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.

Slice
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
             
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
0904-6455-61 NDC Docusate Sodium 100 Mg Capsule 7 6 $0.03 — $0.03 $23,240.00 $989.90 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
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
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
0904-7284-54 NDC Mupirocin 2 % Topical Ointment 4 3 $0.01 — $1.30 $3,317.49 $830.02 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
45802-486-78 NDC Docusate Sodium 100 Mg Capsule 4 3 $0.02 — $1.30 $3,999.21 $2,253.43 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
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
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
50228-124-05 NDC Clopidogrel 75 Mg Tablet 2 2 $0.01 — $535.53 $1,254.01 $894.77 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
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
50268-724-11 NDC Sotalol 80 Mg Tablet 4 3 $0.01 — $879.92 $109,099.82 $17,274.56 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
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
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
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
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
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
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
5615114701 NDC Lancets 33 Gauge 1 1 $0.01 — $18,662.11 $18,662.11 $18,662.11 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
65862-193-01 NDC Fluoxetine 20 Mg Capsule 4 4 $0.02 — $1.00 $1,220.49 $876.24 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
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
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
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
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
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
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
68382-092-01 NDC Carvedilol 3.125 Mg Tablet 5 5 $0.02 — $1.61 $3,999.21 $3,399.33 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
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
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
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
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
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
69097-846-07 NDC Cyclobenzaprine 10 Mg Tablet 1 1 $0.02 — $1,185.44 $1,185.44 $1,185.44 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
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
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
70000-0531-1 NDC Selenium Sulfide 1 % Shampoo 1 1 $0.01 — $1,126.60 $1,126.60 $1,126.60 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
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
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
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
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
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
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
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
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
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
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
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
8068112800 NDC Cyanocobalamin (vit B-12) 500 Mcg Tablet 2 1 $0.02 — $1.00 $13,282.00 $6,641.50 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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