab and imdevimab|CASIRIVIMAB (REGN10933) 300|2.5|ML|VIAL|IV|ML|1|11/21/2020|11/22/2020| | || | |
63833038702||J7168||07/01/2021|12/31/3999|Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity|KCENTRA 1,000 UNIT KIT|1|UN|KIT|IV|AHF|1|07/01/2021|12/31/3999| | || | |
63833038602||J7168||07/01/2021|12/31/3999|Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity|KCENTRA 500 UNIT KIT|1|UN|KIT|IV|AHF|1|07/01/2021|12/31/3999| | || | |
64406001101||J3490||10/27/2014|12/31/3999|Unclassified drugs|PLEGRIDY 125 MCG/0.5 ML PEN|.5|ML|SYRINGE|SQ|EA|1|10/27/2014|12/31/3999| | || | |
64406001201||J3490||10/27/2014|12/31/3999|Unclassified drugs|PLEGRIDY PEN INJ STARTER PA|1|ML|SYRINGE|SQ|EA|1|10/27/2014|12/31/3999| | || | |
64406001501||J3490||10/27/2014|12/31/3999|Unclassified drugs|PLEGRIDY 125 MCG/0.5 ML SYR|.5|ML|SYRINGE|SQ|EA|1|10/27/2014|12/31/3999| | || | |
64406001601||J3490||10/27/2014|12/31/3999|Unclassified drugs|PLEGRIDY SYRINGE STARTER PA|1|ML|SYRINGE|SQ|EA|1|10/27/2014|12/31/3999| | || | |
64406001102||J3490||10/27/2014|12/31/3999|Unclassified drugs|PLEGRIDY 125 MCG/0.5 ML PEN|.5|ML|SYRINGE|SQ|EA|1|10/27/2014|12/31/3999| | || | |
64406001502||J3490||10/27/2014|12/31/3999|Unclassified drugs|PLEGRIDY 125 MCG/0.5 ML SYR|.5|ML|SYRINGE|SQ|EA|1|10/27/2014|12/31/3999| | || | |
61755003901||Q0243||11/20/2020|06/02/2021|Casirivimab 600mg and imdevimab 600mg|REGEN-COV 600-600 MG/10ML(E|10|ML|VIAL|IV|ML|1|11/20/2020|06/02/2021| | || | |
68001045942||J1650||02/01/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/01/2021|12/31/3999| | || | |
68001046342||J1650||02/01/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|02/01/2021|12/31/3999| | || | |
68001046441||J1650||02/02/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 300 MG/3 ML VIAL|3|ML|VIAL|SQ|ML|.1|02/02/2021|12/31/3999| | || | |
00074012404||J0135||08/06/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA(CF) PEN PEDI UC 80 M|4|UN|KIT|SQ|EA|.25|08/06/2018|12/31/3999| | || | |
72572001610||J0290||03/03/2021|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|03/03/2021|12/31/3999| | || | |
60505614400||J0692||03/21/2018|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|03/21/2018|12/31/3999| | || | |
55150028401||J3490||01/07/2021|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|EA|1|01/07/2021|12/31/3999| | || | |
55150028410||J3490||01/07/2021|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|EA|1|01/07/2021|12/31/3999| | || | |
70710153401||J3490||01/18/2021|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|01/18/2021|12/31/3999| | || | |
71288012820||J9027||03/08/2021|12/31/3999|Injection, clofarabine, 1 mg|CLOFARABINE 20 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|03/08/2021|12/31/3999| | || | |
31722010210||J0878||02/09/2021|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|F2|VIAL|IV|AHF|.002|02/09/2021|12/31/3999| | || | |
68001046741||J0878||10/07/2020|12/23/2022|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|10/07/2020|12/23/2022| | || | |
65219025700||J3490||02/18/2021|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|02/18/2021|12/31/3999| | || | |
36000028425||J1940||06/01/2018|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|06/01/2018|12/31/3999| | || | |
70121107605||J1940||04/11/2018|10/31/2018|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|04/11/2018|10/31/2018| | || | |
43598063510||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|EA|2|06/18/2018|12/31/3999| | || | |
43598063552||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|EA|2|06/18/2018|12/31/3999| | || | |
70860060282||J1953||06/28/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|ML|2|06/28/2018|12/31/3999| | || | |
70860060382||J1953||06/29/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|ML|1|06/29/2018|12/31/3999| | || | |
36000004624||J1956||06/01/2018|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 250 MG/50 ML-D|50|ML|BAG|IV|ML|50|06/01/2018|12/31/3999| | || | |
36000004724||J1956||06/01/2018|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/100 ML-|100|ML|BAG|IV|ML|50|06/01/2018|12/31/3999| | || | |
36000004824||J1956||06/01/2018|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/150 ML-|150|ML|BAG|IV|ML|50|06/01/2018|12/31/3999| | || | |
00049043020||J2540||01/01/1991|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PFIZERPEN 20 MILLION UNIT V|1|UN|VIAL|IJ|EA|.03|01/01/1991|12/31/3999| | || | |
64011030103||J1726||01/01/2018|04/06/2023|Makena, 10 mg|MAKENA 275 MG/1.1 ML AUTOIN|1.1|ML|SYRINGE|IJ|ML|.04|01/01/2018|04/06/2023| | || | |
63323045101||J2270||05/06/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 10 MG/ML V|1|ML|VIAL|IJ|ML|1|05/06/2014|12/31/2022| | || | |
63323045201||J2270||04/01/2014|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 2 MG/ML VI|1|ML|VIAL|IJ|ML|5|04/01/2014|12/31/3999| | || | |
63323045501||J2270||05/06/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 5 MG/ML VI|1|ML|VIAL|IJ|ML|2|05/06/2014|12/31/2022| | || | |
00049042005||J2540||01/01/1991|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PFIZERPEN 5 MILLION UNIT VI|1|UN|VIAL|IJ|EA|.12|01/01/1991|12/31/3999| | || | |
00049042010||J2540||01/01/1991|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PFIZERPEN 5 MILLION UNIT VI|1|UN|VIAL|IJ|EA|.12|01/01/1991|12/31/3999| | || | |
55150026705||J2680||04/21/2018|12/31/3999|Injection, fluphenazine decanoate, up to 25 mg|FLUPHENAZINE DEC 125 MG/5 M|5|ML|VIAL|IJ|ML|1|04/21/2018|12/31/3999| | || | |
00517113305||J2710||05/14/2018|08/01/2022|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/14/2018|08/01/2022| | || | |
00517113405||J2710||05/14/2018|08/01/2022|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|05/14/2018|08/01/2022| | || | |
25021067510||J2800||06/15/2018|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|06/15/2018|12/31/3999| | || | |
51754100004||J3475||03/02/2015|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|10|ML|VIAL|IJ|ML|1|03/02/2015|12/31/3999| | || | |
36000016201||J3490||06/01/2018|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML AM|4|ML|AMPUL|IV|ML|1|06/01/2018|12/31/3999| | || | |
10019067010||J3490||06/28/2001|06/30/2023|Unclassified drugs|BREVIBLOC 2,500 MG/250 ML B|250|ML|BAG|IV|ML|1|06/28/2001|06/30/2023| | || | |
25021031066||J3490||12/12/2016|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|EA|1|12/12/2016|12/31/3999| | || | |
36000016210||J3490||06/01/2018|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML AM|4|ML|AMPUL|IV|ML|1|06/01/2018|12/31/3999| | || | |
47781061617||J3490||05/15/2018|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|05/15/2018|12/31/3999| | || | |
47781061791||J3490||05/15/2018|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|05/15/2018|12/31/3999| | || | |
63323045801||J2270||05/06/2014|06/30/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 8 MG/ML VI|1|ML|VIAL|IJ|ML|1.25|05/06/2014|06/30/2022| | || | |
00517113301||J2710||05/14/2018|08/01/2022|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/14/2018|08/01/2022| | || | |
60687019211||J8999||02/24/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|1|UN|BLIST PACK|PO|TAB|1|02/24/2016|12/31/3999| | || | |
60687019221||J8999||02/24/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|30|UN|BLIST PACK|PO|TAB|1|02/24/2016|12/31/3999| | || | |
51862044630||J8999||06/15/2011|02/28/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|30|UN|BOTTLE|PO|TAB|1|06/15/2011|02/28/2023| | || | |
60505290103||J8999||08/05/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|EA|1|08/05/2016|12/31/3999| | || | |
69076091302||J8999||01/22/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MERCAPTOPURINE 50 MG TABLET|25|UN|BOTTLE|PO|TAB|1|01/22/2016|12/31/3999| | || | |
69097091591||J8999||12/15/2016|11/30/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FLUTAMIDE 125 MG CAPSULE|180|UN|BOTTLE|PO|CAP|1|12/15/2016|11/30/2022| | || | |
00026394225||J7208||07/01/2019|12/31/3999|Inj jivi 1 iu|JIVI 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2019|12/31/3999| | || | |
00026394625||J7208||07/01/2019|12/31/3999|Inj jivi 1 iu|JIVI 2,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2019|12/31/3999| | || | |
00026394825||J7208||07/01/2019|12/31/3999|Inj jivi 1 iu|JIVI 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2019|12/31/3999| | || | |
50242010501||J9309||01/01/2020|12/31/3999|Injection, polatuzumab vedotin-piiq, 1 mg|POLIVY 140 MG VIAL|1|UN|VIAL|IV|EA|.0071|01/01/2020|12/31/3999| | || | |
00409409111||J3490||10/28/2004|12/31/3999|Unclassified drugs|MANGANESE 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409806039||J3490||10/28/2004|03/31/2021|Unclassified drugs|AMIDATE 40 MG/20 ML ABBOJEC|20|ML|SYRINGE|IV|ML|1|10/28/2004|03/31/2021| | || | |
00990737262||J3490||07/12/2018|12/31/3999|Unclassified drugs|IONOSOL MB-D5W IV SOLUTION|250|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
42571031396||J3490||07/16/2019|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|07/16/2019|12/31/3999| | || | |
43598069811||J3490||07/02/2019|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|07/02/2019|12/31/3999| | || | |
51754500101||J3490||08/20/2019|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|ML|1|08/20/2019|12/31/3999| | || | |
51754500105||J3490||08/20/2019|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|ML|1|08/20/2019|12/31/3999| | || | |
52565005201||J3490||12/21/2012|06/30/2023|Unclassified drugs|CEFOTAN 1 GM VIAL|1|UN|VIAL|IJ|GM|1|12/21/2012|06/30/2023| | || | |
55150023510||J3490||03/12/2019|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|03/12/2019|12/31/3999| | || | |
55150023620||J3490||03/12/2019|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|03/12/2019|12/31/3999| | || | |
63323036741||J3490||01/04/2016|07/31/2022|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|01/04/2016|07/31/2022| | || | |
70069014101||J3490||09/24/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|09/24/2019|12/31/3999| | || | |
70069015101||J3490||09/24/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|09/24/2019|12/31/3999| | || | |
70121157601||J3490||07/03/2019|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|07/03/2019|12/31/3999| | || | |
72266010201||J3490||09/12/2019|06/30/2023|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|09/12/2019|06/30/2023| | || | |
72266012201||J3490||09/12/2019|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|09/12/2019|12/31/3999| | || | |
72266012225||J3490||09/12/2019|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|09/12/2019|12/31/3999| | || | |
72266014601||J3490||09/12/2019|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/12/2019|12/31/3999| | || | |
00904690104||J8999||04/25/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|30|UN|BLIST PACK|PO|TAB|1|04/25/2019|12/31/3999| | || | |
00904693961||J8999||05/01/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|HYDROXYUREA 500 MG CAPSULE|100|UN|BLIST PACK|PO|CAP|1|05/01/2019|12/31/3999| | || | |
42292005201||J8999||05/29/2019|02/28/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 100 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|05/29/2019|02/28/2021| | || | |
42292005301||J8999||05/29/2019|01/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 150 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|05/29/2019|01/31/2021| | || | |
50102022421||S4993||04/01/2019|12/31/3999|Contraceptive pills for birth control|TARINA 24 FE 1 MG-20 MCG TA|28|UN|BLIST PACK|PO|TAB|1|04/01/2019|12/31/3999| | || | |
50102024021||S4993||03/01/2019|12/31/3999|Contraceptive pills for birth control|JASMIEL 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|03/01/2019|12/31/3999| | || | |
59651002988||S4993||03/01/2019|12/31/3999|Contraceptive pills for birth control|LO-ZUMANDIMINE 3 MG-0.02 MG|28|UN|BLIST PACK|PO|TAB|1|03/01/2019|12/31/3999| | || | |
59676004028||J8999||04/24/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BALVERSA 4 MG TABLET|28|UN|BOTTLE|PO|TAB|1|04/24/2019|12/31/3999| | || | |
59676005028||J8999||04/24/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BALVERSA 5 MG TABLET|28|UN|BOTTLE|PO|TAB|1|04/24/2019|12/31/3999| | || | |
64679002101||J8999||05/28/2019|08/31/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE ACETATE 250 MG|120|UN|BOTTLE|PO|TAB|1|05/28/2019|08/31/2023| | || | |
65862084888||S4993||09/04/2018|12/31/3999|Contraceptive pills for birth control|AYUNA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|09/04/2018|12/31/3999| | || | |
65862086495||S4993||06/25/2019|12/31/3999|Contraceptive pills for birth control|SIMPESSE 0.15-0.03-0.01 MG|91|UN|BLIST PACK|PO|TAB|1|06/25/2019|12/31/3999| | || | |
65862093574||S4993||05/09/2019|12/31/3999|Contraceptive pills for birth control|AUROVELA 21 1.5-30 TABLET|21|UN|BLIST PACK|PO|TAB|1|05/09/2019|12/31/3999| | || | |
65862094088||S4993||11/01/2018|12/31/3999|Contraceptive pills for birth control|AUROVELA FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|11/01/2018|12/31/3999| | || | |
69238103106||S4993||09/27/2017|04/02/2023|Contraceptive pills for birth control|MELODETTA 24 FE CHEWABLE TA|28|UN|BLIST PACK|PO|TAB|1|09/27/2017|04/02/2023| | || | |
70255002503||J8999||08/01/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BRAFTOVI 75 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|08/01/2018|12/31/3999| | || | |
70700012185||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|TRI-ESTARYLLA TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
76336008060||J8999||08/01/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LYSODREN 500 MG TABLET|100|UN|BOTTLE|PO|TAB|1|08/01/2018|12/31/3999| | || | |
00378827031||J7613||12/18/2012|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 2.5 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|12/18/2012|12/31/3999| | || | |
00378827064||J7613||12/18/2012|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 2.5 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|12/18/2012|12/31/3999| | || | |
55150030610||J2675||05/22/2019|12/31/3999|Injection, progesterone, per 50 mg|PROGESTERONE 500 MG/10 ML V|10|ML|VIAL|IM|ML|1|05/22/2019|12/31/3999| | || | |
70257012651||90396||04/27/2017|12/31/3999|Varicella-zoster immune globulin|VARIZIG 125 UNIT/1.2 ML VIA|1.2|ML|VIAL|IM|EA|1.2|04/27/2017|12/31/3999| | || | |
00173089242||J2182||06/17/2019|12/31/3999|Injection, mepolizumab, 1mg|NUCALA 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.01|06/17/2019|12/31/3999| | || | |
00264570505||J1644||04/22/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|SYRINGE|SQ|ML|.1|04/22/2019|12/31/3999| | || | |
00264570510||J1644||04/22/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|SYRINGE|SQ|ML|.1|04/22/2019|12/31/3999| | || | |
55513088002||J3111||10/01/2019|12/31/3999|Inj, romosozumab-aqqg 1 mg|EVENITY 210 MG DOSE-2 SYRIN|1.17|ML|SYRINGE|SQ|ML|.0111|10/01/2019|12/31/3999| | || | |
67457088000||J3030||02/07/2011|01/31/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIA|0.5|ML|VIAL|SQ|ML|.5|02/07/2011|01/31/2021| | || | |
72733590102||J3490||04/05/2019|01/31/2023|Unclassified drugs|PRALUENT 75 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|04/05/2019|01/31/2023| | || | |
72733590202||J3490||04/05/2019|05/31/2022|Unclassified drugs|PRALUENT 150 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|04/05/2019|05/31/2022| | || | |
00069005902||J1644||06/07/2018|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNITS/10 ML VL|10|ML|VIAL|IJ|ML|.2|06/07/2018|12/31/2022| | || | |
00409131632||J1644||08/02/2017|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5 ML|0.5|ML|SYRINGE|IJ|ML|.1|08/02/2017|12/31/3999| | || | |
00069005901||J1644||06/07/2018|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNITS/10 ML VL|10|ML|VIAL|IJ|ML|.2|06/07/2018|12/31/2022| | || | |
61703032722||J9130||12/01/2017|05/31/2019|Dacarbazine, 100 mg|DACARBAZINE 200 MG VIAL|1|UN|VIAL|IV|EA|.5|12/01/2017|05/31/2019| | || | |
50242005121||J9312||01/01/2019|12/31/3999|IJ, rituximab, 10 mg|RITUXAN 10 MG/ML VIAL|10|ML|VIAL|IV|ML|10|01/01/2019|12/31/3999| | || | |
63323013940||J7050||04/01/1998|11/30/2021|Infusion, normal saline solution , 250 cc|SODIUM CL 2.5 MEQ/ML VIAL|40|ML|VIAL|IV|ML|250|04/01/1998|11/30/2021| | || | |
63323013940||J7040||04/01/1998|11/30/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CL 2.5 MEQ/ML VIAL|40|ML|VIAL|IV|ML|500|04/01/1998|11/30/2021| | || | |
63323013940||J7030||04/01/1998|11/30/2021|Infusion, normal saline solution , 1000 cc|SODIUM CL 2.5 MEQ/ML VIAL|40|ML|VIAL|IV|ML|1000|04/01/1998|11/30/2021| | || | |
50242008525||J2997||12/15/2018|12/31/3999|Injection, alteplase recombinant, 1 mg|ACTIVASE 100 MG VIAL|1|UN|VIAL|IV|EA|.01|12/15/2018|12/31/3999| | || | |
44567070025||J0696||08/20/2018|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|08/20/2018|12/31/3999| | || | |
50242004406||J2997||12/15/2018|12/31/3999|Injection, alteplase recombinant, 1 mg|ACTIVASE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|12/15/2018|12/31/3999| | || | |
50242005306||J9312||01/01/2019|12/31/3999|IJ, rituximab, 10 mg|RITUXAN 10 MG/ML VIAL|50|ML|VIAL|IV|ML|10|01/01/2019|12/31/3999| | || | |
00517074020||J2210||03/01/2018|12/31/3999|Injection, methylergonovine maleate, up to 0.2 mg|METHYLERGONOVINE 0.2 MG/ML VL|1|ML|VIAL|IJ|ML|1|03/01/2018|12/31/3999| | || | |
63323085203||J1170||04/30/2009|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|4|04/30/2009|12/31/3999| | || | |
63323085225||J1170||04/30/2009|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|4|04/30/2009|12/31/3999| | || | |
63323085325||J1170||04/30/2009|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|04/30/2009|12/31/3999| | || | |
63323085410||J1170||04/30/2009|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/30/2009|12/31/3999| | || | |
64679067902||J2543||06/20/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|EA|.0278|06/20/2017|12/31/3999| | || | |
64679067902||J0696||06/20/2017|12/31/2022|Injection, ceftriaxone sodium, per 250 mg|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|EA|1|06/20/2017|12/31/2022| | || | |
67457031725||J2469||09/20/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|09/20/2018|12/31/3999| | || | |
67457053316||J9171||09/05/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|09/05/2018|12/31/3999| | || | |
00517113401||J2710||05/14/2018|08/01/2022|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|05/14/2018|08/01/2022| | || | |
51991094199||J3370||07/11/2017|04/30/2021|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|ML|.5|07/11/2017|04/30/2021| | || | |
67457079410||J3489||06/05/2018|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|BAG|IV|ML|20|06/05/2018|12/31/3999| | || | |
10019067210||J3490||06/28/2001|06/30/2023|Unclassified drugs|BREVIBLOC 2,500 MG/250 ML B|250|ML|BAG|IV|ML|1|06/28/2001|06/30/2023| | || | |
36000009210||J3490||06/01/2018|02/01/2022|Unclassified drugs|BUPIVACAIN 0.75%-DEXTROS 8.|2|ML|AMPUL|IV|ML|1|06/01/2018|02/01/2022| | || | |
42367052025||J3490||05/17/2018|05/18/2018|Unclassified drugs|BENDAMUSTINE 100 MG/4 ML VI|4|ML|VIAL|IV|ML|1|05/17/2018|05/18/2018| | || | |
64679070003||J2700||06/06/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|VIAL|IJ|GM|.025|06/06/2018|12/31/3999| | || | |
51224001220||J2760||06/01/2018|12/31/3999|Injection, phentolamine mesylate, up to 5 mg|PHENTOLAMINE 5 MG VIAL|1|UN|VIAL|IJ|EA|1|06/01/2018|12/31/3999| | || | |
50242008203||J2778||08/14/2012|12/31/3999|Injection, ranibizumab, 0.1 mg|LUCENTIS 0.3 MG/0.05 ML SYR|0.05|ML|SYRINGE|IO|ML|.0167|08/14/2012|12/31/3999| | || | |
63323020326||J3370||10/19/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|10|UN|VIAL|IV|EA|.6667|10/19/2016|12/31/3999| | || | |
00409114410||J3490||10/28/2004|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409114411||J3490||10/28/2004|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
63323057801||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
67457045500||J9999||06/07/2012|10/31/2022|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|CYTARABINE 100 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|5|06/07/2012|10/31/2022| | || | |
50102023313||S4993||04/16/2018|12/31/3999|Contraceptive pills for birth control|TRI-VYLIBRA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/16/2018|12/31/3999| | || | |
25021017916||J0878||06/18/2018|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|06/18/2018|12/31/3999| | || | |
63323037110||J0878||04/12/2018|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|04/12/2018|12/31/3999| | || | |
63323037119||J0878||04/12/2018|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|04/12/2018|12/31/3999| | || | |
25021018510||J1570||04/24/2018|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG/10 ML VI|10|ML|VIAL|IV|ML|10|04/24/2018|12/31/3999| | || | |
71104080201||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 500 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104080301||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 750 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104080501||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 1,500 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104080701||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 3,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104080901||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 5,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
66993002135||J7614||01/01/2005|09/30/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|01/01/2005|09/30/2022| | || | |
66993002335||J7614||01/01/2005|10/03/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|01/01/2005|10/03/2022| | || | |
70720095036||J9202||03/29/2017|10/01/2021|Goserelin acetate implant, per 3.6 mg|ZOLADEX 3.6 MG IMPLANT SYRN|1|UN|SYRINGE|IA|EA|1|03/29/2017|10/01/2021| | || | |
42023013006||J2590||05/02/2018|12/31/3999|Injection, oxytocin, up to 10 units|PITOCIN 10 UNITS/ML VIAL|50|ML|VIAL|IJ|ML|1|05/02/2018|12/31/3999| | || | |
47781062291||J9209||04/24/2018|02/24/2020|Injection, mesna, 200 mg|MESNA 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|ML|2|04/24/2018|02/24/2020| | || | |
43598065011||J9340||05/15/2018|12/31/3999|Thiotepa injection|THIOTEPA 15 MG VIAL|1|UN|VIAL|IJ|EA|1|05/15/2018|12/31/3999| | || | |
72266014701||J3490||09/12/2019|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|09/12/2019|12/31/3999| | || | |
16714089201||J0878||09/26/2019|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|09/26/2019|12/31/3999| | || | |
15054109004||J1930||01/09/2015|12/31/3999|Injection, lanreotide, 1 mg|SOMATULINE DEPOT 90 MG/0.3|0.3|ML|SYRINGE|SC|ML|.0033|01/09/2015|12/31/3999| | || | |
15054112004||J1930||01/09/2015|12/31/3999|Injection, lanreotide, 1 mg|SOMATULINE DEPOT 120 MG/0.5|0.5|ML|SYRINGE|SC|ML|.0042|01/09/2015|12/31/3999| | || | |
52536062510||J1071||07/29/2019|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 2,000 MG/10|10|ML|VIAL|IM|ML|.005|07/29/2019|12/31/3999| | || | |
43598085911||J1453||09/10/2019|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|09/10/2019|12/31/3999| | || | |
60505610501||J1453||09/05/2019|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|ML|.0067|09/05/2019|12/31/3999| | || | |
16714092701||J9025||07/24/2019|09/30/2023|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|07/24/2019|09/30/2023| | || | |
57894064011||J1628||01/01/2019|12/31/3999|Injection, guselkumab, 1 mg|TREMFYA 100 MG/ML INJECTOR|1|ML|SYRINGE|SC|ML|.01|01/01/2019|12/31/3999| | || | |
72485020101||J9025||09/13/2019|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|09/13/2019|12/31/3999| | || | |
55150022810||J3243||07/18/2019|12/31/3999|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|07/18/2019|12/31/3999| | || | |
55513074101||J0606||01/03/2018|03/31/2023|Inj, etelcalcetide, 0.1 mg|PARSABIV 5 MG/ML VIAL|1|ML|VIAL|IV|ML|.02|01/03/2018|03/31/2023| | || | |
70121164701||J3243||08/20/2019|12/31/3999|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|08/20/2019|12/31/3999| | || | |
00944270009||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|25|ML|VIAL|IJ|GM|5|09/06/2005|12/31/3999| | || | |
00944270010||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|50|ML|VIAL|IJ|GM|5|09/06/2005|12/31/3999| | || | |
00944270013||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|300|ML|VIAL|IJ|GM|5|09/06/2005|12/31/3999| | || | |
68094036162||J8999||10/08/2014|08/10/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL 800 MG/20 ML SUSP|20|ML|CUP|PO|ML|1|10/08/2014|08/10/2022| | || | |
60687011221||J8999||02/05/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ANASTROZOLE 1 MG TABLET|30|UN|BLIST PACK|PO|TAB|1|02/05/2016|12/31/3999| | || | |
60687020395||J8999||02/24/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|1|UN|BLIST PACK|PO|TAB|1|02/24/2016|12/31/3999| | || | |
00591438579||J1453||09/19/2019|12/31/2022|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|09/19/2019|12/31/2022| | || | |
63323097210||J1453||09/30/2019|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|09/30/2019|12/31/3999| | || | |
67457088910||J1453||09/05/2019|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|09/05/2019|12/31/3999| | || | |
72205002601||J1453||09/05/2019|05/29/2022|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|09/05/2019|05/29/2022| | || | |
55513074001||J0606||01/03/2018|03/31/2023|Inj, etelcalcetide, 0.1 mg|PARSABIV 2.5 MG/0.5 ML VIAL|0.5|ML|VIAL|IV|ML|.02|01/03/2018|03/31/2023| | || | |
55513074201||J0606||01/03/2018|03/31/2023|Inj, etelcalcetide, 0.1 mg|PARSABIV 10 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.02|01/03/2018|03/31/2023| | || | |
70121164707||J3243||08/20/2019|12/31/3999|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|08/20/2019|12/31/3999| | || | |
66794021515||J0696||09/05/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IV|EA|.025|09/05/2019|12/31/3999| | || | |
67457096701||J1726||08/23/2019|04/06/2023|Makena, 10 mg|HYDROXYPROGEST 250 MG/ML VI|1|ML|VIAL|IM|ML|.04|08/23/2019|04/06/2023| | || | |
72266012001||J0641||09/12/2019|12/31/3999|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 175 MG/17.5|17.5|ML|VIAL|IV|ML|.05|09/12/2019|12/31/3999| | || | |
00409915850||J3430||10/28/2004|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|VITAMIN K-1 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|10/28/2004|12/31/3999| | || | |
69097080540||J9025||04/19/2019|04/30/2023|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|F2|VIAL|IJ|AHF|.01|04/19/2019|04/30/2023| | || | |
67457095101||J1644||06/14/2018|12/31/2020|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|06/14/2018|12/31/2020| | || | |
70257033011||J2792||04/27/2017|12/31/3999|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 1,500 UNIT VIAL|1.3|ML|VIAL|IJ|ML|.0867|04/27/2017|12/31/3999| | || | |
43598040511||J3430||06/21/2019|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|PHYTONADIONE 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|06/21/2019|12/31/3999| | || | |
67457087700||J2795||01/14/2015|01/31/2021|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 200 MG/20 ML|20|ML|VIAL|IJ|ML|.1|01/14/2015|01/31/2021| | || | |
67457095000||J1644||05/25/2018|08/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|05/25/2018|08/31/2021| | || | |
67457087630||J2795||01/15/2015|03/31/2021|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|01/15/2015|03/31/2021| | || | |
67457095410||J1644||06/14/2018|12/31/2020|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|06/14/2018|12/31/2020| | || | |
65757040201||J1944||10/01/2019|07/31/2021|Inj, aristada, 1 mg|ARISTADA ER 662 MG/2.4 ML S|2.4|ML|SYRINGE|IM|ML|.0036|10/01/2019|07/31/2021| | || | |
70121165301||J3301||01/07/2019|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 400 MG/1|10|ML|VIAL|IJ|ML|.25|01/07/2019|12/31/3999| | || | |
60505619600||J1335||04/24/2019|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|ML|.5|04/24/2019|12/31/3999| | || | |
00781905370||J0330||04/15/2005|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|ANECTINE 200 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|04/15/2005|12/31/3999| | || | |
13925051510||S0080||04/03/2019|12/31/3999|Injection, pentamidine iseth|PENTAMIDINE 300 MG VIAL|1|UN|VIAL|IJ|ML|1|04/03/2019|12/31/3999| | || | |
51754600101||J3490||09/18/2018|12/31/2023|Unclassified drugs|GLYRX-PF 0.4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|09/18/2018|12/31/2023| | || | |
67457095300||J1644||03/16/2018|09/30/2021|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|03/16/2018|09/30/2021| | || | |
69339013632||J3360||04/01/2019|10/31/2022|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/01/2019|10/31/2022| | || | |
69918070001||J0330||04/10/2019|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/10/2019|12/31/3999| | || | |
70121158105||J0330||04/02/2019|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/02/2019|12/31/3999| | || | |
70594004902||J3490||10/17/2018|12/31/3999|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|10/17/2018|12/31/3999| | || | |
63323080601||J3010||06/07/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 50 MCG/ML VIAL|1|ML|VIAL|IJ|ML|2|06/07/2019|12/31/3999| | || | |
63323080602||J3010||06/07/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|06/07/2019|12/31/3999| | || | |
63323080611||J3010||06/07/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 50 MCG/ML VIAL|1|ML|VIAL|IJ|ML|2|06/07/2019|12/31/3999| | || | |
63323080612||J3010||06/07/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|06/07/2019|12/31/3999| | || | |
63323080614||J3010||06/07/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 1,000 MCG/20 ML VI|20|ML|VIAL|IJ|ML|2|06/07/2019|12/31/3999| | || | |
63323080620||J3010||06/07/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 1,000 MCG/20 ML VI|20|ML|VIAL|IJ|ML|2|06/07/2019|12/31/3999| | || | |
67457064000||J0780||04/03/2019|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|04/03/2019|12/31/3999| | || | |
67457064002||J0780||04/03/2019|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|04/03/2019|12/31/3999| | || | |
67457064099||J0780||04/03/2019|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|04/03/2019|12/31/3999| | || | |
67457070575||J3370||08/31/2018|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|EA|.6667|08/31/2018|12/31/2022| | || | |
67457081350||J0878||09/04/2018|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|09/04/2018|12/31/3999| | || | |
67457082299||J3370||08/31/2018|02/28/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 250 MG VIAL|1|UN|VIAL|IV|EA|2|08/31/2018|02/28/2022| | || | |
67457085350||J1120||11/07/2012|12/31/3999|Injection, acetazolamide sodium, up to 500 mg|ACETAZOLAMIDE SOD 500 MG VI|1|UN|VIAL|IJ|EA|1|11/07/2012|12/31/3999| | || | |
68462037629||S4993||07/10/2018|02/28/2022|Contraceptive pills for birth control|NORETH-ESTRAD-FE 1-0.02(24)|28|UN|BLIST PACK|PO|CAP|1|07/10/2018|02/28/2022| | || | |
68516360802||J7193||04/30/2004|02/28/2023|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 1,000 UNIT VIA|1|F2|VIAL|IV|AHF|1|04/30/2004|02/28/2023| | || | |
68516461502||J7186||08/01/2018|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 2,000-800 UNIT VI|1|F2|VIAL|IV|AHF|1|08/01/2018|12/31/3999| | || | |
00409329415||J3490||10/28/2004|12/31/3999|Unclassified drugs|POTASSIUM ACET 100 MEQ/50 M|50|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409818311||J3490||10/28/2004|12/31/3999|Unclassified drugs|POTASSIUM ACET 40 MEQ/20 ML|20|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00703205601||J3490||09/18/2018|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|09/18/2018|12/31/3999| | || | |
25021082850||J0640||09/12/2018|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 500 MG V|1|UN|VIAL|IJ|EA|.1|09/12/2018|12/31/3999| | || | |
51079058101||J8999||01/01/2011|10/03/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 5 MG TAB|1|UN|BLIST PACK|PO|TAB|1|01/01/2011|10/03/2021| | || | |
51079058201||J8999||01/01/2011|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 25 MG TA|1|UN|BLIST PACK|PO|TAB|1|01/01/2011|06/30/2023| | || | |
59365512801||J7300||04/24/2018|12/31/3999|Intrauterine copper contraceptive|PARAGARD T 380-A IUD|1|UN|PACKET|IY|EA|1|04/24/2018|12/31/3999| | || | |
59572020517||J8999||01/01/2011|07/09/2025|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 50 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|01/01/2011|07/09/2025| | || | |
59572020597||J8999||01/01/2011|06/30/2016|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 50 MG CAPSULE|10|UN|BLIST PACK|PO|CAP|1|01/01/2011|06/30/2016| | || | |
59572021095||J8999||01/01/2011|10/31/2020|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 100 MG CAPSULE|140|UN|BLIST PACK|PO|CAP|1|01/01/2011|10/31/2020| | || | |
59572021513||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 150 MG CAPSULE|28|UN|BLIST PACK|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572022016||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 200 MG CAPSULE|28|UN|BLIST PACK|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572022096||J8999||01/01/2011|08/31/2020|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 200 MG CAPSULE|84|UN|BLIST PACK|PO|CAP|1|01/01/2011|08/31/2020| | || | |
60687022711||J8999||02/20/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 25 MG TA|1|UN|BLIST PACK|PO|TAB|1|02/20/2017|12/31/3999| | || | |
60687022794||J8999||02/20/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 25 MG TA|20|UN|BLIST PACK|PO|TAB|1|02/20/2017|12/31/3999| | || | |
67108356509||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MESNEX 400 MG TABLET|10|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
76125079210||P9047||12/05/2011|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUKED-25 VIAL|100|ML|VIAL|IV|ML|50|12/05/2011|12/31/3999| | || | |
00009316906||J3490||01/01/1991|12/31/3999|Unclassified drugs|PROSTIN VR PEDI 500 MCG/ML|1|ML|AMPUL|IJ|ML|1|01/01/1991|12/31/3999| | || | |
69794010201||J0584||01/01/2019|12/31/3999|Injection, burosumab-twza 1 mg|CRYSVITA 10 MG/ML VIAL|1|ML|VIAL|SQ|ML|.1|01/01/2019|12/31/3999| | || | |
00310461150||J9173||01/01/2019|12/31/3999|IJ, durvalumab, 10 mg|IMFINZI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.2|01/01/2019|12/31/3999| | || | |
68001034526||Q2050||04/02/2018|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/2|25|ML|VIAL|IV|ML|5|04/02/2018|12/31/3999| | || | |
70860020910||J9209||04/26/2018|12/31/3999|Injection, mesna, 200 mg|MESNA 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|ML|2|04/26/2018|12/31/3999| | || | |
67457066205||J9351||04/09/2018|02/28/2022|Injection, topotecan, 0.1 mg|TOPOTECAN HCL 4 MG/4 ML VIA|4|ML|VIAL|IV|ML|.1|04/09/2018|02/28/2022| | || | |
50742046316||J9171||04/20/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|04/20/2018|12/31/3999| | || | |
00115180301||Q0177||02/24/2017|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|100|UN|BOTTLE|PO|CAP|1|02/24/2017|12/31/3999| | || | |
68180089113||S4993||07/01/2013|02/01/2022|Contraceptive pills for birth control|ENSKYCE 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/01/2013|02/01/2022| | || | |
68180096256||J7682||06/12/2018|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|06/12/2018|12/31/3999| | || | |
00944270008||J1569||01/01/2008|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|10|ML|VIAL|IJ|GM|5|01/01/2008|12/31/3999| | || | |
00944270009||J1569||01/01/2008|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|25|ML|VIAL|IJ|GM|5|01/01/2008|12/31/3999| | || | |
00944270013||J1569||01/01/2008|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|300|ML|VIAL|IJ|GM|5|01/01/2008|12/31/3999| | || | |
67457086301||J1626||01/03/2011|12/31/3999|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 1 MG/ML VIA|1|ML|VIAL|IV|ML|.1|01/03/2011|12/31/3999| | || | |
67457086404||J1626||01/03/2011|12/31/3999|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 4 MG/4 ML V|4|ML|VIAL|IV|ML|.1|01/03/2011|12/31/3999| | || | |
63323051774||J1644||06/27/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/250-1/2|250|ML|BAG|IV|ML|10|06/27/2018|12/31/3999| | || | |
63323051877||J1644||06/27/2018|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/500-1/2|500|ML|BAG|IV|ML|20|06/27/2018|12/31/3999| | || | |
43598063652||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|EA|1|06/18/2018|12/31/3999| | || | |
43598063710||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|EA|.6667|06/18/2018|12/31/3999| | || | |
43598063752||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|EA|.6667|06/18/2018|12/31/3999| | || | |
63323045401||J2270||05/06/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 4 MG/ML VI|1|ML|VIAL|IJ|ML|2.5|05/06/2014|12/31/2022| | || | |
69097053497||J2370||06/01/2018|09/30/2020|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/01/2018|09/30/2020| | || | |
69097053596||J2370||06/01/2018|04/30/2020|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|06/01/2018|04/30/2020| | || | |
69097061437||J2370||06/01/2018|01/31/2020|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|06/01/2018|01/31/2020| | || | |
10019066610||J3490||05/27/2003|06/30/2023|Unclassified drugs|BREVIBLOC 2,000 MG/100 ML B|100|ML|BAG|IV|ML|1|05/27/2003|06/30/2023| | || | |
10019066810||J3490||05/27/2003|06/30/2023|Unclassified drugs|BREVIBLOC 2,000 MG/100 ML B|100|ML|BAG|IV|ML|1|05/27/2003|06/30/2023| | || | |
63323057802||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
67457039210||J3490||06/01/2018|03/31/2022|Unclassified drugs|ESOMEPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|06/01/2018|03/31/2022| | || | |
50742040102||J9206||04/30/2018|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|ML|1|04/30/2018|12/31/3999| | || | |
50742040205||J9206||04/30/2018|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|04/30/2018|12/31/3999| | || | |
47781062222||J9209||04/24/2018|02/24/2020|Injection, mesna, 200 mg|MESNA 1 GRAM/10 ML VIAL|10|ML|VIAL|IV|ML|2|04/24/2018|02/24/2020| | || | |
55150030901||J1726||05/21/2019|04/06/2023|Makena, 10 mg|HYDROXYPROGEST 250 MG/ML VI|1|ML|VIAL|IM|ML|.04|05/21/2019|04/06/2023| | || | |
63323011801||J1644||02/16/2011|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|SYRINGE|IJ|ML|.1|02/16/2011|12/31/3999| | || | |
66794020815||J0295||04/17/2018|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM|1|UN|VIAL|IV|EA|.1|04/17/2018|12/31/3999| | || | |
70069002501||J1100||09/10/2019|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.1|09/10/2019|12/31/3999| | || | |
71288040402||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|09/01/2019|12/31/3999| | || | |
71288040405||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 40,000 UNIT/4 ML VI|4|ML|VIAL|IJ|ML|.1|09/01/2019|12/31/3999| | || | |
72266012501||J9263||09/12/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|09/12/2019|12/31/3999| | || | |
72266012601||J9263||09/12/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|09/12/2019|12/31/3999| | || | |
72266012610||J9263||09/12/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|09/12/2019|12/31/3999| | || | |
66794021402||J0696||09/05/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|09/05/2019|12/31/3999| | || | |
66794021442||J0696||09/05/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|09/05/2019|12/31/3999| | || | |
16729035103||J0594||07/22/2019|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|07/22/2019|12/31/3999| | || | |
16729035192||J0594||07/22/2019|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|07/22/2019|12/31/3999| | || | |
47335047281||J8999||02/01/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|90|UN|BOTTLE|PO|TAB|1|02/01/2016|12/31/3999| | || | |
47335047583||J8999||02/01/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|TAB|1|02/01/2016|12/31/3999| | || | |
51862044601||J8999||06/15/2011|10/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|100|UN|BOTTLE|PO|TAB|1|06/15/2011|10/31/2021| | || | |
51862044610||J8999||06/15/2011|02/28/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|06/15/2011|02/28/2023| | || | |
51862044710||J8999||06/15/2011|07/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 10 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|06/15/2011|07/31/2022| | || | |
60505290009||J8999||08/05/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|90|UN|BOTTLE|PO|EA|1|08/05/2016|12/31/3999| | || | |
69076091325||J8999||01/22/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MERCAPTOPURINE 50 MG TABLET|250|UN|BOTTLE|PO|TAB|1|01/22/2016|12/31/3999| | || | |
76388063525||J8999||06/21/2012|10/31/2024|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUKERAN 2 MG TABLET|25|UN|BOTTLE|PO|TAB|1|06/21/2012|10/31/2024| | || | |
00944270008||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|10|ML|VIAL|IJ|GM|5|09/06/2005|12/31/3999| | || | |
00944270011||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|100|ML|VIAL|IJ|GM|5|09/06/2005|12/31/3999| | || | |
00944270012||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|200|ML|VIAL|IJ|GM|5|09/06/2005|12/31/3999| | || | |
00026394425||J7208||07/01/2019|12/31/3999|Inj jivi 1 iu|JIVI 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2019|12/31/3999| | || | |
76125090021||90283||12/05/2011|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAKED 20 GRAM/200 ML VIA|200|ML|VIAL|IJ|ML|5|12/05/2011|12/31/3999| | || | |
76125090051||90284||12/05/2011|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMMAKED 5 GRAM/50 ML VIAL|50|ML|VIAL|IJ|ML|1|12/05/2011|12/31/3999| | || | |
76125090051||90283||12/05/2011|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAKED 5 GRAM/50 ML VIAL|50|ML|VIAL|IJ|ML|5|12/05/2011|12/31/3999| | || | |
00409729945||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM ACETATE 40 MEQ/20 ML|20|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00781375595||J3490||06/04/2019|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|06/04/2019|12/31/3999| | || | |
00944304512||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 1,801-2,400 UNIT VIA|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
16714090901||J9201||04/10/2019|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|UN|VIAL|IV|EA|1|04/10/2019|12/31/3999| | || | |
43598075710||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|EA|1|06/18/2018|12/31/3999| | || | |
43598075752||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|EA|1|06/18/2018|12/31/3999| | || | |
63323028001||J1940||04/01/1998|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/01/1998|12/31/3999| | || | |
16729043505||J0878||06/24/2019|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|06/24/2019|12/31/3999| | || | |
68001037668||J0878||06/14/2019|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|F2|VIAL|IV|AHF|.002|06/14/2019|12/31/3999| | || | |
50242006010||C9257||01/01/2010|03/31/2023|Injection, bevacizumab, 0.25 mg|AVASTIN 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.01|01/01/2010|03/31/2023| | || | |
50242006010||J9035||01/01/2005|03/31/2023|Injection, bevacizumab, 10 mg|AVASTIN 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|01/01/2005|03/31/2023| | || | |
50242006110||C9257||01/01/2010|03/31/2023|Injection, bevacizumab, 0.25 mg|AVASTIN 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.01|01/01/2010|03/31/2023| | || | |
50242006110||J9035||01/01/2005|03/31/2023|Injection, bevacizumab, 10 mg|AVASTIN 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.4|01/01/2005|03/31/2023| | || | |
60505609801||J3243||04/09/2019|12/31/3999|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|ML|.02|04/09/2019|12/31/3999| | || | |
16714089001||J0641||04/18/2019|12/31/2021|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 175 MG/17.5|17.5|ML|VIAL|IV|ML|.05|04/18/2019|12/31/2021| | || | |
67457078108||J9171||06/18/2019|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.05|06/18/2019|12/31/3999| | || | |
51224001301||J1953||12/01/2018|05/15/2023|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|12/01/2018|05/15/2023| | || | |
63323040044||J1953||06/03/2010|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|06/03/2010|12/31/3999| | || | |
44567053001||J9060||04/28/2009|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 50 MG VIAL|1|UN|VIAL|IV|GM|.2|04/28/2009|12/31/3999| | || | |
63323098221||J2543||05/20/2019|08/31/2022|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|05/20/2019|08/31/2022| | || | |
70860012250||J2543||05/10/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|GM|.25|05/10/2019|12/31/3999| | || | |
00409337811||J2543||12/27/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZO 3.375 GM ADD|1|UN|VIAL|IV|EA|.3333|12/27/2010|12/31/3999| | || | |
70860012130||J2543||05/10/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|GM|.3333|05/10/2019|12/31/3999| | || | |
00409337411||J2543||12/27/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZO 2.25 GM ADD|1|UN|VIAL|IV|EA|.5|12/27/2010|12/31/3999| | || | |
00409338311||J2543||10/22/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|10/22/2010|12/31/3999| | || | |
69543037101||J2469||09/20/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|09/20/2018|12/31/3999| | || | |
70594004601||J3370||11/06/2018|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|11/06/2018|12/31/3999| | || | |
76045038313||J2710||05/23/2019|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 3 MG/3 ML SYRIN|3|ML|SYRINGE|IV|ML|.5|05/23/2019|12/31/3999| | || | |
43598075910||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|EA|.6667|06/18/2018|12/31/3999| | || | |
43598075952||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|EA|.6667|06/18/2018|12/31/3999| | || | |
00409329946||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM ACETATE 100 MEQ/50 M|50|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
68382086010||J0515||05/22/2018|12/31/3999|Injection, benztropine mesylate, per 1 mg|BENZTROPINE 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|05/22/2018|12/31/3999| | || | |
66220016010||C9488||01/01/2018|12/31/2022|Conivaptan HCL|VAPRISOL-DEXTROSE 20 MG/100|100|ML|BAG|IV|ML|5|01/01/2018|12/31/2022| | || | |
61703035009||J9250||09/01/2016|12/31/3999|Methotrexate sodium, 5 mg|METHOTREXATE 50 MG/2 ML VIA|2|ML|VIAL|IJ|ML|.2|09/01/2016|12/31/3999| | || | |
00517074001||J2210||03/01/2018|12/31/3999|Injection, methylergonovine maleate, up to 0.2 mg|METHYLERGONOVINE 0.2 MG/ML|1|ML|VIAL|IJ|ML|1|03/01/2018|12/31/3999| | || | |
62064012202||J1746||01/01/2019|12/31/3999|Injection, ibalizumab-uiyk, 10 mg|TROGARZO 200 MG/1.33 ML VIA|1.33|ML|VIAL|IJ|EA|.0665|01/01/2019|12/31/3999| | || | |
71394041501||J3398||01/01/2019|12/31/3999|Injection, voretigene neparvovec-rzyl, 1 billion vector genomes|LUXTURNA VIAL|0.5|ML|VIAL|IJ|EA|.0033|01/01/2019|12/31/3999| | || | |
50242010801||J9311||01/01/2019|12/31/3999|IJ, rituximab 10 mg and hyaluronidase|RITUXAN HYCELA 1,400 MG-23,|11.7|ML|VIAL|SQ|ML|.0836|01/01/2019|12/31/3999| | || | |
50242010901||J9311||01/01/2019|12/31/3999|IJ, rituximab 10 mg and hyaluronidase|RITUXAN HYCELA 1,600 MG-26,|13.4|ML|VIAL|SQ|ML|.0838|01/01/2019|12/31/3999| | || | |
00115180401||Q0177||01/11/2017|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|100|UN|BOTTLE|PO|CAP|.5|01/11/2017|12/31/3999| | || | |
00115993178||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|06/01/2016|12/31/3999| | || | |
00143924701||J1190||02/28/2005|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 250 MG VIAL|1|UN|VIAL|IV|ML|1|02/28/2005|12/31/3999| | || | |
00143927501||J9000||05/01/1996|03/31/2022|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 10 MG VIAL|1|UN|VIAL|IV|ML|1|05/01/1996|03/31/2022| | || | |
00143929801||J2916||04/30/2015|12/31/3999|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|SOD FER GLUC CPLX 62.5 MG/5|5|ML|VIAL|IV|ML|1|04/30/2015|12/31/3999| | || | |
00143929810||J2916||04/30/2015|12/31/3999|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|SOD FER GLUC CPLX 62.5 MG/5|5|ML|VIAL|IV|ML|1|04/30/2015|12/31/3999| | || | |
00143931001||J3490||09/19/2016|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/19/2016|12/31/3999| | || | |
00143931110||J3490||09/19/2016|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|09/19/2016|12/31/3999| | || | |
00143951001||J9181||05/01/1996|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|05/01/1996|12/31/3999| | || | |
00143987210||J1800||05/15/2008|12/31/3999|Injection, propranolol hcl, up to 1 mg|PROPRANOLOL 1 MG/ML VIAL|1|ML|VIAL|IV|ML|1|05/15/2008|12/31/3999| | || | |
00378969052||J7614||06/12/2017|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|06/12/2017|12/31/3999| | || | |
00378969062||J7614||06/12/2017|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|06/12/2017|12/31/3999| | || | |
00378969152||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|06/01/2016|12/31/3999| | || | |
00378969252||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|06/01/2016|12/31/3999| | || | |
00409118059||J2175||10/28/2004|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 100 MG/ML CARPUJECT|1|ML|CARTRIDGE|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409120713||J1580||10/28/2004|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409177815||J3490||10/28/2004|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
68001034536||Q2050||04/02/2018|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/1|10|ML|VIAL|IV|ML|5|04/02/2018|12/31/3999| | || | |
50102020011||S4993||06/07/2018|12/31/3999|Contraceptive pills for birth control|TULANA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/07/2018|12/31/3999| | || | |
50102020013||S4993||06/07/2018|12/31/3999|Contraceptive pills for birth control|TULANA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/07/2018|12/31/3999| | || | |
50102023311||S4993||04/16/2018|12/31/3999|Contraceptive pills for birth control|TRI-VYLIBRA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/16/2018|12/31/3999| | || | |
50102023511||S4993||04/10/2018|12/31/3999|Contraceptive pills for birth control|VYLIBRA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/10/2018|12/31/3999| | || | |
50102023513||S4993||04/10/2018|12/31/3999|Contraceptive pills for birth control|VYLIBRA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/10/2018|12/31/3999| | || | |
67457039299||J3490||06/01/2018|03/31/2022|Unclassified drugs|ESOMEPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|06/01/2018|03/31/2022| | || | |
68001035160||J3490||06/28/2018|02/28/2023|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|F2|VIAL|IJ|AHF|1|06/28/2018|02/28/2023| | || | |
68001035271||J3490||06/28/2018|08/31/2022|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|F2|VIAL|IJ|AHF|1|06/28/2018|08/31/2022| | || | |
68001035372||J3490||06/28/2018|08/31/2022|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|F2|VIAL|IJ|AHF|1|06/28/2018|08/31/2022| | || | |
68382024601||J3490||06/08/2018|02/29/2020|Unclassified drugs|ETHACRYNATE SODIUM 50 MG VI|1|UN|VIAL|IV|EA|1|06/08/2018|02/29/2020| | || | |
68382091001||J3490||06/06/2018|12/31/3999|Unclassified drugs|DOXYCYCLINE HYCLATE 100 MG|1|UN|VIAL|IJ|EA|1|06/06/2018|12/31/3999| | || | |
68382091010||J3490||06/06/2018|12/31/3999|Unclassified drugs|DOXYCYCLINE HYCLATE 100 MG|1|UN|VIAL|IJ|EA|1|06/06/2018|12/31/3999| | || | |
69097052235||J3490||06/22/2018|02/14/2025|Unclassified drugs|ISOPROTERENOL 1 MG/5 ML AMP|5|ML|AMPUL|IJ|ML|1|06/22/2018|02/14/2025| | || | |
70860060503||J3490||03/23/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|03/23/2018|12/31/3999| | || | |
71288070105||J3490||05/31/2018|12/31/3999|Unclassified drugs|ATRACURIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|05/31/2018|12/31/3999| | || | |
71288070210||J3490||05/31/2018|12/31/3999|Unclassified drugs|ATRACURIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|05/31/2018|12/31/3999| | || | |
51862088601||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|ERRIN 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
51862088603||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|ERRIN 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
60505418303||S4993||05/15/2018|10/22/2021|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.03 MG T|28|UN|BLIST PACK|PO|TAB|1|05/15/2018|10/22/2021| | || | |
00143930601||J9211||05/14/2018|12/31/3999|Injection, idarubicin hydrochloride, 5 mg|IDARUBICIN HCL 5 MG/5 ML VI|5|ML|VIAL|IV|ML|5|05/14/2018|12/31/3999| | || | |
00143930701||J9211||05/10/2018|12/31/3999|Injection, idarubicin hydrochloride, 5 mg|IDARUBICIN HCL 10 MG/10 ML|10|ML|VIAL|IV|ML|5|05/10/2018|12/31/3999| | || | |
00143930801||J9211||05/14/2018|12/31/3999|Injection, idarubicin hydrochloride, 5 mg|IDARUBICIN HCL 20 MG/20 ML|20|ML|VIAL|IV|ML|5|05/14/2018|12/31/3999| | || | |
16729033203||J9263||05/17/2018|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|EA|.1|05/17/2018|12/31/3999| | || | |
16729033205||J9263||05/17/2018|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|EA|.1|05/17/2018|12/31/3999| | || | |
61314031801||Q5101||09/04/2015|12/31/3999|Inj filgrastim g-csf biosim|ZARXIO 300 MCG/0.5 ML SYRIN|0.5|ML|SYRINGE|IJ|ML|.0017|09/04/2015|12/31/3999| | || | |
61314032601||Q5101||09/04/2015|12/31/3999|Inj filgrastim g-csf biosim|ZARXIO 480 MCG/0.8 ML SYRIN|0.8|ML|SYRINGE|IJ|ML|.0017|09/04/2015|12/31/3999| | || | |
00378729953||S4993||04/23/2018|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.02 MG T|28|UN|BLIST PACK|PO|TAB|1|04/23/2018|12/31/3999| | || | |
00069130801||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 10,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.1|11/08/2018|12/31/3999| | || | |
00069130810||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 10,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.01|11/08/2018|12/31/2022| | || | |
00069130901||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 40,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.0025|11/08/2018|12/31/2022| | || | |
00069130904||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 40,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.0025|11/08/2018|12/31/2022| | || | |
00069130904||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 40,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.025|11/08/2018|12/31/3999| | || | |
00069130710||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 4,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.025|11/08/2018|12/31/2022| | || | |
00069130901||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 40,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.025|11/08/2018|12/31/3999| | || | |
72126000702||J3590||04/01/2019|12/31/3999|Unclassified Biologics|TEGSEDI 284 MG/1.5 ML SYRIN|1.5|ML|SYRINGE|SQ|ML|1|04/01/2019|12/31/3999| | || | |
72126000701||J3590||04/01/2019|12/31/3999|Unclassified Biologics|TEGSEDI 284 MG/1.5 ML SYRIN|1.5|ML|SYRINGE|SQ|ML|1|04/01/2019|12/31/3999| | || | |
00069130501||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 2,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.05|11/08/2018|12/31/2022| | || | |
00069130501||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 2,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.5|11/08/2018|12/31/3999| | || | |
00069130510||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 2,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.05|11/08/2018|12/31/2022| | || | |
00069130510||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 2,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.5|11/08/2018|12/31/3999| | || | |
00069130601||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 3,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.0333|11/08/2018|12/31/2022| | || | |
00069130601||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 3,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.3333|11/08/2018|12/31/3999| | || | |
00069130610||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 3,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.0333|11/08/2018|12/31/2022| | || | |
00069130610||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 3,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.3333|11/08/2018|12/31/3999| | || | |
00069130701||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 4,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.025|11/08/2018|12/31/2022| | || | |
00069130701||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 4,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.25|11/08/2018|12/31/3999| | || | |
00069130710||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 4,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.25|11/08/2018|12/31/3999| | || | |
00069130801||Q5105||11/08/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 10,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.01|11/08/2018|12/31/2022| | || | |
00069130810||Q5106||11/08/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 10,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.1|11/08/2018|12/31/3999| | || | |
63323011310||S0080||03/01/2019|12/31/3999|Injection, pentamidine iseth|PENTAM 300 VIAL|1|UN|VIAL|IJ|EA|1|03/01/2019|12/31/3999| | || | |
51754100701||J3490||06/20/2019|12/31/3999|Unclassified drugs|ELCYS 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|06/20/2019|12/31/3999| | || | |
51754100703||J3490||06/20/2019|12/31/3999|Unclassified drugs|ELCYS 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|06/20/2019|12/31/3999| | || | |
63323067101||J3490||06/03/2019|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|1|06/03/2019|12/31/3999| | || | |
63323067105||J3490||06/03/2019|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|1|06/03/2019|12/31/3999| | || | |
63323067150||J3490||06/03/2019|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|1|06/03/2019|12/31/3999| | || | |
63323089010||J3490||06/13/2019|12/31/3999|Unclassified drugs|LEVOTHYROXINE 200 MCG/5 ML|5|ML|VIAL|IV|ML|1|06/13/2019|12/31/3999| | || | |
68516320902||J7194||04/30/2004|05/31/2023|Factor ix, complex, per i.u.|PROFILNINE 1,500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/30/2004|05/31/2023| | || | |
69543037622||J3490||02/14/2017|10/15/2021|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|AMPUL|IV|ML|1|02/14/2017|10/15/2021| | || | |
43598075510||J1953||06/18/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|EA|2|06/18/2018|12/31/3999| | || | |
68001034836||J9201||01/15/2019|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM/10 M|10|ML|VIAL|IV|ML|2|01/15/2019|12/31/3999| | || | |
25021023926||J9201||03/04/2019|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 1 GRAM/26.3 ML|26.3|ML|VIAL|IV|ML|5.26|03/04/2019|12/31/3999| | || | |
00409234462||J1250||04/30/2005|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 250 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|04/30/2005|12/31/3999| | || | |
36000029424||J1956||06/01/2018|02/01/2021|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 250 MG/50 ML-D|50|ML|BAG|IV|ML|50|06/01/2018|02/01/2021| | || | |
36000029624||J1956||06/01/2018|06/01/2021|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/150 ML-|150|ML|BAG|IV|ML|50|06/01/2018|06/01/2021| | || | |
70594004301||J3370||03/27/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1.5 GRAM/300 ML|300|ML|BAG|IV|EA|100|03/27/2019|12/31/2022| | || | |
00338006230||J7070||01/01/1991|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|1000|01/01/1991|12/31/3999| | || | |
00338006230||J7060||01/01/1991|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|01/01/1991|12/31/3999| | || | |
00338006620||J7070||01/01/1991|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1000|01/01/1991|12/31/3999| | || | |
00338006620||J7060||01/01/1991|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|500|01/01/1991|12/31/3999| | || | |
71045001002||J0291||10/01/2019|10/31/2020|Inj, plazomicin, 5 mg|ZEMDRI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|10/01/2019|10/31/2020| | || | |
71336100001||J0222||10/01/2019|12/31/3999|Inj, patisiran, 0.1 mg|ONPATTRO 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.05|10/01/2019|12/31/3999| | || | |
70382020401||J1096||10/01/2019|12/31/3999|Dexamethasone insert, 0.1 mg|DEXTENZA 0.4 MG INSERT|1|UN|PACKET|OP|EA|.25|10/01/2019|12/31/3999| | || | |
70382020488||J1096||10/01/2019|12/31/3999|Dexamethasone insert, 0.1 mg|DEXTENZA 0.4 MG INSERT|1|UN|PACKET|OP|EA|.25|10/01/2019|12/31/3999| | || | |
71879013601||J7314||10/01/2019|12/31/3999|Inj, intravitreal implant (Yutiq), 0.01 mg|YUTIQ 0.18 MG IMPLANT|1|UN|PF APPLI|IO|EA|.0556|10/01/2019|12/31/3999| | || | |
71773005005||J0122||10/01/2019|12/31/3999|Inj, eravacycline, 1 mg|XERAVA 50 MG VIAL|1|UN|VIAL|IV|EA|.02|10/01/2019|12/31/3999| | || | |
71773005012||J0122||10/01/2019|12/31/3999|Inj, eravacycline, 1 mg|XERAVA 50 MG VIAL|1|UN|VIAL|IV|EA|.02|10/01/2019|12/31/3999| | || | |
23155024031||J2765||06/03/2019|12/31/3999|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|06/03/2019|12/31/3999| | || | |
68152011201||J0642||10/01/2019|08/31/2021|Inj, levoleucovorin (khapzory), 0.5 mg|KHAPZORY 175 MG VIAL|1|UN|VIAL|IV|EA|.0029|10/01/2019|08/31/2021| | || | |
00409188615||J1953||11/02/2012|01/31/2024|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|11/02/2012|01/31/2024| | || | |
00409230611||J2250||10/28/2004|09/30/2021|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 2 MG/2 ML ISECURE|2|ML|SYRINGE|IJ|ML|1|10/28/2004|09/30/2021| | || | |
00409329915||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM ACETATE 100 MEQ/50 M|50|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409656202||J1071||08/09/2016|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|08/09/2016|12/31/3999| | || | |
00409669511||J3490||10/28/2004|12/31/3999|Unclassified drugs|AMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409677805||J2060||10/28/2004|09/30/2022|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/28/2004|09/30/2022| | || | |
00409677815||J2060||10/28/2004|09/30/2022|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/28/2004|09/30/2022| | || | |
00409724160||J0171||01/01/2011|09/01/2018|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|01/01/2011|09/01/2018| | || | |
00409733720||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|EA|1|07/20/2005|12/31/3999| | || | |
00555048401||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 5 MG TAB|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00555048527||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 25 MG TA|25|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00555900980||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|NORTREL 1-35 21 TABLET|21|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
70510217101||J1301||01/01/2019|12/31/3999|Injection, edaravone, 1 mg|RADICAVA 30 MG/100 ML BAG|100|ML|BAG|IV|ML|3.3333|01/01/2019|12/31/3999| | || | |
00555904579||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|AVIANE-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
00641621725||J2800||05/02/2011|12/31/3999|Injection, methocarbamol, up to 10 ml|ROBAXIN 1,000 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|10|05/02/2011|12/31/3999| | || | |
00409904211||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25%-EPI 1:200|10|ML|VIAL|IJ|ML|30|10/28/2004|03/31/2023| | || | |
00409904511||S0020||10/28/2004|03/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5%-EPI 1:200,|10|ML|VIAL|IJ|ML|30|10/28/2004|03/31/2023| | || | |
00781410315||S4993||01/10/2011|12/31/3999|Contraceptive pills for birth control|DROSP-EE-LEVOMEF 3-0.03-0.4|28|UN|BLIST PACK|PO|TAB|1|01/10/2011|12/31/3999| | || | |
00781921395||J2543||10/21/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|10/21/2010|12/31/3999| | || | |
00944285002||90284||11/16/2016|09/30/2023|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUVITRU 1 GRAM/5 ML VIAL|5|ML|VIAL|SQ|ML|.5|11/16/2016|09/30/2023| | || | |
00944285006||90284||11/16/2016|09/30/2023|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUVITRU 4 GRAM/20 ML VIAL|20|ML|VIAL|SQ|ML|.5|11/16/2016|09/30/2023| | || | |
10122062001||C9460||01/01/2016|12/31/3999|Injection, cangrelor|KENGREAL 50 MG VIAL|1|UN|VIAL|IV|ML|.02|01/01/2016|12/31/3999| | || | |
10885000301||J2062||01/01/2019|09/30/2021|Loxapine for inhalation, 1 mg|ADASUVE 10 MG INHALATION PO|1|UN|PACKET|IH|EA|1|01/01/2019|09/30/2021| | || | |
16714083401||J2469||08/16/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|08/16/2018|12/31/3999| | || | |
17478032705||J3489||08/23/2015|04/30/2020|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|EA|1.25|08/23/2015|04/30/2020| | || | |
23155060031||J2250||03/17/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|03/17/2017|12/31/3999| | || | |
24201023701||J9185||01/30/2018|12/31/3999|Injection, fludarabine phosphate, 50 mg|FLUDARABINE 50 MG VIAL|1|UN|VIAL|IV|EA|1|01/30/2018|12/31/3999| | || | |
25021024602||J9340||07/23/2018|12/31/3999|Thiotepa injection|THIOTEPA 15 MG VIAL|1|UN|VIAL|IJ|EA|1|07/23/2018|12/31/3999| | || | |
00378729985||S4993||04/23/2018|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.02 MG T|28|UN|BLIST PACK|PO|TAB|1|04/23/2018|12/31/3999| | || | |
68180087913||S4993||05/07/2018|01/21/2023|Contraceptive pills for birth control|BEKYREE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|05/07/2018|01/21/2023| | || | |
68180089111||S4993||07/01/2013|02/01/2022|Contraceptive pills for birth control|ENSKYCE 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/01/2013|02/01/2022| | || | |
70700011485||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|LORYNA 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
70700011585||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|SYEDA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
70700011685||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|ALTAVERA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
70700011787||S4993||04/17/2017|01/01/2022|Contraceptive pills for birth control|INTROVALE 0.15-0.03 MG TABL|91|UN|BLIST PACK|PO|TAB|1|04/17/2017|01/01/2022| | || | |
70700011985||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|ESTARYLLA 0.25-0.035 MG TAB|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
70700012085||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|TRI-LO-ESTARYLLA TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
75854060203||S4993||04/30/2018|12/31/3999|Contraceptive pills for birth control|BALCOLTRA TABLET|28|UN|BLIST PACK|PO|TAB|1|04/30/2018|12/31/3999| | || | |
75854060228||S4993||04/30/2018|12/31/3999|Contraceptive pills for birth control|BALCOLTRA TABLET|28|UN|BLIST PACK|PO|TAB|1|04/30/2018|12/31/3999| | || | |
63323062353||J7030||04/02/2014|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|BAG|IV|ML|1000|04/02/2014|12/31/3999| | || | |
63323062353||J7040||04/02/2014|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|BAG|IV|ML|500|04/02/2014|12/31/3999| | || | |
63323062353||J7050||04/02/2014|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|BAG|IV|ML|250|04/02/2014|12/31/3999| | || | |
63323062374||J7030||04/02/2014|08/07/2025|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|BAG|IV|ML|1000|04/02/2014|08/07/2025| | || | |
63323062374||J7040||04/02/2014|08/07/2025|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|BAG|IV|ML|500|04/02/2014|08/07/2025| | || | |
63323062374||J7050||04/02/2014|08/07/2025|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|BAG|IV|ML|250|04/02/2014|08/07/2025| | || | |
68516461101||J7186||09/28/2009|05/26/2023|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 250-100 UNIT VIAL|1|F2|VIAL|IV|AHF|1|09/28/2009|05/26/2023| | || | |
68516461201||J7186||01/01/2009|10/31/2023|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 500-200 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2009|10/31/2023| | || | |
68516461302||J7186||01/01/2009|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 1,000-400 UNIT VI|1|F2|VIAL|IV|AHF|1|01/01/2009|12/31/3999| | || | |
68516461402||J7186||01/01/2009|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 1,500-600 UNIT VI|1|F2|VIAL|IV|AHF|1|01/01/2009|12/31/3999| | || | |
43975031510||J8999||06/06/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BEXAROTENE 75 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|06/06/2018|12/31/3999| | || | |
00143924001||J9040||02/24/2003|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 15 UNIT V|1|UN|VIAL|IJ|ML|1|02/24/2003|12/31/3999| | || | |
00143924101||J9040||02/24/2003|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 30 UNIT V|1|UN|VIAL|IJ|ML|.5|02/24/2003|12/31/3999| | || | |
00409032320||J9040||10/28/2004|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 30 UNIT V|1|UN|VIAL|IJ|EA|.5|10/28/2004|12/31/3999| | || | |
00409033220||J9040||10/28/2004|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 15 UNIT V|1|UN|VIAL|IJ|EA|1|10/28/2004|12/31/3999| | || | |
68982084004||90283||01/09/2015|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 5% VIAL|200|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
68982084005||90283||01/09/2015|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 5% VIAL|500|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
68982084001||90283||01/09/2015|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 5% VIAL|20|ML|VIAL|IV|ML|10|01/09/2015|12/31/3999| | || | |
76125015011||90375||03/19/2018|03/31/2022|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|KEDRAB 1,500 UNIT/10 ML VIA|10|ML|VIAL|IM|ML|1|03/19/2018|03/31/2022| | || | |
58468022501||C9047||07/01/2019|12/31/3999|Injection, caplacizumab-yhdp|CABLIVI 11 MG KIT|1|UN|KIT|IJ|EA|.0909|07/01/2019|12/31/3999| | || | |
00409401161||J3490||10/28/2004|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML AMPUL|2|ML|AMPUL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409435013||J3490||10/28/2004|12/31/3999|Unclassified drugs|DILTIAZEM 100 MG ADD-VAN VI|1|UN|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
42571031387||J3490||07/16/2019|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|07/16/2019|12/31/3999| | || | |
42571031397||J3490||07/16/2019|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|07/16/2019|12/31/3999| | || | |
43598069858||J3490||07/02/2019|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|07/02/2019|12/31/3999| | || | |
52565005301||J3490||12/21/2012|06/30/2023|Unclassified drugs|CEFOTAN 2 GM VIAL|1|UN|VIAL|IJ|GM|1|12/21/2012|06/30/2023| | || | |
63323036744||J3490||01/04/2016|07/31/2022|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|01/04/2016|07/31/2022| | || | |
70069014110||J3490||09/24/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|09/24/2019|12/31/3999| | || | |
70069015110||J3490||09/24/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|09/24/2019|12/31/3999| | || | |
70121157607||J3490||07/03/2019|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|07/03/2019|12/31/3999| | || | |
72266010301||J3490||09/12/2019|06/30/2023|Unclassified drugs|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|09/12/2019|06/30/2023| | || | |
72266014610||J3490||09/12/2019|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/12/2019|12/31/3999| | || | |
72266014710||J3490||09/12/2019|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|09/12/2019|12/31/3999| | || | |
69097080737||J0878||09/24/2019|02/28/2023|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|ML|.002|09/24/2019|02/28/2023| | || | |
16729043405||J0878||07/16/2019|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|07/16/2019|12/31/3999| | || | |
63323058515||J0878||09/03/2019|09/30/2022|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|09/03/2019|09/30/2022| | || | |
15054106004||J1930||01/09/2015|12/31/3999|Injection, lanreotide, 1 mg|SOMATULINE DEPOT 60 MG/0.2|0.2|ML|SYRINGE|SC|ML|.0033|01/09/2015|12/31/3999| | || | |
52536062501||J1071||07/29/2019|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|07/29/2019|12/31/3999| | || | |
00409662912||J0330||10/28/2004|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|QUELICIN 200 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00517013001||J3420||08/22/2019|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|08/22/2019|12/31/3999| | || | |
42023020901||J3285||09/25/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 200 MG/20 ML V|20|ML|VIAL|IJ|ML|1|09/25/2019|12/31/3999| | || | |
66794020602||J0295||06/27/2018|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|06/27/2018|12/31/3999| | || | |
67457051625||Q2009||12/06/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 100 MG PE/2 ML|2|ML|VIAL|IJ|ML|1|12/06/2016|12/31/2022| | || | |
13533063111||J2790||07/21/2005|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|HYPERRHO S-D 1,500 UNIT SYR|1|UN|SYRINGE|IM|ML|1|07/21/2005|12/31/3999| | || | |
67457051600||Q2009||12/06/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 100 MG PE/2 ML|2|ML|VIAL|IJ|ML|1|12/06/2016|12/31/2022| | || | |
70121139001||Q2009||08/23/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 500 MG PE/10 M|10|ML|VIAL|IJ|ML|1|08/23/2016|12/31/2022| | || | |
67457051700||Q2009||12/06/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 500 MG PE/10 M|10|ML|VIAL|IJ|ML|1|12/06/2016|12/31/2022| | || | |
67457051701||Q2009||12/06/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 500 MG PE/10 M|10|ML|VIAL|IJ|ML|1|12/06/2016|12/31/2022| | || | |
70121138105||Q2009||08/23/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 100 MG PE/2 ML|2|ML|VIAL|IJ|ML|1|08/23/2016|12/31/2022| | || | |
70121139007||Q2009||08/23/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 500 MG PE/10 M|10|ML|VIAL|IJ|ML|1|08/23/2016|12/31/2022| | || | |
67457065725||J3490||09/04/2018|06/30/2023|Unclassified drugs|ESMOLOL 2,500 MG/250 ML-NAC|250|ML|BAG|IV|ML|1|09/04/2018|06/30/2023| | || | |
67457083902||J3490||08/10/2018|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|08/10/2018|12/31/3999| | || | |
67457065810||J3490||09/04/2018|06/30/2023|Unclassified drugs|ESMOLOL 2,000 MG/100 ML-NAC|100|ML|BAG|IV|ML|1|09/04/2018|06/30/2023| | || | |
00078086714||J8999||03/20/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|KISQALI 400 MG DAILY DOSE|14|UN|BLIST PACK|PO|TAB|1|03/20/2017|12/31/3999| | || | |
00078087421||J8999||03/15/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|KISQALI 600 MG DAILY DOSE|21|UN|BLIST PACK|PO|TAB|1|03/15/2017|12/31/3999| | || | |
24201001050||J2515||02/28/2018|12/31/3999|Injection, pentobarbital sodium, per 50 mg|PENTOBARBITAL 2,500 MG/50 M|50|ML|VIAL|IJ|ML|1|02/28/2018|12/31/3999| | || | |
25021067650||J2515||05/01/2017|12/31/3999|Injection, pentobarbital sodium, per 50 mg|PENTOBARBITAL 2,500 MG/50 M|50|ML|VIAL|IJ|ML|1|05/01/2017|12/31/3999| | || | |
50419048301||S4993||09/05/2006|12/31/3999|Contraceptive pills for birth control|ANGELIQ 0.5 MG-1 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|09/05/2006|12/31/3999| | || | |
63323062361||J7050||04/02/2014|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|BAG|IV|ML|250|04/02/2014|12/31/3999| | || | |
00074364203||J9217||10/02/1998|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|LUPRON DEPOT 7.5 MG KIT|1|UN|KIT|IM|EA|1|10/02/1998|12/31/3999| | || | |
24201001020||J2515||02/28/2018|12/31/3999|Injection, pentobarbital sodium, per 50 mg|PENTOBARBITAL 1,000 MG/20 M|20|ML|VIAL|IJ|ML|1|02/28/2018|12/31/3999| | || | |
25021067620||J2515||05/01/2017|12/31/3999|Injection, pentobarbital sodium, per 50 mg|PENTOBARBITAL 1,000 MG/20 M|20|ML|VIAL|IJ|ML|1|05/01/2017|12/31/3999| | || | |
42023022185||J1335||01/17/2008|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|GM|.5|01/17/2008|12/31/3999| | || | |
63323062361||J7030||04/02/2014|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|BAG|IV|ML|1000|04/02/2014|12/31/3999| | || | |
63323062461||J7060||04/27/2017|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|FLEX CONT|IV|ML|500|04/27/2017|12/31/3999| | || | |
60505083001||J7699||03/22/2016|12/31/2022|NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME|MOMETASONE FUROATE 50 MCG S|17|GR|CANISTER|NS|EA|1|03/22/2016|12/31/2022| | || | |
64679073001||Q2009||02/19/2018|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 500 MG PE/10 M|10|ML|VIAL|IJ|ML|1|02/19/2018|12/31/2022| | || | |
36000001225||J2405||06/01/2018|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|06/01/2018|12/31/3999| | || | |
36000024401||J3260||06/01/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|06/01/2018|12/31/3999| | || | |
42023012989||J2680||07/09/2014|12/31/3999|Injection, fluphenazine decanoate, up to 25 mg|FLUPHENAZINE DEC 125 MG/5 M|5|ML|VIAL|IJ|ML|1|07/09/2014|12/31/3999| | || | |
42023022101||J1335||01/17/2008|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|GM|.5|01/17/2008|12/31/3999| | || | |
42858086706||Q0167||01/01/2011|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
43598052811||J2710||09/11/2018|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/11/2018|12/31/3999| | || | |
43598052911||J2710||09/11/2018|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|09/11/2018|12/31/3999| | || | |
44567024685||J0694||07/08/2009|01/31/2023|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 2 GM VIAL|1|UN|VIAL|IV|EA|.5|07/08/2009|01/31/2023| | || | |
44567042124||J3475||07/26/2018|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|BAG|IV|ML|12.5|07/26/2018|12/31/3999| | || | |
45963061383||J9267||02/06/2015|04/30/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML V|16.7|ML|VIAL|IV|ML|.1667|02/06/2015|04/30/2021| | || | |
45963061389||J9267||02/06/2015|08/31/2021|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|ML|.1667|02/06/2015|08/31/2021| | || | |
45963063858||J9263||08/06/2018|02/29/2020|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|08/06/2018|02/29/2020| | || | |
47781058393||J1885||10/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/10/2017|12/31/3999| | || | |
50102010003||S4993||07/16/2013|12/31/3999|Contraceptive pills for birth control|LYZA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/16/2013|12/31/3999| | || | |
50102010010||S4993||07/16/2013|12/31/3999|Contraceptive pills for birth control|LYZA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|07/16/2013|12/31/3999| | || | |
50102022021||S4993||09/04/2018|12/31/3999|Contraceptive pills for birth control|AUBRA EQ-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|09/04/2018|12/31/3999| | || | |
50102023021||S4993||09/04/2018|12/31/3999|Contraceptive pills for birth control|CHATEAL EQ-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|09/04/2018|12/31/3999| | || | |
50102023023||S4993||09/04/2018|12/31/3999|Contraceptive pills for birth control|CHATEAL EQ-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|09/04/2018|12/31/3999| | || | |
50102025423||S4993||09/04/2018|12/31/3999|Contraceptive pills for birth control|CYRED EQ 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|09/04/2018|12/31/3999| | || | |
50419040201||S4993||10/16/2003|12/31/3999|Contraceptive pills for birth control|YASMIN 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|12/31/3999| | || | |
50419040501||S4993||04/03/2006|12/31/3999|Contraceptive pills for birth control|YAZ 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/03/2006|12/31/3999| | || | |
50458019406||S4993||10/16/2003|04/30/2021|Contraceptive pills for birth control|ORTHO MICRONOR 0.35 MG TABL|28|UN|BLIST PACK|PO|TAB|1|10/16/2003|04/30/2021| | || | |
50742049525||J0641||09/11/2018|06/30/2021|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 250 MG/25 ML|25|ML|VIAL|IV|ML|.05|09/11/2018|06/30/2021| | || | |
51754102901||J3490||07/22/2018|12/31/3999|Unclassified drugs|NIPRIDE RTU 20 MG/100 ML VI|100|ML|VIAL|PO|ML|1|07/22/2018|12/31/3999| | || | |
51862002801||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|LUTERA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
00006306101||J1453||11/15/2010|12/31/3999|Injection, fosaprepitant, 1 mg|EMEND 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|11/15/2010|12/31/3999| | || | |
00006430501||Q5104||04/01/2018|12/31/3999|INJECTION, INFLIXIMAB-ABDA, (RENFLEXIS), 10 MG|RENFLEXIS 100 MG VIAL|1|UN|VIAL|IV|EA|.1|04/01/2018|12/31/3999| | || | |
00009003906||J2920||01/01/1991|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|SOLU-MEDROL 40 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/1991|12/31/3999| | || | |
47781060427||J9045||04/02/2018|08/31/2021|Injection, carboplatin, 50 mg|CARBOPLATIN 150 MG/15 ML VI|15|ML|VIAL|IV|ML|5|04/02/2018|08/31/2021| | || | |
47781060594||J9045||04/02/2018|01/01/2021|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|04/02/2018|01/01/2021| | || | |
50742044745||J9045||04/19/2018|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|04/19/2018|12/31/3999| | || | |
50742044860||J9045||04/19/2018|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VI|60|ML|VIAL|IV|ML|5|04/19/2018|12/31/3999| | || | |
70121123801||J9070||06/22/2018|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|EA|.2|06/22/2018|12/31/3999| | || | |
70121123901||J9070||06/22/2018|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|EA|.1|06/22/2018|12/31/3999| | || | |
70121124001||J9070||06/22/2018|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|EA|.05|06/22/2018|12/31/3999| | || | |
67457045552||J9100||06/07/2012|10/31/2022|Injection, cytarabine, 100 mg|CYTARABINE 100 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|5|06/07/2012|10/31/2022| | || | |
00143955001||J9150||05/21/1998|12/31/3999|Injection, daunorubicin, 10 mg|DAUNORUBICIN 50 MG/10 ML VI|10|ML|VIAL|IV|ML|2|05/21/1998|12/31/3999| | || | |
00143955110||J9150||05/21/1998|12/31/3999|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIA|4|ML|VIAL|IV|ML|2|05/21/1998|12/31/3999| | || | |
50742042802||J9171||04/20/2018|04/30/2021|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|04/20/2018|04/30/2021| | || | |
50742043108||J9171||04/20/2018|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|04/20/2018|12/31/3999| | || | |
70069002125||J1100||05/08/2018|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|05/08/2018|12/31/3999| | || | |
47781062407||J0895||04/26/2018|06/30/2020|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 2 GRAM VIAL|1|UN|VIAL|IJ|GM|.25|04/26/2018|06/30/2020| | || | |
63323057805||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
68382047001||J3490||04/18/2018|03/31/2023|Unclassified drugs|INDOMETHACIN 1 MG VIAL|1|UN|VIAL|IV|ML|1|04/18/2018|03/31/2023| | || | |
69097052131||J3490||06/22/2018|03/31/2023|Unclassified drugs|ISOPROTERENOL 0.2 MG/ML AMP|1|ML|AMPUL|IJ|ML|1|06/22/2018|03/31/2023| | || | |
68516360702||J7193||04/30/2004|05/31/2023|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/30/2004|05/31/2023| | || | |
68516320701||J7194||04/30/2004|02/28/2023|Factor ix, complex, per i.u.|PROFILNINE 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/30/2004|02/28/2023| | || | |
68516320802||J7194||04/30/2004|12/31/3999|Factor ix, complex, per i.u.|PROFILNINE 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/30/2004|12/31/3999| | || | |
66993002235||J7614||01/01/2005|10/03/2022|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|01/01/2005|10/03/2022| | || | |
00409733521||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|07/20/2005|12/31/3999| | || | |
36000000824||J0744||06/01/2018|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACN-D5W 200 MG/100|100|ML|BAG|IV|ML|100|06/01/2018|12/31/3999| | || | |
55150031001||J1726||05/21/2019|04/06/2023|Makena, 10 mg|HYDROXYPROGEST 1,250 MG/5 M|5|ML|VIAL|IM|ML|.04|05/21/2019|04/06/2023| | || | |
71288040231||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
72485010101||J1200||09/13/2019|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML VI|1|ML|VIAL|IJ|ML|1|09/13/2019|12/31/3999| | || | |
42023021301||J2370||07/17/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|07/17/2019|06/30/2023| | || | |
42023021501||J2370||07/17/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|1|07/17/2019|06/30/2023| | || | |
54879003664||J9050||07/01/2019|12/31/3999|Injection, carmustine, 100 mg|CARMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2019|12/31/3999| | || | |
63323022143||J3370||04/01/1998|04/30/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/1998|04/30/2022| | || | |
63323075101||J2370||07/26/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|07/26/2019|06/30/2023| | || | |
67457092802||J9120||01/03/2018|01/30/2025|Injection, dactinomycin, 0.5 mg|DACTINOMYCIN 0.5 MG VIAL|1|UN|VIAL|IV|EA|1|01/03/2018|01/30/2025| | || | |
70121157701||J2370||10/15/2018|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|10/15/2018|06/30/2023| | || | |
70121157801||J2370||01/14/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|1|01/14/2019|06/30/2023| | || | |
71288011290||J9245||09/01/2019|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|09/01/2019|12/31/3999| | || | |
72485021102||J9206||09/13/2019|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|ML|1|09/13/2019|12/31/3999| | || | |
00527145006||Q0167||11/07/2018|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|11/07/2018|12/31/3999| | || | |
14539067401||Q0177||07/29/2019|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|100|UN|BOTTLE|PO|CAP|1|07/29/2019|12/31/3999| | || | |
68180082709||S4993||03/15/2016|12/31/3999|Contraceptive pills for birth control|FYAVOLV 0.5 MG-2.5 MCG TABL|90|UN|BOTTLE|PO|TAB|1|03/15/2016|12/31/3999| | || | |
68180082711||S4993||03/15/2016|12/15/2022|Contraceptive pills for birth control|FYAVOLV 0.5 MG-2.5 MCG TABL|28|UN|BLIST PACK|PO|TAB|1|03/15/2016|12/15/2022| | || | |
68462030384||S4993||08/01/2010|12/31/3999|Contraceptive pills for birth control|HEATHER 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|08/01/2010|12/31/3999| | || | |
68462050481||S4993||08/28/2019|12/31/3999|Contraceptive pills for birth control|HAILEY 21 1.5 MG-30 MCG TAB|21|UN|BLIST PACK|PO|TAB|1|08/28/2019|12/31/3999| | || | |
70700011384||S4993||07/11/2017|12/31/3999|Contraceptive pills for birth control|ISIBLOOM 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|07/11/2017|12/31/3999| | || | |
70700011484||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|LORYNA 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
70700011684||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|ALTAVERA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
70700011884||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|VIENVA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
70700011984||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|ESTARYLLA 0.25-0.035 MG TAB|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
70700012184||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|TRI-ESTARYLLA TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
17478001502||J0500||06/27/2019|06/30/2023|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML AMPU|2|ML|AMPUL|IM|ML|2|06/27/2019|06/30/2023| | || | |
63323098121||J2543||09/23/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|09/23/2019|12/31/3999| | || | |
70710161006||J9017||09/17/2019|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|09/17/2019|12/31/3999| | || | |
00338012612||J3490||08/27/2019|12/31/3999|Unclassified drugs|MYXREDLIN 100 UNIT/100 ML B|100|ML|BAG|IV|ML|1|08/27/2019|12/31/3999| | || | |
13925017705||J3490||11/18/2008|03/31/2021|Unclassified drugs|ALCOHOL,DEHYDRATED 98% VIAL|5|ML|VIAL|IJ|ML|1|11/18/2008|03/31/2021| | || | |
72237010102||J8999||07/18/2019|07/06/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XPOVIO 80 MG ONCE WEEKLY DO|16|UN|BLIST PACK|PO|TAB|1|07/18/2019|07/06/2023| | || | |
65162089129||J7699||04/04/2017|12/31/2022|NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME|MOMETASONE FUROATE 50 MCG S|17|GR|BOTTLE|NS|GM|1|04/04/2017|12/31/2022| | || | |
66794064702||J3490||01/31/2018|12/31/3999|Unclassified drugs|LEVOTHYROXINE 200 MCG VIAL|1|UN|VIAL|IV|EA|1|01/31/2018|12/31/3999| | || | |
66794064802||J3490||01/31/2018|12/31/3999|Unclassified drugs|LEVOTHYROXINE 500 MCG VIAL|1|UN|VIAL|IV|EA|1|01/31/2018|12/31/3999| | || | |
66794064902||J3490||01/31/2018|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG VIAL|1|UN|VIAL|IV|EA|1|01/31/2018|12/31/3999| | || | |
69097031886||J7633||11/17/2017|09/30/2022|Budesonide, inhalation solution, fda-approved final product, non-compounded...|BUDESONIDE 0.25 MG/2 ML SUS|2|ML|AMPUL|IH|ML|1|11/17/2017|09/30/2022| | || | |
00944305103||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 200-400 UNIT VIAL|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305104||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 200-400 UNIT VIAL|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305203||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 401-800 UNIT VIAL|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305204||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 401-800 UNIT VIAL|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305303||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 801-1,200 UNIT VIAL|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305304||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 801-1,200 UNIT VIAL|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305403||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 1,201-1,800 UNIT VIA|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
00944305404||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 1,201-1,800 UNIT VIA|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
17478017312||J7614||01/01/2005|06/30/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|XOPENEX 0.63 MG/3 ML SOLUTI|3|ML|VIAL|IH|ML|2.38|01/01/2005|06/30/2023| | || | |
17478017412||J7614||01/01/2005|06/30/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|XOPENEX 1.25 MG/3 ML SOLUTI|3|ML|VIAL|IH|ML|1.2|01/01/2005|06/30/2023| | || | |
63323062361||J7040||04/02/2014|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|BAG|IV|ML|500|04/02/2014|12/31/3999| | || | |
64679072901||Q2009||02/19/2018|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 100 MG PE/2 ML|2|ML|VIAL|IJ|ML|1|02/19/2018|12/31/2022| | || | |
69911086902||J7202||08/28/2018|12/31/3999|Factor ix idelvion inj|IDELVION 3,500 UNIT RANGE V|1|F2|VIAL|IV|AHF|1|08/28/2018|12/31/3999| | || | |
70069026101||J3490||09/12/2018|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|09/12/2018|12/31/3999| | || | |
70069027105||J3490||09/20/2018|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|09/20/2018|12/31/3999| | || | |
70069027125||J3490||09/20/2018|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|09/20/2018|12/31/3999| | || | |
70069027201||J3490||09/20/2018|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|09/20/2018|12/31/3999| | || | |
70069027205||J3490||09/20/2018|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|09/20/2018|12/31/3999| | || | |
70860065105||J3490||08/13/2018|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|08/13/2018|12/31/3999| | || | |
70860065110||J3490||08/13/2018|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|08/13/2018|12/31/3999| | || | |
71104091101||J7201||05/29/2018|12/31/3999|Injection, factor ix, fc fusion protein (recombinant), per iu|ALPROLIX 500 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104092201||J7201||05/29/2018|12/31/3999|Injection, factor ix, fc fusion protein (recombinant), per iu|ALPROLIX 1,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
00053768032||P9047||06/03/2002|09/10/2022|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMINAR-25 IV SOLUTION|50|ML|VIAL|IV|ML|50|06/03/2002|09/10/2022| | || | |
00264775110||J7121||10/01/2018|12/31/3999|5% dextrose in lac ringers|DEXTROSE 5%-LR IV SOLUTION|500|ML|BAG|IV|ML|1000|10/01/2018|12/31/3999| | || | |
00338012503||J7121||10/01/2018|12/31/3999|5% dextrose in lac ringers|DEXTROSE 5%-LR IV SOLUTION|500|ML|BAG|IV|ML|1000|10/01/2018|12/31/3999| | || | |
00338081104||J3480||10/01/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-LACT RINGER|1000|ML|BAG|IV|ML|100|10/01/2018|12/31/3999| | || | |
00264775100||J7121||10/01/2018|12/31/3999|5% dextrose in lac ringers|DEXTROSE 5%-LR IV SOLUTION|1000|ML|BAG|IV|ML|1000|10/01/2018|12/31/3999| | || | |
00338012504||J7121||10/01/2018|12/31/3999|5% dextrose in lac ringers|DEXTROSE 5%-LR IV SOLUTION|1000|ML|BAG|IV|ML|1000|10/01/2018|12/31/3999| | || | |
00409792909||J7121||10/01/2018|03/01/2021|5% dextrose in lac ringers|DEXTROSE 5%-LR IV SOLUTION|1000|ML|BAG|IV|ML|1000|10/01/2018|03/01/2021| | || | |
00053768033||P9047||06/01/2002|09/17/2022|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMINAR-25 IV SOLUTION|100|ML|VIAL|IV|ML|50|06/01/2002|09/17/2022| | || | |
13533068421||P9047||07/21/2005|09/30/2020|ALBUMIN (HUMAN), 25%, 50 ML|PLASBUMIN-25 IV SOLUTION|50|ML|VIAL|IV|ML|50|07/21/2005|09/30/2020| | || | |
13533069221||P9047||07/21/2005|09/30/2021|ALBUMIN (HUMAN), 25%, 50 ML|PLASBUMIN-25 IV SOLUTION|50|ML|VIAL|IV|ML|50|07/21/2005|09/30/2021| | || | |
13533069220||P9047||07/21/2005|09/30/2021|ALBUMIN (HUMAN), 25%, 50 ML|PLASBUMIN-25 IV SOLUTION|50|ML|VIAL|IV|ML|50|07/21/2005|09/30/2021| | || | |
30237890006||Q2043||01/01/2018|12/31/3999|Sipuleucel-T auto CD54+|PROVENGE INFUSION BAG|250|ML|BAG|IV|ML|250|01/01/2018|12/31/3999| | || | |
68516521405||P9041||05/05/2009|12/31/3999|ALBUMIN (HUMAN), 5%|ALBUTEIN 5% VIAL|50|ML|VIAL|IV|ML|50|05/05/2009|12/31/3999| | || | |
68516521406||P9041||05/05/2009|12/31/3999|ALBUMIN (HUMAN), 5%|ALBUTEIN 5% VIAL|50|ML|VIAL|IV|ML|50|05/05/2009|12/31/3999| | || | |
68516521404||P9045||05/05/2009|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUTEIN 5% VIAL|500|ML|VIAL|IV|ML|250|05/05/2009|12/31/3999| | || | |
00944049301||P9047||06/01/2002|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|FLEXBUMIN 25% IV SOLUTION|50|ML|FLEX CONT|IV|ML|50|06/01/2002|12/31/3999| | || | |
13533068420||P9047||07/21/2005|09/30/2020|ALBUMIN (HUMAN), 25%, 50 ML|PLASBUMIN-25 IV SOLUTION|50|ML|VIAL|IV|ML|50|07/21/2005|09/30/2020| | || | |
00009004703||J2930||01/01/1991|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 125 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/1991|12/31/3999| | || | |
00009004704||J2930||01/01/1991|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 125 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/1991|12/31/3999| | || | |
00009069802||J2930||01/01/1991|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.125|01/01/1991|12/31/3999| | || | |
00069031401||J2185||07/01/2004|03/31/2023|Injection, meropenem, 100 mg|MERREM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|07/01/2004|03/31/2023| | || | |
00069031410||J2185||07/01/2004|03/31/2023|Injection, meropenem, 100 mg|MERREM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|07/01/2004|03/31/2023| | || | |
00069098301||J9315||01/01/2011|03/31/2021|Injection, romidepsin, 1 mg|ROMIDEPSIN 10 MG KIT|1|UN|VIAL|IV|EA|.1|01/01/2011|03/31/2021| | || | |
52609450506||J0895||04/16/2018|09/30/2022|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 500 MG VIAL|1|UN|VIAL|IJ|EA|1|04/16/2018|09/30/2022| | || | |
16729026003||J1327||04/09/2018|10/31/2020|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|ML|VIAL|IV|EA|2.5|04/09/2018|10/31/2020| | || | |
16729026038||J1327||04/09/2018|11/30/2020|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 200 MG/100 ML|100|ML|VIAL|IV|EA|2.5|04/09/2018|11/30/2020| | || | |
00944270010||J1569||01/01/2008|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|50|ML|VIAL|IJ|GM|5|01/01/2008|12/31/3999| | || | |
00944270011||J1569||01/01/2008|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|100|ML|VIAL|IJ|GM|5|01/01/2008|12/31/3999| | || | |
00944270012||J1569||01/01/2008|12/31/3999|Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g. liqu...|GAMMAGARD LIQUID 10% VIAL|200|ML|VIAL|IJ|GM|5|01/01/2008|12/31/3999| | || | |
65862077685||S4993||06/05/2018|12/31/3999|Contraceptive pills for birth control|MILI 0.25-0.035 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/05/2018|12/31/3999| | || | |
69097092735||J2469||03/23/2018|12/31/2022|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IJ|ML|.5|03/23/2018|12/31/2022| | || | |
68516360902||J7193||04/30/2004|12/31/3999|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 1,500 UNIT VIA|1|F2|VIAL|IV|AHF|1|04/30/2004|12/31/3999| | || | |
69238155406||S4993||08/10/2017|06/30/2023|Contraceptive pills for birth control|LILLOW-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|08/10/2017|06/30/2023| | || | |
69543038630||J1885||01/01/2018|06/26/2021|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|01/01/2018|06/26/2021| | || | |
70069006401||J2795||07/02/2018|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|07/02/2018|12/31/3999| | || | |
70121104901||J3301||12/19/2017|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|12/19/2017|12/31/3999| | || | |
70515026210||J1160||06/29/2016|12/31/3999|Injection, digoxin, up to 0.5 mg|LANOXIN PED 100 MCG/ML AMPU|1|ML|AMPUL|IJ|ML|5|06/29/2016|12/31/3999| | || | |
70655010995||J2700||07/06/2018|04/24/2021|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|GM|.125|07/06/2018|04/24/2021| | || | |
70700011385||S4993||07/11/2017|12/31/3999|Contraceptive pills for birth control|ISIBLOOM 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|07/11/2017|12/31/3999| | || | |
70710137701||J0330||07/25/2018|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE CL 200MG/10|10|ML|VIAL|IJ|ML|1|07/25/2018|12/31/3999| | || | |
70710152509||J9050||09/17/2018|12/31/3999|Injection, carmustine, 100 mg|CARMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|1|09/17/2018|12/31/3999| | || | |
70842014003||J2407||10/31/2017|12/31/3999|Injection, oritavancin|ORBACTIV 400 MG VIAL|3|UN|VIAL|IV|EA|.025|10/31/2017|12/31/3999| | || | |
70860011315||J0290||09/25/2018|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|09/25/2018|12/31/3999| | || | |
70860011526||J0290||09/25/2018|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|09/25/2018|12/31/3999| | || | |
70860060482||J1953||07/05/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|ML|.6667|07/05/2018|12/31/3999| | || | |
70860070002||J1885||07/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/10/2017|12/31/3999| | || | |
70860070103||J1885||07/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|07/10/2017|12/31/3999| | || | |
71104080101||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 250 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104080601||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 2,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104080801||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 4,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71274035001||J0596||04/18/2018|12/31/3999|Injection, ruconest|RUCONEST 2,100 UNIT VIAL|1|UN|VIAL|IV|EA|.0048|04/18/2018|12/31/3999| | || | |
71288010610||J9040||09/12/2018|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 15 UNIT V|1|UN|VIAL|IJ|EA|1|09/12/2018|12/31/3999| | || | |
00517176701||J1726||06/29/2018|04/06/2023|Makena, 10 mg|HYDROXYPROGEST 250 MG/ML VI|1|ML|VIAL|IM|ML|.04|06/29/2018|04/06/2023| | || | |
72237010104||J8999||07/18/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XPOVIO 80 MG TWICE WEEKLY D|32|UN|BLIST PACK|PO|TAB|1|07/18/2019|12/31/3999| | || | |
00006302604||J9271||01/01/2016|12/31/3999|Inj pembrolizumab|KEYTRUDA 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.04|01/01/2016|12/31/3999| | || | |
70069038110||J1631||08/15/2019|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IJ|ML|1|08/15/2019|12/31/3999| | || | |
00409582011||J1265||01/01/2006|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 200 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|01/01/2006|12/31/3999| | || | |
00641618901||J2370||02/15/2013|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|1|02/15/2013|06/30/2023| | || | |
00781342270||J2370||09/06/2019|04/30/2021|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|1|09/06/2019|04/30/2021| | || | |
00781342295||J2370||09/06/2019|04/30/2021|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|1|09/06/2019|04/30/2021| | || | |
55150032225||J1940||09/04/2019|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|09/04/2019|12/31/3999| | || | |
55150032325||J1940||09/04/2019|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|09/04/2019|12/31/3999| | || | |
55150032425||J1940||09/04/2019|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|09/04/2019|12/31/3999| | || | |
64679075902||J1940||09/03/2019|06/30/2023|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|09/03/2019|06/30/2023| | || | |
68001034234||J9201||10/15/2018|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG/2 ML|2|ML|VIAL|IV|ML|2|10/15/2018|12/31/3999| | || | |
76045001001||J1170||04/18/2013|12/31/3999|Injection, hydromorphone, up to 4 mg|DILAUDID 2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|04/18/2013|12/31/3999| | || | |
76045000901||J1170||04/18/2013|12/31/3999|Injection, hydromorphone, up to 4 mg|DILAUDID 1 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|4|04/18/2013|12/31/3999| | || | |
76045000906||J1170||04/18/2013|12/31/3999|Injection, hydromorphone, up to 4 mg|DILAUDID 0.5 MG/0.5 ML SYRI|0.5|ML|SYRINGE|IJ|ML|4|04/18/2013|12/31/3999| | || | |
24201010104||J9357||04/23/2019|12/31/3999|Injection, valrubicin, intravesical, 200 mg|VALRUBICIN 200 MG/5 ML VIAL|5|ML|VIAL|IS|ML|5|04/23/2019|12/31/3999| | || | |
43598060556||J7682||06/24/2019|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|06/24/2019|12/31/3999| | || | |
70436002780||J1327||08/29/2019|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|EA|6.6667|08/29/2019|12/31/3999| | || | |
14789090110||J2690||01/09/2018|12/31/3999|Injection, procainamide hcl, up to 1 gm|PROCAINAMIDE 1,000 MG/10 ML|10|ML|VIAL|IJ|ML|10|01/09/2018|12/31/3999| | || | |
00990707426||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/100 ML|100|ML|FLEX CONT|IV|ML|20|07/12/2018|12/31/3999| | || | |
59923071805||S0020||08/01/2019|12/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% (5 MG/ML)|5|ML|AMPUL|IJ|EA|30.0003|08/01/2019|12/31/2023| | || | |
63323016424||J7120||08/01/2019|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|250|ML|BAG|IV|ML|1000|08/01/2019|12/31/3999| | || | |
63323016426||J7120||08/01/2019|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|1000|ML|BAG|IV|ML|1000|08/01/2019|12/31/3999| | || | |
63323016475||J7120||08/01/2019|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|500|ML|BAG|IV|ML|1000|08/01/2019|12/31/3999| | || | |
72511077001||J3590||10/22/2018|12/31/3999|Unclassified Biologics|REPATHA 420 MG/3.5ML PUSHTR|3.5|ML|CARTRIDGE|SC|ML|1|10/22/2018|12/31/3999| | || | |
58468022701||C9047||07/01/2019|12/31/3999|Injection, caplacizumab-yhdp|CABLIVI 11 MG VIAL|1|UN|VIAL|IJ|EA|.0909|07/01/2019|12/31/3999| | || | |
66220028724||J1741||04/01/2010|12/31/2021|Injection, ibuprofen, 100 mg|CALDOLOR 800 MG/200 ML BAG|200|ML|BAG|IJ|ML|25|04/01/2010|12/31/2021| | || | |
55513013201||Q5117||10/01/2019|12/31/3999|Inj., kanjinti, 10 mg|KANJINTI 420 MG VIAL|1|UN|VIAL|IV|EA|.0238|10/01/2019|12/31/3999| | || | |
71104093301||J7201||05/29/2018|12/31/3999|Injection, factor ix, fc fusion protein (recombinant), per iu|ALPROLIX 2,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104094401||J7201||05/29/2018|12/31/3999|Injection, factor ix, fc fusion protein (recombinant), per iu|ALPROLIX 3,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104096601||J7201||05/29/2018|12/31/3999|Injection, factor ix, fc fusion protein (recombinant), per iu|ALPROLIX 250 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104097701||J7201||05/29/2018|12/31/3999|Injection, factor ix, fc fusion protein (recombinant), per iu|ALPROLIX 4,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
00944288402||J0257||01/01/2012|12/31/3999|Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg|GLASSIA 1 GM/50 ML VIAL|1|UN|VIAL|IV|EA|10|01/01/2012|12/31/3999| | || | |
00944304611||J7192||08/13/2004|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 2,401-3,600 UNIT VIA|1|F2|VIAL|IV|AHF|1|08/13/2004|12/31/3999| | || | |
00781921390||J2543||10/21/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|10/21/2010|12/31/3999| | || | |
70121138101||Q2009||08/23/2016|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 100 MG PE/2 ML|2|ML|VIAL|IJ|ML|1|08/23/2016|12/31/2022| | || | |
13533063110||J2790||07/21/2005|05/30/2020|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|HYPERRHO S-D 1500 UNITS SYR|1|UN|SYRINGE|IM|ML|1|07/21/2005|05/30/2020| | || | |
13533063120||J2790||07/21/2005|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|HYPERRHO S-D 1500 UNITS SYR|1|UN|SYRINGE|IM|ML|1|07/21/2005|12/31/3999| | || | |
63323040301||Q2009||08/27/2007|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 100 MG PE/2 ML|2|ML|VIAL|IJ|ML|1|08/27/2007|12/31/2022| | || | |
63323040304||Q2009||08/27/2007|12/31/2022|Injection, fosphenytoin, 50 mg phenytoin equivalent|FOSPHENYTOIN 500 MG PE/10 M|10|ML|VIAL|IJ|ML|1|08/27/2007|12/31/2022| | || | |
00338915930||J7030||01/01/1994|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|BAG|IV|ML|1000|01/01/1994|12/31/3999| | || | |
00338915930||J7040||01/01/1994|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|BAG|IV|ML|500|01/01/1994|12/31/3999| | || | |
00338915930||J7050||01/01/1994|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|BAG|IV|ML|250|01/01/1994|12/31/3999| | || | |
00409329945||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM ACETATE 200 MEQ/100|100|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409729983||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM ACETATE 40 MEQ/20 ML|20|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409733721||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|EA|1|07/20/2005|12/31/3999| | || | |
00409739182||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM PHOSPHATE 45 MMOL/15|15|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00781635587||J7699||10/14/1997|10/31/2021|NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME|MOMETASONE FUROATE 50 MCG S|17|GR|CANISTER|NS|GM|1|10/14/1997|10/31/2021| | || | |
68152011401||J0642||10/01/2019|09/30/2021|Inj, levoleucovorin (khapzory), 0.5 mg|KHAPZORY 300 MG VIAL|1|UN|VIAL|IV|EA|.0017|10/01/2019|09/30/2021| | || | |
65757040403||J1944||10/01/2019|12/31/3999|Inj, aristada, 1 mg|ARISTADA ER 1064 MG/3.9 ML|3.9|ML|SYRINGE|IM|ML|.0037|10/01/2019|12/31/3999| | || | |
65757040101||J1944||10/01/2019|05/31/2021|Inj, aristada, 1 mg|ARISTADA ER 441 MG/1.6 ML S|1.6|ML|SYRINGE|IM|ML|.0036|10/01/2019|05/31/2021| | || | |
65757040301||J1944||10/01/2019|07/31/2021|Inj, aristada, 1 mg|ARISTADA ER 882 MG/3.2 ML S|3.2|ML|SYRINGE|IM|ML|.0036|10/01/2019|07/31/2021| | || | |
65757040401||J1944||10/01/2019|06/30/2021|Inj, aristada, 1 mg|ARISTADA ER 1064 MG/3.9 ML|3.9|ML|SYRINGE|IM|ML|.0037|10/01/2019|06/30/2021| | || | |
51862029206||S4993||07/01/2019|07/31/2022|Contraceptive pills for birth control|MICROGESTIN FE 1.5-30 TAB|28|UN|BLIST PACK|PO|TAB|1|07/01/2019|07/31/2022| | || | |
00310470001||J9313||10/01/2019|09/30/2024|Inj, moxetumomab pasudotox-tdfk, 0.01 mg|LUMOXITI 1 MG VIAL|1|UN|VIAL|IV|EA|.01|10/01/2019|09/30/2024| | || | |
65757040103||J1944||10/01/2019|12/31/3999|Inj, aristada, 1 mg|ARISTADA ER 441 MG/1.6 ML S|1.6|ML|SYRINGE|IM|ML|.0036|10/01/2019|12/31/3999| | || | |
25682002201||J1303||10/01/2019|06/11/2023|Inj, ravulizumab-cwvz, 10 mg|ULTOMIRIS 300 MG/30 ML VIAL|30|ML|VIAL|IV|ML|1|10/01/2019|06/11/2023| | || | |
72171050101||J9210||10/01/2019|11/30/2021|Inj, emapalumab-lzsg, 1 mg|GAMIFANT 10 MG/2 ML VIAL|2|ML|VIAL||ML|.2|10/01/2019|11/30/2021| | || | |
50419038501||J9057||01/01/2019|12/31/3999|Injection, copanlisib, 1 mg|ALIQOPA 60 MG VIAL|1|UN|VIAL|IV|EA|.0167|01/01/2019|12/31/3999| | || | |
63833082802||J0599||01/01/2019|12/31/3999|Haegarda, 10 units|HAEGARDA 2,000 UNIT VIAL|1|UN|VIAL|SQ|EA|.005|01/01/2019|12/31/3999| | || | |
63833082902||J0599||01/01/2019|12/31/3999|Haegarda, 10 units|HAEGARDA 3,000 UNIT VIAL|1|UN|VIAL|SQ|EA|.0033|01/01/2019|12/31/3999| | || | |
68727074501||J9153||01/01/2019|12/31/3999|Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine|VYXEOS 44 MG-100 MG VIAL|1|UN|VIAL|IV|EA|.0227|01/01/2019|12/31/3999| | || | |
68727074502||J9153||01/01/2019|12/31/3999|Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine|VYXEOS 44 MG-100 MG VIAL|1|UN|VIAL|IV|EA|.0227|01/01/2019|12/31/3999| | || | |
51862004501||S4993||12/07/2011|03/31/2021|Contraceptive pills for birth control|AMETHIA LO TABLET|91|UN|BLIST PACK|PO|TAB|1|12/07/2011|03/31/2021| | || | |
51862007201||S4993||06/15/2011|03/31/2022|Contraceptive pills for birth control|AZURETTE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|03/31/2022| | || | |
51862054501||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|SRONYX 0.10-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
69543038625||J1885||01/01/2018|06/26/2021|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|01/01/2018|06/26/2021| | || | |
69639010201||J1454||01/01/2019|12/31/3999|Injection, fosnetupitant 235 mg and palonosetron 0.25 mg|AKYNZEO 235-0.25 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2019|12/31/3999| | || | |
70515026010||J1160||06/29/2016|12/31/3999|Injection, digoxin, up to 0.5 mg|LANOXIN 500 MCG/2 ML AMPULE|2|ML|AMPUL|IJ|ML|2|06/29/2016|12/31/3999| | || | |
70710137702||J0330||07/25/2018|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE CL 200MG/10|10|ML|VIAL|IJ|ML|1|07/25/2018|12/31/3999| | || | |
70860011215||J0290||09/25/2018|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|09/25/2018|12/31/3999| | || | |
70860011415||J0290||09/25/2018|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|09/25/2018|12/31/3999| | || | |
70860011899||J0290||07/05/2018|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM BOTTLE|1|UN|BOTTLE|IJ|EA|.05|07/05/2018|12/31/3999| | || | |
71104080401||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 1,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71104081001||J7205||05/29/2018|12/31/3999|Factor viii fc fusion recomb|ELOCTATE 6,000 UNIT NOMINAL|1|F2|VIAL|IV|AHF|1|05/29/2018|12/31/3999| | || | |
71274035002||J0596||04/18/2018|12/31/3999|Injection, ruconest|RUCONEST 2,100 UNIT VIAL|1|UN|VIAL|IV|EA|.0048|04/18/2018|12/31/3999| | || | |
76075010301||J9047||08/22/2018|12/31/3999|Injection, carfilzomib, 1 mg|KYPROLIS 10 MG VIAL|1|UN|VIAL|IV|EA|.1|08/22/2018|12/31/3999| | || | |
76204080001||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|06/01/2016|12/31/3999| | || | |
76204090001||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|06/01/2016|12/31/3999| | || | |
76329339905||J2690||12/22/2016|12/31/3999|Injection, procainamide hcl, up to 1 gm|PROCAINAMID 1,000 MG/10 ML|10|ML|SYRINGE|IV|ML|10|12/22/2016|12/31/3999| | || | |
00054449705||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 10 MG TA|12|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
71288010720||J9040||09/12/2018|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 30 UNIT V|1|UN|VIAL|IJ|EA|.5|09/12/2018|12/31/3999| | || | |
76204070025||J7614||06/12/2017|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|06/12/2017|12/31/3999| | || | |
76204080025||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|06/01/2016|12/31/3999| | || | |
76204090025||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|06/01/2016|12/31/3999| | || | |
63323072110||J9044||01/01/2019|12/31/2022|Injection, bortezomib, not otherwise specified, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IV|EA|.03|01/01/2019|12/31/2022| | || | |
70510217102||J1301||01/01/2019|12/31/3999|Injection, edaravone, 1 mg|RADICAVA 30 MG/100 ML BAG|100|ML|BAG|IV|ML|3.3333|01/01/2019|12/31/3999| | || | |
59353040009||J0887||01/01/2019|12/31/2022|Epoetin beta esrd use|MIRCERA 30 MCG/0.3 ML SYRIN|0.3|ML|SYRINGE|IJ|ML|.01|01/01/2019|12/31/2022| | || | |
59353040109||J0887||01/01/2019|12/31/2022|Epoetin beta esrd use|MIRCERA 50 MCG/0.3 ML SYRIN|0.3|ML|SYRINGE|IJ|ML|.006|01/01/2019|12/31/2022| | || | |
59353040209||J0887||01/01/2019|12/31/2022|Epoetin beta esrd use|MIRCERA 75 MCG/0.3 ML SYRIN|0.3|ML|SYRINGE|IJ|ML|.004|01/01/2019|12/31/2022| | || | |
59353040309||J0887||01/01/2019|12/31/2022|Epoetin beta esrd use|MIRCERA 100 MCG/0.3 ML SYRI|0.3|ML|SYRINGE|IJ|ML|.003|01/01/2019|12/31/2022| | || | |
00338067104||J3490||01/01/1991|12/31/3999|Unclassified drugs|KCL 20 MEQ IN D5W-1/2 NS|1000|ML|BAG|IV|ML|1|01/01/1991|12/31/3999| | || | |
59353040409||J0887||01/01/2019|12/31/2022|Epoetin beta esrd use|MIRCERA 150 MCG/0.3 ML SYRI|0.3|ML|SYRINGE|IJ|ML|.002|01/01/2019|12/31/2022| | || | |
59353040509||J0887||01/01/2019|12/31/2022|Epoetin beta esrd use|MIRCERA 200 MCG/0.3 ML SYRI|0.3|ML|SYRINGE|IJ|ML|.0015|01/01/2019|12/31/2022| | || | |
00703004501||J1040||10/31/2006|04/30/2022|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 40 MG/ML VL|10|ML|VIAL|IJ|ML|2|10/31/2006|04/30/2022| | || | |
00944270002||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|10|ML|VIAL|IV|GM|1|09/06/2005|12/31/3999| | || | |
00555088202||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|HYDROXYUREA 500 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
13533080013||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C|10|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080013||90283||12/27/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C|10|ML|VIAL|IJ|ML|5|12/27/2010|12/31/3999| | || | |
13533080025||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C|200|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080025||90283||12/27/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C|200|ML|VIAL|IJ|ML|5|12/27/2010|12/31/3999| | || | |
68084028401||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|HYDROXYUREA 500 MG CAPSULE|100|UN|BLIST PACK|PO|CAP|1|01/01/2011|12/31/3999| | || | |
61953000506||90283||11/15/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 10% VIAL|200|ML|VIAL|IV|ML|10|11/15/2010|12/31/3999| | || | |
64208823404||90283||07/01/2011|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 5% VIAL|400|ML|VIAL|IJ|ML|10|07/01/2011|12/31/3999| | || | |
67457043700||J3490||12/26/2018|12/31/3999|Unclassified drugs|DOXYCYCLINE HYC 100 MG VIAL|1|UN|VIAL|IJ|EA|1|12/26/2018|12/31/3999| | || | |
49884072401||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|HYDROXYUREA 500 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
61953000406||90283||06/15/2007|01/02/2013|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|10|ML|VIAL|IV|ML|10|06/15/2007|01/02/2013| | || | |
00944270004||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|50|ML|VIAL|IV|GM|5|09/06/2005|12/31/3999| | || | |
13533080040||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C 40 GRAM/400 ML VIAL|400|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080040||90283||12/27/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C 40 GRAM/400 ML VIAL|400|ML|VIAL|IJ|ML|5|12/27/2010|12/31/3999| | || | |
63323098123||J2543||09/23/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|09/23/2019|12/31/3999| | || | |
72266010101||J1190||09/12/2019|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 500 MG VIAL|1|UN|VIAL|IV|EA|.5|09/12/2019|12/31/3999| | || | |
00944285009||J1555||01/01/2018|12/31/3999|Inj cuvitru, 100 mg|CUVITRU 10 GRAM/50 ML VIAL|50|ML|VIAL|SC|ML|.5|01/01/2018|12/31/3999| | || | |
00944285009||90284||11/16/2016|09/30/2023|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUVITRU 10 GRAM/50 ML VIAL|50|ML|VIAL|SC|ML|.5|11/16/2016|09/30/2023| | || | |
00409678011||J2060||10/28/2004|05/01/2020|Injection, lorazepam, 2 mg|LORAZEPAM 20 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|05/01/2020| | || | |
42023020601||J3285||09/25/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 20 MG/20 ML VI|20|ML|VIAL|IJ|ML|1|09/25/2019|12/31/3999| | || | |
66794020641||J0295||06/27/2018|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|06/27/2018|12/31/3999| | || | |
66794021102||J0696||09/05/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|EA|1|09/05/2019|12/31/3999| | || | |
66794021142||J0696||09/05/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|EA|1|09/05/2019|12/31/3999| | || | |
71288040003||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIA|2|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
71288040202||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
71288040211||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
72485010125||J1200||09/13/2019|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML VI|1|ML|VIAL|IJ|ML|1|09/13/2019|12/31/3999| | || | |
70069038101||J1631||08/15/2019|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|08/15/2019|12/31/3999| | || | |
00409910421||J1265||01/01/2006|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 400 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/01/2006|12/31/3999| | || | |
00641618801||J2370||02/15/2013|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|1|02/15/2013|06/30/2023| | || | |
00641618810||J2370||02/15/2013|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|1|02/15/2013|06/30/2023| | || | |
00641618910||J2370||02/15/2013|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|1|02/15/2013|06/30/2023| | || | |
00781342275||J2370||09/06/2019|04/30/2021|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|1|09/06/2019|04/30/2021| | || | |
39822210001||J9120||08/09/2019|12/31/3999|Injection, dactinomycin, 0.5 mg|DACTINOMYCIN 0.5 MG VIAL|1|UN|VIAL|IV|EA|1|08/09/2019|12/31/3999| | || | |
39822210002||J9120||08/09/2019|12/31/3999|Injection, dactinomycin, 0.5 mg|DACTINOMYCIN 0.5 MG VIAL|1|UN|VIAL|IV|EA|1|08/09/2019|12/31/3999| | || | |
42023021325||J2370||07/17/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|07/17/2019|06/30/2023| | || | |
42023021401||J2370||07/17/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|1|07/17/2019|06/30/2023| | || | |
42023021410||J2370||07/17/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|1|07/17/2019|06/30/2023| | || | |
63323022133||J3370||04/01/1998|05/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/1998|05/31/2022| | || | |
63323075100||J2370||07/26/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|07/26/2019|06/30/2023| | || | |
63323075105||J2370||07/26/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|1|07/26/2019|06/30/2023| | || | |
63323075110||J2370||07/26/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|1|07/26/2019|06/30/2023| | || | |
70860021461||J9245||09/20/2019|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|09/20/2019|12/31/3999| | || | |
72171050501||J9210||10/01/2019|10/31/2021|Inj, emapalumab-lzsg, 1 mg|GAMIFANT 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.2|10/01/2019|10/31/2021| | || | |
00006306105||J1453||11/15/2010|05/21/2021|Injection, fosaprepitant, 1 mg|EMEND 150 MG VIAL|1|UN|VIAL|IV|EA|.01|11/15/2010|05/21/2021| | || | |
00078070184||J8999||05/29/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PIQRAY 200 MG DAILY DOSE|28|UN|BLIST PACK|PO|TAB|1|05/29/2019|12/31/3999| | || | |
00078070851||J8999||05/29/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PIQRAY 300 MG DAILY DOSE|28|UN|BLIST PACK|PO|TAB|1|05/29/2019|12/31/3999| | || | |
00078071561||J8999||05/29/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PIQRAY 250 MG DAILY DOSE|28|UN|BLIST PACK|PO|TAB|1|05/29/2019|12/31/3999| | || | |
65757050003||J1943||10/01/2019|12/31/3999|Injection, aristada initio, 1 mg|ARISTADA INITIO ER 675 MG/2|2.4|ML|SYRINGE|IM|ML|.0036|10/01/2019|12/31/3999| | || | |
00093766456||J8999||05/09/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 150 MG TABLET|30|UN|BOTTLE|PO|TAB|1|05/09/2019|12/31/3999| | || | |
00143935501||J3370||05/10/2019|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|GM|.6667|05/10/2019|12/31/3999| | || | |
00143935801||J3370||05/10/2019|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|GM|.01|05/10/2019|12/31/3999| | || | |
00143950501||J9060||06/07/2019|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 100 MG/100 ML VIA|100|ML|VIAL|IV|ML|10|06/07/2019|12/31/3999| | || | |
00254203280||S4993||09/28/2018|05/31/2022|Contraceptive pills for birth control|ORSYTHIA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|05/31/2022| | || | |
00254203380||S4993||09/28/2018|09/30/2022|Contraceptive pills for birth control|EMOQUETTE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|09/30/2022| | || | |
00378713193||J8999||05/09/2019|11/30/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|05/09/2019|11/30/2022| | || | |
00378713393||J8999||05/09/2019|11/30/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 150 MG TABLET|30|UN|BOTTLE|PO|TAB|1|05/09/2019|11/30/2022| | || | |
00378729785||S4993||10/28/2016|12/31/3999|Contraceptive pills for birth control|NORET-ESTR-FE 0.4-0.035(21)|28|UN|BLIST PACK|PO|TAB|1|10/28/2016|12/31/3999| | || | |
00378730685||S4993||11/30/2016|12/31/3999|Contraceptive pills for birth control|ETHYNODIOL-ETH ESTRA 1MG-50|28|UN|BLIST PACK|PO|TAB|1|11/30/2016|12/31/3999| | || | |
00904662104||J8999||04/25/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BLIST PACK|PO|TAB|1|04/25/2019|12/31/3999| | || | |
42292005101||J8999||05/29/2019|01/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 25 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|05/29/2019|01/31/2021| | || | |
42292005105||J8999||05/29/2019|01/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 25 MG TABLET|20|UN|BLIST PACK|PO|TAB|1|05/29/2019|01/31/2021| | || | |
42292005205||J8999||05/29/2019|02/28/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 100 MG TABLET|20|UN|BLIST PACK|PO|TAB|1|05/29/2019|02/28/2021| | || | |
42292005305||J8999||05/29/2019|01/31/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 150 MG TABLET|20|UN|BLIST PACK|PO|TAB|1|05/29/2019|01/31/2021| | || | |
50102022423||S4993||04/01/2019|12/31/3999|Contraceptive pills for birth control|TARINA 24 FE 1 MG-20 MCG TA|28|UN|BLIST PACK|PO|TAB|1|04/01/2019|12/31/3999| | || | |
50102024023||S4993||03/01/2019|12/31/3999|Contraceptive pills for birth control|JASMIEL 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|03/01/2019|12/31/3999| | || | |
59676003056||J8999||04/24/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BALVERSA 3 MG TABLET|56|UN|BOTTLE|PO|TAB|1|04/24/2019|12/31/3999| | || | |
59676003084||J8999||04/24/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BALVERSA 3 MG TABLET|84|UN|BOTTLE|PO|TAB|1|04/24/2019|12/31/3999| | || | |
59676004056||J8999||04/24/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BALVERSA 4 MG TABLET|56|UN|BOTTLE|PO|TAB|1|04/24/2019|12/31/3999| | || | |
59746076343||S4993||05/09/2019|12/31/2021|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.02 MG T|28|UN|BLIST PACK|PO|TAB|1|05/09/2019|12/31/2021| | || | |
65862077885||S4993||06/11/2019|12/31/3999|Contraceptive pills for birth control|TRI-LO-MILI TABLET|28|UN|BLIST PACK|PO|TAB|1|06/11/2019|12/31/3999| | || | |
00054449810||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 15 MG TA|24|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00054849619||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 5 MG TAB|50|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00703203303||J3490||09/18/2018|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|09/18/2018|12/31/3999| | || | |
69794000101||J3397||01/01/2019|12/31/3999|Injection, vestronidase alfa-vjbk, 1 mg|MEPSEVII 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|01/01/2019|12/31/3999| | || | |
70801000301||J3304||01/01/2019|01/02/2019|Injection, triamcinolone acetonide, PF, ER|ZILRETTA 32 MG VIAL|1|UN|VIAL|IU|EA|.0313|01/01/2019|01/02/2019| | || | |
50242092001||J7170||01/01/2019|12/31/3999|Injection, emicizumab-kxwh, 0.5 mg|HEMLIBRA 30 MG/ML VIAL|1|ML|VIAL|SQ|ML|.0167|01/01/2019|12/31/3999| | || | |
50242092201||J7170||01/01/2019|12/31/3999|Injection, emicizumab-kxwh, 0.5 mg|HEMLIBRA 105 MG/0.7 ML VIAL|0.7|ML|VIAL|SQ|ML|.0033|01/01/2019|12/31/3999| | || | |
50242092301||J7170||01/01/2019|12/31/3999|Injection, emicizumab-kxwh, 0.5 mg|HEMLIBRA 150 MG/ML VIAL|1|ML|VIAL|SQ|ML|.0033|01/01/2019|12/31/3999| | || | |
00169790201||J7203||01/01/2019|12/31/3999|Injection factor ix,(rebinyn)|REBINYN 2,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2019|12/31/3999| | || | |
00143951901||J9250||05/01/1996|12/31/3999|Methotrexate sodium, 5 mg|METHOTREXATE 50 MG/2 ML VIA|2|ML|VIAL|IJ|ML|.2|05/01/1996|12/31/3999| | || | |
51862088401||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|CAMILA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
55566190201||J2941||05/07/2015|05/30/2024|Injection, somatropin, 1 mg|ZOMACTON 10 MG VIAL|1|UN|VIAL|SQ|EA|.1|05/07/2015|05/30/2024| | || | |
61314031805||Q5101||09/04/2015|12/31/3999|Inj filgrastim g-csf biosim|ZARXIO 300 MCG/0.5 ML SYRIN|0.5|ML|SYRINGE|IJ|ML|.0017|09/04/2015|12/31/3999| | || | |
61314032605||Q5101||09/04/2015|12/31/3999|Inj filgrastim g-csf biosim|ZARXIO 480 MCG/0.8 ML SYRIN|0.8|ML|SYRINGE|IJ|ML|.0017|09/04/2015|12/31/3999| | || | |
61703035037||J9250||10/28/2004|12/31/3999|Methotrexate sodium, 5 mg|METHOTREXATE 50 MG/2 ML VIA|2|ML|VIAL|IJ|ML|.2|10/28/2004|12/31/3999| | || | |
63323006403||J3475||04/01/1998|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|2|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323006441||J3475||04/01/1998|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|2|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323022138||J3370||04/01/1998|05/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/1998|05/31/2022| | || | |
63323028445||J3370||04/01/1998|07/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|04/01/1998|07/31/2022| | || | |
63323056215||J0583||11/03/2016|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|11/03/2016|12/31/3999| | || | |
63323057841||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
63323062376||J7050||04/02/2014|04/30/2025|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|BAG|IV|ML|250|04/02/2014|04/30/2025| | || | |
63323062376||J7040||04/02/2014|04/30/2025|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|BAG|IV|ML|500|04/02/2014|04/30/2025| | || | |
63323062376||J7030||04/02/2014|04/30/2025|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|BAG|IV|ML|1000|04/02/2014|04/30/2025| | || | |
63323085107||J1170||07/03/2018|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.4|07/03/2018|12/31/3999| | || | |
63323085115||J1170||07/03/2018|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.4|07/03/2018|12/31/3999| | || | |
68982034701||J7177||01/01/2019|12/31/3999|Injection, human fibrinogen concentrate (fibryga), 1 mg|FIBRYGA 1 GRAM RANGE VIAL|1|UN|VIAL|IV|EA|1|01/01/2019|12/31/3999| | || | |
24338015020||J3316||01/01/2019|12/31/3999|Injection, triptorelin, ER, 3.75 mg|TRIPTODUR 22.5 MG KIT|1|UN|KIT|IM|EA|.1667|01/01/2019|12/31/3999| | || | |
57894064001||J1628||01/01/2019|12/31/3999|Injection, guselkumab, 1 mg|TREMFYA 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.01|01/01/2019|12/31/3999| | || | |
00008010001||J9229||01/01/2019|12/31/3999|IJ, inotuzumab ozogamicin, 0.1 mg|BESPONSA 0.9 MG VIAL|1|UN|VIAL|IV|EA|.1111|01/01/2019|12/31/3999| | || | |
00944270007||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|300|ML|VIAL|IV|GM|5|09/06/2005|12/31/3999| | || | |
13533080021||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C|50|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080021||90283||12/27/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C|50|ML|VIAL|IJ|ML|5|12/27/2010|12/31/3999| | || | |
44206041706||90283||04/01/2003|05/31/2021|Immune globulin (IGIV), human, for intravenous use|CARIMUNE NF 6 GM VIAL|1|UN|VIAL|IV|EA|.0833|04/01/2003|05/31/2021| | || | |
61953000400||90283||06/15/2007|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|400|ML|VIAL|IV|ML|10|06/15/2007|12/31/3999| | || | |
61953000504||90283||11/15/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 10% VIAL|50|ML|VIAL|IV|ML|10|11/15/2010|12/31/3999| | || | |
64208823408||90283||07/01/2011|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAPLEX 5% VIAL|400|ML|VIAL|IJ|ML|10|07/01/2011|12/31/3999| | || | |
44206045510||90284||10/16/2013|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|HIZENTRA (SINGLE-USE VIAL,PF) 20%|50|ML|VL|SC|ML|.5|10/16/2013|12/31/3999| | || | |
00517912025||S0017||03/04/2019|12/31/2022|Injection, aminocaproic acid, 5 grams|AMINOCAPROIC ACID 250 MG/ML|20|ML|VIAL|IV|ML|20|03/04/2019|12/31/2022| | || | |
00944265804||90283||03/01/1999|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD S-D 10 G (IGA<1) SOL|1|UN|VIAL|IV|GM|.05|03/01/1999|12/31/3999| | || | |
00944270003||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|25|ML|VIAL|IV|GM|5|09/06/2005|12/31/3999| | || | |
13533080016||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C|25|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080016||90283||12/27/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C|25|ML|VIAL|IJ|ML|5|12/27/2010|12/31/3999| | || | |
13533080072||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C 40 GRAM/400 ML VIAL|100|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080072||90283||12/27/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C 40 GRAM/400 ML VIAL|100|ML|VIAL|IJ|ML|5|12/27/2010|12/31/3999| | || | |
00944265603||90283||03/01/1999|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD S-D 5 G (IGA<1) SOLN|1|UN|VIAL|IV|GM|.1|03/01/1999|12/31/3999| | || | |
13533080041||90284||12/27/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|GAMUNEX-C 40 GRAM/400 ML VIAL|400|ML|VIAL|IJ|ML|1|12/27/2010|12/31/3999| | || | |
13533080041||90283||12/27/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMUNEX-C 40 GRAM/400 ML VIAL|400|ML|VIAL|IJ|ML|5|12/27/2010|12/31/3999| | || | |
44206041812||90283||04/01/2003|05/28/2021|Immune globulin (IGIV), human, for intravenous use|CARIMUNE NF 12 GM VIAL|1|UN|VIAL|IV|EA|.0417|04/01/2003|05/28/2021| | || | |
00338004941||J3490||01/01/1991|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTION|50|ML|BAG|IV|ML|1|01/01/1991|12/31/3999| | || | |
61953000407||90283||06/15/2007|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|50|ML|VIAL|IV|ML|10|06/15/2007|12/31/3999| | || | |
61953000408||90283||06/15/2007|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|100|ML|VIAL|IV|ML|10|06/15/2007|12/31/3999| | || | |
61953000505||90283||11/15/2010|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 10% VIAL|100|ML|VIAL|IV|ML|10|11/15/2010|12/31/3999| | || | |
00781311095||J2543||08/01/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM VL|1|UN|VIAL|IV|ML|.5|08/01/2019|12/31/3999| | || | |
00944270005||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|100|ML|VIAL|IV|GM|5|09/06/2005|12/31/3999| | || | |
61953000409||90283||06/15/2007|12/31/3999|Immune globulin (IGIV), human, for intravenous use|FLEBOGAMMA DIF 5% VIAL|200|ML|VIAL|IV|ML|10|06/15/2007|12/31/3999| | || | |
00781311090||J2543||08/01/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM VL|1|UN|VIAL|IV|ML|.5|08/01/2019|12/31/3999| | || | |
72266010801||J9027||09/12/2019|12/31/3999|Injection, clofarabine, 1 mg|CLOFARABINE 20 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|09/12/2019|12/31/3999| | || | |
72485021205||J9206||09/13/2019|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|09/13/2019|12/31/3999| | || | |
00642747001||S4993||08/01/2019|12/31/3999|Contraceptive pills for birth control|SLYND 4 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|08/01/2019|12/31/3999| | || | |
14539067405||Q0177||07/29/2019|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|500|UN|BOTTLE|PO|CAP|1|07/29/2019|12/31/3999| | || | |
50268068415||Q0164||06/15/2019|12/31/3999|Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emeti...|PROCHLORPERAZINE 5 MG TABLE|50|UN|BLIST PACK|PO|TAB|1|06/15/2019|12/31/3999| | || | |
68180082713||S4993||03/15/2016|12/15/2022|Contraceptive pills for birth control|FYAVOLV 0.5 MG-2.5 MCG TABL|28|UN|BLIST PACK|PO|TAB|1|03/15/2016|12/15/2022| | || | |
68180082809||S4993||03/15/2016|12/31/3999|Contraceptive pills for birth control|FYAVOLV 1 MG-5 MCG TABLET|90|UN|BOTTLE|PO|TAB|1|03/15/2016|12/31/3999| | || | |
68180082811||S4993||03/15/2016|12/15/2022|Contraceptive pills for birth control|FYAVOLV 1 MG-5 MCG TABLET|28|UN|BLIST PACK|PO|TAB|1|03/15/2016|12/15/2022| | || | |
68180082813||S4993||03/15/2016|12/15/2022|Contraceptive pills for birth control|FYAVOLV 1 MG-5 MCG TABLET|28|UN|BLIST PACK|PO|TAB|1|03/15/2016|12/15/2022| | || | |
68462030584||S4993||11/01/2010|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 0.35 MG TABLE|28|UN|BLIST PACK|PO|TAB|1|11/01/2010|12/31/3999| | || | |
68462050479||S4993||08/28/2019|12/31/3999|Contraceptive pills for birth control|HAILEY 21 1.5 MG-30 MCG TAB|21|UN|BLIST PACK|PO|TAB|1|08/28/2019|12/31/3999| | || | |
68462056584||S4993||09/19/2011|12/31/3999|Contraceptive pills for birth control|NORG-EE 0.18-0.215-0.25/0.0|28|UN|BLIST PACK|PO|TAB|1|09/19/2011|12/31/3999| | || | |
70700011584||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|SYEDA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
70700012084||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|TRI-LO-ESTARYLLA TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
00641617301||J0500||03/23/2016|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|03/23/2016|12/31/3999| | || | |
64679075901||J1940||09/03/2019|06/30/2023|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|09/03/2019|06/30/2023| | || | |
64679075903||J1940||09/03/2019|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|09/03/2019|12/31/3999| | || | |
76045001011||J1170||04/18/2013|12/31/3999|Injection, hydromorphone, up to 4 mg|DILAUDID 2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|04/18/2013|12/31/3999| | || | |
70436002680||J1327||08/29/2019|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|ML|VIAL|IV|EA|2.5|08/29/2019|12/31/3999| | || | |
76045000911||J1170||04/18/2013|12/31/3999|Injection, hydromorphone, up to 4 mg|DILAUDID 1 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|4|04/18/2013|12/31/3999| | || | |
76045000996||J1170||04/18/2013|12/31/3999|Injection, hydromorphone, up to 4 mg|DILAUDID 0.5 MG/0.5 ML SYRI|0.5|ML|SYRINGE|IJ|ML|4|04/18/2013|12/31/3999| | || | |
24201010101||J9357||04/23/2019|12/31/3999|Injection, valrubicin, intravesical, 200 mg|VALRUBICIN 200 MG/5 ML VIAL|5|ML|VIAL|IS|ML|5|04/23/2019|12/31/3999| | || | |
00409592116||J0280||10/28/2004|12/31/3999|Injection, aminophyllin, up to 250 mg|AMINOPHYLLINE 250 MG/10 ML|10|ML|VIAL|IV|ML|10|10/28/2004|12/31/3999| | || | |
00641621701||J2800||05/02/2011|12/31/3999|Injection, methocarbamol, up to 10 ml|ROBAXIN 1,000 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|10|05/02/2011|12/31/3999| | || | |
00409434616||S0017||01/01/2011|12/31/2022|Injection, aminocaproic acid, 5 grams|AMINOCAPROIC ACID 5 G/20 ML|20|ML|VIAL|IV|ML|20|01/01/2011|12/31/2022| | || | |
59923071705||S0020||08/01/2019|12/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% (2.5 MG/M|5|ML|AMPUL|IJ|EA|30.0003|08/01/2019|12/31/2023| | || | |
59923071910||S0020||08/01/2019|12/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.25% (2.5 MG/M|10|ML|AMPUL|IJ|EA|30.0003|08/01/2019|12/31/2023| | || | |
59923072010||S0020||08/01/2019|12/31/2023|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAINE 0.5% (5 MG/ML)|10|ML|AMPUL|IJ|EA|30.0003|08/01/2019|12/31/2023| | || | |
70594004401||J3370||09/09/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 2 GRAM/400 ML BA|400|ML|BAG|IV|EA|100|09/09/2019|12/31/2022| | || | |
70594004402||J3370||09/09/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 2 GRAM/400 ML BA|400|ML|BAG|IV|EA|100|09/09/2019|12/31/2022| | || | |
65862084988||S4993||09/04/2018|12/31/3999|Contraceptive pills for birth control|AFIRMELLE-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|09/04/2018|12/31/3999| | || | |
65862093488||S4993||04/05/2019|12/31/3999|Contraceptive pills for birth control|AUROVELA 24 FE 1 MG-20 MCG|28|UN|BLIST PACK|PO|TAB|1|04/05/2019|12/31/3999| | || | |
65862093988||S4993||05/09/2019|12/31/3999|Contraceptive pills for birth control|AUROVELA 1 MG-20 MCG TABLET|21|UN|BLIST PACK|PO|TAB|1|05/09/2019|12/31/3999| | || | |
65862094188||S4993||06/11/2019|12/31/3999|Contraceptive pills for birth control|AUROVELA FE 1.5 MG-30 MCG T|28|UN|BLIST PACK|PO|TAB|1|06/11/2019|12/31/3999| | || | |
69238161006||S4993||10/15/2014|04/30/2022|Contraceptive pills for birth control|LOPREEZA 1 MG-0.5 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|10/15/2014|04/30/2022| | || | |
70255002504||J8999||08/01/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BRAFTOVI 75 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|08/01/2018|12/31/3999| | || | |
71770012030||J8999||11/15/2018|09/30/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SIKLOS 1,000 MG TABLET|30|UN|BOTTLE|PO|TAB|1|11/15/2018|09/30/2022| | || | |
00378827062||J7613||12/18/2012|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 2.5 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|12/18/2012|12/31/3999| | || | |
47783064401||J0593||10/01/2019|12/31/3999|Inj, lanadelumab-flyo, 1 mg|TAKHZYRO 300 MG/2 ML VIAL|2|ML|VIAL|SQ|ML|.0067|10/01/2019|12/31/3999| | || | |
61755000801||J9119||10/01/2019|12/31/3999|Inj, cemiplimab-rwlc, 1 mg|LIBTAYO 350 MG/7 ML VIAL|7|ML|VIAL|IV|ML|.02|10/01/2019|12/31/3999| | || | |
00574082701||J1071||01/01/2015|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|01/01/2015|12/31/3999| | || | |
70257012611||90396||04/27/2017|12/31/3999|Varicella-zoster immune globulin|VARIZIG 125 UNIT/1.2 ML VIA|1.2|ML|VIAL|IM|EA|1.2|04/27/2017|12/31/3999| | || | |
70594002601||J3490||10/17/2018|06/30/2021|Unclassified drugs|BACITRACIN 50,000 UNIT VIAL|1|UN|VIAL|IM|EA|1|10/17/2018|06/30/2021| | || | |
00173089201||J2182||06/17/2019|12/31/3999|Injection, mepolizumab, 1mg|NUCALA 100 MG/ML AUTO-INJEC|1|ML|SYRINGE|SQ|ML|.01|06/17/2019|12/31/3999| | || | |
50242007701||J9356||10/01/2019|12/31/3999|Inj, herceptin hylecta, 10mg|HERCEPTIN HYLECTA 600MG-10,|5|ML|VIAL|SQ|ML|.0833|10/01/2019|12/31/3999| | || | |
55513088001||J3111||10/01/2019|12/31/3999|Inj, romosozumab-aqqg 1 mg|EVENITY 105 MG/1.17 ML SYRI|1.17|ML|SYRINGE|SQ|ML|.0111|10/01/2019|12/31/3999| | || | |
66733077301||S5551||01/01/2011|12/31/2022|Insulin, most rapid onset (lispro or aspart); 5 units|INSULIN LISPRO 100 UNIT/ML|10|ML|VIAL|SQ|ML|.005|01/01/2011|12/31/2022| | || | |
67457088005||J3030||02/07/2011|01/31/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIA|0.5|ML|VIAL|SQ|ML|.5|02/07/2011|01/31/2021| | || | |
70655010395||J2700||01/09/2019|04/24/2021|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|BOTTLE|IJ|GM|.025|01/09/2019|04/24/2021| | || | |
67457095100||J1644||06/14/2018|12/31/2020|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|06/14/2018|12/31/2020| | || | |
60505614304||J0690||05/17/2019|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|.05|05/17/2019|12/31/3999| | || | |
70257033051||J2792||04/27/2017|12/31/3999|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 1,500 UNIT VIAL|1.3|ML|VIAL|IJ|ML|.0867|04/27/2017|12/31/3999| | || | |
43598040516||J3430||06/21/2019|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|PHYTONADIONE 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|06/21/2019|12/31/3999| | || | |
67457087720||J2795||01/14/2015|01/31/2021|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 200 MG/20 ML|20|ML|VIAL|IJ|ML|.1|01/14/2015|01/31/2021| | || | |
67457095001||J1644||05/25/2018|08/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|05/25/2018|08/31/2021| | || | |
67457095400||J1644||06/14/2018|12/31/2020|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|06/14/2018|12/31/2020| | || | |
70121165201||J3301||12/28/2018|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 200 MG/5|5|ML|VIAL|IJ|ML|.25|12/28/2018|12/31/3999| | || | |
55150028209||J1335||07/20/2018|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|07/20/2018|12/31/3999| | || | |
51079058106||J8999||01/01/2011|10/03/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 5 MG TAB|50|UN|BLIST PACK|PO|TAB|1|01/01/2011|10/03/2021| | || | |
51079058205||J8999||01/01/2011|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 25 MG TA|20|UN|BLIST PACK|PO|TAB|1|01/01/2011|06/30/2023| | || | |
59572020514||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 50 MG CAPSULE|28|UN|BLIST PACK|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572020594||J8999||01/01/2011|10/31/2020|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 50 MG CAPSULE|280|UN|BLIST PACK|PO|CAP|1|01/01/2011|10/31/2020| | || | |
59572021015||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 100 MG CAPSULE|28|UN|BLIST PACK|PO|CAP|1|01/01/2011|12/31/3999| | || | |
59572021593||J8999||01/01/2011|11/30/2016|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|THALOMID 150 MG CAPSULE|112|UN|BLIST PACK|PO|CAP|1|01/01/2011|11/30/2016| | || | |
60687037501||Q0167||08/09/2018|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|100|UN|BLIST PACK|PO|CAP|1|08/09/2018|12/31/3999| | || | |
60687037511||Q0167||08/09/2018|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|08/09/2018|12/31/3999| | || | |
68727074505||J9153||01/01/2019|01/31/2023|Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine|VYXEOS 44 MG-100 MG VIAL|1|UN|VIAL|IV|EA|.0227|01/01/2019|01/31/2023| | || | |
00069031301||J2185||07/01/2004|04/30/2021|Injection, meropenem, 100 mg|MERREM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|07/01/2004|04/30/2021| | || | |
00069031310||J2185||07/01/2004|04/30/2021|Injection, meropenem, 100 mg|MERREM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|07/01/2004|04/30/2021| | || | |
00074012403||J0135||08/06/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA PEN CROHN-UC-HS 80 M|3|UN|KIT|SQ|EA|.25|08/06/2018|12/31/3999| | || | |
00074153903||J0135||08/06/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA PEN PSOR-UVEI 80MG-4|3|UN|KIT|SQ|EA|.375|08/06/2018|12/31/3999| | || | |
00054449613||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 5 MG TAB|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00054449625||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 5 MG TAB|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00054449710||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 10 MG TA|24|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00054449911||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LEUCOVORIN CALCIUM 25 MG TA|25|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00409329461||J3490||10/28/2004|12/31/3999|Unclassified drugs|POTASSIUM ACET 100 MEQ/50 M|50|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409818315||J3490||10/28/2004|12/31/3999|Unclassified drugs|POTASSIUM ACET 40 MEQ/20 ML|20|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00703203301||J3490||09/18/2018|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|09/18/2018|12/31/3999| | || | |
00703204501||J3490||09/18/2018|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|09/18/2018|12/31/3999| | || | |
00703204503||J3490||09/18/2018|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|09/18/2018|12/31/3999| | || | |
00703205603||J3490||09/18/2018|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|09/18/2018|12/31/3999| | || | |
47426020101||J0185||01/01/2019|12/31/3999|Injection, aprepitant, 1 mg|CINVANTI 130 MG/18 ML VIAL|18|ML|VIAL|IV|ML|.1385|01/01/2019|12/31/3999| | || | |
50242092101||J7170||01/01/2019|12/31/3999|Injection, emicizumab-kxwh, 0.5 mg|HEMLIBRA 60 MG/0.4 ML VIAL|0.4|ML|VIAL|SQ|ML|.0033|01/01/2019|12/31/3999| | || | |
00169790101||J7203||01/01/2019|12/31/3999|Injection factor ix,(rebinyn)|REBINYN 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2019|12/31/3999| | || | |
00169790501||J7203||01/01/2019|12/31/3999|Injection factor ix,(rebinyn)|REBINYN 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2019|12/31/3999| | || | |
00310450012||J9173||01/01/2019|12/31/3999|IJ, durvalumab, 10 mg|IMFINZI 120 MG/2.4 ML VIAL|2.4|ML|VIAL|IV|ML|.2|01/01/2019|12/31/3999| | || | |
67457043710||J3490||12/26/2018|12/31/3999|Unclassified drugs|DOXYCYCLINE HYC 100 MG VIAL|1|UN|VIAL|IJ|EA|1|12/26/2018|12/31/3999| | || | |
00944270006||90283||09/06/2005|12/31/3999|Immune globulin (IGIV), human, for intravenous use|GAMMAGARD LIQUID 10% VIAL|200|ML|VIAL|IV|GM|5|09/06/2005|12/31/3999| | || | |
76125015003||90375||03/19/2018|03/31/2022|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|KEDRAB 300 UNIT/2 ML VIAL|2|ML|VIAL|IM|ML|1|03/19/2018|03/31/2022| | || | |
76125015010||90375||03/19/2018|03/31/2022|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|KEDRAB 1,500 UNIT/10 ML VIA|10|ML|VIAL|IM|ML|1|03/19/2018|03/31/2022| | || | |
61990015001||J2543||08/19/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|ML|.0278|08/19/2019|12/31/3999| | || | |
16714085801||J9070||07/05/2019|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|EA|.05|07/05/2019|12/31/3999| | || | |
43598038957||J9171||08/26/2019|04/30/2021|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.05|08/26/2019|04/30/2021| | || | |
72266012101||J0641||09/12/2019|12/31/3999|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 250 MG/25 ML|25|ML|VIAL|IV|ML|.05|09/12/2019|12/31/3999| | || | |
72266010701||J0637||09/12/2019|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|IV|EA|.0714|09/12/2019|12/31/3999| | || | |
61990014001||J2543||09/05/2019|08/31/2021|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 13.5 GM|1|UN|VIAL|IV|ML|.0833|09/05/2019|08/31/2021| | || | |
00409915831||J3430||10/28/2004|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|VITAMIN K-1 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|10/28/2004|12/31/3999| | || | |
16714085701||J9070||07/05/2019|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|EA|.1|07/05/2019|12/31/3999| | || | |
63323011805||J1644||02/16/2011|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|SYRINGE|IJ|ML|.1|02/16/2011|12/31/3999| | || | |
70069002510||J1100||09/10/2019|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.1|09/10/2019|12/31/3999| | || | |
72266010601||J0637||09/12/2019|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|EA|.1|09/12/2019|12/31/3999| | || | |
72266012510||J9263||09/12/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|09/12/2019|12/31/3999| | || | |
60505617700||J0594||08/19/2019|01/31/2023|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|08/19/2019|01/31/2023| | || | |
60505617708||J0594||08/19/2019|01/31/2023|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|08/19/2019|01/31/2023| | || | |
72485021001||J0594||09/13/2019|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|09/13/2019|12/31/3999| | || | |
72485021008||J0594||09/13/2019|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|09/13/2019|12/31/3999| | || | |
00904686704||J8999||10/24/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TRETINOIN 10 MG CAPSULE|30|UN|BLIST PACK|PO|CAP|1|10/24/2012|12/31/3999| | || | |
00904686760||J8999||10/24/2012|11/13/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TRETINOIN 10 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|10/24/2012|11/13/2022| | || | |
44206045190||90284||04/15/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|HIZENTRA 1 GRAM/5 ML VIAL|5|ML|VIAL|SC|EA|.5|04/15/2010|12/31/3999| | || | |
44206045190||J1599||01/01/2011|01/02/2011|IVIG NON-LYOPHILIZED, NOS|HIZENTRA 1 GRAM/5 ML VIAL|5|ML|VIAL|SC|EA|1|01/01/2011|01/02/2011| | || | |
44206045291||90284||04/15/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|HIZENTRA 2 GRAM/10 ML VIAL|10|ML|VIAL|SC|EA|.5|04/15/2010|12/31/3999| | || | |
44206045291||J1599||01/01/2011|01/02/2011|IVIG NON-LYOPHILIZED, NOS|HIZENTRA 2 GRAM/10 ML VIAL|10|ML|VIAL|SC|EA|1|01/01/2011|01/02/2011| | || | |
44206045492||90284||04/15/2010|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|HIZENTRA 4 GRAM/20 ML VIAL|20|ML|VIAL|SC|EA|.5|04/15/2010|12/31/3999| | || | |
44206045492||J1599||01/01/2011|01/02/2011|IVIG NON-LYOPHILIZED, NOS|HIZENTRA 4 GRAM/20 ML VIAL|20|ML|VIAL|SC|EA|1|01/01/2011|01/02/2011| | || | |
44206045593||90284||10/16/2013|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|HIZENTRA 10 GRAM/50 ML VIAL|50|ML|VIAL|SC|EA|.5|10/16/2013|12/31/3999| | || | |
00078063035||J3535||05/16/2013|07/31/2022|Drug administered through a metered dose inhaler|TOBI PODHALER 28 MG INHALE CAP|8|UN|BOX|IH|CAP|1|05/16/2013|07/31/2022| | || | |
00574086610||J7516||09/04/2020|08/01/2024|Cyclosporin, parenteral, 250 mg|CYCLOSPORINE 50 MG/ML AMPUL|5|ML|AMPUL|IV|ML|5|09/04/2020|08/01/2024| | || | |
00078063011||J3535||05/16/2013|07/31/2022|Drug administered through a metered dose inhaler|TOBI PODHALER 28 MG INHALE CAP|8|UN|BLIST PACK|IH|CAP|1|05/16/2013|07/31/2022| | || | |
59338077501||Q0138||07/25/2009|12/31/3999|Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-...|FERAHEME 510 MG/17 ML VIAL|17|ML|VIAL|IV|ML|.033333|07/25/2009|12/31/3999| | || | |
59338077501||Q0139||04/17/2018|12/31/2021|Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ...|FERAHEME 510 MG/17 ML VIAL|17|ML|VIAL|IV|ML|.033333|04/17/2018|12/31/2021| | || | |
00990798302||J7050||07/12/2018|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|250|07/12/2018|12/31/3999| | || | |
00990798302||J7040||07/12/2018|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
00990798302||J7030||07/12/2018|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
63323016425||J7120||08/01/2019|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|500|ML|BAG|IV|ML|1000|08/01/2019|12/31/3999| | || | |
63323016474||J7120||08/01/2019|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|250|ML|BAG|IV|ML|1000|08/01/2019|12/31/3999| | || | |
63323016476||J7120||08/01/2019|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|1000|ML|BAG|IV|ML|1000|08/01/2019|12/31/3999| | || | |
43598060504||J7682||06/24/2019|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|06/24/2019|12/31/3999| | || | |
61703030558||J9100||10/28/2004|12/31/3999|Injection, cytarabine, 100 mg|CYTARABINE 100 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|5|10/28/2004|12/31/3999| | || | |
69339013602||J3360||04/01/2019|10/31/2022|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/01/2019|10/31/2022| | || | |
00990793002||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|250|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990798413||J3490||07/12/2018|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
13925017710||J3490||11/18/2008|03/31/2021|Unclassified drugs|ALCOHOL,DEHYDRATED 98% VIAL|5|ML|VIAL|IJ|ML|1|11/18/2008|03/31/2021| | || | |
72237010101||J8999||07/18/2019|07/06/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XPOVIO 60 MG ONCE WEEKLY DO|12|UN|BLIST PACK|PO|TAB|1|07/18/2019|07/06/2023| | || | |
72237010105||J8999||07/18/2019|07/06/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XPOVIO 100 MG ONCE WEEKLY D|20|UN|BLIST PACK|PO|TAB|1|07/18/2019|07/06/2023| | || | |
59338077510||Q0138||07/25/2009|01/31/2024|Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-...|FERAHEME 510 MG/17 ML VIAL|17|ML|VIAL|IV|ML|.033333|07/25/2009|01/31/2024| | || | |
59338077510||Q0139||04/17/2018|01/31/2021|Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ...|FERAHEME 510 MG/17 ML VIAL|17|ML|VIAL|IV|ML|.033333|04/17/2018|01/31/2021| | || | |
00078063056||J3535||05/16/2013|07/31/2022|Drug administered through a metered dose inhaler|TOBI PODHALER 28 MG INHALE CAP|8|UN|BOX|IH|CAP|1|05/16/2013|07/31/2022| | || | |
00703441211||J9370||02/26/2020|12/31/3999|Vincristine sulfate, 1 mg|VINCASAR PFS 2 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|02/26/2020|12/31/3999| | || | |
50458002803||S0013||01/01/2021|12/31/3999|Esketamine, nasal spray|SPRAVATO 84 MG DOSE PACK|3|UN|SQUEEZ BTL|NS|ML|.01|01/01/2021|12/31/3999| | || | |
69794030401||J0584||01/03/2019|12/31/3999|Injection, burosumab-twza 1 mg|CRYSVITA 30 MG/ML VIAL|1|ML|VIAL|SQ|ML|.03333|01/03/2019|12/31/3999| | || | |
51754250003||J1570||08/13/2020|12/31/2022|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG/250 ML B|250|ML|FLEX CONT|IV|ML|250|08/13/2020|12/31/2022| | || | |
51862029201||S4993||07/01/2019|07/31/2022|Contraceptive pills for birth control|MICROGESTIN FE 1.5-30 TAB|28|UN|BLIST PACK|PO|TAB|1|07/01/2019|07/31/2022| | || | |
51754250001||J1570||08/13/2020|12/31/2022|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG/250 ML B|250|ML|FLEX CONT|IV|ML|250|08/13/2020|12/31/2022| | || | |
50458002800||S0013||01/01/2021|12/31/3999|Esketamine, nasal spray|SPRAVATO 28 MG NASAL SPRAY|1|UN|SQUEEZ BTL|NS|ML|.03571|01/01/2021|12/31/3999| | || | |
50458002802||S0013||01/01/2021|12/31/3999|Esketamine, nasal spray|SPRAVATO 56 MG DOSE PACK|2|UN|SQUEEZ BTL|NS|ML|.02|01/01/2021|12/31/3999| | || | |
60505619604||J1335||04/24/2019|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|ML|.5|04/24/2019|12/31/3999| | || | |
71045001001||J0291||10/01/2019|10/31/2020|Inj, plazomicin, 5 mg|ZEMDRI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|10/01/2019|10/31/2020| | || | |
00781905395||J0330||04/15/2005|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|ANECTINE 200 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|04/15/2005|12/31/3999| | || | |
51754100001||J3475||03/02/2015|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|10|ML|VIAL|IJ|ML|1|03/02/2015|12/31/3999| | || | |
51754600001||J3490||09/18/2018|12/31/2023|Unclassified drugs|GLYRX-PF 0.2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/18/2018|12/31/2023| | || | |
58468022501||J3590||04/02/2019|03/31/2023|Unclassified Biologics|CABLIVI 11 MG KIT|1|UN|KIT|IJ|EA|1|04/02/2019|03/31/2023| | || | |
67457095310||J1644||03/16/2018|09/30/2021|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|03/16/2018|09/30/2021| | || | |
69680011210||J3420||01/02/2019|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|01/02/2019|12/31/3999| | || | |
69918070025||J0330||04/10/2019|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/10/2019|12/31/3999| | || | |
70069017101||J3420||03/07/2019|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|03/07/2019|12/31/3999| | || | |
70069017110||J3420||03/07/2019|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|03/07/2019|12/31/3999| | || | |
70594002301||J0770||10/17/2018|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|10/17/2018|12/31/3999| | || | |
00409120715||J1580||10/28/2004|07/01/2022|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|07/01/2022| | || | |
63323080605||J3010||06/07/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 250 MCG/5 ML VIAL|5|ML|VIAL|IJ|ML|2|06/07/2019|12/31/3999| | || | |
63323080613||J3010||06/07/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 250 MCG/5 ML VIAL|5|ML|VIAL|IJ|ML|2|06/07/2019|12/31/3999| | || | |
63323080650||J3010||06/07/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 2,500 MCG/50 ML VI|50|ML|VIAL|IJ|ML|2|06/07/2019|12/31/3999| | || | |
43598041311||J0878||05/14/2019|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|05/14/2019|12/31/3999| | || | |
70594005301||J0878||05/23/2019|12/31/2023|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|05/23/2019|12/31/2023| | || | |
16714092801||J0894||04/05/2019|10/31/2022|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|04/05/2019|10/31/2022| | || | |
70860012399||J2543||05/13/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|GM|.0278|05/13/2019|12/31/3999| | || | |
16714091501||J0641||04/18/2019|06/30/2022|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 250 MG/25 ML|25|ML|VIAL|IV|ML|.05|04/18/2019|06/30/2022| | || | |
70121157201||J0641||05/14/2019|12/31/3999|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 175 MG/17.5|17.5|ML|VIAL|IV|ML|.05|05/14/2019|12/31/3999| | || | |
63323040041||J1953||06/03/2010|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|06/03/2010|12/31/3999| | || | |
16714093001||J9201||04/10/2019|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IV|EA|.2|04/10/2019|12/31/3999| | || | |
55150021301||J2501||06/04/2019|09/30/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 5 MCG/ML VIAL|1|ML|VIAL|IV|ML|.2|06/04/2019|09/30/2022| | || | |
55150021502||J2501||06/04/2019|09/30/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 10 MCG/2 ML VI|2|ML|VIAL|IV|ML|.2|06/04/2019|09/30/2022| | || | |
00409337911||J2543||12/29/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZO 4.5 GM ADD V|1|UN|VIAL|IV|EA|.25|12/29/2010|12/31/3999| | || | |
00409339011||J2543||10/25/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|10/25/2010|12/31/3999| | || | |
69794020301||J0584||01/01/2019|12/31/3999|Injection, burosumab-twza 1 mg|CRYSVITA 20 MG/ML VIAL|1|ML|VIAL|SQ|ML|.05|01/01/2019|12/31/3999| | || | |
00009003905||J2920||01/01/1991|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|SOLU-MEDROL 40 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/1991|12/31/3999| | || | |
00078074181||J2502||09/10/2018|06/30/2023|Inj, pasireotide long acting|SIGNIFOR LAR 30 MG KIT|1|UN|VIAL|IM|EA|.0333|09/10/2018|06/30/2023| | || | |
00078074881||J2502||09/10/2018|10/31/2021|Inj, pasireotide long acting|SIGNIFOR LAR 10 MG KIT|1|UN|VIAL|IM|EA|.1|09/10/2018|10/31/2021| | || | |
00115180302||Q0177||02/24/2017|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|500|UN|BOTTLE|PO|CAP|1|02/24/2017|12/31/3999| | || | |
00115993078||J7614||06/12/2017|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|06/12/2017|12/31/3999| | || | |
00115993278||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|06/01/2016|12/31/3999| | || | |
00143924801||J1190||04/22/2005|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 500 MG VIAL|1|UN|VIAL|IV|ML|.5|04/22/2005|12/31/3999| | || | |
00143927701||J9000||05/01/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 50 MG VIAL|1|UN|VIAL|IV|ML|.2|05/01/1996|12/31/3999| | || | |
00143931010||J3490||09/19/2016|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|09/19/2016|12/31/3999| | || | |
00143931101||J3490||09/19/2016|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|09/19/2016|12/31/3999| | || | |
00143951101||J9181||01/16/1997|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 500 MG/25 ML VIAL|25|ML|VIAL|IV|ML|.5|01/16/1997|12/31/3999| | || | |
00143951201||J9181||11/20/1996|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 1,000 MG/50 ML VI|50|ML|VIAL|IV|ML|.5|11/20/1996|12/31/3999| | || | |
00143972901||J0515||11/19/2009|12/31/3999|Injection, benztropine mesylate, per 1 mg|BENZTROPINE 2 MG/2 ML AMPUL|2|ML|AMPUL|IJ|ML|1|11/19/2009|12/31/3999| | || | |
00264780001||J7050||07/01/1991|03/01/2025|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|BOTTLE|IV|ML|250|07/01/1991|03/01/2025| | || | |
00264780001||J7040||07/01/1991|03/01/2025|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|BOTTLE|IV|ML|500|07/01/1991|03/01/2025| | || | |
00264780001||J7030||07/01/1991|03/01/2025|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|BOTTLE|IV|ML|1000|07/01/1991|03/01/2025| | || | |
00378969162||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|06/01/2016|12/31/3999| | || | |
00378969262||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|06/01/2016|12/31/3999| | || | |
00409188605||J1953||11/02/2012|01/31/2024|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|11/02/2012|01/31/2024| | || | |
00409189203||J2270||09/24/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 8 MG/ML CARPUJECT|1|ML|CARTRIDGE|IV|ML|1.25|09/24/2012|12/31/3999| | || | |
00409228704||J1885||04/28/2005|03/01/2018|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML CARPUJ|2|ML|CARTRIDGE|IM|ML|.5|04/28/2005|03/01/2018| | || | |
00409230603||J2250||10/28/2004|05/01/2019|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 2 MG/2 ML CARPUJE|2|ML|CARTRIDGE|IJ|ML|1|10/28/2004|05/01/2019| | || | |
00409230703||J2250||10/28/2004|06/01/2019|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 5 MG/ML CARPUJECT|1|ML|CARTRIDGE|IJ|ML|.2|10/28/2004|06/01/2019| | || | |
00409610236||J1940||10/28/2004|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409656222||J1071||08/09/2016|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|10|ML|VIAL|IM|ML|.005|08/09/2016|12/31/3999| | || | |
00409669512||J3490||10/28/2004|12/31/3999|Unclassified drugs|AMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00069031501||Q5118||07/01/2020|12/31/3999|Inj., zirabev, 10 mg|ZIRABEV 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.04|07/01/2020|12/31/3999| | || | |
00069023801||Q5119||07/01/2020|12/31/3999|Inj, rituximab-pvvr, biosimilar, (ruxience), 10 mg|RUXIENCE 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|07/01/2020|12/31/3999| | || | |
00069024901||Q5119||07/01/2020|12/31/3999|Inj, rituximab-pvvr, biosimilar, (ruxience), 10 mg|RUXIENCE 500 MG/50 ML VIAL|50|ML|VIAL|IV|ML|1|07/01/2020|12/31/3999| | || | |
65862088688||S4993||01/31/2020|12/31/3999|Contraceptive pills for birth control|SIMLIYA 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|01/31/2020|12/31/3999| | || | |
68180086573||S4993||04/07/2016|12/31/3999|Contraceptive pills for birth control|BLISOVI FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/07/2016|12/31/3999| | || | |
70700012487||S4993||01/10/2020|12/31/3999|Contraceptive pills for birth control|LOJAIMIESS 0.1-0.02-0.01 TA|91|UN|BLIST PACK|PO|TAB|1|01/10/2020|12/31/3999| | || | |
00409163140||J3490||10/28/2004|12/31/3999|Unclassified drugs|CALCIUM CHLORIDE 10% SYRING|10|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409121521||J2310||10/28/2004|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|10/28/2004|12/31/3999| | || | |
43598075011||J2310||03/18/2020|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|03/18/2020|12/31/3999| | || | |
67457064502||J2310||03/06/2014|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|03/06/2014|12/31/3999| | || | |
00781345895||J2370||09/06/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|09/06/2019|06/30/2023| | || | |
70860012641||J2540||12/27/2019|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PENICILLIN GK 5 MILLION UNI|1|UN|VIAL|IJ|EA|.12|12/27/2019|12/31/3999| | || | |
70860012141||J2543||05/10/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|GM|.3333|05/10/2019|12/31/3999| | || | |
63323001207||J2590||04/01/1998|12/31/3999|Injection, oxytocin, up to 10 units|OXYTOCIN 10 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
00409226511||J2597||10/28/2004|08/19/2022|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML AM|1|ML|AMPUL|IJ|ML|.25|10/28/2004|08/19/2022| | || | |
72572017025||J3010||12/10/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML VIAL|2|ML|VIAL|IJ|EA|2|12/10/2019|12/31/3999| | || | |
70860080141||J3105||07/10/2017|12/31/3999|Injection, terbutaline sulfate, up to 1 mg|TERBUTALINE SULF 1 MG/ML VI|1|ML|VIAL|SQ|ML|1|07/10/2017|12/31/3999| | || | |
00409321311||J3360||10/28/2004|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
72572014002||J3360||12/01/2019|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|EA|1|12/01/2019|12/31/3999| | || | |
00409653331||J3370||10/28/2004|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/28/2004|12/31/3999| | || | |
00409653359||J3370||10/28/2004|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/28/2004|12/31/3999| | || | |
00409653511||J3370||10/28/2004|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM ADD-VAN VIA|1|UN|VIAL|IV|EA|.5|10/28/2004|12/31/3999| | || | |
70860010441||J3370||05/01/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|05/01/2017|12/31/3999| | || | |
69680012130||J3420||03/05/2020|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|03/05/2020|12/31/3999| | || | |
00990710909||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 40 MEQ IN D5W-NACL 0.9%|1000|ML|FLEX CONT|IV|ML|50|07/12/2018|12/31/3999| | || | |
00990711109||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-LACT RING|1000|ML|FLEX CONT|IV|ML|100|07/12/2018|12/31/3999| | || | |
00990790209||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-0.45% NAC|1000|ML|FLEX CONT|IV|ML|100|07/12/2018|12/31/3999| | || | |
43598084811||J3486||03/16/2020|12/31/3999|Injection, ziprasidone mesylate, 10 mg|ZIPRASIDONE 20 MG/ML VIAL|1|UN|VIAL|IM|ML|.5|03/16/2020|12/31/3999| | || | |
00143923401||J3490||03/19/2020|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|03/19/2020|12/31/3999| | || | |
00409109802||J3490||03/04/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|03/04/2020|12/31/3999| | || | |
00409144314||J3490||10/28/2004|06/30/2023|Unclassified drugs|LEVOPHED 4 MG/4 ML AMPUL|4|ML|AMPUL|IV|ML|1|10/28/2004|06/30/2023| | || | |
00409650949||J3370||12/31/2018|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|12/31/2018|12/31/3999| | || | |
00574082710||J1071||03/27/2019|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 2,000 MG/10 ML|10|ML|VIAL|IJ|ML|.01|03/27/2019|12/31/3999| | || | |
00052060202||J9030||07/01/2019|12/31/3999|Bcg live intravesical 1mg|BCG VACCINE (TICE STRAIN) VIAL|1|UN|VIAL|IS|EA|.02|07/01/2019|12/31/3999| | || | |
00078069899||J8999||05/01/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RYDAPT 25 MG CAPSULE|56|UN|BLIST PACK|po|CAP|1|05/01/2017|12/31/3999| | || | |
71777039001||J8999||12/12/2018|09/01/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VITRAKVI 25 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|12/12/2018|09/01/2022| | || | |
71777039201||J8999||12/12/2018|11/30/2019|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VITRAKVI 20 MG/ML SOLUTION|100|ML|BOTTLE|PO|ML|1|12/12/2018|11/30/2019| | || | |
00052060201||J9030||07/01/2019|12/31/3999|Bcg live intravesical 1mg|BCG (TICE STRAIN) VIAL|1|UN|VIAL|IS|EA|.02|07/01/2019|12/31/3999| | || | |
16729043293||J3490||08/31/2018|11/13/2022|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|EA|1|08/31/2018|11/13/2022| | || | |
25021016268||J2700||07/02/2012|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|07/02/2012|12/31/3999| | || | |
36000000124||J3490||06/01/2018|03/16/2022|Unclassified drugs|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|1|06/01/2018|03/16/2022| | || | |
42023016401||J3490||11/12/2014|06/30/2023|Unclassified drugs|VASOSTRICT 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|11/12/2014|06/30/2023| | || | |
43598083911||J2800||03/19/2019|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|03/19/2019|12/31/3999| | || | |
00093414645||J7614||04/29/2013|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.38|04/29/2013|12/31/3999| | || | |
64679072808||J3030||05/21/2009|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIA|0.5|ML|VIAL|SQ|ML|.5|05/21/2009|12/31/3999| | || | |
67457038025||J2501||01/02/2019|01/31/2023|Injection, paricalcitol, 1 mcg|PARICALCITOL 5 MCG/ML VIAL|1|ML|VIAL|IV|ML|.2|01/02/2019|01/31/2023| | || | |
67457038925||J2501||01/02/2019|03/31/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 10 MCG/2 ML VI|2|ML|VIAL|IV|ML|.2|01/02/2019|03/31/2022| | || | |
67457056420||J0475||01/02/2019|12/31/3999|Injection, baclofen, 10 mg|BACLOFEN 40 MG/20 ML VIAL|20|ML|VIAL|IT|ML|5|01/02/2019|12/31/3999| | || | |
67457081402||J3490||11/29/2017|06/30/2022|Unclassified drugs|CLINDAMYCIN PH 300 MG/2 ML|2|ML|VIAL|IJ|ML|1|11/29/2017|06/30/2022| | || | |
67457081504||J3490||11/29/2017|03/31/2022|Unclassified drugs|CLINDAMYCIN PH 600 MG/4 ML|4|ML|VIAL|IJ|ML|1|11/29/2017|03/31/2022| | || | |
67457081606||J3490||11/29/2017|03/31/2022|Unclassified drugs|CLINDAMYCIN PH 900 MG/6 ML|6|ML|VIAL|IJ|ML|1|11/29/2017|03/31/2022| | || | |
67457082399||J3370||01/02/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.25 GRAM VI|1|UN|VIAL|IV|EA|.4|01/02/2019|12/31/2022| | || | |
67457090210||J3490||03/06/2019|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|03/06/2019|12/31/3999| | || | |
67457090320||J3490||03/06/2019|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|03/06/2019|12/31/3999| | || | |
67457094801||J1644||05/25/2018|09/30/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|05/25/2018|09/30/2021| | || | |
67457094901||J1644||03/16/2018|09/30/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|03/16/2018|09/30/2021| | || | |
67457095600||J1644||03/16/2018|07/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|03/16/2018|07/31/2021| | || | |
67457095630||J1644||03/16/2018|07/31/2021|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|03/16/2018|07/31/2021| | || | |
67877063430||J8999||02/08/2019|09/30/2020|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|TAB|1|02/08/2019|09/30/2020| | || | |
69097080232||J1071||03/21/2019|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|03/21/2019|12/31/3999| | || | |
63323084221||J0500||10/28/2019|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|10/28/2019|12/31/3999| | || | |
55150032401||J1940||09/04/2019|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|09/04/2019|12/31/3999| | || | |
63402091101||J7605||04/01/2010|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|BROVANA 15 MCG/2 ML SOLUTIO|2|ML|VIAL|IH|ML|2|04/01/2010|12/31/3999| | || | |
76204080011||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|06/01/2016|12/31/3999| | || | |
76204080015||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|06/01/2016|12/31/3999| | || | |
67457098700||J2310||09/14/2016|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|09/14/2016|12/31/3999| | || | |
00378967164||J7620||06/19/2013|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|06/19/2013|12/31/3999| | || | |
00338006301||Q2050||02/01/2014|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXIL 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|5|02/01/2014|12/31/3999| | || | |
00338006701||Q2050||02/01/2014|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXIL 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|5|02/01/2014|12/31/3999| | || | |
00338008001||Q2050||02/01/2014|02/28/2022|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/1|10|ML|VIAL|IV|ML|5|02/01/2014|02/28/2022| | || | |
00517086610||J7516||10/31/2019|04/30/2022|Cyclosporin, parenteral, 250 mg|CYCLOSPORINE 250 MG/5 ML AM|5|ML|AMPUL|IV|ML|5|10/31/2019|04/30/2022| | || | |
68982085005||J1568||01/09/2015|12/31/3999|Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. l...|OCTAGAM 10% VIAL|300|ML|VIAL|IV|ML|5|01/09/2015|12/31/3999| | || | |
68982085005||90283||01/09/2015|12/31/3999|Immune globulin (IGIV), human, for intravenous use|OCTAGAM 10% VIAL|300|ML|VIAL|IV|ML|5|01/09/2015|12/31/3999| | || | |
69800025001||90283||10/31/2019|12/31/2022|Immune globulin (IGIV), human, for intravenous use|ASCENIV 10% VIAL|50|ML|VIAL|IV|ML|5|10/31/2019|12/31/2022| | || | |
72603010301||Q2050||12/11/2019|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/1|10|ML|VIAL|IV|ML|5|12/11/2019|12/31/3999| | || | |
72603020001||Q2050||12/11/2019|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/2|25|ML|VIAL|IV|ML|5|12/11/2019|12/31/3999| | || | |
00409233601||J0895||10/28/2004|09/01/2021|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 500 MG VIAL|1|UN|VIAL|IJ|EA|1|10/28/2004|09/01/2021| | || | |
00409780931||J1265||01/01/2006|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 800 MG/500 ML-D5W|500|ML|BAG|IV|ML|25|01/01/2006|12/31/3999| | || | |
00409781011||J1265||01/01/2006|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 800 MG/250 ML-D5W|250|ML|BAG|IV|ML|12.5|01/01/2006|12/31/3999| | || | |
43598085050||J1270||11/21/2019|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|11/21/2019|12/31/3999| | || | |
43598086560||J9044||12/03/2019|12/31/2022|Injection, bortezomib, not otherwise specified, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IV|EA|.03|12/03/2019|12/31/2022| | || | |
00990792402||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.225% NACL IV|250|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990792602||J3490||07/12/2018|07/13/2018|Unclassified drugs|DEXTROSE 5%-0.45% NACL IV S|250|ML|FLEX CONT|IV|ML|1|07/12/2018|07/13/2018| | || | |
00990793519||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 20%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990798436||J3490||07/12/2018|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990798502||J3490||07/12/2018|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|250|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
24201020105||J3490||12/09/2019|12/31/3999|Unclassified drugs|SODIUM TETRA SULF 3% 60MG/2|2|ML|VIAL|IV|ML|1|12/09/2019|12/31/3999| | || | |
43598058723||J3490||12/27/2019|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|12/27/2019|12/31/3999| | || | |
65597040601||J9358||07/01/2020|12/31/3999|Inj, fam-trastuzumab deruxtecan-nxki, 1 mg|ENHERTU 100 MG VIAL|1|UN|VIAL|IV|EA|.01|07/01/2020|12/31/3999| | || | |
71336100101||J0223||07/01/2020|12/31/3999|Inj, givosiran, 0.5 mg|GIVLAARI 189 MG/ML VIAL|1|ML|VIAL|SQ|ML|.0026|07/01/2020|12/31/3999| | || | |
59572071101||J0896||07/01/2020|12/31/3999|Inj, luspatercept-aamt, 0.25 mg|REBLOZYL 25 MG VIAL|1|UN|VIAL|SQ|EA|.04|07/01/2020|12/31/3999| | || | |
69800650201||J1556||10/31/2019|12/31/3999|Injection, immune globulin (bivigam), 500 mg|BIVIGAM 10% VIAL|50|ML|VIAL|IV|ML|5|10/31/2019|12/31/3999| | || | |
69800650201||90283||10/31/2019|12/31/3999|Immune globulin (IGIV), human, for intravenous use|BIVIGAM 10% VIAL|50|ML|VIAL|IV|ML|5|10/31/2019|12/31/3999| | || | |
00069196501||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SQ|ML|1|05/23/2019|06/30/2022| | || | |
00069196501||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SQ|ML|.6|05/23/2019|06/30/2022| | || | |
70720010025||J1201||07/01/2020|10/01/2021|Inj, cetirizine hydrochloride, 0.5 mg|QUZYTTIR 10 MG/ML VIAL|1|ML|VIAL|IV|ML|.1|07/01/2020|10/01/2021| | || | |
13533070511||J0256||05/15/2018|12/31/3999|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|PROLASTIN C 1,000 MG/20 ML|1|UN|VIAL|IV|EA|10|05/15/2018|12/31/3999| | || | |
66794022341||J0290||03/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|03/26/2020|12/31/3999| | || | |
70860011241||J0290||09/25/2018|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|09/25/2018|12/31/3999| | || | |
16714003601||J1650||02/12/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/12/2020|12/31/3999| | || | |
70257056211||J0476||04/27/2017|12/31/3999|Injection, baclofen, 50 mcg for intrathecal trial|LIORESAL IT 0.05 MG/1 ML AM|1|ML|AMPUL|IT|ML|1|04/27/2017|12/31/3999| | || | |
72266012705||J0500||03/12/2020|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|03/12/2020|12/31/3999| | || | |
70860021641||J0594||02/10/2019|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|02/10/2019|12/31/3999| | || | |
00143936801||J0640||06/23/2017|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG V|1|UN|VIAL|IJ|EA|.25|06/23/2017|12/31/3999| | || | |
68001041636||J0640||03/04/2020|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 100 MG V|1|UN|VIAL|IJ|ML|.5|03/04/2020|12/31/3999| | || | |
68001041838||J0640||03/09/2020|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG V|1|UN|VIAL|IJ|ML|.1429|03/09/2020|12/31/3999| | || | |
60505614500||J0692||03/21/2018|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|ML|.25|03/21/2018|12/31/3999| | || | |
00409733331||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM ADD-VANT V|1|UN|VIAL|IV|EA|.25|07/20/2005|12/31/3999| | || | |
00143937801||J0878||01/30/2020|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|01/30/2020|12/31/3999| | || | |
16729043445||J0878||07/16/2019|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|07/16/2019|12/31/3999| | || | |
25021017415||J0878||02/03/2020|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|02/03/2020|12/31/3999| | || | |
25021017416||J0878||02/03/2020|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|02/03/2020|12/31/3999| | || | |
00781329680||J0894||03/31/2020|05/31/2022|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|03/31/2020|05/31/2022| | || | |
72205003101||J0894||02/14/2020|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|ML|.02|02/14/2020|12/31/3999| | || | |
72205003601||J0894||03/27/2020|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|ML|.02|03/27/2020|12/31/3999| | || | |
70515026110||J1160||01/06/2020|12/31/3999|Injection, digoxin, up to 0.5 mg|LANOXIN 500 MCG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|01/06/2020|12/31/3999| | || | |
70515026310||J1160||01/06/2020|12/31/3999|Injection, digoxin, up to 0.5 mg|LANOXIN PED 100 MCG/ML VIAL|1|ML|VIAL|IJ|ML|5|01/06/2020|12/31/3999| | || | |
00409234731||J1250||10/28/2004|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 500 MG/250 ML D5|250|ML|BAG|IV|ML|125|10/28/2004|12/31/3999| | || | |
00409166035||J3490||04/08/2013|12/31/3999|Unclassified drugs|PRECEDEX 400 MCG/100 ML INJ|100|ML|BOTTLE|IV|ML|1|04/08/2013|12/31/3999| | || | |
00517610325||J3490||01/20/2020|12/31/3999|Unclassified drugs|ZINC SULFATE 30 MG/10 ML VI|10|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
00703951491||J3490||10/01/1992|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|10|ML|VIAL|IV|ML|1|10/01/1992|12/31/3999| | || | |
00990712007||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 70%-WATER IV SOLN|2000|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
39822100106||J3490||06/11/2014|11/30/2021|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|06/11/2014|11/30/2021| | || | |
55150023501||J3490||03/12/2019|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|03/12/2019|12/31/3999| | || | |
63323078144||J3490||04/03/2017|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|04/03/2017|12/31/3999| | || | |
70860030041||J3490||03/09/2017|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|03/09/2017|12/31/3999| | || | |
70860030110||J3490||01/20/2020|12/31/3999|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
70860065142||J3490||08/13/2018|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|08/13/2018|12/31/3999| | || | |
72572032010||J3490||10/08/2019|12/31/3999|Unclassified drugs|KETAMINE 500 MG/10 ML VIAL|10|ML|VIAL|IJ|EA|1|10/08/2019|12/31/3999| | || | |
72572032110||J3490||10/08/2019|12/31/3999|Unclassified drugs|KETAMINE 500 MG/5 ML VIAL|5|ML|VIAL|IJ|EA|1|10/08/2019|12/31/3999| | || | |
72572035001||J3490||11/21/2019|06/30/2023|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|EA|1|11/21/2019|06/30/2023| | || | |
72572074020||J3490||03/18/2020|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|EA|1|03/18/2020|12/31/3999| | || | |
72611063425||J3490||02/02/2020|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 300 MG/2 ML|2|ML|VIAL|IJ|ML|1|02/02/2020|06/30/2023| | || | |
72611063901||J3490||02/02/2020|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 600 MG/4 ML|4|ML|VIAL|IJ|ML|1|02/02/2020|06/30/2023| | || | |
72611064511||J3490||02/02/2020|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 9 G/60 ML VI|60|ML|VIAL|IJ|ML|1|02/02/2020|06/30/2023| | || | |
00990792209||J7070||07/12/2018|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|1000|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
00169810001||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
00169810111||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
00169815111||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 1,500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
00169820001||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 2,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
00169830111||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
65162046935||J7303||12/12/2019|09/30/2021|Contraceptive supply, hormone containing vaginal ring, each|ELURYNG VAGINAL RING|1|UN|BOX|VG|EA|1|12/12/2019|09/30/2021| | || | |
66993060536||J7303||09/01/2007|09/30/2021|Contraceptive supply, hormone containing vaginal ring, each|ETONOGESTREL-EE VAGINAL RIN|1|UN|BOX|VG|EA|1|09/01/2007|09/30/2021| | || | |
76204080012||J7614||06/01/2016|04/08/2021|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|06/01/2016|04/08/2021| | || | |
76204090012||J7614||06/01/2016|04/08/2021|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|06/01/2016|04/08/2021| | || | |
47335070654||J7644||03/06/2020|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|03/06/2020|12/31/3999| | || | |
51144002001||J9177||07/01/2020|12/31/3999|Inj, enfortumab vedotin-ejfv, 0.25 mg|PADCEV 20 MG VIAL|1|UN|VIAL|IV|EA|.05|07/01/2020|12/31/3999| | || | |
51144003001||J9177||07/01/2020|12/31/3999|Inj, enfortumab vedotin-ejfv, 0.25 mg|PADCEV 30 MG VIAL|1|UN|VIAL|IV|EA|.0033|07/01/2020|12/31/3999| | || | |
69238179701||J1726||03/19/2019|04/06/2023|Makena, 10 mg|HYDROXYPROGEST 250 MG/ML VI|1|ML|VIAL|IM|ML|.04|03/19/2019|04/06/2023| | || | |
69543037623||J3490||02/14/2017|10/15/2021|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|AMPUL|IV|ML|1|02/14/2017|10/15/2021| | || | |
69680011399||J3420||01/02/2019|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|01/02/2019|12/31/3999| | || | |
70121104902||J3301||12/19/2017|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|12/19/2017|12/31/3999| | || | |
70121139501||J3490||07/12/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|07/12/2017|12/31/3999| | || | |
70121139701||J3490||08/16/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|08/16/2017|12/31/3999| | || | |
70121157901||J2370||01/14/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|01/14/2019|06/30/2023| | || | |
70121158601||J3490||03/07/2019|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|03/07/2019|12/31/3999| | || | |
70121165101||J3301||12/28/2018|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|12/28/2018|12/31/3999| | || | |
70121165401||J3301||12/28/2018|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 200 MG/5|5|ML|VIAL|IJ|ML|.25|12/28/2018|12/31/3999| | || | |
70121165501||J3301||01/07/2019|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 400 MG/1|10|ML|VIAL|IJ|ML|.25|01/07/2019|12/31/3999| | || | |
70257005105||J1571||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|HEPAGAM B VIAL|5|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70436001982||J0456||01/02/2019|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|01/02/2019|12/31/3999| | || | |
70436008955||J1570||03/14/2019|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG VIAL|1|UN|VIAL|IV|EA|1|03/14/2019|12/31/3999| | || | |
70594002304||J0770||10/17/2018|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|10/17/2018|12/31/3999| | || | |
70594003401||J0878||01/11/2019|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|01/11/2019|12/31/3999| | || | |
70594004302||J3370||03/27/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1.5 GRAM/300 ML|300|ML|BAG|IV|EA|100|03/27/2019|12/31/2022| | || | |
70594004901||J3490||10/17/2018|08/31/2022|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|10/17/2018|08/31/2022| | || | |
70860045210||J3490||01/02/2019|12/31/3999|Unclassified drugs|LEVOTHYROXINE 200 MCG VIAL|1|UN|VIAL|IV|ML|1|01/02/2019|12/31/3999| | || | |
70860065310||J2800||02/10/2019|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|02/10/2019|12/31/3999| | || | |
71288000520||J0295||01/07/2019|09/03/2025|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|GM|1|01/07/2019|09/03/2025| | || | |
00143928001||J9280||01/21/2019|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|ML|.125|01/21/2019|12/31/3999| | || | |
00143931801||J3490||02/07/2019|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|02/07/2019|12/31/3999| | || | |
00143931810||J3490||02/07/2019|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|02/07/2019|12/31/3999| | || | |
00143932001||J3490||03/09/2017|06/30/2023|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|03/09/2017|06/30/2023| | || | |
00143932610||J2260||03/15/2011|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|03/15/2011|12/31/3999| | || | |
00143971901||J2260||02/01/2011|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|25|02/01/2011|12/31/3999| | || | |
00143987301||J3490||08/16/2007|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|1|ML|1|08/16/2007|12/31/3999| | || | |
00169413611||J3490||01/09/2018|10/31/2023|Unclassified drugs|OZEMPIC 1 MG DOSE PEN|1.5|ML|SYRINGE|SQ|ML|1|01/09/2018|10/31/2023| | || | |
63323062625||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|250|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
63323062650||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|50|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
63323082474||J3490||11/14/2019|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|250|ML|BAG|IV|ML|1|11/14/2019|12/31/3999| | || | |
00009085001||J2930||01/01/1991|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|SOLU-MEDROL 2,000 MG VIAL|1|UN|VIAL|IJ|EA|.0625|01/01/1991|12/31/3999| | || | |
00409177830||J3490||10/28/2004|02/01/2019|Unclassified drugs|METOPROLOL 5 MG/5 ML CARPUJ|5|ML|CARTRIDGE|IV|ML|1|10/28/2004|02/01/2019| | || | |
63402091104||J7605||04/01/2010|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|BROVANA 15 MCG/2 ML SOLUTIO|2|ML|VIAL|IH|ML|2|04/01/2010|12/31/3999| | || | |
63323045400||J2270||05/06/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 4 MG/ML VI|1|ML|VIAL|IJ|ML|2.5|05/06/2014|12/31/2022| | || | |
67457098710||J2310||09/14/2016|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|09/14/2016|12/31/3999| | || | |
60687040579||J7620||01/23/2019|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|01/23/2019|12/31/3999| | || | |
60687040583||J7620||01/23/2019|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|01/23/2019|12/31/3999| | || | |
70720072210||J2278||03/29/2017|10/01/2021|Injection, ziconotide, 1 microgram|PRIALT 500 MCG/5 ML VIAL|5|ML|VIAL|IT|ML|.1|03/29/2017|10/01/2021| | || | |
50242012047||J3101||01/01/2009|12/31/3999|Injection, tenecteplase, 1 mg|TNKASE 50 MG KIT|1|UN|VIAL|IV|EA|.02|01/01/2009|12/31/3999| | || | |
70720072310||J2278||03/29/2017|10/01/2021|Injection, ziconotide, 1 microgram|PRIALT 500 MCG/20 ML VIAL|20|ML|VIAL|IT|ML|.04|03/29/2017|10/01/2021| | || | |
68001037233||J9070||01/23/2019|12/31/2021|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IJ|ML|.05|01/23/2019|12/31/2021| | || | |
72572080501||J3370||10/08/2019|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|10/08/2019|12/31/3999| | || | |
76204070015||J7614||06/12/2017|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|06/12/2017|12/31/3999| | || | |
00378797062||J7644||03/13/2013|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|03/13/2013|12/31/3999| | || | |
63323069041||J7608||10/01/2012|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|30|ML|VIAL|IH|ML|5|10/01/2012|12/31/3999| | || | |
63323069441||J7608||10/01/2012|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|4|ML|VIAL|IH|ML|5|10/01/2012|12/31/3999| | || | |
70257056320||J0475||04/27/2017|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 40 MG/20 ML AMP|20|ML|AMPUL|IT|ML|5|04/27/2017|12/31/3999| | || | |
00338008601||Q2050||02/01/2014|03/31/2022|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/2|25|ML|VIAL|IV|ML|5|02/01/2014|03/31/2022| | || | |
00990707714||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/50 ML S|50|ML|FLEX CONT|IV|ML|5|07/12/2018|12/31/3999| | || | |
69800025002||90283||10/31/2019|12/31/2022|Immune globulin (IGIV), human, for intravenous use|ASCENIV 10% VIAL|50|ML|VIAL|IV|ML|5|10/31/2019|12/31/2022| | || | |
00409381511||J2270||06/29/2005|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 10 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|10|06/29/2005|12/31/3999| | || | |
61755000501||J0178||01/01/2013|12/31/3999|Injection, aflibercept, 1 mg|EYLEA 2 MG/0.05 ML SYRINGE|0.05|ML|SYRINGE|IO|ML|.025|01/01/2013|12/31/3999| | || | |
00310183030||J0517||10/28/2019|12/31/3999|Injection, benralizumab, 1 mg|FASENRA PEN 30 MG/ML|1|ML|SYRINGE|SQ|ML|.0333|10/28/2019|12/31/3999| | || | |
42023015901||J0171||08/07/2013|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|ADRENALIN 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|08/07/2013|12/31/3999| | || | |
68001037133||J9070||01/23/2019|12/31/2021|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IJ|ML|.1|01/23/2019|12/31/2021| | || | |
63323062603||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|250|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
59353000401||Q5105||11/16/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 4,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.025|11/16/2018|12/31/2022| | || | |
59353000401||Q5106||11/16/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 4,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.25|11/16/2018|12/31/3999| | || | |
00143987325||J3490||08/16/2007|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|08/16/2007|12/31/3999| | || | |
36000003310||J3490||06/01/2018|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|06/01/2018|12/31/3999| | || | |
59353000201||Q5105||11/16/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 2,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.05|11/16/2018|12/31/2022| | || | |
59353000201||Q5106||11/16/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 2,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.5|11/16/2018|12/31/3999| | || | |
59353000301||Q5106||11/16/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 3,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.3333|11/16/2018|12/31/3999| | || | |
59353000301||Q5105||11/16/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 3,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.0333|11/16/2018|12/31/2022| | || | |
59353000210||Q5105||11/16/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 2,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.05|11/16/2018|12/31/2022| | || | |
59353000210||Q5106||11/16/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 2,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.5|11/16/2018|12/31/3999| | || | |
59353000310||Q5105||11/16/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 3,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.0333|11/16/2018|12/31/2022| | || | |
59353000310||Q5106||11/16/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 3,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.3333|11/16/2018|12/31/3999| | || | |
59353001010||Q5105||11/16/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 10,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.01|11/16/2018|12/31/2022| | || | |
59353001010||Q5106||11/16/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 10,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.1|11/16/2018|12/31/3999| | || | |
69251020101||J7342||04/01/2019|07/31/2022|Ciprofloxacin otic susp 6 mg|OTIPRIO 6% VIAL|1|ML|VIAL|OT|EA|.1|04/01/2019|07/31/2022| | || | |
00310051260||J8999||11/01/2017|07/31/2025|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|CALQUENCE 100 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|11/01/2017|07/31/2025| | || | |
68152011201||C9043||04/01/2019|08/31/2021|Injection, Levoleucovorin|KHAPZORY 175 MG VIAL|1|UN|VIAL|IV|EA|.0057|04/01/2019|08/31/2021| | || | |
68152011401||C9043||04/01/2019|09/30/2021|Injection, Levoleucovorin|KHAPZORY 300 MG VIAL|1|UN|VIAL|IV|EA|.0033|04/01/2019|09/30/2021| | || | |
68982082083||J1599||11/26/2018|04/14/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|1|11/26/2018|04/14/2021| | || | |
68982082003||J1599||11/26/2018|04/14/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|1|11/26/2018|04/14/2021| | || | |
68982082002||J1599||11/26/2018|01/25/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|1|11/26/2018|01/25/2021| | || | |
68982082004||J1599||11/26/2018|05/16/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|1|11/26/2018|05/16/2021| | || | |
68982082005||J1599||11/26/2018|04/22/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|1|11/26/2018|04/22/2021| | || | |
68982082082||J1599||11/26/2018|01/25/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|1|11/26/2018|01/25/2021| | || | |
68982082006||J1599||11/26/2018|04/17/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|1|11/26/2018|04/17/2021| | || | |
68982082084||J1599||11/26/2018|05/16/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|1|11/26/2018|05/16/2021| | || | |
68982082085||J1599||11/26/2018|04/22/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|1|11/26/2018|04/22/2021| | || | |
68982082086||J1599||11/26/2018|04/17/2021|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|1|11/26/2018|04/17/2021| | || | |
59353000410||Q5105||11/16/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 4,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.025|11/16/2018|12/31/2022| | || | |
59353000410||Q5106||11/16/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 4,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.25|11/16/2018|12/31/3999| | || | |
59353001001||Q5105||11/16/2018|12/31/2022|Inj Retacrit esrd on dialysi|RETACRIT 10,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.01|11/16/2018|12/31/2022| | || | |
59353001001||Q5106||11/16/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 10,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.1|11/16/2018|12/31/3999| | || | |
00009470913||J1050||05/04/2005|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|DEPO-SUBQ PROVERA 104 SYRINGE|0.65|ML|SYRINGE|SQ|EA|.00667|05/04/2005|12/31/3999| | || | |
00009074630||J1050||09/17/2016|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|DEPO-PROVERA 150 MG/ML VIAL|1|ML|VIAL|IM|ML|.00667|09/17/2016|12/31/3999| | || | |
67457088799||J1050||10/12/2018|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.00667|10/12/2018|12/31/3999| | || | |
67457088700||J1050||10/12/2018|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.00667|10/12/2018|12/31/3999| | || | |
67457088701||J1050||10/12/2018|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.00667|10/12/2018|12/31/3999| | || | |
00009737611||J1050||09/17/2016|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|DEPO-PROVERA 150 MG/ML SYRINGE|1|ML|SYRINGE|IM|ML|.00667|09/17/2016|12/31/3999| | || | |
00009074635||J1050||09/17/2016|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|DEPO-PROVERA 150 MG/ML VIAL|1|ML|VIAL|IM|ML|.00667|09/17/2016|12/31/3999| | || | |
00548541025||J1050||05/01/2019|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.00667|05/01/2019|12/31/3999| | || | |
59762453702||J1050||07/03/1993|03/31/2023|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/ML|1|ML|VIAL|IM|ML|.00667|07/03/1993|03/31/2023| | || | |
62756009040||J1050||10/02/2019|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|EA|.00667|10/02/2019|12/31/3999| | || | |
62756009045||J1050||10/02/2019|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|EA|.00667|10/02/2019|12/31/3999| | || | |
59762453701||J1050||07/03/1993|02/29/2024|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/ML|1|ML|VIAL|IM|ML|.00667|07/03/1993|02/29/2024| | || | |
59762453802||J1050||06/17/2017|12/30/2024|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/ML|1|ML|SYRINGE|IM|ML|.00667|06/17/2017|12/30/2024| | || | |
00703680104||J1050||06/17/2017|08/31/2022|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/ML|1|ML|VIAL|IM|ML|.00667|06/17/2017|08/31/2022| | || | |
00703680101||J1050||06/17/2017|04/30/2023|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/ML|1|ML|VIAL|IM|ML|.00667|06/17/2017|04/30/2023| | || | |
00548570100||J1050||02/07/2018|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IM|ML|.00667|02/07/2018|12/31/3999| | || | |
00548540025||J1050||01/17/2018|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.00667|01/17/2018|12/31/3999| | || | |
00548540000||J1050||01/17/2018|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.00667|01/17/2018|12/31/3999| | || | |
00548571100||J1050||05/01/2019|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IM|ML|.00667|05/01/2019|12/31/3999| | || | |
00548541000||J1050||05/01/2019|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.00667|05/01/2019|12/31/3999| | || | |
69639010501||J1454||06/22/2020|06/22/2020|Injection, fosnetupitant 235 mg and palonosetron 0.25 mg|AKYNZEO 235-0.25 MG/20 ML V|20|ML|VIAL|IJ|ML|1|06/22/2020|06/22/2020| | || | |
54436002002||J3490||01/06/2014|12/31/3999|Unclassified drugs|OTREXUP 20 MG/0.4 ML AUTO-I|0.4|ML|SYRINGE|SQ|ML|1|01/06/2014|12/31/3999| | || | |
14789060007||J9017||11/19/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|11/19/2018|12/31/3999| | || | |
63323039801||J0456||03/20/2006|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|03/20/2006|12/31/3999| | || | |
65219005609||J3490||05/26/2020|12/31/3999|Unclassified drugs|POTASSIUM PHOSP 150 MMOL/50|50|ML|VIAL|IV|ML|1|05/26/2020|12/31/3999| | || | |
00024065601||J9227||10/01/2020|12/31/3999|IJ, isatuximab-irfc, 10 mg|SARCLISA 500 MG/25 ML VIAL|25|ML|VIAL|IV|ML|.5|10/01/2020|12/31/3999| | || | |
14789001007||J0500||02/13/2019|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|02/13/2019|12/31/3999| | || | |
72266012701||J0500||03/12/2020|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|03/12/2020|12/31/3999| | || | |
72603010501||J9395||06/25/2020|09/30/2022|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|06/25/2020|09/30/2022| | || | |
70069038401||J1631||04/03/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 500 MG/5 ML|5|ML|VIAL|IM|ML|.5|04/03/2020|12/31/3999| | || | |
71288041081||J1650||04/29/2020|06/25/2025|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/29/2020|06/25/2025| | || | |
00254202991||S4993||09/28/2018|06/30/2022|Contraceptive pills for birth control|PREVIFEM TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|06/30/2022| | || | |
00378728653||S4993||02/04/2019|10/31/2020|Contraceptive pills for birth control|NORG-ETHIN ESTRA 0.25-0.035|28|UN|BLIST PACK|PO|TAB|1|02/04/2019|10/31/2020| | || | |
00378728685||S4993||02/04/2019|10/31/2020|Contraceptive pills for birth control|NORG-ETHIN ESTRA 0.25-0.035|28|UN|BLIST PACK|PO|TAB|1|02/04/2019|10/31/2020| | || | |
00378729385||S4993||02/14/2019|12/31/2020|Contraceptive pills for birth control|NORG-EE 0.18-0.215-0.25/0.0|28|UN|BLIST PACK|PO|TAB|1|02/14/2019|12/31/2020| | || | |
50102023113||S4993||01/07/2019|12/31/3999|Contraceptive pills for birth control|TRI-VYLIBRA LO TABLET|28|UN|BLIST PACK|PO|TAB|1|01/07/2019|12/31/3999| | || | |
50242091801||J9022||03/19/2019|12/31/3999|Inj, atezolizumab,10 mg|TECENTRIQ 840 MG/14 ML VIAL|14|ML|VIAL|IV|ML|.1667|03/19/2019|12/31/3999| | || | |
00338361224||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338361624||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338381424||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338411450||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338954550||J3490||06/06/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN 300 MG/50 ML-NS|50|ML|BAG|IV|ML|1|06/06/2017|06/30/2023| | || | |
00338955350||J3490||06/07/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN 900 MG/50 ML-NS|50|ML|BAG|IV|ML|1|06/07/2017|06/30/2023| | || | |
00338955712||J3490||08/24/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BAG|IV|ML|1|08/24/2018|12/31/3999| | || | |
00409111201||J0594||03/04/2019|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|03/04/2019|12/31/3999| | || | |
00409371301||J3490||10/28/2004|06/01/2020|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|10/28/2004|06/01/2020| | || | |
00409371310||J3490||10/28/2004|06/01/2020|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|10/28/2004|06/01/2020| | || | |
00409733611||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM ADD VIAL|1|UN|VIAL|IV|EA|.125|07/20/2005|12/31/3999| | || | |
00641622901||J2370||02/15/2013|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/15/2013|06/30/2023| | || | |
00781325071||J1595||03/23/2018|12/31/3999|Injection, glatiramer acetate, 20 mg|GLATOPA 40 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.5|03/23/2018|12/31/3999| | || | |
00781341575||J2469||03/26/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|03/26/2018|12/31/3999| | || | |
00781342580||J3285||03/26/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 50 MG/20 ML VI|20|ML|VIAL|IJ|ML|.4|03/26/2019|12/31/3999| | || | |
00781344220||J3490||01/17/2019|07/31/2021|Unclassified drugs|SYMJEPI 0.3 MG/0.3 ML SYRIN|2|UN|SYRINGE|IJ|ML|1|01/17/2019|07/31/2021| | || | |
13533031850||90375||05/22/2018|12/31/3999|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|HYPERRAB 300 UNIT/ML VIAL|5|ML|VIAL|IM|ML|.5|05/22/2018|12/31/3999| | || | |
14789001002||J0500||02/13/2019|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|02/13/2019|12/31/3999| | || | |
14789070002||J0780||02/22/2019|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|02/22/2019|12/31/3999| | || | |
16714081601||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
16714088601||J9040||01/25/2019|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 15 UNIT V|1|UN|VIAL|IJ|EA|1|01/25/2019|12/31/3999| | || | |
16714090801||J9040||01/25/2019|12/31/3999|Injection, bleomycin sulfate, 15 units|BLEOMYCIN SULFATE 30 UNIT V|1|UN|VIAL|IJ|EA|.5|01/25/2019|12/31/3999| | || | |
16729036403||J3243||03/28/2019|12/31/2022|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|03/28/2019|12/31/2022| | || | |
43598083936||J2800||03/19/2019|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IV|ML|10|03/19/2019|12/31/3999| | || | |
44206030090||J2790||03/01/2004|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|RHOPHYLAC 300 MCG/2 ML SYRI|2|ML|SYRINGE|IJ|EA|.1333|03/01/2004|12/31/3999| | || | |
44206031091||P9045||06/01/2002|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBURX (HUMAN) 5% VIAL|500|ML|VIAL|IV|ML|250|06/01/2002|12/31/3999| | || | |
59353040509||J0888||04/01/2019|12/31/3999|Epoetin beta non-esrd use|MIRCERA 200 MCG/0.3 ML SYRI|0.3|ML|SYRINGE|IJ|ML|.0015|04/01/2019|12/31/3999| | || | |
69238105401||Q0181||09/24/2018|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|CHLORPROMAZINE 10 MG TABLET|100|UN|BOTTLE|PO|TAB|1|09/24/2018|12/31/3999| | || | |
69238105601||Q0181||09/24/2018|12/31/3999|UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESECRIPTION ANTIEMETIC|CHLORPROMAZINE 25 MG TABLET|100|UN|BOTTLE|PO|TAB|1|09/24/2018|12/31/3999| | || | |
54482005401||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MATULANE 50 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
69238125001||J8999||11/08/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BEXAROTENE 75 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|11/08/2018|12/31/3999| | || | |
69918072010||J9017||11/15/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|11/15/2018|12/31/3999| | || | |
70069003001||J1631||10/18/2018|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DECAN 50 MG/ML|1|ML|AMPUL|IM|ML|1|10/18/2018|12/31/3999| | || | |
70069003101||J1631||10/18/2018|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML A|1|ML|AMPUL|IM|ML|.5|10/18/2018|12/31/3999| | || | |
70069013101||J3490||07/24/2017|09/30/2023|Unclassified drugs|TOBRAMYCIN 0.3% EYE DROP|5|ML|DROP BTL|OP|ML|1|07/24/2017|09/30/2023| | || | |
70121147907||J2710||12/20/2018|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|12/20/2018|12/31/3999| | || | |
70121157705||J2370||10/15/2018|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/15/2018|06/30/2023| | || | |
70121160507||J3490||10/24/2018|12/31/3999|Unclassified drugs|ISOPROTERENOL 1 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|10/24/2018|12/31/3999| | || | |
70594004801||J3370||12/12/2018|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|12/12/2018|12/31/3999| | || | |
70655000210||J1450||06/12/2017|04/30/2022|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 200 MG/100|100|ML|FLEX CONT|IV|GM|100|06/12/2017|04/30/2022| | || | |
70700011885||S4993||04/17/2017|12/31/3999|Contraceptive pills for birth control|VIENVA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/17/2017|12/31/3999| | || | |
71288010920||J9100||10/26/2018|12/31/3999|Injection, cytarabine, 100 mg|CYTARABINE 2 G/20 ML VIAL|20|ML|VIAL|IJ|ML|1|10/26/2018|12/31/3999| | || | |
89141012301||J8999||08/26/2015|10/01/2021|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SOLTAMOX 20 MG/10 ML SOLN|150|ML|BOTTLE|PO|ML|1|08/26/2015|10/01/2021| | || | |
00024590201||J3590||07/29/2015|06/30/2021|Unclassified Biologics|PRALUENT 150 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|07/29/2015|06/30/2021| | || | |
00024592201||J3590||06/19/2018|12/31/3999|Unclassified Biologics|KEVZARA 200 MG/1.14 ML PEN|1.14|ML|SYRINGE|SQ|ML|1|06/19/2018|12/31/3999| | || | |
00078090961||J8999||05/18/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|KISQALI FEMARA 200 MG CO-PA|49|UN|BLIST PACK|PO|EA|1|05/18/2017|12/31/3999| | || | |
00078091661||J8999||05/18/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|KISQALI FEMARA 400 MG CO-PA|70|UN|BLIST PACK|PO|EA|1|05/18/2017|12/31/3999| | || | |
00078092361||J8999||05/18/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|KISQALI FEMARA 600 MG CO-PA|91|UN|BLIST PACK|PO|EA|1|05/18/2017|12/31/3999| | || | |
00310066860||J8999||08/18/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LYNPARZA 100 MG TABLET|60|UN|BOTTLE|PO|TAB|1|08/18/2017|12/31/3999| | || | |
00310067960||J8999||08/18/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LYNPARZA 150 MG TABLET|60|UN|BOTTLE|PO|TAB|1|08/18/2017|12/31/3999| | || | |
00904674561||Q0167||10/04/2018|01/31/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|100|UN|BLIST PACK|PO|CAP|1|10/04/2018|01/31/2023| | || | |
42858086906||Q0167||01/01/2011|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 10 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.25|01/01/2011|12/31/3999| | || | |
51991073599||Q0166||01/01/2011|12/31/3999|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
47335040181||J8999||05/25/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|YONSA 125 MG TABLET|120|UN|BOTTLE|PO|TAB|1|05/25/2018|12/31/3999| | || | |
63323026206||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|04/01/1998|12/31/3999| | || | |
63323054015||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
71288040201||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
71288040210||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
72572025025||J1644||11/15/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|EA|1|11/15/2019|12/31/3999| | || | |
72572025525||J1644||11/15/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|EA|.2|11/15/2019|12/31/3999| | || | |
63323053903||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 300 MG/3 ML VIAL|3|ML|VIAL|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323060701||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
70710151502||J1652||01/28/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|ML|.04|01/28/2020|12/31/3999| | || | |
70710151506||J1652||01/28/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|ML|.04|01/28/2020|12/31/3999| | || | |
70710151606||J1652||01/28/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|ML|.04|01/28/2020|12/31/3999| | || | |
70710151609||J1652||01/28/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|ML|.04|01/28/2020|12/31/3999| | || | |
70710151706||J1652||01/28/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|ML|.04|01/28/2020|12/31/3999| | || | |
70860070141||J1885||07/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|07/10/2017|12/31/3999| | || | |
70860070142||J1885||07/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|07/10/2017|12/31/3999| | || | |
72611072201||J1885||02/02/2020|02/26/2025|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|02/02/2020|02/26/2025| | || | |
72611072501||J1885||02/02/2020|05/30/2025|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|02/02/2020|05/30/2025| | || | |
70860060341||J1953||06/29/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|ML|1|06/29/2018|12/31/3999| | || | |
70860060441||J1953||07/05/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|ML|.6667|07/05/2018|12/31/3999| | || | |
00409230822||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/2 ML VI|2|ML|VIAL|IJ|ML|.2|10/28/2004|12/31/3999| | || | |
00409230870||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/2 ML VI|2|ML|VIAL|IJ|ML|.2|10/28/2004|12/31/3999| | || | |
00409258704||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/10 ML V|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
70860011341||J0290||09/25/2018|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|09/25/2018|12/31/3999| | || | |
70860011441||J0290||09/25/2018|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|09/25/2018|12/31/3999| | || | |
70860011541||J0290||09/25/2018|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|09/25/2018|12/31/3999| | || | |
72485010401||J0706||01/21/2020|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIA|3|ML|VIAL|IV|ML|.25|01/21/2020|12/31/3999| | || | |
00409372411||J1250||10/28/2004|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 1,000 MG/250 ML|250|ML|BAG|IV|ML|62.5|10/28/2004|12/31/3999| | || | |
00409133011||J1270||02/18/2020|09/01/2023|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|02/18/2020|09/01/2023| | || | |
00409647654||J1364||10/28/2004|12/31/3999|Injection, erythromycin lactobionate, per 500 mg|ERYTHROCIN 500 MG ADDVAN VI|1|UN|VIAL|IV|EA|1|10/28/2004|12/31/3999| | || | |
00409648211||J1364||10/28/2004|12/31/3999|Injection, erythromycin lactobionate, per 500 mg|ERYTHROCIN LACT 500 MG VIAL|1|UN|VIAL|IV|EA|1|10/28/2004|12/31/3999| | || | |
71288041181||J1650||04/24/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|04/24/2020|12/31/3999| | || | |
71288041183||J1650||04/24/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|04/24/2020|12/31/3999| | || | |
44206045722||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 2 GRAM/10 ML SYRIN|10|ML|SYRINGE|SQ|EA|.5|01/01/2011|12/31/3999| | || | |
44206045795||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 2 GRAM/10 ML SYRIN|10|ML|SYRINGE|SQ|EA|.5|01/01/2011|12/31/3999| | || | |
44206045824||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 4 GRAM/20 ML SYRIN|20|ML|SYRINGE|SQ|EA|.5|01/01/2011|12/31/3999| | || | |
16714012001||J1453||04/16/2020|11/30/2021|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|04/16/2020|11/30/2021| | || | |
44567040110||J2185||04/13/2020|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|04/13/2020|12/31/3999| | || | |
66794021702||J2543||05/20/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|05/20/2020|12/31/3999| | || | |
66794021741||J2543||05/20/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|05/20/2020|12/31/3999| | || | |
66794021802||J2543||05/20/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|05/20/2020|12/31/3999| | || | |
70860080282||J3489||03/16/2020|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|BAG|IV|ML|20|03/16/2020|12/31/3999| | || | |
76045012111||J1170||05/19/2020|12/31/3999|Injection, hydromorphone, up to 4 mg|DILAUDID 0.2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|20|05/19/2020|12/31/3999| | || | |
60505617905||J3490||06/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/10/2020|12/31/3999| | || | |
60505618105||J3490||06/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|06/10/2020|12/31/3999| | || | |
42658001001||J9065||05/20/2020|12/31/3999|Injection, cladribine, per 1 mg|CLADRIBINE 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/20/2020|12/31/3999| | || | |
70121138907||J3490||06/17/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|EA|1|06/17/2020|12/31/3999| | || | |
00143963301||J3490||04/24/2020|12/31/2023|Unclassified drugs|NICARDIPIN 40MG/200ML-0.9%N|200|ML|BAG|IV|ML|1|04/24/2020|12/31/2023| | || | |
00143963310||J3490||04/24/2020|12/31/2023|Unclassified drugs|NICARDIPIN 40MG/200ML-0.9%N|200|ML|BAG|IV|ML|1|04/24/2020|12/31/2023| | || | |
00143963410||J3490||05/04/2020|12/31/2023|Unclassified drugs|NICARDIPIN 20MG/200ML-0.9%N|200|ML|BAG|IV|ML|1|05/04/2020|12/31/2023| | || | |
00169721211||J7189||08/04/2008|12/31/3999|Factor viia (antihemophilic factor, recombinant), per 1 microgram|NOVOSEVEN RT 2 MG VIAL|1|UN|VIAL|IV|EA|1|08/04/2008|12/31/3999| | || | |
65219005229||J3490||05/26/2020|12/31/3999|Unclassified drugs|POTASSIUM PHOSPH 15 MMOL/5|5|ML|VIAL|IV|ML|1|05/26/2020|12/31/3999| | || | |
65219005429||J3490||05/26/2020|12/31/3999|Unclassified drugs|POTASSIUM PHOSP 45 MMOL/15|15|ML|VIAL|IV|ML|1|05/26/2020|12/31/3999| | || | |
65219005629||J3490||05/26/2020|12/31/3999|Unclassified drugs|POTASSIUM PHOSP 150 MMOL/50|50|ML|VIAL|IV|ML|1|05/26/2020|12/31/3999| | || | |
71288020202||J3490||06/15/2020|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|06/15/2020|12/31/3999| | || | |
00143923210||J3490||06/17/2020|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|06/17/2020|12/31/3999| | || | |
67386013051||J3032||10/01/2020|12/31/3999|IJ, eptinezumab-jjmr, 1 mg|VYEPTI 100 MG/ML VIAL|1|ML|VIAL|IV|ML|.01|10/01/2020|12/31/3999| | || | |
76125090026||J1561||12/05/2011|05/31/2021|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 2.5 GRAM/25 ML VIA|25|ML|VIAL|IJ|ML|5|12/05/2011|05/31/2021| | || | |
76179002503||P9047||01/26/2012|10/31/2020|ALBUMIN (HUMAN), 25%, 50 ML|KEDBUMIN 25% VIAL|100|ML|VIAL|IV|ML|50|01/26/2012|10/31/2020| | || | |
44206041892||J1566||01/01/2006|05/28/2021|Injection, immune globulin, intravenous, lyophilized (e.g. powder), not oth...|CARIMUNE NF 12 GM VIAL|1|UN|VIAL|IV|EA|.0417|01/01/2006|05/28/2021| | || | |
44206041892||90283||04/01/2003|05/28/2021|Immune globulin (IGIV), human, for intravenous use|CARIMUNE NF 12 GM VIAL|1|UN|VIAL|IV|EA|.0417|04/01/2003|05/28/2021| | || | |
44206043791||90283||12/14/2007|12/31/3999|Immune globulin (IGIV), human, for intravenous use|PRIVIGEN 10% VIAL|100|ML|VIAL|IV|EA|5|12/14/2007|12/31/3999| | || | |
44206043791||J1459||01/01/2009|12/31/3999|Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g. l...|PRIVIGEN 10% VIAL|100|ML|VIAL|IV|EA|5|01/01/2009|12/31/3999| | || | |
44206043993||90283||05/31/2013|12/31/3999|Immune globulin (IGIV), human, for intravenous use|PRIVIGEN 10% VIAL|400|ML|VIAL|IV|EA|5|05/31/2013|12/31/3999| | || | |
44206043993||J1459||05/31/2013|12/31/3999|Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g. l...|PRIVIGEN 10% VIAL|400|ML|VIAL|IV|EA|5|05/31/2013|12/31/3999| | || | |
44567060324||J3490||11/02/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDN 400MCG/100ML-|100|ML|BAG|IV|ML|1|11/02/2018|12/31/3999| | || | |
45963061481||J9206||03/10/2015|01/01/2023|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|ML|1|03/10/2015|01/01/2023| | || | |
47781058720||J3490||11/03/2017|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|1|11/03/2017|12/31/3999| | || | |
47781061969||J3490||01/29/2010|10/31/2019|Unclassified drugs|CLINDAMYCIN 300 MG/2 ML ADD|2|ML|VIAL|IV|ML|1|01/29/2010|10/31/2019| | || | |
47781062194||J3490||01/29/2010|10/31/2019|Unclassified drugs|CLINDAMYCIN 900 MG/6 ML ADD|6|ML|VIAL|IV|ML|1|01/29/2010|10/31/2019| | || | |
50742040620||J9263||03/05/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|03/05/2019|12/31/3999| | || | |
52440010014||J0570||01/08/2019|04/30/2021|Buprenorphine implant 74.2mg|PROBUPHINE 74.2 MG IMPLANT|4|UN|KIT|IL|EA|1|01/08/2019|04/30/2021| | || | |
55150024101||J0883||02/12/2019|12/31/2022|Argatroban nonesrd use 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|02/12/2019|12/31/2022| | || | |
55150029201||J3490||01/30/2019|09/30/2022|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|01/30/2019|09/30/2022| | || | |
55150029520||J3490||03/26/2019|07/31/2020|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|03/26/2019|07/31/2020| | || | |
59923071402||J9206||03/01/2019|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|EA|1|03/01/2019|12/31/3999| | || | |
60505615704||J2543||03/15/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|ML|.3333|03/15/2019|12/31/3999| | || | |
62559067030||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ARIMIDEX 1 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
63323004444||J3420||04/01/1998|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323072301||J3490||01/23/2018|12/31/3999|Unclassified drugs|REMIFENTANIL 1 MG VIAL|1|UN|VIAL|IV|EA|1|01/23/2018|12/31/3999| | || | |
71288000775||J0295||01/07/2019|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM|1|UN|VIAL|IJ|GM|.1|01/07/2019|12/31/3999| | || | |
71288011310||J9201||02/04/2019|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 200 MG VIAL|1|UN|VIAL|IV|GM|1|02/04/2019|12/31/3999| | || | |
71288071610||J2800||01/21/2019|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|01/21/2019|12/31/3999| | || | |
76045020301||J3490||03/27/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML SY|1|ML|SYRINGE|IJ|ML|1|03/27/2019|12/31/3999| | || | |
76045020310||J3490||03/27/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML SY|1|ML|SYRINGE|IJ|ML|1|03/27/2019|12/31/3999| | || | |
76045020320||J3490||03/27/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|SYRINGE|IV|ML|1|03/27/2019|12/31/3999| | || | |
76125090011||J1561||12/05/2011|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 10 GRAM/100 ML VIA|100|ML|VIAL|IJ|ML|5|12/05/2011|12/31/3999| | || | |
60687038621||Q0167||10/04/2018|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 5 MG CAPSULE|30|UN|BLIST PACK|PO|CAP|.5|10/04/2018|12/31/3999| | || | |
00003218713||J0129||12/01/2007|12/31/3999|Injection, abatacept, 10 mg (code may be used for medicare when drug admini...|ORENCIA 250 MG VIAL|1|UN|VIAL|IV|EA|.04|12/01/2007|12/31/3999| | || | |
00023608201||J1750||06/09/1992|12/31/3999|Injection, iron dextran, 50 mg|INFED 100 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/09/1992|12/31/3999| | || | |
00023608210||J1750||06/09/1992|12/31/3999|Injection, iron dextran, 50 mg|INFED 100 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/09/1992|12/31/3999| | || | |
00078076961||J2502||09/10/2018|06/30/2023|Inj, pasireotide long acting|SIGNIFOR LAR 30 MG VIAL|1|UN|VIAL|IM|EA|.0333|09/10/2018|06/30/2023| | || | |
00088502001||S5553||01/01/2011|11/30/2023|Insulin, long acting; 5 units|LANTUS SOLOSTAR 100 UNIT/ML|3|ML|SYRINGE|SQ|ML|.05|01/01/2011|11/30/2023| | || | |
00093598619||J3490||11/28/2018|12/31/3999|Unclassified drugs|EPINEPHRINE 0.3 MG AUTO-INJ|1|UN|SYRINGE|IJ|ML|1|11/28/2018|12/31/3999| | || | |
00143931501||J1956||03/13/2012|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 250 MG/50 ML-D|50|ML|BAG|IV|ML|50|03/13/2012|12/31/3999| | || | |
00143931601||J1956||03/13/2012|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 500 MG/100 ML-|100|ML|BAG|IV|ML|50|03/13/2012|12/31/3999| | || | |
00143931724||J1956||03/13/2012|12/31/3999|Injection, levofloxacin, 250 mg|LEVOFLOXACIN 750 MG/150 ML-|150|ML|BAG|IV|ML|50|03/13/2012|12/31/3999| | || | |
00143974401||J1626||10/01/2010|12/31/3999|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 1 MG/ML VIA|1|ML|VIAL|IV|ML|.1|10/01/2010|12/31/3999| | || | |
00378224577||J8999||09/28/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|90|UN|BOTTLE|PO|TAB|1|09/28/2017|12/31/3999| | || | |
00378728085||S4993||07/11/2014|12/31/3999|Contraceptive pills for birth control|NORETHIND-ETH ESTRAD 1-0.02|21|UN|BLIST PACK|PO|TAB|1|07/11/2014|12/31/3999| | || | |
00378797031||J7644||03/13/2013|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|03/13/2013|12/31/3999| | || | |
00409733211||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|07/20/2005|12/31/3999| | || | |
00409733711||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|EA|1|07/20/2005|12/31/3999| | || | |
00517092001||J0594||03/06/2017|08/31/2021|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|03/06/2017|08/31/2021| | || | |
00641604101||J1885||02/22/2013|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/22/2013|12/31/3999| | || | |
00641604325||J1885||02/22/2013|08/23/2020|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|02/22/2013|08/23/2020| | || | |
00641615125||J1170||10/13/2018|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|10/13/2018|12/31/3999| | || | |
00641622925||J2370||02/15/2013|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/15/2013|06/30/2023| | || | |
00781342194||J0637||11/13/2018|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|EA|.1|11/13/2018|12/31/3999| | || | |
00781410352||S4993||01/10/2011|12/31/3999|Contraceptive pills for birth control|DROSP-EE-LEVOMEF 3-0.03-0.4|28|UN|BLIST PACK|PO|TAB|1|01/10/2011|12/31/3999| | || | |
00781921095||J2543||10/21/2010|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|10/21/2010|12/31/3999| | || | |
00832059530||J8999||10/03/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|EXEMESTANE 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|10/03/2017|12/31/3999| | || | |
70860078010||J1453||01/14/2020|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|01/14/2020|12/31/3999| | || | |
63323058282||J1610||02/03/2020|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGON 1 MG EMERGENCY KIT|1|UN|VIAL|IJ|EA|1|02/03/2020|12/31/2022| | || | |
70710146106||J1631||01/17/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|01/17/2020|12/31/3999| | || | |
70710146305||J1631||01/17/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|01/17/2020|12/31/3999| | || | |
70710146405||J1631||01/17/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 500 MG/5 ML|5|ML|VIAL|IM|ML|.5|01/17/2020|12/31/3999| | || | |
16714000610||J1650||03/12/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|03/12/2020|12/31/3999| | || | |
63323053108||J1650||04/01/2015|03/22/2024|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/01/2015|03/22/2024| | || | |
63323053198||J1650||04/01/2015|03/22/2024|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/01/2015|03/22/2024| | || | |
70860060141||J2250||05/01/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 25 MG/5 ML VI|5|ML|VIAL|IJ|ML|.2|05/01/2017|12/31/3999| | || | |
70860060142||J2250||05/01/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|05/01/2017|12/31/3999| | || | |
43598075058||J2310||03/18/2020|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|03/18/2020|12/31/3999| | || | |
67457064500||J2310||03/06/2014|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|03/06/2014|12/31/3999| | || | |
72572045025||J2310||11/11/2019|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|EA|2.5|11/11/2019|12/31/3999| | || | |
00781346670||J2370||09/06/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|09/06/2019|06/30/2023| | || | |
69680012105||J3420||03/05/2020|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|03/05/2020|12/31/3999| | || | |
00990707526||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/100 ML|100|ML|FLEX CONT|IV|ML|10|07/12/2018|12/31/3999| | || | |
00169815001||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 1,500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
00169820111||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 2,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
00169830001||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
00169850001||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
00169850111||J7204||07/01/2020|12/31/3999|Inj, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu|ESPEROCT 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2020|12/31/3999| | || | |
50261031301||J7303||10/23/2019|09/30/2021|Contraceptive supply, hormone containing vaginal ring, each|ANNOVERA VAGINAL RING|1|UN|PACKET|VG|EA|1|10/23/2019|09/30/2021| | || | |
66993060581||J7303||09/01/2007|09/30/2021|Contraceptive supply, hormone containing vaginal ring, each|ETONOGESTREL-EE VAGINAL RIN|1|UN|PACKET|VG|EA|1|09/01/2007|09/30/2021| | || | |
00409330711||J7608||04/01/2010|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 10% VIAL|30|ML|VIAL|MC|ML|10|04/01/2010|12/31/3999| | || | |
00409330811||J7608||04/01/2010|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|30|ML|VIAL|MC|ML|5|04/01/2010|12/31/3999| | || | |
47335070649||J7644||03/06/2020|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|03/06/2020|12/31/3999| | || | |
47335070652||J7644||03/06/2020|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|03/06/2020|12/31/3999| | || | |
00781717175||J7682||04/01/2010|05/31/2023|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|04/01/2010|05/31/2023| | || | |
00781345875||J2370||09/06/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|09/06/2019|06/30/2023| | || | |
75987013015||J3241||10/01/2020|12/31/3999|IJ, teprotumumab-trbw, 10 mg|TEPEZZA 500 MG VIAL|1|UN|VIAL|IV|EA|.02|10/01/2020|12/31/3999| | || | |
47335017149||J7682||04/21/2020|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|04/21/2020|12/31/3999| | || | |
65219002003||J0290||05/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|05/26/2020|12/31/3999| | || | |
00517079901||J0702||01/20/2020|12/31/3999|Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg|BETAMETHASONE SP-AC 30 MG/5|5|ML|VIAL|IJ|ML|1|01/20/2020|12/31/3999| | || | |
00143924601||J0592||04/28/2020|02/28/2021|Injection, buprenorphine hydrochloride, 0.1 mg|BUPRENORPHINE 0.3 MG/ML VIA|1|ML|VIAL|IJ|ML|.3333|04/28/2020|02/28/2021| | || | |
43598093111||J2597||05/05/2020|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML AM|1|ML|AMPUL|IJ|ML|.25|05/05/2020|12/31/3999| | || | |
67457048400||J1100||07/19/2011|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 120 MG/30 ML|30|ML|VIAL|IJ|ML|.25|07/19/2011|12/31/3999| | || | |
72572012001||J1100||11/13/2019|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|EA|.25|11/13/2019|12/31/3999| | || | |
72572012025||J1100||11/13/2019|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|EA|.25|11/13/2019|12/31/3999| | || | |
72572012201||J1100||11/13/2019|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|EA|.1|11/13/2019|12/31/3999| | || | |
72572014001||J3360||12/01/2019|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|EA|1|12/01/2019|12/31/3999| | || | |
00409118711||J1790||10/28/2004|08/19/2022|Injection, droperidol, up to 5 mg|DROPERIDOL 5 MG/2 ML AMPUL|2|ML|AMPUL|IJ|ML|2|10/28/2004|08/19/2022| | || | |
70257005311||J1571||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|HEPAGAM B VIAL|1|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70257005311||J1573||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml|HEPAGAM B VIAL|1|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70257005405||J1571||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|HEPAGAM B VIAL|5|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70257005405||J1573||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml|HEPAGAM B VIAL|5|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70257005451||J1571||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|HEPAGAM B VIAL|5|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70257005451||J1573||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml|HEPAGAM B VIAL|5|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
71288040002||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIA|2|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
71288040310||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|09/01/2019|12/31/3999| | || | |
00409230821||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|.2|10/28/2004|12/31/3999| | || | |
14789090007||J2690||01/09/2018|12/31/3999|Injection, procainamide hcl, up to 1 gm|PROCAINAMIDE 1,000 MG/2 ML|2|ML|VIAL|IJ|ML|2|01/09/2018|12/31/3999| | || | |
00409662935||J0330||10/28/2004|12/31/2021|Injection, succinylcholine chloride, up to 20 mg|QUELICIN 200 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/2021| | || | |
25021067166||J2795||01/09/2015|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 200 MG/100|100|ML|FLEX CONT|IJ|ML|.5|01/09/2015|12/31/3999| | || | |
67457041805||J1100||07/19/2011|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VI|5|ML|VIAL|IJ|ML|.25|07/19/2011|12/31/3999| | || | |
63323026211||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|04/01/1998|12/31/3999| | || | |
63323026236||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|04/01/1998|12/31/3999| | || | |
63323054036||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
72572025001||J1644||11/15/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|EA|1|11/15/2019|12/31/3999| | || | |
00069019730||J8999||10/15/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VIZIMPRO 15 MG TABLET|30|UN|BOTTLE|PO|TAB|1|10/15/2018|12/31/3999| | || | |
00069023101||J8999||11/19/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LORBRENA 100 MG TABLET|30|UN|BOTTLE|PO|TAB|1|11/19/2018|12/31/3999| | || | |
00069119530||J8999||10/29/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TALZENNA 1 MG CAPSULE|30|UN|BOTTLE|PO|CAP|1|10/29/2018|12/31/3999| | || | |
00074057634||J8999||04/14/2016|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VENCLEXTA 100 MG TABLET|180|UN|BOTTLE|PO|TAB|1|04/14/2016|12/31/3999| | || | |
00078069819||J8999||05/01/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RYDAPT 25 MG CAPSULE|112|UN|BLIST PACK|PO|CAP|1|05/01/2017|12/31/3999| | || | |
00078069851||J8999||05/01/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RYDAPT 25 MG CAPSULE|28|UN|BLIST PACK|PO|CAP|1|05/01/2017|12/31/3999| | || | |
69656010390||J8999||04/24/2017|05/31/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ZEJULA 100 MG CAPSULE|90|UN|BOTTLE|PO|CAP|1|04/24/2017|05/31/2022| | || | |
63323072501||J3490||02/15/2018|12/31/3999|Unclassified drugs|REMIFENTANIL 5 MG VIAL|1|UN|VIAL|IV|EA|1|02/15/2018|12/31/3999| | || | |
63323077821||J2800||01/03/2019|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|01/03/2019|12/31/3999| | || | |
63459091018||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SYRIN|0.5|ML|SYRINGE|SQ|ML|.0017|01/01/2016|12/31/2022| | || | |
64679001202||J2543||06/20/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|06/20/2017|12/31/3999| | || | |
00013111415||J3490||11/01/1991|12/31/3999|Unclassified drugs|CYKLOKAPRON 1,000 MG/10 ML|10|ML|AMPUL|IV|ML|1|11/01/1991|12/31/3999| | || | |
00024592605||S5551||01/29/2019|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|ADMELOG 100 UNIT/ML VIAL|3|ML|VIAL|SQ|ML|.05|01/29/2019|12/31/3999| | || | |
00053768092||P9047||06/01/2002|09/17/2022|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMINAR-25 IV SOLUTION|100|ML|VIAL|IV|ML|50|06/01/2002|09/17/2022| | || | |
00069029401||Q5110||03/11/2019|12/31/3999|Nivestym|NIVESTYM 480 MCG/1.6 ML VIA|1.6|ML|VIAL|IJ|ML|.0033|03/11/2019|12/31/3999| | || | |
00310654001||J3490||12/04/2017|12/31/2021|Unclassified drugs|BYDUREON BCISE 2 MG AUTOINJ|0.85|ML|SYRINGE|SQ|ML|1|12/04/2017|12/31/2021| | || | |
60505079100||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|02/01/2019|12/31/3999| | || | |
60505079400||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/01/2019|12/31/3999| | || | |
60505079501||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|02/01/2019|12/31/3999| | || | |
60505079504||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|02/01/2019|12/31/3999| | || | |
60505079604||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|02/01/2019|12/31/3999| | || | |
60505079800||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|02/01/2019|12/31/3999| | || | |
60505079804||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|02/01/2019|12/31/3999| | || | |
64208251005||P9045||02/01/2019|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUMINEX 5% VIAL|500|ML|VIAL|IV|ML|250|02/01/2019|12/31/3999| | || | |
64208251203||P9047||02/01/2019|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMINEX 25% VIAL|50|ML|VIAL|IV|ML|50|02/01/2019|12/31/3999| | || | |
64208251207||P9047||02/01/2019|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMINEX 25% VIAL|100|ML|VIAL|IV|ML|50|02/01/2019|12/31/3999| | || | |
71225010501||J1726||03/25/2019|04/06/2023|Makena, 10 mg|HYDROXYPROGEST 250 MG/ML VI|1|ML|VIAL|IM|ML|.04|03/25/2019|04/06/2023| | || | |
76125079211||P9047||12/05/2011|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUKED-25 VIAL|100|ML|VIAL|IV|ML|50|12/05/2011|12/31/3999| | || | |
76125079226||P9047||12/05/2011|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUKED-25 VIAL|50|ML|VIAL|IV|ML|50|12/05/2011|12/31/3999| | || | |
13533033504||J1460||04/16/2019|12/31/3999|Injection, gamma globulin, intramuscular, 1 cc|GAMASTAN VIAL|2|ML|VIAL|IM|ML|1|04/16/2019|12/31/3999| | || | |
14789060010||J9017||11/19/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|11/19/2018|12/31/3999| | || | |
17478017101||J7612||01/01/2005|06/30/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|XOPENEX CONC 1.25 MG/0.5 ML|1|UN|VIAL|IH|ML|.4|01/01/2005|06/30/2023| | || | |
17478025310||J3490||08/13/2008|12/31/2021|Unclassified drugs|AK-FLUOR 10% VIAL|5|ML|VIAL|IV|ML|1|08/13/2008|12/31/2021| | || | |
23155016041||J3490||05/01/2018|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/01/2018|12/31/3999| | || | |
23155016042||J3490||05/01/2018|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|05/01/2018|12/31/3999| | || | |
25021040851||J1327||10/02/2018|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|ML|6.6667|10/02/2018|12/31/3999| | || | |
36000014801||J3490||11/27/2018|12/31/3999|Unclassified drugs|FLUMAZENIL 0.5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|11/27/2018|12/31/3999| | || | |
36000014810||J3490||11/27/2018|12/31/3999|Unclassified drugs|FLUMAZENIL 0.5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|11/27/2018|12/31/3999| | || | |
36000014901||J3490||11/27/2018|12/31/3999|Unclassified drugs|FLUMAZENIL 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|11/27/2018|12/31/3999| | || | |
36000014910||J3490||11/27/2018|12/31/3999|Unclassified drugs|FLUMAZENIL 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|11/27/2018|12/31/3999| | || | |
42292004301||J8999||09/28/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|1|UN|BLIST PACK|PO|TAB|1|09/28/2017|12/31/3999| | || | |
42292004303||J8999||09/28/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|30|UN|BLIST PACK|PO|TAB|1|09/28/2017|12/31/3999| | || | |
42292004403||J8999||09/28/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BLIST PACK|PO|TAB|1|09/28/2017|12/31/3999| | || | |
43598077111||J0641||10/22/2018|09/30/2022|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 175 MG/17.5|17.5|ML|VIAL|IV|ML|.05|10/22/2018|09/30/2022| | || | |
43598077311||J0641||10/22/2018|09/30/2022|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 250 MG/25 ML|25|ML|VIAL|IV|ML|.05|10/22/2018|09/30/2022| | || | |
51224001310||J1953||12/01/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|12/01/2018|12/31/3999| | || | |
51862009701||S4993||06/15/2011|12/31/3999|Contraceptive pills for birth control|LEVORA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/15/2011|12/31/3999| | || | |
17478095510||J3490||08/06/2018|06/30/2023|Unclassified drugs|EPHEDRINE 50 MG/ML AMPUL|1|ML|AMPUL|IV|ML|1|08/06/2018|06/30/2023| | || | |
42023021683||J3490||02/16/2017|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|02/16/2017|12/31/3999| | || | |
52652200101||J8999||07/26/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XATMEP 2.5 MG/ML ORAL SOLUT|120|ML|BOTTLE|PO|ML|1|07/26/2017|12/31/3999| | || | |
52652200106||J8999||07/26/2017|12/30/2024|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XATMEP 2.5 MG/ML ORAL SOLUT|60|ML|BOTTLE|PO|ML|1|07/26/2017|12/30/2024| | || | |
62856070430||J8999||08/20/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENVIMA 4 MG CAPSULE|30|UN|BLIST PACK|PO|EA|1|08/20/2018|12/31/3999| | || | |
67457085200||J3490||10/15/2018|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|10/15/2018|12/31/3999| | || | |
70842012006||J2186||01/01/2019|12/31/3999|IJ, meropenem and vaborbactam, 10mg/10mg, (20mg)|VABOMERE 2 GRAM VIAL|1|UN|VIAL|IV|EA|.01|01/01/2019|12/31/3999| | || | |
70860011626||J3490||09/25/2018|12/31/3999|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|09/25/2018|12/31/3999| | || | |
70860011999||J3490||09/25/2018|12/31/3999|Unclassified drugs|NAFCILLIN 10 GM BULK VIAL|1|UN|VIAL|IJ|EA|1|09/25/2018|12/31/3999| | || | |
72511076001||J3590||10/22/2018|12/31/3999|Unclassified Biologics|REPATHA 140 MG/ML SURECLICK|1|ML|SYRINGE|SQ|ML|1|10/22/2018|12/31/3999| | || | |
47918089190||J3490||07/01/2017|12/31/3999|Unclassified drugs|AFREZZA 12 UNIT CARTRIDGE|90|UN|CARTRIDGE|IH|EA|1|07/01/2017|12/31/3999| | || | |
50242021501||J2357||12/10/2018|12/31/3999|Injection, omalizumab, 5 mg|XOLAIR 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0333|12/10/2018|12/31/3999| | || | |
69448000533||J9045||02/12/2020|12/31/3999|Injection, carboplatin, 50 mg|PARAPLATIN 150 MG/15 ML VIA|15|ML|VIAL|IV|ML|5|02/12/2020|12/31/3999| | || | |
72485021401||J9171||02/07/2020|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|02/07/2020|12/31/3999| | || | |
00143937601||J9181||05/01/1996|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|05/01/1996|12/31/3999| | || | |
72485022210||J9201||02/13/2020|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 1 GRAM/26.3 ML|26.3|ML|VIAL|IV|ML|5.26|02/13/2020|12/31/3999| | || | |
72485022320||J9201||02/13/2020|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 2 GRAM/52.6 ML|52.6|ML|VIAL|IV|ML|5.26|02/13/2020|12/31/3999| | || | |
72893000101||J9246||07/01/2020|12/31/3999|Inj, melphalan (evomela), 1 mg|EVOMELA 50 MG VIAL|1|UN|VIAL|IV|EA|.02|07/01/2020|12/31/3999| | || | |
72694095401||J9266||10/30/2019|12/31/3999|Injection, pegaspargase, per single dose vial|ONCASPAR 3,750 UNIT/5 ML VI|5|ML|VIAL|IJ|ML|5|10/30/2019|12/31/3999| | || | |
00703321601||J9267||03/17/2020|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML V|16.7|ML|VIAL|IV|ML|.1667|03/17/2020|12/31/3999| | || | |
00703321681||J9267||03/17/2020|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML V|16.7|ML|VIAL|IV|ML|.1667|03/17/2020|12/31/3999| | || | |
00703321701||J9267||01/01/2015|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 150 MG/25 ML VIA|25|ML|VIAL|IV|ML|.1667|01/01/2015|12/31/3999| | || | |
00703321801||J9267||01/01/2015|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|ML|.1667|01/01/2015|12/31/3999| | || | |
00703321881||J9267||01/01/2015|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|ML|.1667|01/01/2015|12/31/3999| | || | |
68001042486||J9395||03/05/2020|07/31/2022|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|03/05/2020|07/31/2022| | || | |
70860021174||J9395||03/17/2020|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|EA|.5|03/17/2020|12/31/3999| | || | |
64980029001||Q0175||01/15/2020|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 2 MG TABLET|100|UN|BOTTLE|PO|TAB|2|01/15/2020|12/31/3999| | || | |
63459030547||Q5113||07/01/2020|12/31/3999|Inj, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg|HERZUMA 420 MG VIAL|1|UN|VIAL|IV|EA|.0024|07/01/2020|12/31/3999| | || | |
00069030501||Q5116||07/01/2020|12/31/3999|Inj., trazimera, 10 mg|TRAZIMERA 420 MG VIAL|1|UN|VIAL|IV|EA|.0024|07/01/2020|12/31/3999| | || | |
00069030601||Q5116||07/01/2020|12/31/3999|Inj., trazimera, 10 mg|TRAZIMERA 420 MG VIAL|1|UN|VIAL|IV|EA|.0024|07/01/2020|12/31/3999| | || | |
00069034201||Q5118||07/01/2020|12/31/3999|Inj., zirabev, 10 mg|ZIRABEV 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.04|07/01/2020|12/31/3999| | || | |
00378728853||S4993||12/16/2019|12/31/3999|Contraceptive pills for birth control|NORETH-EE-FE 1.5-0.03MG(21)|28|UN|BLIST PACK|PO|TAB|1|12/16/2019|12/31/3999| | || | |
16714036601||S4993||09/17/2015|12/31/3999|Contraceptive pills for birth control|SETLAKIN 0.15 MG-0.03 MG TA|91|UN|BLIST PACK|PO|TAB|1|09/17/2015|12/31/3999| | || | |
68180083773||S4993||01/19/2016|12/31/3999|Contraceptive pills for birth control|TRI-LO-MARZIA TABLET|28|UN|BLIST PACK|PO|TAB|1|01/19/2016|12/31/3999| | || | |
68180086473||S4993||01/14/2016|12/31/3999|Contraceptive pills for birth control|BLISOVI 24 FE TABLET|28|UN|BLIST PACK|PO|EA|1|01/14/2016|12/31/3999| | || | |
00409226632||C9399||01/01/2005|05/01/2021|Unclassified Drugs or Biologicals|ALFENTANIL 1,000 MCG/2 ML A|2|ML|AMPUL|IJ|ML|1|01/01/2005|05/01/2021| | || | |
00409492811||J3490||10/28/2004|12/31/3999|Unclassified drugs|CALCIUM CHLORIDE 10% ABBOJE|10|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409955831||J3490||12/01/2008|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|12/01/2008|12/31/3999| | || | |
00409955869||J3490||12/01/2008|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/01/2008|12/31/3999| | || | |
00409955870||J3490||12/01/2008|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|12/01/2008|12/31/3999| | || | |
49502080632||J7677||07/01/2019|12/31/3999|Revefenacin inj non-com 1mcg|YUPELRI 175 MCG/3 ML SOLUTI|3|ML|VIAL|IH|ML|.0171|07/01/2019|12/31/3999| | || | |
49502080693||J7677||07/01/2019|12/31/3999|Revefenacin inj non-com 1mcg|YUPELRI 175 MCG/3 ML SOLUTI|3|ML|VIAL|IH|ML|.0171|07/01/2019|12/31/3999| | || | |
70621010101||J7345||08/06/2018|12/31/2022|Aminolevulinic acid hcl for TP, 10% gel, 10 mg|AMELUZ 10% GEL|2|GR|TUBE|TP|GM|.01|08/06/2018|12/31/2022| | || | |
69448000531||J9045||02/12/2020|12/31/3999|Injection, carboplatin, 50 mg|PARAPLATIN 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|02/12/2020|12/31/3999| | || | |
72572025501||J1644||11/15/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|EA|.2|11/15/2019|12/31/3999| | || | |
00409153903||J2060||10/28/2004|12/31/2021|Injection, lorazepam, 2 mg|LORAZEPAM 4 MG/ML CARPUJECT|1|ML|CARTRIDGE|IJ|ML|.5|10/28/2004|12/31/2021| | || | |
00409259615||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|10/28/2004|12/31/3999| | || | |
63323041113||J2250||06/20/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/10 ML V|10|ML|VIAL|IJ|ML|1|06/20/2000|12/31/3999| | || | |
63323041115||J2250||06/20/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|06/20/2000|12/31/3999| | || | |
72572043201||J2250||12/10/2019|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIA|5|ML|VIAL|IJ|EA|1|12/10/2019|12/31/3999| | || | |
00409121941||J2310||10/28/2004|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|10/28/2004|12/31/3999| | || | |
55150032810||J2310||04/08/2020|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|04/08/2020|12/31/3999| | || | |
72572045001||J2310||11/11/2019|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|EA|2.5|11/11/2019|12/31/3999| | || | |
42494041525||J2560||02/19/2020|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 65 MG/ML VIAL|1|ML|VIAL|IJ|ML|1.8519|02/19/2020|12/31/3999| | || | |
42494041625||J2560||02/19/2020|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 130 MG/ML VIA|1|ML|VIAL|IJ|ML|.9259|02/19/2020|12/31/3999| | || | |
71288080702||J2370||06/01/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/01/2020|06/30/2023| | || | |
71288080877||J2370||06/01/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|06/01/2020|06/30/2023| | || | |
00990792225||J7070||07/12/2018|03/31/2024|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|1000|07/12/2018|03/31/2024| | || | |
00990792225||J7060||07/12/2018|04/01/2024|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/12/2018|04/01/2024| | || | |
00006503402||Q5112||10/01/2020|12/24/2022|Inj ontruzant 10 mg|ONTRUZANT 420 MG VIAL|1|UN|VIAL|IV|EA|.0238|10/01/2020|12/24/2022| | || | |
72266016101||J9263||09/12/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|09/12/2019|12/31/3999| | || | |
72266016201||J9263||09/12/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|09/12/2019|12/31/3999| | || | |
54569524700||J2310||10/01/2020|11/26/2020|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|10/01/2020|11/26/2020| | || | |
55150032701||J2310||10/01/2020|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|10/01/2020|12/31/3999| | || | |
55150032710||J2310||10/01/2020|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|10/01/2020|12/31/3999| | || | |
12496010005||Q9991||10/01/2020|12/31/3999|Buprenorph xr 100 mg or less|SUBLOCADE 100 MG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.5|10/01/2020|12/31/3999| | || | |
12496030002||Q9992||10/01/2020|12/31/3999|Buprenorphine xr over 100 mg|SUBLOCADE 300 MG/1.5 ML SYR|1.5|ML|SYRINGE|IJ|ML|1.5|10/01/2020|12/31/3999| | || | |
12496030005||Q9992||10/01/2020|12/31/3999|Buprenorphine xr over 100 mg|SUBLOCADE 300 MG/1.5 ML SYR|1.5|ML|SYRINGE|IJ|ML|1.5|10/01/2020|12/31/3999| | || | |
60687039579||J7613||01/15/2019|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 2.5 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|01/15/2019|12/31/3999| | || | |
60687039583||J7613||01/15/2019|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 2.5 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|01/15/2019|12/31/3999| | || | |
65219001401||J0290||05/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|05/26/2020|12/31/3999| | || | |
65219001410||J0290||05/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|05/26/2020|12/31/3999| | || | |
00024591801||J3590||10/30/2018|10/31/2018|Unclassified Biologics|DUPIXENT 200 MG/1.14 ML SYR|1.14|ML|SYRINGE|SQ|ML|1|10/30/2018|10/31/2018| | || | |
00053768091||P9047||06/01/2002|09/10/2022|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMINAR-25 IV SOLUTION|50|ML|VIAL|IV|ML|50|06/01/2002|09/10/2022| | || | |
00069029301||Q5110||03/11/2019|12/31/3999|Nivestym|NIVESTYM 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.0033|03/11/2019|12/31/3999| | || | |
00069029310||Q5110||03/11/2019|12/31/3999|Nivestym|NIVESTYM 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.0033|03/11/2019|12/31/3999| | || | |
00069029410||Q5110||03/11/2019|12/31/3999|Nivestym|NIVESTYM 480 MCG/1.6 ML VIA|1.6|ML|VIAL|IJ|ML|.0033|03/11/2019|12/31/3999| | || | |
60505079104||J1650||02/01/2019|03/31/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|02/01/2019|03/31/2023| | || | |
60505079200||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|02/01/2019|12/31/3999| | || | |
60505079204||J1650||02/01/2019|05/31/2024|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|02/01/2019|05/31/2024| | || | |
60505079300||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/01/2019|12/31/3999| | || | |
60505079304||J1650||02/01/2019|03/31/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/01/2019|03/31/2023| | || | |
60505079404||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/01/2019|12/31/3999| | || | |
60505079600||J1650||02/01/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|02/01/2019|12/31/3999| | || | |
64208251001||P9045||02/01/2019|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUMINEX 5% VIAL|250|ML|VIAL|IV|ML|250|02/01/2019|12/31/3999| | || | |
64208251002||P9045||02/01/2019|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUMINEX 5% VIAL|250|ML|VIAL|IV|ML|250|02/01/2019|12/31/3999| | || | |
64208251006||P9045||02/01/2019|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUMINEX 5% VIAL|500|ML|VIAL|IV|ML|250|02/01/2019|12/31/3999| | || | |
64208251204||P9047||02/01/2019|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMINEX 25% VIAL|50|ML|VIAL|IV|ML|50|02/01/2019|12/31/3999| | || | |
64208251208||P9047||02/01/2019|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUMINEX 25% VIAL|100|ML|VIAL|IV|ML|50|02/01/2019|12/31/3999| | || | |
76125079026||P9045||12/05/2011|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUKED-5 VIAL|250|ML|VIAL|IV|ML|250|12/05/2011|12/31/3999| | || | |
76125079225||P9047||12/05/2011|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUKED-25 VIAL|50|ML|VIAL|IV|ML|50|12/05/2011|12/31/3999| | || | |
00023603003||S4993||04/25/2011|09/30/2023|Contraceptive pills for birth control|GENERESS FE CHEWABLE TABLET|28|UN|BLIST PACK|PO|TAB|1|04/25/2011|09/30/2023| | || | |
00093414656||J7614||04/29/2013|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|04/29/2013|12/31/3999| | || | |
00093414856||J7614||04/29/2013|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|04/29/2013|12/31/3999| | || | |
00143927901||J9280||01/21/2019|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|ML|.25|01/21/2019|12/31/3999| | || | |
00143932601||J2260||03/15/2011|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|03/15/2011|12/31/3999| | || | |
00143978701||J3490||01/26/2010|12/31/3999|Unclassified drugs|ENALAPRILAT 1.25 MG/ML VIAL|1|ML|VIAL|IV|ML|1|01/26/2010|12/31/3999| | || | |
00169266211||S5553||02/05/2019|12/31/3999|Insulin, long acting; 5 units|TRESIBA 100 UNIT/ML VIAL|10|ML|VIAL|SQ|ML|.05|02/05/2019|12/31/3999| | || | |
00169413211||J3490||01/09/2018|01/09/2018|Unclassified drugs|OZEMPIC 0.25-0.5 MG DOSE PE|1.5|ML|SYRINGE|SQ|ML|1|01/09/2018|01/09/2018| | || | |
00254202980||S4993||09/28/2018|06/30/2022|Contraceptive pills for birth control|PREVIFEM TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|06/30/2022| | || | |
00254203080||S4993||09/28/2018|03/31/2022|Contraceptive pills for birth control|TRI-PREVIFEM TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|03/31/2022| | || | |
00254203091||S4993||09/28/2018|03/31/2022|Contraceptive pills for birth control|TRI-PREVIFEM TABLET|28|UN|BLIST PACK|PO|TAB|1|09/28/2018|03/31/2022| | || | |
00378729353||S4993||02/14/2019|12/31/2020|Contraceptive pills for birth control|NORG-EE 0.18-0.215-0.25/0.0|28|UN|BLIST PACK|PO|TAB|1|02/14/2019|12/31/2020| | || | |
50102023111||S4993||01/07/2019|12/31/3999|Contraceptive pills for birth control|TRI-VYLIBRA LO TABLET|28|UN|BLIST PACK|PO|TAB|1|01/07/2019|12/31/3999| | || | |
50742043810||J9017||11/15/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|11/15/2018|12/31/3999| | || | |
51224001325||J1953||12/01/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|12/01/2018|12/31/3999| | || | |
55150021010||J0583||10/03/2018|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|10/03/2018|12/31/3999| | || | |
55150026605||J3489||10/03/2018|06/30/2020|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|10/03/2018|06/30/2020| | || | |
60505619301||J2469||09/20/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|09/20/2018|12/31/3999| | || | |
63323006421||J3475||04/01/1998|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|2|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323036001||J0610||01/03/2018|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 1,000 MG/10 ML|10|ML|VIAL|IV|ML|10|01/03/2018|03/31/2023| | || | |
63323036005||J0610||01/03/2018|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 10,000 MG/100|100|ML|VIAL|IV|ML|10|01/03/2018|03/31/2023| | || | |
63323063150||J0640||12/04/2018|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CAL 500 MG/50 ML|50|ML|VIAL|IJ|ML|5|12/04/2018|12/31/3999| | || | |
63323067321||J2469||10/15/2018|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON HCL 0.25 MG/5|5|ML|SYRINGE|IV|ML|.5|10/15/2018|12/31/3999| | || | |
63459091859||J1447||11/08/2018|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/ML VIAL|1|ML|VIAL|SQ|ML|.0033|11/08/2018|12/31/2022| | || | |
64679005602||J2543||06/20/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.0033|06/20/2017|12/31/3999| | || | |
65862077785||S4993||10/30/2018|12/31/3999|Contraceptive pills for birth control|TRI-MILI 28 TABLET|28|UN|BLIST PACK|PO|EA|1|10/30/2018|12/31/3999| | || | |
67457031625||J0894||10/10/2018|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|10/10/2018|12/31/3999| | || | |
67457037925||J2501||12/21/2018|03/31/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 2 MCG/ML VIAL|1|ML|VIAL|IV|ML|.5|12/21/2018|03/31/2022| | || | |
67457063110||J1327||12/13/2018|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|ML|6.6667|12/13/2018|12/31/3999| | || | |
67457082499||J3370||12/06/2018|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.3333|12/06/2018|12/31/2022| | || | |
67457087905||J3030||02/07/2011|05/31/2021|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML SYR|0.5|ML|SYRINGE|SQ|ML|.5|02/07/2011|05/31/2021| | || | |
68382082614||J8999||03/22/2018|02/28/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 10 MG TABLET|60|UN|BOTTLE|PO|TAB|1|03/22/2018|02/28/2022| | || | |
68382082706||J8999||03/22/2018|02/28/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|30|UN|BOTTLE|PO|TAB|1|03/22/2018|02/28/2022| | || | |
68382099710||J9017||12/17/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|12/17/2018|12/31/3999| | || | |
68462073129||S4993||12/11/2018|12/31/3999|Contraceptive pills for birth control|HAILEY 24 FE 1 MG-20 MCG TA|28|UN|BLIST PACK|PO|TAB|1|12/11/2018|12/31/3999| | || | |
68682001250||J3490||03/31/2007|09/30/2023|Unclassified drugs|ETHACRYNATE SODIUM 50 MG VI|1|UN|VIAL|IV|EA|1|03/31/2007|09/30/2023| | || | |
68982082002||90283||11/26/2018|01/25/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|11/26/2018|01/25/2021| | || | |
68982082003||90283||11/26/2018|04/14/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|11/26/2018|04/14/2021| | || | |
68982082004||90283||11/26/2018|05/16/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|11/26/2018|05/16/2021| | || | |
70621010110||J7345||08/06/2018|12/31/2022|Aminolevulinic acid hcl for TP, 10% gel, 10 mg|AMELUZ 10% GEL|2|GR|TUBE|TP|GM|.01|08/06/2018|12/31/2022| | || | |
70257005251||J1573||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml|HEPAGAM B VIAL|1|ML|VIAL|IJ|ML|1|04/27/2017|12/31/3999| | || | |
00078088361||J0791||07/01/2020|12/31/3999|Inj, crizanlizumab-tmca, 5 mg|ADAKVEO 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|07/01/2020|12/31/3999| | || | |
61958290201||J0248||01/21/2022|08/31/2022|inj, Remdesivir, 1mg|REMDESIVIR 100 MG/20 ML (EU|20|ML|VIAL|IJ|ML|.02|01/21/2022|08/31/2022| | || | |
61958290101||J0248||01/21/2022|08/31/2023|inj, Remdesivir, 1mg|REMDESIVIR 100 MG VIAL (EUA|1|UN|VIAL|IJ|EA|.01|01/21/2022|08/31/2023| | || | |
63323073941||S0028||01/01/2022|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|01/01/2022|12/31/3999| | || | |
63323073941||J3490||01/01/2022|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|01/01/2022|12/31/3999| | || | |
70594008702||J0290||01/11/2022|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|01/11/2022|12/31/3999| | || | |
00069048607||C9399||03/30/2020|09/30/2022|Unclassified Drugs or Biologicals|IBRANCE 100 MG TABLET|7|UN|BLIST PACK|PO|EA|1|03/30/2020|09/30/2022| | || | |
00069048607||J8999||03/30/2020|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IBRANCE 100 MG TABLET|7|UN|BLIST PACK|PO|EA|1|03/30/2020|12/31/3999| | || | |
70594008701||J0290||01/11/2022|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|01/11/2022|12/31/3999| | || | |
00069175130||J8999||02/14/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TALZENNA 0.75 MG CAPSULE|1|UN|BOTTLE|PO|EA|1|02/14/2022|12/31/3999| | || | |
63323096501||J3480||01/01/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/5 ML CO|5|ML|VIAL|IV|ML|1|01/01/2022|12/31/3999| | || | |
00093819928||J8999||01/04/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 12.5 MG CA|1|UN|BOTTLE|PO|EA|1|01/04/2022|12/31/3999| | || | |
63323096503||J3480||01/01/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/10 ML C|10|ML|VIAL|IV|ML|1|01/01/2022|12/31/3999| | || | |
00093822428||J8999||01/04/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 25 MG CAPS|1|UN|BOTTLE|PO|EA|1|01/04/2022|12/31/3999| | || | |
16729046408||J2370||03/14/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|25|ML|VIAL|IJ|ML|1|03/14/2022|06/30/2023| | || | |
67877067869||J7682||03/23/2022|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|03/23/2022|12/31/3999| | || | |
00093823128||J8999||01/04/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 50 MG CAPS|1|UN|BOTTLE|PO|EA|1|01/04/2022|12/31/3999| | || | |
67877067870||J7682||03/23/2022|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|03/23/2022|12/31/3999| | || | |
00113047979||Q0163||01/01/2016|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|GS ALLERGY RELIEF 25 MG TAB|1|UN|BOTTLE|PO|EA|2|01/01/2016|12/31/3999| | || | |
00113200312||J3490||05/18/2016|12/31/3999|Unclassified drugs|OPTION 2 1.5 MG TABLET|1|UN|BLIST PACK|PO|EA|2.25|05/18/2016|12/31/3999| | || | |
16729046503||J2370||03/14/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|50|ML|VIAL|IJ|ML|1|03/14/2022|06/30/2023| | || | |
00143900501||J1071||01/01/2022|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 2,000 MG/10|10|ML|VIAL|IM|ML|1|01/01/2022|12/31/3999| | || | |
00143923301||J0515||03/03/2022|12/31/3999|Injection, benztropine mesylate, per 1 mg|BENZTROPINE 2 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|03/03/2022|12/31/3999| | || | |
16729046531||J2370||03/14/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|03/14/2022|06/30/2023| | || | |
68001046664||J3370||01/01/2022|07/31/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|01/01/2022|07/31/2023| | || | |
68001048022||J9206||01/01/2022|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|EA|1|01/01/2022|12/31/3999| | || | |
16729046603||J2370||03/14/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|03/14/2022|06/30/2023| | || | |
43598042660||J9041||01/01/2023|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|01/01/2023|12/31/3999| | || | |
00409170001||J9041||01/01/2023|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|01/01/2023|12/31/3999| | || | |
65219002023||J0290||05/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|05/26/2020|12/31/3999| | || | |
71288000631||J0295||01/07/2019|09/03/2025|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|GM|.5|01/07/2019|09/03/2025| | || | |
00143924605||J0592||04/28/2020|02/28/2021|Injection, buprenorphine hydrochloride, 0.1 mg|BUPRENORPHINE 0.3 MG/ML VIA|1|ML|VIAL|IJ|ML|.3333|04/28/2020|02/28/2021| | || | |
43598093109||J2597||05/05/2020|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML AM|1|ML|AMPUL|IJ|ML|.25|05/05/2020|12/31/3999| | || | |
67457041800||J1100||07/19/2011|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VI|5|ML|VIAL|IJ|ML|.25|07/19/2011|12/31/3999| | || | |
67457041900||J1100||07/19/2011|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|07/19/2011|12/31/3999| | || | |
67457041901||J1100||07/19/2011|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|07/19/2011|12/31/3999| | || | |
67457048310||J1100||07/19/2011|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.1|07/19/2011|12/31/3999| | || | |
67457048430||J1100||07/19/2011|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 120 MG/30 ML|30|ML|VIAL|IJ|ML|.25|07/19/2011|12/31/3999| | || | |
61990041100||J1110||05/05/2020|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML A|1|ML|AMPUL|IJ|ML|1|05/05/2020|12/31/3999| | || | |
61990041101||J1110||05/05/2020|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML A|1|ML|AMPUL|IJ|ML|1|05/05/2020|12/31/3999| | || | |
61990041102||J1110||05/05/2020|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML A|1|ML|AMPUL|IJ|ML|1|05/05/2020|12/31/3999| | || | |
72572017001||J3010||12/10/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML VIAL|2|ML|VIAL|IJ|EA|2|12/10/2019|12/31/3999| | || | |
51991096425||J0330||04/14/2020|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/14/2020|12/31/3999| | || | |
70069030110||J0330||04/20/2020|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/20/2020|12/31/3999| | || | |
70069030125||J0330||04/20/2020|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/20/2020|12/31/3999| | || | |
72205004501||J9340||03/04/2020|12/31/3999|Thiotepa injection|THIOTEPA 15 MG VIAL|1|UN|VIAL|IJ|ML|1|03/04/2020|12/31/3999| | || | |
72205004601||J9340||03/04/2020|12/31/3999|Thiotepa injection|THIOTEPA 100 MG VIAL|1|UN|VIAL|IJ|ML|.15|03/04/2020|12/31/3999| | || | |
00409357811||J3260||10/28/2004|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/28/2004|12/31/3999| | || | |
72603010502||J9395||06/25/2020|02/29/2024|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|06/25/2020|02/29/2024| | || | |
71288041087||J1650||04/29/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/29/2020|12/31/3999| | || | |
71288040701||J3490||08/05/2019|06/21/2024|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|08/05/2019|06/21/2024| | || | |
71288041996||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
71288042496||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|09/01/2019|12/31/3999| | || | |
63323047801||J2400||04/01/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|NESACAINE-MPF 3% VIAL|20|ML|VIAL|IJ|ML|30|04/01/1998|12/31/2022| | || | |
72572002501||J3490||12/01/2019|11/30/2023|Unclassified drugs|BACITRACIN 50,000 UNIT VIAL|1|UN|VIAL|IM|EA|1|12/01/2019|11/30/2023| | || | |
72572002510||J3490||12/01/2019|11/30/2023|Unclassified drugs|BACITRACIN 50,000 UNIT VIAL|1|UN|VIAL|IM|EA|1|12/01/2019|11/30/2023| | || | |
00781349201||J9395||05/30/2019|07/24/2025|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|05/30/2019|07/24/2025| | || | |
54436001502||C9399||01/06/2014|12/31/3999|Unclassified Drugs or Biologicals|OTREXUP 15 MG/0.4 ML AUTO-I|0.4|ML|SYRINGE|SQ|ML|1|01/06/2014|12/31/3999| | || | |
54436001502||J3490||01/06/2014|12/31/3999|Unclassified drugs|OTREXUP 15 MG/0.4 ML AUTO-I|0.4|ML|SYRINGE|SQ|ML|1|01/06/2014|12/31/3999| | || | |
54436002502||C9399||01/06/2014|12/31/3999|Unclassified Drugs or Biologicals|OTREXUP 25 MG/0.4 ML AUTO-I|0.4|ML|SYRINGE|SQ|ML|1|01/06/2014|12/31/3999| | || | |
65862092585||S4993||02/09/2019|12/31/3999|Contraceptive pills for birth control|INCASSIA 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|02/09/2019|12/31/3999| | || | |
00338007225||J1885||03/18/2019|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|03/18/2019|12/31/3999| | || | |
00338341024||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 300 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338341050||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 300 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338361250||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338361650||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338381450||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338411424||J3490||08/11/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|1|08/11/2017|06/30/2023| | || | |
00338914730||J7070||01/01/1994|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|1000|01/01/1994|12/31/3999| | || | |
00338914730||J7060||01/01/1994|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|100|ML|BAG|IV|ML|500|01/01/1994|12/31/3999| | || | |
00338954950||J3490||06/07/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN 600 MG/50 ML-NS|50|ML|BAG|IV|ML|1|06/07/2017|06/30/2023| | || | |
00338955524||J3490||08/24/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BAG|IV|ML|1|08/24/2018|12/31/3999| | || | |
00338955810||J1327||02/21/2019|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML B|100|ML|BAG|IV|ML|6.6667|02/21/2019|12/31/3999| | || | |
00409111210||J0594||03/04/2019|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|03/04/2019|12/31/3999| | || | |
00409421505||J3489||09/25/2017|09/30/2022|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|09/25/2017|09/30/2022| | || | |
00517071001||J1451||12/17/2007|12/31/3999|Injection, fomepizole, 15 mg|FOMEPIZOLE 1.5 GM/1.5 ML VI|1.5|ML|VIAL|IV|ML|.015|12/17/2007|12/31/3999| | || | |
00781342080||J3285||03/26/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 20 MG/20 ML VI|20|ML|VIAL|IJ|ML|1|03/26/2019|12/31/3999| | || | |
00781342780||J3285||03/26/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 100 MG/20 ML V|20|ML|VIAL|IJ|ML|.2|03/26/2019|12/31/3999| | || | |
00781343080||J3285||03/26/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 200 MG/20 ML V|20|ML|VIAL|IJ|ML|.1|03/26/2019|12/31/3999| | || | |
13533031810||90375||05/22/2018|12/31/3999|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|HYPERRAB 300 UNIT/ML VIAL|1|ML|VIAL|IM|ML|.5|05/22/2018|12/31/3999| | || | |
16714081501||J3489||01/30/2019|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|01/30/2019|12/31/3999| | || | |
16714081602||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
16729030610||J9025||01/09/2019|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|01/09/2019|12/31/3999| | || | |
16729036468||J3243||03/28/2019|12/31/2022|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|03/28/2019|12/31/2022| | || | |
16729043230||J3490||08/31/2018|11/13/2022|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|EA|1|08/31/2018|11/13/2022| | || | |
23155052441||J3490||07/01/2015|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|07/01/2015|12/31/3999| | || | |
25021016368||J2700||07/02/2012|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|BOTTLE|IJ|EA|.025|07/02/2012|12/31/3999| | || | |
36000024201||J3260||06/01/2018|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1,200 MG/30 ML V|30|ML|VIAL|IJ|ML|2|06/01/2018|12/31/3999| | || | |
42023022189||J1335||01/17/2008|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|GM|.5|01/17/2008|12/31/3999| | || | |
44206025190||P9047||06/01/2002|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBURX (HUMAN) 25% VIAL|50|ML|VIAL|IV|ML|50|06/01/2002|12/31/3999| | || | |
44206025191||P9047||06/01/2002|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBURX (HUMAN) 25% VIAL|100|ML|VIAL|IV|ML|50|06/01/2002|12/31/3999| | || | |
44206031090||P9045||06/01/2002|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBURX (HUMAN) 5% VIAL|250|ML|VIAL|IV|ML|250|06/01/2002|12/31/3999| | || | |
63323053508||J1650||04/01/2015|06/30/2024|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2015|06/30/2024| | || | |
63323053598||J1650||04/01/2015|06/30/2024|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2015|06/30/2024| | || | |
68982082005||90283||11/26/2018|04/22/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|11/26/2018|04/22/2021| | || | |
68982082082||90283||11/26/2018|01/25/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|11/26/2018|01/25/2021| | || | |
68982082083||90283||11/26/2018|04/14/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|11/26/2018|04/14/2021| | || | |
68982082086||90283||11/26/2018|04/17/2021|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|11/26/2018|04/17/2021| | || | |
69097017348||J7620||11/01/2015|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|11/01/2015|12/31/3999| | || | |
69097053431||J2370||06/01/2018|09/30/2020|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/01/2018|09/30/2020| | || | |
69097053535||J2370||06/01/2018|04/30/2020|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|06/01/2018|04/30/2020| | || | |
63323055921||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323056421||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323056698||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323060504||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323060594||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
00143985101||J2930||10/28/2019|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 1 GM|1|UN|VIAL|IJ|GM|.125|10/28/2019|12/31/3999| | || | |
68001039180||J9280||10/30/2019|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|ML|.125|10/30/2019|12/31/3999| | || | |
00409139021||J2185||02/26/2012|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|02/26/2012|12/31/3999| | || | |
00143978601||J3490||01/28/2010|12/31/3999|Unclassified drugs|ENALAPRILAT 2.5 MG/2 ML VIA|2|ML|VIAL|IV|ML|1|01/28/2010|12/31/3999| | || | |
00143987101||J9065||02/28/2000|12/31/3999|Injection, cladribine, per 1 mg|CLADRIBINE 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|02/28/2000|12/31/3999| | || | |
00338954524||J3490||06/06/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN 300 MG/50 ML-NS|50|ML|BAG|IV|ML|1|06/06/2017|06/30/2023| | || | |
00338954924||J3490||06/07/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN 600 MG/50 ML-NS|50|ML|BAG|IV|ML|1|06/07/2017|06/30/2023| | || | |
00409110301||J3490||12/02/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|12/02/2019|12/31/3999| | || | |
00409110311||J3490||12/02/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|12/02/2019|12/31/3999| | || | |
00409110911||J3490||02/25/2013|12/31/3999|Unclassified drugs|ATRACURIUM 50 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|02/25/2013|12/31/3999| | || | |
00409114465||J3490||10/28/2004|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409117111||J3490||10/28/2004|03/30/2023|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|10/28/2004|03/30/2023| | || | |
66794020202||J3490||07/15/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|07/15/2019|12/31/3999| | || | |
66794020342||J3490||07/15/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|07/15/2019|12/31/3999| | || | |
66794020402||J3490||07/15/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|07/15/2019|12/31/3999| | || | |
66794020442||J3490||07/15/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|07/15/2019|12/31/3999| | || | |
68001035159||J3490||06/28/2018|02/28/2023|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|F2|VIAL|IJ|AHF|1|06/28/2018|02/28/2023| | || | |
68001035235||J3490||06/28/2018|08/31/2022|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|F2|VIAL|IJ|AHF|1|06/28/2018|08/31/2022| | || | |
63323001001||J1580||01/01/2022|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|01/01/2022|12/31/3999| | || | |
72606057301||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE 500 MG TABLET|1|UN|BOTTLE|PO|EA|1|01/01/2022|12/31/3999| | || | |
72572055010||S0164||03/30/2020|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|03/30/2020|12/31/3999| | || | |
63323001041||J1580||01/01/2022|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 80 MG/2 ML VIAL|20|ML|VIAL|IJ|ML|2|01/01/2022|12/31/3999| | || | |
72572002201||J0295||01/01/2022|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|01/01/2022|12/31/3999| | || | |
63323001042||J1580||01/01/2022|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 800 MG/20 ML VIA|20|ML|VIAL|IJ|ML|2|01/01/2022|12/31/3999| | || | |
63323013003||J3490||01/01/2022|12/31/3999|Unclassified drugs|DOXY 100 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2022|12/31/3999| | || | |
63323013041||J3490||01/01/2022|12/31/3999|Unclassified drugs|DOXY 100 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2022|12/31/3999| | || | |
70594006801||J3030||03/29/2022|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIA|1|UN|VIAL|SQ|EA|.5|03/29/2022|12/31/3999| | || | |
57664068357||J2020||10/01/2017|10/01/2017|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|10|UN|BAG|IV|ML|100|10/01/2017|10/01/2017| | || | |
63323016121||J1885||01/01/2022|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|01/01/2022|12/31/3999| | || | |
63323071303||J2020||06/01/2022|12/31/2022|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|06/01/2022|12/31/2022| | || | |
50242007812||J2779||07/01/2022|12/31/3999|Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg|SUSVIMO 10 MG/0.1 ML VIAL|0.1|ML|VIAL|IL|ML|.001|07/01/2022|12/31/3999| | || | |
00069106101||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SQ|ML|.6|07/01/2022|12/31/3999| | || | |
00069147601||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SQ|ML|.6|07/01/2022|12/31/3999| | || | |
00069150901||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SQ|ML|.6|07/01/2022|12/31/3999| | || | |
00069150902||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SQ|ML|.6|07/01/2022|12/31/3999| | || | |
00069147602||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SQ|ML|.6|07/01/2022|12/31/3999| | || | |
00009716830||J3590||01/01/2022|12/31/3999|Unclassified Biologics|SOMAVERT 15 MG VIAL|30|UN|VIAL|SQ|EA|.0667|01/01/2022|12/31/3999| | || | |
72205008130||J8999||07/01/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 100 MG TABLET|30|UN|BOTTLE|PO|EA|1|07/01/2021|12/31/3999| | || | |
63323032101||J3490||10/01/2021|12/31/3999|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|10/01/2021|12/31/3999| | || | |
70594008402||J1460||01/11/2022|01/11/2022|Injection, gamma globulin, intramuscular, 1 cc|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|01/11/2022|01/11/2022| | || | |
42367053133||J9304||02/01/2022|12/31/3999|Injection, pemetrexed (pemfexy), 10 mg|PEMFEXY 500 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.4|02/01/2022|12/31/3999| | || | |
63323037300||J2405||01/01/2022|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|01/01/2022|12/31/3999| | || | |
63323037641||J2354||01/01/2022|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML|1|ML|VIAL|IJ|ML|.25|01/01/2022|12/31/3999| | || | |
71288050302||J1631||03/24/2022|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|10|ML|VIAL|IM|ML|.5|03/24/2022|12/31/3999| | || | |
13533063103||J2790||01/01/2020|12/31/3999|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|HYPERRHO S-D 1,500 UNIT SYR|1|UN|SYRINGE|IM|EA|1|01/01/2020|12/31/3999| | || | |
63323047203||S0020||01/01/2022|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.75% VIAL|10|ML|VIAL|IJ|ML|10|01/01/2022|06/30/2023| | || | |
63323047203||J3490||01/01/2022|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.75% VIAL|10|ML|VIAL|IJ|ML|10|01/01/2022|06/30/2023| | || | |
00002772801||S5551||07/07/2020|06/30/2023|Insulin, most rapid onset (lispro or aspart); 5 units|LYUMJEV 100 UNIT/ML VIAL|0000010.000|ML|VIAL|SQ|ML|.05|07/07/2020|06/30/2023| | || | |
54436002502||J3490||01/06/2014|12/31/3999|Unclassified drugs|OTREXUP 25 MG/0.4 ML AUTO-I|0.4|ML|SYRINGE|SQ|ML|1|01/06/2014|12/31/3999| | || | |
67457048300||J1100||07/19/2011|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.1|07/19/2011|12/31/3999| | || | |
71288042096||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
00409198503||J2060||10/28/2004|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML CARPUJECT|1|ML|CARTRIDGE|IJ|ML|1|10/28/2004|12/31/3999| | || | |
63323041118||J2250||06/20/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|06/20/2000|12/31/3999| | || | |
63323041203||J2250||06/22/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 10 MG/2 ML VI|2|ML|VIAL|IJ|ML|.2|06/22/2000|12/31/3999| | || | |
63323041213||J2250||06/22/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|06/22/2000|12/31/3999| | || | |
63323041218||J2250||06/22/2000|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|.2|06/22/2000|12/31/3999| | || | |
72572043001||J2250||12/10/2019|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|EA|1|12/10/2019|12/31/3999| | || | |
76045000401||J2270||04/01/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE 2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|5|04/01/2014|12/31/2022| | || | |
76045000411||J2270||04/01/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE 2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|5|04/01/2014|12/31/2022| | || | |
00409146369||J2300||10/28/2004|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409146371||J2300||10/28/2004|12/31/3999|Injection, nalbuphine hydrochloride, per 10 mg|NALBUPHINE 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409121930||J2310||10/28/2004|07/01/2020|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|10/28/2004|07/01/2020| | || | |
55150032801||J2310||04/08/2020|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2.5|04/08/2020|12/31/3999| | || | |
63323047701||J2400||04/01/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|NESACAINE-MPF 2% VIAL|20|ML|VIAL|IJ|ML|30.0003|04/01/1998|12/31/2022| | || | |
72572052001||J2405||11/18/2019|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|EA|.5|11/18/2019|12/31/3999| | || | |
42494041503||J2560||02/19/2020|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 65 MG/ML VIAL|1|ML|VIAL|IJ|ML|1.8519|02/19/2020|12/31/3999| | || | |
42494041603||J2560||02/19/2020|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 130 MG/ML VIA|1|ML|VIAL|IJ|ML|.9259|02/19/2020|12/31/3999| | || | |
71288080876||J2370||06/01/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|06/01/2020|06/30/2023| | || | |
14789090107||J2690||01/09/2018|12/31/3999|Injection, procainamide hcl, up to 1 gm|PROCAINAMIDE 1,000 MG/10 ML|10|ML|VIAL|IJ|ML|10|01/09/2018|12/31/3999| | || | |
14789070007||J0780||02/22/2019|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|02/22/2019|12/31/3999| | || | |
72572058001||J0780||11/18/2019|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|EA|2|11/18/2019|12/31/3999| | || | |
70710151406||J1652||05/01/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|.1|05/01/2020|12/31/3999| | || | |
00781344795||J0583||05/01/2005|06/30/2023|Injection, bivalirudin, 1 mg|ANGIOMAX 250 MG VIAL|1|UN|VIAL|IV|EA|.004|05/01/2005|06/30/2023| | || | |
70860040350||J0583||05/26/2020|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN RTU 250 MG/50 M|50|ML|VIAL|IV|ML|.2|05/26/2020|12/31/3999| | || | |
65219016010||J0594||05/26/2020|07/31/2022|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|05/26/2020|07/31/2022| | || | |
25021030566||J1205||10/27/2015|12/31/3999|Injection, chlorothiazide sodium, per 500 mg|CHLOROTHIAZIDE SOD 500 MG V|1|UN|VIAL|IV|EA|1|10/27/2015|12/31/3999| | || | |
25021017967||J0878||06/18/2018|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|06/18/2018|12/31/3999| | || | |
63323082520||J0894||04/20/2020|12/31/2021|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|04/20/2020|12/31/2021| | || | |
00990792903||J7121||10/01/2018|12/31/3999|5% dextrose in lac ringers|DEXTROSE 5%-LR IV SOLUTION|500|ML|FLEX CONT|IV|ML|1000|10/01/2018|12/31/3999| | || | |
44206041791||J1566||01/01/2006|05/31/2021|Injection, immune globulin, intravenous, lyophilized (e.g. powder), not oth...|CARIMUNE NF 6 GM VIAL|1|UN|VIAL|IV|EA|.0833|01/01/2006|05/31/2021| | || | |
44206041791||90283||04/01/2003|05/31/2021|Immune globulin (IGIV), human, for intravenous use|CARIMUNE NF 6 GM VIAL|1|UN|VIAL|IV|EA|.0833|04/01/2003|05/31/2021| | || | |
44206043690||90283||12/14/2007|12/31/3999|Immune globulin (IGIV), human, for intravenous use|PRIVIGEN 10% VIAL|50|ML|VIAL|IV|EA|5|12/14/2007|12/31/3999| | || | |
44206043690||J1459||01/01/2009|12/31/3999|Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g. l...|PRIVIGEN 10% VIAL|50|ML|VIAL|IV|EA|5|01/01/2009|12/31/3999| | || | |
44206043892||90283||02/08/2008|12/31/3999|Immune globulin (IGIV), human, for intravenous use|PRIVIGEN 10% VIAL|200|ML|VIAL|IV|EA|5|02/08/2008|12/31/3999| | || | |
44206043892||J1459||01/01/2009|12/31/3999|Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g. l...|PRIVIGEN 10% VIAL|200|ML|VIAL|IV|EA|5|01/01/2009|12/31/3999| | || | |
44206053290||90291||11/20/2001|03/19/2023|Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use|CYTOGAM 2.5 GM/50 ML VIAL|50|ML|VIAL|IV|ML|50|11/20/2001|03/19/2023| | || | |
44206053290||J0850||11/20/2001|03/19/2023|Injection, cytomegalovirus immune globulin intravenous (human), per vial|CYTOGAM 2.5 GM/50 ML VIAL|50|ML|VIAL|IV|ML|50|11/20/2001|03/19/2023| | || | |
44567060224||J3490||11/02/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 200MCG/50ML-|50|ML|BAG|IV|ML|1|11/02/2018|12/31/3999| | || | |
44567062024||J0610||01/11/2019|12/31/2022|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|10|01/11/2019|12/31/2022| | || | |
45963061485||J9206||03/10/2015|06/30/2023|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|03/10/2015|06/30/2023| | || | |
47781058922||J2250||08/21/2017|01/31/2020|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|08/21/2017|01/31/2020| | || | |
47781059707||J3370||09/06/2017|02/10/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|09/06/2017|02/10/2023| | || | |
47781062069||J3490||01/29/2010|10/31/2019|Unclassified drugs|CLINDAMYCIN 600 MG/4 ML ADD|4|ML|VIAL|IV|ML|1|01/29/2010|10/31/2019| | || | |
47781062169||J3490||01/29/2010|10/31/2019|Unclassified drugs|CLINDAMYCIN 900 MG/6 ML ADD|6|ML|VIAL|IV|ML|1|01/29/2010|10/31/2019| | || | |
50742040510||J9263||03/05/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|03/05/2019|12/31/3999| | || | |
51754506001||J0702||01/23/2015|12/31/3999|Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg|BETAMETHASONE SP-AC 30 MG/5|5|ML|VIAL|IJ|ML|1|01/23/2015|12/31/3999| | || | |
55150018605||J2469||02/08/2019|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|02/08/2019|12/31/3999| | || | |
55150024110||J0883||02/12/2019|12/31/2022|Argatroban nonesrd use 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|02/12/2019|12/31/2022| | || | |
55150029302||J3490||01/30/2019|11/30/2020|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|01/30/2019|11/30/2020| | || | |
55150029405||J3490||01/30/2019|10/31/2020|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|01/30/2019|10/31/2020| | || | |
55566100001||J3490||02/14/2019|09/30/2021|Unclassified drugs|GANIRELIX ACET 250 MCG/0.5|0.5|ML|SYRINGE|SQ|EA|1|02/14/2019|09/30/2021| | || | |
59923071505||J9206||03/01/2019|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|EA|1|03/01/2019|12/31/3999| | || | |
60505615604||J2543||03/15/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|ML|.5|03/15/2019|12/31/3999| | || | |
60505615904||J2543||03/15/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|ML|.25|03/15/2019|12/31/3999| | || | |
63323004441||J3420||04/01/1998|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323047141||J1631||04/01/1998|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|04/01/1998|12/31/3999| | || | |
63323072401||J3490||01/23/2018|12/31/3999|Unclassified drugs|REMIFENTANIL 2 MG VIAL|1|UN|VIAL|IV|EA|1|01/23/2018|12/31/3999| | || | |
63323077810||J2800||01/03/2019|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|01/03/2019|12/31/3999| | || | |
69918070026||J0330||04/10/2019|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/10/2019|12/31/3999| | || | |
70860060041||J2250||05/01/2017|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|05/01/2017|12/31/3999| | || | |
71288040821||J3490||08/05/2019|05/01/2024|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|08/05/2019|05/01/2024| | || | |
70594002604||J3490||10/17/2018|06/30/2021|Unclassified drugs|BACITRACIN 50,000 UNIT VIAL|1|UN|VIAL|IM|EA|1|10/17/2018|06/30/2021| | || | |
00003031505||J3301||07/01/2019|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|KENALOG-80 80 MG/ML VIAL|1|ML|VIAL|IJ|ML|.125|07/01/2019|12/31/3999| | || | |
00003031520||J3301||07/01/2019|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|KENALOG-80 400 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.125|07/01/2019|12/31/3999| | || | |
63323053701||J1650||04/13/2015|02/28/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|04/13/2015|02/28/2023| | || | |
50242004110||J2997||09/27/2001|12/31/3999|Injection, alteplase recombinant, 1 mg|CATHFLO ACTIVASE 2 MG VIAL|1|UN|VIAL|IJ|EA|.5|09/27/2001|12/31/3999| | || | |
13533081005||90284||11/12/2019|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|XEMBIFY 20% (1 G/5 ML) VIAL|5|ML|VIAL|SQ|ML|.5|11/12/2019|12/31/3999| | || | |
13533081006||90284||11/12/2019|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|XEMBIFY 20% (1 G/5 ML) VIAL|5|ML|VIAL|SQ|ML|.5|11/12/2019|12/31/3999| | || | |
13533081011||90284||11/12/2019|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|XEMBIFY 20% (2 G/10 ML) VIA|10|ML|VIAL|SQ|ML|.5|11/12/2019|12/31/3999| | || | |
13533081020||90284||11/12/2019|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|XEMBIFY 20% (4 G/20 ML) VIA|20|ML|VIAL|SQ|ML|.5|11/12/2019|12/31/3999| | || | |
13533081021||90284||11/12/2019|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|XEMBIFY 20% (4 G/20 ML) VIA|20|ML|VIAL|SQ|ML|.5|11/12/2019|12/31/3999| | || | |
13533081050||90284||11/12/2019|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|XEMBIFY 20% (10 G/50 ML) VI|50|ML|VIAL|SQ|ML|.5|11/12/2019|12/31/3999| | || | |
13533081051||90284||11/12/2019|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|XEMBIFY 20% (10 G/50 ML) VI|50|ML|VIAL|SQ|ML|.5|11/12/2019|12/31/3999| | || | |
63323028441||J3370||04/01/1998|07/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|04/01/1998|07/31/2022| | || | |
00781382996||J3490||08/16/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|08/16/2019|12/31/3999| | || | |
16714090625||J3490||12/17/2019|07/31/2023|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|12/17/2019|07/31/2023| | || | |
16714099825||J3490||12/30/2019|01/31/2023|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|12/30/2019|01/31/2023| | || | |
43547054325||J3490||12/19/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|12/19/2019|12/31/3999| | || | |
63323001211||J2590||04/01/1998|12/31/3999|Injection, oxytocin, up to 10 units|OXYTOCIN 10 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323004400||J3420||04/01/1998|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323045100||J2270||05/06/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 10 MG/ML V|1|ML|VIAL|IJ|ML|1|05/06/2014|12/31/2022| | || | |
63323057804||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
63323057807||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
00069155801||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00069196502||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SQ|ML|.6|05/23/2019|06/30/2022| | || | |
66794015101||J0475||01/31/2018|12/31/3999|Injection, baclofen, 10 mg|GABLOFEN 50 MCG/ML SYRINGE|1|ML|SYRINGE|IT|ML|200|01/31/2018|12/31/3999| | || | |
00078093061||J0883||01/01/2017|10/31/2022|Argatroban nonesrd use 1mg|ARGATROBAN 250 MG/2.5 ML VI|2.5|ML|VIAL|IV|ML|.01|01/01/2017|10/31/2022| | || | |
70504028205||J7195||03/02/2017|06/30/2023|Factor ix (antihemophilic factor, recombinant) per i.u.|IXINITY 500 UNIT RANGE|1|F2|VIAL|IV|AHF|1|03/02/2017|06/30/2023| | || | |
75987011110||J9216||09/06/2011|12/31/3999|Injection, interferon, gamma 1-b, 3 million units|ACTIMMUNE 100 MCG/0.5 ML VI|0.5|ML|VIAL|SQ|ML|.75|09/06/2011|12/31/3999| | || | |
75987011111||J9216||09/06/2011|12/31/3999|Injection, interferon, gamma 1-b, 3 million units|ACTIMMUNE 100 MCG/0.5 ML VI|0.5|ML|VIAL|SQ|ML|.75|09/06/2011|12/31/3999| | || | |
00143920201||J9178||08/09/2007|12/31/2021|Injection, epirubicin hcl, 2 mg|EPIRUBICIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|08/09/2007|12/31/2021| | || | |
00143920301||J9178||08/09/2007|12/31/2021|Injection, epirubicin hcl, 2 mg|EPIRUBICIN 200 MG/100 ML VI|100|ML|VIAL|IV|ML|1|08/09/2007|12/31/2021| | || | |
00143951910||J9250||05/01/1996|12/31/3999|Methotrexate sodium, 5 mg|METHOTREXATE 50 MG/2 ML VIA|2|ML|VIAL|IJ|ML|.2|05/01/1996|12/31/3999| | || | |
00143928410||S0164||10/16/2017|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|10/16/2017|12/31/3999| | || | |
00006302601||J9271||01/01/2016|12/31/3999|Inj pembrolizumab|KEYTRUDA 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.04|01/01/2016|12/31/3999| | || | |
69448000105||J9280||07/25/2017|10/31/2021|Injection, mitomycin, 5 mg|MUTAMYCIN 5 MG VIAL|1|UN|VIAL|IV|EA|1|07/25/2017|10/31/2021| | || | |
69448000211||J9280||07/25/2017|12/31/2021|Injection, mitomycin, 5 mg|MUTAMYCIN 20 MG VIAL|1|UN|VIAL|IV|EA|.25|07/25/2017|12/31/2021| | || | |
69448000338||J9280||07/25/2017|02/28/2022|Injection, mitomycin, 5 mg|MUTAMYCIN 40 MG VIAL|1|UN|VIAL|IV|EA|.125|07/25/2017|02/28/2022| | || | |
69367018730||Q0163||03/01/2018|01/01/2022|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 6.25 MG/ML|30|ML|DROP BTL|PO|ML|8|03/01/2018|01/01/2022| | || | |
70000024201||Q0163||05/09/2017|12/30/2021|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|SLEEP AID 25 MG LIQUID GEL|12|UN|BLIST PACK|PO|CAP|2|05/09/2017|12/30/2021| | || | |
00143928401||S0164||10/16/2017|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|10/16/2017|12/31/3999| | || | |
66794015101||J0476||01/31/2018|12/31/3999|Injection, baclofen, 50 mcg for intrathecal trial|GABLOFEN 50 MCG/ML SYRINGE|1|ML|SYRINGE|IT|ML|1|01/31/2018|12/31/3999| | || | |
00143951910||J9260||05/01/1996|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 50 MG/2 ML VIA|2|ML|VIAL|IJ|ML|.5|05/01/1996|12/31/3999| | || | |
66794015501||J0475||01/31/2018|12/31/3999|Injection, baclofen, 10 mg|GABLOFEN 10,000 MCG/20 ML S|20|ML|SYRINGE|IT|ML|20|01/31/2018|12/31/3999| | || | |
66794015601||J0475||01/31/2018|12/31/3999|Injection, baclofen, 10 mg|GABLOFEN 20,000 MCG/20 ML S|20|ML|SYRINGE|IT|ML|10|01/31/2018|12/31/3999| | || | |
00006302501||J0565||01/01/2018|12/31/3999|Inj, bezlotoxumab, 10 mg|ZINPLAVA 1,000 MG/40 ML VIA|40|ML|VIAL|IV|ML|.4|01/01/2018|12/31/3999| | || | |
66621015002||J0716||01/01/2013|10/01/2021|Injection, centruroides immune f(ab)2, up to 120 milligrams|ANASCORP 120 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2013|10/01/2021| | || | |
00409733821||J0696||07/20/2005|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|07/20/2005|12/31/3999| | || | |
25021023002||J9206||07/30/2014|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|07/30/2014|12/31/3999| | || | |
25021023005||J9206||07/30/2014|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML VL|5|ML|VIAL|IJ|ML|1|07/30/2014|12/31/3999| | || | |
70801000101||Q9993||07/01/2018|12/31/2018|Inj., triamcinolone ext rel|ZILRETTA 32 MG VIAL|1|UN|VIAL|IU|EA|.0313|07/01/2018|12/31/2018| | || | |
00990792903||J7070||07/12/2018|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-LR IV SOLUTION|500|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
61269041020||J9181||05/20/2014|12/31/3999|Injection, etoposide, 10 mg|ETOPOPHOS 100 MG VIAL|1|UN|VIAL|IV|ML|.1|05/20/2014|12/31/3999| | || | |
16714092901||J1453||04/16/2020|12/31/2023|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|04/16/2020|12/31/2023| | || | |
72606056901||J1453||01/14/2020|09/30/2021|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|01/14/2020|09/30/2021| | || | |
70700016922||J9206||06/04/2020|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|ML|1|06/04/2020|12/31/3999| | || | |
00409672911||J3475||10/28/2004|01/24/2025|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|10/28/2004|01/24/2025| | || | |
00409672921||J3475||10/28/2004|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 20 G/500 ML|500|ML|FLEX CONT|IV|ML|12.5|10/28/2004|12/31/3999| | || | |
00409672931||J3475||10/28/2004|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 40 G/1,000 M|1000|ML|FLEX CONT|IV|ML|12.5|10/28/2004|12/31/3999| | || | |
00409673011||J3475||10/28/2004|01/01/2023|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/50 ML BA|50|ML|FLEX CONT|IV|ML|6.25|10/28/2004|01/01/2023| | || | |
12496012001||J3490||07/01/2019|07/02/2019|Unclassified drugs|PERSERIS ER 120 MG SYRINGE|1|UN|KIT|SQ|EA|1|07/01/2019|07/02/2019| | || | |
57665000201||J3590||11/12/2018|03/31/2023|Unclassified Biologics|REVCOVI 2.4 MG/1.5 ML VIAL|1.5|ML|VIAL|IM|ML|1|11/12/2018|03/31/2023| | || | |
00006542515||J3490||03/08/2018|12/31/3999|Unclassified drugs|BRIDION 500 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|03/08/2018|12/31/3999| | || | |
00006542302||J3490||01/11/2016|12/31/3999|Unclassified drugs|BRIDION 200 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/11/2016|12/31/3999| | || | |
00006542505||J3490||03/08/2018|12/31/3999|Unclassified drugs|BRIDION 500 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|03/08/2018|12/31/3999| | || | |
00006542312||J3490||01/11/2016|12/31/3999|Unclassified drugs|BRIDION 200 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/11/2016|12/31/3999| | || | |
70114010101||Q5111||07/01/2019|12/31/3999|Injection, udenyca 0.5 mg|UDENYCA 6 MG/0.6 ML SYRINGE|0.6|ML|SYRINGE|SQ|ML|.05|07/01/2019|12/31/3999| | || | |
63459091218||J1447||01/01/2016|12/31/2022|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SYRIN|0.8|ML|SYRINGE|SQ|ML|.0017|01/01/2016|12/31/2022| | || | |
63833089190||J7178||01/01/2013|12/31/3999|Injection, human fibrinogen concentrate, 1 mg|RIASTAP VIAL|1|UN|VIAL|IV|EA|1|01/01/2013|12/31/3999| | || | |
67457038012||J2501||01/02/2019|01/31/2023|Injection, paricalcitol, 1 mcg|PARICALCITOL 5 MCG/ML VIAL|1|ML|VIAL|IV|ML|.2|01/02/2019|01/31/2023| | || | |
67457038922||J2501||01/02/2019|03/31/2022|Injection, paricalcitol, 1 mcg|PARICALCITOL 10 MCG/2 ML VI|2|ML|VIAL|IV|ML|.2|01/02/2019|03/31/2022| | || | |
67457053035||J0640||01/02/2019|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG V|1|UN|VIAL|IJ|EA|.1429|01/02/2019|12/31/3999| | || | |
67457081400||J3490||11/29/2017|06/30/2022|Unclassified drugs|CLINDAMYCIN PH 300 MG/2 ML|2|ML|VIAL|IJ|ML|1|11/29/2017|06/30/2022| | || | |
67457081500||J3490||11/29/2017|03/31/2022|Unclassified drugs|CLINDAMYCIN PH 600 MG/4 ML|4|ML|VIAL|IJ|ML|1|11/29/2017|03/31/2022| | || | |
67457081600||J3490||11/29/2017|03/31/2022|Unclassified drugs|CLINDAMYCIN PH 900 MG/6 ML|6|ML|VIAL|IJ|ML|1|11/29/2017|03/31/2022| | || | |
67457082312||J3370||01/02/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.25 GRAM VI|1|UN|VIAL|IV|EA|.4|01/02/2019|12/31/2022| | || | |
67457090200||J3490||03/06/2019|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|03/06/2019|12/31/3999| | || | |
67457090300||J3490||03/06/2019|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|03/06/2019|12/31/3999| | || | |
67457094800||J1644||05/25/2018|09/30/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|05/25/2018|09/30/2021| | || | |
67457094900||J1644||03/16/2018|09/30/2021|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|03/16/2018|09/30/2021| | || | |
69097043935||J2469||03/25/2019|03/31/2021|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|03/25/2019|03/31/2021| | || | |
69097080237||J1071||03/21/2019|08/03/2025|Injection, testosterone cypionate, 1mg|TESTOSTERON CYP 2,000 MG/10|10|ML|VIAL|IM|ML|.005|03/21/2019|08/03/2025| | || | |
69543037613||J3490||02/14/2017|03/31/2022|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|02/14/2017|03/31/2022| | || | |
69680011225||J3420||01/02/2019|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|01/02/2019|12/31/3999| | || | |
70069027101||J3490||09/20/2018|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|09/20/2018|12/31/3999| | || | |
70121139401||J3490||06/27/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/27/2017|12/31/3999| | || | |
70121139601||J3490||07/31/2017|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|07/31/2017|12/31/3999| | || | |
70121157807||J2370||01/14/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|01/14/2019|06/30/2023| | || | |
70121158501||J3490||03/07/2019|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|03/07/2019|12/31/3999| | || | |
70121158505||J3490||03/07/2019|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|03/07/2019|12/31/3999| | || | |
70121158603||J3490||03/07/2019|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|03/07/2019|12/31/3999| | || | |
70121165105||J3301||12/28/2018|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|12/28/2018|12/31/3999| | || | |
70121165701||J3301||01/08/2019|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|01/08/2019|12/31/3999| | || | |
70257005151||J1571||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|HEPAGAM B VIAL|5|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70436002980||J3465||02/05/2019|12/31/3999|Injection, voriconazole, 10 mg|VORICONAZOLE 200 MG VIAL|1|UN|VIAL|IV|EA|.05|02/05/2019|12/31/3999| | || | |
70594002602||J3490||10/17/2018|06/30/2021|Unclassified drugs|BACITRACIN 50,000 UNIT VIAL|1|UN|VIAL|IM|EA|1|10/17/2018|06/30/2021| | || | |
00143925101||J3490||08/05/2019|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|08/05/2019|12/31/3999| | || | |
00143925225||J1265||11/22/2019|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 200 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|11/22/2019|12/31/3999| | || | |
00143925425||J1265||11/22/2019|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 400 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|11/22/2019|12/31/3999| | || | |
00143929501||J1631||10/05/1998|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|10/05/1998|12/31/3999| | || | |
00143929701||J3490||11/04/2019|12/31/3999|Unclassified drugs|DANTROLENE SODIUM 20 MG VIA|1|UN|VIAL|IV|GM|1|11/04/2019|12/31/3999| | || | |
00143967801||J0696||08/20/2019|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IV|GM|.025|08/20/2019|12/31/3999| | || | |
00143971801||J2260||02/01/2011|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|25|02/01/2011|12/31/3999| | || | |
00143974501||J1626||09/27/2010|12/31/3999|Injection, granisetron hydrochloride, 100 mcg|GRANISETRON HCL 4 MG/4 ML V|4|ML|VIAL|IV|ML|.1|09/27/2010|12/31/3999| | || | |
00069106102||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SQ|ML|.6|05/23/2019|06/30/2022| | || | |
00069110902||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00069122402||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00069141501||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
71879000101||J1095||04/11/2019|12/31/3999|Injection, dexamethasone 9%|DEXYCU 9% VIAL|0.5|ML|VIAL|IO|EA|.001|04/11/2019|12/31/3999| | || | |
67457084744||Q5114||11/26/2019|12/31/3999|Inj ogivri 10 mg|OGIVRI 420 MG VIAL|1|UN|VIAL|IV|EA|.0238|11/26/2019|12/31/3999| | || | |
67457099115||Q5114||11/26/2019|12/31/3999|Inj ogivri 10 mg|OGIVRI 150 MG VIAL|1|UN|VIAL|IV|EA|.0238|11/26/2019|12/31/3999| | || | |
00409955811||J3490||12/01/2008|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|12/01/2008|12/31/3999| | || | |
00517656005||J3490||07/16/2019|12/31/3999|Unclassified drugs|SELENIOUS ACID 600 MCG/10 M|10|ML|VIAL|IV|ML|1|07/16/2019|12/31/3999| | || | |
51754010801||J3490||10/01/2019|12/31/3999|Unclassified drugs|TRANEXAMIC 1,000 MG/100ML-N|100|ML|BAG|IV|ML|1|10/01/2019|12/31/3999| | || | |
51754010803||J3490||10/01/2019|12/31/3999|Unclassified drugs|TRANEXAMIC 1,000 MG/100ML-N|100|ML|BAG|IV|ML|1|10/01/2019|12/31/3999| | || | |
00093414845||J7614||04/29/2013|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|04/29/2013|12/31/3999| | || | |
00143925001||J3490||08/05/2019|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|08/05/2019|12/31/3999| | || | |
72572010201||J0878||10/08/2019|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|10/08/2019|12/31/3999| | || | |
63323056241||J0583||11/03/2016|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|11/03/2016|12/31/3999| | || | |
00517183001||J1071||11/26/2019|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|11/26/2019|12/31/3999| | || | |
71839010401||J1453||11/05/2019|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|11/05/2019|12/31/3999| | || | |
00409409311||J3490||10/28/2004|12/31/3999|Unclassified drugs|CHROMIUM CL 40 MCG/10 ML VI|10|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
76204090011||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|06/01/2016|12/31/3999| | || | |
70842010203||C9462||07/01/2018|12/31/3999|Injection, delafloxacin|BAXDELA 300 MG VIAL|1|UN|VIAL|IJ|EA|.0033|07/01/2018|12/31/3999| | || | |
66794015701||J0475||01/31/2018|12/31/3999|Injection, baclofen, 10 mg|GABLOFEN 40,000 MCG/20 ML S|20|ML|SYRINGE|IT|ML|5|01/31/2018|12/31/3999| | || | |
50419040901||S4993||07/06/2010|12/31/3999|Contraceptive pills for birth control|NATAZIA 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/06/2010|12/31/3999| | || | |
63459060001||J9017||01/01/2011|08/30/2021|Injection, arsenic trioxide, 1 mg|TRISENOX 10 MG/10 ML AMPULE|10|ML|AMPUL|IV|ML|1|01/01/2011|08/30/2021| | || | |
64208823406||J1557||01/01/2012|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 5% VIAL|100|ML|VIAL|IV|ML|10|01/01/2012|12/31/3999| | || | |
64208823407||J1557||01/01/2012|12/31/3999|Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g....|GAMMAPLEX 5% VIAL|200|ML|VIAL|IV|ML|10|01/01/2012|12/31/3999| | || | |
65219025701||J3490||02/18/2021|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|02/18/2021|12/31/3999| | || | |
63323088512||J3490||06/12/2019|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG/5 ML|5|ML|VIAL||ML|1|06/12/2019|12/31/3999| | || | |
00338170840||J3475||03/02/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|03/02/2021|12/31/3999| | || | |
00338170940||J3475||03/04/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|FLEX CONT|IV|ML|50|03/04/2021|12/31/3999| | || | |
70700027897||J9245||02/03/2021|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|02/03/2021|12/31/3999| | || | |
72572041501||J2185||10/08/2019|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|ML|.2|10/08/2019|12/31/3999| | || | |
72572041601||J2185||10/08/2019|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|ML|.1|10/08/2019|12/31/3999| | || | |
60505612006||J2248||02/12/2021|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|ML|.01|02/12/2021|12/31/3999| | || | |
25021031382||J2260||03/03/2021|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|2.5|03/03/2021|12/31/3999| | || | |
00409189313||J2270||08/20/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 10 MG/ML SYRINGE|1|ML|SYRINGE|IV|ML|1|08/20/2012|12/31/3999| | || | |
00409189323||J2270||08/20/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 10 MG/ML SYRINGE|1|ML|SYRINGE|IV|ML|1|08/20/2012|12/31/3999| | || | |
00409189013||J2270||08/23/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 2 MG/ML SYRINGE|1|ML|SYRINGE|IV|ML|5|08/23/2012|12/31/3999| | || | |
00409189023||J2270||08/23/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 2 MG/ML SYRINGE|1|ML|SYRINGE|IV|ML|5|08/23/2012|12/31/3999| | || | |
00409189123||J2270||08/07/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 4 MG/ML SYRINGE|1|ML|SYRINGE|IV|ML|2.5|08/07/2012|12/31/3999| | || | |
70700017222||J2710||08/27/2020|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|08/27/2020|12/31/3999| | || | |
72572047001||J3490||05/08/2020|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|05/08/2020|12/31/2023| | || | |
72572047010||J3490||05/08/2020|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|05/08/2020|12/31/2023| | || | |
72078000200||J3490||01/12/2021|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|01/12/2021|12/31/3999| | || | |
72572048101||J3490||10/08/2019|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|10/08/2019|12/31/3999| | || | |
72572048110||J3490||10/08/2019|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|10/08/2019|12/31/3999| | || | |
72572057301||J2543||03/03/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|ML|.3333|03/03/2021|12/31/3999| | || | |
63323010800||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|FLEX CONT|IV|ML|50|07/01/2016|12/31/3999| | || | |
72893000803||J9371||02/04/2020|09/30/2022|Injection, vincristine sulfate liposome, 1 mg|MARQIBO KIT|1|UN|VIAL|IV|EA|.2|02/04/2020|09/30/2022| | || | |
63323072810||J2248||05/08/2020|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|05/08/2020|12/31/3999| | || | |
63323072910||J2248||05/08/2020|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|05/08/2020|12/31/3999| | || | |
72572046124||J2710||04/29/2020|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|EA|.5|04/29/2020|12/31/3999| | || | |
66794021602||J2543||05/20/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|05/20/2020|12/31/3999| | || | |
66794021641||J2543||05/20/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|05/20/2020|12/31/3999| | || | |
00990707726||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 40 MEQ/100 ML|100|ML|FLEX CONT|IV|ML|5|07/12/2018|12/31/3999| | || | |
00990711609||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 40 MEQ-NS 1,000 ML IV S|1000|ML|FLEX CONT|IV|ML|50|07/12/2018|12/31/3999| | || | |
00703400401||C9065||10/01/2020|09/30/2021|Ij, romidepsin, non-lypohilized , 1mg|ROMIDEPSIN 27.5 MG/5.5 ML V|5.5|ML|VIAL|IV|ML|.2|10/01/2020|09/30/2021| | || | |
00703400401||J9315||04/14/2020|04/15/2020|Injection, romidepsin, 1 mg|ROMIDEPSIN 27.5 MG/5.5 ML V|5.5|ML|VIAL|IV|ML|.2|04/14/2020|04/15/2020| | || | |
00990798355||J7050||07/12/2018|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|250|07/12/2018|12/31/3999| | || | |
00990798355||J7040||07/12/2018|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
00990798355||J7030||07/12/2018|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
72611078502||J9330||05/08/2020|12/31/3999|Injection, temsirolimus, 1 mg|TEMSIROLIMUS 25 MG VIAL|1|ML|VIAL|IV|ML|.04|05/08/2020|12/31/3999| | || | |
00409653111||J3370||10/28/2004|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 750 MG ADD-VAN V|1|UN|VIAL|IV|EA|.6667|10/28/2004|12/31/3999| | || | |
60505617900||J3490||06/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/10/2020|12/31/3999| | || | |
60505618000||J3490||06/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|06/10/2020|12/31/3999| | || | |
60505618005||J3490||06/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|06/10/2020|12/31/3999| | || | |
60505618100||J3490||06/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|06/10/2020|12/31/3999| | || | |
71288040702||J3490||08/05/2019|07/10/2024|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|08/05/2019|07/10/2024| | || | |
72572022501||J3490||12/10/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|EA|1|12/10/2019|12/31/3999| | || | |
71288040102||J1644||06/01/2020|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|06/01/2020|12/31/3999| | || | |
70121138808||J3490||06/17/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|EA|1|06/17/2020|12/31/3999| | || | |
25021031410||J3490||04/14/2020|06/30/2023|Unclassified drugs|ESMOLOL HCL 100 MG/10 ML VI|10|ML|VIAL|IV|ML|1|04/14/2020|06/30/2023| | || | |
00409672711||J3475||10/28/2004|02/26/2025|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|BAG|IV|ML|50|10/28/2004|02/26/2025| | || | |
72572042001||J3490||12/10/2019|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|EA|1|12/10/2019|12/31/3999| | || | |
72572042010||J3490||12/10/2019|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|EA|1|12/10/2019|12/31/3999| | || | |
00143963401||J3490||05/04/2020|12/31/2023|Unclassified drugs|NICARDIPIN 20MG/200ML-0.9%N|200|ML|BAG|IV|ML|1|05/04/2020|12/31/2023| | || | |
00517073510||J3490||05/13/2020|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|05/13/2020|12/31/2023| | || | |
00169721111||J7189||08/04/2008|12/31/3999|Factor viia (antihemophilic factor, recombinant), per 1 microgram|NOVOSEVEN RT 1 MG VIAL|1|UN|VIAL|IV|EA|1|08/04/2008|12/31/3999| | || | |
00781341215||J0290||03/20/2007|03/07/2021|Injection, ampicillin sodium, 500 mg|Ampicillin Sodium 1 GM SOLR|1|UN|VIAL|IV|ML|.5|03/20/2007|03/07/2021| | || | |
70594004203||J3370||03/27/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GRAM/200 ML BA|200|ML|BAG|IV|EA|100|03/27/2019|12/31/2022| | || | |
70860021051||J3489||01/24/2019|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/100 ML|100|ML|VIAL|IV|ML|25|01/24/2019|12/31/3999| | || | |
70860021610||J0594||02/10/2019|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|02/10/2019|12/31/3999| | || | |
70860045110||J3490||01/02/2019|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG VIAL|1|UN|VIAL|IV|ML|1|01/02/2019|12/31/3999| | || | |
70860045310||J3490||01/02/2019|12/31/3999|Unclassified drugs|LEVOTHYROXINE 500 MCG VIAL|1|UN|VIAL|IV|ML|1|01/02/2019|12/31/3999| | || | |
71225010401||J1726||01/31/2019|04/06/2023|Makena, 10 mg|HYDROXYPROGEST 1,250 MG/5 M|5|ML|VIAL|IM|ML|.04|01/31/2019|04/06/2023| | || | |
71288000630||J0295||01/07/2019|09/03/2025|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|GM|.5|01/07/2019|09/03/2025| | || | |
71288000815||J0692||01/07/2019|11/30/2022|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|GM|.5|01/07/2019|11/30/2022| | || | |
71288000920||J0692||01/07/2019|08/30/2024|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|GM|.25|01/07/2019|08/30/2024| | || | |
71288011450||J9201||02/04/2019|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|1|UN|VIAL|IV|GM|.2|02/04/2019|12/31/3999| | || | |
71981002007||J3590||02/04/2019|03/31/2023|Unclassified Biologics|OXERVATE 0.002% EYE DROP|1|ML|VIAL|OP|EA|1|02/04/2019|03/31/2023| | || | |
76045020302||J3490||03/27/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|SYRINGE|IV|ML|1|03/27/2019|12/31/3999| | || | |
76125090002||J1561||12/05/2011|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 1 GRAM/10 ML VIAL|10|ML|VIAL|IJ|ML|1|12/05/2011|12/31/3999| | || | |
76125090021||J1561||12/05/2011|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 20 GRAM/200 ML VIA|200|ML|VIAL|IJ|ML|5|12/05/2011|12/31/3999| | || | |
76125090051||J1561||12/05/2011|12/31/3999|Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liq...|GAMMAKED 5 GRAM/50 ML VIAL|50|ML|VIAL|IJ|ML|5|12/05/2011|12/31/3999| | || | |
00069029630||J8999||10/29/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TALZENNA 0.25 MG CAPSULE|30|UN|BOTTLE|PO|CAP|1|10/29/2018|12/31/3999| | || | |
47335030383||J8999||10/19/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ODOMZO 200 MG CAPSULE|30|UN|BOTTLE|PO|CAP|1|10/19/2015|12/31/3999| | || | |
00069022701||J8999||11/19/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LORBRENA 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|11/19/2018|12/31/3999| | || | |
00069119830||J8999||10/15/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VIZIMPRO 30 MG TABLET|30|UN|BOTTLE|PO|TAB|1|10/15/2018|12/31/3999| | || | |
00069229930||J8999||10/15/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VIZIMPRO 45 MG TABLET|30|UN|BOTTLE|PO|TAB|1|10/15/2018|12/31/3999| | || | |
00078069802||J8999||05/01/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RYDAPT 25 MG CAPSULE|2|UN|BLIST PACK|PO|CAP|1|05/01/2017|12/31/3999| | || | |
00078095166||J8999||04/04/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TASIGNA 50 MG CAPSULE|120|UN|BOTTLE|PO|CAP|1|04/04/2018|12/31/3999| | || | |
00469142590||J8999||12/03/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|XOSPATA 40 MG TABLET|90|UN|BOTTLE|PO|TAB|1|12/03/2018|12/31/3999| | || | |
59572070530||J8999||08/11/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IDHIFA 50 MG TABLET|30|UN|BOTTLE|PO|TAB|1|08/11/2017|12/31/3999| | || | |
59572071030||J8999||08/01/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IDHIFA 100 MG TABLET|30|UN|BOTTLE|PO|TAB|1|08/01/2017|12/31/3999| | || | |
69656010330||J8999||04/24/2017|08/10/2025|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ZEJULA 100 MG CAPSULE|30|UN|BOTTLE|PO|CAP|1|04/24/2017|08/10/2025| | || | |
76204090015||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|06/01/2016|12/31/3999| | || | |
63323045800||J2270||05/06/2014|06/30/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 8 MG/ML VI|1|ML|VIAL|IJ|ML|1.25|05/06/2014|06/30/2022| | || | |
68001036625||J3489||01/16/2019|03/06/2022|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|GM|1.25|01/16/2019|03/06/2022| | || | |
24201058501||J0500||10/07/2019|10/31/2021|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|10/07/2019|10/31/2021| | || | |
31722096332||J0500||11/18/2019|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|11/18/2019|12/31/3999| | || | |
55150032201||J1940||09/04/2019|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|09/04/2019|12/31/3999| | || | |
55150032301||J1940||09/04/2019|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|09/04/2019|12/31/3999| | || | |
63323045500||J2270||05/06/2014|12/31/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 5 MG/ML VI|1|ML|VIAL|IJ|ML|2|05/06/2014|12/31/2022| | || | |
70860077841||J0780||11/08/2018|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|11/08/2018|12/31/3999| | || | |
00990792202||J7070||07/12/2018|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
00990792202||J7060||07/12/2018|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
00990794109||J7042||07/12/2018|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-0.9% NACL IV SO|1000|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
00409163221||J3490||09/19/2005|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|ML|1|09/19/2005|12/31/3999| | || | |
00409337535||J3490||04/27/2009|12/31/2021|Unclassified drugs|LEVOPHED 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|04/27/2009|12/31/2021| | || | |
00409780911||J1265||01/01/2006|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 400 MG/250 ML-D5W|250|ML|BAG|IV|ML|25|01/01/2006|12/31/3999| | || | |
43598085011||J1270||11/21/2019|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|11/21/2019|12/31/3999| | || | |
69918072002||J9017||11/15/2018|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|11/15/2018|12/31/3999| | || | |
63459010310||Q5115||11/11/2019|12/31/3999|Inj truxima 10 mg|TRUXIMA 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|11/11/2019|12/31/3999| | || | |
63459010450||Q5115||11/11/2019|12/31/3999|Inj truxima 10 mg|TRUXIMA 500 MG/50 ML VIAL|50|ML|VIAL|IV|ML|1|11/11/2019|12/31/3999| | || | |
63323053101||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323053190||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323053313||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
00703068601||J3285||10/01/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 100 MG/20 ML V|20|ML|VIAL|IJ|ML|.2|10/01/2019|12/31/3999| | || | |
00990792503||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.3% NACL IV SO|500|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990798361||J3490||07/12/2018|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|150|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990798437||J3490||07/12/2018|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
43066000710||J3490||11/08/2019|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|11/08/2019|12/31/3999| | || | |
43066001310||J3490||11/08/2019|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|11/08/2019|12/31/3999| | || | |
43066055712||J3490||08/24/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BAG|IV|ML|1|08/24/2018|12/31/3999| | || | |
47781059807||J3370||09/06/2017|01/21/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|09/06/2017|01/21/2023| | || | |
47781060122||J3490||09/14/2017|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|09/14/2017|12/31/3999| | || | |
61990061100||J3490||10/16/2019|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|10/16/2019|12/31/3999| | || | |
00009766304||J8999||08/16/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|AROMASIN 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|08/16/2017|12/31/3999| | || | |
17478093401||J0360||06/01/2017|06/30/2023|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|06/01/2017|06/30/2023| | || | |
72152054720||J1632||10/01/2020|12/31/3999|IJ, brexanolone, 1 mg|ZULRESSO 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.2|10/01/2020|12/31/3999| | || | |
71894012002||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 2.6-3.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
50242005110||J9312||01/01/2019|08/31/2022|IJ, rituximab, 10 mg|RITUXAN 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/01/2019|08/31/2022| | || | |
72853005102||J2310||10/01/2020|09/04/2022|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG AUTO-INJECTOR|0.4|ML|SYRINGE|IJ|ML|.5|10/01/2020|09/04/2022| | || | |
12496010002||Q9991||10/01/2020|12/31/3999|Buprenorph xr 100 mg or less|SUBLOCADE 100 MG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.5|10/01/2020|12/31/3999| | || | |
76329906000||J0171||05/19/2020|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 30 MG/30 ML VIA|30|ML|VIAL|IJ|ML|.1|05/19/2020|12/31/3999| | || | |
16714011802||J9395||04/06/2020|05/31/2022|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|04/06/2020|05/31/2022| | || | |
13533031803||90375||05/22/2018|12/31/3999|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|HYPERRAB 300 UNIT/ML VIAL|3|ML|VIAL|IM|ML|.5|05/22/2018|12/31/3999| | || | |
72266016001||J3486||06/26/2020|12/31/3999|Injection, ziprasidone mesylate, 10 mg|ZIPRASIDONE 20 MG/ML VIAL|1|UN|VIAL|IM|EA|.5|06/26/2020|12/31/3999| | || | |
72266016010||J3486||06/26/2020|12/31/3999|Injection, ziprasidone mesylate, 10 mg|ZIPRASIDONE 20 MG/ML VIAL|1|UN|VIAL|IM|EA|.5|06/26/2020|12/31/3999| | || | |
62756045236||J2354||05/27/2020|05/14/2023|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|BYNFEZIA 2,500 MCG/ML PEN|2.8|ML|SYRINGE|SQ|ML|.01|05/27/2020|05/14/2023| | || | |
63323053501||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323060708||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323060901||J1650||04/13/2015|03/31/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|04/13/2015|03/31/2023| | || | |
44206045694||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 1 GRAM/5 ML SYRING|5|ML|SYRINGE|SQ|EA|.5|01/01/2011|12/31/3999| | || | |
44206045896||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 4 GRAM/20 ML SYRIN|20|ML|SYRINGE|SQ|EA|.5|01/01/2011|12/31/3999| | || | |
71518000101||J1738||10/01/2020|12/31/3999|IJ, meloxicam, 1 mg|ANJESO 30 MG/ML VIAL|1|ML|VIAL|IV|ML|.0333|10/01/2020|12/31/3999| | || | |
70860040210||J0583||04/03/2020|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|04/03/2020|12/31/3999| | || | |
70860040241||J0583||04/03/2020|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|04/03/2020|12/31/3999| | || | |
70860040351||J0583||05/26/2020|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN RTU 250 MG/50 M|50|ML|VIAL|IV|ML|.2|05/26/2020|12/31/3999| | || | |
65219016001||J0594||05/26/2020|07/31/2022|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|05/26/2020|07/31/2022| | || | |
42658002101||J9150||01/23/2020|12/31/3999|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIA|4|ML|VIAL|IV|ML|2|01/23/2020|12/31/3999| | || | |
00990792203||J7070||07/12/2018|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
00990792203||J7060||07/12/2018|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
59923071615||J9206||05/01/2020|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 300 MG/15 ML|15|ML|VIAL|IV|EA|1|05/01/2020|12/31/3999| | || | |
70700017022||J9206||06/22/2020|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|06/22/2020|12/31/3999| | || | |
00990795302||J7120||07/12/2018|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|250|ML|BAG|IV|ML|1000|07/12/2018|12/31/3999| | || | |
00409672941||J3475||10/28/2004|01/24/2025|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|FLEX CONT|IV|ML|12.5|10/28/2004|01/24/2025| | || | |
63323010600||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|FLEX CONT|IV|ML|12.5|07/01/2016|12/31/3999| | || | |
65219005209||J3490||05/26/2020|12/31/3999|Unclassified drugs|POTASSIUM PHOSPH 15 MMOL/5|5|ML|VIAL|IV|ML|1|05/26/2020|12/31/3999| | || | |
65219005409||J3490||05/26/2020|12/31/3999|Unclassified drugs|POTASSIUM PHOSP 45 MMOL/15|15|ML|VIAL|IV|ML|1|05/26/2020|12/31/3999| | || | |
72611075601||J3490||02/02/2020|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|02/02/2020|12/31/3999| | || | |
72611075610||J3490||02/02/2020|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|02/02/2020|12/31/3999| | || | |
72572074001||J3490||03/18/2020|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|EA|1|03/18/2020|12/31/3999| | || | |
00781602194||J3490||03/26/2019|12/31/3999|Unclassified drugs|STERILE DILUENT-TREPROSTINI|50|ML|VIAL|IV|ML|1|03/26/2019|12/31/3999| | || | |
00143923201||J3490||06/17/2020|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|06/17/2020|12/31/3999| | || | |
00517610125||J3490||05/18/2020|12/31/3999|Unclassified drugs|ZINC SULFATE 10 MG/10 ML VI|10|ML|VIAL|IV|ML|1|05/18/2020|12/31/3999| | || | |
00024065401||J9227||10/01/2020|12/31/3999|IJ, isatuximab-irfc, 10 mg|SARCLISA 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|10/01/2020|12/31/3999| | || | |
25208000305||J3490||01/03/2020|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|01/03/2020|12/31/3999| | || | |
00990710709||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-NS|1000|ML|FLEX CONT|IV|ML|100|07/12/2018|12/31/3999| | || | |
51759020210||J3031||04/20/2020|12/31/3999|Inj, fremanezumab-vfrm, 1 mg|AJOVY 225 MG/1.5 ML AUTOINJ|1.5|ML|SYRINGE|SQ|ML|.0067|04/20/2020|12/31/3999| | || | |
72572017101||J3010||12/10/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 250 MCG/5 ML VIAL|5|ML|VIAL|IJ|EA|2|12/10/2019|12/31/3999| | || | |
70257005351||J1571||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|HEPAGAM B VIAL|1|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70257005351||J1573||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml|HEPAGAM B VIAL|1|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
71288042196||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
71288040404||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 40,000 UNIT/4 ML VI|4|ML|VIAL|IJ|ML|.1|09/01/2019|12/31/3999| | || | |
71288040301||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|09/01/2019|12/31/3999| | || | |
71288042296||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|09/01/2019|12/31/3999| | || | |
63323054033||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
00409190211||J2690||10/28/2004|12/31/3999|Injection, procainamide hcl, up to 1 gm|PROCAINAMIDE 1 GRAM/10 ML V|10|ML|VIAL|IJ|ML|10|10/28/2004|12/31/3999| | || | |
00409190341||J2690||10/28/2004|08/01/2021|Injection, procainamide hcl, up to 1 gm|PROCAINAMIDE 1 GRAM/2 ML VI|2|ML|VIAL|IJ|ML|2|10/28/2004|08/01/2021| | || | |
25021067167||J2795||01/09/2015|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 400 MG/200|200|ML|FLEX CONT|IJ|ML|.5|01/09/2015|12/31/3999| | || | |
00517042001||J1380||06/01/2020|12/31/3999|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 100 MG/5|5|ML|VIAL|IM|ML|.5|06/01/2020|12/31/3999| | || | |
00517044001||J1380||06/01/2020|12/31/3999|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 200 MG/5|5|ML|VIAL|IM|ML|.25|06/01/2020|12/31/3999| | || | |
16714011801||J9395||04/06/2020|05/31/2022|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|04/06/2020|05/31/2022| | || | |
00781349212||J9395||05/30/2019|07/24/2025|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|05/30/2019|07/24/2025| | || | |
71288055586||J9395||04/22/2020|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|EA|.5|04/22/2020|12/31/3999| | || | |
00703712301||J1631||06/04/1999|12/31/2022|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 250 MG/5 ML|5|ML|VIAL|IM|ML|1|06/04/1999|12/31/2022| | || | |
70069038405||J1631||04/03/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 500 MG/5 ML|5|ML|VIAL|IM|ML|.5|04/03/2020|12/31/3999| | || | |
13533031830||90375||05/22/2018|12/31/3999|Rabies immune globulin (RIG), human, for intramuscular and/or subcutaneous use|HYPERRAB 300 UNIT/ML VIAL|3|ML|VIAL|IM|ML|.5|05/22/2018|12/31/3999| | || | |
69660020291||J8999||05/31/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|RUBRACA 250 MG TABLET|60|UN|BOTTLE|PO|TAB|1|05/31/2017|12/31/3999| | || | |
70255001002||J8999||08/01/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEKTOVI 15 MG TABLET|180|UN|BOTTLE|PO|TAB|1|08/01/2018|12/31/3999| | || | |
70437024018||J8999||07/31/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NERLYNX 40 MG TABLET|180|UN|BOTTLE|PO|TAB|1|07/31/2017|12/31/3999| | || | |
71334010001||J8999||07/31/2018|02/13/2024|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TIBSOVO 250 MG TABLET|60|UN|BOTTLE|PO|TAB|1|07/31/2018|02/13/2024| | || | |
71777039101||J8999||12/12/2018|03/01/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VITRAKVI 100 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|12/12/2018|03/01/2022| | || | |
00409771503||J2150||10/28/2004|07/01/2021|Injection, mannitol, 25% in 50 ml|MANNITOL 20% IV SOLUTION|500|ML|FLEX CONT|IV|ML|1|10/28/2004|07/01/2021| | || | |
00006306104||J1453||11/15/2010|05/25/2021|Injection, fosaprepitant, 1 mg|EMEND 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|11/15/2010|05/25/2021| | || | |
47335017795||J3245||05/01/2019|12/31/3999|INJ., TILDRAKIZUMAB, 1 MG|ILUMYA 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.01|05/01/2019|12/31/3999| | || | |
00781307912||J9395||05/30/2019|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|05/30/2019|12/31/3999| | || | |
00781307901||J9395||05/30/2019|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|05/30/2019|12/31/3999| | || | |
63323062405||J3490||04/27/2017|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|50|ML|FLEX CONT|IV|ML|1|04/27/2017|12/31/3999| | || | |
63323062450||J3490||04/27/2017|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|50|ML|FLEX CONT|IV|ML|1|04/27/2017|12/31/3999| | || | |
63323062600||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|100|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
63323062601||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|50|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
63323062602||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|100|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
63323062604||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|500|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
63323062655||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|500|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
63323082424||J3490||11/14/2019|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|250|ML|BAG|IV|ML|1|11/14/2019|12/31/3999| | || | |
63323082425||J3490||11/14/2019|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|500|ML|BAG|IV|ML|1|11/14/2019|12/31/3999| | || | |
63323082426||J3490||11/14/2019|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|1000|ML|BAG|IV|ML|1|11/14/2019|12/31/3999| | || | |
63323082475||J3490||11/14/2019|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|500|ML|BAG|IV|ML|1|11/14/2019|12/31/3999| | || | |
66993049084||J3490||07/24/2006|12/31/3999|Unclassified drugs|IBUPROFEN LYSINE 20 MG/2 ML|2|ML|VIAL|IV|ML|1|07/24/2006|12/31/3999| | || | |
67457077800||J3490||10/27/2017|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|5|ML|VIAL|IV|ML|1|10/27/2017|12/31/3999| | || | |
68001033862||J3370||03/19/2018|06/30/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|GM|1|03/19/2018|06/30/2022| | || | |
68001038928||J9280||11/12/2019|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 5 MG VIAL|1|UN|VIAL|IV|ML|1|11/12/2019|12/31/3999| | || | |
70069016101||J3490||10/16/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|10/16/2019|12/31/3999| | || | |
70069036201||J3490||11/25/2019|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|10|ML|VIAL|IV|ML|1|11/25/2019|12/31/3999| | || | |
70069036210||J3490||11/25/2019|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|10|ML|VIAL|IV|ML|1|11/25/2019|12/31/3999| | || | |
68001037024||J9070||01/23/2019|12/31/2021|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IJ|ML|.2|01/23/2019|12/31/2021| | || | |
00143985001||J2930||10/28/2019|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 500 M|1|UN|VIAL|IJ|GM|.25|10/28/2019|12/31/3999| | || | |
00409509314||J0713||04/05/2006|12/31/3999|Injection, ceftazidime, per 500 mg|TAZICEF 2 GM ADD-VANTAGE VI|1|UN|VIAL|IV|EA|.25|04/05/2006|12/31/3999| | || | |
63323098243||J2543||05/20/2019|08/09/2023|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|05/20/2019|08/09/2023| | || | |
63323098254||J2543||05/20/2019|08/09/2023|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|05/20/2019|08/09/2023| | || | |
68001039077||J9280||11/12/2019|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|ML|.25|11/12/2019|12/31/3999| | || | |
68001039078||J9280||11/12/2019|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|ML|.25|11/12/2019|12/31/3999| | || | |
00378699331||J7612||08/28/2009|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL CONC 1.25 MG/0|1|UN|VIAL|IH|ML|.4|08/28/2009|12/31/3999| | || | |
58406004404||J1438||11/18/2004|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML MINI CARTRI|1|ML|CARTRIDGE|SQ|ML|.4902|11/18/2004|12/31/3999| | || | |
63323058921||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|11/14/2019|12/31/3999| | || | |
63323058994||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|11/14/2019|12/31/3999| | || | |
63323065599||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|11/14/2019|12/31/3999| | || | |
55513022301||J2796||11/25/2019|12/31/3999|Injection, romiplostim, 10 micrograms|NPLATE 125 MCG VIAL|1|UN|VIAL|SQ|EA|.08|11/25/2019|12/31/3999| | || | |
68001040673||J3370||11/14/2019|01/31/2021|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|GM|.1|11/14/2019|01/31/2021| | || | |
63323010602||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|07/01/2016|12/31/3999| | || | |
44567040010||J2185||04/06/2020|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|04/06/2020|12/31/3999| | || | |
63323072801||J2248||05/08/2020|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|05/08/2020|12/31/3999| | || | |
63323072901||J2248||05/08/2020|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|05/08/2020|12/31/3999| | || | |
72572044001||J2270||11/11/2019|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 4 MG/ML VI|1|ML|VIAL|IV|EA|2.5|11/11/2019|12/31/3999| | || | |
72572046024||J2710||04/29/2020|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|EA|1|04/29/2020|12/31/3999| | || | |
00006503301||Q5112||10/01/2020|09/30/2023|Inj ontruzant 10 mg|ONTRUZANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0667|10/01/2020|09/30/2023| | || | |
00006503302||Q5112||10/01/2020|09/30/2023|Inj ontruzant 10 mg|ONTRUZANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0667|10/01/2020|09/30/2023| | || | |
00006503401||Q5112||10/01/2020|12/24/2022|Inj ontruzant 10 mg|ONTRUZANT 420 MG VIAL|1|UN|VIAL|IV|EA|.0238|10/01/2020|12/24/2022| | || | |
66794021841||J2543||05/20/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|05/20/2020|12/31/3999| | || | |
00990711509||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ-NS 1,000 ML IV S|1000|ML|FLEX CONT|IV|ML|100|07/12/2018|12/31/3999| | || | |
00990790409||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 40 MEQ/L IV S|1000|ML|FLEX CONT|IV|ML|50|07/12/2018|12/31/3999| | || | |
00990925739||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ-0.45% N|1000|ML|FLEX CONT|IV|ML|100|07/12/2018|12/31/3999| | || | |
00990798303||J7050||07/12/2018|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|250|07/12/2018|12/31/3999| | || | |
00990798303||J7040||07/12/2018|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
00990798303||J7030||07/12/2018|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
00409653411||J3370||06/16/2005|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG ADD-VAN V|1|UN|VIAL|IV|EA|1|06/16/2005|12/31/3999| | || | |
72572080101||J3370||10/08/2019|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/08/2019|12/31/3999| | || | |
69097082037||J0291||10/01/2019|12/31/3999|Inj, plazomicin, 5 mg|ZEMDRI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|10/01/2019|12/31/3999| | || | |
69097082096||J0291||10/01/2019|12/31/3999|Inj, plazomicin, 5 mg|ZEMDRI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|10/01/2019|12/31/3999| | || | |
65757030202||J2315||10/01/2020|12/31/3999|Injection, naltrexone, depot form, 1 mg|VIVITROL 380 MG VIAL|1|UN|VIAL|IJ|EA|.0026|10/01/2020|12/31/3999| | || | |
00990782808||J3490||07/12/2018|12/31/3999|Unclassified drugs|LACTATED RINGERS IRRIGATION|3000|ML|FLEX CONT|IR|ML|1|07/12/2018|12/31/3999| | || | |
69097084034||J7620||06/01/2020|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|06/01/2020|12/31/3999| | || | |
69097084053||J7620||06/01/2020|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|06/01/2020|12/31/3999| | || | |
00023965201||J7351||10/01/2020|12/31/3999|IJ, bimatoprost, implant, 1 mcg|DURYSTA 10 MCG IMPLANT|1|UN|PACKET|IO|EA|.1|10/01/2020|12/31/3999| | || | |
76045012101||J1170||05/19/2020|12/31/3999|Injection, hydromorphone, up to 4 mg|DILAUDID 0.2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|20|05/19/2020|12/31/3999| | || | |
39822110001||J3490||04/30/2020|12/31/3999|Unclassified drugs|FOLIC ACID 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|04/30/2020|12/31/3999| | || | |
60505618200||J3490||06/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|06/10/2020|12/31/3999| | || | |
60505618204||J3490||06/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|06/10/2020|12/31/3999| | || | |
54436002002||C9399||01/06/2014|12/31/3999|Unclassified Drugs or Biologicals|OTREXUP 20 MG/0.4 ML AUTO-I|0.4|ML|SYRINGE|SQ|ML|1|01/06/2014|12/31/3999| | || | |
58468003001||J3240||12/10/1998|12/31/3999|Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial|THYROGEN 1.1 MG (0.9 MG/ML)|1|UN|VIAL|IM|EA|1|12/10/1998|12/31/3999| | || | |
16714004601||J1650||04/09/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/09/2020|12/31/3999| | || | |
16714004610||J1650||04/09/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/09/2020|12/31/3999| | || | |
16714005601||J1650||06/25/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|06/25/2020|12/31/3999| | || | |
16714005610||J1650||06/25/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|06/25/2020|12/31/3999| | || | |
63323053587||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323060798||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323060990||J1650||04/13/2015|03/31/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|04/13/2015|03/31/2023| | || | |
71288041083||J1650||04/29/2020|06/25/2025|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/29/2020|06/25/2025| | || | |
71288041085||J1650||04/29/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/29/2020|12/31/3999| | || | |
71288041089||J1650||04/29/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/29/2020|12/31/3999| | || | |
62935015350||J1950||06/05/2020|06/30/2021|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|FENSOLVI 45 MG SYRINGE KIT|1|UN|SYRINGE|SQ|ML|.0833|06/05/2020|06/30/2021| | || | |
70710151402||J1652||05/01/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|.1|05/01/2020|12/31/3999| | || | |
70710151409||J1652||05/01/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|.1|05/01/2020|12/31/3999| | || | |
44206045621||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 1 GRAM/5 ML SYRING|5|ML|SYRINGE|SQ|EA|.5|01/01/2011|12/31/3999| | || | |
47781065289||J3110||06/08/2020|12/31/3999|Injection, teriparatide, 10 mcg|TERIPARATIDE 620 MCG/2.48 M|2.48|ML|SYRINGE|SQ|ML|.05|06/08/2020|12/31/3999| | || | |
00143939201||J2790||01/10/2022|01/10/2022|Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i....|REMIFENTANIL 2 MG VIAL|1|UN|VIAL|IV|EA|4|01/10/2022|01/10/2022| | || | |
68001052336||J1453||03/10/2022|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|03/10/2022|12/31/3999| | || | |
00264580200||J7030||02/28/2022|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|BAG|IV|ML|1000|02/28/2022|12/31/3999| | || | |
00264580210||J7040||02/28/2022|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|BAG|IV|ML|1000|02/28/2022|12/31/3999| | || | |
00264580210||J7030||02/28/2022|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|BAG|IV|ML|1000|02/28/2022|12/31/3999| | || | |
68094024710||J3490||01/14/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|EA|100|01/14/2022|12/31/3999| | || | |
00378667828||J8999||01/05/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 12.5 MG CA|28|UN|BOTTLE|PO|EA|1|01/05/2022|12/31/3999| | || | |
00378667928||J8999||01/05/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 25 MG CAPS|1|UN|BOTTLE|PO|EA|1|01/05/2022|12/31/3999| | || | |
23155066043||J3490||03/24/2022|12/31/3999|Unclassified drugs|ISOPROTERENOL 0.2 MG/ML VIA|1|ML|VIAL|IJ|ML|1|03/24/2022|12/31/3999| | || | |
00378668028||J8999||01/05/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 50 MG CAPS|1|UN|BOTTLE|PO|EA|1|01/05/2022|12/31/3999| | || | |
70573009901||J2998||07/01/2022|12/31/3999|Inj plasminogen tvmh 1mg|RYPLAZIM 68.8 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
70573009902||J2998||07/01/2022|12/31/3999|Inj plasminogen tvmh 1mg|RYPLAZIM 68.8 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
71565004001||J3299||07/01/2022|03/31/2023|Injection, triamcinolone acetonide (xipere), 1 mg|XIPERE 40 MG/ML VIAL|.9|ML|VIAL|IO|ML|.025|07/01/2022|03/31/2023| | || | |
71565004025||J3299||07/01/2022|03/31/2023|Injection, triamcinolone acetonide (xipere), 1 mg|XIPERE 40 MG/ML VIAL|.9|ML|VIAL|IO|ML|.025|07/01/2022|03/31/2023| | || | |
72694051501||J9118||11/13/2019|12/31/3999|Inj. Calaspargase pegol-mknl|ASPARLAS 3,750 UNIT/5 ML VI|5|ML|VIAL|IV|ML|.0133|11/13/2019|12/31/3999| | || | |
00078082761||J0179||01/01/2020|02/28/2023|Inj, brolucizumab-dbll, 1 mg|BEOVU 6 MG/0.05 ML VIAL|0.05|ML|VIAL|IJ|ML|.008|01/01/2020|02/28/2023| | || | |
00069155802||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00143925401||J1265||11/22/2019|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 400 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|11/22/2019|12/31/3999| | || | |
00143929601||J1631||10/05/1998|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 500 MG/5 ML|5|ML|VIAL|IM|ML|.5|10/05/1998|12/31/3999| | || | |
00143955101||J9150||05/21/1998|12/31/3999|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIA|4|ML|VIAL|IV|ML|2|05/21/1998|12/31/3999| | || | |
00143970901||J2260||03/15/2011|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|03/15/2011|12/31/3999| | || | |
71839010701||J0878||11/05/2019|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|11/05/2019|12/31/3999| | || | |
68001037232||J9070||01/23/2019|12/31/2021|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IJ|ML|.05|01/23/2019|12/31/2021| | || | |
68001040775||J3370||10/10/2019|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|GM|.05|10/10/2019|12/31/3999| | || | |
63323053784||J1650||04/13/2015|02/28/2023|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|04/13/2015|02/28/2023| | || | |
63323065521||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|11/14/2019|12/31/3999| | || | |
00781342301||J0637||11/13/2018|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|IV|EA|.0714|11/13/2018|12/31/3999| | || | |
76045010910||J1100||11/27/2019|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML SYRI|1|ML|SYRINGE|IJ|ML|.1|11/27/2019|12/31/3999| | || | |
63323053393||J1650||04/01/2015|03/22/2024|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2015|03/22/2024| | || | |
63323055993||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323056497||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323056621||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323058421||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323058499||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323058621||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323058696||J1650||11/14/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|11/14/2019|12/31/3999| | || | |
63323060501||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323060584||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
70860012620||J2540||12/27/2019|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PENICILLIN GK 5 MILLION UNI|1|UN|VIAL|IJ|EA|.12|12/27/2019|12/31/3999| | || | |
00703067601||J3285||10/01/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 50 MG/20 ML VI|20|ML|VIAL|IJ|ML|.4|10/01/2019|12/31/3999| | || | |
63323096341||J0132||11/30/2012|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|11/30/2012|12/31/3999| | || | |
63323098141||J2543||09/23/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|09/23/2019|12/31/3999| | || | |
72572080301||J3370||10/08/2019|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|10/08/2019|12/31/3999| | || | |
00409491011||J0461||01/01/2010|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.5 MG/5 ML ABBOJE|5|ML|SYRINGE|IJ|ML|.1|01/01/2010|12/31/3999| | || | |
00548560800||J1650||11/08/2019|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 300 MG/3 ML VIAL|3|ML|VIAL|IJ|ML|.1|11/08/2019|12/31/3999| | || | |
68001040831||J1335||11/25/2019|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|GM|.5|11/25/2019|12/31/3999| | || | |
70257005211||J1571||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|HEPAGAM B VIAL|1|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70257005251||J1571||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml|HEPAGAM B VIAL|1|ML|VIAL|IJ|ML|.5|04/27/2017|12/31/3999| | || | |
70860077641||J2405||03/30/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|03/30/2017|12/31/3999| | || | |
00310772010||J9395||11/01/2010|08/01/2023|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|11/01/2010|08/01/2023| | || | |
63323096344||J0132||11/30/2012|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|11/30/2012|12/31/3999| | || | |
63323098153||J2543||09/23/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|09/23/2019|12/31/3999| | || | |
68001033963||J3370||03/19/2018|06/30/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|GM|.5|03/19/2018|06/30/2022| | || | |
68180071852||J1270||12/17/2019|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|EA|.5|12/17/2019|12/31/3999| | || | |
70860010541||J3370||05/01/2017|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|05/01/2017|12/31/3999| | || | |
72572080102||J3370||10/08/2019|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/08/2019|12/31/3999| | || | |
00703066601||J3285||10/01/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 20 MG/20 ML VI|20|ML|VIAL|IJ|ML|1|10/01/2019|12/31/3999| | || | |
00781342271||J2370||09/06/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|09/06/2019|06/30/2023| | || | |
00781382571||J3490||08/16/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|08/16/2019|12/31/3999| | || | |
43066055524||J3490||08/24/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BAG|IV|ML|1|08/24/2018|12/31/3999| | || | |
71288071206||J3490||12/16/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|12/16/2019|12/31/3999| | || | |
71288071321||J3490||12/16/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|12/16/2019|12/31/3999| | || | |
71288071411||J3490||12/16/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|12/16/2019|12/31/3999| | || | |
70594004103||J3370||11/19/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG/100 ML BA|100|ML|BAG|IV|EA|100|11/19/2019|12/31/2022| | || | |
13925052201||J2545||10/18/2019|12/31/3999|Pentamidine isethionate, inhalation solution, fda-approved final product, n...|PENTAMIDINE 300 MG INHAL PO|1|UN|VIAL|IH|ML|1|10/18/2019|12/31/3999| | || | |
00409162621||J0595||05/01/2005|12/31/3999|Injection, butorphanol tartrate, 1 mg|BUTORPHANOL 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|05/01/2005|12/31/3999| | || | |
00409162642||J0595||05/01/2005|12/31/3999|Injection, butorphanol tartrate, 1 mg|BUTORPHANOL 4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|.5|05/01/2005|12/31/3999| | || | |
63323020341||J3370||10/19/2016|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|EA|.6667|10/19/2016|12/31/3999| | || | |
00069106101||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SQ|ML|1|05/23/2019|06/30/2022| | || | |
00069106101||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SQ|ML|.6|05/23/2019|06/30/2022| | || | |
00069147601||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SQ|ML|1|05/23/2019|06/30/2022| | || | |
00409114402||J3490||10/28/2004|12/31/3999|Unclassified drugs|VERAPAMIL 2.5 MG/ML VIAL|4|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00069004302||J1644||03/02/2020|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIAL|2|ML|VIAL|IJ|ML|1|03/02/2020|12/31/2022| | || | |
64370053202||J9390||05/14/2008|10/31/2021|Injection, vinorelbine tartrate, 10 mg|NAVELBINE 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|05/14/2008|10/31/2021| | || | |
00078040134||J8999||08/16/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|GLEEVEC 100 MG TABLET|90|UN|BOTTLE|PO|TAB|1|08/16/2017|12/31/3999| | || | |
00409792609||J7070||10/28/2004|08/01/2021|Infusion, d5w, 1000 cc|Dextrose-NaCl 5-0.45 % SOLN|1000|ML|BAG|IV|ML|1000|10/28/2004|08/01/2021| | || | |
00409792609||J7060||10/28/2004|08/01/2021|5% dextrose/water (500 ml = 1 unit)|Dextrose-NaCl 5-0.45 % SOLN|1000|ML|BAG|IV|ML|500|10/28/2004|08/01/2021| | || | |
00409792609||J7042||10/28/2004|08/01/2021|5% dextrose/normal saline (500 ml = 1 unit)|Dextrose-NaCl 5-0.45 % SOLN|1000|ML|BAG|IV|ML|500|10/28/2004|08/01/2021| | || | |
00409712007||J7070||10/28/2004|03/01/2021|Infusion, d5w, 1000 cc|DEXTROSE 70%-WATER IV SOLN|2000|ML|BAG|IV|ML|1|10/28/2004|03/01/2021| | || | |
00069004301||J1644||03/02/2020|12/31/2022|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIAL|2|ML|VIAL|IJ|ML|1|03/02/2020|12/31/2022| | || | |
00409773036||J7050||10/28/2004|09/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.45% SOLN|50|ML|BAG|IV|ML|250|10/28/2004|09/01/2021| | || | |
00409773036||J7040||10/28/2004|09/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.45% SOLN|50|ML|BAG|IV|ML|500|10/28/2004|09/01/2021| | || | |
00409773036||J7030||10/28/2004|09/01/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.45% SOLN|50|ML|BAG|IV|ML|1000|10/28/2004|09/01/2021| | || | |
25021067377||J1551||07/01/2022|09/30/2022|Injection, immune globulin (cutaquig), 100 mg|GLYDO 2% JELLY SYRINGE|11|ML|SYRINGE|MM|EA|11|07/01/2022|09/30/2022| | || | |
25021067376||J1551||07/01/2022|09/30/2022|Injection, immune globulin (cutaquig), 100 mg|GLYDO 2% JELLY SYRINGE|6|ML|SYRINGE|MM|EA|6|07/01/2022|09/30/2022| | || | |
00009514001||J2020||06/01/2022|06/01/2022|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|06/01/2022|06/01/2022| | || | |
44206045190||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 1 GRAM/5 ML VIAL|5|ML|VIAL|SC|EA|.5|01/01/2011|12/31/3999| | || | |
44206045291||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 2 GRAM/10 ML VIAL|10|ML|VIAL|SC|EA|.5|01/01/2011|12/31/3999| | || | |
44206045492||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 4 GRAM/20 ML VIAL|20|ML|VIAL|SC|EA|.5|01/01/2011|12/31/3999| | || | |
44206045593||J1559||01/01/2011|12/31/3999|Injection, immune globulin (hizentra), 100 mg|HIZENTRA 10 GRAM/50 ML VIAL|50|ML|VIAL|SC|EA|.5|01/01/2011|12/31/3999| | || | |
68982081001||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SC|ML|.6|07/01/2022|12/31/3999| | || | |
68982081002||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (1.65 G/10 M|10|ML|VIAL|SC|ML|.6061|07/01/2022|12/31/3999| | || | |
68982081003||J1551||07/03/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SC|ML|.6|07/03/2022|12/31/3999| | || | |
68982081003||J1551||07/01/2022|07/02/2022|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SC|ML|.6|07/01/2022|07/02/2022| | || | |
68982081004||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (3.3 G/20 ML|20|ML|VIAL|SC|ML|.6061|07/01/2022|12/31/3999| | || | |
68982081005||J1551||07/03/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SC|ML|.6|07/03/2022|12/31/3999| | || | |
68982081005||J1551||07/01/2022|07/02/2022|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SC|ML|.6|07/01/2022|07/02/2022| | || | |
68982081006||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SC|ML|.6|07/01/2022|12/31/3999| | || | |
68982081081||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SC|ML|.6|07/01/2022|12/31/3999| | || | |
68982081082||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (1.65 G/10 M|10|ML|VIAL|SC|ML|.6061|07/01/2022|12/31/3999| | || | |
68982081083||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SC|ML|.6|07/01/2022|12/31/3999| | || | |
68982081084||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (3.3 G/20 ML|20|ML|VIAL|SC|ML|.6061|07/01/2022|12/31/3999| | || | |
68982081085||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SC|ML|.6|07/01/2022|12/31/3999| | || | |
68982081086||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SC|ML|.6|07/01/2022|12/31/3999| | || | |
00409488301||J2020||06/22/2015|06/22/2015|Injection, linezolid, 200mg|LINEZOLID-0.9% NACL 600 MG/|300|ML|BAG|IV|ML|100|06/22/2015|06/22/2015| | || | |
00781343346||J2020||08/05/2016|08/05/2016|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML IV|300|ML|BAG|IV|ML|100|08/05/2016|08/05/2016| | || | |
55150024251||J2020||09/28/2016|09/28/2016|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML IV|300|ML|BAG|IV|ML|100|09/28/2016|09/28/2016| | || | |
63323071313||J2020||04/16/2016|04/16/2016|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML IV|300|ML|BAG|IV|ML|100|04/16/2016|04/16/2016| | || | |
00409397701||J3490||05/16/2016|12/31/3999|Unclassified drugs|BACTERIOSTATIC WATER VIAL|30|ML|VIAL|IJ|ML|30|05/16/2016|12/31/3999| | || | |
00009513704||J2020||04/01/2015|04/01/2015|Injection, linezolid, 200mg|ZYVOX 200 MG/100 ML IV SOLN|100|ML|BAG|IV|ML|100|04/01/2015|04/01/2015| | || | |
00009514004||J2020||04/01/2015|04/01/2015|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|04/01/2015|04/01/2015| | || | |
00009780701||J2020||04/01/2015|04/01/2015|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|04/01/2015|04/01/2015| | || | |
00009780702||J2020||04/01/2015|04/01/2015|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|04/01/2015|04/01/2015| | || | |
63323092430||J3490||05/16/2016|12/31/3999|Unclassified drugs|BACTERIOSTATIC SALINE VIAL|30|ML|VIAL|IJ|ML|30|05/16/2016|12/31/3999| | || | |
68001033964||J3370||03/19/2018|06/30/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|GM|.5|03/19/2018|06/30/2022| | || | |
70710161001||J9017||09/17/2019|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|09/17/2019|12/31/3999| | || | |
71839010601||J2710||11/05/2019|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|11/05/2019|12/31/3999| | || | |
76204070011||J7614||06/12/2017|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|06/12/2017|12/31/3999| | || | |
00378797064||J7644||03/13/2013|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|03/13/2013|12/31/3999| | || | |
63323069044||J7608||10/01/2012|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|30|ML|VIAL|IH|ML|5|10/01/2012|12/31/3999| | || | |
63323069444||J7608||10/01/2012|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|4|ML|VIAL|IH|ML|5|10/01/2012|12/31/3999| | || | |
00409592216||J0280||10/28/2004|12/31/3999|Injection, aminophyllin, up to 250 mg|AMINOPHYLLINE 500 MG/20 ML|20|ML|VIAL|IV|ML|10|10/28/2004|12/31/3999| | || | |
00990707514||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/50 ML S|50|ML|FLEX CONT|IV|ML|10|07/12/2018|12/31/3999| | || | |
00409202560||J1250||10/28/2004|03/31/2021|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 250 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|10/28/2004|03/31/2021| | || | |
00409381411||J2270||08/10/2005|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 5 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|20|08/10/2005|12/31/3999| | || | |
70594004101||J3370||11/19/2019|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG/100 ML BA|100|ML|BAG|IV|EA|100|11/19/2019|12/31/2022| | || | |
36000029824||J0744||06/01/2018|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACIN 400 MG/200ML-|200|ML|BAG|IV|ML|100|06/01/2018|12/31/3999| | || | |
00990792255||J7070||07/12/2018|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
00990792255||J7060||07/12/2018|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
00409337514||J3490||04/27/2009|12/31/3999|Unclassified drugs|LEVOPHED 4 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|04/27/2009|12/31/3999| | || | |
72000003001||J3490||09/23/2019|06/30/2023|Unclassified drugs|DILUENT FOR LEFAMULIN(XENLE|250|ML|BAG|IV|ML|1|09/23/2019|06/30/2023| | || | |
72000003006||J3490||09/23/2019|06/30/2023|Unclassified drugs|DILUENT FOR LEFAMULIN(XENLE|250|ML|BAG|IV|ML|1|09/23/2019|06/30/2023| | || | |
00069150902||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SQ|ML|.6|05/23/2019|06/30/2022| | || | |
00143925010||J3490||08/05/2019|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|08/05/2019|12/31/3999| | || | |
00143925110||J3490||08/05/2019|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|08/05/2019|12/31/3999| | || | |
00143925201||J1265||11/22/2019|12/31/3999|Injection, dopamine hcl, 40 mg|DOPAMINE 200 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|11/22/2019|12/31/3999| | || | |
50242014301||J3262||01/07/2019|12/31/3999|Injection, tocilizumab, 1 mg|ACTEMRA ACTPEN 162 MG/0.9 M|0.9|ML|SYRINGE|SQ|ML|.0056|01/07/2019|12/31/3999| | || | |
00338000801||J1453||09/05/2019|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|09/05/2019|12/31/3999| | || | |
71288041810||J1453||12/16/2019|09/30/2023|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|GM|.0067|12/16/2019|09/30/2023| | || | |
70720072010||J2278||03/29/2017|10/01/2021|Injection, ziconotide, 1 microgram|PRIALT 100 MCG/ML VIAL|1|ML|VIAL|IT|ML|.1|03/29/2017|10/01/2021| | || | |
50742043001||J0894||11/13/2019|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|11/13/2019|12/31/3999| | || | |
63323058003||J0461||06/13/2018|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 8 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|.025|06/13/2018|12/31/3999| | || | |
55513014101||Q5117||11/04/2019|12/31/3999|Inj., kanjinti, 10 mg|KANJINTI 150 MG VIAL|1|UN|VIAL|IV|EA|.0667|11/04/2019|12/31/3999| | || | |
00409139121||J2185||02/20/2012|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|02/20/2012|12/31/3999| | || | |
00409139122||J2185||02/20/2012|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|02/20/2012|12/31/3999| | || | |
00069147601||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SQ|ML|.6|05/23/2019|06/30/2022| | || | |
00069150901||J3590||05/23/2019|06/30/2022|Unclassified Biologics|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SQ|ML|1|05/23/2019|06/30/2022| | || | |
00069150901||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (4 G/24 ML)|24|ML|VIAL|SQ|ML|.6|05/23/2019|06/30/2022| | || | |
70860012566||J0456||01/09/2020|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|01/09/2020|12/31/3999| | || | |
60505614800||J0696||06/23/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|ML|.25|06/23/2017|12/31/3999| | || | |
00517079101||J0702||01/08/2020|12/31/3999|Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg|BETAMETHASONE SP-AC 30 MG/5|5|ML|VIAL|IJ|ML|1|01/08/2020|12/31/3999| | || | |
63323053301||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323053383||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
63323060788||J1650||04/01/2015|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/01/2015|12/31/3999| | || | |
70710151509||J1652||01/28/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|ML|.04|01/28/2020|12/31/3999| | || | |
70710151602||J1652||01/28/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|ML|.04|01/28/2020|12/31/3999| | || | |
70710151702||J1652||01/28/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|ML|.04|01/28/2020|12/31/3999| | || | |
70710151709||J1652||01/28/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|ML|.04|01/28/2020|12/31/3999| | || | |
66220028422||J1741||04/01/2010|12/31/3999|Injection, ibuprofen, 100 mg|CALDOLOR 800 MG/200 ML BAG|200|ML|BAG|IV|ML|25|04/01/2010|12/31/3999| | || | |
70860070041||J1885||07/10/2017|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/10/2017|12/31/3999| | || | |
72611071901||J1885||02/02/2020|02/26/2025|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/02/2020|02/26/2025| | || | |
72611071925||J1885||02/02/2020|02/26/2025|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|02/02/2020|02/26/2025| | || | |
72611072225||J1885||02/02/2020|11/01/2024|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|02/02/2020|11/01/2024| | || | |
72611072525||J1885||02/02/2020|05/30/2025|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|02/02/2020|05/30/2025| | || | |
70860060241||J1953||06/28/2018|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|ML|2|06/28/2018|12/31/3999| | || | |
72485022102||J9201||02/13/2020|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 200 MG/5.26 ML|5.26|ML|VIAL|IV|ML|5.26|02/13/2020|12/31/3999| | || | |
00143936701||J9260||09/07/2005|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 1 GM VIAL|1|UN|VIAL|IJ|GM|.05|09/07/2005|12/31/3999| | || | |
00990792320||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|25|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
16714090601||J3490||12/17/2019|07/31/2023|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|12/17/2019|07/31/2023| | || | |
16714099801||J3490||12/30/2019|01/31/2023|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|12/30/2019|01/31/2023| | || | |
25021030982||J3490||03/05/2020|06/30/2023|Unclassified drugs|ESMOLOL 2,000 MG/100 ML-NAC|100|ML|BAG|IV|ML|1|03/05/2020|06/30/2023| | || | |
43598091711||J3490||07/02/2019|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|07/02/2019|12/31/3999| | || | |
43598091758||J3490||07/02/2019|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|07/02/2019|12/31/3999| | || | |
43598091958||J3490||07/02/2019|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|07/02/2019|12/31/3999| | || | |
00069029101||Q5110||01/01/2019|12/31/3999|Nivestym|NIVESTYM 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|SQ|ML|.0017|01/01/2019|12/31/3999| | || | |
00069029210||Q5110||01/01/2019|12/31/3999|Nivestym|NIVESTYM 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.0017|01/01/2019|12/31/3999| | || | |
00078095819||Q2042||01/01/2019|12/31/3999|Tisagenlecleucel, CAR-POS T|KYMRIAH INFUSION BAG|1|UN|BAG|IV|EA|1|01/01/2019|12/31/3999| | || | |
67457083306||Q5108||01/01/2019|12/31/3999|injection, fulphila|FULPHILA 6 MG/0.6 ML SYRING|0.6|ML|SYRINGE|SQ|ML|.05|01/01/2019|12/31/3999| | || | |
00069029201||Q5110||01/01/2019|12/31/3999|Nivestym|NIVESTYM 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.0017|01/01/2019|12/31/3999| | || | |
00069029110||Q5110||01/01/2019|12/31/3999|Nivestym|NIVESTYM 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|SQ|ML|.0017|01/01/2019|12/31/3999| | || | |
00409798309||J7050||10/28/2004|10/01/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTION|1000|ML|BAG|IV|ML|250|10/28/2004|10/01/2021| | || | |
00409798309||J7040||10/28/2004|10/01/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|1000|ML|BAG|IV|ML|500|10/28/2004|10/01/2021| | || | |
00409767009||J3490||10/28/2004|10/01/2021|Unclassified drugs|NORMOSOL-R PH 7.4 IV SOLUTION|1000|ML|BAG|IV|ML|1|10/28/2004|10/01/2021| | || | |
00409790209||J3480||10/28/2004|08/01/2021|Injection, potassium chloride, per 2 meq|KCL 20 MEQ IN D5W-1/2 NS|1000|ML|BAG|IV|ML|100|10/28/2004|08/01/2021| | || | |
64370053201||J9390||05/14/2008|10/31/2021|Injection, vinorelbine tartrate, 10 mg|NAVELBINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|05/14/2008|10/31/2021| | || | |
72000012001||J0691||07/01/2020|09/30/2023|Inj, lefamulin, 1 mg|XENLETA 150 MG/15 ML VIAL|15|ML|VIAL|IV|ML|.1|07/01/2020|09/30/2023| | || | |
71894013206||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 8.6-9.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
00078084619|U1|Q2042||01/01/2019|12/31/3999|Tisagenlecleucel, CAR-POS T|KYMRIAH INFUSION BAG|1|UN|BAG|IV|EA|1|01/01/2019|12/31/3999| | || | |
71894013407||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 9.6-10.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894013608||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 10.6-11.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
80446040101||J9999||02/25/2022|09/30/2022|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|KIMMTRAK 100 MCG/0.5 ML VIAL|.5|ML|VIAL|IV|ML|.005|02/25/2022|09/30/2022| | || | |
62135049130||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|30|UN|Bottle|PO|TAB|1|01/01/2022|12/31/3999| | || | |
00517650210||J3490||03/28/2022|12/31/3999|Unclassified drugs|SELENIOUS ACID 12 MCG/2 ML|20|ML|VIAL|IV|ML|2|03/28/2022|12/31/3999| | || | |
81952011106||J1644||02/23/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|25|ML|VIAL|IJ|ML|.2|02/23/2022|12/31/3999| | || | |
81952011101||J1644||02/23/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|02/23/2022|12/31/3999| | || | |
70594004701||J3370||01/01/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|01/01/2022|12/31/3999| | || | |
57664068331||J2020||10/01/2017|10/01/2017|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|1|UN|BAG|IV|ML|100|10/01/2017|10/01/2017| | || | |
62756023301||J0289||02/15/2022|12/31/3999|Injection, amphotericin b liposome, 10 mg|AMPHOTERICIN B LIPOSOME 50|1|ML|VIAL|IV|EA|.2|02/15/2022|12/31/3999| | || | |
72611076010||J3490||10/21/2021|02/16/2025|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|10|10/21/2021|02/16/2025| | || | |
00713035109||J0780||02/15/2022|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|10|UN|VIAL|IJ|ML|2|02/15/2022|12/31/3999| | || | |
00713035125||J0780||02/15/2022|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|25|UN|VIAL|IJ|ML|2|02/15/2022|12/31/3999| | || | |
63323001003||J1580||01/01/2022|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 800 MG/20 ML VIA|20|ML|VIAL|IJ|ML|2|01/01/2022|12/31/3999| | || | |
72572055001||S0164||03/30/2020|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|03/30/2020|12/31/3999| | || | |
63323017301||J1580||01/01/2022|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN PED 20 MG/2 ML V|2|ML|VIAL|IJ|ML|8|01/01/2022|12/31/3999| | || | |
72572002101||J0295||01/01/2022|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|01/01/2022|12/31/3999| | || | |
67457084300||J2020||07/31/2018|07/31/2018|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|07/31/2018|07/31/2018| | || | |
72266012205||J3490||01/01/2022|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|1|ML|VIAL|IV|ML|5|01/01/2022|12/31/3999| | || | |
63323028641||J2795||01/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.5% 100 MG/20 ML V|20|ML|VIAL|IJ|ML|.2|01/01/2022|12/31/3999| | || | |
70594006802||J3030||03/29/2022|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIA|1|UN|VIAL|SQ|EA|.5|03/29/2022|12/31/3999| | || | |
63323029601||J0670||01/01/2022|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE 2% VIAL|50|ML|VIAL|IJ|ML|10|01/01/2022|12/31/3999| | || | |
63323055965||J1650||01/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|.3|ML|SYRINGE|SQ|ML|.1|01/01/2022|12/31/3999| | || | |
00009720030||J3590||01/01/2022|12/31/3999|Unclassified Biologics|SOMAVERT 30 MG VIAL|30|UN|VIAL|SQ|EA|1|01/01/2022|12/31/3999| | || | |
63323058463||J1650||01/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|.8|ML|SYRINGE|SQ|ML|.1|01/01/2022|12/31/3999| | || | |
63323058465||J1650||01/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|.8|ML|SYRINGE|SQ|ML|.1|01/01/2022|12/31/3999| | || | |
63323061601||J0282||01/01/2022|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 150 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.6|01/01/2022|12/31/3999| | || | |
00037605093||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|EDLUAR 5 MG SL TABLET|1|UN|BLIST PACK|SL|EA|25|01/01/2022|12/31/3999| | || | |
16714007001||J9395||01/01/2022|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|01/01/2022|12/31/3999| | || | |
63323061602||J0282||01/01/2022|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 450 MG/9 ML VIAL|9|ML|VIAL|IV|ML|.6|01/01/2022|12/31/3999| | || | |
00069028407||C9399||03/30/2020|09/30/2022|Unclassified Drugs or Biologicals|IBRANCE 75 MG TABLET|7|UN|BLIST PACK|PO|EA|1|03/30/2020|09/30/2022| | || | |
00069028407||J8999||03/30/2020|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IBRANCE 75 MG TABLET|7|UN|BLIST PACK|PO|EA|1|03/30/2020|12/31/3999| | || | |
70594008801||J0290||01/11/2022|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|01/11/2022|12/31/3999| | || | |
00781342101||J0637||11/13/2018|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|EA|.1|11/13/2018|12/31/3999| | || | |
72603010101||J9263||12/11/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|12/11/2019|12/31/3999| | || | |
00006306102||J1453||11/15/2010|05/16/2021|Injection, fosaprepitant, 1 mg|EMEND 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|11/15/2010|05/16/2021| | || | |
00006306103||J1453||11/15/2010|05/16/2021|Injection, fosaprepitant, 1 mg|EMEND 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|11/15/2010|05/16/2021| | || | |
00069110901||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00069122401||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00069131201||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00069131202||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00069141502||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00069147602||90284||05/23/2019|06/30/2022|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|CUTAQUIG 16.5% (2 G/12 ML)|12|ML|VIAL|SQ|ML|.6|05/23/2019|06/30/2022| | || | |
00338006910||J1885||03/18/2019|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|03/18/2019|12/31/3999| | || | |
00409162321||J0595||05/01/2005|12/31/3999|Injection, butorphanol tartrate, 1 mg|BUTORPHANOL 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
00409677811||J2060||10/28/2004|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00781344820||J3490||07/03/2019|05/31/2021|Unclassified drugs|SYMJEPI 0.15 MG/0.3 ML SYRI|2|UN|SYRINGE|IJ|ML|1|07/03/2019|05/31/2021| | || | |
00781382596||J3490||08/16/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|08/16/2019|12/31/3999| | || | |
00781382772||J3490||08/16/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|08/16/2019|12/31/3999| | || | |
00781382796||J3490||08/16/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|08/16/2019|12/31/3999| | || | |
00781382975||J3490||08/16/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|08/16/2019|12/31/3999| | || | |
00781383180||J3490||08/16/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|08/16/2019|12/31/3999| | || | |
00781383195||J3490||08/16/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|08/16/2019|12/31/3999| | || | |
00409117112||J3490||10/28/2004|09/01/2021|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|10/28/2004|09/01/2021| | || | |
00409371501||J3490||10/28/2004|04/30/2022|Unclassified drugs|NAFCILLIN 10 GM BULK VIAL|1|UN|BOTTLE|IV|EA|1|10/28/2004|04/30/2022| | || | |
00409371510||J3490||10/28/2004|04/30/2022|Unclassified drugs|NAFCILLIN 10 GM BULK VIAL|1|UN|VIAL|IV|EA|1|10/28/2004|04/30/2022| | || | |
00409409011||J3490||10/28/2004|12/31/3999|Unclassified drugs|ZINC CHLORIDE 10 MG/10 ML V|10|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409409211||J3490||10/28/2004|12/31/3999|Unclassified drugs|COPPER CHLORIDE 4 MG/10 ML|10|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
44567062124||J3490||07/02/2019|07/03/2019|Unclassified drugs|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|1|07/02/2019|07/03/2019| | || | |
47781061620||J3490||05/15/2018|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|05/15/2018|12/31/3999| | || | |
47781061722||J3490||05/15/2018|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|05/15/2018|12/31/3999| | || | |
61269045020||J1570||05/20/2014|01/31/2022|Injection, ganciclovir sodium, 500 mg|CYTOVENE 500 MG VIAL|1|UN|VIAL|IV|EA|1|05/20/2014|01/31/2022| | || | |
61990061102||J3490||10/16/2019|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|10/16/2019|12/31/3999| | || | |
63323082476||J3490||11/14/2019|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|1000|ML|BAG|IV|ML|1|11/14/2019|12/31/3999| | || | |
67457077805||J3490||10/27/2017|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|5|ML|VIAL|IV|ML|1|10/27/2017|12/31/3999| | || | |
46287002410||J3490||03/01/2020|12/31/3999|Unclassified drugs|POTASSIUM PHOSPH 45 MMOL/15|15|ML|VIAL|IV|ML|1|03/01/2020|12/31/3999| | || | |
55150023601||J3490||03/12/2019|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|03/12/2019|12/31/3999| | || | |
63323062605||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|1000|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
63323072304||J3490||01/23/2018|12/31/3999|Unclassified drugs|REMIFENTANIL 1 MG VIAL|1|UN|VIAL|IV|EA|1|01/23/2018|12/31/3999| | || | |
00143937101||J9000||11/15/2016|01/31/2023|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 50 MG/25 ML VIAL|25|ML|VIAL|IV|ML|5|11/15/2016|01/31/2023| | || | |
00143937201||J9000||11/15/2016|01/31/2023|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 200 MG/100 ML VI|100|ML|VIAL|IV|ML|5|11/15/2016|01/31/2023| | || | |
60505613000||J2405||05/27/2016|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|ML|.5|05/27/2016|12/31/3999| | || | |
72572052025||J2405||11/18/2019|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON HCL 4 MG/2 ML V|2|ML|VIAL|IJ|EA|.5|11/18/2019|12/31/3999| | || | |
70860012751||J2540||10/23/2019|12/31/3999|Injection, penicillin g potassium, up to 600,000 units|PENICILLIN GK 20 MILLION UN|1|UN|VIAL|IJ|EA|.03|10/23/2019|12/31/3999| | || | |
70860012041||J2543||05/10/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|GM|.5|05/10/2019|12/31/3999| | || | |
70860012241||J2543||05/10/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|GM|.25|05/10/2019|12/31/3999| | || | |
63323001217||J2590||04/01/1998|12/31/3999|Injection, oxytocin, up to 10 units|OXYTOCIN 10 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
72572046001||J2710||10/08/2019|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|EA|1|10/08/2019|12/31/3999| | || | |
72572046101||J2710||10/08/2019|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|EA|.5|10/08/2019|12/31/3999| | || | |
70860065341||J2800||02/10/2019|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|02/10/2019|12/31/3999| | || | |
00781401471||J2941||01/15/2007|01/03/2009|Injection, somatropin, 1 mg|OMNITROPE 5.8 MG VIAL|1|UN|VIAL|SQ|EA|.2|01/15/2007|01/03/2009| | || | |
72572017125||J3010||12/10/2019|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 250 MCG/5 ML VIAL|5|ML|VIAL|IJ|EA|2|12/10/2019|12/31/3999| | || | |
00409433211||J3370||10/28/2004|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|10/28/2004|12/31/3999| | || | |
00409653112||J3370||10/28/2004|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|EA|.6667|10/28/2004|12/31/3999| | || | |
43598084858||J3486||03/16/2020|12/31/3999|Injection, ziprasidone mesylate, 10 mg|ZIPRASIDONE 20 MG/ML VIAL|1|UN|VIAL|IM|ML|.5|03/16/2020|12/31/3999| | || | |
00093598519||J3490||08/20/2019|12/31/3999|Unclassified drugs|EPINEPHRINE 0.15 MG AUTO-IN|1|UN|SYRINGE|IJ|ML|1|08/20/2019|12/31/3999| | || | |
00093598527||J3490||08/20/2019|12/31/3999|Unclassified drugs|EPINEPHRINE 0.15 MG AUTO-IN|2|UN|SYRINGE|IJ|ML|1|08/20/2019|12/31/3999| | || | |
00143923410||J3490||03/19/2020|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|03/19/2020|12/31/3999| | || | |
00409109812||J3490||03/04/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|03/04/2020|12/31/3999| | || | |
00409120801||J3490||03/24/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|03/24/2020|12/31/3999| | || | |
00409120811||J3490||03/24/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|03/24/2020|12/31/3999| | || | |
00409233924||J3490||10/18/2005|06/30/2023|Unclassified drugs|LABETALOL HCL 20 MG/4 ML CR|4|ML|CARTRIDGE|IV|ML|1|10/18/2005|06/30/2023| | || | |
00409555502||J3490||11/01/2019|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 4.2% VIA|5|ML|VIAL|IV|ML|1|11/01/2019|12/31/3999| | || | |
00409555512||J3490||11/01/2019|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 4.2% VIA|5|ML|VIAL|IV|ML|1|11/01/2019|12/31/3999| | || | |
00517800525||J3490||01/20/2020|12/31/3999|Unclassified drugs|ZINC SULFATE 25 MG/5 ML VIA|5|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
00703950301||J3490||10/01/1992|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE W/TMP VIAL|5|ML|VIAL|IV|ML|1|10/01/1992|12/31/3999| | || | |
71894014109||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 13.1-13.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894012103||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 3.1-3.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894012404||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 4.6-5.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894012504||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 5.1-5.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894012705||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 6.1-6.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894012905||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 7.1-7.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
00078064930||J8999||08/16/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|GLEEVEC 400 MG TABLET|30|UN|BLIST PACK|PO|TAB|1|08/16/2017|12/31/3999| | || | |
70408014634||Q0169||03/05/2020|03/31/2020|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 6.25 MG/5 ML S|473|ML|BOTTLE|PO|ML|10|03/05/2020|03/31/2020| | || | |
69853010201||J7169||07/01/2020|12/31/3999|Inj, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg|ANDEXXA 200 MG VIAL|1|UN|VIAL|IV|ML|.05|07/01/2020|12/31/3999| | || | |
51862000701||S4993||03/01/2020|04/30/2022|Contraceptive pills for birth control|MICROGESTIN 21 1-20 TABLET|21|UN|BLIST PACK|PO|TAB|1|03/01/2020|04/30/2022| | || | |
67457011850||J3490||02/05/2009|03/31/2022|Unclassified drugs|ASCORBIC ACID 500 MG/ML VIA|50|ML|VIAL|IJ|ML|1|02/05/2009|03/31/2022| | || | |
72000012006||J0691||07/01/2020|09/30/2023|Inj, lefamulin, 1 mg|XENLETA 150 MG/15 ML VIAL|15|ML|VIAL|IV|ML|.1|07/01/2020|09/30/2023| | || | |
70257005151||J1573||04/27/2017|12/31/3999|Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml|HEPAGAM B VIAL|5|ML|VIAL|IJ|ML|1|04/27/2017|12/31/3999| | || | |
51862000706||S4993||03/01/2020|04/30/2022|Contraceptive pills for birth control|MICROGESTIN 21 1-20 TABLET|21|UN|BLIST PACK|PO|TAB|1|03/01/2020|04/30/2022| | || | |
51862001206||S4993||03/01/2020|10/31/2022|Contraceptive pills for birth control|MICROGESTIN FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|03/01/2020|10/31/2022| | || | |
51862001201||S4993||03/01/2020|10/31/2022|Contraceptive pills for birth control|MICROGESTIN FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|03/01/2020|10/31/2022| | || | |
71894013106||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 8.1-8.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894013307||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 9.1-9.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894013507||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 10.1-10.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894013708||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 11.1-11.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894013909||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 12.1-12.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894014009||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 12.6-13.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894012203||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 3.6-4.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894012303||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 4.1-4.5 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894012604||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 5.6-6.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894012805||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 6.6-7.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
71894013006||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 7.6-8.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
68152010900||J9246||07/01/2020|03/31/2022|Inj, melphalan (evomela), 1 mg|EVOMELA 50 MG VIAL|1|UN|VIAL|IV|EA|.02|07/01/2020|03/31/2022| | || | |
71894013808||J3399||07/01/2020|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 11.6-12.0 KG KIT|1|UN|KIT|IV|EA|1|07/01/2020|12/31/3999| | || | |
73475304105||J9332||07/01/2022|12/31/3999|Injection, efgartigimod alfa-fcab, 2mg|VYVGART 400 MG/20 ML VIAL|1|ML|VIAL|IV|ML|.1|07/01/2022|12/31/3999| | || | |
80803015350||J9331||07/01/2022|12/31/3999|Injection, sirolimus protein-bound particles, 1 mg|FYARRO 100 MG VIAL|1|UN|VIAL|IV|EA|.01|07/01/2022|12/31/3999| | || | |
50242009601||C9097||07/01/2022|09/30/2022|Inj, faricimab-svoa, 0.1 mg|VABYSMO 6 MG/0.05 ML VIAL|.05|ML|VIAL|IO|ML|.0008|07/01/2022|09/30/2022| | || | |
50242009601||J3590||02/08/2022|09/30/2022|Unclassified Biologics|VABYSMO 6 MG/0.05 ML VIAL|.05|ML|VIAL|IO|ML|.0008|02/08/2022|09/30/2022| | || | |
70121156901||C9096||07/01/2022|09/30/2022|Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram|RELEUKO 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.0033|07/01/2022|09/30/2022| | || | |
70121156901||J3590||02/28/2022|09/30/2022|Unclassified Biologics|RELEUKO 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.0033|02/28/2022|09/30/2022| | || | |
70121156907||C9096||07/01/2022|09/30/2022|Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram|RELEUKO 300 MCG/ML VIAL|10|ML|VIAL|IJ|ML|.0033|07/01/2022|09/30/2022| | || | |
70121156907||J3590||02/28/2022|09/30/2022|Unclassified Biologics|RELEUKO 300 MCG/ML VIAL|10|ML|VIAL|IJ|ML|.0033|02/28/2022|09/30/2022| | || | |
43598006111||J3486||01/01/2022|12/31/3999|Injection, ziprasidone mesylate, 10 mg|ZIPRASIDONE 20 MG/ML VIAL|1|UN|VIAL|IM|ML|.5|01/01/2022|12/31/3999| | || | |
47335075652||J7620||02/10/2022|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|02/10/2022|12/31/3999| | || | |
49502025080||S5553||11/15/2021|12/31/3999|Insulin, long acting; 5 units|SEMGLEE (YFGN) 100 UNIT/ML|10|ML|VIAL|SQ|ML|1|11/15/2021|12/31/3999| | || | |
49502025175||S5553||11/15/2021|12/31/3999|Insulin, long acting; 5 units|SEMGLEE (YFGN) 100 UNIT/ML|3|ML|SYRINGE|SQ|ML|1|11/15/2021|12/31/3999| | || | |
55150034401||J0878||01/20/2022|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|01/20/2022|12/31/3999| | || | |
55150018311||J3490||01/01/2022|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|01/01/2022|12/31/2023| | || | |
50102021111||J3490||04/16/2018|12/31/3999|Unclassified drugs|ECONTRA ONE-STEP 1.5 MG TAB|1|UN|BLIST PACK|PO|TAB|2.25|04/16/2018|12/31/3999| | || | |
55150018302||J3490||01/01/2022|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|01/01/2022|12/31/2023| | || | |
52817072005||J0364||03/10/2022|12/31/3999|Injection, apomorphine hydrochloride, 1 mg|APOMORPHINE 30 MG/3 ML CART|3|ML|CARTRIDGE|SQ|ML|.1|03/10/2022|12/31/3999| | || | |
68094024701||J3490||01/14/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|EA|50|01/14/2022|12/31/3999| | || | |
60505622904||J0878||02/23/2022|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|ML|VIAL|IV|EA|.002|02/23/2022|12/31/3999| | || | |
36000030801||J2310||07/01/2022|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|07/01/2022|12/31/3999| | || | |
72205008301||J1453||07/01/2021|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|07/01/2021|12/31/3999| | || | |
36000030810||J2310||07/01/2022|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|07/01/2022|12/31/3999| | || | |
00009719930||J3590||01/01/2022|12/31/3999|Unclassified Biologics|SOMAVERT 25 MG VIAL|30|UN|VIAL|SQ|EA|1|01/01/2022|12/31/3999| | || | |
70860021567||J9267||01/01/2022|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML V|16.7|ML|VIAL|IV|ML|.1667|01/01/2022|12/31/3999| | || | |
70860021566||J9267||01/01/2022|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|01/01/2022|12/31/3999| | || | |
16714004001||J3030||01/01/2022|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML INJ|.5|ML|SYRINGE|SQ|ML|.5|01/01/2022|12/31/3999| | || | |
59137028905||J7195||01/01/2022|06/30/2023|Factor ix (antihemophilic factor, recombinant) per i.u.|IXINITY 3,000 UNIT RANGE|1|UN|VIAL|IV|EA|1|01/01/2022|06/30/2023| | || | |
50242007855||J2779||07/01/2022|12/31/3999|Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg|SUSVIMO 10 MG/0.1 ML KIT|0.1|ML|KIT|IL|ML|.001|07/01/2022|12/31/3999| | || | |
25021016987||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
00641624401||J3360||01/01/2022|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|01/01/2022|12/31/3999| | || | |
00713035102||J0780||02/15/2022|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|1|UN|VIAL|IJ|ML|2|02/15/2022|12/31/3999| | || | |
67457086000||J0456||05/01/2009|11/30/2021|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|05/01/2009|11/30/2021| | || | |
67457086050||J0456||05/01/2009|11/30/2021|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|05/01/2009|11/30/2021| | || | |
68001033861||J3370||03/19/2018|06/30/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|GM|1|03/19/2018|06/30/2022| | || | |
68001038936||J9280||11/12/2019|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 5 MG VIAL|1|UN|VIAL|IV|ML|1|11/12/2019|12/31/3999| | || | |
70069016110||J3490||10/16/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|10/16/2019|12/31/3999| | || | |
70069036101||J3490||11/25/2019|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|5|ML|VIAL|IV|ML|1|11/25/2019|12/31/3999| | || | |
70069036110||J3490||11/25/2019|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|5|ML|VIAL|IV|ML|1|11/25/2019|12/31/3999| | || | |
70069036301||J3490||11/25/2019|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|30|ML|VIAL|IV|ML|1|11/25/2019|12/31/3999| | || | |
70121163701||J3490||11/27/2019|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|11/27/2019|12/31/3999| | || | |
70121163705||J3490||11/27/2019|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|11/27/2019|12/31/3999| | || | |
72603030101||J9263||12/11/2019|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|12/11/2019|12/31/3999| | || | |
00409163015||J0461||01/01/2010|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/10 ML SYRINGE|10|ML|SYRINGE|IJ|ML|.1|01/01/2010|12/31/3999| | || | |
00409491111||J0461||01/01/2010|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/10 ML ABBOJEC|10|ML|SYRINGE|IJ|ML|.1|01/01/2010|12/31/3999| | || | |
00703069601||J3285||10/01/2019|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 200 MG/20 ML V|20|ML|VIAL|IJ|ML|.1|10/01/2019|12/31/3999| | || | |
68001037132||J9070||01/23/2019|12/31/2021|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IJ|ML|.1|01/23/2019|12/31/2021| | || | |
64679069902||J2700||03/12/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|GM|.125|03/12/2018|12/31/3999| | || | |
68001039179||J9280||10/30/2019|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|ML|.125|10/30/2019|12/31/3999| | || | |
00409139051||J2185||02/26/2012|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|02/26/2012|12/31/3999| | || | |
00409140227||J1644||10/28/2004|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 5,000 UNIT/ML CARPU|1|ML|CARTRIDGE|IJ|ML|.2|10/28/2004|12/31/3999| | || | |
68001037027||J9070||01/23/2019|12/31/2021|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IJ|ML|.2|01/23/2019|12/31/2021| | || | |
58406004401||J1438||11/18/2004|12/31/3999|Injection, etanercept, 25 mg (code may be used for medicare when drug admin...|ENBREL 50 MG/ML MINI CARTRI|1|ML|CARTRIDGE|SQ|ML|.4902|11/18/2004|12/31/3999| | || | |
63323082301||J1335||12/09/2019|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|12/09/2019|12/31/3999| | || | |
63323082320||J1335||12/09/2019|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|12/09/2019|12/31/3999| | || | |
68001040829||J1335||11/25/2019|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|GM|.5|11/25/2019|12/31/3999| | || | |
00703713301||J1631||10/11/2019|06/30/2022|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|5|ML|VIAL|IM|ML|.5|10/11/2019|06/30/2022| | || | |
68462031732||J9395||11/04/2019|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|11/04/2019|12/31/3999| | || | |
70069038305||J1631||08/15/2019|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|08/15/2019|12/31/3999| | || | |
70121146302||J9395||10/07/2019|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|10/07/2019|12/31/3999| | || | |
13533081010||90284||11/12/2019|12/31/3999|Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each|XEMBIFY 20% (2 G/10 ML) VIA|10|ML|VIAL|SQ|ML|.5|11/12/2019|12/31/3999| | || | |
67457077930||J3490||10/27/2017|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|30|ML|VIAL|IV|ML|1|10/27/2017|12/31/3999| | || | |
63323001203||J2590||04/01/1998|12/31/3999|Injection, oxytocin, up to 10 units|OXYTOCIN 10 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323057803||J3490||06/25/2018|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/25/2018|12/31/3999| | || | |
00703951493||J3490||10/01/1992|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|10|ML|VIAL|IV|ML|1|10/01/1992|12/31/3999| | || | |
00990773036||J3490||07/12/2018|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|50|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990791819||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 70%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990792337||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|100|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990792609||J3490||07/12/2018|07/13/2018|Unclassified drugs|DEXTROSE 5%-0.45% NACL IV S|1000|ML|FLEX CONT|IV|ML|1|07/12/2018|07/13/2018| | || | |
00990798411||J3490||07/12/2018|11/01/2021|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|1|07/12/2018|11/01/2021| | || | |
00990798420||J3490||07/12/2018|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|25|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990798525||J3490||07/12/2018|07/01/2021|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|250|ML|FLEX CONT|IV|ML|1|07/12/2018|07/01/2021| | || | |
24201020101||J3490||12/09/2019|12/31/3999|Unclassified drugs|SODIUM TETRA SULF 3% 60MG/2|2|ML|VIAL|IV|ML|1|12/09/2019|12/31/3999| | || | |
25021030884||J3490||03/05/2020|06/30/2023|Unclassified drugs|ESMOLOL 2,500 MG/250 ML-NAC|250|ML|BAG|IV|ML|1|03/05/2020|06/30/2023| | || | |
43547054301||J3490||12/19/2019|12/31/2020|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|12/19/2019|12/31/2020| | || | |
43547054401||J3490||01/06/2020|12/31/2020|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|01/06/2020|12/31/2020| | || | |
43547054425||J3490||01/06/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|01/06/2020|12/31/3999| | || | |
43598091911||J3490||07/02/2019|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|07/02/2019|12/31/3999| | || | |
63323062610||J3490||10/14/2019|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|1000|ML|FLEX CONT|IV|ML|1|10/14/2019|12/31/3999| | || | |
63323072306||J3490||01/23/2018|12/31/3999|Unclassified drugs|REMIFENTANIL 1 MG VIAL|1|UN|VIAL|IV|EA|1|01/23/2018|12/31/3999| | || | |
63323078141||J3490||04/03/2017|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|04/03/2017|12/31/3999| | || | |
64253090030||J3490||11/05/2019|07/01/2023|Unclassified drugs|CALCIUM CHLORIDE 10% SYRING|10|ML|SYRINGE|IV|ML|1|11/05/2019|07/01/2023| | || | |
64253090036||J3490||11/05/2019|07/01/2023|Unclassified drugs|CALCIUM CHLORIDE 10% SYRING|10|ML|SYRINGE|IV|ML|1|11/05/2019|07/01/2023| | || | |
70860010341||J3490||05/01/2017|12/31/3999|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|05/01/2017|12/31/3999| | || | |
70860011741||J3490||09/25/2018|12/31/3999|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|09/25/2018|12/31/3999| | || | |
70860030105||J3490||01/20/2020|12/31/3999|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
70860030125||J3490||01/20/2020|12/31/3999|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
70860030141||J3490||01/20/2020|12/31/3999|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
70860030142||J3490||01/20/2020|12/31/3999|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
70860030143||J3490||01/20/2020|12/31/3999|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
70860040041||J3490||06/12/2017|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|06/12/2017|12/31/3999| | || | |
70860060541||J3490||03/23/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|03/23/2018|12/31/3999| | || | |
70860065141||J3490||08/13/2018|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|08/13/2018|12/31/3999| | || | |
72485010805||J3490||01/20/2020|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
72485010825||J3490||01/20/2020|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
72485010905||J3490||01/20/2020|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
72572022525||J3490||12/10/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|EA|1|12/10/2019|12/31/3999| | || | |
72611063401||J3490||02/02/2020|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 300 MG/2 ML|2|ML|VIAL|IJ|ML|1|02/02/2020|06/30/2023| | || | |
70710146109||J1631||01/17/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|01/17/2020|12/31/3999| | || | |
70710146201||J1631||01/17/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 250 MG/5 ML|5|ML|VIAL|IM|ML|1|01/17/2020|12/31/3999| | || | |
10599000301||C9122||07/01/2020|03/31/2021|Mometasone furoate sinus implant, (sinuva)|SINUVA 1,350 MCG SINUS IMPL|1|UN|PACKET|NS|EA|1|07/01/2020|03/31/2021| | || | |
70710146101||J1631||01/17/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|01/17/2020|12/31/3999| | || | |
00409163485||J3490||02/17/2006|05/01/2023|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|ML|1|02/17/2006|05/01/2023| | || | |
61314086601||Q5120||07/01/2020|12/31/3999|Inj, pegfilgrastim-bmez, biosimilar, (ziextenzo), 0.5 mg|ZIEXTENZO 6 MG/0.6 ML SYRIN|0.6|ML|SYRINGE|SQ|ML|.1|07/01/2020|12/31/3999| | || | |
44567010401||J0290||07/01/2009|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/01/2009|12/31/3999| | || | |
66794022202||J0290||03/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|03/26/2020|12/31/3999| | || | |
66794022241||J0290||03/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|03/26/2020|12/31/3999| | || | |
66794022302||J0290||03/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|03/26/2020|12/31/3999| | || | |
00006385601||J0742||07/01/2020|12/31/3999|Inj, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg|RECARBRIO 1.25 GRAM VIAL|1|UN|VIAL|IV|EA|.0008|07/01/2020|12/31/3999| | || | |
00006385602||J0742||07/01/2020|12/31/3999|Inj, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg|RECARBRIO 1.25 GRAM VIAL|1|UN|VIAL|IV|EA|.0008|07/01/2020|12/31/3999| | || | |
00409477711||J0744||03/19/2008|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACIN 200 MG/100ML-|100|ML|BAG|IV|ML|100|03/19/2008|12/31/3999| | || | |
00409477721||J0744||03/19/2008|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACIN 400 MG/200ML-|200|ML|BAG|IV|ML|100|03/19/2008|12/31/3999| | || | |
36000029724||J0744||06/01/2018|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACIN 200 MG/100ML-|100|ML|BAG|IV|ML|100|06/01/2018|12/31/3999| | || | |
72572058025||J0780||11/18/2019|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|EA|2|11/18/2019|12/31/3999| | || | |
71288001810||J0878||01/16/2020|07/19/2023|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|GM|.002|01/16/2020|07/19/2023| | || | |
72572010001||J0878||10/08/2019|12/31/2023|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|10/08/2019|12/31/2023| | || | |
68001042237||J0894||01/22/2020|06/30/2024|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|GM|.02|01/22/2020|06/30/2024| | || | |
70121164401||J0894||01/31/2020|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|ML|.02|01/31/2020|12/31/3999| | || | |
72572012225||J1100||11/13/2019|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|EA|.1|11/13/2019|12/31/3999| | || | |
00409263410||J1170||07/31/2008|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.4|07/31/2008|12/31/3999| | || | |
00409263425||J1170||07/31/2008|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.4|07/31/2008|12/31/3999| | || | |
00409234631||J1250||10/28/2004|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 250 MG/250 ML-D5|250|ML|BAG|IV|ML|250|10/28/2004|12/31/3999| | || | |
00409133001||J1270||02/18/2020|09/01/2023|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|02/18/2020|09/01/2023| | || | |
25021018466||J1450||08/27/2009|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 200 MG/100|100|ML|FLEX CONT|IV|ML|100|08/27/2009|12/31/3999| | || | |
25021018467||J1450||08/27/2009|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 400 MG/200|200|ML|FLEX CONT|IV|ML|100|08/27/2009|12/31/3999| | || | |
68001042122||J1453||01/28/2020|05/31/2023|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|ML|.0067|01/28/2020|05/31/2023| | || | |
69097083037||J1453||01/09/2020|12/31/2021|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|01/09/2020|12/31/2021| | || | |
25021018511||J1570||04/24/2018|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG/10 ML VI|10|ML|VIAL|IV|ML|10|04/24/2018|12/31/3999| | || | |
00009499201||J2020||04/01/2015|04/01/2015|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|04/01/2015|04/01/2015| | || | |
00009499202||J2020||04/01/2015|04/01/2015|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|04/01/2015|04/01/2015| | || | |
55513016001||J9039||01/05/2016|12/31/3999|Injection, blinatumomab, 1 mcg|BLINCYTO 35MCG VIAL+STABILI|1|UN|VIAL|IV|EA|.0286|01/05/2016|12/31/3999| | || | |
00781343395||J2020||08/05/2016|08/05/2016|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML IV|300|ML|BAG|IV|ML|100|08/05/2016|08/05/2016| | || | |
68516521600||P9047||01/01/2022|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUTEIN 25% IV SOLUTION|100|ML|FLEX CONT|IV|ML|50|01/01/2022|12/31/3999| | || | |
00378668128||J8999||01/05/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 37.5 MG CA|28|UN|BOTTLE|PO|EA|1|01/05/2022|12/31/3999| | || | |
23155066142||J3490||03/24/2022|12/31/3999|Unclassified drugs|ISOPROTERENOL 1 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|03/24/2022|12/31/3999| | || | |
69918089911||J2597||01/01/2022|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML AM|1|ML|AMPUL|IJ|ML|.25|01/01/2022|12/31/3999| | || | |
00409198301||J2260||01/01/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|25|01/01/2022|12/31/3999| | || | |
69918090111||J2597||01/01/2022|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN 40 MCG/10 ML V|10|ML|VIAL|IJ|ML|.25|01/01/2022|12/31/3999| | || | |
00409198310||J2260||01/01/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|25|01/01/2022|12/31/3999| | || | |
70069006410||J2795||01/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|01/01/2022|12/31/3999| | || | |
25021017620||J2543||01/03/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|GM|.3333|01/03/2022|12/31/3999| | || | |
70069080510||J2710||01/20/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/20/2022|12/31/3999| | || | |
00480124328||J8999||03/03/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENALIDOMIDE 10 MG CAPSULE|28|UN|BOTTLE|PO|EA|1|03/03/2022|12/31/3999| | || | |
70069080601||J2710||01/20/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|01/20/2022|12/31/3999| | || | |
00480124421||J8999||03/03/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENALIDOMIDE 15 MG CAPSULE|21|UN|BOTTLE|PO|EA|1|03/03/2022|12/31/3999| | || | |
70069080610||J2710||01/20/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|01/20/2022|12/31/3999| | || | |
70121170501||J0461||02/28/2022|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.5 MG/5 ML SYRING|5|ML|SYRINGE|IJ|ML|.1|02/28/2022|12/31/3999| | || | |
25021067010||J3490||01/05/2022|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|2|01/05/2022|12/31/3999| | || | |
70121170507||J0461||02/28/2022|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.5 MG/5 ML SYRING|5|ML|SYRINGE|IJ|ML|.1|02/28/2022|12/31/3999| | || | |
70257030051||J2792||04/01/2020|12/31/3999|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 15,000 UNIT VIAL|13|ML|VIAL|IJ|ML|.0867|04/01/2020|12/31/3999| | || | |
70594004501||J3370||01/01/2022|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2022|12/31/2022| | || | |
25021082005||J1030||01/08/2022|12/31/3999|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 200 MG/5|5|ML|VIAL|IJ|ML|1|01/08/2022|12/31/3999| | || | |
70594004502||J3370||01/01/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2022|12/31/3999| | || | |
25021082105||J1040||03/18/2022|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 400 MG/5|5|ML|VIAL|IJ|ML|1|03/18/2022|12/31/3999| | || | |
36000032601||J2469||02/21/2022|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|02/21/2022|12/31/3999| | || | |
42023023701||J3490||02/04/2022|06/30/2023|Unclassified drugs|VASOSTRICT 20 UNIT/100 ML V|100|ML|VIAL|IV|ML|1|02/04/2022|06/30/2023| | || | |
80203034701||C9094||07/01/2022|09/30/2022|Inj, sutimlimab-jome, 10 mg|ENJAYMO 1,100 MG/22 ML VIAL|22|ML|VIAL|IJ|ML|.2|07/01/2022|09/30/2022| | || | |
80203034701||J3590||03/16/2022|09/30/2022|Unclassified Biologics|ENJAYMO 1,100 MG/22 ML VIAL|22|ML|VIAL|IJ|ML|.2|03/16/2022|09/30/2022| | || | |
80446040101||C9095||07/01/2022|09/30/2022|Inj, tebentafusp-tebn, 1 mcg|KIMMTRAK 100 MCG/0.5 ML VIAL|.5|ML|VIAL|IV|ML|.005|07/01/2022|09/30/2022| | || | |
66794020242||J3490||07/15/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|07/15/2019|12/31/3999| | || | |
66794020302||J3490||07/15/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|07/15/2019|12/31/3999| | || | |
66794020502||J3490||07/15/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|07/15/2019|12/31/3999| | || | |
66794020541||J3490||07/15/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|07/15/2019|12/31/3999| | || | |
68001035322||J3490||06/28/2018|08/31/2022|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|F2|VIAL|IJ|AHF|1|06/28/2018|08/31/2022| | || | |
71288040703||J3490||08/05/2019|06/21/2024|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|08/05/2019|06/21/2024| | || | |
71288040704||J3490||08/05/2019|07/10/2024|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|08/05/2019|07/10/2024| | || | |
71288040806||J3490||08/05/2019|07/04/2024|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|08/05/2019|07/04/2024| | || | |
00703712103||J1631||12/11/2019|04/30/2023|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|12/11/2019|04/30/2023| | || | |
70594002603||J3490||10/17/2018|06/30/2021|Unclassified drugs|BACITRACIN 50,000 UNIT VIAL|1|UN|VIAL|IM|EA|1|10/17/2018|06/30/2021| | || | |
00143978401||J3490||10/20/2009|12/31/3999|Unclassified drugs|FLUMAZENIL 0.5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|10/20/2009|12/31/3999| | || | |
00338955324||J3490||06/07/2017|06/30/2023|Unclassified drugs|CLINDAMYCIN 900 MG/50 ML-NS|50|ML|BAG|IV|ML|1|06/07/2017|06/30/2023| | || | |
00409014421||J0456||06/26/2009|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN 500 MG ADD-VAN|1|UN|VIAL|IJ|EA|1|06/26/2009|12/31/3999| | || | |
00409110522||J3490||05/29/2013|12/31/3999|Unclassified drugs|ATRACURIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|05/29/2013|12/31/3999| | || | |
00409114462||J3490||10/28/2004|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409577911||J3490||10/28/2004|12/31/3999|Unclassified drugs|TPN ELECTROLYTES VIAL|20|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00517919125||S0017||11/06/2019|12/31/2022|Injection, aminocaproic acid, 5 grams|AMINOCAPROIC ACID 5 G/20 ML|20|ML|VIAL|IV|ML|20|11/06/2019|12/31/2022| | || | |
00703925809||J3490||04/23/2008|04/30/2023|Unclassified drugs|DILUENT FOR EPOPROSTENOL VI|50|ML|VIAL|IV|ML|1|04/23/2008|04/30/2023| | || | |
00781342292||J2370||09/06/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|09/06/2019|06/30/2023| | || | |
00990771503||J3490||07/12/2018|03/31/2023|Unclassified drugs|MANNITOL 20% IV SOLUTION|500|ML|FLEX CONT|IV|ML|1|07/12/2018|03/31/2023| | || | |
00990792261||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|150|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
70121163707||J3490||11/27/2019|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|11/27/2019|12/31/3999| | || | |
70860010041||J0456||03/09/2017|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|03/09/2017|12/31/3999| | || | |
71225012605||J3490||12/10/2019|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|1|12/10/2019|12/31/3999| | || | |
71225012606||J3490||12/10/2019|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|1|12/10/2019|12/31/3999| | || | |
71839010501||J2710||11/05/2019|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|11/05/2019|12/31/3999| | || | |
71863020206||J3490||12/03/2019|06/30/2023|Unclassified drugs|BIORPHEN 0.5 MG/5 ML AMPULE|5|ML|VIAL|IV|ML|1|12/03/2019|06/30/2023| | || | |
72266012801||J9245||11/01/2019|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|11/01/2019|12/31/3999| | || | |
62064024130||J3490||11/25/2019|03/31/2023|Unclassified drugs|EGRIFTA SV 2 MG VIAL|30|UN|VIAL|SQ|EA|1|11/25/2019|03/31/2023| | || | |
68001036622||J3489||01/16/2019|03/06/2022|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|GM|1.25|01/16/2019|03/06/2022| | || | |
24201058510||J0500||10/07/2019|10/31/2021|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|10/07/2019|10/31/2021| | || | |
63323084202||J0500||10/28/2019|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|10/28/2019|12/31/3999| | || | |
72611063925||J3490||02/02/2020|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 600 MG/4 ML|4|ML|VIAL|IJ|ML|1|02/02/2020|06/30/2023| | || | |
72611064201||J3490||02/02/2020|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 900 MG/6 ML|6|ML|VIAL|IJ|ML|1|02/02/2020|06/30/2023| | || | |
72611064225||J3490||02/02/2020|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 900 MG/6 ML|6|ML|VIAL|IJ|ML|1|02/02/2020|06/30/2023| | || | |
72611064555||J3490||02/02/2020|06/30/2023|Unclassified drugs|CLINDAMYCIN PH 9 G/60 ML VI|60|ML|VIAL|IJ|ML|1|02/02/2020|06/30/2023| | || | |
00990798309||J7050||07/12/2018|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|250|07/12/2018|12/31/3999| | || | |
00990798309||J7040||07/12/2018|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
00990798309||J7030||07/12/2018|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
00990798325||J7050||07/12/2018|07/08/2023|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|250|07/12/2018|07/08/2023| | || | |
00990798325||J7040||07/12/2018|07/08/2023|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|500|07/12/2018|07/08/2023| | || | |
00990798325||J7030||07/12/2018|05/01/2022|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/12/2018|05/01/2022| | || | |
00990795309||J7120||07/12/2018|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|1000|ML|BAG|IV|ML|1000|07/12/2018|12/31/3999| | || | |
00990792909||J7121||10/01/2018|12/31/3999|5% dextrose in lac ringers|DEXTROSE 5%-LR IV SOLUTION|1000|ML|FLEX CONT|IV|ML|1000|10/01/2018|12/31/3999| | || | |
66993021238||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NILUTAMIDE 150 MG TABLET|30|UN|BLIST PACK|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00781804701||Q0175||01/01/2011|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
64980029101||Q0175||01/15/2020|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/15/2020|12/31/3999| | || | |
00143936901||J9000||11/15/2016|11/30/2022|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|11/15/2016|11/30/2022| | || | |
00143937001||J9000||11/15/2016|12/31/2022|Injection, doxorubicin hydrochloride, 10 mg|ADRIAMYCIN 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|5|11/15/2016|12/31/2022| | || | |
00378728885||S4993||12/16/2019|12/31/3999|Contraceptive pills for birth control|NORETH-EE-FE 1.5-0.03MG(21)|28|UN|BLIST PACK|PO|TAB|1|12/16/2019|12/31/3999| | || | |
68180086673||S4993||04/07/2016|12/31/3999|Contraceptive pills for birth control|BLISOVI FE 1.5-30 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/07/2016|12/31/3999| | || | |
68180089173||S4993||07/01/2013|12/31/3999|Contraceptive pills for birth control|ENSKYCE 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/01/2013|12/31/3999| | || | |
68180089273||S4993||07/22/2013|12/01/2024|Contraceptive pills for birth control|PIRMELLA 7-7-7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|07/22/2013|12/01/2024| | || | |
70700012285||S4993||02/05/2020|12/31/3999|Contraceptive pills for birth control|VOLNEA 0.15-0.02-0.01 MG TA|28|UN|BLIST PACK|PO|TAB|1|02/05/2020|12/31/3999| | || | |
70700012387||S4993||01/02/2020|12/31/3999|Contraceptive pills for birth control|JAIMIESS 0.15-0.03-0.01 MG|91|UN|BLIST PACK|PO|TAB|1|01/02/2020|12/31/3999| | || | |
70710146301||J1631||01/17/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|01/17/2020|12/31/3999| | || | |
70710146401||J1631||01/17/2020|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 500 MG/5 ML|5|ML|VIAL|IM|ML|.5|01/17/2020|12/31/3999| | || | |
00338042418||J1644||04/01/1995|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 1,000 UNIT/500 ML-N|500|ML|BAG|IV|ML|500|04/01/1995|12/31/3999| | || | |
63323026203||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|04/01/1998|12/31/3999| | || | |
63323054005||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
71288040230||J1644||09/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|09/01/2019|12/31/3999| | || | |
16714000601||J1650||03/12/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|03/12/2020|12/31/3999| | || | |
16714001601||J1650||03/03/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|03/03/2020|12/31/3999| | || | |
16714001610||J1650||03/03/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|03/03/2020|12/31/3999| | || | |
16714002601||J1650||02/12/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/12/2020|12/31/3999| | || | |
16714002610||J1650||02/12/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|02/12/2020|12/31/3999| | || | |
16714003610||J1650||02/12/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|02/12/2020|12/31/3999| | || | |
00409230504||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409230516||J2250||10/28/2004|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
72572043025||J2250||12/10/2019|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|EA|1|12/10/2019|12/31/3999| | || | |
72572043210||J2250||12/10/2019|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 5 MG/5 ML VIA|5|ML|VIAL|IJ|EA|1|12/10/2019|12/31/3999| | || | |
63323045200||J2270||04/01/2014|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 2 MG/ML VI|1|ML|VIAL|IJ|ML|5|04/01/2014|12/31/3999| | || | |
72572044025||J2270||11/11/2019|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE SULFATE 4 MG/ML VI|1|ML|VIAL|IV|EA|2.5|11/11/2019|12/31/3999| | || | |
72893000201||J9032||02/04/2020|12/31/3999|Injection, belinostat, 10mg|BELEODAQ 500 MG VIAL|1|UN|VIAL|IV|EA|.02|02/04/2020|12/31/3999| | || | |
69448000512||J9045||02/12/2020|12/31/3999|Injection, carboplatin, 50 mg|PARAPLATIN 600 MG/60 ML VIA|60|ML|VIAL|IV|ML|5|02/12/2020|12/31/3999| | || | |
69448000534||J9045||02/12/2020|12/31/3999|Injection, carboplatin, 50 mg|PARAPLATIN 450 MG/45 ML VIA|45|ML|VIAL|IV|ML|5|02/12/2020|12/31/3999| | || | |
23155064941||J9050||11/09/2006|12/31/3999|Injection, carmustine, 100 mg|CARMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|1|11/09/2006|12/31/3999| | || | |
72485021504||J9171||02/07/2020|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.02|02/07/2020|12/31/3999| | || | |
72485021608||J9171||02/07/2020|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.05|02/07/2020|12/31/3999| | || | |
68001035937||J9201||09/26/2018|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 2 GRAM/20 M|20|ML|VIAL|IV|ML|2|09/26/2018|12/31/3999| | || | |
68001042485||J9395||03/05/2020|07/31/2022|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|03/05/2020|07/31/2022| | || | |
70860021141||J9395||03/17/2020|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|EA|.5|03/17/2020|12/31/3999| | || | |
00781804601||Q0175||01/01/2011|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 2 MG TABLET|100|UN|BOTTLE|PO|TAB|2|01/01/2011|12/31/3999| | || | |
00781804901||Q0175||01/01/2011|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 16 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|01/01/2011|12/31/3999| | || | |
64980029301||Q0175||01/15/2020|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 16 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|01/15/2020|12/31/3999| | || | |
63459030343||Q5113||07/01/2020|12/31/3999|Inj, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg|HERZUMA 150 MG VIAL|1|UN|VIAL|IV|ML|.0067|07/01/2020|12/31/3999| | || | |
25021011504||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 600 MG/4 ML VL|4|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
55150017230||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
63323065210||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL HCL 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00409116502||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
55150016710||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
55150016910||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
55150017110||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00517102025||J2599||07/01/2023|12/31/3999|Injection, vasopressin (american regent) not therapeutically equivalent to j2598, 1 unit|VASOPRESSIN 20 UNITS/ML VIAL|1|ML|VIAL|IJ|ML|.05|07/01/2023|12/31/3999| | || | |
10019011501||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|BREVIBLOC 10 MG/ML VIAL|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
10019012039||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL HCL 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
63323046417||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
25021011506||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 900 MG/6 ML VL|6|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
67457018750||J0206||07/01/2023|12/31/3999|Injection, allopurinol sodium, 1 mg|ALOPRIM 500 MG VIAL|1|UN|VIAL|IV|EA|.002|07/01/2023|12/31/3999| | || | |
00009087026||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 150 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00009090218||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 150 MG/ML VIAL|6|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
63323040224||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/01/2023|12/31/3999| | || | |
00781329091||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
25021011551||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 9 G/60 ML VIAL|60|ML|BOTTLE|IJ|ML|2|07/01/2023|12/31/3999| | || | |
76329330101||J3490||11/29/2012|08/31/2023|Unclassified drugs|DEXTROSE 50%-WATER SYRINGE|50|ML|SYRINGE|IV|ML|50|11/29/2012|08/31/2023| | || | |
25021011502||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 300 MG/2 ML VL|2|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00009090211||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 150 MG/ML VIAL|6|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00264553532||J1836||07/01/2023|12/31/3999|Injection, metronidazole, 10 mg|METRONIDAZOLE (150 ML PAB CONTAINER) 500 MG/100 ML|100|ML|FC|IV|ML|2|07/01/2023|12/31/3999| | || | |
00409116201||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00409155910||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409158750||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409115901||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409116202||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00409158210||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00409226754||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 5 MG/ML VIAL|40|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
63323040120||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|07/01/2023|12/31/3999| | || | |
70594006401||J2370||04/05/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|EA|1|04/05/2022|06/30/2023| | || | |
70594006402||J2370||04/05/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|EA|1|04/05/2022|06/30/2023| | || | |
70594006501||J2370||04/05/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|EA|1|04/05/2022|06/30/2023| | || | |
70594006502||J2370||04/05/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|EA|1|04/05/2022|06/30/2023| | || | |
71288041403||J3490||06/22/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|06/22/2022|12/31/3999| | || | |
71288041521||J3490||06/10/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|20|06/10/2022|12/31/3999| | || | |
71839011825||J1644||02/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|VIAL|IJ|ML|.1|02/01/2022|12/31/3999| | || | |
81284041100||J1110||05/27/2022|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML A|1|ML|AMPUL|IJ|ML|1|05/27/2022|12/31/3999| | || | |
81565020101||J1940||04/01/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/01/2022|12/31/3999| | || | |
81565020301||J1644||04/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
81565020302||J1644||04/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
50458061201||J3490||10/04/2021|06/30/2023|Unclassified drugs|INVEGA HAFYERA 1,560 MG/5 M|5|ML|SYRINGE|IM|ML|3.5|10/04/2021|06/30/2023| | || | |
70700028622||J2675||06/27/2022|12/31/3999|Injection, progesterone, per 50 mg|PROGESTERONE 500 MG/10 ML V|10|ML|VIAL|IM|ML|1|06/27/2022|12/31/3999| | || | |
70710168802||J9395||05/04/2022|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|05/04/2022|12/31/3999| | || | |
70710168808||J9395||05/04/2022|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|05/04/2022|12/31/3999| | || | |
65162046932||J7295||12/12/2019|12/31/3999|Eth estr and eton monthly .015mg/.12mg|ELURYNG VAGINAL RING|1|UN|PACKET|VG|EA|1|12/12/2019|12/31/3999| | || | |
00173090442||J2182||06/27/2022|12/31/3999|Injection, mepolizumab, 1mg|NUCALA 40 MG/0.4 ML SYRINGE|0.4|ML|SYRINGE|SQ|ML|.01|06/27/2022|12/31/3999| | || | |
00069028403||J8999||03/30/2020|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IBRANCE 75 MG TABLET|21|UN|BLIST PACK|PO|TAB|1|03/30/2020|12/31/3999| | || | |
00069048603||J8999||03/30/2020|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IBRANCE 100 MG TABLET|21|UN|BLIST PACK|PO|TAB|1|03/30/2020|12/31/3999| | || | |
00078107766||J8999||04/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VOTRIENT 200 MG TABLET|120|UN|BOTTLE|PO|TAB|1|04/01/2022|12/31/3999| | || | |
00093766256||J8999||04/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 25 MG TABLET|30|UN|BOTTLE|PO|TAB|1|04/01/2022|12/31/3999| | || | |
16714067801||J8999||06/14/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 37.5 MG CA|28|UN|BOTTLE|PO|CAP|1|06/14/2022|12/31/3999| | || | |
16714067901||J8999||06/14/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 50 MG CAPS|28|UN|BOTTLE|PO|CAP|1|06/14/2022|12/31/3999| | || | |
16714080901||J3490||08/16/2018|12/31/3999|Unclassified drugs|NEW DAY 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|2.25|08/16/2018|12/31/3999| | || | |
27808005102||Q0169||05/23/2022|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 6.25 MG/5 ML S|473|ML|BOTTLE|PO|ML|10|05/23/2022|12/31/3999| | || | |
63739014310||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 10 MG TABLET|100|UN|BLIST PACK|PO|TAB|1|01/01/2022|12/31/3999| | || | |
64380016001||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 40 MG/ML SUS|240|ML|BOTTLE|PO|ML|1|01/01/2022|12/31/3999| | || | |
69452035001||Q0166||04/21/2022|12/31/3999|Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emeti...|GRANISETRON HCL 1 MG TABLET|2|UN|BLIST PACK|PO|TAB|1|04/21/2022|12/31/3999| | || | |
70255002501||J8999||08/01/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BRAFTOVI 75 MG CAPSULE|90|UN|BOTTLE|PO|CAP|1|08/01/2018|12/31/3999| | || | |
00143909301||J9000||04/01/2022|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 50 MG VIAL|1|UN|VIAL|IV|EA|.2|04/01/2022|12/31/3999| | || | |
23155068631||J2354||11/22/2022|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE 5,000 MCG/5 ML V|5|ML|VIAL|IJ|ML|.025|11/22/2022|12/31/3999| | || | |
23155068741||J2354||11/22/2022|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML V|1|ML|VIAL|IJ|ML|.5|11/22/2022|12/31/3999| | || | |
23155068931||J2354||11/22/2022|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML|1|ML|VIAL|IJ|ML|.05|11/22/2022|12/31/3999| | || | |
23155068941||J2354||11/22/2022|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML|1|ML|VIAL|IJ|ML|.05|11/22/2022|12/31/3999| | || | |
25021013182||J3490||10/01/2022|06/30/2023|Unclassified drugs|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|500|10/01/2022|06/30/2023| | || | |
25021019011||J2248||10/01/2022|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|10/01/2022|12/31/3999| | || | |
25021031720||J3490||10/14/2022|06/30/2023|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|10/14/2022|06/30/2023| | || | |
43598005311||J2597||10/03/2022|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN 40 MCG/10 ML V|10|ML|VIAL|IJ|ML|.25|10/03/2022|12/31/3999| | || | |
51224001210||J2760||10/01/2022|12/31/3999|Injection, phentolamine mesylate, up to 5 mg|PHENTOLAMINE 5 MG VIAL|1|UN|VIAL|IJ|EA|1|10/01/2022|12/31/3999| | || | |
51754500104||J3490||10/01/2022|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|ML|50|10/01/2022|12/31/3999| | || | |
55150032925||J1050||12/22/2022|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.0067|12/22/2022|12/31/3999| | || | |
55150033001||J1050||12/22/2022|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IM|ML|.0067|12/22/2022|12/31/3999| | || | |
55150036025||J0780||11/30/2022|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|11/30/2022|12/31/3999| | || | |
55150038401||J3301||12/30/2022|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 200 MG/5|5|ML|VIAL|IJ|ML|.25|12/30/2022|12/31/3999| | || | |
55150038501||J3301||12/30/2022|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 400 MG/1|10|ML|VIAL|IJ|ML|.25|12/30/2022|12/31/3999| | || | |
63323038501||J3490||10/01/2022|12/31/3999|Unclassified drugs|CEFOTETAN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|10/01/2022|12/31/3999| | || | |
63323042601||J3490||10/01/2022|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|10|10/01/2022|12/31/3999| | || | |
63323042602||J3490||10/01/2022|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|10/01/2022|12/31/3999| | || | |
63323046202||J3490||10/01/2022|12/31/3999|Unclassified drugs|SENSORCN-MPF 0.5%-EPI 1:200|30|ML|VIAL|IJ|ML|30|10/01/2022|12/31/3999| | || | |
63323050701||J2185||10/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|10/01/2022|12/31/3999| | || | |
63323050801||J2185||10/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|10/01/2022|12/31/3999| | || | |
63323050821||J2185||10/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|10/01/2022|12/31/3999| | || | |
63323050845||J2185||10/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|10/01/2022|12/31/3999| | || | |
63323051701||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/250-1/2|250|ML|BAG|IV|ML|10|10/01/2022|12/31/3999| | || | |
63323051801||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/500-1/2|500|ML|BAG|IV|ML|20|10/01/2022|12/31/3999| | || | |
63323052201||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/500 ML-|500|ML|BAG|IV|ML|20|10/01/2022|12/31/3999| | || | |
63323052301||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/250 ML-|250|ML|BAG|IV|ML|10|10/01/2022|12/31/3999| | || | |
63323061400||J0360||10/01/2022|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
63323061421||J0360||10/01/2022|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
63323062406||J3490||10/01/2022|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|100|ML|FLEX CONT|IV|ML|100|10/01/2022|12/31/3999| | || | |
63323062407||J7070||10/01/2022|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|500|10/01/2022|12/31/3999| | || | |
73150015006||J2329||07/01/2023|12/31/3999|Injection, ublituximab-xiiy, 1mg|BRIUMVI 150 MG/6 ML VIAL|6|ML|VIAL|IV|ML|.04|07/01/2023|12/31/3999| | || | |
62756030101||J2561||07/01/2023|12/31/3999|Injection, phenobarbital sodium (sezaby), 1 mg|SEZABY 100 MG VIAL|1|UN|VIAL|IV|GM|.01|07/01/2023|12/31/3999| | || | |
65219037110||Q5127||07/01/2023|12/31/3999|Injection, pegfilgrastimfpgk (stimufend), biosimilar, 0.5 mg|STIMUFEND 6 MG/0.6 ML SYRIN|0.6|ML|SYRINGE|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
63323040121||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|07/01/2023|12/31/3999| | || | |
63323040141||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|07/01/2023|12/31/3999| | || | |
63323040201||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/01/2023|12/31/3999| | || | |
00143933101||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00143933401||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00143933410||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
63323046608||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00143933201||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00143933510||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00409116518||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
57894045001||J9380||07/01/2023|12/31/3999|Injection, teclistamab-cqyv, 0.5 mg|TECVAYLI 153 MG/1.7 ML VIAL|1.7|ML|VIAL|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
73650031601||J9381||07/01/2023|12/31/3999|Injection, teplizumab-mzwv, 5 mcg|TZIELD 2 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.005|07/01/2023|12/31/3999| | || | |
73650031610||J9381||07/01/2023|12/31/3999|Injection, teplizumab-mzwv, 5 mcg|TZIELD 2 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.005|07/01/2023|12/31/3999| | || | |
73650031614||J9381||07/01/2023|12/31/3999|Injection, teplizumab-mzwv, 5 mcg|TZIELD 2 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.005|07/01/2023|12/31/3999| | || | |
00143932801||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00143932810||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409963015||J0461||07/01/2019|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.25 MG/5 ML SYRIN|5|ML|SYRINGE|U|ML|.2|07/01/2019|12/31/3999| | || | |
25021031740||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
43598017205||J2372||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride (biorphen), 20 micrograms|BIORPHEN 500 MCG/5 ML AMPUL|5|ML|AMPUL|IV|ML|.2|07/01/2023|12/31/3999| | || | |
43598017215||J2372||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride (biorphen), 20 micrograms|BIORPHEN 500 MCG/5 ML AMPUL|5|ML|AMPUL|IV|ML|.2|07/01/2023|12/31/3999| | || | |
63323040001||J1953||01/01/2023|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|01/01/2023|12/31/3999| | || | |
00143933001||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
63323046408||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
36000031001||J2310||03/20/2023|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|1|2.5|03/20/2023|12/31/3999| | || | |
50090649100||J2310||06/02/2023|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|1|1|06/02/2023|12/31/3999| | || | |
60842000202||J2310||01/02/2023|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 10 MG AUTO-INJECTO|0.4|ML|SYRINGE|IJ|1|1|01/02/2023|12/31/3999| | || | |
63323087550||J1455||07/01/2023|12/31/3999|Injection, foscarnet sodium, per 1000 mg|FOSCARNET 6,000 MG/250 ML B|250|ML|BOTTLE|IV|ML|41.667|07/01/2023|12/31/3999| | || | |
65219040303||J3490||01/01/2023|12/31/3999|Unclassified drugs|ZINC SULFATE 30 MG/10 ML VI|10|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
63323046557||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
63323046637||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
63323046757||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
63323047237||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00781328909||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 600 MG/50 ML|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
00641614225||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00409155930||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409226720||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 5 MG/ML VIAL|20|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00409233934||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 20 MG/4 ML CRPJ|4|ML|SYRINGE|IV|ML|1|07/01/2023|12/31/3999| | || | |
63323046617||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
63323047217||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00409781124||J1836||07/01/2023|04/01/2024|Injection, metronidazole, 10 mg|METRONIDAZOLE (S.D.V.,LATEX-FREE) 500 MG/100 ML|100|ML|FC|IV|ML|2|07/01/2023|04/01/2024| | || | |
10019011539||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|BREVIBLOC 10 MG/ML VIAL|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
70504028205||J7213||07/01/2023|12/31/3999|Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.|IXINITY 500 UNIT RANGE|1|F2|VIAL|IV|AHF|1|07/01/2023|12/31/3999| | || | |
42023016401||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOSTRICT 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
70121157901||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00143932001||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|07/02/2023| | || | |
00338361224||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
00338361624||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
00338381424||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
00338411450||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
00338954550||J0737||07/01/2023|12/31/3999|Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg|CLINDAMYCIN 300 MG/50 ML-NS|50|ML|BAG|IV|ML|50|07/01/2023|12/31/3999| | || | |
00338955350||J0737||07/01/2023|12/31/3999|Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg|CLINDAMYCIN 900 MG/50 ML-NS|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
00641622901||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
44567081110||J1806||07/01/2023|12/31/3999|Injection, esmolol hydrochloride (wg critical care) not therapeutically equivalent to j1805, 10 mg|ESMOLOL-WATER 2,500 MG/250|250|ML|BAG|IV|ML|1|07/01/2023|12/31/3999| | || | |
44567081210||J1806||07/01/2023|12/31/3999|Injection, esmolol hydrochloride (wg critical care) not therapeutically equivalent to j1805, 10 mg|ESMOLOL-WATER 2,000 MG/100|100|ML|BAG|IV|ML|.5|07/01/2023|12/31/3999| | || | |
00169320111||J1812||07/01/2023|12/31/3999|Insulin (fiasp), per 5 units|FIASP 100 UNIT/ML VIAL|10|ML|VIAL|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
70700016822||J3490||01/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|20|01/01/2023|12/31/3999| | || | |
00143939301||J3490||06/10/2022|12/31/3999|Unclassified drugs|REMIFENTANIL 5 MG VIAL|1|UN|VIAL|IV|EA|25|06/10/2022|12/31/3999| | || | |
00143939310||J3490||06/10/2022|12/31/3999|Unclassified drugs|REMIFENTANIL 5 MG VIAL|1|UN|VIAL|IV|EA|25|06/10/2022|12/31/3999| | || | |
00264194420||J3480||04/01/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 2 MEQ/ML CONC|250|ML|FLEX CONT|IV|ML|1|04/01/2022|12/31/3999| | || | |
00409015224||J3490||01/11/2022|06/30/2023|Unclassified drugs|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|100|01/11/2022|06/30/2023| | || | |
00480451401||J9305||05/31/2022|12/31/2022|Injection, pemetrexed, 10 mg|PEMETREXED 500 MG/20 ML VIA|20|ML|VIAL|IV|ML|.4|05/31/2022|12/31/2022| | || | |
00480451501||J9305||05/31/2022|12/31/2022|Injection, pemetrexed, 10 mg|PEMETREXED 1 GM/40 ML VIAL|40|ML|VIAL|IV|ML|.4|05/31/2022|12/31/2022| | || | |
00781351876||J9305||06/08/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG/|4|ML|VIAL|IV|ML|.4|06/08/2022|03/31/2023| | || | |
00781351990||J9305||06/08/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500MG/2|20|ML|VIAL|IV|ML|.4|06/08/2022|03/31/2023| | || | |
14789010810||J3480||04/01/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/100 ML|100|ML|FLEX CONT|IV|ML|10|04/01/2022|12/31/3999| | || | |
14789011605||J1364||04/18/2022|12/31/3999|Injection, erythromycin lactobionate, per 500 mg|ERYTHROMYCIN LACT 500 MG VI|1|UN|VIAL|IV|EA|1|04/18/2022|12/31/3999| | || | |
16729022903||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|05/25/2022|12/31/3999| | || | |
16729023011||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|05/25/2022|12/31/3999| | || | |
25021017750||J2543||04/07/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|04/07/2022|12/31/3999| | || | |
25021061010||J2710||05/06/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|05/06/2022|12/31/3999| | || | |
25021061110||J2710||05/06/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|05/06/2022|12/31/3999| | || | |
44567050101||J1953||04/01/2022|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|ML|2|04/01/2022|12/31/3999| | || | |
44567050201||J1953||04/01/2022|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|ML|1|04/01/2022|12/31/3999| | || | |
65219000850||J3480||04/27/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/50 ML S|50|ML|BAG|IV|ML|5|04/27/2022|12/31/3999| | || | |
65219001201||J3480||04/27/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/100 ML|100|ML|BAG|IV|ML|20|04/27/2022|12/31/3999| | || | |
65219016210||J0610||04/27/2022|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|10|04/27/2022|03/31/2023| | || | |
65219016401||J0610||04/27/2022|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|10|04/27/2022|03/31/2023| | || | |
65219016450||J0610||04/27/2022|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|10|04/27/2022|03/31/2023| | || | |
65219038030||J3490||05/17/2022|06/30/2023|Unclassified drugs|ALLOPURINOL SODIUM 500 MG V|1|UN|VIAL|IV|EA|1|05/17/2022|06/30/2023| | || | |
68516361002||J7193||01/01/2022|12/31/3999|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2022|12/31/3999| | || | |
68516361202||J7193||01/01/2022|12/31/3999|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 1,500 UNIT VIA|1|F2|VIAL|IV|AHF|1|01/01/2022|12/31/3999| | || | |
68516461701||J7186||01/01/2022|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 500-200 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2022|12/31/3999| | || | |
68516461802||J7186||01/01/2022|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 1,000-400 UNIT VI|1|F2|VIAL|IV|AHF|1|01/01/2022|12/31/3999| | || | |
69784084005||J3490||05/23/2022|12/31/3999|Unclassified drugs|SELENIOUS ACID 400 MCG/10 M|10|ML|VIAL|IV|ML|1|05/23/2022|12/31/3999| | || | |
70121147901||J2710||10/01/2019|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|10/01/2019|12/31/3999| | || | |
70121175401||C9142||10/01/2022|12/31/2022|Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg|ALYMSYS 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|10/01/2022|12/31/2022| | || | |
63323062407||J7060||10/01/2022|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|500|10/01/2022|12/31/3999| | || | |
63323066901||J3490||11/11/2022|12/31/3999|Unclassified drugs|KCL 20 MEQ/L IN D5W SOLUTIO|1000|ML|BAG|IV|ML|1000|11/11/2022|12/31/3999| | || | |
63323068310||J3490||11/11/2022|12/31/3999|Unclassified drugs|POTASSIUM CL 20 MEQ-0.45% N|1000|ML|FLEX CONT|IV|ML|1000|11/11/2022|12/31/3999| | || | |
63323068610||J3490||11/11/2022|12/31/3999|Unclassified drugs|POTASSIUM CL 20 MEQ/1,000ML|1000|ML|BOX|IV|ML|1000|11/11/2022|12/31/3999| | || | |
63323068810||J3490||11/11/2022|12/31/3999|Unclassified drugs|POTASSIUM CL 40 MEQ/1,000ML|1000|ML|BOX|IV|ML|1000|11/11/2022|12/31/3999| | || | |
63323078223||J3490||10/01/2022|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|400|10/01/2022|12/31/3999| | || | |
63323081522||J0278||10/01/2022|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1,000 MG/4 ML|4|ML|VIAL|IJ|ML|.4|10/01/2022|12/31/3999| | || | |
63323088401||J3490||10/01/2022|12/31/3999|Unclassified drugs|SODIUM PHOSPHATE 15 MMOL/5|5|ML|VIAL|IV|ML|5|10/01/2022|12/31/3999| | || | |
63323096321||J0132||10/01/2022|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|10/01/2022|12/31/3999| | || | |
64679075910||J1940||10/01/2022|06/30/2023|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/01/2022|06/30/2023| | || | |
64679075911||J1940||10/01/2022|06/30/2023|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|10/01/2022|06/30/2023| | || | |
65219020401||J3490||12/12/2022|12/31/3999|Unclassified drugs|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|12/12/2022|12/31/3999| | || | |
65219022810||J3490||10/01/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|100|ML|FLEX CONT|IV|ML|100|10/01/2022|12/31/3999| | || | |
65219055202||J9307||10/01/2022|12/31/3999|Injection, pralatrexate, 1 mg|PRALATREXATE 40 MG/2 ML VIA|2|ML|VIAL|IV|ML|.05|10/01/2022|12/31/3999| | || | |
65250000301||J3304||12/06/2022|12/31/3999|Inj, triamcinolone acetonide, PF, ER, 1 mg|ZILRETTA 32 MG VIAL|1|UN|VIAL|IU|EA|.0313|12/06/2022|12/31/3999| | || | |
68001044758||J2185||10/01/2022|08/31/2023|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.01|10/01/2022|08/31/2023| | || | |
68001050959||J3420||10/01/2022|03/31/2023|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|10/01/2022|03/31/2023| | || | |
68001054441||J9305||10/27/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|10/27/2022|12/31/3999| | || | |
68516521609||P9047||10/01/2022|12/31/3999|ALBUMIN (HUMAN), 25%, 50 ML|ALBUTEIN 25% IV SOLUTION|50|ML|FLEX CONT|IV|ML|50|10/01/2022|12/31/3999| | || | |
69097016832||J7605||10/01/2022|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|10/01/2022|12/31/3999| | || | |
72266016301||J3260||10/01/2022|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.0667|10/01/2022|12/31/3999| | || | |
72266024201||C9254||12/01/2022|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|12/01/2022|12/31/3999| | || | |
72266024205||C9254||12/01/2022|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|12/01/2022|12/31/3999| | || | |
72485040901||J2700||10/17/2022|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|10/17/2022|12/31/3999| | || | |
72572005501||J0690||10/18/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|10/18/2022|12/31/3999| | || | |
72572005525||J0690||10/18/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|10/18/2022|12/31/3999| | || | |
72572005601||J0690||10/01/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|10/01/2022|12/31/3999| | || | |
72572005610||J0690||10/01/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|10/01/2022|12/31/3999| | || | |
72572016101||J3490||10/01/2022|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|10/01/2022|12/31/3999| | || | |
72572016110||J3490||10/01/2022|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|10/01/2022|12/31/3999| | || | |
72611086001||J0132||11/01/2022|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|11/01/2022|12/31/3999| | || | |
72611086004||J0132||11/01/2022|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|11/01/2022|12/31/3999| | || | |
63323011701||J9190||04/01/2021|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1 GRAM/20 ML V|20|ML|VIAL|IV|ML|10|04/01/2021|12/31/3999| | || | |
76329331801||J0171||01/31/2023|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 1 MG/10 ML LUER|10|ML|SYRINGE|IJ|ML|1|01/31/2023|12/31/3999| | || | |
63323040203||J0457||04/01/2022|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|.05|04/01/2022|12/31/3999| | || | |
59353040709||J0888||01/06/2023|12/31/3999|Epoetin beta non-esrd use|MIRCERA 120 MCG/0.3 ML SYRI|0.3|ML|SYRINGE|IJ|ML|.0025|01/06/2023|12/31/3999| | || | |
00143928901||J1380||02/08/2023|12/31/3999|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 50 MG/5|5|ML|VIAL|IM|ML|1|02/08/2023|12/31/3999| | || | |
76045010800||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML S|1|ML|SYRINGE|IJ|ML|1000|01/01/2023|12/31/3999| | || | |
63323056663||J1650||01/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|01/01/2023|12/31/3999| | || | |
63323056665||J1650||01/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|01/01/2023|12/31/3999| | || | |
63323058663||J1650||01/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|01/01/2023|12/31/3999| | || | |
63323058665||J1650||01/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|01/01/2023|12/31/3999| | || | |
16714009505||J7614||01/01/2023|07/31/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|01/01/2023|07/31/2023| | || | |
16714009605||J7614||01/01/2023|07/31/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|01/01/2023|07/31/2023| | || | |
72572007424||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN 600 MG/50 ML-D5|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
72572007601||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN 900 MG/50 ML-D5|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
72572007624||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN 900 MG/50 ML-D5|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
00409015201||J1836||07/01/2023|12/31/3999|Injection, metronidazole, 10 mg|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|2|07/01/2023|12/31/3999| | || | |
71863020205||J2372||07/01/2023|03/24/2025|Injection, phenylephrine hydrochloride (biorphen), 20 micrograms|BIORPHEN 500 MCG/5 ML AMPUL|5|ML|AMPUL|IV|ML|.2|07/01/2023|03/24/2025| | || | |
81284021300||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00143938601||J0137||07/01/2023|12/31/3999|Injection, acetaminophen (hikma) not therapeutically equivalent to J0131, 10 mg|ACETAMINOPHEN 1000MG/100ML|100|ML|FLEX CONT|IV|ML|1|07/01/2023|12/31/3999| | || | |
00409082901||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|07/01/2023|12/31/3999| | || | |
63323046603||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
16729046408||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|25|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
16729046463||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
16729046503||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|50|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
16729046531||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
16729046603||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
59137028305||J7213||07/01/2023|12/31/3999|Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.|IXINITY 1,000 UNIT RANGE|1|UN|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
47426040101||C9145||07/01/2023|12/31/3999|Injection, aprepitant, (aponvie), 1 mg|APONVIE 32 MG/4.4 ML VIAL|4.4|ML|VIAL|IV|ML|.1375|07/01/2023|12/31/3999| | || | |
47426040101||J3490||07/01/2023|12/31/3999|Unclassified drugs|APONVIE 32 MG/4.4 ML VIAL|4.4|ML|VIAL|IV|ML|.1375|07/01/2023|12/31/3999| | || | |
72572006701||J3490||01/01/2023|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|20|01/01/2023|12/31/3999| | || | |
65219023401||J3490||01/01/2023|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|50|ML|FLEX CONT|IV|ML|50|01/01/2023|12/31/3999| | || | |
65219023410||J3490||01/01/2023|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|50|ML|FLEX CONT|IV|ML|50|01/01/2023|12/31/3999| | || | |
00409341210||J2185||01/01/2023|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|01/01/2023|12/31/3999| | || | |
71288002911||J2248||01/01/2023|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|01/01/2023|12/31/3999| | || | |
71288002811||J2248||01/01/2023|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|01/01/2023|12/31/3999| | || | |
71839010610||J2710||01/01/2023|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|01/01/2023|12/31/3999| | || | |
70700017122||J2710||01/01/2023|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
70756062025||J1940||04/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
72078004609||J0282||04/01/2023|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 450 MG/9 ML VIAL|9|ML|VIAL|IV|ML|.6|04/01/2023|12/31/3999| | || | |
25021022610||J9017||04/01/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|04/01/2023|12/31/3999| | || | |
25021022706||J9017||04/01/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|04/01/2023|12/31/3999| | || | |
70710189506||J9017||04/01/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|04/01/2023|12/31/3999| | || | |
70710189601||J9017||04/01/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|04/01/2023|12/31/3999| | || | |
70710189606||J9017||04/01/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|04/01/2023|12/31/3999| | || | |
00409330024||J0744||04/01/2023|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACIN 400 MG/200ML-|200|ML|BAG|IV|ML|100|04/01/2023|12/31/3999| | || | |
25021019287||J0744||04/01/2023|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACIN 400 MG/200ML-|200|ML|BAG|IV|ML|100|04/01/2023|12/31/3999| | || | |
68001056422||J9070||01/01/2023|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM/5 ML|5|ML|VIAL|IV|ML|.5|01/01/2023|12/31/3999| | || | |
71839013710||J3490||04/01/2023|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|04/01/2023|12/31/3999| | || | |
81298501001||J3490||10/01/2022|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|10/01/2022|12/31/3999| | || | |
81298501005||J3490||04/01/2023|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|04/01/2023|12/31/3999| | || | |
00517117101||J0171||01/01/2023|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|01/01/2023|12/31/3999| | || | |
00517117110||J0171||01/01/2023|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 1 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|01/01/2023|12/31/3999| | || | |
25021050201||J3420||04/01/2023|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
00409140101||J2785||01/01/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|ML|1.25|01/01/2023|12/31/3999| | || | |
00409140105||J2785||01/01/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|ML|1.25|01/01/2023|12/31/3999| | || | |
16729047731||J2785||01/01/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|ML|1.25|01/01/2023|12/31/3999| | || | |
60505611600||J2785||01/01/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|ML|1.25|01/01/2023|12/31/3999| | || | |
71288020185||J2785||01/01/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|EA|1.25|01/01/2023|12/31/3999| | || | |
31722021010||J3370||01/01/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.5|01/01/2023|12/31/3999| | || | |
76204002602||J7605||01/01/2023|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|01/01/2023|12/31/3999| | || | |
70121175401||J9999||10/01/2022|12/31/2022|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|ALYMSYS 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|10/01/2022|12/31/2022| | || | |
70121175501||C9142||10/01/2022|12/31/2022|Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg|ALYMSYS 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.4|10/01/2022|12/31/2022| | || | |
70121175501||J9999||10/01/2022|12/31/2022|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|ALYMSYS 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.4|10/01/2022|12/31/2022| | || | |
70436019082||J3490||05/17/2022|12/31/3999|Unclassified drugs|ESOMEPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|05/17/2022|12/31/3999| | || | |
70594006901||J2710||04/19/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|EA|1|04/19/2022|12/31/3999| | || | |
70594006902||J2710||04/19/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|EA|1|04/19/2022|12/31/3999| | || | |
70594007202||J2710||04/19/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|EA|.5|04/19/2022|12/31/3999| | || | |
71225012602||J3490||01/01/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|50|01/01/2022|12/31/3999| | || | |
71225012603||J3490||01/01/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|100|01/01/2022|12/31/3999| | || | |
71288016750||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|ML|.02|05/25/2022|12/31/3999| | || | |
72266023601||J3490||02/07/2022|12/31/3999|Unclassified drugs|SOD PHENYLACET-SOD BENZOATE|20|ML|VIAL|IV|ML|1|02/07/2022|12/31/3999| | || | |
00078082760||J0179||04/01/2022|12/31/3999|Inj, brolucizumab-dbll, 1 mg|BEOVU 6 MG/0.05 ML SYRINGE|0.05|ML|SYRINGE|IO|ML|.0083|04/01/2022|12/31/3999| | || | |
00003712511||J9298||10/01/2022|12/31/3999|Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg|OPDUALAG 240-80 MG/20 ML VI|20|ML|VIAL|IV|ML|20|10/01/2022|12/31/3999| | || | |
00409117401||J3490||04/01/2022|12/31/3999|Unclassified drugs|PRECEDEX 400 MCG/100 ML BOT|100|ML|BOTTLE|IV|ML|100|04/01/2022|12/31/3999| | || | |
00409117410||J3490||04/01/2022|12/31/3999|Unclassified drugs|PRECEDEX 400 MCG/100 ML BOT|100|ML|BOTTLE|IV|ML|100|04/01/2022|12/31/3999| | || | |
00409204501||J2260||04/01/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|25|04/01/2022|12/31/3999| | || | |
00409204510||J2260||04/01/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|25|04/01/2022|12/31/3999| | || | |
00480451601||J9305||06/02/2022|12/31/2022|Injection, pemetrexed, 10 mg|PEMETREXED 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|06/02/2022|12/31/2022| | || | |
16729024438||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM VI|1|UN|VIAL|IV|EA|.01|05/25/2022|12/31/3999| | || | |
24979071051||J9264||04/01/2022|05/31/2025|Injection, paclitaxel protein-bound particles, 1 mg|PACLITAXEL PROTEIN-BOUND 10|1|UN|VIAL|IV|EA|.01|04/01/2022|05/31/2025| | || | |
25021017520||J2543||04/08/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|04/08/2022|12/31/3999| | || | |
25021079120||C9254||04/13/2022|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|04/13/2022|12/31/3999| | || | |
31722016531||J1453||04/04/2022|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|ML|.0067|04/04/2022|12/31/3999| | || | |
43066099701||J3490||06/07/2022|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|06/07/2022|12/31/3999| | || | |
43066099710||J3490||06/07/2022|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|06/07/2022|12/31/3999| | || | |
43598012811||J2930||04/04/2022|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 500 M|1|UN|VIAL|IV|EA|.25|04/04/2022|12/31/3999| | || | |
43598013074||J2930||04/04/2022|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 1 GM|1|UN|VIAL|IV|EA|.125|04/04/2022|12/31/3999| | || | |
43598038662||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|05/25/2022|12/31/3999| | || | |
43598038711||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|05/25/2022|12/31/3999| | || | |
44567014510||J2185||04/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|04/01/2022|12/31/3999| | || | |
72903085301||C9146||04/01/2023|06/30/2023|Injection, mirvetuximab soravtansine-gynx, 1 mg|ELAHERE 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|20|04/01/2023|06/30/2023| | || | |
72903085301||J9999||04/01/2023|06/30/2023|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|ELAHERE 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|20|04/01/2023|06/30/2023| | || | |
00069025310||J1645||11/22/2022|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 10,000 UNIT/4 ML VI|4|ML|VIAL|SQ|ML|1|11/22/2022|12/31/3999| | || | |
00143935701||J3370||10/01/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/01/2022|12/31/3999| | || | |
00143935710||J3370||10/01/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/01/2022|12/31/3999| | || | |
00187000400||J3590||10/01/2022|12/31/3999|Unclassified Biologics|SILIQ 210 MG/1.5 ML SYRINGE|1.5|ML|SYRINGE|SQ|ML|1.5|10/01/2022|12/31/3999| | || | |
00378705752||J7613||10/01/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 0.63 MG/3 ML|3|ML|VIAL|IH|ML|4.7619|10/01/2022|12/31/3999| | || | |
00378705798||J7613||10/01/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 0.63 MG/3 ML|3|ML|VIAL|IH|ML|4.7619|10/01/2022|12/31/3999| | || | |
00409004005||J3490||10/01/2022|12/31/3999|Unclassified drugs|KETAMINE 500 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
00409004010||J3490||10/01/2022|12/31/3999|Unclassified drugs|KETAMINE 500 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
00409525525||J2765||10/01/2022|12/31/3999|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|10/01/2022|12/31/3999| | || | |
00409573801||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.25%-EPI 1:200,00|10|ML|VIAL|IJ|ML|10|10/01/2022|12/31/3999| | || | |
00409573810||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.25%-EPI 1:200,00|10|ML|VIAL|IJ|ML|10|10/01/2022|12/31/3999| | || | |
00409658101||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 1:200,000|50|ML|VIAL|IJ|ML|50|10/01/2022|12/31/3999| | || | |
00409812601||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 1:200,000|10|ML|VIAL|IJ|ML|10|10/01/2022|12/31/3999| | || | |
16714064410||J3490||10/01/2022|12/31/3999|Unclassified drugs|DOXYCYCLINE HYCLATE 100 MG|1|UN|VIAL|IV|EA|1|10/01/2022|12/31/3999| | || | |
63323020301||J3370||10/01/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|EA|.6667|10/01/2022|12/31/3999| | || | |
63323022921||J2720||10/01/2022|12/31/3999|Injection, protamine sulfate, per 10 mg|PROTAMINE 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|10/01/2022|12/31/3999| | || | |
63323028301||J0670||10/01/2022|12/31/3999|Injection, mepivacaine hydrochloride, per 10 ml|POLOCAINE 1% VIAL|50|ML|VIAL|IJ|ML|10|10/01/2022|12/31/3999| | || | |
63323028701||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.75% 150 MG/20 ML|20|ML|AMPUL|IJ|ML|.1333|10/01/2022|12/31/3999| | || | |
63323028806||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 1% 200 MG/20 ML AMP|20|ML|AMPUL|IJ|ML|.1|10/01/2022|12/31/3999| | || | |
63323032221||J0743||10/01/2022|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 500 MG|1|UN|VIAL|IV|EA|.5|10/01/2022|12/31/3999| | || | |
63323032821||J3490||10/01/2022|12/31/3999|Unclassified drugs|NAFCILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|1|10/01/2022|12/31/3999| | || | |
63323062403||J7070||10/01/2022|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|1000|ML|FLEX CONT|IV|ML|100|10/01/2022|12/31/3999| | || | |
78670013011||J3490||10/01/2022|12/31/3999|Unclassified drugs|SYMJEPI 0.3 MG/0.3 ML SYRIN|1|UN|SYRINGE|IJ|ML|1|10/01/2022|12/31/3999| | || | |
81284021301||J2370||10/01/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|10/01/2022|06/30/2023| | || | |
81284021301||J3490||11/09/2022|06/30/2023|Unclassified drugs|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|11/09/2022|06/30/2023| | || | |
81952011303||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/5 ML VI|5|ML|VIAL|IJ|ML|.1|10/01/2022|12/31/3999| | || | |
81952011308||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/5 ML VI|5|ML|VIAL|IJ|ML|.1|10/01/2022|12/31/3999| | || | |
81952011601||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|10/01/2022|12/31/3999| | || | |
81952011606||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 20,000 UNIT/ML|1|ML|VIAL|IJ|ML|.05|10/01/2022|12/31/3999| | || | |
47426040110||C9145||07/01/2023|12/31/3999|Injection, aprepitant, (aponvie), 1 mg|APONVIE 32 MG/4.4 ML VIAL|4.4|ML|VIAL|IV|ML|.1375|07/01/2023|12/31/3999| | || | |
47426040110||J3490||07/01/2023|12/31/3999|Unclassified drugs|APONVIE 32 MG/4.4 ML VIAL|4.4|ML|VIAL|IV|ML|.1375|07/01/2023|12/31/3999| | || | |
73606002001||C9151||07/01/2023|09/30/2023|Injection, pegcetacoplan, 1 mg|SYFOVRE 15 MG/0.1 ML VIAL|0.1|ML|VIAL|IO|ML|.0067|07/01/2023|09/30/2023| | || | |
73606002001||J3490||07/01/2023|09/30/2023|Unclassified drugs|SYFOVRE 15 MG/0.1 ML VIAL|0.1|ML|VIAL|IO|ML|.0067|07/01/2023|09/30/2023| | || | |
00143938610||J0137||07/01/2023|12/31/3999|Injection, acetaminophen (hikma) not therapeutically equivalent to J0131, 10 mg|ACETAMINOPHEN 1000MG/100ML|100|ML|FLEX CONT|IV|ML|1|07/01/2023|12/31/3999| | || | |
43066099524||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN 900 MG/50 ML-D5|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
43066099324||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN 600 MG/50 ML-D5|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
70756061244||J7605||02/28/2023|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|02/28/2023|12/31/3999| | || | |
70756061260||J7605||02/28/2023|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|02/28/2023|12/31/3999| | || | |
70756061270||J7605||02/28/2023|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|02/28/2023|12/31/3999| | || | |
62935046150||J9217||01/01/2023|12/31/3999|Leuprolide acetate (for depot suspension), 7.5 mg|ELIGARD 45 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|.1667|01/01/2023|12/31/3999| | || | |
62332062005||J9267||02/13/2023|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|02/13/2023|12/31/3999| | || | |
72205006201||J9267||01/01/2023|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML V|16.7|ML|VIAL|IV|EA|.1667|01/01/2023|12/31/3999| | || | |
51754425003||J3490||03/15/2022|12/31/3999|Unclassified drugs|AKOVAZ 25 MG/5 ML SYRINGE|5|ML|SYRINGE|IV|ML|5|03/15/2022|12/31/3999| | || | |
60842002101||J3490||01/02/2023|12/31/3999|Unclassified drugs|AUVI-Q 0.1 MG AUTO-INJECTOR|2|UN|SYRINGE|IJ|EA|.1|01/02/2023|12/31/3999| | || | |
51754601303||J3490||11/30/2022|12/31/2023|Unclassified drugs|GLYRX-PF 0.6 MG/3 ML SYRING|3|ML|SYRINGE|IJ|ML|3|11/30/2022|12/31/2023| | || | |
59137028905||J7213||07/01/2023|12/31/3999|Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.|IXINITY 3,000 UNIT RANGE|1|UN|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
55150042001||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,500 MG/250 ML-NAC|250|ML|BAG|IV|ML|1|07/01/2023|12/31/3999| | || | |
55150042110||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,000 MG/100 ML-NAC|100|ML|BAG|IV|ML|.5|07/01/2023|12/31/3999| | || | |
72611073801||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00517102001||J2599||07/01/2023|12/31/3999|Injection, vasopressin (american regent) not therapeutically equivalent to j2598, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
71390001100||J2249||07/01/2023|12/31/3999|Injection, remimazolam, 1 mg|BYFAVO 20 MG VIAL|1|UN|VIAL|IV|EA|.05|07/01/2023|12/31/3999| | || | |
68982082202||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00143933010||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00143933301||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00143933310||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
63323046438||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
42023016410||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOSTRICT 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
42023016483||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOSTRICT 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
43598014206||J9261||01/01/2023|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
43598014211||J9261||01/01/2023|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
71288016552||J9261||01/01/2023|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
71288016553||J9261||01/01/2023|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
00143913601||J9280||01/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|EA|.125|01/01/2023|12/31/3999| | || | |
00143913501||J9280||01/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|EA|.25|01/01/2023|12/31/3999| | || | |
65219056620||J9280||01/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|ML|.25|01/01/2023|12/31/3999| | || | |
71288013850||J9280||01/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|EA|.25|01/01/2023|12/31/3999| | || | |
65219056420||J9280||01/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 5 MG VIAL|1|UN|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
71288013720||J9280||01/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 5 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
60505609500||J9033||04/01/2023|12/31/3999|Injection, bendamustine hcl, 1 mg|BENDAMUSTINE 25 MG VIAL|1|UN|VIAL|IV|EA|.04|04/01/2023|12/31/3999| | || | |
72572008301||J9070||01/01/2023|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|01/01/2023|12/31/3999| | || | |
72572008501||J9070||01/01/2023|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|01/01/2023|12/31/3999| | || | |
69339013791||J3360||01/01/2023|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
62332067816||J9171||04/01/2023|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
71288014408||J9171||01/01/2023|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|EA|.1|01/01/2023|12/31/3999| | || | |
71288014416||J9171||01/01/2023|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|EA|.1|01/01/2023|12/31/3999| | || | |
68001057341||J0894||04/01/2023|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|04/01/2023|12/31/3999| | || | |
70114012001||Q5111||04/01/2023|12/31/3999|Injection, udenyca 0.5 mg|UDENYCA 6 MG/0.6 ML AUTOINJ|0.6|ML|SYRINGE|SQ|ML|.05|04/01/2023|12/31/3999| | || | |
60505609600||J9033||04/01/2023|12/31/3999|Injection, bendamustine hcl, 1 mg|BENDAMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|.01|04/01/2023|12/31/3999| | || | |
71288010210||J9033||04/01/2023|12/31/3999|Injection, bendamustine hcl, 1 mg|BENDAMUSTINE 25 MG VIAL|1|UN|VIAL|IV|EA|.04|04/01/2023|12/31/3999| | || | |
71288010320||J9033||04/01/2023|12/31/3999|Injection, bendamustine hcl, 1 mg|BENDAMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|.01|04/01/2023|12/31/3999| | || | |
71288072352||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
71288072652||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00409330001||J0744||04/01/2023|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACIN 400 MG/200ML-|200|ML|BAG|IV|ML|100|04/01/2023|12/31/3999| | || | |
68001056528||J9070||01/01/2023|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM/10 ML|10|ML|VIAL|IV|ML|.5|01/01/2023|12/31/3999| | || | |
72572008701||J9070||01/01/2023|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|01/01/2023|12/31/3999| | || | |
00641624301||J3360||04/01/2023|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
76045020400||J3360||04/01/2023|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/01/2023|12/31/3999| | || | |
76045020420||J3360||04/01/2023|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/01/2023|12/31/3999| | || | |
62332067802||J9171||04/01/2023|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
62332067808||J9171||04/01/2023|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
72485050301||J2260||04/01/2023|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 50 MG/50 ML|50|ML|VIAL|IV|ML|5|04/01/2023|12/31/3999| | || | |
44567014610||J2185||04/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|04/01/2022|12/31/3999| | || | |
44567050301||J1953||04/01/2022|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|ML|BAG|IV|ML|.6667|04/01/2022|12/31/3999| | || | |
47335099301||J3490||11/10/2021|06/30/2023|Unclassified drugs|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|100|11/10/2021|06/30/2023| | || | |
50742034001||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|05/25/2022|12/31/3999| | || | |
50742034101||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|05/25/2022|12/31/3999| | || | |
80203034701||J1302||10/01/2022|12/31/3999|Injection, sutimlimab-jome, 10 mg|ENJAYMO 1,100 MG/22 ML VIAL|22|ML|VIAL|IJ|ML|.2|10/01/2022|12/31/3999| | || | |
80446040101||J9274||10/01/2022|12/31/3999|Injection, tebentafusp-tebn, 1 mcg|KIMMTRAK 100 MCG/0.5 ML VIAL|.5|ML|VIAL|IV|ML|.005|10/01/2022|12/31/3999| | || | |
00955172805||S5553||04/01/2022|12/31/3999|Insulin, long acting; 5 units|INSULIN GLARGINE SOLOSTAR U|3|ML|SYRINGE|SQ|ML|3|04/01/2022|12/31/3999| | || | |
00955172901||S5553||04/01/2022|12/31/3999|Insulin, long acting; 5 units|INSULIN GLARGINE 100 UNIT/M|10|ML|VIAL|SQ|ML|3|04/01/2022|12/31/3999| | || | |
00093751631||J3535||03/26/2022|12/31/3999|Drug administered through a metered dose inhaler|FLUTICASONE-SALMETEROL 500-|60|UN|BLIST PACK|IH|EA|60|03/26/2022|12/31/3999| | || | |
76204001101||J7613||04/01/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 1.25 MG/3 ML|3|ML|VIAL|IH|ML|2.4|04/01/2022|12/31/3999| | || | |
00409170301||J9044||06/09/2022|12/31/2022|Injection, bortezomib, not otherwise specified, 0.1 mg|BORTEZOMIB 2.5 MG VIAL|1|UN|VIAL|IJ|EA|.04|06/09/2022|12/31/2022| | || | |
10019099101||J9041||05/06/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|05/06/2022|12/31/3999| | || | |
63323082110||J9041||05/02/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|05/02/2022|12/31/3999| | || | |
63323032621||J0692||07/01/2019|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|07/01/2019|12/31/3999| | || | |
48102003312||J7631||05/01/2022|12/31/3999|Cromolyn sodium, inhalation solution, fda-approved final product, non-compo...|CROMOLYN 20 MG/2 ML NEB SOL|2|ML|VIAL|IH|ML|1|05/01/2022|12/31/3999| | || | |
00115169430||J3490||10/01/2019|12/31/3999|Unclassified drugs|EPINEPHRINE 0.3 MG AUTO-INJ|1|UN|SYRINGE|IJ|EA|1|10/01/2019|12/31/3999| | || | |
00409426401||J1170||04/01/2022|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 0.5 MG/0.5 ML|0.5|ML|SYRINGE|IJ|ML|4|04/01/2022|12/31/3999| | || | |
00409426411||J1170||04/01/2022|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 0.5 MG/0.5 ML|0.5|ML|SYRINGE|IJ|ML|4|04/01/2022|12/31/3999| | || | |
16729053308||J3420||04/29/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|DODEX 1,000 MCG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/29/2022|12/31/3999| | || | |
17478093410||J0360||04/01/2022|06/30/2023|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/2022|06/30/2023| | || | |
43598012725||J2920||04/04/2022|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|METHYLPREDNISOLONE SS 40 MG|1|UN|VIAL|IJ|EA|1|04/04/2022|12/31/3999| | || | |
72572007424||J3490||01/01/2022|06/30/2023|Unclassified drugs|CLINDAMYCIN 600 MG/50 ML-D5|50|ML|BAG|IV|ML|6|01/01/2022|06/30/2023| | || | |
72572007601||J3490||01/01/2022|06/30/2023|Unclassified drugs|CLINDAMYCIN 900 MG/50 ML-D5|50|ML|BAG|IV|ML|50|01/01/2022|06/30/2023| | || | |
72572007624||J3490||01/01/2022|06/30/2023|Unclassified drugs|CLINDAMYCIN 900 MG/50 ML-D5|50|ML|BAG|IV|ML|50|01/01/2022|06/30/2023| | || | |
72572015101||J3490||04/01/2022|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|04/01/2022|12/31/3999| | || | |
72572015110||J3490||04/01/2022|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|04/01/2022|12/31/3999| | || | |
72572057601||J2543||04/01/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|04/01/2022|12/31/3999| | || | |
72572057701||J2543||04/01/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|04/01/2022|12/31/3999| | || | |
72572057710||J2543||04/01/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|04/01/2022|12/31/3999| | || | |
00264410090||J0136||04/01/2023|12/31/3999|Injection, acetaminophen (b braun) not therapeutically equivalent to J0131, 10 mg|ACETAMINOPHEN 1000MG/100ML|100|ML|BAG|IV|ML|1|04/01/2023|12/31/3999| | || | |
63323043400||J0134||04/01/2023|12/31/3999|Injection, acetaminophen (fresenius kabi) not therapeutically equivalent to J0131, 10 mg|ACETAMINOPHEN 1000MG/100ML|100|ML|BAG|IV|ML|1|04/01/2023|12/31/3999| | || | |
00409106201||J9294||04/01/2023|06/30/2023|Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg|PEMETREXED 1 GRAM VIAL|1|UN|VIAL|IV||.02|04/01/2023|06/30/2023| | || | |
69339013795||J3360||10/01/2022|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
70069027301||J3490||11/21/2022|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML AMPUL|2|ML|AMPUL|IV|ML|1|11/21/2022|12/31/3999| | || | |
70069027305||J3490||11/21/2022|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML AMPUL|2|ML|AMPUL|IV|ML|1|11/21/2022|12/31/3999| | || | |
70069080710||J2260||10/13/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|10/13/2022|12/31/3999| | || | |
70121124401||J0594||10/01/2022|10/01/2022|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|10/01/2022|10/01/2022| | || | |
70121156801||Q5125||11/22/2022|12/31/3999|Injection, filgrastim-ayow, biosimilar, (releuko), 1 mcg|RELEUKO 300 MCG/0.5 ML SYRI|0.5|ML|SYRINGE|SQ|ML|.0017|11/22/2022|12/31/3999| | || | |
70121157001||Q5125||11/22/2022|12/31/3999|Injection, filgrastim-ayow, biosimilar, (releuko), 1 mcg|RELEUKO 480 MCG/0.8 ML SYRI|0.8|ML|SYRINGE|SQ|ML|.0017|11/22/2022|12/31/3999| | || | |
70512084025||J3420||10/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
70594008902||J0692||10/01/2022|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|10/01/2022|12/31/3999| | || | |
70756061756||J7682||10/03/2022|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/4 ML AMPU|4|ML|AMPUL|IH|ML|4|10/03/2022|12/31/3999| | || | |
70756062125||J2370||11/04/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|11/04/2022|06/30/2023| | || | |
71225012001||J9999||12/07/2022|06/30/2023|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|VIVIMUSTA 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|4|12/07/2022|06/30/2023| | || | |
71288001691||J0878||10/01/2022|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|10/01/2022|12/31/3999| | || | |
71288001910||J3243||11/28/2022|12/31/3999|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|11/28/2022|12/31/3999| | || | |
71288001911||J3243||11/28/2022|12/31/3999|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|11/28/2022|12/31/3999| | || | |
71288002730||J3465||11/07/2022|12/31/3999|Injection, voriconazole, 10 mg|VORICONAZOLE 200 MG VIAL|1|UN|VIAL|IV|EA|.05|11/07/2022|12/31/3999| | || | |
63323032721||J3490||10/01/2022|12/31/3999|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|10/01/2022|12/31/3999| | || | |
63323062404||J7070||10/01/2022|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|10/01/2022|12/31/3999| | || | |
63323062404||J7060||10/01/2022|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|10/01/2022|12/31/3999| | || | |
24201020701||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
69097066468||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
00069025301||J1645||11/22/2022|12/31/3999|Injection, dalteparin sodium, per 2500 iu|FRAGMIN 10,000 UNIT/4 ML VI|4|ML|VIAL|SQ|ML|.2|11/22/2022|12/31/3999| | || | |
16729052228||J9296||04/01/2023|12/31/3999|Injection, pemetrexed (accord) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 850MG/3|34|ML|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
44567062124||J0613||04/01/2023|12/31/3999|Injection, calcium gluconate (wg critical care), per 10 mg|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|.5|04/01/2023|12/31/3999| | || | |
44567062101||J0613||04/01/2023|12/31/3999|Injection, calcium gluconate (wg critical care), per 10 mg|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|.5|04/01/2023|12/31/3999| | || | |
44567062201||J0613||04/01/2023|12/31/3999|Injection, calcium gluconate (wg critical care), per 10 mg|CALCIUM GLU 1,000MG/100ML-N|100|ML|BAG|IV|ML|1|04/01/2023|12/31/3999| | || | |
44567062224||J0613||04/01/2023|12/31/3999|Injection, calcium gluconate (wg critical care), per 10 mg|CALCIUM GLU 1,000MG/100ML-N|100|ML|BAG|IV|ML|10|04/01/2023|12/31/3999| | || | |
10019007901||J9059||07/01/2023|12/31/3999|Injection, bendamustine hydrochloride (baxter), 1 mg|BENDAMUSTINE 100 MG/4 ML VI|4|ML|VIAL|IV|ML|.04|07/01/2023|12/31/3999| | || | |
50242014201||J9350||07/01/2023|12/31/3999|Injection, mosunetuzumab-axgb, 1 mg|LUNSUMIO 30 MG/30 ML VIAL|30|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
50242015901||J9350||07/01/2023|12/31/3999|Injection, mosunetuzumab-axgb, 1 mg|LUNSUMIO 1 MG/ML VIAL|1|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00781922795||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
63323046601||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
70594006301||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|EA|.002|07/01/2023|12/31/3999| | || | |
72572007401||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN 600 MG/50 ML-D5|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
50458061101||J2427||07/01/2023|12/31/3999|Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg|INVEGA HAFYERA 1,092 MG/3.5|3.5|ML|SYRINGE|IM|ML|.0032|07/01/2023|12/31/3999| | || | |
63323046401||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
63323046402||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
63323046501||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
63323046701||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
66993037083||J1050||07/01/2021|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.0067|07/01/2021|12/31/3999| | || | |
61990021301||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
71288080875||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00409106001||J9323||07/01/2023|12/31/3999|Injection, pemetrexed (hospira) not therapeutically equivalent to j9305, 10 mg|PEMETREXED 100 MG VIAL|1|UN|VIAL|IV|EA|.1|07/01/2023|12/31/3999| | || | |
55150030001||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
72572057125||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70069080210||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70069080301||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00310453530||J9347||07/01/2023|12/31/3999|Injection, tremelimumab-actl, 1 mg|IMJUDO 300 MG/15 ML VIAL|15|ML|VIAL|IV||.05|07/01/2023|12/31/3999| | || | |
25021013182||J1836||07/01/2023|12/31/3999|Injection, metronidazole, 10 mg|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|2|07/01/2023|12/31/3999| | || | |
25021031720||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
61990021103||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
61990021202||J2371||07/01/2023|02/28/2025|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|02/28/2025| | || | |
72903085301||J9063||07/01/2023|12/31/3999|Injection, mirvetuximab soravtansine-gynx, 1 mg|ELAHERE 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.2|07/01/2023|12/31/3999| | || | |
81284021301||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70756062125||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
71104098301||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|10/01/2023|12/31/3999| | || | |
72606001201||Q5129||10/01/2023|12/31/3999|Inj, bevacizumab-adcd (vegzelma), biosimilar, 10 mg|VEGZELMA 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.4|10/01/2023|12/31/3999| | || | |
71104098608||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 500 UNIT VIAL|1|UN|VIAL|IV||1|10/01/2023|12/31/3999| | || | |
63323034201||J0694||01/01/2020|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 2 GM VIAL|1|UN|VIAL|IV|EA|.5|01/01/2020|12/31/3999| | || | |
00143975325||J2920||04/01/2023|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|METHYLPREDNISOLONE SS 40 MG|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
55150039301||J9025||01/01/2023|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|01/01/2023|12/31/3999| | || | |
39822305002||S0080||04/01/2023|12/31/3999|Injection, pentamidine iseth|PENTAMIDINE 300 MG INJECT V|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
42747030401||J0584||04/01/2023|12/31/3999|Injection, burosumab-twza 1 mg|CRYSVITA 30 MG/ML VIAL|1|ML|VIAL|SQ|ML|.03333|04/01/2023|12/31/3999| | || | |
68516320401||J7194||04/01/2018|12/31/3999|Factor ix, complex, per i.u.|PROFILNINE 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/2018|12/31/3999| | || | |
68516320502||J7194||04/01/2018|12/31/3999|Factor ix, complex, per i.u.|PROFILNINE 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/2018|12/31/3999| | || | |
68516320602||J7194||04/01/2019|12/31/3999|Factor ix, complex, per i.u.|PROFILNINE 1,500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/2019|12/31/3999| | || | |
71288043280||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043281||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043291||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043491||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043492||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043592||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043691||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043692||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952012424||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952012616||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952012626||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952012818||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952012828||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952013006||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952013218||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|04/01/2023|12/31/3999| | || | |
81952013228||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|04/01/2023|12/31/3999| | || | |
66794024141||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
65219014202||J3490||04/01/2023|12/31/3999|Unclassified drugs|KCL 10 MEQ/L-D5W-0.45% NACL|1000|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
25021046501||J2354||04/01/2023|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML|1|ML|VIAL|IJ|ML|.25|04/01/2023|12/31/3999| | || | |
72769018101||J2547||10/26/2020|12/31/3999|Injection, peramivir|RAPIVAB 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|10/26/2020|12/31/3999| | || | |
72769018103||J2547||10/26/2020|12/31/3999|Injection, peramivir|RAPIVAB 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|10/26/2020|12/31/3999| | || | |
72819015295||J9280||04/22/2022|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 5 MG VIAL|1|UN|VIAL|IV|EA|1|04/22/2022|12/31/3999| | || | |
73090042001||J2860||01/13/2021|12/31/3999|Injection, siltuximab|SYLVANT 100 MG VIAL|1|UN|VIAL|IV|EA|.1|01/13/2021|12/31/3999| | || | |
73090042101||J2860||01/13/2021|12/31/3999|Injection, siltuximab|SYLVANT 400 MG VIAL|1|UN|VIAL|IV|EA|.025|01/13/2021|12/31/3999| | || | |
75987015001||J1823||04/01/2022|12/31/3999|Inj. inebilizumab-cdon, 1 mg|UPLIZNA 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|04/01/2022|12/31/3999| | || | |
76125025725||J7190||04/01/2022|12/31/3999|Factor viii (antihemophilic factor, human) per i.u.|KOATE 250 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/2022|12/31/3999| | || | |
76125066350||J7190||04/01/2022|12/31/3999|Factor viii (antihemophilic factor, human) per i.u.|KOATE 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/2022|12/31/3999| | || | |
81284061100||J3490||05/27/2022|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|10|05/27/2022|12/31/3999| | || | |
81284061200||J3490||05/27/2022|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|10|05/27/2022|12/31/3999| | || | |
81284061210||J3490||05/27/2022|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|10|05/27/2022|12/31/3999| | || | |
81565020401||J3490||04/01/2022|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|04/01/2022|12/31/3999| | || | |
81565020402||J3490||04/01/2022|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|04/01/2022|12/31/3999| | || | |
00409015201||J3490||01/11/2022|06/30/2023|Unclassified drugs|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|100|01/11/2022|06/30/2023| | || | |
60219157305||J1030||04/01/2022|12/31/3999|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
51862064210||J8999||07/01/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 10 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|07/01/2021|12/31/3999| | || | |
57664068331||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|1|UN|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
67457084300||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
16729046463||J2370||03/15/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|03/15/2022|06/30/2023| | || | |
00143939201||J3490||01/10/2022|12/31/3999|Unclassified drugs|REMIFENTANIL 2 MG VIAL|1|UN|VIAL|IV|EA|4|01/10/2022|12/31/3999| | || | |
50242009601||J2777||10/01/2022|12/31/3999|Injection, faricimab-svoa, 0.1 mg|VABYSMO 6 MG/0.05 ML VIAL|.05|ML|VIAL|IO|ML|.0008|10/01/2022|12/31/3999| | || | |
70121156901||Q5125||10/01/2022|12/31/3999|Injection, filgrastim-ayow, biosimilar, (releuko), 1 mcg|RELEUKO 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.0033|10/01/2022|12/31/3999| | || | |
70121156907||Q5125||10/01/2022|12/31/3999|Injection, filgrastim-ayow, biosimilar, (releuko), 1 mcg|RELEUKO 300 MCG/ML VIAL|10|ML|VIAL|IJ|ML|.0033|10/01/2022|12/31/3999| | || | |
55150036601||J9017||04/04/2022|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|04/04/2022|12/31/3999| | || | |
55150036610||J9017||04/04/2022|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|04/04/2022|12/31/3999| | || | |
55150038101||J9305||05/27/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|05/27/2022|12/31/3999| | || | |
55150038301||J9305||05/27/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM VI|1|UN|VIAL|IV|EA|.01|05/27/2022|12/31/3999| | || | |
57894011101||Q2056||10/01/2022|12/31/3999|Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen|CARVYKTI INFUSION BAG-CASSE|1|UN|BAG|IV|EA|1|10/01/2022|12/31/3999| | || | |
59137028305||J7195||04/01/2022|06/30/2023|Factor ix (antihemophilic factor, recombinant) per i.u.|IXINITY 1,000 UNIT RANGE|1|UN|VIAL|IV|EA|1|04/01/2022|06/30/2023| | || | |
60505606500||J9305||05/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|05/26/2022|12/31/3999| | || | |
60505606600||J9305||05/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|05/26/2022|12/31/3999| | || | |
70121164207||J3490||10/01/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|10/01/2022|06/30/2023| | || | |
58468005001||J0218||04/01/2023|12/31/3999|Injection, olipudase alfa-rpcp, 1 mg|XENPOZYME 20 MG VIAL|1|UN|VIAL|IV|EA|.05|04/01/2023|12/31/3999| | || | |
54092070202||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|FIRAZYR 30 MG/3 ML SYRINGE|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
47783010101||J1290||04/01/2023|12/31/3999|Injection, ecallantide, 1 mg|KALBITOR 10 MG/ML VIAL|3|ML|VIAL|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
44567062001||J0613||04/01/2023|12/31/3999|Injection, calcium gluconate (wg critical care), per 10 mg|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|.5|04/01/2023|12/31/3999| | || | |
63833082502||J0597||04/01/2023|12/31/3999|Injection, c-1 esterase inhibitor (human), berinert, 10 units|BERINERT 500 UNIT KIT|1|UN|KIT|IV|EA|.02|04/01/2023|12/31/3999| | || | |
50458060601||J2427||07/01/2023|12/31/3999|Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg|INVEGA TRINZA 273 MG/0.88|.88|ML|SYRINGE|IM|ML|.0032|07/01/2023|12/31/3999| | || | |
50458060701||J2427||07/01/2023|12/31/3999|Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg|INVEGA TRINZA 410 MG/1.32|1.32|ML|SYRINGE|IM|ML|.0032|07/01/2023|12/31/3999| | || | |
50458060801||J2427||07/01/2023|12/31/3999|Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg|INVEGA TRINZA 546 MG/1.75 M|1.75|ML|SYRINGE|IM|ML|.0032|07/01/2023|12/31/3999| | || | |
42023016425||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOSTRICT 20 UNITS/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
47781058629||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
63323040230||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/01/2023|12/31/3999| | || | |
00409116519||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00409116209||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00409115919||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|Bupivacaine HCl (PF) 0.25 % SOLN|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409155918||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|Marcaine Preservative Free 0.25 % SOLN|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409156019||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|Marcaine Preservative Free 0.5 % SOLN|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
60842002301||J3490||01/02/2023|12/31/3999|Unclassified drugs|AUVI-Q 0.3 MG AUTO-INJECTOR|2|UN|SYRINGE|IJ|EA|.3|01/02/2023|12/31/3999| | || | |
70504028305||J7213||07/01/2023|12/31/3999|Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.|IXINITY 1,000 UNIT RANGE|1|F2|VIAL|IV|AHF|1|07/01/2023|12/31/3999| | || | |
55150024950||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00009077520||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 150 MG/ML VIAL|4|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00409115918||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409116018||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
67457065810||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,000 MG/100 ML-NAC|100|ML|BAG|IV|ML|.5|07/01/2023|12/31/3999| | || | |
72266010201||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
10019066810||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|BREVIBLOC 2,000 MG/100 ML B|100|ML|BAG|IV|ML|.5|07/01/2023|12/31/3999| | || | |
10019067210||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|BREVIBLOC 2,500 MG/250 ML B|250|ML|BAG|IV|ML|1|07/01/2023|12/31/3999| | || | |
00143962201||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|07/02/2023| | || | |
71225012001||J9056||07/01/2023|12/31/3999|Injection, bendamustine hydrochloride (vivimusta), 1 mg|VIVIMUSTA 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.004|07/01/2023|12/31/3999| | || | |
00002820705||J1814||07/01/2023|12/31/3999|Insulin (lyumjev), per 5 units|LYUMJEV 100 UNIT/ML KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
00002823501||J1814||07/01/2023|12/31/3999|Insulin (lyumjev), per 5 units|LYUMJEV TEMPO PEN 100 UNIT/|3|ML|SYRINGE|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
00002823505||J1814||07/01/2023|12/31/3999|Insulin (lyumjev), per 5 units|LYUMJEV TEMPO PEN 100 UNIT/|3|ML|SYRINGE|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
00409781111||J1836||07/01/2023|12/31/3999|Injection, metronidazole, 10 mg|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|2|07/01/2023|12/31/3999| | || | |
00641625201||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL HCL 10 MG/2 ML SY|2|ML|SYRINGE|IV|ML|1|07/01/2023|07/02/2023| | || | |
71767010001||J1941||07/01/2023|12/31/3999|Injection, furosemide (furoscix), 20 mg|FUROSCIX 80 MG/10ML ON-BODY|1|UN|CARTRIDGE|SQ|EA|.25|07/01/2023|12/31/3999| | || | |
61958300401||J1961||07/01/2023|12/31/3999|Injection, lenacapavir, 1 mg|SUNLENCA 463.5 MG/1.5 ML VI|1.5|ML|VIAL|SQ|ML|.002|07/01/2023|12/31/3999| | || | |
59137050500||J3490||10/01/2022|12/31/3999|Unclassified drugs|RASUVO 7.5 MG/0.15 ML AUTOI|0.15|ML|SYRINGE|SQ|ML|.15|10/01/2022|12/31/3999| | || | |
59137051000||J3490||10/01/2022|12/31/3999|Unclassified drugs|RASUVO 10 MG/0.2 ML AUTOINJ|0.2|ML|SYRINGE|SQ|ML|.2|10/01/2022|12/31/3999| | || | |
59137052000||J3490||10/01/2022|12/31/3999|Unclassified drugs|RASUVO 15 MG/0.3 ML AUTOINJ|0.3|ML|SYRINGE|SQ|ML|.3|10/01/2022|12/31/3999| | || | |
59137052500||J3490||10/01/2022|12/31/3999|Unclassified drugs|RASUVO 17.5 MG/0.35 ML AUTO|0.35|ML|SYRINGE|SQ|ML|.35|10/01/2022|12/31/3999| | || | |
25021031501||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
00069155802||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00641618901||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
68982082203||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
68982082204||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
68982082205||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
68982082285||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00009305101||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 300 MG/2 ML VI|2|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00009407303||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 600 MG/4 ML VI|4|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00009509506||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 900 MG/6 ML VI|6|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00069110901||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00069122401||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00069131201||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00069131202||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00069141502||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
70069078310||J0330||04/01/2023|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
62559086015||J0802||10/01/2023|12/31/3999|Inj, corticotropin (ani), up to 40 units|CORTROPHIN GEL 400 UNIT/5 M|5|ML|VIAL|IJ|ML|1|10/01/2023|12/31/3999| | || | |
70121250301||J0475||01/01/2023|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 40 MG/20 ML KIT|20|ML|AMPUL|IT|ML|5|01/01/2023|12/31/3999| | || | |
71288080320||J7519||10/01/2023|12/31/3999|Inj, mycophenolate mofetil, 10 mg|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|.02|10/01/2023|12/31/3999| | || | |
62756009140||J1050||07/01/2021|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IM|ML|.0067|07/01/2021|12/31/3999| | || | |
71104098508||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 250 UNIT VIAL|1|UN|VIAL|IV||1|10/01/2023|12/31/3999| | || | |
00338963812||J2543||04/01/2023|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 4.5 GM/100 ML GALAXY|100|ML|BAG|IV|ML|25|04/01/2023|12/31/3999| | || | |
00338963601||J2543||04/01/2023|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 3.375 GM/50 ML GALAXY|50|ML|BAG|IV|ML|16.667|04/01/2023|12/31/3999| | || | |
00338963624||J2543||04/01/2023|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 3.375 GM/50 ML GALAXY|50|ML|BAG|IV|ML|16.667|04/01/2023|12/31/3999| | || | |
81284015401||J2543||04/01/2023|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 13.5 GM|1|UN|BOTTLE|IV|EA|.083|04/01/2023|12/31/3999| | || | |
25021018984||J1455||07/01/2023|12/31/3999|Injection, foscarnet sodium, per 1000 mg|FOSCARNET 6,000 MG/250 ML B|250|ML|BAG|IV|ML|41.667|07/01/2023|12/31/3999| | || | |
63323032241||J0743||01/01/2020|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 500 MG|1|UN|VIAL|IV|EA|.5|01/01/2020|12/31/3999| | || | |
63323081000||J3010||04/01/2023|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML SYRIN|2|ML|SYRINGE|IV|ML|2|04/01/2023|12/31/3999| | || | |
63323081020||J3010||04/01/2023|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML SYRIN|2|ML|SYRINGE|IV|ML|2|04/01/2023|12/31/3999| | || | |
44567070195||J0696||04/01/2023|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|04/01/2023|12/31/3999| | || | |
44567070295||J0696||04/01/2023|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|04/01/2023|12/31/3999| | || | |
43598076811||J3030||04/01/2023|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5ML AUTO|0.5|ML|SYRINGE|SQ|ML|.5|04/01/2023|12/31/3999| | || | |
43598076823||J3030||04/01/2023|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5ML AUTO|0.5|ML|SYRINGE|SQ|ML|.5|04/01/2023|12/31/3999| | || | |
00169790301||J7203||01/01/2023|12/31/3999|Injection factor ix,(rebinyn)|REBINYN 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2023|12/31/3999| | || | |
00169793311||J7203||01/01/2023|12/31/3999|Injection factor ix,(rebinyn)|REBINYN 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2023|12/31/3999| | || | |
55150043101||J9120||01/01/2023|12/31/3999|Injection, dactinomycin, 0.5 mg|DACTINOMYCIN 500 MCG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
55150092802||J9120||01/01/2023|12/31/3999|Injection, dactinomycin, 0.5 mg|DACTINOMYCIN 500 MCG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
63323093000||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
63323093001||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
42658002191||J9150||01/01/2023|12/31/3999|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIA|4|ML|VIAL|IV|ML|2|01/01/2023|12/31/3999| | || | |
42658002192||J9150||01/01/2023|12/31/3999|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIA|4|ML|VIAL|IV|ML|2|01/01/2023|12/31/3999| | || | |
72572019025||J1940||01/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2023|12/31/3999| | || | |
72603025125||J1940||04/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
70069078301||J0330||04/01/2023|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
72603047401||J1940||04/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
60505606700||J9305||05/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM VI|1|UN|VIAL|IV|EA|.01|05/26/2022|12/31/3999| | || | |
60505606800||J9305||05/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 750 MG|1|UN|VIAL|IV|EA|.0133|05/26/2022|12/31/3999| | || | |
61703026205||J9045||04/01/2022|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|04/01/2022|12/31/3999| | || | |
61703060005||J9045||04/01/2022|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VI|60|ML|VIAL|IV|ML|60|04/01/2022|12/31/3999| | || | |
63323009502||J3490||05/17/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 400 MEQ/100|100|ML|VIAL|IV|ML|1|05/17/2022|12/31/3999| | || | |
63323009561||J3490||05/17/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 400 MEQ/100|100|ML|VIAL|IV|ML|1|05/17/2022|12/31/3999| | || | |
63323010401||J9181||07/01/2019|12/31/3999|Injection, etoposide, 10 mg|ETOPOSIDE 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|07/01/2019|12/31/3999| | || | |
63323062100||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 750 MG|1|UN|VIAL|IV|EA|.0133|05/25/2022|12/31/3999| | || | |
65219000600||J3480||04/21/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/100 ML|100|ML|BAG|IV|ML|10|04/21/2022|12/31/3999| | || | |
65219000601||J3480||04/21/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/100 ML|100|ML|BAG|IV|ML|10|04/21/2022|12/31/3999| | || | |
57664068357||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|10|UN|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
00781922795||J2370||04/01/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|04/01/2021|06/30/2023| | || | |
16729053363||J3420||04/29/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|DODEX 1,000 MCG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/29/2022|12/31/3999| | || | |
42023024001||J1040||06/13/2022|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 400 MG/5|5|ML|VIAL|IJ|ML|1|06/13/2022|12/31/3999| | || | |
43598012745||J2920||04/04/2022|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|METHYLPREDNISOLONE SS 40 MG|1|UN|VIAL|IJ|EA|1|04/04/2022|12/31/3999| | || | |
62559086015||J3490||12/15/2021|09/30/2023|Unclassified drugs|CORTROPHIN GEL 400 UNIT/5 M|5|ML|VIAL|IJ|ML|1|12/15/2021|09/30/2023| | || | |
63323027601||J1644||04/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIA|2|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
63323028005||J1940||07/01/2019|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|07/01/2019|12/31/3999| | || | |
63323034601||J0696||04/01/2022|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|04/01/2022|12/31/3999| | || | |
63323038601||J3490||04/01/2022|12/31/3999|Unclassified drugs|CEFOTETAN 2 GM VIAL|1|UN|VIAL|IJ|EA|4|04/01/2022|12/31/3999| | || | |
63323046601||S0020||04/01/2022|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.5% VIAL|30|ML|VIAL|IJ|ML|1|04/01/2022|06/30/2023| | || | |
63323046601||J3490||04/01/2022|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.5% VIAL|30|ML|VIAL|IJ|ML|1|04/01/2022|06/30/2023| | || | |
63323047601||J2400||10/01/2019|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|NESACAINE 2% VIAL|30|ML|VIAL|IJ|ML|30|10/01/2019|12/31/2022| | || | |
63323064201||J3475||04/01/2022|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|20|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
63323064202||J3475||04/01/2022|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|50|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
63323066400||J1200||04/01/2022|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML VI|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
63323066441||J1200||04/01/2022|12/31/3999|Injection, diphenhydramine hcl, up to 50 mg|DIPHENHYDRAMINE 50 MG/ML VI|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
69097070831||J3430||05/03/2022|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|PHYTONADIONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|05/03/2022|12/31/3999| | || | |
69097070896||J3430||05/03/2022|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|PHYTONADIONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|05/03/2022|12/31/3999| | || | |
69097070930||J3430||05/03/2022|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|PHYTONADIONE 1 MG/0.5 ML VI|0.5|ML|VIAL|IJ|ML|.5|05/03/2022|12/31/3999| | || | |
00409155919||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|Marcaine Preservative Free 0.25 % SOLN|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
50458060901||J2427||07/01/2023|12/31/3999|Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg|INVEGA TRINZA 819 MG/2.63|2.63|ML|SYRINGE|IM|ML|.0032|07/01/2023|12/31/3999| | || | |
00169320415||J1812||07/01/2023|12/31/3999|Insulin (fiasp), per 5 units|FIASP 100 UNIT/ML FLEXTOUCH|3|ML|SYRINGE|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
00143962301||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|07/01/2023|07/02/2023| | || | |
42023019001||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOSTRICT 200 UNIT/10 ML V|10|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
47781058656||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
00143953301||J0206||07/01/2023|12/31/3999|Injection, allopurinol sodium, 1 mg|ALLOPURINOL SODIUM 500 MG V|1|UN|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
00009072805||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 150 MG/ML VIAL|60|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00781328891||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 300 MG/50 M|50|ML|BAG|IV|ML|50|07/01/2023|12/31/3999| | || | |
00781328991||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
00409158218||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00409116210||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
70121157705||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
67457065725||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,500 MG/250 ML-NAC|250|ML|BAG|IV|ML|1|07/01/2023|12/31/3999| | || | |
00409116219||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
55150025050||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00338341024||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 300 MG/50 M|50|ML|BAG|IV|ML|50|07/01/2023|12/31/3999| | || | |
00338341050||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 300 MG/50 M|50|ML|BAG|IV|ML|50|07/01/2023|12/31/3999| | || | |
00338361250||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
00338361650||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 600 MG/50 M|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
00338381450||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
00338411424||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 900 MG/50 M|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
00338954950||J0737||07/01/2023|12/31/3999|Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg|CLINDAMYCIN 600 MG/50 ML-NS|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
63323040124||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|07/01/2023|12/31/3999| | || | |
10019066610||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|BREVIBLOC 2,000 MG/100 ML B|100|ML|BAG|IV|ML|.5|07/01/2023|12/31/3999| | || | |
10019067010||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|BREVIBLOC 2,500 MG/250 ML B|250|ML|BAG|IV|ML|1|07/01/2023|12/31/3999| | || | |
70121157807||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70504028405||J7213||07/01/2023|12/31/3999|Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.|IXINITY 1,500 UNIT RANGE|1|F2|VIAL|IV|AHF|1|07/01/2023|12/31/3999| | || | |
67457018200||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL HCL 100 MG/10 ML VI|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00338955324||J0737||07/01/2023|12/31/3999|Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg|CLINDAMYCIN 900 MG/50 ML-NS|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
00781342292||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
63323047203||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00002772801||J1814||07/01/2023|12/31/3999|Insulin (lyumjev), per 5 units|LYUMJEV 100 UNIT/ML VIAL|0000010.000|ML|VIAL|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
71863020206||J2372||07/01/2023|03/24/2025|Injection, phenylephrine hydrochloride (biorphen), 20 micrograms|BIORPHEN 0.5 MG/5 ML AMPULE|5|ML|VIAL|IV|ML|.2|07/01/2023|03/24/2025| | || | |
00517481001||J2305||07/01/2023|12/31/3999|Injection, nitroglycerin, 5 mg|NITROGLYCERIN 50 MG/10 ML V|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
81284021100||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
42023021901||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOSTRICT 40 UNIT/100 ML V|100|ML|VIAL|IV|ML|2.5|07/01/2023|12/31/3999| | || | |
42023021910||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOSTRICT 40 UNIT/100 ML V|100|ML|VIAL|IV|ML|2.5|07/01/2023|12/31/3999| | || | |
43598008525||J2598||07/01/2023|12/31/2023|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/2023| | || | |
59137028405||J7213||07/01/2023|12/31/3999|Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.|IXINITY 1,500 UNIT RANGE|1|UN|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
59137028205||J7213||07/01/2023|12/31/3999|Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.|IXINITY 500 UNIT RANGE|1|UN|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
51754402001||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|VAZCULEP 100 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
55566980002||J1440||07/01/2023|12/31/3999|Fecal microbiota, live - jslm, 1 ml|REBYOTA RECTAL SUSPENSION|150|ML|BAG|RC|EA|150|07/01/2023|12/31/3999| | || | |
25021030982||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,000 MG/100 ML-NAC|100|ML|BAG|IV|ML|.5|07/01/2023|12/31/3999| | || | |
00781345875||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
42367057022||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
43598008511||J2598||07/01/2023|12/31/2023|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/2023| | || | |
55150037101||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
55150037125||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
70121164201||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
70121164205||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
70121164207||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
00548970100||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
55150037001||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
55150037025||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
63323061701||J2260||07/01/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|07/01/2022|12/31/3999| | || | |
59137051500||J3490||10/01/2022|12/31/3999|Unclassified drugs|RASUVO 12.5 MG/0.25 ML AUTO|0.25|ML|SYRINGE|SQ|ML|.25|10/01/2022|12/31/3999| | || | |
59137053000||J3490||10/01/2022|12/31/3999|Unclassified drugs|RASUVO 20 MG/0.4 ML AUTOINJ|0.4|ML|SYRINGE|SQ|ML|.4|10/01/2022|12/31/3999| | || | |
59137053500||J3490||10/01/2022|12/31/3999|Unclassified drugs|RASUVO 22.5 MG/0.45 ML AUTO|0.45|ML|SYRINGE|SQ|ML|.45|10/01/2022|12/31/3999| | || | |
00053019019||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 91-95 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053020020||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 96-100 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053021021||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 101-105 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053023023||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 111-115 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053025025||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 121-125 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053026026||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 126-130 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053030030||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 146-150 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053031031||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 151-155 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053035035||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 171-175 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053037037||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 181-185 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053038038||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 186-190 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
72266024401||J9051||10/01/2023|12/31/3999|Inj, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg|BORTEZOMIB 3.5 MG/1.4 ML VI|1.4|ML|VIAL|IV|ML|.1|10/01/2023|12/31/3999| | || | |
00517430001||J9259||10/01/2023|12/31/3999|Inj, paclitaxel protein-bound particles (american regent) not therap equivalent to J9264 1mg|PACLITAXEL PROTEIN-BOUND 10|1|UN|VIAL|IV|EA|.01|10/01/2023|12/31/3999| | || | |
70860030551||J1327||01/01/2023|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|ML|6.6667|01/01/2023|12/31/3999| | || | |
25021023551||J9201||01/01/2023|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 1 GRAM VIAL|10|UN|VIAL|IV|EA|.2|01/01/2023|12/31/3999| | || | |
70121249605||J0476||01/01/2023|12/31/3999|Injection, baclofen, 50 mcg for intrathecal trial|LIORESAL IT 0.05 MG/ML AMPU|1|ML|AMPUL|IT|ML|1|01/01/2023|12/31/3999| | || | |
42658001091||J9065||04/01/2023|12/31/3999|Injection, cladribine, per 1 mg|CLADRIBINE 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|04/01/2023|12/31/3999| | || | |
68180071801||J1270||04/01/2023|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|EA|.5|04/01/2023|12/31/3999| | || | |
72266015905||J1335||04/01/2023|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|04/01/2023|12/31/3999| | || | |
72893000301||J9307||04/01/2023|12/31/3999|Injection, pralatrexate, 1 mg|FOLOTYN 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|04/01/2023|12/31/3999| | || | |
62935016360||J1951||04/01/2023|12/31/3999|Inj, leuprolide acetate for depot suspension (fensolvi), 0.25 mg|FENSOLVI 45 MG SYRINGE KIT|1|UN|SYRINGE|SQ|EA|.0056|04/01/2023|12/31/3999| | || | |
55513016401||Q5117||04/01/2023|12/31/3999|Inj., kanjinti, 10 mg|KANJINTI 420 MG VIAL W-DILU|1|UN|VIAL|IV|EA|.0238|04/01/2023|12/31/3999| | || | |
68180096204||J7682||04/01/2023|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|04/01/2023|12/31/3999| | || | |
42023023901||J1030||04/01/2023|12/31/3999|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 400 MG/1|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
72572087501||J3465||04/01/2023|12/31/3999|Injection, voriconazole, 10 mg|VORICONAZOLE 200 MG VIAL|1|UN|VIAL|IV|ML|.05|04/01/2023|12/31/3999| | || | |
70594008901||J0692||10/01/2021|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|10/01/2021|12/31/3999| | || | |
44567045110||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,000 MG/100 ML-NAC|100|ML|BAG|IV|ML|.5|07/01/2023|12/31/3999| | || | |
70756061825||J1940||01/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|01/01/2023|12/31/3999| | || | |
70756061882||J1940||01/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|01/01/2023|12/31/3999| | || | |
60923022702||J3490||06/01/2021|06/30/2021|Unclassified drugs|AMONDYS-45  100 MG/2 ML VIA|2|ML|VIAL|IV|ML|1|06/01/2021|06/30/2021| | || | |
50242024501||J9316||01/03/2021|12/31/3999|Pertuzu, trastuzu, 10 mg|PHESGO 1,200-600MG-30,000 U|15|ML|VIAL|SQ|ML|.08334|01/03/2021|12/31/3999| | || | |
60923022702||C9075||07/01/2021|09/30/2021|Injection, casimersen, 10 mg|AMONDYS-45  100 MG/2 ML VIA|2|ML|VIAL|IV|ML|.2|07/01/2021|09/30/2021| | || | |
50242026001||J9316||01/03/2021|12/31/3999|Pertuzu, trastuzu, 10 mg|PHESGO 600-600 MG-20,000 UN|10|ML|VIAL|SQ|ML|.08334|01/03/2021|12/31/3999| | || | |
69097070996||J3430||05/03/2022|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|PHYTONADIONE 1 MG/0.5 ML VI|0.5|ML|VIAL|IJ|ML|.5|05/03/2022|12/31/3999| | || | |
69918090112||J2597||04/01/2022|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN 40 MCG/10 ML V|10|ML|VIAL|IJ|ML|.25|04/01/2022|12/31/3999| | || | |
70121139905||J1100||04/04/2022|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/04/2022|12/31/3999| | || | |
70121158101||J0330||10/01/2019|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|10/01/2019|12/31/3999| | || | |
70594006301||J2370||04/05/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|EA|1|04/05/2022|06/30/2023| | || | |
71288071911||J0330||04/04/2022|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/04/2022|12/31/3999| | || | |
71839011725||J1644||02/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIA|2|ML|VIAL|IJ|ML|1|02/01/2022|12/31/3999| | || | |
71839012325||J3490||04/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
71839012425||J3490||04/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|2|04/01/2022|12/31/3999| | || | |
71839012501||J3490||04/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|5|04/01/2022|12/31/3999| | || | |
71839012525||J3490||04/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|5|04/01/2022|12/31/3999| | || | |
72266015901||J1335||11/22/2021|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|11/22/2021|12/31/3999| | || | |
72266015910||J1335||11/22/2021|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|11/22/2021|12/31/3999| | || | |
55150038201||J9305||05/27/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|05/27/2022|12/31/3999| | || | |
60505623004||J9264||04/12/2022|12/31/3999|Injection, paclitaxel protein-bound particles, 1 mg|PACLITAXEL PROTEIN-BOUND 10|1|UN|VIAL|IV|EA|.01|04/12/2022|12/31/3999| | || | |
63323013410||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|05/25/2022|12/31/3999| | || | |
63323032543||J0133||01/01/2022|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 1,000 MG/20 ML VI|20|ML|VIAL|IV|ML|1|01/01/2022|12/31/3999| | || | |
63323045050||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|05/25/2022|12/31/3999| | || | |
63323062200||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM VI|1|UN|VIAL|IV|EA|.01|05/25/2022|12/31/3999| | || | |
63323066001||J3490||04/01/2022|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|5|04/01/2022|12/31/3999| | || | |
63323088601||J3490||06/24/2022|12/31/3999|Unclassified drugs|SODIUM PHOSPHATE 150 MMOL/5|50|ML|VIAL|IV|ML|50|06/24/2022|12/31/3999| | || | |
63323088656||J3490||06/24/2022|12/31/3999|Unclassified drugs|SODIUM PHOSPHATE 150 MMOL/5|50|ML|VIAL|IV|ML|50|06/24/2022|12/31/3999| | || | |
63323096502||J3480||04/01/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 40 MEQ/20 ML C|20|ML|VIAL|IV|ML|1|04/01/2022|12/31/3999| | || | |
65219000400||J3480||04/21/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/50 ML S|50|ML|BAG|IV|ML|10|04/21/2022|12/31/3999| | || | |
65219000401||J3480||04/21/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/50 ML S|50|ML|BAG|IV|ML|10|04/21/2022|12/31/3999| | || | |
65219000851||J3480||04/27/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/50 ML S|50|ML|BAG|IV|ML|5|04/27/2022|12/31/3999| | || | |
65219001000||J3480||04/27/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 40 MEQ/100 ML|100|ML|BAG|IV|ML|5|04/27/2022|12/31/3999| | || | |
00409116318||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00409116218||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00641622925||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00409115910||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409156018||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|Marcaine Preservative Free 0.5 % SOLN|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
60842002201||J3490||01/02/2023|12/31/3999|Unclassified drugs|AUVI-Q 0.15 MG AUTO-INJECTO|2|UN|SYRINGE|IJ|EA|.15|01/02/2023|12/31/3999| | || | |
00409115909||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|Bupivacaine HCl (PF) 0.25 % SOLN|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409158219||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
39822103001||J3490||04/28/2021|12/31/3999|Unclassified drugs|IBUPROFEN LYSINE 20 MG/2 ML|2|ML|VIAL|IV|ML|2|04/28/2021|12/31/3999| | || | |
39822103002||J3490||04/28/2021|12/31/3999|Unclassified drugs|IBUPROFEN LYSINE 20 MG/2 ML|2|ML|VIAL|IV|ML|2|04/28/2021|12/31/3999| | || | |
66993049036||J3490||05/05/2016|12/31/3999|Unclassified drugs|IBUPROFEN LYSINE 20 MG/2 ML|2|ML|VIAL|IV|ML|2|05/05/2016|12/31/3999| | || | |
55150019410||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL HCL 100 MG/10 ML VI|10|ML|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
63323040126||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|07/01/2023|12/31/3999| | || | |
70504028905||J7213||07/01/2023|12/31/3999|Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.|IXINITY 3,000 UNIT RANGE|1|F2|VIAL|IV|AHF|1|07/01/2023|12/31/3999| | || | |
72266010301||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00338954124||J1836||07/01/2023|12/31/3999|Injection, metronidazole, 10 mg|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|2|07/01/2023|12/31/3999| | || | |
00409106101||J9323||07/01/2023|12/31/3999|Injection, pemetrexed (hospira) not therapeutically equivalent to j9305, 10 mg|PEMETREXED 500 MG VIAL|1|UN|VIAL|IV|EA|.02|07/01/2023|12/31/3999| | || | |
55150042010||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,500 MG/250 ML-NAC|250|ML|BAG|IV|ML|1|07/01/2023|12/31/3999| | || | |
55150042101||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,000 MG/100 ML-NAC|100|ML|BAG|IV|ML|.5|07/01/2023|12/31/3999| | || | |
72611073401||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
42023023701||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOSTRICT 20 UNIT/100 ML V|100|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00310450525||J9347||07/01/2023|12/31/3999|Injection, tremelimumab-actl, 1 mg|IMJUDO 25 MG/1.25 ML VIAL|1.25|ML|VIAL|IV||.05|07/01/2023|12/31/3999| | || | |
81284021125||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
61990021100||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
61990021200||J2371||07/01/2023|02/28/2025|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|02/28/2025| | || | |
61990021300||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70756062210||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00409781131||J1836||07/01/2023|04/01/2024|Injection, metronidazole, 10 mg|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|2|07/01/2023|04/01/2024| | || | |
70756062386||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
59137054000||J3490||10/01/2022|12/31/3999|Unclassified drugs|RASUVO 25 MG/0.5 ML AUTOINJ|0.5|ML|SYRINGE|SQ|ML|.5|10/01/2022|12/31/3999| | || | |
59137055000||J3490||10/01/2022|12/31/3999|Unclassified drugs|RASUVO 30 MG/0.6 ML AUTOINJ|0.6|ML|SYRINGE|SQ|ML|.6|10/01/2022|12/31/3999| | || | |
55513012301||J2356||01/01/2023|12/31/3999|Inj tezepelumab-ekko, 1mg|TEZSPIRE 210 MG/1.91 ML PEN|1.91|ML|SYRINGE|SQ|ML|.0091|01/01/2023|12/31/3999| | || | |
70069006201||J2795||02/15/2023|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|02/15/2023|12/31/3999| | || | |
31722021033||J3370||03/24/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|03/24/2023|12/31/3999| | || | |
69367019050||J3489||02/01/2023|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|02/01/2023|12/31/3999| | || | |
51862014801||J7295||01/19/2023|12/31/3999|Eth estr and eton monthly .015mg/.12mg|HALOETTE VAGINAL RING|1|UN|PACKET|VG|EA|1|01/19/2023|12/31/3999| | || | |
51862014803||J7295||01/19/2023|12/31/3999|Eth estr and eton monthly .015mg/.12mg|HALOETTE VAGINAL RING|1|UN|PACKET|VG|EA|1|01/19/2023|12/31/3999| | || | |
70756061212||J7605||02/28/2023|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|02/28/2023|12/31/3999| | || | |
62332062117||J9267||02/13/2023|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 100 MG/16.7 ML V|16.7|ML|VIAL|IV|ML|.1667|02/13/2023|12/31/3999| | || | |
62332062250||J9267||02/13/2023|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|ML|.1667|02/13/2023|12/31/3999| | || | |
42023023710||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOSTRICT 20 UNIT/100 ML V|100|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
63323047201||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
42367057087||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
00409082911||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|07/01/2023|12/31/3999| | || | |
00409083001||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/01/2023|12/31/3999| | || | |
00409083011||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/01/2023|12/31/3999| | || | |
63323040101||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|07/01/2023|12/31/3999| | || | |
63323040241||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/01/2023|12/31/3999| | || | |
00143932901||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00143932910||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00143933110||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
63323046609||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
63323046638||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
63323046639||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00143933210||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00143933501||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
72205006101||J9267||01/01/2023|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|EA|.1667|01/01/2023|12/31/3999| | || | |
63323042101||J3490||01/01/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|2|01/01/2022|12/31/3999| | || | |
51754400003||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|VAZCULEP 50 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
65219014210||J3490||04/01/2023|12/31/3999|Unclassified drugs|KCL 10 MEQ/L-D5W-0.45% NACL|1000|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
65219014404||J3490||04/01/2023|12/31/3999|Unclassified drugs|KCL 20 MEQ/L-D5W-0.45% NACL|1000|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
65219014410||J3490||04/01/2023|12/31/3999|Unclassified drugs|KCL 20 MEQ/L-D5W-0.45% NACL|1000|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
65219038702||J3490||04/01/2023|12/31/3999|Unclassified drugs|MULTIPLE ELECTROLYTES T1 PH|1000|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
65219038705||J3490||04/01/2023|12/31/3999|Unclassified drugs|MULTIPLE ELECTROLYTES T1 PH|500|ML|FLEX CONT|IV|ML|500|04/01/2023|12/31/3999| | || | |
66794023702||J3490||04/01/2023|12/31/3999|Unclassified drugs|DOXYCYCLINE HYCLATE 100 MG|1|UN|VIAL|IV|EA|1|04/01/2023|12/31/3999| | || | |
70121169807||J3490||04/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML SY|1|ML|SYRINGE|IJ|ML|1|04/01/2023|12/31/3999| | || | |
71288041491||J3490||04/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
71288041492||J3490||04/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
72078003400||J3490||04/01/2023|12/31/3999|Unclassified drugs|ULTIVA 1 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/2023|12/31/3999| | || | |
72078003401||J3490||04/01/2023|12/31/3999|Unclassified drugs|ULTIVA 1 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/2023|12/31/3999| | || | |
70121169907||J3490||04/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|SYRINGE|IV|ML|2|04/01/2023|12/31/3999| | || | |
71288041493||J3490||04/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
71288041494||J3490||04/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
71288070005||J3490||04/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|04/01/2023|12/31/3999| | || | |
71288070006||J3490||04/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|04/01/2023|12/31/3999| | || | |
70748025704||J7605||04/01/2023|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|04/01/2023|12/31/3999| | || | |
70121174304||J9261||04/01/2023|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|04/01/2023|12/31/3999| | || | |
00409100501||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 1,000 UNIT/500 ML-N|500|ML|BAG|IV|ML|500|01/01/2023|12/31/3999| | || | |
00409100520||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 1,000 UNIT/500 ML-N|500|ML|BAG|IV|ML|500|01/01/2023|12/31/3999| | || | |
00409222212||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/1,000 ML|1000|ML|BAG|IV|ML|20|01/01/2023|12/31/3999| | || | |
00409315005||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/500-1/2|500|ML|BAG|IV|ML|20|01/01/2023|12/31/3999| | || | |
00409315020||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/500-1/2|500|ML|BAG|IV|ML|20|01/01/2023|12/31/3999| | || | |
00409765005||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/250-1/2|250|ML|BAG|IV|ML|10|01/01/2023|12/31/3999| | || | |
00409765030||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/250-1/2|250|ML|BAG|IV|ML|10|01/01/2023|12/31/3999| | || | |
00409452002||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/250 ML-|250|ML|BAG|IV|ML|10|01/01/2023|12/31/3999| | || | |
00409452030||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 25,000 UNIT/250 ML-|250|ML|BAG|IV|ML|10|01/01/2023|12/31/3999| | || | |
71288040681||J1644||04/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML S|1|ML|SYRINGE|IJ|ML|.2|04/01/2023|12/31/3999| | || | |
71288040682||J1644||04/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML S|1|ML|SYRINGE|IJ|ML|.2|04/01/2023|12/31/3999| | || | |
81952011404||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|01/01/2023|12/31/3999| | || | |
81952011306||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|10/01/2022|12/31/3999| | || | |
81952011409||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.1|01/01/2023|12/31/3999| | || | |
65219001001||J3480||04/27/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 40 MEQ/100 ML|100|ML|BAG|IV|ML|5|04/27/2022|12/31/3999| | || | |
65219001200||J3480||04/27/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/100 ML|100|ML|BAG|IV|ML|20|04/27/2022|12/31/3999| | || | |
65219016201||J0610||04/27/2022|03/31/2023|Injection, calcium gluconate, per 10 ml|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|10|04/27/2022|03/31/2023| | || | |
66794023643||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
66794023663||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
66794024002||J3490||06/27/2022|12/31/3999|Unclassified drugs|ZINC SULFATE 30 MG/10 ML VI|10|ML|VIAL|IV|ML|1|06/27/2022|12/31/3999| | || | |
66794024042||J3490||06/27/2022|12/31/3999|Unclassified drugs|ZINC SULFATE 30 MG/10 ML VI|10|ML|VIAL|IV|ML|1|06/27/2022|12/31/3999| | || | |
68001051627||J9267||02/24/2022|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|EA|.1667|02/24/2022|12/31/3999| | || | |
68516361102||J7193||01/01/2022|12/31/3999|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 1,000 UNIT VIA|1|F2|VIAL|IV|AHF|1|01/01/2022|12/31/3999| | || | |
68516461902||J7186||01/01/2022|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 1,500-600 UNIT VI|1|F2|VIAL|IV|AHF|1|01/01/2022|12/31/3999| | || | |
68516462002||J7186||01/01/2022|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 2,000-800 UNIT VI|1|F2|VIAL|IV|AHF|1|01/01/2022|12/31/3999| | || | |
70594007201||J2710||04/19/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|EA|.5|04/19/2022|12/31/3999| | || | |
70710165501||J9305||05/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|05/26/2022|12/31/3999| | || | |
70710167401||J9305||05/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM VI|1|UN|VIAL|IV|EA|.01|05/26/2022|12/31/3999| | || | |
70860020210||J9305||05/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|05/26/2022|12/31/3999| | || | |
70860020350||J9305||05/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|05/26/2022|12/31/3999| | || | |
71288016610||J9305||05/25/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|ML|.1|05/25/2022|12/31/3999| | || | |
71839012001||J3490||04/01/2022|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|2|04/01/2022|12/31/3999| | || | |
72205006301||J9267||04/26/2022|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|ML|.1667|04/26/2022|12/31/3999| | || | |
72266023501||J1190||12/09/2021|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 250 MG VIAL|1|UN|VIAL|IV|EA|1|12/09/2021|12/31/3999| | || | |
72572007401||J3490||01/01/2022|06/30/2023|Unclassified drugs|CLINDAMYCIN 600 MG/50 ML-D5|50|ML|BAG|IV|ML|6|01/01/2022|06/30/2023| | || | |
72572057610||J2543||04/01/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|04/01/2022|12/31/3999| | || | |
75987015003||J1823||04/01/2022|12/31/3999|Inj. inebilizumab-cdon, 1 mg|UPLIZNA 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|04/01/2022|12/31/3999| | || | |
81284061110||J3490||05/27/2022|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|10|05/27/2022|12/31/3999| | || | |
68462041929||S4993||04/01/2020|12/31/3999|Contraceptive pills for birth control|HAILEY FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/01/2020|12/31/3999| | || | |
68462041984||S4993||04/01/2020|12/31/3999|Contraceptive pills for birth control|HAILEY FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/01/2020|12/31/3999| | || | |
81284041110||J1110||05/27/2022|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML A|1|ML|AMPUL|IJ|ML|1|05/27/2022|12/31/3999| | || | |
81565020102||J1940||04/01/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/01/2022|12/31/3999| | || | |
50458061101||J3490||10/04/2021|06/30/2023|Unclassified drugs|INVEGA HAFYERA 1,092 MG/3.5|3.5|ML|SYRINGE|IM|ML|3|10/04/2021|06/30/2023| | || | |
47783064601||J0593||04/01/2022|12/31/3999|Inj, lanadelumab-flyo, 1 mg|TAKHZYRO 300 MG/2 ML SYRING|2|ML|SYRINGE|SQ|ML|.0067|04/01/2022|12/31/3999| | || | |
46783016001||J0588||01/03/2012|12/31/3999|Injection, incobotulinumtoxin a, 1 unit|XEOMIN|1|UN|VIAL|IM|EA|.01|01/03/2012|12/31/3999| | || | |
00409915825||J3430||02/08/2021|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|VITAMIN K-1 10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|02/08/2021|12/31/3999| | || | |
00703367501||J9250||09/01/2016|12/31/3999|Methotrexate sodium, 5 mg|METHOTREXATE 250 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|.2|09/01/2016|12/31/3999| | || | |
00052027301||J7295||10/01/2021|03/31/2023|Eth estr and eton monthly .015mg/.12mg|NUVARING VAGINAL RING|1|UN|BOX|VG|EA|1|10/01/2021|03/31/2023| | || | |
76045000810||J2270||01/06/2021|04/03/2022|Injection, morphine sulfate, up to 10 mg|MORPHINE 10 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|1|01/06/2021|04/03/2022| | || | |
00052027303||J7295||10/01/2021|03/31/2023|Eth estr and eton monthly .015mg/.12mg|NUVARING VAGINAL RING|3|UN|BOX|VG|EA|1|10/01/2021|03/31/2023| | || | |
50242014501||J9306||04/17/2018|12/31/3999|Injection, pertuzumab, 1 mg|PERJETA 420 MG/14 ML VIAL|14|ML|VIAL|IV|ML|.03333|04/17/2018|12/31/3999| | || | |
00169300715||S5552||10/16/2018|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|NOVOLIN 70-30 FLEXPEN|3|ML|SYRINGE|SQ|ML|.05|10/16/2018|12/31/3999| | || | |
47781062194||J3490||04/09/2021|10/14/2021|Unclassified drugs|CLINDAMYCIN 900 MG/6 ML ADD|6|ML|VIAL|IV|ML|1|04/09/2021|10/14/2021| | || | |
59572098401||J9319||10/01/2021|12/31/3999|Inj romidepsin lyophil 0.1mg|ISTODAX 10 MG KIT|1|UN|VIAL|IV|EA|.01|10/01/2021|12/31/3999| | || | |
47781058917||J2250||04/09/2021|10/23/2021|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 25 MG/5 ML VI|5|ML|VIAL|IJ|ML|.2|04/09/2021|10/23/2021| | || | |
47781058991||J2250||04/09/2021|01/29/2025|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|04/09/2021|01/29/2025| | || | |
47781058922||J2250||04/09/2021|06/30/2023|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|10|ML|VIAL|IJ|ML|.2|04/09/2021|06/30/2023| | || | |
47781062169||J3490||04/09/2021|10/14/2021|Unclassified drugs|CLINDAMYCIN 900 MG/6 ML ADD|6|ML|VIAL|IV|ML|1|04/09/2021|10/14/2021| | || | |
00002771201||S5551||07/17/2015|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG 200 UNITS/ML KWIKPE|3|ML|SYRINGE|SQ|ML|.05|07/17/2015|12/31/3999| | || | |
00002771227||S5551||07/17/2015|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|HUMALOG 200 UNITS/ML KWIKPE|3|ML|SYRINGE|SQ|ML|.05|07/17/2015|12/31/3999| | || | |
00169300725||S5552||10/16/2018|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|RELION NOVOLIN 70-30 FLEXPE|3|ML|SYRINGE|SQ|ML|.05|10/16/2018|12/31/3999| | || | |
00338954304||J7050||01/03/1991|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% 500 ML|500|ML|FLEX CONT|IV|ML|250|01/03/1991|12/31/3999| | || | |
78206014501||J7307||09/23/2021|12/31/3999|Etonogestrel (contraceptive) implant system, including implant and supplies|NEXPLANON 68 MG IMPLANT|1|UN|PF APPLI|SQ|EA|1|09/23/2021|12/31/3999| | || | |
61755003901||Q0244||06/03/2021|01/24/2022|Inj, casirivimab and imdevimab, 1200 mg|REGEN-COV 600-600 MG/10ML(E|10|ML|VIAL|IV|ML|10|06/03/2021|01/24/2022| | || | |
61755003901||Q0240||07/30/2021|01/24/2022|Inj, casirivimab and imdevimab, 600 mg|REGEN-COV 600-600 MG/10ML(E|10|ML|VIAL|IV|ML|5|07/30/2021|01/24/2022| | || | |
61755002400||Q0244||06/03/2021|01/24/2022|Inj, casirivimab and imdevimab, 1200 mg|CASIRIVIMAB(REGN10933) 1,33|11.1|ML|VIAL|IV|ML|10|06/03/2021|01/24/2022| | || | |
61755002400||Q0240||07/30/2021|01/24/2022|Inj, casirivimab and imdevimab, 600 mg|CASIRIVIMAB(REGN10933) 1,33|11.1|ML|VIAL|IV|ML|5|07/30/2021|01/24/2022| | || | |
61755002701||Q0244||06/03/2021|01/24/2022|Inj, casirivimab and imdevimab, 1200 mg|IMDEVIMAB (REGN10987) 300 M|2.5|ML|VIAL|IV|ML|10|06/03/2021|01/24/2022| | || | |
61755002701||Q0240||07/30/2021|01/24/2022|Inj, casirivimab and imdevimab, 600 mg|IMDEVIMAB (REGN10987) 300 M|2.5|ML|VIAL|IV|ML|5|07/30/2021|01/24/2022| | || | |
65162046935||J7295||10/01/2021|12/31/3999|Eth estr and eton monthly .015mg/.12mg|ELURYNG VAGINAL RING|1|UN|BOX|VG|EA|1|10/01/2021|12/31/3999| | || | |
66993060536||J7295||10/01/2021|12/31/3999|Eth estr and eton monthly .015mg/.12mg|ETONOGESTREL-EE VAGINAL RIN|1|UN|BOX|VG|EA|1|10/01/2021|12/31/3999| | || | |
61755002401||Q0244||06/03/2021|01/24/2022|Inj, casirivimab and imdevimab, 1200 mg|CASIRIVIMAB(REGN10933) 1,33|11.1|ML|VIAL|IV|ML|10|06/03/2021|01/24/2022| | || | |
61755002401||Q0240||07/30/2021|01/24/2022|Inj, casirivimab and imdevimab, 600 mg|CASIRIVIMAB(REGN10933) 1,33|11.1|ML|VIAL|IV|ML|5|07/30/2021|01/24/2022| | || | |
61755002500||Q0244||06/03/2021|01/24/2022|Inj, casirivimab and imdevimab, 1200 mg|IMDEVIMAB (REGN10987) 1,332|11.1|ML|VIAL|IV|ML|10|06/03/2021|01/24/2022| | || | |
61755002500||Q0240||07/30/2021|01/24/2022|Inj, casirivimab and imdevimab, 600 mg|IMDEVIMAB (REGN10987) 1,332|11.1|ML|VIAL|IV|ML|5|07/30/2021|01/24/2022| | || | |
00169320511||J1812||07/01/2023|12/31/3999|Insulin (fiasp), per 5 units|FIASP PENFILL 100 UNIT/ML C|3|ML|CARTRIDGE|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
00169320515||J1812||07/01/2023|12/31/3999|Insulin (fiasp), per 5 units|FIASP PENFILL 100 UNIT/ML C|3|ML|CARTRIDGE|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
00781922870||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
71288080702||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
71288080877||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70069080101||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70069080125||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70069080201||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00009305102||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 300 MG/2 ML VI|2|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
67457097850||J0206||07/01/2023|12/31/3999|Injection, allopurinol sodium, 1 mg|ALOPRIM 500 MG VIAL|1|UN|VIAL|IV|EA|.002|07/01/2023|12/31/3999| | || | |
00409233924||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 20 MG/4 ML CR|4|ML|CARTRIDGE|IV|ML|1|07/01/2023|12/31/3999| | || | |
25021030884||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,500 MG/250 ML-NAC|250|ML|BAG|IV|ML|1|07/01/2023|12/31/3999| | || | |
72611063401||J0736||07/01/2023|01/29/2025|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 300 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/01/2023|01/29/2025| | || | |
72611063925||J0736||07/01/2023|01/29/2025|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 600 MG/4 ML|4|ML|VIAL|IJ|ML|2|07/01/2023|01/29/2025| | || | |
72611064201||J0736||07/01/2023|01/29/2025|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 900 MG/6 ML|6|ML|VIAL|IJ|ML|2|07/01/2023|01/29/2025| | || | |
72611064225||J0736||07/01/2023|01/29/2025|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 900 MG/6 ML|6|ML|VIAL|IJ|ML|2|07/01/2023|01/29/2025| | || | |
72611064555||J0736||07/01/2023|01/29/2025|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 9 G/60 ML VI|60|ML|VIAL|IJ|ML|2|07/01/2023|01/29/2025| | || | |
00338954524||J0737||07/01/2023|12/31/3999|Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg|CLINDAMYCIN 300 MG/50 ML-NS|50|ML|BAG|IV|ML|50|07/01/2023|12/31/3999| | || | |
00338954924||J0737||07/01/2023|12/31/3999|Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg|CLINDAMYCIN 600 MG/50 ML-NS|50|ML|BAG|IV|ML|25|07/01/2023|12/31/3999| | || | |
71288080876||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
55150030025||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
55150030110||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
72572057001||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
72572057101||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
25021031410||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL HCL 100 MG/10 ML VI|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00069155801||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00009407304||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 600 MG/4 ML VI|4|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00009509505||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 900 MG/6 ML VI|6|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
72603047425||J1940||04/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
51097000101||J2062||05/30/2023|12/31/3999|Loxapine for inhalation, 1 mg|ADASUVE 10 MG INHALATION PO|1|UN|PACKET|IH|EA|.1|05/30/2023|12/31/3999| | || | |
51097000102||J2062||05/30/2023|12/31/3999|Loxapine for inhalation, 1 mg|ADASUVE 10 MG INHALATION PO|1|UN|PACKET|IH|EA|.1|05/30/2023|12/31/3999| | || | |
70121156807||Q5125||04/01/2023|12/31/3999|Injection, filgrastim-ayow, biosimilar, (releuko), 1 mcg|RELEUKO 300 MCG/0.5 ML SYRI|0.5|ML|SYRINGE|SQ|ML|.0017|04/01/2023|12/31/3999| | || | |
70121157007||Q5125||04/01/2023|12/31/3999|Injection, filgrastim-ayow, biosimilar, (releuko), 1 mcg|RELEUKO 480 MCG/0.8 ML SYRI|0.8|ML|SYRINGE|SQ|ML|.0017|04/01/2023|12/31/3999| | || | |
72603014701||J0878||04/01/2023|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|04/01/2023|12/31/3999| | || | |
68516460501||J7186||04/01/2018|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 250-100 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/2018|12/31/3999| | || | |
68516460601||J7186||04/01/2018|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 500-200 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/2018|12/31/3999| | || | |
68516460702||J7186||01/01/2018|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 1,000-400 UNIT VI|1|F2|VIAL|IV|AHF|1|01/01/2018|12/31/3999| | || | |
68516460802||J7186||04/01/2018|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 1,500-600 UNIT VI|1|F2|VIAL|IV|AHF|1|04/01/2018|12/31/3999| | || | |
68516360402||J7193||04/01/2018|12/31/3999|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|04/01/2018|12/31/3999| | || | |
71894014210||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 13.6-14.0 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894014310||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 14.1-14.5 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894014410||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 14.6-15.0 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894014511||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 15.1-15.5 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894014611||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 15.6-16.0 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894014711||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 16.1-16.5 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894015113||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 18.1-18.5 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894015213||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 18.6-19.0 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894015414||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 19.6-20.0 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894015514||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 20.1-20.5 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894015614||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 20.6-21.0 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
00409001202||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 12,500 UNIT/250-1/2|250|ML|BAG|IV|ML|20|01/01/2023|12/31/3999| | || | |
00409001230||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 12,500 UNIT/250-1/2|250|ML|BAG|IV|ML|500|01/01/2023|12/31/3999| | || | |
00409222201||J1644||01/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/1,000 ML|1000|ML|BAG|IV|ML|500|01/01/2023|12/31/3999| | || | |
69918070004||J0330||04/01/2023|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
69918070011||J0330||04/01/2023|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
70121250202||J0475||01/01/2023|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 10 MG/5 ML KIT|5|ML|AMPUL|IT|ML|5|01/01/2023|12/31/3999| | || | |
70121250502||J0475||01/01/2023|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 40 MG/20 ML KIT|20|ML|AMPUL|IT|ML|5|01/01/2023|12/31/3999| | || | |
70121249501||J0475||01/01/2023|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 40 MG/20 ML AMP|20|ML|AMPUL|IT|ML|5|01/01/2023|12/31/3999| | || | |
55150047801||J9218||06/29/2022|12/31/3999|Leuprolide acetate, per 1 mg|LEUPROLIDE 2WK 14 MG/2.8 ML|1|UN|KIT|SQ|ML|.0714|06/29/2022|12/31/3999| | || | |
69097087067||J1932||10/01/2022|12/31/3999|Injection, lanreotide, (cipla), 1 mg|LANREOTIDE 120 MG/0.5 ML SY|0.5|ML|SYRINGE|SQ|EA|.25|10/01/2022|12/31/3999| | || | |
00069068803||J8999||03/30/2020|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IBRANCE 125 MG TABLET|21|UN|BLIST PACK|PO|TAB|.8|03/30/2020|12/31/3999| | || | |
16714067601||J8999||06/13/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 12.5 MG CA|28|UN|BOTTLE|PO|CAP|1|06/13/2022|12/31/3999| | || | |
16714067701||J8999||06/13/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 25 MG CAPS|28|UN|BOTTLE|PO|CAP|1|06/13/2022|12/31/3999| | || | |
43598034479||J8999||04/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|1|UN|BLIST PACK|PO|TAB|1|04/01/2022|12/31/3999| | || | |
43598034579||J8999||04/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|1|UN|BLIST PACK|PO|TAB|.25|04/01/2022|12/31/3999| | || | |
50419039001||J8999||01/01/2019|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VITRAKVI 25 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|01/01/2019|12/31/3999| | || | |
50419039101||J8999||11/26/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VITRAKVI 100 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|11/26/2018|12/31/3999| | || | |
51862064330||J8999||04/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|30|UN|BOTTLE|PO|TAB|1|04/01/2022|12/31/3999| | || | |
62135049030||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ANASTROZOLE 1 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2022|12/31/3999| | || | |
62135049090||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ANASTROZOLE 1 MG TABLET|90|UN|BOTTLE|PO|TAB|1|01/01/2022|12/31/3999| | || | |
64380016002||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 40 MG/ML SUS|480|ML|BOTTLE|PO|ML|1|01/01/2022|12/31/3999| | || | |
68462088260||J8999||06/22/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE ACETATE 500 MG|60|UN|BOTTLE|PO|TAB|1|06/22/2022|12/31/3999| | || | |
69315016401||J8999||03/16/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|HYDROXYUREA 500 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|03/16/2022|12/31/3999| | || | |
70000058501||Q0163||04/01/2022|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|ALLERGY RELIEF 25 MG SOFTGE|24|UN|BLIST PACK|PO|CAP|2|04/01/2022|12/31/3999| | || | |
72603011001||J8999||04/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE ACETATE 250 MG|120|UN|BOTTLE|PO|TAB|1|04/01/2022|12/31/3999| | || | |
72603011101||J8999||06/15/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE ACETATE 500 MG|60|UN|BOTTLE|PO|TAB|1|06/15/2022|12/31/3999| | || | |
51862064260||J8999||10/01/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 10 MG TABLET|60|UN|BOTTLE|PO|TAB|1|10/01/2021|12/31/3999| | || | |
51862064310||J8999||10/01/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|1000|UN|BOTTLE|PO|TAB|1|10/01/2021|12/31/3999| | || | |
00009305101||J3490||10/01/2019|06/30/2023|Unclassified drugs|CLEOCIN PHOS 300 MG/2 ML VI|2|ML|VIAL|IJ|ML|6|10/01/2019|06/30/2023| | || | |
00009407303||J3490||10/01/2019|06/30/2023|Unclassified drugs|CLEOCIN PHOS 600 MG/4 ML VI|4|ML|VIAL|IJ|ML|4|10/01/2019|06/30/2023| | || | |
00009509506||J3490||10/01/2019|06/30/2023|Unclassified drugs|CLEOCIN PHOS 900 MG/6 ML VI|6|ML|VIAL|IJ|ML|6|10/01/2019|06/30/2023| | || | |
00069131202||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
70594008402||J0290||01/11/2022|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|01/11/2022|12/31/3999| | || | |
66794021943||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
66794021963||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
67457084330||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
70594008401||J0290||01/11/2022|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|01/11/2022|12/31/3999| | || | |
50419039201||J8999||11/26/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|VITRAKVI 20 MG/ML SOLUTION|100|ML|BOTTLE|PO|ML|1|11/26/2018|12/31/3999| | || | |
63323086774||J3490||05/27/2021|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.3% NACL IV SO|500|ML|FLEX CONT|IV|ML|1|05/27/2021|12/31/3999| | || | |
63323086775||J3490||05/27/2021|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.3% NACL IV SO|250|ML|FLEX CONT|IV|ML|1|05/27/2021|12/31/3999| | || | |
00990793619||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 50%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
72572015001||J3490||10/08/2019|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|10/08/2019|12/31/3999| | || | |
72572015010||J3490||10/08/2019|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|10/08/2019|12/31/3999| | || | |
00143936401||J3490||05/21/2021|06/30/2023|Unclassified drugs|LABETALOL 200 MG/200 ML-NAC|200|ML|BAG|IV|ML|1|05/21/2021|06/30/2023| | || | |
00143936601||J3490||04/27/2021|06/30/2023|Unclassified drugs|LABETALOL 200MG/200ML-DEXTR|200|ML|BAG|IV|ML|1|04/27/2021|06/30/2023| | || | |
36000032010||J3490||06/09/2021|06/30/2023|Unclassified drugs|LABETALOL HCL 20 MG/4 ML VI|4|ML|VIAL|IV|ML|1|06/09/2021|06/30/2023| | || | |
36000032201||J3490||06/09/2021|06/30/2023|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|06/09/2021|06/30/2023| | || | |
36000032202||J3490||06/09/2021|06/30/2023|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|06/09/2021|06/30/2023| | || | |
36000032401||J3490||06/09/2021|06/30/2023|Unclassified drugs|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|06/09/2021|06/30/2023| | || | |
61755002101||J3590||07/29/2015|12/31/3999|Unclassified Biologics|PRALUENT 150 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|07/29/2015|12/31/3999| | || | |
00409166022||J3490||04/08/2013|12/31/3999|Unclassified drugs|PRECEDEX 80 MCG/20 ML VIAL|20|ML|VIAL|IV|ML|1|04/08/2013|12/31/3999| | || | |
00088250200||S5551||01/01/2011|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|APIDRA SOLOSTAR 100 UNIT/ML|3|ML|SYRINGE|SQ|ML|.05|01/01/2011|12/31/3999| | || | |
00088250200||S5550||01/01/2011|12/31/3999|Insulin, rapid onset, 5 units|APIDRA SOLOSTAR 100 UNIT/ML|3|ML|SYRINGE|SQ|ML|.05|01/01/2011|12/31/3999| | || | |
73153090204||Q2054||10/01/2021|12/31/3999|Lisocabtagene mara car pos t|BREYANZI CD4 COMPONENT VIAL|1|UN|VIAL|IV|EA|1|10/01/2021|12/31/3999| | || | |
00143929910||J1570||06/17/2021|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG VIAL|1|UN|VIAL|IV|EA|1|06/17/2021|12/31/3999| | || | |
00169300325||S5552||12/23/2019|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|RELION NOVOLIN R U-100 FLEX|3|ML|SYRINGE|SQ|ML|.05|12/23/2019|12/31/3999| | || | |
00169210011||S5551||01/01/2011|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|RELION NOVOLOG 100 UNIT/ML|10|ML|VIAL|SQ|ML|.05|01/01/2011|12/31/3999| | || | |
00169210011||S5550||01/01/2011|12/31/3999|Insulin, rapid onset, 5 units|RELION NOVOLOG 100 UNIT/ML|10|ML|VIAL|SQ|ML|.05|01/01/2011|12/31/3999| | || | |
00169210112||S5551||01/01/2011|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|RELION NOVOLOG U-100 FLEXPE|3|ML|SYRINGE|SQ|ML|.05|01/01/2011|12/31/3999| | || | |
00169210112||S5550||01/01/2011|12/31/3999|Insulin, rapid onset, 5 units|RELION NOVOLOG U-100 FLEXPE|3|ML|SYRINGE|SQ|ML|.05|01/01/2011|12/31/3999| | || | |
00169210125||S5551||01/01/2011|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|RELION NOVOLOG U-100 FLEXPE|3|ML|SYRINGE|SQ|ML|.05|01/01/2011|12/31/3999| | || | |
00169210125||S5550||01/01/2011|12/31/3999|Insulin, rapid onset, 5 units|RELION NOVOLOG U-100 FLEXPE|3|ML|SYRINGE|SQ|ML|.05|01/01/2011|12/31/3999| | || | |
55150030801||S0166||04/05/2021|12/31/3999|Injection, olanzapine, 2.5 mg|OLANZAPINE 10 MG VIAL|1|UN|VIAL|IM|EA|.25|04/05/2021|12/31/3999| | || | |
57894050100||C9083||10/01/2021|12/31/2021|Inj, amivantamab-vmjw, 10 mg|RYBREVANT 350 MG/7 ML VIAL|7|ML|VIAL|IV|ML|.2|10/01/2021|12/31/2021| | || | |
57894050100||J9999||10/01/2021|12/31/2021|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|RYBREVANT 350 MG/7 ML VIAL|7|ML|VIAL|IV|ML|1|10/01/2021|12/31/2021| | || | |
57894050101||C9083||10/01/2021|12/31/2021|Inj, amivantamab-vmjw, 10 mg|RYBREVANT 350 MG/7 ML VIAL|7|ML|VIAL|IV|ML|.2|10/01/2021|12/31/2021| | || | |
57894050101||J9999||10/01/2021|12/31/2021|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|RYBREVANT 350 MG/7 ML VIAL|7|ML|VIAL|IV|ML|1|10/01/2021|12/31/2021| | || | |
00487430110||J7050||01/01/2021|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|250|01/01/2021|12/31/3999| | || | |
00487430110||J7040||01/01/2021|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|500|01/01/2021|12/31/3999| | || | |
00487430110||J7030||01/01/2021|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|1000|01/01/2021|12/31/3999| | || | |
00069110902||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00069122402||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00069141501||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
55150030201||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
71390001111||J2249||07/01/2023|12/31/3999|Injection, remimazolam, 1 mg|BYFAVO 20 MG VIAL|1|UN|VIAL|IV|EA|.05|07/01/2023|12/31/3999| | || | |
00143936301||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL 100 MG/100 ML-NAC|100|ML|BAG|IV|ML|5|07/01/2023|07/02/2023| | || | |
00143936610||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL 200MG/200ML-DEXTR|200|ML|BAG|IV|ML|5|07/01/2023|07/02/2023| | || | |
00781346670||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
71288080701||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
63323075113||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
25021031598||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
25021031599||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
00143936310||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL 100 MG/100 ML-NAC|100|ML|BAG|IV|ML|5|07/01/2023|07/02/2023| | || | |
00143936410||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL 200 MG/200 ML-NAC|200|ML|BAG|IV|ML|5|07/01/2023|07/02/2023| | || | |
00143936501||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL 300 MG/300 ML-NAC|300|ML|BAG|IV|ML|5|07/01/2023|07/02/2023| | || | |
00143936510||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL 300 MG/300 ML-NAC|300|ML|BAG|IV|ML|5|07/01/2023|07/02/2023| | || | |
36000032402||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
72266010341||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00781342271||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00641618801||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
00641618810||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
00641618910||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
42023021325||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
42023021401||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
42023021410||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
63323075100||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
63323075105||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
59148010280||J3490||10/01/2023|12/31/2023|Unclassified drugs|ABILIFY ASIMTUFII 720 MG/2.|2.4|ML|SYRINGE|IM|ML|.0033|10/01/2023|12/31/2023| | || | |
71390012521||C9153||10/01/2023|10/02/2023|Inj, amisulpride, 1 m|BARHEMSYS 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.4|10/01/2023|10/02/2023| | || | |
71390012521||J3490||10/01/2023|12/31/2023|Unclassified drugs|BARHEMSYS 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.4|10/01/2023|12/31/2023| | || | |
71390012550||C9153||10/01/2023|10/02/2023|Inj, amisulpride, 1 m|BARHEMSYS 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|10/01/2023|10/02/2023| | || | |
71390012550||J3490||10/01/2023|12/31/2023|Unclassified drugs|BARHEMSYS 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|10/01/2023|12/31/2023| | || | |
71390012551||C9153||10/01/2023|10/02/2023|Inj, amisulpride, 1 m|BARHEMSYS 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|10/01/2023|10/02/2023| | || | |
71390012551||J3490||10/01/2023|12/31/2023|Unclassified drugs|BARHEMSYS 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|10/01/2023|12/31/2023| | || | |
58284022801||C9154||10/01/2023|12/31/2023|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI MONTH 128MG/0.36ML|0.36|ML|SYRINGE|SQ||.0028|10/01/2023|12/31/2023| | || | |
58284022801||J3490||10/01/2023|12/31/2023|Unclassified drugs|BRIXADI MONTH 128MG/0.36ML|0.36|ML|SYRINGE|SQ||.0028|10/01/2023|12/31/2023| | || | |
58284023201||C9154||10/01/2023|12/31/2023|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI WEEKLY 32MG/0.64ML|0.64|ML|SYRINGE|SQ||.02|10/01/2023|12/31/2023| | || | |
58284023201||J3490||10/01/2023|12/31/2023|Unclassified drugs|BRIXADI WEEKLY 32MG/0.64ML|0.64|ML|SYRINGE|SQ||.02|10/01/2023|12/31/2023| | || | |
00338963801||J2543||04/01/2023|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 4.5 GM/100 ML GALAXY|100|ML|BAG|IV|ML|25|04/01/2023|12/31/3999| | || | |
00338963224||J2543||04/01/2023|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 2.25 GM/50 ML GALAXY|50|ML|BAG|IV|ML|25|04/01/2023|12/31/3999| | || | |
00338963201||J2543||04/01/2023|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|ZOSYN 2.25 GM/50 ML GALAXY|50|ML|BAG|IV|ML|25|04/01/2023|12/31/3999| | || | |
82154045101||S0145||07/28/2022|12/31/3999|Injection, pegylated interferon alfa-2a, 180 mcg per ml|PEGASYS 180 MCG/0.5 ML SYRI|0.5|ML|SYRINGE|SQ|ML|1|07/28/2022|12/31/3999| | || | |
00310320004||J7169||04/01/2023|12/31/3999|Inj, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg|ANDEXXA 200 MG VIAL|1|UN|VIAL|IV|ML|.05|04/01/2023|12/31/3999| | || | |
13533060521||J7197||01/01/2006|12/31/3999|Antithrombin iii (human), per i.u.|THROMBATE III 500 UNIT VIAL|1|UN|VIAL|IV|EA|1|01/01/2006|12/31/3999| | || | |
23155083131||J1120||01/01/2023|12/31/3999|Injection, acetazolamide sodium, up to 500 mg|ACETAZOLAMIDE SOD 500 MG VI|1|UN|VIAL|IJ|EA|1|01/01/2023|12/31/3999| | || | |
00074357501||J1950||04/01/2023|12/31/3999|Injection, leuprolide acetate (for depot suspension), per 3.75 mg|LUPRON DEPOT-PED 45 MG 6MO|1|UN|KIT|IM|EA|.08333|04/01/2023|12/31/3999| | || | |
55150036501||J0289||01/01/2023|12/31/3999|Injection, amphotericin b liposome, 10 mg|AMPHOTERICIN B LIPOSOME 50|1|UN|VIAL|IV|EA|.2|01/01/2023|12/31/3999| | || | |
00143912825||J1580||10/01/2022|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/01/2022|12/31/3999| | || | |
55150040001||J0360||04/01/2023|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
55150040025||J0360||04/01/2023|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
00781351675||J1040||01/01/2023|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 400 MG/5|5|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
55150031401||J1040||04/01/2023|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 400 MG/5|5|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
42747010201||J0584||04/01/2023|12/31/3999|Injection, burosumab-twza 1 mg|CRYSVITA 10 MG/ML VIAL|1|ML|VIAL|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
42747020301||J0584||04/01/2023|12/31/3999|Injection, burosumab-twza 1 mg|CRYSVITA 20 MG/ML VIAL|1|ML|VIAL|SQ|ML|.05|04/01/2023|12/31/3999| | || | |
71288043591||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043793||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|04/01/2023|12/31/3999| | || | |
59148010280||C9152||10/01/2023|12/31/2023|Injection, aripiprazole, (abilify asimtufii), 1 mg|ABILIFY ASIMTUFII 720 MG/2.|2.4|ML|SYRINGE|IM|ML|.0033|10/01/2023|12/31/2023| | || | |
00009305102||J3490||10/01/2019|06/30/2023|Unclassified drugs|CLEOCIN PHOS 300 MG/2 ML VI|2|ML|VIAL|IJ|ML|2|10/01/2019|06/30/2023| | || | |
00009407304||J3490||10/01/2019|06/30/2023|Unclassified drugs|CLEOCIN PHOS 600 MG/4 ML VI|4|ML|VIAL|IJ|ML|4|10/01/2019|06/30/2023| | || | |
00009509505||J3490||10/01/2019|06/30/2023|Unclassified drugs|CLEOCIN PHOS 900 MG/6 ML VI|6|ML|VIAL|IJ|ML|6|10/01/2019|06/30/2023| | || | |
00002821517||S5550||04/01/2023|12/31/3999|Insulin, rapid onset, 5 units|HUMULIN R 100 UNITS/ML VIAL|3|ML|VIAL|IJ|ML|.05|04/01/2023|12/31/3999| | || | |
61703036018||J9045||10/01/2022|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|10/01/2022|12/31/3999| | || | |
76125015003||90377||04/01/2022|12/31/3999|Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D)|KEDRAB 300 UNIT/2 ML VIAL|2|ML|VIAL|IM|ML|1|04/01/2022|12/31/3999| | || | |
76125015010||90377||04/01/2022|12/31/3999|Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D)|KEDRAB 1,500 UNIT/10 ML VIA|10|ML|VIAL|IM|ML|1|04/01/2022|12/31/3999| | || | |
63323036019||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 1,000 MG/10 ML|10|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
63323036059||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 5,000 MG/50 ML|50|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
16729041903||J9196||04/01/2023|12/31/3999|Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to J9201, 200 mg|GEMCITABINE HCL 1 GRAM/10 M|10|ML|VIAL|IV|ML|2|04/01/2023|12/31/3999| | || | |
63323036003||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 5,000 MG/50 ML|50|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
76125015002||90377||04/01/2022|12/31/3999|Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D)|KEDRAB 150 UNIT/ML VIAL|2|ML|VIAL|IM|ML|1|04/01/2022|12/31/3999| | || | |
51754250003||J1574||04/01/2023|12/31/3999|Injection, ganciclovir sodium (exela) not therapeutically equivalent to j1570, 500 mg|GANCICLOVIR 500 MG/250 ML B|250|ML|FLEX CONT|IV|ML|250|04/01/2023|12/31/3999| | || | |
51754250001||J1574||04/01/2023|12/31/3999|Injection, ganciclovir sodium (exela) not therapeutically equivalent to j1570, 500 mg|GANCICLOVIR 500 MG/250 ML B|250|ML|FLEX CONT|IV|ML|1|04/01/2023|12/31/3999| | || | |
16729039130||J9196||04/01/2023|12/31/3999|Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to J9201, 200 mg|GEMCITABINE HCL 200 MG/2 ML|2|ML|VIAL|IV|ML|2|04/01/2023|12/31/3999| | || | |
16729042333||J9196||04/01/2023|12/31/3999|Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to J9201, 200 mg|GEMCITABINE HCL 1.5 GRAM/15|15|ML|VIAL|IV|ML|2|04/01/2023|12/31/3999| | || | |
44567062024||J0613||04/01/2023|12/31/3999|Injection, calcium gluconate (wg critical care), per 10 mg|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|.5|04/01/2023|12/31/3999| | || | |
16729042605||J9196||04/01/2023|12/31/3999|Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to J9201, 200 mg|GEMCITABINE HCL 2 GRAM/20 M|20|ML|VIAL|IV|ML|2|04/01/2023|12/31/3999| | || | |
63323036061||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 10,000 MG/100|100|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
76125015011||90377||04/01/2022|12/31/3999|Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D)|KEDRAB 1,500 UNIT/10 ML VIA|10|ML|VIAL|IM|ML|1|04/01/2022|12/31/3999| | || | |
63323036001||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 1,000 MG/10 ML|10|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
63323036005||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 10,000 MG/100|100|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
00409106101||J9294||04/01/2023|06/30/2023|Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg|PEMETREXED 500 MG VIAL|1|UN|VIAL|IV|EA|.02|04/01/2023|06/30/2023| | || | |
00409104501||J9294||04/01/2023|12/31/3999|Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 100 MG/|4|UN|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
00409218801||J9294||04/01/2023|12/31/3999|Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 500MG/2|20|UN|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
00310450525||C9147||04/01/2023|06/30/2023|Injection, tremelimumab-actl, 1 mg|IMJUDO 25 MG/1.25 ML VIAL|1.25|ML|VIAL|IV||1.25|04/01/2023|06/30/2023| | || | |
23155016032||J3490||10/01/2022|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|10/01/2022|12/31/3999| | || | |
23155068731||J2354||11/22/2022|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML V|1|ML|VIAL|IJ|ML|.5|11/22/2022|12/31/3999| | || | |
63323009002||J7050||06/18/2021|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 50 MEQ/20 M|20|ML|VIAL|IV|ML|250|06/18/2021|12/31/3999| | || | |
63323009002||J7040||06/18/2021|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 50 MEQ/20 M|20|ML|VIAL|IV|ML|500|06/18/2021|12/31/3999| | || | |
63323009002||J7030||06/18/2021|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 50 MEQ/20 M|20|ML|VIAL|IV|ML|1000|06/18/2021|12/31/3999| | || | |
63323009004||J7050||06/18/2021|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 100 MEQ/40|40|ML|VIAL|IV|ML|250|06/18/2021|12/31/3999| | || | |
63323009004||J7040||06/18/2021|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 100 MEQ/40|40|ML|VIAL|IV|ML|500|06/18/2021|12/31/3999| | || | |
63323009004||J7030||06/18/2021|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 100 MEQ/40|40|ML|VIAL|IV|ML|1000|06/18/2021|12/31/3999| | || | |
63323009020||J7050||06/18/2021|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 50 MEQ/20 M|20|ML|VIAL|IV|ML|250|06/18/2021|12/31/3999| | || | |
63323009020||J7040||06/18/2021|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 50 MEQ/20 M|20|ML|VIAL|IV|ML|500|06/18/2021|12/31/3999| | || | |
63323009020||J7030||06/18/2021|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 50 MEQ/20 M|20|ML|VIAL|IV|ML|1000|06/18/2021|12/31/3999| | || | |
00990773037||J7050||07/12/2018|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.45% SOLN|100|ML|FLEX CONT|IV|ML|250|07/12/2018|12/31/3999| | || | |
00990773037||J7040||07/12/2018|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.45% SOLN|100|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
00990773037||J7030||07/12/2018|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.45% SOLN|100|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
79952011001||C9084||10/01/2021|03/31/2022|Loncastuximab-lpyl, 0.1 mg|ZYNLONTA 10 MG VIAL|1|UN|VIAL|IV|EA|.01|10/01/2021|03/31/2022| | || | |
79952011001||J9999||10/01/2021|03/31/2022|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|ZYNLONTA 10 MG VIAL|1|UN|VIAL|IV|EA|1|10/01/2021|03/31/2022| | || | |
59572051503||C9081||10/01/2021|12/31/2021|Idecabtagene car pos t|ABECMA INFUSION BAG|1|UN|BAG|IV|EA|1|10/01/2021|12/31/2021| | || | |
36000032001||J3490||06/09/2021|06/30/2023|Unclassified drugs|LABETALOL HCL 20 MG/4 ML VI|4|ML|VIAL|IV|ML|1|06/09/2021|06/30/2023| | || | |
16714000101||J9000||02/23/2015|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 200 MG/100 ML V|100|ML|VIAL|IV|ML|5|02/23/2015|12/31/3999| | || | |
00093767901||J7295||10/01/2021|12/31/3999|Eth estr and eton monthly .015mg/.12mg|ETONOGESTREL-EE VAGINAL RIN|1|UN|PACKET|VG|EA|1|10/01/2021|12/31/3999| | || | |
73462010101||J1448||10/01/2021|12/31/3999|Injection, trilaciclib, 1mg|COSELA 300 MG VIAL|1|UN|VIAL|IV|EA|.0033|10/01/2021|12/31/3999| | || | |
61755001001||J1305||10/01/2021|12/31/3999|Inj, evinacumab-dgnb, 5mg|EVKEEZA 1,200 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.0333|10/01/2021|12/31/3999| | || | |
00409268921||J0295||10/04/2006|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULB 1.5 G ADD V|1|UN|VIAL|IV|EA|1|10/04/2006|12/31/3999| | || | |
72572005201||J3490||10/08/2019|12/31/3999|Unclassified drugs|CALCIUM CHLORIDE 10% VIAL|10|ML|VIAL|IV|ML|1|10/08/2019|12/31/3999| | || | |
72572005210||J3490||10/08/2019|12/31/3999|Unclassified drugs|CALCIUM CHLORIDE 10% VIAL|10|ML|VIAL|IV|ML|1|10/08/2019|12/31/3999| | || | |
43066000910||J3490||08/12/2011|12/31/2023|Unclassified drugs|CARDENE-NACL 20 MG/200 ML S|200|ML|BAG|IV|ML|1|08/12/2011|12/31/2023| | || | |
43066002810||J3490||08/12/2011|12/31/2023|Unclassified drugs|CARDENE-NACL 40 MG/200 ML I|200|ML|BAG|IV|ML|1|08/12/2011|12/31/2023| | || | |
00409367001||J3490||12/02/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|12/02/2019|12/31/3999| | || | |
00409367010||J3490||12/02/2019|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|12/02/2019|12/31/3999| | || | |
00409554710||J3490||03/04/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|03/04/2020|12/31/3999| | || | |
00409708310||J3490||03/24/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|03/24/2020|12/31/3999| | || | |
00078105697||J3590||06/07/2021|12/31/3999|Unclassified Biologics|COSENTYX 75 MG/0.5 ML SYRIN|0.5|ML|SYRINGE|SQ|ML|1|06/07/2021|12/31/3999| | || | |
00990793009||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|1000|ML|BAG|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990793819||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|500|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00173068220||J3535||07/01/2002|12/31/3999|Drug administered through a metered dose inhaler|VENTOLIN HFA 90 MCG INHALER|18|GR|CANISTER|IH|GM|1|07/01/2002|12/31/3999| | || | |
00517095501||J2359||10/01/2023|12/31/3999|Injection, olanzapine, 0.5 mg|OLANZAPINE 10 MG VIAL|1|UN|VIAL|IM|EA|.05|10/01/2023|12/31/3999| | || | |
00131181067||J3490||01/01/2010|12/31/3999|Unclassified drugs|VIMPAT 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.1|01/01/2010|12/31/3999| | || | |
00173068224||J3535||07/01/2006|12/31/3999|Drug administered through a metered dose inhaler|VENTOLIN HFA 90 MCG INHALER|8|GR|CANISTER|IH|GM|1|07/01/2006|12/31/3999| | || | |
63004871001||J0801||10/01/2023|12/31/3999|Inj, corticotropin (acthar gel), up to 40 units|HP ACTHAR GEL 80 UNIT/ML VIAL|5|ML|VIAL|IJ|ML|.5|10/01/2023|12/31/3999| | || | |
00002759701||J2359||10/01/2023|12/31/3999|Injection, olanzapine, 0.5 mg|ZYPREXA 10 MG VIAL|1|UN|VIAL|IM|EA|.05|10/01/2023|12/31/3999| | || | |
00002759701||S0166||10/01/2023|12/31/3999|Injection, olanzapine, 2.5 mg|ZYPREXA 10 MG VIAL|1|UN|VIAL|IM|EA|.05|10/01/2023|12/31/3999| | || | |
00781340946||J0290||04/01/2004|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM VIAL|1|UN|VIAL|IJ|ML|1|04/01/2004|12/31/3999| | || | |
00004029809||J7519||10/01/2023|12/31/3999|Inj, mycophenolate mofetil, 10 mg|CELLCEPT 500 MG VIAL|4|UN|VIAL|IV|EA|.02|10/01/2023|12/31/3999| | || | |
00781315972||J2359||10/01/2023|12/31/3999|Injection, olanzapine, 0.5 mg|OLANZAPINE 10 MG VIAL|1|UN|VIAL|IM|EA|1|10/01/2023|12/31/3999| | || | |
17478034038||J7682||02/17/2017|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPULE|5|ML|AMPUL|IH|ML|5|02/17/2017|12/31/3999| | || | |
36000000124||J1836||10/01/2023|10/01/2023|Injection, metronidazole, 10 mg|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|2|10/01/2023|10/01/2023| | || | |
00781910572||J2359||10/01/2023|12/31/3999|Injection, olanzapine, 0.5 mg|OLANZAPINE 10 MG VIAL|1|UN|VIAL|IJ|EA|.25|10/01/2023|12/31/3999| | || | |
00944285002||J1555||01/01/2018|12/31/3999|Inj cuvitru, 100 mg|CUVITRU 1 GRAM/5 ML VIAL|5|ML|VIAL|SQ|ML|.5|01/01/2018|12/31/3999| | || | |
00944285006||J1555||01/01/2018|12/31/3999|Inj cuvitru, 100 mg|CUVITRU 4 GRAM/20 ML VIAL|20|ML|VIAL|SQ|ML|.5|01/01/2018|12/31/3999| | || | |
42023017204||J7519||10/01/2023|12/31/3999|Inj, mycophenolate mofetil, 10 mg|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|.02|10/01/2023|12/31/3999| | || | |
00944285004||J1555||01/01/2018|12/31/3999|Inj cuvitru, 100 mg|CUVITRU 2 GRAM/10 ML VIAL|10|ML|VIAL|SQ|ML|.5|01/01/2018|12/31/3999| | || | |
00944285008||J1555||01/01/2018|12/31/3999|Inj cuvitru, 100 mg|CUVITRU 8 GRAM/ 40 ML VIAL|40|ML|VIAL|SQ|ML|.5|01/01/2018|12/31/3999| | || | |
72603025101||J1940||04/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
65219047205||J7040||04/01/2023|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|500|04/01/2023|12/31/3999| | || | |
65219047205||J7030||04/01/2023|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
65219047220||J7040||04/01/2023|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|500|04/01/2023|12/31/3999| | || | |
65219047220||J7030||04/01/2023|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
16714057201||J9218||04/01/2023|12/31/3999|Leuprolide acetate, per 1 mg|LEUPROLIDE 2WK 14 MG/2.8 ML|1|UN|KIT|SQ|EA|.0714|04/01/2023|12/31/3999| | || | |
70121253706||J9218||04/01/2023|12/31/3999|Leuprolide acetate, per 1 mg|LEUPROLIDE 2WK 14 MG/2.8 ML|1|UN|KIT|SQ|ML|.0714|04/01/2023|12/31/3999| | || | |
70121123701||J9025||01/01/2023|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|01/01/2023|12/31/3999| | || | |
39822305001||S0080||04/01/2023|12/31/3999|Injection, pentamidine iseth|PENTAMIDINE 300 MG INJECT V|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
00143975401||J2930||04/01/2023|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 125 M|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
00143975425||J2930||04/01/2023|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 125 M|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
63323075110||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
68516461002||J7186||07/01/2018|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 2,000-800 UNIT VI|1|F2|VIAL|IV|AHF|1|07/01/2018|12/31/3999| | || | |
71288040580||J1644||04/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288040581||J1644||04/01/2023|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|0.5|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71351002202||J3490||04/01/2023|12/31/3999|Unclassified drugs|BUPIVACAIN 0.75%-DEXTROS 8.|2|ML|AMPUL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
71351002210||J3490||04/01/2023|12/31/3999|Unclassified drugs|BUPIVACAIN 0.75%-DEXTROS 8.|2|ML|AMPUL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
55150045901||J3490||04/01/2023|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|04/01/2023|12/31/3999| | || | |
62332075150||J9190||04/01/2023|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 2.5 GRAM/50 ML|50|ML|VIAL|IV|ML|10|04/01/2023|12/31/3999| | || | |
70700018622||J9190||01/01/2023|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
70700018722||J9190||01/01/2023|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1 GRAM/20 ML V|20|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
62332059925||J1885||04/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
62332060025||J1885||04/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
72485011501||J2010||04/01/2023|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOMYCIN HCL 3 GM/10 ML V|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
72485011510||J2010||04/01/2023|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOMYCIN HCL 3 GM/10 ML V|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
70710188601||C9254||01/01/2023|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|01/01/2023|12/31/3999| | || | |
70710188601||J3490||01/01/2023|12/31/3999|Unclassified drugs|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|01/01/2023|12/31/3999| | || | |
70710188606||C9254||01/01/2023|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|01/01/2023|12/31/3999| | || | |
70710188606||J3490||01/01/2023|12/31/3999|Unclassified drugs|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|01/01/2023|12/31/3999| | || | |
72603014001||C9254||04/01/2023|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
72603014001||J3490||04/01/2023|12/31/3999|Unclassified drugs|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|04/01/2023|12/31/3999| | || | |
72603014002||C9254||04/01/2023|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
72603014002||J3490||04/01/2023|12/31/3999|Unclassified drugs|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|04/01/2023|12/31/3999| | || | |
00409412101||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|FLEX CONT|IV|ML|12.5|01/01/2023|12/31/3999| | || | |
00409412150||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|FLEX CONT|IV|ML|12.5|01/01/2023|12/31/3999| | || | |
00409523901||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|01/01/2023|12/31/3999| | || | |
00409523960||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|01/01/2023|12/31/3999| | || | |
00409673050||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/50 ML BA|50|ML|FLEX CONT|IV|ML|6.25|01/01/2023|12/31/3999| | || | |
00409673060||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/50 ML BA|50|ML|FLEX CONT|IV|ML|6.25|01/01/2023|12/31/3999| | || | |
70860050181||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|BAG|IV|ML|12.5|01/01/2023|12/31/3999| | || | |
70860050182||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|BAG|IV|ML|12.5|01/01/2023|12/31/3999| | || | |
70860050281||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/50 ML BA|50|ML|BAG|IV|ML|6.25|01/01/2023|12/31/3999| | || | |
00409672750||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|FLEX CONT|IV|ML|50|01/01/2023|12/31/3999| | || | |
69918070003||J0330||07/01/2022|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
24201000201||J3490||11/15/2022|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG/ML VI|1|ML|VIAL|IV|ML|1|11/15/2022|12/31/3999| | || | |
24208004040||J3299||10/01/2022|12/31/3999|Injection, triamcinolone acetonide (xipere), 1 mg|XIPERE 40 MG/ML VIAL|0.9|ML|VIAL|IO|ML|.025|10/01/2022|12/31/3999| | || | |
25021019111||J2248||10/01/2022|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|10/01/2022|12/31/3999| | || | |
63323068801||J3490||11/11/2022|12/31/3999|Unclassified drugs|POTASSIUM CL 40 MEQ/1,000ML|1000|ML|BAG|IV|ML|1000|11/11/2022|12/31/3999| | || | |
63323078121||J3490||10/01/2022|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|100|10/01/2022|12/31/3999| | || | |
63323081521||J0278||10/01/2022|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|10/01/2022|12/31/3999| | || | |
63323088406||J3490||10/01/2022|12/31/3999|Unclassified drugs|SODIUM PHOSPHATE 15 MMOL/5|5|ML|VIAL|IV|ML|5|10/01/2022|12/31/3999| | || | |
64406001907||Q5124||10/01/2022|12/31/3999|Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg|BYOOVIZ 0.5 MG/0.05 ML VIAL|0.05|ML|VIAL|IO|ML|.01|10/01/2022|12/31/3999| | || | |
64679075912||J1940||10/01/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|10/01/2022|12/31/3999| | || | |
65219020420||J3490||12/12/2022|12/31/3999|Unclassified drugs|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|12/12/2022|12/31/3999| | || | |
65219022801||J3490||10/01/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|100|ML|FLEX CONT|IV|ML|100|10/01/2022|12/31/3999| | || | |
65219055001||J9307||10/01/2022|12/31/3999|Injection, pralatrexate, 1 mg|PRALATREXATE 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|10/01/2022|12/31/3999| | || | |
68001044828||J0330||10/01/2022|03/31/2023|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|10/01/2022|03/31/2023| | || | |
68001050960||J3420||10/01/2022|03/31/2023|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|.01|10/01/2022|03/31/2023| | || | |
68001052430||J9190||10/01/2022|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|10/01/2022|12/31/3999| | || | |
68001053436||J9041||12/27/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.286|12/27/2022|12/31/3999| | || | |
68001053541||J9305||10/05/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|10/05/2022|12/31/3999| | || | |
68001054341||J9305||10/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|10/26/2022|12/31/3999| | || | |
69097016853||J7605||10/01/2022|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|10/01/2022|12/31/3999| | || | |
70069080701||J2260||10/13/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|10/13/2022|12/31/3999| | || | |
70069080801||J2260||10/13/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|10/13/2022|12/31/3999| | || | |
70069080810||J2260||10/13/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|10/13/2022|12/31/3999| | || | |
70069080901||J2260||10/13/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 50 MG/50 ML|50|ML|VIAL|IV|ML|5|10/13/2022|12/31/3999| | || | |
70121157107||Q5125||11/22/2022|12/31/3999|Injection, filgrastim-ayow, biosimilar, (releuko), 1 mcg|RELEUKO 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|IJ|ML|.0033|11/22/2022|12/31/3999| | || | |
70512084001||J3420||10/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
70594009001||J0692||10/01/2022|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|10/01/2022|12/31/3999| | || | |
70700017386||J3260||10/01/2022|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.0667|10/01/2022|12/31/3999| | || | |
70756061125||J3490||11/03/2022|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|11/03/2022|12/31/3999| | || | |
70756062210||J2370||11/04/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|11/04/2022|06/30/2023| | || | |
16729025003||J9033||12/07/2022|12/31/3999|Injection, bendamustine hcl, 1 mg|BENDAMUSTINE 25 MG VIAL|1|UN|VIAL|IV|EA|.04|12/07/2022|12/31/3999| | || | |
63323066910||J3490||11/11/2022|12/31/3999|Unclassified drugs|KCL 20 MEQ/L IN D5W SOLUTIO|1000|ML|BAG|IV|ML|1000|11/11/2022|12/31/3999| | || | |
63323068301||J3490||11/11/2022|12/31/3999|Unclassified drugs|POTASSIUM CL 20 MEQ-0.45% N|1000|ML|FLEX CONT|IV|ML|1000|11/11/2022|12/31/3999| | || | |
00990792323||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|100|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990792336||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|50|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990792409||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.225% NACL IV|1000|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
47335088244||J3490||06/30/2021|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML AMP|10|ML|AMPUL|IV|ML|1|06/30/2021|12/31/2023| | || | |
00703115381||J3490||04/01/2003|09/30/2022|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|04/01/2003|09/30/2022| | || | |
00409464611||J3490||10/28/2004|09/30/2022|Unclassified drugs|PANCURONIUM 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|10/28/2004|09/30/2022| | || | |
61755002001||J3590||07/29/2015|12/31/3999|Unclassified Biologics|PRALUENT 75 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|07/29/2015|12/31/3999| | || | |
72733590101||J3590||04/05/2019|01/31/2023|Unclassified Biologics|PRALUENT 75 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|04/05/2019|01/31/2023| | || | |
00409163832||J3490||10/28/2004|12/31/3999|Unclassified drugs|PRECEDEX 200 MCG/2 ML VIAL|2|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
72572065001||J3490||05/11/2021|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|05/11/2021|12/31/3999| | || | |
00409338211||J3490||10/28/2004|12/31/3999|Unclassified drugs|SUFENTANIL 50 MCG/ML VIAL|1|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
72485010710||J3490||06/29/2021|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|06/29/2021|12/31/3999| | || | |
25021031202||J3490||03/15/2021|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|03/15/2021|12/31/3999| | || | |
25021031204||J3490||03/15/2021|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|03/15/2021|12/31/3999| | || | |
00517800501||J3490||01/20/2020|12/31/3999|Unclassified drugs|ZINC SULFATE 25 MG/5 ML VIA|5|ML|VIAL|IV|ML|1|01/20/2020|12/31/3999| | || | |
00173089803||C9082||10/01/2021|12/31/2021|Inj dostarlimab-gxly, 100 mg|JEMPERLI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|2|10/01/2021|12/31/2021| | || | |
00173089803||J9999||10/01/2021|12/31/2021|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|JEMPERLI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|10/01/2021|12/31/2021| | || | |
63323016225||J1885||02/06/2002|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|02/06/2002|12/31/3999| | || | |
00169300701||S5552||10/16/2018|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|NOVOLIN 70-30 FLEXPEN|3|ML|SYRINGE|SQ|ML|.05|10/16/2018|12/31/3999| | || | |
00169300712||S5552||10/16/2018|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|RELION NOVOLIN 70-30 FLEXPE|3|ML|SYRINGE|SQ|ML|.05|10/16/2018|12/31/3999| | || | |
00169300415||S5552||12/23/2019|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|NOVOLIN N 100 UNIT/ML FLEXP|3|ML|SYRINGE|SQ|ML|.05|12/23/2019|12/31/3999| | || | |
63323053021||J7050||02/07/2020|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 3% IV SOLN|500|ML|FLEX CONT|IV|ML|250|02/07/2020|12/31/3999| | || | |
63323053021||J7040||02/07/2020|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 3% IV SOLN|500|ML|FLEX CONT|IV|ML|500|02/07/2020|12/31/3999| | || | |
63323053021||J7030||02/07/2020|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 3% IV SOLN|500|ML|FLEX CONT|IV|ML|1000|02/07/2020|12/31/3999| | || | |
63323086710||J3490||05/27/2021|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.3% NACL IV SO|1000|ML|FLEX CONT|IV|ML|1|05/27/2021|12/31/3999| | || | |
63323087310||J3490||05/11/2021|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.225% NACL IV|1000|ML|FLEX CONT|IV|ML|1|05/11/2021|12/31/3999| | || | |
63323087374||J3490||05/11/2021|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.225% NACL IV|500|ML|FLEX CONT|IV|ML|1|05/11/2021|12/31/3999| | || | |
63323087375||J3490||05/11/2021|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.225% NACL IV|250|ML|FLEX CONT|IV|ML|1|05/11/2021|12/31/3999| | || | |
67457097850||J3490||02/05/2009|06/30/2023|Unclassified drugs|ALOPRIM 500 MG VIAL|1|UN|VIAL|IV|EA|1|02/05/2009|06/30/2023| | || | |
43066002610||J3490||08/12/2011|12/31/2023|Unclassified drugs|CARDENE-NACL 20 MG/200 ML S|200|ML|BAG|IV|ML|1|08/12/2011|12/31/2023| | || | |
00409554701||J3490||03/04/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|03/04/2020|12/31/3999| | || | |
00409708301||J3490||03/24/2020|12/31/3999|Unclassified drugs|CISATRACURIUM 20 MG/10 ML V|10|ML|VIAL|IV|ML|1|03/24/2020|12/31/3999| | || | |
00990793003||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 10%-WATER IV SOLUT|500|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
68516360602||J7193||07/01/2018|12/31/3999|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 1,500 UNIT VIA|1|F2|VIAL|IV|AHF|1|07/01/2018|12/31/3999| | || | |
71894014812||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 16.6-17.0 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894014912||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 17.1-17.5 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894015012||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 17.6-18.0 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
71894015313||J3399||04/01/2023|12/31/3999|Inj, onasemnogene abeparvovec-xioi|ZOLGENSMA 19.1-19.5 KG KIT|1|UN|KIT|IV|EA|1|04/01/2023|12/31/3999| | || | |
64406010901||C9157||10/01/2023|12/31/2023|Inj, tofersen, 1 mg|QALSODY 100 MG/15 ML VIAL|15|ML|VIAL|IT|ML|.15|10/01/2023|12/31/2023| | || | |
64406010901||J3490||10/01/2023|12/31/2023|Unclassified drugs|QALSODY 100 MG/15 ML VIAL|15|ML|VIAL|IT|ML|.15|10/01/2023|12/31/2023| | || | |
00053015015||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 71-75 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053017017||J1411||10/01/2023|12/31/3999|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 81-85 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/3999| | || | |
00053022022||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 106-110 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053024024||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 116-120 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053027027||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 131-135 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053028028||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 136-140 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053029029||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 141-145 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053032032||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 156-160 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053033033||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 161-165 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053034034||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 166-170 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053036036||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 176-180 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053039039||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 191-195 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053040040||J1411||10/01/2023|12/31/3999|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 196-200 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/3999| | || | |
00053041041||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 201-205 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053042042||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 206-210 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053043043||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 211-215 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053044044||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 216-220 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053045045||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 221-225 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053046046||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 226-230 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
72485041701||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|04/01/2023|12/31/3999| | || | |
55150039201||J9033||04/01/2023|12/31/3999|Injection, bendamustine hcl, 1 mg|BENDAMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|.01|04/01/2023|12/31/3999| | || | |
68516360502||J7193||07/01/2018|12/31/3999|Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.|ALPHANINE SD 1,000 UNIT VIA|1|F2|VIAL|IV|AHF|1|07/01/2018|12/31/3999| | || | |
00641624001||J2710||04/01/2023|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 3 MG/3 ML SYRIN|3|ML|SYRINGE|IV|ML|.5|04/01/2023|12/31/3999| | || | |
43598061611||J2785||04/01/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|ML|1.25|04/01/2023|12/31/3999| | || | |
69639010501||J1454||06/23/2020|12/31/3999|Injection, fosnetupitant 235 mg and palonosetron 0.25 mg|AKYNZEO 235-0.25 MG/20 ML V|20|ML|VIAL|IJ|ML|20|06/23/2020|12/31/3999| | || | |
55150044301||J2785||04/01/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|ML|1.25|04/01/2023|12/31/3999| | || | |
43598064611||J3285||04/01/2023|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 50 MG/20 ML VI|20|ML|VIAL|IJ|ML|.4|04/01/2023|12/31/3999| | || | |
43598064711||J3285||04/01/2023|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 100 MG/20 ML V|20|ML|VIAL|IJ|ML|.2|04/01/2023|12/31/3999| | || | |
43598064811||J3285||04/01/2023|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 200 MG/20 ML V|20|ML|VIAL|IJ|ML|.1|04/01/2023|12/31/3999| | || | |
43598064911||J3285||04/01/2023|12/31/3999|Injection, treprostinil, 1 mg|TREPROSTINIL 20 MG/20 ML VI|20|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
55150030801||J2359||10/01/2023|12/31/3999|Injection, olanzapine, 0.5 mg|OLANZAPINE 10 MG VIAL|1|UN|VIAL|IM|EA|.25|10/01/2023|12/31/3999| | || | |
62856021201||J0174||07/06/2023|12/31/3999|Inj, lecanemab-irmb, 1 mg|LEQEMBI 200 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.01|07/06/2023|12/31/3999| | || | |
62856021501||J0174||07/06/2023|12/31/3999|Inj, lecanemab-irmb, 1 mg|LEQEMBI 500 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.01|07/06/2023|12/31/3999| | || | |
00053013013||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 61-65 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
82705000201||C9155||10/01/2023|12/31/2023|Inj, epcoritamab-bysp, 0.16 mg|EPKINLY 4 MG/0.8 ML VIAL|0.8|ML|VIAL|SQ|ML|.032|10/01/2023|12/31/2023| | || | |
82705000201||J9999||10/01/2023|12/31/2023|Not Otherwise Classified, Antineoplastic Drugs|EPKINLY 4 MG/0.8 ML VIAL|0.8|ML|VIAL|SQ|ML|.032|10/01/2023|12/31/2023| | || | |
82705001001||C9155||10/01/2023|12/31/2023|Inj, epcoritamab-bysp, 0.16 mg|EPKINLY 48 MG/0.8 ML VIAL|0.8|ML|VIAL|SQ|ML|.0027|10/01/2023|12/31/2023| | || | |
82705001001||J9999||10/01/2023|12/31/2023|Not Otherwise Classified, Antineoplastic Drugs|EPKINLY 48 MG/0.8 ML VIAL|0.8|ML|VIAL|SQ|ML|.0027|10/01/2023|12/31/2023| | || | |
66993037025||J1050||07/01/2021|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.00667|07/01/2021|12/31/3999| | || | |
66993037179||J1050||10/01/2021|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IJ|ML|.00667|10/01/2021|12/31/3999| | || | |
73606002001||J2781||10/01/2023|12/31/3999|Inj, pegcetacoplan, intravitreal, 1 mg|SYFOVRE 15 MG/0.1 ML VIAL|0.1|ML|VIAL|IO|ML|.0067|10/01/2023|12/31/3999| | || | |
61703012440||J9260||01/01/2023|12/31/3999|Methotrexate sodium, 50 mg|METHOTREXATE 1 GRAM/40 ML V|40|ML|VIAL|IJ|ML|2|01/01/2023|12/31/3999| | || | |
70860078505||J2469||01/01/2023|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.2|01/01/2023|12/31/3999| | || | |
39822303002||J2545||04/01/2023|12/31/3999|Pentamidine isethionate, inhalation solution, fda-approved final product, n...|PENTAMIDINE 300 MG INHAL PO|1|UN|VIAL|IH|EA|1|04/01/2023|12/31/3999| | || | |
72603013301||J1940||04/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
72603013325||J1940||04/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/01/2023|12/31/3999| | || | |
00053010010||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 46-50 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053011011||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 51-55 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053012012||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 56-60 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053014014||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 66-70 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053016016||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 76-80 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053018018||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 86-90 KG (10 ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
63323068601||J3490||11/11/2022|12/31/3999|Unclassified drugs|POTASSIUM CL 20 MEQ/1,000ML|1000|ML|BAG|IV|ML|1000|11/11/2022|12/31/3999| | || | |
70756062386||J2370||11/04/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|11/04/2022|06/30/2023| | || | |
71288000921||J0692||10/01/2022|08/30/2024|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|10/01/2022|08/30/2024| | || | |
00597003510||J1747||04/01/2023|12/31/3999|Injection, spesolimab-sbzo, 1 mg|SPEVIGO 450 MG/7.5 ML VIAL|7.5|ML|VIAL|IV|ML|.0167|04/01/2023|12/31/3999| | || | |
57894044901||C9148||04/01/2023|06/30/2023|Injection, teclistamab-cqyv, 0.5 mg|TECVAYLI 30 MG/3 ML VIAL|3|ML|VIAL|SQ|ML|.05|04/01/2023|06/30/2023| | || | |
57894044901||J9999||04/01/2023|06/30/2023|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|TECVAYLI 30 MG/3 ML VIAL|3|ML|VIAL|SQ|ML|.05|04/01/2023|06/30/2023| | || | |
73077001001||J0208||04/01/2023|12/31/3999|Injection, sodium thiosulfate, 100 mg|PEDMARK 12.5 GRAM/100 ML VI|100|ML|VIAL|IV|ML|.8|04/01/2023|12/31/3999| | || | |
76961010101||J1449||04/01/2023|12/31/3999|Injection, eflapegrastim-xnst, 0.1 mg|ROLVEDON 13.2 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.0045|04/01/2023|12/31/3999| | || | |
00781351876||J9297||04/01/2023|12/31/3999|Injection, pemetrexed (sandoz), not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 100 MG/|4|ML|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
00781351990||J9297||04/01/2023|12/31/3999|Injection, pemetrexed (sandoz), not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 500MG/2|20|ML|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
65219016210||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|.5|04/01/2023|12/31/3999| | || | |
65219016401||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|.5|04/01/2023|12/31/3999| | || | |
65219016450||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|.5|04/01/2023|12/31/3999| | || | |
55150035901||J1270||11/11/2022|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|11/11/2022|12/31/3999| | || | |
55150035950||J1270||11/11/2022|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|11/11/2022|12/31/3999| | || | |
55150036001||J0780||11/30/2022|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|11/30/2022|12/31/3999| | || | |
55150043701||J1190||10/01/2022|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 500 MG VIAL|1|UN|VIAL|IV|EA|.5|10/01/2022|12/31/3999| | || | |
55150043810||J3490||10/01/2022|12/31/3999|Unclassified drugs|KETAMINE 200 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
55292013201||J2502||10/01/2022|12/31/3999|Inj, pasireotide long acting|SIGNIFOR 0.6 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|1|10/01/2022|12/31/3999| | || | |
55292013206||J2502||10/01/2022|12/31/3999|Inj, pasireotide long acting|SIGNIFOR 0.6 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|1|10/01/2022|12/31/3999| | || | |
60505624400||J0690||12/01/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|12/01/2022|12/31/3999| | || | |
60505624504||J0692||11/21/2022|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|11/21/2022|12/31/3999| | || | |
63323001206||J2590||10/01/2022|12/31/3999|Injection, oxytocin, up to 10 units|OXYTOCIN 100 UNIT/10 ML VIA|10|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
63323017341||J1580||10/01/2022|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN PED 20 MG/2 ML V|2|ML|VIAL|IJ|ML|8|10/01/2022|12/31/3999| | || | |
63323028501||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 20 MG/10 ML AM|10|ML|AMPUL|IJ|ML|.5|10/01/2022|12/31/3999| | || | |
63323028502||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 200 MG/100 ML|100|ML|FLEX CONT|IJ|ML|.5|10/01/2022|12/31/3999| | || | |
63323028504||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 400 MG/200 ML|200|ML|FLEX CONT|IJ|ML|.5|10/01/2022|12/31/3999| | || | |
63323028506||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 40 MG/20 ML AM|20|ML|AMPUL|IJ|ML|.5|10/01/2022|12/31/3999| | || | |
00264405080||J0136||04/01/2023|12/31/3999|Injection, acetaminophen (b braun) not therapeutically equivalent to J0131, 10 mg|ACETAMINOPHEN 500 MG/50 ML|50|ML|BAG|IV|ML|1|04/01/2023|12/31/3999| | || | |
57894045001||C9148||04/01/2023|06/30/2023|Injection, teclistamab-cqyv, 0.5 mg|TECVAYLI 153 MG/1.7 ML VIAL|1.7|ML|VIAL|SQ|ML|.0056|04/01/2023|06/30/2023| | || | |
00990793719||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 40%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990792313||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990792403||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.225% NACL IV|500|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
73657002001||J9247||10/01/2021|01/01/2022|Inj. melphalan flufenami 1mg|PEPAXTO 20 MG VIAL|1|UN|VIAL|IV|EA|.05|10/01/2021|01/01/2022| | || | |
00990798209||J7120||07/12/2018|12/31/3999|Ringers lactate infusion, up to 1000 cc|RINGER'S IV SOLUTION|1000|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990798406||J7050||07/12/2018|10/22/2023|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|FLEX CONT|IV|ML|250|07/12/2018|10/22/2023| | || | |
00990798406||J7040||07/12/2018|10/22/2023|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|FLEX CONT|IV|ML|500|07/12/2018|10/22/2023| | || | |
00990798406||J7030||07/12/2018|05/01/2022|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|FLEX CONT|IV|ML|1000|07/12/2018|05/01/2022| | || | |
63323009040||J7050||06/18/2021|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 100 MEQ/40|40|ML|VIAL|IV|ML|250|06/18/2021|12/31/3999| | || | |
63323009040||J7040||06/18/2021|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 100 MEQ/40|40|ML|VIAL|IV|ML|500|06/18/2021|12/31/3999| | || | |
63323009040||J7030||06/18/2021|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 100 MEQ/40|40|ML|VIAL|IV|ML|1000|06/18/2021|12/31/3999| | || | |
63323009301||J7050||06/25/2021|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 120 MEQ/30|30|ML|VIAL|IV|ML|250|06/25/2021|12/31/3999| | || | |
63323009301||J7040||06/25/2021|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 120 MEQ/30|30|ML|VIAL|IV|ML|500|06/25/2021|12/31/3999| | || | |
63323009301||J7030||06/25/2021|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 120 MEQ/30|30|ML|VIAL|IV|ML|1000|06/25/2021|12/31/3999| | || | |
63323009330||J7050||06/25/2021|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 120 MEQ/30|30|ML|VIAL|IV|ML|250|06/25/2021|12/31/3999| | || | |
63323009330||J7040||06/25/2021|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 120 MEQ/30|30|ML|VIAL|IV|ML|500|06/25/2021|12/31/3999| | || | |
63323009330||J7030||06/25/2021|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 120 MEQ/30|30|ML|VIAL|IV|ML|1000|06/25/2021|12/31/3999| | || | |
63323053075||J7050||02/07/2020|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 3% IV SOLN|500|ML|FLEX CONT|IV|ML|250|02/07/2020|12/31/3999| | || | |
63323053075||J7040||02/07/2020|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 3% IV SOLN|500|ML|FLEX CONT|IV|ML|500|02/07/2020|12/31/3999| | || | |
63323053075||J7030||02/07/2020|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 3% IV SOLN|500|ML|FLEX CONT|IV|ML|1000|02/07/2020|12/31/3999| | || | |
00409114112||J7050||10/28/2004|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 400 MEQ/100|100|ML|VIAL|IV|ML|250|10/28/2004|12/31/3999| | || | |
00409114112||J7040||10/28/2004|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 400 MEQ/100|100|ML|VIAL|IV|ML|500|10/28/2004|12/31/3999| | || | |
00409114112||J7030||10/28/2004|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 400 MEQ/100|100|ML|VIAL|IV|ML|1000|10/28/2004|12/31/3999| | || | |
59572051502||C9081||10/01/2021|12/31/2021|Idecabtagene car pos t|ABECMA INFUSION BAG|1|UN|BAG|IV|EA|1|10/01/2021|12/31/2021| | || | |
00409166055||J3490||04/08/2013|12/31/3999|Unclassified drugs|PRECEDEX 200 MCG/50 ML INJE|50|ML|BOTTLE|IV|ML|1|04/08/2013|12/31/3999| | || | |
00409177540||J3490||10/28/2004|12/31/3999|Unclassified drugs|DEXTROSE 25%-WATER SYRINGE|10|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
59630026601||J0699||10/01/2021|12/31/3999|Inj, cefiderocol, 10 mg|FETROJA 1 GRAM VIAL|1|UN|VIAL|IV|EA|.01|10/01/2021|12/31/3999| | || | |
59630026610||J0699||10/01/2021|12/31/3999|Inj, cefiderocol, 10 mg|FETROJA 1 GRAM VIAL|1|UN|VIAL|IV|EA|.01|10/01/2021|12/31/3999| | || | |
61755001301||J1305||10/01/2021|12/31/3999|Inj, evinacumab-dgnb, 5mg|EVKEEZA 345 MG/2.3 ML VIAL|2.3|ML|VIAL|IV|ML|.0333|10/01/2021|12/31/3999| | || | |
00703400401||J9318||10/01/2021|12/31/3999|Inj romidepsin non-lyo 0.1mg|ROMIDEPSIN 27.5 MG/5.5 ML V|5.5|ML|VIAL|IV|ML|.02|10/01/2021|12/31/3999| | || | |
00093767902||J7295||10/01/2021|12/31/3999|Eth estr and eton monthly .015mg/.12mg|ETONOGESTREL-EE VAGINAL RIN|1|UN|BOX|VG|EA|1|10/01/2021|12/31/3999| | || | |
39822303001||J2545||04/01/2023|12/31/3999|Pentamidine isethionate, inhalation solution, fda-approved final product, n...|PENTAMIDINE 300 MG INHAL PO|1|UN|VIAL|IH|EA|1|04/01/2023|12/31/3999| | || | |
00409672755||J3475||01/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|FLEX CONT|IV|ML|50|01/01/2023|12/31/3999| | || | |
31722020410||S0164||01/01/2023|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
72603012801||S0164||01/01/2023|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
72603012810||S0164||01/01/2023|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
47781091091||J1071||01/01/2023|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 2,000 MG/1|10|ML|BOX|IM|ML|.005|01/01/2023|12/31/3999| | || | |
47781091193||J1071||01/01/2023|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.002|01/01/2023|12/31/3999| | || | |
47781091022||J1071||04/01/2023|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 2,000 MG/1|10|ML|VIAL|IM|ML|.002|04/01/2023|12/31/3999| | || | |
70700028822||J1071||04/01/2023|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 1,000 MG/1|10|ML|VIAL|IM|ML|.001|04/01/2023|12/31/3999| | || | |
70700028922||J1071||04/01/2023|12/31/3999|Injection, testosterone cypionate, 1mg|TESTOSTERONE CYP 200 MG/ML|1|ML|VIAL|IM|ML|.005|04/01/2023|12/31/3999| | || | |
70700027322||J1380||04/01/2023|12/31/3999|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 50 MG/5|5|ML|VIAL|IM|ML|1|04/01/2023|12/31/3999| | || | |
70700027422||J1380||04/01/2023|12/31/3999|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 100 MG/5|5|ML|VIAL|IM|ML|.5|04/01/2023|12/31/3999| | || | |
81927011101||J9261||05/22/2023|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|05/22/2023|12/31/3999| | || | |
81927011106||J9261||05/22/2023|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|05/22/2023|12/31/3999| | || | |
72485050110||J2260||04/01/2023|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|04/01/2023|12/31/3999| | || | |
72485050210||J2260||04/01/2023|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|04/01/2023|12/31/3999| | || | |
25021046401||J2354||04/01/2023|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML|1|ML|VIAL|IJ|ML|.25|04/01/2023|12/31/3999| | || | |
00641624010||J2710||04/01/2023|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 3 MG/3 ML SYRIN|3|ML|SYRINGE|IV|ML|.5|04/01/2023|12/31/3999| | || | |
00641625301||J2785||04/01/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|ML|1.25|04/01/2023|12/31/3999| | || | |
76329332100||J2785||04/01/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|ML|1.25|04/01/2023|12/31/3999| | || | |
70069006325||J2795||04/01/2023|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 100 MG/20|20|ML|VIAL|IJ|ML|.2|04/01/2023|12/31/3999| | || | |
70069006701||J2795||04/01/2023|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 200 MG/20 ML|20|ML|VIAL|IJ|ML|.1|04/01/2023|12/31/3999| | || | |
70069006710||J2795||04/01/2023|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 200 MG/20 ML|20|ML|VIAL|IJ|ML|.1|04/01/2023|12/31/3999| | || | |
70069006725||J2795||04/01/2023|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 200 MG/20 ML|20|ML|VIAL|IJ|ML|.1|04/01/2023|12/31/3999| | || | |
67457062102||J3301||04/01/2023|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|04/01/2023|12/31/3999| | || | |
67457062205||J3301||04/01/2023|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 200 MG/5|5|ML|VIAL|IJ|ML|.25|04/01/2023|12/31/3999| | || | |
67457062310||J3301||04/01/2023|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 400 MG/1|10|ML|VIAL|IJ|ML|.25|04/01/2023|12/31/3999| | || | |
43598005011||J3411||04/01/2023|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
72603013925||J3411||04/01/2023|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
00409015501||J3490||04/01/2023|12/31/3999|Unclassified drugs|PRECEDEX 400 MCG/100 ML BOT|100|ML|BOTTLE|IV|ML|10|04/01/2023|12/31/3999| | || | |
71288043794||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|04/01/2023|12/31/3999| | || | |
71288043895||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|04/01/2023|12/31/3999| | || | |
71288043896||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|04/01/2023|12/31/3999| | || | |
81952012313||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952012323||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952012414||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952013001||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
55150011601||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
55150011610||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
55150011701||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|04/01/2023|12/31/3999| | || | |
66794024102||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
66794024315||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM|1|UN|BOTTLE|IJ|EA|.1|04/01/2023|12/31/3999| | || | |
00409459601||J3490||04/01/2023|12/31/3999|Unclassified drugs|PRECEDEX 200 MCG/50 ML BOTT|50|ML|BOTTLE|IV|ML|50|04/01/2023|12/31/3999| | || | |
00409459620||J3490||04/01/2023|12/31/3999|Unclassified drugs|PRECEDEX 200 MCG/50 ML BOTT|50|ML|BOTTLE|IV|ML|50|04/01/2023|12/31/3999| | || | |
14789025109||J3490||04/01/2023|12/31/3999|Unclassified drugs|EMERPHED 25 MG/5 ML SYRINGE|5|ML|SYRINGE|IV|ML|5|04/01/2023|12/31/3999| | || | |
14789025110||J3490||04/01/2023|12/31/3999|Unclassified drugs|EMERPHED 25 MG/5 ML SYRINGE|5|ML|SYRINGE|IV|ML|5|04/01/2023|12/31/3999| | || | |
14789025209||J3490||04/01/2023|12/31/3999|Unclassified drugs|EMERPHED 50 MG/10 ML SYRING|10|ML|SYRINGE|IV|ML|10|04/01/2023|12/31/3999| | || | |
14789025210||J3490||04/01/2023|12/31/3999|Unclassified drugs|EMERPHED 50 MG/10 ML SYRING|10|ML|SYRINGE|IV|ML|10|04/01/2023|12/31/3999| | || | |
43598007858||J3490||04/01/2023|12/31/3999|Unclassified drugs|ENALAPRILAT 1.25 MG/ML VIAL|1|ML|VIAL|IV|ML|1|04/01/2023|12/31/3999| | || | |
43598016911||J3490||04/01/2023|12/31/3999|Unclassified drugs|ENALAPRILAT 2.5 MG/2 ML VIA|2|ML|VIAL|IV|ML|2|04/01/2023|12/31/3999| | || | |
55150042610||J3490||04/01/2023|12/31/3999|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|04/01/2023|12/31/3999| | || | |
55150042701||J3490||04/01/2023|12/31/3999|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IV|ML|25|04/01/2023|12/31/3999| | || | |
55150042710||J3490||04/01/2023|12/31/3999|Unclassified drugs|DILTIAZEM 125 MG/25 ML VIAL|25|ML|VIAL|IV|ML|25|04/01/2023|12/31/3999| | || | |
65219006502||J3490||04/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|04/01/2023|12/31/3999| | || | |
65219006505||J3490||04/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|10|04/01/2023|12/31/3999| | || | |
65219011801||J3490||04/01/2023|12/31/3999|Unclassified drugs|KCL 20 MEQ/L-D5W-0.9% NACL|1000|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
65219011810||J3490||04/01/2023|12/31/3999|Unclassified drugs|KCL 20 MEQ/L-D5W-0.9% NACL|1000|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
71104097801||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 250 UNIT VIAL|1|F2|VIAL|IV|AHF|1|10/01/2023|12/31/3999| | || | |
71104097901||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|10/01/2023|12/31/3999| | || | |
71104098101||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|10/01/2023|12/31/3999| | || | |
71104098201||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 2,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|10/01/2023|12/31/3999| | || | |
57894045001||J9999||04/01/2023|06/30/2023|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|TECVAYLI 153 MG/1.7 ML VIAL|1.7|ML|VIAL|SQ|ML|.0056|04/01/2023|06/30/2023| | || | |
70114044001||Q5128||04/01/2023|12/31/3999|Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg|CIMERLI 0.3 MG/0.05 ML VIAL|0.05|ML|VIAL|IO|ML|.0017|04/01/2023|12/31/3999| | || | |
70114044101||Q5128||04/01/2023|12/31/3999|Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg|CIMERLI 0.5 MG/0.05 ML VIAL|0.05|ML|VIAL|IO|ML|.01|04/01/2023|12/31/3999| | || | |
75834017101||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 1,000 MG/10 ML|10|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
75834017119||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 1,000 MG/10 ML|10|ML|VIAL|IV|ML|10|04/01/2023|12/31/3999| | || | |
00641620501||J2310||12/29/2022|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|12/29/2022|12/31/3999| | || | |
67457099202||J2310||04/01/2023|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/01/2023|12/31/3999| | || | |
00143932801||J3490||12/05/2022|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|50|12/05/2022|06/30/2023| | || | |
00143932810||J3490||12/05/2022|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|30|12/05/2022|06/30/2023| | || | |
00409154110||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.25%-EPI 1:200,00|30|ML|VIAL|IJ|ML|30|10/01/2022|12/31/3999| | || | |
00641620510||J2310||12/29/2022|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|12/29/2022|12/31/3999| | || | |
16714030201||J3420||10/27/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|10/27/2022|12/31/3999| | || | |
16714062001||J3490||10/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|2|10/01/2022|12/31/3999| | || | |
16714062025||J3490||10/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|2|10/01/2022|12/31/3999| | || | |
16714064401||J3490||10/01/2022|12/31/3999|Unclassified drugs|DOXYCYCLINE HYCLATE 100 MG|1|UN|VIAL|IV|EA|1|10/01/2022|12/31/3999| | || | |
25021031740||J3490||10/14/2022|06/30/2023|Unclassified drugs|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|10/14/2022|06/30/2023| | || | |
31722020320||C9254||11/29/2022|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|11/29/2022|12/31/3999| | || | |
31722020331||C9254||11/29/2022|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|11/29/2022|12/31/3999| | || | |
31722096331||J0500||10/01/2022|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|10/01/2022|12/31/3999| | || | |
43598017205||J3490||10/01/2022|06/30/2023|Unclassified drugs|BIORPHEN 500 MCG/5 ML AMPUL|5|ML|AMPUL|IV|ML|5|10/01/2022|06/30/2023| | || | |
43598017111||J9340||10/27/2022|12/31/3999|Thiotepa injection|THIOTEPA 100 MG VIAL|1|UN|VIAL|IJ|EA|.15|10/27/2022|12/31/3999| | || | |
43598017215||J3490||10/01/2022|06/30/2023|Unclassified drugs|BIORPHEN 500 MCG/5 ML AMPUL|5|ML|AMPUL|IV|ML|5|10/01/2022|06/30/2023| | || | |
55150032901||J1050||12/22/2022|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.0067|12/22/2022|12/31/3999| | || | |
55150043401||J1190||10/01/2022|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 250 MG VIAL|1|UN|VIAL|IV|EA|1|10/01/2022|12/31/3999| | || | |
55150043801||J3490||10/01/2022|12/31/3999|Unclassified drugs|KETAMINE 200 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
55150043901||J3490||10/01/2022|12/31/3999|Unclassified drugs|KETAMINE 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
55150043910||J3490||10/01/2022|12/31/3999|Unclassified drugs|KETAMINE 500 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
55150044001||J3490||10/01/2022|12/31/3999|Unclassified drugs|KETAMINE 1,000 MG/10 ML VIA|10|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
55150044010||J3490||10/01/2022|12/31/3999|Unclassified drugs|KETAMINE 1,000 MG/10 ML VIA|10|ML|VIAL|IJ|ML|1|10/01/2022|12/31/3999| | || | |
55292013260||J2502||10/01/2022|12/31/3999|Inj, pasireotide long acting|SIGNIFOR 0.6 MG/ML AMPULE|1|ML|AMPUL|SQ|ML|60|10/01/2022|12/31/3999| | || | |
60505624300||J0690||12/01/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|12/01/2022|12/31/3999| | || | |
60505624304||J0690||12/01/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|12/01/2022|12/31/3999| | || | |
49702024015||J0741||10/01/2021|12/31/3999|Inj, cabote rilpivir 2mg 3mg|CABENUVA 600 MG-900 MG ER S|6|ML|VIAL|IM|ML|.01|10/01/2021|12/31/3999| | || | |
49702025315||J0741||10/01/2021|12/31/3999|Inj, cabote rilpivir 2mg 3mg|CABENUVA 400 MG-600 MG ER S|4|ML|VIAL|IM|ML|.01|10/01/2021|12/31/3999| | || | |
00143936301||J3490||05/21/2021|06/30/2023|Unclassified drugs|LABETALOL 100 MG/100 ML-NAC|100|ML|BAG|IV|ML|1|05/21/2021|06/30/2023| | || | |
00143936610||J3490||04/27/2021|06/30/2023|Unclassified drugs|LABETALOL 200MG/200ML-DEXTR|200|ML|BAG|IV|ML|1|04/27/2021|06/30/2023| | || | |
00703115383||J3490||04/01/2003|09/30/2022|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|04/01/2003|09/30/2022| | || | |
78670000367||J3490||02/09/2021|12/31/3999|Unclassified drugs|REVONTO 20 MG VIAL|1|UN|VIAL|IV|EA|1|02/09/2021|12/31/3999| | || | |
72572065010||J3490||05/11/2021|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|05/11/2021|12/31/3999| | || | |
00517656001||J3490||07/16/2019|12/31/3999|Unclassified drugs|SELENIOUS ACID 600 MCG/10 M|10|ML|VIAL|IV|ML|1|07/16/2019|12/31/3999| | || | |
00409338212||J3490||10/28/2004|02/01/2022|Unclassified drugs|SUFENTANIL 100 MCG/2 ML VIA|2|ML|VIAL|IV|ML|1|10/28/2004|02/01/2022| | || | |
00409338215||J3490||10/28/2004|02/01/2022|Unclassified drugs|SUFENTANIL 250 MCG/5 ML VIA|5|ML|VIAL|IV|ML|1|10/28/2004|02/01/2022| | || | |
73153090001||Q2054||10/01/2021|12/31/3999|Lisocabtagene mara car pos t|BREYANZI VIAL|1|UN|VIAL|IV|EA|1|10/01/2021|12/31/3999| | || | |
73153090108||Q2054||10/01/2021|12/31/3999|Lisocabtagene mara car pos t|BREYANZI CD8 COMPONENT VIAL|1|UN|VIAL|IV|EA|1|10/01/2021|12/31/3999| | || | |
50261031301||J7294||10/01/2021|12/31/3999|Seg acet and eth estr .15mg/.013mg|ANNOVERA VAGINAL RING|1|UN|PACKET|VG|EA|1|10/01/2021|12/31/3999| | || | |
66993060581||J7295||10/01/2021|12/31/3999|Eth estr and eton monthly .015mg/.12mg|ETONOGESTREL-EE VAGINAL RIN|1|UN|PACKET|VG|EA|1|10/01/2021|12/31/3999| | || | |
61755002501||Q0244||06/03/2021|01/24/2022|Inj, casirivimab and imdevimab, 1200 mg|IMDEVIMAB (REGN10987) 1,332|11.1|ML|VIAL|IV|ML|10|06/03/2021|01/24/2022| | || | |
61755002501||Q0240||07/30/2021|01/24/2022|Inj, casirivimab and imdevimab, 600 mg|IMDEVIMAB (REGN10987) 1,332|11.1|ML|VIAL|IV|ML|5|07/30/2021|01/24/2022| | || | |
61755002700||Q0244||06/03/2021|01/24/2022|Inj, casirivimab and imdevimab, 1200 mg|IMDEVIMAB (REGN10987) 300 M|2.5|ML|VIAL|IV|ML|10|06/03/2021|01/24/2022| | || | |
61755002700||Q0240||07/30/2021|01/24/2022|Inj, casirivimab and imdevimab, 600 mg|IMDEVIMAB (REGN10987) 300 M|2.5|ML|VIAL|IV|ML|5|07/30/2021|01/24/2022| | || | |
61755002600||Q0244||06/03/2021|01/24/2022|Inj, casirivimab and imdevimab, 1200 mg|CASIRIVIMAB (REGN10933) 300|2.5|ML|VIAL|IV|ML|10|06/03/2021|01/24/2022| | || | |
61755002600||Q0240||07/30/2021|01/24/2022|Inj, casirivimab and imdevimab, 600 mg|CASIRIVIMAB (REGN10933) 300|2.5|ML|VIAL|IV|ML|5|07/30/2021|01/24/2022| | || | |
61755002601||Q0244||06/03/2021|01/24/2022|Inj, casirivimab and imdevimab, 1200 mg|CASIRIVIMAB (REGN10933) 300|2.5|ML|VIAL|IV|ML|10|06/03/2021|01/24/2022| | || | |
61755002601||Q0240||07/30/2021|01/24/2022|Inj, casirivimab and imdevimab, 600 mg|CASIRIVIMAB (REGN10933) 300|2.5|ML|VIAL|IV|ML|5|07/30/2021|01/24/2022| | || | |
00990792509||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 5%-0.3% NACL IV SO|1000|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00990792311||J3490||07/12/2018|04/01/2024|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|100|ML|FLEX CONT|IV|ML|1|07/12/2018|04/01/2024| | || | |
63323013002||J3490||04/01/1998|12/31/3999|Unclassified drugs|DOXY 100 VIAL|1|UN|VIAL|IV|EA|1|04/01/1998|12/31/3999| | || | |
00143938101||J3490||05/17/2021|12/31/3999|Unclassified drugs|DOXYCYCLINE HYCLATE 100 MG|1|UN|VIAL|IV|EA|1|05/17/2021|12/31/3999| | || | |
00143938110||J3490||05/17/2021|12/31/3999|Unclassified drugs|DOXYCYCLINE HYCLATE 100 MG|1|UN|VIAL|IV|EA|1|05/17/2021|12/31/3999| | || | |
17478041501||J3490||02/01/2018|06/30/2023|Unclassified drugs|EPHEDRINE 50 MG/ML AMPUL|1|ML|AMPUL|IV|ML|1|02/01/2018|06/30/2023| | || | |
72572022601||J3490||10/08/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|10/08/2019|12/31/3999| | || | |
72572022625||J3490||10/08/2019|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|10/08/2019|12/31/3999| | || | |
00143936310||J3490||05/21/2021|06/30/2023|Unclassified drugs|LABETALOL 100 MG/100 ML-NAC|100|ML|BAG|IV|ML|1|05/21/2021|06/30/2023| | || | |
00143936410||J3490||05/21/2021|06/30/2023|Unclassified drugs|LABETALOL 200 MG/200 ML-NAC|200|ML|BAG|IV|ML|1|05/21/2021|06/30/2023| | || | |
00143936501||J3490||05/21/2021|06/30/2023|Unclassified drugs|LABETALOL 300 MG/300 ML-NAC|300|ML|BAG|IV|ML|1|05/21/2021|06/30/2023| | || | |
00409015502||J3490||04/01/2023|12/31/3999|Unclassified drugs|PRECEDEX 400 MCG/100 ML BOT|100|ML|BOTTLE|IV|ML|100|04/01/2023|12/31/3999| | || | |
42023019501||J3490||04/01/2023|12/31/3999|Unclassified drugs|POSACONAZOLE 300 MG/16.7 ML|16.7|ML|VIAL|IV|ML|16.7|04/01/2023|12/31/3999| | || | |
42023021689||J3490||04/01/2023|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|04/01/2023|12/31/3999| | || | |
42023026901||J3490||04/01/2023|12/31/3999|Unclassified drugs|PREVDUO 3 MG-0.6 MG/3 ML SY|3|ML|SYRINGE|IV|ML|3|04/01/2023|12/31/3999| | || | |
42023026905||J3490||04/01/2023|12/31/3999|Unclassified drugs|PREVDUO 3 MG-0.6 MG/3 ML SY|3|ML|SYRINGE|IV|ML|3|04/01/2023|12/31/3999| | || | |
43066003101||J3490||04/01/2023|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|04/01/2023|12/31/3999| | || | |
43066003501||J3490||04/01/2023|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|4|04/01/2023|12/31/3999| | || | |
43547053010||J3490||04/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|04/01/2023|12/31/3999| | || | |
43547053110||J3490||04/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|10|04/01/2023|12/31/3999| | || | |
43598007811||J3490||04/01/2023|12/31/3999|Unclassified drugs|ENALAPRILAT 1.25 MG/ML VIAL|1|ML|VIAL|IV|ML|1|04/01/2023|12/31/3999| | || | |
43598012611||J3490||04/01/2023|12/31/3999|Unclassified drugs|STERILE DILUENT-TREPROSTINI|50|ML|VIAL|IV|ML|50|04/01/2023|12/31/3999| | || | |
43598016958||J3490||04/01/2023|12/31/3999|Unclassified drugs|ENALAPRILAT 2.5 MG/2 ML VIA|2|ML|VIAL|IV|ML|2|04/01/2023|12/31/3999| | || | |
00053047047||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 231-235 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
00053048048||J1411||10/01/2023|12/31/2023|Inj, etranacogene dezaparvovec-drlb, per therapeutic dose|HEMGENIX 236-240 KG (10ML X|1|UN|KIT|IV|EA|1|10/01/2023|12/31/2023| | || | |
70121162701||Q5130||10/01/2023|12/31/3999|Inj, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg|FYLNETRA 6 MG/0.6 ML SYRING|0.6|ML|SYRINGE|SQ|ML|.05|10/01/2023|12/31/3999| | || | |
51759085010||C9158||10/01/2023|12/31/2023|Inj, risperidone, (uzedy), 1 mg|UZEDY ER 200 MG/0.56 ML SYR|0.56|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759085010||J3490||10/01/2023|12/31/2023|Unclassified drugs|UZEDY ER 200 MG/0.56 ML SYR|0.56|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759096010||C9158||10/01/2023|12/31/2023|Inj, risperidone, (uzedy), 1 mg|UZEDY ER 250 MG/0.7 ML SYRI|0.7|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759096010||J3490||10/01/2023|12/31/2023|Unclassified drugs|UZEDY ER 250 MG/0.7 ML SYRI|0.7|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
71104098401||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 4,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|10/01/2023|12/31/3999| | || | |
71104098808||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 1,000 UNIT VIAL|1|UN|VIAL|IV||1|10/01/2023|12/31/3999| | || | |
71104098908||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 2,000 UNIT VIAL|1|UN|VIAL|IV||1|10/01/2023|12/31/3999| | || | |
71104099008||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 3,000 UNIT VIAL|1|UN|VIAL|IV||1|10/01/2023|12/31/3999| | || | |
71104099108||J7214||10/01/2023|12/31/3999|Inj, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.|ALTUVIIIO 4,000 UNIT VIAL|1|UN|VIAL|IV||1|10/01/2023|12/31/3999| | || | |
60505622800||J9058||10/01/2023|12/31/3999|Inj, bendamustine hydrochloride (apotex), 1 mg|BENDAMUSTINE 100 MG/4 ML VI|4|ML|VIAL|IV|ML|.04|10/01/2023|12/31/3999| | || | |
50881000603||J9345||10/01/2023|12/31/3999|Inj, retifanlimab-dlwr, 1 mg|ZYNYZ 500 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.04|10/01/2023|12/31/3999| | || | |
72606001101||Q5129||10/01/2023|12/31/3999|Inj, bevacizumab-adcd (vegzelma), biosimilar, 10 mg|VEGZELMA 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.04|10/01/2023|12/31/3999| | || | |
00469042001||J1833||01/01/2023|12/31/3999|Injection, isavuconazonium|CRESEMBA 372 MG VIAL|1|UN|VIAL|IV|EA|.0027|01/01/2023|12/31/3999| | || | |
55150043402||J1190||01/01/2023|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 250 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
70436014780||J0500||01/01/2023|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|ML|2|01/01/2023|12/31/3999| | || | |
55150042501||J3490||04/01/2023|12/31/3999|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|04/01/2023|12/31/3999| | || | |
00002762301||J9305||07/01/2022|12/31/3999|Injection, pemetrexed, 10 mg|ALIMTA 500 MG VIAL|1|UN|VIAL|IV|EA|.02|07/01/2022|12/31/3999| | || | |
00002764001||J9305||07/01/2022|12/31/3999|Injection, pemetrexed, 10 mg|ALIMTA 100 MG VIAL|1|UN|VIAL|IV|EA|.1|07/01/2022|12/31/3999| | || | |
00009077526||J3490||02/02/2015|06/30/2023|Unclassified drugs|CLEOCIN PHOS 150 MG/ML VIAL|4|ML|VIAL|IJ|ML|4|02/02/2015|06/30/2023| | || | |
00009087021||J3490||02/02/2015|06/30/2023|Unclassified drugs|CLEOCIN PHOS 150 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|02/02/2015|06/30/2023| | || | |
00591247218||J8999||02/10/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 10 MG TABLET|180|UN|BOTTLE|PO|TAB|1|02/10/2012|12/31/3999| | || | |
00591247330||J8999||10/08/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|30|UN|BOTTLE|PO|TAB|1|10/08/2011|12/31/3999| | || | |
00641246030||J1644||01/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|Heparin Sodium (Porcine) 5000 UNIT/ML SOLN|10|ML|VIAL|IJ|ML|.2|01/01/2019|12/31/3999| | || | |
00009072809||J3490||02/02/2015|06/30/2023|Unclassified drugs|CLEOCIN PHOS 150 MG/ML VIAL|60|ML|VIAL|IJ|ML|60|02/02/2015|06/30/2023| | || | |
00378027493||J8999||01/03/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/03/2011|12/31/3999| | || | |
00591247260||J8999||02/10/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 10 MG TABLET|60|UN|BOTTLE|PO|TAB|1|02/10/2012|12/31/3999| | || | |
43386062230||J3490||03/07/2014|04/25/2019|Unclassified drugs|MY WAY 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|03/07/2014|04/25/2019| | || | |
00378014491||J8999||01/03/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 10 MG TABLET|60|UN|BOTTLE|PO|TAB|1|01/03/2011|12/31/3999| | || | |
00641245055||J1644||01/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|01/01/2019|12/31/3999| | || | |
00641246055||J1644||01/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|.2|01/01/2019|12/31/3999| | || | |
00009087026||J3490||02/02/2015|06/30/2023|Unclassified drugs|CLEOCIN PHOS 150 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|02/02/2015|06/30/2023| | || | |
00009090218||J3490||02/02/2015|06/30/2023|Unclassified drugs|CLEOCIN PHOS 150 MG/ML VIAL|6|ML|VIAL|IJ|ML|6|02/02/2015|06/30/2023| | || | |
63323092410||J3490||05/16/2016|12/31/3999|Unclassified drugs|BACTERIOSTATIC SALINE VIAL|10|ML|VIAL|IJ|ML|10|05/16/2016|12/31/3999| | || | |
00009030202||J3490||08/16/2017|09/30/2022|Unclassified drugs|CLEOCIN PHOS 300 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|08/16/2017|09/30/2022| | || | |
00009060225||J3490||08/16/2017|09/30/2022|Unclassified drugs|CLEOCIN PHOS 600 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|1|08/16/2017|09/30/2022| | || | |
00009090106||J3490||08/16/2017|11/13/2022|Unclassified drugs|CLEOCIN PHOS 900 MG/6 ML VI|6|ML|VIAL|IJ|ML|2|08/16/2017|11/13/2022| | || | |
00009090125||J3490||08/16/2017|11/13/2022|Unclassified drugs|CLEOCIN PHOS 900 MG/6 ML VI|6|ML|VIAL|IJ|ML|2|08/16/2017|11/13/2022| | || | |
00591247319||J8999||10/08/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TAMOXIFEN 20 MG TABLET|90|UN|BOTTLE|PO|TAB|1|10/08/2011|12/31/3999| | || | |
00009090211||J3490||02/02/2015|06/30/2023|Unclassified drugs|CLEOCIN PHOS 150 MG/ML VIAL|6|ML|VIAL|IJ|ML|6|02/02/2015|06/30/2023| | || | |
00641245030||J1644||01/01/2019|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|01/01/2019|12/31/3999| | || | |
00088221900||S5553||07/09/2007|03/31/2020|Insulin, long acting; 5 units|LANTUS SOLOSTAR 100 UNIT/ML|3|ML|SYRINGE|SQ|ML|1|07/09/2007|03/31/2020| | || | |
50102011112||J3490||03/06/2015|12/31/3999|Unclassified drugs|ECONTRA EZ 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|03/06/2015|12/31/3999| | || | |
62756071860||J3490||02/05/2015|12/31/3999|Unclassified drugs|OPCICON ONE-STEP 1.5 MG TAB|1|UN|BLIST PACK|PO|TAB|1|02/05/2015|12/31/3999| | || | |
00409488301||J2020||06/01/2022|12/31/2022|Injection, linezolid, 200mg|LINEZOLID-0.9% NACL 600 MG/|300|ML|BAG|IV|ML|100|06/01/2022|12/31/2022| | || | |
76045010810||J1644||12/08/2016|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML S|1|ML|SYRINGE|IJ|ML|.002|12/08/2016|12/31/3999| | || | |
70121124407||J0594||04/01/2022|09/14/2022|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|04/01/2022|09/14/2022| | || | |
00781343346||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML IV|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
60505624404||J0690||12/01/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|EA|.05|12/01/2022|12/31/3999| | || | |
60505624604||J0692||11/21/2022|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|11/21/2022|12/31/3999| | || | |
00641623410||J0330||10/28/2022|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 100 MG/5ML|5|ML|SYRINGE|IV|ML|1|10/28/2022|12/31/3999| | || | |
16714016501||J3420||10/27/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|10/27/2022|12/31/3999| | || | |
16714016525||J3420||10/27/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|10/27/2022|12/31/3999| | || | |
16714030210||J3420||10/27/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|10/27/2022|12/31/3999| | || | |
16714060901||J3420||10/27/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|10/27/2022|12/31/3999| | || | |
16714060905||J3420||10/27/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|10/27/2022|12/31/3999| | || | |
00409812610||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 1:200,000|10|ML|VIAL|IJ|ML|10|10/01/2022|12/31/3999| | || | |
63323028559||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 400 MG/200 ML|200|ML|BOTTLE|IJ|ML|.5|10/01/2022|12/31/3999| | || | |
63323028601||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.5% 100 MG/20 ML A|20|ML|AMPUL|IJ|ML|.2|10/01/2022|12/31/3999| | || | |
63323028609||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.5% 150 MG/30 ML V|30|ML|VIAL|IJ|ML|.2|10/01/2022|12/31/3999| | || | |
63323028801||J2795||10/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 1% 100 MG/10 ML AMP|10|ML|AMPUL|IJ|ML|.1|10/01/2022|12/31/3999| | || | |
63323032201||J0743||10/01/2022|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 500 MG|1|UN|VIAL|IV|EA|.5|10/01/2022|12/31/3999| | || | |
71288013290||J9245||11/15/2022|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|11/15/2022|12/31/3999| | || | |
71288020310||J1940||10/01/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|10/01/2022|12/31/3999| | || | |
71288020311||J1940||10/01/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|10/01/2022|12/31/3999| | || | |
71863020205||J3490||10/01/2022|06/30/2023|Unclassified drugs|BIORPHEN 500 MCG/5 ML AMPUL|5|ML|AMPUL|IV|ML|5|10/01/2022|06/30/2023| | || | |
72485040910||J2700||10/17/2022|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|10/17/2022|12/31/3999| | || | |
73070040011||S5553||10/01/2022|12/31/3999|Insulin, long acting; 5 units|INSULIN DEGLUDEC 100 UNIT/M|10|ML|VIAL|SQ|ML|1|10/01/2022|12/31/3999| | || | |
78670013111||J3490||10/01/2022|12/31/3999|Unclassified drugs|SYMJEPI 0.15 MG/0.3 ML SYRI|1|UN|SYRINGE|IJ|ML|1|10/01/2022|12/31/3999| | || | |
81284015100||J2543||10/01/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|ML|.4911|10/01/2022|12/31/3999| | || | |
81284015110||J2543||10/01/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|ML|.4978|10/01/2022|12/31/3999| | || | |
81284021300||J2370||10/01/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|10/01/2022|06/30/2023| | || | |
81298501003||J3490||11/09/2022|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|11/09/2022|12/31/3999| | || | |
81298578105||J3301||10/01/2022|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|10/01/2022|12/31/3999| | || | |
81952011301||J1644||10/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|10/01/2022|12/31/3999| | || | |
69097090950||J1954||04/01/2023|12/31/3999|Injection, leuprolide acetate for depot suspension (Cipla), 7.5 mg|LEUPROLIDE DEPOT 22.5 MG VI|1|UN|VIAL|IM|EA|.3333|04/01/2023|12/31/3999| | || | |
63323043441||J0134||04/01/2023|12/31/3999|Injection, acetaminophen (fresenius kabi) not therapeutically equivalent to J0131, 10 mg|ACETAMINOPHEN 1000MG/100ML|100|ML|BAG|IV|ML|1|04/01/2023|12/31/3999| | || | |
00093306619||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
00143936510||J3490||05/21/2021|06/30/2023|Unclassified drugs|LABETALOL 300 MG/300 ML-NAC|300|ML|BAG|IV|ML|1|05/21/2021|06/30/2023| | || | |
36000032402||J3490||06/09/2021|06/30/2023|Unclassified drugs|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|06/09/2021|06/30/2023| | || | |
72266010341||J3490||09/12/2019|06/30/2023|Unclassified drugs|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|09/12/2019|06/30/2023| | || | |
00169300425||S5552||12/23/2019|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|RELION NOVOLIN N U-100 FLEX|3|ML|SYRINGE|SQ|ML|.05|12/23/2019|12/31/3999| | || | |
00169300315||S5552||12/23/2019|12/31/3999|Insulin, intermediate acting (nph or lente); 5 units|NOVOLIN R 100 UNIT/ML FLEXP|3|ML|SYRINGE|SQ|ML|.05|12/23/2019|12/31/3999| | || | |
00990798503||J7050||07/12/2018|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.45% SOLN|500|ML|FLEX CONT|IV|ML|250|07/12/2018|12/31/3999| | || | |
00990798503||J7040||07/12/2018|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.45% SOLN|500|ML|FLEX CONT|IV|ML|500|07/12/2018|12/31/3999| | || | |
00990798503||J7030||07/12/2018|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.45% SOLN|500|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
59572051501||C9081||10/01/2021|12/31/2021|Idecabtagene car pos t|ABECMA INFUSION BAG|1|UN|BAG|IV|EA|1|10/01/2021|12/31/2021| | || | |
60923022702||J1426||10/01/2021|12/31/3999|Injection, casimersen, 10 mg|AMONDYS-45  100 MG/2 ML VIA|2|ML|VIAL|IV|ML|.2|10/01/2021|12/31/3999| | || | |
57894044901||J9380||07/01/2023|12/31/3999|Injection, teclistamab-cqyv, 0.5 mg|TECVAYLI 30 MG/3 ML VIAL|3|ML|VIAL|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
00781922775||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70594006302||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|EA|.002|07/01/2023|12/31/3999| | || | |
70594006401||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|EA|.002|07/01/2023|12/31/3999| | || | |
70594006402||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|EA|.002|07/01/2023|12/31/3999| | || | |
70594006501||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|EA|.002|07/01/2023|12/31/3999| | || | |
70594006502||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|EA|.002|07/01/2023|12/31/3999| | || | |
50458061201||J2427||07/01/2023|12/31/3999|Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg|INVEGA HAFYERA 1,560 MG/5 M|5|ML|SYRINGE|IM|ML|.0032|07/01/2023|12/31/3999| | || | |
55150030101||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
72572057010||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00409015224||J1836||07/01/2023|12/31/3999|Injection, metronidazole, 10 mg|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|2|07/01/2023|12/31/3999| | || | |
00781345895||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
72572035001||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
72611063425||J0736||07/01/2023|01/29/2025|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 300 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/01/2023|01/29/2025| | || | |
72611063901||J0736||07/01/2023|01/29/2025|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 600 MG/4 ML|4|ML|VIAL|IJ|ML|2|07/01/2023|01/29/2025| | || | |
72611064511||J0736||07/01/2023|01/29/2025|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN PH 9 G/60 ML VI|60|ML|VIAL|IJ|ML|2|07/01/2023|01/29/2025| | || | |
65219038030||J0206||07/01/2023|12/31/3999|Injection, allopurinol sodium, 1 mg|ALLOPURINOL SODIUM 500 MG V|1|UN|VIAL|IV|EA|.002|07/01/2023|12/31/3999| | || | |
63323075103||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
42023021301||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
55150042510||J3490||04/01/2023|12/31/3999|Unclassified drugs|DILTIAZEM 25 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|04/01/2023|12/31/3999| | || | |
55150042601||J3490||04/01/2023|12/31/3999|Unclassified drugs|DILTIAZEM 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|04/01/2023|12/31/3999| | || | |
65219014606||J3490||04/01/2023|12/31/3999|Unclassified drugs|KCL 30 MEQ/L-D5W-0.45% NACL|1000|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
65219015075||J3490||04/01/2023|12/31/3999|Unclassified drugs|KCL 10 MEQ/500ML-D5W-0.45%N|500|ML|FLEX CONT|IV|ML|500|04/01/2023|12/31/3999| | || | |
65219038700||J3490||04/01/2023|12/31/3999|Unclassified drugs|MULTIPLE ELECTROLYTES T1 PH|500|ML|FLEX CONT|IV|ML|500|04/01/2023|12/31/3999| | || | |
65219038710||J3490||04/01/2023|12/31/3999|Unclassified drugs|MULTIPLE ELECTROLYTES T1 PH|1000|ML|FLEX CONT|IV|ML|1000|04/01/2023|12/31/3999| | || | |
71288071810||J3490||04/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|10|04/01/2023|12/31/3999| | || | |
71288071811||J3490||04/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|10|04/01/2023|12/31/3999| | || | |
70748025701||J7605||04/01/2023|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|04/01/2023|12/31/3999| | || | |
65219056800||J9280||04/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|ML|.125|04/01/2023|12/31/3999| | || | |
72819015302||J9280||04/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|EA|.25|04/01/2023|12/31/3999| | || | |
00409000404||J9294||04/01/2023|12/31/3999|Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 1 GM/40|40|ML|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
00409002002||J9294||04/01/2023|12/31/3999|Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 100 MG/|4|ML|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
00409002103||J9294||04/01/2023|12/31/3999|Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 500MG/2|20|ML|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
71288016795||J9305||04/01/2023|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|04/01/2023|12/31/3999| | || | |
71288016796||J9305||04/01/2023|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|04/01/2023|12/31/3999| | || | |
71288016691||J9305||04/01/2023|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|04/01/2023|12/31/3999| | || | |
71288016692||J9305||04/01/2023|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|04/01/2023|12/31/3999| | || | |
23155068531||J2354||10/01/2022|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE 1,000 MCG/5 ML V|5|ML|VIAL|IJ|ML|.125|10/01/2022|12/31/3999| | || | |
72485050401||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
72485050425||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
72485050501||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00143914025||J3490||01/01/2023|12/31/2023|Unclassified drugs|CEFAZOLIN 3 GM VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/2023| | || | |
70700016522||J3490||01/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
70700016622||J3490||01/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|2|01/01/2023|12/31/3999| | || | |
65219040502||J3490||01/01/2023|12/31/3999|Unclassified drugs|ZINC SULFATE 25 MG/5 ML VIA|5|ML|VIAL|IV|ML|5|01/01/2023|12/31/3999| | || | |
65219040505||J3490||01/01/2023|12/31/3999|Unclassified drugs|ZINC SULFATE 25 MG/5 ML VIA|5|ML|VIAL|IV|ML|5|01/01/2023|12/31/3999| | || | |
70700016722||J3490||01/01/2023|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|5|01/01/2023|12/31/3999| | || | |
70860078405||J3490||01/01/2023|12/31/3999|Unclassified drugs|VALPROATE SOD 500 MG/5 ML V|5|ML|VIAL|IV|ML|5|01/01/2023|12/31/3999| | || | |
65219040100||J3490||01/01/2023|12/31/3999|Unclassified drugs|ZINC SULFATE 10 MG/10 ML VI|10|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
65219040101||J3490||01/01/2023|12/31/3999|Unclassified drugs|ZINC SULFATE 10 MG/10 ML VI|10|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
65219040301||J3490||01/01/2023|12/31/3999|Unclassified drugs|ZINC SULFATE 30 MG/10 ML VI|10|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
55150024251||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML IV|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
63323071313||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML IV|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
00009077520||J3490||08/16/2017|06/30/2023|Unclassified drugs|CLEOCIN PHOS 150 MG/ML VIAL|4|ML|VIAL|IJ|ML|60|08/16/2017|06/30/2023| | || | |
00009716601||J3590||04/01/2003|12/31/3999|Unclassified Biologics|SOMAVERT 10 MG VIAL|1|UN|VIAL|SQ|EA|1|04/01/2003|12/31/3999| | || | |
00009719901||J3590||09/22/2014|12/31/3999|Unclassified Biologics|SOMAVERT 25 MG VIAL|1|UN|VIAL|SQ|EA|1|09/22/2014|12/31/3999| | || | |
00009720001||J3590||09/22/2014|12/31/3999|Unclassified Biologics|SOMAVERT 30 MG VIAL|1|UN|VIAL|SQ|EA|1|09/22/2014|12/31/3999| | || | |
68180085211||J3490||03/07/2014|12/31/3999|Unclassified drugs|MY WAY 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|03/07/2014|12/31/3999| | || | |
00009072805||J3490||08/16/2017|06/30/2023|Unclassified drugs|CLEOCIN PHOS 150 MG/ML VIAL|60|ML|VIAL|IJ|ML|1|08/16/2017|06/30/2023| | || | |
00009513704||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|ZYVOX 200 MG/100 ML IV SOLN|100|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
00009514004||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
00009780701||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
00009780702||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
62756072060||J3490||01/30/2018|12/31/3999|Unclassified drugs|MY CHOICE 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|01/30/2018|12/31/3999| | || | |
00009030225||J3490||08/16/2018|09/30/2022|Unclassified drugs|CLEOCIN PHOS 300 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|08/16/2018|09/30/2022| | || | |
00009060204||J3490||08/16/2017|09/30/2022|Unclassified drugs|CLEOCIN PHOS 600 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|1|08/16/2017|09/30/2022| | || | |
50102011101||J3490||03/06/2015|12/31/3999|Unclassified drugs|ECONTRA EZ 1.5 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|03/06/2015|12/31/3999| | || | |
00009499201||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
00009499202||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|ZYVOX 600 MG/300 ML IV SOLN|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
00781343395||J2020||06/01/2022|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML IV|300|ML|BAG|IV|ML|100|06/01/2022|12/31/3999| | || | |
00009716801||J3590||04/01/2003|12/31/3999|Unclassified Biologics|SOMAVERT 15 MG VIAL|1|UN|VIAL|SQ|EA|1|04/01/2003|12/31/3999| | || | |
00009718801||J3590||04/01/2003|12/31/3999|Unclassified Biologics|SOMAVERT 20 MG VIAL|1|UN|VIAL|SQ|EA|1|04/01/2003|12/31/3999| | || | |
69448001463||J1952||10/01/2022|12/31/3999|Leuprolide injectable, camcevi, 1 mg|CAMCEVI 42 MG SYRINGE|1|UN|SYRINGE|SQ|EA|.0238|10/01/2022|12/31/3999| | || | |
64406001901||Q5124||10/01/2022|12/31/3999|Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg|BYOOVIZ 0.5 MG/0.05 ML VIAL|0.05|ML|VIAL|IO|ML|.01|10/01/2022|12/31/3999| | || | |
68180084473||S4993||04/01/2020|12/31/3999|Contraceptive pills for birth control|KURVELO-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|04/01/2020|12/31/3999| | || | |
00536114263||J3490||10/01/2018|12/31/3999|Unclassified drugs|LEVONORGESTREL 1.5 MG TABLE|1|UN|BLIST PACK|PO|TAB|1|10/01/2018|12/31/3999| | || | |
70700016406||J3490||03/20/2020|12/31/3999|Unclassified drugs|LEVONORGESTREL 1.5 MG TABLE|1|UN|BLIST PACK|PO|TAB|1|03/20/2020|12/31/3999| | || | |
73302045601||J3490||08/20/2020|12/31/3999|Unclassified drugs|ELLA 30 MG TABLET|1|UN|BLIST PACK|PO|TAB|1|08/20/2020|12/31/3999| | || | |
73607000302||J3490||08/04/2021|12/31/3999|Unclassified drugs|DILUENT FOR ARTESUNATE VIAL|12|ML|VIAL|IV|EA|12|08/04/2021|12/31/3999| | || | |
00955172801||S5553||04/01/2022|12/31/3999|Insulin, long acting; 5 units|INSULIN GLARGINE SOLOSTAR U|3|ML|SYRINGE|SQ|ML|3|04/01/2022|12/31/3999| | || | |
00093751731||J3535||03/26/2022|12/31/3999|Drug administered through a metered dose inhaler|FLUTICASONE-SALMETEROL 100-|60|UN|BLIST PACK|IH|EA|60|03/26/2022|12/31/3999| | || | |
00093751831||J3535||03/26/2022|12/31/3999|Drug administered through a metered dose inhaler|FLUTICASONE-SALMETEROL 250-|60|UN|BLIST PACK|IH|EA|60|03/26/2022|12/31/3999| | || | |
66215071801||J3490||08/23/2021|12/31/3999|Unclassified drugs|UPTRAVI 1,800 MCG VIAL|1|UN|VIAL|IV|EA|1|08/23/2021|12/31/3999| | || | |
00093306634||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
00093306693||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
00378705852||J7613||10/01/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 1.25 MG/3 ML|3|ML|VIAL|IH|ML|2.4|10/01/2022|12/31/3999| | || | |
00378705898||J7613||10/01/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 1.25 MG/3 ML|3|ML|VIAL|IH|ML|2.4|10/01/2022|12/31/3999| | || | |
65219016201||J0612||04/01/2023|12/31/3999|Injection, calcium gluconate (fresenius kabi), per 10 mg|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|.5|04/01/2023|12/31/3999| | || | |
00409106001||J9294||04/01/2023|06/30/2023|Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg|PEMETREXED 100 MG VIAL|1|UN|VIAL|IV|EA|.1|04/01/2023|06/30/2023| | || | |
00409353201||J9294||04/01/2023|12/31/3999|Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 1 GM/40|40|UN|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
16729052205||J9296||04/01/2023|12/31/3999|Injection, pemetrexed (accord) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 500MG/2|20|UN|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
16729052235||J9296||04/01/2023|12/31/3999|Injection, pemetrexed (accord) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 1 GM/40|40|UN|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
16729052264||J9296||04/01/2023|12/31/3999|Injection, pemetrexed (accord) not therapeutically equivalent to J9305, 10 mg|PEMETREXED DISODIUM 100 MG/|4|UN|VIAL|IV|ML|.4|04/01/2023|12/31/3999| | || | |
00310453530||C9147||04/01/2023|06/30/2023|Injection, tremelimumab-actl, 1 mg|IMJUDO 300 MG/15 ML VIAL|15|ML|VIAL|IV||15|04/01/2023|06/30/2023| | || | |
54092070203||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|FIRAZYR 30 MG/3 ML SYRINGE|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
60505621401||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
63323057401||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
63323057486||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
63323057493||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
69097066434||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|ICATIBANT 30 MG/3 ML SYRING|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
70709001301||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|SAJAZIR 30 MG/3 ML SYRINGE|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
70709001303||J1744||04/01/2023|12/31/3999|Injection, icatibant, 1 mg|SAJAZIR 30 MG/3 ML SYRINGE|3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
00409154101||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.25%-EPI 1:200,00|30|ML|VIAL|IJ|ML|30|10/01/2022|12/31/3999| | || | |
00409205001||J3475||10/01/2022|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 20 G/500 ML|500|ML|FLEX CONT|IV|ML|12.5|10/01/2022|12/31/3999| | || | |
00409205020||J3475||10/01/2022|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 20 G/500 ML|500|ML|FLEX CONT|IV|ML|12.5|10/01/2022|12/31/3999| | || | |
00409420801||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 1:200,000|30|ML|VIAL|IJ|ML|30|10/01/2022|12/31/3999| | || | |
00409420810||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 1:200,000|30|ML|VIAL|IJ|ML|30|10/01/2022|12/31/3999| | || | |
00409525502||J2765||10/01/2022|12/31/3999|Injection, metoclopramide hcl, up to 10 mg|METOCLOPRAMIDE 10 MG/2 ML V|2|ML|VIAL|IJ|ML|2|10/01/2022|12/31/3999| | || | |
00641623401||J0330||10/28/2022|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 100 MG/5ML|5|ML|SYRINGE|IV|ML|1|10/28/2022|12/31/3999| | || | |
16729013130||J9185||11/22/2022|12/31/3999|Injection, fludarabine phosphate, 50 mg|FLUDARABINE 50 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|11/22/2022|12/31/3999| | || | |
16729025105||J9033||12/07/2022|12/31/3999|Injection, bendamustine hcl, 1 mg|BENDAMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|.01|12/07/2022|12/31/3999| | || | |
17478079312||J3490||10/24/2022|06/30/2023|Unclassified drugs|CETRORELIX ACETATE 0.25 MG|1|UN|VIAL|SQ|EA|1|10/24/2022|06/30/2023| | || | |
23155016031||J3490||10/01/2022|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|10/01/2022|12/31/3999| | || | |
42023021501||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
63323075101||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
70121157701||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
70121157801||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|.002|07/01/2023|12/31/3999| | || | |
00143936401||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL 200 MG/200 ML-NAC|200|ML|BAG|IV|ML|5|07/01/2023|07/02/2023| | || | |
00143936601||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL 200MG/200ML-DEXTR|200|ML|BAG|IV|ML|5|07/01/2023|07/02/2023| | || | |
36000032010||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 20 MG/4 ML VI|4|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
36000032201||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
36000032202||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
36000032401||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
36000032001||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 20 MG/4 ML VI|4|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
47335099301||J1836||07/01/2023|12/31/3999|Injection, metronidazole, 10 mg|METRONIDAZOLE 500 MG/100 ML|100|ML|BAG|IV|ML|2|07/01/2023|12/31/3999| | || | |
36000031002||J2310||03/20/2023|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 4 MG/10 ML VIAL|10|ML|VIAL|IJ|1|2.5|03/20/2023|12/31/3999| | || | |
63323011700||J9190||04/01/2021|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|04/01/2021|12/31/3999| | || | |
63323011731||J9190||04/01/2021|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|04/01/2021|12/31/3999| | || | |
63323011741||J9190||04/01/2021|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1 GRAM/20 ML V|20|ML|VIAL|IV|ML|10|04/01/2021|12/31/3999| | || | |
63323011743||J9190||04/01/2021|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|04/01/2021|12/31/3999| | || | |
73554211101||J3590||07/01/2023|12/31/3999|Unclassified Biologics|SKYSONA INFUSION BAG-CASSET|1|UN|BAG|IV|EA|1|07/01/2023|12/31/3999| | || | |
73554311101||J3590||07/01/2023|12/31/3999|Unclassified Biologics|ZYNTEGLO INFUSION BAG-CASSE|1|UN|BAG|IV|EA|1|07/01/2023|12/31/3999| | || | |
68982082206||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
68982082282||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
68982082283||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
68982082284||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
68982082286||J1576||07/01/2023|12/31/3999|Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
51754400001||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|VAZCULEP 50 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00002820701||J1814||07/01/2023|12/31/3999|Insulin (lyumjev), per 5 units|LYUMJEV 100 UNIT/ML KWIKPEN|3|ML|SYRINGE|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
00641625210||J1921||07/01/2023|07/02/2023|Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg|LABETALOL HCL 10 MG/2 ML SY|2|ML|SYRINGE|IV|ML|1|07/01/2023|07/02/2023| | || | |
61958300201||J1961||07/01/2023|12/31/3999|Injection, lenacapavir, 1 mg|SUNLENCA 463.5 MG/1.5 ML VI|1.5|ML|VIAL|SQ|EA|.002|07/01/2023|12/31/3999| | || | |
00009077526||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 150 MG/ML VIAL|4|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
61958290102||J0248||01/21/2022|12/31/3999|inj, Remdesivir, 1mg|VEKLURY 100 MG VIAL|1|UN|VIAL|IV|EA|.01|01/21/2022|12/31/3999| | || | |
00009087021||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 150 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
10019005561||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|BREVIBLOC 10 MG/ML IV BAG|250|ML|FLEX CONT|IV|ML|1|07/01/2023|12/31/3999| | || | |
00409116001||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00409116301||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00409156029||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00409158229||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
17478042020||J1920||07/01/2023|07/01/2023|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 5 MG/ML VIAL|20|ML|VIAL|IV|ML|1|07/01/2023|07/01/2023| | || | |
55150016830||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
63323040220||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZTREONAM 2 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/01/2023|12/31/3999| | || | |
00009072809||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLEOCIN PHOS 150 MG/ML VIAL|60|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
00409156010||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00409781137||J1836||07/01/2023|12/31/3999|Injection, metronidazole, 10 mg|METRONIDAZOLE (LIFECARE,QUAD PACK) 500 MG/100 ML|100|ML|FC|IV|ML|2|07/01/2023|12/31/3999| | || | |
00781329009||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 900 MG/50 ML|50|ML|BAG|IV|ML|16.6667|07/01/2023|12/31/3999| | || | |
10019012001||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL HCL 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
55150017030||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
63323046437||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
67457018210||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL HCL 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00003257016||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZACTAM 2 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/01/2023|12/31/3999| | || | |
00409116501||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|07/01/2023|12/31/3999| | || | |
00409161050||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|MARCAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|07/01/2023|12/31/3999| | || | |
00781328809||J0736||07/01/2023|12/31/3999|Injection, clindamycin phosphate, 300 mg|CLINDAMYCIN-D5W 300 MG/50 ML|50|ML|BAG|IV|ML|50|07/01/2023|12/31/3999| | || | |
00003256016||J0457||07/01/2023|12/31/3999|Injection, aztreonam, 100 mg|AZACTAM 1 GM VIAL|1|UN|VIAL|IJ|EA|.1|07/01/2023|12/31/3999| | || | |
00641614201||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
00338105548||J1836||07/01/2023|12/31/3999|Injection, metronidazole, 10 mg|METRONIDAZOLE 500 MG/100 ML|100|ML|FC|IV|ML|2|07/01/2023|12/31/3999| | || | |
00409115902||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00517481025||J2305||07/01/2023|12/31/3999|Injection, nitroglycerin, 5 mg|NITROGLYCERIN 5 MG/ML VIAL|10|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
10019007587||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|BREVIBLOC 20 MG/ML IV BAG|100|ML|FLEX CONT|IV|ML|.5|07/01/2023|12/31/3999| | || | |
17478042040||J1920||07/01/2023|07/01/2023|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 5 MG/ML VIAL|40|ML|VIAL|IV|ML|1|07/01/2023|07/01/2023| | || | |
76204001001||J7613||04/07/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 0.63 MG/3 ML|3|ML|VIAL|IH|ML|4.7619|04/07/2022|12/31/3999| | || | |
76204001055||J7613||04/07/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 0.63 MG/3 ML|3|ML|VIAL|IH|ML|4.7619|04/07/2022|12/31/3999| | || | |
70069061601||J3490||05/03/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|20|05/03/2022|12/31/3999| | || | |
70069061610||J3490||05/03/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|20|05/03/2022|12/31/3999| | || | |
44567015010||J0295||05/26/2022|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|05/26/2022|12/31/3999| | || | |
16729051205||J0461||03/25/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 8 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|.025|03/25/2021|12/31/3999| | || | |
16729048403||J0461||07/30/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/10 ML SYRINGE|10|ML|SYRINGE|IJ|ML|.1|07/30/2021|12/31/3999| | || | |
00409170401||J9044||06/24/2022|12/31/2022|Injection, bortezomib, not otherwise specified, 0.1 mg|BORTEZOMIB 1 MG VIAL|1|UN|VIAL|IJ|EA|.1|06/24/2022|12/31/2022| | || | |
25021024410||J9041||05/03/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|05/03/2022|12/31/3999| | || | |
50742048401||J9041||05/02/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|05/02/2022|12/31/3999| | || | |
55150033701||J9041||05/05/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|05/05/2022|12/31/3999| | || | |
60505605004||J9041||05/02/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|05/02/2022|12/31/3999| | || | |
70860022510||J9041||05/13/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|05/13/2022|12/31/3999| | || | |
63323023701||J0690||04/01/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|04/01/2022|12/31/3999| | || | |
44567013010||J0692||04/28/2022|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|04/28/2022|12/31/3999| | || | |
44567013110||J0692||04/28/2022|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|04/28/2022|12/31/3999| | || | |
63323034021||J0692||07/01/2019|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|07/01/2019|12/31/3999| | || | |
48102003360||J7631||05/01/2022|12/31/3999|Cromolyn sodium, inhalation solution, fda-approved final product, non-compo...|CROMOLYN 20 MG/2 ML NEB SOL|2|ML|VIAL|IH|ML|1|05/01/2022|12/31/3999| | || | |
00115169530||J3490||04/01/2019|12/31/3999|Unclassified drugs|EPINEPHRINE 0.15 MG AUTO-IN|1|UN|SYRINGE|IJ|EA|.15|04/01/2019|12/31/3999| | || | |
00781922775||J2370||04/01/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|04/01/2021|06/30/2023| | || | |
43598012901||J2930||04/04/2022|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 125 M|1|UN|VIAL|IJ|EA|1|04/04/2022|12/31/3999| | || | |
43598012925||J2930||04/04/2022|12/31/3999|Injection, methylprednisolone sodium succinate, up to 125 mg|METHYLPREDNISOLONE SS 125 M|1|UN|VIAL|IJ|EA|1|04/04/2022|12/31/3999| | || | |
60219157301||J1030||04/01/2022|12/31/3999|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
60219157401||J1040||04/01/2022|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
60219157405||J1040||04/01/2022|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
63323016100||J1885||04/01/2022|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
63323016141||J1885||04/01/2022|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
63323028003||J1940||07/01/2019|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|07/01/2019|12/31/3999| | || | |
70121139901||J1100||04/04/2022|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|04/04/2022|12/31/3999| | || | |
70594006302||J2370||04/05/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|EA|1|04/05/2022|06/30/2023| | || | |
69918070027||J0330||07/01/2022|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
00264705505||J2402||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg|CLOROTEKAL 50 MG/5 ML AMPUL|5|ML|AMPUL|IT|ML|1|01/01/2023|12/31/3999| | || | |
00264705510||J2402||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg|CLOROTEKAL 50 MG/5 ML AMPUL|5|ML|AMPUL|IT|ML|1|01/01/2023|12/31/3999| | || | |
70594005801||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1.75 GM/350 ML B|350|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
63323045400||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE SULFATE 4 MG/ML VI|1|ML|VIAL|IJ|ML|2.5|01/01/2023|12/31/3999| | || | |
69800025002||J1554||01/01/2023|12/31/3999|INJ, IMMUNE GLOBULIN (ASCENIV), 500 MG|ASCENIV 10% VIAL|50|ML|VIAL|IV|ML|5|01/01/2023|12/31/3999| | || | |
63323047801||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|NESACAINE-MPF 3% VIAL|20|ML|VIAL|IJ|ML|.0333|01/01/2023|12/31/3999| | || | |
70594005701||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1.25 GM/250 ML B|250|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
76045000401||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE 2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|1|01/01/2023|12/31/3999| | || | |
76045000411||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE 2 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|1|01/01/2023|12/31/3999| | || | |
63323047701||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|NESACAINE-MPF 2% VIAL|20|ML|VIAL|IJ|ML|.05|01/01/2023|12/31/3999| | || | |
44567062001||J0611||01/01/2023|03/31/2023|Injection, calcium gluconate (wg critical care), per 10 ml|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|1|01/01/2023|03/31/2023| | || | |
76045000511||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE 4 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|1|01/01/2023|12/31/3999| | || | |
70594005601||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 750 MG/150 ML BA|150|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
70594005802||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1.75 GM/350 ML B|350|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
63323045100||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE SULFATE 10 MG/ML V|1|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
00069155801||J1599||01/01/2023|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|01/01/2023|06/30/2023| | || | |
00069110902||J1599||01/01/2023|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|01/01/2023|06/30/2023| | || | |
00069122402||J1599||01/01/2023|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|01/01/2023|06/30/2023| | || | |
00069141501||J1599||01/01/2023|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|01/01/2023|06/30/2023| | || | |
63323045500||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE SULFATE 5 MG/ML VI|1|ML|VIAL|IJ|ML|2|01/01/2023|12/31/3999| | || | |
63323058282||J1611||01/01/2023|12/31/3999|Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 m|GLUCAGON 1 MG EMERGENCY KIT|1|UN|VIAL|IJ|EA|1|01/01/2023|12/31/3999| | || | |
00409275701||J0877||01/01/2023|10/03/2023|Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|01/01/2023|10/03/2023| | || | |
00409593301||J0877||01/01/2023|12/31/2023|Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|01/01/2023|12/31/2023| | || | |
70594004103||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 500 MG/100 ML BA|100|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
70594004401||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 2 GRAM/400 ML BA|400|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
70594004402||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 2 GRAM/400 ML BA|400|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
69784023120||J3490||09/02/2021|12/31/3999|Unclassified drugs|SODIUM ACETATE 200 MEQ/100|100|ML|VIAL|IV|ML|1|09/02/2021|12/31/3999| | || | |
43547063925||J3490||10/04/2021|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|10/04/2021|12/31/3999| | || | |
43547064025||J3490||10/04/2021|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|1|10/04/2021|12/31/3999| | || | |
63323032102||J3490||03/11/2008|12/31/3999|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|03/11/2008|12/31/3999| | || | |
63323046101||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAINE 0.25%-EPI 1:200|50|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046201||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCN-MPF 0.5%-EPI 1:200|30|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046204||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCN-MPF 0.5%-EPI 1:200|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046603||S0020||10/16/2003|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.5% VIAL|10|ML|VIAL|IJ|ML|1|10/16/2003|06/30/2023| | || | |
63323046603||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.5% VIAL|10|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
16714098101||J3490||10/02/2019|09/30/2023|Unclassified drugs|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|1|10/02/2019|09/30/2023| | || | |
66993037025||J3490||06/05/2002|09/30/2023|Unclassified drugs|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|1|06/05/2002|09/30/2023| | || | |
66993037179||J3490||06/05/2002|09/30/2023|Unclassified drugs|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IJ|ML|1|06/05/2002|09/30/2023| | || | |
51862086801||S4993||05/07/2021|12/31/3999|Contraceptive pills for birth control|MICROGESTIN 21 1-20 TABLET|21|UN|BLIST PACK|PO|TAB|1|05/07/2021|12/31/3999| | || | |
51862087201||S4993||07/16/2021|12/31/3999|Contraceptive pills for birth control|MICROGESTIN 21 1.5-30 TAB|21|UN|BLIST PACK|PO|TAB|1|07/16/2021|12/31/3999| | || | |
65862089888||S4993||03/30/2021|12/31/3999|Contraceptive pills for birth control|NYLIA 1-35 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|03/30/2021|12/31/3999| | || | |
70069080401||J3030||12/15/2021|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIA|0.5|ML|VIAL|SQ|ML|.5|12/15/2021|12/31/3999| | || | |
70594008201||J0295||11/09/2021|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|11/09/2021|12/31/3999| | || | |
70594008202||J0295||11/09/2021|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|11/09/2021|12/31/3999| | || | |
16714088901||J1335||05/10/2021|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|05/10/2021|12/31/3999| | || | |
16714088910||J1335||05/10/2021|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|05/10/2021|12/31/3999| | || | |
76045020900||J1885||11/11/2015|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|.5|11/11/2015|12/31/3999| | || | |
76045020910||J1885||11/11/2015|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|.5|11/11/2015|12/31/3999| | || | |
42023020501||J0630||11/10/2021|12/31/3999|Injection, calcitonin salmon, up to 400 units|CALCITONIN-SALMON 400 UNIT/|2|ML|VIAL|IJ|ML|2|11/10/2021|12/31/3999| | || | |
70860030202||J1940||10/20/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/20/2021|12/31/3999| | || | |
70860030204||J1940||10/20/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|10/20/2021|12/31/3999| | || | |
70860030210||J1940||10/20/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|10/20/2021|12/31/3999| | || | |
43066009001||J0780||10/07/2021|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|10/07/2021|12/31/3999| | || | |
43066009025||J0780||10/07/2021|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|10/07/2021|12/31/3999| | || | |
43598047611||J0878||10/14/2021|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|10/14/2021|12/31/3999| | || | |
71288001715||J0878||11/04/2021|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|11/04/2021|12/31/3999| | || | |
70436002582||J0583||12/16/2021|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|12/16/2021|12/31/3999| | || | |
00143942801||J1453||10/12/2020|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|10/12/2020|12/31/3999| | || | |
70756060685||J3490||07/25/2022|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|4|07/25/2022|12/31/3999| | || | |
72611071672||J1190||07/01/2022|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 500 MG VIAL|1|UN|VIAL|IV|EA|.5|07/01/2022|12/31/3999| | || | |
70121140801||J1270||07/01/2022|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|07/01/2022|12/31/3999| | || | |
71288080204||J1270||07/01/2022|12/31/3999|Injection, doxercalciferol, 1 mcg|DOXERCALCIFEROL 4 MCG/2 ML|2|ML|VIAL|IV|ML|.5|07/01/2022|12/31/3999| | || | |
70069006125||J2795||08/16/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 20 MG/10 M|10|ML|VIAL|IJ|ML|.5|08/16/2022|12/31/3999| | || | |
16714030901||J3370||07/01/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|07/01/2022|12/31/3999| | || | |
16714030910||J3370||07/01/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|07/01/2022|12/31/3999| | || | |
63323028401||J3370||07/01/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|07/01/2022|12/31/3999| | || | |
72266016041||J3486||07/01/2022|12/31/3999|Injection, ziprasidone mesylate, 10 mg|ZIPRASIDONE 20 MG/ML VIAL|1|UN|VIAL|IM|EA|.5|07/01/2022|12/31/3999| | || | |
00781349806||J9017||07/14/2022|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|07/14/2022|12/31/3999| | || | |
00781349894||J9017||07/14/2022|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|07/14/2022|12/31/3999| | || | |
00781349895||J9017||07/14/2022|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|07/14/2022|12/31/3999| | || | |
68001052285||J9395||02/01/2022|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|02/01/2022|12/31/3999| | || | |
68001052286||J9395||02/01/2022|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|02/01/2022|12/31/3999| | || | |
00143902201||J9395||08/05/2022|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|08/05/2022|12/31/3999| | || | |
00143902202||J9395||08/05/2022|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|08/05/2022|12/31/3999| | || | |
70700028498||J9395||08/19/2022|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|08/19/2022|12/31/3999| | || | |
71288042710||J0583||07/01/2022|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIA|1|UN|SYRINGE|IV|EA|.004|07/01/2022|12/31/3999| | || | |
16714024801||J1453||07/01/2022|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|SYRINGE|IV|EA|.0067|07/01/2022|12/31/3999| | || | |
70860078310||J1453||09/12/2022|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|SYRINGE|IV|EA|.0067|09/12/2022|12/31/3999| | || | |
63323035601||J0637||10/01/2019|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|EA|.1|10/01/2019|12/31/3999| | || | |
63323056463||J1650||07/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|.4|ML|SYRINGE|SQ|ML|.1|07/01/2022|12/31/3999| | || | |
60505623100||J0690||07/01/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|07/01/2022|12/31/3999| | || | |
70594009601||J0696||07/27/2022|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|07/27/2022|12/31/3999| | || | |
70594009602||J0696||07/27/2022|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|07/27/2022|12/31/3999| | || | |
63323016502||J1100||10/01/2019|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|10/01/2019|12/31/3999| | || | |
63323016503||J1100||10/01/2019|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 20 MG/5 ML VI|5|ML|VIAL|IJ|ML|.25|10/01/2019|12/31/3999| | || | |
69918089901||J2597||07/01/2022|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML AM|1|ML|AMPUL|IJ|ML|.25|07/01/2022|12/31/3999| | || | |
70860045441||J2597||07/01/2022|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML VI|1|ML|VIAL|IJ|ML|.25|07/01/2022|12/31/3999| | || | |
64679069802||J2700||07/01/2022|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM VIAL|1|UN|VIAL|IJ|GM|.25|07/01/2022|12/31/3999| | || | |
66794022502||J2700||07/01/2022|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|07/01/2022|12/31/3999| | || | |
00409131216||J1170||10/28/2004|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML SYRIN|1|ML|SYRINGE|IJ|ML|2|10/28/2004|12/31/3999| | || | |
63323016243||J1885||02/06/2002|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|02/06/2002|12/31/3999| | || | |
00409216817||J3475||10/28/2004|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|20|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
16714008825||J1030||01/15/2008|11/13/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML|1|ML|VIAL|IJ|ML|1|01/15/2008|11/13/2022| | || | |
16714008901||J1030||01/15/2008|12/31/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 200 MG/5|5|ML|VIAL|IJ|ML|1|01/15/2008|12/31/2022| | || | |
58468042601||C9085||01/01/2022|03/31/2022|Inj avalglucosid alfa-ngpt, 4 MG|NEXVIAZYME 100 MG VIAL|1|UN|VIAL|IV|EA|.01|01/01/2022|03/31/2022| | || | |
58468042601||J3590||01/01/2022|03/31/2022|Unclassified Biologics|NEXVIAZYME 100 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2022|03/31/2022| | || | |
55150018301||J3490||07/14/2021|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|07/14/2021|12/31/2023| | || | |
55150018310||J3490||07/14/2021|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|07/14/2021|12/31/2023| | || | |
25021031604||J3490||07/01/2021|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|07/01/2021|12/31/3999| | || | |
51991098317||J3490||08/25/2021|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL||ML|1|08/25/2021|12/31/3999| | || | |
00169721811||J7189||10/04/2010|12/31/3999|Factor viia (antihemophilic factor, recombinant), per 1 microgram|NOVOSEVEN RT 8 MG VIAL|1|UN|VIAL|IV|EA|1|10/04/2010|12/31/3999| | || | |
70860077721||J2405||03/30/2017|12/31/3999|Injection, ondansetron hydrochloride, per 1 mg|ONDANSETRON 40 MG/20 ML VIA|20|ML|VIAL|IV|ML|.5|03/30/2017|12/31/3999| | || | |
71288014995||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|11/15/2017|12/31/3999| | || | |
71288014996||J9263||11/15/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|11/15/2017|12/31/3999| | || | |
68001048225||J2469||04/14/2021|06/30/2023|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|04/14/2021|06/30/2023| | || | |
68982082206||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082206||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
68982082282||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082282||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
68982082283||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082283||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
68982082284||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082284||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
68982082286||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082286||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (30 G/300 ML) V|300|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
14789010910||J3480||07/26/2021|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/100 ML|100|ML|FLEX CONT|IV|ML|20|07/26/2021|12/31/3999| | || | |
63323022141||J3370||04/01/1998|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/1998|12/31/3999| | || | |
72611076101||J3370||02/03/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|02/03/2021|12/31/3999| | || | |
47335070349||J7613||09/04/2021|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 2.5 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|09/04/2021|12/31/3999| | || | |
47335070352||J7613||09/04/2021|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 2.5 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|09/04/2021|12/31/3999| | || | |
79672061320||J3490||11/25/2020|12/31/2021|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|1|11/25/2020|12/31/2021| | || | |
66794023541||J3490||09/25/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|VIAL|IV|ML|1|09/25/2020|12/31/3999| | || | |
71225013201||J3490||12/09/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|1|12/09/2021|12/31/3999| | || | |
71225013202||J3490||12/09/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|1|12/09/2021|12/31/3999| | || | |
71225013301||J3490||11/10/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|1|11/10/2021|12/31/3999| | || | |
71225013302||J3490||11/10/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|1|11/10/2021|12/31/3999| | || | |
71288050503||J3490||08/04/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|EA|1|08/04/2021|12/31/3999| | || | |
72572012701||J3490||12/22/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|1|12/22/2021|12/31/3999| | || | |
16714003710||J3490||11/27/2019|09/30/2022|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|11/27/2019|09/30/2022| | || | |
16714003725||J3490||11/27/2019|09/30/2022|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|11/27/2019|09/30/2022| | || | |
43598072511||J3490||10/28/2021|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|10/28/2021|12/31/3999| | || | |
00074438293||J3490||01/23/1996|12/31/3999|Unclassified drugs|NIMBEX 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|01/23/1996|12/31/3999| | || | |
63323094021||J3490||07/28/2021|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|07/28/2021|12/31/3999| | || | |
00990796709||J3490||07/12/2018|12/31/3999|Unclassified drugs|NORMOSOL-R IV SOLUTION|1000|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
66794023342||J3490||01/31/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|01/31/2018|12/31/3999| | || | |
00093595506||J7605||12/15/2021|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|AMPUL|IH|ML|2|12/15/2021|12/31/3999| | || | |
70436015158||J7605||06/23/2021|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|EA|2|06/23/2021|12/31/3999| | || | |
00264705505||J3490||09/17/2018|12/31/2022|Unclassified drugs|CLOROTEKAL 50 MG/5 ML AMPUL|5|ML|AMPUL|IT|ML|1|09/17/2018|12/31/2022| | || | |
00264705510||J3490||09/17/2018|12/31/2022|Unclassified drugs|CLOROTEKAL 50 MG/5 ML AMPUL|5|ML|AMPUL|IT|ML|1|09/17/2018|12/31/2022| | || | |
49502039380||S5553||11/15/2021|12/31/3999|Insulin, long acting; 5 units|INSULIN GLARGINE-YFGN U100|10|ML|VIAL|SQ|ML|.05|11/15/2021|12/31/3999| | || | |
49502039471||S5553||11/15/2021|12/31/3999|Insulin, long acting; 5 units|INSULIN GLARGINE-YFGN U100|3|ML|SYRINGE|SQ|ML|.05|11/15/2021|12/31/3999| | || | |
49502039475||S5553||11/15/2021|12/31/3999|Insulin, long acting; 5 units|INSULIN GLARGINE-YFGN U100|3|ML|SYRINGE|SQ|ML|.05|11/15/2021|12/31/3999| | || | |
72664061128||J9218||12/01/2021|12/31/3999|Leuprolide acetate, per 1 mg|LEUPROLIDE 2WK 14 MG/2.8 ML|1|UN|KIT|SQ|ML|.0714|12/01/2021|12/31/3999| | || | |
00904530624||Q0163||01/01/2011|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|BANOPHEN 25 MG CAPSULE|24|UN|BLIST PACK|PO|CAP|2|01/01/2011|12/31/3999| | || | |
53097057160||Q0167||03/02/2016|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|MARINOL 2.5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|03/02/2016|12/31/3999| | || | |
68382059201||Q0175||01/18/2021|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 4 MG TABLET|100|UN|BOTTLE|PO|TAB|1|01/18/2021|12/31/3999| | || | |
65162067890||Q0169||12/09/2021|05/30/2023|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 6.25 MG/5 ML S|473|ML|BOTTLE|PO|ML|10|12/09/2021|05/30/2023| | || | |
50419039201||C9399||11/26/2018|11/26/2018|Unclassified Drugs or Biologicals|VITRAKVI 20 MG/ML SOLUTION|100|ML|BOTTLE|PO|ML|1|11/26/2018|11/26/2018| | || | |
50419039201||J3490||11/26/2018|11/26/2018|Unclassified drugs|VITRAKVI 20 MG/ML SOLUTION|100|ML|BOTTLE|PO|ML|1|11/26/2018|11/26/2018| | || | |
70436014781||J0500||11/18/2021|12/31/3999|Injection, dicyclomine hcl, up to 20 mg|DICYCLOMINE 20 MG/2 ML VIAL|2|ML|VIAL|IM|EA|2|11/18/2021|12/31/3999| | || | |
16714007002||J9395||11/09/2021|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|11/09/2021|12/31/3999| | || | |
68001051736||J1453||10/11/2021|07/31/2024|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|10/11/2021|07/31/2024| | || | |
42023023001||J2248||10/29/2021|12/31/2022|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|10/29/2021|12/31/2022| | || | |
42023023010||J2248||10/29/2021|12/31/2022|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|10/29/2021|12/31/2022| | || | |
55150037601||J0894||11/29/2021|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|11/29/2021|12/31/3999| | || | |
42023022901||J2248||10/29/2021|12/31/2022|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|10/29/2021|12/31/2022| | || | |
78206014801||Q5112||08/23/2021|12/31/3999|Inj ontruzant 10 mg|ONTRUZANT 420 MG VIAL|1|UN|VIAL|IV|EA|.0238|08/23/2021|12/31/3999| | || | |
78206016201||Q5104||08/23/2021|12/31/3999|INJECTION, INFLIXIMAB-ABDA, (RENFLEXIS), 10 MG|RENFLEXIS 100 MG VIAL|1|UN|VIAL|IV|EA|.1|08/23/2021|12/31/3999| | || | |
78206016299||Q5104||08/23/2021|12/31/3999|INJECTION, INFLIXIMAB-ABDA, (RENFLEXIS), 10 MG|RENFLEXIS 100 MG VIAL|1|UN|VIAL|IV|EA|.1|08/23/2021|12/31/3999| | || | |
70594008001||J2543||11/02/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|11/02/2021|12/31/3999| | || | |
70594007901||J2543||11/02/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|11/02/2021|12/31/3999| | || | |
70594007902||J2543||11/02/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3333|11/02/2021|12/31/3999| | || | |
51754122001||J2710||01/23/2015|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|BLOXIVERZ 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|01/23/2015|12/31/3999| | || | |
70594007801||J2543||11/02/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|11/02/2021|12/31/3999| | || | |
70594007802||J2543||11/02/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|11/02/2021|12/31/3999| | || | |
68001050630||J2543||12/10/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|12/10/2021|12/31/3999| | || | |
63323028442||J3370||04/01/1998|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|04/01/1998|12/31/3999| | || | |
16729043043||J0883||10/07/2021|12/31/2022|Argatroban nonesrd use 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|10/07/2021|12/31/2022| | || | |
00944283101||J7192||04/01/1994|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|RECOMBINATE 220-400 UNIT VI|1|F2|VIAL|IV|AHF|1|04/01/1994|12/31/3999| | || | |
00944283201||J7192||04/01/1994|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|RECOMBINATE 401-800 UNIT VI|1|F2|VIAL|IV|AHF|1|04/01/1994|12/31/3999| | || | |
00944283301||J7192||04/01/1994|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|RECOMBINATE 801-1,240 UNIT|1|F2|VIAL|IV|AHF|1|04/01/1994|12/31/3999| | || | |
71287022001||Q2053||11/02/2021|12/31/3999|BREXUCABTAGENE AUTOLEUCEL, UP TO 200 MILLION AUTOLOGOUS ANTI-CD19 CAR POSITIVE VIABLE T CELLS|TECARTUS INFUSION BAG|1|UN|BAG|IV|EA|1|11/02/2021|12/31/3999| | || | |
63323022101||J3370||04/01/1998|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/01/1998|12/31/3999| | || | |
00574093010||Q2050||10/25/2021|04/30/2024|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/1|10|ML|VIAL|IV|ML|5|10/25/2021|04/30/2024| | || | |
00574093125||Q2050||10/25/2021|04/30/2024|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/2|25|ML|VIAL|IV|ML|5|10/25/2021|04/30/2024| | || | |
68001049236||Q2050||10/28/2021|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/1|10|ML|VIAL|IV|ML|5|10/28/2021|12/31/3999| | || | |
68001049326||Q2050||10/28/2021|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/2|25|ML|VIAL|IV|ML|5|10/28/2021|12/31/3999| | || | |
00264420552||J3475||10/04/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/50 ML BA|50|ML|BAG|IV|ML|6.25|10/04/2021|12/31/3999| | || | |
44567042424||J3475||11/11/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/50 ML BA|50|ML|BAG|IV|ML|6.25|11/11/2021|12/31/3999| | || | |
44567062201||J0611||01/01/2023|03/31/2023|Injection, calcium gluconate (wg critical care), per 10 ml|CALCIUM GLU 1,000MG/100ML-N|100|ML|BAG|IV|ML|1|01/01/2023|03/31/2023| | || | |
44567062224||J0611||01/01/2023|03/31/2023|Injection, calcium gluconate (wg critical care), per 10 ml|CALCIUM GLU 1,000MG/100ML-N|100|ML|BAG|IV|ML|1|01/01/2023|03/31/2023| | || | |
00409012201||J0877||01/01/2023|12/31/3999|Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
71288030301||J3420||09/26/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|09/26/2022|12/31/3999| | || | |
71288030302||J3420||09/26/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|09/26/2022|12/31/3999| | || | |
63323096701||J3480||07/01/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 60 MEQ/30 ML C|30|ML|VIAL|IV|ML|1|07/01/2022|12/31/3999| | || | |
49702021301||J3485||07/01/2022|12/31/3999|Injection, zidovudine, 10 mg|RETROVIR 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|07/01/2022|12/31/3999| | || | |
70121160401||J3490||01/01/2020|12/31/3999|Unclassified drugs|ISOPROTERENOL 0.2 MG/ML VIA|1|ML|VIAL|IJ|ML|1|01/01/2020|12/31/3999| | || | |
70121160501||J3490||01/01/2020|12/31/3999|Unclassified drugs|ISOPROTERENOL 1 MG/5 ML VIA|5|ML|VIAL|IJ|ML|1|01/01/2020|12/31/3999| | || | |
16714053625||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
43547063901||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
71288041401||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
76045020601||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML SY|1|ML|SYRINGE|IJ|ML|1|07/01/2022|12/31/3999| | || | |
76045020610||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML SY|1|ML|SYRINGE|IJ|ML|1|07/01/2022|12/31/3999| | || | |
55150031601||J3490||07/01/2022|12/31/3999|Unclassified drugs|ISOPROTERENOL 0.2 MG/ML AMP|1|ML|AMPUL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
00517930201||J3490||07/01/2022|12/31/3999|Unclassified drugs|MULTRYS VIAL|1|ML|VIAL|IV|ML|1|07/01/2022|12/31/3999| | || | |
70860011641||J3490||07/01/2022|12/31/3999|Unclassified drugs|NAFCILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|1|07/01/2022|12/31/3999| | || | |
25682001601||J3490||07/01/2022|12/31/3999|Unclassified drugs|STRENSIQ 40 MG/ML VIAL|1|ML|VIAL|SQ|ML|1|07/01/2022|12/31/3999| | || | |
00517930501||J3490||07/01/2022|12/31/3999|Unclassified drugs|TRALEMENT VIAL|1|ML|VIAL|IV|ML|1|07/01/2022|12/31/3999| | || | |
42367057022||J3490||07/01/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|07/01/2022|06/30/2023| | || | |
43598008511||J3490||07/01/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|07/01/2022|06/30/2023| | || | |
55150023502||J3490||07/01/2022|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
55150023511||J3490||07/01/2022|12/31/3999|Unclassified drugs|VECURONIUM 10 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
55150023602||J3490||07/01/2022|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
55150023621||J3490||07/01/2022|12/31/3999|Unclassified drugs|VECURONIUM 20 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
55150037101||J3490||07/06/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|07/06/2022|06/30/2023| | || | |
55150037125||J3490||07/06/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|07/06/2022|06/30/2023| | || | |
70121164201||J3490||08/18/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|08/18/2022|06/30/2023| | || | |
70121164205||J3490||08/18/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|08/18/2022|06/30/2023| | || | |
00548970100||J3490||08/22/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|08/22/2022|06/30/2023| | || | |
55150037001||J3490||08/23/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|08/23/2022|06/30/2023| | || | |
55150037025||J3490||08/23/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|08/23/2022|06/30/2023| | || | |
68462083335||J7605||06/23/2021|04/30/2023|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|06/23/2021|04/30/2023| | || | |
68462083365||J7605||06/23/2021|04/30/2023|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|06/23/2021|04/30/2023| | || | |
69097016848||J7605||06/23/2021|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|06/23/2021|12/31/3999| | || | |
69097016887||J7605||06/23/2021|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|06/23/2021|12/31/3999| | || | |
70748025730||J7605||12/05/2019|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|12/05/2019|12/31/3999| | || | |
70748025760||J7605||12/05/2019|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|12/05/2019|12/31/3999| | || | |
35573044325||J7614||06/12/2017|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|06/12/2017|12/31/3999| | || | |
35573044525||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|06/01/2016|12/31/3999| | || | |
66993019544||J7682||11/20/2013|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/4 ML AMPU|4|ML|AMPUL|IH|ML|4|11/20/2013|12/31/3999| | || | |
16729048490||J0461||07/30/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.5 MG/5 ML SYRING|5|ML|SYRINGE|IJ|ML|10|07/30/2021|12/31/3999| | || | |
71288011530||J9025||06/21/2021|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|06/21/2021|12/31/3999| | || | |
71288015395||J9025||06/21/2021|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|06/21/2021|12/31/3999| | || | |
24201040002||J0630||05/14/2021|12/31/3999|Injection, calcitonin salmon, up to 400 units|CALCITONIN-SALMON 400 UNIT/|2|ML|VIAL|IJ|ML|.005|05/14/2021|12/31/3999| | || | |
55150036425||J3420||07/26/2021|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|07/26/2021|12/31/3999| | || | |
00409233715||J0895||10/28/2004|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|10/28/2004|12/31/3999| | || | |
00409136201||J2175||10/28/2004|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 25 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|4|10/28/2004|12/31/3999| | || | |
00409141801||J2175||10/28/2004|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 50 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|10/28/2004|12/31/3999| | || | |
00409141811||J2175||10/28/2004|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 50 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|10/28/2004|12/31/3999| | || | |
69339013603||J3360||04/01/2019|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/01/2019|12/31/3999| | || | |
69339013634||J3360||04/01/2019|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|04/01/2019|12/31/3999| | || | |
00574085105||J1110||08/07/2003|09/30/2021|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML A|1|ML|AMPUL|IJ|ML|1|08/07/2003|09/30/2021| | || | |
00310744202||Q0220||12/08/2021|01/26/2023|Inj, tixagevimab and cilgavimab, 300 mg|EVUSHELD 2-VIAL DOSE PACK(E|3|ML|VIAL|IJ|MG|.005|12/08/2021|01/26/2023| | || | |
43598090111||J1335||05/10/2021|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|05/10/2021|12/31/3999| | || | |
43598090158||J1335||05/10/2021|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|05/10/2021|12/31/3999| | || | |
00641624701||J3010||07/01/1991|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 50 MCG/ML VIAL|1|ML|VIAL|IJ|ML|2|07/01/1991|12/31/3999| | || | |
00641624725||J3010||07/01/1991|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 50 MCG/ML VIAL|1|ML|VIAL|IJ|ML|2|07/01/1991|12/31/3999| | || | |
63323080801||J3010||06/22/2021|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 50 MCG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|06/22/2021|12/31/3999| | || | |
63323080811||J3010||06/22/2021|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 50 MCG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|2|06/22/2021|12/31/3999| | || | |
16729050008||J1940||05/05/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|05/05/2021|12/31/3999| | || | |
72572057401||J2543||03/03/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|ML|.25|03/03/2021|12/31/3999| | || | |
72572057410||J2543||03/03/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|ML|.25|03/03/2021|12/31/3999| | || | |
72336007719||J2310||12/19/2020|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|LIFEMS NALOXONE 2 MG/2 ML K|1|UN|KIT|IJ|EA|1|12/19/2020|12/31/3999| | || | |
00074012402||J0135||08/06/2018|12/31/3999|Injection, adalimumab, 20 mg|HUMIRA(CF) PEN 80 MG/0.8 ML|2|UN|KIT|SQ|EA|.25|08/06/2018|12/31/3999| | || | |
71336100201||J0224||07/01/2021|12/31/3999|Inj, lumasiran, 0.5 mg|OXLUMO 94.5 MG/0.5 ML VIAL|0.5|ML|VIAL|SQ|ML|.0026|07/01/2021|12/31/3999| | || | |
61755002002||J3590||07/29/2015|12/31/3999|Unclassified Biologics|PRALUENT 75 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|07/29/2015|12/31/3999| | || | |
68180090373||S4993||01/20/2016|12/31/3999|Contraceptive pills for birth control|KAITLIB FE 0.8-0.025MG CHEW|28|UN|BLIST PACK|PO|TAB|1|01/20/2016|12/31/3999| | || | |
50102030011||S4993||06/07/2018|12/31/3999|Contraceptive pills for birth control|LYLEQ 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/07/2018|12/31/3999| | || | |
50102030013||S4993||06/07/2018|12/31/3999|Contraceptive pills for birth control|LYLEQ 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|06/07/2018|12/31/3999| | || | |
71225013001||S4993||01/18/2021|10/03/2022|Contraceptive pills for birth control|MERZEE 1 MG-20 MCG CAPSULE|28|UN|BLIST PACK|PO|CAP|1|01/18/2021|10/03/2022| | || | |
63020023001||J8999||12/09/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 2.3 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|12/09/2015|12/31/3999| | || | |
63020039001||J8999||12/09/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 3 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|12/09/2015|12/31/3999| | || | |
63020039002||J8999||12/09/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 3 MG CAPSULE|3|UN|BLIST PACK|PO|CAP|1|12/09/2015|12/31/3999| | || | |
68382059101||Q0175||01/18/2021|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 2 MG TABLET|100|UN|BOTTLE|PO|TAB|2|01/18/2021|12/31/3999| | || | |
68180090473||S4993||03/12/2018|12/31/3999|Contraceptive pills for birth control|TYDEMY 3-0.03-0.451 MG TABL|28|UN|BLIST PACK|PO|TAB|1|03/12/2018|12/31/3999| | || | |
68180087573||S4993||02/05/2014|12/31/3999|Contraceptive pills for birth control|VYFEMLA 0.4 MG-0.035 MG TAB|28|UN|BLIST PACK|PO|TAB|1|02/05/2014|12/31/3999| | || | |
68180087373||S4993||12/01/2016|12/31/3999|Contraceptive pills for birth control|WYMZYA FE 0.4-0.035 MG CHEW|28|UN|BLIST PACK|PO|TAB|1|12/01/2016|12/31/3999| | || | |
60505614900||J0696||06/23/2017|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|ML|.125|06/23/2017|12/31/3999| | || | |
70860045410||J2597||01/08/2021|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN 40 MCG/10 ML V|10|ML|VIAL|IJ|ML|.25|01/08/2021|12/31/3999| | || | |
55150030401||J1100||01/30/2021|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|01/30/2021|12/31/3999| | || | |
55150030425||J1100||01/30/2021|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|01/30/2021|12/31/3999| | || | |
00548585000||J1610||02/10/2021|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGON 1 MG EMERGENCY KIT|1|UN|VIAL|IJ|EA|1|02/10/2021|12/31/2022| | || | |
72572026501||J0360||10/29/2020|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|EA|1|10/29/2020|12/31/3999| | || | |
72572038001||J2060||03/29/2021|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|03/29/2021|12/31/3999| | || | |
72572038025||J2060||03/29/2021|12/31/3999|Injection, lorazepam, 2 mg|LORAZEPAM 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|03/29/2021|12/31/3999| | || | |
55150034501||J2310||03/09/2021|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|03/09/2021|12/31/3999| | || | |
55150030101||J2370||02/10/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|02/10/2021|06/30/2023| | || | |
72572057010||J2370||10/08/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|10/08/2019|06/30/2023| | || | |
66794023242||J0330||02/24/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|02/24/2021|12/31/3999| | || | |
16714014001||J3301||12/28/2018|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 200 MG/5|5|ML|VIAL|IJ|ML|.25|12/28/2018|12/31/3999| | || | |
00480124228||J8999||03/03/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENALIDOMIDE 5 MG CAPSULE|28|UN|BOTTLE|PO|EA|1|03/03/2022|12/31/3999| | || | |
70121118901||J3490||01/19/2022|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|01/19/2022|12/31/3999| | || | |
25021066805||J3490||01/05/2022|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|5|01/05/2022|12/31/3999| | || | |
70121155201||J1040||02/22/2022|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML|1|ML|VIAL|IJ|ML|1|02/22/2022|12/31/3999| | || | |
70121155205||J1040||02/22/2022|12/31/3999|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML|1|ML|VIAL|IJ|ML|1|02/22/2022|12/31/3999| | || | |
25021066920||J3490||01/05/2022|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|20|01/05/2022|12/31/3999| | || | |
70121168001||J3490||02/28/2022|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|02/28/2022|12/31/3999| | || | |
70121168007||J3490||02/28/2022|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|02/28/2022|12/31/3999| | || | |
70255002502||J8999||08/01/2018|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BRAFTOVI 75 MG CAPSULE|90|UN|BOTTLE|PO|CAP|1|08/01/2018|12/31/3999| | || | |
70257030013||J2792||04/01/2020|12/31/3999|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 15,000 UNIT VIAL|13|ML|VIAL|IJ|ML|.0867|04/01/2020|12/31/3999| | || | |
25021067710||J0330||02/07/2022|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|02/07/2022|12/31/3999| | || | |
25021079002||J0780||01/18/2022|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|01/18/2022|12/31/3999| | || | |
70257035051||J2792||04/01/2020|12/31/3999|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 2,500 UNIT VIAL|2.2|ML|VIAL|IJ|ML|.088|04/01/2020|12/31/3999| | || | |
70436002282||J3370||02/24/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|BOTTLE|IV|EA|.1|02/24/2022|12/31/3999| | || | |
25021079003||J0780||01/18/2022|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|01/18/2022|12/31/3999| | || | |
42023021901||J3490||02/04/2022|06/30/2023|Unclassified drugs|VASOSTRICT 40 UNIT/100 ML V|100|ML|VIAL|IV|ML|1|02/04/2022|06/30/2023| | || | |
42023021910||J3490||02/04/2022|06/30/2023|Unclassified drugs|VASOSTRICT 40 UNIT/100 ML V|100|ML|VIAL|IV|ML|1|02/04/2022|06/30/2023| | || | |
42192061430||J1165||01/01/2022|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 250 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|01/01/2022|12/31/3999| | || | |
43598006158||J3486||01/01/2022|12/31/3999|Injection, ziprasidone mesylate, 10 mg|ZIPRASIDONE 20 MG/ML VIAL|1|UN|VIAL|IM|ML|.5|01/01/2022|12/31/3999| | || | |
43598008525||J3490||01/01/2022|12/23/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|20|01/01/2022|12/23/2023| | || | |
44567070510||J0743||01/03/2022|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 500 MG|1|UN|VIAL|IV|EA|.5|01/03/2022|12/31/3999| | || | |
47335075649||J7620||02/10/2022|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|02/10/2022|12/31/3999| | || | |
70594008002||J2543||01/01/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.25|01/01/2022|12/31/3999| | || | |
49502025171||S5553||11/15/2021|12/31/3999|Insulin, long acting; 5 units|SEMGLEE (YFGN) 100 UNIT/ML|3|ML|SYRINGE|SQ|ML|1|11/15/2021|12/31/3999| | || | |
59137028405||J7195||01/01/2022|06/30/2023|Factor ix (antihemophilic factor, recombinant) per i.u.|IXINITY 1,500 UNIT RANGE|1|UN|VIAL|IV|EA|1|01/01/2022|06/30/2023| | || | |
59137028205||J7195||01/01/2022|06/30/2023|Factor ix (antihemophilic factor, recombinant) per i.u.|IXINITY 500 UNIT RANGE|1|UN|VIAL|IV|EA|1|01/01/2022|06/30/2023| | || | |
50102021113||J3490||04/01/2021|12/31/3999|Unclassified drugs|ECONTRA ONE-STEP 1.5 MG TAB|3|UN|BLIST PACK|PO|TAB|2.25|04/01/2021|12/31/3999| | || | |
52817072001||J0364||03/10/2022|12/31/3999|Injection, apomorphine hydrochloride, 1 mg|APOMORPHINE 30 MG/3 ML CART|3|ML|CARTRIDGE|SQ|ML|.1|03/10/2022|12/31/3999| | || | |
51754402001||J2370||01/01/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|VAZCULEP 100 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/01/2022|06/30/2023| | || | |
00078100060||J1306||07/01/2022|12/31/3999|Injection, inclisiran, 1 mg|LEQVIO 284 MG/1.5 ML SYRINGE|1.5|ML|SYRINGE|SQ|ML|1.5|07/01/2022|12/31/3999| | || | |
49702026423||J0739||07/01/2022|12/31/3999|Injection, cabotegravir 1 mg|APRETUDE ER 600 MG/3 ML VIAL|3|ML|KIT|IM|ML|.005|07/01/2022|12/31/3999| | || | |
00409116001||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409116301||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00641602201||J3490||04/08/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|04/08/2001|12/31/3999| | || | |
16714034001||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LEVONEST-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714034004||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LEVONEST-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714034604||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|DASETTA 7/7/7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714035901||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|FALMINA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714040401||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|PIMTREA 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
55150016830||J3490||12/23/2013|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|1|12/23/2013|06/30/2023| | || | |
63323073809||J3490||04/18/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 10 MG/ML VIAL|4|ML|VIAL|IV|ML|1|04/18/2001|12/31/3999| | || | |
67457044843||J3490||03/01/2012|12/31/3999|Unclassified drugs|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|03/01/2012|12/31/3999| | || | |
16714034704||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|PHILITH 0.4-0.035 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714034804||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|DASETTA 1-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714036501||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|ELINEST-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714040501||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LARIN FE 1.5-30 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714040701||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LARIN 1.5 MG-30 MCG TABLET|21|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
00409904501||J3490||10/28/2004|12/31/3999|Unclassified drugs|BUPIVACAINE-EPI 0.5%-0.0005|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
55150017030||J3490||12/23/2013|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|1|12/23/2013|06/30/2023| | || | |
00338519741||J3490||05/20/2001|12/31/3999|Unclassified drugs|Famotidine Premixed 20-0.9 MG/50ML-% SOLN|50|ML|BAG|IV|ML|1|05/20/2001|12/31/3999| | || | |
00409116501||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
16714035903||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|FALMINA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714044004||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|DEBLITANE 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714044104||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|SHAROBEL 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
67457043322||J3490||03/27/2014|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|03/27/2014|12/31/3999| | || | |
00409115902||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409904601||J3490||10/28/2004|12/31/3999|Unclassified drugs|BUPIVACAINE-EPI 0.5%-0.0005|50|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00641602301||J3490||04/18/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|04/18/2001|12/31/3999| | || | |
16714034601||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|DASETTA 7/7/7-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714034701||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|PHILITH 0.4-0.035 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714037001||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|WERA 0.5/0.035 MG 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
55150017230||J3490||12/23/2013|06/30/2023|Unclassified drugs|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|1|12/23/2013|06/30/2023| | || | |
63323073820||J3490||04/18/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 10 MG/ML VIAL|20|ML|VIAL|IV|ML|1|04/18/2001|12/31/3999| | || | |
00409116502||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
16729050030||J1940||05/05/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|05/05/2021|12/31/3999| | || | |
16729050143||J1940||04/21/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|04/21/2021|12/31/3999| | || | |
16729050164||J1940||04/21/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|04/21/2021|12/31/3999| | || | |
16729050203||J1940||04/21/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|04/21/2021|12/31/3999| | || | |
16729050243||J1940||04/21/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|04/21/2021|12/31/3999| | || | |
25021031102||J1940||03/15/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|03/15/2021|12/31/3999| | || | |
00409336510||J1170||10/01/2005|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML VIAL|1|ML|VIAL|IJ|ML|2|10/01/2005|12/31/3999| | || | |
63323016200||J1885||02/06/2002|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|02/06/2002|12/31/3999| | || | |
63323016223||J1885||02/06/2002|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|02/06/2002|12/31/3999| | || | |
00409216877||J3475||10/28/2004|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULFATE 50% VIAL|20|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
16714008801||J1030||01/15/2008|11/13/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 40 MG/ML|1|ML|VIAL|IJ|ML|1|01/15/2008|11/13/2022| | || | |
16714009001||J1030||01/15/2008|12/31/2022|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 400 MG/1|10|ML|VIAL|IJ|ML|1|01/15/2008|12/31/2022| | || | |
16714047201||J1040||01/15/2008|09/30/2022|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML|1|ML|VIAL|IJ|ML|1|01/15/2008|09/30/2022| | || | |
63323047501||J2400||04/01/1998|12/31/2022|Injection, chloroprocaine hydrochloride, per 30 ml|NESACAINE 1% VIAL|30|ML|VIAL|IJ|ML|30|04/01/1998|12/31/2022| | || | |
72516002401||J2440||04/01/2021|12/31/3999|Injection, papaverine hcl, up to 60 mg|PAPAVERINE 60 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/01/2021|12/31/3999| | || | |
23155074841||S0080||05/28/2021|12/31/3999|Injection, pentamidine iseth|PENTAMIDINE 300 MG VIAL|1|UN|VIAL|IJ|EA|1|05/28/2021|12/31/3999| | || | |
14789010405||J0330||04/14/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|EA|1|04/14/2021|12/31/3999| | || | |
14789010407||J0330||04/14/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|EA|1|04/14/2021|12/31/3999| | || | |
00641622825||J3411||05/01/2005|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
63323001301||J3411||05/01/2005|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
63323001321||J3411||05/01/2005|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
63323001341||J3411||05/01/2005|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
70700017322||J3260||07/13/2021|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.05|07/13/2021|12/31/3999| | || | |
51754400001||J2370||01/23/2015|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|VAZCULEP 50 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|01/23/2015|06/30/2023| | || | |
67877075360||Q0167||01/01/2011|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
67877075560||Q0167||01/01/2011|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 10 MG CAPSULE|60|UN|BOTTLE|PO|CAP|1|01/01/2011|12/31/3999| | || | |
00185067601||Q0177||01/01/2011|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|100|UN|BOTTLE|PO|CAP|.5|01/01/2011|12/31/3999| | || | |
00185067605||Q0177||01/01/2011|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|500|UN|BOTTLE|PO|CAP|.5|01/01/2011|12/31/3999| | || | |
14539067501||Q0177||07/29/2019|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|100|UN|BOTTLE|PO|CAP|.5|07/29/2019|12/31/3999| | || | |
14539067505||Q0177||07/29/2019|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|500|UN|BOTTLE|PO|CAP|.5|07/29/2019|12/31/3999| | || | |
72603040101||J3301||12/11/2019|11/30/2022|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 400 MG/1|10|ML|VIAL|IJ|ML|.25|12/11/2019|11/30/2022| | || | |
16714013001||J3301||12/19/2017|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|12/19/2017|12/31/3999| | || | |
72603010801||J3301||12/11/2019|11/30/2022|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|12/11/2019|11/30/2022| | || | |
00338171540||J3475||03/02/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|FLEX CONT|IV|ML|12.5|03/02/2021|12/31/3999| | || | |
68001046836||J9263||12/09/2020|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|12/09/2020|12/31/3999| | || | |
68001046837||J9263||12/09/2020|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|12/09/2020|12/31/3999| | || | |
79672082502||J9263||11/25/2020|01/01/2022|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 50 MG VIAL|1|UN|VIAL|IV|EA|.01|11/25/2020|01/01/2022| | || | |
79672082602||J9263||11/25/2020|01/01/2022|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 100 MG VIAL|1|UN|VIAL|IV|EA|.005|11/25/2020|01/01/2022| | || | |
16714013701||J9267||03/09/2021|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|ML|.1667|03/09/2021|12/31/3999| | || | |
72611076501||J3370||02/18/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|GM|.5|02/18/2021|12/31/3999| | || | |
65219019030||J3465||05/26/2020|12/31/3999|Injection, voriconazole, 10 mg|VORICONAZOLE 200 MG VIAL|1|UN|VIAL|IV|EA|.05|05/26/2020|12/31/3999| | || | |
00173090186||Q0247||05/26/2021|04/05/2022|Inj, sotrovimab, 500 mg|SOTROVIMAB 500 MG/8 ML VL(E|8|ML|VIAL|IV|ML|8|05/26/2021|04/05/2022| | || | |
61755002400||Q0243||11/23/2020|06/02/2021|Casirivimab 600mg and imdevimab 600mg|CASIRIVIMAB(REGN10933) 1,33|11.1|ML|VIAL|IV|ML|1|11/23/2020|06/02/2021| | || | |
61755002701||Q0243||11/23/2020|06/02/2021|Casirivimab 600mg and imdevimab 600mg|IMDEVIMAB (REGN10987) 300 M|2.5|ML|VIAL|IV|ML|1|11/23/2020|06/02/2021| | || | |
61755002401||Q0243||11/23/2020|06/02/2021|Casirivimab 600mg and imdevimab 600mg|CASIRIVIMAB(REGN10933) 1,33|11.1|ML|VIAL|IV|ML|1|11/23/2020|06/02/2021| | || | |
61755002500||Q0243||11/23/2020|06/02/2021|Casirivimab 600mg and imdevimab 600mg|IMDEVIMAB (REGN10987) 1,332|11.1|ML|VIAL|IV|ML|1|11/23/2020|06/02/2021| | || | |
69097084064||J7620||06/01/2020|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|06/01/2020|12/31/3999| | || | |
00093767901||J7303||01/20/2021|09/30/2021|Contraceptive supply, hormone containing vaginal ring, each|ETONOGESTREL-EE VAGINAL RIN|1|UN|PACKET|VG|EA|1|01/20/2021|09/30/2021| | || | |
72572001601||J0290||03/03/2021|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|03/03/2021|12/31/3999| | || | |
76329334001||J0461||02/17/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/10 ML SYRINGE|10|ML|SYRINGE|IJ|ML|.1|02/17/2021|12/31/3999| | || | |
60505614300||J0690||05/17/2019|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 10 GM VIAL|1|UN|VIAL|IJ|GM|.05|05/17/2019|12/31/3999| | || | |
55150030001||J2370||03/26/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|03/26/2021|06/30/2023| | || | |
72572057125||J2370||10/08/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/08/2019|06/30/2023| | || | |
66794023202||J0330||02/24/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|02/24/2021|12/31/3999| | || | |
78670013102||J3490||02/09/2021|12/31/3999|Unclassified drugs|SYMJEPI 0.15 MG/0.3 ML SYRI|2|UN|SYRINGE|IJ|ML|1|02/09/2021|12/31/3999| | || | |
25021050002||J3411||01/20/2021|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|01/20/2021|12/31/3999| | || | |
16729043630||J9395||01/12/2021|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|EA|.5|01/12/2021|12/31/3999| | || | |
79672061301||J3490||11/25/2020|01/01/2022|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|FLEX CONT|IV|ML|1|11/25/2020|01/01/2022| | || | |
79672061303||J7050||11/25/2020|01/01/2022|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|250|11/25/2020|01/01/2022| | || | |
79672061303||J7040||11/25/2020|01/01/2022|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|500|11/25/2020|01/01/2022| | || | |
79672061303||J7030||11/25/2020|01/01/2022|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|11/25/2020|01/01/2022| | || | |
55513011201||J2356||07/01/2022|12/31/3999|Inj tezepelumab-ekko, 1mg|TEZSPIRE 210 MG/1.91 ML SYRING|1.91|ML|SYRINGE|SQ|ML|.9091|07/01/2022|12/31/3999| | || | |
00480124621||J8999||03/03/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LENALIDOMIDE 25 MG CAPSULE|21|UN|BOTTLE|PO|EA|1|03/03/2022|12/31/3999| | || | |
60505623105||J0690||03/25/2022|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 2 GM VIAL|25|UN|VIAL|IJ|EA|.25|03/25/2022|12/31/3999| | || | |
70436002382||J3370||02/24/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|BOTTLE|IV|EA|.05|02/24/2022|12/31/3999| | || | |
70594002309||J0770||01/01/2022|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2022|12/31/3999| | || | |
25021082010||J1030||01/08/2022|12/31/3999|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 400 MG/1|10|ML|VIAL|IJ|ML|1|01/08/2022|12/31/3999| | || | |
36000032602||J2469||02/21/2022|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|02/21/2022|12/31/3999| | || | |
39822141005||J3490||03/15/2022|11/30/2023|Unclassified drugs|REZIPRES 23.5 MG/5 ML AMPUL|5|ML|AMPUL|IV|ML|5|03/15/2022|11/30/2023| | || | |
39822141006||J3490||03/15/2022|11/30/2023|Unclassified drugs|REZIPRES 23.5 MG/5 ML AMPUL|5|ML|AMPUL|IV|ML|5|03/15/2022|11/30/2023| | || | |
42023023710||J3490||02/04/2022|06/30/2023|Unclassified drugs|VASOSTRICT 20 UNIT/100 ML V|100|ML|VIAL|IV|ML|1|02/04/2022|06/30/2023| | || | |
42023024301||J3490||03/15/2022|12/31/3999|Unclassified drugs|EPHEDRINE 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|03/15/2022|12/31/3999| | || | |
42192061410||J1165||01/01/2022|12/31/3999|Injection, phenytoin sodium, per 50 mg|PHENYTOIN 100 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/01/2022|12/31/3999| | || | |
42227008101||J0598||01/01/2022|12/31/3999|Injection, c-1 esterase inhibitor (human), cinryze, 10 units|CINRYZE 500 UNIT VIAL|1|UN|VIAL|IV|EA|.02|01/01/2022|12/31/3999| | || | |
49502019671||S5553||04/01/2021|11/30/2022|Insulin, long acting; 5 units|SEMGLEE 100 UNIT/ML PEN|3|ML|SYRINGE|SQ|ML|1|04/01/2021|11/30/2022| | || | |
49502019675||S5553||09/01/2020|11/30/2022|Insulin, long acting; 5 units|SEMGLEE 100 UNIT/ML PEN|3|ML|SYRINGE|SQ|ML|1|09/01/2020|11/30/2022| | || | |
51662124202||J2310||07/01/2022|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|2.5|07/01/2022|12/31/3999| | || | |
50419017105||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|STIVARGA 40 MG TABLET|21|UN|BOTTLE|PO|TAB|1|01/01/2022|12/31/3999| | || | |
50102021116||J3490||04/16/2018|12/31/3999|Unclassified drugs|ECONTRA ONE-STEP 1.5 MG TAB|6|UN|BLIST PACK|PO|TAB|2.25|04/16/2018|12/31/3999| | || | |
70257035002||J2792||04/01/2020|12/31/3999|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 2,500 UNIT VIAL|2.2|ML|VIAL|IJ|ML|.088|04/01/2020|12/31/3999| | || | |
72572002110||J0295||01/01/2022|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|01/01/2022|12/31/3999| | || | |
00517231001||J1756||01/01/2022|12/31/3999|Injection, iron sucrose, 1 mg|VENOFER 200 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.05|01/01/2022|12/31/3999| | || | |
81565020202||J1100||03/31/2022|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|25|ML|VIAL|IJ|ML|.25|03/31/2022|12/31/3999| | || | |
81565020201||J1100||03/31/2022|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.25|03/31/2022|12/31/3999| | || | |
00641624410||J3360||01/01/2022|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 10 MG/2 ML SYRINGE|20|ML|SYRINGE|IJ|ML|1|01/01/2022|12/31/3999| | || | |
76204001155||J7613||03/28/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 1.25 MG/3 ML|3|ML|VIAL|IH|ML|2.4|03/28/2022|12/31/3999| | || | |
73070010011||S5551||01/06/2020|12/31/3999|Insulin, most rapid onset (lispro or aspart); 5 units|INSULIN ASPART 100 UNIT/ML|10|ML|VIAL|SQ|ML|1|01/06/2020|12/31/3999| | || | |
72694061760||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TIBSOVO 250 MG TABLET|1|UN|BOTTLE|PO|EA|1|01/01/2022|12/31/3999| | || | |
00642747002||S4993||08/01/2019|12/31/3999|Contraceptive pills for birth control|SLYND 4 MG TABLET|28|UN|BLIST PACK|PO|EA|2|08/01/2019|12/31/3999| | || | |
60505623806||J0895||03/22/2022|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 500 MG VIAL|4|UN|VIAL|IJ|EA|1|03/22/2022|12/31/3999| | || | |
62135049190||J8999||01/01/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|LETROZOLE 2.5 MG TABLET|90|UN|BOTTLE|PO|EA|1|01/01/2022|12/31/3999| | || | |
72572002210||J0295||01/01/2022|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|01/01/2022|12/31/3999| | || | |
55150016710||J3490||12/23/2013|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|1|12/23/2013|06/30/2023| | || | |
55150016910||J3490||12/23/2013|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|1|12/23/2013|06/30/2023| | || | |
55150017110||J3490||12/23/2013|06/30/2023|Unclassified drugs|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|1|12/23/2013|06/30/2023| | || | |
00409904201||J3490||10/28/2004|12/31/3999|Unclassified drugs|BUPIVACAINE-EPI 0.25%-0.0005|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409904217||J3490||10/28/2004|12/31/3999|Unclassified drugs|BUPIVACAINE-EPI 0.25%-0.0005|30|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00641602110||J3490||04/18/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|04/18/2001|12/31/3999| | || | |
00641602325||J3490||04/18/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|04/18/2001|12/31/3999| | || | |
67457043300||J3490||03/27/2014|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|03/27/2014|12/31/3999| | || | |
16714040703||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LARIN 1.5 MG-30 MCG TABLET|21|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
67457044800||J3490||03/01/2012|12/31/3999|Unclassified drugs|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|03/01/2012|12/31/3999| | || | |
16714034801||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|DASETTA 1-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714035904||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|FALMINA-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714036004||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|MONO-LINYAH 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714036504||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|ELINEST-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714040404||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|PIMTREA 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714040801||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LARIN 21 1-20 TABLET|21|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714036001||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|MONO-LINYAH 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714037003||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|WERA 0.5/0.035 MG 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714040604||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LARIN FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714044001||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|DEBLITANE 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714036301||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|TRI-LINYAH TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714036304||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|TRI-LINYAH TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714040504||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LARIN FE 1.5-30 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714040601||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LARIN FE 1-20 TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714040803||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|LARIN 21 1-20 TABLET|21|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
16714044101||S4993||01/01/2021|12/31/3999|Contraceptive pills for birth control|SHAROBEL 0.35 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|01/01/2021|12/31/3999| | || | |
00409116201||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409115901||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409116202||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00641602101||J3490||04/18/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 200 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|04/18/2001|12/31/3999| | || | |
00641602225||J3490||04/08/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|04/08/2001|12/31/3999| | || | |
00409904517||J3490||10/28/2004|12/31/3999|Unclassified drugs|BUPIVACAINE-EPI 0.5%-0.0005|30|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409904301||J3490||10/28/2004|12/31/3999|Unclassified drugs|BUPIVACAINE-EPI 0.25%-0.0005|50|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
50268039911||Q0177||06/01/2021|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|1|UN|BLIST PACK|PO|CAP|.5|06/01/2021|12/31/3999| | || | |
50268068511||Q0164||06/15/2019|12/31/3999|Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emeti...|PROCHLORPERAZINE 10 MG TAB|1|UN|BLIST PACK|PO|TAB|.5|06/15/2019|12/31/3999| | || | |
50268068515||Q0164||06/15/2019|12/31/3999|Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emeti...|PROCHLORPERAZINE 10 MG TAB|50|UN|BLIST PACK|PO|TAB|.5|06/15/2019|12/31/3999| | || | |
00121092716||Q0169||01/01/2011|07/31/2025|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 6.25 MG/5 ML S|473|ML|BOTTLE|PO|ML|10|01/01/2011|07/31/2025| | || | |
10702000350||Q0169||01/01/2011|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 25 MG TABLET|500|UN|BOTTLE|PO|TAB|.5|01/01/2011|12/31/3999| | || | |
70752013812||Q0169||09/27/2021|12/31/3999|Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-e...|PROMETHAZINE 6.25 MG/5 ML S|473|ML|BOTTLE|PO|ML|10|09/27/2021|12/31/3999| | || | |
70954048410||J8999||09/14/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|60|UN|BOTTLE|PO|TAB|1|09/14/2021|12/31/3999| | || | |
79802020030||J7599||08/16/2021|12/31/3999|IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE SPECIFIED|REZUROCK 200 MG TABLET|30|UN|BOTTLE|PO|TAB|1|08/16/2021|12/31/3999| | || | |
51862068201||J8999||06/15/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SOLTAMOX 20 MG/10 ML SOLN|150|ML|BOTTLE|PO|ML|1|06/15/2011|12/31/3999| | || | |
50419017106||J8999||09/27/2012|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|STIVARGA 40 MG TABLET|21|UN|BOTTLE|PO|TAB|1|09/27/2012|12/31/3999| | || | |
63304009127||J8999||08/16/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 12.5 MG CA|28|UN|BOTTLE|PO|CAP|1|08/16/2021|12/31/3999| | || | |
63304009227||J8999||08/16/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 25 MG CAPS|28|UN|BOTTLE|PO|CAP|1|08/16/2021|12/31/3999| | || | |
63304009427||J8999||08/16/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 50 MG CAPS|28|UN|BOTTLE|PO|CAP|1|08/16/2021|12/31/3999| | || | |
51862064606||S4993||02/12/2021|12/31/3999|Contraceptive pills for birth control|TRI-NYMYO 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/12/2021|12/31/3999| | || | |
00093400062||S4993||02/03/2012|12/31/3999|Contraceptive pills for birth control|VESTURA 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|02/03/2012|12/31/3999| | || | |
51862089401||S4993||06/01/2021|12/31/3999|Contraceptive pills for birth control|ZOVIA 1-35 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/01/2021|12/31/3999| | || | |
51862089406||S4993||06/01/2021|12/31/3999|Contraceptive pills for birth control|ZOVIA 1-35 TABLET|28|UN|BLIST PACK|PO|TAB|1|06/01/2021|12/31/3999| | || | |
00143937401||J2260||12/03/2010|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|12/03/2010|12/31/3999| | || | |
00143937410||J2260||12/03/2010|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|12/03/2010|12/31/3999| | || | |
51754124001||J2710||05/18/2021|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|BLOXIVERZ 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|05/18/2021|12/31/3999| | || | |
71288050011||J2710||06/07/2021|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|06/07/2021|12/31/3999| | || | |
71288050111||J2710||06/07/2021|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|06/07/2021|12/31/3999| | || | |
00003375614||J9299||09/13/2021|12/31/3999|Injection, nivolumab|OPDIVO 120 MG/12 ML VIAL|12|ML|VIAL|IV|ML|.1|09/13/2021|12/31/3999| | || | |
68982082202||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082202||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
00143929001||J1380||05/27/2021|12/31/3999|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 100 MG/5|5|ML|VIAL|IM|ML|.5|05/27/2021|12/31/3999| | || | |
00143929101||J1380||05/27/2021|12/31/3999|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 200 MG/5|5|ML|VIAL|IM|ML|.25|05/27/2021|12/31/3999| | || | |
68001048485||J9395||06/24/2021|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|06/24/2021|12/31/3999| | || | |
13533063610||90371||07/21/2005|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|HYPERHEP B VIAL|1|ML|VIAL|IM|ML|1|07/21/2005|12/31/3999| | || | |
72572001501||S0017||10/29/2020|09/30/2022|Injection, aminocaproic acid, 5 grams|AMINOCAPROIC ACID 5 G/20 ML|20|ML|VIAL|IV|ML|20|10/29/2020|09/30/2022| | || | |
72572001501||J3490||10/29/2020|10/30/2020|Unclassified drugs|AMINOCAPROIC ACID 5 G/20 ML|20|ML|VIAL|IV|ML|1|10/29/2020|10/30/2020| | || | |
72572001525||S0017||10/29/2020|09/30/2022|Injection, aminocaproic acid, 5 grams|AMINOCAPROIC ACID 5 G/20 ML|20|ML|VIAL|IV|ML|20|10/29/2020|09/30/2022| | || | |
72572001525||J3490||10/29/2020|10/30/2020|Unclassified drugs|AMINOCAPROIC ACID 5 G/20 ML|20|ML|VIAL|IV|ML|1|10/29/2020|10/30/2020| | || | |
73462010101||C9078||07/01/2021|09/30/2021|Inj, trilaciclib, 1 mg|COSELA 300 MG VIAL|1|UN|VIAL|IV|EA|.0033|07/01/2021|09/30/2021| | || | |
73462010101||J3490||07/01/2021|09/30/2021|Unclassified drugs|COSELA 300 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2021|09/30/2021| | || | |
68001044226||J9070||10/19/2020|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG VIA|1|UN|VIAL|IV|ML|.2|10/19/2020|12/31/3999| | || | |
68001044327||J9070||10/19/2020|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM VIAL|1|UN|VIAL|IV|ML|.1|10/19/2020|12/31/3999| | || | |
68001044432||J9070||10/19/2020|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM VIAL|1|UN|VIAL|IV|ML|.05|10/19/2020|12/31/3999| | || | |
70860021803||J9070||02/25/2021|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 500 MG/2.5|2.5|ML|VIAL|IV|ML|.5|02/25/2021|12/31/3999| | || | |
72603010701||J0894||02/14/2020|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|02/14/2020|12/31/3999| | || | |
75834019001||J0894||02/02/2021|10/31/2023|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|02/02/2021|10/31/2023| | || | |
00143952501||J3490||02/22/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|FLEX CONT|IV|ML|1|02/22/2021|12/31/3999| | || | |
00143952510||J3490||02/22/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|FLEX CONT|IV|ML|1|02/22/2021|12/31/3999| | || | |
00143952601||J3490||02/22/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BAG|IV|ML|1|02/22/2021|12/31/3999| | || | |
00143952610||J3490||02/22/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BAG|IV|ML|1|02/22/2021|12/31/3999| | || | |
42023018701||J3490||12/04/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|VIAL|IV|ML|1|12/04/2020|12/31/3999| | || | |
55150029601||J3490||02/10/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|FLEX CONT|IV|ML|1|02/10/2021|12/31/3999| | || | |
55150029610||J3490||02/10/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|FLEX CONT|IV|ML|1|02/10/2021|12/31/3999| | || | |
55150029701||J3490||02/10/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|FLEX CONT|IV|ML|1|02/10/2021|12/31/3999| | || | |
72611071601||J1190||01/05/2021|12/31/3999|Injection, dexrazoxane hydrochloride, per 250 mg|DEXRAZOXANE 500 MG VIAL|1|UN|VIAL|IV|EA|.5|01/05/2021|12/31/3999| | || | |
00641623801||J3490||01/25/2021|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|01/25/2021|12/31/3999| | || | |
00641623825||J3490||01/25/2021|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|01/25/2021|12/31/3999| | || | |
61755001001||C9079||07/01/2021|09/30/2021|Inj, evinacumab-dgnb, 5 mg|EVKEEZA 1,200 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.03333|07/01/2021|09/30/2021| | || | |
61755001001||J3590||07/01/2021|09/30/2021|Unclassified Biologics|EVKEEZA 1,200 MG/8 ML VIAL|8|ML|VIAL|IV|ML|1|07/01/2021|09/30/2021| | || | |
70860075320||S0028||10/27/2014|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|2|10/27/2014|12/31/3999| | || | |
70860075320||J3490||03/04/2021|12/31/3999|Unclassified drugs|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|03/04/2021|12/31/3999| | || | |
66658051001||J9210||01/12/2021|12/31/3999|Inj, emapalumab-lzsg, 1 mg|GAMIFANT 100 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.2|01/12/2021|12/31/3999| | || | |
66658050501||J9210||10/01/2019|12/31/3999|Inj, emapalumab-lzsg, 1 mg|GAMIFANT 50 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.2|10/01/2019|12/31/3999| | || | |
55150035201||J9206||01/08/2021|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|ML|1|01/08/2021|12/31/3999| | || | |
69097084087||J7620||06/01/2020|12/31/3999|Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved...|IPRAT-ALBUT 0.5-3(2.5) MG/3|3|ML|VIAL|IH|ML|3|06/01/2020|12/31/3999| | || | |
63020023002||J8999||12/09/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 2.3 MG CAPSULE|3|UN|BLIST PACK|PO|CAP|1|12/09/2015|12/31/3999| | || | |
63020040001||J8999||12/09/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 4 MG CAPSULE|1|UN|BLIST PACK|PO|CAP|1|12/09/2015|12/31/3999| | || | |
66794021963||J2020||02/06/2020|02/06/2020|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|02/06/2020|02/06/2020| | || | |
63323028553||J2795||01/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 200 MG/100 ML|100|ML|BOTTLE|IJ|ML|.5|01/01/2022|12/31/3999| | || | |
67457084330||J2020||07/31/2018|07/31/2018|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|07/31/2018|07/31/2018| | || | |
63323028555||J2795||01/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 200 MG/100 ML|100|ML|BOTTLE|IJ|ML|.5|01/01/2022|12/31/3999| | || | |
63323030301||J3260||01/01/2022|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.0667|01/01/2022|12/31/3999| | || | |
72205008230||J8999||07/01/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 150 MG TABLET|30|UN|BOTTLE|PO|EA|.9999|07/01/2021|12/31/3999| | || | |
72205008030||J8999||07/01/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ERLOTINIB HCL 25 MG TABLET|30|UN|BOTTLE|PO|EA|1|07/01/2021|12/31/3999| | || | |
71839011801||J1644||02/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/0.5|.5|ML|VIAL|IJ|ML|.1|02/01/2022|12/31/3999| | || | |
13533033540||J1460||07/01/2020|12/31/3999|Injection, gamma globulin, intramuscular, 1 cc|GAMASTAN VIAL|2|ML|VIAL|IM|ML|2|07/01/2020|12/31/3999| | || | |
70594008401||J1460||01/11/2022|01/11/2022|Injection, gamma globulin, intramuscular, 1 cc|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|01/11/2022|01/11/2022| | || | |
71839011701||J1644||02/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIAL|2|ML|VIAL|IJ|ML|1|02/01/2022|12/31/3999| | || | |
70621010120||J7345||01/01/2022|12/31/2022|Aminolevulinic acid hcl for TP, 10% gel, 10 mg|AMELUZ 10% GEL|20|GR|TUBE|TP|GM|.01|01/01/2022|12/31/2022| | || | |
71715000101||J0121||10/01/2021|12/31/3999|Inj, omadacycline, 1 mg|NUZYRA 100 MG VIAL|1|UN|VIAL|IV|EA|.01|10/01/2021|12/31/3999| | || | |
63323032541||J0133||01/01/2022|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|01/01/2022|12/31/3999| | || | |
71288050405||J1631||03/24/2022|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 500 MG/5 ML|5|ML|VIAL|IM|ML|.5|03/24/2022|12/31/3999| | || | |
70594008501||J0290||01/11/2022|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|01/11/2022|12/31/3999| | || | |
42367057087||J3490||01/18/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|20|01/18/2022|06/30/2023| | || | |
68001046663||J3370||01/01/2022|07/31/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|01/01/2022|07/31/2023| | || | |
68094014720||J3490||02/09/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|EA|50|02/09/2022|12/31/3999| | || | |
00069196502||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SQ|ML|.6|07/01/2022|12/31/3999| | || | |
00069106102||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (1 G/6 ML) V|6|ML|VIAL|SQ|ML|.6|07/01/2022|12/31/3999| | || | |
00069196501||J1551||07/01/2022|12/31/3999|Injection, immune globulin (cutaquig), 100 mg|CUTAQUIG 16.5% (8 G/48 ML)|48|ML|VIAL|SQ|ML|.6|07/01/2022|12/31/3999| | || | |
00409104501||J9305||07/26/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG/|4|UN|VIAL|IV|ML|.4|07/26/2022|03/31/2023| | || | |
13533033513||J1460||07/01/2020|12/31/3999|Injection, gamma globulin, intramuscular, 1 cc|GAMASTAN VIAL|10|ML|VIAL|IM|ML|2|07/01/2020|12/31/3999| | || | |
66794021943||J2020||02/06/2020|02/06/2020|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|02/06/2020|02/06/2020| | || | |
63323016245||J1885||01/01/2022|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|01/01/2022|12/31/3999| | || | |
00409218801||J9305||07/26/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500MG/2|20|UN|VIAL|IV|ML|.4|07/26/2022|03/31/2023| | || | |
00115993176||J7614||01/01/2020|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|UN|VIAL|IH|ML|2.381|01/01/2020|12/31/3999| | || | |
00115993276||J7614||01/01/2020|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|UN|VIAL|IH|ML|2.381|01/01/2020|12/31/3999| | || | |
65862094412||J7614||07/01/2022|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|1|UN|VIAL|IH|ML|2.381|07/01/2022|12/31/3999| | || | |
63323056465||J1650||07/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|07/01/2022|12/31/3999| | || | |
63323073912||J3490||04/18/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|04/18/2001|12/31/3999| | || | |
63323073916||J3490||04/16/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|04/16/2001|12/31/3999| | || | |
00409116519||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409116209||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409115919||J3490||10/28/2004|06/30/2023|Unclassified drugs|Bupivacaine HCl (PF) 0.25 % SOLN|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409904516||J3490||10/28/2004|12/31/3999|Unclassified drugs|BUPIVACAINE 0.5%-EPI 1:200,|30|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409909311||J3010||11/10/2020|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML AMPUL|2|ML|AMPUL|IJ|ML|1|11/10/2020|12/31/3999| | || | |
00409904211||J3490||10/30/2004|12/31/3999|Unclassified drugs|BUPIVACAINE 0.25%-EPI 1:200|10|ML|VIAL|IJ|ML|1|10/30/2004|12/31/3999| | || | |
00409904511||J3490||10/30/2004|12/31/3999|Unclassified drugs|BUPIVACAINE 0.5%-EPI 1:200,|10|ML|VIAL|IJ|ML|1|10/30/2004|12/31/3999| | || | |
55150024950||J3490||09/12/2017|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|1|09/12/2017|06/30/2023| | || | |
00409115918||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409116018||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
70801000301||J3304||01/03/2019|08/31/2023|Inj, triamcinolone acetonide, PF, ER, 1 mg|ZILRETTA 32 MG VIAL|1|UN|VIAL|IU|EA|.0313|01/03/2019|08/31/2023| | || | |
00409904216||J3490||10/28/2004|12/31/3999|Unclassified drugs|BUPIVACAINE 0.25%-EPI 1:200|30|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409116210||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409116219||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
55150025050||J3490||09/12/2017|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|1|09/12/2017|06/30/2023| | || | |
70801000101||J3304||01/01/2019|08/31/2023|Inj, triamcinolone acetonide, PF, ER, 1 mg|ZILRETTA 32 MG VIAL|1|UN|VIAL|IU|EA|.0313|01/01/2019|08/31/2023| | || | |
67457045700||J3490||03/01/2012|12/31/3999|Unclassified drugs|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|03/01/2012|12/31/3999| | || | |
67457045720||J3490||03/01/2012|12/31/3999|Unclassified drugs|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|03/01/2012|12/31/3999| | || | |
00409116318||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409116218||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
55513016001||J9039||01/03/2016|01/04/2016|Injection, blinatumomab, 1 mcg|BLINCYTO 35MCG VIAL+STABILI|1|UN|VIAL|IV|EA|.028|01/03/2016|01/04/2016| | || | |
00409909309||J3010||11/10/2020|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML AMPUL|2|ML|AMPUL|IJ|ML|2|11/10/2020|12/31/3999| | || | |
00409904311||J3490||10/30/2004|12/31/3999|Unclassified drugs|BUPIVACAINE 0.25%-EPI 1:200|50|ML|VIAL|IJ|ML|1|10/30/2004|12/31/3999| | || | |
00409904611||J3490||10/30/2004|12/31/3999|Unclassified drugs|BUPIVACAINE 0.5%-EPI 1:200,|50|ML|VIAL|IJ|ML|1|10/30/2004|12/31/3999| | || | |
00409115910||J3490||10/28/2004|06/30/2023|Unclassified drugs|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409115909||J3490||10/28/2004|06/30/2023|Unclassified drugs|Bupivacaine HCl (PF) 0.25 % SOLN|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
10599000301||J7402||04/01/2021|12/31/3999|MOMETASONE FUROATE SINUS IMP, (SINUVA), 10 MCG|SINUVA 1,350 MCG SINUS IMPL|1|UN|PACKET|NS|EA|.0074|04/01/2021|12/31/3999| | || | |
68382004910||J0133||12/23/2020|11/07/2022|Injection, acyclovir, 5 mg|ACYCLOVIR 1,000 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|12/23/2020|11/07/2022| | || | |
00517671001||J3490||03/06/2018|12/31/3999|Unclassified drugs|CALCIUM CHLORIDE 10% VIAL|10|ML|VIAL|IV|ML|1|03/06/2018|12/31/3999| | || | |
67457092500||J3490||11/13/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|VIAL|IV|ML|1|11/13/2020|12/31/3999| | || | |
67457092510||J3490||11/13/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|VIAL|IV|ML|1|11/13/2020|12/31/3999| | || | |
47335089540||J9171||12/22/2020|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|12/22/2020|12/31/3999| | || | |
51862087206||S4993||07/16/2021|12/31/3999|Contraceptive pills for birth control|MICROGESTIN 21 1.5-30 TAB|21|UN|BLIST PACK|PO|TAB|1|07/16/2021|12/31/3999| | || | |
70437024033||J8999||07/31/2017|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NERLYNX 40 MG TABLET|133|UN|BOTTLE|PO|TAB|1|07/31/2017|12/31/3999| | || | |
51862025801||S4993||06/18/2021|12/31/3999|Contraceptive pills for birth control|NEXTSTELLIS 3-14.2 MG TABLE|28|UN|BLIST PACK|PO|TAB|1|06/18/2021|12/31/3999| | || | |
68180087671||S4993||11/16/2011|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 0.35 MG TABLE|28|UN|BLIST PACK|PO|TAB|1|11/16/2011|12/31/3999| | || | |
00781804801||Q0175||01/01/2011|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|01/01/2011|12/31/3999| | || | |
70954048420||J8999||09/14/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|90|UN|BOTTLE|PO|TAB|1|09/14/2021|12/31/3999| | || | |
70954048430||J8999||09/14/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|PYRAZINAMIDE 500 MG TABLET|100|UN|BOTTLE|PO|TAB|1|09/14/2021|12/31/3999| | || | |
63304009327||J8999||08/16/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 37.5 MG CA|28|UN|BOTTLE|PO|CAP|1|08/16/2021|12/31/3999| | || | |
51862064601||S4993||02/12/2021|12/31/3999|Contraceptive pills for birth control|TRI-NYMYO 28 TABLET|28|UN|BLIST PACK|PO|TAB|1|02/12/2021|12/31/3999| | || | |
00642747101||S4993||06/16/2021|12/31/3999|Contraceptive pills for birth control|TYBLUME 0.1-0.02 MG CHEW TA|28|UN|BLIST PACK|PO|EA|1|06/16/2021|12/31/3999| | || | |
00093400028||S4993||02/03/2012|12/31/3999|Contraceptive pills for birth control|VESTURA 3 MG-0.02 MG TABLET|28|UN|BLIST PACK|PO|TAB|1|02/03/2012|12/31/3999| | || | |
73604091404||J2793||04/16/2021|12/31/3999|Injection, rilonacept, 1 mg|ARCALYST 220 MG VIAL|1|UN|VIAL|SQ|EA|.0045|04/16/2021|12/31/3999| | || | |
63323016203||J1885||02/06/2002|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|02/06/2002|12/31/3999| | || | |
69800420201||90371||10/31/2019|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|NABI-HB VIAL|1|ML|VIAL|IM|ML|1|10/31/2019|12/31/3999| | || | |
55292014301||J2502||01/01/2016|12/31/3999|Inj, pasireotide long acting|SIGNIFOR LAR 60 MG KIT|1|UN|VIAL||EA|.0167|01/01/2016|12/31/3999| | || | |
74676590400||J3315||01/08/2021|12/31/3999|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 11.25 MG VIAL|1|UN|VIAL|IM|EA|.33333|01/08/2021|12/31/3999| | || | |
74676590401||J3315||01/08/2021|12/31/3999|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 11.25 MG VIAL|1|UN|VIAL|IM|EA|.33333|01/08/2021|12/31/3999| | || | |
74676590600||J3315||01/08/2021|12/31/3999|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 22.5 MG VIAL|1|UN|BOX|IM|EA|.16667|01/08/2021|12/31/3999| | || | |
74676590200||J3315||01/08/2021|12/31/3999|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 3.75 MG VIAL|1|UN|VIAL|IM|EA|1|01/08/2021|12/31/3999| | || | |
74676590201||J3315||01/08/2021|12/31/3999|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 3.75 MG VIAL|1|UN|VIAL|IM|EA|1|01/08/2021|12/31/3999| | || | |
25021067820||J0475||08/24/2021|12/31/3999|Injection, baclofen, 10 mg|BACLOFEN 10 MG/20 ML VIAL|20|ML|VIAL|IT|ML|2|08/24/2021|12/31/3999| | || | |
25021068020||J0475||08/24/2021|12/31/3999|Injection, baclofen, 10 mg|BACLOFEN 20,000 MCG/20 ML V|20|ML|VIAL|IT|ML|1|08/24/2021|12/31/3999| | || | |
25021068171||J0476||08/24/2021|12/31/3999|Injection, baclofen, 50 mcg for intrathecal trial|BACLOFEN 0.05 MG/ML SYRINGE|1|ML|SYRINGE|IT|ML|.02|08/24/2021|12/31/3999| | || | |
16714096301||J8999||11/25/2020|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE ACETATE 250 MG|120|UN|BOTTLE|PO|TAB|1|11/25/2020|12/31/3999| | || | |
60505476406||J8999||07/26/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|ABIRATERONE 500 MG TABLET|60|UN|BOTTLE|PO|TAB|1|07/26/2021|12/31/3999| | || | |
51862051401||S4993||03/12/2021|03/30/2025|Contraceptive pills for birth control|DESOGESTREL-EE 0.15-0.03 MG|28|UN|BLIST PACK|PO|TAB|1|03/12/2021|03/30/2025| | || | |
51862051403||S4993||03/12/2021|03/31/2023|Contraceptive pills for birth control|DESOGESTREL-EE 0.15-0.03 MG|28|UN|BLIST PACK|PO|TAB|1|03/12/2021|03/31/2023| | || | |
00904714461||Q0167||08/23/2021|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 2.5 MG CAPSULE|100|UN|BLIST PACK|PO|CAP|1|08/23/2021|12/31/3999| | || | |
68001049104||J8999||07/21/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 400 MG TA|30|UN|BOTTLE|PO|TAB|1|07/21/2021|12/31/3999| | || | |
53097056960||Q0167||03/02/2016|03/31/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|MARINOL 5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.5|03/02/2016|03/31/2023| | || | |
63020040002||J8999||12/09/2015|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|NINLARO 4 MG CAPSULE|3|UN|BLIST PACK|PO|CAP|1|12/09/2015|12/31/3999| | || | |
68382059401||Q0175||01/19/2021|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 16 MG TABLET|100|UN|BOTTLE|PO|TAB|.25|01/19/2021|12/31/3999| | || | |
72572001701||J0290||03/03/2021|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|03/03/2021|12/31/3999| | || | |
72572001710||J0290||03/03/2021|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|03/03/2021|12/31/3999| | || | |
16729051243||J0461||03/25/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 8 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|.025|03/25/2021|12/31/3999| | || | |
72611074125||J2250||01/06/2021|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|01/06/2021|12/31/3999| | || | |
55150034510||J2310||03/09/2021|12/31/3999|Injection, naloxone hydrochloride, per 1 mg|NALOXONE 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|03/09/2021|12/31/3999| | || | |
55150030025||J2370||03/26/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|03/26/2021|06/30/2023| | || | |
55150030110||J2370||02/10/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|02/10/2021|06/30/2023| | || | |
72572057001||J2370||10/08/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|10/08/2019|06/30/2023| | || | |
72572057101||J2370||10/08/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/08/2019|06/30/2023| | || | |
62756006040||J1325||01/27/2021|12/31/3999|Injection, epoprostenol, 0.5 mg|EPOPROSTENOL SODIUM 1.5 MG|1|UN|VIAL|IV|ML|.3333|01/27/2021|12/31/3999| | || | |
70436016280||J1327||01/11/2021|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|ML|VIAL|IV|EA|2.5|01/11/2021|12/31/3999| | || | |
70436016380||J1327||01/12/2021|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|EA|6.6667|01/12/2021|12/31/3999| | || | |
72078002610||J1327||01/12/2021|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 75 MG/100 ML V|100|ML|VIAL|IV|ML|6.6667|01/12/2021|12/31/3999| | || | |
61755001301||C9079||07/01/2021|09/30/2021|Inj, evinacumab-dgnb, 5 mg|EVKEEZA 345 MG/2.3 ML VIAL|2.3|ML|VIAL|IV|ML|.03333|07/01/2021|09/30/2021| | || | |
61755001301||J3590||07/01/2021|09/30/2021|Unclassified Biologics|EVKEEZA 345 MG/2.3 ML VIAL|2.3|ML|VIAL|IV|ML|1|07/01/2021|09/30/2021| | || | |
55150035301||J9206||01/08/2021|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|01/08/2021|12/31/3999| | || | |
55150035401||J9206||01/08/2021|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 300 MG/15 ML|15|ML|VIAL|IV|ML|1|01/08/2021|12/31/3999| | || | |
72485010610||J1953||02/01/2021|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|02/01/2021|12/31/3999| | || | |
63323088514||J3490||06/12/2019|12/31/3999|Unclassified drugs|LEVOTHYROXINE 100 MCG/5 ML|5|ML|VIAL|IV|ML|1|06/12/2019|12/31/3999| | || | |
60505615900||J2543||03/15/2019|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|ML|.25|03/15/2019|12/31/3999| | || | |
72572057310||J2543||03/03/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|ML|.3333|03/03/2021|12/31/3999| | || | |
55513022401||Q5123||07/01/2021|12/31/3999|Inj, rituximab-arrx, biosimilar, (riabni), 10 mg|RIABNI 100 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|07/01/2021|12/31/3999| | || | |
55513032601||Q5123||07/01/2021|12/31/3999|Inj, rituximab-arrx, biosimilar, (riabni), 10 mg|RIABNI 500 MG/50 ML VIAL|50|ML|VIAL|IV|ML|1|07/01/2021|12/31/3999| | || | |
72572065101||J3490||10/08/2019|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|10/08/2019|12/31/3999| | || | |
72572065110||J3490||10/08/2019|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|1|10/08/2019|12/31/3999| | || | |
68001046561||J3370||11/03/2020|08/31/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|11/03/2020|08/31/2023| | || | |
72611076110||J3370||02/03/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|GM|1|02/03/2021|12/31/3999| | || | |
64406001701||J3490||10/27/2014|12/31/3999|Unclassified drugs|PLEGRIDY 125 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IM|EA|1|10/27/2014|12/31/3999| | || | |
64406001702||J3490||10/27/2014|12/31/3999|Unclassified drugs|PLEGRIDY 125 MCG/0.5 ML SYR|0.5|ML|VIAL|IM|EA|1|10/27/2014|12/31/3999| | || | |
16729043011||J0891||01/01/2023|12/31/3999|Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
65219023825||J7070||07/01/2022|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
65219023825||J7060||07/01/2022|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
65219024001||J7070||07/01/2022|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
65219024001||J7060||07/01/2022|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
65219024050||J7070||07/01/2022|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
65219024050||J7060||07/01/2022|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
65219023801||J7070||07/01/2022|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
65219023801||J7060||07/01/2022|12/31/3999|5% dextrose/water (500 ml = 1 unit)|DEXTROSE 5%-WATER IV SOLN|250|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
55150042010||J3490||08/10/2022|06/30/2023|Unclassified drugs|ESMOLOL 2,500 MG/250 ML-NAC|250|ML|BAG|IV|ML|250|08/10/2022|06/30/2023| | || | |
70121138901||J3490||10/01/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|100|10/01/2021|12/31/3999| | || | |
66794023502||J3490||04/01/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|VIAL|IV|ML|100|04/01/2022|12/31/3999| | || | |
65219023601||J3490||07/01/2022|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|100|ML|FLEX CONT|IV|ML|100|07/01/2022|12/31/3999| | || | |
65219023610||J3490||07/01/2022|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|100|ML|FLEX CONT|IV|ML|100|07/01/2022|12/31/3999| | || | |
65219022001||J3490||07/01/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|100|07/01/2022|12/31/3999| | || | |
65219022010||J3490||07/01/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|100|07/01/2022|12/31/3999| | || | |
55150042101||J3490||08/10/2022|06/30/2023|Unclassified drugs|ESMOLOL 2,000 MG/100 ML-NAC|100|ML|BAG|IV|ML|100|08/10/2022|06/30/2023| | || | |
70257056020||J0475||07/01/2022|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 10 MG/20 ML AMP|20|ML|AMPUL|IT|ML|20|07/01/2022|12/31/3999| | || | |
14789010916||J3480||07/26/2021|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/100 ML|100|ML|FLEX CONT|IV|ML|20|07/26/2021|12/31/3999| | || | |
72611073401||J3490||02/02/2020|06/30/2023|Unclassified drugs|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|20|02/02/2020|06/30/2023| | || | |
71288041520||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|20|07/01/2022|12/31/3999| | || | |
71288070211||J3490||07/01/2022|12/31/3999|Unclassified drugs|ATRACURIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
72572016001||J3490||07/01/2022|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
72572016010||J3490||07/01/2022|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
00517073501||J3490||07/01/2022|12/31/2023|Unclassified drugs|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|10|07/01/2022|12/31/2023| | || | |
23155052431||J3490||07/01/2022|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
72485010701||J3490||07/01/2022|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
72611076001||J3490||07/01/2022|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
00517610101||J3490||07/01/2022|12/31/3999|Unclassified drugs|ZINC SULFATE 10 MG/10 ML VI|10|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
00517750401||J7608||10/01/2014|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 10% VIAL|4|ML|VIAL|MC|ML|10|10/01/2014|12/31/3999| | || | |
68001052428||J9190||09/13/2022|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|09/13/2022|12/31/3999| | || | |
67457055400||J3475||10/02/2020|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|BAG|IV|ML|12.5|10/02/2020|12/31/3999| | || | |
55150028810||J2260||12/07/2020|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|25|12/07/2020|12/31/3999| | || | |
73594931001||J1437||04/01/2021|12/31/3999|IJ, ferric derisomaltose, 10 mg|MONOFERRIC 1,000 MG/10 ML V|10|ML|VIAL|IV|ML|.1|04/01/2021|12/31/3999| | || | |
00703321301||J9267||01/01/2015|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|01/01/2015|12/31/3999| | || | |
00409143401||J3490||04/08/2013|12/31/3999|Unclassified drugs|PRECEDEX 1,000 MCG/250 ML B|250|ML|BOTTLE|IV|ML|1|04/08/2013|12/31/3999| | || | |
71127100001||J7212||04/01/2021|12/31/3999|Factor viia recomb sevenfact, 1 mcg|SEVENFACT 1 MG VIAL|1|UN|VIAL|IV|EA|.001|04/01/2021|12/31/3999| | || | |
60505616900||J3490||08/05/2020|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|08/05/2020|12/31/3999| | || | |
70594005603||J3370||10/21/2020|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 750 MG/150 ML BA|150|ML|BAG|IV|EA|100|10/21/2020|12/31/2022| | || | |
00517234001||J1756||06/01/2003|12/31/3999|Injection, iron sucrose, 1 mg|VENOFER 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.05|06/01/2003|12/31/3999| | || | |
55150034305||J3490||10/06/2020|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|10/06/2020|12/31/3999| | || | |
66794022002||J0290||11/01/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|11/01/2020|12/31/3999| | || | |
59762159901||S4993||10/31/2016|12/31/3999|Contraceptive pills for birth control|NORETH-ESTRAD-FE 1-0.02(24)|28|UN|BLIST PACK|PO|CAP|1|10/31/2016|12/31/3999| | || | |
68180085773||S4993||03/29/2016|12/31/3999|Contraceptive pills for birth control|LEVONOR-ETH ESTRAD TRIPHASI|28|UN|BLIST PACK|PO|TAB|1|03/29/2016|12/31/3999| | || | |
68180089473||S4993||08/22/2018|12/31/3999|Contraceptive pills for birth control|DROSP-EE-LEVOMEF 3-0.02-0.4|28|UN|BLIST PACK|PO|TAB|1|08/22/2018|12/31/3999| | || | |
68001045842||J1650||12/21/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|12/21/2020|12/31/3999| | || | |
00781344395||J1652||11/20/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|.1|11/20/2020|12/31/3999| | || | |
00781345494||J1652||11/20/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|ML|.04|11/20/2020|12/31/3999| | || | |
00781346512||J1652||11/20/2020|08/31/2022|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|ML|.04|11/20/2020|08/31/2022| | || | |
00781347695||J1652||11/20/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|ML|.04|11/20/2020|12/31/3999| | || | |
00002795001||Q0245||02/09/2021|01/24/2022|Inj, bamlanivimab and etesevimab, 2100 mg|ETESEVIMAB 700 MG/20 ML(EUA|20|ML|VIAL|IV|ML|60|02/09/2021|01/24/2022| | || | |
23155047333||J1940||12/01/2014|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|12/01/2014|12/31/3999| | || | |
63323026209||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|04/01/1998|12/31/3999| | || | |
63323054204||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/5 ML VI|5|ML|VIAL|IJ|ML|.1|04/01/1998|12/31/3999| | || | |
63323054213||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|04/01/1998|12/31/3999| | || | |
44567082010||J1335||11/20/2020|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|GM|.5|11/20/2020|12/31/3999| | || | |
16729047163||J3490||12/17/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|EA|1|12/17/2020|12/31/3999| | || | |
16729047208||J3490||12/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|EA|1|12/10/2020|12/31/3999| | || | |
00069131110||Q5106||12/01/2020|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 20,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.05|12/01/2020|12/31/3999| | || | |
00069131801||Q5106||11/12/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 20,000 UNIT/2 ML V|2|ML|VIAL|IJ|ML|.1|11/12/2018|12/31/3999| | || | |
00069131810||Q5106||11/12/2018|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 20,000 UNIT/2 ML V|2|ML|VIAL|IJ|ML|.1|11/12/2018|12/31/3999| | || | |
59353022001||Q5106||11/24/2020|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 20,000 UNIT/2 ML V|2|ML|VIAL|IJ|ML|.1|11/24/2020|12/31/3999| | || | |
00143926301||J2795||12/08/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|12/08/2020|12/31/3999| | || | |
00781323801||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781323863||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781324602||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781324664||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781325603||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781325666||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781326204||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781326268||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781326805||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781326869||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|07/23/2010|12/31/3999| | || | |
00781329804||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|07/23/2010|12/31/3999| | || | |
00781329868||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|07/23/2010|12/31/3999| | || | |
00781329905||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|07/23/2010|12/31/3999| | || | |
00781329969||J1650||07/23/2010|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|07/23/2010|12/31/3999| | || | |
00955100301||J1650||07/01/1996|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|EA|.1|07/01/1996|12/31/3999| | || | |
00955100401||J1650||06/03/1997|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|EA|.1|06/03/1997|12/31/3999| | || | |
00955100601||J1650||06/08/1998|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|EA|.1|06/08/1998|12/31/3999| | || | |
00955100801||J1650||06/08/1998|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|EA|.1|06/08/1998|12/31/3999| | || | |
00955101001||J1650||06/08/1998|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|EA|.1|06/08/1998|12/31/3999| | || | |
00955101201||J1650||12/03/2001|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|EA|.0667|12/03/2001|12/31/3999| | || | |
00955101501||J1650||12/03/2001|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|EA|.0667|12/03/2001|12/31/3999| | || | |
70710175702||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
70710175706||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
70710175802||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
70710175806||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
70710175902||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
70710175906||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
70710176002||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
70710176006||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
70710176102||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
70710176106||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|08/19/2021|12/31/3999| | || | |
00093767902||J7303||01/20/2021|09/30/2021|Contraceptive supply, hormone containing vaginal ring, each|ETONOGESTREL-EE VAGINAL RIN|1|UN|BOX|VG|EA|1|01/20/2021|09/30/2021| | || | |
51759020222||J3031||10/01/2019|12/31/3999|Inj, fremanezumab-vfrm, 1 mg|AJOVY 225 MG/1.5 ML AUTOINJ|1.5|ML|SYRINGE|SQ|ML|.0067|10/01/2019|12/31/3999| | || | |
68001046242||J1650||02/01/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|02/01/2021|12/31/3999| | || | |
00169413001||J3490||03/15/2021|03/15/2021|Unclassified drugs|OZEMPIC 1 MG/DOSE (4 MG/3 M|3|ML|SYRINGE|SQ|ML|1|03/15/2021|03/15/2021| | || | |
00169413013||J3490||03/15/2021|03/15/2021|Unclassified drugs|OZEMPIC 1 MG/DOSE (4 MG/3 M|3|ML|SYRINGE|SQ|ML|1|03/15/2021|03/15/2021| | || | |
61755002102||J3590||07/29/2015|12/31/3999|Unclassified Biologics|PRALUENT 150 MG/ML PEN|1|ML|SYRINGE|SQ|ML|1|07/29/2015|12/31/3999| | || | |
65862086583||S4993||01/15/2021|12/31/3999|Contraceptive pills for birth control|ICLEVIA 0.15 MG-0.03 MG TAB|91|UN|BLIST PACK|PO|TAB|1|01/15/2021|12/31/3999| | || | |
60505614200||J0690||08/07/2017|12/31/3999|Injection, cefazolin sodium, 500 mg|CEFAZOLIN 1 GM VIAL|1|UN|VIAL|IJ|ML|.5|08/07/2017|12/31/3999| | || | |
60505615005||J0696||03/12/2020|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 10 GM VIAL|1|UN|VIAL|IJ|GM|.025|03/12/2020|12/31/3999| | || | |
25021046001||J2597||03/29/2021|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML VI|1|ML|VIAL|IJ|ML|.25|03/29/2021|12/31/3999| | || | |
25021046110||J2597||03/29/2021|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN 40 MCG/10 ML V|10|ML|VIAL|IJ|ML|.25|03/29/2021|12/31/3999| | || | |
70860045401||J2597||01/08/2021|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML VI|1|ML|VIAL|IJ|ML|.25|01/08/2021|12/31/3999| | || | |
69339013701||J3360||01/01/2021|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/01/2021|12/31/3999| | || | |
69339013705||J3360||01/01/2021|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/01/2021|12/31/3999| | || | |
00409493301||J0171||03/25/2021|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 1 MG/10 ML ABBO|10|ML|SYRINGE|IJ|ML|1|03/25/2021|12/31/3999| | || | |
00409493311||J0171||03/25/2021|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|EPINEPHRINE 1 MG/10 ML ABBO|10|ML|SYRINGE|IJ|ML|1|03/25/2021|12/31/3999| | || | |
51754601503||J3490||01/02/2021|12/31/2023|Unclassified drugs|GLYRX-PF 1 MG/5 ML SYRINGE|5|ML|SYRINGE|IJ|ML|1|01/02/2021|12/31/2023| | || | |
72572026525||J0360||10/29/2020|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|EA|1|10/29/2020|12/31/3999| | || | |
55150030201||J2370||02/12/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|02/12/2021|06/30/2023| | || | |
70069030101||J0330||04/20/2020|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|EA|1|04/20/2020|12/31/3999| | || | |
75834015102||J0330||02/02/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|02/02/2021|12/31/3999| | || | |
75834015125||J0330||02/02/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|02/02/2021|12/31/3999| | || | |
78670013002||J3490||02/09/2021|12/31/3999|Unclassified drugs|SYMJEPI 0.3 MG/0.3 ML SYRIN|2|UN|SYRINGE|IJ|ML|1|02/09/2021|12/31/3999| | || | |
16714015001||J3301||12/19/2017|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 400 MG/1|10|ML|VIAL|IJ|ML|.25|12/19/2017|12/31/3999| | || | |
16714013025||J3301||12/19/2017|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|12/19/2017|12/31/3999| | || | |
72603020201||J3301||12/11/2019|11/30/2022|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 200 MG/5|5|ML|VIAL|IJ|ML|.25|12/11/2019|11/30/2022| | || | |
49702024015||C9077||07/01/2021|09/30/2021|Inj, cabotegravir and rilpivirine, 2mg/3mg|CABENUVA 600 MG-900 MG ER S|6|ML|VIAL|IM|ML|.002|07/01/2021|09/30/2021| | || | |
49702024015||J3490||07/01/2021|09/30/2021|Unclassified drugs|CABENUVA 600 MG-900 MG ER S|6|ML|VIAL|IM|ML|1|07/01/2021|09/30/2021| | || | |
49702025315||C9077||07/01/2021|09/30/2021|Inj, cabotegravir and rilpivirine, 2mg/3mg|CABENUVA 400 MG-600 MG ER S|4|ML|VIAL|IM|ML|.002|07/01/2021|09/30/2021| | || | |
49702025315||J3490||07/01/2021|09/30/2021|Unclassified drugs|CABENUVA 400 MG-600 MG ER S|4|ML|VIAL|IM|ML|1|07/01/2021|09/30/2021| | || | |
16729043631||J9395||01/12/2021|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|EA|.5|01/12/2021|12/31/3999| | || | |
68001052429||J9190||09/13/2022|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1 GRAM/20 ML V|20|ML|VIAL|IV|ML|10|09/13/2022|12/31/3999| | || | |
68001052431||J9190||09/13/2022|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1 GRAM/20 ML V|20|ML|VIAL|IV|ML|10|09/13/2022|12/31/3999| | || | |
68001052527||J9190||09/16/2022|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 2.5 GRAM/50 ML|50|ML|VIAL|IV|EA|10|09/16/2022|12/31/3999| | || | |
68001052532||J9190||09/16/2022|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 5 GRAM/100 ML|100|ML|VIAL|IV|EA|10|09/16/2022|12/31/3999| | || | |
70710183901||J9261||07/01/2022|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
70710183908||J9261||07/01/2022|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
70257056105||J0475||07/01/2022|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 10 MG/5 ML AMPU|5|ML|AMPUL|IT|ML|5|07/01/2022|12/31/3999| | || | |
63323049401||J3490||10/01/2019|12/31/3999|Unclassified drugs|VALPROATE SOD 500 MG/5 ML V|5|ML|VIAL|IV|ML|5|10/01/2019|12/31/3999| | || | |
00517760401||J7608||07/01/2022|12/31/3999|Acetylcysteine, inhalation solution, fda-approved final product, non-compou...|ACETYLCYSTEINE 20% VIAL|4|ML|VIAL|MC|ML|5|07/01/2022|12/31/3999| | || | |
60687039479||J7644||01/09/2019|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|EA|5|01/09/2019|12/31/3999| | || | |
70594005603||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 750 MG/150 ML BA|150|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
70594004501||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
70594004502||J3372||01/01/2023|08/01/2023|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|08/01/2023| | || | |
00310450525||J9999||12/01/2022|06/30/2023|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|IMJUDO 25 MG/1.25 ML VIAL|1.25|ML|VIAL|IV||1.25|12/01/2022|06/30/2023| | || | |
60687039483||J7644||01/09/2019|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|EA|5|01/09/2019|12/31/3999| | || | |
65862090533||J7644||07/01/2022|12/31/3999|Ipratropium bromide, inhalation solution, fda-approved final product, non-c...|IPRATROPIUM BR 0.02% SOLN|2.5|ML|VIAL|IH|ML|5|07/01/2022|12/31/3999| | || | |
49502034573||J7682||07/01/2022|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBI 300 MG/5 ML SOLUTION|5|ML|AMPUL|IH|ML|5|07/01/2022|12/31/3999| | || | |
81952011502||J1644||04/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIA|2|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
81952011507||J1644||04/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIA|2|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
81952011201||J1644||07/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
81952011204||J1644||07/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
81952011205||J1644||07/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
81952011206||J1644||07/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 1,000 UNIT/ML V|1|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
81284021125||J2370||05/27/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|05/27/2022|06/30/2023| | || | |
61990021100||J2370||07/01/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/01/2022|06/30/2023| | || | |
61990021200||J2370||07/01/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|07/01/2022|06/30/2023| | || | |
61990021300||J2370||07/01/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|07/01/2022|06/30/2023| | || | |
63323001202||J2590||10/01/2019|12/31/3999|Injection, oxytocin, up to 10 units|OXYTOCIN 300 UNIT/30 ML VIA|30|ML|VIAL|IJ|ML|1|10/01/2019|12/31/3999| | || | |
70121147801||J2710||01/01/2020|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/01/2020|12/31/3999| | || | |
43066001501||J2795||10/26/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|10/26/2020|12/31/3999| | || | |
43066001901||J2795||10/26/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 100 MG/20|20|ML|VIAL|IJ|ML|.2|10/26/2020|12/31/3999| | || | |
66794022541||J2700||07/06/2018|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM VIAL|1|UN|VIAL|IJ|GM|.25|07/06/2018|12/31/3999| | || | |
43066001910||J2795||10/26/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 100 MG/20|20|ML|VIAL|IJ|ML|.2|10/26/2020|12/31/3999| | || | |
43066002301||J2795||10/26/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|10/26/2020|12/31/3999| | || | |
43066002310||J2795||10/26/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|10/26/2020|12/31/3999| | || | |
43066002701||J2795||10/26/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 200 MG/20 ML|20|ML|VIAL|IJ|ML|.1|10/26/2020|12/31/3999| | || | |
43066002710||J2795||10/26/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 1% 200 MG/20 ML|20|ML|VIAL|IJ|ML|.1|10/26/2020|12/31/3999| | || | |
68382004801||J0133||12/23/2020|11/07/2022|Injection, acyclovir, 5 mg|ACYCLOVIR 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|12/23/2020|11/07/2022| | || | |
68382004810||J0133||12/23/2020|11/07/2022|Injection, acyclovir, 5 mg|ACYCLOVIR 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|12/23/2020|11/07/2022| | || | |
55150038601||J9045||11/13/2020|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 600 MG/60 ML VI|60|ML|VIAL|IV|ML|5|11/13/2020|12/31/3999| | || | |
72611070201||J0637||12/09/2020|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|IV|ML|.0714|12/09/2020|12/31/3999| | || | |
43066056124||J3490||11/04/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BAG|IV|ML|1|11/04/2020|12/31/3999| | || | |
43066056512||J3490||11/04/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BAG|IV|ML|1|11/04/2020|12/31/3999| | || | |
67457092400||J3490||11/23/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|VIAL|IV|ML|1|11/23/2020|12/31/3999| | || | |
67457092450||J3490||11/23/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|VIAL|IV|ML|1|11/23/2020|12/31/3999| | || | |
16714002701||J9206||12/24/2020|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|ML|1|12/24/2020|12/31/3999| | || | |
16714013101||J9206||12/24/2020|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|12/24/2020|12/31/3999| | || | |
55150028701||J2260||12/07/2020|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|25|12/07/2020|12/31/3999| | || | |
55150028710||J2260||12/07/2020|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 20 MG/100 ML|100|ML|BAG|IV|ML|25|12/07/2020|12/31/3999| | || | |
50742048505||J2469||10/12/2020|02/01/2021|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|10/12/2020|02/01/2021| | || | |
62756012940||S0164||10/18/2019|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|10/18/2019|12/31/3999| | || | |
25021031501||J2370||11/17/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IV|ML|1|11/17/2020|06/30/2023| | || | |
00990790203||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 10 MEQ/500ML-D5W-0.45%N|500|ML|BAG|IV|ML|100|07/12/2018|12/31/3999| | || | |
00990790309||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 30 MEQ/L IV S|1000|ML|FLEX CONT|IV|ML|100|07/12/2018|12/31/3999| | || | |
59923060402||J9185||10/09/2020|12/31/3999|Injection, fludarabine phosphate, 50 mg|FLUDARABINE 50 MG/2 ML VIAL|2|ML|VIAL|IV|EA|2|10/09/2020|12/31/3999| | || | |
16729024003||J1453||10/22/2020|09/30/2022|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|10/22/2020|09/30/2022| | || | |
00143937510||J3105||05/20/2009|12/31/3999|Injection, terbutaline sulfate, up to 1 mg|TERBUTALINE SULF 1 MG/ML VI|1|ML|VIAL|SQ|ML|1|05/20/2009|12/31/3999| | || | |
54879002710||J9017||11/24/2020|06/16/2022|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|11/24/2020|06/16/2022| | || | |
00169721511||J7189||08/04/2008|12/31/3999|Factor viia (antihemophilic factor, recombinant), per 1 microgram|NOVOSEVEN RT 5 MG VIAL|1|UN|VIAL|IV|EA|1|08/04/2008|12/31/3999| | || | |
63323028603||J2795||04/01/2001|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.5% 500 MG/100 ML|100|ML|BOTTLE|IJ|ML|.2|04/01/2001|12/31/3999| | || | |
70710176202||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|08/19/2021|12/31/3999| | || | |
70710176206||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|08/19/2021|12/31/3999| | || | |
70710176302||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|08/19/2021|12/31/3999| | || | |
70710176306||J1650||08/19/2021|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|08/19/2021|12/31/3999| | || | |
00075062001||J1650||06/03/1997|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 40 MG/0.4 ML SYRING|0.4|ML|SYRINGE|SQ|EA|.1|06/03/1997|12/31/3999| | || | |
00075062101||J1650||06/08/1998|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 60 MG/0.6 ML SYRING|0.6|ML|SYRINGE|SQ|EA|.1|06/08/1998|12/31/3999| | || | |
00075062201||J1650||06/08/1998|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 80 MG/0.8 ML SYRING|0.8|ML|SYRINGE|SQ|EA|.1|06/08/1998|12/31/3999| | || | |
00075062303||J1650||06/08/1998|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 100 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.1|06/08/1998|12/31/3999| | || | |
00075062401||J1650||05/01/1993|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 30 MG/0.3 ML SYRING|0.3|ML|SYRINGE|SQ|EA|.1|05/01/1993|12/31/3999| | || | |
00075291200||J1650||12/03/2001|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 120 MG/0.8 ML SYRIN|0.8|ML|SYRINGE|SQ|EA|.0667|12/03/2001|12/31/3999| | || | |
00075291500||J1650||12/03/2001|12/31/3999|Injection, enoxaparin sodium, 10 mg|LOVENOX 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|EA|.0667|12/03/2001|12/31/3999| | || | |
12496009002||J2798||10/01/2019|12/31/3999|Inj, risperidone,  0.5 mg|PERSERIS ER 90 MG POWDER SY|1|UN|SYRINGE|SQ|EA|.0056|10/01/2019|12/31/3999| | || | |
68982082203||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082203||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
68982082204||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082204||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
68982082205||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082205||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
68982082285||J1599||11/26/2018|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|1|11/26/2018|06/30/2023| | || | |
68982082285||90283||11/26/2018|06/30/2023|Immune globulin (IGIV), human, for intravenous use|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|11/26/2018|06/30/2023| | || | |
65219025600||J2543||05/07/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|EA|.0278|05/07/2021|12/31/3999| | || | |
65219025624||J2543||05/07/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|EA|.0278|05/07/2021|12/31/3999| | || | |
25021018199||J2543||02/28/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|BOTTLE|IV|GM|.0278|02/28/2021|12/31/3999| | || | |
65219025905||J2543||05/26/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.2511|05/26/2020|12/31/3999| | || | |
65219025915||J2543||05/26/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.2511|05/26/2020|12/31/3999| | || | |
65219025945||J2543||05/26/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.2511|05/26/2020|12/31/3999| | || | |
65219025955||J2543||05/26/2020|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.2511|05/26/2020|12/31/3999| | || | |
14789010705||J3480||07/26/2021|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/50 ML S|50|ML|FLEX CONT|IV|ML|5|07/26/2021|12/31/3999| | || | |
00310304000||C9086||01/01/2022|03/31/2022|Inj, anifrolumab-fnia, 1 MG|SAPHNELO 300 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.0067|01/01/2022|03/31/2022| | || | |
00310304000||J3590||01/01/2022|03/31/2022|Unclassified Biologics|SAPHNELO 300 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|01/01/2022|03/31/2022| | || | |
79672061302||J3490||11/25/2020|01/01/2021|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|100|ML|FLEX CONT|IV|ML|1|11/25/2020|01/01/2021| | || | |
79672061304||J7050||11/25/2020|01/01/2022|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|250|11/25/2020|01/01/2022| | || | |
79672061304||J7040||11/25/2020|01/01/2022|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|500|11/25/2020|01/01/2022| | || | |
79672061304||J7030||11/25/2020|01/01/2022|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|1000|11/25/2020|01/01/2022| | || | |
79672061305||J7050||11/25/2020|01/01/2022|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|250|11/25/2020|01/01/2022| | || | |
79672061305||J7040||11/25/2020|01/01/2022|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|500|11/25/2020|01/01/2022| | || | |
79672061305||J7030||11/25/2020|01/01/2022|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|1000|11/25/2020|01/01/2022| | || | |
70860021710||J9017||02/28/2021|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|10|02/28/2021|12/31/3999| | || | |
16729052508||J0461||01/11/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.4 MG/ML VIAL|1|ML|VIAL|IV|EA|.025|01/11/2021|12/31/3999| | || | |
16729052563||J0461||01/11/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.4 MG/ML VIAL|1|ML|VIAL|IV|EA|.025|01/11/2021|12/31/3999| | || | |
16729052608||J0461||01/11/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/ML VIAL|1|ML|VIAL|IV|EA|.01|01/11/2021|12/31/3999| | || | |
16729052663||J0461||01/11/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/ML VIAL|1|ML|VIAL|IV|EA|.01|01/11/2021|12/31/3999| | || | |
71390001111||J3490||02/05/2021|06/30/2023|Unclassified drugs|BYFAVO 20 MG VIAL|1|UN|VIAL|IV|EA|1|02/05/2021|06/30/2023| | || | |
70710153406||J3490||01/18/2021|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|1|01/18/2021|12/31/3999| | || | |
70860021805||J9070||02/25/2021|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 1 GM/5 ML|5|ML|VIAL|IV|ML|.5|02/25/2021|12/31/3999| | || | |
73042020101||J9348||07/01/2021|12/31/3999|Inj, naxitamab-gqgk, 1 mg|DANYELZA 40 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.25|07/01/2021|12/31/3999| | || | |
69097085067||J0878||03/24/2021|02/14/2025|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|03/24/2021|02/14/2025| | || | |
42658002102||J9150||01/23/2020|12/31/3999|Injection, daunorubicin, 10 mg|DAUNORUBICIN 20 MG/4 ML VIA|4|ML|VIAL|IV|ML|2|01/23/2020|12/31/3999| | || | |
42023018601||J3490||12/04/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|VIAL|IV|ML|1|12/04/2020|12/31/3999| | || | |
55150029710||J3490||02/10/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|FLEX CONT|IV|ML|1|02/10/2021|12/31/3999| | || | |
66794023002||J3490||01/31/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|01/31/2018|12/31/3999| | || | |
66794023042||J3490||01/31/2018|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|1|01/31/2018|12/31/3999| | || | |
62756005940||J1325||01/27/2021|12/31/3999|Injection, epoprostenol, 0.5 mg|EPOPROSTENOL SODIUM 0.5 MG|1|UN|VIAL|IV|ML|1|01/27/2021|12/31/3999| | || | |
70860075102||S0028||12/22/2020|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|12/22/2020|12/31/3999| | || | |
70860075102||J3490||12/22/2020|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|12/22/2020|12/31/3999| | || | |
69784000206||J1450||10/18/2016|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 200 MG/100|100|ML|FLEX CONT|IV|ML|100|10/18/2016|12/31/3999| | || | |
72603010601||J1453||01/09/2020|09/30/2022|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|01/09/2020|09/30/2022| | || | |
00338171940||J3475||03/02/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/50 ML BA|50|ML|FLEX CONT|IV|ML|6.25|03/02/2021|12/31/3999| | || | |
74527002201||J9353||07/01/2021|12/31/3999|Inj, margetuximab-cmkb, 5 mg|MARGENZA 250 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.2|07/01/2021|12/31/3999| | || | |
74527002202||J9353||07/01/2021|12/31/3999|Inj, margetuximab-cmkb, 5 mg|MARGENZA 250 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.2|07/01/2021|12/31/3999| | || | |
74527002203||J9353||07/01/2021|12/31/3999|Inj, margetuximab-cmkb, 5 mg|MARGENZA 250 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.2|07/01/2021|12/31/3999| | || | |
72572041510||J2185||10/08/2019|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|ML|.2|10/08/2019|12/31/3999| | || | |
71288050010||J2710||07/01/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|07/01/2022|12/31/3999| | || | |
00245080989||J3030||07/01/2022|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|ZEMBRACE SYMTOUCH 3 MG/0.5|0.5|ML|SYRINGE|SQ|ML|1|07/01/2022|12/31/3999| | || | |
71839012301||J3490||04/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|04/01/2022|12/31/3999| | || | |
00409170401||J9049||01/01/2023|12/31/3999|Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg|BORTEZOMIB 1 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2023|12/31/3999| | || | |
00480451401||J9314||01/01/2023|12/31/3999|Injection, pemetrexed (teva) not therapeutically equivalent to J9305, 10 mg|PEMETREXED 500 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
00480451501||J9314||01/01/2023|12/31/3999|Injection, pemetrexed (teva) not therapeutically equivalent to J9305, 10 mg|PEMETREXED 1 GM/40 ML VIAL|40|ML|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
70121175401||Q5126||01/01/2023|12/31/3999|Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg C9142|ALYMSYS 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|01/01/2023|12/31/3999| | || | |
70121175501||Q5126||01/01/2023|12/31/3999|Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg C9142|ALYMSYS 400 MG/16 ML VIAL|16|ML|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
63323059611||J1611||01/01/2023|12/31/3999|Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 m|GLUCAGON 1 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2023|12/31/3999| | || | |
00480451601||J9314||01/01/2023|12/31/3999|Injection, pemetrexed (teva) not therapeutically equivalent to J9305, 10 mg|PEMETREXED 100 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
63323047501||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|NESACAINE 1% VIAL|30|ML|VIAL|IJ|ML|.1|01/01/2023|12/31/3999| | || | |
00409170301||J9049||01/01/2023|12/31/3999|Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg|BORTEZOMIB 2.5 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2023|12/31/3999| | || | |
63323082110||J9048||01/01/2023|12/31/3999|Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|1|01/01/2023|12/31/3999| | || | |
70860075341||S0028||03/04/2021|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|03/04/2021|12/31/3999| | || | |
70860075341||J3490||03/04/2021|12/31/3999|Unclassified drugs|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|03/04/2021|12/31/3999| | || | |
70710135901||C9254||08/03/2022|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|08/03/2022|12/31/3999| | || | |
00409176118||S0020||07/01/2022|07/01/2022|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE SPINAL 15 MG/2 ML|2|ML|AMPUL|IJ|ML|2|07/01/2022|07/01/2022| | || | |
00409176118||J3490||07/01/2022|12/31/3999|Unclassified drugs|MARCAINE SPINAL 15 MG/2 ML|2|ML|AMPUL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
70594004701||J3372||01/01/2023|08/01/2023|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|.1|01/01/2023|08/01/2023| | || | |
42023023001||J2247||01/01/2023|12/31/3999|Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
42023023010||J2247||01/01/2023|12/31/3999|Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
42023022901||J2247||01/01/2023|12/31/3999|Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
82154044901||S0145||07/28/2022|12/31/3999|Injection, pegylated interferon alfa-2a, 180 mcg per ml|PEGASYS 180 MCG/ML VIAL|1|ML|VIAL|SQ|ML|1|07/28/2022|12/31/3999| | || | |
71839012225||S0164||06/10/2022|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|06/10/2022|12/31/3999| | || | |
71839012201||S0164||06/10/2022|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|06/10/2022|12/31/3999| | || | |
65219043315||S0164||07/01/2021|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|07/01/2021|12/31/3999| | || | |
65219043301||S0164||07/01/2021|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|07/01/2021|12/31/3999| | || | |
25021075111||S0164||08/26/2022|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|08/26/2022|12/31/3999| | || | |
66794022102||J0290||11/01/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|11/01/2020|12/31/3999| | || | |
66794022141||J0290||11/01/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|11/01/2020|12/31/3999| | || | |
63323054209||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 10,000 UNIT/ML|1|ML|VIAL|IJ|ML|.1|04/01/1998|12/31/3999| | || | |
59353012010||Q5106||11/24/2020|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 20,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.05|11/24/2020|12/31/3999| | || | |
57894050301||J9144||01/03/2021|12/31/3999|Injection, daratumumab, 10 mg and hyaluronidase-fihj|DARZALEX FASPRO 1,800MG-30,|15|ML|VIAL|IV|ML|.08|01/03/2021|12/31/3999| | || | |
55135013201||J9317||01/03/2021|12/31/3999|Inj, sacituzumab govitecan-hziy, 2.5 mg|TRODELVY 180 MG VIAL|1|UN|VIAL|IV|EA|.013888|01/03/2021|12/31/3999| | || | |
59923071805||J3490||08/01/2019|12/31/2023|Unclassified drugs|BUPIVACAINE 0.5% (5 MG/ML)|5|ML|AMPUL|IJ|EA|1|08/01/2019|12/31/2023| | || | |
69800025001||J1554||04/01/2021|12/31/2022|INJ, IMMUNE GLOBULIN (ASCENIV), 500 MG|ASCENIV 10% VIAL|50|ML|VIAL|IV|ML|1|04/01/2021|12/31/2022| | || | |
63323081100||J2700||12/16/2020|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|BOTTLE|IV|EA|.025|12/16/2020|12/31/3999| | || | |
67457092105||J3490||10/27/2017|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|5|ML|VIAL|IV|ML|1|10/27/2017|12/31/3999| | || | |
67457092230||J3490||10/27/2017|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|30|ML|VIAL|IV|ML|1|10/27/2017|12/31/3999| | || | |
00409662535||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409663714||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARB 8.4% ABBOJECT|50|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409663724||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARB 8.4% ABBOJECT|50|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
70594003501||J3243||10/05/2020|02/28/2022|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|ML|.02|10/05/2020|02/28/2022| | || | |
64679003402||J2543||06/14/2017|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|06/14/2017|12/31/3999| | || | |
70710164301||J3490||11/18/2020|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|11/18/2020|12/31/3999| | || | |
70710164305||J3490||11/18/2020|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|11/18/2020|12/31/3999| | || | |
70594005801||J3370||10/07/2020|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1.75 GM/350 ML B|350|ML|BAG|IV|EA|100|10/07/2020|12/31/2022| | || | |
66220031511||J3095||01/01/2011|12/31/3999|Injection, telavancin, 10 mg|VIBATIV 750 MG VIAL|1|UN|VIAL|IV|EA|.0133|01/01/2011|12/31/3999| | || | |
70710164307||J3490||11/18/2020|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|11/18/2020|12/31/3999| | || | |
71773010012||J0122||12/23/2020|12/31/3999|Inj, eravacycline, 1 mg|XERAVA 100 MG VIAL|1|UN|VIAL|IV|EA|.01|12/23/2020|12/31/3999| | || | |
16714009430||J7614||11/25/2020|07/31/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|11/25/2020|07/31/2023| | || | |
16714009525||J7614||11/25/2020|07/31/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|11/25/2020|07/31/2023| | || | |
16714009625||J7614||11/25/2020|07/31/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|11/25/2020|07/31/2023| | || | |
42023016889||J0171||04/01/2014|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|ADRENALIN 30 MG/30 ML VIAL|30|ML|VIAL|IJ|ML|.1|04/01/2014|12/31/3999| | || | |
65219001810||J0290||05/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|05/26/2020|12/31/3999| | || | |
00517003101||J3420||11/07/1996|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|11/07/1996|12/31/3999| | || | |
00517003201||J3420||10/01/1991|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|10/01/1991|12/31/3999| | || | |
16714001501||J2597||12/17/2020|05/31/2024|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN 40 MCG/10 ML V|10|ML|VIAL|IJ|ML|.25|12/17/2020|05/31/2024| | || | |
66794022041||J0290||11/01/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 250 MG VIAL|1|UN|VIAL|IJ|EA|2|11/01/2020|12/31/3999| | || | |
72000032010||J3090||09/23/2019|09/30/2023|Inj tedizolid phosphate|SIVEXTRO 200 MG VIAL|1|UN|VIAL|IV|EA|.005|09/23/2019|09/30/2023| | || | |
00487430125||J7050||01/01/2021|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|250|01/01/2021|12/31/3999| | || | |
00487430125||J7040||01/01/2021|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|500|01/01/2021|12/31/3999| | || | |
00487430125||J7030||01/01/2021|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|01/01/2021|12/31/3999| | || | |
00487430150||J7050||01/01/2021|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|250|01/01/2021|12/31/3999| | || | |
00487430150||J7040||01/01/2021|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|500|01/01/2021|12/31/3999| | || | |
00487430150||J7030||01/01/2021|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|1000|01/01/2021|12/31/3999| | || | |
76478071140||J1205||05/18/2021|06/30/2023|Injection, chlorothiazide sodium, per 500 mg|SODIUM DIURIL 0.5 GRAM VIAL|1|UN|VIAL|IV|EA|1|05/18/2021|06/30/2023| | || | |
65219020005||J9330||06/04/2020|12/31/3999|Injection, temsirolimus, 1 mg|TEMSIROLIMUS 25 MG VIAL|1|ML|VIAL|IV|EA|.04|06/04/2020|12/31/3999| | || | |
43066000801||J3490||09/07/2021|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|09/07/2021|12/31/3999| | || | |
43066000810||J3490||09/07/2021|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|09/07/2021|12/31/3999| | || | |
00409351501||J3370||06/24/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.33333|06/24/2021|12/31/3999| | || | |
00409351511||J3370||06/24/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.33333|06/24/2021|12/31/3999| | || | |
00409653321||J3370||10/28/2004|10/25/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/28/2004|10/25/2023| | || | |
47335070354||J7613||09/04/2021|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 2.5 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|09/04/2021|12/31/3999| | || | |
35573044425||J7614||06/01/2016|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|06/01/2016|12/31/3999| | || | |
23155078531||J0278||03/18/2014|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|03/18/2014|12/31/3999| | || | |
23155078541||J0278||03/18/2014|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 500 MG/2 ML V|2|ML|VIAL|IJ|ML|.4|03/18/2014|12/31/3999| | || | |
23155078631||J0278||03/18/2014|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1 GRAM/4 ML V|4|ML|VIAL|IJ|ML|.4|03/18/2014|12/31/3999| | || | |
23155078641||J0278||03/18/2014|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1 GRAM/4 ML V|4|ML|VIAL|IJ|ML|.4|03/18/2014|12/31/3999| | || | |
72572075001||J0330||10/08/2019|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|ANECTINE 200 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/08/2019|12/31/3999| | || | |
72572075010||J0330||10/08/2019|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|ANECTINE 200 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|10/08/2019|12/31/3999| | || | |
16729048445||J0461||07/30/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/10 ML SYRINGE|10|ML|SYRINGE|IJ|ML|10|07/30/2021|12/31/3999| | || | |
68001050454||J9025||08/05/2021|09/21/2022|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|F2|VIAL|IJ|AHF|.01|08/05/2021|09/21/2022| | || | |
60505075203||J0696||08/02/2005|02/28/2018|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|08/02/2005|02/28/2018| | || | |
78206011801||J0702||08/23/2021|12/31/3999|Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg|CELESTONE SOLUSPAN 30 MG/5|5|ML|VIAL|IJ|ML|1|08/23/2021|12/31/3999| | || | |
55150036401||J3420||07/26/2021|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|07/26/2021|12/31/3999| | || | |
00409136211||J2175||10/28/2004|12/31/3999|Injection, meperidine hydrochloride, per 100 mg|DEMEROL 25 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|4|10/28/2004|12/31/3999| | || | |
00143939801||J1335||08/20/2021|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|08/20/2021|12/31/3999| | || | |
00143939810||J1335||08/20/2021|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|08/20/2021|12/31/3999| | || | |
72572041610||J2185||10/08/2019|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|ML|.1|10/08/2019|12/31/3999| | || | |
60505611905||J2248||02/12/2021|01/31/2025|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|ML|.02|02/12/2021|01/31/2025| | || | |
25021031387||J2260||03/03/2021|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|25|03/03/2021|12/31/3999| | || | |
00409189113||J2270||08/07/2012|12/31/3999|Injection, morphine sulfate, up to 10 mg|MORPHINE 4 MG/ML SYRINGE|1|ML|SYRINGE|IV|ML|2.5|08/07/2012|12/31/3999| | || | |
67457038600||J7599||01/26/2021|09/30/2023|IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE SPECIFIED|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/26/2021|09/30/2023| | || | |
67457038681||J7599||01/26/2021|09/30/2023|IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE SPECIFIED|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/26/2021|09/30/2023| | || | |
72078000204||J3490||01/12/2021|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|01/12/2021|12/31/3999| | || | |
68001046562||J3370||11/03/2020|08/31/2023|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|11/03/2020|08/31/2023| | || | |
72611076510||J3370||02/18/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|GM|.5|02/18/2021|12/31/3999| | || | |
72266013101||J3465||02/04/2021|12/31/3999|Injection, voriconazole, 10 mg|VORICONAZOLE 200 MG VIAL|1|UN|VIAL|IV|EA|.05|02/04/2021|12/31/3999| | || | |
62935015350||J1951||07/01/2021|12/31/3999|Inj, leuprolide acetate for depot suspension (fensolvi), 0.25 mg|FENSOLVI 45 MG SYRINGE KIT|1|UN|SYRINGE|SQ|ML|1|07/01/2021|12/31/3999| | || | |
61755002501||Q0243||11/23/2020|06/02/2021|Casirivimab 600mg and imdevimab 600mg|IMDEVIMAB (REGN10987) 1,332|11.1|ML|VIAL|IV|ML|1|11/23/2020|06/02/2021| | || | |
61755002700||Q0243||11/23/2020|06/02/2021|Casirivimab 600mg and imdevimab 600mg|IMDEVIMAB (REGN10987) 300 M|2.5|ML|VIAL|IV|ML|1|11/23/2020|06/02/2021| | || | |
61755002600||Q0243||11/23/2020|06/02/2021|Casirivimab 600mg and imdevimab 600mg|CASIRIVIMAB (REGN10933) 300|2.5|ML|VIAL|IV|ML|1|11/23/2020|06/02/2021| | || | |
61755002601||Q0243||11/23/2020|06/02/2021|Casirivimab 600mg and imdevimab 600mg|CASIRIVIMAB (REGN10933) 300|2.5|ML|VIAL|IV|ML|1|11/23/2020|06/02/2021| | || | |
60923022702||J3490||07/01/2021|09/30/2021|Unclassified drugs|AMONDYS-45  100 MG/2 ML VIA|2|ML|VIAL|IV|ML|1|07/01/2021|09/30/2021| | || | |
70594008102||J0295||11/09/2021|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|11/09/2021|12/31/3999| | || | |
60505623606||J0895||11/04/2021|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 500 MG VIAL|1|UN|VIAL|IJ|ML|1|11/04/2021|12/31/3999| | || | |
16714047225||J1040||01/15/2008|12/23/2022|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 80 MG/ML|1|ML|VIAL|IJ|ML|1|01/15/2008|12/23/2022| | || | |
00781922870||J2370||09/06/2019|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|09/06/2019|06/30/2023| | || | |
70594008301||J0295||12/21/2021|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM|1|UN|VIAL|IJ|EA|.1|12/21/2021|12/31/3999| | || | |
70594009002||J0692||12/21/2021|12/31/3999|Injection, cefepime hydrochloride, 500 mg|CEFEPIME HCL 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|12/21/2021|12/31/3999| | || | |
60505623700||J0895||11/04/2021|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|11/04/2021|12/31/3999| | || | |
00409131901||J3370||12/07/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|12/07/2021|12/31/3999| | || | |
00409501701||J3370||12/07/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|12/07/2021|12/31/3999| | || | |
78206014701||Q5112||08/23/2021|12/31/3999|Inj ontruzant 10 mg|ONTRUZANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0667|08/23/2021|12/31/3999| | || | |
78206014799||Q5112||08/23/2021|12/31/3999|Inj ontruzant 10 mg|ONTRUZANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0667|08/23/2021|12/31/3999| | || | |
00409201125||J1953||11/02/2012|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|11/02/2012|12/31/3999| | || | |
69680012110||J3420||03/05/2020|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|03/05/2020|12/31/3999| | || | |
60505623600||J0895||11/04/2021|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 500 MG VIAL|1|UN|VIAL|IJ|ML|1|11/04/2021|12/31/3999| | || | |
70069080101||J2370||11/10/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|11/10/2021|06/30/2023| | || | |
25021081266||J0132||07/01/2022|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|07/01/2022|12/31/3999| | || | |
71288071910||J0330||07/01/2022|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
65219022201||J7050||07/01/2022|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
65219022201||J7040||07/01/2022|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
65219022201||J7030||07/01/2022|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
65219022225||J7050||07/01/2022|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
65219022225||J7040||07/01/2022|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
65219022225||J7030||07/01/2022|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
65219022401||J7040||07/01/2022|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
65219022401||J7030||07/01/2022|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
65219022450||J7040||07/01/2022|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
65219022450||J7030||07/01/2022|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTION|500|ML|FLEX CONT|IV|ML|1000|07/01/2022|12/31/3999| | || | |
00990737203||J3490||07/01/2022|12/31/3999|Unclassified drugs|IONOSOL MB-D5W IV SOLUTION|500|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
00990771513||J3490||07/01/2022|12/31/3999|Unclassified drugs|MANNITOL 20% IV SOLUTION|500|ML|FLEX CONT|IV|ML|500|07/01/2022|12/31/3999| | || | |
55150042001||J3490||08/10/2022|06/30/2023|Unclassified drugs|ESMOLOL 2,500 MG/250 ML-NAC|250|ML|BAG|IV|ML|250|08/10/2022|06/30/2023| | || | |
55150042110||J3490||08/10/2022|06/30/2023|Unclassified drugs|ESMOLOL 2,000 MG/100 ML-NAC|100|ML|BAG|IV|ML|100|08/10/2022|06/30/2023| | || | |
70121138801||J3490||10/01/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|50|10/01/2021|12/31/3999| | || | |
66794023402||J3490||07/01/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|VIAL|IV|ML|50|07/01/2022|12/31/3999| | || | |
00409145401||J3490||07/01/2022|12/31/3999|Unclassified drugs|PRECEDEX 200 MCG/50 ML BOTT|50|ML|BOTTLE|IV|ML|50|07/01/2022|12/31/3999| | || | |
00409145420||J3490||07/01/2022|12/31/3999|Unclassified drugs|PRECEDEX 200 MCG/50 ML BOTT|50|ML|BOTTLE|IV|ML|50|07/01/2022|12/31/3999| | || | |
65219021801||J3490||07/01/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|FLEX CONT|IV|ML|50|07/01/2022|12/31/3999| | || | |
65219021850||J3490||07/01/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|FLEX CONT|IV|ML|50|07/01/2022|12/31/3999| | || | |
65219022601||J3490||07/01/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|50|ML|FLEX CONT|IV|ML|50|07/01/2022|12/31/3999| | || | |
65219022650||J3490||07/01/2022|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|50|ML|FLEX CONT|IV|ML|50|07/01/2022|12/31/3999| | || | |
72611073801||J3490||02/02/2020|06/30/2023|Unclassified drugs|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|40|02/02/2020|06/30/2023| | || | |
00517102001||J3490||04/01/2022|06/30/2023|Unclassified drugs|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|1|04/01/2022|06/30/2023| | || | |
71390001100||J3490||07/01/2022|06/30/2023|Unclassified drugs|BYFAVO 20 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2022|06/30/2023| | || | |
55150037301||J3490||07/01/2022|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|07/01/2022|12/31/3999| | || | |
16714053601||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
00944462802||J7207||07/01/2022|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 3,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2022|12/31/3999| | || | |
00054039925||J8999||11/25/2020|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BEXAROTENE 75 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|11/25/2020|12/31/3999| | || | |
72205005030||J8999||10/13/2020|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TOREMIFENE CITRATE 60 MG TA|30|UN|BOTTLE|PO|TAB|1|10/13/2020|12/31/3999| | || | |
69800025002||J1554||04/01/2021|12/31/2022|INJ, IMMUNE GLOBULIN (ASCENIV), 500 MG|ASCENIV 10% VIAL|50|ML|VIAL|IV|ML|1|04/01/2021|12/31/2022| | || | |
73535020801||J9349||04/01/2021|12/31/3999|INJ, TAFASITAMAB-CXIX, 2 MG|MONJUVI 200 MG VIAL|1|UN|VIAL|IV|EA|.01|04/01/2021|12/31/3999| | || | |
00173089601||J9037||04/01/2021|02/10/2023|INJ, BELANTAMAB MAFODONTIN-BLMF, 0.5 MG|BLENREP 100 MG VIAL|1|UN|VIAL|IV|EA|.005|04/01/2021|02/10/2023| | || | |
73292001101||J1427||04/01/2021|12/31/3999|INJ, VILTOLARSEN, 10 MG|VILTEPSO 250 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.2|04/01/2021|12/31/3999| | || | |
72493010303||J9281||01/03/2021|12/31/3999|Mitomycin instillation, 1 mg|JELMYTO DOSE CARTON (40MG X|2|UN|VIAL|UR|EA|.0125|01/03/2021|12/31/3999| | || | |
68001044631||J2185||12/07/2020|05/31/2023|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|F2|VIAL|IV|AHF|.2|12/07/2020|05/31/2023| | || | |
68001044757||J2185||12/04/2020|08/31/2023|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|F2|VIAL|IV|AHF|.1|12/04/2020|08/31/2023| | || | |
70594003502||J3243||10/05/2020|02/28/2022|Injection, tigecycline, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|ML|.02|10/05/2020|02/28/2022| | || | |
00517930525||J3490||09/28/2020|12/31/3999|Unclassified drugs|TRALEMENT VIAL|1|ML|VIAL|IV|ML|1|09/28/2020|12/31/3999| | || | |
70436002880||J3490||10/22/2020|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|EA|1|10/22/2020|12/31/3999| | || | |
60505616901||J3490||08/05/2020|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|08/05/2020|12/31/3999| | || | |
70436002082||J3370||09/02/2020|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|09/02/2020|12/31/3999| | || | |
70436002182||J3370||10/15/2020|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/15/2020|12/31/3999| | || | |
70594005601||J3370||10/21/2020|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 750 MG/150 ML BA|150|ML|BAG|IV|EA|100|10/21/2020|12/31/2022| | || | |
25682002501||J1303||10/26/2020|12/31/3999|Inj, ravulizumab-cwvz, 10 mg|ULTOMIRIS 300 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.1|10/26/2020|12/31/3999| | || | |
25682002801||J1303||10/19/2020|12/31/3999|Inj, ravulizumab-cwvz, 10 mg|ULTOMIRIS 1,100 MG/11 ML VI|11|ML|VIAL|IV|ML|.1|10/19/2020|12/31/3999| | || | |
55150034301||J3490||10/06/2020|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|10/06/2020|12/31/3999| | || | |
70594005802||J3370||10/07/2020|12/31/2022|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1.75 GM/350 ML B|350|ML|BAG|IV|EA|100|10/07/2020|12/31/2022| | || | |
70710164401||J3490||11/18/2020|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|11/18/2020|12/31/3999| | || | |
70710164405||J3490||11/18/2020|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|11/18/2020|12/31/3999| | || | |
66220031522||J3095||01/01/2011|12/31/3999|Injection, telavancin, 10 mg|VIBATIV 750 MG VIAL|1|UN|VIAL|IV|EA|.0133|01/01/2011|12/31/3999| | || | |
71773010005||J0122||12/23/2020|12/31/3999|Inj, eravacycline, 1 mg|XERAVA 100 MG VIAL|1|UN|VIAL|IV|EA|.01|12/23/2020|12/31/3999| | || | |
67457092005||J3489||01/01/2014|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|01/01/2014|12/31/3999| | || | |
16714009425||J7614||11/25/2020|07/31/2023|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|11/25/2020|07/31/2023| | || | |
47335074349||J7614||09/04/2020|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|09/04/2020|12/31/3999| | || | |
47335074649||J7614||09/04/2020|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.63 MG/3 ML S|3|ML|VIAL|IH|ML|2.381|09/04/2020|12/31/3999| | || | |
47335075349||J7614||09/04/2020|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|ML|VIAL|IH|ML|1.2|09/04/2020|12/31/3999| | || | |
42023016899||J0171||04/01/2014|12/31/3999|Injection, adrenalin, epinephrine, 0.1 mg|ADRENALIN 30 MG/30 ML VIAL|30|ML|VIAL|IJ|ML|.1|04/01/2014|12/31/3999| | || | |
23155029032||J0278||03/18/2014|12/31/3999|Injection, amikacin sulfate, 100 mg|AMIKACIN SULF 1 GRAM/4 ML V|4|ML|VIAL|IJ|ML|.4|03/18/2014|12/31/3999| | || | |
65219001601||J0290||05/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|05/26/2020|12/31/3999| | || | |
25021031104||J1940||03/15/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|03/15/2021|12/31/3999| | || | |
63323059608||J1610||07/01/2015|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGON 1 MG VIAL|1|UN|VIAL|IJ|EA|1|07/01/2015|12/31/2022| | || | |
00641623101||J0360||05/06/2021|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|05/06/2021|12/31/3999| | || | |
44567062124||J0610||07/02/2019|12/31/2022|Injection, calcium gluconate, per 10 ml|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|.5|07/02/2019|12/31/2022| | || | |
00409128337||J1170||10/28/2004|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 1 MG/ML SYRIN|1|ML|SYRINGE|IJ|ML|4|10/28/2004|12/31/3999| | || | |
00409131236||J1170||10/28/2004|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 2 MG/ML SYRIN|1|ML|SYRINGE|IJ|ML|2|10/28/2004|12/31/3999| | || | |
63323086974||S5010||05/17/2021|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|DEXTROSE 5%-0.45% NACL IV S|500|ML|FLEX CONT|IV|ML|1000|05/17/2021|12/31/3999| | || | |
63323086975||S5010||05/17/2021|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|DEXTROSE 5%-0.45% NACL IV S|250|ML|FLEX CONT|IV|ML|1000|05/17/2021|12/31/3999| | || | |
63323032503||J0133||01/01/2006|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|01/01/2006|12/31/3999| | || | |
63323032509||J0133||01/01/2006|12/31/3999|Injection, acyclovir, 5 mg|ACYCLOVIR 1,000 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|01/01/2006|12/31/3999| | || | |
64406010101||J0172||01/01/2022|12/31/3999|Inj, aducanumab-avwa, 2 mg|ADUHELM 170 MG/1.7 ML VIAL|1.7|ML|VIAL|IV|ML|.02|01/01/2022|12/31/3999| | || | |
51754420001||J3490||08/12/2016|12/31/3999|Unclassified drugs|AKOVAZ 50 MG/ML VIAL|1|ML|VIAL|IV|ML|1|08/12/2016|12/31/3999| | || | |
51754420004||J3490||08/12/2016|12/31/3999|Unclassified drugs|AKOVAZ 50 MG/ML VIAL|1|ML|VIAL|IV|ML|1|08/12/2016|12/31/3999| | || | |
68516521607||P9047||05/06/2009|10/27/2023|ALBUMIN (HUMAN), 25%, 50 ML|ALBUTEIN 25% IV SOLUTION|50|ML|FLEX CONT|IV|ML|50|05/06/2009|10/27/2023| | || | |
65219042950||J0884||02/04/2021|02/04/2021|Argatroban esrd dialysis 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|02/04/2021|02/04/2021| | || | |
65219042950||J0883||02/04/2021|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|02/04/2021|12/31/3999| | || | |
70121165801||J9017||09/27/2021|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|09/27/2021|12/31/3999| | || | |
72572003501||J0583||10/08/2019|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|10/08/2019|12/31/3999| | || | |
00990792602||S5010||07/12/2018|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|DEXTROSE 5%-0.45% NACL IV S|250|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
69800650301||J1556||10/31/2019|12/31/3999|Injection, immune globulin (bivigam), 500 mg|BIVIGAM 10 GM/100 ML (10%)|100|ML|VIAL|IV|ML|5|10/31/2019|12/31/3999| | || | |
69800650301||90283||10/31/2019|12/31/3999|Immune globulin (IGIV), human, for intravenous use|BIVIGAM 10 GM/100 ML (10%)|100|ML|VIAL|IV|ML|5|10/31/2019|12/31/3999| | || | |
69800650302||J1556||10/31/2019|12/31/3999|Injection, immune globulin (bivigam), 500 mg|BIVIGAM 10 GM/100 ML (10%)|100|ML|VIAL|IV|ML|5|10/31/2019|12/31/3999| | || | |
69800650302||90283||10/31/2019|12/31/3999|Immune globulin (IGIV), human, for intravenous use|BIVIGAM 10 GM/100 ML (10%)|100|ML|VIAL|IV|ML|5|10/31/2019|12/31/3999| | || | |
43066002110||J3490||08/12/2011|12/31/2023|Unclassified drugs|CARDENE-NACL 20 MG/200 ML S|200|ML|BAG|IV|ML|1|08/12/2011|12/31/2023| | || | |
00781347432||J9050||06/17/2021|12/31/3999|Injection, carmustine, 100 mg|CARMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|1|06/17/2021|12/31/3999| | || | |
23155079041||J9050||11/09/2006|12/31/3999|Injection, carmustine, 100 mg|CARMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|1|11/09/2006|12/31/3999| | || | |
42227008301||J0598||01/01/2010|12/31/3999|Injection, c-1 esterase inhibitor (human), cinryze, 10 units|CINRYZE 500 UNIT VIAL-DILUE|1|UN|VIAL|IV|EA|.02|01/01/2010|12/31/3999| | || | |
70257053251||90291||04/27/2017|12/31/3999|Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use|CYTOGAM 2.5 GM/50 ML VIAL|50|ML|VIAL|IV|ML|50|04/27/2017|12/31/3999| | || | |
70257053251||J0850||04/27/2017|12/31/3999|Injection, cytomegalovirus immune globulin intravenous (human), per vial|CYTOGAM 2.5 GM/50 ML VIAL|50|ML|VIAL|IV|ML|50|04/27/2017|12/31/3999| | || | |
71288012902||J9120||04/20/2021|12/31/3999|Injection, dactinomycin, 0.5 mg|DACTINOMYCIN 500 MCG VIAL|1|UN|VIAL|IV|EA|1|04/20/2021|12/31/3999| | || | |
00409012001||J0878||09/28/2021|12/31/2022|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0028|09/28/2021|12/31/2022| | || | |
70069080125||J2370||11/10/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|11/10/2021|06/30/2023| | || | |
70069080201||J2370||11/03/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|11/03/2021|06/30/2023| | || | |
72266016306||J3260||08/26/2021|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|6|UN|VIAL|IJ|ML|.0667|08/26/2021|12/31/3999| | || | |
60505623706||J0895||11/04/2021|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 2 GRAM VIAL|1|UN|VIAL|IJ|EA|.25|11/04/2021|12/31/3999| | || | |
00069005802||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
00069005902||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN 50,000 UNITS/10 ML VL|10|ML|VIAL|IJ|ML|.2|01/01/2023|12/31/3999| | || | |
43066036020||J0283||01/01/2023|12/31/3999|Injection, amiodarone hydrochloride (nexterone), 30 mg|NEXTERONE 360 MG/200 ML BAG|200|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
55513020901||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|IJ|ML|.00166|01/01/2023|12/31/3999| | || | |
55513054601||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|IJ|ML|.00333|01/01/2023|12/31/3999| | || | |
55513092410||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.00166|01/01/2023|12/31/3999| | || | |
00069005901||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN 50,000 UNITS/10 ML VL|10|ML|VIAL|IJ|ML|.2|01/01/2023|12/31/3999| | || | |
00069005903||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.2|01/01/2023|12/31/3999| | || | |
00069013703||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
55513020991||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|IJ|ML|.00166|01/01/2023|12/31/3999| | || | |
00069004302||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIAL|2|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
67457034001||J3371||01/01/2023|08/01/2023|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|01/01/2023|08/01/2023| | || | |
67457034210||J3371||01/01/2023|08/01/2023|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|01/01/2023|08/01/2023| | || | |
00264319311||J0703||01/01/2023|12/31/3999|Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg|CEFEPIME-DEXTROSE 1 GM/50 ML|1|UN|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
47335036141||J0893||01/01/2023|12/31/3999|Injection, decitabine (sun pharma) not therapeutically equivalent to j0894, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
55513054610||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|IJ|ML|.00333|01/01/2023|12/31/3999| | || | |
63323047827||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|NESACAINE-MPF 3% VIAL|20|ML|VIAL|IJ|ML|.0333|01/01/2023|12/31/3999| | || | |
67457034105||J3371||01/01/2023|08/01/2023|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|08/01/2023| | || | |
00069005801||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN 10,000 UNIT/10 ML VIAL|10|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
00069013701||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN 30,000 UNIT/30 ML VIAL|30|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
55513020910||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 480 MCG/0.8 ML SYR|0.8|ML|SYRINGE|IJ|ML|.00166|01/01/2023|12/31/3999| | || | |
00338130141||J0701||01/01/2023|12/31/3999|Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg|CEFEPIME 1 GM INJECTION|50|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
16729043043||J0891||01/01/2023|12/31/3999|Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
68982015301||J7209||08/11/2022|12/31/3999|Factor viii nuwiq recomb 1iu|NUWIQ 1,500 UNIT VIAL PACK|1|F2|VIAL|IV|AHF|1|08/11/2022|12/31/3999| | || | |
63323047601||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|NESACAINE 2% VIAL|30|ML|VIAL|IJ|ML|.05|01/01/2023|12/31/3999| | || | |
70710135906||C9254||08/03/2022|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|08/03/2022|12/31/3999| | || | |
00409176110||S0020||07/01/2022|07/01/2022|Injection, bupivicaine hydrochloride, 30 ml|MARCAINE SPINAL 15 MG/2 ML|2|ML|AMPUL|IJ|ML|2|07/01/2022|07/01/2022| | || | |
00409176110||J3490||07/01/2022|12/31/3999|Unclassified drugs|MARCAINE SPINAL 15 MG/2 ML|2|ML|AMPUL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
00480411101||S0164||07/01/2022|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
00480411103||S0164||07/01/2022|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
25021075110||S0164||08/26/2022|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|08/26/2022|12/31/3999| | || | |
50419042408||J7296||07/01/2022|12/31/3999|Kyleena, 19.5 mg|KYLEENA 19.5 MG SYSTEM|1|UN|BOX|IY|EA|1|07/01/2022|12/31/3999| | || | |
65162035801||J7304||04/01/2021|12/31/3999|Contraceptive supply, hormone containing patch, each|ZAFEMY 150-35 MCG/DAY PATCH|1|UN|PACKET|TD|TDP|1|04/01/2021|12/31/3999| | || | |
71288080320||J7599||07/01/2022|09/30/2023|IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE SPECIFIED|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2022|09/30/2023| | || | |
69784020530||J7631||07/01/2022|12/31/3999|Cromolyn sodium, inhalation solution, fda-approved final product, non-compo...|CROMOLYN 20 MG/2 ML NEB SOL|2|ML|VIAL|IH|ML|1|07/01/2022|12/31/3999| | || | |
42571035008||J7631||08/05/2022|12/31/3999|Cromolyn sodium, inhalation solution, fda-approved final product, non-compo...|CROMOLYN 20 MG/2 ML NEB SOL|2|ML|VIAL|IH|ML|1|08/05/2022|12/31/3999| | || | |
42571035009||J7631||08/05/2022|12/31/3999|Cromolyn sodium, inhalation solution, fda-approved final product, non-compo...|CROMOLYN 20 MG/2 ML NEB SOL|2|ML|VIAL|IH|ML|1|08/05/2022|12/31/3999| | || | |
70121148301||J9017||09/27/2021|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|09/27/2021|12/31/3999| | || | |
70121165806||J9017||09/27/2021|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|1|09/27/2021|12/31/3999| | || | |
70860022361||J9050||07/11/2022|12/31/3999|Injection, carmustine, 100 mg|CARMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|1|07/11/2022|12/31/3999| | || | |
71287021902||Q2053||07/01/2022|12/31/3999|BREXUCABTAGENE AUTOLEUCEL, UP TO 200 MILLION AUTOLOGOUS ANTI-CD19 CAR POSITIVE VIABLE T CELLS|TECARTUS CASSETTE|1|UN|BAG|IV|EA|1|07/01/2022|12/31/3999| | || | |
71287022002||Q2053||07/01/2022|12/31/3999|BREXUCABTAGENE AUTOLEUCEL, UP TO 200 MILLION AUTOLOGOUS ANTI-CD19 CAR POSITIVE VIABLE T CELLS|TECARTUS CASSETTE|1|UN|BAG|IV|EA|1|07/01/2022|12/31/3999| | || | |
57894011102||Q2056||10/01/2022|12/31/3999|Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen|CARVYKTI INFUSION BAG-CASSE|1|UN|BAG|IV|EA|1|10/01/2022|12/31/3999| | || | |
72078003802||J0630||07/01/2022|12/31/3999|Injection, calcitonin salmon, up to 400 units|MIACALCIN 400 UNIT/2 ML VIA|2|ML|VIAL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
72078003902||J0630||07/01/2022|12/31/3999|Injection, calcitonin salmon, up to 400 units|MIACALCIN 400 UNIT/2 ML VIA|2|ML|VIAL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
70121107601||J1940||07/01/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
70860030241||J1940||07/01/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 20 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
70860030242||J1940||07/01/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
70860030243||J1940||07/01/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
71288020302||J1940||08/29/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|08/29/2022|12/31/3999| | || | |
71288020303||J1940||08/29/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|08/29/2022|12/31/3999| | || | |
65219001610||J0290||05/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|05/26/2020|12/31/3999| | || | |
63323004701||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|.2|04/01/1998|12/31/3999| | || | |
63323026226||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN SOD 5,000 UNIT/ML V|1|ML|VIAL|IJ|ML|.2|04/01/1998|12/31/3999| | || | |
63323054214||J1644||04/01/1998|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 50,000 UNIT/5 ML VI|5|ML|VIAL|IJ|ML|.1|04/01/1998|12/31/3999| | || | |
71288000521||J0295||01/07/2019|09/03/2025|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|01/07/2019|09/03/2025| | || | |
00409351021||J1335||12/09/2019|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|12/09/2019|12/31/3999| | || | |
00409351022||J1335||12/09/2019|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|12/09/2019|12/31/3999| | || | |
16729047108||J3490||12/17/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.2 MG/ML VI|1|ML|VIAL|IJ|EA|1|12/17/2020|12/31/3999| | || | |
16729047230||J3490||12/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|EA|1|12/10/2020|12/31/3999| | || | |
00069131101||Q5106||12/01/2020|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 20,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.05|12/01/2020|12/31/3999| | || | |
59353012001||Q5106||11/24/2020|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 20,000 UNIT/ML VIA|1|ML|VIAL|IJ|ML|.05|11/24/2020|12/31/3999| | || | |
59353022010||Q5106||11/24/2020|12/31/3999|Inj Retacrit non-esrd use|RETACRIT 20,000 UNIT/2 ML V|2|ML|VIAL|IJ|ML|.1|11/24/2020|12/31/3999| | || | |
00143926310||J2795||12/08/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|12/08/2020|12/31/3999| | || | |
43066001510||J2795||10/26/2020|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|10/26/2020|12/31/3999| | || | |
63323081201||J2700||12/16/2020|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|12/16/2020|12/31/3999| | || | |
63323081220||J2700||12/16/2020|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|12/16/2020|12/31/3999| | || | |
63323081301||J2700||12/16/2020|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|12/16/2020|12/31/3999| | || | |
71287021901||Q2053||04/01/2021|12/31/3999|BREXUCABTAGENE AUTOLEUCEL, UP TO 200 MILLION AUTOLOGOUS ANTI-CD19 CAR POSITIVE VIABLE T CELLS|TECARTUS INFUSION BAG|1|UN|BAG|IV|EA|1|04/01/2021|12/31/3999| | || | |
63323081320||J2700||12/16/2020|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.25|12/16/2020|12/31/3999| | || | |
43598066611||J0330||11/11/2020|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|11/11/2020|12/31/3999| | || | |
43598066625||J0330||11/11/2020|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|11/11/2020|12/31/3999| | || | |
54879003710||J0330||12/02/2020|09/30/2022|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|12/02/2020|09/30/2022| | || | |
68001044860||J0330||11/06/2020|06/30/2022|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|11/06/2020|06/30/2022| | || | |
59762159905||S4993||10/31/2016|12/31/3999|Contraceptive pills for birth control|NORETH-ESTRAD-FE 1-0.02(24)|28|UN|BLIST PACK|PO|CAP|1|10/31/2016|12/31/3999| | || | |
70700015285||S4993||11/09/2020|12/31/3999|Contraceptive pills for birth control|GEMMILY 1 MG-20 MCG CAPSULE|28|UN|BLIST PACK|PO|EA|1|11/09/2020|12/31/3999| | || | |
68180082773||S4993||03/15/2016|12/31/3999|Contraceptive pills for birth control|FYAVOLV 0.5 MG-2.5 MCG TABL|28|UN|BLIST PACK|PO|TAB|1|03/15/2016|12/31/3999| | || | |
68180082873||S4993||03/15/2016|12/31/3999|Contraceptive pills for birth control|FYAVOLV 1 MG-5 MCG TABLET|28|UN|BLIST PACK|PO|TAB|1|03/15/2016|12/31/3999| | || | |
00781345412||J1652||11/20/2020|08/31/2022|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|ML|.04|11/20/2020|08/31/2022| | || | |
00781345495||J1652||11/20/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 5 MG/0.4 ML SY|0.4|ML|SYRINGE|SQ|ML|.04|11/20/2020|12/31/3999| | || | |
00781346594||J1652||11/20/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|ML|.04|11/20/2020|12/31/3999| | || | |
00781346595||J1652||11/20/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 7.5 MG/0.6 ML|0.6|ML|SYRINGE|SQ|ML|.04|11/20/2020|12/31/3999| | || | |
71288001615||J0878||08/05/2021|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|08/05/2021|12/31/3999| | || | |
70860021920||J0894||09/23/2021|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|09/23/2021|12/31/3999| | || | |
00990800415||J3490||07/12/2018|12/31/3999|Unclassified drugs|DEXTROSE 30%-WATER IV SOLN|500|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00338007010||J7070||01/01/1991|12/31/3999|Infusion, d5w, 1000 cc|DEXTROSE 5%-WATER IV SOLN|1000|ML|BAG|IV|ML|1000|01/01/1991|12/31/3999| | || | |
00990792603||S5010||07/12/2018|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|DEXTROSE 5%-0.45% NACL IV S|500|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
00143920401||J9171||04/29/2021|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|04/29/2021|12/31/3999| | || | |
00143920501||J9171||04/29/2021|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|04/29/2021|12/31/3999| | || | |
00409036501||J9171||08/24/2016|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.05|08/24/2016|12/31/3999| | || | |
00409173201||J9171||03/17/2011|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|03/17/2011|12/31/3999| | || | |
00409506801||J9171||08/24/2016|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.05|08/24/2016|12/31/3999| | || | |
00409787001||J9171||03/17/2011|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|03/17/2011|12/31/3999| | || | |
70700017422||J9171||09/30/2021|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|09/30/2021|12/31/3999| | || | |
70700017522||J9171||09/30/2021|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|09/30/2021|12/31/3999| | || | |
70700017622||J9171||09/30/2021|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|09/30/2021|12/31/3999| | || | |
69784000306||J1450||10/18/2016|12/31/3999|Injection fluconazole, 200 mg|FLUCONAZOLE-NACL 400 MG/200|200|ML|FLEX CONT|IV|ML|100|10/18/2016|12/31/3999| | || | |
70700018723||J9190||08/12/2021|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 1 GRAM/20 ML V|20|ML|VIAL|IV|ML|10|08/12/2021|12/31/3999| | || | |
63323031501||J1570||09/02/2010|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG VIAL|1|UN|VIAL|IV|EA|1|09/02/2010|12/31/3999| | || | |
63323012603||J9201||05/17/2011|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE HCL 2 GRAM VIAL|1|UN|VIAL|IV|EA|.1|05/17/2011|12/31/3999| | || | |
71288011706||J9201||05/11/2021|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 200 MG/5.26 ML|5.26|ML|VIAL|IV|ML|5.261|05/11/2021|12/31/3999| | || | |
71288011728||J9201||05/11/2021|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 1 GRAM/26.3 ML|26.3|ML|VIAL|IV|ML|5.261|05/11/2021|12/31/3999| | || | |
71288011754||J9201||05/11/2021|12/31/3999|Injection, gemcitabine hydrochloride, 200 mg|GEMCITABINE 2 GRAM/52.6 ML|52.6|ML|VIAL|IV|ML|5.261|05/11/2021|12/31/3999| | || | |
58468012300||J1270||08/01/2000|12/31/3999|Injection, doxercalciferol, 1 mcg|HECTOROL 4 MCG/2 ML VIAL|2|ML|VIAL|IV|ML|.5|08/01/2000|12/31/3999| | || | |
72572003510||J0583||10/08/2019|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|1|UN|VIAL|IV|EA|.004|10/08/2019|12/31/3999| | || | |
44567062201||J0610||09/13/2021|12/31/2022|Injection, calcium gluconate, per 10 ml|CALCIUM GLU 1,000MG/100ML-N|100|ML|BAG|IV|ML|10|09/13/2021|12/31/2022| | || | |
44567062224||J0610||09/13/2021|12/31/2022|Injection, calcium gluconate, per 10 ml|CALCIUM GLU 1,000MG/100ML-N|100|ML|BAG|IV|ML|10|09/13/2021|12/31/2022| | || | |
43066002410||J3490||08/12/2011|12/31/2023|Unclassified drugs|CARDENE-NACL 40 MG/200 ML I|200|ML|BAG|IV|ML|1|08/12/2011|12/31/2023| | || | |
00409012201||J0878||09/28/2021|12/31/2022|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|09/28/2021|12/31/2022| | || | |
70594003402||J0878||10/17/2018|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|10/17/2018|12/31/3999| | || | |
69097090567||J0894||09/16/2021|08/31/2025|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|EA|.02|09/16/2021|08/31/2025| | || | |
00409423501||J9171||08/24/2016|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|08/24/2016|12/31/3999| | || | |
55150037801||J9171||09/08/2021|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|09/08/2021|12/31/3999| | || | |
55150037901||J9171||09/08/2021|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.1|09/08/2021|12/31/3999| | || | |
00378699393||J7612||01/01/2023|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL CONC 1.25 MG/0.5|1|UN|VIAL|IH|ML|5|01/01/2023|12/31/3999| | || | |
00069004301||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN 2,000 UNIT/2 ML VIAL|2|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
00069005904||J1643||01/01/2023|12/31/3999|Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units|HEPARIN SOD 5,000 UNIT/ML VIAL|1|ML|VIAL|IJ|ML|.2|01/01/2023|12/31/3999| | || | |
63323047637||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|NESACAINE 2% VIAL|30|ML|VIAL|IJ|ML|.05|01/01/2023|12/31/3999| | || | |
63323047727||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|NESACAINE-MPF 2% VIAL|20|ML|VIAL|IJ|ML|.05|01/01/2023|12/31/3999| | || | |
55513092401||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.00166|01/01/2023|12/31/3999| | || | |
67457033900||J3371||01/01/2023|08/01/2023|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|08/01/2023| | || | |
67457033950||J3371||01/01/2023|08/01/2023|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|08/01/2023| | || | |
67457034000||J3371||01/01/2023|08/01/2023|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|01/01/2023|08/01/2023| | || | |
00264319511||J0703||01/01/2023|12/31/3999|Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg|CEFEPIME-DEXTROSE 2 GM/50 ML|1|UN|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
00338350341||J0689||01/01/2023|12/31/3999|Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg|CEFAZOLIN 1 GM-D5W BAG|50|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
43066015010||J0283||01/01/2023|12/31/3999|Injection, amiodarone hydrochloride (nexterone), 30 mg|NEXTERONE 150 MG/100 ML BAG|100|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
55513053010||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.00333|01/01/2023|12/31/3999| | || | |
00338130148||J0701||01/01/2023|12/31/3999|Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg|CEFEPIME 2 GM INJECTION|100|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
55513053001||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/ML VIAL|1|ML|VIAL|IJ|ML|.00333|01/01/2023|12/31/3999| | || | |
55513092491||J1442||01/01/2023|12/31/3999|Injection, filgrastim (g-csf), 1 microgram|NEUPOGEN 300 MCG/0.5 ML SYR|0.5|ML|SYRINGE|IJ|ML|.00166|01/01/2023|12/31/3999| | || | |
63323047537||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|NESACAINE 1% VIAL|30|ML|VIAL|IJ|ML|.1|01/01/2023|12/31/3999| | || | |
63323045101||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE SULFATE 10 MG/ML V|1|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
67457070575||J3371||01/01/2023|12/31/3999|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|EA|.6667|01/01/2023|12/31/3999| | || | |
67457082399||J3371||01/01/2023|12/31/3999|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 1.25 GRAM VI|1|UN|VIAL|IV|EA|.4|01/01/2023|12/31/3999| | || | |
70594004302||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1.5 GRAM/300 ML|300|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
16729036403||J3244||01/01/2023|12/31/3999|Injection, tigecycline (accord) not therapeutically equivalent to j3243, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
47781062194||J3490||10/15/2021|10/15/2021|Unclassified drugs|CLINDAMYCIN 900 MG/6 ML ADD|6|ML|VIAL|IV|ML|1|10/15/2021|10/15/2021| | || | |
55150024101||J0898||01/01/2023|12/31/3999|Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
63459091018||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SYRIN|0.5|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
00591501902||J9393||01/01/2023|12/31/3999|Injection, fulvestrant (teva) not therapeutically equivalent to j9395, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|1|01/01/2023|12/31/3999| | || | |
71288020304||J1940||08/29/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|08/29/2022|12/31/3999| | || | |
71288020305||J1940||08/29/2022|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|08/29/2022|12/31/3999| | || | |
44567050110||J1953||07/01/2022|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|ML|2|07/01/2022|12/31/3999| | || | |
44567050001||J1953||08/18/2022|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 250 MG/5|50|ML|BAG|IV|ML|2|08/18/2022|12/31/3999| | || | |
44567050010||J1953||08/18/2022|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 250 MG/5|50|ML|BAG|IV|ML|2|08/18/2022|12/31/3999| | || | |
71839012401||J3490||04/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|2|04/01/2022|12/31/3999| | || | |
71288050502||J3490||07/01/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|EA|2|07/01/2022|12/31/3999| | || | |
43547064001||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
71288041404||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.4 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/01/2022|12/31/3999| | || | |
66794023302||J3490||07/01/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200 MCG/2 M|2|ML|VIAL|IV|ML|2|07/01/2022|12/31/3999| | || | |
00517650201||J3490||07/01/2022|12/31/3999|Unclassified drugs|SELENIOUS ACID 12 MCG/2 ML|2|ML|VIAL|IV|ML|2|07/01/2022|12/31/3999| | || | |
42571031375||J3490||07/01/2022|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|07/01/2022|12/31/3999| | || | |
72485010801||J3490||07/01/2022|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|07/01/2022|12/31/3999| | || | |
70756060505||J3490||07/26/2022|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|07/26/2022|12/31/3999| | || | |
70756060525||J3490||07/26/2022|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|07/26/2022|12/31/3999| | || | |
70756060582||J3490||07/26/2022|12/31/3999|Unclassified drugs|VERAPAMIL 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|07/26/2022|12/31/3999| | || | |
70748017530||J7605||05/16/2022|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|05/16/2022|12/31/3999| | || | |
70748017560||J7605||05/16/2022|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|05/16/2022|12/31/3999| | || | |
62756027702||J7605||07/14/2022|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|07/14/2022|12/31/3999| | || | |
62756027703||J7605||07/14/2022|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|07/14/2022|12/31/3999| | || | |
16729054563||J9050||08/18/2022|12/31/2023|Injection, carmustine, 100 mg|CARMUSTINE 50 MG VIAL|1|UN|VIAL|IV|EA|2|08/18/2022|12/31/2023| | || | |
70594009501||J0696||08/09/2022|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|08/09/2022|12/31/3999| | || | |
44567082001||J1335||07/01/2022|12/31/3999|Injection, ertapenem sodium, 500 mg|ERTAPENEM 1 GRAM VIAL|1|UN|VIAL|IJ|EA|.5|07/01/2022|12/31/3999| | || | |
71288050301||J1631||07/01/2022|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|07/01/2022|12/31/3999| | || | |
78670014002||J2311||01/01/2023|12/31/3999|Naloxone hydrochloride (zimhi), 1 mg|ZIMHI 5 MG/0.5 ML SYRINGE|0.5|ML|SYRINGE|IJ|EA|.5|01/01/2023|12/31/3999| | || | |
78670014011||J2311||01/01/2023|12/31/3999|Naloxone hydrochloride (zimhi), 1 mg|ZIMHI 5 MG/0.5 ML SYRINGE|0.5|ML|SYRINGE|IJ||.5|01/01/2023|12/31/3999| | || | |
71288050110||J2710||07/01/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|07/01/2022|12/31/3999| | || | |
43598094511||J2710||07/25/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 3 MG/3 ML SYRIN|3|ML|SYRINGE|IV|ML|.5|07/25/2022|12/31/3999| | || | |
43598094558||J2710||07/25/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 3 MG/3 ML SYRIN|3|ML|SYRINGE|IV|ML|.5|07/25/2022|12/31/3999| | || | |
63323028551||J2795||07/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 200 MG/100 ML|100|ML|BOTTLE|IJ|ML|.5|07/01/2022|12/31/3999| | || | |
71288011611||J0594||12/03/2020|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|12/03/2020|12/31/3999| | || | |
72485010410||J0706||01/21/2020|12/31/3999|Injection, caffeine citrate, 5mg|CAFFEINE CIT 60 MG/3 ML VIA|3|ML|VIAL|IV|ML|.25|01/21/2020|12/31/3999| | || | |
00143938401||J1453||10/12/2020|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|10/12/2020|12/31/3999| | || | |
55150033501||J9045||11/13/2020|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 450 MG/45 ML VI|45|ML|VIAL|IV|ML|5|11/13/2020|12/31/3999| | || | |
43066001610||J3490||08/12/2011|12/31/2023|Unclassified drugs|CARDENE-NACL 40 MG/200 ML I|200|ML|BAG|IV|ML|1|08/12/2011|12/31/2023| | || | |
42023018620||J3490||12/04/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|VIAL|IV|ML|1|12/04/2020|12/31/3999| | || | |
42023018710||J3490||12/04/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|VIAL|IV|ML|1|12/04/2020|12/31/3999| | || | |
71288010518||J0641||11/03/2020|12/31/3999|Injection, levoleucovorin calcium, 0.5 mg|LEVOLEUCOVORIN 175 MG/17.5|17.5|ML|VIAL|IV|ML|.05|11/03/2020|12/31/3999| | || | |
67457055300||J3475||10/02/2020|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|BAG|IV|ML|12.5|10/02/2020|12/31/3999| | || | |
67457056700||J3475||10/13/2020|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|BAG|IV|ML|50|10/13/2020|12/31/3999| | || | |
63323010603||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|07/01/2016|12/31/3999| | || | |
00409275701||J0878||09/12/2016|12/31/2022|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|09/12/2016|12/31/2022| | || | |
55150028801||J2260||12/07/2020|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE-D5W 40 MG/200 ML|200|ML|BAG|IV|ML|25|12/07/2020|12/31/3999| | || | |
60505613208||J9263||01/25/2017|12/31/3999|Injection, oxaliplatin, 0.5 mg|OXALIPLATIN 200 MG/40 ML VI|40|ML|VIAL|IV|ML|.1|01/25/2017|12/31/3999| | || | |
00703321381||J9267||01/01/2015|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 30 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.1667|01/01/2015|12/31/3999| | || | |
00409593301||J0878||05/23/2019|12/31/2022|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|05/23/2019|12/31/2022| | || | |
00409662530||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
23155016631||J3490||07/01/2015|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|1|07/01/2015|12/31/3999| | || | |
71127500001||J7212||04/01/2021|12/31/3999|Factor viia recomb sevenfact, 1 mcg|SEVENFACT 5 MG VIAL|1|UN|VIAL|IV|EA|.0002|04/01/2021|12/31/3999| | || | |
43598060558||J7682||06/24/2019|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|06/24/2019|12/31/3999| | || | |
65219001801||J0290||05/26/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|05/26/2020|12/31/3999| | || | |
55150030501||J1100||09/30/2020|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.1|09/30/2020|12/31/3999| | || | |
55150030510||J1100||09/30/2020|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.1|09/30/2020|12/31/3999| | || | |
00517970201||J1790||10/01/1991|12/31/3999|Injection, droperidol, up to 5 mg|DROPERIDOL 5 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/01/1991|12/31/3999| | || | |
72572017201||J3010||10/07/2020|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 2,500 MCG/50 ML VI|50|ML|VIAL|IJ|ML|2|10/07/2020|12/31/3999| | || | |
16729047303||J3490||12/17/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|12/17/2020|12/31/3999| | || | |
16729047331||J3490||12/17/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|12/17/2020|12/31/3999| | || | |
16729047403||J3490||12/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|12/10/2020|12/31/3999| | || | |
16729047405||J3490||12/10/2020|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|1|12/10/2020|12/31/3999| | || | |
54879003725||J0330||12/02/2020|09/30/2022|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|12/02/2020|09/30/2022| | || | |
54879001413||J9340||12/17/2020|10/23/2023|Thiotepa injection|THIOTEPA 15 MG VIAL|1|UN|VIAL|IJ|EA|1|12/17/2020|10/23/2023| | || | |
70257031004||J2792||04/27/2017|12/31/3999|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 5,000 UNIT VIAL|4.4|ML|VIAL|IJ|ML|.088|04/27/2017|12/31/3999| | || | |
55150038001||J9171||09/08/2021|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|09/08/2021|12/31/3999| | || | |
00143908501||J9000||05/01/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 20 MG/10 ML VIA|10|ML|VIAL|IV|ML|5|05/01/1996|12/31/3999| | || | |
00143908901||J9000||05/20/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 20 MG/10 ML VIA|10|ML|VIAL|IV|ML|5|05/20/1996|12/31/3999| | || | |
00143909001||J9000||05/20/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 50 MG/25 ML VIA|25|ML|VIAL|IV|ML|5|05/20/1996|12/31/3999| | || | |
00143909101||J9000||05/20/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 200 MG/100 ML V|100|ML|VIAL|IV|ML|5|05/20/1996|12/31/3999| | || | |
00143909201||J9000||05/01/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 10 MG VIAL|1|UN|VIAL|IV|EA|5|05/01/1996|12/31/3999| | || | |
00024279201||J2916||04/14/2011|12/31/3999|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|FERRLECIT 62.5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|04/14/2011|12/31/3999| | || | |
00024279401||J2916||04/14/2011|12/31/3999|Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg|FERRLECIT 62.5 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|04/14/2011|12/31/3999| | || | |
00781315401||Q0138||07/15/2021|12/31/3999|Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-...|FERUMOXYTOL 510 MG/17 ML VI|17|ML|VIAL|IV|ML|.03333|07/15/2021|12/31/3999| | || | |
00143929901||J1570||06/17/2021|12/31/3999|Injection, ganciclovir sodium, 500 mg|GANCICLOVIR 500 MG VIAL|1|UN|VIAL|IV|EA|1|06/17/2021|12/31/3999| | || | |
70842022501||J2406||01/01/2022|12/31/3999|Injection, oritavancin 10 mg|KIMYRSA 1,200 MG VIAL|1|UN|VIAL|IV|EA|.0008|01/01/2022|12/31/3999| | || | |
00990795303||J7120||07/12/2018|12/31/3999|Ringers lactate infusion, up to 1000 cc|LACTATED RINGERS INJECTION|500|ML|BAG|IV|ML|1000|07/12/2018|12/31/3999| | || | |
25021061281||J3475||02/15/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|02/15/2021|12/31/3999| | || | |
25021061282||J3475||02/15/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|FLEX CONT|IV|ML|12.5|02/15/2021|12/31/3999| | || | |
63323010802||J3475||07/01/2016|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|FLEX CONT|IV|ML|50|07/01/2016|12/31/3999| | || | |
70594007601||J2185||08/30/2021|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|08/30/2021|12/31/3999| | || | |
70594007602||J2185||08/30/2021|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|08/30/2021|12/31/3999| | || | |
00143936201||J2248||07/09/2021|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|07/09/2021|12/31/3999| | || | |
58468012600||J1270||01/10/2011|04/30/2021|Injection, doxercalciferol, 1 mcg|HECTOROL 2 MCG/ML VIAL|1|ML|VIAL|IV|ML|.5|01/10/2011|04/30/2021| | || | |
63323051902||J1644||03/15/2021|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 1,000 UNIT/500 ML-N|500|ML|BAG|IV|ML|500|03/15/2021|12/31/3999| | || | |
63323051910||J1644||03/15/2021|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/1,000 ML|1000|ML|BAG|IV|ML|500|03/15/2021|12/31/3999| | || | |
72893000601||J0642||02/04/2020|10/31/2023|Inj, levoleucovorin (khapzory), 0.5 mg|KHAPZORY 300 MG VIAL|1|UN|VIAL|IV|EA|.0017|02/04/2020|10/31/2023| | || | |
72485010601||J1953||02/01/2021|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|02/01/2021|12/31/3999| | || | |
00264440054||J3475||09/09/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 1 G/100 ML-D|100|ML|BAG|IV|ML|50|09/09/2021|12/31/3999| | || | |
43598002748||J9245||12/08/2017|12/31/3999|Injection, melphalan hydrochloride, 50 mg|MELPHALAN 50 MG VIAL W-DILU|1|UN|VIAL|IV|EA|1|12/08/2017|12/31/3999| | || | |
70594007501||J2185||09/07/2021|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|09/07/2021|12/31/3999| | || | |
70594007502||J2185||09/07/2021|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|09/07/2021|12/31/3999| | || | |
00143936101||J2248||07/09/2021|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|07/09/2021|12/31/3999| | || | |
25021019010||J2248||07/09/2021|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|07/09/2021|12/31/3999| | || | |
25021019110||J2248||07/09/2021|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|07/09/2021|12/31/3999| | || | |
60505612000||J2248||02/12/2021|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|ML|.01|02/12/2021|12/31/3999| | || | |
00591501911||J9393||01/01/2023|12/31/3999|Injection, fulvestrant (teva) not therapeutically equivalent to j9395, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|1|01/01/2023|12/31/3999| | || | |
63323071501||J9394||01/01/2023|12/31/3999|Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|1|01/01/2023|12/31/3999| | || | |
63323071505||J9394||01/01/2023|12/31/3999|Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|1|01/01/2023|12/31/3999| | || | |
63459091036||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SYRIN|.5|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
63459091212||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SAFE|.8|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
63459091217||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SYRIN|.8|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
63459091236||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SYRIN|.8|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
50242015001||J2350||01/01/2023|12/31/3999|Injection, ocrelizumab, 1 mg|OCREVUS 300 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.03333|01/01/2023|12/31/3999| | || | |
00409488301||J2021||01/01/2023|12/31/3999|Injection, linezolid (hospira) not therapeutically equivalent to j2020, 200 mg|LINEZOLID-0.9% NACL 600 MG/|300|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
63459091853||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/ML VIAL|1|ML|VIAL|SQ|ML|.00333|01/01/2023|12/31/3999| | || | |
63459092053||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|SQ|ML|.00333|01/01/2023|12/31/3999| | || | |
63459092059||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/1.6 ML VIAL|1.6|ML|VIAL|SQ|ML|.00333|01/01/2023|12/31/3999| | || | |
67457082415||J3371||01/01/2023|12/31/3999|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.33333|01/01/2023|12/31/3999| | || | |
70594004602||J3372||01/01/2023|08/01/2023|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|01/01/2023|08/01/2023| | || | |
63459091015||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SAFE|.5|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
63459091211||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SAFE|.8|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
63459091215||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SAFE|.8|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
00264318511||J2184||01/01/2023|12/31/3999|Injection, meropenem (b. braun) not therapeutically equivalent to j2185, 100 mg|MEROPENEM-0.9% NACL 1 GRAM/|1|UN|FLEX CONT|IV|ML|1|01/01/2023|12/31/3999| | || | |
63459091201||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SAFE|.8|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
63459091011||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SAFE|.5|ML|SYRINGE|IJ|ML|.00166|01/01/2023|12/31/3999| | || | |
70121124407||J0594||09/15/2022|09/15/2022|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|09/15/2022|09/15/2022| | || | |
70594004601||J3372||01/01/2023|08/01/2023|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|01/01/2023|08/01/2023| | || | |
00143920901||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|CHLOROPROCAINE 2% VIAL|20|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
00143921001||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|CHLOROPROCAINE 3% VIAL|20|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
00143921010||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|CHLOROPROCAINE 3% VIAL|20|ML|VIAL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
70594004301||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1.5 GRAM/300 ML|300|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
63323045401||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE SULFATE 4 MG/ML VI|1|ML|VIAL|IJ|ML|2.5|01/01/2023|12/31/3999| | || | |
63459091001||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SAFE|.5|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
63323028557||J2795||07/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.2% 400 MG/200 ML|200|ML|BOTTLE|IJ|ML|.5|07/01/2022|12/31/3999| | || | |
70069006101||J2795||08/16/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 20 MG/10 M|10|ML|VIAL|IJ|ML|.5|08/16/2022|12/31/3999| | || | |
70069006110||J2795||08/16/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 20 MG/10 M|10|ML|VIAL|IJ|ML|.5|08/16/2022|12/31/3999| | || | |
68001045743||J1650||07/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|1|ML|SYRINGE|SQ|ML|.1|07/01/2022|12/31/3999| | || | |
68001045843||J1650||07/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|07/01/2022|12/31/3999| | || | |
68001045943||J1650||07/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|07/01/2022|12/31/3999| | || | |
68001046043||J1650||07/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|07/01/2022|12/31/3999| | || | |
68001046143||J1650||12/21/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|12/21/2020|12/31/3999| | || | |
71288042603||J1650||09/08/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|09/08/2022|12/31/3999| | || | |
43547045410||J1953||04/11/2022|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|1|ML|SYRINGE|IV|ML|.1|04/11/2022|12/31/3999| | || | |
44567014601||J2185||07/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|07/01/2022|12/31/3999| | || | |
44567040101||J2185||07/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|07/01/2022|12/31/3999| | || | |
72078004008||J9171||07/01/2022|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 80 MG/8 ML VIAL|1|ML|VIAL|IV|ML|.1|07/01/2022|12/31/3999| | || | |
70710165401||J9305||07/01/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.1|07/01/2022|12/31/3999| | || | |
00409106001||J9305||07/11/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED 100 MG VIAL|1|UN|VIAL|IV|EA|.1|07/11/2022|03/31/2023| | || | |
00338072001||J9305||09/22/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED 100 MG VIAL|1|UN|VIAL|IV|EA|.1|09/22/2022|12/31/3999| | || | |
81298578303||J3301||09/12/2022|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 400 MG/1|1|ML|VIAL|IJ|ML|.25|09/12/2022|12/31/3999| | || | |
81298578503||J3301||09/12/2022|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 200 MG/5|1|ML|VIAL|IJ|ML|.25|09/12/2022|12/31/3999| | || | |
00517100101||J0461||08/03/2022|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|.01|08/03/2022|12/31/3999| | || | |
63323072912||J2248||07/01/2022|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|07/01/2022|12/31/3999| | || | |
72572042701||J2248||07/01/2022|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|07/01/2022|12/31/3999| | || | |
43598014362||J9025||07/01/2022|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|07/01/2022|12/31/3999| | || | |
68001052754||J9025||07/27/2022|12/31/3999|Injection, azacitidine, 1 mg|AZACITIDINE 100 MG VIAL|1|UN|VIAL|IJ|EA|.01|07/27/2022|12/31/3999| | || | |
43598037074||J9305||09/26/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM VI|1|UN|VIAL|IV|EA|.01|09/26/2022|12/31/3999| | || | |
44087004409||Q3028||07/01/2022|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF 44 MCG/0.5 ML SYRINGE|0.5|ML|SYRINGE|SQ|ML|.0114|07/01/2022|12/31/3999| | || | |
44087334409||Q3028||07/01/2022|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF REBIDOSE 44 MCG/0.5 M|0.5|ML|SYRINGE|SQ|ML|.0114|07/01/2022|12/31/3999| | || | |
71288011920||J0894||07/05/2022|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|ML|.02|07/05/2022|12/31/3999| | || | |
00338072201||J9305||09/22/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|09/22/2022|12/31/3999| | || | |
44087332209||Q3028||07/01/2022|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF REBIDOSE 22 MCG/0.5 M|0.5|ML|SYRINGE|SQ|ML|.0227|07/01/2022|12/31/3999| | || | |
81284015501||J2543||05/27/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|180|UN|BOTTLE|IV|EA|.0227|05/27/2022|12/31/3999| | || | |
70257031051||J2792||04/27/2017|12/31/3999|Injection, rho d immune globulin, intravenous, human, solvent detergent, 10...|WINRHO SDF 5,000 UNIT VIAL|4.4|ML|VIAL|IJ|ML|.088|04/27/2017|12/31/3999| | || | |
50102059140||J1050||11/02/2020|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IM|ML|.00667|11/02/2020|12/31/3999| | || | |
69800420301||90371||10/31/2019|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|NABI-HB VIAL|5|ML|VIAL|IM|ML|1|10/31/2019|12/31/3999| | || | |
72266016042||J3486||06/26/2020|12/31/3999|Injection, ziprasidone mesylate, 10 mg|ZIPRASIDONE 20 MG/ML VIAL|1|UN|VIAL|IM|EA|.5|06/26/2020|12/31/3999| | || | |
68001045742||J1650||12/21/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|12/21/2020|12/31/3999| | || | |
68001046042||J1650||12/23/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 80 MG/0.8 ML SYR|0.8|ML|SYRINGE|SQ|ML|.1|12/23/2020|12/31/3999| | || | |
68001046142||J1650||12/21/2020|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 100 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.1|12/21/2020|12/31/3999| | || | |
00781344312||J1652||11/20/2020|09/30/2022|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|.1|11/20/2020|09/30/2022| | || | |
00781344394||J1652||11/20/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 2.5 MG/0.5 ML|0.5|ML|SYRINGE|SQ|ML|.1|11/20/2020|12/31/3999| | || | |
00002791001||Q0245||02/09/2021|01/24/2022|Inj, bamlanivimab and etesevimab, 2100 mg|BAMLANIVIMAB 700 MG/20 ML(E|20|ML|VIAL|IV|ML|60|02/09/2021|01/24/2022| | || | |
64253090091||J3490||11/05/2019|07/01/2023|Unclassified drugs|CALCIUM CHLORIDE 10% SYRING|10|ML|SYRINGE|IV|ML|1|11/05/2019|07/01/2023| | || | |
68382004901||J0133||12/23/2020|11/07/2022|Injection, acyclovir, 5 mg|ACYCLOVIR 1,000 MG/20 ML VI|20|ML|VIAL|IV|ML|.1|12/23/2020|11/07/2022| | || | |
00409490264||J3490||10/28/2004|12/31/3999|Unclassified drugs|DEXTROSE 50%-WATER ABBOJECT|50|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
47335032340||J9171||12/30/2020|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/ML VIAL|1|ML|VIAL|IV|ML|.05|12/30/2020|12/31/3999| | || | |
47335093940||J9171||12/22/2020|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/8 ML VIAL|8|ML|VIAL|IV|ML|.05|12/22/2020|12/31/3999| | || | |
70710153001||Q2050||10/06/2020|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 20MG/1|10|ML|VIAL|IV|ML|5|10/06/2020|12/31/3999| | || | |
70710153101||Q2050||10/06/2020|12/31/3999|Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 1...|DOXORUBICIN LIPOSOME 50MG/2|25|ML|VIAL|IV|ML|5|10/06/2020|12/31/3999| | || | |
00143978301||J3490||10/20/2009|12/31/3999|Unclassified drugs|FLUMAZENIL 1 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|10/20/2009|12/31/3999| | || | |
66794022415||J0290||11/01/2020|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 10 GM BOTTLE|1|UN|BOTTLE|IV|EA|.05|11/01/2020|12/31/3999| | || | |
25021031598||J2370||11/17/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IV|ML|1|11/17/2020|06/30/2023| | || | |
25021031599||J2370||11/17/2020|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IV|ML|1|11/17/2020|06/30/2023| | || | |
00990790509||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|KCL 20 MEQ/L IN D5W SOLUTIO|1000|ML|BAG|IV|ML|100|07/12/2018|12/31/3999| | || | |
00990799309||J3480||07/12/2018|12/31/3999|Injection, potassium chloride, per 2 meq|D5%-1/2NS-KCL 10 MEQ/L IV S|1000|ML|BAG|IV|ML|200|07/12/2018|12/31/3999| | || | |
73380470001||J9313||10/15/2020|11/30/2022|Inj, moxetumomab pasudotox-tdfk, 0.01 mg|LUMOXITI 1 MG VIAL|1|UN|VIAL|IV|EA|.01|10/15/2020|11/30/2022| | || | |
70121145401||J2185||10/10/2016|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|10/10/2016|12/31/3999| | || | |
67457092100||J3490||10/27/2017|12/31/3999|Unclassified drugs|SULFAMETHOXAZOLE-TMP IV VIA|5|ML|VIAL|IV|ML|1|10/27/2017|12/31/3999| | || | |
00781347612||J1652||11/20/2020|03/31/2023|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|ML|.04|11/20/2020|03/31/2023| | || | |
00781347694||J1652||11/20/2020|12/31/3999|Injection, fondaparinux sodium, 0.5 mg|FONDAPARINUX 10 MG/0.8 ML S|0.8|ML|SYRINGE|SQ|ML|.04|11/20/2020|12/31/3999| | || | |
00069032401||Q5122||04/01/2021|12/31/3999|Inj, nyvepria, 0.5 mg|NYVEPRIA 6 MG/0.6 ML SYRING|0.6|ML|SYRINGE|SQ|ML|.05|04/01/2021|12/31/3999| | || | |
00143937501||J3105||05/20/2009|12/31/3999|Injection, terbutaline sulfate, up to 1 mg|TERBUTALINE SULF 1 MG/ML VI|1|ML|VIAL|SQ|ML|1|05/20/2009|12/31/3999| | || | |
00245080938||J3030||04/11/2016|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|ZEMBRACE SYMTOUCH 3 MG/0.5|0.5|ML|SYRINGE|SQ|ML|1|04/11/2016|12/31/3999| | || | |
70594003601||J2248||06/08/2021|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|06/08/2021|12/31/3999| | || | |
71288080321||J7599||04/12/2021|09/30/2023|IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE SPECIFIED|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|1|04/12/2021|09/30/2023| | || | |
31722099531||J2710||04/28/2021|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|F2|VIAL|IV|AHF|.5|04/28/2021|12/31/3999| | || | |
51754124003||J2710||05/18/2021|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|BLOXIVERZ 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|05/18/2021|12/31/3999| | || | |
16714047301||J1040||01/15/2008|12/31/2022|Injection, methylprednisolone acetate, 80 mg|METHYLPREDNISOLONE 400 MG/5|5|ML|VIAL|IJ|ML|1|01/15/2008|12/31/2022| | || | |
72611074101||J2250||01/06/2021|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|1|01/06/2021|12/31/3999| | || | |
76478050120||J2515||05/18/2021|06/30/2023|Injection, pentobarbital sodium, per 50 mg|NEMBUTAL SODIUM 1,000 MG/20|20|ML|VIAL|IJ|ML|1|05/18/2021|06/30/2023| | || | |
76478050150||J2515||05/18/2021|06/30/2023|Injection, pentobarbital sodium, per 50 mg|NEMBUTAL SODIUM 2,500 MG/50|50|ML|VIAL|IJ|ML|1|05/18/2021|06/30/2023| | || | |
72516002410||J2440||04/01/2021|12/31/3999|Injection, papaverine hcl, up to 60 mg|PAPAVERINE 60 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/01/2021|12/31/3999| | || | |
72516002425||J2440||04/01/2021|12/31/3999|Injection, papaverine hcl, up to 60 mg|PAPAVERINE 60 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|04/01/2021|12/31/3999| | || | |
23155074831||S0080||05/28/2021|12/31/3999|Injection, pentamidine iseth|PENTAMIDINE 300 MG VIAL|1|UN|VIAL|IJ|EA|1|05/28/2021|12/31/3999| | || | |
63323018000||J3415||05/01/2005|12/31/3999|Injection, pyridoxine hcl, 100 mg|PYRIDOXINE 100 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
00143933801||J0330||07/06/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|07/06/2021|12/31/3999| | || | |
00143933825||J0330||07/06/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|07/06/2021|12/31/3999| | || | |
16729049303||J0330||04/07/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/07/2021|12/31/3999| | || | |
16729049345||J0330||04/07/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|04/07/2021|12/31/3999| | || | |
31722098110||J0330||05/11/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|F2|VIAL|IJ|AHF|1|05/11/2021|12/31/3999| | || | |
31722098131||J0330||05/11/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|F2|VIAL|IJ|AHF|1|05/11/2021|12/31/3999| | || | |
54879003750||J0330||12/02/2020|09/30/2022|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|12/02/2020|09/30/2022| | || | |
63323094310||J0330||05/25/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|05/25/2021|12/31/3999| | || | |
63323094321||J0330||05/25/2021|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|05/25/2021|12/31/3999| | || | |
42494043710||J3490||08/03/2021|12/31/3999|Unclassified drugs|TETRACAINE 1% (20 MG/2 ML)|2|ML|VIAL|IJ|ML|1|08/03/2021|12/31/3999| | || | |
00641622801||J3411||05/01/2005|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|05/01/2005|12/31/3999| | || | |
51754400003||J2370||01/23/2015|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|VAZCULEP 50 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|1|01/23/2015|06/30/2023| | || | |
00409915811||J3430||10/28/2004|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|VITAMIN K-1  10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|10/28/2004|12/31/3999| | || | |
00409915855||J3430||10/28/2004|12/31/3999|Injection, phytonadione (vitamin k), per 1 mg|VITAMIN K-1  10 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.1|10/28/2004|12/31/3999| | || | |
68001048486||J9395||06/24/2021|12/31/3999|Injection, fulvestrant, 25 mg|FULVESTRANT 250 MG/5 ML SYR|5|ML|SYRINGE|IM|ML|.5|06/24/2021|12/31/3999| | || | |
00703713101||J1631||07/09/2019|05/31/2023|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|07/09/2019|05/31/2023| | || | |
69800420202||90371||10/31/2019|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|NABI-HB VIAL|1|ML|VIAL|IM|ML|1|10/31/2019|12/31/3999| | || | |
69800420302||90371||10/31/2019|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|NABI-HB VIAL|5|ML|VIAL|IM|ML|1|10/31/2019|12/31/3999| | || | |
00591438579||J1456||01/01/2023|12/31/3999|Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
47781058917||J2250||10/24/2021|06/30/2023|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 25 MG/5 ML VI|5|ML|VIAL|IJ|ML|.04|10/24/2021|06/30/2023| | || | |
70594004801||J3372||01/01/2023|08/01/2023|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|01/01/2023|08/01/2023| | || | |
16729036468||J3244||01/01/2023|12/31/3999|Injection, tigecycline (accord) not therapeutically equivalent to j3243, 1 mg|TIGECYCLINE 50 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
44567062024||J0611||01/01/2023|03/31/2023|Injection, calcium gluconate (wg critical care), per 10 ml|CALCIUM GLUC 1,000MG/50ML-N|50|ML|BAG|IV|ML|1|01/01/2023|03/31/2023| | || | |
47781062169||J3490||10/15/2021|06/30/2023|Unclassified drugs|CLINDAMYCIN 900 MG/6 ML ADD|6|ML|VIAL|IV|ML|1|10/15/2021|06/30/2023| | || | |
63323045501||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE SULFATE 5 MG/ML VI|1|ML|VIAL|IJ|ML|2|01/01/2023|12/31/3999| | || | |
55150024110||J0898||01/01/2023|12/31/3999|Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|01/01/2023|12/31/3999| | || | |
63459091218||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 480 MCG/0.8 ML SYRIN|0.8|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
67457082312||J3371||01/01/2023|12/31/3999|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 1.25 GRAM VI|1|UN|VIAL|IV|EA|.4|01/01/2023|12/31/3999| | || | |
00143920910||J2401||01/01/2023|12/31/3999|Injection, chloroprocaine hydrochloride,  per 1 mg|CHLOROPROCAINE 2% VIAL|20|ML|VIAL|IJ|ML|.05|01/01/2023|12/31/3999| | || | |
70594004203||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1 GRAM/200 ML BA|200|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
63323085074||J2281||01/01/2023|12/31/3999|Injection, moxifloxacin (fresenius kabi) not therapeutically equivalent to j2280, 100 mg|MOXIFLOXACIN 400 MG/250 ML|250|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
63459091012||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SAFE|.5|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
63459091017||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/0.5 ML SYRIN|.5|ML|SYRINGE|SQ|ML|.00166|01/01/2023|12/31/3999| | || | |
00338350841||J0689||01/01/2023|12/31/3999|Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg|CeFAZolin Sodium-Dextrose 2-4 GM/100ML-% SOLN|100|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
00264318311||J2184||01/01/2023|12/31/3999|Injection, meropenem (b. braun) not therapeutically equivalent to j2185, 100 mg|MEROPENEM-0.9% NACL 500 MG/|1|UN|FLEX CONT|IV|ML|1|01/01/2023|12/31/3999| | || | |
67457070500||J3371||01/01/2023|08/01/2023|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 750 MG VIAL|1|UN|VIAL|IV|EA|.6667|01/01/2023|08/01/2023| | || | |
63323072110||J9048||01/01/2023|05/31/2023|Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|05/31/2023| | || | |
63459091859||J1447||01/01/2023|12/31/3999|Inj tbo filgrastim 1 microg|GRANIX 300 MCG/ML VIAL|1|ML|VIAL|SQ|ML|.00333|01/01/2023|12/31/3999| | || | |
67457082499||J3371||01/01/2023|12/31/3999|Injection, vancomycin hcl (mylan) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.33333|01/01/2023|12/31/3999| | || | |
70594004201||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1 GRAM/200 ML BA|200|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
00517100125||J0461||08/03/2022|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 1 MG/ML VIAL|1|ML|VIAL|IJ|ML|.01|08/03/2022|12/31/3999| | || | |
63323072902||J2248||07/01/2022|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|07/01/2022|12/31/3999| | || | |
00143938501||J0894||09/28/2022|12/31/3999|Injection, decitabine, 1 mg|DECITABINE 50 MG VIAL|1|UN|VIAL|IV|ML|.02|09/28/2022|12/31/3999| | || | |
00517060201||J1439||08/03/2022|12/31/3999|Injection, ferric carboxymaltose, 1 mg|INJECTAFER 100 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.02|08/03/2022|12/31/3999| | || | |
00409106101||J9305||07/11/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED 500 MG VIAL|1|UN|VIAL|IV|EA|.02|07/11/2022|03/31/2023| | || | |
71288011810||J9041||07/26/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|07/26/2022|12/31/3999| | || | |
72205018301||J9041||07/27/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|07/27/2022|12/31/3999| | || | |
00143909801||J9041||08/08/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|08/08/2022|12/31/3999| | || | |
68001054136||J9041||09/08/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|09/08/2022|12/31/3999| | || | |
68001054036||J9041||09/16/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|09/16/2022|12/31/3999| | || | |
00517179101||J1726||06/30/2018|04/06/2023|Makena, 10 mg|HYDROXYPROGEST 250 MG/ML VI|1|UN|VIAL|IM|ML|.04|06/30/2018|04/06/2023| | || | |
76045002330||J3490||07/14/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.6 MG/3 ML|3|ML|SYRINGE|IJ|ML|3|07/14/2022|12/31/3999| | || | |
62064012201||J1746||07/01/2022|12/31/3999|Injection, ibalizumab-uiyk, 10 mg|TROGARZO 200 MG/1.33 ML VIA|1.33|UN|VIAL|IV|ML|.0665|07/01/2022|12/31/3999| | || | |
68001046243||J1650||07/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|1|ML|SYRINGE|SQ|ML|.0667|07/01/2022|12/31/3999| | || | |
68001046343||J1650||07/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|07/01/2022|12/31/3999| | || | |
63323035801||J0637||10/01/2019|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|iv|EA|.0714|10/01/2019|12/31/3999| | || | |
70594009701||J0696||07/20/2022|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|07/20/2022|12/31/3999| | || | |
66794022602||J2700||07/01/2022|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.125|07/01/2022|12/31/3999| | || | |
65219002920||J9340||07/20/2022|12/31/3999|Thiotepa injection|THIOTEPA 100 MG VIAL|1|UN|VIAL|IJ|EA|.15|07/20/2022|12/31/3999| | || | |
71288011610||J0594||07/01/2022|12/31/3999|Injection, busulfan, 1 mg|BUSULFAN 60 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1667|07/01/2022|12/31/3999| | || | |
44567014501||J2185||07/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|07/01/2022|12/31/3999| | || | |
44567040001||J2185||07/01/2022|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|07/01/2022|12/31/3999| | || | |
68001044629||J2185||07/01/2022|05/31/2023|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|07/01/2022|05/31/2023| | || | |
42023022910||J2247||01/01/2023|12/31/3999|Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
23155060131||J2250||07/01/2022|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 25 MG/5 ML VI|1|UN|VIAL|IJ|EA|.2|07/01/2022|12/31/3999| | || | |
23155060132||J2250||07/01/2022|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM HCL 50 MG/10 ML V|1|UN|VIAL|IJ|EA|.2|07/01/2022|12/31/3999| | || | |
63323028633||J2795||07/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.5% 1,000 MG/200 M|200|ML|BOTTLE|IJ|ML|.2|07/01/2022|12/31/3999| | || | |
00409353201||J9305||07/26/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM/40|40|UN|VIAL|IV|ML|.4|07/26/2022|03/31/2023| | || | |
16729052205||J9305||09/08/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500MG/2|20|UN|VIAL|IV|ML|.4|09/08/2022|03/31/2023| | || | |
16729052235||J9305||09/08/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM/40|40|UN|VIAL|IV|ML|.4|09/08/2022|03/31/2023| | || | |
16729052264||J9305||09/08/2022|03/31/2023|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG/|4|UN|VIAL|IV|ML|.4|09/08/2022|03/31/2023| | || | |
68001053841||J9305||09/16/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 100 MG|1|UN|VIAL|IV|EA|.4|09/16/2022|12/31/3999| | || | |
25682001001||J3490||07/01/2022|12/31/3999|Unclassified drugs|STRENSIQ 18 MG/0.45 ML VIAL|.45|ML|VIAL|SQ|ML|.45|07/01/2022|12/31/3999| | || | |
60505615600||J2543||07/01/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.4978|07/01/2022|12/31/3999| | || | |
44567050310||J1953||07/01/2022|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,500MG/|100|UN|BAG|IV|ML|.667|07/01/2022|12/31/3999| | || | |
25682001301||J3490||07/01/2022|12/31/3999|Unclassified drugs|STRENSIQ 28 MG/0.7 ML VIAL|.7|ML|VIAL|SQ|ML|.7|07/01/2022|12/31/3999| | || | |
67457099902||J3490||08/10/2018|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|08/10/2018|12/31/3999| | || | |
59923071705||J3490||08/01/2019|12/31/2023|Unclassified drugs|BUPIVACAINE 0.25% (2.5 MG/M|5|ML|AMPUL|IJ|EA|1|08/01/2019|12/31/2023| | || | |
59923071910||J3490||08/01/2019|12/31/2023|Unclassified drugs|BUPIVACAINE 0.25% (2.5 MG/M|10|ML|AMPUL|IJ|EA|1|08/01/2019|12/31/2023| | || | |
59923072010||J3490||08/01/2019|12/31/2023|Unclassified drugs|BUPIVACAINE 0.5% (5 MG/ML)|10|ML|AMPUL|IJ|EA|1|08/01/2019|12/31/2023| | || | |
68875020501||J3590||07/01/2022|10/04/2022|Unclassified Biologics|NATPARA 100 MCG DOSE CARTRI|1|UN|CARTRIDGE|SQ|EA|1|07/01/2022|10/04/2022| | || | |
68875020201||J3590||07/01/2022|10/04/2022|Unclassified Biologics|NATPARA 25 MCG DOSE CARTRID|1|UN|CARTRIDGE|SQ|EA|1|07/01/2022|10/04/2022| | || | |
68875020301||J3590||07/01/2022|10/04/2022|Unclassified Biologics|NATPARA 50 MCG DOSE CARTRID|1|UN|CARTRIDGE|SQ|EA|1|07/01/2022|10/04/2022| | || | |
68875020401||J3590||07/01/2022|10/04/2022|Unclassified Biologics|NATPARA 75 MCG DOSE CARTRID|1|UN|CARTRIDGE|SQ|EA|1|07/01/2022|10/04/2022| | || | |
58468005001||J3590||11/01/2022|03/31/2023|Unclassified Biologics|XENPOZYME 20 MG VIAL|1|UN|VIAL|IV|EA|1|11/01/2022|03/31/2023| | || | |
68516461601||J7186||07/01/2022|12/31/3999|Injection, antihemophilic factor viii/von willebrand factor complex (human)...|ALPHANATE 250-100 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2022|12/31/3999| | || | |
68516321001||J7194||07/01/2022|12/31/3999|Factor ix, complex, per i.u.|PROFILNINE 500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2022|12/31/3999| | || | |
68516321102||J7194||07/01/2022|12/31/3999|Factor ix, complex, per i.u.|PROFILNINE 1,000 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2022|12/31/3999| | || | |
13533060612||J7197||07/01/2022|12/31/3999|Antithrombin iii (human), per i.u.|THROMBATE III 500 UNIT VIAL|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
00944462602||J7207||07/01/2022|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 750 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2022|12/31/3999| | || | |
00944462702||J7207||07/01/2022|12/31/3999|Factor viii pegylated recomb|ADYNOVATE 1,500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|07/01/2022|12/31/3999| | || | |
59011096010||J3490||07/01/2022|12/31/3999|Unclassified drugs|NALMEFENE HCL 2 MG/2 ML VIA|2|ML|VIAL|IJ|ML|.1|07/01/2022|12/31/3999| | || | |
43598042660||J9046||01/01/2023|08/01/2023|Injection, bortezomib, (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|01/01/2023|08/01/2023| | || | |
00409170001||J9049||01/01/2023|08/01/2023|Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|01/01/2023|08/01/2023| | || | |
66887000401||S0189||04/01/2022|12/31/3999|Testosterone pellet, 75mg|TESTOPEL 75 MG PELLETS|1|UN|AMPUL|IL|EA|1|04/01/2022|12/31/3999| | || | |
63323047201||S0020||04/01/2022|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.75% VIAL|30|ML|VIAL|IJ|ML|30|04/01/2022|06/30/2023| | || | |
63323047201||J3490||04/01/2022|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.75% VIAL|30|ML|VIAL|IJ|ML|30|04/01/2022|06/30/2023| | || | |
82154045104||S0145||07/28/2022|12/31/3999|Injection, pegylated interferon alfa-2a, 180 mcg per ml|PEGASYS 180 MCG/0.5 ML SYRI|0.5|ML|SYRINGE|SQ|ML|.5|07/28/2022|12/31/3999| | || | |
71839012210||S0164||06/10/2022|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|ML|1|06/10/2022|12/31/3999| | || | |
70257053250||90291||07/01/2022|12/31/3999|Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use|CYTOGAM 2.5 GM/50 ML VIAL|50|ML|VIAL|IV|ML|50|07/01/2022|12/31/3999| | || | |
70257053250||J0850||07/01/2022|12/31/3999|Injection, cytomegalovirus immune globulin intravenous (human), per vial|CYTOGAM 2.5 GM/50 ML VIAL|50|ML|VIAL|IV|ML|50|07/01/2022|12/31/3999| | || | |
71336100301||J0225||01/01/2023|12/31/3999|Injection, vutrisiran, 1 mg|AMVUTTRA 25 MG/0.5 ML SYRIN|0.5|ML|SYRINGE|SQ|ML|.5|01/01/2023|12/31/3999| | || | |
80735082037||J0291||09/02/2022|12/31/3999|Inj, plazomicin, 5 mg|ZEMDRI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|09/02/2022|12/31/3999| | || | |
80735082096||J0291||09/02/2022|12/31/3999|Inj, plazomicin, 5 mg|ZEMDRI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.1|09/02/2022|12/31/3999| | || | |
51991096499||J0330||07/01/2022|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
69918070002||J0330||07/01/2022|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
68727090001||J9021||01/01/2022|01/02/2022|Inj, aspara, rylaze, 0.1 mg|RYLAZE 10 MG/0.5 ML VIAL|0.5|ML|VIAL|IM|ML|.05|01/01/2022|01/02/2022| | || | |
68727090001||J9999||10/01/2021|12/31/2021|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|RYLAZE 10 MG/0.5 ML VIAL|0.5|ML|VIAL|IM|ML|1|10/01/2021|12/31/2021| | || | |
68727090003||J9021||01/01/2022|01/02/2022|Inj, aspara, rylaze, 0.1 mg|RYLAZE 10 MG/0.5 ML VIAL|0.5|ML|VIAL|IM|ML|.05|01/01/2022|01/02/2022| | || | |
68727090003||J9999||10/01/2021|12/31/2021|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|RYLAZE 10 MG/0.5 ML VIAL|0.5|ML|VIAL|IM|ML|1|10/01/2021|12/31/2021| | || | |
55292013901||J2502||09/10/2018|12/31/3999|Inj, pasireotide long acting|SIGNIFOR LAR 10 MG KIT|1|UN|VIAL|IM|EA|.1|09/10/2018|12/31/3999| | || | |
55292014101||J2502||09/10/2018|12/31/3999|Inj, pasireotide long acting|SIGNIFOR LAR 30 MG KIT|1|UN|VIAL|IM|EA|.0333|09/10/2018|12/31/3999| | || | |
55292014201||J2502||01/01/2016|12/31/3999|Inj, pasireotide long acting|SIGNIFOR LAR 40 MG KIT|1|UN|VIAL||EA|.025|01/01/2016|12/31/3999| | || | |
74676590601||J3315||01/08/2021|12/31/3999|Injection, triptorelin pamoate, 3.75 mg|TRELSTAR 22.5 MG VIAL|1|UN|BOX|IM|EA|.16667|01/08/2021|12/31/3999| | || | |
25021067920||J0475||08/24/2021|12/31/3999|Injection, baclofen, 10 mg|BACLOFEN 40 MG/20 ML VIAL|20|ML|VIAL|IT|ML|.5|08/24/2021|12/31/3999| | || | |
65162035803||J7304||02/26/2021|12/31/3999|Contraceptive supply, hormone containing patch, each|ZAFEMY 150-35 MCG/DAY PATCH|3|UN|BOX|TD|TDP|1|02/26/2021|12/31/3999| | || | |
78206014601||J7295||10/01/2021|12/31/3999|Eth estr and eton monthly .015mg/.12mg|NUVARING VAGINAL RING|1|UN|BOX|VG|EA|1|10/01/2021|12/31/3999| | || | |
78206014603||J7295||10/01/2021|12/31/3999|Eth estr and eton monthly .015mg/.12mg|NUVARING VAGINAL RING|1|UN|BOX|VG|EA|1|10/01/2021|12/31/3999| | || | |
51862089001||S4993||06/02/2021|12/31/3999|Contraceptive pills for birth control|AZURETTE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|06/02/2021|12/31/3999| | || | |
51862089006||S4993||06/02/2021|12/31/3999|Contraceptive pills for birth control|AZURETTE 28 DAY TABLET|28|UN|BLIST PACK|PO|TAB|1|06/02/2021|12/31/3999| | || | |
62559089030||J8999||01/01/2011|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BICALUTAMIDE 50 MG TABLET|30|UN|BOTTLE|PO|TAB|1|01/01/2011|12/31/3999| | || | |
00527145106||Q0167||11/07/2018|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.5|11/07/2018|12/31/3999| | || | |
31722096160||Q0167||05/07/2020|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 5 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.5|05/07/2020|12/31/3999| | || | |
31722096260||Q0167||05/07/2020|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 10 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.25|05/07/2020|12/31/3999| | || | |
00173089803||J9272||01/01/2022|12/31/3999|Inj, dostarlimab-gxly, 10 mg|JEMPERLI 500 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.2|01/01/2022|12/31/3999| | || | |
60505611900||J2248||02/12/2021|01/31/2025|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|ML|.02|02/12/2021|01/31/2025| | || | |
70594003701||J2248||06/08/2021|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|06/08/2021|12/31/3999| | || | |
00143937301||J2260||12/03/2010|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|12/03/2010|12/31/3999| | || | |
00143937310||J2260||12/03/2010|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|12/03/2010|12/31/3999| | || | |
31722094531||S4993||12/15/2020|12/31/3999|Contraceptive pills for birth control|DROSPIRENONE-EE 3-0.03 MG T|28|UN|BLIST PACK|PO|TAB|1|12/15/2020|12/31/3999| | || | |
00115180402||Q0177||01/11/2017|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|500|UN|BOTTLE|PO|CAP|.5|01/11/2017|12/31/3999| | || | |
50268039811||Q0177||06/01/2021|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|1|UN|BLIST PACK|PO|CAP|1|06/01/2021|12/31/3999| | || | |
50268039850||Q0177||06/01/2021|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|50|UN|BLIST PACK|PO|CAP|1|06/01/2021|12/31/3999| | || | |
50268039950||Q0177||06/01/2021|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|50|UN|BLIST PACK|PO|CAP|.5|06/01/2021|12/31/3999| | || | |
59762542001||Q0177||01/01/2011|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 50 MG CAP|100|UN|BOTTLE|PO|CAP|.5|01/01/2011|12/31/3999| | || | |
68001053941||J9305||09/16/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|09/16/2022|12/31/3999| | || | |
68001053641||J9305||09/23/2022|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 500 MG|1|UN|VIAL|IV|EA|.02|09/23/2022|12/31/3999| | || | |
44087002209||Q3028||07/01/2022|12/31/3999|Injection, interferon beta-1a, 1 mcg for subcutaneous use|REBIF 22 MCG/0.5 ML SYRINGE|.5|ML|SYRINGE|SQ|ML|.0227|07/01/2022|12/31/3999| | || | |
00641625101||J0461||07/26/2022|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 8 MG/20 ML VIAL|20|ML|SYRINGE|IJ|ML|.025|07/26/2022|12/31/3999| | || | |
00641625110||J0461||07/26/2022|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 8 MG/20 ML VIAL|20|ML|VIAL|IJ|ML|.025|07/26/2022|12/31/3999| | || | |
00517100401||J0461||08/03/2022|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.025|08/03/2022|12/31/3999| | || | |
00517100425||J0461||08/03/2022|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE 0.4 MG/ML VIAL|1|ML|VIAL|IJ|ML|.025|08/03/2022|12/31/3999| | || | |
64679070002||J2700||07/01/2022|12/31/3999|Injection, oxacillin sodium, up to 250 mg|OXACILLIN 10 GM VIAL|1|UN|VIAL|IJ|GM|.025|07/01/2022|12/31/3999| | || | |
70710141101||J9041||07/01/2022|12/31/3999|Injection, bortezomib, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IJ|EA|.0286|07/01/2022|12/31/3999| | || | |
49230053001||J1756||07/01/2022|12/31/3999|Injection, iron sucrose, 1 mg|VENOFER 50 MG/2.5 ML VIAL|2.5|UN|VIAL|IV|ML|.05|07/01/2022|12/31/3999| | || | |
49230053401||J1756||07/01/2022|12/31/3999|Injection, iron sucrose, 1 mg|VENOFER 100 MG/5 ML VIAL|5|UN|VIAL|IV|ML|.05|07/01/2022|12/31/3999| | || | |
00517232501||J1756||07/01/2022|12/31/3999|Injection, iron sucrose, 1 mg|VENOFER 50 MG/2.5 ML VIAL|2.5|UN|VIAL|IV|ML|.05|07/01/2022|12/31/3999| | || | |
76045002300||J3490||07/14/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 0.6 MG/3 ML|3|ML|SYRINGE|IJ|ML|3|07/14/2022|12/31/3999| | || | |
63323028693||J2795||07/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|NAROPIN 0.5% 150 MG/30 ML V|30|ML|VIAL|IJ|ML|.2|07/01/2022|12/31/3999| | || | |
68001050829||J2543||01/14/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.2489|01/14/2022|12/31/3999| | || | |
68001050831||J2543||01/14/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.2489|01/14/2022|12/31/3999| | || | |
81284015300||J2543||05/27/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|20|UN|VIAL|IV|EA|.2489|05/27/2022|12/31/3999| | || | |
81284015310||J2543||05/27/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|200|UN|VIAL|IV|EA|.2489|05/27/2022|12/31/3999| | || | |
72485040401||J2543||07/28/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.2489|07/28/2022|12/31/3999| | || | |
72485040410||J2543||07/28/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 4.5 GM V|1|UN|VIAL|IV|EA|.2489|07/28/2022|12/31/3999| | || | |
68001050753||J2543||01/14/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3319|01/14/2022|12/31/3999| | || | |
68001050782||J2543||01/14/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3319|01/14/2022|12/31/3999| | || | |
81284015200||J2543||05/27/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|15|UN|VIAL|IV|EA|.3319|05/27/2022|12/31/3999| | || | |
81284015210||J2543||05/27/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|150|UN|VIAL|IV|EA|.3319|05/27/2022|12/31/3999| | || | |
60505615700||J2543||07/01/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|iv|EA|.3319|07/01/2022|12/31/3999| | || | |
72485040301||J2543||07/13/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3319|07/13/2022|12/31/3999| | || | |
72485040310||J2543||07/13/2022|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 3.375 GM|1|UN|VIAL|IV|EA|.3319|07/13/2022|12/31/3999| | || | |
16729054863||J9050||08/18/2022|12/31/2023|Injection, carmustine, 100 mg|CARMUSTINE 300 MG VIAL|1|UN|VIAL|IJ|EA|.3333|08/18/2022|12/31/2023| | || | |
25682001901||J3490||07/01/2022|12/31/3999|Unclassified drugs|STRENSIQ 80 MG/0.8 ML VIAL|.8|ML|VIAL|SQ|ML|.8|07/01/2022|12/31/3999| | || | |
65862094512||J7614||07/01/2022|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 1.25 MG/3 ML S|3|UN|VIAL|IH|ML|1.2|07/01/2022|12/31/3999| | || | |
76204001105||J7613||07/01/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 1.25 MG/3 ML|3|UN|VIAL|IH|ML|2.4|07/01/2022|12/31/3999| | || | |
76204001111||J7613||07/01/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 1.25 MG/3 ML|3|UN|VIAL|IH|ML|2.4|07/01/2022|12/31/3999| | || | |
70860030310||J1327||09/06/2022|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|UN|VIAL|IV|ML|2.5|09/06/2022|12/31/3999| | || | |
76204001005||J7613||07/01/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 0.63 MG/3 ML|1|UN|VIAL|IH|ML|4.7619|07/01/2022|12/31/3999| | || | |
76204001011||J7613||07/01/2022|12/31/3999|Albuterol, inhalation solution, fda-approved final product, non-compounded,...|ALBUTEROL SUL 0.63 MG/3 ML|3|UN|VIAL|IH|ML|4.7619|07/01/2022|12/31/3999| | || | |
00990771512||J3490||07/01/2022|12/31/3999|Unclassified drugs|MANNITOL 20% IV SOLUTION|250|ML|BAG|IV|ML|250|07/01/2022|12/31/3999| | || | |
00310453530||J9999||12/01/2022|06/30/2023|NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS|IMJUDO 300 MG/15 ML VIAL|15|ML|VIAL|IV||15|12/01/2022|06/30/2023| | || | |
76045000501||J2272||01/01/2023|12/31/3999|Injection, morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270, up to 10 mg|MORPHINE 4 MG/ML SYRINGE|1|ML|SYRINGE|IJ|ML|1|01/01/2023|12/31/3999| | || | |
70594005702||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 1.25 GM/250 ML B|250|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
70594004101||J3372||01/01/2023|12/31/3999|Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg|VANCOMYCIN 500 MG/100 ML BA|100|ML|BAG|IV|EA|100|01/01/2023|12/31/3999| | || | |
00069110901||J1599||01/01/2023|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (2.5 G/25 ML) V|25|ML|VIAL|IV|ML|5|01/01/2023|06/30/2023| | || | |
00069122401||J1599||01/01/2023|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (5 G/50 ML) VIA|50|ML|VIAL|IV|ML|5|01/01/2023|06/30/2023| | || | |
00069131201||J1599||01/01/2023|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (10 G/100 ML) V|100|ML|VIAL|IV|ML|5|01/01/2023|06/30/2023| | || | |
00069141502||J1599||01/01/2023|06/30/2023|IVIG NON-LYOPHILIZED, NOS|PANZYGA 10% (20 G/200 ML) V|200|ML|VIAL|IV|ML|5|01/01/2023|06/30/2023| | || | |
44567062124||J0611||01/01/2023|03/31/2023|Injection, calcium gluconate (wg critical care), per 10 ml|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|1|01/01/2023|03/31/2023| | || | |
69800025001||J1554||01/01/2023|12/31/3999|INJ, IMMUNE GLOBULIN (ASCENIV), 500 MG|ASCENIV 10% VIAL|50|ML|VIAL|IV|ML|5|01/01/2023|12/31/3999| | || | |
43598086560||J9046||01/01/2023|11/30/2023|Injection, bortezomib, (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg|BORTEZOMIB 3.5 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|11/30/2023| | || | |
66220028411||J1741||07/01/2022|12/31/3999|Injection, ibuprofen, 100 mg|CALDOLOR 800 MG/200 ML BAG|200|ML|BAG|IV|ML|25|07/01/2022|12/31/3999| | || | |
00409330101||J3490||07/01/2022|12/31/3999|Unclassified drugs|PRECEDEX 80 MCG/20 ML VIAL|20|ML|VIAL|IV|ML|20|07/01/2022|12/31/3999| | || | |
00409330110||J3490||07/01/2022|12/31/3999|Unclassified drugs|PRECEDEX 80 MCG/20 ML VIAL|20|ML|VIAL|IV|ML|20|07/01/2022|12/31/3999| | || | |
46287002415||J3490||07/01/2022|12/31/3999|Unclassified drugs|POTASSIUM PHOSPH 45 MMOL/15|15|ML|VIAL|IV|ML|15|07/01/2022|12/31/3999| | || | |
63323088101||J3490||07/01/2022|12/31/3999|Unclassified drugs|SODIUM PHOSPHATE 45 MMOL/15|15|ML|VIAL|IV|ML|15|07/01/2022|12/31/3999| | || | |
63323088116||J3490||07/01/2022|12/31/3999|Unclassified drugs|SODIUM PHOSPHATE 45 MMOL/15|15|ML|VIAL|IV|ML|15|07/01/2022|12/31/3999| | || | |
44567062101||J0611||01/01/2023|12/31/3999|Injection, calcium gluconate (wg critical care), per 10 ml|CALCIUM GLU 2,000MG/100ML-N|100|ML|BAG|IV|ML|10|01/01/2023|12/31/3999| | || | |
00074501501||J2327||01/01/2023|12/31/3999|Risankizumab-rzaa, intravenous, 1 mg|SKYRIZI 600 MG/10 ML VIAL|10|ML|VIAL|IV|ML|10|01/01/2023|12/31/3999| | || | |
71288071611||J2800||07/01/2022|12/31/3999|Injection, methocarbamol, up to 10 ml|METHOCARBAMOL 1,000 MG/10 M|10|ML|VIAL|IJ|ML|10|07/01/2022|12/31/3999| | || | |
14789010816||J3480||07/01/2022|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/100 ML|100|ML|FLEX CONT|IV|ML|10|07/01/2022|12/31/3999| | || | |
00409158229||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
12496075701||J0592||11/02/2017|12/31/3999|Injection, buprenorphine hydrochloride, 0.1 mg|BUPRENEX 0.3 MG/ML AMPUL|1|ML|AMPUL|IJ|ML|.3333|11/02/2017|12/31/3999| | || | |
63323046157||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAINE-EPI 0.25%-0.0005|50|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046217||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAIN-MPF EPI 0.5%-0.0005|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
00409156010||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409176102||J3490||10/28/2004|06/01/2022|Unclassified drugs|MARCAINE SPINAL AMPUL|2|ML|AMPUL|IJ|ML|1|10/28/2004|06/01/2022| | || | |
63323046437||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.25% VIAL|30|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
00409161050||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409174630||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE-EPI 0.25%-0.0005 VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409175250||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE 0.25%-EPI 0.0005 VIAL|50|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
13533063601||90371||07/01/2014|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|HYPERHEP B S-D VIAL|1|ML|VIAL|IM|ML|1|07/01/2014|12/31/3999| | || | |
63323046037||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAINE-EPI 0.75%-0.0005|30|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046231||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAIN-MPF EPI 0.5%-0.0005|30|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
00409174929||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 0.0005 VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
64764030020||J3380||01/03/2016|12/31/3999|Injection, vedolizumab, 1 mg|ENTYVIO 300 MG VIAL|1|UN|VIAL|IJ|EA|.00333|01/03/2016|12/31/3999| | || | |
59310057922||J3535||12/27/2004|06/21/2024|Drug administered through a metered dose inhaler|PROAIR HFA 90 MCG INHALER|8.5|GR|CANISTER|IH|GM|1|12/27/2004|06/21/2024| | || | |
63323046237||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAIN-MPF EPI 0.5%-0.0005|30|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046417||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.25% VIAL|10|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
63323046817||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAINE-EPI 0.25%-0.0005|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046837||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAINE-EPI 0.25%-0.0005|30|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
67457042600||J1630||10/25/2011|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/25/2011|12/31/3999| | || | |
00409155910||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409158750||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409174910||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 0.0005 VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409158210||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409174610||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE-EPI 0.25%-0.0005 VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
55513019001||J2506||01/01/2022|12/31/3999|Inj pegfilgrast ex bio 0.5mg|NEULASTA 6 MG/0.6 ML SYRINGE|0.6|ML|SYRINGE|SQ|ML|.05|01/01/2022|12/31/3999| | || | |
63323046557||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
63323046637||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.5% VIAL|30|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
63323046757||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
00409156029||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
63323047237||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.75% VIAL|30|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
00409155930||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409175550||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 0.0005 VIAL|50|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
70710172601||J9261||11/23/2021|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|11/23/2021|12/31/3999| | || | |
00264420452||J3475||10/04/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|BAG|IV|ML|12.5|10/04/2021|12/31/3999| | || | |
47335099201||J3475||10/30/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|FLEX CONT|IV|ML|12.5|10/30/2021|12/31/3999| | || | |
47335099202||J3475||10/30/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|FLEX CONT|IV|ML|12.5|10/30/2021|12/31/3999| | || | |
68516521400||P9045||05/05/2009|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUTEIN 5% IV SOLUTION|500|ML|FLEX CONT|IV|ML|250|05/05/2009|12/31/3999| | || | |
68516521408||P9045||05/05/2009|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUTEIN 5% IV SOLUTION|500|ML|FLEX CONT|IV|ML|250|05/05/2009|12/31/3999| | || | |
68516521409||P9045||05/05/2009|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUTEIN 5% IV SOLUTION|250|ML|FLEX CONT|IV|ML|250|05/05/2009|12/31/3999| | || | |
68516521407||P9045||05/05/2009|12/31/3999|ALBUMIN (HUMAN), 5%, 250 ML|ALBUTEIN 5% IV SOLUTION|250|ML|FLEX CONT|IV|ML|250|05/05/2009|12/31/3999| | || | |
50242007855||C9093||04/01/2022|06/30/2022|Inj, ranibizumab, via sustained release intravitreal implant (susvimo), 0.1 mg|SUSVIMO 10 MG/0.1 ML KIT|0.1|ML|KIT|IL|ML|.001|04/01/2022|06/30/2022| | || | |
50242007855||J3590||04/01/2022|06/30/2022|Unclassified Biologics|SUSVIMO 10 MG/0.1 ML KIT|0.1|ML|KIT|IL|ML|1|04/01/2022|06/30/2022| | || | |
71837584301||J2820||07/01/2021|12/31/3999|Injection, sargramostim (gm-csf), 50 mcg|LEUKINE 250 MCG VIAL|1|UN|VIAL|IJ|EA|.2|07/01/2021|12/31/3999| | || | |
71837584305||J2820||07/01/2021|12/31/3999|Injection, sargramostim (gm-csf), 50 mcg|LEUKINE 250 MCG VIAL|1|UN|VIAL|IJ|EA|.2|07/01/2021|12/31/3999| | || | |
65219044501||J3490||08/27/2021|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|08/27/2021|12/31/3999| | || | |
65219044510||J3490||08/27/2021|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|08/27/2021|12/31/3999| | || | |
65219044702||J3490||08/31/2021|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|08/31/2021|12/31/3999| | || | |
65219044720||J3490||08/31/2021|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|08/31/2021|12/31/3999| | || | |
63323073803||S0028||01/01/2011|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|2|01/01/2011|12/31/3999| | || | |
68001049005||J8999||07/21/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IMATINIB MESYLATE 100 MG TA|90|UN|BOTTLE|PO|TAB|1|07/21/2021|12/31/3999| | || | |
53097057060||Q0167||03/02/2016|03/31/2023|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|MARINOL 10 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.25|03/02/2016|03/31/2023| | || | |
63739054972||J8999||03/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 400 MG/10 ML|10|ML|CUP|PO|ML|1|03/13/2013|12/31/3999| | || | |
63739054973||J8999||03/13/2013|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|MEGESTROL ACET 400 MG/10 ML|10|ML|CUP|PO|ML|1|03/13/2013|12/31/3999| | || | |
51862086806||S4993||05/07/2021|12/31/3999|Contraceptive pills for birth control|MICROGESTIN 21 1-20 TABLET|21|UN|BLIST PACK|PO|TAB|1|05/07/2021|12/31/3999| | || | |
51862089201||S4993||05/26/2021|12/31/3999|Contraceptive pills for birth control|NECON 0.5-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|05/26/2021|12/31/3999| | || | |
51862089203||S4993||05/26/2021|12/31/3999|Contraceptive pills for birth control|NECON 0.5-35-28 TABLET|28|UN|BLIST PACK|PO|TAB|1|05/26/2021|12/31/3999| | || | |
68180087673||S4993||11/16/2011|12/31/3999|Contraceptive pills for birth control|NORETHINDRONE 0.35 MG TABLE|28|UN|BLIST PACK|PO|TAB|1|11/16/2011|12/31/3999| | || | |
51862064501||S4993||02/12/2021|12/31/3999|Contraceptive pills for birth control|NYMYO 0.25-0.035 MG (28) TA|28|UN|BLIST PACK|PO|TAB|1|02/12/2021|12/31/3999| | || | |
51862064506||S4993||02/12/2021|12/31/3999|Contraceptive pills for birth control|NYMYO 0.25-0.035 MG (28) TA|28|UN|BLIST PACK|PO|TAB|1|02/12/2021|12/31/3999| | || | |
64980029201||Q0175||01/15/2020|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|01/15/2020|12/31/3999| | || | |
59572051502||Q2055||01/01/2022|12/31/3999|Idecabtagene vicleucel car|ABECMA INFUSION BAG|1|UN|BAG|IV|EA|1|01/01/2022|12/31/3999| | || | |
00990792609||S5010||07/12/2018|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|DEXTROSE 5%-0.45% NACL IV S|1000|ML|FLEX CONT|IV|ML|1000|07/12/2018|12/31/3999| | || | |
59572051501||Q2055||01/01/2022|12/31/3999|Idecabtagene vicleucel car|ABECMA INFUSION BAG|1|UN|BAG|IV|EA|1|01/01/2022|12/31/3999| | || | |
71288050202||J1631||03/24/2022|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|10|ML|VIAL|IM|ML|1|03/24/2022|12/31/3999| | || | |
00009716630||J3590||07/01/2022|12/31/3999|Unclassified Biologics|SOMAVERT 10 MG VIAL|30|UN|VIAL|SQ|EA|.1|07/01/2022|12/31/3999| | || | |
71288042711||J0583||01/11/2022|12/31/3999|Injection, bivalirudin, 1 mg|BIVALIRUDIN 250 MG VIAL|10|UN|VIAL|IV|EA|.004|01/11/2022|12/31/3999| | || | |
63323050641||J1100||01/01/2022|12/31/3999|Injection, dexamethasone sodium phosphate, 1mg|DEXAMETHASONE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.1|01/01/2022|12/31/3999| | || | |
71288012690||J9050||03/01/2022|12/31/3999|Injection, carmustine, 100 mg|CARMUSTINE 100 MG VIAL|1|ML|VIAL|IV|ML|1|03/01/2022|12/31/3999| | || | |
16714003701||J3490||01/01/2022|09/30/2022|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|01/01/2022|09/30/2022| | || | |
00009718830||J3590||01/01/2022|12/31/3999|Unclassified Biologics|SOMAVERT 20 MG VIAL|30|UN|VIAL|SQ|EA|1|01/01/2022|12/31/3999| | || | |
63323055963||J1650||01/01/2022|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|.3|ML|SYRINGE|SQ|ML|.1|01/01/2022|12/31/3999| | || | |
70860021568||J9267||01/01/2022|12/31/3999|Injection, paclitaxel, 1 mg|PACLITAXEL 300 MG/50 ML VIA|50|ML|VIAL|IV|ML|.1667|01/01/2022|12/31/3999| | || | |
16714004002||J3030||01/01/2022|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML INJ|.5|ML|SYRINGE|SQ|ML|.5|01/01/2022|12/31/3999| | || | |
70700012692||J3490||01/31/2022|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|01/31/2022|12/31/3999| | || | |
00069068807||C9399||03/30/2020|09/30/2022|Unclassified Drugs or Biologicals|IBRANCE 125 MG TABLET|7|UN|BLIST PACK|PO|EA|1|03/30/2020|09/30/2022| | || | |
00069068807||J8999||03/30/2020|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|IBRANCE 125 MG TABLET|7|UN|BLIST PACK|PO|EA|1|03/30/2020|12/31/3999| | || | |
70594008602||J0290||01/11/2022|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|01/11/2022|12/31/3999| | || | |
70594008601||J0290||01/11/2022|06/30/2022|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|01/11/2022|06/30/2022| | || | |
70594008601||J0290||07/01/2022|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 1 GM VIAL|1|UN|VIAL|IJ|EA|.5|07/01/2022|12/31/3999| | || | |
00069150130||J8999||02/14/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|TALZENNA 0.5 MG CAPSULE|1|UN|BOTTLE|PO|EA|1|02/14/2022|12/31/3999| | || | |
16714017801||J8999||01/01/2022|06/30/2023|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FLUOROURACIL 5% CREAM|1|GR|TUBE|TP|GM|40|01/01/2022|06/30/2023| | || | |
63323092688||J9319||02/07/2022|12/31/3999|Inj romidepsin lyophil 0.1mg|ROMIDEPSIN 10 MG KIT|1|UN|VIAL|IV|EA|.01|02/07/2022|12/31/3999| | || | |
70594008502||J0290||01/11/2022|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 500 MG VIAL|1|UN|VIAL|IJ|EA|1|01/11/2022|12/31/3999| | || | |
00093822928||J8999||01/04/2022|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|SUNITINIB MALATE 37.5 MG CA|1|UN|BOTTLE|PO|EA|1|01/04/2022|12/31/3999| | || | |
00143923305||J0515||03/03/2022|12/31/3999|Injection, benztropine mesylate, per 1 mg|BENZTROPINE 2 MG/2 ML VIAL|10|ML|VIAL|IJ|ML|1|03/03/2022|12/31/3999| | || | |
00143939210||J3490||01/10/2022|12/31/3999|Unclassified drugs|REMIFENTANIL 2 MG VIAL|1|UN|VIAL|IV|EA|1|01/10/2022|12/31/3999| | || | |
68001048035||J9206||01/01/2022|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 40 MG/2 ML V|2|ML|VIAL|IV|EA|1|01/01/2022|12/31/3999| | || | |
68094014701||J3490||02/09/2022|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|EA|50|02/09/2022|12/31/3999| | || | |
23155031331||J1120||02/28/2022|12/31/3999|Injection, acetazolamide sodium, up to 500 mg|ACETAZOLAMIDE SOD 500 MG VI|1|UN|VIAL|IJ|EA|1|02/28/2022|12/31/3999| | || | |
69680011310||J3420||01/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|01/01/2022|12/31/3999| | || | |
00409001601||J9171||01/01/2022|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 160 MG/16 ML VIAL|16|ML|VIAL|IV|ML|.1|01/01/2022|12/31/3999| | || | |
00409202601||J9171||01/01/2022|12/31/3999|Injection, docetaxel, 1 mg|DOCETAXEL 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.1|01/01/2022|12/31/3999| | || | |
70069006425||J2795||01/01/2022|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|01/01/2022|12/31/3999| | || | |
70069080501||J2710||01/20/2022|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/20/2022|12/31/3999| | || | |
00517481001||J3490||07/01/2022|06/30/2023|Unclassified drugs|NITROGLYCERIN 50 MG/10 ML V|10|ML|VIAL|IV|ML|10|07/01/2022|06/30/2023| | || | |
69784084001||J3490||07/01/2022|12/31/3999|Unclassified drugs|SELENIOUS ACID 400 MCG/10 M|10|ML|VIAL|IV|ML|10|07/01/2022|12/31/3999| | || | |
71288020020||J2260||07/01/2022|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 20 MG/20 ML|20|ML|VIAL|IV|ML|5|07/01/2022|12/31/3999| | || | |
63323022941||J2720||10/01/2019|12/31/3999|Injection, protamine sulfate, per 10 mg|PROTAMINE 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|10/01/2019|12/31/3999| | || | |
14789010708||J3480||07/26/2021|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/50 ML S|50|ML|FLEX CONT|IV|ML|5|07/26/2021|12/31/3999| | || | |
50474097063||J3490||01/01/2020|12/31/3999|Unclassified drugs|BRIVIACT 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|01/01/2020|12/31/3999| | || | |
55150031701||J3490||07/01/2022|12/31/3999|Unclassified drugs|ISOPROTERENOL 1 MG/5 ML AMP|5|ML|AMPUL|IJ|ML|5|07/01/2022|12/31/3999| | || | |
71288070106||J3490||07/01/2022|12/31/3999|Unclassified drugs|ATRACURIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|07/01/2022|12/31/3999| | || | |
71288072095||J3490||07/01/2022|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|5|07/01/2022|12/31/3999| | || | |
71288041506||J3490||07/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|5|07/01/2022|12/31/3999| | || | |
72485011301||J3490||07/01/2022|12/31/3999|Unclassified drugs|ISOPROTERENOL 1 MG/5 ML AMP|5|ML|AMPUL|IJ|ML|5|07/01/2022|12/31/3999| | || | |
00409201605||J3490||07/01/2022|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|5|07/01/2022|12/31/3999| | || | |
00409201610||J3490||07/01/2022|12/31/3999|Unclassified drugs|METOPROLOL TART 5 MG/5 ML V|5|ML|VIAL|IV|ML|5|07/01/2022|12/31/3999| | || | |
63323049441||J3490||07/01/2022|12/31/3999|Unclassified drugs|VALPROATE SOD 500 MG/5 ML V|5|ML|VIAL|IV|ML|5|07/01/2022|12/31/3999| | || | |
66794023902||J3490||07/08/2022|12/31/3999|Unclassified drugs|ZINC SULFATE 25 MG/5 ML VIA|5|ML|VIAL|IV|ML|5|07/08/2022|12/31/3999| | || | |
66794023942||J3490||07/08/2022|12/31/3999|Unclassified drugs|ZINC SULFATE 25 MG/5 ML VIA|5|ML|VIAL|IV|ML|5|07/08/2022|12/31/3999| | || | |
49502034599||J7682||07/01/2022|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBI 300 MG/5 ML SOLUTION|5|ML|AMPUL|IH|ML|5|07/01/2022|12/31/3999| | || | |
43598060511||J7682||07/01/2022|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|07/01/2022|12/31/3999| | || | |
70860020805||J9000||07/01/2022|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|07/01/2022|12/31/3999| | || | |
61703015005||J9045||07/01/2022|12/31/3999|Injection, carboplatin, 50 mg|CARBOPLATIN 150 MG/15 ML VI|15|ML|VIAL|IV|ML|5|07/01/2022|12/31/3999| | || | |
00115993076||J7614||01/01/2020|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|01/01/2020|12/31/3999| | || | |
00093414545||J7614||07/01/2022|12/31/3999|Levalbuterol, inhalation solution, fda-approved final product, non-compound...|LEVALBUTEROL 0.31 MG/3 ML S|3|ML|VIAL|IH|ML|4.8387|07/01/2022|12/31/3999| | || | |
00517090101||J0360||10/01/2014|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|10/01/2014|12/31/3999| | || | |
70860012541||J0456||07/01/2022|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
70594009401||J0696||08/09/2022|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|EA|1|08/09/2022|12/31/3999| | || | |
70594009402||J0696||08/09/2022|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 250 MG VIAL|1|UN|VIAL|IJ|EA|1|08/09/2022|12/31/3999| | || | |
81284041105||J1110||05/27/2022|12/31/3999|Injection, dihydroergotamine mesylate, per 1 mg|DIHYDROERGOTAMINE 1 MG/ML A|1|ML|AMPUL|IJ|ML|1|05/27/2022|12/31/3999| | || | |
00143900601||J1120||07/01/2022|12/31/3999|Injection, acetazolamide sodium, up to 500 mg|ACETAZOLAMIDE SOD 500 MG VI|1|UN|VIAL|IJ|EA|1|07/01/2022|12/31/3999| | || | |
14789011607||J1364||07/01/2022|12/31/3999|Injection, erythromycin lactobionate, per 500 mg|ERYTHROMYCIN LACT 500 MG VI|1|UN|VIAL|IV|EA|1|07/01/2022|12/31/3999| | || | |
63323047400||J1630||07/01/2022|12/31/3999|Injection, haloperidol, up to 5 mg|HALOPERIDOL LAC 5 MG/ML VIA|1|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
71288050201||J1631||07/01/2022|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|07/01/2022|12/31/3999| | || | |
63323046357||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAINE-EPI 0.5%-0.0005|50|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046617||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.5% VIAL|10|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
63323047217||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.75% VIAL|10|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
00703940201||J3260||10/01/1992|07/21/2019|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 40 MG/ML VIAL|2|ML|VIAL|IJ|ML|2|10/01/1992|07/21/2019| | || | |
00024591401||J3590||03/31/2017|04/01/2017|Unclassified Biologics|DUPIXENT 300 MG/2 ML SAFE S|2|ML|SYRINGE|SQ|ML|1|03/31/2017|04/01/2017| | || | |
00409155918||J3490||10/28/2004|06/30/2023|Unclassified drugs|Marcaine Preservative Free 0.25 % SOLN|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409156019||J3490||10/28/2004|06/30/2023|Unclassified drugs|Marcaine Preservative Free 0.5 % SOLN|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409174670||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE 0.25%-EPI 1:200,00|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409176119||J3490||10/28/2004|06/01/2022|Unclassified drugs|MARCAINE SPINAL AMPUL|2|ML|AMPUL|IJ|ML|1|10/28/2004|06/01/2022| | || | |
42367052025||J9036||07/01/2019|12/31/3999|Inj. belrapzo/bendamustine|BENDAMUSTINE 100 MG/4 ML VI|4|ML|VIAL|IV|ML|.04|07/01/2019|12/31/3999| | || | |
36000009210||S0020||06/01/2018|02/01/2022|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAIN 0.75%-DEXTROS 8.|2|ML|AMPUL|IV|ML|15|06/01/2018|02/01/2022| | || | |
00409155919||J3490||10/28/2004|06/30/2023|Unclassified drugs|Marcaine Preservative Free 0.25 % SOLN|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409176162||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE SPINAL 15 MG/2 ML|2|ML|AMPUL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409158218||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409174971||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 1:200,000|30|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
13533063620||90371||07/21/2005|11/22/2021|Hepatitis B immune globulin (HBIG), human, for intramuscular use|HyperHEP B S/D   SOLN|1|ML|SYRINGE|IM|ML|1|07/21/2005|11/22/2021| | || | |
13533063630||90371||07/21/2005|12/31/3999|Hepatitis B immune globulin (HBIG), human, for intramuscular use|HyperHEP B S/D   SOLN|1|ML|SYRINGE|IM|ML|1|07/21/2005|12/31/3999| | || | |
36000009201||S0020||06/01/2018|02/01/2022|Injection, bupivicaine hydrochloride, 30 ml|BUPIVACAIN 0.75%-DEXTROS 8.|2|ML|AMPUL|IJ|ML|15|06/01/2018|02/01/2022| | || | |
12496012001||J2798||10/01/2019|12/31/3999|Inj, risperidone,  0.5 mg|PERSERIS ER 120 MG SYRINGE|1|UN|KIT|SQ|EA|.0083|10/01/2019|12/31/3999| | || | |
63323022116||J3370||08/18/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|08/18/2021|12/31/3999| | || | |
00409156018||J3490||10/28/2004|06/30/2023|Unclassified drugs|Marcaine Preservative Free 0.5 % SOLN|10|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
00409174970||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE 0.5%-EPI 1:200,000|10|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
00409158219||J3490||10/28/2004|06/30/2023|Unclassified drugs|MARCAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|1|10/28/2004|06/30/2023| | || | |
47781062407||J0895||06/09/2021|12/31/3999|Injection, deferoxamine mesylate, 500 mg|DEFEROXAMINE 2 GRAM VIAL|1|UN|VIAL|IJ|GM|.25|06/09/2021|12/31/3999| | || | |
00409174671||J3490||10/28/2004|12/31/3999|Unclassified drugs|MARCAINE 0.25%-EPI 1:200,00|30|ML|VIAL|IJ|ML|1|10/28/2004|12/31/3999| | || | |
55513019201||J2506||01/01/2022|12/31/3999|Inj pegfilgrast ex bio 0.5mg|NEULASTA 6 MG/0.6 ML DLVRY|0.6|ML|SYRINGE|SQ|ML|.05|01/01/2022|12/31/3999| | || | |
63323086910||S5010||05/17/2021|12/31/3999|5% dextrose and 0.45% normal saline, 1000 ml|DEXTROSE 5%-0.45% NACL IV S|1000|ML|FLEX CONT|IV|ML|1000|05/17/2021|12/31/3999| | || | |
63323087010||J7042||05/18/2021|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-0.9% NACL IV SO|500|ML|FLEX CONT|IV|ML|500|05/18/2021|12/31/3999| | || | |
63323087074||J7042||05/18/2021|12/31/3999|5% dextrose/normal saline (500 ml = 1 unit)|DEXTROSE 5%-0.9% NACL IV SO|1000|ML|FLEX CONT|IV|ML|500|05/18/2021|12/31/3999| | || | |
64406010202||J0172||01/01/2022|12/31/3999|Inj, aducanumab-avwa, 2 mg|ADUHELM 300 MG/3 ML VIAL|3|ML|VIAL|IV|ML|.02|01/01/2022|12/31/3999| | || | |
00944304511||J7192||08/13/2003|12/31/3999|Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise sp...|ADVATE 1,801-2,400 UNIT VIA|1|F2|VIAL|IV|AHF|1|08/13/2003|12/31/3999| | || | |
68516521608||P9047||05/06/2009|11/16/2023|ALBUMIN (HUMAN), 25%, 50 ML|ALBUTEIN 25% IV SOLUTION|100|ML|FLEX CONT|IV|ML|50|05/06/2009|11/16/2023| | || | |
63323073803||J3490||04/16/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 40 MG/4 ML VIAL|4|ML|VIAL|IV|ML|1|04/16/2001|12/31/3999| | || | |
70860075141||S0028||12/22/2020|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|12/22/2020|12/31/3999| | || | |
70860075141||J3490||12/22/2020|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|12/22/2020|12/31/3999| | || | |
00517930225||J3490||09/28/2021|12/31/3999|Unclassified drugs|MULTRYS VIAL|1|ML|VIAL|IV|ML|1|09/28/2021|12/31/3999| | || | |
00074437836||J3490||01/23/1996|12/31/3999|Unclassified drugs|NIMBEX 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|1|01/23/1996|12/31/3999| | || | |
00074438081||J3490||01/23/1996|12/31/3999|Unclassified drugs|NIMBEX 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/23/1996|12/31/3999| | || | |
47335061544||J3490||11/10/2021|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|11/10/2021|12/31/3999| | || | |
63323094004||J3490||07/28/2021|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|4|ML|VIAL|IV|ML|1|07/28/2021|12/31/3999| | || | |
69784023020||J3490||09/02/2021|12/31/3999|Unclassified drugs|SODIUM ACETATE 100 MEQ/50 M|50|ML|VIAL|IV|ML|1|09/02/2021|12/31/3999| | || | |
72485030501||J3490||10/07/2021|12/31/3999|Unclassified drugs|SODIUM NITROPRUSSIDE 50 MG/|2|ML|VIAL|IV|ML|1|10/07/2021|12/31/3999| | || | |
63323032112||J3490||03/11/2008|12/31/3999|Unclassified drugs|POLYMYXIN B SULFATE VIAL|1|UN|VIAL|IJ|EA|1|03/11/2008|12/31/3999| | || | |
63323046301||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORCAINE 0.5%-EPI 1:200,|50|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046401||S0020||10/16/2003|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.25% VIAL|10|ML|VIAL|IJ|ML|1|10/16/2003|06/30/2023| | || | |
63323046401||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.25% VIAL|10|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
63323046402||S0020||10/16/2003|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE-MPF 0.25% VIAL|30|ML|VIAL|IJ|ML|1|10/16/2003|06/30/2023| | || | |
63323046402||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE-MPF 0.25% VIAL|30|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
63323046501||S0020||10/16/2003|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|1|10/16/2003|06/30/2023| | || | |
63323046501||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
63323046701||S0020||10/16/2003|06/30/2023|Injection, bupivicaine hydrochloride, 30 ml|SENSORCAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|1|10/16/2003|06/30/2023| | || | |
63323046701||J3490||04/01/1998|06/30/2023|Unclassified drugs|SENSORCAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|1|04/01/1998|06/30/2023| | || | |
63323046801||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORC-MPF 0.25%-EPI 1:200|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323046802||J3490||04/01/1998|12/31/3999|Unclassified drugs|SENSORC-MPF 0.25%-EPI 1:200|30|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323092401||J3490||04/01/1998|12/31/3999|Unclassified drugs|BACTERIOSTATIC SALINE VIAL|10|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
63323092403||J3490||04/01/1998|12/31/3999|Unclassified drugs|BACTERIOSTATIC SALINE VIAL|30|ML|VIAL|IJ|ML|1|04/01/1998|12/31/3999| | || | |
16714098102||J3490||10/02/2019|04/30/2023|Unclassified drugs|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|1|10/02/2019|04/30/2023| | || | |
16714002801||J3490||01/15/2008|04/30/2023|Unclassified drugs|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|1|01/15/2008|04/30/2023| | || | |
62756009140||J3490||09/07/2021|09/30/2023|Unclassified drugs|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IM|ML|1|09/07/2021|09/30/2023| | || | |
66993037083||J3490||06/05/2002|12/31/3999|Unclassified drugs|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|1|06/05/2002|12/31/3999| | || | |
00591283201||J8999||11/17/2021|12/31/3999|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|BEXAROTENE 75 MG CAPSULE|100|UN|BOTTLE|PO|CAP|1|11/17/2021|12/31/3999| | || | |
73116010006||J8999||10/07/2021|12/23/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FARYDAK 10 MG CAPSULE|6|UN|BLIST PACK|PO|CAP|1|10/07/2021|12/23/2022| | || | |
73116010106||J8999||10/07/2021|12/23/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FARYDAK 15 MG CAPSULE|6|UN|BLIST PACK|PO|CAP|1|10/07/2021|12/23/2022| | || | |
73116010206||J8999||10/07/2021|12/23/2022|PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS|FARYDAK 20 MG CAPSULE|6|UN|BLIST PACK|PO|CAP|1|10/07/2021|12/23/2022| | || | |
00093595511||J7605||12/15/2021|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|AMPUL|IH|ML|2|12/15/2021|12/31/3999| | || | |
00456040010||J0712||04/01/2022|12/31/3999|Ceftaroline fosamil inj, 10 MG|TEFLARO 400 MG VIAL|1|UN|VIAL|IV|EA|.025|04/01/2022|12/31/3999| | || | |
00456060010||J0712||04/01/2022|12/31/3999|Ceftaroline fosamil inj, 10 MG|TEFLARO 600 MG VIAL|1|UN|VIAL|IV|EA|.0167|04/01/2022|12/31/3999| | || | |
61703040825||J9250||11/03/2021|12/31/3999|Methotrexate sodium, 5 mg|METHOTREXATE 1 GRAM/40 ML VIAL|40|ML|VIAL|IJ|ML|.2|11/03/2021|12/31/3999| | || | |
63323018730||J3490||04/01/1998|06/09/2023|Unclassified drugs|SODIUM CHLORIDE 4 MEQ/ML VL|30|ML|VIAL|IV|ML|1|04/01/1998|06/09/2023| | || | |
63323022110||J3370||08/26/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|08/26/2021|12/31/3999| | || | |
00338005403||J3490||01/01/1991|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 3% IV SOLN|500|ML|BAG|IV|ML|1|01/01/1991|12/31/3999| | || | |
23155019331||J0770||12/07/2021|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|ML|1|12/07/2021|12/31/3999| | || | |
25021067410||J3490||11/01/2021|12/31/3999|Unclassified drugs|ETOMIDATE 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|11/01/2021|12/31/3999| | || | |
25021067420||J3490||11/01/2021|12/31/3999|Unclassified drugs|ETOMIDATE 40 MG/20 ML VIAL|20|ML|VIAL|IV|ML|1|11/01/2021|12/31/3999| | || | |
00456040001||J0712||04/01/2022|12/31/3999|Ceftaroline fosamil inj, 10 MG|TEFLARO 400 MG VIAL|1|UN|VIAL|IV|EA|.025|04/01/2022|12/31/3999| | || | |
00456060001||J0712||04/01/2022|12/31/3999|Ceftaroline fosamil inj, 10 MG|TEFLARO 600 MG VIAL|1|UN|VIAL|IV|EA|.0167|04/01/2022|12/31/3999| | || | |
50458060601||J2426||03/06/2022|06/30/2023|Injection, paliperidone palmitate extended release, 1 mg|INVEGA TRINZA 273 MG/0.88|.88|ML|SYRINGE|IM|ML|.003223|03/06/2022|06/30/2023| | || | |
50458060701||J2426||03/06/2022|06/30/2023|Injection, paliperidone palmitate extended release, 1 mg|INVEGA TRINZA 410 MG/1.32|1.32|ML|SYRINGE|IM|ML|.003219|03/06/2022|06/30/2023| | || | |
50458060901||J2426||03/06/2022|06/30/2023|Injection, paliperidone palmitate extended release, 1 mg|INVEGA TRINZA 819 MG/2.63|2.63|ML|SYRINGE|IM|ML|.003211|03/06/2022|06/30/2023| | || | |
63323028426||J3370||10/19/2021|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|10/19/2021|12/31/3999| | || | |
00069030801||Q5116||03/15/2021|12/31/3999|Inj., trazimera, 10 mg|TRAZIMERA 150 MG VIAL|1|UN|VIAL|IV|EA|.0667|03/15/2021|12/31/3999| | || | |
57894016001||J1745||02/01/2000|12/31/3999|Injection infliximab, 10 mg|INFLIXIMAB 100 MG VIAL|1|UN|VIAL|IV|EA|.1|02/01/2000|12/31/3999| | || | |
00409201105||J1953||11/02/2012|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|11/02/2012|12/31/3999| | || | |
51754122003||J2710||01/23/2015|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|BLOXIVERZ 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|01/23/2015|12/31/3999| | || | |
50742052110||J9070||12/16/2021|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM/10 ML|10|ML|VIAL|IV|ML|.5|12/16/2021|12/31/3999| | || | |
70860021810||J9070||02/25/2021|12/31/3999|Cyclophosphamide, 100 mg|CYCLOPHOSPHAMIDE 2 GM/10 ML|10|ML|VIAL|IV|ML|.5|02/25/2021|12/31/3999| | || | |
68001050628||J2543||12/10/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 2.25 GM|1|UN|VIAL|IV|EA|.5|12/10/2021|12/31/3999| | || | |
16729043011||J0883||10/07/2021|12/31/2022|Argatroban nonesrd use 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|10/07/2021|12/31/2022| | || | |
51754121001||J2710||01/23/2015|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|BLOXIVERZ 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/23/2015|12/31/3999| | || | |
51754121003||J2710||01/23/2015|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|BLOXIVERZ 5 MG/10 ML VIAL|10|ML|VIAL|IV|ML|1|01/23/2015|12/31/3999| | || | |
43598062857||J9050||10/14/2021|12/31/3999|Injection, carmustine, 100 mg|CARMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|1|10/14/2021|12/31/3999| | || | |
70710172608||J9261||11/23/2021|12/31/3999|Injection, nelarabine, 50 mg|NELARABINE 250 MG/50 ML VIA|50|ML|VIAL|IV|ML|10|11/23/2021|12/31/3999| | || | |
14789010805||J3480||10/28/2021|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/50 ML S|50|ML|FLEX CONT|IV|ML|10|10/28/2021|12/31/3999| | || | |
14789010808||J3480||10/28/2021|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 10 MEQ/50 ML S|50|ML|FLEX CONT|IV|ML|10|10/28/2021|12/31/3999| | || | |
00264420654||J3475||10/04/2021|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|BAG|IV|ML|12.5|10/04/2021|12/31/3999| | || | |
79672061330||J7050||11/25/2020|12/31/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|250|11/25/2020|12/31/2021| | || | |
81952011209||J1644||07/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 10,000 UNIT/10 ML V|10|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
81952011210||J1644||07/01/2022|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 30,000 UNIT/30 ML V|30|ML|VIAL|IJ|ML|1|07/01/2022|12/31/3999| | || | |
44567050210||J1953||07/01/2022|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 1,000MG/|100|ML|BAG|IV|ML|1|07/01/2022|12/31/3999| | || | |
76045000100||J2250||10/01/2019|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 2 MG/2 ML SYRINGE|2|ML|SYRINGE|IJ|ML|1|10/01/2019|12/31/3999| | || | |
44567061101||J2251||01/01/2023|12/31/3999|Midazolam hydrochloride (wg critical care) not therapeutically equivalent to J2250|MIDAZOLAM 100MG/100ML-0.9%N|100|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
44567061110||J2251||01/01/2023|12/31/3999|Midazolam hydrochloride (wg critical care) not therapeutically equivalent to J2250|MIDAZOLAM 100MG/100ML-0.9%N|100|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
44567061001||J2251||01/01/2023|12/31/3999|Midazolam hydrochloride (wg critical care) not therapeutically equivalent to J2250|MIDAZOLAM 50 MG/50 ML-0.9%N|50|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
44567061010||J2251||01/01/2023|12/31/3999|Midazolam hydrochloride (wg critical care) not therapeutically equivalent to J2250|MIDAZOLAM 50 MG/50 ML-0.9%N|50|ML|BAG|IV|ML|1|01/01/2023|12/31/3999| | || | |
81284021100||J2370||05/27/2022|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|05/27/2022|06/30/2023| | || | |
16714024701||J3370||07/13/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|07/13/2022|12/31/3999| | || | |
16714024710||J3370||07/13/2022|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|07/13/2022|12/31/3999| | || | |
55150027301||J3411||09/22/2022|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|09/22/2022|12/31/3999| | || | |
55150027325||J3411||09/22/2022|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|09/22/2022|12/31/3999| | || | |
70710166301||J3420||09/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|09/01/2022|12/31/3999| | || | |
70710166307||J3420||09/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|09/01/2022|12/31/3999| | || | |
70710166401||J3420||09/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|09/01/2022|12/31/3999| | || | |
70710166401||J3490||09/01/2022|12/31/3999|Unclassified drugs|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|09/01/2022|12/31/3999| | || | |
70710166406||J3420||09/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|09/01/2022|12/31/3999| | || | |
70710166407||J3420||09/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 10,000 MCG/1|10|ML|VIAL|IJ|ML|1|09/01/2022|12/31/3999| | || | |
70710166501||J3420||09/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|09/01/2022|12/31/3999| | || | |
70710166505||J3420||09/01/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 30,000 MCG/3|30|ML|VIAL|IJ|ML|1|09/01/2022|12/31/3999| | || | |
68001054259||J3420||09/16/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|09/16/2022|12/31/3999| | || | |
68001054260||J3420||09/16/2022|12/31/3999|Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg|CYANOCOBALAMIN 1,000 MCG/ML|1|ML|VIAL|IJ|ML|1|09/16/2022|12/31/3999| | || | |
00409012001||J0877||01/01/2023|12/31/3999|Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
51991098399||J3490||07/01/2022|12/31/3999|Unclassified drugs|NOREPINEPHRINE 4 MG/4 ML VI|1|ML|VIAL|IV|ML|4|07/01/2022|12/31/3999| | || | |
00409963365||J3490||07/01/2022|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML SYRING|4|ML|SYRINGE|IV|ML|4|07/01/2022|12/31/3999| | || | |
42571031386||J3490||07/01/2022|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|1|ML|VIAL|IV|ML|4|07/01/2022|12/31/3999| | || | |
72485010901||J3490||07/01/2022|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|4|07/01/2022|12/31/3999| | || | |
70756060605||J3490||07/25/2022|12/31/3999|Unclassified drugs|VERAPAMIL 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|4|07/25/2022|12/31/3999| | || | |
00517912001||S0017||01/01/2011|12/31/2022|Injection, aminocaproic acid, 5 grams|AMINOCAPROIC ACID 5 G/20 ML|20|ML|VIAL|IV|ML|20|01/01/2011|12/31/2022| | || | |
00944280303||J0256||06/02/2003|12/31/3999|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|ARALAST NP 500 MG VIAL|1|UN|VIAL|IV|EA|10|06/02/2003|12/31/3999| | || | |
00944280404||J0256||06/02/2003|12/31/3999|Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 1...|ARALAST NP 1,000 MG VIAL|1|UN|VIAL|IV|EA|10|06/02/2003|12/31/3999| | || | |
25021041450||J0884||04/15/2021|04/16/2021|Argatroban esrd dialysis 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|04/15/2021|04/16/2021| | || | |
25021041450||J0883||04/15/2021|12/31/3999|Argatroban nonesrd use 1mg|ARGATROBAN 50 MG/50ML-0.9%N|50|ML|VIAL|IV|ML|1|04/15/2021|12/31/3999| | || | |
70121148307||J9017||09/27/2021|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|09/27/2021|12/31/3999| | || | |
16729048303||J0461||07/30/2021|12/31/3999|Injection, atropine sulfate, 0.01 mg|ATROPINE-0.9% NACL 0.25 MG/|5|ML|SYRINGE|IV|ML|20|07/30/2021|12/31/3999| | || | |
00143908401||J9000||05/01/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|05/01/1996|12/31/3999| | || | |
00143908601||J9000||05/01/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 50 MG/25 ML VIA|25|ML|VIAL|IV|ML|5|05/01/1996|12/31/3999| | || | |
00143908701||J9000||05/01/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 200 MG/100 ML V|100|ML|VIAL|IV|ML|5|05/01/1996|12/31/3999| | || | |
00143908801||J9000||05/20/1996|12/31/3999|Injection, doxorubicin hydrochloride, 10 mg|DOXORUBICIN 10 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|05/20/1996|12/31/3999| | || | |
72078002510||J1327||01/12/2021|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 20 MG/10 ML VI|10|ML|VIAL|IV|ML|2.5|01/12/2021|12/31/3999| | || | |
72078002710||J1327||01/12/2021|12/31/3999|Injection, eptifibatide, 5 mg|EPTIFIBATIDE 200 MG/100 ML|100|ML|VIAL|IV|ML|2.5|01/12/2021|12/31/3999| | || | |
70700018623||J9190||08/12/2021|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 500 MG/10 ML V|10|ML|VIAL|IV|ML|10|08/12/2021|12/31/3999| | || | |
70700018822||J9190||08/12/2021|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 2.5 GRAM/50 ML|50|ML|VIAL|IV|ML|10|08/12/2021|12/31/3999| | || | |
70700018922||J9190||08/12/2021|12/31/3999|Injection, fluorouracil, 500 mg|FLUOROURACIL 5 GRAM/100 ML|100|ML|VIAL|IV|ML|10|08/12/2021|12/31/3999| | || | |
72893000501||J9307||02/04/2020|12/31/3999|Injection, pralatrexate, 1 mg|FOLOTYN 40 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.05|02/04/2020|12/31/3999| | || | |
55150029901||J1453||06/08/2021|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|06/08/2021|12/31/3999| | || | |
70860078210||J1453||04/20/2021|12/31/3999|Injection, fosaprepitant, 1 mg|FOSAPREPITANT 150 MG VIAL|1|UN|VIAL|IV|EA|.0067|04/20/2021|12/31/3999| | || | |
66658050101||J9210||10/01/2019|12/31/3999|Inj, emapalumab-lzsg, 1 mg|GAMIFANT 10 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.2|10/01/2019|12/31/3999| | || | |
58468012700||J1270||06/09/2014|12/31/3999|Injection, doxercalciferol, 1 mcg|HECTOROL 4 MCG/2 ML VIAL|2|ML|VIAL|IV|ML|.5|06/09/2014|12/31/3999| | || | |
63323051901||J1644||03/15/2021|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 2,000 UNIT/1,000 ML|1000|ML|BAG|IV|ML|500|03/15/2021|12/31/3999| | || | |
63323051977||J1644||03/15/2021|12/31/3999|Injection, heparin sodium, per 1000 units|HEPARIN 1,000 UNIT/500 ML-N|500|ML|BAG|IV|ML|500|03/15/2021|12/31/3999| | || | |
72893000401||J0642||02/04/2020|12/31/3999|Inj, levoleucovorin (khapzory), 0.5 mg|KHAPZORY 175 MG VIAL|1|UN|VIAL|IV|EA|.0029|02/04/2020|12/31/3999| | || | |
57894050100||J9061||01/01/2022|12/31/3999|Inj, amivantamab-vmjw, 2 MG|RYBREVANT 350 MG/7 ML VIAL|7|ML|VIAL|IV|ML|.04|01/01/2022|12/31/3999| | || | |
57894050101||J9061||01/01/2022|12/31/3999|Inj, amivantamab-vmjw, 2 MG|RYBREVANT 350 MG/7 ML VIAL|7|ML|VIAL|IV|ML|.04|01/01/2022|12/31/3999| | || | |
59572051503||Q2055||01/01/2022|12/31/3999|Idecabtagene vicleucel car|ABECMA INFUSION BAG|1|UN|BAG|IV|EA|1|01/01/2022|12/31/3999| | || | |
25021031110||J1940||03/15/2021|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 100 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|03/15/2021|12/31/3999| | || | |
63323059611||J1610||07/01/2015|12/31/2022|Injection, glucagon hydrochloride, per 1 mg|GLUCAGON 1 MG VIAL|1|UN|VIAL|IJ|EA|1|07/01/2015|12/31/2022| | || | |
00641623125||J0360||05/06/2021|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|05/06/2021|12/31/3999| | || | |
00409128317||J1170||10/28/2004|12/31/3999|Injection, hydromorphone, up to 4 mg|HYDROMORPHONE 1 MG/ML SYRIN|1|ML|SYRINGE|IJ|ML|4|10/28/2004|12/31/3999| | || | |
00093595545||J7605||12/15/2021|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|AMPUL|IH|ML|2|12/15/2021|12/31/3999| | || | |
00093595556||J7605||12/15/2021|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|AMPUL|IH|ML|2|12/15/2021|12/31/3999| | || | |
69097016864||J7605||06/23/2021|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|06/23/2021|12/31/3999| | || | |
70436015157||J7605||06/23/2021|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|EA|2|06/23/2021|12/31/3999| | || | |
50242007812||C9093||04/01/2022|06/30/2022|Inj, ranibizumab, via sustained release intravitreal implant (susvimo), 0.1 mg|SUSVIMO 10 MG/0.1 ML VIAL|0.1|ML|VIAL|IL|ML|.001|04/01/2022|06/30/2022| | || | |
50242007812||J3590||04/01/2022|06/30/2022|Unclassified Biologics|SUSVIMO 10 MG/0.1 ML VIAL|0.1|ML|VIAL|IL|ML|1|04/01/2022|06/30/2022| | || | |
73372011601||J7352||04/01/2022|12/31/3999|Afamelanotide implant, 1 mg|SCENESSE 16 MG IMPLANT|1|UN|VIAL|SQ|EA|.0625|04/01/2022|12/31/3999| | || | |
70069080405||J3030||12/15/2021|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5 ML VIA|0.5|ML|VIAL|SQ|ML|.5|12/15/2021|12/31/3999| | || | |
00536121429||Q0163||06/05/2019|12/31/3999|Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-...|DIPHENHYDRAMINE 25 MG TABLE|100|UN|BOTTLE|PO|TAB|2|06/05/2019|12/31/3999| | || | |
00527145206||Q0167||11/07/2018|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 10 MG CAPSULE|60|UN|BOTTLE|PO|CAP|.25|11/07/2018|12/31/3999| | || | |
00904714504||Q0167||10/07/2021|12/31/3999|Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as...|DRONABINOL 5 MG CAPSULE|30|UN|BLIST PACK|PO|CAP|.5|10/07/2021|12/31/3999| | || | |
00904706561||Q0177||11/02/2020|12/31/3999|Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, fo...|HYDROXYZINE PAM 25 MG CAP|100|UN|BLIST PACK|PO|CAP|1|11/02/2020|12/31/3999| | || | |
68382059301||Q0175||01/18/2021|12/31/3999|Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as...|PERPHENAZINE 8 MG TABLET|100|UN|BOTTLE|PO|TAB|.5|01/18/2021|12/31/3999| | || | |
55292014001||J2502||01/01/2016|12/31/3999|Inj, pasireotide long acting|SIGNIFOR LAR 20 MG KIT|1|UN|VIAL|IM|EA|.05|01/01/2016|12/31/3999| | || | |
70594008101||J0295||11/09/2021|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|11/09/2021|12/31/3999| | || | |
70069080210||J2370||11/03/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|1|11/03/2021|06/30/2023| | || | |
70069080301||J2370||11/03/2021|06/30/2023|Injection, phenylephrine hcl, up to 1 ml|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|1|11/03/2021|06/30/2023| | || | |
42023022910||J2248||10/29/2021|12/31/2022|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|10/29/2021|12/31/2022| | || | |
78206014899||Q5112||08/23/2021|12/31/3999|Inj ontruzant 10 mg|ONTRUZANT 420 MG VIAL|1|UN|VIAL|IV|EA|.0238|08/23/2021|12/31/3999| | || | |
55150027001||J9071||04/01/2022|12/31/3999|Inj, cyclophosphamide, (auromedics), 5 mg|CYCLOPHOSPHAMIDE 500 MG/2.5|2.5|ML|VIAL|IV|ML|.025|04/01/2022|12/31/3999| | || | |
55150027101||J9071||04/01/2022|12/31/3999|Inj, cyclophosphamide, (auromedics), 5 mg|CYCLOPHOSPHAMIDE 1 GM/5 ML|5|ML|VIAL|IV|ML|.025|04/01/2022|12/31/3999| | || | |
51144000301||J9273||04/01/2022|12/31/3999|Inj, tisotumab vedotin-tftv, 1 mg|TIVDAK 40 MG VIAL|1|UN|VIAL|IV|EA|.025|04/01/2022|12/31/3999| | || | |
65219025628||J2543||05/07/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|EA|.0278|05/07/2021|12/31/3999| | || | |
00781318094||J2543||11/11/2021|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|BOTTLE|IV|EA|.0278|11/11/2021|12/31/3999| | || | |
00310304000||J0491||04/01/2022|12/31/3999|Inj, anifrolumab-fnia, 1 mg|SAPHNELO 300 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.0067|04/01/2022|12/31/3999| | || | |
00002758901||Q0222||02/11/2022|11/30/2022|Inj, bebtelovimab, 175 mg|BEBTELOVIMAB 175 MG/2 ML (E|2|ML|VIAL|IV|ML|2|02/11/2022|11/30/2022| | || | |
68727090001||J9021||01/03/2022|12/31/3999|Inj, aspara, rylaze, 0.1 mg|RYLAZE 10 MG/0.5 ML VIAL|0.5|ML|VIAL|IM|ML|.005|01/03/2022|12/31/3999| | || | |
68727090003||J9021||01/03/2022|12/31/3999|Inj, aspara, rylaze, 0.1 mg|RYLAZE 10 MG/0.5 ML VIAL|0.5|ML|VIAL|IM|ML|.005|01/03/2022|12/31/3999| | || | |
79672061310||J3490||11/25/2020|12/31/2021|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|FLEX CONT|IV|ML|1|11/25/2020|12/31/2021| | || | |
79672061330||J7040||11/25/2020|12/31/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|500|11/25/2020|12/31/2021| | || | |
79672061330||J7030||11/25/2020|12/31/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|11/25/2020|12/31/2021| | || | |
79672061340||J7050||11/25/2020|12/31/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|250|11/25/2020|12/31/2021| | || | |
79672061340||J7040||11/25/2020|12/31/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|500|11/25/2020|12/31/2021| | || | |
79672061340||J7030||11/25/2020|12/31/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|500|ML|FLEX CONT|IV|ML|1000|11/25/2020|12/31/2021| | || | |
79672061350||J7050||11/25/2020|12/31/2021|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|250|11/25/2020|12/31/2021| | || | |
79672061350||J7040||11/25/2020|12/31/2021|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|500|11/25/2020|12/31/2021| | || | |
79672061350||J7030||11/25/2020|12/31/2021|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|1000|11/25/2020|12/31/2021| | || | |
79952011001||J9359||04/01/2022|12/31/3999|Inj, loncastuximab tesirine-lpyl, 0.075 mg|ZYNLONTA 10 MG VIAL|1|UN|VIAL|IV|EA|.0075|04/01/2022|12/31/3999| | || | |
58468042601||J0219||04/01/2022|12/31/3999|Inj, avalglucosidase alfa-ngpt, 4 mg|NEXVIAZYME 100 MG VIAL|1|UN|VIAL|IV|EA|.04|04/01/2022|12/31/3999| | || | |
00310744202||Q0221||02/24/2022|01/26/2023|Tixagev and cilgav, 600mg|EVUSHELD 2-VIAL DOSE PACK(E|3|ML|VIAL|IJ|MG|3|02/24/2022|01/26/2023| | || | |
71288072096||J3490||11/09/2021|12/31/3999|Unclassified drugs|CISATRACURIUM 10 MG/5 ML VI|5|ML|VIAL|IV|ML|1|11/09/2021|12/31/3999| | || | |
66794023444||J3490||09/24/2020|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|VIAL|IV|ML|1|09/24/2020|12/31/3999| | || | |
72572012710||J3490||12/22/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDINE 200MCG/50ML|50|ML|BOTTLE|IV|ML|1|12/22/2021|12/31/3999| | || | |
72572012801||J3490||11/08/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|1|11/08/2021|12/31/3999| | || | |
72572012808||J3490||11/08/2021|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|BOTTLE|IV|ML|1|11/08/2021|12/31/3999| | || | |
76329330201||J3490||11/11/2021|12/31/3999|Unclassified drugs|DEXTROSE 50%-WATER SYRINGE|50|ML|SYRINGE|IV|ML|1|11/11/2021|12/31/3999| | || | |
43598072525||J3490||10/28/2021|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|10/28/2021|12/31/3999| | || | |
55150037325||J3490||11/05/2021|12/31/3999|Unclassified drugs|EPHEDRINE SULFATE 50 MG/ML|1|ML|VIAL|IV|ML|1|11/05/2021|12/31/3999| | || | |
63323073806||S0028||01/01/2011|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|2|01/01/2011|12/31/3999| | || | |
63323073806||J3490||04/16/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|1|04/16/2001|12/31/3999| | || | |
63323073911||S0028||01/01/2011|12/31/3999|Injection, famotidine, 20 mg|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|2|01/01/2011|12/31/3999| | || | |
63323073911||J3490||04/16/2001|12/31/3999|Unclassified drugs|FAMOTIDINE 20 MG/2 ML VIAL|2|ML|VIAL|IV|ML|1|04/16/2001|12/31/3999| | || | |
00338915130||J3490||01/01/1994|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.9% SOLUTI|50|ML|BAG|IV|ML|1|01/01/1994|12/31/3999| | || | |
00338914330||J3490||01/01/1994|12/31/3999|Unclassified drugs|DEXTROSE 5%-WATER IV SOLN|50|ML|BAG|IV|ML|1|01/01/1994|12/31/3999| | || | |
00990796509||J3490||07/12/2018|12/31/3999|Unclassified drugs|NORMOSOL-M-DEXTROSE 5% IV S|1000|ML|FLEX CONT|IV|ML|1|07/12/2018|12/31/3999| | || | |
00143939101||J3490||11/19/2021|12/31/3999|Unclassified drugs|REMIFENTANIL 1 MG VIAL|1|UN|VIAL|IV|EA|1|11/19/2021|12/31/3999| | || | |
00143939110||J3490||11/19/2021|12/31/3999|Unclassified drugs|REMIFENTANIL 1 MG VIAL|1|UN|VIAL|IV|EA|1|11/19/2021|12/31/3999| | || | |
00409491614||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARB 7.5% ABBOJECT|50|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409491624||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARB 7.5% ABBOJECT|50|ML|SYRINGE|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409662514||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
00409662522||J3490||10/28/2004|12/31/3999|Unclassified drugs|SODIUM BICARBONATE 8.4% VIA|50|ML|VIAL|IV|ML|1|10/28/2004|12/31/3999| | || | |
72572070701||J2795||01/01/2023|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|01/01/2023|12/31/3999| | || | |
72572070710||J2795||01/01/2023|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.5% 150 MG/30|30|ML|VIAL|IJ|ML|.2|01/01/2023|12/31/3999| | || | |
70069006210||J2795||01/01/2023|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|01/01/2023|12/31/3999| | || | |
70069006225||J2795||01/01/2023|12/31/3999|Injection, ropivacaine hydrochloride, 1 mg|ROPIVACAINE 0.2% 40 MG/20 M|20|ML|VIAL|IJ|ML|.5|01/01/2023|12/31/3999| | || | |
71288002675||J3370||01/01/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 10 GM VIAL|1|UN|VIAL|IV|EA|.05|01/01/2023|12/31/3999| | || | |
31722021110||J3370||01/01/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|ML|.5|01/01/2023|12/31/3999| | || | |
31722021133||J3370||01/01/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|ML|.5|01/01/2023|12/31/3999| | || | |
71288013951||J9280||01/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|EA|.125|01/01/2023|12/31/3999| | || | |
71288014851||J9305||01/01/2023|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM VI|1|UN|VIAL|IV|EA|.01|01/01/2023|12/31/3999| | || | |
71288014750||J9305||01/01/2023|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 750 MG|1|UN|VIAL|IV|EA|.01333|01/01/2023|12/31/3999| | || | |
67457038600||J7519||10/01/2023|12/31/3999|Inj, mycophenolate mofetil, 10 mg|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|.02|10/01/2023|12/31/3999| | || | |
67457038681||J7519||10/01/2023|12/31/3999|Inj, mycophenolate mofetil, 10 mg|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|.02|10/01/2023|12/31/3999| | || | |
00143932001||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/03/2023|12/31/3999| | || | |
00143962201||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/03/2023|12/31/3999| | || | |
00143962301||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL HCL 200 MG/40 ML|40|ML|VIAL|IV|ML|1|07/03/2023|12/31/3999| | || | |
00143936401||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL 200 MG/200 ML-NAC|200|ML|BAG|IV|ML|5|07/03/2023|12/31/3999| | || | |
00143936601||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL 200MG/200ML-DEXTR|200|ML|BAG|IV|ML|1|07/03/2023|12/31/3999| | || | |
00641625210||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL HCL 10 MG/2 ML SY|2|ML|SYRINGE|IV|ML|1|07/03/2023|12/31/3999| | || | |
71390012521||C9153||10/03/2023|12/31/2023|Inj, amisulpride, 1 mg|BARHEMSYS 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.4|10/03/2023|12/31/2023| | || | |
71390012550||C9153||10/03/2023|12/31/2023|Inj, amisulpride, 1 mg|BARHEMSYS 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|10/03/2023|12/31/2023| | || | |
71390012551||C9153||10/03/2023|12/31/2023|Inj, amisulpride, 1 mg|BARHEMSYS 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|10/03/2023|12/31/2023| | || | |
00641625201||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL HCL 10 MG/2 ML SY|2|ML|SYRINGE|IV|ML|1|07/03/2023|12/31/3999| | || | |
71390012520||C9153||10/03/2023|12/31/2023|Inj, amisulpride, 1 mg|BARHEMSYS 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.4|10/03/2023|12/31/2023| | || | |
00143936301||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL 100 MG/100 ML-NAC|100|ML|BAG|IV|ML|5|07/03/2023|12/31/3999| | || | |
00143936610||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL 200MG/200ML-DEXTR|200|ML|BAG|IV|ML|5|07/03/2023|12/31/3999| | || | |
00143936310||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL 100 MG/100 ML-NAC|100|ML|BAG|IV|ML|5|07/03/2023|12/31/3999| | || | |
00143936410||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL 200 MG/200 ML-NAC|200|ML|BAG|IV|ML|5|07/03/2023|12/31/3999| | || | |
00143936501||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL 300 MG/300 ML-NAC|300|ML|BAG|IV|ML|1|07/03/2023|12/31/3999| | || | |
00143936510||J1921||07/03/2023|12/31/3999| Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg|LABETALOL 300 MG/300 ML-NAC|300|ML|BAG|IV|ML|5|07/03/2023|12/31/3999| | || | |
70121250101||J0475||01/01/2023|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 10 MG/20 ML KIT|20|ML|AMPUL|IT|ML|20|01/01/2023|12/31/3999| | || | |
70121250402||J0475||01/01/2023|12/31/3999|Injection, baclofen, 10 mg|LIORESAL IT 10 MG/20 ML KIT|20|ML|AMPUL|IT|ML|20|01/01/2023|12/31/3999| | || | |
63323046409||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
63323046439||J0665||07/01/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|SENSORCAINE-MPF 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|07/01/2023|12/31/3999| | || | |
00002822801||J1814||07/01/2023|12/31/3999|Insulin (lyumjev), per 5 units|LYUMJEV 200 UNIT/ML KWIKPEN|3|ML|SYRINGE|SQ|ML|.025|07/01/2023|12/31/3999| | || | |
55150045910||J3490||04/01/2023|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|04/01/2023|12/31/3999| | || | |
59148011480||C9152||10/01/2023|12/31/2023|Injection, aripiprazole, (abilify asimtufii), 1 mg|ABILIFY ASIMTUFII 960 MG/3.|3.2|ML|SYRINGE|IM|ML|.0033|10/01/2023|12/31/2023| | || | |
59148011480||J3490||10/01/2023|12/31/2023|Unclassified drugs|ABILIFY ASIMTUFII 960 MG/3.|3.2|ML|SYRINGE|IM|ML|.0033|10/01/2023|12/31/2023| | || | |
71390012520||C9153||10/01/2023|10/02/2023|Inj, amisulpride, 1 m|BARHEMSYS 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.4|10/01/2023|10/02/2023| | || | |
71390012520||J3490||10/01/2023|12/31/2023|Unclassified drugs|BARHEMSYS 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.4|10/01/2023|12/31/2023| | || | |
71288080321||J7519||10/01/2023|12/31/3999|Inj, mycophenolate mofetil, 10 mg|MYCOPHENOLATE 500 MG VIAL|1|UN|VIAL|IV|EA|.02|10/01/2023|12/31/3999| | || | |
58284020801||C9154||10/01/2023|12/31/2023|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI WEEKLY 8 MG/0.16ML|0.16|ML|SYRINGE|SQ||.02|10/01/2023|12/31/2023| | || | |
58284020801||J3490||10/01/2023|12/31/2023|Unclassified drugs|BRIXADI WEEKLY 8 MG/0.16ML|0.16|ML|SYRINGE|SQ||.02|10/01/2023|12/31/2023| | || | |
58284021601||C9154||10/01/2023|12/31/2023|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI WEEKLY 16MG/0.32ML|0.32|ML|SYRINGE|SQ||.02|10/01/2023|12/31/2023| | || | |
58284021601||J3490||10/01/2023|12/31/2023|Unclassified drugs|BRIXADI WEEKLY 16MG/0.32ML|0.32|ML|SYRINGE|SQ||.02|10/01/2023|12/31/2023| | || | |
58284022401||C9154||10/01/2023|12/31/2023|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI WEEKLY 24MG/0.48ML|0.48|ML|SYRINGE|SQ||.02|10/01/2023|12/31/2023| | || | |
58284022401||J3490||10/01/2023|12/31/2023|Unclassified drugs|BRIXADI WEEKLY 24MG/0.48ML|0.48|ML|SYRINGE|SQ||.02|10/01/2023|12/31/2023| | || | |
58284026401||C9154||10/01/2023|12/31/2023|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI MONTH 64 MG/0.18ML|0.18|ML|SYRINGE|SQ||.0028|10/01/2023|12/31/2023| | || | |
58284026401||J3490||10/01/2023|12/31/2023|Unclassified drugs|BRIXADI MONTH 64 MG/0.18ML|0.18|ML|SYRINGE|SQ||.0028|10/01/2023|12/31/2023| | || | |
58284029601||C9154||10/01/2023|12/31/2023|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI MONTH 96 MG/0.27ML|0.27|ML|SYRINGE|SQ||.0028|10/01/2023|12/31/2023| | || | |
58284029601||J3490||10/01/2023|12/31/2023|Unclassified drugs|BRIXADI MONTH 96 MG/0.27ML|0.27|ML|SYRINGE|SQ||.0028|10/01/2023|12/31/2023| | || | |
51759030510||C9158||10/01/2023|12/31/2023|Inj, risperidone, (uzedy), 1 mg|UZEDY ER 50 MG/0.14 ML SYRI|0.14|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759030510||J3490||10/01/2023|12/31/2023|Unclassified drugs|UZEDY ER 50 MG/0.14 ML SYRI|0.14|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759041010||C9158||10/01/2023|12/31/2023|Inj, risperidone, (uzedy), 1 mg|UZEDY ER 75 MG/0.21 ML SYRI|0.21|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759041010||J3490||10/01/2023|12/31/2023|Unclassified drugs|UZEDY ER 75 MG/0.21 ML SYRI|0.21|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759052010||C9158||10/01/2023|12/31/2023|Inj, risperidone, (uzedy), 1 mg|UZEDY ER 100 MG/0.28 ML SYR|0.28|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759052010||J3490||10/01/2023|12/31/2023|Unclassified drugs|UZEDY ER 100 MG/0.28 ML SYR|0.28|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759063010||C9158||10/01/2023|12/31/2023|Inj, risperidone, (uzedy), 1 mg|UZEDY ER 125 MG/0.35 ML SYR|0.35|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759063010||J3490||10/01/2023|12/31/2023|Unclassified drugs|UZEDY ER 125 MG/0.35 ML SYR|0.35|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759074010||C9158||10/01/2023|12/31/2023|Inj, risperidone, (uzedy), 1 mg|UZEDY ER 150 MG/0.42 ML SYR|0.42|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
51759074010||J3490||10/01/2023|12/31/2023|Unclassified drugs|UZEDY ER 150 MG/0.42 ML SYR|0.42|ML|SYRINGE|SQ|ML|.0028|10/01/2023|12/31/2023| | || | |
72572019001||J1940||01/01/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2023|12/31/3999| | || | |
72078004618||J0282||04/01/2023|12/31/3999|Injection, amiodarone hydrochloride, 30 mg|AMIODARONE 900 MG/18 ML VIA|18|ML|VIAL|IV|ML|.6|04/01/2023|12/31/3999| | || | |
63323034101||J0694||01/01/2020|12/31/3999|Injection, cefoxitin sodium, 1 gm|CEFOXITIN 1 GM VIAL|1|UN|VIAL|IV|EA|1|01/01/2020|12/31/3999| | || | |
00143975301||J2920||04/01/2023|12/31/3999|Injection, methylprednisolone sodium succinate, up to 40 mg|METHYLPREDNISOLONE SS 40 MG|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
71288001695||J0878||10/01/2022|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.0022|10/01/2022|12/31/3999| | || | |
71288001791||J0878||01/01/2023|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|01/01/2023|12/31/3999| | || | |
68516321202||J7194||01/01/2023|12/31/3999|Factor ix, complex, per i.u.|PROFILNINE 1,500 UNIT VIAL|1|F2|VIAL|IV|AHF|1|01/01/2023|12/31/3999| | || | |
71288043292||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 30 MG/0.3 ML SYR|0.3|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043382||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043383||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043391||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
71288043392||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 40 MG/0.4 ML SYR|0.4|ML|SYRINGE|SQ|ML|.1|04/01/2023|12/31/3999| | || | |
81952013501||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|04/01/2023|12/31/3999| | || | |
81952013506||J1650||04/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 150 MG/ML SYRING|1|ML|SYRINGE|SQ|ML|.0667|04/01/2023|12/31/3999| | || | |
71288003120||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
71288003121||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 1.5 GM|1|UN|VIAL|IJ|EA|1|04/01/2023|12/31/3999| | || | |
55150011710||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|04/01/2023|12/31/3999| | || | |
55150011801||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 15 GM|1|UN|BOTTLE|IJ|EA|.1|04/01/2023|12/31/3999| | || | |
72485041710||J0295||04/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|04/01/2023|12/31/3999| | || | |
70710189501||J9017||04/01/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|04/01/2023|12/31/3999| | || | |
71288060010||S0164||04/01/2023|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|04/01/2023|12/31/3999| | || | |
71288060011||S0164||04/01/2023|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|04/01/2023|12/31/3999| | || | |
31722020431||S0164||01/01/2023|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
70700027522||J1380||04/01/2023|12/31/3999|Injection, estradiol valerate, up to 10 mg|ESTRADIOL VALERATE 200 MG/5|5|ML|VIAL|IM|ML|.25|04/01/2023|12/31/3999| | || | |
00002822827||J1814||07/01/2023|12/31/3999|Insulin (lyumjev), per 5 units|LYUMJEV 200 UNIT/ML KWIKPEN|3|ML|SYRINGE|SQ|ML|.025|07/01/2023|12/31/3999| | || | |
43598005025||J3411||04/01/2023|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
70748034701||J3411||04/01/2023|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
70748034702||J3411||04/01/2023|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
72603013901||J3411||04/01/2023|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
44567045010||J1805||07/01/2023|12/31/3999|Injection, esmolol hydrochloride, 10 mg|ESMOLOL 2,500 MG/250 ML-NAC|250|ML|BAG|IV|ML|1|07/01/2023|12/31/3999| | || | |
00143953401||J2020||01/01/2023|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|01/01/2023|12/31/3999| | || | |
00143953410||J2020||01/01/2023|12/31/3999|Injection, linezolid, 200mg|LINEZOLID 600 MG/300 ML-D5W|300|ML|BAG|IV|ML|100|01/01/2023|12/31/3999| | || | |
00143912801||J1580||10/01/2022|12/31/3999|Injection, garamycin, gentamicin, up to 80 mg|GENTAMICIN 80 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|10/01/2022|12/31/3999| | || | |
62332060125||J1885||04/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 60 MG/2 ML VIAL|2|ML|VIAL|IM|ML|.5|04/01/2023|12/31/3999| | || | |
72485010625||J1953||04/01/2023|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|04/01/2023|12/31/3999| | || | |
72572036001||J1953||01/01/2023|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|01/01/2023|12/31/3999| | || | |
72572036025||J1953||01/01/2023|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM 500 MG/5 ML V|5|ML|VIAL|IV|ML|.1|01/01/2023|12/31/3999| | || | |
44567050190||J1953||04/01/2023|12/31/3999|Injection, levetiracetam, 10 mg|LEVETIRACETAM-NACL 500 MG/1|100|ML|BAG|IV|ML|2|04/01/2023|12/31/3999| | || | |
72485011401||J2010||04/01/2023|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOMYCIN HCL 600 MG/2 ML|2|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
00641624310||J3360||04/01/2023|12/31/3999|Injection, diazepam, up to 5 mg|DIAZEPAM 50 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
72485050601||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 100 MG/10 ML|10|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
70748017501||J7605||04/01/2022|12/31/3999|Arformoterol, inhalation solution, fda approved final product, non-compound...|ARFORMOTEROL 15 MCG/2 ML SO|2|ML|VIAL|IH|ML|2|04/01/2022|12/31/3999| | || | |
00409381201||J3490||10/01/2022|12/31/3999|Unclassified drugs|MARCAINE 0.25%-EPI 1:200,00|50|ML|VIAL|IJ|ML|50|10/01/2022|12/31/3999| | || | |
68875010102||J3490||01/23/2013|12/31/3999|Unclassified drugs|GATTEX 5 MG VIAL|1|UN|VIAL|SQ|EA|1|01/23/2013|12/31/3999| | || | |
42367054032||J3490||07/28/2014|12/31/3999|Unclassified drugs|RYANODEX 250 MG VIAL|1|UN|VIAL|IV|ML|50|07/28/2014|12/31/3999| | || | |
70700090222||J3490||10/01/2021|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|5|10/01/2021|12/31/3999| | || | |
70700090225||J3490||10/01/2021|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 1 MG/5 ML VI|5|ML|VIAL|IJ|ML|5|10/01/2021|12/31/3999| | || | |
70700090322||J3490||01/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|20|01/01/2022|12/31/3999| | || | |
70700090323||J3490||01/01/2022|12/31/3999|Unclassified drugs|GLYCOPYRROLATE 4 MG/20 ML V|20|ML|VIAL|IJ|ML|20|01/01/2022|12/31/3999| | || | |
00009021501||J3490||01/01/2023|12/31/3999|Unclassified drugs|PROSTIN VR PEDI 500 MCG/ML|1|ML|AMPUL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
00009021505||J3490||01/01/2023|12/31/3999|Unclassified drugs|PROSTIN VR PEDI 500 MCG/ML|1|ML|AMPUL|IJ|ML|1|01/01/2023|12/31/3999| | || | |
00143913901||J3490||01/01/2023|12/31/2023|Unclassified drugs|CEFAZOLIN 2 GM VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/2023| | || | |
00143913925||J3490||01/01/2023|12/31/2023|Unclassified drugs|CEFAZOLIN 2 GM VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/2023| | || | |
00143914001||J3490||01/01/2023|12/31/2023|Unclassified drugs|CEFAZOLIN 3 GM VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/2023| | || | |
72572006710||J3490||01/01/2023|12/31/3999|Unclassified drugs|CISATRACURIUM 200 MG/20 ML|20|ML|VIAL|IV|ML|20|01/01/2023|12/31/3999| | || | |
00409281501||J3490||01/01/2023|12/31/3999|Unclassified drugs|PRECEDEX 1,000 MCG/250 ML B|250|ML|BOTTLE|IV|ML|250|01/01/2023|12/31/3999| | || | |
65219023001||J3490||01/01/2023|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|250|ML|FLEX CONT|IV|ML|250|01/01/2023|12/31/3999| | || | |
65219023025||J3490||01/01/2023|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|250|ML|FLEX CONT|IV|ML|250|01/01/2023|12/31/3999| | || | |
65219023201||J3490||01/01/2023|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|500|ML|FLEX CONT|IV|ML|500|01/01/2023|12/31/3999| | || | |
65219023250||J3490||01/01/2023|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 0.45% SOLN|500|ML|FLEX CONT|IV|ML|500|01/01/2023|12/31/3999| | || | |
00409341201||J2185||01/01/2023|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|EA|.1|01/01/2023|12/31/3999| | || | |
00409022210||J2185||01/01/2023|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|01/01/2023|12/31/3999| | || | |
00409022201||J2185||01/01/2023|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|1|01/01/2023|12/31/3999| | || | |
71288002910||J2248||01/01/2023|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 100 MG VIAL|1|UN|VIAL|IV|EA|.01|01/01/2023|12/31/3999| | || | |
71288002810||J2248||01/01/2023|12/31/3999|Injection, micafungin sodium, 1 mg|MICAFUNGIN 50 MG VIAL|1|UN|VIAL|IV|EA|.02|01/01/2023|12/31/3999| | || | |
00409230001||J0744||07/01/2023|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACIN 200 MG/100ML-|100|ML|BAG|IV|ML|100|07/01/2023|12/31/3999| | || | |
00409230024||J0744||07/01/2023|12/31/3999|Injection, ciprofloxacin for intravenous infusion, 200 mg|CIPROFLOXACIN 200 MG/100ML-|100|ML|BAG|IV|ML|100|07/01/2023|12/31/3999| | || | |
00409318910||J3490||07/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00409488303||J2021||07/01/2023|12/31/3999|Injection, linezolid (hospira) not therapeutically equivalent to j2020, 200 mg|LINEZOLID 600MG/300ML-0.9%N|300|ML|BAG|IV|ML|100|07/01/2023|12/31/3999| | || | |
00409703701||J3490||07/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|10|07/01/2023|12/31/3999| | || | |
00409703710||J3490||07/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|10|07/01/2023|12/31/3999| | || | |
00480432001||J2562||07/28/2023|12/31/3999|Injection, plerixafor, 1 mg|PLERIXAFOR 24 MG/1.2 ML VIA|1.2|ML|VIAL|SQ|ML|34|07/28/2023|12/31/3999| | || | |
00517104505||J1955||07/01/2023|12/31/3999|Injection, levocarnitine, per 1 gm|LEVOCARNITINE 1 GM/5 ML VIA|5|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
16714051701||J3370||09/13/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 5 GM VIAL|1|UN|BOTTLE|IV|EA|.1|09/13/2023|12/31/3999| | || | |
23155019341||J0770||07/01/2023|12/31/3999|Injection, colistimethate sodium, up to 150 mg|COLISTIMETHATE 150 MG VIAL|1|UN|VIAL|IJ|ML|1|07/01/2023|12/31/3999| | || | |
65219055438||Q5131||01/01/2024|12/31/3999|Injection, adalimumab-aacf (idacio), biosimilar, 20 mg|IDACIO(CF) PEN CROHNS-UC 40|3|UN|KIT|SQ|EA|.5|01/01/2024|12/31/3999| | || | |
73475310203||J9334||01/01/2024|12/31/3999|Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc|VYVGART HYTRULO 1,008MG-11,|5.6|ML|VIAL|SQ|ML|.0111|01/01/2024|12/31/3999| | || | |
50474098079||J9333||01/01/2024|12/31/3999|Injection, rozanolixizumab-noli, 1 mg|RYSTIGGO 280 MG/2 ML VIAL|2|ML|VIAL|SQ|ML|.0071|01/01/2024|12/31/3999| | || | |
50242012501||J9286||01/01/2024|12/31/3999|Injection, glofitamab-gxbm, 2.5 mg|COLUMVI 2.5 MG/2.5 ML VIAL|2.5|ML|VIAL|IV|ML|2.5|01/01/2024|12/31/3999| | || | |
55566105000||J9029||01/01/2024|12/31/3999| Injection, nadofaragene firadenovec-vncg, per therapeutic dose|ADSTILADRIN VIAL|1|UN|VIAL|IS|ML|1|01/01/2024|12/31/3999| | || | |
10122016010||J2508||01/01/2024|12/31/3999|Injection, pegunigalsidase alfa-iwxj, 1 mg|ELFABRIO 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|01/01/2024|12/31/3999| | || | |
10122016005||J2508||01/01/2024|12/31/3999|Injection, pegunigalsidase alfa-iwxj, 1 mg|ELFABRIO 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|01/01/2024|12/31/3999| | || | |
10122016002||J2508||01/01/2024|12/31/3999|Injection, pegunigalsidase alfa-iwxj, 1 mg|ELFABRIO 20 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.5|01/01/2024|12/31/3999| | || | |
55150047201||J3370||08/04/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.3333|08/04/2023|12/31/3999| | || | |
57894050505||J9145||07/01/2023|12/31/3999|Injection, daratumumab 10 mg|DARZALEX 100 MG/5 ML VIAL|5|ML|VIAL|IV|ML|.5|07/01/2023|12/31/3999| | || | |
57894050520||J9145||07/01/2023|12/31/3999|Injection, daratumumab 10 mg|DARZALEX 400 MG/20 ML VIAL|20|ML|VIAL|IV|ML|.5|07/01/2023|12/31/3999| | || | |
60505627201||J9206||08/22/2023|12/31/3999|Injection, irinotecan, 20 mg|IRINOTECAN HCL 100 MG/5 ML|5|ML|VIAL|IV|ML|1|08/22/2023|12/31/3999| | || | |
63323042615||J3490||07/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
65219028412||J2562||07/01/2023|12/31/3999|Injection, plerixafor, 1 mg|PLERIXAFOR 24 MG/1.2 ML VIA|1.2|ML|VIAL|SQ|ML|.05|07/01/2023|12/31/3999| | || | |
65219047005||J7050||07/01/2023|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|250|07/01/2023|12/31/3999| | || | |
65219047005||J7040||07/01/2023|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|500|07/01/2023|12/31/3999| | || | |
65219047005||J7030||07/01/2023|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/01/2023|12/31/3999| | || | |
65219047030||J7050||07/01/2023|12/31/3999|Infusion, normal saline solution , 250 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/01/2023|12/31/3999| | || | |
65219047030||J7040||07/01/2023|12/31/3999|Infusion, normal saline solution, sterile (500 ml=1 unit)|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|500|07/01/2023|12/31/3999| | || | |
65219047030||J7030||07/01/2023|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|250|ML|FLEX CONT|IV|ML|1000|07/01/2023|12/31/3999| | || | |
00069252202||J9999||01/01/2024|12/31/3999|Not Otherwise Classified, Antineoplastic Drugs|ELREXFIO 44 MG/1.1 ML VIAL|1.1|ML|VIAL|SQ|ML|1.1|01/01/2024|12/31/3999| | || | |
73607001111||J0391||01/01/2024|12/31/3999|Injection, artesunate, 1 mg|ARTESUNATE 110 MG VIAL|2|UN|VIAL|IV|EA|.0091|01/01/2024|12/31/3999| | || | |
70512085905||J3490||09/25/2023|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|09/25/2023|12/31/3999| | || | |
72572047001||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
72572047010||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
72572010001||J0873||01/01/2024|12/31/3999|Injection, daptomycin (xellia) not therapeutically equivalent to J0878, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|01/01/2024|12/31/3999| | || | |
55150018301||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
55150018310||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
81284015400||J2543||07/01/2023|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 13.5 GM|1|UN|BOTTLE|IV|EA|.0837|07/01/2023|12/31/3999| | || | |
72205024901||J2562||07/24/2023|12/31/3999|Injection, plerixafor, 1 mg|PLERIXAFOR 24 MG/1.2 ML VIA|1.2|ML|VIAL|SQ|EA|.05|07/24/2023|12/31/3999| | || | |
82705000201||J9321||01/01/2024|12/31/3999|Injection, epcoritamab-bysp, 0.16 mg|EPKINLY 4 MG/0.8 ML VIAL|0.8|ML|VIAL|SQ|ML|.032|01/01/2024|12/31/3999| | || | |
82705001001||J9321||01/01/2024|12/31/3999|Injection, epcoritamab-bysp, 0.16 mg|EPKINLY 48 MG/0.8 ML VIAL|0.8|ML|VIAL|SQ|ML|.0027|01/01/2024|12/31/3999| | || | |
55150018311||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
55150018302||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
51754601303||J1596||01/01/2024|12/31/3999|Injection, glycopyrrolate, 0.1 mg|GLYRX-PF 0.6 MG/3 ML SYRING|3|ML|SYRINGE|IJ|ML|10|01/01/2024|12/31/3999| | || | |
59148010280||J0402||01/01/2024|12/31/3999|Injection, aripiprazole (abilify asimtufii), 1 mg|ABILIFY ASIMTUFII 720 MG/2.|2.4|ML|SYRINGE|IM|ML|.0033|01/01/2024|12/31/3999| | || | |
71390012521||J0184||01/01/2024|12/31/3999|Injection, amisulpride, 1 mg|BARHEMSYS 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.4|01/01/2024|12/31/3999| | || | |
71390012550||J0184||01/01/2024|12/31/3999|Injection, amisulpride, 1 mg|BARHEMSYS 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|01/01/2024|12/31/3999| | || | |
71390012551||J0184||01/01/2024|12/31/3999|Injection, amisulpride, 1 mg|BARHEMSYS 10 MG/4 ML VIAL|4|ML|VIAL|IV|ML|.4|01/01/2024|12/31/3999| | || | |
58284022801||J0576||01/01/2024|12/31/3999|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI MONTH 128MG/0.36ML|0.36|ML|SYRINGE|SQ|MG|.0028|01/01/2024|12/31/3999| | || | |
58284023201||J0576||01/01/2024|12/31/3999|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI WEEKLY 32MG/0.64ML|0.64|ML|SYRINGE|SQ|MG|.02|01/01/2024|12/31/3999| | || | |
55150047101||J3370||08/04/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.25 GRAM VI|1|UN|VIAL|IV|EA|.4|08/04/2023|12/31/3999| | || | |
00143915310||J3370||08/16/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.3333|08/16/2023|12/31/3999| | || | |
00143938001||J2250||07/06/2023|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 100MG/100ML-0.9%N|100|ML|FLEX CONT|IV|ML|1|07/06/2023|12/31/3999| | || | |
00143938010||J2250||07/06/2023|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 100MG/100ML-0.9%N|100|ML|FLEX CONT|IV|ML|1|07/06/2023|12/31/3999| | || | |
00143985201||J1955||07/01/2023|12/31/3999|Injection, levocarnitine, per 1 gm|LEVOCARNITINE 1 GM/5 ML VIA|5|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00310320005||J7169||07/01/2023|12/31/3999|Inj, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg|ANDEXXA 200 MG VIAL|1|UN|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
00338071424||J0874||01/01/2024|12/31/3999|Inj, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg|DAPTOMYCIN 500 MG/50 ML-NS|50|ML|FLEX CONT|IV|ML|.1|01/01/2024|12/31/3999| | || | |
00338071812||J0874||01/01/2024|12/31/3999|Inj, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg|DAPTOMYCIN 1,000 MG/100 ML-|100|ML|FLEX CONT|IV|ML|.1|01/01/2024|12/31/3999| | || | |
00944265707||J1566||04/01/2013|12/31/3999|Injection, immune globulin, intravenous, lyophilized (e.g. powder), not oth...|GAMMAGARD S-D 5 G (IGA<1) S|1|UN|VIAL|IV|GM|.1|04/01/2013|12/31/3999| | || | |
00143914025||J0688||01/01/2024|12/31/3999|Injection, cefazolin sodium (hikma), not therapeutically equivalent to J0690, 500 mg|CEFAZOLIN 3 GM VIAL|1|UN|VIAL|IV|EA|.1667|01/01/2024|12/31/3999| | || | |
71349007006||C9164||01/01/2024|12/31/3999|Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)|YCANTH 0.7% SOLUTION|6|UN|PF APPLI|TP|ML|1|01/01/2024|12/31/3999| | || | |
71349007006||J3490||01/01/2024|12/31/3999|Unclassified drugs|YCANTH 0.7% SOLUTION|6|UN|PF APPLI|TP|ML|1|01/01/2024|12/31/3999| | || | |
71349007012||C9164||01/01/2024|12/31/3999|Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)|YCANTH 0.7% SOLUTION|12|UN|PF APPLI|TP|ML|1|01/01/2024|12/31/3999| | || | |
71349007012||J3490||01/01/2024|12/31/3999|Unclassified drugs|YCANTH 0.7% SOLUTION|12|UN|PF APPLI|TP|ML|1|01/01/2024|12/31/3999| | || | |
00009010704||J2010||04/01/2023|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOCIN 3,000 MG/10 ML VIA|10|ML|VIAL|IJ|ML|1|04/01/2023|12/31/3999| | || | |
00078107068||J3590||08/08/2023|12/31/3999|Unclassified Biologics|COSENTYX UNOREADY 300 MG PE|2|ML|SYRINGE|SQ|ML|2|08/08/2023|12/31/3999| | || | |
00143914101||J1250||04/01/2023|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 250 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|04/01/2023|12/31/3999| | || | |
00143915210||J3370||08/16/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.25 GRAM VI|1|UN|VIAL|IV|EA|.4|08/16/2023|12/31/3999| | || | |
00143937901||J2250||07/06/2023|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 50 MG/50 ML-0.9%N|50|ML|FLEX CONT|IV|ML|1|07/06/2023|12/31/3999| | || | |
00143937910||J2250||07/06/2023|12/31/3999|Injection, midazolam hydrochloride, per 1 mg|MIDAZOLAM 50 MG/50 ML-0.9%N|50|ML|FLEX CONT|IV|ML|1|07/06/2023|12/31/3999| | || | |
00143985210||J1955||07/01/2023|12/31/3999|Injection, levocarnitine, per 1 gm|LEVOCARNITINE 1 GM/5 ML VIA|5|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00338071224||J0874||01/01/2024|12/31/3999|Inj, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg|DAPTOMYCIN 350 MG/50 ML-NS|50|ML|FLEX CONT|IV|ML|.1429|01/01/2024|12/31/3999| | || | |
23155086931||J9017||08/24/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|08/24/2023|12/31/3999| | || | |
00338071612||J0874||01/01/2024|12/31/3999|Inj, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg|DAPTOMYCIN 700 MG/100ML-NS|100|ML|FLEX CONT|IV|ML|.1429|01/01/2024|12/31/3999| | || | |
00409012501||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
00409316401||J3475||07/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 40 G/1,000 M|1000|ML|FLEX CONT|IV|ML|12.5|07/01/2023|12/31/3999| | || | |
00409316412||J3475||07/01/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 40 G/1,000 M|1000|ML|FLEX CONT|IV|ML|12.5|07/01/2023|12/31/3999| | || | |
00409318905||J3490||07/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
00409488310||J2021||07/01/2023|12/31/3999|Injection, linezolid (hospira) not therapeutically equivalent to j2020, 200 mg|LINEZOLID 600MG/300ML-0.9%N|300|ML|BAG|IV|ML|100|07/01/2023|12/31/3999| | || | |
00574086601||J7516||04/01/2023|12/31/3999|Cyclosporin, parenteral, 250 mg|CYCLOSPORINE 250 MG/5 ML AM|5|ML|AMPUL|IV|ML|5|04/01/2023|12/31/3999| | || | |
00517103001||J2599||07/12/2023|12/31/3999|Injection, vasopressin (american regent) not therapeutically equivalent to j2598, 1 unit|VASOPRESSIN 200 UNIT/10 ML|10|ML|VIAL|IV|ML|.05|07/12/2023|12/31/3999| | || | |
00944265908||J1566||04/01/2013|12/31/3999|Injection, immune globulin, intravenous, lyophilized (e.g. powder), not oth...|GAMMAGARD S-D 10 G (IGA<1)|1|UN|VIAL|IV|GM|.05|04/01/2013|12/31/3999| | || | |
61755005001||C9161||01/01/2024|12/31/3999|Injection, aflibercept hd, 1 mg|EYLEA HD 8 MG/0.07 ML VIAL|0.07|ML|VIAL|IO|ML|.0088|01/01/2024|12/31/3999| | || | |
61755005001||J3590||01/01/2024|12/31/3999|Unclassified Biologics|EYLEA HD 8 MG/0.07 ML VIAL|0.07|ML|VIAL|IO|ML|.0088|01/01/2024|12/31/3999| | || | |
57894047001||C9163||01/01/2024|12/31/3999|Injection, talquetamab-tgvs, 0.25 mg|TALVEY 40 MG/ML VIAL|1|ML|VIAL|SQ|ML|.25|01/01/2024|12/31/3999| | || | |
57894047001||J9999||01/01/2024|12/31/3999|Not Otherwise Classified, Antineoplastic Drugs|TALVEY 40 MG/ML VIAL|1|ML|VIAL|SQ|ML|1|01/01/2024|12/31/3999| | || | |
00069252201||C9165||01/01/2024|12/31/3999|Injection, elranatamab-bcmm, 1 mg|ELREXFIO 4|0.000|ML|VIAL|SQ|ML|.025|01/01/2024|12/31/3999| | || | |
00069252201||J9999||01/01/2024|12/31/3999|Not Otherwise Classified, Antineoplastic Drugs|ELREXFIO 4|0.000|ML|VIAL|SQ|ML|1.1|01/01/2024|12/31/3999| | || | |
00069252202||C9165||01/01/2024|12/31/3999|Injection, elranatamab-bcmm, 1 mg|ELREXFIO 44 MG/1.1 ML VIAL|1.1|ML|VIAL|SQ|ML|.025|01/01/2024|12/31/3999| | || | |
14789013605||J3480||09/12/2023|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 20 MEQ/10 ML C|10|ML|VIAL|IV|ML|1|09/12/2023|12/31/3999| | || | |
14789013705||J3480||09/12/2023|12/31/3999|Injection, potassium chloride, per 2 meq|POTASSIUM CL 40 MEQ/20 ML C|20|ML|VIAL|IV|ML|1|09/12/2023|12/31/3999| | || | |
23155086941||J9017||08/24/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 10 MG/10ML|10|ML|VIAL|IV|ML|1|08/24/2023|12/31/3999| | || | |
23155087041||J9017||08/24/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|08/24/2023|12/31/3999| | || | |
69543045510||C9254||05/16/2023|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|05/16/2023|12/31/3999| | || | |
69543045520||C9254||05/16/2023|12/31/3999|Injection, lacosamide, 1 mg|LACOSAMIDE 200 MG/20 ML VIA|20|ML|VIAL|IV|ML|.1|05/16/2023|12/31/3999| | || | |
70594011101||J0132||08/22/2023|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|08/22/2023|12/31/3999| | || | |
71288003220||J0295||07/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|07/01/2023|12/31/3999| | || | |
71288003221||J0295||07/01/2023|12/31/3999|Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm|AMPICILLIN-SULBACTAM 3 GM V|1|UN|VIAL|IJ|EA|.5|07/01/2023|12/31/3999| | || | |
70069078325||J0330||06/21/2023|12/31/3999|Injection, succinylcholine chloride, up to 20 mg|SUCCINYLCHOLINE 200 MG/10 M|10|ML|VIAL|IJ|ML|1|06/21/2023|12/31/3999| | || | |
71288016330||J0640||09/07/2023|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 350 MG V|1|UN|VIAL|IJ|EA|.1429|09/07/2023|12/31/3999| | || | |
71288016450||J0640||09/07/2023|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 500 MG V|1|UN|VIAL|IJ|EA|.1|09/07/2023|12/31/3999| | || | |
70594011601||J0665||08/28/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|50|ML|VIAL|IJ|ML|.2|08/28/2023|12/31/3999| | || | |
70594011701||J0665||08/28/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|08/28/2023|12/31/3999| | || | |
70594011702||J0665||08/28/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|10|ML|VIAL|IJ|ML|.1|08/28/2023|12/31/3999| | || | |
71349007001||C9164||01/01/2024|12/31/3999|Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)|YCANTH 0.7% SOLUTION|1|UN|PF APPLI|TP|ML|1|01/01/2024|12/31/3999| | || | |
71349007001||J3490||01/01/2024|12/31/3999|Unclassified drugs|YCANTH 0.7% SOLUTION|1|UN|PF APPLI|TP|ML|1|01/01/2024|12/31/3999| | || | |
00143914110||J1250||04/01/2023|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 250 MG/20 ML VIA|20|ML|VIAL|IV|ML|20|04/01/2023|12/31/3999| | || | |
00143915201||J3370||08/16/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.25 GRAM VI|1|UN|VIAL|IV|EA|.4|08/16/2023|12/31/3999| | || | |
00143915301||J3370||08/16/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.3333|08/16/2023|12/31/3999| | || | |
23155062031||J2371||09/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|09/01/2023|12/31/3999| | || | |
23155062041||J2371||09/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 10 MG/ML VIAL|1|ML|VIAL|IJ|ML|.002|09/01/2023|12/31/3999| | || | |
70594011102||J0132||08/22/2023|12/31/3999|Injection, acetylcysteine, 100 mg|ACETYLCYSTEINE 6 GRAM/30 ML|30|ML|VIAL|IV|ML|.5|08/22/2023|12/31/3999| | || | |
68135092701||J1412||01/01/2024|12/31/3999|Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes|ROCTAVIAN 16 X 10E13 VG/8 M|1|UN|VIAL|IV|ML|1|01/01/2024|12/31/3999| | || | |
60923050615||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 14.5-15.4 KG(10MLX|1|UN|KIT|IV|ML|1|01/01/2024|12/31/3999| | || | |
60923050716||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 15.5-16.4 KG(10MLX|1|UN|KIT|IV|ML|1|01/01/2024|12/31/3999| | || | |
60923050817||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 16.5-17.4 KG(10MLX|1|UN|KIT|IV|EA|1|01/01/2024|12/31/3999| | || | |
60923050918||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 17.5-18.4 KG(10MLX|1|UN|KIT|IV|ML|1|01/01/2024|12/31/3999| | || | |
60923051423||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 22.5-23.4 KG(10MLX|1|UN|KIT|IV|ML|1|01/01/2024|12/31/3999| | || | |
60923051524||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 23.5-24.4 KG(10MLX|1|UN|KIT|IV|EA|1|01/01/2024|12/31/3999| | || | |
60923051827||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 26.5-27.4 KG(10MLX|1|UN|KIT|IV|EA|1|01/01/2024|12/31/3999| | || | |
60923051928||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 27.5-28.4 KG(10MLX|1|UN|KIT|IV|ML|1|01/01/2024|12/31/3999| | || | |
60923052433||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 32.5-33.4 KG(10MLX|1|UN|KIT|IV|ML|1|01/01/2024|12/31/3999| | || | |
00409141240||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
65219055428||Q5131||01/01/2024|12/31/3999|Injection, adalimumab-aacf (idacio), biosimilar, 20 mg|IDACIO(CF) PEN PSORIASIS 40|2|UN|KIT|SQ|EA|.5|01/01/2024|12/31/3999| | || | |
65219055618||Q5131||01/01/2024|12/31/3999|Injection, adalimumab-aacf (idacio), biosimilar, 20 mg|IDACIO(CF) 40 MG/0.8 ML SYR|1|UN|KIT|SQ|EA|.5|01/01/2024|12/31/3999| | || | |
65219055408||Q5131||01/01/2024|12/31/3999|Injection, adalimumab-aacf (idacio), biosimilar, 20 mg|IDACIO(CF) PEN 40 MG/0.8 ML|1|UN|KIT|SQ|EA|.5|01/01/2024|12/31/3999| | || | |
50242012701||J9286||01/01/2024|12/31/3999|Injection, glofitamab-gxbm, 2.5 mg|COLUMVI 10 MG/10 ML VIAL|10|ML|VIAL|IV|ML|2.5|01/01/2024|12/31/3999| | || | |
55566105001||J9029||01/01/2024|12/31/3999| Injection, nadofaragene firadenovec-vncg, per therapeutic dose|ADSTILADRIN VIAL|4|UN|VIAL|IS|ML|3.75|01/01/2024|12/31/3999| | || | |
82194051002||J3401||01/01/2024|12/31/3999|Beremagene geperpavec-svdt topical admin, with nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 ml|VYJUVEK GEL|2.5|ML|VIAL|TP|EA|.1|01/01/2024|12/31/3999| | || | |
82194051002||J3590||10/17/2023|12/31/2023|Unclassified Biologics|VYJUVEK GEL|2.5|ML|VIAL|TP|EA|.1|10/17/2023|12/31/2023| | || | |
72485042210||J0290||04/01/2023|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|04/01/2023|12/31/3999| | || | |
70594011801||J0665||08/07/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|30|ML|VIAL|IJ|ML|.1|08/07/2023|12/31/3999| | || | |
70594011901||J0665||08/28/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.5% VIAL|50|ML|VIAL|IJ|ML|.1|08/28/2023|12/31/3999| | || | |
70594012001||J0665||08/28/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|08/28/2023|12/31/3999| | || | |
70594012002||J0665||08/28/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|10|ML|VIAL|IJ|ML|.6667|08/28/2023|12/31/3999| | || | |
70594012101||J0665||08/07/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.75% VIAL|30|ML|VIAL|IJ|ML|.6667|08/07/2023|12/31/3999| | || | |
70594009502||J0696||08/09/2022|12/31/3999|Injection, ceftriaxone sodium, per 250 mg|CEFTRIAXONE 500 MG VIAL|1|UN|VIAL|IJ|EA|.5|08/09/2022|12/31/3999| | || | |
63323034901||J0743||01/01/2020|12/31/3999|Injection, cilastatin sodium; imipenem, per 250 mg|IMIPENEM-CILASTATIN 250 MG|1|UN|VIAL|IV|EA|1|01/01/2020|12/31/3999| | || | |
70121158001||J0780||07/31/2023|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/31/2023|12/31/3999| | || | |
70121158005||J0780||07/31/2023|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/31/2023|12/31/3999| | || | |
70121158007||J0780||07/31/2023|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/31/2023|12/31/3999| | || | |
72266020401||J0780||07/01/2023|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
72266020410||J0780||07/01/2023|12/31/3999|Injection, prochlorperazine, up to 10 mg|PROCHLORPERAZINE 10 MG/2 ML|2|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
31722021501||J0878||08/10/2023|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|08/10/2023|12/31/3999| | || | |
31722021601||J0878||08/15/2023|12/31/3999|Injection, daptomycin, 1 mg|DAPTOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|.002|08/15/2023|12/31/3999| | || | |
55150031301||J1030||07/17/2023|12/31/3999|Injection, methylprednisolone acetate, 40 mg|METHYLPREDNISOLONE 400 MG/1|10|ML|VIAL|IJ|ML|1|07/17/2023|12/31/3999| | || | |
70121146702||J1050||09/01/2023|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.0067|09/01/2023|12/31/3999| | || | |
70121146705||J1050||09/01/2023|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|VIAL|IM|ML|.0067|09/01/2023|12/31/3999| | || | |
70121148001||J1050||09/08/2023|12/31/3999|Injection, medroxyprogesterone acetate, 1 mg|MEDROXYPROGESTERONE 150 MG/|1|ML|SYRINGE|IM|ML|.0067|09/08/2023|12/31/3999| | || | |
70756061610||J1631||08/07/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|08/07/2023|12/31/3999| | || | |
70756061681||J1631||08/07/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|08/07/2023|12/31/3999| | || | |
70756062585||J1631||08/07/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 500 MG/5 ML|5|ML|VIAL|IM|ML|.5|08/07/2023|12/31/3999| | || | |
71288043485||J1650||07/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 60 MG/0.6 ML SYR|0.6|ML|SYRINGE|SQ|ML|.1|07/01/2023|12/31/3999| | || | |
70512084301||J1885||07/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|07/01/2023|12/31/3999| | || | |
70512084325||J1885||07/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|07/01/2023|12/31/3999| | || | |
72266023401||J1885||08/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|08/01/2023|12/31/3999| | || | |
72266023425||J1885||08/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|08/01/2023|12/31/3999| | || | |
72572035401||J1885||07/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/01/2023|12/31/3999| | || | |
72572035410||J1885||07/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 15 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/01/2023|12/31/3999| | || | |
72572035501||J1885||07/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|07/01/2023|12/31/3999| | || | |
72572035525||J1885||07/01/2023|12/31/3999|Injection, ketorolac tromethamine, per 15 mg|KETOROLAC 30 MG/ML VIAL|1|ML|VIAL|IJ|ML|.5|07/01/2023|12/31/3999| | || | |
72603014601||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |
65219057001||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
72205010101||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
70756061925||J1940||09/08/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|09/08/2023|12/31/3999| | || | |
70756061985||J1940||09/08/2023|12/31/3999|Injection, furosemide, up to 20 mg|FUROSEMIDE 40 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|09/08/2023|12/31/3999| | || | |
25021019302||J2010||09/26/2023|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOMYCIN HCL 600 MG/2 ML|2|ML|VIAL|IJ|ML|1|09/26/2023|12/31/3999| | || | |
25021019310||J2010||09/26/2023|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOMYCIN HCL 3 GM/10 ML V|10|ML|VIAL|IJ|ML|1|09/26/2023|12/31/3999| | || | |
63323050719||J2185||07/01/2020|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 500 MG VIAL|1|UN|VIAL|IV|EA|.2|07/01/2020|12/31/3999| | || | |
43598023311||J3489||07/01/2023|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 4 MG/5 ML V|5|ML|VIAL|IV|ML|1.25|07/01/2023|12/31/3999| | || | |
25021041510||J3490||07/01/2023|12/31/3999|Unclassified drugs|TRANEXAMIC ACID 1,000 MG/10|10|ML|VIAL|IV|ML|10|07/01/2023|12/31/3999| | || | |
55150039101||J9033||07/18/2023|12/31/3999|Injection, bendamustine hcl, 1 mg|BENDAMUSTINE 25 MG VIAL|1|UN|VIAL|IV|EA|.04|07/18/2023|12/31/3999| | || | |
25021025350||J9060||07/25/2023|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 50 MG/50 ML VIAL|50|ML|VIAL|IV|ML|10|07/25/2023|12/31/3999| | || | |
25021025351||J9060||07/25/2023|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 100 MG/100 ML VIA|100|ML|VIAL|IV|ML|10|07/25/2023|12/31/3999| | || | |
81092112001||J1105||01/01/2024|12/31/3999|Dexmedetomidine, oral, 1 mcg|IGALMI 120 MCG SL FILM|10|UN|PACKET|SL|EA|.0083|01/01/2024|12/31/3999| | || | |
63323009963||J3490||07/27/2023|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 800 MEQ/200|200|ML|VIAL|IV|ML|1|07/27/2023|12/31/3999| | || | |
81092118001||J1105||01/01/2024|12/31/3999|Dexmedetomidine, oral, 1 mcg|IGALMI 180 MCG SL FILM|10|UN|PACKET|SL|EA|.0056|01/01/2024|12/31/3999| | || | |
68135092748||J1412||01/01/2024|12/31/3999|Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes|ROCTAVIAN 16 X 10E13 VG/8 M|1|UN|VIAL|IV|ML|1|01/01/2024|12/31/3999| | || | |
60923051120||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 19.5-20.4 KG(10MLX|1|UN|KIT|IV|ML|1|01/01/2024|12/31/3999| | || | |
60923051322||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 21.5-22.4 KG(10MLX|1|UN|KIT|IV|ML|1|01/01/2024|12/31/3999| | || | |
60923051625||J1413||01/01/2024|12/31/3999|Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose|ELEVIDYS 24.5-25.4 KG(10MLX|1|UN|KIT|IV|ML|1|01/01/2024|12/31/3999| | || | |
55150042901||J3246||07/25/2023|12/31/3999|Injection, tirofiban hcl, 0.25mg|TIROFIBAN 5 MG/100 ML BAG|100|ML|BAG|IV|ML|5|07/25/2023|12/31/3999| | || | |
70121171909||J3475||09/06/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 2 G/50 ML BA|50|ML|BAG|IV|ML|12.5|09/06/2023|12/31/3999| | || | |
70121172009||J3475||09/06/2023|12/31/3999|Injection, magnesium sulfate, per 500 mg|MAGNESIUM SULF 4 G/100 ML B|100|ML|BAG|IV|ML|12.5|09/06/2023|12/31/3999| | || | |
60505626200||J2543||09/26/2023|12/31/3999|Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125...|PIPERACIL-TAZOBACT 40.5 GRA|1|UN|VIAL|IV|EA|.0275|09/26/2023|12/31/3999| | || | |
00409141234||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
23155087031||J9017||08/24/2023|12/31/3999|Injection, arsenic trioxide, 1 mg|ARSENIC TRIOXIDE 12 MG/6 ML|6|ML|VIAL|IV|ML|.5|08/24/2023|12/31/3999| | || | |
25021015010||J3370||07/01/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 500 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
25021015120||J3370||07/01/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN 1 GM VIAL|1|UN|VIAL|IV|EA|.5|07/01/2023|12/31/3999| | || | |
58468005101||J0218||08/17/2023|12/31/3999|Injection, olipudase alfa-rpcp, 1 mg|XENPOZYME 4 MG VIAL|1|UN|VIAL|IV|EA|.25|08/17/2023|12/31/3999| | || | |
72485042201||J0290||04/01/2023|12/31/3999|Injection, ampicillin sodium, 500 mg|AMPICILLIN 2 GM VIAL|1|UN|VIAL|IJ|EA|.25|04/01/2023|12/31/3999| | || | |
63323061441||J0360||07/01/2023|12/31/3999|Injection, hydralazine hcl, up to 20 mg|HYDRALAZINE 20 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|07/01/2023|12/31/3999| | || | |
70095002501||J0456||08/22/2023|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|08/22/2023|12/31/3999| | || | |
70095002502||J0456||08/22/2023|12/31/3999|Injection, azithromycin, 500 mg|AZITHROMYCIN I.V. 500 MG VI|1|UN|VIAL|IV|EA|1|08/22/2023|12/31/3999| | || | |
47783064501||J0593||04/07/2023|12/31/3999|Inj, lanadelumab-flyo, 1 mg|TAKHZYRO 150 MG/ML SYRINGE|1|ML|SYRINGE|SQ|ML|.0067|04/07/2023|12/31/3999| | || | |
25021019410||J0637||08/29/2023|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 50 MG V|1|UN|VIAL|IV|EA|.1|08/29/2023|12/31/3999| | || | |
25021019510||J0637||07/01/2023|12/31/3999|Injection, caspofungin acetate, 5 mg|CASPOFUNGIN ACETATE 70 MG V|1|UN|VIAL|IV|EA|.0714|07/01/2023|12/31/3999| | || | |
71288016010||J0640||09/07/2023|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 50 MG VI|1|UN|VIAL|IJ|EA|1|09/07/2023|12/31/3999| | || | |
71288016120||J0640||09/07/2023|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 100 MG V|1|UN|VIAL|IJ|EA|.5|09/07/2023|12/31/3999| | || | |
71288016230||J0640||09/07/2023|12/31/3999|Injection, leucovorin calcium, per 50 mg|LEUCOVORIN CALCIUM 200 MG V|1|UN|VIAL|IJ|EA|.25|09/07/2023|12/31/3999| | || | |
70594011401||J0665||08/28/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|08/28/2023|12/31/3999| | || | |
70594011402||J0665||08/28/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|10|ML|VIAL|IJ|ML|.2|08/28/2023|12/31/3999| | || | |
70594011501||J0665||08/07/2023|12/31/3999|Injection, bupivicaine, not otherwise specified, 0.5 mg|BUPIVACAINE 0.25% VIAL|30|ML|VIAL|IJ|ML|.2|08/07/2023|12/31/3999| | || | |
16729054563||J9052||01/01/2024|12/31/3999|Injection, carmustine (accord), not therapeutically equivalent to J9050, 100 mg|CARMUSTINE 50 MG VIAL|1|UN|VIAL|IV|EA|2|01/01/2024|12/31/3999| | || | |
00009010404||J2010||07/01/2023|12/31/3999|Injection, lincomycin hcl, up to 300 mg|LINCOCIN 600 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|07/01/2023|12/31/3999| | || | |
70436020382||J1250||06/09/2023|12/31/3999|Injection, dobutamine hydrochloride, per 250 mg|DOBUTAMINE 250 MG/20 ML VIA|20|ML|VIAL|IV|EA|20|06/09/2023|12/31/3999| | || | |
69639010601||J1454||09/26/2023|12/31/3999|Injection, fosnetupitant 235 mg and palonosetron 0.25 mg|AKYNZEO 235-0.25 MG/20 ML V|20|ML|VIAL|IV|ML|20|09/26/2023|12/31/3999| | || | |
43066008910||J1455||09/29/2023|12/31/3999|Injection, foscarnet sodium, per 1000 mg|FOSCARNET 6,000 MG/250 ML B|250|ML|BAG|IV|ML|41.6667|09/29/2023|12/31/3999| | || | |
68001057859||J1631||09/18/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML AM|1|ML|AMPUL|IM|ML|1|09/18/2023|12/31/3999| | || | |
68001058041||J1631||07/26/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|07/26/2023|12/31/3999| | || | |
68001058148||J1631||07/26/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|07/26/2023|12/31/3999| | || | |
68001058182||J1631||07/26/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 100 MG/ML V|1|ML|VIAL|IM|ML|.5|07/26/2023|12/31/3999| | || | |
68001058241||J1631||08/07/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 500 MG/5 ML|5|ML|VIAL|IM|ML|.5|08/07/2023|12/31/3999| | || | |
70756061510||J1631||08/07/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|08/07/2023|12/31/3999| | || | |
70756061581||J1631||08/07/2023|12/31/3999|Injection, haloperidol decanoate, per 50 mg|HALOPERIDOL DEC 50 MG/ML VI|1|ML|VIAL|IM|ML|1|08/07/2023|12/31/3999| | || | |
71288043792||J1650||07/01/2023|12/31/3999|Injection, enoxaparin sodium, 10 mg|ENOXAPARIN 120 MG/0.8 ML SY|0.8|ML|SYRINGE|SQ|ML|.0667|07/01/2023|12/31/3999| | || | |
65219057004||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
65219057201||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
65219057210||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
68462046940||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
68462046954||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
68462047040||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
68462047054||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
70860040504||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
70860040610||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
72205010107||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
72205010201||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
72205010207||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
72572004001||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
72572004010||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
72572004101||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
72572004110||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
72485041201||J2185||09/21/2023|12/31/3999|Injection, meropenem, 100 mg|MEROPENEM IV 1 GM VIAL|1|UN|VIAL|IV|ML|.1|09/21/2023|12/31/3999| | || | |
72485050101||J2260||06/13/2023|12/31/3999|Injection, milrinone lactate, 5 mg|MILRINONE LACT 10 MG/10 ML|10|ML|VIAL|IV|ML|5|06/13/2023|12/31/3999| | || | |
25021046301||J2354||07/18/2023|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 50 MCG/ML V|1|ML|VIAL|IJ|ML|.5|07/18/2023|12/31/3999| | || | |
63323037600||J2354||07/01/2023|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 100 MCG/ML|1|ML|VIAL|IJ|ML|.25|07/01/2023|12/31/3999| | || | |
63323037700||J2354||07/01/2023|12/31/3999|Injection, octreotide, non-depot form for subcutaneous or intravenous injec...|OCTREOTIDE ACET 500 MCG/ML|1|ML|VIAL|IJ|ML|.05|07/01/2023|12/31/3999| | || | |
72485050510||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
81284021200||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
81284021210||J2371||07/01/2023|12/31/3999|Injection, phenylephrine hydrochloride, 20 micrograms|PHENYLEPHRINE 50 MG/5 ML VI|5|ML|VIAL|IJ|ML|.002|07/01/2023|12/31/3999| | || | |
42494044125||J2560||08/09/2023|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 65 MG/ML VIAL|1|ML|VIAL|IJ|ML|1.8462|08/09/2023|12/31/3999| | || | |
42494044225||J2560||08/09/2023|12/31/3999|Injection, phenobarbital sodium, up to 120 mg|PHENOBARBITAL 130 MG/ML VIA|1|ML|VIAL|IJ|ML|.9231|08/09/2023|12/31/3999| | || | |
55150035601||J2562||07/31/2023|12/31/3999|Injection, plerixafor, 1 mg|PLERIXAFOR 24 MG/1.2 ML VIA|1.2|ML|VIAL|SQ|ML|.05|07/31/2023|12/31/3999| | || | |
31722099510||J2710||04/01/2023|12/31/3999|Injection, neostigmine methylsulfate, up to 0.5 mg|NEOSTIGMINE 10 MG/10 ML VIA|10|ML|VIAL|IV|ML|.5|04/01/2023|12/31/3999| | || | |
25021022320||J9100||07/12/2023|12/31/3999|Injection, cytarabine, 100 mg|CYTARABINE 2 G/20 ML VIAL|20|ML|VIAL|IJ|ML|1|07/12/2023|12/31/3999| | || | |
25021022905||J9100||07/12/2023|12/31/3999|Injection, cytarabine, 100 mg|CYTARABINE 100 MG/5 ML VIAL|5|ML|VIAL|IJ|ML|5|07/12/2023|12/31/3999| | || | |
25021025020||J9280||07/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 5 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
00143963301||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPIN 40MG/200ML-0.9%N|200|ML|BAG|IV|ML|.04|01/01/2024|12/31/3999| | || | |
00143963310||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPIN 40MG/200ML-0.9%N|200|ML|BAG|IV|ML|.04|01/01/2024|12/31/3999| | || | |
00143963410||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPIN 20MG/200ML-0.9%N|200|ML|BAG|IV|ML|1|01/01/2024|12/31/3999| | || | |
25021025150||J9280||07/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 20 MG VIAL|1|UN|VIAL|IV|EA|.25|07/01/2023|12/31/3999| | || | |
25021025251||J9280||07/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|EA|.125|07/01/2023|12/31/3999| | || | |
70095002401||S0164||08/22/2023|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|08/22/2023|12/31/3999| | || | |
70095002402||S0164||08/22/2023|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|08/22/2023|12/31/3999| | || | |
70095002403||S0164||08/22/2023|12/31/3999|Injection, pantoprazole sodium, 40 mg|PANTOPRAZOLE SODIUM 40 MG V|1|UN|VIAL|IV|EA|1|08/22/2023|12/31/3999| | || | |
61755005000||C9161||01/01/2024|12/31/3999|Injection, aflibercept hd, 1 mg|EYLEA HD 8 MG/0.07 ML VIAL|0.07|ML|VIAL|IO|ML|.0088|01/01/2024|12/31/3999| | || | |
61755005000||J3590||01/01/2024|12/31/3999|Unclassified Biologics|EYLEA HD 8 MG/0.07 ML VIAL|0.07|ML|VIAL|IO|ML|.0088|01/01/2024|12/31/3999| | || | |
82829000201||C9162||01/01/2024|12/31/3999|Injection, avacincaptad pegol, 0.1 mg|IZERVAY 2 MG/0.1 ML VIAL|0.1|ML|VIAL|IO|ML|.005|01/01/2024|12/31/3999| | || | |
82829000201||J3490||01/01/2024|12/31/3999|Unclassified drugs|IZERVAY 2 MG/0.1 ML VIAL|0.1|ML|VIAL|IO|ML|.005|01/01/2024|12/31/3999| | || | |
57894046901||C9163||01/01/2024|12/31/3999|Injection, talquetamab-tgvs, 0.25 mg|TALVEY 3 MG/1.5 ML VIAL|1.5|ML|VIAL|SQ|ML|.125|01/01/2024|12/31/3999| | || | |
57894046901||J9999||01/01/2024|12/31/3999|Not Otherwise Classified, Antineoplastic Drugs|TALVEY 3 MG/1.5 ML VIAL|1.5|ML|VIAL|SQ|ML|1.5|01/01/2024|12/31/3999| | || | |
00069449401||C9165||01/01/2024|12/31/3999|Injection, elranatamab-bcmm, 1 mg|ELREXFIO 4|0.000|ML|VIAL|SQ|ML|.025|01/01/2024|12/31/3999| | || | |
00069449401||J9999||01/01/2024|12/31/3999|Not Otherwise Classified, Antineoplastic Drugs|ELREXFIO 4|0.000|ML|VIAL|SQ|ML|1.1|01/01/2024|12/31/3999| | || | |
00069449402||C9165||01/01/2024|12/31/3999|Injection, elranatamab-bcmm, 1 mg|ELREXFIO 76 MG/1.9 ML VIAL|1.9|ML|VIAL|SQ|ML|.025|01/01/2024|12/31/3999| | || | |
00069449402||J9999||01/01/2024|12/31/3999|Not Otherwise Classified, Antineoplastic Drugs|ELREXFIO 76 MG/1.9 ML VIAL|1.9|ML|VIAL|SQ|ML|1.1|01/01/2024|12/31/3999| | || | |
10122018002||J0217||01/01/2024|12/31/3999|Injection, velmanase alfa-tycv, 1 mg|LAMZEDE 10 MG VIAL|1|UN|VIAL|IV|EA|.1|01/01/2024|12/31/3999| | || | |
70842024001||J0349||01/01/2024|12/31/3999|Injection, rezafungin, 1 mg|REZZAYO 200 MG VIAL|1|UN|VIAL|IV|EA|.005|01/01/2024|12/31/3999| | || | |
73607000201||J0391||01/01/2024|12/31/3999|Injection, artesunate, 1 mg|ARTESUNATE 110 MG VIAL|1|UN|VIAL|IV|EA|.0091|01/01/2024|12/31/3999| | || | |
55150043001||J3246||07/25/2023|12/31/3999|Injection, tirofiban hcl, 0.25mg|TIROFIBAN 12.5 MG/250 ML BA|250|ML|BAG|IV|ML|5|07/25/2023|12/31/3999| | || | |
55150047001||J3260||07/18/2023|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.0667|07/18/2023|12/31/3999| | || | |
55150047006||J3260||07/18/2023|12/31/3999|Injection, tobramycin sulfate, up to 80 mg|TOBRAMYCIN 1.2 GM VIAL|1|UN|VIAL|IJ|EA|.0667|07/18/2023|12/31/3999| | || | |
55150047110||J3370||08/04/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.25 GRAM VI|1|UN|VIAL|IV|EA|.4|08/04/2023|12/31/3999| | || | |
55150047210||J3370||08/04/2023|12/31/3999|Injection, vancomycin hcl, 500 mg|VANCOMYCIN HCL 1.5 GRAM VIA|1|UN|VIAL|IV|EA|.3333|08/04/2023|12/31/3999| | || | |
63323009903||J3490||07/27/2023|12/31/3999|Unclassified drugs|SODIUM CHLORIDE 800 MEQ/200|200|ML|VIAL|IV|ML|1|07/27/2023|12/31/3999| | || | |
63323042612||J3490||07/01/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|07/01/2023|12/31/3999| | || | |
65219003900||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
65219003901||J2598||07/01/2023|12/31/3999|Injection, vasopressin, 1 unit|VASOPRESSIN 20 UNIT/ML VIAL|1|ML|VIAL|IV|ML|.05|07/01/2023|12/31/3999| | || | |
65219047405||J7030||07/01/2023|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|1000|07/01/2023|12/31/3999| | || | |
65219047410||J7030||07/01/2023|12/31/3999|Infusion, normal saline solution , 1000 cc|SODIUM CHLORIDE 0.9% SOLUTI|1000|ML|FLEX CONT|IV|ML|1000|07/01/2023|12/31/3999| | || | |
65219057900||J3490||07/25/2023|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|07/25/2023|12/31/3999| | || | |
65219057901||J3490||07/25/2023|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|07/25/2023|12/31/3999| | || | |
67457099405||J2785||09/21/2023|12/31/3999|Injection, regadenoson, 0.1 mg|REGADENOSON 0.4 MG/5 ML SYR|5|ML|SYRINGE|IV|ML|1.25|09/21/2023|12/31/3999| | || | |
68001054541||J9305||09/27/2023|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 750 MG|1|UN|VIAL|IV|EA|.0133|09/27/2023|12/31/3999| | || | |
68001054641||J9305||09/27/2023|12/31/3999|Injection, pemetrexed, 10 mg|PEMETREXED DISODIUM 1 GM VI|1|UN|VIAL|IV|EA|.01|09/27/2023|12/31/3999| | || | |
68001057241||J9033||09/27/2023|12/31/3999|Injection, bendamustine hcl, 1 mg|BENDAMUSTINE 100 MG VIAL|1|UN|VIAL|IV|EA|.91|09/27/2023|12/31/3999| | || | |
70095002601||J2597||08/22/2023|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML VI|1|ML|VIAL|IJ|ML|.25|08/22/2023|12/31/3999| | || | |
70095002602||J2597||08/22/2023|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN AC 4 MCG/ML VI|1|ML|VIAL|IJ|ML|.25|08/22/2023|12/31/3999| | || | |
70095003101||J2597||08/22/2023|12/31/3999|Injection, desmopressin acetate, per 1 mcg|DESMOPRESSIN 40 MCG/10 ML V|10|ML|VIAL|IJ|ML|.25|08/22/2023|12/31/3999| | || | |
70121169402||J2562||07/25/2023|12/31/3999|Injection, plerixafor, 1 mg|PLERIXAFOR 24 MG/1.2 ML VIA|1.2|ML|VIAL|SQ|ML|.05|07/25/2023|12/31/3999| | || | |
70121171203||J3490||09/06/2023|12/31/3999|Unclassified drugs|DEXMEDETOMIDIN 400MCG/100ML|100|ML|FLEX CONT|IV|ML|100|09/06/2023|12/31/3999| | || | |
70512085901||J3490||09/25/2023|12/31/3999|Unclassified drugs|CARBOPROST 250 MCG/ML VIAL|1|ML|VIAL|IM|ML|1|09/25/2023|12/31/3999| | || | |
70710120801||J2562||07/27/2023|12/31/3999|Injection, plerixafor, 1 mg|PLERIXAFOR 24 MG/1.2 ML VIA|1.2|ML|VIAL|SQ|ML|.05|07/27/2023|12/31/3999| | || | |
70756060444||J7682||08/03/2023|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|08/03/2023|12/31/3999| | || | |
70756060456||J7682||08/03/2023|12/31/3999|Tobramycin, inhalation solution, fda-approved final product, non-compounded...|TOBRAMYCIN 300 MG/5 ML AMPU|5|ML|AMPUL|IH|ML|5|08/03/2023|12/31/3999| | || | |
71288015501||J2562||07/24/2023|12/31/3999|Injection, plerixafor, 1 mg|PLERIXAFOR 24 MG/1.2 ML VIA|1.2|ML|VIAL|SQ|ML|.05|07/24/2023|12/31/3999| | || | |
71288040905||J2469||09/21/2023|12/31/3999|Injection, palonosetron hcl, 25 mcg|PALONOSETRON 0.25 MG/5 ML V|5|ML|VIAL|IV|ML|.5|09/21/2023|12/31/3999| | || | |
71288080651||J3489||08/21/2023|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|VIAL|IV|ML|20|08/21/2023|12/31/3999| | || | |
71839014101||J3490||08/31/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|08/31/2023|12/31/3999| | || | |
71839014110||J3490||08/31/2023|12/31/3999|Unclassified drugs|ROCURONIUM 50 MG/5 ML VIAL|5|ML|VIAL|IV|ML|5|08/31/2023|12/31/3999| | || | |
71839014201||J3490||08/31/2023|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|5|08/31/2023|12/31/3999| | || | |
71839014210||J3490||08/31/2023|12/31/3999|Unclassified drugs|ROCURONIUM 100 MG/10 ML VIA|10|ML|VIAL|IV|ML|5|08/31/2023|12/31/3999| | || | |
72078003500||J3490||07/01/2023|12/31/3999|Unclassified drugs|ULTIVA 2 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
72078003502||J3490||07/01/2023|12/31/3999|Unclassified drugs|ULTIVA 2 MG VIAL|1|UN|VIAL|IV|EA|1|07/01/2023|12/31/3999| | || | |
72266015201||J3489||09/25/2023|12/31/3999|Injection, zoledronic acid, 1 mg|ZOLEDRONIC ACID 5 MG/100 ML|100|ML|BAG|IV|ML|20|09/25/2023|12/31/3999| | || | |
72266023701||J3490||06/01/2023|12/31/3999|Unclassified drugs|DOXYCYCLINE HYCLATE 100 MG|1|UN|VIAL|IV|EA|1|06/01/2023|12/31/3999| | || | |
72266023705||J3490||06/01/2023|12/31/3999|Unclassified drugs|DOXYCYCLINE HYCLATE 100 MG|1|UN|VIAL|IV|EA|1|06/01/2023|12/31/3999| | || | |
72266025301||J9060||09/01/2023|12/31/3999|Injection, cisplatin, powder or solution, 10 mg|CISPLATIN 100 MG/100 ML VIA|100|ML|VIAL|IV|ML|1|09/01/2023|12/31/3999| | || | |
72485050701||J3411||06/01/2023|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/01/2023|12/31/3999| | || | |
72485050725||J3411||06/01/2023|12/31/3999|Injection, thiamine hcl, 100 mg|THIAMINE 200 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|06/01/2023|12/31/3999| | || | |
72603014101||J3030||07/01/2023|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5ML AUTO|0.5|ML|SYRINGE|SQ|ML|.5|07/01/2023|12/31/3999| | || | |
72603014102||J3030||07/01/2023|12/31/3999|Injection, sumatriptan succinate, 6 mg (code may be used for medicare when ...|SUMATRIPTAN 6 MG/0.5ML AUTO|0.5|ML|SYRINGE|SQ|ML|.5|07/01/2023|12/31/3999| | || | |
72819015404||J9280||04/01/2023|12/31/3999|Injection, mitomycin, 5 mg|MITOMYCIN 40 MG VIAL|1|UN|VIAL|IV|EA|.125|04/01/2023|12/31/3999| | || | |
81298578101||J3301||10/01/2022|12/31/3999|Injection, triamcinolone acetonide, not otherwise specified, 10 mg|TRIAMCINOLONE ACET 40 MG/ML|1|ML|VIAL|IJ|ML|.25|10/01/2022|12/31/3999| | || | |
81565020501||J3010||07/01/2023|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
81565020502||J3010||07/01/2023|12/31/3999|Injection, fentanyl citrate, 0.1 mg|FENTANYL 100 MCG/2 ML VIAL|2|ML|VIAL|IJ|ML|2|07/01/2023|12/31/3999| | || | |
43066002110||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|CARDENE-NACL 20 MG/200 ML S|200|ML|BAG|IV|ML|1|01/01/2024|12/31/3999| | || | |
59148011480||J0402||01/01/2024|12/31/3999|Injection, aripiprazole (abilify asimtufii), 1 mg|ABILIFY ASIMTUFII 960 MG/3.|3.2|ML|SYRINGE|IM|ML|.0033|01/01/2024|12/31/3999| | || | |
71390012520||J0184||01/01/2024|12/31/3999|Injection, amisulpride, 1 mg|BARHEMSYS 5 MG/2 ML VIAL|2|ML|VIAL|IV|ML|.4|01/01/2024|12/31/3999| | || | |
43066002410||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|CARDENE-NACL 40 MG/200 ML I|200|ML|BAG|IV|ML|.5|01/01/2024|12/31/3999| | || | |
58284020801||J0576||01/01/2024|12/31/3999|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI WEEKLY 8 MG/0.16ML|0.16|ML|SYRINGE|SQ|MG|.02|01/01/2024|12/31/3999| | || | |
58284021601||J0576||01/01/2024|12/31/3999|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI WEEKLY 16MG/0.32ML|0.32|ML|SYRINGE|SQ|MG|.02|01/01/2024|12/31/3999| | || | |
58284022401||J0576||01/01/2024|12/31/3999|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI WEEKLY 24MG/0.48ML|0.48|ML|SYRINGE|SQ|MG|.02|01/01/2024|12/31/3999| | || | |
58284026401||J0576||01/01/2024|12/31/3999|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI MONTH 64 MG/0.18ML|0.18|ML|SYRINGE|SQ|MG|.0028|01/01/2024|12/31/3999| | || | |
58284029601||J0576||01/01/2024|12/31/3999|Injection, buprenorphine extended-release (brixadi), 1 mg|BRIXADI MONTH 96 MG/0.27ML|0.27|ML|SYRINGE|SQ|MG|.0028|01/01/2024|12/31/3999| | || | |
51759030510||J2799||01/01/2024|12/31/3999|Injection, risperidone (uzedy), 1 mg|UZEDY ER 50 MG/0.14 ML SYRI|0.14|ML|SYRINGE|SQ|ML|.0028|01/01/2024|12/31/3999| | || | |
51759041010||J2799||01/01/2024|12/31/3999|Injection, risperidone (uzedy), 1 mg|UZEDY ER 75 MG/0.21 ML SYRI|0.21|ML|SYRINGE|SQ|ML|.0028|01/01/2024|12/31/3999| | || | |
51759052010||J2799||01/01/2024|12/31/3999|Injection, risperidone (uzedy), 1 mg|UZEDY ER 100 MG/0.28 ML SYR|0.28|ML|SYRINGE|SQ|ML|.0028|01/01/2024|12/31/3999| | || | |
51759063010||J2799||01/01/2024|12/31/3999|Injection, risperidone (uzedy), 1 mg|UZEDY ER 125 MG/0.35 ML SYR|0.35|ML|SYRINGE|SQ|ML|.0028|01/01/2024|12/31/3999| | || | |
51759074010||J2799||01/01/2024|12/31/3999|Injection, risperidone (uzedy), 1 mg|UZEDY ER 150 MG/0.42 ML SYR|0.42|ML|SYRINGE|SQ|ML|.0028|01/01/2024|12/31/3999| | || | |
43066000910||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|CARDENE-NACL 20 MG/200 ML S|200|ML|BAG|IV|ML|1|01/01/2024|12/31/3999| | || | |
43066002810||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|CARDENE-NACL 40 MG/200 ML I|200|ML|BAG|IV|ML|.5|01/01/2024|12/31/3999| | || | |
47335088244||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML AMP|10|ML|AMPUL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
00143913901||J0688||01/01/2024|12/31/3999|Injection, cefazolin sodium (hikma), not therapeutically equivalent to J0690, 500 mg|CEFAZOLIN 2 GM VIAL|1|UN|VIAL|IV|EA|.25|01/01/2024|12/31/3999| | || | |
00143913925||J0688||01/01/2024|12/31/3999|Injection, cefazolin sodium (hikma), not therapeutically equivalent to J0690, 500 mg|CEFAZOLIN 2 GM VIAL|1|UN|VIAL|IV|EA|.25|01/01/2024|12/31/3999| | || | |
00143914001||J0688||01/01/2024|12/31/3999|Injection, cefazolin sodium (hikma), not therapeutically equivalent to J0690, 500 mg|CEFAZOLIN 3 GM VIAL|1|UN|VIAL|IV|EA|.1667|01/01/2024|12/31/3999| | || | |
43066002610||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|CARDENE-NACL 20 MG/200 ML S|200|ML|BAG|IV|ML|1|01/01/2024|12/31/3999| | || | |
00143963401||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPIN 20MG/200ML-0.9%N|200|ML|BAG|IV|ML|1|01/01/2024|12/31/3999| | || | |
00517073510||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
51754601503||J1596||01/01/2024|12/31/3999|Injection, glycopyrrolate, 0.1 mg|GLYRX-PF 1 MG/5 ML SYRINGE|5|ML|SYRINGE|IJ|ML|5|01/01/2024|12/31/3999| | || | |
43066001610||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|CARDENE-NACL 40 MG/200 ML I|200|ML|BAG|IV|ML|.5|01/01/2024|12/31/3999| | || | |
00641600810||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
63323028110||J2679||01/01/2024|12/31/3999|Injection, fluphenazine hcl, 1.25 mg|FLUPHENAZINE 2.5 MG/ML VIAL|10|ML|VIAL|IJ|ML|.5|01/01/2024|12/31/3999| | || | |
00409141204||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 0.25 MG/ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
00641600801||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|1|01/01/2024|12/31/3999| | || | |
41616088244||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML AMPULE|10|ML|AMPUL|IV|ML|1|01/01/2024|12/31/3999| | || | |
00591288830||J3425||01/01/2024|12/31/3999|Injection, hydroxocobalamin, 10 mcg|HYDROXOCOBALAMIN 1,000 MCG/ML|30|ML|VIAL|IM|ML|.01|01/01/2024|12/31/3999| | || | |
00641600710||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
00143968910||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIAL|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
00641600701||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIAL|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
00409141210||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 0.25 MG/ML VIAL|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
00143959301||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
00143959310||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
00143954201||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.1|01/01/2024|12/31/3999| | || | |
00143954210||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
00143968901||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
51754600101||J1596||01/01/2024|12/31/3999|Injection, glycopyrrolate, 0.1 mg|GLYRX-PF 0.4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|1|01/01/2024|12/31/3999| | || | |
51754600004||J1596||01/01/2024|12/31/3999|Injection, glycopyrrolate, 0.1 mg|GLYRX-PF 0.2 MG/ML VIAL|1|ML|VIAL|IJ|ML|25|01/01/2024|12/31/3999| | || | |
51754600104||J1596||01/01/2024|12/31/3999|Injection, glycopyrrolate, 0.1 mg|GLYRX-PF 0.4 MG/2 ML VIAL|2|ML|VIAL|IJ|ML|25|01/01/2024|12/31/3999| | || | |
00641616101||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
00641616110||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 1 MG/4 ML VIAL|4|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
00641616201||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
00641616210||J1939||01/01/2024|12/31/3999|Injection, bumetanide, 0.5 mg|BUMETANIDE 2.5 MG/10 ML VIA|10|ML|VIAL|IJ|ML|2|01/01/2024|12/31/3999| | || | |
41616088240||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML AMP|10|ML|AMPUL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
51754600001||J1596||01/01/2024|12/31/3999|Injection, glycopyrrolate, 0.1 mg|GLYRX-PF 0.2 MG/ML VIAL|1|ML|VIAL|IJ|ML|1|01/01/2024|12/31/3999| | || | |
70594005301||J0873||01/01/2024|12/31/3999|Injection, daptomycin (xellia) not therapeutically equivalent to J0878, 1 mg|DAPTOMYCIN 350 MG VIAL|1|UN|VIAL|IV|EA|.0029|01/01/2024|12/31/3999| | || | |
16729054863||J9052||01/01/2024|12/31/3999|Injection, carmustine (accord), not therapeutically equivalent to J9050, 100 mg|CARMUSTINE 300 MG VIAL|1|UN|VIAL|IJ|EA|.3333|01/01/2024|12/31/3999| | || | |
00517073501||J2404||01/01/2024|12/31/3999|Injection, nicardipine, 0.1 mg|NICARDIPINE 25 MG/10 ML VIA|10|ML|VIAL|IV|ML|.04|01/01/2024|12/31/3999| | || | |
64406010901||J1304||01/01/2024|12/31/3999|Injection, tofersen, 1 mg|QALSODY 100 MG/15 ML VIAL|15|ML|VIAL|IT|ML|.15|01/01/2024|12/31/3999| | || | |
51759085010||J2799||01/01/2024|12/31/3999|Injection, risperidone (uzedy), 1 mg|UZEDY ER 200 MG/0.56 ML SYR|0.56|ML|SYRINGE|SQ|ML|.0028|01/01/2024|12/31/3999| | || | |
51759096010||J2799||01/01/2024|12/31/3999|Injection, risperidone (uzedy), 1 mg|UZEDY ER 250 MG/0.7 ML SYRI|0.7|ML|SYRINGE|SQ|ML|.0028|01/01/2024|12/31/3999| | || | |
00409012525||J1920||07/01/2023|12/31/3999|Injection, labetalol hydrochloride, 5 mg|LABETALOL HCL 100 MG/20 ML|20|ML|VIAL|IV|ML|1|07/01/2023|12/31/3999| | || | |