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

COOK CHILDRENS MEDICAL CENTER PROSPER

Prosper, TX · CCN 453317 · Rates published

2,910 distinct procedures filed
23 distinct payers
340,010 rate rows
2026-01-01 last MRF observed
Data quality

271,016 of 340,010 rate rows are consumer-grade (79.7%)

68,994 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 40,693
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 28,232
percent-of-charges filed in the dollar field — excluded from medians 69
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cookchildrens.pt.panaceainc.com/MRFDownload/cookchildrens/cookchildrensprosper
Found on page https://www.cookchildrens.org/about/compliance/standard-charges/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-16
Content fingerprint 4ced5258b95a6d06… · 10,210,394 bytes · first seen 2026-05-08

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
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 23 $236,835.00 $655,500.00 $327,750.00 nat. median
$621,313
0.5× median
J9348
HCPCS 		Naxitamab-gqgk 4 Mg/ml Intravenous Solution 23 $114,856.58 $317,894.27 $162,920.82 nat. median
$720
outlier · 226.2×
014-U
OTHER 		Allo Bmt-unrelated 4 $120,000.00 $200,000.00 $154,000.00 —
014-R
OTHER 		Allo Bmt-related 4 $95,000.00 $170,000.00 $128,500.00 —
54288122048
NDC 		Propylene Glycol (bulk) 99.5 % (not Less Than Usp) Liquid 23 $88,120.57 $243,895.68 $128,045.23 —
652-C
OTHER 		Kidney - Live Donor 1 $124,000.00 $124,000.00 $124,000.00 —
650-L
OTHER 		Kidney - Live Donor 1 $124,000.00 $124,000.00 $124,000.00 —
651-C
OTHER 		Kidney - Live Donor 1 $124,000.00 $124,000.00 $124,000.00 —
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 1 $124,000.00 $124,000.00 $124,000.00 nat. median
$23,036
outlier · 5.4×
652-L
OTHER 		Kidney - Live Donor 1 $124,000.00 $124,000.00 $124,000.00 —
650-C
OTHER 		Kidney - Live Donor 1 $124,000.00 $124,000.00 $124,000.00 —
651-L
OTHER 		Kidney - Live Donor 1 $124,000.00 $124,000.00 $124,000.00 —
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 23 $65,599.14 $181,562.00 $93,050.52 nat. median
$1,667
outlier · 55.8×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 4 $80,000.00 $92,000.00 $85,000.00 nat. median
$29,295
outlier · 2.9×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 4 $80,000.00 $92,000.00 $85,000.00 nat. median
$38,932
outlier · 2.2×
00187000714
NDC 		Ribavirin 6 Gram Solution For Inhalation 23 $39,826.17 $110,228.88 $57,870.16 —
J9229
HCPCS 		Inotuzumab Ozogamicin 0.25 Mg/ml Injection 23 $38,118.55 $105,502.61 $55,388.87 nat. median
$4,856
outlier · 11.4×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 23 $37,049.72 $102,544.35 $53,835.78 nat. median
$133
outlier · 404.9×
J9228
HCPCS 		Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 23 $17,878.55 $150,717.62 $51,969.14 nat. median
$6,073
outlier · 8.6×
J9210
HCPCS 		Emapalumab-lzsg 5 Mg/ml Intravenous Solution 23 $8,611.82 $160,371.64 $47,359.72 nat. median
$959
outlier · 49.4×
62991269301
NDC 		Sermorelin Acetate (bulk) 100 % Powder 23 $28,677.48 $79,372.08 $41,670.34 —
J1303
HCPCS 		Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 23 $15,186.11 $105,767.57 $39,934.87 nat. median
$504
outlier · 79.3×
11994001601
NDC 		Samarium Sm 153 Lexidronam 5550 Mbq/3 Ml Intravenous Solution 23 $24,355.95 $67,411.16 $35,390.86 —
38779088503
NDC 		Levorphanol Tartrate (bulk) 100 % Powder 23 $19,987.71 $55,320.98 $29,043.51 —
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 23 $20,016.46 $55,400.56 $28,392.78 nat. median
$57,036
outlier · 0.5×
J3380
HCPCS 		Vedolizumab 300 Mg Intravenous Solution 23 $18,850.74 $52,174.12 $26,739.24 nat. median
$59
outlier · 454.7×
J9153
HCPCS 		Daunorubicin And Cytarabine 44 Mg/100 Mg Liposome Injection 23 $17,834.51 $51,561.63 $26,370.82 nat. median
$722
outlier · 36.5×
61314047320
NDC 		Adalimumab-adaz 40 Mg/0.4 Ml Subcutaneous Pen Injector 23 $16,244.97 $44,962.01 $23,605.06 —
J0802
HCPCS 		Corticotropin 80 Unit/ml Injection Gel 23 $16,506.98 $45,687.20 $23,414.69 nat. median
$4,714
outlier · 5.0×
J1299
HCPCS 		Eculizumab 300 Mg/30 Ml Intravenous Solution 23 $15,468.32 $42,812.43 $21,941.38 nat. median
$75
outlier · 291.2×
J9302
HCPCS 		Ofatumumab 1000 Mg/50 Ml Intravenous Solution 23 $14,307.99 $39,600.94 $20,295.48 nat. median
$239
outlier · 85.0×
J2323
HCPCS 		Natalizumab 300 Mg/15 Ml Intravenous Solution 23 $14,228.05 $39,379.68 $20,182.08 nat. median
$50
outlier · 400.1×
J9039
HCPCS 		Blinatumomab 12.5 Mcg/ml Intravenous Solution 23 $13,177.00 $36,470.64 $19,484.04 nat. median
$337
outlier · 57.8×
J9271
HCPCS 		Pembrolizumab 25 Mg/ml Intravenous Solution 23 $13,178.83 $36,475.70 $19,149.74 nat. median
$127
outlier · 150.8×
J3101
HCPCS 		Tenecteplase 50 Mg Intravenous Kit 23 $12,752.78 $35,296.49 $18,530.66 nat. median
$498
outlier · 37.2×
J0600
HCPCS 		Edetate Calcium Disodium 200 Mg/ml Injection Solution 23 $12,472.06 $34,519.55 $18,122.76 nat. median
$6,592
outlier · 2.7×
J0491
HCPCS 		Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution 23 $12,648.65 $35,008.30 $17,941.76 nat. median
$45
outlier · 401.5×
J0480
HCPCS 		Basiliximab 20 Mg Intravenous Solution 23 $11,027.62 $30,521.69 $16,023.89 nat. median
$6,753
outlier · 2.4×
J1950
HCPCS 		Leuprolide 7.5 Mg (ped) Intramuscular Kit 23 $4,893.43 $61,497.86 $15,800.65 nat. median
$3,343
outlier · 4.7×
00301234454
NDC 		Sodium Benzoate (bulk) Powder 23 $10,297.75 $28,501.60 $14,963.34 —
J7189
HCPCS 		Coagulation Factor Viia Recomb 2 Mg (2000 Mcg) Intravenous Solution 23 $4,932.40 $66,571.20 $14,834.50 nat. median
$3,219
outlier · 4.6×
Q5111
HCPCS 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe 23 $9,900.37 $27,401.74 $14,385.91 nat. median
$665
outlier · 21.6×
J9292
HCPCS 		Pemetrexed Disodium 500 Mg Intravenous Powder For Solution 23 $9,587.41 $26,535.56 $13,931.17 nat. median
$84
outlier · 164.9×
J2353
HCPCS 		Octreotidemicrospheres ER 10 Mg Intramuscular Susp Extended Release 23 $7,041.56 $29,121.68 $12,767.19 nat. median
$1,956
outlier · 6.5×
J9027
HCPCS 		Clofarabine 1 Mg/ml Intravenous Solution 23 $8,452.52 $23,394.45 $12,282.09 nat. median
$334
outlier · 36.7×
J2182
HCPCS 		Mepolizumab Subcutaneous Injection 100 Mg 23 $8,376.06 $23,182.85 $12,171.00 nat. median
$80
outlier · 152.8×
J0897
HCPCS 		Denosumab 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution 23 $8,180.53 $22,641.66 $11,886.87 nat. median
$86
outlier · 138.2×
J0139
HCPCS 		Adalimumab 40 Mg/0.4 Ml Subcutaneous Syringe Kit 23 $8,207.95 $22,717.56 $11,642.75 nat. median
$7,034
1.7× median
J9308
HCPCS 		Ramucirumab 10 Mg/ml Intravenous Solution 23 $2,878.83 $39,838.99 $11,180.94 nat. median
$300
outlier · 37.3×
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 23 $7,457.89 $20,641.58 $10,836.83 nat. median
$6,265
1.7× median

Other procedures at this hospital

Browse this hospital's 2,910 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
             
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 67 23 $712,500.00 $534,375.00 25% off $236,835.00 $655,500.00 $327,750.00 2026-01-01
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 68 23 $345,537.25 $259,152.94 25% off $114,856.58 $317,894.27 $162,920.82 2026-01-01
014-U OTHER Allo Bmt-unrelated 4 4 — — $120,000.00 $200,000.00 $154,000.00 2026-01-01
014-R OTHER Allo Bmt-related 4 4 — — $95,000.00 $170,000.00 $128,500.00 2026-01-01
54288122048 NDC Propylene Glycol (bulk) 99.5 % (not Less Than Usp) Liquid 69 23 $265,104.00 $198,828.00 25% off $88,120.57 $243,895.68 $128,045.23 2026-01-01
650-L OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
650-C OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
652-L OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
651-C OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
652-C OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
651-L OTHER Kidney - Live Donor 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $124,000.00 $124,000.00 $124,000.00 2026-01-01
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 68 23 $197,350.00 $148,012.50 25% off $65,599.14 $181,562.00 $93,050.52 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $80,000.00 $92,000.00 $85,000.00 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $80,000.00 $92,000.00 $85,000.00 2026-01-01
00187000714 NDC Ribavirin 6 Gram Solution For Inhalation 69 23 $119,814.00 $89,860.50 25% off $39,826.17 $110,228.88 $57,870.16 2026-01-01
J9229 HCPCS Inotuzumab Ozogamicin 0.25 Mg/ml Injection 69 23 $114,676.75 $86,007.56 25% off $38,118.55 $105,502.61 $55,388.87 2026-01-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 69 23 $111,461.25 $83,595.94 25% off $37,049.72 $102,544.35 $53,835.78 2026-01-01
J9228 HCPCS Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 138 23 $53,786.25 $40,339.69 25% off $17,878.55 $150,717.62 $51,969.14 2026-01-01
J9210 HCPCS Emapalumab-lzsg 5 Mg/ml Intravenous Solution 207 23 $98,053.25 $73,539.94 25% off $8,611.82 $160,371.64 $47,359.72 2026-01-01
62991269301 NDC Sermorelin Acetate (bulk) 100 % Powder 69 23 $86,274.00 $64,705.50 25% off $28,677.48 $79,372.08 $41,670.34 2026-01-01
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 136 23 $45,686.25 $34,264.69 25% off $15,186.11 $105,767.57 $39,934.87 2026-01-01
11994001601 NDC Samarium Sm 153 Lexidronam 5550 Mbq/3 Ml Intravenous Solution 69 23 $73,273.00 $54,954.75 25% off $24,355.95 $67,411.16 $35,390.86 2026-01-01
38779088503 NDC Levorphanol Tartrate (bulk) 100 % Powder 69 23 $60,131.50 $45,098.63 25% off $19,987.71 $55,320.98 $29,043.51 2026-01-01
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 68 23 $60,218.00 $45,163.50 25% off $20,016.46 $55,400.56 $28,392.78 2026-01-01
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 68 23 $56,711.00 $42,533.25 25% off $18,850.74 $52,174.12 $26,739.24 2026-01-01
J9153 HCPCS Daunorubicin And Cytarabine 44 Mg/100 Mg Liposome Injection 138 23 $56,045.25 $42,033.94 25% off $17,834.51 $51,561.63 $26,370.82 2026-01-01
61314047320 NDC Adalimumab-adaz 40 Mg/0.4 Ml Subcutaneous Pen Injector 69 23 $48,871.75 $36,653.81 25% off $16,244.97 $44,962.01 $23,605.06 2026-01-01
J0802 HCPCS Corticotropin 80 Unit/ml Injection Gel 68 23 $49,660.00 $37,245.00 25% off $16,506.98 $45,687.20 $23,414.69 2026-01-01
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 68 23 $46,535.25 $34,901.44 25% off $15,468.32 $42,812.43 $21,941.38 2026-01-01
J9302 HCPCS Ofatumumab 1000 Mg/50 Ml Intravenous Solution 68 23 $43,044.50 $32,283.38 25% off $14,307.99 $39,600.94 $20,295.48 2026-01-01
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 68 23 $42,804.00 $32,103.00 25% off $14,228.05 $39,379.68 $20,182.08 2026-01-01
J9039 HCPCS Blinatumomab 12.5 Mcg/ml Intravenous Solution 70 23 $39,642.00 $29,731.50 25% off $13,177.00 $36,470.64 $19,484.04 2026-01-01
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 69 23 $39,647.50 $29,735.63 25% off $13,178.83 $36,475.70 $19,149.74 2026-01-01
J3101 HCPCS Tenecteplase 50 Mg Intravenous Kit 69 23 $38,365.75 $28,774.31 25% off $12,752.78 $35,296.49 $18,530.66 2026-01-01
J0600 HCPCS Edetate Calcium Disodium 200 Mg/ml Injection Solution 69 23 $37,521.25 $28,140.94 25% off $12,472.06 $34,519.55 $18,122.76 2026-01-01
J0491 HCPCS Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution 68 23 $38,052.50 $28,539.38 25% off $12,648.65 $35,008.30 $17,941.76 2026-01-01
J0480 HCPCS Basiliximab 20 Mg Intravenous Solution 69 23 $33,175.75 $24,881.81 25% off $11,027.62 $30,521.69 $16,023.89 2026-01-01
J1950 HCPCS Leuprolide 7.5 Mg (ped) Intramuscular Kit 340 23 $29,436.75 $22,077.56 25% off $4,893.43 $61,497.86 $15,800.65 2026-01-01
00301234454 NDC Sodium Benzoate (bulk) Powder 69 23 $30,980.00 $23,235.00 25% off $10,297.75 $28,501.60 $14,963.34 2026-01-01
J7189 HCPCS Coagulation Factor Viia Recomb 2 Mg (2000 Mcg) Intravenous Solution 276 23 $20,034.75 $15,026.06 25% off $4,932.40 $66,571.20 $14,834.50 2026-01-01
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe 69 23 $29,784.50 $22,338.38 25% off $9,900.37 $27,401.74 $14,385.91 2026-01-01
J9292 HCPCS Pemetrexed Disodium 500 Mg Intravenous Powder For Solution 69 23 $28,843.00 $21,632.25 25% off $9,587.41 $26,535.56 $13,931.17 2026-01-01
J2353 HCPCS Octreotidemicrospheres ER 10 Mg Intramuscular Susp Extended Release 272 23 $24,160.25 $18,120.19 25% off $7,041.56 $29,121.68 $12,767.19 2026-01-01
J9027 HCPCS Clofarabine 1 Mg/ml Intravenous Solution 69 23 $25,428.75 $19,071.56 25% off $8,452.52 $23,394.45 $12,282.09 2026-01-01
J2182 HCPCS Mepolizumab Subcutaneous Injection 100 Mg 69 23 $25,198.75 $18,899.06 25% off $8,376.06 $23,182.85 $12,171.00 2026-01-01
J0897 HCPCS Denosumab 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution 69 23 $24,610.50 $18,457.88 25% off $8,180.53 $22,641.66 $11,886.87 2026-01-01
J0139 HCPCS Adalimumab 40 Mg/0.4 Ml Subcutaneous Syringe Kit 68 23 $24,693.00 $18,519.75 25% off $8,207.95 $22,717.56 $11,642.75 2026-01-01
J9308 HCPCS Ramucirumab 10 Mg/ml Intravenous Solution 138 23 $8,660.75 $6,495.56 25% off $2,878.83 $39,838.99 $11,180.94 2026-01-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 69 23 $22,436.50 $16,827.38 25% off $7,457.89 $20,641.58 $10,836.83 2026-01-01
J1743 HCPCS Idursulfase 6 Mg/3 Ml Intravenous Solution 69 23 $22,371.25 $16,778.44 25% off $7,436.20 $20,581.55 $10,805.31 2026-01-01
J0129 HCPCS Abatacept (with Maltose) 250 Mg Intravenous Solution 69 23 $22,115.50 $16,586.63 25% off $7,351.19 $20,346.26 $10,681.79 2026-01-01
51552072005 NDC Nifedipine (bulk) Powder 69 23 $22,092.50 $16,569.38 25% off $7,343.55 $20,325.10 $10,670.68 2026-01-01
C9482 HCPCS Sotalol 150 Mg/10 Ml (15 Mg/ml) Intravenous Solution 69 23 $21,395.00 $16,046.25 25% off $7,111.70 $19,683.40 $10,333.79 2026-01-01
J0840 HCPCS Crotalidae Polyval Immune Fab Solution For Injection 138 23 $19,012.25 $14,259.19 25% off $6,319.67 $20,989.57 $10,266.62 2026-01-01
63833038702 NDC Hum Prothrombin Cplx 4-factor 1000 Unit (800-1240 Unit) IV Solution 68 23 $21,259.50 $15,944.63 25% off $7,066.66 $19,558.74 $10,023.85 2026-01-01
J2407 HCPCS Oritavancin 400 Mg Intravenous Solution 69 23 $20,100.25 $15,075.19 25% off $6,681.32 $18,492.23 $9,708.42 2026-01-01
64980059324 NDC Nitrofurantoin 25 Mg/5 Ml Oral Suspension 69 23 $19,975.25 $14,981.44 25% off $6,639.77 $18,377.23 $9,648.05 2026-01-01
59651057308 NDC Aminocaproic Acid 250 Mg/ml (25 %) Oral Solution 69 23 $18,943.00 $14,207.25 25% off $6,296.65 $17,427.56 $9,149.47 2026-01-01
J9050 HCPCS Carmustine 100 Mg Intravenous Solution 69 23 $18,815.25 $14,111.44 25% off $6,254.19 $17,310.03 $9,087.77 2026-01-01
J9268 HCPCS Pentostatin 10 Mg Intravenous Solution 68 23 $19,140.50 $14,355.38 25% off $6,362.30 $17,609.26 $9,024.74 2026-01-01
Q2017 HCPCS Teniposide 50 Mg/5 Ml Intravenous Solution 69 23 $17,806.25 $13,354.69 25% off $5,918.80 $16,381.75 $8,600.42 2026-01-01
65649092203 NDC Dextranomer-hyaluronic (deflux Equiv 50-15mg/ml) Acid Each 69 23 $17,266.25 $12,949.69 25% off $5,739.30 $15,884.95 $8,339.60 2026-01-01
A9587 HCPCS 68ga-dotatate 67 23 $18,000.00 $13,500.00 25% off $5,983.20 $16,560.00 $8,280.00 2026-01-01
10122051001 NDC Poractant Alfa 120 Mg/1.5 Ml Intratracheal Suspension 69 23 $17,092.00 $12,819.00 25% off $5,681.38 $15,724.64 $8,255.44 2026-01-01
J0791 HCPCS Crizanlizumab-tmca 10 Mg/ml Intravenous Solution 68 23 $17,499.50 $13,124.63 25% off $5,816.83 $16,099.54 $8,251.01 2026-01-01
A9548 HCPCS In-111 Pentetate 67 23 $17,135.00 $12,851.25 25% off $5,695.67 $15,764.20 $7,882.10 2026-01-01
J7168 HCPCS Human Prothrombin Complex4-factor 500 Unit (400-620 Unit) IV Solution 136 23 $21,259.50 $15,944.63 25% off $3,222.62 $19,558.74 $7,819.25 2026-01-01
J0349 HCPCS Rezafungin 200 Mg Intravenous Solution 69 23 $14,907.75 $11,180.81 25% off $4,955.34 $13,715.13 $7,200.44 2026-01-01
41000142605 NDC Imatinib 40 Mg/ml Oral Suspension 69 23 $14,443.00 $10,832.25 25% off $4,800.85 $13,287.56 $6,975.97 2026-01-01
J3358 HCPCS Ustekinumab (stelara) 130 Mg/26 Ml Intravenous Solution Vial 69 23 $14,443.00 $10,832.25 25% off $4,800.85 $13,287.56 $6,975.97 2026-01-01
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Injection Solution 69 23 $14,268.00 $10,701.00 25% off $4,742.68 $13,126.56 $6,891.44 2026-01-01
58468042601 NDC Avalglucosidase Alfa-ngpt 100 Mg Intravenous Solution 69 23 $13,893.00 $10,419.75 25% off $4,618.03 $12,781.56 $6,710.32 2026-01-01
J9218 HCPCS Leuprolide 3.75 Mg Intramuscular Syringe Kit 272 23 $12,849.25 $9,636.94 25% off $1,760.72 $35,463.93 $6,708.07 2026-01-01
41000164815 NDC Progel 4 Ml Pleaural Air Leak Seal Kit 69 23 $13,777.00 $10,332.75 25% off $4,579.47 $12,674.84 $6,654.29 2026-01-01
J9245 HCPCS Melphalan Hcl 50 Mg Intravenous Powder For Solution 136 23 $11,722.00 $8,791.50 25% off $3,896.39 $16,450.06 $6,615.79 2026-01-01
46287004515 NDC Tadalafil 20 Mg/5 Ml(4 Mg/ml) Oral Suspension (pulmonary Hypertension) 69 23 $13,519.00 $10,139.25 25% off $4,493.72 $12,437.48 $6,529.68 2026-01-01
J2997 HCPCS Alteplase Infusion 1-<5 Kg 340 23 $13,649.25 $10,236.94 25% off $478.41 $47,626.33 $6,435.62 2026-01-01
J9207 HCPCS Ixabepilone 15 Mg Intravenous Solution 207 23 $10,974.00 $8,230.50 25% off $2,665.02 $22,128.53 $6,414.00 2026-01-01
J7195 HCPCS Coagulation Factor Ix (recomb) 1000 Unit Intravenous Solution 69 23 $12,883.75 $9,662.81 25% off $4,282.56 $11,853.05 $6,222.85 2026-01-01
J1458 HCPCS Galsulfase 5 Mg/5 Ml Intravenous Solution 68 23 $13,062.50 $9,796.88 25% off $4,341.98 $12,017.50 $6,158.97 2026-01-01
J1438 HCPCS Etanercept 50 Mg/ml (1 Ml) Subcutaneous Syringe 207 23 $13,325.50 $9,994.13 25% off $2,830.55 $13,385.31 $6,129.73 2026-01-01
62856058446 NDC Rufinamide 40 Mg/ml Oral Suspension 69 23 $12,549.75 $9,412.31 25% off $4,171.54 $11,545.77 $6,061.53 2026-01-01
Q2047 HCPCS Sotrovimab 500 Mg/8 Ml (62.5 Mg/ml) Intravenous Solution (eua) 69 23 $12,484.50 $9,363.38 25% off $4,149.85 $11,485.74 $6,030.01 2026-01-01
Q0222 HCPCS Bebtelovimab 175 Mg/2 Ml (87.5 Mg/ml) Intravenous Solution (unapp) 69 23 $12,484.50 $9,363.38 25% off $4,149.85 $11,485.74 $6,030.01 2026-01-01
J1786 HCPCS Imiglucerase 400 Unit Intravenous Solution 69 23 $12,249.00 $9,186.75 25% off $4,071.57 $11,269.08 $5,916.27 2026-01-01
J9285 HCPCS Olaratumab 10 Mg/ml Intravenous Solution 138 23 $6,658.25 $4,993.69 25% off $2,213.20 $16,119.55 $5,841.66 2026-01-01
A9604 HCPCS 153 Samarium 67 23 $12,594.00 $9,445.50 25% off $4,186.25 $11,586.48 $5,793.24 2026-01-01
J3315 HCPCS Triptorelin Pamoate 3.75 Mg IM Suspension 138 23 $5,801.75 $4,351.31 25% off $1,928.50 $16,012.60 $5,561.51 2026-01-01
67386031321 NDC Clobazam 2.5 Mg/ml Oral Suspension 69 23 $11,179.00 $8,384.25 25% off $3,715.90 $10,284.68 $5,399.46 2026-01-01
J9246 HCPCS Melphalan 50 Mg-betadex Sulfobutyl Ether Sodium Intravenous Solution 68 23 $11,407.50 $8,555.63 25% off $3,791.85 $10,494.90 $5,378.64 2026-01-01
J2515 HCPCS Pentobarbital Sodium 50 Mg/ml Injection Solution 345 23 $8,633.50 $6,475.13 25% off $199.44 $14,813.38 $5,335.52 2026-01-01
00187301220 NDC Pyridostigmine Bromide 60 Mg/5 Ml Oral Syrup 69 23 $10,727.75 $8,045.81 25% off $3,565.90 $9,869.53 $5,181.50 2026-01-01
J2357 HCPCS Omalizumab Subcutaneous Solution 69 23 $10,502.50 $7,876.88 25% off $3,491.03 $9,662.30 $5,072.71 2026-01-01
J9355 HCPCS Trastuzumab 150 Mg Intravenous Solution 69 23 $10,479.75 $7,859.81 25% off $3,483.47 $9,641.37 $5,061.72 2026-01-01
J1439 HCPCS Ferric Carboxymaltose 50 Mg Iron/ml Intravenous Solution 68 23 $10,505.50 $7,879.13 25% off $3,492.03 $9,665.06 $4,953.34 2026-01-01
65162091322 NDC Voriconazole 200 Mg/5 Ml (40 Mg/ml) Oral Suspension 69 23 $10,037.75 $7,528.31 25% off $3,336.55 $9,234.73 $4,848.23 2026-01-01
00173066518 NDC Atovaquone 750 Mg/5 Ml Oral Suspension 69 23 $9,934.00 $7,450.50 25% off $3,302.06 $9,139.28 $4,798.12 2026-01-01
J7192 HCPCS Antihemophilic Factor Viii Full Length 250 (+/-) Unit IV Solution 138 23 $5,027.50 $3,770.63 25% off $1,671.14 $13,320.45 $4,719.02 2026-01-01
63833039701 NDC Hum Prothrombin Cplx 4-factor 1000 Unit (800-1240 Unit) IV Solution 68 23 $9,785.00 $7,338.75 25% off $3,252.53 $9,002.20 $4,613.63 2026-01-01
63020004904 NDC Bortezomib Chemo Injection 1 Mg/ml 69 23 $9,530.00 $7,147.50 25% off $3,167.77 $8,767.60 $4,602.99 2026-01-01
90396 HCPCS Varicella-zoster Immune Glob-maltose 125 Unit/1.2 Ml IM Solution 69 23 $9,319.50 $6,989.63 25% off $3,097.80 $8,573.94 $4,501.32 2026-01-01
J9330 HCPCS Temsirolimus 30 Mg/3 Ml (10 Mg/ml) (first Dilution) Intravenous Soln 138 23 $14,270.50 $10,702.88 25% off $1,440.79 $13,128.86 $4,365.62 2026-01-01
J9266 HCPCS Pegaspargase 50 Unit/ml Injection Solution 136 23 $24,271.25 $18,203.44 25% off $193.96 $22,329.55 $4,302.29 2026-01-01
62484002001 NDC Mercaptopurine 20 Mg/ml Oral Suspension 69 23 $8,830.50 $6,622.88 25% off $2,935.26 $8,124.06 $4,265.13 2026-01-01
J9264 HCPCS Paclitaxel Protein-bound 100 Mg Intravenous Suspension 69 23 $8,815.00 $6,611.25 25% off $2,930.11 $8,109.80 $4,257.65 2026-01-01
J9171 HCPCS Docetaxel 20 Mg/ml (1 Ml) Intravenous Solution 204 23 $9,025.75 $6,769.31 25% off $1,005.34 $16,607.15 $4,255.65 2026-01-01
Q0138 HCPCS Ferumoxytol 510 Mg/17 Ml (30 Mg/ml) Intravenous Solution 69 23 $8,515.25 $6,386.44 25% off $2,830.47 $7,834.03 $4,112.87 2026-01-01
J3262 HCPCS Tocilizumab 80 Mg/4 Ml (20 Mg/ml) Intravenous Solution 207 23 $8,225.00 $6,168.75 25% off $1,199.63 $17,431.01 $3,972.68 2026-01-01
J9357 HCPCS Valrubicin 40 Mg/ml Intravesical Solution 69 23 $8,163.00 $6,122.25 25% off $2,713.38 $7,509.96 $3,942.73 2026-01-01
J7511 HCPCS Anti-thymocyte Globulin (rabbit) 25 Mg Intravenous Solution 69 23 $7,986.50 $5,989.88 25% off $2,654.71 $7,347.58 $3,857.48 2026-01-01
J1322 HCPCS Elosulfase Alfa 5 Mg/5 Ml (1 Mg/ml) Intravenous Solution 69 23 $7,926.00 $5,944.50 25% off $2,634.60 $7,291.92 $3,828.26 2026-01-01
J0180 HCPCS Agalsidase Beta 5 Mg Intravenous Solution 68 23 $7,976.00 $5,982.00 25% off $2,651.22 $7,337.92 $3,760.68 2026-01-01
Q2050 HCPCS Doxorubicin Pegylated Liposomal 2 Mg/ml Intravenous Suspension 69 23 $7,689.75 $5,767.31 25% off $2,556.07 $7,074.57 $3,714.15 2026-01-01
J0850 HCPCS Cytomegalovirus Immune Globulin 50 Mg/ml Intravenous Solution 69 23 $7,676.25 $5,757.19 25% off $2,551.59 $7,062.15 $3,707.63 2026-01-01
J1931 HCPCS Laronidase 2.9 Mg/5 Ml Intravenous Solution 69 23 $7,637.50 $5,728.13 25% off $2,538.71 $7,026.50 $3,688.91 2026-01-01
J1561 HCPCS Immune Globu G 1 Gram/10 Ml(10 %)-gly-iga Ave 46 Mcg/ml Injection Soln 413 23 $4,884.00 $3,663.00 25% off $232.60 $35,945.09 $3,614.07 2026-01-01
J2783 HCPCS Rasburicase 1.5 Mg Intravenous Solution 136 23 $7,665.75 $5,749.31 25% off $2,522.83 $7,052.49 $3,596.05 2026-01-01
A9582 HCPCS I-123 Meta-iodobenzylguanidone Sulfate (i 123 Mibg) Intravenous Soln 67 23 $7,705.25 $5,778.94 25% off $2,561.23 $7,088.83 $3,544.42 2026-01-01
J9328 HCPCS Temozolomide Chemo IV Syringe 2.5 Mg/ml (pediatric) 69 23 $7,156.25 $5,367.19 25% off $2,378.74 $6,583.75 $3,456.47 2026-01-01
J0490 HCPCS Belimumab 200 Mg/ml Subcutaneous Syringe 204 23 $6,296.00 $4,722.00 25% off $1,453.92 $13,413.60 $3,449.52 2026-01-01
50633031011 NDC Hydroxocobalamin 5 Gram Intravenous Solution 69 23 $7,119.75 $5,339.81 25% off $2,366.60 $6,550.17 $3,438.84 2026-01-01
54288010515 NDC Ethyl Alcohol 99 % Intra-arterial Solution 69 23 $7,098.50 $5,323.88 25% off $2,359.54 $6,530.62 $3,428.58 2026-01-01
J3590 HCPCS Peginterferon Alfa-2a 180 Mcg/ml Subcutaneous Solution 69 23 $7,075.25 $5,306.44 25% off $2,351.81 $6,509.23 $3,417.35 2026-01-01
41000618103 NDC Terbutaline 1 Mg/ml Infusion 50 Ml =/>1 Kg 69 23 $7,027.00 $5,270.25 25% off $2,335.77 $6,464.84 $3,394.04 2026-01-01
53276101059 NDC Microfibrillar Collagen Hemostat Powder 69 23 $7,015.50 $5,261.63 25% off $2,331.95 $6,454.26 $3,388.49 2026-01-01
A9572 HCPCS In-111 Octreotide 67 23 $7,345.00 $5,508.75 25% off $2,441.48 $6,757.40 $3,378.70 2026-01-01
J0641 HCPCS Levoleucovorin Calcium 10 Mg/ml Intravenous Solution 138 23 $5,930.25 $4,447.69 25% off $1,971.22 $7,006.72 $3,343.42 2026-01-01
J0485 HCPCS Belatacept 250 Mg Intravenous Solution 69 23 $6,919.25 $5,189.44 25% off $2,299.96 $6,365.71 $3,342.00 2026-01-01
J0221 HCPCS Alglucosidase Alfa 50 Mg Intravenous Solution 68 23 $7,086.75 $5,315.06 25% off $2,355.64 $6,519.81 $3,341.40 2026-01-01
J9395 HCPCS Fulvestrant 250 Mg/5 Ml Intramuscular Syringe 69 23 $6,916.75 $5,187.56 25% off $2,299.13 $6,363.41 $3,340.79 2026-01-01
42192061916 NDC Naproxen 125 Mg/5 Ml Oral Suspension 69 23 $6,718.00 $5,038.50 25% off $2,233.06 $6,180.56 $3,244.79 2026-01-01
46036000664 NDC Magnesium Sulfate (bulk) 100 % Crystals (wrapper) 69 23 $6,674.75 $5,006.06 25% off $2,218.69 $6,140.77 $3,223.90 2026-01-01
J2792 HCPCS Rho(d) Immune Globulin-maltose 5000 Unit (1000 Mcg)/4.4 Ml Inj. Soln 138 23 $10,256.25 $7,692.19 25% off $1,071.99 $9,435.75 $3,188.09 2026-01-01
41000139005 NDC Pyridoxine 100 Mg/ml Oral Suspension 69 23 $6,506.25 $4,879.69 25% off $2,162.68 $5,985.75 $3,142.52 2026-01-01
J9120 HCPCS Dactinomycin 0.5 Mg Intravenous Solution 207 23 $5,261.50 $3,946.13 25% off $1,185.67 $17,776.93 $2,996.28 2026-01-01
69452011645 NDC Clobazam 2.5 Mg/ml Oral Suspension 69 23 $6,168.25 $4,626.19 25% off $2,050.33 $5,674.79 $2,979.26 2026-01-01
00944934071 NDC Coseal Surgical Sealant 4 Ml Kit-dev 69 23 $6,080.50 $4,560.38 25% off $2,021.16 $5,594.06 $2,936.88 2026-01-01
00054031950 NDC Linezolid 100 Mg/5 Ml Oral Suspension 69 23 $5,687.75 $4,265.81 25% off $1,890.61 $5,232.73 $2,747.18 2026-01-01
A9557 HCPCS Tc99m Bicisate 67 23 $5,787.00 $4,340.25 25% off $1,923.60 $5,324.04 $2,662.02 2026-01-01
55724021121 NDC Crisaborole 2 % Topical Ointment 69 23 $5,443.25 $4,082.44 25% off $1,809.34 $5,007.79 $2,629.09 2026-01-01
J1560 HCPCS Immune Globgamma(igg) 15 %-18 % Range-glycine Intramuscular Solution 69 23 $5,404.50 $4,053.38 25% off $1,796.46 $4,972.14 $2,610.37 2026-01-01
J0300 HCPCS Amobarbital 500 Mg Solution For Injection 69 23 $5,229.75 $3,922.31 25% off $1,738.37 $4,811.37 $2,525.97 2026-01-01
J1212 HCPCS Dimethyl Sulfoxide 50 % Intravesical Solution 69 23 $5,206.25 $3,904.69 25% off $1,730.56 $4,789.75 $2,514.62 2026-01-01
51552061304 NDC Baclofen (bulk) 100 % Powder 69 23 $5,154.50 $3,865.88 25% off $1,713.36 $4,742.14 $2,489.62 2026-01-01
C9399 HCPCS Larotrectinib 20 Mg/ml Oral Solution 69 23 $5,150.25 $3,862.69 25% off $1,711.94 $4,738.23 $2,487.57 2026-01-01
00338956801 NDC Thrombin(human)-fibrinogen-aprotinin Syn-calcium 10 Ml Topical Syringe 69 23 $5,104.50 $3,828.38 25% off $1,696.74 $4,696.14 $2,465.47 2026-01-01
J9381 HCPCS Teplizumab-mzwv 100 Mcg/ml Solution 69 23 $5,039.25 $3,779.44 25% off $1,675.05 $4,636.11 $2,433.96 2026-01-01
51552088302 NDC Beclomethasone Diprop (bulk) Powder 69 23 $5,038.75 $3,779.06 25% off $1,674.88 $4,635.65 $2,433.72 2026-01-01
J9072 HCPCS Cyclophosphamide 500 Mg Intravenous Powder For Solution 206 23 $3,532.50 $2,649.38 25% off $993.46 $9,615.38 $2,361.11 2026-01-01
00009513601 NDC Linezolid 100 Mg/5 Ml Oral Suspension 69 23 $4,864.50 $3,648.38 25% off $1,616.96 $4,475.34 $2,349.55 2026-01-01
J9340 HCPCS Thiotepa 15 Mg Solution For Injection 204 23 $5,350.50 $4,012.88 25% off $132.38 $5,907.09 $2,348.15 2026-01-01
62991136702 NDC Silica Gel Amorphous Synthetic Micronized (bulk) 100 % Powder 69 23 $4,821.50 $3,616.13 25% off $1,602.67 $4,435.78 $2,328.78 2026-01-01
00338840210 NDC Thrombin(human)-fibrinogen-aprotinin Syn-calcium 10 Ml Topical Syringe 69 23 $4,811.50 $3,608.63 25% off $1,599.34 $4,426.58 $2,323.95 2026-01-01
51552132305 NDC Povidone (bulk) K-30 Powder 69 23 $4,751.75 $3,563.81 25% off $1,579.48 $4,371.61 $2,295.10 2026-01-01
J1556 HCPCS Immune Globgamm(igg) 10 %-gly-iga Over 50 Mcg/ml Intravenous Solution 69 23 $4,746.00 $3,559.50 25% off $1,577.57 $4,366.32 $2,292.32 2026-01-01
72578008206 NDC Acyclovir 5 % Topical Ointment 69 23 $4,741.75 $3,556.31 25% off $1,576.16 $4,362.41 $2,290.27 2026-01-01
J9017 HCPCS Arsenic Trioxide 1 Mg/ml Intravenous Solution 414 23 $4,236.00 $3,177.00 25% off $856.84 $8,376.60 $2,287.44 2026-01-01
J7520 HCPCS Sirolimus 1 Mg/ml Oral Solution 138 23 $13,474.00 $10,105.50 25% off $30.83 $12,396.08 $2,282.05 2026-01-01
62484001505 NDC Hydroxyurea 100 Mg/ml Oral Solution 69 23 $4,518.25 $3,388.69 25% off $1,501.87 $4,156.79 $2,182.31 2026-01-01
C9488 HCPCS Conivaptan 20 Mg/100 Ml In 5 % Dextrose IV 69 23 $4,458.25 $3,343.69 25% off $1,481.92 $4,101.59 $2,153.33 2026-01-01
J9261 HCPCS Nelarabine 250 Mg/50 Ml Intravenous Solution 138 23 $4,715.75 $3,536.81 25% off $1,306.25 $4,338.49 $2,122.07 2026-01-01
J1670 HCPCS Tetanus Immune Globulin (pf) 250 Unit/ml Intramuscular Syringe 68 23 $4,496.50 $3,372.38 25% off $1,494.64 $4,136.78 $2,120.10 2026-01-01
A9521 HCPCS Tc99m Exametazime (ceretec) 67 23 $4,600.00 $3,450.00 25% off $1,529.04 $4,232.00 $2,116.00 2026-01-01
A9552 HCPCS F-18 Fludeoxyglucose Injection 134 23 $4,740.00 $3,555.00 25% off $1,228.80 $4,360.80 $2,080.86 2026-01-01
J0894 HCPCS Decitabine 50 Mg Intravenous Solution 69 23 $4,280.50 $3,210.38 25% off $1,422.84 $3,938.06 $2,067.48 2026-01-01
41000134305 NDC Sodium Phenylbutyrate 200 Mg/ml Oral Suspension 69 23 $4,244.75 $3,183.56 25% off $1,410.95 $3,905.17 $2,050.21 2026-01-01
J0248 HCPCS Remdesivir 100 Mg Intravenous Powder For Solution 138 23 $3,709.75 $2,782.31 25% off $1,233.12 $4,166.91 $2,003.27 2026-01-01
J9280 HCPCS Mitomycin 20 Mg Intravenous Solution 204 23 $4,208.00 $3,156.00 25% off $615.85 $7,742.72 $1,984.07 2026-01-01
08508300001 NDC Insulin Pump Cartridgeauto Dosebtg6/g7 With Controller Subcutaneous 69 23 $4,068.75 $3,051.56 25% off $1,352.45 $3,743.25 $1,965.21 2026-01-01
58914030180 NDC Nitroglycerin 0.4 % (w/w) Rectal Ointment 69 23 $3,979.75 $2,984.81 25% off $1,322.87 $3,661.37 $1,922.22 2026-01-01
50458057501 NDC Rivaroxaban 1 Mg/ml Oral Suspension 69 23 $3,870.25 $2,902.69 25% off $1,286.47 $3,560.63 $1,869.33 2026-01-01
50419039101 NDC Larotrectinib 100 Mg Capsule 69 23 $3,863.00 $2,897.25 25% off $1,284.06 $3,553.96 $1,865.83 2026-01-01
00781300642 NDC Leuprolide 1 Mg/0.2 Ml Subcutaneous Solution 69 23 $3,854.75 $2,891.06 25% off $1,281.32 $3,546.37 $1,861.84 2026-01-01
00527194868 NDC Levofloxacin 250 Mg/10 Ml Oral Solution 69 23 $3,816.75 $2,862.56 25% off $1,268.69 $3,511.41 $1,843.49 2026-01-01
00527194870 NDC Levofloxacin 250 Mg/10 Ml Oral Solution 69 23 $3,786.75 $2,840.06 25% off $1,258.72 $3,483.81 $1,829.00 2026-01-01
67546021221 NDC Nitazoxanide 100 Mg/5 Ml Oral Suspension 69 23 $3,724.00 $2,793.00 25% off $1,237.86 $3,426.08 $1,798.69 2026-01-01
J0586 HCPCS Abobotulinumtoxina 300 Unit Intramuscular Solution 68 23 $3,770.50 $2,827.88 25% off $1,253.31 $3,468.86 $1,777.79 2026-01-01
J9025 HCPCS Azacitidine 100 Mg Solution For Injection 69 23 $3,672.00 $2,754.00 25% off $1,220.57 $3,378.24 $1,773.58 2026-01-01
00049316044 NDC Voriconazole 200 Mg/5 Ml (40 Mg/ml) Oral Suspension 69 23 $3,657.25 $2,742.94 25% off $1,215.67 $3,364.67 $1,766.45 2026-01-01
J0714 HCPCS Ceftazidime-avibactam 2.5 Gram Intravenous Solution 138 23 $3,543.50 $2,657.63 25% off $1,177.86 $3,407.91 $1,741.63 2026-01-01
00259050116 NDC Glycopyrrolate 1 Mg/5 Ml (0.2 Mg/ml) Oral Solution 69 23 $3,563.00 $2,672.25 25% off $1,184.34 $3,277.96 $1,720.93 2026-01-01
24338053025 NDC Sotalol 5 Mg/ml Oral Solution 69 23 $3,498.75 $2,624.06 25% off $1,162.98 $3,218.85 $1,689.90 2026-01-01
J2760 HCPCS Phentolamine 5 Mg/ml Injection 69 23 $3,495.50 $2,621.63 25% off $1,161.90 $3,215.86 $1,688.33 2026-01-01
68134020116 NDC Naproxen 125 Mg/5 Ml Oral Suspension 69 23 $3,478.00 $2,608.50 25% off $1,156.09 $3,199.76 $1,679.87 2026-01-01
J9075 HCPCS Cyclophosphamide Injection 20 Mg/ml In Ns (pediatric) 68 23 $3,532.50 $2,649.38 25% off $1,174.20 $3,249.90 $1,665.58 2026-01-01
24208053535 NDC Ganciclovir 0.15 % Eye Gel 69 23 $3,404.00 $2,553.00 25% off $1,131.49 $3,131.68 $1,644.13 2026-01-01
00046087221 NDC Conjugated Estrogens 0.625 Mg/gram Vaginal Cream 69 23 $3,386.25 $2,539.69 25% off $1,125.59 $3,115.35 $1,635.56 2026-01-01
41000127003 NDC Terbutaline 1 Mg/ml Infusion 25 Ml =/>1 Kg 69 23 $3,384.25 $2,538.19 25% off $1,124.92 $3,113.51 $1,634.59 2026-01-01
31722001647 NDC Glycopyrrolate 1 Mg/5 Ml (0.2 Mg/ml) Oral Solution 69 23 $3,381.00 $2,535.75 25% off $1,123.84 $3,110.52 $1,633.02 2026-01-01
51927482500 NDC Suspendit Compounding Vehicle 69 23 $3,362.00 $2,521.50 25% off $1,117.53 $3,093.04 $1,623.85 2026-01-01
45802039001 NDC Tacrolimus 0.03 % Topical Ointment 69 23 $3,308.00 $2,481.00 25% off $1,099.58 $3,043.36 $1,597.76 2026-01-01
90675 HCPCS Rabies Vaccine Purified Chicken Embryo Cell (pf) 2.5 Unit IM Susp 69 23 $3,270.00 $2,452.50 25% off $1,086.95 $3,008.40 $1,579.41 2026-01-01
J1190 HCPCS Dexrazoxane Hcl 500 Mg Intravenous Solution 276 23 $3,378.25 $2,533.69 25% off $901.88 $3,600.19 $1,573.17 2026-01-01
J9293 HCPCS Mitoxantrone 2 Mg/ml Concentrateintravenous 68 23 $3,326.50 $2,494.88 25% off $1,105.73 $3,060.38 $1,568.45 2026-01-01
00173072020 NDC Fluticasone Propionate 220 Mcg/actuation Hfa Aerosol Inhaler 69 23 $3,200.25 $2,400.19 25% off $1,063.76 $2,944.23 $1,545.72 2026-01-01
J9065 HCPCS Cladribine 10 Mg/10 Ml Intravenous Solution 68 23 $3,273.00 $2,454.75 25% off $1,087.95 $3,011.16 $1,543.22 2026-01-01
J1740 HCPCS Ibandronate 3 Mg/3 Ml Intravenous Solution 69 23 $3,167.75 $2,375.81 25% off $1,052.96 $2,914.33 $1,530.02 2026-01-01
J0883 HCPCS Argatroban 100 Mg/ml Intravenous Solution 138 23 $3,567.00 $2,675.25 25% off $876.12 $3,281.64 $1,511.61 2026-01-01
65649065103 NDC Budesonide 2 Mg/actuation Rectal Foam 69 23 $3,104.25 $2,328.19 25% off $1,031.85 $2,855.91 $1,499.35 2026-01-01
55150033801 NDC Leuprolide 1 Mg/0.2 Ml Subcutaneous Solution 69 23 $3,080.00 $2,310.00 25% off $1,023.79 $2,833.60 $1,487.64 2026-01-01
24338013402 NDC Erythromycin Ethylsuccinate 200 Mg/5 Ml Oral Powder For Suspension 69 23 $3,070.25 $2,302.69 25% off $1,020.55 $2,824.63 $1,482.93 2026-01-01
00944501285 NDC Floseal Hemostatic Matrix 10 Ml Kit 69 23 $3,041.00 $2,280.75 25% off $1,010.83 $2,797.72 $1,468.80 2026-01-01
70954018810 NDC Acyclovir 200 Mg/5 Ml Oral Suspension 69 23 $3,026.75 $2,270.06 25% off $1,006.09 $2,784.61 $1,461.92 2026-01-01
72205017072 NDC Acyclovir 200 Mg/5 Ml Oral Suspension 69 23 $3,026.75 $2,270.06 25% off $1,006.09 $2,784.61 $1,461.92 2026-01-01
J1742 HCPCS Ibutilide Fumarate 0.1 Mg/ml Intravenous Solution 138 23 $3,915.50 $2,936.63 25% off $842.88 $3,602.26 $1,459.74 2026-01-01
J1410 HCPCS Conjugated Estrogens 25 Mg Solution For Injection 69 23 $3,003.50 $2,252.63 25% off $998.36 $2,763.22 $1,450.69 2026-01-01
72252050502 NDC Diazepam 5 Mg/spray (0.1 Ml) Nasal Spray 69 23 $2,986.25 $2,239.69 25% off $992.63 $2,747.35 $1,442.36 2026-01-01
72252051002 NDC Diazepam 10 Mg/spray (0.1 Ml) Nasal Spray 69 23 $2,986.25 $2,239.69 25% off $992.63 $2,747.35 $1,442.36 2026-01-01
72252051504 NDC Diazepam 15 Mg/2 Spray (7.5 Mg/0.1 Ml X 2) Nasal Spray 69 23 $2,986.25 $2,239.69 25% off $992.63 $2,747.35 $1,442.36 2026-01-01
72552050501 NDC Diazepam 5 Mg/spray (0.1 Ml) Nasal Spray 69 23 $2,986.00 $2,239.50 25% off $992.55 $2,747.12 $1,442.24 2026-01-01
41000137005 NDC Isoleucine 100 Mg/ml Oral Suspension 69 23 $2,937.75 $2,203.31 25% off $976.51 $2,702.73 $1,418.93 2026-01-01
52652800101 NDC Zonisamide 100 Mg/5 Ml Oral Suspension 69 23 $2,856.00 $2,142.00 25% off $949.33 $2,627.52 $1,379.45 2026-01-01
J9320 HCPCS Streptozocin 1 Gram Intravenous Solution 69 23 $2,849.75 $2,137.31 25% off $947.26 $2,621.77 $1,376.43 2026-01-01
00078060715 NDC Fingolimod 0.5 Mg Capsule 69 23 $2,835.25 $2,126.44 25% off $942.44 $2,608.43 $1,369.43 2026-01-01
43825070741 NDC Thrombin (recombinant) 20000 Unit Topical Solution 69 23 $2,807.25 $2,105.44 25% off $933.13 $2,582.67 $1,355.90 2026-01-01
00338032601 NDC Thrombin (recombinant) 20000 Unit Topical Solution 69 23 $2,807.25 $2,105.44 25% off $933.13 $2,582.67 $1,355.90 2026-01-01
J0637 HCPCS Caspofungin 50 Mg Intravenous Solution 138 23 $2,755.75 $2,066.81 25% off $916.01 $2,634.19 $1,354.45 2026-01-01
62559063001 NDC Erythromycin Ethylsuccinate 200 Mg/5 Ml Oral Powder For Suspension 69 23 $2,756.75 $2,067.56 25% off $916.34 $2,536.21 $1,331.51 2026-01-01
60687075405 NDC Linezolid 100 Mg/5 Ml Oral Suspension 69 23 $2,747.50 $2,060.63 25% off $913.27 $2,527.70 $1,327.04 2026-01-01
J2274 HCPCS Morphine (pf) 25 Mg/ml Injection Solution 138 23 $2,886.00 $2,164.50 25% off $800.09 $2,655.12 $1,299.78 2026-01-01
00603154258 NDC Potassium Chloride 20 Meq/15 Ml Oral Liquid 69 23 $2,611.75 $1,958.81 25% off $868.15 $2,402.81 $1,261.48 2026-01-01
69238145902 NDC Potassium Chloride 20 Meq/15 Ml Oral Liquid 69 23 $2,611.75 $1,958.81 25% off $868.15 $2,402.81 $1,261.48 2026-01-01
72888004113 NDC Potassium Chloride 20 Meq/15 Ml Oral Liquid 69 23 $2,611.75 $1,958.81 25% off $868.15 $2,402.81 $1,261.48 2026-01-01
00121094816 NDC Potassium Chloride 20 Meq/15 Ml Oral Liquid 69 23 $2,611.75 $1,958.81 25% off $868.15 $2,402.81 $1,261.48 2026-01-01
24208029905 NDC Loteprednol Etabonate 0.5 % Eye Dropssuspension 69 23 $2,596.00 $1,947.00 25% off $862.91 $2,388.32 $1,253.87 2026-01-01
51552041205 NDC Isoleucine (bulk) Powder 69 23 $2,575.75 $1,931.81 25% off $856.18 $2,369.69 $1,244.09 2026-01-01
65649065102 NDC Budesonide 2 Mg/actuation Rectal Foam 69 23 $2,559.75 $1,919.81 25% off $850.86 $2,354.97 $1,236.36 2026-01-01
J0475 HCPCS Baclofen 50 Mcg/ml (1 Ml) Intrathecal Syringe 344 23 $2,101.75 $1,576.31 25% off $131.05 $6,761.54 $1,220.26 2026-01-01
J0289 HCPCS Amphotericin B Liposome 50 Mg Intravenous Suspension 69 23 $2,522.00 $1,891.50 25% off $838.31 $2,320.24 $1,218.13 2026-01-01
00006412102 NDC Human Papillomavirus Vaccine9-valent(pf) 0.5 Ml Intramuscular Syringe 69 23 $2,510.25 $1,882.69 25% off $834.41 $2,309.43 $1,212.45 2026-01-01
51927307800 NDC Histamine Phosphate (bulk) 100 % Crystals 69 23 $2,485.75 $1,864.31 25% off $826.26 $2,286.89 $1,200.62 2026-01-01
J0882 HCPCS Darbepoetin Alfa 40 Mcg/ml In Polysorbate Injection 68 23 $2,526.50 $1,894.88 25% off $839.81 $2,324.38 $1,191.24 2026-01-01
00338956401 NDC Thrombin(human)-fibrinogen-aprotinin Syn-calcium 4 Ml Topical Syringe 69 23 $2,379.75 $1,784.81 25% off $791.03 $2,189.37 $1,149.42 2026-01-01
00065027510 NDC Brinzolamide 1 % Eye Dropssuspension 69 23 $2,330.25 $1,747.69 25% off $774.58 $2,143.83 $1,125.51 2026-01-01
38779028975 NDC Aspartic Acid (bulk) Powder 69 23 $2,285.00 $1,713.75 25% off $759.53 $2,102.20 $1,103.66 2026-01-01
49452075702 NDC Aspartic Acid (bulk) Powder 69 23 $2,250.25 $1,687.69 25% off $747.98 $2,070.23 $1,086.87 2026-01-01
00409159304 NDC Tromethamine 36 Mg/ml (0.3 M) Intravenous Solution 69 23 $2,206.75 $1,655.06 25% off $733.52 $2,030.21 $1,065.86 2026-01-01
C9121 HCPCS Argatroban 1 Mg/ml Intravenous Solution 69 23 $2,200.00 $1,650.00 25% off $731.28 $2,024.00 $1,062.60 2026-01-01
J0594 HCPCS Busulfan 60 Mg/10 Ml Intravenous Solution 138 23 $3,567.00 $2,675.25 25% off $327.58 $3,281.64 $1,046.16 2026-01-01
J9185 HCPCS Fludarabine 50 Mg/2 Ml Intravenous Solution 68 23 $2,218.75 $1,664.06 25% off $737.51 $2,041.25 $1,046.14 2026-01-01
41000159616 NDC Special Amino Acid 7% Intravenous Solution 69 23 $2,142.00 $1,606.50 25% off $712.00 $1,970.64 $1,034.59 2026-01-01
66993007996 NDC Fluticasone Propionate 110 Mcg/actuation Hfa Aerosol Inhaler 69 23 $2,121.75 $1,591.31 25% off $705.27 $1,952.01 $1,024.81 2026-01-01
50474050014 NDC Midazolam 5 Mg/spray (0.1 Ml) Nasal Spray 69 23 $2,117.00 $1,587.75 25% off $703.69 $1,947.64 $1,022.51 2026-01-01
J3090 HCPCS Tedizolid 200 Mg Intravenous Solution 69 23 $2,092.25 $1,569.19 25% off $695.46 $1,924.87 $1,010.56 2026-01-01
00173071722 NDC Fluticasone Propionate 230 Mcg-salmeterol 21 Mcg/actuation Hfa Inhaler 69 23 $2,087.00 $1,565.25 25% off $693.72 $1,920.04 $1,008.02 2026-01-01
J2785 HCPCS Regadenoson 0.4 Mg/5 Ml Intravenous Syringe 69 23 $2,042.25 $1,531.69 25% off $678.84 $1,878.87 $986.41 2026-01-01
64067021601 NDC Methoxsalen 20 Mcg/ml Injection Solution 69 23 $2,040.00 $1,530.00 25% off $678.10 $1,876.80 $985.32 2026-01-01
J1611 HCPCS Glucagon Hcl 1 Mg/ml Solution For Injection 68 23 $2,062.00 $1,546.50 25% off $685.41 $1,897.04 $972.24 2026-01-01
J7321 HCPCS Sodium Hyaluronate 10 Mg/ml Intraocular Syringe 69 23 $2,002.25 $1,501.69 25% off $665.55 $1,842.07 $967.09 2026-01-01
67457022000 NDC Isosulfan Blue 1 % Subcutaneous Solution 69 23 $1,981.75 $1,486.31 25% off $658.73 $1,823.21 $957.19 2026-01-01
58914017014 NDC Sucralfate 100 Mg/ml Oral Suspension 69 23 $1,976.50 $1,482.38 25% off $656.99 $1,818.38 $954.65 2026-01-01
16729042210 NDC Tacrolimus 0.1 % Topical Ointment 69 23 $1,968.00 $1,476.00 25% off $654.16 $1,810.56 $950.54 2026-01-01
16729042110 NDC Tacrolimus 0.03 % Topical Ointment 69 23 $1,968.00 $1,476.00 25% off $654.16 $1,810.56 $950.54 2026-01-01
J7525 HCPCS Tacrolimus 5 Mg/ml Intravenous Solution 69 23 $1,961.75 $1,471.31 25% off $652.09 $1,804.81 $947.53 2026-01-01
J0476 HCPCS Baclofen 50 Mcg/ml Intrathecal Trial =/>1 Kg 69 23 $1,958.50 $1,468.88 25% off $651.01 $1,801.82 $945.96 2026-01-01
60687073925 NDC Aminocaproic Acid 500 Mg Tablet 69 23 $1,951.75 $1,463.81 25% off $648.76 $1,795.61 $942.70 2026-01-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 68 23 $1,991.25 $1,493.44 25% off $661.89 $1,831.95 $938.88 2026-01-01
00186037228 NDC Budesonide-formoterol Hfa 80 Mcg-4.5 Mcg/actuation Aerosol Inhaler 69 23 $1,882.25 $1,411.69 25% off $625.66 $1,731.67 $909.13 2026-01-01
J0666 HCPCS Bupivacaine Liposome (pf) 1.3% Suspension For Infiltration 138 23 $1,752.50 $1,314.38 25% off $582.53 $1,811.48 $905.74 2026-01-01
52015008001 NDC Fidaxomicin 200 Mg Tablet 67 23 $1,917.25 $1,437.94 25% off $637.29 $1,763.87 $881.94 2026-01-01
J3246 HCPCS Tirofiban 250 Mcg/ml Concentrateintravenous 69 23 $1,816.25 $1,362.19 25% off $603.72 $1,670.95 $877.25 2026-01-01
64764080028 NDC Maribavir 200 Mg Tablet 69 23 $1,814.25 $1,360.69 25% off $603.06 $1,669.11 $876.28 2026-01-01
45802039000 NDC Tacrolimus 0.03 % Topical Ointment 69 23 $1,794.00 $1,345.50 25% off $596.33 $1,650.48 $866.50 2026-01-01
45802070000 NDC Tacrolimus 0.1 % Topical Ointment 69 23 $1,794.00 $1,345.50 25% off $596.33 $1,650.48 $866.50 2026-01-01
85412082795 NDC Floseal Hemostatic Matrix 5 Ml Kit 69 23 $1,791.00 $1,343.25 25% off $595.33 $1,647.72 $865.05 2026-01-01
00173071522 NDC Fluticasone Propionate 45 Mcg-salmeterol 21 Mcg/actuation Hfa Inhaler 69 23 $1,785.75 $1,339.31 25% off $593.58 $1,642.89 $862.52 2026-01-01
00173071622 NDC Fluticasone Propionate 115 Mcg-salmeterol 21 Mcg/actuation Hfa Inhaler 69 23 $1,785.75 $1,339.31 25% off $593.58 $1,642.89 $862.52 2026-01-01
00168016230 NDC Clobetasol 0.05 % Topical Ointment 69 23 $1,766.25 $1,324.69 25% off $587.10 $1,624.95 $853.10 2026-01-01
51552055305 NDC Phenytoin (bulk) Powder 69 23 $1,759.25 $1,319.44 25% off $584.77 $1,618.51 $849.72 2026-01-01
Q5105 HCPCS Epoetin Alfa-epbx 20000 Unit/2 Ml Injection Solution 68 23 $1,800.25 $1,350.19 25% off $598.40 $1,656.23 $848.82 2026-01-01
J1205 HCPCS Chlorothiazide Sodium 500 Mg Intravenous Solution 276 23 $1,360.00 $1,020.00 25% off $170.94 $2,234.91 $848.69 2026-01-01
00338114803 NDC Amino Acids 10 % Intravenous Solution 69 23 $1,754.40 $1,315.80 25% off $583.16 $1,614.05 $847.38 2026-01-01
52276031260 NDC Carglumic Acid 200 Mg Dispersible Tablet 69 23 $1,747.50 $1,310.63 25% off $580.87 $1,607.70 $844.04 2026-01-01
J1595 HCPCS Glatiramer 20 Mg/ml Subcutaneous Syringe 138 23 $1,471.75 $1,103.81 25% off $489.21 $1,780.43 $842.03 2026-01-01
00187212010 NDC Trientine 250 Mg Capsule 69 23 $1,735.50 $1,301.63 25% off $576.88 $1,596.66 $838.25 2026-01-01
41000162608 NDC Hydroxocobalamin Injection 25 Mg/ml 69 23 $1,734.00 $1,300.50 25% off $576.38 $1,595.28 $837.52 2026-01-01
67457022005 NDC Isosulfan Blue 1 % Subcutaneous Solution 69 23 $1,731.50 $1,298.63 25% off $575.55 $1,592.98 $836.31 2026-01-01
41000161416 NDC Levothyroxine Na 10 Mcg/ml Injection 69 23 $1,723.25 $1,292.44 25% off $572.81 $1,585.39 $832.33 2026-01-01
35573045960 NDC Carglumic Acid 200 Mg Dispersible Tablet 69 23 $1,710.00 $1,282.50 25% off $568.40 $1,573.20 $825.93 2026-01-01
51552066505 NDC Citrulline (bulk) Powder 69 23 $1,699.25 $1,274.44 25% off $564.83 $1,563.31 $820.74 2026-01-01
00085432402 NDC Posaconazole 100 Mg Tabletdelayed Release 69 23 $1,677.75 $1,258.31 25% off $557.68 $1,543.53 $810.35 2026-01-01
00006411901 NDC Human Papillomavirus Vaccine 9-valent (pf) 0.5 Ml IM (wrapper) 69 23 $1,671.75 $1,253.81 25% off $555.69 $1,538.01 $807.46 2026-01-01
53276101001 NDC Microfibrillar Collagen Hemostat Topical Powder In Packet 69 23 $1,639.00 $1,229.25 25% off $544.80 $1,507.88 $791.64 2026-01-01
41000615816 NDC Tranexamic Acid 100 Mg/ml Infusion - Ecmo 69 23 $1,632.00 $1,224.00 25% off $542.48 $1,501.44 $788.26 2026-01-01
59310030240 NDC Beclomethasone Diprop Redihaler 40 Mcg/actuation Hfa Breath Activated 69 23 $1,629.75 $1,222.31 25% off $541.73 $1,499.37 $787.17 2026-01-01
65162006205 NDC Sucralfate 100 Mg/ml Oral Suspension 69 23 $1,622.25 $1,216.69 25% off $539.24 $1,492.47 $783.55 2026-01-01
41000130516 NDC Mycophenolate 6 Mg/ml Injection 69 23 $1,620.75 $1,215.56 25% off $538.74 $1,491.09 $782.82 2026-01-01
08065183905 NDC Chondroitin-sod Hyaluron 4 %-3 % (40 Mg-30 Mg/ml) Intraocular Syringe 69 23 $1,618.00 $1,213.50 25% off $537.82 $1,488.56 $781.49 2026-01-01
00338113006 NDC Amino Acid 10 % (premasol) Combination No.7 Intravenous Solution 69 23 $1,606.25 $1,204.69 25% off $533.92 $1,477.75 $775.82 2026-01-01
J9211 HCPCS Idarubicin 1 Mg/ml Intravenous Solution 136 23 $705.75 $529.31 25% off $234.59 $2,472.96 $771.39 2026-01-01
61748002416 NDC Ethosuximide 250 Mg/5 Ml Oral Solution 69 23 $1,595.50 $1,196.63 25% off $530.34 $1,467.86 $770.63 2026-01-01
00006412101 NDC Human Papillomavirus Vaccine 9-valent (pf) 0.5 Ml IM (wrapper) 69 23 $1,592.50 $1,194.38 25% off $529.35 $1,465.10 $769.18 2026-01-01
66993007896 NDC Fluticasone Propionate 44 Mcg/actuation Hfa Aerosol Inhaler 69 23 $1,585.75 $1,189.31 25% off $527.10 $1,458.89 $765.92 2026-01-01
66215010103 NDC Bosentan 62.5 Mg Tablet 69 23 $1,582.00 $1,186.50 25% off $525.86 $1,455.44 $764.11 2026-01-01
00006411903 NDC Human Papillomavirus Vaccine9-valent (pf) 0.5 Ml IM Suspension 69 23 $1,580.25 $1,185.19 25% off $525.28 $1,453.83 $763.26 2026-01-01
A9551 HCPCS Tc99m Succimer 67 23 $1,638.75 $1,229.06 25% off $544.72 $1,507.65 $753.83 2026-01-01
70651000203 NDC Pentetate Zinc Trisodium 200 Mg/ml Intravenous Solution 69 23 $1,542.25 $1,156.69 25% off $512.64 $1,418.87 $744.91 2026-01-01
70651000103 NDC Pentetate Calcium Trisodium 200 Mg/ml Intravenous Solution 69 23 $1,542.25 $1,156.69 25% off $512.64 $1,418.87 $744.91 2026-01-01
69315023103 NDC Aminocaproic Acid 500 Mg Tablet 69 23 $1,523.50 $1,142.63 25% off $506.41 $1,401.62 $735.85 2026-01-01
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