Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SHARP MESA VISTA HOSPITAL

San Diego, CA · CCN 054145 · Rates published

7,029 distinct procedures filed
22 distinct payers
391,081 rate rows
2026-04-01 last MRF observed
Data quality

296,856 of 391,081 rate rows are consumer-grade (75.9%)

94,225 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 63,273
placeholder amount (≤ $0.02) — excluded from medians 29,906
exceeds 10× this hospital's gross charge — excluded from medians 993
per-diem day rate — not a per-procedure price 53
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://downloads.ctfassets.net/pxcfulgsd9e2/3FRyeNipAeiKhEC6a8NWOg/54f450d819667f8ed0f9ff9769684a21/95-3782169_sharp-mesa-vista-hospital_standardcharges.csv
Found on page https://www.sharp.com/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint e72a117d89236b52… · 77,407,700 bytes · first seen 2026-05-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1930
HCPCS 		Lanreotide 90 Mg/0.3 Ml Subcutaneous Syringe 20 $1.00 $243,520.00 $189,186.66 nat. median
$5,873
outlier · 32.2×
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 21 $1.00 $245,117.60 $150,072.00 nat. median
$21,216
outlier · 7.1×
J3357
HCPCS 		Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 18 $1.00 $195,101.44 $137,790.39 nat. median
$14,292
outlier · 9.6×
50383-779-16
NDC 		Lactulose 10 Gram/15 Ml Oral Solution 1 $100,365.84 $100,365.84 $100,365.84 nat. median
$3
outlier · 33455.3×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 18 $24,895.64 $132,776.75 $82,985.47 nat. median
$701
outlier · 118.4×
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 18 $13,887.18 $97,210.27 $65,805.40 nat. median
$6,079
outlier · 10.8×
J9309
HCPCS 		Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 19 $1.00 $99,372.00 $64,389.00 nat. median
$4,472
outlier · 14.4×
J3241
HCPCS 		Teprotumumab-trbw 500 Mg Intravenous Solution 17 $13,045.22 $78,271.31 $56,964.12 nat. median
$704
outlier · 80.9×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 19 $1.00 $72,769.52 $45,683.09 nat. median
$8,536
outlier · 5.4×
J3101
HCPCS 		Tenecteplase 50 Mg Intravenous Solution 22 $1.00 $59,731.65 $44,632.82 nat. median
$5,957
outlier · 7.5×
J2799
HCPCS 		Risperidone ER 100 Mg/0.28 Ml Subcutaneous Extend Release Susp Syringe 21 $1.00 $76,613.32 $44,170.69 nat. median
$78
outlier · 568.1×
J3380
HCPCS 		Vedolizumab 300 Mg Intravenous Solution 18 $1.00 $67,463.75 $38,894.92 nat. median
$280
outlier · 138.8×
J9042
HCPCS 		Brentuximab Vedotin 50 Mg Intravenous Solution 19 $9,826.05 $52,405.60 $38,157.82 nat. median
$1,037
outlier · 36.8×
J9203
HCPCS 		Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 18 $18.39 $47,063.21 $37,593.17 nat. median
$635
outlier · 59.2×
76310-022-01
NDC 		Aldesleukin 22 Million Unit Intravenous Solution 17 $1.15 $53,044.26 $34,370.52 nat. median
$33,017
1.0× median
J0391
HCPCS 		Artesunate 110 Mg Intravenous Solution 21 $1.00 $48,804.00 $30,378.00 nat. median
$100
outlier · 303.7×
J1323
HCPCS 		Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 21 $1.10 $43,754.26 $27,234.79 nat. median
$1,165
outlier · 23.4×
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 19 $6.48 $39,735.96 $25,747.28 nat. median
$7,308
outlier · 3.5×
57896-791-01
NDC 		Simethicone 80 Mg Chewable Tablet 4 $625.89 $35,182.76 $24,486.72 nat. median
$1
outlier · 20577.1×
J9223
HCPCS 		Lurbinectedin 4 Mg Intravenous Solution 20 $6,467.18 $42,252.21 $24,359.69 nat. median
$626
outlier · 38.9×
0904-7206-60
NDC 		Simethicone 80 Mg Chewable Tablet 1 $22,634.00 $22,634.00 $22,634.00 nat. median
$23
outlier · 984.1×
68180-512-01
NDC 		Lisinopril 2.5 Mg Tablet 1 $22,634.00 $22,634.00 $22,634.00 nat. median
$6
outlier · 3656.5×
J0135
HCPCS 		Adalimumab 40 Mg/0.8 Ml Subcutaneous Pen Kit 15 $1.00 $30,372.98 $20,754.86 nat. median
$3,838
outlier · 5.4×
J9354
HCPCS 		Ado-trastuzumab Emtansine 100 Mg Intravenous Solution 21 $1,967.67 $33,962.32 $20,654.30 nat. median
$4,293
outlier · 4.8×
J9177
HCPCS 		Enfortumab Vedotin-ejfv 30 Mg Intravenous Solution 18 $309.02 $32,387.04 $20,159.28 nat. median
$3,113
outlier · 6.5×
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 17 $9,039.14 $29,054.38 $19,692.41 nat. median
$735
outlier · 26.8×
J0597
HCPCS 		C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit 18 $1.15 $23,569.84 $18,708.56 nat. median
$203
outlier · 92.0×
5615114701
NDC 		Lancets 33 Gauge 1 $18,662.11 $18,662.11 $18,662.11 nat. median
$9,391
2.0× median
73536-500-01
NDC 		Ropeginterferon Alfa-2b-njft 500 Mcg/ml Subcutaneous Syringe 18 $1,782.57 $22,564.20 $18,310.85 nat. median
$17,995
1.0× median
99999-101-02
NDC 		Cabazitaxel 10 Mg/ml IV Soln (diluted) - Compounded 18 $1.00 $31,636.99 $18,239.69 nat. median
$20,177
0.9× median
Q5117
HCPCS 		Trastuzumab-anns 420 Mg Intravenous Solution 22 $0.25 $26,198.78 $17,667.41 nat. median
$935
outlier · 18.9×
50268-724-11
NDC 		Sotalol 80 Mg Tablet 3 $879.92 $109,099.82 $17,274.56 nat. median
$20
outlier · 857.3×
J9039
HCPCS 		Blinatumomab 35 Mcg Intravenous Kit 18 $1.00 $23,545.33 $16,337.58 nat. median
$540
outlier · 30.3×
J2796
HCPCS 		Romiplostim 500 Mcg Subcutaneous Solution 20 $1.00 $40,467.73 $15,962.63 nat. median
$464
outlier · 34.4×
55513-150-01
NDC 		Blinatumomab 35 Mcg Intravenous Solution 17 $1.30 $23,545.33 $15,256.41 nat. median
$14,656
1.0× median
J7189
HCPCS 		Coagulation Factor Viia Recomb 1 Mg (1000 Mcg) Intravenous Solution 22 $0.14 $107,985.02 $14,886.20 nat. median
$3,736
outlier · 4.0×
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 20 $114.85 $43,777.58 $14,564.92 nat. median
$798
outlier · 18.2×
J2506
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector 21 $1.00 $21,424.69 $13,816.26 nat. median
$2,076
outlier · 6.7×
J1303
HCPCS 		Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 18 $0.67 $19,212.00 $13,779.27 nat. median
$4,664
outlier · 3.0×
J9352
HCPCS 		Trabectedin 1 Mg Intravenous Solution 15 $2,986.01 $15,925.40 $13,536.59 nat. median
$1,059
outlier · 12.8×
J0517
HCPCS 		Benralizumab 30 Mg/ml Subcutaneous Syringe 21 $119.86 $23,362.55 $13,111.63 nat. median
$914
outlier · 14.4×
J3396
HCPCS 		Verteporfin 15 Mg Intravenous Solution 19 $1.00 $16,413.20 $13,027.98 nat. median
$17
outlier · 774.6×
J7197
HCPCS 		Antithrombin Iii (human) 500 (+/-) Unit Intravenous Solution 22 $1.00 $20,645.86 $12,836.05 nat. median
$13
outlier · 1000.1×
J9207
HCPCS 		Ixabepilone 45 Mg Intravenous Solution 20 $119.86 $17,597.18 $12,812.94 nat. median
$1,960
outlier · 6.5×
J0480
HCPCS 		Basiliximab 20 Mg Intravenous Solution 22 $1,172.14 $18,175.62 $12,235.16 nat. median
$6,964
1.8× median
Q5111
HCPCS 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe 18 $239.72 $155,360.19 $12,208.07 nat. median
$2,102
outlier · 5.8×
S0145
HCPCS 		Peginterferon Alfa-2a 180 Mcg/0.5 Ml Subcutaneous Syringe 15 $119.86 $19,520.67 $12,150.62 nat. median
$1,820
outlier · 6.7×
J2997
HCPCS 		Alteplase 2 Mg Intra-catheter Solution 22 $1.00 $72,892.17 $12,003.46 nat. median
$545
outlier · 22.0×
J0840
HCPCS 		Crotalidae Polyval Immune Fab Solution For Injection 16 $284.25 $17,237.22 $11,960.52 nat. median
$3,427
outlier · 3.5×
0149003956
NDC 		Bismuth Subsalicylate 262 Mg/15 Ml Oral Suspension 4 $120.84 $14,409.33 $11,747.00 nat. median
$11,747
1.0× median

Other procedures at this hospital

Browse this hospital's 7,029 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1930 HCPCS Lanreotide 90 Mg/0.3 Ml Subcutaneous Syringe 67 20 $270,266.66 $202,699.99 25% off $1.00 $243,520.00 $189,186.66 2026-04-01
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 47 21 $250,120.00 $187,590.00 25% off $1.00 $245,117.60 $150,072.00 2026-04-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 70 18 $243,876.80 $182,907.60 25% off $1.00 $195,101.44 $137,790.39 2026-04-01
50383-779-16 NDC Lactulose 10 Gram/15 Ml Oral Solution 1 1 $0.01 — $100,365.84 $100,365.84 $100,365.84 2026-04-01
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 41 18 $165,970.94 $124,478.20 25% off $24,895.64 $132,776.75 $82,985.47 2026-04-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 41 18 $99,194.15 $74,395.61 25% off $13,887.18 $97,210.27 $65,805.40 2026-04-01
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 47 19 $101,400.00 $76,050.00 25% off $1.00 $99,372.00 $64,389.00 2026-04-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 39 17 $86,968.13 $65,226.09 25% off $13,045.22 $78,271.31 $56,964.12 2026-04-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 37 19 $80,855.02 $60,641.27 25% off $1.00 $72,769.52 $45,683.09 2026-04-01
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 80 22 $66,368.50 $49,776.38 25% off $1.00 $59,731.65 $44,632.82 2026-04-01
J2799 HCPCS Risperidone ER 100 Mg/0.28 Ml Subcutaneous Extend Release Susp Syringe 84 21 $78,178.21 $58,633.66 25% off $1.00 $76,613.32 $44,170.69 2026-04-01
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 45 18 $68,840.56 $51,630.42 25% off $1.00 $67,463.75 $38,894.92 2026-04-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 48 19 $65,507.00 $49,130.25 25% off $9,826.05 $52,405.60 $38,157.82 2026-04-01
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 43 18 $57,394.16 $43,045.62 25% off $18.39 $47,063.21 $37,593.17 2026-04-01
76310-022-01 NDC Aldesleukin 22 Million Unit Intravenous Solution 46 17 $54,126.80 $40,595.10 25% off $1.15 $53,044.26 $34,370.52 2026-04-01
J0391 HCPCS Artesunate 110 Mg Intravenous Solution 95 21 $49,800.00 $37,350.00 25% off $1.00 $48,804.00 $30,378.00 2026-04-01
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 70 21 $44,647.20 $33,485.40 25% off $1.10 $43,754.26 $27,234.79 2026-04-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 43 19 $40,546.90 $30,410.17 25% off $6.48 $39,735.96 $25,747.28 2026-04-01
57896-791-01 NDC Simethicone 80 Mg Chewable Tablet 4 4 $0.02 — $625.89 $35,182.76 $24,486.72 2026-04-01
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 48 20 $43,114.50 $32,335.88 25% off $6,467.18 $42,252.21 $24,359.69 2026-04-01
68180-512-01 NDC Lisinopril 2.5 Mg Tablet 1 1 $0.01 — $22,634.00 $22,634.00 $22,634.00 2026-04-01
0904-7206-60 NDC Simethicone 80 Mg Chewable Tablet 1 1 $0.02 — $22,634.00 $22,634.00 $22,634.00 2026-04-01
J0135 HCPCS Adalimumab 40 Mg/0.8 Ml Subcutaneous Pen Kit 40 15 $33,747.75 $25,310.81 25% off $1.00 $30,372.98 $20,754.86 2026-04-01
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg Intravenous Solution 90 21 $31,134.00 $23,350.50 25% off $1,967.67 $33,962.32 $20,654.30 2026-04-01
J9177 HCPCS Enfortumab Vedotin-ejfv 30 Mg Intravenous Solution 39 18 $33,048.00 $24,786.00 25% off $309.02 $32,387.04 $20,159.28 2026-04-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 37 17 $32,282.64 $24,211.98 25% off $9,039.14 $29,054.38 $19,692.41 2026-04-01
J0597 HCPCS C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit 40 18 $29,462.30 $22,096.73 25% off $1.15 $23,569.84 $18,708.56 2026-04-01
5615114701 NDC Lancets 33 Gauge 1 1 $0.01 — $18,662.11 $18,662.11 $18,662.11 2026-04-01
73536-500-01 NDC Ropeginterferon Alfa-2b-njft 500 Mcg/ml Subcutaneous Syringe 40 18 $28,205.25 $21,153.94 25% off $1,782.57 $22,564.20 $18,310.85 2026-04-01
99999-101-02 NDC Cabazitaxel 10 Mg/ml IV Soln (diluted) - Compounded 33 18 $32,282.64 $24,211.98 25% off $1.00 $31,636.99 $18,239.69 2026-04-01
Q5117 HCPCS Trastuzumab-anns 420 Mg Intravenous Solution 129 22 $28,495.82 $21,371.87 25% off $0.25 $26,198.78 $17,667.41 2026-04-01
50268-724-11 NDC Sotalol 80 Mg Tablet 4 3 $0.01 — $879.92 $109,099.82 $17,274.56 2026-04-01
J9039 HCPCS Blinatumomab 35 Mcg Intravenous Kit 35 18 $24,025.85 $18,019.38 25% off $1.00 $23,545.33 $16,337.58 2026-04-01
J2796 HCPCS Romiplostim 500 Mcg Subcutaneous Solution 82 20 $41,293.60 $30,970.20 25% off $1.00 $40,467.73 $15,962.63 2026-04-01
55513-150-01 NDC Blinatumomab 35 Mcg Intravenous Solution 42 17 $24,025.85 $18,019.38 25% off $1.30 $23,545.33 $15,256.41 2026-04-01
J7189 HCPCS Coagulation Factor Viia Recomb 1 Mg (1000 Mcg) Intravenous Solution 173 22 $21,266.00 $15,949.50 25% off $0.14 $107,985.02 $14,886.20 2026-04-01
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 82 20 $21,419.00 $16,064.25 25% off $114.85 $43,777.58 $14,564.92 2026-04-01
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector 91 21 $26,127.67 $19,595.75 25% off $1.00 $21,424.69 $13,816.26 2026-04-01
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 40 18 $21,346.67 $16,010.00 25% off $0.67 $19,212.00 $13,779.27 2026-04-01
J9352 HCPCS Trabectedin 1 Mg Intravenous Solution 37 15 $19,906.75 $14,930.06 25% off $2,986.01 $15,925.40 $13,536.59 2026-04-01
J0517 HCPCS Benralizumab 30 Mg/ml Subcutaneous Syringe 45 21 $23,839.34 $17,879.50 25% off $119.86 $23,362.55 $13,111.63 2026-04-01
J3396 HCPCS Verteporfin 15 Mg Intravenous Solution 47 19 $20,516.50 $15,387.38 25% off $1.00 $16,413.20 $13,027.98 2026-04-01
J7197 HCPCS Antithrombin Iii (human) 500 (+/-) Unit Intravenous Solution 86 22 $21,067.20 $15,800.40 25% off $1.00 $20,645.86 $12,836.05 2026-04-01
J9207 HCPCS Ixabepilone 45 Mg Intravenous Solution 44 20 $21,996.47 $16,497.35 25% off $119.86 $17,597.18 $12,812.94 2026-04-01
J0480 HCPCS Basiliximab 20 Mg Intravenous Solution 38 22 $18,546.55 $13,909.91 25% off $1,172.14 $18,175.62 $12,235.16 2026-04-01
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe 43 18 $18,221.00 $13,665.75 25% off $239.72 $155,360.19 $12,208.07 2026-04-01
S0145 HCPCS Peginterferon Alfa-2a 180 Mcg/0.5 Ml Subcutaneous Syringe 37 15 $19,919.05 $14,939.29 25% off $119.86 $19,520.67 $12,150.62 2026-04-01
J2997 HCPCS Alteplase 2 Mg Intra-catheter Solution 220 22 $40,415.70 $30,311.77 25% off $1.00 $72,892.17 $12,003.46 2026-04-01
J0840 HCPCS Crotalidae Polyval Immune Fab Solution For Injection 37 16 $17,589.00 $13,191.75 25% off $284.25 $17,237.22 $11,960.52 2026-04-01
0149003956 NDC Bismuth Subsalicylate 262 Mg/15 Ml Oral Suspension 5 4 $0.01 — $120.84 $14,409.33 $11,747.00 2026-04-01
J9317 HCPCS Sacituzumab Govitecan-hziy 180 Mg Intravenous Solution 47 18 $18,601.82 $13,951.37 25% off $95.43 $15,253.50 $11,719.15 2026-04-01
J0491 HCPCS Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution 43 20 $23,002.70 $17,252.02 25% off $1.00 $18,862.21 $11,501.35 2026-04-01
J9307 HCPCS Pralatrexate 20 Mg/ml (1 Ml) Intravenous Solution 45 15 $16,797.05 $12,597.79 25% off $1.00 $15,117.35 $11,143.16 2026-04-01
J9319 HCPCS Romidepsin 10 Mg/2 Ml Intravenous Powder For Solution 88 22 $19,613.28 $14,709.96 25% off $1,014.37 $22,634.00 $11,099.63 2026-04-01
42367-540-32 NDC Dantrolene 250 Mg Intravenous Suspension 45 16 $19,468.30 $14,601.23 25% off $23.08 $19,078.93 $10,999.59 2026-04-01
90378 CPT Palivizumab 100 Mg/ml Intramuscular Solution 158 22 $16,282.80 $12,212.10 25% off $1.00 $17,074.15 $10,617.67 2026-04-01
C9155 HCPCS Epcoritamab-bysp 4 Mg/0.8 Ml Subcutaneous Solution (must Dilute) 77 21 $12,688.00 $9,516.00 25% off $1.15 $151,448.80 $10,404.16 2026-04-01
Q5120 HCPCS Pegfilgrastim-bmez 6 Mg/0.6 Ml Subcutaneous Syringe 42 18 $15,305.50 $11,479.13 25% off $1.00 $14,999.39 $10,204.18 2026-04-01
J7192 HCPCS Antihemophilic Factor Viii Full Length 1000 (+/-) Unit IV Solution 41 16 $14,638.80 $10,979.10 25% off $4,098.86 $14,346.02 $9,954.38 2026-04-01
J0222 HCPCS Patisiran (lipid Complex) 2 Mg/ml Intravenous Solution 35 16 $17,427.26 $13,070.44 25% off $1.30 $13,941.81 $9,846.40 2026-04-01
J2182 HCPCS Mepolizumab 100 Mg Subcutaneous Solution 39 18 $17,549.87 $13,162.40 25% off $53.08 $15,794.88 $9,775.27 2026-04-01
J9047 HCPCS Carfilzomib 30 Mg Intravenous Solution 120 22 $23,213.59 $17,410.19 25% off $1.00 $20,892.23 $9,683.55 2026-04-01
J9358 HCPCS Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution 44 18 $15,633.37 $11,725.03 25% off $2,345.01 $15,320.70 $9,614.53 2026-04-01
J2426 HCPCS Paliperidone Palmitate 156 Mg/ml Intramuscular Syringe 166 22 $18,595.70 $13,946.77 25% off $1.00 $17,009.05 $9,537.76 2026-04-01
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 35 16 $16,900.00 $12,675.00 25% off $2,535.00 $16,562.00 $9,413.30 2026-04-01
J0897 HCPCS Denosumab 60 Mg/ml Subcutaneous Syringe 80 20 $21,211.32 $15,908.49 25% off $0.93 $20,787.10 $9,133.35 2026-04-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 50 20 $15,127.26 $11,345.45 25% off $0.03 $14,824.72 $9,076.36 2026-04-01
J3032 HCPCS Eptinezumab-jjmr 100 Mg/ml Intravenous Solution 35 16 $14,194.30 $10,645.72 25% off $492.31 $23,240.00 $8,658.52 2026-04-01
0024-5910-01 NDC Sarilumab 200 Mg/1.14 Ml Subcutaneous Syringe 40 19 $16,777.41 $12,583.06 25% off $1.00 $15,099.67 $8,632.82 2026-04-01
58406-055-04 NDC Etanercept 25 Mg/0.5 Ml Subcutaneous Solution 35 16 $15,623.90 $11,717.93 25% off $0.15 $14,061.51 $8,593.15 2026-04-01
68547-501-02 NDC Angiotensin Ii 2.5 Mg/ml Intravenous Solution 41 16 $13,329.10 $9,996.82 25% off $1.00 $13,062.52 $8,463.98 2026-04-01
J0180 HCPCS Agalsidase Beta 5 Mg Intravenous Solution 80 21 $10,337.70 $7,753.28 25% off $1,550.66 $38,614.84 $8,270.16 2026-04-01
J9033 HCPCS Bendamustine 100 Mg Intravenous Powder For Solution 40 19 $16,226.00 $12,169.50 25% off $1.10 $13,305.32 $7,943.44 2026-04-01
49483-003-10 NDC Bisacodyl 5 Mg Tabletdelayed Release 1 1 $0.01 — $7,867.57 $7,867.57 $7,867.57 2026-04-01
J9268 HCPCS Pentostatin 10 Mg Intravenous Solution 44 19 $12,394.80 $9,296.10 25% off $0.03 $12,146.90 $7,715.76 2026-04-01
J2783 HCPCS Rasburicase 1.5 Mg Intravenous Solution 180 22 $12,894.20 $9,670.65 25% off $0.67 $45,740.62 $7,484.61 2026-04-01
J2315 HCPCS Naltrexone ER 380 Mg Intramuscular Suspensionextended Release 80 21 $12,802.80 $9,602.10 25% off $1.30 $12,546.74 $7,457.63 2026-04-01
J9264 HCPCS Paclitaxel Protein-bound 100 Mg Intravenous Suspension 42 18 $13,094.76 $9,821.07 25% off $1.15 $11,785.28 $7,398.54 2026-04-01
J1438 HCPCS Etanercept 25 Mg/0.5 Ml (0.5 Ml) Subcutaneous Syringe 196 22 $17,182.78 $12,887.08 25% off $1.00 $16,839.19 $7,108.87 2026-04-01
J9349 HCPCS Tafasitamab-cxix 200 Mg Intravenous Solution 41 18 $10,353.00 $7,764.75 25% off $654.31 $8,489.46 $6,988.28 2026-04-01
J3385 HCPCS Velaglucerase Alfa 400 Unit Intravenous Solution 46 17 $10,392.80 $7,794.60 25% off $1,454.99 $10,184.94 $6,980.84 2026-04-01
J1786 HCPCS Imiglucerase 400 Unit Intravenous Solution 37 15 $12,601.32 $9,450.99 25% off $1.30 $12,349.30 $6,930.73 2026-04-01
A9589 HCPCS Hexaminolevulinate 100 Mg Intravesical Solution 36 17 $11,638.90 $8,729.18 25% off $1.00 $9,543.90 $6,896.05 2026-04-01
J0401 HCPCS Aripiprazole ER 300 Mg Suspension Extended Rel. Intramuscular Syringe 79 22 $9,420.30 $7,065.22 25% off $1.00 $22,268.83 $6,816.99 2026-04-01
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 83 20 $11,171.66 $8,378.74 25% off $1.15 $9,160.76 $6,814.71 2026-04-01
2040000001 CDM Hc 204 Psych ICU 47 22 $10,800.00 $8,100.00 25% off $1,620.00 $88,775.21 $6,804.00 2026-04-01
J1746 HCPCS Ibalizumab-uiyk 200 Mg/1.33 Ml (150 Mg/ml) Intravenous Solution 65 19 $10,682.71 $8,012.03 25% off $1.00 $10,469.05 $6,783.52 2026-04-01
8068112800 NDC Cyanocobalamin (vit B-12) 500 Mcg Tablet 2 1 $0.02 — $1.00 $13,282.00 $6,641.50 2026-04-01
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 40 18 $9,501.86 $7,126.40 25% off $1.15 $9,311.82 $6,334.89 2026-04-01
J7198 HCPCS Anti-inhibitor Coagulant Complex 350 Unit-650 Unit Intravenous Soln 164 22 $10,042.50 $7,531.88 25% off $0.73 $17,514.90 $6,025.50 2026-04-01
J0875 HCPCS Dalbavancin 500 Mg Intravenous Solution 45 20 $9,285.00 $6,963.75 25% off $1.00 $8,356.50 $5,663.85 2026-04-01
J7187 HCPCS Antihemophilic Factor-vwf 250 Unit-600 Unit Intravenous Solution 133 21 $11,286.00 $8,464.50 25% off $323.96 $21,225.82 $5,643.00 2026-04-01
90396 CPT Varicella-zoster Immune Glob-maltose 125 Unit/1.2 Ml IM Solution 87 22 $9,094.04 $6,820.53 25% off $1.10 $7,275.23 $5,547.37 2026-04-01
J1950 HCPCS Leuprolide 11.25 Mg (3 Month) Intramuscular Syringe Kit 81 21 $18,149.25 $13,611.94 25% off $1.00 $17,786.26 $5,444.77 2026-04-01
J7194 HCPCS Factor Ix Cplx(pcc)no.4 3factor 1000 (+/-) Unit Intravenous Solution 88 20 $13,000.00 $9,750.00 25% off $1.00 $11,700.00 $5,187.00 2026-04-01
J7511 HCPCS Anti-thymocyte Globulin (rabbit) 25 Mg Intravenous Solution 40 13 $7,792.00 $5,844.00 25% off $1.00 $7,636.16 $5,140.38 2026-04-01
50242-138-01 NDC Tocilizumab 162 Mg/0.9 Ml Subcutaneous Syringe 39 19 $7,577.00 $5,682.75 25% off $1,136.55 $6,213.14 $5,114.48 2026-04-01
C9047 HCPCS Caplacizumab-yhdp 11 Mg Injection Kit 39 19 $8,242.00 $6,181.50 25% off $1,153.88 $6,593.60 $5,110.04 2026-04-01
C9460 HCPCS Cangrelor 50 Mg Intravenous Solution 72 19 $7,890.17 $5,917.63 25% off $1.00 $7,732.37 $5,010.26 2026-04-01
J0881 HCPCS Darbepoetin Alfa 40 Mcg/0.4 Ml In Polysorbate Injection Syringe 191 22 $7,244.63 $5,433.47 25% off $1.00 $29,552.68 $4,998.79 2026-04-01
J3424 HCPCS Hydroxocobalamin 5 Gram Intravenous Solution 86 22 $8,419.60 $6,314.70 25% off $1.15 $8,251.21 $4,996.31 2026-04-01
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 40 17 $8,457.27 $6,342.95 25% off $1.00 $8,288.12 $4,934.82 2026-04-01
90380 CPT Nirsevimab-alip 50 Mg/0.5 Ml Intramuscular Syringe 71 20 $8,922.92 $6,692.19 25% off $1.00 $8,744.46 $4,907.61 2026-04-01
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 39 18 $7,224.17 $5,418.13 25% off $0.09 $7,079.69 $4,876.32 2026-04-01
0904-5068-60 NDC Simethicone 80 Mg Chewable Tablet 1 1 $0.02 — $4,684.64 $4,684.64 $4,684.64 2026-04-01
99999-010-43 NDC Sodium Chloride 3 % Hypertonic Intravenous Injection Solution - Hyponatremia 3 2 — — $1.00 $4,651.63 $4,651.63 2026-04-01
J0485 HCPCS Belatacept 250 Mg Intravenous Solution 44 18 $6,864.70 $5,148.53 25% off $1.00 $6,727.41 $4,576.69 2026-04-01
59365-5128-1 NDC Copper 380 Square Mm Intrauterine Device 32 14 $6,510.00 $4,882.50 25% off $58.63 $5,338.20 $4,557.00 2026-04-01
J7200 HCPCS Coagulation Factor Ix (recomb) 500 Unit Intravenous Solution 77 22 $7,345.70 $5,509.28 25% off $1.00 $7,198.79 $4,554.33 2026-04-01
1260000001 CDM Hc 126 Psych Detox 47 22 $7,600.00 $5,700.00 25% off $2,128.00 $67,965.51 $4,484.00 2026-04-01
J0490 HCPCS Belimumab 120 Mg Intravenous Solution 80 20 $5,500.10 $4,125.08 25% off $1.00 $14,591.00 $4,400.08 2026-04-01
1280000003 CDM Hc 128 Psych Rehab Child/ado 47 22 $7,600.00 $5,700.00 25% off $1,140.00 $73,825.46 $4,294.00 2026-04-01
J2358 HCPCS Olanzapine Pamoate 210 Mg IM Suspension 114 21 $8,424.00 $6,318.00 25% off $1.00 $9,325.37 $4,169.88 2026-04-01
0904-6305-21 NDC Phenol 1.4 % Mucosal Aerosol Spray 1 1 $0.01 — $3,999.21 $3,999.21 $3,999.21 2026-04-01
J2850 HCPCS Secretin (human) 16 Mcg Intravenous Solution 42 19 $6,300.00 $4,725.00 25% off $625.89 $6,174.00 $3,984.75 2026-04-01
J9355 HCPCS Trastuzumab 150 Mg Intravenous Solution 45 19 $6,954.44 $5,215.83 25% off $1.00 $5,702.64 $3,929.26 2026-04-01
44087-1005-2 NDC Somatropin 5 Mg Subcutaneous Solution 41 19 $6,428.40 $4,821.30 25% off $1.15 $5,785.56 $3,921.32 2026-04-01
1240000001 CDM Hc 124 Psych 47 22 $7,600.00 $5,700.00 25% off $2,128.00 $57,445.57 $3,914.00 2026-04-01
J1944 HCPCS Aripiprazole Lauroxil ER 882 Mg/3.2 Ml Suspension Ext.rel. IM Syringe 158 22 $7,914.50 $5,935.88 25% off $1.00 $8,447.84 $3,913.45 2026-04-01
J2794 HCPCS Risperidone Microspheres ER 50 Mg/2 Ml Intramuscular Suspext Release 285 22 $7,918.10 $5,938.58 25% off $1.15 $10,360.07 $3,793.56 2026-04-01
J0248 HCPCS Remdesivir 100 Mg Intravenous Powder For Solution 33 14 $5,714.80 $4,286.10 25% off $1.15 $5,600.50 $3,791.20 2026-04-01
J7296 HCPCS Levonorgestrel 17.5 Mcg/24 Hrs (5yrs) 19.5mg Intrauterine Device 38 17 $5,508.50 $4,131.38 25% off $1.30 $4,406.80 $3,690.70 2026-04-01
3700000001 CDM Hc Anesthesia General 1st Hr 40 19 $5,245.00 $3,933.75 25% off $1.00 $5,140.10 $3,671.50 2026-04-01
J9356 HCPCS Trastuzumab 600 Mg-hyaluronidase-oysk 10000 Unit/5 Ml Subcut Solution 41 20 $6,358.32 $4,768.74 25% off $1.00 $6,231.15 $3,592.45 2026-04-01
Q5113 HCPCS Trastuzumab-pkrb 420 Mg Intravenous Solution 110 22 $6,160.38 $4,620.28 25% off $0.25 $6,037.17 $3,455.97 2026-04-01
68382-092-01 NDC Carvedilol 3.125 Mg Tablet 5 5 $0.02 — $1.61 $3,999.21 $3,399.33 2026-04-01
8544636971 NDC Sodium Hyaluronate 10 Mg/ml Intraocular Syringe (healon Pro) 40 18 $5,436.36 $4,077.27 25% off $1.15 $5,327.64 $3,370.55 2026-04-01
63459-912-36 NDC Tbo-filgrastim 480 Mcg/0.8 Ml Subcutaneous Syringe 41 20 $5,116.90 $3,837.67 25% off $323.39 $4,093.52 $3,351.57 2026-04-01
0006-4121-02 NDC Human Papillomavirus Vaccine9-valent(pf) 0.5 Ml Intramuscular Syringe 41 17 $5,079.12 $3,809.34 25% off $119.86 $4,977.54 $3,331.90 2026-04-01
0338-4303-10 NDC Thrombin(human)-fibrinogen-aprotinin Synthet-calcium 10 Ml Topical Kit 41 18 $6,904.50 $5,178.38 25% off $198.80 $6,214.05 $3,314.16 2026-04-01
J0586 HCPCS Abobotulinumtoxina 300 Unit Intramuscular Solution 39 20 $5,155.00 $3,866.25 25% off $1.15 $4,639.50 $3,273.43 2026-04-01
J1943 HCPCS Aripiprazole Lauroxilsubmic. ER 675 Mg/2.4 Ml Suspext.rel.im Syringe 40 19 $5,384.88 $4,038.66 25% off $807.73 $5,277.18 $3,257.85 2026-04-01
J0841 HCPCS Antivenin Crotalidae (equine) Solution For Injection 78 21 $5,676.10 $4,257.08 25% off $1.30 $5,562.58 $3,207.00 2026-04-01
69315-701-50 NDC Ethacrynate Sodium 50 Mg Intravenous Solution 34 15 $4,966.40 $3,724.80 25% off $695.30 $4,867.07 $3,203.32 2026-04-01
0536-1228-58 NDC Phenol 1.4 % Mucosal Aerosol Spray 1 1 $0.01 — $3,131.25 $3,131.25 $3,131.25 2026-04-01
0002-1434-80 NDC Dulaglutide 1.5 Mg/0.5 Ml Subcutaneous Pen Injector 33 14 $4,494.65 $3,370.99 25% off $284.06 $27,089.83 $3,033.89 2026-04-01
0904-7280-80 NDC Docusate Sodium 100 Mg Capsule 1 1 $0.01 — $3,027.07 $3,027.07 $3,027.07 2026-04-01
J7301 HCPCS Levonorgestrel 14 Mcg/24 Hrs (3 Yrs) 13.5 Mg Intrauterine Device 47 17 $4,586.75 $3,440.06 25% off $1.15 $4,495.02 $3,004.32 2026-04-01
0002-3182-80 NDC Dulaglutide 4.5 Mg/0.5 Ml Subcutaneous Pen Injector 42 18 $4,494.65 $3,370.99 25% off $1,258.50 $4,404.76 $2,981.75 2026-04-01
J9144 HCPCS Daratumumab 1800 Mg-hyaluronidase-fihj 30000 Unit/15 Ml Subcut Soln 47 21 $4,717.13 $3,537.85 25% off $1.00 $4,245.42 $2,971.79 2026-04-01
49281-574-15 NDC Nirsevimab-alip 100 Mg/ml Intramuscular Syringe 37 20 $4,461.46 $3,346.09 25% off $1.10 $4,372.23 $2,959.73 2026-04-01
J7211 HCPCS Antihemophilic Factor Viii Full Length 500 (+/-) Unit IV Solution 126 22 $6,028.00 $4,521.00 25% off $1.00 $19,997.34 $2,937.03 2026-04-01
J7298 HCPCS Levonorgestrel 21 Mcg/24 Hours (8 Yrs) 52 Mg Intrauterine Device 46 17 $5,453.40 $4,090.05 25% off $1.00 $5,344.33 $2,882.12 2026-04-01
J2353 HCPCS Octreotidemicrospheres ER 20 Mg Intramuscular Susp Extended Release 125 22 $4,525.78 $3,394.33 25% off $29.04 $61,958.34 $2,873.87 2026-04-01
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Injection Solution 121 22 $5,053.85 $3,790.39 25% off $1.00 $14,512.98 $2,855.43 2026-04-01
J9316 HCPCS Pertuzumab 1200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 73 21 $4,250.00 $3,187.50 25% off $1.15 $4,165.00 $2,847.50 2026-04-01
0761009840 NDC Cholecalciferol (vitamin D3) 25 Mcg (1000 Unit) Tablet 1 1 $0.02 — $2,796.48 $2,796.48 $2,796.48 2026-04-01
69468-151-10 NDC Uridine Triacetate 10 Gram Oral Granules In Packet 38 15 $4,214.00 $3,160.50 25% off $1,179.92 $3,455.48 $2,791.78 2026-04-01
J9202 HCPCS Goserelin 3.6 Mg Subcutaneous Implant 73 20 $3,948.23 $2,961.17 25% off $1.00 $9,953.95 $2,763.76 2026-04-01
J1670 HCPCS Tetanus Immune Globulin (pf) 250 Unit/ml Intramuscular Syringe 66 21 $4,837.30 $3,627.97 25% off $677.22 $4,740.55 $2,733.07 2026-04-01
J9380 HCPCS Teclistamab-cqyv 10 Mg/ml Subcutaneous Solution 77 20 $3,592.11 $2,694.08 25% off $1.00 $25,840.94 $2,694.08 2026-04-01
J9330 HCPCS Temsirolimus 30 Mg/3 Ml (10 Mg/ml) (first Dilution) Intravenous Soln 130 22 $4,317.66 $3,238.25 25% off $1.00 $4,193.93 $2,632.85 2026-04-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 37 18 $4,630.44 $3,472.83 25% off $1.15 $3,704.36 $2,616.20 2026-04-01
90375 CPT Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution 194 22 $4,664.50 $3,498.38 25% off $1.00 $4,577.31 $2,598.13 2026-04-01
42023-157-01 NDC Ethacrynate Sodium 50 Mg Intravenous Solution 50 19 $4,207.52 $3,155.64 25% off $1.30 $3,366.02 $2,587.62 2026-04-01
J9204 HCPCS Mogamulizumab-kpkc 4 Mg/ml Intravenous Solution 38 16 $3,964.18 $2,973.14 25% off $594.63 $3,567.76 $2,507.34 2026-04-01
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 86 21 $3,616.29 $2,712.22 25% off $228.55 $3,657.83 $2,459.08 2026-04-01
J9217 HCPCS Leuprolide 30 Mg (4 Month) Intramuscular Syringe Kit 152 22 $4,032.47 $3,024.35 25% off $1.00 $7,895.16 $2,419.53 2026-04-01
J2357 HCPCS Omalizumab 150 Mg/ml Subcutaneous Syringe 131 21 $4,363.39 $3,272.54 25% off $0.06 $4,297.95 $2,412.11 2026-04-01
99999-002-33 NDC Lactulose 200 G/1000 Ml Rectal Enema - Compounded 2 2 $0.01 — $2,410.32 $2,410.32 $2,410.32 2026-04-01
0121-1154-00 NDC Lactulose 20 Gram/30 Ml Oral Solution 3 2 $0.01 — $2,410.32 $18,827.00 $2,410.32 2026-04-01
J7504 HCPCS Anti-thymocyte Glob (equine) 50 Mg/ml IV Inj 76 18 $4,207.23 $3,155.42 25% off $589.01 $4,123.09 $2,360.26 2026-04-01
63459-912-15 NDC Tbo-filgrastim 480 Mcg/0.8 Ml Subcutaneous Syringe 29 16 $3,704.00 $2,778.00 25% off $234.09 $3,629.92 $2,333.52 2026-04-01
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 44 20 $3,578.86 $2,684.14 25% off $0.13 $3,507.28 $2,299.41 2026-04-01
J9179 HCPCS Eribulin 1 Mg/2 Ml (0.5 Mg/ml) Intravenous Solution 38 17 $3,435.36 $2,576.52 25% off $1.00 $3,091.82 $2,266.31 2026-04-01
71449-096-42 NDC Moxifloxacin (pf) 1 Mg/ml In Balanced Salt Solution No.2 Intracameral 43 18 $4,000.00 $3,000.00 25% off $1.15 $3,920.00 $2,260.00 2026-04-01
45802-486-78 NDC Docusate Sodium 100 Mg Capsule 4 3 $0.02 — $1.30 $3,999.21 $2,253.43 2026-04-01
J2941 HCPCS Somatropin 10 Mg/2 Ml (5 Mg/ml) Subcutaneous Pen Injector 47 19 $4,452.10 $3,339.08 25% off $1.00 $4,363.06 $2,226.05 2026-04-01
J1451 HCPCS Fomepizole 1 Gram/ml Intravenous Solution 127 22 $3,454.13 $2,590.60 25% off $1.15 $3,587.58 $2,176.10 2026-04-01
J0129 HCPCS Abatacept (with Maltose) 250 Mg Intravenous Solution 36 15 $3,846.70 $2,885.02 25% off $1,077.08 $3,769.77 $2,173.39 2026-04-01
0002-1433-80 NDC Dulaglutide 0.75 Mg/0.5 Ml Subcutaneous Pen Injector 34 18 $3,890.40 $2,917.80 25% off $245.87 $3,112.32 $2,153.34 2026-04-01
J1410 HCPCS Conjugated Estrogens 25 Mg Solution For Injection 49 17 $3,139.70 $2,354.77 25% off $470.95 $2,825.73 $2,135.00 2026-04-01
39822-0151-1 NDC Liothyronine 10 Mcg/ml Intravenous Solution 45 19 $3,168.80 $2,376.60 25% off $11.45 $3,105.42 $2,123.10 2026-04-01
J9034 HCPCS Bendeka 25 Mg/ml Intravenous Solution 38 16 $3,382.77 $2,537.07 25% off $1.00 $3,315.11 $2,122.68 2026-04-01
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 35 15 $3,110.00 $2,332.50 25% off $466.50 $3,047.80 $2,114.80 2026-04-01
63459-912-12 NDC Tbo-filgrastim 480 Mcg/0.8 Ml Subcutaneous Syringe 43 20 $3,704.00 $2,778.00 25% off $239.72 $3,629.92 $2,092.76 2026-04-01
71334-100-01 NDC Ivosidenib 250 Mg Tablet 39 18 $3,074.50 $2,305.88 25% off $1.10 $2,521.09 $2,075.29 2026-04-01
63459-912-11 NDC Tbo-filgrastim 480 Mcg/0.8 Ml Subcutaneous Syringe 41 17 $3,704.00 $2,778.00 25% off $1.00 $3,629.92 $2,063.13 2026-04-01
J9022 HCPCS Atezolizumab 840 Mg/14 Ml (60 Mg/ml) Intravenous Solution 76 18 $2,928.75 $2,196.56 25% off $1.15 $4,101.96 $2,006.19 2026-04-01
68382-092-05 NDC Carvedilol 3.125 Mg Tablet 4 4 $0.01 — $1.00 $3,999.21 $2,000.15 2026-04-01
0904-7375-61 NDC Meclizine 12.5 Mg Tablet 4 4 $0.01 — $1.00 $8,108.00 $2,000.11 2026-04-01
J2760 HCPCS Phentolamine 5 Mg Injection Solution 90 21 $2,934.90 $2,201.17 25% off $1.00 $3,235.36 $1,981.06 2026-04-01
J0714 HCPCS Ceftazidime-avibactam 2.5 Gram Intravenous Solution 76 21 $3,358.26 $2,518.70 25% off $1.15 $3,291.09 $1,972.98 2026-04-01
0338-4302-04 NDC Thrombin(human)-fibrinogen-aprotinin Synthetc-calcium 4 Ml Topical Kit 44 18 $3,005.80 $2,254.35 25% off $1.30 $2,705.22 $1,932.72 2026-04-01
J9061 HCPCS Amivantamab-vmjw 50 Mg/ml Intravenous Solution 94 22 $3,413.06 $2,559.80 25% off $1.00 $3,344.80 $1,928.38 2026-04-01
J1442 HCPCS Filgrastim 300 Mcg/ml Injection Solution 186 22 $3,066.55 $2,299.91 25% off $0.36 $4,268.76 $1,907.45 2026-04-01
68803-722-25 NDC C.i. Acid Blue 90 0.025 % Intraocular Syringe 40 14 $2,948.00 $2,211.00 25% off $825.44 $2,889.04 $1,902.93 2026-04-01
0078-0698-99 NDC Midostaurin 25 Mg Capsule 47 17 $2,937.12 $2,202.84 25% off $1.15 $2,878.38 $1,865.07 2026-04-01
J9173 HCPCS Durvalumab 50 Mg/ml Intravenous Solution 80 21 $3,257.56 $2,443.17 25% off $0.81 $2,931.80 $1,840.52 2026-04-01
90870 CPT Hc Electroconvulsive Therapy1 Seiz 43 19 $2,721.00 $2,040.75 25% off $1.00 $2,666.58 $1,836.68 2026-04-01
J3090 HCPCS Tedizolid 200 Mg Intravenous Solution 137 22 $3,040.27 $2,280.20 25% off $1.15 $2,979.46 $1,816.11 2026-04-01
0121-1154-30 NDC Lactulose 20 Gram/30 Ml Oral Solution 4 4 $0.01 — $285.43 $7,563.64 $1,800.79 2026-04-01
68803-722-05 NDC C.i. Acid Blue 90 0.025 % Intraocular Syringe 46 18 $2,948.00 $2,211.00 25% off $1.00 $2,889.04 $1,731.95 2026-04-01
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 54 20 $2,579.32 $1,934.49 25% off $386.90 $2,527.74 $1,726.08 2026-04-01
63323-659-03 NDC Indomethacin 1 Mg Intravenous Solution 47 19 $2,663.60 $1,997.70 25% off $111.88 $2,610.33 $1,691.39 2026-04-01
66658-234-07 NDC Anakinra 100 Mg/0.67 Ml Subcutaneous Syringe 44 17 $2,746.57 $2,059.93 25% off $769.04 $2,691.64 $1,689.14 2026-04-01
J9120 HCPCS Dactinomycin 0.5 Mg Intravenous Solution 167 22 $2,974.01 $2,230.51 25% off $1.00 $3,984.31 $1,680.32 2026-04-01
59676-320-04 NDC Epoetin Alfa 20000 Unit/ml Injection Solution 46 18 $2,501.45 $1,876.09 25% off $158.09 $2,451.42 $1,659.46 2026-04-01
0009-0856-05 NDC Carboprost Tromethamine 250 Mcg/ml Intramuscular Solution 43 17 $2,493.98 $1,870.48 25% off $1.00 $2,244.58 $1,636.05 2026-04-01
7050101712 NDC Salicylic Acid 2 % Topical Cleanser 3 3 $0.02 — $893.98 $22,634.00 $1,609.17 2026-04-01
42747-726-01 NDC Granisetron 3.1 Mg/24 Hour Weekly Transdermal Patch 40 17 $2,838.05 $2,128.54 25% off $1.00 $2,327.20 $1,582.22 2026-04-01
63323-167-21 NDC Carboplatin 150 Mg Intravenous Solution 39 16 $2,580.00 $1,935.00 25% off $135.12 $2,115.60 $1,573.80 2026-04-01
99999-006-30 NDC Sodium Chloride 0.9 % IV Bolus Syringe (neo) 4 3 $0.01 — $1.00 $6,745.36 $1,546.73 2026-04-01
90677 CPT Pneumococcal 20-valent Conj Vaccine-dip Crm (pf) 0.5 Ml IM Syringe 114 19 $2,348.30 $1,761.23 25% off $1.00 $2,301.33 $1,533.87 2026-04-01
0904-6985-16 NDC Diphenhydramine 12.5 Mg/5 Ml Oral Liquid (wrapper) 3 3 $0.01 — $785.56 $1,973.80 $1,531.84 2026-04-01
J9311 HCPCS Rituximab 1600 Mg/13.4 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln 95 21 $3,814.14 $2,860.60 25% off $1.00 $3,737.85 $1,525.65 2026-04-01
J9299 HCPCS Nivolumab 120 Mg/12 Ml Intravenous Solution 165 22 $2,498.01 $1,873.51 25% off $1.00 $2,448.05 $1,523.79 2026-04-01
0009-0856-08 NDC Carboprost Tromethamine 250 Mcg/ml Intramuscular Solution 41 17 $2,493.98 $1,870.48 25% off $1.00 $2,444.10 $1,521.33 2026-04-01
J2212 HCPCS Methylnaltrexone 12 Mg/0.6 Ml Subcutaneous Solution (wrapper) 120 21 $2,355.00 $1,766.25 25% off $1.00 $2,311.05 $1,496.45 2026-04-01
55566-2800-0 NDC Dinoprostone ER 10 Mg Vaginal Insertcontrolled Release 35 17 $2,210.90 $1,658.17 25% off $1.10 $2,166.68 $1,492.36 2026-04-01
0186-0916-12 NDC Budesonide 180 Mcg/actuation Breath Activated Powder Inhaler 49 18 $2,353.80 $1,765.35 25% off $1.15 $1,930.12 $1,482.89 2026-04-01
J0791 HCPCS Crizanlizumab-tmca 10 Mg/ml Intravenous Solution 47 18 $2,452.94 $1,839.70 25% off $1.15 $2,207.65 $1,471.76 2026-04-01
0078-0698-51 NDC Midostaurin 25 Mg Capsule 43 19 $2,937.12 $2,202.84 25% off $1.00 $2,643.41 $1,468.56 2026-04-01
J0742 HCPCS Imipenem-cilastatin-relebactam 1.25 Gram Intravenous Solution 75 19 $2,596.77 $1,947.58 25% off $1.10 $2,544.84 $1,467.18 2026-04-01
8544636981 NDC Sodium Hyaluronate 10 Mg/ml Intraocular Syringe (healon Pro) 46 18 $2,247.76 $1,685.82 25% off $4.61 $2,202.81 $1,459.25 2026-04-01
59584-138-01 NDC Candida Albicans Skin Test Fda Standard Intradermal 42 17 $2,232.00 $1,674.00 25% off $1.00 $2,187.36 $1,439.64 2026-04-01
99999-007-09 NDC Docusate Sodium 50 Mg/5 Ml Oral Liquid 2 2 $0.02 — $1.00 $2,865.05 $1,433.03 2026-04-01
J9205 HCPCS Irinotecan Liposomal 4.3 Mg/ml Intravenous 37 18 $2,351.10 $1,763.33 25% off $352.67 $2,304.08 $1,410.66 2026-04-01
43598-698-11 NDC Carboprost Tromethamine 250 Mcg/ml Intramuscular Solution 37 18 $2,109.60 $1,582.20 25% off $1.30 $2,067.41 $1,399.51 2026-04-01
66215-501-15 NDC Macitentan 10 Mg Tablet 43 19 $2,275.03 $1,706.27 25% off $143.78 $2,229.53 $1,387.77 2026-04-01
55566-2800-1 NDC Dinoprostone ER 10 Mg Vaginal Insertcontrolled Release 43 18 $2,210.90 $1,658.17 25% off $119.86 $2,166.68 $1,370.76 2026-04-01
J3240 HCPCS Thyrotropin Alfa 0.9 Mg Intramuscular Solution 46 21 $2,205.95 $1,654.46 25% off $617.67 $2,161.83 $1,345.63 2026-04-01
67877-636-33 NDC Tolvaptan 30 Mg Tablet 41 16 $1,986.13 $1,489.60 25% off $1.00 $1,946.41 $1,340.64 2026-04-01
80777-102-95 NDC Covid Vac 2023-24 (12yr And Up)(andusomeran)(pf) 50 Mcg/0.5 Ml IM Susp 46 19 $1,969.92 $1,477.44 25% off $1.15 $3,347.87 $1,339.55 2026-04-01
0003-0524-11 NDC Dasatinib 70 Mg Tablet 41 18 $2,017.58 $1,513.19 25% off $302.64 $1,614.07 $1,338.47 2026-04-01
72511-760-02 NDC Evolocumab 140 Mg/ml Subcutaneous Pen Injector 38 15 $2,531.40 $1,898.55 25% off $379.71 $2,278.26 $1,328.99 2026-04-01
J0202 HCPCS Alemtuzumab 30 Mg/ml Intravenous Solution 119 22 $1,765.00 $1,323.75 25% off $1.00 $118,072.56 $1,323.75 2026-04-01
J1190 HCPCS Dexrazoxane Hcl 500 Mg Intravenous Solution 122 22 $1,999.37 $1,499.53 25% off $1.10 $3,811.68 $1,277.09 2026-04-01
67919-041-05 NDC Tedizolid 200 Mg Tablet 43 18 $2,017.59 $1,513.19 25% off $1.00 $1,815.83 $1,271.08 2026-04-01
Q5103 HCPCS Infliximab-dyyb 100 Mg Intravenous Solution 39 19 $1,930.32 $1,447.74 25% off $289.55 $1,891.71 $1,264.36 2026-04-01
J2265 HCPCS Minocycline 100 Mg Intravenous Solution 71 20 $2,103.85 $1,577.89 25% off $1.00 $1,893.47 $1,262.31 2026-04-01
50242-064-01 NDC Erlotinib 150 Mg Tablet 43 18 $2,197.36 $1,648.02 25% off $16.61 $2,153.42 $1,241.51 2026-04-01
48878-0620-3 NDC Chlorhexidine Gluconate 0.12 % Mouthwash 3 3 $0.01 — $625.89 $2,796.48 $1,220.49 2026-04-01
23155-049-01 NDC Felodipine ER 5 Mg Tabletextended Release 24 Hr 1 1 $0.01 — $1,220.49 $1,220.49 $1,220.49 2026-04-01
J1571 HCPCS Hepatitis B Immune Globulin-maltose >312 Unit/ml Injection Solution 78 19 $2,033.50 $1,525.13 25% off $1.00 $1,830.15 $1,205.87 2026-04-01
J2690 HCPCS Procainamide 500 Mg/ml Injection Solution 126 22 $2,411.06 $1,808.30 25% off $1.30 $2,362.84 $1,205.53 2026-04-01
J2186 HCPCS Meropenem-vaborbactam 2 Gram Intravenous Solution 83 20 $1,794.60 $1,345.95 25% off $251.24 $1,615.14 $1,202.38 2026-04-01
J0699 HCPCS Cefiderocol 1 Gram Intravenous Solution 71 19 $1,885.70 $1,414.27 25% off $0.03 $1,847.99 $1,197.42 2026-04-01
43598-698-58 NDC Carboprost Tromethamine 250 Mcg/ml Intramuscular Solution 39 14 $2,109.60 $1,582.20 25% off $1.00 $1,687.68 $1,191.92 2026-04-01
0121-1154-40 NDC Lactulose 20 Gram/30 Ml Oral Solution 3 3 $0.01 — $1.00 $1,191.26 $1,191.26 2026-04-01
69374-302-10 NDC Phenylephrine 1 Mg/10 Ml (100 Mcg/ml) In 0.9 % Sodium Chloride IV 2 2 $0.01 — $1,191.26 $1,191.26 $1,191.26 2026-04-01
69097-846-07 NDC Cyclobenzaprine 10 Mg Tablet 1 1 $0.02 — $1,185.44 $1,185.44 $1,185.44 2026-04-01
5789687601 NDC Cholecalciferol (vitamin D3) 25 Mcg (1000 Unit) Tablet 1 1 $0.02 — $1,185.44 $1,185.44 $1,185.44 2026-04-01
J1447 HCPCS Tbo-filgrastim 300 Mcg/0.5 Ml Subcutaneous Syringe 120 22 $1,851.60 $1,388.70 25% off $1.00 $1,814.57 $1,175.73 2026-04-01
Q9968 HCPCS Isosulfan Blue 1 % Subcutaneous Solution 86 22 $1,942.41 $1,456.81 25% off $0.60 $1,903.56 $1,175.15 2026-04-01
90670 CPT Pneumococcal 13-val Conj Vaccine-dip Crm (pf) 0.5 Ml IM Syringe 123 21 $2,062.44 $1,546.83 25% off $0.13 $2,081.52 $1,165.28 2026-04-01
0069-2362-10 NDC Covid Vac 2023-24 (12 Yrs And Up) (raxtozin)(pf) 30 Mcg/0.3 Ml IM Susp 42 17 $1,897.50 $1,423.13 25% off $1.30 $1,518.00 $1,147.99 2026-04-01
J1745 HCPCS Infliximab 100 Mg Intravenous Solution 41 16 $2,019.04 $1,514.28 25% off $119.86 $1,978.66 $1,140.76 2026-04-01
61269-509-06 NDC Budesonide 90 Mcg/actuation Breath Activated Powder Inhaler 44 20 $1,817.30 $1,362.98 25% off $114.85 $1,780.95 $1,140.36 2026-04-01
J9353 HCPCS Margetuximab-cmkb 25 Mg/ml Intravenous Solution 114 21 $1,798.53 $1,348.90 25% off $1.15 $2,316.84 $1,133.07 2026-04-01
70000-0531-1 NDC Selenium Sulfide 1 % Shampoo 1 1 $0.01 — $1,126.60 $1,126.60 $1,126.60 2026-04-01
8065183905 NDC Chondroitin-sod Hyaluron 4 %-3 % (40 Mg-30 Mg/ml) Intraocular Syringe 44 18 $1,771.00 $1,328.25 25% off $247.94 $1,416.80 $1,124.59 2026-04-01
0069-2392-10 NDC Covid Vac 2023-24 (12 Yr Up) (raxtozin) (pf) 30 Mcg/0.3 Ml IM Syringe 43 15 $1,980.00 $1,485.00 25% off $1.00 $1,782.00 $1,102.86 2026-04-01
0003-0528-11 NDC Dasatinib 50 Mg Tablet 36 18 $1,776.99 $1,332.74 25% off $1.15 $2,262.40 $1,083.97 2026-04-01
J1566 HCPCS Immune Glob G (gammagard S/d) 5 % Intravenous Soln (wrapper) 155 22 $2,811.10 $2,108.33 25% off $1.00 $2,529.99 $1,067.44 2026-04-01
68547-111-10 NDC Sulbactam 1 Gram-durlobactam 1 Gram (0.5 Gram X2) Intravenous Solution 52 20 $1,583.33 $1,187.50 25% off $1.00 $1,551.67 $1,055.61 2026-04-01
58160-959-01 NDC Meningoco Cyw-135 Vacc 1 Of 2(pf) 5 Mcg X3/0.5 Ml(final) IM Solution 33 15 $1,886.70 $1,415.02 25% off $1.00 $1,848.97 $1,050.89 2026-04-01
J0712 HCPCS Ceftaroline Fosamil 400 Mg Intravenous Solution 161 22 $1,706.47 $1,279.85 25% off $0.71 $1,704.52 $1,040.95 2026-04-01
8065183975 NDC Chondroitin-sod Hyaluron 4 %-3 % (40 Mg-30 Mg/ml) Intraocular Syringe 47 20 $1,692.27 $1,269.20 25% off $253.84 $1,523.04 $1,032.28 2026-04-01
Q5104 HCPCS Infliximab-abda 100 Mg Intravenous Solution 87 21 $1,521.04 $1,140.78 25% off $1.00 $1,490.62 $1,026.70 2026-04-01
0121-0873-16 NDC Lactulose 10 Gram/15 Ml Oral Solution 2 2 $0.01 — $1.30 $2,034.14 $1,017.72 2026-04-01
J1430 HCPCS Ethanolamine Oleate 5 % Intravenous Solution 36 21 $2,026.65 $1,519.99 25% off $128.08 $1,823.99 $1,013.33 2026-04-01
60793-217-20 NDC Thrombin (bovine) 20000 Unit Topical Solution 48 18 $1,595.30 $1,196.48 25% off $1.15 $1,308.15 $1,009.03 2026-04-01
99999-013-40 NDC Ceftaroline 10 Mg/1 Ml Injection Solution (neo/ped) 38 15 $1,706.47 $1,279.85 25% off $0.71 $1,535.82 $998.28 2026-04-01
0186-0917-06 NDC Budesonide 90 Mcg/actuation Breath Activated Powder Inhaler 39 19 $1,764.50 $1,323.38 25% off $1.15 $1,729.21 $996.94 2026-04-01
67457-913-02 NDC Remifentanil 2 Mg Intravenous Solution 42 18 $1,470.97 $1,103.23 25% off $1.30 $1,176.78 $992.90 2026-04-01
99999-013-67 NDC Dasatinib 100 Mg/30 Ml Oral Suspension - Compounded 40 20 $1,776.99 $1,332.74 25% off $248.78 $1,599.29 $990.67 2026-04-01
58160-976-02 NDC Meningococcal B Vac4-cmp 50 Mcg-50 Mcg-50 Mcg-25 Mcg/0.5ml IM Syringe 46 17 $1,517.98 $1,138.48 25% off $1.00 $1,487.62 $990.48 2026-04-01
0904-6455-61 NDC Docusate Sodium 100 Mg Capsule 7 6 $0.03 — $0.03 $23,240.00 $989.90 2026-04-01
63323-351-20 NDC Rifampin 600 Mg Intravenous Solution 36 19 $1,529.90 $1,147.43 25% off $96.69 $1,499.30 $986.79 2026-04-01
0078-0698-02 NDC Midostaurin 25 Mg Capsule 41 18 $1,468.56 $1,101.42 25% off $1.00 $1,439.19 $963.38 2026-04-01
J1300 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 45 16 $1,413.32 $1,059.99 25% off $395.73 $1,385.05 $946.92 2026-04-01
72000-310-06 NDC Tedizolid 200 Mg Tablet 41 18 $1,549.96 $1,162.47 25% off $1.00 $1,239.97 $945.47 2026-04-01
90675 CPT Rabies Vaccine Purified Chicken Embryo Cell (pf) 2.5 Unit IM Susp 135 22 $1,432.05 $1,074.04 25% off $0.83 $1,495.30 $937.99 2026-04-01
68803-612-10 NDC Trypan Blue 0.06 % Intraocular Syringe 44 21 $1,461.46 $1,096.09 25% off $1.00 $1,432.23 $928.03 2026-04-01
58160-827-30 NDC Meningococcal Vac Acyw-135 Dip(pf) 10 Mcg-5 Mcg/0.5 Ml IM Solution 34 13 $1,364.46 $1,023.34 25% off $1.15 $1,228.01 $924.42 2026-04-01
8065183150 NDC Chondroitin-sod Hyaluron 3 %-4 %(0.5 Ml)1 %(0.55 Ml)intraocular Syring 41 18 $1,390.86 $1,043.14 25% off $413.08 $1,112.69 $912.40 2026-04-01
10122-510-01 NDC Poractant Alfa 120 Mg/1.5 Ml Intratracheal Suspension 38 16 $1,488.03 $1,116.02 25% off $94.04 $6,868.48 $900.26 2026-04-01
50228-124-05 NDC Clopidogrel 75 Mg Tablet 2 2 $0.01 — $535.53 $1,254.01 $894.77 2026-04-01
58160-827-03 NDC Meningococcal Vac Acyw-135 Dip(pf) 10 Mcg-5 Mcg/0.5 Ml IM Solution 45 17 $1,364.46 $1,023.34 25% off $204.67 $1,228.01 $893.72 2026-04-01
54288-105-02 NDC Ethyl Alcohol 99 % Intra-arterial Solution 36 18 $1,506.34 $1,129.75 25% off $1.15 $1,476.21 $877.44 2026-04-01
0469-0725-60 NDC Enzalutamide 80 Mg Tablet 54 19 $1,408.33 $1,056.25 25% off $89.01 $1,267.50 $876.68 2026-04-01
65862-193-01 NDC Fluoxetine 20 Mg Capsule 4 4 $0.02 — $1.00 $1,220.49 $876.24 2026-04-01
81033-025-01 NDC Lidocaine-prilocaine 2.5 %-2.5 % Topical Cream 45 18 $1,377.80 $1,033.35 25% off $1.00 $1,350.24 $868.01 2026-04-01
53276-1010-02 NDC Microfibrillar Collagen Hemostat Powder 44 21 $1,640.48 $1,230.36 25% off $1.30 $1,607.67 $867.00 2026-04-01
J0585 HCPCS Onabotulinumtoxina 100 Unit Solution For Injection 134 22 $1,254.28 $940.71 25% off $1.00 $2,282.40 $863.85 2026-04-01
10122-510-03 NDC Poractant Alfa 240 Mg/3 Ml Intratracheal Suspension 39 21 $1,435.08 $1,076.31 25% off $1.30 $1,105.01 $861.05 2026-04-01
0005-0100-05 NDC N.meningitidis Group Blipid Fhbp 120 Mcg/0.5 Ml Intramuscular Syringe 35 16 $1,522.00 $1,141.50 25% off $96.19 $1,491.56 $859.93 2026-04-01
58160-976-20 NDC Meningococcal B Vac4-cmp 50 Mcg-50 Mcg-50 Mcg-25 Mcg/0.5ml IM Syringe 44 18 $1,517.98 $1,138.48 25% off $95.94 $1,214.38 $857.66 2026-04-01
54288-105-15 NDC Ethyl Alcohol 99 % Intra-arterial Solution 31 15 $1,506.34 $1,129.75 25% off $225.95 $1,235.20 $851.08 2026-04-01
78206-114-01 NDC Mometasone 220 Mcg/actuation(120 Doses)breath Activated Powder Inhaler 42 20 $1,520.70 $1,140.52 25% off $1.00 $1,246.97 $847.03 2026-04-01
J3300 HCPCS Triamcinolone Acetonide (pf) 40 Mg/ml Intraocular Suspension 38 19 $1,385.20 $1,038.90 25% off $1.00 $1,108.16 $844.97 2026-04-01
8065183085 NDC Sodium Hyaluronate 10 Mg/ml Intraocular Syringe (provisc) 43 17 $1,370.35 $1,027.76 25% off $1.95 $1,342.95 $835.92 2026-04-01
J0256 HCPCS Alpha-1-proteinase Inhibitor (human) 1000 Mg (+/-)/20 Ml IV Solution 129 22 $1,737.85 $1,303.39 25% off $0.39 $1,703.09 $832.60 2026-04-01
J7612 HCPCS Levalbuterol Concentrate 1.25 Mg/0.5 Ml Solution For Nebulization 33 11 $1,341.60 $1,006.20 25% off $1.15 $1,100.11 $831.79 2026-04-01
14789-011-01 NDC Isoproterenol 0.2 Mg/ml Injection Solution 44 19 $1,363.30 $1,022.48 25% off $0.42 $1,226.97 $831.61 2026-04-01
0904-7284-54 NDC Mupirocin 2 % Topical Ointment 4 3 $0.01 — $1.30 $3,317.49 $830.02 2026-04-01
J7315 HCPCS Mitomycin 0.2 Mg Ophthalmic Kit 43 20 $1,358.50 $1,018.88 25% off $203.78 $1,222.65 $828.68 2026-04-01
67877-636-02 NDC Tolvaptan 30 Mg Tablet 50 18 $1,654.76 $1,241.07 25% off $1.00 $1,489.28 $827.38 2026-04-01
Q5107 HCPCS Bevacizumab-awwb 25 Mg/ml Intravenous Solution 84 22 $1,305.22 $978.92 25% off $1.00 $1,279.12 $819.03 2026-04-01
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