|
Q2055
|
HCPCS
|
Abecma 300x10exp6 To 460x10exp6 Cell Intravenous Suspension
|
21
|
5
|
$47,847.16
|
$31,100.65
35% off
|
$2,631.60
|
$47,847.16
|
$8,612.50
|
2025-06-28
|
|
J0801
|
HCPCS
|
Acthar H.p. 80 Unit/ml Injection Gel
|
25
|
6
|
$21,514.50
|
$13,984.43
35% off
|
$4,475.02
|
$32,618.88
|
$12,721.36
|
2025-06-28
|
|
J9216
|
HCPCS
|
Actimmune 100 Mcg (2 Million Unit)/0.5 Ml Subcutaneous Solution
|
14
|
6
|
$40,606.35
|
$26,394.13
35% off
|
$8,446.12
|
$40,606.35
|
$18,248.90
|
2025-06-28
|
|
C9399
|
HCPCS
|
Adbry 150 Mg/ml Subcutaneous Syringe
|
182
|
6
|
$3,662.43
|
$2,380.58
35% off
|
$9.45
|
$3,140,640.00
|
$2,380.58
|
2025-06-28
|
|
J9042
|
HCPCS
|
Adcetris 50 Mg Intravenous Solution
|
27
|
14
|
$58,560.00
|
$38,064.00
35% off
|
$239.86
|
$58,560.00
|
$419.76
|
2025-06-28
|
|
J9029
|
HCPCS
|
Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension
|
27
|
14
|
$72,000.00
|
$46,800.00
35% off
|
$25,200.00
|
$244,495.79
|
$65,888.96
|
2025-06-28
|
|
J3031
|
HCPCS
|
Ajovy Syringe 225 Mg/1.5 Ml Subcutaneous
|
14
|
6
|
$1,759.59
|
$1,143.73
35% off
|
$365.99
|
$1,759.59
|
$677.44
|
2025-06-28
|
|
6302018030
|
NDC
|
Alunbrig 180 Mg Tablet
|
14
|
6
|
$1,663.44
|
$1,081.24
35% off
|
$346.00
|
$1,663.44
|
$640.42
|
2025-06-28
|
|
6302009030
|
NDC
|
Alunbrig 90 Mg Tablet
|
14
|
6
|
$1,663.44
|
$1,081.24
35% off
|
$346.00
|
$1,663.44
|
$640.42
|
2025-06-28
|
|
J0225
|
HCPCS
|
Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe
|
27
|
14
|
$859,327.20
|
$558,562.68
35% off
|
$4,926.00
|
$859,327.20
|
$8,620.50
|
2025-06-28
|
|
7019902611
|
NDC
|
Aquasol A 50000 Unit/ml Intramuscular Solution
|
14
|
6
|
$1,293.75
|
$840.94
35% off
|
$269.10
|
$1,293.75
|
$498.10
|
2025-06-28
|
|
J0881
|
HCPCS
|
Aranesp 25 Mcg/ml (in Polysorbate) Injection
|
54
|
14
|
$696.60
|
$452.79
35% off
|
$3.04
|
$13,932.00
|
$1,040.59
|
2025-06-28
|
|
J1944
|
HCPCS
|
Aristada 441 Mg/1.6 Ml Suspension Extend.rel. IM Syringe
|
41
|
14
|
$3,579.75
|
$2,326.84
35% off
|
$3.23
|
$3,582.48
|
$1,038.20
|
2025-06-28
|
|
J9118
|
HCPCS
|
Asparlas 750 Unit/ml Intravenous Solution
|
14
|
6
|
$20,906.01
|
$13,588.91
35% off
|
$112.76
|
$20,906.01
|
$5,832.77
|
2025-06-28
|
|
A9588
|
HCPCS
|
Axumin 10 Mci (370 Mbq) Intravenous Solution
|
28
|
14
|
$9,888.00
|
$6,427.20
35% off
|
$268.42
|
$8,899.20
|
$516.71
|
2025-06-28
|
|
7206411030
|
NDC
|
Ayvakit 100 Mg Tablet
|
14
|
6
|
$3,266.96
|
$2,123.52
35% off
|
$679.53
|
$3,266.96
|
$1,257.78
|
2025-06-28
|
|
7206412030
|
NDC
|
Ayvakit 200 Mg Tablet
|
14
|
6
|
$3,266.96
|
$2,123.52
35% off
|
$679.53
|
$3,266.96
|
$1,257.78
|
2025-06-28
|
|
7206412530
|
NDC
|
Ayvakit 25 Mg Tablet
|
14
|
6
|
$3,266.96
|
$2,123.52
35% off
|
$679.53
|
$3,266.96
|
$1,257.78
|
2025-06-28
|
|
7206413030
|
NDC
|
Ayvakit 300 Mg Tablet
|
14
|
6
|
$3,266.96
|
$2,123.52
35% off
|
$679.53
|
$3,266.96
|
$1,257.78
|
2025-06-28
|
|
7206415030
|
NDC
|
Ayvakit 50 Mg Tablet
|
14
|
6
|
$3,266.96
|
$2,123.52
35% off
|
$679.53
|
$3,266.96
|
$1,257.78
|
2025-06-28
|
|
6840311006
|
NDC
|
Babybig 100 Mg Intravenous Solution
|
14
|
6
|
$51,570.00
|
$33,520.50
35% off
|
$10,726.56
|
$51,570.00
|
$19,854.45
|
2025-06-28
|
|
J0490
|
HCPCS
|
Benlysta 200 Mg/ml Subcutaneous Auto-injector
|
41
|
14
|
$5,985.32
|
$3,890.46
35% off
|
$54.15
|
$10,155.36
|
$892.71
|
2025-06-28
|
|
J1830
|
HCPCS
|
Betaseron 0.3 Mg Subcutaneous Kit
|
14
|
6
|
$2,558.01
|
$1,662.71
35% off
|
$532.07
|
$2,558.01
|
$1,128.67
|
2025-06-28
|
|
7144909143
|
NDC
|
Bevacizumab 2.5 Mg/0.1 Ml Intravitreal Syringe
|
14
|
6
|
$2,592.00
|
$1,684.80
35% off
|
$539.14
|
$2,592.00
|
$997.92
|
2025-06-28
|
|
7144909190
|
NDC
|
Bevacizumab 2.75 Mg/0.11 Ml Intravitreal Syringe
|
14
|
6
|
$2,814.54
|
$1,829.45
35% off
|
$585.42
|
$2,814.54
|
$1,083.60
|
2025-06-28
|
|
90620
|
HCPCS
|
Bexsero 50 Mcg-50 Mcg-50 Mcg-25 Mcg/0.5 Ml Intramuscular Syringe
|
14
|
6
|
$1,701.90
|
$1,106.24
35% off
|
$354.00
|
$1,701.90
|
$601.62
|
2025-06-28
|
|
90381
|
HCPCS
|
Beyfortus 100 Mg/ml Intramuscular Syringe
|
14
|
6
|
$1,871.10
|
$1,216.22
35% off
|
$389.19
|
$1,871.10
|
$863.88
|
2025-06-28
|
|
90380
|
HCPCS
|
Beyfortus 50 Mg/0.5 Ml Intramuscular Syringe
|
14
|
6
|
$3,742.20
|
$2,432.43
35% off
|
$778.38
|
$3,742.20
|
$1,322.87
|
2025-06-28
|
|
J9050
|
HCPCS
|
Bicnu 100 Mg Intravenous Solution
|
31
|
14
|
$18,867.76
|
$12,264.04
35% off
|
$254.79
|
$18,867.76
|
$562.68
|
2025-06-28
|
|
J0583
|
HCPCS
|
Bivalirudin 250 Mg Intravenous Powder For Solution
|
14
|
6
|
$3,411.81
|
$2,217.68
35% off
|
$0.27
|
$3,411.81
|
$1,223.13
|
2025-06-28
|
|
Q2054
|
HCPCS
|
Breyanzi 1.5x To 70x10exp6 Cell/ml Intravenous Suspension
|
21
|
14
|
$2,339,891.68
|
$1,520,929.59
35% off
|
$516,726.08
|
$2,105,902.51
|
$568,398.69
|
2025-06-28
|
|
J0578
|
HCPCS
|
Brixadi Monthly 128 Mg/0.36 Ml Solutionextend.rel. Subcut.syringe
|
41
|
14
|
$17,079.99
|
$11,101.99
35% off
|
$1,716.62
|
$34,160.01
|
$6,576.00
|
2025-06-28
|
|
J0577
|
HCPCS
|
Brixadi Weekly 8 Mg/0.16 Ml Solutionextend.rel. Subcut.syringe
|
48
|
14
|
$9,607.50
|
$6,244.88
35% off
|
$429.16
|
$9,607.50
|
$1,448.33
|
2025-06-28
|
|
C9047
|
HCPCS
|
Cablivi 11 Mg Injection Kit
|
14
|
6
|
$30,858.06
|
$20,057.74
35% off
|
$6,418.48
|
$30,858.06
|
$13,731.83
|
2025-06-28
|
|
4238802426
|
NDC
|
Cabometyx 20 Mg Tablet
|
14
|
6
|
$2,104.10
|
$1,367.67
35% off
|
$437.65
|
$2,104.10
|
$810.08
|
2025-06-28
|
|
4238802526
|
NDC
|
Cabometyx 40 Mg Tablet
|
14
|
6
|
$2,104.10
|
$1,367.67
35% off
|
$437.65
|
$2,104.10
|
$810.08
|
2025-06-28
|
|
4238802326
|
NDC
|
Cabometyx 60 Mg Tablet
|
14
|
6
|
$2,104.10
|
$1,367.67
35% off
|
$437.65
|
$2,104.10
|
$810.08
|
2025-06-28
|
|
J0630
|
HCPCS
|
Calcitonin (salmon) 200 Unit/ml Injection Solution
|
26
|
14
|
$5,635.80
|
$3,663.27
35% off
|
$1,173.06
|
$5,635.80
|
$1,885.91
|
2025-06-28
|
|
5846803573
|
NDC
|
Campath 30 Mg/ml Intravenous Solution
|
14
|
6
|
$8,472.00
|
$5,506.80
35% off
|
$1,762.18
|
$8,472.00
|
$3,261.72
|
2025-06-28
|
|
5958413801
|
NDC
|
Candin Fda Standard Allergen Prep Intradermal
|
14
|
6
|
$1,155.00
|
$750.75
35% off
|
$240.24
|
$1,155.00
|
$444.67
|
2025-06-28
|
|
5846878403
|
NDC
|
Caprelsa 300 Mg Tablet
|
14
|
6
|
$1,419.72
|
$922.82
35% off
|
$295.30
|
$1,419.72
|
$546.59
|
2025-06-28
|
|
Q2056
|
HCPCS
|
Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension
|
21
|
14
|
$2,505,866.40
|
$1,628,813.16
35% off
|
$527,123.43
|
$2,255,279.76
|
$579,835.77
|
2025-06-28
|
|
J3392
|
HCPCS
|
Casgevy 4x10exp6 To 13x10exp6 Cell/ml Intravenous Suspension
|
16
|
11
|
—
|
—
|
$2,332,000.00
|
$4,897,200.00
|
$2,436,940.00
|
2025-06-28
|
|
J0637
|
HCPCS
|
Caspofungin 50 Mg Intravenous Solution
|
14
|
6
|
$1,213.20
|
$788.58
35% off
|
$5.84
|
$1,213.20
|
$434.94
|
2025-06-28
|
|
J2997
|
HCPCS
|
Cathflo Activase 2 Mg Intra-catheter Solution
|
41
|
14
|
$666.60
|
$433.29
35% off
|
$91.47
|
$31,681.29
|
$309.97
|
2025-06-28
|
|
A9521
|
HCPCS
|
Ceretec 0.5 Mg Intravenous Solution
|
28
|
14
|
$3,128.00
|
$2,033.20
35% off
|
$802.34
|
$3,100.69
|
$1,069.39
|
2025-06-28
|
|
5556628001
|
NDC
|
Cervidil 10 Mg Vaginal Insertcontrolled Release
|
14
|
6
|
$1,320.44
|
$858.29
35% off
|
$274.65
|
$1,320.44
|
$508.37
|
2025-06-28
|
|
J0740
|
HCPCS
|
Cidofovir 75 Mg/ml Intravenous Solution
|
27
|
14
|
$711.87
|
$462.72
35% off
|
$208.58
|
$2,237.07
|
$528.00
|
2025-06-28
|
|
3877907236
|
NDC
|
Cocaine (bulk) 100 % Crystals
|
14
|
6
|
$2,380.83
|
$1,547.54
35% off
|
$495.21
|
$2,380.83
|
$916.62
|
2025-06-28
|
|
J9286
|
HCPCS
|
Columvi 1 Mg/ml Intravenous Solution
|
35
|
14
|
$5,052.24
|
$3,283.96
35% off
|
$1,768.28
|
$10,715.63
|
$3,283.96
|
2025-06-28
|
|
4238801214
|
NDC
|
Cometriq 100 Mg/day (80 Mg X 1-20 Mg X 1) Capsules
|
14
|
6
|
$830.54
|
$539.85
35% off
|
$172.75
|
$830.54
|
$319.76
|
2025-06-28
|
|
J0840
|
HCPCS
|
Crofab Solution For Injection
|
27
|
14
|
$11,512.80
|
$7,483.32
35% off
|
$1,762.35
|
$11,512.80
|
$3,072.67
|
2025-06-28
|
|
1012251001
|
NDC
|
Curosurf 120 Mg/1.5 Ml Intratracheal Suspension
|
14
|
6
|
$1,437.51
|
$934.38
35% off
|
$299.00
|
$1,437.51
|
$553.44
|
2025-06-28
|
|
1012251003
|
NDC
|
Curosurf 240 Mg/3 Ml Intratracheal Suspension
|
14
|
6
|
$1,417.29
|
$921.24
35% off
|
$294.80
|
$1,417.29
|
$545.65
|
2025-06-28
|
|
J9076
|
HCPCS
|
Cyclophosphamide 1 Gram Intravenous Powder For Solution
|
36
|
6
|
$1,776.00
|
$1,154.40
35% off
|
$7.28
|
$2,253.52
|
$676.06
|
2025-06-28
|
|
A9603
|
HCPCS
|
Cytalux 3.2 Mg/1.6 Ml Intravenous Solution
|
14
|
6
|
$9,562.50
|
$6,215.63
35% off
|
$1,989.00
|
$9,562.50
|
$4,255.32
|
2025-06-28
|
|
J9120
|
HCPCS
|
Dactinomycin 0.5 Mg Intravenous Solution
|
24
|
14
|
$2,655.00
|
$1,725.75
35% off
|
$282.13
|
$2,655.00
|
$440.52
|
2025-06-28
|
|
J9348
|
HCPCS
|
Danyelza 4 Mg/ml Intravenous Solution
|
27
|
14
|
$12,511.64
|
$8,132.57
35% off
|
$642.15
|
$12,511.64
|
$1,123.20
|
2025-06-28
|
|
J2778
|
HCPCS
|
Darvocet-n 50 50 Mg-325 Mg Tab
|
34
|
14
|
$140,400.00
|
$91,260.00
35% off
|
$137.14
|
$140,400.00
|
$376.98
|
2025-06-28
|
|
J0894
|
HCPCS
|
Decitabine 50 Mg Intravenous Solution
|
22
|
6
|
$480.00
|
$312.00
35% off
|
$3.09
|
$8,212.80
|
$1,094.13
|
2025-06-28
|
|
J0893
|
HCPCS
|
Decitabine 50 Mg Intravenous Solution
|
21
|
6
|
$2,880.00
|
$1,872.00
35% off
|
$1.36
|
$2,880.00
|
$768.96
|
2025-06-28
|
|
6872780002
|
NDC
|
Defitelio 80 Mg/ml Intravenous Solution
|
14
|
6
|
$1,696.32
|
$1,102.61
35% off
|
$352.83
|
$1,696.32
|
$653.08
|
2025-06-28
|
|
5000472500
|
NDC
|
Deflux 50 Mg-15 Mg/ml (1) Syringe
|
21
|
7
|
$11,438.85
|
$7,435.25
35% off
|
$2,379.28
|
$10,294.97
|
$4,815.76
|
2025-06-28
|
|
A9592
|
HCPCS
|
Detectnet 148 Mbq/4 Ml (4 Mci/4 Ml) Intravenous Solution
|
28
|
14
|
$7,700.00
|
$5,005.00
35% off
|
$595.10
|
$6,930.00
|
$942.50
|
2025-06-28
|
|
J1162
|
HCPCS
|
Digifab 40 Mg Intravenous Solution
|
27
|
14
|
$17,218.80
|
$11,192.22
35% off
|
$4,888.10
|
$19,201.34
|
$7,985.22
|
2025-06-28
|
|
8065183710
|
NDC
|
Discovisc 40 Mg-17 Mg/ml Intraocular Syringe
|
14
|
6
|
$1,143.69
|
$743.40
35% off
|
$237.89
|
$1,143.69
|
$440.32
|
2025-06-28
|
|
J9171
|
HCPCS
|
Docetaxel 20 Mg/ml (1 Ml) Intravenous Solution
|
36
|
6
|
$523.20
|
$340.08
35% off
|
$1.07
|
$1,460.60
|
$321.55
|
2025-06-28
|
|
A9540
|
HCPCS
|
Draximage Maa 2.5 Mg Intravenous Solution
|
21
|
7
|
$1,092.00
|
$709.80
35% off
|
$227.14
|
$1,437.00
|
$600.60
|
2025-06-28
|
|
8065183135
|
NDC
|
Duovisc Visco Elastic 3 %-4 %(0.35 Ml) 1 %(0.4 Ml) Intraocular Syringe
|
14
|
6
|
$1,202.46
|
$781.60
35% off
|
$250.11
|
$1,202.46
|
$462.94
|
2025-06-28
|
|
J0600
|
HCPCS
|
Edetate Calcium Disodium 50 Mg/ml Intravenous Solution
|
20
|
5
|
$126.00
|
$81.90
35% off
|
$36.92
|
$4,676.13
|
$748.05
|
2025-06-28
|
|
5224401006
|
NDC
|
Edex 10 Mcg Intracavernosal Kit
|
14
|
6
|
$1,952.34
|
$1,269.02
35% off
|
$406.09
|
$1,952.34
|
$751.65
|
2025-06-28
|
|
J0270
|
HCPCS
|
Edex 20 Mcg Intracavernosal Kit
|
28
|
6
|
$840.63
|
$546.41
35% off
|
$174.85
|
$2,521.77
|
$706.10
|
2025-06-28
|
|
J1743
|
HCPCS
|
Elaprase 6 Mg/3 Ml Intravenous Solution
|
27
|
14
|
$3,875.88
|
$2,519.32
35% off
|
$537.93
|
$3,875.88
|
$941.38
|
2025-06-28
|
|
J2508
|
HCPCS
|
Elfabrio 2 Mg/ml Intravenous Solution
|
25
|
14
|
$1,594.32
|
$1,036.31
35% off
|
$223.55
|
$1,594.32
|
$357.19
|
2025-06-28
|
|
J9217
|
HCPCS
|
Eligard 22.5 Mg (3 Month) Subcutaneous Syringe
|
42
|
14
|
$4,878.24
|
$3,170.86
35% off
|
$176.51
|
$9,756.48
|
$1,409.28
|
2025-06-28
|
|
J9269
|
HCPCS
|
Elzonris 1000 Mcg/ml Intravenous Solution
|
27
|
14
|
$162,031.92
|
$105,320.75
35% off
|
$339.03
|
$162,031.92
|
$592.43
|
2025-06-28
|
|
J1438
|
HCPCS
|
Enbrel 25 Mg/0.5 Ml (0.5 Ml) Subcutaneous Syringe
|
24
|
14
|
$7,341.84
|
$4,772.20
35% off
|
$790.78
|
$7,341.84
|
$1,094.24
|
2025-06-28
|
|
5024214001
|
NDC
|
Erivedge 150 Mg Capsule
|
14
|
6
|
$1,180.24
|
$767.16
35% off
|
$245.49
|
$1,180.24
|
$454.39
|
2025-06-28
|
|
4202315701
|
NDC
|
Ethacrynate Sodium 50 Mg Intravenous Solution
|
14
|
6
|
$13,680.00
|
$8,892.00
35% off
|
$2,845.44
|
$13,680.00
|
$5,266.80
|
2025-06-28
|
|
J1430
|
HCPCS
|
Ethamolin 5 % Intravenous Solution
|
27
|
14
|
$907.02
|
$589.56
35% off
|
$265.76
|
$1,923.39
|
$540.85
|
2025-06-28
|
|
J0207
|
HCPCS
|
Ethyol 500 Mg Intravenous Solution
|
14
|
6
|
$3,857.07
|
$2,507.10
35% off
|
$802.27
|
$3,857.07
|
$1,701.86
|
2025-06-28
|
|
J1428
|
HCPCS
|
Exondys-51 50 Mg/ml Intravenous Solution
|
14
|
6
|
$2,880.00
|
$1,872.00
35% off
|
$240.46
|
$2,880.00
|
$902.88
|
2025-06-28
|
|
J0178
|
HCPCS
|
Eylea 2 Mg/0.05 Ml Intravitreal Syringe
|
27
|
14
|
$136,530.00
|
$88,744.50
35% off
|
$821.98
|
$136,530.00
|
$1,392.76
|
2025-06-28
|
|
J0177
|
HCPCS
|
Eylea Hd 8 Mg/0.07 Ml Intravitreal Solution For Injection
|
27
|
14
|
$137,700.00
|
$89,505.00
35% off
|
$333.70
|
$137,700.00
|
$562.06
|
2025-06-28
|
|
J0180
|
HCPCS
|
Fabrazyme 35 Mg Intravenous Solution
|
34
|
14
|
$37,571.84
|
$24,421.70
35% off
|
$223.52
|
$37,571.84
|
$651.64
|
2025-06-28
|
|
3877917563
|
NDC
|
Fentanyl Citrate (bulk) 100 % Powder
|
14
|
6
|
$17,296.08
|
$11,242.45
35% off
|
$3,597.58
|
$17,296.08
|
$6,658.99
|
2025-06-28
|
|
J9200
|
HCPCS
|
Floxuridine 0.5 Gram Solution For Injection
|
27
|
14
|
$17,474.92
|
$11,358.70
35% off
|
$3,858.03
|
$17,474.92
|
$6,283.68
|
2025-06-28
|
|
4562908901
|
NDC
|
Fotivda 0.89 Mg Capsule
|
14
|
6
|
$3,633.82
|
$2,361.98
35% off
|
$755.83
|
$3,633.82
|
$1,399.02
|
2025-06-28
|
|
4562913401
|
NDC
|
Fotivda 1.34 Mg Capsule
|
14
|
6
|
$3,633.82
|
$2,361.98
35% off
|
$755.83
|
$3,633.82
|
$1,399.02
|
2025-06-28
|
|
6302022521
|
NDC
|
Fruzaqla 5 Mg Capsule
|
14
|
6
|
$2,952.00
|
$1,918.80
35% off
|
$614.02
|
$2,952.00
|
$1,136.52
|
2025-06-28
|
|
A9594
|
HCPCS
|
Gallium Ga-68 Gozetotide 18.5 Mbq To 185 Mbq/ml (0.5-5 Mci/ml) IV Soln
|
28
|
14
|
$16,335.00
|
$10,617.75
35% off
|
$372.17
|
$14,701.50
|
$716.43
|
2025-06-28
|
|
J9210
|
HCPCS
|
Gamifant 5 Mg/ml Intravenous Solution
|
34
|
14
|
$6,536.88
|
$4,248.97
35% off
|
$378.03
|
$6,536.88
|
$1,095.79
|
2025-06-28
|
|
6887501031
|
NDC
|
Gattex One-vial 5 Mg Subcutaneous Kit
|
14
|
6
|
$6,472.56
|
$4,207.16
35% off
|
$1,346.29
|
$6,472.56
|
$2,491.94
|
2025-06-28
|
|
J7326
|
HCPCS
|
Gel-one 30 Mg/3 Ml Intra-articular Syringe
|
27
|
14
|
$1,380.00
|
$897.00
35% off
|
$404.34
|
$2,080.98
|
$627.71
|
2025-06-28
|
|
J1595
|
HCPCS
|
Glatopa 20 Mg/ml Subcutaneous Syringe
|
45
|
14
|
$649.23
|
$422.00
35% off
|
$172.88
|
$1,749.60
|
$422.00
|
2025-06-28
|
|
5913723101
|
NDC
|
Gleolan 30 Mg/ml Oral Solution
|
14
|
6
|
$9,588.00
|
$6,232.20
35% off
|
$1,994.30
|
$9,588.00
|
$3,691.38
|
2025-06-28
|
|
5818130425
|
NDC
|
Gleostine 100 Mg Capsule
|
14
|
6
|
$3,219.50
|
$2,092.68
35% off
|
$669.66
|
$3,219.50
|
$1,239.51
|
2025-06-28
|
|
5818130415
|
NDC
|
Gleostine 40 Mg Capsule
|
14
|
6
|
$1,166.28
|
$758.08
35% off
|
$242.59
|
$1,166.28
|
$449.02
|
2025-06-28
|
|
2433805008
|
NDC
|
Gliadel Wafer 7.7 Mg Implant
|
14
|
6
|
$23,443.16
|
$15,238.05
35% off
|
$4,876.18
|
$23,443.16
|
$9,025.61
|
2025-06-28
|
|
5009067050
|
NDC
|
Hadlima 40 Mg/0.8 Ml Subcutaneous Syringe
|
14
|
6
|
$2,335.50
|
$1,518.08
35% off
|
$485.78
|
$2,335.50
|
$899.17
|
2025-06-28
|
|
5009067060
|
NDC
|
Hadlima Pushtouch 40 Mg/0.8 Ml Subcutaneous Auto-injector
|
14
|
6
|
$2,335.53
|
$1,518.09
35% off
|
$485.79
|
$2,335.53
|
$899.18
|
2025-06-28
|
|
6195818011
|
NDC
|
Harvoni 90 Mg-400 Mg Tablet
|
14
|
6
|
$2,700.00
|
$1,755.00
35% off
|
$561.60
|
$2,700.00
|
$1,039.50
|
2025-06-28
|
|
J7170
|
HCPCS
|
Hemlibra 30 Mg/ml Subcutaneous Solution
|
41
|
14
|
$13,057.68
|
$8,487.49
35% off
|
$52.82
|
$65,288.37
|
$4,570.19
|
2025-06-28
|
|
90739
|
HCPCS
|
Heplisav-b (pf) 20 Mcg/0.5 Ml Intramuscular Syringe
|
14
|
6
|
$1,121.40
|
$728.91
35% off
|
$233.25
|
$1,121.40
|
$450.88
|
2025-06-28
|
|
J9248
|
HCPCS
|
Hepzato (62 Mm Catheter) 50 Mg Intra-arterial Solution
|
24
|
14
|
$180,000.00
|
$117,000.00
35% off
|
$773.80
|
$180,000.00
|
$1,070.74
|
2025-06-28
|
|
A9589
|
HCPCS
|
Hexaminolevulinate 100 Mg Intravesical Solution
|
22
|
5
|
$64.80
|
$42.12
35% off
|
$13.48
|
$4,050.00
|
$453.60
|
2025-06-28
|
|
6517488025
|
NDC
|
Hicon 250 Mci/0.25 Ml Oral Kit
|
21
|
7
|
$675.95
|
$439.37
35% off
|
$140.60
|
$1,437.00
|
$371.77
|
2025-06-28
|
|
3877907311
|
NDC
|
Hydromorphone (bulk) 100 % Powder
|
14
|
6
|
$2,009.25
|
$1,306.01
35% off
|
$417.92
|
$2,009.25
|
$773.57
|
2025-06-28
|
|
3877907313
|
NDC
|
Hydromorphone (bulk) 100 % Powder
|
14
|
6
|
$2,009.25
|
$1,306.01
35% off
|
$417.92
|
$2,009.25
|
$773.57
|
2025-06-28
|
|
3877907316
|
NDC
|
Hydromorphone (bulk) 100 % Powder
|
14
|
6
|
$2,009.25
|
$1,306.01
35% off
|
$417.92
|
$2,009.25
|
$773.57
|
2025-06-28
|
|
3877907314
|
NDC
|
Hydromorphone (bulk) 100 % Powder
|
14
|
6
|
$2,009.25
|
$1,306.01
35% off
|
$417.92
|
$2,009.25
|
$773.57
|
2025-06-28
|
|
90375
|
HCPCS
|
Hyperrab (pf) 300 Unit/ml Intramuscular Solution
|
34
|
14
|
$2,449.80
|
$1,592.37
35% off
|
$287.71
|
$2,449.80
|
$717.78
|
2025-06-28
|
|
J1670
|
HCPCS
|
Hypertet (pf) 250 Unit/ml Intramuscular Syringe
|
27
|
14
|
$2,337.00
|
$1,519.05
35% off
|
$581.78
|
$2,337.00
|
$764.20
|
2025-06-28
|
|
J1741
|
HCPCS
|
Ibuprofen Lysine (pf) 20 Mg/2 Ml Intravenous Solution
|
14
|
6
|
$821.22
|
$533.79
35% off
|
$5.21
|
$821.22
|
$316.17
|
2025-06-28
|
|
6302053630
|
NDC
|
Iclusig 10 Mg Tablet
|
14
|
6
|
$1,811.20
|
$1,177.28
35% off
|
$376.73
|
$1,811.20
|
$697.32
|
2025-06-28
|
|
6302053330
|
NDC
|
Iclusig 30 Mg Tablet
|
14
|
6
|
$1,811.20
|
$1,177.28
35% off
|
$376.73
|
$1,811.20
|
$697.32
|
2025-06-28
|
|
6302053430
|
NDC
|
Iclusig 45 Mg Tablet
|
14
|
6
|
$1,811.20
|
$1,177.28
35% off
|
$376.73
|
$1,811.20
|
$697.32
|
2025-06-28
|
|
5957271030
|
NDC
|
Idhifa 100 Mg Tablet
|
14
|
6
|
$2,882.74
|
$1,873.78
35% off
|
$599.61
|
$2,882.74
|
$1,109.86
|
2025-06-28
|
|
5957270530
|
NDC
|
Idhifa 50 Mg Tablet
|
14
|
6
|
$2,882.74
|
$1,873.78
35% off
|
$599.61
|
$2,882.74
|
$1,109.86
|
2025-06-28
|
|
J7313
|
HCPCS
|
Iluvien 0.19 Mg Intravitreal Implant
|
27
|
14
|
$21,766.00
|
$14,147.90
35% off
|
$495.38
|
$21,766.00
|
$858.84
|
2025-06-28
|
|
5796201428
|
NDC
|
Imbruvica 140 Mg Tablet
|
14
|
6
|
$1,451.36
|
$943.38
35% off
|
$301.88
|
$1,451.36
|
$558.77
|
2025-06-28
|
|
5796228028
|
NDC
|
Imbruvica 280 Mg Tablet
|
14
|
6
|
$1,451.36
|
$943.38
35% off
|
$301.88
|
$1,451.36
|
$558.77
|
2025-06-28
|
|
5796242028
|
NDC
|
Imbruvica 420 Mg Tablet
|
14
|
6
|
$1,451.36
|
$943.38
35% off
|
$301.88
|
$1,451.36
|
$558.77
|
2025-06-28
|
|
5796207028
|
NDC
|
Imbruvica 70 Mg Capsule
|
14
|
6
|
$1,451.36
|
$943.38
35% off
|
$301.88
|
$1,451.36
|
$558.77
|
2025-06-28
|
|
J9026
|
HCPCS
|
Imdelltra 1 Mg Intravenous Solution
|
32
|
14
|
$7,200.00
|
$4,680.00
35% off
|
$1,545.00
|
$72,000.00
|
$3,028.61
|
2025-06-28
|
|
90376
|
HCPCS
|
Imogam Rabies-ht (pf) 150 Unit/ml Intramuscular Solution
|
24
|
14
|
$1,629.24
|
$1,059.01
35% off
|
$414.18
|
$1,629.24
|
$515.70
|
2025-06-28
|
|
90675
|
HCPCS
|
Imovax Rabies Vaccine (pf) 2.5 Unit Intramuscular Solution
|
41
|
14
|
$1,561.71
|
$1,015.11
35% off
|
$350.14
|
$1,624.17
|
$612.75
|
2025-06-28
|
|
6905130001
|
NDC
|
Impavido 50 Mg Capsule
|
14
|
6
|
$1,427.14
|
$927.64
35% off
|
$296.85
|
$1,427.14
|
$549.44
|
2025-06-28
|
|
A9548
|
HCPCS
|
Indium In-111 Dtpa 1.5 Mci/1.5 Ml Intrathecal Solution
|
31
|
14
|
$4,518.00
|
$2,936.70
35% off
|
$715.29
|
$4,066.20
|
$1,182.00
|
2025-06-28
|
|
A9547
|
HCPCS
|
Indium In-111 Oxyquinoline 1 Mci/ml (37 Mbq/ml)(1 Ml) Intravenous Soln
|
31
|
14
|
$5,030.00
|
$3,269.50
35% off
|
$772.64
|
$4,527.00
|
$1,216.91
|
2025-06-28
|
|
6332365903
|
NDC
|
Indomethacin 1 Mg Intravenous Solution
|
14
|
6
|
$1,904.19
|
$1,237.72
35% off
|
$396.07
|
$1,904.19
|
$733.11
|
2025-06-28
|
|
7071018527
|
NDC
|
Indomethacin 50 Mg Rectal Suppository
|
14
|
6
|
$825.14
|
$536.34
35% off
|
$171.63
|
$825.14
|
$317.68
|
2025-06-28
|
|
6484207279
|
NDC
|
Inqovi 35 Mg-100 Mg Tablet
|
14
|
6
|
$4,163.94
|
$2,706.56
35% off
|
$866.10
|
$4,163.94
|
$1,603.12
|
2025-06-28
|
|
J2426
|
HCPCS
|
Invega Sustenna 39 Mg/0.25 Ml Intramuscular Syringe
|
55
|
14
|
$8,565.27
|
$5,567.43
35% off
|
$14.76
|
$8,566.17
|
$4,282.92
|
2025-06-28
|
|
J2427
|
HCPCS
|
Invega Trinza 546 Mg/1.75 Ml Intramuscular Syringe
|
41
|
14
|
$14,684.85
|
$9,545.15
35% off
|
$12.66
|
$15,418.74
|
$5,129.81
|
2025-06-28
|
|
5024208408
|
NDC
|
Itovebi 3 Mg Tablet
|
14
|
6
|
$980.02
|
$637.01
35% off
|
$203.84
|
$980.02
|
$377.31
|
2025-06-28
|
|
5024207908
|
NDC
|
Itovebi 9 Mg Tablet
|
14
|
6
|
$1,960.02
|
$1,274.01
35% off
|
$407.68
|
$1,960.02
|
$754.61
|
2025-06-28
|
|
J9207
|
HCPCS
|
Ixempra 15 Mg Intravenous Solution
|
34
|
14
|
$9,669.88
|
$6,285.42
35% off
|
$134.06
|
$29,009.68
|
$385.80
|
2025-06-28
|
|
90738
|
HCPCS
|
Ixiaro (pf) 6 Mcg/0.5 Ml Intramuscular Syringe
|
14
|
6
|
$2,070.72
|
$1,345.97
35% off
|
$430.71
|
$2,070.72
|
$797.23
|
2025-06-28
|
|
J9281
|
HCPCS
|
Jelmyto 40 Mg X 2 Intra-pyelocalyceal Kit
|
27
|
14
|
$117,504.00
|
$76,377.60
35% off
|
$307.34
|
$117,504.00
|
$537.85
|
2025-06-28
|
|
J1290
|
HCPCS
|
Kalbitor 10 Mg/ml (1 Ml) Subcutaneous Solution
|
27
|
14
|
$20,543.67
|
$13,353.39
35% off
|
$565.83
|
$20,543.67
|
$988.12
|
2025-06-28
|
|
J9274
|
HCPCS
|
Kimmtrak 100 Mcg/0.5 Ml Intravenous Solution
|
27
|
14
|
$196,608.00
|
$127,795.20
35% off
|
$214.76
|
$196,608.00
|
$375.82
|
2025-06-28
|
|
6665823407
|
NDC
|
Kineret 100 Mg/0.67 Ml Subcutaneous Syringe
|
14
|
6
|
$1,132.05
|
$735.83
35% off
|
$235.47
|
$1,132.05
|
$435.84
|
2025-06-28
|
|
A9562
|
HCPCS
|
Kit For Prep Tc-99m-mertiatide (betiatide) 1 Mg Intravenous Solution
|
21
|
7
|
$568.00
|
$369.20
35% off
|
$118.14
|
$1,437.00
|
$312.40
|
2025-06-28
|
|
A9520
|
HCPCS
|
Kit For The Prep Of Tc-99m-tilmanocept 250 Mcg Solution For Injection
|
21
|
7
|
$1,190.00
|
$773.50
35% off
|
$247.52
|
$1,437.00
|
$654.50
|
2025-06-28
|
|
J2507
|
HCPCS
|
Krystexxa 8 Mg/ml Intravenous Solution
|
27
|
14
|
$108,080.82
|
$70,252.53
35% off
|
$3,482.15
|
$108,080.82
|
$6,093.76
|
2025-06-28
|
|
J0591
|
HCPCS
|
Kybella 10 Mg/ml Subcutaneous Solution
|
14
|
6
|
$2,160.00
|
$1,404.00
35% off
|
$22.54
|
$2,160.00
|
$677.16
|
2025-06-28
|
|
J7296
|
HCPCS
|
Kyleena 17.5 Mcg/24 Hr (up To 5 Years) 19.5 Mg Intrauterine Device
|
14
|
6
|
$2,915.12
|
$1,894.83
35% off
|
$606.34
|
$2,915.12
|
$1,590.48
|
2025-06-28
|
|
J0217
|
HCPCS
|
Lamzede 10 Mg Intravenous Solution
|
25
|
14
|
$15,800.40
|
$10,270.26
35% off
|
$442.00
|
$15,800.40
|
$694.28
|
2025-06-28
|
|
J0202
|
HCPCS
|
Lemtrada 12 Mg/1.2 Ml Intravenous Solution
|
27
|
14
|
$117,798.96
|
$76,569.32
35% off
|
$2,337.69
|
$117,798.96
|
$4,090.96
|
2025-06-28
|
|
6285671030
|
NDC
|
Lenvima 10 Mg/day (10 Mg X 1) Capsule
|
14
|
6
|
$1,998.64
|
$1,299.12
35% off
|
$415.72
|
$1,998.64
|
$769.48
|
2025-06-28
|
|
6285671405
|
NDC
|
Lenvima 14 Mg/day(10 Mg X 1-4 Mg X 1) Capsule
|
14
|
6
|
$999.32
|
$649.56
35% off
|
$207.86
|
$999.32
|
$384.74
|
2025-06-28
|
|
6285670405
|
NDC
|
Lenvima 4 Mg Capsule
|
14
|
6
|
$1,998.64
|
$1,299.12
35% off
|
$415.72
|
$1,998.64
|
$769.48
|
2025-06-28
|
|
6195808021
|
NDC
|
Letairis 10 Mg Tablet
|
14
|
6
|
$1,099.72
|
$714.82
35% off
|
$228.74
|
$1,099.72
|
$423.39
|
2025-06-28
|
|
6195808011
|
NDC
|
Letairis 5 Mg Tablet
|
14
|
6
|
$1,099.72
|
$714.82
35% off
|
$228.74
|
$1,099.72
|
$423.39
|
2025-06-28
|
|
6195808015
|
NDC
|
Letairis 5 Mg Tablet
|
14
|
6
|
$1,099.70
|
$714.81
35% off
|
$228.74
|
$1,099.70
|
$423.38
|
2025-06-28
|
|
J9218
|
HCPCS
|
Leuprolide 1 Mg/0.2 Ml Subcutaneous Kit
|
11
|
6
|
$2,673.00
|
$1,737.45
35% off
|
$32.52
|
$2,673.00
|
$1,042.47
|
2025-06-28
|
|
J7308
|
HCPCS
|
Levulan 20 % Topical Solution
|
27
|
14
|
$943.72
|
$613.42
35% off
|
$276.51
|
$1,526.66
|
$438.83
|
2025-06-28
|
|
J0221
|
HCPCS
|
Lumizyme 50 Mg Intravenous Solution
|
27
|
14
|
$3,576.09
|
$2,324.46
35% off
|
$201.97
|
$3,576.09
|
$352.74
|
2025-06-28
|
|
J9350
|
HCPCS
|
Lunsumio 1 Mg/ml Intravenous Solution
|
28
|
14
|
$2,996.44
|
$1,947.69
35% off
|
$635.47
|
$2,996.44
|
$1,116.87
|
2025-06-28
|
|
J3394
|
HCPCS
|
Lyfgenia 1.7 X To 20 X 10exp6 Cell/ml Intravenous Suspension
|
14
|
11
|
—
|
—
|
$3,286,000.00
|
$4,865,760.00
|
$3,351,720.00
|
2025-06-28
|
|
90619
|
HCPCS
|
Menquadfi (pf) 10 Mcg/0.5 Ml Intramuscular Solution
|
14
|
6
|
$1,232.79
|
$801.31
35% off
|
$256.42
|
$1,232.79
|
$435.79
|
2025-06-28
|
|
J7298
|
HCPCS
|
Mirena 21 Mcg/24 Hr (up To 8 Years) 52 Mg Intrauterine Device
|
14
|
6
|
$2,915.12
|
$1,894.83
35% off
|
$606.34
|
$2,915.12
|
$1,590.48
|
2025-06-28
|
|
J7327
|
HCPCS
|
Monovisc 88 Mg/4 Ml Intra-articular Syringe
|
27
|
14
|
$1,350.00
|
$877.50
35% off
|
$395.55
|
$2,739.44
|
$717.33
|
2025-06-28
|
|
J1458
|
HCPCS
|
Naglazyme 5 Mg/5 Ml Intravenous Solution
|
14
|
6
|
$1,764.72
|
$1,147.07
35% off
|
$367.06
|
$1,797.62
|
$868.09
|
2025-06-28
|
|
J1442
|
HCPCS
|
Neupogen 480 Mcg/0.8 Ml Injection Syringe
|
61
|
14
|
$2,391.45
|
$1,554.44
35% off
|
$1.00
|
$2,402.67
|
$733.20
|
2025-06-28
|
|
Q9983
|
HCPCS
|
Neuraceq 8.1 Mci (300 Mbq) Intravenous Solution
|
28
|
14
|
$6,200.00
|
$4,030.00
35% off
|
$940.00
|
$5,580.00
|
$1,337.45
|
2025-06-28
|
|
A9557
|
HCPCS
|
Neurolite 0.9 Mg Intravenous Solution
|
31
|
14
|
$3,766.00
|
$2,447.90
35% off
|
$683.80
|
$3,389.40
|
$1,182.00
|
2025-06-28
|
|
J7307
|
HCPCS
|
Nexplanon 68 Mg Subdermal Implant
|
14
|
6
|
$2,915.12
|
$1,894.83
35% off
|
$606.34
|
$2,915.12
|
$1,590.48
|
2025-06-28
|
|
6302023002
|
NDC
|
Ninlaro 2.3 Mg Capsule
|
14
|
6
|
$10,691.20
|
$6,949.28
35% off
|
$2,223.77
|
$10,691.20
|
$4,116.11
|
2025-06-28
|
|
6302039002
|
NDC
|
Ninlaro 3 Mg Capsule
|
14
|
6
|
$10,691.20
|
$6,949.28
35% off
|
$2,223.77
|
$10,691.20
|
$4,116.11
|
2025-06-28
|
|
6302040002
|
NDC
|
Ninlaro 4 Mg Capsule
|
14
|
6
|
$10,691.20
|
$6,949.28
35% off
|
$2,223.77
|
$10,691.20
|
$4,116.11
|
2025-06-28
|
|
J0725
|
HCPCS
|
Novarel 5000 Unit Intramuscular Solution
|
25
|
6
|
$607.65
|
$394.97
35% off
|
$31.94
|
$1,124.10
|
$329.36
|
2025-06-28
|
|
J2802
|
HCPCS
|
Nplate 250 Mcg Subcutaneous Solution
|
39
|
14
|
$9,910.86
|
$6,442.06
35% off
|
$10.11
|
$19,821.66
|
$1,620.46
|
2025-06-28
|
|
4733530383
|
NDC
|
Odomzo 200 Mg Capsule
|
14
|
6
|
$949.48
|
$617.16
35% off
|
$197.49
|
$949.48
|
$365.55
|
2025-06-28
|
|
8186410330
|
NDC
|
Ojjaara 100 Mg Tablet
|
14
|
6
|
$2,309.32
|
$1,501.06
35% off
|
$480.34
|
$2,309.32
|
$889.09
|
2025-06-28
|
|
8186410230
|
NDC
|
Ojjaara 150 Mg Tablet
|
14
|
6
|
$2,309.32
|
$1,501.06
35% off
|
$480.34
|
$2,309.32
|
$889.09
|
2025-06-28
|
|
8186410130
|
NDC
|
Ojjaara 200 Mg Tablet
|
14
|
6
|
$2,309.32
|
$1,501.06
35% off
|
$480.34
|
$2,309.32
|
$889.09
|
2025-06-28
|
|
J9266
|
HCPCS
|
Oncaspar 750 Unit/ml Injection Solution
|
26
|
14
|
$25,742.56
|
$16,732.66
35% off
|
$9,009.90
|
$104,615.50
|
$27,070.53
|
2025-06-28
|
|
5957273007
|
NDC
|
Onureg 200 Mg Tablet
|
14
|
6
|
$4,496.24
|
$2,922.56
35% off
|
$935.22
|
$4,496.24
|
$1,731.05
|
2025-06-28
|
|
5957274007
|
NDC
|
Onureg 300 Mg Tablet
|
14
|
6
|
$4,496.24
|
$2,922.56
35% off
|
$935.22
|
$4,496.24
|
$1,731.05
|
2025-06-28
|
|
6621550115
|
NDC
|
Opsumit 10 Mg Tablet
|
14
|
6
|
$1,036.40
|
$673.66
35% off
|
$215.57
|
$1,036.40
|
$399.01
|
2025-06-28
|
|
6621550130
|
NDC
|
Opsumit 10 Mg Tablet
|
14
|
6
|
$1,036.40
|
$673.66
35% off
|
$215.57
|
$1,036.40
|
$399.01
|
2025-06-28
|
|
7218701023
|
NDC
|
Orserdu 345 Mg Tablet
|
14
|
6
|
$1,982.74
|
$1,288.78
35% off
|
$412.41
|
$1,982.74
|
$763.36
|
2025-06-28
|
|
J7300
|
HCPCS
|
Paragard T 380a 380 Square Mm Intrauterine Device
|
14
|
6
|
$2,732.00
|
$1,775.80
35% off
|
$568.26
|
$2,732.00
|
$1,490.57
|
2025-06-28
|
|
5088102801
|
NDC
|
Pemazyre 13.5 Mg Tablet
|
14
|
6
|
$3,312.00
|
$2,152.80
35% off
|
$688.90
|
$3,312.00
|
$1,275.12
|
2025-06-28
|
|
5088102601
|
NDC
|
Pemazyre 4.5 Mg Tablet
|
14
|
6
|
$3,312.00
|
$2,152.80
35% off
|
$688.90
|
$3,312.00
|
$1,275.12
|
2025-06-28
|
|
5088102701
|
NDC
|
Pemazyre 9 Mg Tablet
|
14
|
6
|
$3,312.00
|
$2,152.80
35% off
|
$688.90
|
$3,312.00
|
$1,275.12
|
2025-06-28
|
|
90698
|
HCPCS
|
Pentacel (pf) 15 Lf-48 Mcg-62 Du-10 Mcg/0.5 Ml Intramuscular Kit
|
14
|
6
|
$859.95
|
$558.97
35% off
|
$178.87
|
$859.95
|
$331.08
|
2025-06-28
|
|
5926744382
|
NDC
|
Pfizer Covid 2024-25(5y-11y)(pf)(eua) 10 Mcg/0.3 Ml IM Suspension
|
14
|
6
|
$924.00
|
$600.60
35% off
|
$192.19
|
$924.00
|
$355.74
|
2025-06-28
|
|
J9600
|
HCPCS
|
Photofrin 75 Mg Intravenous Solution
|
24
|
14
|
$111,950.40
|
$72,767.76
35% off
|
$23,870.14
|
$111,950.40
|
$33,526.02
|
2025-06-28
|
|
J2787
|
HCPCS
|
Photrexa Cross-linking Kit 0.146 %-0.146 % Eye Drops And Viscous Drops
|
14
|
6
|
$2,736.00
|
$1,778.40
35% off
|
$569.09
|
$2,736.00
|
$1,053.36
|
2025-06-28
|
|
J9309
|
HCPCS
|
Polivy 30 Mg Intravenous Solution
|
34
|
14
|
$19,143.20
|
$12,443.08
35% off
|
$129.78
|
$89,334.76
|
$374.38
|
2025-06-28
|
|
5957250121
|
NDC
|
Pomalyst 1 Mg Capsule
|
14
|
6
|
$2,739.54
|
$1,780.70
35% off
|
$569.82
|
$2,739.54
|
$1,054.72
|
2025-06-28
|
|
5957250221
|
NDC
|
Pomalyst 2 Mg Capsule
|
14
|
6
|
$2,739.54
|
$1,780.70
35% off
|
$569.82
|
$2,739.54
|
$1,054.72
|
2025-06-28
|
|
5957250321
|
NDC
|
Pomalyst 3 Mg Capsule
|
14
|
6
|
$2,739.54
|
$1,780.70
35% off
|
$569.82
|
$2,739.54
|
$1,054.72
|
2025-06-28
|
|
5957250421
|
NDC
|
Pomalyst 4 Mg Capsule
|
14
|
6
|
$2,739.54
|
$1,780.70
35% off
|
$569.82
|
$2,739.54
|
$1,054.72
|
2025-06-28
|
|
A9608
|
HCPCS
|
Posluma 296 Mbq/ml To 5846 Mbq/ml Intravenous Solution
|
31
|
14
|
$9,836.00
|
$6,393.40
35% off
|
$651.67
|
$8,852.40
|
$1,140.42
|
2025-06-28
|
|
J9204
|
HCPCS
|
Poteligeo 4 Mg/ml Intravenous Solution
|
24
|
14
|
$4,501.08
|
$2,925.70
35% off
|
$238.85
|
$4,501.08
|
$336.70
|
2025-06-28
|
|
J9307
|
HCPCS
|
Pralatrexate 20 Mg/ml (1 Ml) Intravenous Solution
|
27
|
14
|
$23,913.44
|
$15,543.74
35% off
|
$373.77
|
$23,913.44
|
$654.09
|
2025-06-28
|
|
6175502101
|
NDC
|
Praluent Pen 150 Mg/ml Subcutaneous Pen Injector
|
14
|
6
|
$938.82
|
$610.23
35% off
|
$195.27
|
$938.82
|
$361.44
|
2025-06-28
|
|
6175502001
|
NDC
|
Praluent Pen 75 Mg/ml Subcutaneous Pen Injector
|
14
|
6
|
$938.82
|
$610.23
35% off
|
$195.27
|
$938.82
|
$361.44
|
2025-06-28
|
|
4947100105
|
NDC
|
Pre-pen 0.25 Ml Intradermal Injection Solution
|
14
|
6
|
$2,557.44
|
$1,662.34
35% off
|
$531.95
|
$2,557.44
|
$984.62
|
2025-06-28
|
|
J2690
|
HCPCS
|
Procainamide 500 Mg/ml Injection Solution
|
27
|
14
|
$1,080.00
|
$702.00
35% off
|
$218.26
|
$1,610.91
|
$546.07
|
2025-06-28
|
|
Q2043
|
HCPCS
|
Provenge 50 Million Cell/250 Ml Intravenous Suspension
|
10
|
5
|
$901.47
|
$585.96
35% off
|
$264.13
|
$901.47
|
$698.64
|
2025-06-28
|
|
8065183055
|
NDC
|
Provisc 10 Mg/ml Intraocular Syringe
|
14
|
6
|
$1,176.36
|
$764.63
35% off
|
$244.68
|
$1,176.36
|
$452.90
|
2025-06-28
|
|
8065183085
|
NDC
|
Provisc 10 Mg/ml Intraocular Syringe
|
14
|
6
|
$999.18
|
$649.47
35% off
|
$207.83
|
$999.18
|
$384.69
|
2025-06-28
|
|
J3104
|
HCPCS
|
Qalsody 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution
|
14
|
6
|
$3,415.20
|
$2,219.88
35% off
|
$710.36
|
$3,415.20
|
$1,314.86
|
2025-06-28
|
|
7320710130
|
NDC
|
Qinlock 50 Mg Tablet
|
14
|
6
|
$1,159.20
|
$753.48
35% off
|
$241.11
|
$1,159.20
|
$446.29
|
2025-06-28
|
|
J7336
|
HCPCS
|
Qutenza 8 % Topical Kit
|
41
|
14
|
$2,154.40
|
$1,400.36
35% off
|
$3.33
|
$8,617.58
|
$631.24
|
2025-06-28
|
|
Q3028
|
HCPCS
|
Rebif (with Albumin) 44 Mcg/0.5 Ml Subcutaneous Syringe
|
14
|
6
|
$6,592.98
|
$4,285.44
35% off
|
$60.16
|
$6,592.98
|
$2,406.43
|
2025-06-28
|
|
J2212
|
HCPCS
|
Relistor 12 Mg/0.6 Ml Subcutaneous Solution
|
14
|
6
|
$1,019.58
|
$662.73
35% off
|
$212.07
|
$1,019.58
|
$392.54
|
2025-06-28
|
|
7251175001
|
NDC
|
Repatha Syringe 140 Mg/ml Subcutaneous Syringe
|
14
|
6
|
$1,030.86
|
$670.06
35% off
|
$214.42
|
$1,030.86
|
$396.88
|
2025-06-28
|
|
J7311
|
HCPCS
|
Retisert 0.59 Mg Intravitreal Implant
|
25
|
14
|
$45,660.00
|
$29,679.00
35% off
|
$333.48
|
$45,660.00
|
$524.84
|
2025-06-28
|
|
5957241028
|
NDC
|
Revlimid 10 Mg Capsule
|
14
|
6
|
$2,139.72
|
$1,390.82
35% off
|
$445.06
|
$2,139.72
|
$823.79
|
2025-06-28
|
|
5957241521
|
NDC
|
Revlimid 15 Mg Capsule
|
14
|
6
|
$2,139.72
|
$1,390.82
35% off
|
$445.06
|
$2,139.72
|
$823.79
|
2025-06-28
|
|
5957240228
|
NDC
|
Revlimid 2.5 Mg Capsule
|
14
|
6
|
$2,139.72
|
$1,390.82
35% off
|
$445.06
|
$2,139.72
|
$823.79
|
2025-06-28
|
|
5957242021
|
NDC
|
Revlimid 20 Mg Capsule
|
14
|
6
|
$2,139.72
|
$1,390.82
35% off
|
$445.06
|
$2,139.72
|
$823.79
|
2025-06-28
|
|
5957242521
|
NDC
|
Revlimid 25 Mg Capsule
|
14
|
6
|
$2,139.72
|
$1,390.82
35% off
|
$445.06
|
$2,139.72
|
$823.79
|
2025-06-28
|
|
5957240528
|
NDC
|
Revlimid 5 Mg Capsule
|
14
|
6
|
$2,139.72
|
$1,390.82
35% off
|
$445.06
|
$2,139.72
|
$823.79
|
2025-06-28
|
|
7980220030
|
NDC
|
Rezurock 200 Mg Tablet
|
14
|
6
|
$1,461.44
|
$949.94
35% off
|
$303.98
|
$1,461.44
|
$562.65
|
2025-06-28
|
|
J2794
|
HCPCS
|
Risperdal Consta 25 Mg/2 Ml Intramuscular Suspextended Release
|
48
|
14
|
$2,323.05
|
$1,509.98
35% off
|
$11.30
|
$4,646.40
|
$717.87
|
2025-06-28
|
|
4236754032
|
NDC
|
Ryanodex 250 Mg Intravenous Suspension
|
14
|
6
|
$11,931.69
|
$7,755.60
35% off
|
$2,481.79
|
$11,931.69
|
$4,593.70
|
2025-06-28
|
|
5914802050
|
NDC
|
Samsca 15 Mg Tablet
|
14
|
6
|
$1,248.48
|
$811.51
35% off
|
$259.68
|
$1,248.48
|
$480.67
|
2025-06-28
|
|
5914802150
|
NDC
|
Samsca 30 Mg Tablet
|
14
|
6
|
$1,295.14
|
$841.84
35% off
|
$269.39
|
$1,295.14
|
$498.62
|
2025-06-28
|
|
J7352
|
HCPCS
|
Scenesse 16 Mg Subcutaneous Implant
|
24
|
14
|
$120,982.00
|
$78,638.30
35% off
|
$2,873.33
|
$120,982.00
|
$3,975.96
|
2025-06-28
|
|
90750
|
HCPCS
|
Shingrix (pf) 50 Mcg/0.5 Ml Intramuscular Suspension Kit
|
14
|
6
|
$775.83
|
$504.29
35% off
|
$161.37
|
$775.83
|
$343.67
|
2025-06-28
|
|
J2502
|
HCPCS
|
Signifor Lar 60 Mg IM Suspension
|
25
|
14
|
$72,075.84
|
$46,849.30
35% off
|
$479.84
|
$72,075.84
|
$839.72
|
2025-06-28
|
|
J1602
|
HCPCS
|
Simponi 50 Mg/0.5 Ml Subcutaneous Syringe
|
41
|
14
|
$45,692.85
|
$29,700.35
35% off
|
$11.10
|
$45,692.85
|
$527.19
|
2025-06-28
|
|
J7301
|
HCPCS
|
Skyla 14 Mcg/24 Hr (up To 3 Years) 13.5 Mg Intrauterine Device
|
14
|
6
|
$2,427.32
|
$1,577.76
35% off
|
$504.88
|
$2,427.32
|
$1,324.34
|
2025-06-28
|
|
6838239601
|
NDC
|
Sodium Benzoate 10 %-sodium Phenylacetate 10 % Intravenous Solution
|
14
|
6
|
$2,628.00
|
$1,708.20
35% off
|
$546.62
|
$2,628.00
|
$1,011.78
|
2025-06-28
|
|
A9580
|
HCPCS
|
Sodium Fluoride F-18 10-200 Mci/ml (370-7400 Mbq/ml) Intravenous Soln
|
18
|
7
|
$500.00
|
$325.00
35% off
|
$104.00
|
$1,437.00
|
$325.00
|
2025-06-28
|
|
8544508321
|
NDC
|
Sodium Hyaluronate 23 Mg/ml Intraocular Syringe
|
14
|
6
|
$856.47
|
$556.71
35% off
|
$178.15
|
$856.47
|
$329.74
|
2025-06-28
|
|
J1930
|
HCPCS
|
Somatuline Depot 60 Mg/0.2 Ml Subcutaneous Syringe
|
41
|
14
|
$109,584.00
|
$71,229.60
35% off
|
$49.97
|
$109,584.00
|
$24,096.24
|
2025-06-28
|
|
6195815011
|
NDC
|
Sovaldi 400 Mg Tablet
|
14
|
6
|
$2,400.00
|
$1,560.00
35% off
|
$499.20
|
$2,400.00
|
$924.00
|
2025-06-28
|
|
J2326
|
HCPCS
|
Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution
|
24
|
14
|
$99,288.57
|
$64,537.57
35% off
|
$1,231.90
|
$99,288.57
|
$1,725.52
|
2025-06-28
|
|
5045802800
|
NDC
|
Spravato 28 Mg Nasal Spray
|
14
|
6
|
$1,001.04
|
$650.68
35% off
|
$208.22
|
$1,001.04
|
$385.40
|
2025-06-28
|
|
J3357
|
HCPCS
|
Stelara 45 Mg/0.5 Ml Subcutaneous Solution
|
33
|
14
|
$104,945.34
|
$68,214.47
35% off
|
$159.91
|
$104,945.34
|
$471.73
|
2025-06-28
|
|
Q9991
|
HCPCS
|
Sublocade 100 Mg/0.5 Ml Solutionextended Release Subcutaneous Syringe
|
34
|
14
|
$15,244.86
|
$9,909.16
35% off
|
$1,778.56
|
$15,244.86
|
$3,303.05
|
2025-06-28
|
|
6195830011
|
NDC
|
Sunlenca 300 Mg Tablet
|
14
|
6
|
$1,950.00
|
$1,267.50
35% off
|
$405.60
|
$1,950.00
|
$750.75
|
2025-06-28
|
|
J9226
|
HCPCS
|
Supprelin La 50 Mg (65 Mcg/day) Implant Kit
|
27
|
14
|
$175,562.52
|
$114,115.64
35% off
|
$45,350.22
|
$175,562.52
|
$71,287.34
|
2025-06-28
|
|
1004259001
|
NDC
|
Susvimo Implant And Insertion Tool Intravitreal
|
14
|
6
|
$3,000.00
|
$1,950.00
35% off
|
$624.00
|
$2,700.00
|
$1,155.00
|
2025-06-28
|
|
J2860
|
HCPCS
|
Sylvant 100 Mg Intravenous Solution
|
34
|
14
|
$7,206.80
|
$4,684.42
35% off
|
$157.07
|
$28,827.32
|
$454.86
|
2025-06-28
|
|
90378
|
HCPCS
|
Synagis 50 Mg/0.5 Ml Intramuscular Solution
|
24
|
14
|
$13,108.74
|
$8,520.68
35% off
|
$719.87
|
$13,108.74
|
$996.12
|
2025-06-28
|
|
Q2053
|
HCPCS
|
Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension
|
24
|
14
|
$2,217,600.00
|
$1,441,440.00
35% off
|
$460,530.40
|
$1,995,840.00
|
$615,878.02
|
2025-06-28
|
|
J9340
|
HCPCS
|
Tepadina 100 Mg Solution For Injection
|
27
|
14
|
$16,920.00
|
$10,998.00
35% off
|
$209.02
|
$16,920.00
|
$365.79
|
2025-06-28
|
|
J3241
|
HCPCS
|
Tepezza 500 Mg Intravenous Solution
|
27
|
14
|
$63,040.08
|
$40,976.05
35% off
|
$343.89
|
$63,040.08
|
$601.81
|
2025-06-28
|
|
4382520001
|
NDC
|
Terlivaz 0.85 Mg Intravenous Solution
|
14
|
6
|
$3,556.80
|
$2,311.92
35% off
|
$739.81
|
$3,556.80
|
$1,369.37
|
2025-06-28
|
|
A9505
|
HCPCS
|
Thallous Chloride Tl-201 37 Mbq/ml (1 Mci/ml) Intravenous Solution
|
18
|
7
|
$4,603.30
|
$2,992.15
35% off
|
$940.00
|
$4,142.97
|
$1,399.49
|
2025-06-28
|
|
6079321721
|
NDC
|
Thrombin-jmi 20000 Unit Topical Spray
|
14
|
6
|
$800.90
|
$520.59
35% off
|
$166.59
|
$800.90
|
$308.35
|
2025-06-28
|
|
6079321722
|
NDC
|
Thrombin-jmi 20000 Unit Topical Spray Syringe
|
14
|
6
|
$800.90
|
$520.59
35% off
|
$166.59
|
$800.90
|
$308.35
|
2025-06-28
|
|
J7511
|
HCPCS
|
Thymoglobulin 25 Mg Intravenous Solution
|
27
|
14
|
$4,030.08
|
$2,619.55
35% off
|
$956.74
|
$4,030.08
|
$1,317.84
|
2025-06-28
|
|
J3240
|
HCPCS
|
Thyrogen 0.9 Mg Intramuscular Solution
|
27
|
14
|
$6,613.77
|
$4,298.95
35% off
|
$2,073.34
|
$8,033.28
|
$3,256.96
|
2025-06-28
|
|
7269461760
|
NDC
|
Tibsovo 250 Mg Tablet
|
14
|
6
|
$1,365.96
|
$887.87
35% off
|
$284.12
|
$1,365.96
|
$525.89
|
2025-06-28
|
|
6880372225
|
NDC
|
Tissueblue 0.025 % Intraocular Syringe
|
14
|
6
|
$1,133.28
|
$736.63
35% off
|
$235.72
|
$1,133.28
|
$436.31
|
2025-06-28
|
|
J9273
|
HCPCS
|
Tivdak 40 Mg Intravenous Solution
|
27
|
14
|
$32,908.80
|
$21,390.72
35% off
|
$181.60
|
$32,908.80
|
$317.80
|
2025-06-28
|
|
4988476854
|
NDC
|
Tolvaptan 15 Mg Tablet
|
14
|
6
|
$1,123.56
|
$730.31
35% off
|
$233.70
|
$1,123.56
|
$432.57
|
2025-06-28
|
|
3172286803
|
NDC
|
Tolvaptan 15 Mg Tablet
|
14
|
6
|
$1,123.50
|
$730.28
35% off
|
$233.69
|
$1,123.50
|
$432.55
|
2025-06-28
|
|
6787763633
|
NDC
|
Tolvaptan 30 Mg Tablet
|
14
|
6
|
$1,092.10
|
$709.87
35% off
|
$227.16
|
$1,092.10
|
$420.46
|
2025-06-28
|
|
J9351
|
HCPCS
|
Topotecan 4 Mg Intravenous Solution
|
19
|
6
|
$1,433.00
|
$931.45
35% off
|
$2.23
|
$1,433.00
|
$567.38
|
2025-06-28
|
|
J3315
|
HCPCS
|
Trelstar 11.25 Mg IM Suspension
|
34
|
14
|
$9,868.56
|
$6,414.56
35% off
|
$466.73
|
$19,737.15
|
$1,303.05
|
2025-06-28
|
|
7053900101
|
NDC
|
Tymlos 80 Mcg/dose (3120 Mcg/1.56 Ml) Subcutaneous Pen Injector
|
14
|
6
|
$6,523.89
|
$4,240.53
35% off
|
$1,356.97
|
$6,523.89
|
$2,511.70
|
2025-06-28
|
|
90691
|
HCPCS
|
Typhim Vi 25 Mcg/0.5 Ml Intramuscular Solution
|
28
|
6
|
$729.48
|
$474.16
35% off
|
$151.73
|
$1,055.31
|
$342.15
|
2025-06-28
|
|
J1303
|
HCPCS
|
Ultomiris 100 Mg/ml Intravenous Solution
|
27
|
14
|
$10,451.32
|
$6,793.36
35% off
|
$220.75
|
$10,451.32
|
$385.55
|
2025-06-28
|
|
J1246
|
HCPCS
|
Unituxin 3.5 Mg/ml Intravenous Solution
|
14
|
6
|
$18,285.40
|
$11,885.51
35% off
|
$3,803.36
|
$18,285.40
|
$8,137.01
|
2025-06-28
|
|
J1823
|
HCPCS
|
Uplizna 10 Mg/ml Intravenous Solution
|
27
|
14
|
$16,829.82
|
$10,939.38
35% off
|
$484.40
|
$16,829.82
|
$847.70
|
2025-06-28
|
|
6621561606
|
NDC
|
Uptravi 1600 Mcg Tablet
|
14
|
6
|
$954.76
|
$620.59
35% off
|
$198.59
|
$954.76
|
$367.59
|
2025-06-28
|
|
6621560806
|
NDC
|
Uptravi 800 Mcg Tablet
|
14
|
6
|
$954.76
|
$620.59
35% off
|
$198.59
|
$954.76
|
$367.59
|
2025-06-28
|
|
J9357
|
HCPCS
|
Valstar 40 Mg/ml Intravesical Solution
|
24
|
14
|
$2,192.88
|
$1,425.37
35% off
|
$1,425.37
|
$5,582.54
|
$1,544.86
|
2025-06-28
|
|
6559750428
|
NDC
|
Vanflyta 17.7 Mg Tablet
|
14
|
6
|
$1,402.24
|
$911.46
35% off
|
$291.67
|
$1,402.24
|
$539.86
|
2025-06-28
|
|
6559751128
|
NDC
|
Vanflyta 26.5 Mg Tablet
|
14
|
6
|
$1,402.24
|
$911.46
35% off
|
$291.67
|
$1,402.24
|
$539.86
|
2025-06-28
|
|
90697
|
HCPCS
|
Vaxelis (pf) 15 Unit-5 Unit-10 Mcg/0.5 Ml Intramuscular Suspension
|
14
|
6
|
$1,095.87
|
$712.32
35% off
|
$227.94
|
$1,095.87
|
$387.39
|
2025-06-28
|
|
8065183905
|
NDC
|
Viscoat 4 %-3 % (40 Mg-30 Mg/ml) Intraocular Syringe
|
14
|
6
|
$1,372.62
|
$892.20
35% off
|
$285.50
|
$1,372.62
|
$528.46
|
2025-06-28
|
|
8065183975
|
NDC
|
Viscoat 4 %-3 % (40 Mg-30 Mg/ml) Intraocular Syringe
|
14
|
6
|
$1,202.46
|
$781.60
35% off
|
$250.11
|
$1,202.46
|
$462.94
|
2025-06-28
|
|
5041939101
|
NDC
|
Vitrakvi 100 Mg Capsule
|
14
|
6
|
$1,621.78
|
$1,054.16
35% off
|
$337.33
|
$1,621.78
|
$624.38
|
2025-06-28
|
|
7269487910
|
NDC
|
Voranigo 10 Mg Tablet
|
14
|
6
|
$1,595.24
|
$1,036.91
35% off
|
$331.81
|
$1,595.24
|
$614.16
|
2025-06-28
|
|
7269472840
|
NDC
|
Voranigo 40 Mg Tablet
|
14
|
6
|
$3,190.48
|
$2,073.81
35% off
|
$663.62
|
$3,190.48
|
$1,228.34
|
2025-06-28
|
|
C9293
|
HCPCS
|
Voraxaze 1000 Unit Intravenous Solution
|
14
|
6
|
$148,226.40
|
$96,347.16
35% off
|
$618.80
|
$148,226.40
|
$54,102.63
|
2025-06-28
|
|
J3385
|
HCPCS
|
Vpriv 400 Unit Intravenous Solution
|
27
|
14
|
$5,337.96
|
$3,469.67
35% off
|
$370.20
|
$5,337.96
|
$647.85
|
2025-06-28
|
|
J9153
|
HCPCS
|
Vyxeos 44 Mg-100 Mg Intravenous Solution
|
27
|
14
|
$51,684.00
|
$33,594.60
35% off
|
$242.50
|
$51,684.00
|
$424.38
|
2025-06-28
|
|
J0218
|
HCPCS
|
Xenpozyme 20 Mg Intravenous Solution
|
27
|
14
|
$27,274.44
|
$17,728.39
35% off
|
$382.56
|
$27,274.44
|
$667.16
|
2025-06-28
|
|
7223710305
|
NDC
|
Xpovio 100 Mg/week (50 Mg X 2) Tablet
|
14
|
6
|
$9,836.10
|
$6,393.47
35% off
|
$2,045.91
|
$9,836.10
|
$3,786.90
|
2025-06-28
|
|
7223710206
|
NDC
|
Xpovio 40 Mg Twice Week (40 Mg X 2) Tablet
|
14
|
6
|
$9,836.10
|
$6,393.47
35% off
|
$2,045.91
|
$9,836.10
|
$3,786.90
|
2025-06-28
|
|
7223710207
|
NDC
|
Xpovio 40 Mg/week (40 Mg X 1) Tablet
|
14
|
6
|
$19,672.20
|
$12,786.93
35% off
|
$4,091.82
|
$19,672.20
|
$7,573.80
|
2025-06-28
|
|
7223710103
|
NDC
|
Xpovio 60 Mg Twice Weekly (120 Mg/week) (20 Mg X 6) Tablet
|
14
|
6
|
$3,278.70
|
$2,131.16
35% off
|
$681.97
|
$3,278.70
|
$1,262.30
|
2025-06-28
|
|
7223710401
|
NDC
|
Xpovio 60 Mg/week (60 Mg X 1) Tablet
|
14
|
6
|
$19,672.20
|
$12,786.93
35% off
|
$4,091.82
|
$19,672.20
|
$7,573.80
|
2025-06-28
|
|
7223710202
|
NDC
|
Xpovio 80 Mg/week (40 Mg X 2) Tablet
|
14
|
6
|
$9,836.10
|
$6,393.47
35% off
|
$2,045.91
|
$9,836.10
|
$3,786.90
|
2025-06-28
|
|
C9164
|
HCPCS
|
Ycanth 0.7 % Topical Solution With Applicator
|
14
|
6
|
$1,644.00
|
$1,068.60
35% off
|
$341.95
|
$1,644.00
|
$632.94
|
2025-06-28
|
|
Q2041
|
HCPCS
|
Yescarta Intravenous Suspension
|
21
|
14
|
$2,417,184.00
|
$1,571,169.60
35% off
|
$489,455.96
|
$2,175,465.60
|
$538,401.56
|
2025-06-28
|
|
J9352
|
HCPCS
|
Yondelis 1 Mg Intravenous Solution
|
27
|
14
|
$17,708.84
|
$11,510.75
35% off
|
$362.82
|
$17,708.84
|
$634.94
|
2025-06-28
|
|
J7314
|
HCPCS
|
Yutiq 0.18 Mg Intravitreal Implant
|
27
|
14
|
$21,914.00
|
$14,244.10
35% off
|
$527.97
|
$21,914.00
|
$917.99
|
2025-06-28
|
|
J9320
|
HCPCS
|
Zanosar 1 Gram Intravenous Solution
|
11
|
6
|
$1,676.28
|
$1,089.58
35% off
|
$348.67
|
$1,676.28
|
$653.75
|
2025-06-28
|
|
J9223
|
HCPCS
|
Zepzelca 4 Mg Intravenous Solution
|
27
|
14
|
$38,928.00
|
$25,303.20
35% off
|
$203.60
|
$38,928.00
|
$356.30
|
2025-06-28
|
|
A9543
|
HCPCS
|
Zevalin (y-90) 3.2 Mg/2 Ml Intravenous Kit
|
24
|
14
|
$148,248.86
|
$96,361.76
35% off
|
$14,774.74
|
$219,601.49
|
$34,720.64
|
2025-06-28
|
|
Q5120
|
HCPCS
|
Ziextenzo 6 Mg/0.6 Ml Subcutaneous Syringe
|
25
|
14
|
$23,553.18
|
$15,309.57
35% off
|
$29.47
|
$23,553.18
|
$360.63
|
2025-06-28
|
|
J9999
|
HCPCS
|
Ziihera 300 Mg Intravenous Solution
|
25
|
6
|
$17,064.00
|
$11,091.60
35% off
|
$3,549.31
|
$2,268,000.00
|
$15,357.60
|
2025-06-28
|
|
J9202
|
HCPCS
|
Zoladex 3.6 Mg Subcutaneous Implant
|
34
|
14
|
$5,046.72
|
$3,280.37
35% off
|
$674.77
|
$14,016.08
|
$1,767.20
|
2025-06-28
|
|
J3399
|
HCPCS
|
Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension Kit
|
19
|
13
|
—
|
$4,972,500.00
|
$2,388,614.23
|
$4,972,500.00
|
$2,508,044.94
|
2025-06-28
|
|
J9359
|
HCPCS
|
Zynlonta 10 Mg Intravenous Solution
|
27
|
14
|
$99,959.04
|
$64,973.38
35% off
|
$206.38
|
$99,959.04
|
$361.17
|
2025-06-28
|
|
J3393
|
HCPCS
|
Zynteglo 2 X 10exp6 To 20 X 10exp6 Cell/ml Intravenous Suspension
|
15
|
11
|
—
|
—
|
$2,968,000.00
|
$4,674,600.00
|
$3,086,720.00
|
2025-06-28
|