Optum Chemotherapy Agent List.xlsx
XLSX spreadsheet 62 KB Posted
- Solicitation number
- 36C26025D0038
About this file
This file is an Excel spreadsheet listing chemotherapy agents, medical supplies, and associated pricing from Optum Pharmacy. The comprehensive document includes over 300 line items covering injectable medications, infusion sets, syringes, IV bags, and related medical supplies, with consistent pricing of $X.XX across five ordering periods for each item. Notable high-value medications include cancer treatments like Keytruda ($7,142.54 per dose), Yervoy ($43,863.71 for 200mg), Tecentriq ($13,764.36), and various chemotherapy agents from brands such as Roche, Bristol Myers Squibb, and Pfizer.
The pricing list corresponds to a related federal contract opportunity (Solicitation Number 36C26025D0038) awarded to Optum Pharmacy 801, Inc. by the Department of Veterans Affairs Veterans Health Administration for a pharmacy compounding contingency contract at the Portland VA Medical Center. The contract was awarded on 2025-06-26 for $0.00, suggesting this may be a contingency or pre-positioned contract for pharmaceutical and medical supply services. The extensive pricing list indicates a comprehensive range of injectable medications and medical supplies potentially available for VA medical facilities.
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ChemoAgentList
| Item Name | Brand Name | Generic Name | NDC | HCPC | Ordering Period 1 Price Each | Ordering Period 2 Price Each | Ordering Period 3 Price Each | Ordering Period 4 Price Each | Ordering Period 5 Price Each |
| Abraxane Inj 100mg | Abraxane | PACLitaxel Protein-Bound Part | 68817013450 | J9264 | $1,990.87 | $1,990.87 | $1,990.87 | $1,990.87 | $1,990.87 |
| Access Device 13mm 2203E | $2.51 | $2.51 | $2.51 | $2.51 | $2.51 | ||||
| Access Device 20mm 0601ACS | $1.40 | $1.40 | $1.40 | $1.40 | $1.40 | ||||
| Access Device 20mm 2205E | $2.87 | $2.87 | $2.87 | $2.87 | $2.87 | ||||
| Access Device w/Clave CS10 | $1.82 | $1.82 | $1.82 | $1.82 | $1.82 | ||||
| Actemra Inj Sol 200mg | Actemra | Tocilizumab | 50242013601 | J3262 | $1,673.16 | $1,673.16 | $1,673.16 | $1,673.16 | $1,673.16 |
| Actemra Inj Sol 400mg | Actemra | Tocilizumab | 50242013701 | J3262 | $3,346.33 | $3,346.33 | $3,346.33 | $3,346.33 | $3,346.33 |
| Actemra Inj Sol 80mg | Actemra | Tocilizumab | 50242013501 | J3262 | $669.26 | $669.26 | $669.26 | $669.26 | $669.26 |
| Acyclovir Sod Inj Sol 1gm/20ml | Acyclovir Sodium | Acyclovir Sodium | 63323032520 | J0133 | $44.10 | $44.10 | $44.10 | $44.10 | $44.10 |
| Acyclovir Sod Inj Sol 1gm/20ml | Acyclovir Sodium | Acyclovir Sodium | 55150015520 | J0133 | $31.50 | $31.50 | $31.50 | $31.50 | $31.50 |
| Acyclovir Sod Inj Sol 1gm/20ml | Acyclovir Sodium | Acyclovir Sodium | 63323032524 | J0133 | $10.84 | $10.84 | $10.84 | $10.84 | $10.84 |
| Acyclovir Sod Inj Sol 500mg/10ml | Acyclovir Sodium | Acyclovir Sodium | 63323032510 | J0133 | $23.69 | $23.69 | $23.69 | $23.69 | $23.69 |
| Acyclovir Sod Inj Sol 500mg/10ml | Acyclovir Sodium | Acyclovir Sodium | 63323032514 | J0133 | $5.42 | $5.42 | $5.42 | $5.42 | $5.42 |
| Acyclovir Sod Inj Sol 500mg/10ml | Acyclovir Sodium | Acyclovir Sodium | 55150015410 | J0133 | $16.80 | $16.80 | $16.80 | $16.80 | $16.80 |
| Adakveo Inj Sol 100mg/10ml | Adakveo | Crizanlizumab-tmca | 00078088361 | J0791 | $3,090.71 | $3,090.71 | $3,090.71 | $3,090.71 | $3,090.71 |
| Adapter Vented Micro Spike 418121 | A4222 | $3.13 | $3.13 | $3.13 | $3.13 | $3.13 | |||
| Adapter Vented Spike SA2000 | $3.23 | $3.23 | $3.23 | $3.23 | $3.23 | ||||
| Adcetris Inj Sol 50mg | Adcetris | Brentuximab Vedotin | 51144005001 | J9042 | $14,794.92 | $14,794.92 | $14,794.92 | $14,794.92 | $14,794.92 |
| Alimta Inj 100mg | Alimta | PEMEtrexed Disodium | 00002764001 | J9305 | $1,018.84 | $1,018.84 | $1,018.84 | $1,018.84 | $1,018.84 |
| Alimta Inj 500mg | Alimta | PEMEtrexed Disodium | 00002762301 | J9305 | $5,094.18 | $5,094.18 | $5,094.18 | $5,094.18 | $5,094.18 |
| Arsenic Trioxide Inj 12mg/6ml | Arsenic Trioxide | Arsenic Trioxide | 70710161006 | J9017 | $678.98 | $678.98 | $678.98 | $678.98 | $678.98 |
| Avastin Inj Sol 100mg/4ml | Avastin | Bevacizumab | 50242006001 | J9035 | $1,004.15 | $1,004.15 | $1,004.15 | $1,004.15 | $1,004.15 |
| Avastin Inj Sol 400mg/16ml | Avastin | Bevacizumab | 50242006101 | J9035 | $4,016.58 | $4,016.58 | $4,016.58 | $4,016.58 | $4,016.58 |
| AzaCITIDine Inj 100mg | AzaCITIDine | AzaCITIDine | 00781325394 | J9025 | $648.50 | $648.50 | $648.50 | $648.50 | $648.50 |
| AzaCITIDine Inj 100mg | AzaCITIDine | AzaCITIDine | 72485020101 | J9025 | $648.50 | $648.50 | $648.50 | $648.50 | $648.50 |
| AzaCITIDine Inj 100mg | AzaCITIDine | AzaCITIDine | 16729030610 | J9025 | $648.50 | $648.50 | $648.50 | $648.50 | $648.50 |
| AzaCITIDine Inj 100mg | AzaCITIDine | AzaCITIDine | 71288011530 | J9025 | $56.70 | $56.70 | $56.70 | $56.70 | $56.70 |
| AzaCITIDine Inj 100mg | AzaCITIDine | AzaCITIDine | 43598014362 | J9025 | $126.00 | $126.00 | $126.00 | $126.00 | $126.00 |
| AzaCITIDine Inj 100mg | AzaCITIDine | AzaCITIDine | 43598030562 | J9025 | $252.00 | $252.00 | $252.00 | $252.00 | $252.00 |
| AzaCITIDine Inj 100mg | AzaCITIDine | AzaCITIDine | 43598046562 | J9025 | $220.50 | $220.50 | $220.50 | $220.50 | $220.50 |
| Bag 1000ml legless w/male conn | $7.74 | $7.74 | $7.74 | $7.74 | $7.74 | ||||
| Bag 4L Gravity 3-leg | $17.84 | $17.84 | $17.84 | $17.84 | $17.84 | ||||
| Bag 500ml legless w/ male conn | $6.46 | $6.46 | $6.46 | $6.46 | $6.46 | ||||
| Bag Empty 100ml DEHP Free CMS9601 | $6.19 | $6.19 | $6.19 | $6.19 | $6.19 | ||||
| Bag Empty EVA 1000ml 66055 | $6.49 | $6.49 | $6.49 | $6.49 | $6.49 | ||||
| Bag Empty EVA 100ml 66041 | $5.62 | $5.62 | $5.62 | $5.62 | $5.62 | ||||
| Bag Empty EVA 150ml 64040 | $3.31 | $3.31 | $3.31 | $3.31 | $3.31 | ||||
| Bag Empty EVA 1L legless w/ fem con | $6.30 | $6.30 | $6.30 | $6.30 | $6.30 | ||||
| Bag Empty EVA 250ml 64045 | $4.06 | $4.06 | $4.06 | $4.06 | $4.06 | ||||
| Bag Empty EVA 250ml 66405 | $4.80 | $4.80 | $4.80 | $4.80 | $4.80 | ||||
| Bag Empty EVA 250ml legless w/fem | $3.53 | $3.53 | $3.53 | $3.53 | $3.53 | ||||
| Bag Empty EVA 2L legless w/ fem con | $4.80 | $4.80 | $4.80 | $4.80 | $4.80 | ||||
| Bag Empty EVA 3L legless w/ fem con | $5.18 | $5.18 | $5.18 | $5.18 | $5.18 | ||||
| Bag Empty EVA 500ml 64050 | $3.60 | $3.60 | $3.60 | $3.60 | $3.60 | ||||
| Bag Empty EVA 500ml 66050 | $4.25 | $4.25 | $4.25 | $4.25 | $4.25 | ||||
| Bag Empty EVA 500ml legless w/ fem | $3.86 | $3.86 | $3.86 | $3.86 | $3.86 | ||||
| Bag Empty EVA 50ml 66042 | $4.91 | $4.91 | $4.91 | $4.91 | $4.91 | ||||
| Bag Empty PVC 1000ml 795119 | $3.68 | $3.68 | $3.68 | $3.68 | $3.68 | ||||
| Bag Empty PVC 250ml 795112 | $4.14 | $4.14 | $4.14 | $4.14 | $4.14 | ||||
| Bag Empty PVC 500ml 795113 | $4.21 | $4.21 | $4.21 | $4.21 | $4.21 | ||||
| Bag Gravity 2leg 1000ml CMS-9812 | A9999 | $12.41 | $12.41 | $12.41 | $12.41 | $12.41 | |||
| Bag Gravity 2leg EVA 1000ml 2112360 | $8.27 | $8.27 | $8.27 | $8.27 | $8.27 | ||||
| Bag Gravity 2leg EVA 1000ml 64100 | A9999 | $7.69 | $7.69 | $7.69 | $7.69 | $7.69 | |||
| Bag Gravity 2leg EVA 1000ml 66100 | $8.53 | $8.53 | $8.53 | $8.53 | $8.53 | ||||
| Bag Gravity 2leg EVA 1000ml IM68100 | $7.06 | $7.06 | $7.06 | $7.06 | $7.06 | ||||
| Bag Gravity 2leg EVA 2000ml 2112361 | $8.71 | $8.71 | $8.71 | $8.71 | $8.71 | ||||
| Bag Gravity 2leg EVA 2000ml 64105 | A9999 | $9.99 | $9.99 | $9.99 | $9.99 | $9.99 | |||
| Bag Gravity 2leg EVA 3000ml 2112362 | $8.45 | $8.45 | $8.45 | $8.45 | $8.45 | ||||
| Bag Gravity 2leg EVA 3000ml 64110 | A9999 | $8.70 | $8.70 | $8.70 | $8.70 | $8.70 | |||
| Bag Gravity 2leg EVA 500ml 2112359 | $8.37 | $8.37 | $8.37 | $8.37 | $8.37 | ||||
| Bag Gravity 2leg EVA 500ml 66102 | $10.97 | $10.97 | $10.97 | $10.97 | $10.97 | ||||
| Bag Gravity 3leg EVA 1000ml 2112363 | $9.93 | $9.93 | $9.93 | $9.93 | $9.93 | ||||
| Bag Gravity 3leg EVA 1000ml 64120 | A9999 | $9.07 | $9.07 | $9.07 | $9.07 | $9.07 | |||
| Bag Gravity 3leg EVA 2000ml 64125 | $10.02 | $10.02 | $10.02 | $10.02 | $10.02 | ||||
| Bag Gravity 3leg EVA 2000ml 66125 | $14.55 | $14.55 | $14.55 | $14.55 | $14.55 | ||||
| Bag Gravity 3leg EVA 3000ml 2112365 | $12.02 | $12.02 | $12.02 | $12.02 | $12.02 | ||||
| Bag Gravity 3leg EVA 3000ml 64130 | $13.85 | $13.85 | $13.85 | $13.85 | $13.85 | ||||
| Bag Gravity 3leg EVA 3000ml 66130 | $14.14 | $14.14 | $14.14 | $14.14 | $14.14 | ||||
| Bag Spike w/ Clave | $1.68 | $1.68 | $1.68 | $1.68 | $1.68 | ||||
| Bag Spike w/ Clave ChemoLock | $4.38 | $4.38 | $4.38 | $4.38 | $4.38 | ||||
| Bag WalkMed 150ml 204821 | $19.42 | $19.42 | $19.42 | $19.42 | $19.42 | ||||
| Bag WalkMed 250ml 204822 | $21.88 | $21.88 | $21.88 | $21.88 | $21.88 | ||||
| Bag, 500ml | $4.25 | $4.25 | $4.25 | $4.25 | $4.25 | ||||
| Belrapzo Inj Sol 100mg/4ml | Belrapzo | Bendamustine HCl | 42367052125 | J9036 | $3,276.00 | $3,276.00 | $3,276.00 | $3,276.00 | $3,276.00 |
| Bendeka Inj Sol 100mg/4ml | Bendeka | Bendamustine HCl | 63459034804 | J9034 | $3,116.99 | $3,116.99 | $3,116.99 | $3,116.99 | $3,116.99 |
| Bleomycin Sulfate Inj 15units | Bleomycin Sulfate | Bleomycin Sulfate | 63323013610 | J9040 | $43.47 | $43.47 | $43.47 | $43.47 | $43.47 |
| Bleomycin Sulfate Inj 15units | Bleomycin Sulfate | Bleomycin Sulfate | 71288010610 | J9040 | $38.66 | $38.66 | $38.66 | $38.66 | $38.66 |
| Bleomycin Sulfate Inj 15units | Bleomycin Sulfate | Bleomycin Sulfate | 00143924001 | J9040 | $72.07 | $72.07 | $72.07 | $72.07 | $72.07 |
| Bleomycin Sulfate Inj 30units | Bleomycin Sulfate | Bleomycin Sulfate | 71288010720 | J9040 | $84.03 | $84.03 | $84.03 | $84.03 | $84.03 |
| Bleomycin Sulfate Inj 30units | Bleomycin Sulfate | Bleomycin Sulfate | 00143924101 | J9040 | $133.69 | $133.69 | $133.69 | $133.69 | $133.69 |
| Bleomycin Sulfate Inj 30units | Bleomycin | Bleomycin Sulfate | 00703315501 | J9040 | $133.69 | $133.69 | $133.69 | $133.69 | $133.69 |
| Bleomycin Sulfate Inj 30units | Bleomycin Sulfate | Bleomycin Sulfate | 63323013720 | J9040 | $96.12 | $96.12 | $96.12 | $96.12 | $96.12 |
| Bleomycin Sulfate Inj 30units | Bleomycin Sulfate | Bleomycin Sulfate | 61703032322 | J9040 | $117.96 | $117.96 | $117.96 | $117.96 | $117.96 |
| Bleomycin Sulfate Inj 30units | Bleomycin Sulfate | Bleomycin Sulfate | 16714090801 | J9040 | $100.91 | $100.91 | $100.91 | $100.91 | $100.91 |
| Blincyto Inj 35mcg | Blincyto | Blinatumomab | 55513016001 | J9039 | $6,482.90 | $6,482.90 | $6,482.90 | $6,482.90 | $6,482.90 |
| Bortezomib Inj 3.5mg | Bortezomib | Bortezomib | 70710141101 | J9041 | $161.58 | $161.58 | $161.58 | $161.58 | $161.58 |
| Bortezomib Inj 3.5mg | Bortezomib | Bortezomib | 43598042660 | J9041 | $315.00 | $315.00 | $315.00 | $315.00 | $315.00 |
| Briumvi Inj Sol 150mg/6ml | Briumvi | Ublituximab-xiiy | 73150015006 | J2329 | $13,195.35 | $13,195.35 | $13,195.35 | $13,195.35 | $13,195.35 |
| CADD Admin Set 90" | $9.12 | $9.12 | $9.12 | $9.12 | $9.12 | ||||
| CADD Cassette 100ml 21-7002 | A4222 | $14.39 | $14.39 | $14.39 | $14.39 | $14.39 | |||
| CADD Cassette 250ml 21-7308 | $18.03 | $18.03 | $18.03 | $18.03 | $18.03 | ||||
| CADD Cassette FS 100ml 21-7302 | $11.49 | $11.49 | $11.49 | $11.49 | $11.49 | ||||
| CADD Cassette FS 50ml 21-7301 | $10.04 | $10.04 | $10.04 | $10.04 | $10.04 | ||||
| CADD Ext Set 60" w/ 0.2mic Filter | $4.08 | $4.08 | $4.08 | $4.08 | $4.08 | ||||
| CADD High Volume w/ anti valve | $12.11 | $12.11 | $12.11 | $12.11 | $12.11 | ||||
| CARBOplatin Inj Sol 150mg/15ml | CARBOplatin | CARBOplatin | 00703424601 | J9045 | $26.46 | $26.46 | $26.46 | $26.46 | $26.46 |
| CARBOplatin Inj Sol 150mg/15ml | CARBOplatin | CARBOplatin | 16729029533 | J9045 | $28.85 | $28.85 | $28.85 | $28.85 | $28.85 |
| CARBOplatin Inj Sol 150mg/15ml | CARBOplatin | CARBOplatin | 71288010015 | J9045 | $22.17 | $22.17 | $22.17 | $22.17 | $22.17 |
| CARBOplatin Inj Sol 150mg/15ml | CARBOplatin | CARBOplatin | 61703033922 | J9045 | $29.28 | $29.28 | $29.28 | $29.28 | $29.28 |
| CARBOplatin Inj Sol 150mg/15ml | CARBOplatin | CARBOplatin | 00703424681 | J9045 | $26.46 | $26.46 | $26.46 | $26.46 | $26.46 |
| CARBOplatin Inj Sol 150mg/15ml | CARBOplatin | CARBOplatin | 54288016501 | J9045 | $34.28 | $34.28 | $34.28 | $34.28 | $34.28 |
| CARBOplatin Inj Sol 450mg/45ml | CARBOplatin | Carboplatin | 00703424881 | J9045 | $81.90 | $81.90 | $81.90 | $81.90 | $81.90 |
| CARBOplatin Inj Sol 450mg/45ml | CARBOplatin | CARBOplatin | 61703033950 | J9045 | $59.40 | $59.40 | $59.40 | $59.40 | $59.40 |
| CARBOplatin Inj Sol 450mg/45ml | CARBOplatin | CARBOplatin | 55150033501 | J9045 | $53.85 | $53.85 | $53.85 | $53.85 | $53.85 |
| CARBOplatin Inj Sol 450mg/45ml | CARBOplatin | CARBOplatin | 16729029534 | J9045 | $81.90 | $81.90 | $81.90 | $81.90 | $81.90 |
| CARBOplatin Inj Sol 450mg/45ml | CARBOplatin | Carboplatin | 00703424801 | J9045 | $81.90 | $81.90 | $81.90 | $81.90 | $81.90 |
| CARBOplatin Inj Sol 450mg/45ml | CARBOplatin | CARBOplatin | 50742044745 | J9045 | $254.76 | $254.76 | $254.76 | $254.76 | $254.76 |
| CARBOplatin Inj Sol 50mg/5ml | CARBOplatin | CARBOplatin | 00703424401 | J9045 | $10.40 | $10.40 | $10.40 | $10.40 | $10.40 |
| CARBOplatin Inj Sol 50mg/5ml | CARBOplatin | CARBOplatin | 16729029531 | J9045 | $16.63 | $16.63 | $16.63 | $16.63 | $16.63 |
| CARBOplatin Inj Sol 50mg/5ml | CARBOplatin | CARBOplatin | 00703424481 | J9045 | $10.40 | $10.40 | $10.40 | $10.40 | $10.40 |
| CARBOplatin Inj Sol 50mg/5ml | CARBOplatin | CARBOplatin | 61703033918 | J9045 | $16.88 | $16.88 | $16.88 | $16.88 | $16.88 |
| CARBOplatin Inj Sol 600mg/60ml | CARBOplatin | CARBOplatin | 71288010051 | J9045 | $55.44 | $55.44 | $55.44 | $55.44 | $55.44 |
| CARBOplatin Inj Sol 600mg/60ml | CARBOplatin | CARBOplatin | 47781060694 | J9045 | $55.43 | $55.43 | $55.43 | $55.43 | $55.43 |
| CARBOplatin Inj Sol 600mg/60ml | CARBOplatin | CARBOplatin | 16729029512 | J9045 | $90.34 | $90.34 | $90.34 | $90.34 | $90.34 |
| CARBOplatin Inj Sol 600mg/60ml | CARBOplatin | CARBOplatin | 55150038601 | J9045 | $63.23 | $63.23 | $63.23 | $63.23 | $63.23 |
| CARBOplatin Inj Sol 600mg/60ml | CARBOplatin | CARBOplatin | 00703423901 | J9045 | $83.27 | $83.27 | $83.27 | $83.27 | $83.27 |
| CARBOplatin Inj Sol 600mg/60ml | CARBOplatin | CARBOplatin | 61703033956 | J9045 | $74.51 | $74.51 | $74.51 | $74.51 | $74.51 |
| CARBOplatin Inj Sol 600mg/60ml | CARBOplatin | CARBOplatin | 63323017260 | J9045 | $136.08 | $136.08 | $136.08 | $136.08 | $136.08 |
| CARBOplatin Inj Sol 600mg/60ml | CARBOplatin | CARBOplatin | 00703423981 | J9045 | $83.27 | $83.27 | $83.27 | $83.27 | $83.27 |
| Catheter LL Adaptor C LL-1C | $4.78 | $4.78 | $4.78 | $4.78 | $4.78 | ||||
| ChemoLock Transfer Set | $3.78 | $3.78 | $3.78 | $3.78 | $3.78 | ||||
| Cinvanti Inj 130mg/18ml | Cinvanti | Aprepitant | 47426020101 | J0185 | $550.54 | $550.54 | $550.54 | $550.54 | $550.54 |
| CISplatin Inj Sol 100mg/100ml | CISplatin | CISplatin | 67457042410 | J9060 | $42.84 | $42.84 | $42.84 | $42.84 | $42.84 |
| CISplatin Inj Sol 100mg/100ml | CISplatin | CISplatin | 63323010365 | J9060 | $51.85 | $51.85 | $51.85 | $51.85 | $51.85 |
| CISplatin Inj Sol 100mg/100ml | CISplatin | CISplatin | 00703574811 | J9060 | $50.78 | $50.78 | $50.78 | $50.78 | $50.78 |
| CISplatin Inj Sol 100mg/100ml | CISplatin | CISplatin | 44567051001 | J9060 | $37.80 | $37.80 | $37.80 | $37.80 | $37.80 |
| CISplatin Inj Sol 100mg/100ml | CISplatin | CISplatin | 16729028838 | J9060 | $45.49 | $45.49 | $45.49 | $45.49 | $45.49 |
| CISplatin Inj Sol 100mg/100ml | CISplatin | CISplatin | 00143950501 | J9060 | $38.67 | $38.67 | $38.67 | $38.67 | $38.67 |
| CISplatin Inj Sol 100mg/100ml | CISplatin | CISplatin | 25021025351 | J9060 | $50.40 | $50.40 | $50.40 | $50.40 | $50.40 |
| CISplatin Inj Sol 200mg/200ml | CISplatin | CISplatin | 63323010364 | J9060 | $103.71 | $103.71 | $103.71 | $103.71 | $103.71 |
| CISplatin Inj Sol 200mg/200ml | CISplatin | Cisplatin | 44567051101 | J9060 | $138.60 | $138.60 | $138.60 | $138.60 | $138.60 |
| CISplatin Inj Sol 50mg/50ml | CISplatin | CISplatin | 00703574711 | J9060 | $25.39 | $25.39 | $25.39 | $25.39 | $25.39 |
| CISplatin Inj Sol 50mg/50ml | CISplatin | CISplatin | 63323010351 | J9060 | $25.94 | $25.94 | $25.94 | $25.94 | $25.94 |
| CISplatin Inj Sol 50mg/50ml | CISplatin | CISplatin | 16729028811 | J9060 | $23.63 | $23.63 | $23.63 | $23.63 | $23.63 |
| CISplatin Inj Sol 50mg/50ml | CISplatin | CISplatin | 00143950401 | J9060 | $19.33 | $19.33 | $19.33 | $19.33 | $19.33 |
| CISplatin Inj Sol 50mg/50ml | CISplatin | CISplatin | 25021025350 | J9060 | $35.28 | $35.28 | $35.28 | $35.28 | $35.28 |
| Cladribine Inj Sol 10mg/10ml | Cladribine | Cladribine | 63323014010 | J9065 | $548.10 | $548.10 | $548.10 | $548.10 | $548.10 |
| Cladribine Inj Sol 10mg/10ml | Cladribine | Cladribine | 00143987101 | J9065 | $441.00 | $441.00 | $441.00 | $441.00 | $441.00 |
| Cladribine Inj Sol 10mg/10ml | Cladribine | Cladribine | 67457045010 | J9065 | $441.00 | $441.00 | $441.00 | $441.00 | $441.00 |
| Cladribine Inj Sol 10mg/10ml | Cladribine | Cladribine | 42658001001 | J9065 | $441.00 | $441.00 | $441.00 | $441.00 | $441.00 |
| Cleo Set, 9mm 24" tubing | $16.88 | $16.88 | $16.88 | $16.88 | $16.88 | ||||
| Cleo Set, 9mm 42" tubing | $18.99 | $18.99 | $18.99 | $18.99 | $18.99 | ||||
| Closed System Inj Sec Tubing SA-1ST | $4.51 | $4.51 | $4.51 | $4.51 | $4.51 | ||||
| Connector ChemoLock Grad | $5.22 | $5.22 | $5.22 | $5.22 | $5.22 | ||||
| Connector LL FC-1 | $6.75 | $6.75 | $6.75 | $6.75 | $6.75 | ||||
| Cosentyx Inj Sol 125mg/5ml | Cosentyx | Secukinumab | 00078116861 | J3247 | $2,691.55 | $2,691.55 | $2,691.55 | $2,691.55 | $2,691.55 |
| Cyclophosphamide Inj 1gm | Cyclophosphamide | Cyclophosphamide | 00781324494 | J9075 | $865.26 | $865.26 | $865.26 | $865.26 | $865.26 |
| Cyclophosphamide Inj 1gm | Cyclophosphamide | Cyclophosphamide | 70121123901 | J9075 | $830.66 | $830.66 | $830.66 | $830.66 | $830.66 |
| Cyclophosphamide Inj 1gm | Cyclophosphamide | Cyclophosphamide | 16714085701 | J9075 | $866.87 | $866.87 | $866.87 | $866.87 | $866.87 |
| Cyclophosphamide Inj 500mg | Cyclophosphamide | Cyclophosphamide | 10019095501 | J9075 | $461.48 | $461.48 | $461.48 | $461.48 | $461.48 |
| Cyclophosphamide Inj 500mg | Cyclophosphamide | Cyclophosphamide | 00781323394 | J9075 | $432.63 | $432.63 | $432.63 | $432.63 | $432.63 |
| Cyclophosphamide Inj 500mg | Cyclophosphamide | Cyclophosphamide | 70121123801 | J9075 | $415.34 | $415.34 | $415.34 | $415.34 | $415.34 |
| Cyclophosphamide Inj 500mg | Cyclosphosphamide | Cyclophosphamide | 16714085901 | J9075 | $434.65 | $434.65 | $434.65 | $434.65 | $434.65 |
| Cyclophosphamide Inj 500mg/2.5ml | Cyclophosphamide | Cyclophosphamide | 50742051902 | J9073 | $461.48 | $461.48 | $461.48 | $461.48 | $461.48 |
| Cyramza Inj Sol 100mg/10ml | Cyramza | Ramucirumab | 00002766901 | J9308 | $1,835.56 | $1,835.56 | $1,835.56 | $1,835.56 | $1,835.56 |
| Cyramza Inj Sol 500mg/50ml | Cyramza | Ramucirumab | 00002767801 | J9308 | $9,177.78 | $9,177.78 | $9,177.78 | $9,177.78 | $9,177.78 |
| Cytarabine (PF) Inj 100mg/ml 20ml | Cytarabine | Cytarabine (PF) | 61703031922 | J9100 | $25.60 | $25.60 | $25.60 | $25.60 | $25.60 |
| Cytarabine (PF) Inj 100mg/ml 20ml | Cytarabine | Cytarabine (PF) | 63323012020 | J9100 | $26.33 | $26.33 | $26.33 | $26.33 | $26.33 |
| Cytarabine (PF) Inj 100mg/ml 20ml | Cytarabine | Cytarabine (PF) | 71288010920 | J9100 | $23.16 | $23.16 | $23.16 | $23.16 | $23.16 |
| Cytarabine (PF) Inj 20mg/ml 5ml | Cytarabine (PF) | Cytarabine (PF) | 61703030538 | J9100 | $7.99 | $7.99 | $7.99 | $7.99 | $7.99 |
| Cytarabine (PF) Inj 20mg/ml 5ml | Cytarabine (PF) | Cytarabine (PF) | 67457045552 | J9100 | $5.99 | $5.99 | $5.99 | $5.99 | $5.99 |
| Dacarbazine Inj Sol 100mg | Dacarbazine | Dacarbazine | 63323012710 | J9130 | $15.61 | $15.61 | $15.61 | $15.61 | $15.61 |
| Dacarbazine Inj Sol 200mg | Dacarbazine | Dacarbazine | 63323012820 | J9130 | $15.12 | $15.12 | $15.12 | $15.12 | $15.12 |
| Dacarbazine Inj Sol 200mg | Dacarbazine | Dacarbazine | 00703507501 | J9130 | $20.67 | $20.67 | $20.67 | $20.67 | $20.67 |
| Dacarbazine Inj Sol 200mg | Dacarbazine | Dacarbazine | 00143924510 | J9130 | $15.12 | $15.12 | $15.12 | $15.12 | $15.12 |
| DACTINomycin Inj 0.5mg | DACTINomycin | DACTINomycin | 66993048983 | J9120 | $1,913.72 | $1,913.72 | $1,913.72 | $1,913.72 | $1,913.72 |
| DACTINomycin inj 0.5mg | DACTINomycin | DACTINomycin | 67457051305 | J9120 | $1,913.72 | $1,913.72 | $1,913.72 | $1,913.72 | $1,913.72 |
| DACTINomycin Inj 0.5mg | DACTINomycin | DACTINomycin | 39822210002 | J9120 | $967.97 | $967.97 | $967.97 | $967.97 | $967.97 |
| DACTINomycin Inj 0.5mg | DACTINomycin | DACTINomycin | 71288012902 | J9120 | $630.00 | $630.00 | $630.00 | $630.00 | $630.00 |
| Darzalex Inj Sol 400mg/20ml | Darzalex | Daratumumab | 57894050220 | J9145 | $3,584.18 | $3,584.18 | $3,584.18 | $3,584.18 | $3,584.18 |
| DAUNOrubicin HCl Inj Sol 20mg/4ml | DAUNOrubicin HCl | DAUNOrubicin HCl | 42658002101 | J9150 | $169.02 | $169.02 | $169.02 | $169.02 | $169.02 |
| DAUNOrubicin HCl Inj Sol 20mg/4ml | DAUNOrubicin HCl | DAUNOrubicin HCl | 00703523313 | J9150 | $169.02 | $169.02 | $169.02 | $169.02 | $169.02 |
| DAUNOrubicin HCl Inj Sol 20mg/4ml | DAUNOrubicin HCl | DAUNOrubicin HCl | 42658002102 | J9150 | $169.02 | $169.02 | $169.02 | $169.02 | $169.02 |
| Decitabine Inj 50mg | Decitabine | Decitabine | 16729022405 | J0894 | $2,048.07 | $2,048.07 | $2,048.07 | $2,048.07 | $2,048.07 |
| Decitabine Inj 50mg | Decitabine | Decitabine | 55111055610 | J0894 | $756.00 | $756.00 | $756.00 | $756.00 | $756.00 |
| Decitabine Inj 50mg | Decitabine | Decitabine | 67457031625 | J0894 | $1,197.00 | $1,197.00 | $1,197.00 | $1,197.00 | $1,197.00 |
| Decitabine Inj 50mg | Decitabine | Decitabine | 00143938501 | J0894 | $126.00 | $126.00 | $126.00 | $126.00 | $126.00 |
| Decitabine Inj 50mg | Decitabine | Decitabine | 55150037601 | J0894 | $472.50 | $472.50 | $472.50 | $472.50 | $472.50 |
| Decitabine Inj 50mg | Decitabine | Decitabine | 72603010701 | J0894 | $1,412.61 | $1,412.61 | $1,412.61 | $1,412.61 | $1,412.61 |
| Dextrose 5% Inj 1000ml | Dextrose 5% | Dextrose | 00338001704 | J7070 | $6.97 | $6.97 | $6.97 | $6.97 | $6.97 |
| Dextrose 5% Inj 1000ml | Dextrose 5% | Dextrose | 00264751000 | J7070 | $5.06 | $5.06 | $5.06 | $5.06 | $5.06 |
| Dextrose 5% Inj 1000ml | Dextrose | Dextrose | 00990792209 | J7070 | $6.62 | $6.62 | $6.62 | $6.62 | $6.62 |
| Dextrose 5% Inj 1000ml | Dextrose 5% | Dextrose | 63323062410 | J7070 | $4.91 | $4.91 | $4.91 | $4.91 | $4.91 |
| Dextrose 5% Inj 100ml | Dextrose 5% | Dextrose | 00264151032 | J7060 | $3.11 | $3.11 | $3.11 | $3.11 | $3.11 |
| Dextrose 5% Inj 100ml | Dextrose 5% | Dextrose | 00338001718 | J7060 | $3.19 | $3.19 | $3.19 | $3.19 | $3.19 |
| Dextrose 5% Inj 100ml | Dextrose 5% | Dextrose | 00338001748 | J7060 | $3.40 | $3.40 | $3.40 | $3.40 | $3.40 |
| Dextrose 5% Inj 100ml | Dextrose 5% | Dextrose | 00409792323 | J7060 | $2.72 | $2.72 | $2.72 | $2.72 | $2.72 |
| Dextrose 5% Inj 100ml | Dextrose 5% | Dextrose | 63323062461 | J7060 | $2.72 | $2.72 | $2.72 | $2.72 | $2.72 |
| Dextrose 5% Inj 100ml | Dextrose 5% | Dextrose | 00338001738 | J7060 | $2.97 | $2.97 | $2.97 | $2.97 | $2.97 |
| Dextrose 5% Inj 100ml MB+ | Dextrose 5% | Dextrose | 00338055118 | J7060 | $8.40 | $8.40 | $8.40 | $8.40 | $8.40 |
| Dextrose 5% Inj 150ml | Dextrose 5% | Dextrose | 00409792261 | J7060 | $6.62 | $6.62 | $6.62 | $6.62 | $6.62 |
| Dextrose 5% Inj 250ml | Dextrose 5% | Dextrose | 00338001702 | J7060 | $5.43 | $5.43 | $5.43 | $5.43 | $5.43 |
| Dextrose 5% Inj 250ml | Dextrose 5% | Dextrose | 00264751020 | J7060 | $4.30 | $4.30 | $4.30 | $4.30 | $4.30 |
| Dextrose 5% Inj 250ml | Dextrose 5% | Dextrose | 00409792202 | J7060 | $6.62 | $6.62 | $6.62 | $6.62 | $6.62 |
| Dextrose 5% Inj 250ml | Dextrose | Dextrose | 00990792202 | J7060 | $6.62 | $6.62 | $6.62 | $6.62 | $6.62 |
| Dextrose 5% Inj 250ml | Dextrose 5% | Dextrose | 63323062474 | J7060 | $3.84 | $3.84 | $3.84 | $3.84 | $3.84 |
| Dextrose 5% Inj 250ml | Dextrose | Dextrose | 00990792225 | J7060 | $6.62 | $6.62 | $6.62 | $6.62 | $6.62 |
| Dextrose 5% Inj 25ml | Dextrose 5% | Dextrose | 00338001710 | J7060 | $3.36 | $3.36 | $3.36 | $3.36 | $3.36 |
| Dextrose 5% Inj 25ml | Dextrose | Dextrose | 00409792320 | J7060 | $2.81 | $2.81 | $2.81 | $2.81 | $2.81 |
| Dextrose 5% Inj 500ml | Dextrose 5% | Dextrose | 00338001703 | J7060 | $5.17 | $5.17 | $5.17 | $5.17 | $5.17 |
| Dextrose 5% Inj 500ml | Dextrose 5% | Dextrose | 00264751010 | J7060 | $4.69 | $4.69 | $4.69 | $4.69 | $4.69 |
| Dextrose 5% Inj 500ml | Dextrose | Dextrose | 00990792203 | J7060 | $6.62 | $6.62 | $6.62 | $6.62 | $6.62 |
| Dextrose 5% Inj 500ml | Dextrose 5% | Dextrose | 63323062475 | J7060 | $4.03 | $4.03 | $4.03 | $4.03 | $4.03 |
| Dextrose 5% Inj 50ml | Dextrose 5% | Dextrose | 00264151031 | J7060 | $3.11 | $3.11 | $3.11 | $3.11 | $3.11 |
| Dextrose 5% Inj 50ml | Dextrose 5% | Dextrose 5% | 00990792313 | J7060 | $2.81 | $2.81 | $2.81 | $2.81 | $2.81 |
| Dextrose 5% Inj 50ml | Dextrose 5% | Dextrose | 00338001711 | J7060 | $3.20 | $3.20 | $3.20 | $3.20 | $3.20 |
| Dextrose 5% Inj 50ml Multi | Dextrose 5% | Dextrose | 00338001731 | J7060 | $2.97 | $2.97 | $2.97 | $2.97 | $2.97 |
| Dextrose 5% Inj 50ml Sngl | Dextrose 5% | Dextrose | 00338001741 | J7060 | $3.44 | $3.44 | $3.44 | $3.44 | $3.44 |
| Dispensing Fee - Chemoembolic Mix | S9430 | $50.00 | $50.00 | $50.00 | $50.00 | $50.00 | |||
| Dispensing Fee - Exact Volume Req | S9430 | $35.00 | $35.00 | $35.00 | $35.00 | $35.00 | |||
| Dispensing Fee - Facility Patient | S9430 | $350.00 | $350.00 | $350.00 | $350.00 | $350.00 | |||
| Dispensing Fee - Intrathecal Mixing | S9430 | $35.00 | $35.00 | $35.00 | $35.00 | $35.00 | |||
| Dispensing Fee - MD Office Patient | S9430 | $350.00 | $350.00 | $350.00 | $350.00 | $350.00 | |||
| Dispensing Fee - STAT Order | S9430 | $325.00 | $325.00 | $325.00 | $325.00 | $325.00 | |||
| DOCEtaxel Inj Conc 160mg/8ml | DOCEtaxel | Docetaxel | 00955102208 | J9171 | $548.10 | $548.10 | $548.10 | $548.10 | $548.10 |
| DOCEtaxel Inj Sol 160mg/16ml | DOCEtaxel | Docetaxel | 67457053316 | J9171 | $693.00 | $693.00 | $693.00 | $693.00 | $693.00 |
| DOCEtaxel Inj Sol 160mg/16ml | DOCEtaxel | Docetaxel | 71288014416 | J9171 | $403.20 | $403.20 | $403.20 | $403.20 | $403.20 |
| DOCEtaxel Inj Sol 160mg/16ml | DOCEtaxel | DOCEtaxel | 00409020120 | J9171 | $634.34 | $634.34 | $634.34 | $634.34 | $634.34 |
| DOCEtaxel Inj Sol 20mg/2ml | DOCEtaxel | Docetaxel | 66758005001 | J9171 | $398.52 | $398.52 | $398.52 | $398.52 | $398.52 |
| DOCEtaxel Inj Sol 20mg/2ml | DOCEtaxel | DOCEtaxel | 62332067802 | J9171 | $408.04 | $408.04 | $408.04 | $408.04 | $408.04 |
| DOCEtaxel Inj Sol Conc 160mg/8ml | DOCEtaxel | DOCEtaxel | 16729026765 | J9171 | $3,067.26 | $3,067.26 | $3,067.26 | $3,067.26 | $3,067.26 |
| DOCEtaxel Inj Sol Conc 160mg/8ml | DOCEtaxel | DOCEtaxel | 67457078108 | J9171 | $3,067.26 | $3,067.26 | $3,067.26 | $3,067.26 | $3,067.26 |
| DOCEtaxel Inj Sol Conc 160mg/8ml | DOCEtaxel | DOCEtaxel | 00409036801 | J9171 | $703.44 | $703.44 | $703.44 | $703.44 | $703.44 |
| DOCEtaxel Inj Sol Conc 160mg/8ml | DOCEtaxel | DOCEtaxel | 00409036501 | J9171 | $703.44 | $703.44 | $703.44 | $703.44 | $703.44 |
| DOCEtaxel Inj Sol Conc 20mg/1ml | DOCEtaxel | DOCEtaxel | 43598025811 | J9171 | $94.50 | $94.50 | $94.50 | $94.50 | $94.50 |
| DOCEtaxel Inj Sol Conc 20mg/1ml | DOCEtaxel | DOCEtaxel | 00955102001 | J9171 | $137.34 | $137.34 | $137.34 | $137.34 | $137.34 |
| DOCEtaxel Inj Sol Conc 20mg/1ml | DOCEtaxel | DOCEtaxel | 16729026763 | J9171 | $383.41 | $383.41 | $383.41 | $383.41 | $383.41 |
| DOCEtaxel Inj Sol Conc 20mg/1ml | DOCEtaxel | DOCEtaxel | 72485021401 | J9171 | $27.72 | $27.72 | $27.72 | $27.72 | $27.72 |
| DOCEtaxel Inj Sol Conc 20mg/1ml | DOCEtaxel | DOCEtaxel | 00409036601 | J9171 | $87.93 | $87.93 | $87.93 | $87.93 | $87.93 |
| DOCEtaxel Inj Sol Conc 20mg/1ml | DOCEtaxel | DOCEtaxel | 47335032340 | J9171 | $383.41 | $383.41 | $383.41 | $383.41 | $383.41 |
| DOCEtaxel Inj Sol Conc 20mg/1ml | DOCEtaxel | Docetaxel | 00143920401 | J9171 | $81.90 | $81.90 | $81.90 | $81.90 | $81.90 |
| DOCEtaxel Inj Sol Conc 20mg/1ml | DOCEtaxel | DOCEtaxel | 45963073454 | J9171 | $252.00 | $252.00 | $252.00 | $252.00 | $252.00 |
| DOCEtaxel Inj Sol Conc 20mg/1ml | DOCEtaxel | DOCEtaxel | 00409423501 | J9171 | $87.93 | $87.93 | $87.93 | $87.93 | $87.93 |
| DOCEtaxel Inj Sol Conc 80mg/4ml | DOCEtaxel | DOCEtaxel | 43598025940 | J9171 | $378.00 | $378.00 | $378.00 | $378.00 | $378.00 |
| DOCEtaxel Inj Sol Conc 80mg/4ml | DOCEtaxel | DOCEtaxel | 00955102104 | J9171 | $548.10 | $548.10 | $548.10 | $548.10 | $548.10 |
| DOCEtaxel Inj Sol Conc 80mg/4ml | DOCEtaxel | DOCEtaxel | 16729026764 | J9171 | $1,533.63 | $1,533.63 | $1,533.63 | $1,533.63 | $1,533.63 |
| DOCEtaxel Inj Sol Conc 80mg/4ml | DOCEtaxel | DOCEtaxel | 25021024504 | J9171 | $107.10 | $107.10 | $107.10 | $107.10 | $107.10 |
| DOCEtaxel Inj Sol Conc 80mg/4ml | DOCEtaxel | DOCEtaxel | 72485021504 | J9171 | $98.28 | $98.28 | $98.28 | $98.28 | $98.28 |
| DOCEtaxel Inj Sol Conc 80mg/4ml | DOCEtaxel | DOCEtaxel | 00409036701 | J9171 | $351.72 | $351.72 | $351.72 | $351.72 | $351.72 |
| DOCEtaxel Inj Sol Conc 80mg/4ml | DOCEtaxel | Docetaxel | 47335089540 | J9171 | $1,533.63 | $1,533.63 | $1,533.63 | $1,533.63 | $1,533.63 |
| DOCEtaxel Inj Sol Conc 80mg/4ml | DOCEtaxel | DOCEtaxel | 45963076552 | J9171 | $1,008.00 | $1,008.00 | $1,008.00 | $1,008.00 | $1,008.00 |
| DOXOrubicin HCl Inj Sol 10mg/5ml | DOXOrubicin HCl | DOXOrubicin HCl | 45963073355 | J9000 | $12.60 | $12.60 | $12.60 | $12.60 | $12.60 |
| DOXOrubicin HCl Inj Sol 10mg/5ml | DOXOrubicin HCl | DOXOrubicin HCl | 00069303020 | J9000 | $12.79 | $12.79 | $12.79 | $12.79 | $12.79 |
| DOXOrubicin HCl Inj Sol 20mg/10ml | DOXOrubicin HCl | DOXOrubicin HCl | 45963073357 | J9000 | $25.20 | $25.20 | $25.20 | $25.20 | $25.20 |
| DOXOrubicin HCl Inj Sol 20mg/10ml | DOXOrubicin HCl | DOXOrubicin HCl | 00069303120 | J9000 | $25.58 | $25.58 | $25.58 | $25.58 | $25.58 |
| DOXOrubicin HCl Inj Sol 20mg/10ml | DOXOrubicin HCl | DOXOrubicin HCl | 00143908501 | J9000 | $20.16 | $20.16 | $20.16 | $20.16 | $20.16 |
| DOXOrubicin HCl Inj Sol 50mg/25ml | DOXOrubicin HCl | DOXOrubicin HCl | 63323088330 | J9000 | $42.00 | $42.00 | $42.00 | $42.00 | $42.00 |
| DOXOrubicin HCl Inj Sol 50mg/25ml | DOXOrubicin HCl | DOXOrubicin HCl | 00069303220 | J9000 | $30.95 | $30.95 | $30.95 | $30.95 | $30.95 |
| DOXOrubicin HCl Inj Sol 50mg/25ml | DOXOrubicin HCI | DOXOrubicin HCl | 45963073368 | J9000 | $44.10 | $44.10 | $44.10 | $44.10 | $44.10 |
| DOXOrubicin HCl Inj Sol 50mg/25ml | DOXOrubicin HCl | DOXOrubicin HCl | 00143908601 | J9000 | $44.10 | $44.10 | $44.10 | $44.10 | $44.10 |
| DOXOrubicin HCl Inj Sol 50mg/25ml | DOXOrubicin HCl | Doxorubicin HCl | 00069402625 | J9000 | $44.77 | $44.77 | $44.77 | $44.77 | $44.77 |
| DOXOrubicin HCl Lipo Inj 20mg/10ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 43598028335 | Q2050 | $567.00 | $567.00 | $567.00 | $567.00 | $567.00 |
| DOXOrubicin HCl Lipo Inj 20mg/10ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 47335004940 | Q2050 | $1,220.94 | $1,220.94 | $1,220.94 | $1,220.94 | $1,220.94 |
| DOXOrubicin HCl Lipo Inj 20mg/10ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 72603010301 | Q2050 | $1,220.94 | $1,220.94 | $1,220.94 | $1,220.94 | $1,220.94 |
| DOXOrubicin HCl Lipo Inj 20mg/10ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 16714074201 | Q2050 | $1,220.94 | $1,220.94 | $1,220.94 | $1,220.94 | $1,220.94 |
| DOXOrubicin HCl Lipo Inj 20mg/10ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 70710153001 | Q2050 | $854.66 | $854.66 | $854.66 | $854.66 | $854.66 |
| DOXOrubicin HCl Lipo Inj 50mg/25ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 43598054125 | Q2050 | $1,575.00 | $1,575.00 | $1,575.00 | $1,575.00 | $1,575.00 |
| DOXOrubicin HCl Lipo Inj 50mg/25ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 47335005040 | Q2050 | $3,052.45 | $3,052.45 | $3,052.45 | $3,052.45 | $3,052.45 |
| DOXOrubicin HCl Lipo Inj 50mg/25ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 72603020001 | Q2050 | $3,052.43 | $3,052.43 | $3,052.43 | $3,052.43 | $3,052.43 |
| DOXOrubicin HCl Lipo Inj 50mg/25ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 16714085601 | Q2050 | $3,052.44 | $3,052.44 | $3,052.44 | $3,052.44 | $3,052.44 |
| DOXOrubicin HCl Lipo Inj 50mg/25ml | DOXOrubicin HCl Liposomal | DOXOrubicin HCl Liposomal | 70710153101 | Q2050 | $2,136.70 | $2,136.70 | $2,136.70 | $2,136.70 | $2,136.70 |
| Easypump 250ml 500ml/hr 4540042 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump II 100ml 100ml/hr 4540046 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump II 100ml 200ml/hr 4540040 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump II 125ml 5ml/hr 4540006 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump II 250ml 175ml/hr 4540050 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump II 250ml 250ml/hr 4540048 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump II 270ml 10ml/hr 4540008 | A4306 | $36.75 | $36.75 | $36.75 | $36.75 | $36.75 | |||
| Easypump II 270ml 5ml/hr 4540018 | A4306 | $36.75 | $36.75 | $36.75 | $36.75 | $36.75 | |||
| Easypump II 500ml 250ml/hr 4540054 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump II ST 100ml 50m/hr 4540056 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump ST 400ml 100ml/hr 4540058 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump ST 400ml 200ml/hr 4540052 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Easypump ST 50ml 50ml/hr 4540044 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Ellence Inj Sol 200mg/100mL | Ellence | EpiRUBicin HCl | 00009509301 | J9178 | $286.48 | $286.48 | $286.48 | $286.48 | $286.48 |
| Ellence Inj Sol 50mg/25mL | Ellence | EpiRUBicin HCl | 00009509101 | J9178 | $58.83 | $58.83 | $58.83 | $58.83 | $58.83 |
| Embozene 250um 2ml | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| Embozene 75um 2ml | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| Enhertu Inj 100mg | Enhertu | Fam-Trastuzumab Deruxtec-nxki | 65597040601 | J9358 | $3,538.54 | $3,538.54 | $3,538.54 | $3,538.54 | $3,538.54 |
| Entyvio 300mg | Entyvio | Vedolizumab | 64764030020 | J3380 | $10,919.90 | $10,919.90 | $10,919.90 | $10,919.90 | $10,919.90 |
| Equashield Adapter LL 2 | $4.37 | $4.37 | $4.37 | $4.37 | $4.37 | ||||
| Erbitux Inj Sol 100mg/50ml | Erbitux | Cetuximab | 66733094823 | J9055 | $1,013.16 | $1,013.16 | $1,013.16 | $1,013.16 | $1,013.16 |
| Etoposide Inj Sol 100mg/5ml | Etoposide | Etoposide | 16729011431 | J9181 | $11.94 | $11.94 | $11.94 | $11.94 | $11.94 |
| Etoposide Inj Sol 100mg/5ml | Etoposide | Etoposide | 68001026525 | J9181 | $11.94 | $11.94 | $11.94 | $11.94 | $11.94 |
| Etoposide Inj Sol 100mg/5ml | Etoposide | Etoposide | 00143951001 | J9181 | $11.80 | $11.80 | $11.80 | $11.80 | $11.80 |
| Etoposide Inj Sol 100mg/5ml | Etoposide | Etoposide | 63323010405 | J9181 | $15.67 | $15.67 | $15.67 | $15.67 | $15.67 |
| Etoposide Inj Sol 100mg/5ml | Etoposide | Etoposide | 63323010406 | J9181 | $15.68 | $15.68 | $15.68 | $15.68 | $15.68 |
| Ext Set 10" 0.2mic MS422 | $4.71 | $4.71 | $4.71 | $4.71 | $4.71 | ||||
| Ext Set 11" w/ 0.2mic filter | $3.24 | $3.24 | $3.24 | $3.24 | $3.24 | ||||
| Ext Set 13" w/ clamp | $1.32 | $1.32 | $1.32 | $1.32 | $1.32 | ||||
| Ext Set 14" Bond Clave MS938 | $2.05 | $2.05 | $2.05 | $2.05 | $2.05 | ||||
| Ext Set 14" Bond UltSite 473445 | $3.55 | $3.55 | $3.55 | $3.55 | $3.55 | ||||
| Ext Set 14" MicroClave Blue B33109 | $2.37 | $2.37 | $2.37 | $2.37 | $2.37 | ||||
| Ext Set 14" MicroClave Clr MC33109 | $2.37 | $2.37 | $2.37 | $2.37 | $2.37 | ||||
| Ext Set 14" Rem MicroClave B3367 | $2.37 | $2.37 | $2.37 | $2.37 | $2.37 | ||||
| Ext Set 14" SB Rem MicroClave MS935 | $1.87 | $1.87 | $1.87 | $1.87 | $1.87 | ||||
| Ext Set 14" UltraMB MS403 | $1.44 | $1.44 | $1.44 | $1.44 | $1.44 | ||||
| Ext Set 14" UltSite 473441 | $3.42 | $3.42 | $3.42 | $3.42 | $3.42 | ||||
| Ext Set 14" w/ Microclave | $1.95 | $1.95 | $1.95 | $1.95 | $1.95 | ||||
| Ext Set 14" w/ Microclave Clear | $1.87 | $1.87 | $1.87 | $1.87 | $1.87 | ||||
| Ext Set 14", Rem Bionector | $1.99 | $1.99 | $1.99 | $1.99 | $1.99 | ||||
| Ext Set 15" | $1.03 | $1.03 | $1.03 | $1.03 | $1.03 | ||||
| Ext Set 15" Nexus 4683P | $7.30 | $7.30 | $7.30 | $7.30 | $7.30 | ||||
| Ext Set 15" Rem MicroClave MC33343 | $2.34 | $2.34 | $2.34 | $2.34 | $2.34 | ||||
| Ext Set 15" smallbore | $0.91 | $0.91 | $0.91 | $0.91 | $0.91 | ||||
| Ext Set 16" 0.22mic Hi Pres 2C8671 | $5.38 | $5.38 | $5.38 | $5.38 | $5.38 | ||||
| Ext Set 16" 0.2mic 2012F | $3.50 | $3.50 | $3.50 | $3.50 | $3.50 | ||||
| Ext Set 16" 1.2mic 473995 | $3.33 | $3.33 | $3.33 | $3.33 | $3.33 | ||||
| Ext Set 17" SB 470065 | $3.08 | $3.08 | $3.08 | $3.08 | $3.08 | ||||
| Ext Set 17" SB 470065 | $3.02 | $3.02 | $3.02 | $3.02 | $3.02 | ||||
| Ext Set 19" 0.2mic Smtsite 20350E | $5.91 | $5.91 | $5.91 | $5.91 | $5.91 | ||||
| Ext Set 20" 0.2mic SmtSite 20350ET | $11.88 | $11.88 | $11.88 | $11.88 | $11.88 | ||||
| Ext Set 21" V5406 | $1.32 | $1.32 | $1.32 | $1.32 | $1.32 | ||||
| Ext Set 30" (Churchill) | $1.41 | $1.41 | $1.41 | $1.41 | $1.41 | ||||
| Ext Set 30" SB MS405 | $2.97 | $2.97 | $2.97 | $2.97 | $2.97 | ||||
| Ext Set 36" MB M/F LL V6203 | $2.34 | $2.34 | $2.34 | $2.34 | $2.34 | ||||
| Ext Set 36" MB MS402 | A6202 | $0.87 | $0.87 | $0.87 | $0.87 | $0.87 | |||
| Ext Set 36" MB MS416 | $0.73 | $0.73 | $0.73 | $0.73 | $0.73 | ||||
| Ext Set 36" MB V6203 | $3.50 | $3.50 | $3.50 | $3.50 | $3.50 | ||||
| Ext Set 36" Microbore | $1.10 | $1.10 | $1.10 | $1.10 | $1.10 | ||||
| Ext Set 36" Minibore M/F | $1.03 | $1.03 | $1.03 | $1.03 | $1.03 | ||||
| Ext Set 36", LL | $0.66 | $0.66 | $0.66 | $0.66 | $0.66 | ||||
| Ext Set 36", Ultra MB | $0.77 | $0.77 | $0.77 | $0.77 | $0.77 | ||||
| Ext Set 4" MB Bifuse CV SF1208 | $2.39 | $2.39 | $2.39 | $2.39 | $2.39 | ||||
| Ext Set 4" MB Y SmtSite SS-885-2 | $6.68 | $6.68 | $6.68 | $6.68 | $6.68 | ||||
| Ext Set 4" tBifuse w/2 Microclave | $3.23 | $3.23 | $3.23 | $3.23 | $3.23 | ||||
| Ext Set 4" Tri MicroClave Clr 33098 | $4.44 | $4.44 | $4.44 | $4.44 | $4.44 | ||||
| Ext Set 45" MB ASV MS445S | $2.72 | $2.72 | $2.72 | $2.72 | $2.72 | ||||
| Ext Set 5" Bifur BC588 | $2.98 | $2.98 | $2.98 | $2.98 | $2.98 | ||||
| Ext Set 5" Bifuse, 2 LLs 3 clamps | $2.54 | $2.54 | $2.54 | $2.54 | $2.54 | ||||
| Ext Set 5" SB Bifuse B9027 | $2.31 | $2.31 | $2.31 | $2.31 | $2.31 | ||||
| Ext Set 5" Y 2N1191 | $3.55 | $3.55 | $3.55 | $3.55 | $3.55 | ||||
| Ext Set 6" Bifuse MicroClave 33411 | $3.03 | $3.03 | $3.03 | $3.03 | $3.03 | ||||
| Ext Set 6" ML 2N1194 | $1.99 | $1.99 | $1.99 | $1.99 | $1.99 | ||||
| Ext Set 6" SB 471960 | 00000ET060S | $1.23 | $1.23 | $1.23 | $1.23 | $1.23 | |||
| Ext Set 6" SB Bifur 471957 | $2.70 | $2.70 | $2.70 | $2.70 | $2.70 | ||||
| Ext Set 60" MB M/F V6223 | $2.01 | $2.01 | $2.01 | $2.01 | $2.01 | ||||
| Ext Set 60" MB MS404 | $0.82 | $0.82 | $0.82 | $0.82 | $0.82 | ||||
| Ext Set 60" NeoConnect ENFit ST | $3.39 | $3.39 | $3.39 | $3.39 | $3.39 | ||||
| Ext Set 60" WalkMed | $19.34 | $19.34 | $19.34 | $19.34 | $19.34 | ||||
| Ext Set 7" Macrobore w/clr Clave | $5.54 | $5.54 | $5.54 | $5.54 | $5.54 | ||||
| Ext Set 7" Maxplus MP2005-C | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| Ext Set 7" Maxplus Trifuse MP9220-C | $7.96 | $7.96 | $7.96 | $7.96 | $7.96 | ||||
| Ext Set 7" MB MS401 | $0.75 | $0.75 | $0.75 | $0.75 | $0.75 | ||||
| Ext Set 7" MiniB MicroClave B3301 | $1.88 | $1.88 | $1.88 | $1.88 | $1.88 | ||||
| Ext Set 7" MiniB MicroClave B3302 | $2.28 | $2.28 | $2.28 | $2.28 | $2.28 | ||||
| Ext Set 7" MS433 | $0.98 | $0.98 | $0.98 | $0.98 | $0.98 | ||||
| Ext Set 7" Rem MicroClave Clr 33167 | $2.09 | $2.09 | $2.09 | $2.09 | $2.09 | ||||
| Ext Set 7" SB Bi MicroClave 0.2mic | $4.22 | $4.22 | $4.22 | $4.22 | $4.22 | ||||
| Ext Set 7" SB Bi MicroClave B3316 | $3.06 | $3.06 | $3.06 | $3.06 | $3.06 | ||||
| Ext Set 7" SB MicroClave B33150 | $2.28 | $2.28 | $2.28 | $2.28 | $2.28 | ||||
| Ext Set 7" SB Trifuse TF55 | $3.76 | $3.76 | $3.76 | $3.76 | $3.76 | ||||
| Ext Set 7" SB Y MS437 | $1.41 | $1.41 | $1.41 | $1.41 | $1.41 | ||||
| Ext Set 7.5" Bond MicroClave MS933 | $2.07 | $2.07 | $2.07 | $2.07 | $2.07 | ||||
| Ext Set 7.5" SB Ultrasite Y 474517 | $5.37 | $5.37 | $5.37 | $5.37 | $5.37 | ||||
| Ext Set 7.5/ 8" Bifur CV MS410 | $9.41 | $9.41 | $9.41 | $9.41 | $9.41 | ||||
| Ext Set 8" 0.2mic UltraMB MS112 | $2.54 | $2.54 | $2.54 | $2.54 | $2.54 | ||||
| Ext Set 8" Bifur MS409 | $4.27 | $4.27 | $4.27 | $4.27 | $4.27 | ||||
| Ext Set 8" Caresite 354219 | A9999 | $4.97 | $4.97 | $4.97 | $4.97 | $4.97 | |||
| Ext Set 8" MicroClave Y B33161 | $3.72 | $3.72 | $3.72 | $3.72 | $3.72 | ||||
| Ext Set 8" MiniB Trifur BC559 | $4.60 | $4.60 | $4.60 | $4.60 | $4.60 | ||||
| Ext Set 8" SB Ultrasite 473438 | $3.54 | $3.54 | $3.54 | $3.54 | $3.54 | ||||
| Ext Set 8" SB Y 471959 | $3.15 | $3.15 | $3.15 | $3.15 | $3.15 | ||||
| Ext Set 8" Y BCV 471980 | $4.80 | $4.80 | $4.80 | $4.80 | $4.80 | ||||
| Ext Set 8" Y Trifur BC587 | $5.41 | $5.41 | $5.41 | $5.41 | $5.41 | ||||
| Ext Set 8.5" Maxplus MP5301-C | A9999 | $3.87 | $3.87 | $3.87 | $3.87 | $3.87 | |||
| Ext Set 9 Bond UltSite 474921 | $2.84 | $2.84 | $2.84 | $2.84 | $2.84 | ||||
| Ext Set 9" 0.22mic Hi Pres 2H5660 | $8.68 | $8.68 | $8.68 | $8.68 | $8.68 | ||||
| Ext Set 9" 1.2mic MS421 | $5.03 | $5.03 | $5.03 | $5.03 | $5.03 | ||||
| Ext Set 9" Y SmtSite 20019E | $5.86 | $5.86 | $5.86 | $5.86 | $5.86 | ||||
| Ext Set Lectro 300cm 5.2PV 115980 | $10.36 | $10.36 | $10.36 | $10.36 | $10.36 | ||||
| Ext Set Lectro 300cm M/F 115580 | $9.01 | $9.01 | $9.01 | $9.01 | $9.01 | ||||
| Ext Set Lectro 400cm 6.9PV 115990 | $8.18 | $8.18 | $8.18 | $8.18 | $8.18 | ||||
| Faslodex IM Sol 250mg/5ml | Faslodex | Fulvestrant | 00310072010 | J9395 | $1,221.60 | $1,221.60 | $1,221.60 | $1,221.60 | $1,221.60 |
| Filter 0.2mic Disc M/F LL MSF475 | $1.00 | $1.00 | $1.00 | $1.00 | $1.00 | ||||
| Filter Disc 0.2mic 415002 | $2.76 | $2.76 | $2.76 | $2.76 | $2.76 | ||||
| Filter Disc 1.2mic | $2.51 | $2.51 | $2.51 | $2.51 | $2.51 | ||||
| Fluid Transfer Set Vented FT1000 | $3.66 | $3.66 | $3.66 | $3.66 | $3.66 | ||||
| Fluorouracil Inj Sol 50mg/ml 100ml | Fluorouracil | Fluorouracil | 63323011761 | J9190 | $36.92 | $36.92 | $36.92 | $36.92 | $36.92 |
| Fluorouracil Inj Sol 50mg/ml 100ml | Fluorouracil | Fluorouracil | 16729027638 | J9190 | $72.19 | $72.19 | $72.19 | $72.19 | $72.19 |
| Fluorouracil Inj Sol 50mg/ml 100ml | Fluorouracil | Fluorouracil | 63323011768 | J9190 | $29.99 | $29.99 | $29.99 | $29.99 | $29.99 |
| Fluorouracil Inj Sol 50mg/ml 100ml | Fluorouracil | Fluorouracil | 25021021599 | J9190 | $69.30 | $69.30 | $69.30 | $69.30 | $69.30 |
| Fluorouracil Inj Sol 50mg/ml 100ml | Fluorouracil | Fluorouracil | 70700018922 | J9190 | $72.19 | $72.19 | $72.19 | $72.19 | $72.19 |
| Fluorouracil Inj Sol 50mg/ml 10ml | Fluorouracil | Fluorouracil | 63323011710 | J9190 | $4.31 | $4.31 | $4.31 | $4.31 | $4.31 |
| Fluorouracil Inj Sol 50mg/ml 10ml | Fluorouracil | Fluorouracil | 16729027668 | J9190 | $16.74 | $16.74 | $16.74 | $16.74 | $16.74 |
| Fluorouracil Inj Sol 50mg/ml 10ml | Fluorouracil | Fluorouracil | 63323011718 | J9190 | $3.47 | $3.47 | $3.47 | $3.47 | $3.47 |
| Fluorouracil Inj Sol 50mg/ml 10ml | Fluorouracil | Fluorouracil | 70700018623 | J9190 | $16.74 | $16.74 | $16.74 | $16.74 | $16.74 |
| Fluorouracil Inj Sol 50mg/ml 20ml | Fluorouracil | Fluorouracil | 63323011720 | J9190 | $8.62 | $8.62 | $8.62 | $8.62 | $8.62 |
| Fluorouracil Inj Sol 50mg/ml 20ml | Fluorouracil | Fluorouracil | 16729027667 | J9190 | $30.12 | $30.12 | $30.12 | $30.12 | $30.12 |
| Fluorouracil Inj Sol 50mg/ml 20ml | Fluorouracil | Fluorouracil | 63323011728 | J9190 | $6.99 | $6.99 | $6.99 | $6.99 | $6.99 |
| Fluorouracil Inj Sol 50mg/ml 20ml | Fluorouracil | Fluorouracil | 70700018723 | J9190 | $30.12 | $30.12 | $30.12 | $30.12 | $30.12 |
| Fluorouracil Inj Sol 50mg/ml 50ml | Fluorouracil | Fluorouracil | 63323011751 | J9190 | $18.46 | $18.46 | $18.46 | $18.46 | $18.46 |
| Fluorouracil Inj Sol 50mg/ml 50ml | Fluorouracil | Fluorouracil | 16729027611 | J9190 | $36.10 | $36.10 | $36.10 | $36.10 | $36.10 |
| Fluorouracil Inj Sol 50mg/ml 50ml | Fluorouracil | Fluorouracil | 63323011758 | J9190 | $14.99 | $14.99 | $14.99 | $14.99 | $14.99 |
| Fluorouracil Inj Sol 50mg/ml 50ml | Fluorouracil | Fluorouracil | 62332075150 | J9190 | $36.09 | $36.09 | $36.09 | $36.09 | $36.09 |
| Fluorouracil Inj Sol 50mg/ml 50ml | Fluorouracil | Fluorouracil | 70700018822 | J9190 | $36.10 | $36.10 | $36.10 | $36.10 | $36.10 |
| Fluorouracil Inj Sol 50mg/ml 50ml | Fluorouracil | Fluorouracil | 25021021598 | J9190 | $34.65 | $34.65 | $34.65 | $34.65 | $34.65 |
| Folotyn Inj Sol 40mg/2ml | Folotyn | PRALAtrexate | 48818000102 | J9307 | $17,104.55 | $17,104.55 | $17,104.55 | $17,104.55 | $17,104.55 |
| Folotyn Inj Sol 40mg/2ml | Folotyn | PRALAtrexate | 72893000501 | J9307 | $17,949.33 | $17,949.33 | $17,949.33 | $17,949.33 | $17,949.33 |
| Fosaprepitant Inj 150mg | Fosaprepitant Dimeglumine | Fosaprepitant Dimeglumine | 71839010401 | J1453 | $379.05 | $379.05 | $379.05 | $379.05 | $379.05 |
| Fosaprepitant Inj 150mg | Fosaprepitant Dimeglumine | Fosaprepitant Dimeglumine | 67457088910 | J1453 | $379.05 | $379.05 | $379.05 | $379.05 | $379.05 |
| Fosaprepitant Inj 150mg | Fosaprepitant Dimeglumine | Fosaprepitant Dimeglumine | 16714024801 | J1453 | $355.69 | $355.69 | $355.69 | $355.69 | $355.69 |
| Fosaprepitant Inj 150mg | Fosaprepitant Dimeglumine | Fosaprepitant Dimeglumine | 00143938401 | J1453 | $81.90 | $81.90 | $81.90 | $81.90 | $81.90 |
| Fulvestrant 50mg/ml PFS 5ml | Fulvestrant | Fulvestrant | 70121146302 | J9395 | $472.50 | $472.50 | $472.50 | $472.50 | $472.50 |
| Fulvestrant 50mg/ml PFS 5ml | Fulvestrant | Fulvestrant | 43598026202 | J9395 | $126.00 | $126.00 | $126.00 | $126.00 | $126.00 |
| Ganciclovir Sod Inj 500mg | Ganciclovir Sodium | Ganciclovir Sodium | 63323031510 | J1570 | $122.56 | $122.56 | $122.56 | $122.56 | $122.56 |
| Ganciclovir Sod Inj 500mg | Ganciclovir | Ganciclovir Sodium | 70436008955 | J1570 | $55.44 | $55.44 | $55.44 | $55.44 | $55.44 |
| Ganciclovir Sod Inj 500mg | Ganciclovir Sodium | Ganciclovir Sodium | 00143929910 | J1570 | $86.18 | $86.18 | $86.18 | $86.18 | $86.18 |
| Ganciclovir Sod Inj Sol 500mg/10ml | Ganciclovir | Ganciclovir Sodium | 25021018510 | J1570 | $75.60 | $75.60 | $75.60 | $75.60 | $75.60 |
| Gazyva Inj Sol 1000mg/40ml | Gazyva | Obinutuzumab | 50242007001 | J9301 | $10,384.72 | $10,384.72 | $10,384.72 | $10,384.72 | $10,384.72 |
| Gemcitabine HCl Inj 1gm | Gemcitabine HCI | Gemcitabine HCl | 00409018601 | J9201 | $63.99 | $63.99 | $63.99 | $63.99 | $63.99 |
| Gemcitabine HCl Inj 200mg | Gemcitabine HCl | Gemcitabine HCl | 63323010213 | J9201 | $15.12 | $15.12 | $15.12 | $15.12 | $15.12 |
| Gemcitabine HCl Inj 200mg | Gemcitabine HCl | Gemcitabine HCl | 71288011310 | J9201 | $11.58 | $11.58 | $11.58 | $11.58 | $11.58 |
| Gemcitabine HCl Inj 200mg | Gemcitabine HCl | Gemcitabine HCl | 25021023410 | J9201 | $15.18 | $15.18 | $15.18 | $15.18 | $15.18 |
| Gemcitabine HCl Inj 200mg | Gemcitabine HCl | Gemcitabine HCl | 16714090901 | J9201 | $13.43 | $13.43 | $13.43 | $13.43 | $13.43 |
| Gemcitabine HCl Inj Sol 1gm/10ml | Gemcitabine HCl | Gemcitabine HCl | 16729041903 | J9196 | $83.16 | $83.16 | $83.16 | $83.16 | $83.16 |
| Gemcitabine HCl Inj Sol 1gm/26.3ml | Gemcitabine HCl | Gemcitabine HCl | 00409018101 | J9201 | $57.08 | $57.08 | $57.08 | $57.08 | $57.08 |
| Gemcitabine HCl Inj Sol 200mg/2ml | Gemcitabine HCl | Gemcitabine HCl | 16729039130 | J9196 | $55.44 | $55.44 | $55.44 | $55.44 | $55.44 |
| Gemcitabine HCl Inj Sol 2gm/20ml | Gemcitabine HCl | Gemcitabine HCl | 16729042605 | J9196 | $147.84 | $147.84 | $147.84 | $147.84 | $147.84 |
| Gemcitabine HCl Inj Sol 2gm/52.6ml | Gemcitabine | Gemcitabine HCl | 00409018201 | J9201 | $114.16 | $114.16 | $114.16 | $114.16 | $114.16 |
| Granisetron HCl Inj 1mg/ml 1ml | Granisetron HCl | Granisetron HCl | 67457086301 | J1626 | $12.60 | $12.60 | $12.60 | $12.60 | $12.60 |
| Granisetron HCl Inj 1mg/ml 1ml | Granisetron HCl | Granisetron HCl | 63323031801 | J1626 | $25.20 | $25.20 | $25.20 | $25.20 | $25.20 |
| Granisetron HCl Inj 1mg/ml 4ml | Granisetron HCI | Granisetron HCl | 67457086404 | J1626 | $31.50 | $31.50 | $31.50 | $31.50 | $31.50 |
| Granisetron HCl Inj Sol 1mg/1ml | Granisetron HCl | Granisetron HCl | 00143974410 | J1626 | $11.34 | $11.34 | $11.34 | $11.34 | $11.34 |
| Granisetron HCl Inj Sol 1mg/ml 4ml | Granisetron HCl | Granisetron HCl | 00143974505 | J1626 | $45.36 | $45.36 | $45.36 | $45.36 | $45.36 |
| Granisetron HCl Inj Sol 1mg/ml 4ml | Granisetron HCl | Granisetron HCl | 63323031904 | J1626 | $83.16 | $83.16 | $83.16 | $83.16 | $83.16 |
| Halaven Inj Sol 1mg/2ml 2ml | Halaven | EriBULin Mesylate | 62856038901 | J9179 | $1,776.60 | $1,776.60 | $1,776.60 | $1,776.60 | $1,776.60 |
| Herceptin Hylecta 600mg/10,000units | Herceptin Hylecta | Trastuzumab-Hyaluronidase-oysk | 50242007701 | J9356 | $5,890.80 | $5,890.80 | $5,890.80 | $5,890.80 | $5,890.80 |
| Herceptin Inj 150mg | Herceptin | Trastuzumab | 50242013201 | J9355 | $1,963.61 | $1,963.61 | $1,963.61 | $1,963.61 | $1,963.61 |
| Herzuma Inj 420mg | Herzuma | Trastuzumab-pkrb | 63459030547 | Q5113 | $4,948.02 | $4,948.02 | $4,948.02 | $4,948.02 | $4,948.02 |
| Homepump C 100ml 0.5ml/hr C10005 | A4306 | $36.75 | $36.75 | $36.75 | $36.75 | $36.75 | |||
| Homepump C 100ml 2ml/hr C100020 | A4306 | $36.75 | $36.75 | $36.75 | $36.75 | $36.75 | |||
| Homepump C 125ml 5ml/hr C125050 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Homepump C 270ml 10ml/hr C270100 | A4306 | $36.75 | $36.75 | $36.75 | $36.75 | $36.75 | |||
| Homepump C 270ml 2ml/hr C270020 | A4306 | $36.75 | $36.75 | $36.75 | $36.75 | $36.75 | |||
| Homepump C 270ml 5ml/hr C270050 | A4306 | $36.75 | $36.75 | $36.75 | $36.75 | $36.75 | |||
| Homepump C 60ml 2ml/hr C060020 | A4306 | $36.75 | $36.75 | $36.75 | $36.75 | $36.75 | |||
| Homepump E 100ml 100ml/hr E101000 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Homepump E 100ml 200ml/hr E102000 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Homepump E 100ml 50ml/hr E100500 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Homepump E 250ml 175ml/hr E251750 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Homepump E 250ml 250ml/hr E252500 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Homepump E 400ml 100ml/hr E401000 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Homepump E 400ml 200ml/hr E402000 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Homepump E 500ml 250ml/hr E502500 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Homepump E 50ml 50ml/hr E050500 | A4305 | $26.25 | $26.25 | $26.25 | $26.25 | $26.25 | |||
| Idamycin PFS Inj Sol 10mg/10ml | Idamycin PFS | IDArubicin HCl | 00013258691 | J9211 | $135.81 | $135.81 | $135.81 | $135.81 | $135.81 |
| Idamycin PFS Inj Sol 20mg/20ml | Idamycin PFS | IDArubicin HCl | 00013259691 | J9211 | $260.76 | $260.76 | $260.76 | $260.76 | $260.76 |
| Idamycin PFS Inj Sol 5mg/5ml | Idamycin PFS | IDArubicin HCl | 00013257691 | J9211 | $67.91 | $67.91 | $67.91 | $67.91 | $67.91 |
| Ifosfamide Inj 1gm | Ifosfamide | Ifosfamide | 63323014210 | J9208 | $73.14 | $73.14 | $73.14 | $73.14 | $73.14 |
| Ifosfamide Inj 1gm | Ifosfamide | Ifosfamide | 10019092501 | J9208 | $46.29 | $46.29 | $46.29 | $46.29 | $46.29 |
| Ifosfamide Inj 3gm | Ifosfamide | Ifosfamide | 10019092602 | J9208 | $135.50 | $135.50 | $135.50 | $135.50 | $135.50 |
| Ifosfamide Inj Sol 1gm/20ml | Ifosfamide | Ifosfamide | 00703342711 | J9208 | $46.29 | $46.29 | $46.29 | $46.29 | $46.29 |
| Ifosfamide Inj Sol 1gm/20ml | Ifosfamide | Ifosfamide | 00143953101 | J9208 | $46.29 | $46.29 | $46.29 | $46.29 | $46.29 |
| Ifosfamide Inj Sol 3gm/60ml | Ifosfamide | Ifosfamide | 00703342911 | J9208 | $135.50 | $135.50 | $135.50 | $135.50 | $135.50 |
| Ifosfamide Inj Sol 3gm/60ml | Ifosfamide | Ifosfamide | 00143953001 | J9208 | $135.50 | $135.50 | $135.50 | $135.50 | $135.50 |
| Imfinzi Inj Sol 500mg/10ml | Imfinzi | Durvalumab | 00310461150 | J9173 | $5,201.15 | $5,201.15 | $5,201.15 | $5,201.15 | $5,201.15 |
| Imjudo Inj Sol 300mg/15ml | Imjudo | Tremelimumab-actl | 00310453530 | J9347 | $50,122.80 | $50,122.80 | $50,122.80 | $50,122.80 | $50,122.80 |
| Irinotecan HCl Inj Sol 100mg/5ml | Irinotecan HCI | Irinotecan HCl | 60505612801 | J9206 | $37.87 | $37.87 | $37.87 | $37.87 | $37.87 |
| Irinotecan HCl Inj Sol 100mg/5ml | Irinotecan HCl | Irinotecan HCl | 70700017022 | J9206 | $37.87 | $37.87 | $37.87 | $37.87 | $37.87 |
| Irinotecan HCl Inj Sol 100mg/5mL | Irinotecan HCl | Irinotecan HCl | 16714013101 | J9206 | $63.97 | $63.97 | $63.97 | $63.97 | $63.97 |
| Irinotecan HCl Inj Sol 40mg/2ml | Irinotecan HCI | Irinotecan HCl | 60505612800 | J9206 | $18.32 | $18.32 | $18.32 | $18.32 | $18.32 |
| Irinotecan HCl Sol Inj 40mg/2ml | Irinotecan HCl | Irinotecan HCl | 70700016922 | J9206 | $18.32 | $18.32 | $18.32 | $18.32 | $18.32 |
| Istodax Inj 10mg | Istodax | RomiDEPsin | 59572098401 | J9319 | $4,030.30 | $4,030.30 | $4,030.30 | $4,030.30 | $4,030.30 |
| Jemperli Inj Sol 500mg/10ml | Jemperli | Dostarlimab-gxly | 00173089803 | J9272 | $14,569.53 | $14,569.53 | $14,569.53 | $14,569.53 | $14,569.53 |
| Jevtana Inj Sol 60mg/1.5ml | Jevtana | Cabazitaxel | 00024582411 | J9043 | $17,824.63 | $17,824.63 | $17,824.63 | $17,824.63 | $17,824.63 |
| Kadcyla Inj 100mg | Kadcyla | Ado-Trastuzumab Emtansine | 50242008801 | J9354 | $4,952.64 | $4,952.64 | $4,952.64 | $4,952.64 | $4,952.64 |
| Kanjinti Inj Sol 150mg | Kanjinti | Trastuzumab-anns | 55513014101 | Q5117 | $1,713.68 | $1,713.68 | $1,713.68 | $1,713.68 | $1,713.68 |
| Keytruda Inj Sol 100mg/4ml | Keytruda | Pembrolizumab | 00006302602 | J9271 | $7,142.54 | $7,142.54 | $7,142.54 | $7,142.54 | $7,142.54 |
| Keytruda Inj Sol 100mg/4ml | Keytruda | Pembrolizumab | 00006302604 | J9271 | $7,142.54 | $7,142.54 | $7,142.54 | $7,142.54 | $7,142.54 |
| Kyprolis Inj 60mg | Kyprolis | Carfilzomib | 76075010101 | J9047 | $4,126.73 | $4,126.73 | $4,126.73 | $4,126.73 | $4,126.73 |
| Kyprolis Inj Sol 10mg | Kyprolis | Carfilzomib | 76075010301 | J9047 | $687.78 | $687.78 | $687.78 | $687.78 | $687.78 |
| Kyprolis Inj Sol 30mg | Kyprolis | Carfilzomib | 76075010201 | J9047 | $2,063.37 | $2,063.37 | $2,063.37 | $2,063.37 | $2,063.37 |
| LC Bead LUMI 70-150um | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| LC Bead 100-300um | $1,837.50 | $1,837.50 | $1,837.50 | $1,837.50 | $1,837.50 | ||||
| LC Bead 300-500um | $1,837.50 | $1,837.50 | $1,837.50 | $1,837.50 | $1,837.50 | ||||
| LC Bead 700-900um | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| LC Bead 70-150um | $1,837.50 | $1,837.50 | $1,837.50 | $1,837.50 | $1,837.50 | ||||
| LC Bead LUMI 40-90um | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| Leucovorin Calcium Inj 100mg | Leucovorin Calcium | Leucovorin Calcium | 67457052810 | J0640 | $25.20 | $25.20 | $25.20 | $25.20 | $25.20 |
| Leucovorin Calcium Inj 100mg | Leucovorin Calcium | Leucovorin Calcium | 25021081430 | J0640 | $25.20 | $25.20 | $25.20 | $25.20 | $25.20 |
| Leucovorin Calcium Inj 100mg | Leucovorin Calcium | Leucovorin Calcium | 00143955401 | J0640 | $20.16 | $20.16 | $20.16 | $20.16 | $20.16 |
| Leucovorin Calcium Inj 350mg | Leucovorin Calcium | Leucovorin Calcium | 25021081630 | J0640 | $88.20 | $88.20 | $88.20 | $88.20 | $88.20 |
| Leucovorin Calcium Inj 350mg | Leucovorin Calcium | Leucovorin Calcium | 25021081667 | J0640 | $22.18 | $22.18 | $22.18 | $22.18 | $22.18 |
| Leucovorin Calcium Inj 350mg | Leucovorin Calcium | Leucovorin Calcium | 00143955201 | J0640 | $32.76 | $32.76 | $32.76 | $32.76 | $32.76 |
| Leucovorin Calcium Inj 350mg | Leucovorin Calcium | Leucovorin Calcium | 67457053035 | J0640 | $32.76 | $32.76 | $32.76 | $32.76 | $32.76 |
| Leucovorin Calcium Inj 500mg/50ml | Leucovorin Calcium | Leucovorin Calcium | 63323063150 | J0640 | $149.01 | $149.01 | $149.01 | $149.01 | $149.01 |
| Low Residual Y Connector LRVY | $3.35 | $3.35 | $3.35 | $3.35 | $3.35 | ||||
| Luer-Lock Adapter Equashield LL-1 | $4.20 | $4.20 | $4.20 | $4.20 | $4.20 | ||||
| Mesna Inj Sol 100mg/ml 10ml | Mesna | Mesna | 25021020110 | J9209 | $25.20 | $25.20 | $25.20 | $25.20 | $25.20 |
| Mesna Inj Sol 100mg/ml 10ml | Mesna | Mesna | 10019095301 | J9209 | $31.50 | $31.50 | $31.50 | $31.50 | $31.50 |
| Mesna Inj Sol 100mg/ml 10ml | Mesna | Mesna | 25021020111 | J9209 | $25.20 | $25.20 | $25.20 | $25.20 | $25.20 |
| Mesna Inj Sol 100mg/ml 10ml | Mesna | Mesna | 63323073311 | J9209 | $83.54 | $83.54 | $83.54 | $83.54 | $83.54 |
| Mesnex Inj Sol 100mg/ml 10ml | Mesnex | Mesna | 00338130501 | J9209 | $31.50 | $31.50 | $31.50 | $31.50 | $31.50 |
| Methotrexate Sod Inj 50mg/2ml | Methotrexate Sodium | Methotrexate Sodium | 61703035038 | J9260 | $9.16 | $9.16 | $9.16 | $9.16 | $9.16 |
| Methotrexate Sod PF Inj 1gm/40ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 61703040841 | J9260 | $46.28 | $46.28 | $46.28 | $46.28 | $46.28 |
| Methotrexate Sod PF Inj 1gm/40ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 00703367801 | J9260 | $41.90 | $41.90 | $41.90 | $41.90 | $41.90 |
| Methotrexate Sod PF Inj 1gm/40ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 61703012440 | J9260 | $46.28 | $46.28 | $46.28 | $46.28 | $46.28 |
| Methotrexate Sod PF Inj 1gm/40ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 00703367881 | J9260 | $41.90 | $41.90 | $41.90 | $41.90 | $41.90 |
| Methotrexate Sod PF Inj 1gm/40ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 16729027735 | J9255 | $43.22 | $43.22 | $43.22 | $43.22 | $43.22 |
| Methotrexate Sod PF Inj 250mg/10ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 00703367501 | J9260 | $11.38 | $11.38 | $11.38 | $11.38 | $11.38 |
| Methotrexate Sod PF Inj 250mg/10ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 16729027703 | J9255 | $11.73 | $11.73 | $11.73 | $11.73 | $11.73 |
| Methotrexate Sod PF Inj 50mg/2ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 00703367103 | J9260 | $4.79 | $4.79 | $4.79 | $4.79 | $4.79 |
| Methotrexate Sod PF Inj 50mg/2ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 00143951910 | J9260 | $4.23 | $4.23 | $4.23 | $4.23 | $4.23 |
| Methotrexate Sod PF Inj 50mg/2ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 00703367101 | J9260 | $13.04 | $13.04 | $13.04 | $13.04 | $13.04 |
| Methotrexate Sod PF Inj 50mg/2ml | Methotrexate Sodium (PF) | Methotrexate Sodium (PF) | 16729027730 | J9255 | $5.15 | $5.15 | $5.15 | $5.15 | $5.15 |
| MitoMYcin Inj Sol 20mg | MitoMYcin | MitoMYcin | 16729010811 | J9280 | $743.21 | $743.21 | $743.21 | $743.21 | $743.21 |
| MitoMYcin Inj Sol 20mg | MitoMYcin | Mitomycin | 67457051920 | J9280 | $743.21 | $743.21 | $743.21 | $743.21 | $743.21 |
| MitoMYcin Inj Sol 20mg | MitoMYcin | Mitomycin | 71288013850 | J9280 | $567.00 | $567.00 | $567.00 | $567.00 | $567.00 |
| MitoMYcin Inj Sol 40mg | MitoMYcin | MitoMYcin | 16729011638 | J9280 | $1,486.42 | $1,486.42 | $1,486.42 | $1,486.42 | $1,486.42 |
| MitoMYcin Inj Sol 40mg | MitoMYcin | Mitomycin | 00143928001 | J9280 | $1,592.64 | $1,592.64 | $1,592.64 | $1,592.64 | $1,592.64 |
| MitoMYcin Inj Sol 40mg | MitoMYcin | Mitomycin | 67457052040 | J9280 | $1,486.42 | $1,486.42 | $1,486.42 | $1,486.42 | $1,486.42 |
| MitoMYcin Inj Sol 40mg | MitoMYcin | Mitomycin | 71288013951 | J9280 | $756.00 | $756.00 | $756.00 | $756.00 | $756.00 |
| MitoMYcin Inj Sol 5mg | MitoMYcin | MitoMYcin | 16729011505 | J9280 | $286.08 | $286.08 | $286.08 | $286.08 | $286.08 |
| MitoMYcin Inj Sol 5mg | MitoMYcin | Mitomycin | 67457051805 | J9280 | $286.08 | $286.08 | $286.08 | $286.08 | $286.08 |
| MitoMYcin Inj Sol 5mg | MitoMYcin | MitoMYcin | 72819015205 | J9280 | $306.52 | $306.52 | $306.52 | $306.52 | $306.52 |
| MitoMYcin Inj Sol 5mg | MitoMYcin | MitoMYcin | 71288013720 | J9280 | $189.00 | $189.00 | $189.00 | $189.00 | $189.00 |
| MitoXANTRONE HCl Inj 25mg/12.5ml | MitoXANTRONE HCl | MitoXANTRONE HCl | 61703034365 | J9293 | $271.78 | $271.78 | $271.78 | $271.78 | $271.78 |
| MitoXANTRONE HCl Inj 25mg/12.5ml | MitoXANTRONE HCl | MitoXANTRONE HCl | 00703468001 | J9293 | $340.95 | $340.95 | $340.95 | $340.95 | $340.95 |
| Mvasi Inj Sol 100mg/4ml | Mvasi | Bevacizumab-awwb | 55513020601 | Q5107 | $879.14 | $879.14 | $879.14 | $879.14 | $879.14 |
| Mvasi Inj Sol 400mg/16ml | Mvasi | Bevacizumab-awwb | 55513020701 | Q5107 | $3,516.52 | $3,516.52 | $3,516.52 | $3,516.52 | $3,516.52 |
| Mylotarg Inj 4.5mg | Mylotarg | Gemtuzumab Ozogamicin | 00008451001 | J9203 | $12,469.66 | $12,469.66 | $12,469.66 | $12,469.66 | $12,469.66 |
| Navelbine Inj Sol 50mg/5ml | Navelbine | Vinorelbine Tartrate | 64370053202 | J9390 | $107.10 | $107.10 | $107.10 | $107.10 | $107.10 |
| Ocrevus Inj Sol 300mg | Ocrevus | Ocrelizumab | 50242015001 | J2350 | $24,840.12 | $24,840.12 | $24,840.12 | $24,840.12 | $24,840.12 |
| Oncozene 100um 2ml | $1,630.13 | $1,630.13 | $1,630.13 | $1,630.13 | $1,630.13 | ||||
| Oncozene 100um 3ml | $2,445.19 | $2,445.19 | $2,445.19 | $2,445.19 | $2,445.19 | ||||
| Oncozene 40um 3ml | $5,379.41 | $5,379.41 | $5,379.41 | $5,379.41 | $5,379.41 | ||||
| Oncozene 75um 2ml | $1,630.13 | $1,630.13 | $1,630.13 | $1,630.13 | $1,630.13 | ||||
| Oncozene 75um 3ml | $2,445.19 | $2,445.19 | $2,445.19 | $2,445.19 | $2,445.19 | ||||
| OnGuard 2 LL Adapter | $1.81 | $1.81 | $1.81 | $1.81 | $1.81 | ||||
| OnGuard 2 OnGuard Spike Port Adapt | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| OnGuard 2 Syr Adapter | $6.73 | $6.73 | $6.73 | $6.73 | $6.73 | ||||
| OnGuard 2 Syr Lock Adapter | $7.10 | $7.10 | $7.10 | $7.10 | $7.10 | ||||
| OnGuard Spike Port Adapter | $4.67 | $4.67 | $4.67 | $4.67 | $4.67 | ||||
| OnGuard Syr Adapter | $6.41 | $6.41 | $6.41 | $6.41 | $6.41 |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .