minnesota state maximum allowable cost (smac) specialty ...specialty drug list updated 12/16/2019...
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Change Healthcare Minnesota SMAC Help Desk
Hours: 8:00 AM to 5:00 PM Monday – Friday
Voice: (855) 389-9503
Fax: (877) 350-2810
Minnesota State Maximum Allowable Cost (SMAC) Specialty Drug List Updated 1/21/2020
NDC Label Generic Name SMAC Price
49702023113 TRIUMEQ ABACAVIR SULFATE/DOLUTEGRAVIR SODIUM/LAMIVUDINE ORAL ANTIRETROVIRAL-NRTIS AND INTEGRASE INHIBITORS COMB TABLET 600 mg-50 mg-300 mg
94.37660
68180028607 ABACAVIR-LAMIVUDINE-ZIDOVUDINE
ABACAVIR SULFATE/LAMIVUDINE/ZIDOVUDINE ORAL ANTIVIRALS, HIV-SPEC., NUCLEOSIDE ANALOG, RTI COMB TABLET 300 mg-150 mg-300 mg
19.74167
49702021718 TRIZIVIR ABACAVIR SULFATE/LAMIVUDINE/ZIDOVUDINE ORAL ANTIVIRALS, HIV-SPEC., NUCLEOSIDE ANALOG, RTI COMB TABLET 300 mg-150 mg-300 mg
19.74167
00003218811 ORENCIA ABATACEPT SUBCUTANEOUS ANTINFLAMMATORY, SEL.COSTIM.MOD.,T-CELL INHIBITOR SYRINGE (ML) 125 mg/mL
1,064.84784
00003281411 ORENCIA ABATACEPT SUBCUTANEOUS ANTINFLAMMATORY, SEL.COSTIM.MOD.,T-CELL INHIBITOR SYRINGE (ML) 50 mg/0.4 mL
2,344.99990
00003281811 ORENCIA ABATACEPT SUBCUTANEOUS ANTINFLAMMATORY, SEL.COSTIM.MOD.,T-CELL INHIBITOR SYRINGE (ML) 87.5 mg/0.7 mL
1,339.99949
57894015012 ZYTIGA ABIRATERONE ACETATE ORAL ANTINEOPLASTIC - ANTIANDROGENIC AGENTS TABLET 250 mg
87.63544
57894019506 ZYTIGA ABIRATERONE ACETATE ORAL ANTINEOPLASTIC - ANTIANDROGENIC AGENTS TABLET 500 mg
153.46604
47335040181 YONSA ABIRATERONE ACETATE, SUBMICRONIZED ORAL ANTINEOPLASTIC - ANTIANDROGENIC AGENTS TABLET 125 mg
76.43400
00074055402 HUMIRA(CF) PEN
ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR PEN INJECTOR KIT (EA) 40 mg/0.4 mL
2,520.23570
00074012403 HUMIRA(CF) PEN CROHN'S-UC-HS
ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR PEN INJECTOR KIT (EA) 80 mg/0.8 mL
4,852.55180
00074153903 HUMIRA(CF) PEN PSOR-UV-ADOL HS
ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR PEN INJECTOR KIT (EA) 80 mg/0.8 mL (x 1)-40 mg/0.4 mL (x 2)
3,340.74660
00074081702 HUMIRA(CF) ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE KIT (EA) 10 mg/0.1 mL
2,426.27094
00074061602 HUMIRA(CF) ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE KIT (EA) 20 mg/0.2 mL
2,426.27094
00074024302 HUMIRA(CF) ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE KIT (EA) 40 mg/0.4 mL
2,576.69680
00074379902 HUMIRA ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE KIT (EA) 40 mg/0.8 mL
2,576.69680
NDC Label Generic Name SMAC Price
00074254003 HUMIRA(CF) PEDIATRIC CROHN'S
ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE KIT (EA) 80 mg/0.8 mL
4,852.55184
00074006702 HUMIRA(CF) PEDIATRIC CROHN'S
ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE KIT (EA) 80 mg/0.8 mL-40 mg/0.4 mL
3,639.41388
58468035701 CAMPATH ALEMTUZUMAB INTRAVENOUS ANTINEOPLASTICS ANTIBODY/ANTIBODY-DRUG COMPLEXES VIAL (SDV,MDV OR ADDITIVE) (ML) 30 mg/mL
1,757.94000
58468035703 CAMPATH ALEMTUZUMAB INTRAVENOUS ANTINEOPLASTICS ANTIBODY/ANTIBODY-DRUG COMPLEXES VIAL (SDV,MDV OR ADDITIVE) (ML) 30 mg/mL
1,757.94000
00944281501 ARALAST NP ALPHA-1-PROTEINASE INHIBITOR INTRAVENOUS SYSTEMIC ENZYME INHIBITORS VIAL (EA) 1,000 mg
0.48804
13533070002 PROLASTIN C ALPHA-1-PROTEINASE INHIBITOR INTRAVENOUS SYSTEMIC ENZYME INHIBITORS VIAL (EA) 1,000 mg
0.48804
00053720102 ZEMAIRA ALPHA-1-PROTEINASE INHIBITOR INTRAVENOUS SYSTEMIC ENZYME INHIBITORS VIAL (EA) 1,000 mg
0.48804
13533070501 PROLASTIN C ALPHA-1-PROTEINASE INHIBITOR INTRAVENOUS SYSTEMIC ENZYME INHIBITORS VIAL (EA) 1,000 mg (+/-)/20 mL
0.49800
13533070511 PROLASTIN C ALPHA-1-PROTEINASE INHIBITOR INTRAVENOUS SYSTEMIC ENZYME INHIBITORS VIAL (EA) 1,000 mg (+/-)/20 mL
0.49800
50242004164 CATHFLO ACTIVASE
ALTEPLASE INJECTION THROMBOLYTIC ENZYMES VIAL (EA) 2 mg 120.48612
69911047602 AFSTYLA ANTIHEMOPHIL. FACTOR(FVIII)RECOMB, SINGLE-CHN,B-DM TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
1.25000
69911047702 AFSTYLA ANTIHEMOPHIL. FACTOR(FVIII)RECOMB, SINGLE-CHN,B-DM TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
1.25000
69911047402 AFSTYLA ANTIHEMOPHIL. FACTOR(FVIII)RECOMB, SINGLE-CHN,B-DM TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.25000
69911047802 AFSTYLA ANTIHEMOPHIL. FACTOR(FVIII)RECOMB, SINGLE-CHN,B-DM TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
1.25000
69911047502 AFSTYLA ANTIHEMOPHIL. FACTOR(FVIII)RECOMB, SINGLE-CHN,B-DM TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.25000
00944292302 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
0.99000
00026378555 KOGENATE FS ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
0.99000
NDC Label Generic Name SMAC Price
00026382425 KOVALTRY ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
1.69320
00026378665 KOGENATE FS ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
0.99000
00026382650 KOVALTRY ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
1.69320
00944292102 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.00520
00026378225 KOGENATE FS ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.00520
00026382125 KOVALTRY ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.69320
00944296510 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
0.90000
00026378775 KOGENATE FS ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
0.90000
00026382850 KOVALTRY ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
1.69320
00944292202 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.01920
00026378335 KOGENATE FS ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.01920
00026382225 KOVALTRY ANTIHEMOPHILIC FACTOR (FVIII) RECOMB,FULL LENGTH (ALB-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.69320
00944462701 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,500 (+/-) unit range
1.90000
00944462702 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,500 (+/-) unit range
1.90000
00944425202 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.55000
00944462201 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.55000
00944462801 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
1.55000
NDC Label Generic Name SMAC Price
00944462802 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
1.94040
00944425402 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.55000
00944462301 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.55000
00944462601 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 750 (+/-) unit range
1.55000
00944462602 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 750 (+/-) unit range
1.90000
00944305302 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT,FULL LENGTH INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
1.17000
00944305402 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT,FULL LENGTH INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,500 (+/-) unit range
1.17000
00944304510 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT,FULL LENGTH INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
1.17000
00944305102 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT,FULL LENGTH INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.17000
00944304610 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT,FULL LENGTH INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
1.17000
00944304710 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT,FULL LENGTH INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 4,000 (+/-) unit
1.17000
00944305202 ADVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT,FULL LENGTH INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.17000
58394001501 XYNTHA ANTIHEMOPHILIC FACTOR VIII (PLASMA/ALBUMIN-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS KIT 2,000 (+/-) unit range
0.97000
58394002403 XYNTHA SOLOFUSE
ANTIHEMOPHILIC FACTOR VIII (PLASMA/ALBUMIN-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS SYRINGE KIT (EA) 1,000 (+/-) unit range
0.98000
58394002503 XYNTHA SOLOFUSE
ANTIHEMOPHILIC FACTOR VIII (PLASMA/ALBUMIN-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS SYRINGE KIT (EA) 2,000 (+/-) unit range
0.96000
58394002203 XYNTHA SOLOFUSE
ANTIHEMOPHILIC FACTOR VIII (PLASMA/ALBUMIN-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS SYRINGE KIT (EA) 250 (+/-) unit range
0.97000
58394002303 XYNTHA SOLOFUSE
ANTIHEMOPHILIC FACTOR VIII (PLASMA/ALBUMIN-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS SYRINGE KIT (EA) 500 (+/-) unit
1.15920
68982014701 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,500 (+/-) unit range
1.21000
68982014801 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,500 (+/-) unit range
1.21000
NDC Label Generic Name SMAC Price
68982014901 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
1.21000
68982015001 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
1.21000
68982015101 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 4,000 (+/-) unit range
1.21000
68982015201 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 4,000 (+/-) unit range
1.21000
69911048002 AFSTYLA ANTIHEMOPHILIC FACTOR VIII RECOMB,SINGLE-CHN,B-DOM TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,500 (+/-) unit range
1.25000
69911048102 AFSTYLA ANTIHEMOPHILIC FACTOR VIII RECOMB,SINGLE-CHN,B-DOM TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,500 (+/-) unit range
1.25000
00169781001 NOVOEIGHT ANTIHEMOPHILIC FACTOR VIII RECOMBINANT, B-DOMAIN TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
1.02000
00169781501 NOVOEIGHT ANTIHEMOPHILIC FACTOR VIII RECOMBINANT, B-DOMAIN TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,500 (+/-) unit range
1.02000
00169782001 NOVOEIGHT ANTIHEMOPHILIC FACTOR VIII RECOMBINANT, B-DOMAIN TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
1.02000
00169782501 NOVOEIGHT ANTIHEMOPHILIC FACTOR VIII RECOMBINANT, B-DOMAIN TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.02000
00169783001 NOVOEIGHT ANTIHEMOPHILIC FACTOR VIII RECOMBINANT, B-DOMAIN TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 3,000 (+/-) unit range
1.02000
00169785001 NOVOEIGHT ANTIHEMOPHILIC FACTOR VIII RECOMBINANT, B-DOMAIN TRUNCATED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.02000
00944284410 RECOMBINATE ANTIHEMOPHILIC FACTOR VIII, HUMAN RECOMBINANT INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,500 (+/-) unit range
1.17000
00944284510 RECOMBINATE ANTIHEMOPHILIC FACTOR VIII, HUMAN RECOMBINANT INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
0.96000
00944500110 OBIZUR ANTIHEMOPHILIC FACTOR VIII, RECOMBINANT PORCINE SEQUENCE INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
3.96000
76125066830 KOATE ANTIHEMOPHILIC FACTOR, HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
0.78000
68982018202 WILATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 unit-1,000 unit
0.73000
NDC Label Generic Name SMAC Price
68982018201 WILATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 unit-500 unit
0.73000
00003089321 ELIQUIS APIXABAN ORAL DIRECT FACTOR XA INHIBITORS TABLET 2.5 mg 7.11667
00003089331 ELIQUIS APIXABAN ORAL DIRECT FACTOR XA INHIBITORS TABLET 2.5 mg 7.11667
00003089421 ELIQUIS APIXABAN ORAL DIRECT FACTOR XA INHIBITORS TABLET 5 mg 7.24083
00003089431 ELIQUIS APIXABAN ORAL DIRECT FACTOR XA INHIBITORS TABLET 5 mg 7.24083
00003089470 ELIQUIS APIXABAN ORAL DIRECT FACTOR XA INHIBITORS TABLET 5 mg 7.24083
59148001870 ABILIFY MAINTENA
ARIPIPRAZOLE INTRAMUSCULAR ANTIPSYCHOTICS, ATYP, D2 PARTIAL AGONIST/5HT MIXED SUSPENSION,EXTENDED RELEASE VIAL 300 mg
1,637.23450
59148001871 ABILIFY MAINTENA
ARIPIPRAZOLE INTRAMUSCULAR ANTIPSYCHOTICS, ATYP, D2 PARTIAL AGONIST/5HT MIXED SUSPENSION,EXTENDED RELEASE VIAL 300 mg
1,637.23450
59148001970 ABILIFY MAINTENA
ARIPIPRAZOLE INTRAMUSCULAR ANTIPSYCHOTICS, ATYP, D2 PARTIAL AGONIST/5HT MIXED SUSPENSION,EXTENDED RELEASE VIAL 400 mg
2,210.61100
59148001971 ABILIFY MAINTENA
ARIPIPRAZOLE INTRAMUSCULAR ANTIPSYCHOTICS, ATYP, D2 PARTIAL AGONIST/5HT MIXED SUSPENSION,EXTENDED RELEASE VIAL 400 mg
2,210.61100
00003362212 REYATAZ ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE 300 mg
47.22303
00003363810 REYATAZ ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS POWDER IN PACKET (EA) 50 mg
6.56364
00003364111 EVOTAZ ATAZANAVIR SULFATE/COBICISTAT ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS TABLET 300 mg-150 mg
52.10412
44087353501 BAVENCIO AVELUMAB INTRAVENOUS ANTI-PROGRAMMED CELL DEATH-LIGAND 1 (PD-L1) MAB VIAL (ML) 200 mg/10 mL (20 mg/mL)
149.79840
49401008801 BENLYSTA BELIMUMAB SUBCUTANEOUS IMMUNOMODULATOR,B-LYMPHOCYTE STIM(BLYS)-SPEC INHIB AUTO-INJECTOR (ML) 200 mg/mL
878.97000
49401008835 BENLYSTA BELIMUMAB SUBCUTANEOUS IMMUNOMODULATOR,B-LYMPHOCYTE STIM(BLYS)-SPEC INHIB AUTO-INJECTOR (ML) 200 mg/mL
878.97000
49401008842 BENLYSTA BELIMUMAB SUBCUTANEOUS IMMUNOMODULATOR,B-LYMPHOCYTE STIM(BLYS)-SPEC INHIB SYRINGE (ML) 200 mg/mL
878.97000
49401008847 BENLYSTA BELIMUMAB SUBCUTANEOUS IMMUNOMODULATOR,B-LYMPHOCYTE STIM(BLYS)-SPEC INHIB SYRINGE (ML) 200 mg/mL
878.97000
70255001002 MEKTOVI BINIMETINIB ORAL ANTINEOPLASTIC - MEK1 AND MEK2 KINASE INHIBITORS TABLET 15 mg
60.73939
55513016001 BLINCYTO BLINATUMOMAB INTRAVENOUS ANTINEOPLASTICS ANTIBODY/ANTIBODY-DRUG COMPLEXES KIT 35 mcg
3,165.85572
50474087015 BRIVIACT BRIVARACETAM ORAL ANTICONVULSANTS SOLUTION, ORAL 10 mg/mL 3.70300
50474077009 BRIVIACT BRIVARACETAM ORAL ANTICONVULSANTS TABLET 100 mg 18.73500
50474077066 BRIVIACT BRIVARACETAM ORAL ANTICONVULSANTS TABLET 100 mg 18.73500
50474047009 BRIVIACT BRIVARACETAM ORAL ANTICONVULSANTS TABLET 25 mg 16.11480
50474047066 BRIVIACT BRIVARACETAM ORAL ANTICONVULSANTS TABLET 25 mg 16.11480
50474057009 BRIVIACT BRIVARACETAM ORAL ANTICONVULSANTS TABLET 50 mg 19.00690
50474057066 BRIVIACT BRIVARACETAM ORAL ANTICONVULSANTS TABLET 50 mg 19.00690
NDC Label Generic Name SMAC Price
50474067066 BRIVIACT BRIVARACETAM ORAL ANTICONVULSANTS TABLET 75 mg 18.73500
54123091430 ZUBSOLV BUPRENORPHINE HCL/NALOXONE HCL SUBLINGUAL OPIOID WITHDRAWAL THERAPY AGENTS, OPIOID-TYPE TABLET, SUBLINGUAL 1.4 mg-0.36 mg
4.17392
54123095730 ZUBSOLV BUPRENORPHINE HCL/NALOXONE HCL SUBLINGUAL OPIOID WITHDRAWAL THERAPY AGENTS, OPIOID-TYPE TABLET, SUBLINGUAL 5.7 mg-1.4 mg
8.41194
54123098630 ZUBSOLV BUPRENORPHINE HCL/NALOXONE HCL SUBLINGUAL OPIOID WITHDRAWAL THERAPY AGENTS, OPIOID-TYPE TABLET, SUBLINGUAL 8.6 mg-2.1 mg
12.41266
76075010301 KYPROLIS CARFILZOMIB INTRAVENOUS ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS VIAL (EA) 10 mg
374.16730
66621015001 ANASCORP CENTRUROIDES (SCORPION) POLYVALENT ANTIVENOM INTRAVENOUS ANTIVENINS VIAL (SDV,MDV OR ADDITIVE) (EA) 120 mg
3,486.00000
50474071079 CIMZIA CERTOLIZUMAB PEGOL SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE KIT (EA) 400 mg/2 mL (200 mg/mL X 2)
4,064.52000
50474071081 CIMZIA CERTOLIZUMAB PEGOL SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE KIT (EA) 400 mg/2 mL (200 mg/mL X 2)
4,064.52000
00169720801 NOVOSEVEN RT
COAGULATION FACTOR VIIA (RECOMBINANT) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 8 mg (8,000 mcg)
1.41500
54482002001 CYSTARAN CYSTEAMINE HCL OPHTHALMIC OPHTHALMIC CYSTINE DEPLETING AGENTS DROPS 0.44 %
66.49296
00597035509 PRADAXA DABIGATRAN ETEXILATE MESYLATE ORAL THROMBIN INHIBITORS, SELECTIVE, DIRECT, REVERSIBLE CAPSULE 75 mg
6.90998
00597035556 PRADAXA DABIGATRAN ETEXILATE MESYLATE ORAL THROMBIN INHIBITORS, SELECTIVE, DIRECT, REVERSIBLE CAPSULE 75 mg
6.90998
00078068266 TAFINLAR DABRAFENIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 50 mg
59.25180
55513000601 ARANESP DARBEPOETIN ALFA IN POLYSORBATE 80 INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 200 mcg/mL
1,499.70400
59676056201 PREZISTA DARUNAVIR ETHANOLATE ORAL ANTIVIRALS, HIV-SPEC, NON-PEPTIDIC PROTEASE INHIB TABLET 600 mg
27.47160
59676056630 PREZISTA DARUNAVIR ETHANOLATE ORAL ANTIVIRALS, HIV-SPEC, NON-PEPTIDIC PROTEASE INHIB TABLET 800 mg
51.70012
59676057530 PREZCOBIX DARUNAVIR ETHANOLATE/COBICISTAT ORAL ANTIVIRALS, HIV-SPEC, NON-PEPTIDIC PROTEASE INHIB TABLET 800 mg-150 mg
62.02930
00003085222 SPRYCEL DASATINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 100 mg
439.69835
00003052811 SPRYCEL DASATINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 50 mg
244.57989
00003052411 SPRYCEL DASATINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 70 mg
236.27270
NDC Label Generic Name SMAC Price
00078065515 JADENU DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET 180 mg
56.43336
00078065415 JADENU DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET 90 mg 28.21668
55566840301 FIRMAGON DEGARELIX ACETATE SUBCUTANEOUS ANTINEOPLASTIC LHRH(GNRH) ANTAGONIST,PITUIT.SUPPRS VIAL (SDV,MDV OR ADDITIVE) (EA) 120 mg
628.40130
55566830301 FIRMAGON DEGARELIX ACETATE SUBCUTANEOUS ANTINEOPLASTIC LHRH(GNRH) ANTAGONIST,PITUIT.SUPPRS VIAL (SDV,MDV OR ADDITIVE) (EA) 80 mg
418.91760
55513071001 PROLIA DENOSUMAB SUBCUTANEOUS BONE RESORPTION INHIBITORS SYRINGE (ML) 60 mg/mL
1,178.52504
65862031030 DIDANOSINE DIDANOSINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI CAPSULE,DELAYED RELEASE (ENTERIC COATED) 125 mg
2.81824
00087667117 VIDEX EC DIDANOSINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI CAPSULE,DELAYED RELEASE (ENTERIC COATED) 125 mg
3.99838
49702022813 TIVICAY DOLUTEGRAVIR SODIUM ORAL ANTIVIRALS,HIV-1 INTEGRASE STRAND TRANSFER INHIBTR TABLET 50 mg
56.41156
49702024613 DOVATO DOLUTEGRAVIR SODIUM/LAMIVUDINE ORAL ANTIRETROVIRAL-INTEGRASE INHIBITOR AND NRTI COMB. TABLET 50 mg-300 mg
76.19000
49702024213 JULUCA DOLUTEGRAVIR SODIUM/RILPIVIRINE HCL ORAL ANTIRETROVIRAL-INTEGRASE INHIBITOR AND NNRTI COMB. TABLET 50 mg-25 mg
87.84979
50242010039 PULMOZYME DORNASE ALFA INHALATION MUCOLYTICS SOLUTION, NON-ORAL 1 mg/mL
44.84150
50242010040 PULMOZYME DORNASE ALFA INHALATION MUCOLYTICS SOLUTION, NON-ORAL 1 mg/mL
44.84150
00002143301 TRULICITY DULAGLUTIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 0.75 mg/0.5 mL
369.28590
00002143380 TRULICITY DULAGLUTIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 0.75 mg/0.5 mL
369.28590
00002143401 TRULICITY DULAGLUTIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 1.5 mg/0.5 mL
369.28590
00002143480 TRULICITY DULAGLUTIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 1.5 mg/0.5 mL
369.28590
00310450012 IMFINZI DURVALUMAB INTRAVENOUS ANTI-PROGRAMMED CELL DEATH-LIGAND 1 (PD-L1) MAB VIAL (ML) 120 mg/2.4 mL (50 mg/mL)
346.49179
00310461150 IMFINZI DURVALUMAB INTRAVENOUS ANTI-PROGRAMMED CELL DEATH-LIGAND 1 (PD-L1) MAB VIAL (ML) 500 mg/10 mL (50 mg/mL)
346.48947
70510217102 RADICAVA EDARAVONE INTRAVENOUS AMYOTROPHIC LATERAL SCLEROSIS AGENTS INTRAVENOUS SOLUTION, PIGGYBACK (ML) 30 mg/100 mL
5.40820
15584010101 ATRIPLA EFAVIRENZ/EMTRICITABINE/TENOFOVIR DISOPROXIL FUMARATE ORAL ARTV NUCLEOSIDE,NUCLEOTIDE,NON-NUCLEOSIDE RTI COMB TABLET 600 mg-200 mg-300 mg
89.09971
58468022001 CERDELGA ELIGLUSTAT TARTRATE ORAL DRUGS TO TX GAUCHER DX-TYPE 1, SUBSTRATE REDUCING CAPSULE 84 mg
423.30000
00078068615 PROMACTA ELTROMBOPAG OLAMINE ORAL THROMBOPOIETIN RECEPTOR AGONISTS TABLET 50 mg
274.06400
NDC Label Generic Name SMAC Price
61958190101 GENVOYA ELVITEGRAVIR/COBICISTAT/EMTRICITABINE/TENOFOVIR ALAFENAMIDE ORAL ARV-NUCLEOSIDE,NUCLEOTIDE RTI,INTEGRASE INHIBITORS TABLET 150 mg-150 mg-200 mg-10 mg
100.33190
61958120101 STRIBILD ELVITEGRAVIR/COBICISTAT/EMTRICITABINE/TENOFOVIR DISOPROXIL ORAL ARV COMB-NRTI,NUCLEOTIDE RTI, INTEGRASE INHIBITORS TABLET 150 mg-150 mg-200 mg-300 mg
100.93600
50242092201 HEMLIBRA EMICIZUMAB-KXWH SUBCUTANEOUS HEMOPHILIA TREATMENT AGENTS,NON-FACTOR REPLACEMENT VIAL (ML) 105 mg/0.7 mL
13,431.00000
50242092301 HEMLIBRA EMICIZUMAB-KXWH SUBCUTANEOUS HEMOPHILIA TREATMENT AGENTS,NON-FACTOR REPLACEMENT VIAL (ML) 150 mg/mL
13,160.00000
50242092001 HEMLIBRA EMICIZUMAB-KXWH SUBCUTANEOUS HEMOPHILIA TREATMENT AGENTS,NON-FACTOR REPLACEMENT VIAL (ML) 30 mg/mL
2,267.90000
50242092101 HEMLIBRA EMICIZUMAB-KXWH SUBCUTANEOUS HEMOPHILIA TREATMENT AGENTS,NON-FACTOR REPLACEMENT VIAL (ML) 60 mg/0.4 mL
13,527.85000
61958110101 COMPLERA EMTRICITABINE/RILPIVIRINE HCL/TENOFOVIR DISOPROXIL FUMARATE ORAL ARTV NUCLEOSIDE,NUCLEOTIDE,NON-NUCLEOSIDE RTI COMB TABLET 200 mg-25 mg-300 mg
91.18561
70255002001 BRAFTOVI ENCORAFENIB ORAL ANTINEOPLASTIC - BRAF KINASE INHIBITORS CAPSULE 50 mg
91.10910
70255002002 BRAFTOVI ENCORAFENIB ORAL ANTINEOPLASTIC - BRAF KINASE INHIBITORS CAPSULE 50 mg
91.10910
70255002501 BRAFTOVI ENCORAFENIB ORAL ANTINEOPLASTIC - BRAF KINASE INHIBITORS CAPSULE 75 mg
60.73939
70255002502 BRAFTOVI ENCORAFENIB ORAL ANTINEOPLASTIC - BRAF KINASE INHIBITORS CAPSULE 75 mg
60.73939
00469012599 XTANDI ENZALUTAMIDE ORAL ANTINEOPLASTIC - ANTIANDROGENIC AGENTS CAPSULE 40 mg
92.69410
59676034001 PROCRIT EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 40,000 unit/mL
1,028.38417
58406045504 ENBREL ETANERCEPT SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE (ML) 25 mg/0.5 mL (0.5 mL)
1,231.94562
58406045501 ENBREL ETANERCEPT SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE (ML) 25 mg/0.5 mL (0.51 mL)
1,226.24990
59676057101 INTELENCE ETRAVIRINE ORAL ANTIVIRALS, HIV-SPECIFIC, NON-NUCLEOSIDE, RTI TABLET 200 mg
21.91077
00310653004 BYDUREON PEN
EXENATIDE MICROSPHERES SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (EA) 2 mg/0.65 mL
169.34240
00310652401 BYETTA EXENATIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 10 mcg/0.04 mL per dose (250 mcg/mL) 2.4 mL
293.97700
00310651201 BYETTA EXENATIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 5 mcg/0.02 mL per dose (250 mcg/mL) 1.2 mL
587.95530
00169790101 REBINYN FACTOR IX (HUMAN) RECOMBINANT, PEGYLATED INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 (+/-) unit range
3.98400
NDC Label Generic Name SMAC Price
00169790201 REBINYN FACTOR IX (HUMAN) RECOMBINANT, PEGYLATED INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 2,000 (+/-) unit range
3.98400
00169790501 REBINYN FACTOR IX (HUMAN) RECOMBINANT, PEGYLATED INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 (+/-) unit range
3.98400
70504028805 IXINITY FACTOR IX HUMAN RECOMBINANT, THREONINE 148 INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 2,000 unit
1.22000
70504028705 IXINITY FACTOR IX HUMAN RECOMBINANT, THREONINE 148 INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 250 unit
1.22000
70504028905 IXINITY FACTOR IX HUMAN RECOMBINANT, THREONINE 148 INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 3,000 unit
1.22000
68516360302 ALPHANINE SD FACTOR IX INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,500 (+/-) unit range
0.83000
68516360602 ALPHANINE SD FACTOR IX INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,500 (+/-) unit range
0.83000
68516360902 ALPHANINE SD FACTOR IX INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,500 (+/-) unit range
0.83000
69911086902 IDELVION FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 3,500 (+/-) unit range
3.94000
63833051802 CORIFACT FACTOR XIII INTRAVENOUS FACTOR XIII PREPARATIONS KIT 1,000 unit-1,600 unit
6.33000
00078060715 GILENYA FINGOLIMOD HCL ORAL AGENTS TO TREAT MULTIPLE SCLEROSIS CAPSULE 0.5 mg
262.48000
68611019002 ILUVIEN FLUOCINOLONE ACETONIDE INTRAOCULAR EYE ANTI-INFLAMMATORY AGENTS IMPLANT (EA) 0.19 mg
8,764.80000
49702020718 LEXIVA FOSAMPRENAVIR CALCIUM ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS TABLET 700 mg
16.66125
00074262528 MAVYRET GLECAPREVIR/PIBRENTASVIR ORAL HEPATITIS C VIRUS- NS5A AND NS3/4A INHIBITOR COMB TABLET 100 mg-40 mg
156.51427
50633021011 VORAXAZE GLUCARPIDASE INTRAVENOUS CHEMOTHERAPY RESCUE/ANTIDOTE AGENTS VIAL (SDV,MDV OR ADDITIVE) (EA) 1,000 unit
23,530.50000
57894007101 SIMPONI GOLIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR DISPOSABLE SYRINGE (ML) 100 mg/mL
2,904.27624
57894007002 SIMPONI GOLIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR PEN INJECTOR (ML) 50 mg/0.5 mL
9,327.11912
57894007001 SIMPONI GOLIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE (ML) 50 mg/0.5 mL
9,294.58580
57894064001 TREMFYA GUSELKUMAB SUBCUTANEOUS ANTIPSORIATIC AGENTS,SYSTEMIC SYRINGE (ML) 100 mg/mL
10,384.47000
70504005301 HEPAGAM B HEPATITIS B IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) greater than 312 unit/mL
159.16080
70504005302 HEPAGAM B HEPATITIS B IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) greater than 312 unit/mL
159.16080
70504005401 HEPAGAM B HEPATITIS B IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) greater than 312 unit/mL (5 mL)
139.31052
NDC Label Generic Name SMAC Price
70504005402 HEPAGAM B HEPATITIS B IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) greater than 312 unit/mL (5 mL)
139.31052
67979050001 VANTAS HISTRELIN ACETATE IMPLANTATION LHRH (GNRH) AGONIST ANALOG PITUITARY SUPPRESSANTS KIT 50 mg
3,187.20000
57962014009 IMBRUVICA IBRUTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 140 mg
134.79060
57962014012 IMBRUVICA IBRUTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 140 mg
134.79060
57962007028 IMBRUVICA IBRUTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 70 mg
404.37280
57962001428 IMBRUVICA IBRUTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 140 mg
404.37280
57962028028 IMBRUVICA IBRUTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 280 mg
404.37280
57962042028 IMBRUVICA IBRUTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 420 mg
419.20750
57962056028 IMBRUVICA IBRUTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 560 mg
404.37280
00944270002 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270003 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270004 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270005 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270006 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270007 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270008 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270009 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270010 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270011 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270012 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
00944270013 GAMMAGARD LIQUID
IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INJECTION ANTISERA VIAL (ML) 10 %
8.89895
59730650201 BIVIGAM IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
NDC Label Generic Name SMAC Price
00944285001 CUVITRU IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 1 gram/5 mL (20 %)
19.22000
00944285002 CUVITRU IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 1 gram/5 mL (20 %)
33.46560
00944285003 CUVITRU IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 2 gram/10 mL (20 %)
19.22000
00944285004 CUVITRU IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 2 gram/10 mL (20 %)
33.46560
00944285005 CUVITRU IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 4 gram/20 mL (20 %)
19.22000
00944285006 CUVITRU IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 4 gram/20 mL (20 %)
33.46560
00944285007 CUVITRU IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 8 gram/40 mL (20 %)
19.22000
00944285008 CUVITRU IMMUNE GLOBULIN,GAMM(IGG)/GLYCINE/IGA GREATER THAN 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 8 gram/40 mL (20 %)
33.46560
68982085001 OCTAGAM IMMUNE GLOBULIN,GAMM(IGG)/MALTOSE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
68982085002 OCTAGAM IMMUNE GLOBULIN,GAMM(IGG)/MALTOSE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
68982085003 OCTAGAM IMMUNE GLOBULIN,GAMM(IGG)/MALTOSE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
68982085004 OCTAGAM IMMUNE GLOBULIN,GAMM(IGG)/MALTOSE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
68982084001 OCTAGAM IMMUNE GLOBULIN,GAMM(IGG)/MALTOSE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
6.89332
68982084002 OCTAGAM IMMUNE GLOBULIN,GAMM(IGG)/MALTOSE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
6.89332
68982084003 OCTAGAM IMMUNE GLOBULIN,GAMM(IGG)/MALTOSE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
6.89332
68982084004 OCTAGAM IMMUNE GLOBULIN,GAMM(IGG)/MALTOSE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
6.89332
68982084005 OCTAGAM IMMUNE GLOBULIN,GAMM(IGG)/MALTOSE/IGA GREATER THAN 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
6.89332
64208823402 GAMMAPLEX IMMUNE GLOBULIN,GAMM(IGG)/SORBITOL/GLYCIN/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
7.59000
64208823403 GAMMAPLEX IMMUNE GLOBULIN,GAMM(IGG)/SORBITOL/GLYCIN/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
7.59000
64208823404 GAMMAPLEX IMMUNE GLOBULIN,GAMM(IGG)/SORBITOL/GLYCIN/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
7.59000
64208823406 GAMMAPLEX IMMUNE GLOBULIN,GAMM(IGG)/SORBITOL/GLYCIN/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
7.59000
64208823407 GAMMAPLEX IMMUNE GLOBULIN,GAMM(IGG)/SORBITOL/GLYCIN/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
7.59000
NDC Label Generic Name SMAC Price
64208823408 GAMMAPLEX IMMUNE GLOBULIN,GAMM(IGG)/SORBITOL/GLYCIN/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
7.59000
64208823501 GAMMAPLEX IMMUNE GLOBULIN,GAMMA (IGG)/GLYCINE/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
64208823502 GAMMAPLEX IMMUNE GLOBULIN,GAMMA (IGG)/GLYCINE/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
64208823503 GAMMAPLEX IMMUNE GLOBULIN,GAMMA (IGG)/GLYCINE/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
64208823505 GAMMAPLEX IMMUNE GLOBULIN,GAMMA (IGG)/GLYCINE/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
64208823506 GAMMAPLEX IMMUNE GLOBULIN,GAMMA (IGG)/GLYCINE/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
64208823507 GAMMAPLEX IMMUNE GLOBULIN,GAMMA (IGG)/GLYCINE/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 10 %
8.31000
44206045101 HIZENTRA IMMUNE GLOBULIN,GAMMA (IGG)/PROLINE/IGA 0 TO 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 1 gram/5 mL (20 %)
19.95000
44206045510 HIZENTRA IMMUNE GLOBULIN,GAMMA (IGG)/PROLINE/IGA 0 TO 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 10 gram/50 mL (20 %)
19.95000
44206045202 HIZENTRA IMMUNE GLOBULIN,GAMMA (IGG)/PROLINE/IGA 0 TO 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 2 gram/10 mL (20 %)
19.95000
44206045404 HIZENTRA IMMUNE GLOBULIN,GAMMA (IGG)/PROLINE/IGA 0 TO 50 MCG/ML SUBCUTANEOUS ANTISERA VIAL (ML) 4 gram/20 mL (20 %)
19.95000
61953000400 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
61953000401 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
61953000402 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
61953000403 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
61953000404 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
61953000405 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
61953000406 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
61953000407 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
61953000408 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
61953000409 FLEBOGAMMA DIF
IMMUNE GLOBULIN,GAMMA (IGG)/SORBITOL/IGA 0 TO 50 MCG/ML INTRAVENOUS ANTISERA VIAL (ML) 5 %
4.11680
NDC Label Generic Name SMAC Price
00944251202 HYQVIA IMMUNE GLOBULIN,GAMMA(IGG) HUMAN/HYALURONIDASE, HUMAN RECOMB SUBCUTANEOUS ANTISERA VIAL (ML) 10 gram/100 mL (10 %)-800 unit/5 mL
17.54856
00944251002 HYQVIA IMMUNE GLOBULIN,GAMMA(IGG) HUMAN/HYALURONIDASE, HUMAN RECOMB SUBCUTANEOUS ANTISERA VIAL (ML) 2.5 gram/25 mL (10 %)-200 unit/1.25 mL
17.54856
00944251302 HYQVIA IMMUNE GLOBULIN,GAMMA(IGG) HUMAN/HYALURONIDASE, HUMAN RECOMB SUBCUTANEOUS ANTISERA VIAL (ML) 20 gram/200 mL (10 %)-1,600 unit/10 mL
17.54856
00944251402 HYQVIA IMMUNE GLOBULIN,GAMMA(IGG) HUMAN/HYALURONIDASE, HUMAN RECOMB SUBCUTANEOUS ANTISERA VIAL (ML) 30 gram/300 mL (10 %)-2,400 unit/15 mL
17.54856
00944251102 HYQVIA IMMUNE GLOBULIN,GAMMA(IGG) HUMAN/HYALURONIDASE, HUMAN RECOMB SUBCUTANEOUS ANTISERA VIAL (ML) 5 gram/50 mL (10 %)-400 unit/2.5 mL
17.54856
76125090001 GAMMAKED IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 1 gram/10 mL (10 %)
10.46000
13533080012 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 1 gram/10 mL (10 %)
10.01000
13533080013 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 1 gram/10 mL (10 %)
10.01000
76125090010 GAMMAKED IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 10 gram/100 mL (10 %)
10.46000
13533080071 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 10 gram/100 mL (10 %)
10.01000
13533080072 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 10 gram/100 mL (10 %)
10.01000
13533080015 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 2.5 gram/25 mL (10 %)
10.01000
13533080016 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 2.5 gram/25 mL (10 %)
10.01000
76125090020 GAMMAKED IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 20 gram/200 mL (10 %)
10.46000
13533080024 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 20 gram/200 mL (10 %)
10.01000
13533080025 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 20 gram/200 mL (10 %)
10.01000
13533080040 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 40 gram/400 mL (10 %)
10.01000
13533080041 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 40 gram/400 mL (10 %)
10.01000
76125090050 GAMMAKED IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 5 gram/50 mL (10 %)
10.46000
13533080020 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 5 gram/50 mL (10 %)
10.01000
NDC Label Generic Name SMAC Price
13533080021 GAMUNEX-C IMMUNE GLOBULIN,GAMMA(IGG)/GLYCINE/IGA AVERAGE 46 MCG/ML INJECTION ANTISERA VIAL (ML) 5 gram/50 mL (10 %)
10.01000
00008010001 BESPONSA INOTUZUMAB OZOGAMICIN INTRAVENOUS ANTINEOPLASTIC- CD22 ANTIBODY-CYTOTOXIC ANTIBIOTIC VIAL (EA) 0.9 mg (0.25 mg/mL initial concentration)
18,625.20000
00169369619 NOVOLOG MIX 70-30 FLEXPEN
INSULIN ASPART PROTAMINE HUMAN/INSULIN ASPART SUBCUTANEOUS INSULINS INSULIN PEN (ML) 100 unit/mL (70-30)
36.34250
00169330312 NOVOLOG INSULIN ASPART SUBCUTANEOUS INSULINS CARTRIDGE (ML) 100 unit/mL
34.95328
00169633910 NOVOLOG FLEXPEN
INSULIN ASPART SUBCUTANEOUS INSULINS INSULIN PEN (ML) 100 unit/mL
36.34246
00169291115 XULTOPHY 100-3.6
INSULIN DEGLUDEC/LIRAGLUTIDE SUBCUTANEOUS ANTIHYPERGLY,INSULIN,LONG ACT-GLP-1 RECEPT.AGONIST INSULIN PEN (ML) 100 unit-3.6 mg/mL (3 mL)
66.80008
00024576105 SOLIQUA 100-33
INSULIN GLARGINE,HUMAN RECOMBINANT ANALOG/LIXISENATIDE SUBCUTANEOUS ANTIHYPERGLY,INSULIN,LONG ACT-GLP-1 RECEPT.AGONIST INSULIN PEN (ML) 100 unit-33 mcg/mL (3 mL)
45.37318
00088250205 APIDRA SOLOSTAR
INSULIN GLULISINE SUBCUTANEOUS INSULINS INSULIN PEN (ML) 100 unit/mL
35.31048
00002879701 HUMALOG MIX 75-25 KWIKPEN
INSULIN LISPRO PROTAMINE & INSULIN LISPRO SUBCUTANEOUS INSULINS INSULIN PEN (ML) 100 unit/mL (75-25)
25.99560
00002879801 HUMALOG MIX 50-50 KWIKPEN
INSULIN LISPRO PROTAMINE AND INSULIN LISPRO SUBCUTANEOUS INSULINS INSULIN PEN (ML) 100 unit/mL (50-50)
30.38796
00002879859 HUMALOG MIX 50-50 KWIKPEN
INSULIN LISPRO PROTAMINE AND INSULIN LISPRO SUBCUTANEOUS INSULINS INSULIN PEN (ML) 100 unit/mL (50-50)
33.85411
00002879759 HUMALOG MIX 75-25 KWIKPEN
INSULIN LISPRO PROTAMINE AND INSULIN LISPRO SUBCUTANEOUS INSULINS INSULIN PEN (ML) 100 unit/mL (75-25)
33.99526
00002771401 HUMALOG JUNIOR KWIKPEN
INSULIN LISPRO SUBCUTANEOUS INSULINS INSULIN PEN, HALF-UNIT (ML) 100 unit/mL
35.21856
00002771459 HUMALOG JUNIOR KWIKPEN
INSULIN LISPRO SUBCUTANEOUS INSULINS INSULIN PEN, HALF-UNIT (ML) 100 unit/mL
35.21856
44087332201 REBIF REBIDOSE
INTERFERON BETA-1A/ALBUMIN HUMAN 691.40627
44087334401 REBIF REBIDOSE
INTERFERON BETA-1A/ALBUMIN HUMAN SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS PEN INJECTOR (ML) 44 mcg/0.5 mL
1,158.74000
44087018801 REBIF REBIDOSE
INTERFERON BETA-1A/ALBUMIN HUMAN SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS PEN INJECTOR (ML) 8.8 mcg/0.2 mL (6) - 22 mcg/0.5 mL (6)
1,146.91770
NDC Label Generic Name SMAC Price
44087002203 REBIF INTERFERON BETA-1A/ALBUMIN HUMAN SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS SYRINGE (ML) 22 mcg/0.5 mL
1,201.06062
44087004403 REBIF INTERFERON BETA-1A/ALBUMIN HUMAN SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS SYRINGE (ML) 44 mcg/0.5 mL
1,235.87159
50419052435 BETASERON INTERFERON BETA-1B SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS KIT 0.3 mg
526.79732
00078056912 EXTAVIA INTERFERON BETA-1B SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS KIT 0.3 mg
217.05054
00002144501 TALTZ AUTOINJECTOR
IXEKIZUMAB SUBCUTANEOUS ANTIPSORIATIC AGENTS,SYSTEMIC AUTO-INJECTOR (ML) 80 mg/mL
5,228.96880
00002144511 TALTZ AUTOINJECTOR
IXEKIZUMAB SUBCUTANEOUS ANTIPSORIATIC AGENTS,SYSTEMIC AUTO-INJECTOR (ML) 80 mg/mL
5,228.96880
00002144527 TALTZ AUTOINJECTOR (2 PACK)
IXEKIZUMAB SUBCUTANEOUS ANTIPSORIATIC AGENTS,SYSTEMIC AUTO-INJECTOR (ML) 80 mg/mL
5,228.96880
00002144509 TALTZ AUTOINJECTOR (3 PACK)
IXEKIZUMAB SUBCUTANEOUS ANTIPSORIATIC AGENTS,SYSTEMIC AUTO-INJECTOR (ML) 80 mg/mL
5,228.96880
59572041000 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 10 mg
697.69600
59572041028 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 10 mg
697.69600
59572041500 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 15 mg
697.69600
59572041521 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 15 mg
697.69600
59572042500 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 25 mg
697.69600
59572042521 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 25 mg
697.69600
59572040500 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 5 mg
605.23830
59572040528 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 5 mg
605.23830
62856071030 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 10 mg/day (10 mg [1]/day)
415.00332
62856071205 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 12 mg/day (4 mg x 3)
187.80078
62856071230 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 12 mg/day (4 mg x 3)
187.80078
62856071430 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 14 mg/day (10 mg [1]-4 mg [1]/day)
207.49668
NDC Label Generic Name SMAC Price
62856072030 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 20 mg/day (10 mg [2]/day)
231.57000
62856072430 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 24 mg/day (10 mg [2]-4 mg [1]/day)
154.38000
62856070405 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 4 mg
563.40330
62856070430 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 4 mg
563.40330
00074334603 LUPRON DEPOT
LEUPROLIDE ACETATE INTRAMUSCULAR ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. SYRINGE KIT (EA) 22.5 mg (3 month)
4,513.19324
00074364203 LUPRON DEPOT
LEUPROLIDE ACETATE INTRAMUSCULAR ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. SYRINGE KIT (EA) 7.5 mg (1 month)
1,499.80049
00074366303 LUPRON DEPOT
LEUPROLIDE ACETATE INTRAMUSCULAR LHRH (GNRH) AGONIST ANALOG PITUITARY SUPPRESSANTS SYRINGE KIT (EA) 11.25 mg
3,756.51187
00074364103 LUPRON DEPOT
LEUPROLIDE ACETATE INTRAMUSCULAR LHRH (GNRH) AGONIST ANALOG PITUITARY SUPPRESSANTS SYRINGE KIT (EA) 3.75 mg
1,258.26972
50419042301 MIRENA LEVONORGESTREL INTRAUTERINE INTRA-UTERINE DEVICES (IUDS) INTRAUTERINE DEVICE 20 mcg/24 hour (5 years)
854.89668
00032121201 CREON LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 12,000 unit-38,000 unit-60,000 unit
3.00537
00032121207 CREON LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 12,000 unit-38,000 unit-60,000 unit
3.00537
00032122401 CREON LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 24,000 unit-76,000 unit-120,000 unit
5.96720
00032122407 CREON LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 24,000 unit-76,000 unit-120,000 unit
5.96720
59767002401 PERTZYE LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 24,000 unit-86,250 unit-90,750 unit
6.30468
00032120370 CREON LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 3,000 unit-9,500 unit-15,000 unit
1.27377
00032301613 CREON LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 36,000 unit-114,000 unit-180,000 unit
9.01745
00032301628 CREON LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 36,000 unit-114,000 unit-180,000 unit
9.01745
00032120601 CREON LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 6,000 unit-19,000 unit-30,000 unit
1.51888
NDC Label Generic Name SMAC Price
00032120607 CREON LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 6,000 unit-19,000 unit-30,000 unit
1.51888
59767000801 PERTZYE LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 8,000 unit-28,750 unit-30,250 unit
1.74300
59767000802 PERTZYE LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 8,000 unit-28,750 unit-30,250 unit
1.74300
58914011210 VIOKACE LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES TABLET 10,440 unit-39,150 unit-39,150 unit
2.65932
00169406012 VICTOZA 2-PAK LIRAGLUTIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 0.6 mg/0.1 mL (18 mg/3 mL)
99.89000
00169406013 VICTOZA 3-PAK LIRAGLUTIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 0.6 mg/0.1 mL (18 mg/3 mL)
99.89000
00024574502 ADLYXIN LIXISENATIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 10 mcg/0.2 mL per dose (1)-20 mcg/0.2 mL per dose (1)
92.49513
00024574702 ADLYXIN LIXISENATIDE SUBCUTANEOUS ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) PEN INJECTOR (ML) 20 mcg/0.2 mL per dose
92.49513
58181304005 GLEOSTINE LOMUSTINE ORAL ANTINEOPLASTIC - ALKYLATING AGENTS CAPSULE 10 mg
67.67800
58181304205 GLEOSTINE LOMUSTINE ORAL ANTINEOPLASTIC - ALKYLATING AGENTS CAPSULE 100 mg
706.06000
58181304105 GLEOSTINE LOMUSTINE ORAL ANTINEOPLASTIC - ALKYLATING AGENTS CAPSULE 40 mg
106.28316
00074679922 KALETRA LOPINAVIR/RITONAVIR ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITOR COMB TABLET 200 mg-50 mg
8.30494
51167080901 ORKAMBI LUMACAFTOR/IVACAFTOR ORAL CYSTIC FIBROSIS-CFTR POTENTIATOR-CORRECTOR COMBIN. TABLET 200 mg-125 mg
174.32695
58468008001 THYMOGLOBULIN
LYMPHOCYTE IMMUNE GLOBULIN, RABBIT INTRAVENOUS ANTISERA VIAL (EA) 25 mg
751.52184
00009722401 ATGAM LYMPHOCYTE IMMUNE GLOBULIN,ANTITHYMOCYTE (EQUINE) INTRAVENOUS ANTISERA AMPUL (ML) 50 mg/mL
362.91252
00009722402 ATGAM LYMPHOCYTE IMMUNE GLOBULIN,ANTITHYMOCYTE (EQUINE) INTRAVENOUS ANTISERA AMPUL (ML) 50 mg/mL
362.91252
15054104005 INCRELEX MECASERMIN SUBCUTANEOUS INSULIN-LIKE GROWTH FACTOR-1 (IGF-1) HORMONES VIAL (ML) 10 mg/mL
662.98740
59137051004 RASUVO METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 10 mg/0.2 mL
557.76000
54436001002 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 10 mg/0.4 mL
341.13000
54436001004 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 10 mg/0.4 mL
341.13000
NDC Label Generic Name SMAC Price
59137051504 RASUVO METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 12.5 mg/0.25 mL
446.20800
59137052004 RASUVO METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 15 mg/0.3 mL
371.83668
54436001502 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 15 mg/0.4 mL
341.13000
54436001504 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 15 mg/0.4 mL
394.14375
59137052504 RASUVO METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 17.5 mg/0.35 mL
318.72000
54436002002 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 20 mg/0.4 mL
341.13000
54436002004 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 20 mg/0.4 mL
341.13000
59137053004 RASUVO METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 20 mg/0.4 mL
298.48151
59137053504 RASUVO METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 22.5 mg/0.45 mL
247.89444
54436002502 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 25 mg/0.4 mL
341.13000
54436002504 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 25 mg/0.4 mL
341.13000
59137054004 RASUVO METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 25 mg/0.5 mL
223.10400
59137055004 RASUVO METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 30 mg/0.6 mL
185.92332
59137050504 RASUVO METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 7.5 mg/0.15 mL
743.68332
59353040409 MIRCERA METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS SYRINGE (ML) 150 mcg/0.3 mL
1,369.50000
59353040009 MIRCERA METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS SYRINGE (ML) 30 mcg/0.3 mL
273.90000
65649015090 RELISTOR METHYLNALTREXONE BROMIDE ORAL MU-OPIOID RECEPTOR ANTAGONISTS,PERIPHERALLY-ACTING TABLET 150 mg
18.48934
65649055103 RELISTOR METHYLNALTREXONE BROMIDE SUBCUTANEOUS MU-OPIOID RECEPTOR ANTAGONISTS,PERIPHERALLY-ACTING SYRINGE (ML) 12 mg/0.6 mL
184.85000
65649055107 RELISTOR METHYLNALTREXONE BROMIDE SUBCUTANEOUS MU-OPIOID RECEPTOR ANTAGONISTS,PERIPHERALLY-ACTING SYRINGE (ML) 12 mg/0.6 mL
163.06000
65649055204 RELISTOR METHYLNALTREXONE BROMIDE SUBCUTANEOUS MU-OPIOID RECEPTOR ANTAGONISTS,PERIPHERALLY-ACTING SYRINGE (ML) 8 mg/0.4 mL
248.99288
65649055102 RELISTOR METHYLNALTREXONE BROMIDE SUBCUTANEOUS MU-OPIOID RECEPTOR ANTAGONISTS,PERIPHERALLY-ACTING VIAL (SDV,MDV OR ADDITIVE) (ML) 12 mg/0.6 mL
98.85300
NDC Label Generic Name SMAC Price
65757030001 VIVITROL NALTREXONE MICROSPHERES INTRAMUSCULAR ANTI-ALCOHOLIC PREPARATIONS SUSPENSION, EXTENDED RELEASE, RECONST. 380 mg
1,266.33909
70437024018 NERLYNX NERATINIB MALEATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 40 mg
63.13808
00078059251 TASIGNA NILOTINIB HCL ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 150 mg
115.71000
00078059287 TASIGNA NILOTINIB HCL ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 150 mg
115.71000
00078052651 TASIGNA NILOTINIB HCL ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 200 mg
94.86000
00078052687 TASIGNA NILOTINIB HCL ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 200 mg
94.86000
00597014360 OFEV NINTEDANIB ESYLATE ORAL PULMONARY FIBROSIS - SYSTEMIC ENZYME INHIBITORS CAPSULE 100 mg
132.79668
00597014560 OFEV NINTEDANIB ESYLATE ORAL PULMONARY FIBROSIS - SYSTEMIC ENZYME INHIBITORS CAPSULE 150 mg
132.79668
00003377412 OPDIVO NIVOLUMAB INTRAVENOUS ANTINEOPLASTIC,ANTI-PROGRAMMED DEATH-1 (PD-1) MAB VIAL (ML) 100 mg/10 mL
257.29950
00003373413 OPDIVO NIVOLUMAB INTRAVENOUS ANTINEOPLASTIC,ANTI-PROGRAMMED DEATH-1 (PD-1) MAB VIAL (ML) 240 mg/24 mL
257.29950
00003377211 OPDIVO NIVOLUMAB INTRAVENOUS ANTINEOPLASTIC,ANTI-PROGRAMMED DEATH-1 (PD-1) MAB VIAL (ML) 40 mg/4 mL
257.29950
00310066812 LYNPARZA OLAPARIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 100 mg
111.90060
00310066860 LYNPARZA OLAPARIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 100 mg
111.90060
00310067912 LYNPARZA OLAPARIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 150 mg
115.25760
00310067960 LYNPARZA OLAPARIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 150 mg
115.25760
00310135030 TAGRISSO OSIMERTINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 80 mg
473.49690
00069018821 IBRANCE PALBOCICLIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 100 mg
535.92248
00069018921 IBRANCE PALBOCICLIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 125 mg
518.61800
00069018721 IBRANCE PALBOCICLIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 75 mg
527.89790
50458056201 INVEGA SUSTENNA
PALIPERIDONE PALMITATE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (ML) 117 mg/0.75 mL
1,733.29700
50458056301 INVEGA SUSTENNA
PALIPERIDONE PALMITATE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (ML) 156 mg/mL
1,733.29700
NDC Label Generic Name SMAC Price
50458056401 INVEGA SUSTENNA
PALIPERIDONE PALMITATE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (ML) 234 mg/1.5 mL
1,733.29700
50458056001 INVEGA SUSTENNA
PALIPERIDONE PALMITATE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (ML) 39 mg/0.25 mL
1,733.29700
50458060701 INVEGA TRINZA
PALIPERIDONE PALMITATE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (ML) 410 mg/1.315 mL
2,948.21100
50458060801 INVEGA TRINZA
PALIPERIDONE PALMITATE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (ML) 546 mg/1.75 mL
2,953.97200
50458056101 INVEGA SUSTENNA
PALIPERIDONE PALMITATE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (ML) 78 mg/0.5 mL
1,733.29700
50458060901 INVEGA TRINZA
PALIPERIDONE PALMITATE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (ML) 819 mg/2.625 mL
3,044.12490
00078065006 FARYDAK PANOBINOSTAT LACTATE ORAL ANTINEOPLAST,HISTONE DEACETYLASE (HDAC) INHIBITORS CAPSULE 10 mg
1,138.75668
00078065106 FARYDAK PANOBINOSTAT LACTATE ORAL ANTINEOPLAST,HISTONE DEACETYLASE (HDAC) INHIBITORS CAPSULE 15 mg
1,138.75668
00078065206 FARYDAK PANOBINOSTAT LACTATE ORAL ANTINEOPLAST,HISTONE DEACETYLASE (HDAC) INHIBITORS CAPSULE 20 mg
1,138.75668
00078074881 SIGNIFOR LAR PASIREOTIDE PAMOATE INTRAMUSCULAR SOMATOSTATIC AGENTS VIAL (EA) 10 mg
12,259.56400
00078064161 SIGNIFOR LAR PASIREOTIDE PAMOATE INTRAMUSCULAR SOMATOSTATIC AGENTS VIAL (EA) 20 mg
10,726.15308
00078064181 SIGNIFOR LAR PASIREOTIDE PAMOATE INTRAMUSCULAR SOMATOSTATIC AGENTS VIAL (EA) 20 mg
10,726.15308
00078074181 SIGNIFOR LAR PASIREOTIDE PAMOATE INTRAMUSCULAR SOMATOSTATIC AGENTS VIAL (EA) 30 mg
12,259.56400
00078064261 SIGNIFOR LAR PASIREOTIDE PAMOATE INTRAMUSCULAR SOMATOSTATIC AGENTS VIAL (EA) 40 mg
10,726.15308
00078064281 SIGNIFOR LAR PASIREOTIDE PAMOATE INTRAMUSCULAR SOMATOSTATIC AGENTS VIAL (EA) 40 mg
10,726.15308
00078064361 SIGNIFOR LAR PASIREOTIDE PAMOATE INTRAMUSCULAR SOMATOSTATIC AGENTS VIAL (EA) 60 mg
10,726.15308
00078064381 SIGNIFOR LAR PASIREOTIDE PAMOATE INTRAMUSCULAR SOMATOSTATIC AGENTS VIAL (EA) 60 mg
10,726.15308
55513019001 NEULASTA PEGFILGRASTIM SUBCUTANEOUS LEUKOCYTE (WBC) STIMULANTS SYRINGE (ML) 6 mg/0.6 mL
10,074.86714
55513019201 NEULASTA PEGFILGRASTIM SUBCUTANEOUS LEUKOCYTE (WBC) STIMULANTS SYRINGE, WITH WEARABLE INJECTOR 6 mg/0.6 mL deliverable (0.64 mL)
7,777.43532
NDC Label Generic Name SMAC Price
00009517802 SOMAVERT PEGVISOMANT SUBCUTANEOUS GROWTH HORMONE RECEPTOR ANTAGONISTS VIAL (EA) 15 mg
222.83508
00009518002 SOMAVERT PEGVISOMANT SUBCUTANEOUS GROWTH HORMONE RECEPTOR ANTAGONISTS VIAL (EA) 20 mg
297.09684
00009519901 SOMAVERT PEGVISOMANT SUBCUTANEOUS GROWTH HORMONE RECEPTOR ANTAGONISTS VIAL (EA) 25 mg
371.37852
00009520104 SOMAVERT PEGVISOMANT SUBCUTANEOUS GROWTH HORMONE RECEPTOR ANTAGONISTS VIAL (EA) 25 mg
371.38000
00009520001 SOMAVERT PEGVISOMANT SUBCUTANEOUS GROWTH HORMONE RECEPTOR ANTAGONISTS VIAL (EA) 30 mg
445.64028
00009537604 SOMAVERT PEGVISOMANT SUBCUTANEOUS GROWTH HORMONE RECEPTOR ANTAGONISTS VIAL (EA) 30 mg
445.64000
00006302601 KEYTRUDA PEMBROLIZUMAB INTRAVENOUS ANTINEOPLASTIC,ANTI-PROGRAMMED DEATH-1 (PD-1) MAB VIAL (ML) 100 mg/4 mL (25 mg/mL)
1,079.00000
00006302602 KEYTRUDA PEMBROLIZUMAB INTRAVENOUS ANTINEOPLASTIC,ANTI-PROGRAMMED DEATH-1 (PD-1) MAB VIAL (ML) 100 mg/4 mL (25 mg/mL)
1,074.68400
50242012301 ESBRIET PIRFENIDONE ORAL ANTIFIBROTIC THERAPY - PYRIDONE ANALOGS TABLET 801 mg
31.54667
00024586201 MOZOBIL PLERIXAFOR SUBCUTANEOUS CXCR4 CHEMOKINE RECEPTOR ANTAGONIST VIAL (ML) 24 mg/1.2 mL (20 mg/mL)
5,896.00128
50419020801 XOFIGO RADIUM-223 DICHLORIDE INTRAVENOUS RADIOACTIVE THERAPEUTIC AGENTS VIAL (EA) 1,100 kBq/mL (30 microcurie/mL)
21,962.43744
00006022761 ISENTRESS RALTEGRAVIR POTASSIUM ORAL ANTIVIRALS,HIV-1 INTEGRASE STRAND TRANSFER INHIBTR TABLET 400 mg
25.51401
00006308001 ISENTRESS HD RALTEGRAVIR POTASSIUM ORAL ANTIVIRALS,HIV-1 INTEGRASE STRAND TRANSFER INHIBTR TABLET 600 mg
25.52840
50419017101 STIVARGA REGORAFENIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 40 mg
195.33430
50419017103 STIVARGA REGORAFENIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 40 mg
195.33430
70504300001 WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) 15,000 unit (3,000 mcg)/13 mL
314.69998
70504300002 WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) 15,000 unit (3,000 mcg)/13 mL
314.69998
70504350001 WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) 2,500 unit (500 mcg)/2.2 mL
309.93256
70504350002 WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) 2,500 unit (500 mcg)/2.2 mL
309.93256
70504310001 WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) 5,000 unit (1,000 mcg)/4.4 mL
309.93256
70504310002 WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE INJECTION ANTISERA VIAL (ML) 5,000 unit (1,000 mcg)/4.4 mL
309.93256
NDC Label Generic Name SMAC Price
00078090961 KISQALI FEMARA CO-PACK
RIBOCICLIB SUCCINATE/LETROZOLE ORAL ANTINEOPLASTIC COMB - KINASE AND AROMATASE INHIBIT TABLET 200 mg/day (200 mg x 1)-2.5 mg
87.59999
00078091661 KISQALI FEMARA CO-PACK
RIBOCICLIB SUCCINATE/LETROZOLE ORAL ANTINEOPLASTIC COMB - KINASE AND AROMATASE INHIBIT TABLET 400 mg/day (200 mg x 2)-2.5 mg
122.63999
00078092361 KISQALI FEMARA CO-PACK
RIBOCICLIB SUCCINATE/LETROZOLE ORAL ANTINEOPLASTIC COMB - KINASE AND AROMATASE INHIBIT TABLET 600 mg/day (200 mg x 3)-2.5 mg
117.92308
61755000101 ARCALYST RILONACEPT SUBCUTANEOUS ANTI-INFLAM. INTERLEUKIN-1 RECEPTOR ANTAGONIST VIAL (SDV,MDV OR ADDITIVE) (EA) 220 mg
4,980.00000
59676027801 EDURANT RILPIVIRINE HCL ORAL ANTIVIRALS, HIV-SPECIFIC, NON-NUCLEOSIDE, RTI TABLET 25 mg
36.20761
50458030911 RISPERDAL CONSTA
RISPERIDONE MICROSPHERES INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (EA) 12.5 mg/2 mL
231.85250
50458030711 RISPERDAL CONSTA
RISPERIDONE MICROSPHERES INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (EA) 37.5 mg/2 mL
701.65420
50458030811 RISPERDAL CONSTA
RISPERIDONE MICROSPHERES INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (EA) 50 mg/2 mL
929.01020
50242010801 RITUXAN HYCELA
RITUXIMAB/HYALURONIDASE, HUMAN RECOMBINANT SUBCUTANEOUS ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY VIAL (ML) 1,400 mg/11.7 mL (120 mg/mL)
537.17100
50242010901 RITUXAN HYCELA
RITUXIMAB/HYALURONIDASE, HUMAN RECOMBINANT SUBCUTANEOUS ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY VIAL (ML) 1,600 mg/13.4 mL (120 mg/mL)
537.17100
50458058010 XARELTO RIVAROXABAN ORAL DIRECT FACTOR XA INHIBITORS TABLET 10 mg 12.73820
50458058030 XARELTO RIVAROXABAN ORAL DIRECT FACTOR XA INHIBITORS TABLET 10 mg 13.32970
69660020191 RUBRACA RUCAPARIB CAMSYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 200 mg
114.04200
69660020391 RUBRACA RUCAPARIB CAMSYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 300 mg
114.04200
62856058446 BANZEL RUFINAMIDE ORAL ANTICONVULSANTS SUSPENSION, ORAL (FINAL DOSE FORM) 40 mg/mL
3.38816
62856058252 BANZEL RUFINAMIDE ORAL ANTICONVULSANTS TABLET 200 mg 11.50902
62856058352 BANZEL RUFINAMIDE ORAL ANTICONVULSANTS TABLET 400 mg 22.97433
66215061006 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET 1,000 mcg
241.03200
66215061206 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET 1,200 mcg
241.03200
66215061406 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET 1,400 mcg
241.03200
NDC Label Generic Name SMAC Price
66215061606 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET 1,600 mcg
241.03200
66215060206 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET 200 mcg
155.04400
66215060214 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET 200 mcg
154.94914
66215060406 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET 400 mcg
241.03200
66215060606 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET 600 mcg
241.03200
66215060806 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET 800 mcg
241.03200
66215062820 UPTRAVI SELEXIPAG ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET, DOSE PACK 200 mcg (140)-800 mcg (60)
108.46440
00078097912 MAYZENT SIPONIMOD ORAL AGENTS TO TREAT MULTIPLE SCLEROSIS TABLET, DOSE PACK 0.25 mg (12 tabs)
60.37000
00008103004 RAPAMUNE SIROLIMUS ORAL IMMUNOSUPPRESSIVES SOLUTION, ORAL 1 mg/mL 28.22343
00008103006 RAPAMUNE SIROLIMUS ORAL IMMUNOSUPPRESSIVES SOLUTION, ORAL 1 mg/mL 28.22343
00517312025 NUTRILYTE SODIUM/POTASSIUM/MAGNES/CALCIUM/CHLORIDE/ACETATE/GLUCONATE INTRAVENOUS ELECTROLYTE MAINTENANCE VIAL (ML) 25 mEq-40.6 mEq-5 mEq-8 mEq-33.6 mEq-40.5 mEq-5 mEq/20 mL
0.17928
00013262681 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES CARTRIDGE (EA) 5 mg/mL (15 unit/mL)
620.95832
00781300407 OMNITROPE SOMATROPIN SUBCUTANEOUS GROWTH HORMONES CARTRIDGE (ML) 10 mg/1.5 mL (6.7 mg/mL)
651.81000
50242007601 NUTROPIN AQ NUSPIN
SOMATROPIN SUBCUTANEOUS GROWTH HORMONES PEN INJECTOR (ML) 20 mg/2 mL (10 mg/mL)
1,117.47010
50242007501 NUTROPIN AQ NUSPIN
SOMATROPIN SUBCUTANEOUS GROWTH HORMONES PEN INJECTOR (ML) 5 mg/2 mL (2.5 mg/mL)
249.78500
44087000401 SEROSTIM SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (SDV,MDV OR ADDITIVE) (EA) 4 mg
193.14672
44087000407 SEROSTIM SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (SDV,MDV OR ADDITIVE) (EA) 4 mg
201.11256
44087000601 SEROSTIM SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (SDV,MDV OR ADDITIVE) (EA) 6 mg
289.72008
44087000607 SEROSTIM SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (SDV,MDV OR ADDITIVE) (EA) 6 mg
301.66824
44087108801 SAIZEN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (SDV,MDV OR ADDITIVE) (EA) 8.8 mg
596.48780
44087338807 ZORBTIVE SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (SDV,MDV OR ADDITIVE) (EA) 8.8 mg
774.60106
50419048858 NEXAVAR SORAFENIB TOSYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 200 mg
150.74450
NDC Label Generic Name SMAC Price
00069055038 SUTENT SUNITINIB MALATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 12.5 mg
176.81292
00069077038 SUTENT SUNITINIB MALATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 25 mg
356.99546
00069083038 SUTENT SUNITINIB MALATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 37.5 mg
392.99172
43068022001 HETLIOZ TASIMELTEON ORAL HYPNOTICS, MELATONIN MT1/MT2 RECEPTOR AGONISTS CAPSULE 20 mg
269.15904
00002840001 FORTEO TERIPARATIDE SUBCUTANEOUS BONE FORMATION STIM. AGENTS - PARATHYROID HORMONE PEN INJECTOR (ML) 20 mcg/dose (600 mcg/2.4 mL)
1,390.73120
62064001160 EGRIFTA TESAMORELIN ACETATE SUBCUTANEOUS GROWTH HORMONE RELEASING HORMONE(GHRH) AND ANALOGS VIAL (EA) 1 mg
70.55000
13533063402 HYPERTET S-D TETANUS IMMUNE GLOBULIN/PF INTRAMUSCULAR ANTISERA SYRINGE (EA) 250 unit
496.03788
13533063420 HYPERTET S-D TETANUS IMMUNE GLOBULIN/PF INTRAMUSCULAR ANTISERA SYRINGE (EA) 250 unit
496.03788
76388088025 TABLOID THIOGUANINE ORAL ANTIMETABOLITES TABLET 40 mg 12.50976
17478034038 TOBRAMYCIN TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
12.81852
00781717156 TOBRAMYCIN TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
20.51760
10122082028 BETHKIS TOBRAMYCIN INHALATION AMINOGLYCOSIDE ANTIBIOTICS AMPUL FOR NEBULIZATION (ML) 300 mg/4 mL
26.52140
10122082056 BETHKIS TOBRAMYCIN INHALATION AMINOGLYCOSIDE ANTIBIOTICS AMPUL FOR NEBULIZATION (ML) 300 mg/4 mL
26.52140
10122082004 BETHKIS TOBRAMYCIN INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/4 mL
25.33000
00078063011 TOBI PODHALER
TOBRAMYCIN INHALATION AMINOGLYCOSIDES CAPSULE 28 mg 26.68827
00069100201 XELJANZ TOFACITINIB CITRATE ORAL JANUS KINASE (JAK) INHIBITORS TABLET 10 mg
71.31908
00069100101 XELJANZ TOFACITINIB CITRATE ORAL JANUS KINASE (JAK) INHIBITORS TABLET 5 mg
67.44130
00078066615 MEKINIST TRAMETINIB DIMETHYL SULFOXIDE ORAL ANTINEOPLASTIC - MEK1 AND MEK2 KINASE INHIBITORS TABLET 0.5 mg
97.43660
50242013201 HERCEPTIN TRASTUZUMAB INTRAVENOUS ANTINEOPLASTIC EGF RECEPTOR BLOCKER MCLON ANTIBODY VIAL (EA) 150 mg
1,397.64660
66302035001 ORENITRAM ER
TREPROSTINIL DIOLAMINE ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET, EXTENDED RELEASE 5 mg
194.22000
66302035010 ORENITRAM ER
TREPROSTINIL DIOLAMINE ORAL PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE TABLET, EXTENDED RELEASE 5 mg
194.22000
24338015020 TRIPTODUR TRIPTORELIN PAMOATE INTRAMUSCULAR LHRH(GNRH)AGNST PIT.SUP-CENTRAL PRECOCIOUS PUBERTY VIAL (EA) 22.5 mg
15,936.00000
NDC Label Generic Name SMAC Price
00004003909 VALCYTE VALGANCICLOVIR HCL ORAL ANTIVIRALS, GENERAL SOLUTION, RECONSTITUTED, ORAL 50 mg/mL
11.42674
00187560015 VISUDYNE VERTEPORFIN INTRAVENOUS OCULAR PHOTOACTIVATED VESSEL-OCCLUDING AGENTS VIAL (EA) 15 mg
1,612.22520
00003218710 ORENCIA ABATACEPT/MALTOSE INTRAVENOUS ANTINFLAMMATORY, SEL.COSTIM.MOD.,T-CELL INHIBITOR VIAL (SDV,MDV OR ADDITIVE) (EA) 250 mg
576.07810
00003218713 ORENCIA ABATACEPT/MALTOSE INTRAVENOUS ANTINFLAMMATORY, SEL.COSTIM.MOD.,T-CELL INHIBITOR VIAL (SDV,MDV OR ADDITIVE) (EA) 250 mg
576.07810
15054053006 DYSPORT ABOBOTULINUMTOXINA INTRAMUSCULAR NEUROMUSCULAR BLOCKING AGENTS VIAL (SDV,MDV OR ADDITIVE) (EA) 300 unit
424.29600
15054050001 DYSPORT ABOBOTULINUMTOXINA INTRAMUSCULAR NEUROMUSCULAR BLOCKING AGENTS VIAL (SDV,MDV OR ADDITIVE) (EA) 500 unit
707.16000
00074937402 HUMIRA ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR KIT 20 mg/0.4 mL
1,246.29970
00074634702 HUMIRA ADALIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR SYRINGE KIT (EA) 10 mg/0.2 mL
1,344.75936
42794000308 ADEFOVIR DIPIVOXIL
ADEFOVIR DIPIVOXIL ORAL HEPATITIS B TREATMENT AGENTS TABLET 10 mg
34.94731
60505394703 ADEFOVIR DIPIVOXIL
ADEFOVIR DIPIVOXIL ORAL HEPATITIS B TREATMENT AGENTS TABLET 10 mg
34.94731
61958050101 HEPSERA ADEFOVIR DIPIVOXIL ORAL HEPATITIS B TREATMENT AGENTS TABLET 10 mg
34.94731
50242008801 KADCYLA ADO-TRASTUZUMAB EMTANSINE INTRAVENOUS ANTINEOPLASTICS ANTIBODY/ANTIBODY-DRUG COMPLEXES VIAL (SDV,MDV OR ADDITIVE) (EA) 100 mg
2,762.47600
50242008701 KADCYLA ADO-TRASTUZUMAB EMTANSINE INTRAVENOUS ANTINEOPLASTICS ANTIBODY/ANTIBODY-DRUG COMPLEXES VIAL (SDV,MDV OR ADDITIVE) (EA) 160 mg
4,419.95900
00597014130 GILOTRIF AFATINIB DIMALEATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 20 mg
199.00080
00597013730 GILOTRIF AFATINIB DIMALEATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 30 mg
199.00080
00597013830 GILOTRIF AFATINIB DIMALEATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 40 mg
199.00080
58468004001 FABRAZYME AGALSIDASE BETA INTRAVENOUS METABOLIC DISEASE ENZYME REPLACEMENT, FABRY'S DX VIAL (EA) 35 mg
5,466.86000
58468004101 FABRAZYME AGALSIDASE BETA INTRAVENOUS METABOLIC DISEASE ENZYME REPLACEMENT, FABRY'S DX VIAL (EA) 5 mg
774.88800
58468020001 LEMTRADA ALEMTUZUMAB INTRAVENOUS AGENTS TO TREAT MULTIPLE SCLEROSIS VIAL (ML) 12 mg/1.2 mL
16,392.49900
58468016001 LUMIZYME ALGLUCOSIDASE ALFA INTRAVENOUS METABOLIC DISEASE ENZYME REPLACEMENT,POMPE DISEASE VIAL (EA) 50 mg
750.98000
NDC Label Generic Name SMAC Price
58468016002 LUMIZYME ALGLUCOSIDASE ALFA INTRAVENOUS METABOLIC DISEASE ENZYME REPLACEMENT,POMPE DISEASE VIAL (EA) 50 mg
750.98000
00944281401 ARALAST NP ALPHA-1-PROTEINASE INHIBITOR INTRAVENOUS SYSTEMIC ENZYME INHIBITORS VIAL (EA) 500 mg
0.51792
00944288401 GLASSIA ALPHA-1-PROTEINASE INHIBITOR INTRAVENOUS SYSTEMIC ENZYME INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (EA) 1 gram/50 mL (2 %)
0.46480
00944288402 GLASSIA ALPHA-1-PROTEINASE INHIBITOR INTRAVENOUS SYSTEMIC ENZYME INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (EA) 1 gram/50 mL (2 %)
0.46480
00378427193 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
00591240630 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
42794005208 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
47335023783 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
49884035411 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
49884035462 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
69097038702 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
70710118003 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
61958080201 LETAIRIS AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
61958080205 LETAIRIS AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
200.26704
00378427093 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
00591240530 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
42794005108 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
47335023683 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
49884035311 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
49884035362 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
69097038602 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
70710117903 AMBRISENTAN AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
NDC Label Generic Name SMAC Price
61958080101 LETAIRIS AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
61958080105 LETAIRIS AMBRISENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 5 mg
200.26704
66658023407 KINERET ANAKINRA SUBCUTANEOUS ANTI-INFLAM. INTERLEUKIN-1 RECEPTOR ANTAGONIST DISPOSABLE SYRINGE (ML) 100 mg/0.67 mL
136.97600
64193042502 FEIBA NF ANTI-INHIBITOR COAGULANT COMPLEX INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,750 unit-3,250 unit
1.57500
00944425602 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
1.90000
00944462401 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
1.90000
00944425802 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
1.90000
00944462501 ADYNOVATE ANTIHEMOPHILIC FACTOR (FVIII) RECOMBINANT, FULL LENGTH, PEG INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
1.90000
58394001401 XYNTHA ANTIHEMOPHILIC FACTOR VIII (PLASMA/ALBUMIN-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS KIT 1,000 (+/-) unit range
0.98000
58394001201 XYNTHA ANTIHEMOPHILIC FACTOR VIII (PLASMA/ALBUMIN-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS KIT 250 (+/-) unit range
0.97000
58394001301 XYNTHA ANTIHEMOPHILIC FACTOR VIII (PLASMA/ALBUMIN-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS KIT 500 (+/-) unit range
0.97000
58394001603 XYNTHA SOLOFUSE
ANTIHEMOPHILIC FACTOR VIII (PLASMA/ALBUMIN-FREE) INTRAVENOUS ANTIHEMOPHILIC FACTORS SYRINGE KIT (EA) 3,000 (+/-) unit
0.96720
68982014301 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
1.21000
68982014401 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
1.21000
68982014501 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
1.21000
68982014601 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (+/-) unit range
1.21000
68982013901 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.21000
68982014001 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
1.21000
NDC Label Generic Name SMAC Price
68982014101 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.21000
68982014201 NUWIQ ANTIHEMOPHILIC FACTOR VIII REC HEK CELL, B-DOMAIN DELETED INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
1.21000
00944284310 RECOMBINATE ANTIHEMOPHILIC FACTOR VIII, HUMAN RECOMBINANT INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
0.91000
00944284110 RECOMBINATE ANTIHEMOPHILIC FACTOR VIII, HUMAN RECOMBINANT INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
0.91000
00944284210 RECOMBINATE ANTIHEMOPHILIC FACTOR VIII, HUMAN RECOMBINANT INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (+/-) unit range
0.88000
76125067351 KOATE ANTIHEMOPHILIC FACTOR, HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
0.68120
76125067650 KOATE ANTIHEMOPHILIC FACTOR, HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,000 (+/-) unit range
0.68120
76125025620 KOATE ANTIHEMOPHILIC FACTOR, HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (+/-) unit range
0.71469
00944394602 HEMOFIL M ANTIHEMOPHILIC FACTOR, HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (SDV,MDV OR ADDITIVE) (EA) 1,501 unit-2,000 unit
0.78000
00944394002 HEMOFIL M ANTIHEMOPHILIC FACTOR, HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (SDV,MDV OR ADDITIVE) (EA) 220 unit-400 unit
0.79040
00944394202 HEMOFIL M ANTIHEMOPHILIC FACTOR, HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (SDV,MDV OR ADDITIVE) (EA) 401 unit-800 unit
0.78000
00944394402 HEMOFIL M ANTIHEMOPHILIC FACTOR, HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (SDV,MDV OR ADDITIVE) (EA) 801 unit-1,500 unit
0.78000
68516460302 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACT,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (SDV,MDV OR ADDITIVE) (EA) 1,000 (400 VWF) unit/10 mL
0.69530
68516460702 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACT,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (SDV,MDV OR ADDITIVE) (EA) 1,000 (400 VWF) unit/10 mL
0.69530
68516461302 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACT,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (SDV,MDV OR ADDITIVE) (EA) 1,000 (400 VWF) unit/10 mL
0.69530
63833061702 HUMATE-P ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS KIT 1,000 unit-2,400 unit
0.75000
63833061502 HUMATE-P ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS KIT 250 unit-600 unit
0.75000
63833061602 HUMATE-P ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS KIT 500 unit-1,200 unit
0.75000
68516460402 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,500 (600 VWF) unit/10 mL
0.75000
68516460802 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,500 (600 VWF) unit/10 mL
0.75000
NDC Label Generic Name SMAC Price
68516461402 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1,500 (600 VWF) unit/10 mL
0.75000
68516460902 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (800 VWF) unit/10 mL
0.79000
68516461002 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (800 VWF) unit/10 mL
0.79000
68516461502 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2,000 (800 VWF) unit/10 mL
0.79000
68516460101 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (100 VWF) unit/5 mL
0.77000
68516460501 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (100 VWF) unit/5 mL
0.77000
68516461101 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 250 (100 VWF) unit/5 mL
0.77000
68516460201 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (200 VWF) unit/5 mL
0.75000
68516460601 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (200 VWF) unit/5 mL
0.75000
68516461201 ALPHANATE ANTIHEMOPHILIC FACTOR, HUMAN/VON WILLEBRAND FACTOR,HUMAN INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 500 (200 VWF) unit/5 mL
0.75000
27505000401 APOKYN APOMORPHINE HCL SUBCUTANEOUS ANTIPARKINSONISM DRUGS,OTHER CARTRIDGE (ML) 10 mg/mL
330.33999
27505000405 APOKYN APOMORPHINE HCL SUBCUTANEOUS ANTIPARKINSONISM DRUGS,OTHER CARTRIDGE (ML) 10 mg/mL
330.33999
25682001001 STRENSIQ ASFOTASE ALFA SUBCUTANEOUS METABOLIC DISEASE ENZYME REPLACE, HYPOPHOSPHATASIA VIAL (ML) 18 mg/0.45 mL
2,788.80000
25682001012 STRENSIQ ASFOTASE ALFA SUBCUTANEOUS METABOLIC DISEASE ENZYME REPLACE, HYPOPHOSPHATASIA VIAL (ML) 18 mg/0.45 mL
2,788.80000
25682001301 STRENSIQ ASFOTASE ALFA SUBCUTANEOUS METABOLIC DISEASE ENZYME REPLACE, HYPOPHOSPHATASIA VIAL (ML) 28 mg/0.7 mL
2,788.80000
25682001312 STRENSIQ ASFOTASE ALFA SUBCUTANEOUS METABOLIC DISEASE ENZYME REPLACE, HYPOPHOSPHATASIA VIAL (ML) 28 mg/0.7 mL
2,788.80000
25682001601 STRENSIQ ASFOTASE ALFA SUBCUTANEOUS METABOLIC DISEASE ENZYME REPLACE, HYPOPHOSPHATASIA VIAL (ML) 40 mg/mL
2,788.80000
NDC Label Generic Name SMAC Price
25682001612 STRENSIQ ASFOTASE ALFA SUBCUTANEOUS METABOLIC DISEASE ENZYME REPLACE, HYPOPHOSPHATASIA VIAL (ML) 40 mg/mL
2,788.80000
25682001901 STRENSIQ ASFOTASE ALFA SUBCUTANEOUS METABOLIC DISEASE ENZYME REPLACE, HYPOPHOSPHATASIA VIAL (ML) 80 mg/0.8 mL
6,972.00000
25682001912 STRENSIQ ASFOTASE ALFA SUBCUTANEOUS METABOLIC DISEASE ENZYME REPLACE, HYPOPHOSPHATASIA VIAL (ML) 80 mg/0.8 mL
6,972.00000
00093552706 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE (HARD, SOFT, ETC.) 200 mg
19.90570
16714086101 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE (HARD, SOFT, ETC.) 200 mg
19.90570
51407017260 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE (HARD, SOFT, ETC.) 200 mg
19.90570
65862071260 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE (HARD, SOFT, ETC.) 200 mg
19.90570
69097044503 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE (HARD, SOFT, ETC.) 200 mg
19.90570
00003363112 REYATAZ ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE (HARD, SOFT, ETC.) 200 mg
19.90570
50090158100 REYATAZ ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE (HARD, SOFT, ETC.) 200 mg
19.90570
00093552606 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE 150 mg
21.23737
16714086001 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE 150 mg
21.23737
51407017160 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE 150 mg
21.23737
65862071160 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE 150 mg
21.23737
69097044403 ATAZANAVIR SULFATE
ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE 150 mg
21.23737
00003362412 REYATAZ ATAZANAVIR SULFATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS CAPSULE 150 mg
21.23737
00069014501 INLYTA AXITINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 1 mg
48.80400
00069015111 INLYTA AXITINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 5 mg
188.62547
61958090101 CAYSTON AZTREONAM LYSINE INHALATION BETALACTAMS VIAL, NEBULIZER (ML) 75 mg/mL
86.22810
49401010201 BENLYSTA BELIMUMAB INTRAVENOUS IMMUNOMODULATOR,B-LYMPHOCYTE STIM(BLYS)-SPEC INHIB VIAL (EA) 400 mg
1,585.06000
49401010101 BENLYSTA BELIMUMAB INTRAVENOUS IMMUNOMODULATOR,B-LYMPHOCYTE STIM(BLYS)-SPEC INHIB VIAL (SDV,MDV OR ADDITIVE) (EA) 120 mg
441.40728
68152010809 BELEODAQ BELINOSTAT INTRAVENOUS ANTINEOPLAST,HISTONE DEACETYLASE (HDAC) INHIBITORS VIAL (EA) 500 mg
1,494.00000
NDC Label Generic Name SMAC Price
50242006001 AVASTIN BEVACIZUMAB INTRAVENOUS ANTINEOPLAST HUM VEGF INHIBITOR RECOMB MC ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 25 mg/mL
148.59905
50242006010 AVASTIN BEVACIZUMAB INTRAVENOUS ANTINEOPLAST HUM VEGF INHIBITOR RECOMB MC ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 25 mg/mL
148.59905
50242006101 AVASTIN BEVACIZUMAB INTRAVENOUS ANTINEOPLAST HUM VEGF INHIBITOR RECOMB MC ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 25 mg/mL
148.59905
50242006110 AVASTIN BEVACIZUMAB INTRAVENOUS ANTINEOPLAST HUM VEGF INHIBITOR RECOMB MC ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 25 mg/mL
148.59905
63020004901 VELCADE BORTEZOMIB INJECTION ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (EA) 3.5 mg
1,465.11600
63020004904 VELCADE BORTEZOMIB INJECTION ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (EA) 3.5 mg
1,465.11600
00069013501 BOSULIF BOSUTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 100 mg
67.90437
00069013601 BOSULIF BOSUTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 500 mg
271.61749
51144005001 ADCETRIS BRENTUXIMAB VEDOTIN INTRAVENOUS ANTINEOPLASTICS ANTIBODY/ANTIBODY-DRUG COMPLEXES VIAL (SDV,MDV OR ADDITIVE) (EA) 50 mg
4,590.00000
50474097063 BRIVIACT BRIVARACETAM INTRAVENOUS ANTICONVULSANTS VIAL (ML) 50 mg/5 mL
7.76880
50474097075 BRIVIACT BRIVARACETAM INTRAVENOUS ANTICONVULSANTS VIAL (ML) 50 mg/5 mL
7.76880
50474037066 BRIVIACT BRIVARACETAM ORAL ANTICONVULSANTS TABLET 10 mg 15.10599
63833082502 BERINERT C1 ESTERASE INHIBITOR INTRAVENOUS C1 ESTERASE INHIBITORS KIT 500 unit (10 mL)
2,803.74000
42227008105 CINRYZE C1 ESTERASE INHIBITOR INTRAVENOUS C1 ESTERASE INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (EA) 500 unit (5 mL)
2,147.11040
68012035001 RUCONEST C1 ESTERASE INHIBITOR, RECOMBINANT INTRAVENOUS C1 ESTERASE INHIBITORS VIAL (EA) 2,100 unit
4,731.00000
68012035002 RUCONEST C1 ESTERASE INHIBITOR, RECOMBINANT INTRAVENOUS C1 ESTERASE INHIBITORS VIAL (EA) 2,100 unit
4,731.00000
71274035001 RUCONEST C1 ESTERASE INHIBITOR, RECOMBINANT INTRAVENOUS C1 ESTERASE INHIBITORS VIAL (EA) 2,100 unit
4,731.00000
71274035002 RUCONEST C1 ESTERASE INHIBITOR, RECOMBINANT INTRAVENOUS C1 ESTERASE INHIBITORS VIAL (EA) 2,100 unit
4,731.00000
42388001214 COMETRIQ CABOZANTINIB S-MALATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE (HARD, SOFT, ETC.) 100 mg/day (80 mg [1]-20 mg [1]/day)
176.07900
42388001114 COMETRIQ CABOZANTINIB S-MALATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE (HARD, SOFT, ETC.) 140 mg/day (80 mg [1]-20 mg [3]/day)
88.03900
42388001314 COMETRIQ CABOZANTINIB S-MALATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE (HARD, SOFT, ETC.) 60 mg/day (20 mg [3]/day)
117.38600
NDC Label Generic Name SMAC Price
76075010101 KYPROLIS CARFILZOMIB INTRAVENOUS ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (EA) 60 mg
1,651.36800
24338005008 GLIADEL CARMUSTINE IN POLIFEPROSAN 20 IMPLANTATION ALKYLATING AGENTS WAFER 7.7 mg-192.3 mg
3,286.17750
50474070062 CIMZIA CERTOLIZUMAB PEGOL SUBCUTANEOUS DRUGS TO TX CHRONIC INFLAMMATORY DISEASE OF COLON KIT 400 mg (200 mg X 2)
1,960.56790
00169720101 NOVOSEVEN RT
COAGULATION FACTOR VIIA (RECOMBINANT) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 1 mg (1,000 mcg)
1.47000
00169720201 NOVOSEVEN RT
COAGULATION FACTOR VIIA (RECOMBINANT) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 2 mg (2,000 mcg)
1.42000
00169720501 NOVOSEVEN RT
COAGULATION FACTOR VIIA (RECOMBINANT) INTRAVENOUS ANTIHEMOPHILIC FACTORS VIAL (EA) 5 mg (5,000 mcg)
1.58016
64208775201 COAGADEX COAGULATION FACTOR X INTRAVENOUS FACTOR X PREPARATIONS VIAL (EA) 250 (+/-) unit range
6.52000
64208775301 COAGADEX COAGULATION FACTOR X INTRAVENOUS FACTOR X PREPARATIONS VIAL (EA) 500 (+/-) unit range
6.52000
66887000301 XIAFLEX COLLAGENASE CLOSTRIDIUM HISTOLYTICUM INJECTION JOINT CONTRACTURE THERAPY, COLLAGENASE ENZYME VIAL (SDV,MDV OR ADDITIVE) (EA) 0.9 mg
3,237.00000
63004871001 ACTHAR CORTICOTROPIN INJECTION ADRENOCORTICOTROPHIC HORMONES VIAL (ML) 80 unit/mL
6,779.57280
00069814120 XALKORI CRIZOTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE (HARD, SOFT, ETC.) 200 mg
158.90128
00069814020 XALKORI CRIZOTINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 250 mg
198.95827
70564080260 MYTESI CROFELEMER ORAL ANTIDIARRHEAL - G.I. CHLORIDE CHANNEL INHIBITORS TABLET, DELAYED RELEASE (ENTERIC COATED) 125 mg
8.96400
10144042760 AMPYRA DALFAMPRIDINE ORAL AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR TABLET, EXTENDED RELEASE 12 HR 10 mg
21.67435
00378050991 DALFAMPRIDINE ER
DALFAMPRIDINE ORAL AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR TABLET, EXTENDED RELEASE 12 HR 10 mg
21.67435
16729029212 DALFAMPRIDINE ER
DALFAMPRIDINE ORAL AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR TABLET, EXTENDED RELEASE 12 HR 10 mg
21.67435
42571027560 DALFAMPRIDINE ER
DALFAMPRIDINE ORAL AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR TABLET, EXTENDED RELEASE 12 HR 10 mg
21.67435
51407024660 DALFAMPRIDINE ER
DALFAMPRIDINE ORAL AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR TABLET, EXTENDED RELEASE 12 HR 10 mg
21.67435
62756042986 DALFAMPRIDINE ER
DALFAMPRIDINE ORAL AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR TABLET, EXTENDED RELEASE 12 HR 10 mg
21.67435
65862086360 DALFAMPRIDINE ER
DALFAMPRIDINE ORAL AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR TABLET, EXTENDED RELEASE 12 HR 10 mg
21.67435
67877044460 DALFAMPRIDINE ER
DALFAMPRIDINE ORAL AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR TABLET, EXTENDED RELEASE 12 HR 10 mg
21.67435
NDC Label Generic Name SMAC Price
00069022301 FRAGMIN DALTEPARIN SODIUM,PORCINE SUBCUTANEOUS HEPARIN AND RELATED PREPARATIONS DISPOSABLE SYRINGE (ML) 15,000 unit/0.6 mL
163.54636
00069022302 FRAGMIN DALTEPARIN SODIUM,PORCINE SUBCUTANEOUS HEPARIN AND RELATED PREPARATIONS DISPOSABLE SYRINGE (ML) 15,000 unit/0.6 mL
163.54636
00069023201 FRAGMIN DALTEPARIN SODIUM,PORCINE SUBCUTANEOUS HEPARIN AND RELATED PREPARATIONS VIAL (SDV,MDV OR ADDITIVE) (ML) 25,000 unit/mL
145.34174
57894050205 DARZALEX DARATUMUMAB INTRAVENOUS ANTINEOPLASTIC - ANTI-CD38 MONOCLONAL ANTIBODY VIAL (ML) 100 mg/5 mL (20 mg/mL)
89.64000
57894050220 DARZALEX DARATUMUMAB INTRAVENOUS ANTINEOPLASTIC - ANTI-CD38 MONOCLONAL ANTIBODY VIAL (ML) 400 mg/20 mL (20 mg/mL)
89.64000
55513002501 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 100 mcg/0.5 mL
1,192.41120
55513002504 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 100 mcg/0.5 mL
1,192.41120
55513002701 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 150 mcg/0.3 mL
2,981.02800
55513002704 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 150 mcg/0.3 mL
2,981.02800
55513002801 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 200 mcg/0.4 mL
2,981.02800
55513005701 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 25 mcg/0.42 mL
354.88429
55513005704 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 25 mcg/0.42 mL
354.88429
55513011101 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 300 mcg/0.6 mL
2,981.02800
55513003201 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 500 mcg/mL
2,981.02800
55513002301 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 60 mcg/0.3 mL
1,192.37800
55513002304 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS DISPOSABLE SYRINGE (ML) 60 mcg/0.3 mL
1,192.37800
55513011001 ARANESP DARBEPOETIN ALFA IN POLYSORBAT INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (SDV,MDV OR ADDITIVE) (ML) 300 mcg/mL
1,788.61680
55513002101 ARANESP DARBEPOETIN ALFA IN POLYSORBATE 80 INJECTION ERYTHROPOIESIS-STIMULATING AGENTS SYRINGE (ML) 40 mcg/0.4 mL
741.89550
55513002104 ARANESP DARBEPOETIN ALFA IN POLYSORBATE 80 INJECTION ERYTHROPOIESIS-STIMULATING AGENTS SYRINGE (ML) 40 mcg/0.4 mL
741.89550
55513000501 ARANESP DARBEPOETIN ALFA IN POLYSORBATE 80 INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 100 mcg/mL
672.69840
55513000504 ARANESP DARBEPOETIN ALFA IN POLYSORBATE 80 INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 100 mcg/mL
672.69840
59676056501 PREZISTA DARUNAVIR ETHANOLATE ORAL ANTIVIRALS, HIV-SPEC, NON-PEPTIDIC PROTEASE INHIB SUSPENSION, ORAL (FINAL DOSE FORM) 100 mg/mL
3.01800
NDC Label Generic Name SMAC Price
59676056401 PREZISTA DARUNAVIR ETHANOLATE ORAL ANTIVIRALS, HIV-SPEC, NON-PEPTIDIC PROTEASE INHIB TABLET 150 mg
4.52673
59676056301 PREZISTA DARUNAVIR ETHANOLATE ORAL ANTIVIRALS, HIV-SPEC, NON-PEPTIDIC PROTEASE INHIB TABLET 75 mg
2.26337
00003085722 SPRYCEL DASATINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 140 mg
360.69907
00003052711 SPRYCEL DASATINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 20 mg
67.90465
00003085522 SPRYCEL DASATINIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 80 mg
360.69907
00093351556 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET 360 mg
128.97700
43598085130 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET 360 mg
128.97700
62332041230 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET 360 mg
128.97700
69238148803 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET 360 mg
128.97700
70710127703 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET 360 mg
128.97700
00078065615 JADENU DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET 360 mg
128.97700
43598085530 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET, DISPERSIBLE 125 mg
19.70144
45963045430 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET, DISPERSIBLE 125 mg
19.70144
62332032430 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET, DISPERSIBLE 125 mg
19.70144
62756056883 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET, DISPERSIBLE 125 mg
19.70144
67877054930 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET, DISPERSIBLE 125 mg
19.70144
68462049430 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET, DISPERSIBLE 125 mg
19.70144
69452015913 DEFERASIROX DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET, DISPERSIBLE 125 mg
19.70144
00078046815 EXJADE DEFERASIROX ORAL METALLIC POISON,AGENTS TO TREAT TABLET, DISPERSIBLE 125 mg
19.70144
52609000601 FERRIPROX DEFERIPRONE ORAL METALLIC POISON,AGENTS TO TREAT TABLET 500 mg
49.43600
68727080001 DEFITELIO DEFIBROTIDE SODIUM INTRAVENOUS THROMBOLYTIC - NUCLEOTIDE TYPE VIAL (ML) 80 mg/mL
328.68000
68727080002 DEFITELIO DEFIBROTIDE SODIUM INTRAVENOUS THROMBOLYTIC - NUCLEOTIDE TYPE VIAL (ML) 80 mg/mL
328.68000
NDC Label Generic Name SMAC Price
55513073001 XGEVA DENOSUMAB SUBCUTANEOUS BONE RESORPTION INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (ML) 120 mg/1.7 mL (70 mg/mL)
966.70588
65862031130 DIDANOSINE DIDANOSINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI CAPSULE,DELAYED RELEASE (ENTERIC COATED) 200 mg
3.89000
00087667217 VIDEX EC DIDANOSINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI CAPSULE,DELAYED RELEASE (ENTERIC COATED) 200 mg
3.89000
65862031230 DIDANOSINE DIDANOSINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI CAPSULE,DELAYED RELEASE (ENTERIC COATED) 250 mg
5.10000
00087667317 VIDEX EC DIDANOSINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI CAPSULE,DELAYED RELEASE (ENTERIC COATED) 250 mg
5.10000
65862031330 DIDANOSINE DIDANOSINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI CAPSULE,DELAYED RELEASE (ENTERIC COATED) 400 mg
8.35000
00087663241 VIDEX DIDANOSINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI SOLUTION, RECONSTITUTED, ORAL 10 mg/mL (Final concentration)
0.49236
64406000501 TECFIDERA DIMETHYL FUMARATE ORAL AGENTS TO TREAT MULTIPLE SCLEROSIS CAPSULE,DELAYED RELEASE (ENTERIC COATED) 120 mg
81.71468
64406000703 TECFIDERA DIMETHYL FUMARATE ORAL AGENTS TO TREAT MULTIPLE SCLEROSIS CAPSULE,DELAYED RELEASE (ENTERIC COATED) 120 mg (14)-240 mg (46)
81.80477
64406000602 TECFIDERA DIMETHYL FUMARATE ORAL AGENTS TO TREAT MULTIPLE SCLEROSIS CAPSULE,DELAYED RELEASE (ENTERIC COATED) 240 mg
99.83240
00338006301 DOXIL DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
00338006701 DOXIL DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
00338008001 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
00338008601 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
16714074201 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
16714085601 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
43598028335 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
43598054125 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
43598068235 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
43598068325 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
47335004940 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
47335005040 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
NDC Label Generic Name SMAC Price
59676096601 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
59676096602 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
68001034526 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
68001034536 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
72603010301 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
72603020001 DOXORUBICIN HCL LIPOSOME
DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
47335008350 LIPODOX 50 DOXORUBICIN HCL PEGYLATED LIPOSOMAL INTRAVENOUS ANTIBIOTIC ANTINEOPLASTICS VIAL (ML) 2 mg/mL
107.35000
47783010101 KALBITOR ECALLANTIDE SUBCUTANEOUS PLASMA KALLIKREIN INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (ML) 10 mg/mL (1 mL)
3,486.00000
68135010001 VIMIZIM ELOSULFASE ALFA INTRAVENOUS METABOLIC DX ENZYME REPLACE, MUCOPOLYSACCHARIDOSIS VIAL (ML) 5 mg/5 mL (1 mg/mL)
212.74560
00003229111 EMPLICITI ELOTUZUMAB INTRAVENOUS ANTINEOPLASTIC - ANTI-SLAMF7 MONOCLONAL ANTIBODY VIAL (EA) 300 mg
1,768.89000
00003452211 EMPLICITI ELOTUZUMAB INTRAVENOUS ANTINEOPLASTIC - ANTI-SLAMF7 MONOCLONAL ANTIBODY VIAL (EA) 400 mg
2,358.52000
00078068415 PROMACTA ELTROMBOPAG OLAMINE ORAL THROMBOPOIETIN RECEPTOR AGONISTS TABLET 12.5 mg
75.19192
00004038140 FUZEON ENFUVIRTIDE SUBCUTANEOUS ANTIVIRALS, HIV-SPECIFIC, FUSION INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (EA) 90 mg
44.94062
00003161412 BARACLUDE ENTECAVIR ORAL HEPATITIS B TREATMENT AGENTS SOLUTION, ORAL 0.05 mg/mL
2.84567
55513047801 EPOGEN EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 20,000 unit/mL
317.87340
55513047810 EPOGEN EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 20,000 unit/mL
317.87340
59676032000 PROCRIT EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 20,000 unit/mL
317.87340
59676032004 PROCRIT EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 20,000 unit/mL
317.87340
55513026701 EPOGEN EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 3,000 unit/mL
47.67852
55513026710 EPOGEN EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 3,000 unit/mL
47.67852
59676030300 PROCRIT EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 3,000 unit/mL
47.67852
59676030301 PROCRIT EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (ML) 3,000 unit/mL
47.67852
NDC Label Generic Name SMAC Price
59676034000 PROCRIT EPOETIN ALFA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS VIAL (SDV,MDV OR ADDITIVE) (ML) 40,000 unit/mL
699.88920
59676057001 INTELENCE ETRAVIRINE ORAL ANTIVIRALS, HIV-SPECIFIC, NON-NUCLEOSIDE, RTI TABLET 100 mg
9.04742
00078062651 AFINITOR DISPERZ
EVEROLIMUS ORAL ANTINEOPLASTIC - MTOR KINASE INHIBITORS TABLET FOR SUSPENSION 2 mg
258.68280
00078062661 AFINITOR DISPERZ
EVEROLIMUS ORAL ANTINEOPLASTIC - MTOR KINASE INHIBITORS TABLET FOR SUSPENSION 2 mg
258.68280
00078062751 AFINITOR DISPERZ
EVEROLIMUS ORAL ANTINEOPLASTIC - MTOR KINASE INHIBITORS TABLET FOR SUSPENSION 3 mg
261.27420
00078062761 AFINITOR DISPERZ
EVEROLIMUS ORAL ANTINEOPLASTIC - MTOR KINASE INHIBITORS TABLET FOR SUSPENSION 3 mg
261.27420
00078062851 AFINITOR DISPERZ
EVEROLIMUS ORAL ANTINEOPLASTIC - MTOR KINASE INHIBITORS TABLET FOR SUSPENSION 5 mg
264.89080
00078062861 AFINITOR DISPERZ
EVEROLIMUS ORAL ANTINEOPLASTIC - MTOR KINASE INHIBITORS TABLET FOR SUSPENSION 5 mg
264.89080
68516320202 PROFILNINE FACTOR IX COMPLEX HUMAN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 (+/-) unit range
0.62217
68516320502 PROFILNINE FACTOR IX COMPLEX HUMAN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 (+/-) unit range
0.62217
68516320802 PROFILNINE FACTOR IX COMPLEX HUMAN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 (+/-) unit range
0.62217
68516320302 PROFILNINE FACTOR IX COMPLEX HUMAN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,500 (+/-) unit range
0.62000
68516320602 PROFILNINE FACTOR IX COMPLEX HUMAN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,500 (+/-) unit range
0.62000
68516320902 PROFILNINE FACTOR IX COMPLEX HUMAN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,500 (+/-) unit range
0.62000
68516320101 PROFILNINE FACTOR IX COMPLEX HUMAN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 (+/-) unit range
0.62217
68516320401 PROFILNINE FACTOR IX COMPLEX HUMAN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 (+/-) unit range
0.62217
68516320701 PROFILNINE FACTOR IX COMPLEX HUMAN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 (+/-) unit range
0.62217
00944303002 RIXUBIS FACTOR IX HUMAN RECOMBINANT INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 unit
1.10000
00944303202 RIXUBIS FACTOR IX HUMAN RECOMBINANT INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 2,000 unit
1.10000
00944302602 RIXUBIS FACTOR IX HUMAN RECOMBINANT INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 250 unit
1.10000
00944303402 RIXUBIS FACTOR IX HUMAN RECOMBINANT INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 3,000 unit
1.10000
00944302802 RIXUBIS FACTOR IX HUMAN RECOMBINANT INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 unit
1.10000
NDC Label Generic Name SMAC Price
70504028305 IXINITY FACTOR IX HUMAN RECOMBINANT, THREONINE 148 INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 unit
1.47408
70504028405 IXINITY FACTOR IX HUMAN RECOMBINANT, THREONINE 148 INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,500 unit
1.47408
70504028205 IXINITY FACTOR IX HUMAN RECOMBINANT, THREONINE 148 INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 unit
1.47408
68516360202 ALPHANINE SD FACTOR IX INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 (+/-) unit range
0.78521
68516360502 ALPHANINE SD FACTOR IX INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 (+/-) unit range
0.78521
68516360802 ALPHANINE SD FACTOR IX INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 (+/-) unit range
0.78521
68516360102 ALPHANINE SD FACTOR IX INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 (+/-) unit range
0.77000
68516360402 ALPHANINE SD FACTOR IX INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 (+/-) unit range
0.77000
68516360702 ALPHANINE SD FACTOR IX INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 (+/-) unit range
0.77000
71104092201 ALPROLIX FACTOR IX RECOMBINANT, FC FUSION PROTEIN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 unit
2.83860
71104093301 ALPROLIX FACTOR IX RECOMBINANT, FC FUSION PROTEIN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 2,000 unit
2.83860
71104094401 ALPROLIX FACTOR IX RECOMBINANT, FC FUSION PROTEIN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 3,000 unit
2.83860
71104091101 ALPROLIX FACTOR IX RECOMBINANT, FC FUSION PROTEIN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 unit
2.83860
69911086602 IDELVION FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 1,000 (+/-) unit range
3.94000
69911086702 IDELVION FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 2,000 (+/-) unit range
3.94000
69911086402 IDELVION FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 250 (+/-) unit range
3.94000
69911086502 IDELVION FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN INTRAVENOUS FACTOR IX PREPARATIONS VIAL (EA) 500 (+/-) unit range
3.94000
00054041413 FEBUXOSTAT FEBUXOSTAT ORAL HYPERURICEMIA TX - XANTHINE OXIDASE INHIBITORS TABLET 80 mg
9.01679
00378392693 FEBUXOSTAT FEBUXOSTAT ORAL HYPERURICEMIA TX - XANTHINE OXIDASE INHIBITORS TABLET 80 mg
9.01679
47335072283 FEBUXOSTAT FEBUXOSTAT ORAL HYPERURICEMIA TX - XANTHINE OXIDASE INHIBITORS TABLET 80 mg
9.01679
51407029430 FEBUXOSTAT FEBUXOSTAT ORAL HYPERURICEMIA TX - XANTHINE OXIDASE INHIBITORS TABLET 80 mg
9.01679
62332019130 FEBUXOSTAT FEBUXOSTAT ORAL HYPERURICEMIA TX - XANTHINE OXIDASE INHIBITORS TABLET 80 mg
9.01679
NDC Label Generic Name SMAC Price
72205002930 FEBUXOSTAT FEBUXOSTAT ORAL HYPERURICEMIA TX - XANTHINE OXIDASE INHIBITORS TABLET 80 mg
9.01679
64764067730 ULORIC FEBUXOSTAT ORAL HYPERURICEMIA TX - XANTHINE OXIDASE INHIBITORS TABLET 80 mg
9.01679
63833089151 RIASTAP FIBRINOGEN INTRAVENOUS ANTIFIBRINOLYTIC AGENTS EACH 1 gram (900 mg-1,300 mg)
0.90636
63833089190 RIASTAP FIBRINOGEN INTRAVENOUS ANTIFIBRINOLYTIC AGENTS EACH 1 gram (900 mg-1,300 mg)
0.90636
55513020901 NEUPOGEN FILGRASTIM INJECTION LEUKOCYTE (WBC) STIMULANTS SYRINGE (ML) 480 mcg/0.8 mL
614.90550
55513020910 NEUPOGEN FILGRASTIM INJECTION LEUKOCYTE (WBC) STIMULANTS SYRINGE (ML) 480 mcg/0.8 mL
614.90550
55513020991 NEUPOGEN FILGRASTIM INJECTION LEUKOCYTE (WBC) STIMULANTS SYRINGE (ML) 480 mcg/0.8 mL
614.90550
55513053001 NEUPOGEN FILGRASTIM INJECTION LEUKOCYTE (WBC) STIMULANTS VIAL (SDV,MDV OR ADDITIVE) (ML) 300 mcg/mL
255.97200
55513053010 NEUPOGEN FILGRASTIM INJECTION LEUKOCYTE (WBC) STIMULANTS VIAL (SDV,MDV OR ADDITIVE) (ML) 300 mcg/mL
255.97200
55513054601 NEUPOGEN FILGRASTIM INJECTION LEUKOCYTE (WBC) STIMULANTS VIAL (SDV,MDV OR ADDITIVE) (ML) 480 mcg/1.6 mL
254.72700
55513054610 NEUPOGEN FILGRASTIM INJECTION LEUKOCYTE (WBC) STIMULANTS VIAL (SDV,MDV OR ADDITIVE) (ML) 480 mcg/1.6 mL
254.72700
49702020853 LEXIVA FOSAMPRENAVIR CALCIUM ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS SUSPENSION, ORAL (FINAL DOSE FORM) 50 mg/mL
0.50169
00378352091 FOSAMPRENAVIR CALCIUM
FOSAMPRENAVIR CALCIUM ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS TABLET 700 mg
15.58500
68135002001 NAGLAZYME GALSULFASE INTRAVENOUS METABOLIC DX ENZYME REPLACE, MUCOPOLYSACCHARIDOSIS VIAL (SDV,MDV OR ADDITIVE) (ML) 5 mg/5 mL
339.43680
00310048230 IRESSA GEFITINIB 56.50241
75987005006 RAVICTI GLYCEROL PHENYLBUTYRATE ORAL AMMONIA INHIBITORS LIQUID (ML) 1.1 gram/mL
150.81432
57894035001 SIMPONI ARIA GOLIMUMAB INTRAVENOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR VIAL (SDV,MDV OR ADDITIVE) (ML) 50 mg/4 mL (12.5 mg/mL)
286.35000
57894007102 SIMPONI GOLIMUMAB SUBCUTANEOUS ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR PEN INJECTOR (ML) 100 mg/mL
2,716.81900
70720095130 ZOLADEX GOSERELIN ACETATE SUBCUTANEOUS ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. IMPLANT (EA) 10.8 mg
1,123.47140
70720095036 ZOLADEX GOSERELIN ACETATE SUBCUTANEOUS ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. IMPLANT (EA) 3.6 mg
374.48770
00597019705 PRAXBIND IDARUCIZUMAB INTRAVENOUS ANTICOAGULANT REVERSAL AGENTS VIAL (ML) 2.5 gram/50 mL
34.86000
NDC Label Generic Name SMAC Price
61958170101 ZYDELIG IDELALISIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 100 mg
119.52000
61958170201 ZYDELIG IDELALISIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 150 mg
119.52000
54092070001 ELAPRASE IDURSULFASE INTRAVENOUS METABOLIC DX ENZYME REPLACE, MUCOPOLYSACCHARIDOSIS VIAL (ML) 6 mg/3 mL
1,001.05300
66215030300 VENTAVIS ILOPROST INHALATION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE AMPUL FOR NEBULIZATION (ML) 20 mcg/mL
69.22200
66215030330 VENTAVIS ILOPROST INHALATION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE AMPUL FOR NEBULIZATION (ML) 20 mcg/mL
69.22200
66215030200 VENTAVIS ILOPROST TROMETHAMINE INHALATION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE AMPUL FOR NEBULIZATION (ML) 10 mcg/mL
117.22920
66215030230 VENTAVIS ILOPROST TROMETHAMINE INHALATION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE AMPUL FOR NEBULIZATION (ML) 10 mcg/mL
117.22920
58468466301 CEREZYME IMIGLUCERASE INTRAVENOUS METABOLIC DISEASE ENZYME REPLACEMENT, GAUCHER'S DX VIAL (SDV,MDV OR ADDITIVE) (EA) 400 unit
1,579.65600
57894003001 REMICADE INFLIXIMAB INTRAVENOUS DRUGS TO TX CHRONIC INFLAMMATORY DISEASE OF COLON VIAL (SDV,MDV OR ADDITIVE) (EA) 100 mg
741.93700
00002850101 HUMULIN R U-500
INSULIN REGULAR, HUMAN SUBCUTANEOUS INSULINS VIAL (ML) 500 unit/mL (Concentrated)
68.67420
59627033304 AVONEX PEN INTERFERON BETA-1A INTRAMUSCULAR AGENTS TO TREAT MULTIPLE SCLEROSIS PEN INJECTOR KIT (EA) 30 mcg/0.5 mL
5,797.71600
44087002209 REBIF INTERFERON BETA-1A/ALBUMIN HUMAN SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS DISPOSABLE SYRINGE (ML) 22 mcg/0.5 mL
551.53500
44087882201 REBIF INTERFERON BETA-1A/ALBUMIN HUMAN SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS DISPOSABLE SYRINGE (ML) 8.8 mcg/0.2 mL (6) - 22 mcg/0.5 mL (6)
787.90714
00078056999 EXTAVIA INTERFERON BETA-1B SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS KIT 0.3 mg
290.61130
00078056961 EXTAVIA INTERFERON BETA-1B SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS VIAL (SDV,MDV OR ADDITIVE) (EA) 0.3 mg
253.82064
75987011110 ACTIMMUNE INTERFERON GAMMA-1B,RECOMB. SUBCUTANEOUS IMMUNOMODULATORS VIAL (ML) 100 mcg (2 million unit)/0.5 mL
7,191.10008
75987011111 ACTIMMUNE INTERFERON GAMMA-1B,RECOMB. SUBCUTANEOUS IMMUNOMODULATORS VIAL (ML) 100 mcg (2 million unit)/0.5 mL
7,191.10008
00003232822 YERVOY IPILIMUMAB INTRAVENOUS CYTOTOXIC T-LYMPHOCYTE ANTIGEN(CTLA-4)RMC ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 200 mg/40 mL (5 mg/mL)
597.60000
00003232711 YERVOY IPILIMUMAB INTRAVENOUS CYTOTOXIC T-LYMPHOCYTE ANTIGEN(CTLA-4)RMC ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 50 mg/10 mL (5 mg/mL)
597.60000
NDC Label Generic Name SMAC Price
63020007801 NINLARO IXAZOMIB CITRATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 2.3 mg
2,874.44000
63020007802 NINLARO IXAZOMIB CITRATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 2.3 mg
2,874.44000
63020007901 NINLARO IXAZOMIB CITRATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 3 mg
2,874.44000
63020007902 NINLARO IXAZOMIB CITRATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 3 mg
2,874.44000
63020008001 NINLARO IXAZOMIB CITRATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 4 mg
2,874.44000
63020008002 NINLARO IXAZOMIB CITRATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 4 mg
2,874.44000
00002772401 TALTZ SYRINGE IXEKIZUMAB SUBCUTANEOUS ANTIPSORIATIC AGENTS,SYSTEMIC SYRINGE (ML) 80 mg/mL
4,087.23540
00002772411 TALTZ SYRINGE IXEKIZUMAB SUBCUTANEOUS ANTIPSORIATIC AGENTS,SYSTEMIC SYRINGE (ML) 80 mg/mL
4,087.23540
00173066300 EPIVIR HBV LAMIVUDINE ORAL HEPATITIS B TREATMENT AGENTS SOLUTION, ORAL 25 mg/5 mL (5 mg/mL)
0.63717
58468007001 ALDURAZYME LARONIDASE INTRAVENOUS METABOLIC DX ENZYME REPLACE, MUCOPOLYSACCHARIDOSIS VIAL (ML) 2.9 mg/5 mL
166.92000
59572040200 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 2.5 mg
534.72608
59572040228 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 2.5 mg
534.72608
59572042000 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 20 mg
534.72630
59572042021 REVLIMID LENALIDOMIDE ORAL ANTINEOPLASTIC IMMUNOMODULATOR AGENTS CAPSULE 20 mg
534.72630
62856071005 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 10 mg/day (10 mg [1]/day)
415.00000
62856071405 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 14 mg/day (10 mg [1]-4 mg [1]/day)
207.50000
62856072005 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 20 mg/day (10 mg [2]/day)
231.57000
62856072405 LENVIMA LENVATINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 24 mg/day (10 mg [2]-4 mg [1]/day)
154.38000
00074368303 LUPRON DEPOT
LEUPROLIDE ACETATE INTRAMUSCULAR ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. SYRINGE KIT (EA) 30 mg
4,068.96870
00074347303 LUPRON DEPOT
LEUPROLIDE ACETATE INTRAMUSCULAR ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. SYRINGE KIT (EA) 45 mg (6 month)
7,456.16556
00074228203 LUPRON DEPOT-PED
LEUPROLIDE ACETATE INTRAMUSCULAR LHRH(GNRH)AGNST PIT.SUP-CENTRAL PRECOCIOUS PUBERTY KIT 11.25 mg
1,586.93510
00074210803 LUPRON DEPOT-PED
LEUPROLIDE ACETATE INTRAMUSCULAR LHRH(GNRH)AGNST PIT.SUP-CENTRAL PRECOCIOUS PUBERTY KIT 7.5 mg
874.10620
NDC Label Generic Name SMAC Price
00074377903 LUPRON DEPOT-PED
LEUPROLIDE ACETATE INTRAMUSCULAR LHRH(GNRH)AGNST PIT.SUP-CENTRAL PRECOCIOUS PUBERTY SYRINGE KIT (EA) 11.25 mg
4,760.82190
00074969403 LUPRON DEPOT-PED
LEUPROLIDE ACETATE INTRAMUSCULAR LHRH(GNRH)AGNST PIT.SUP-CENTRAL PRECOCIOUS PUBERTY SYRINGE KIT (EA) 30 mg
5,762.66676
62935022305 ELIGARD LEUPROLIDE ACETATE SUBCUTANEOUS ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. DISPOSABLE SYRINGE (EA) 22.5 mg
1,228.06800
62935030330 ELIGARD LEUPROLIDE ACETATE SUBCUTANEOUS ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. DISPOSABLE SYRINGE (EA) 30 mg
1,637.42400
62935045345 ELIGARD LEUPROLIDE ACETATE SUBCUTANEOUS ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. DISPOSABLE SYRINGE (EA) 45 mg
2,456.13600
62935075375 ELIGARD LEUPROLIDE ACETATE SUBCUTANEOUS ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. DISPOSABLE SYRINGE (EA) 7.5 mg
409.35600
59767001601 PERTZYE LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 16,000 unit-57,500 unit-60,500 unit
3.93420
59767001602 PERTZYE LIPASE/PROTEASE/AMYLASE ORAL PANCREATIC ENZYMES CAPSULE,DELAYED RELEASE (ENTERIC COATED) 16,000 unit-57,500 unit-60,500 unit
3.93420
00074052260 KALETRA LOPINAVIR/RITONAVIR ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITOR COMB TABLET 100 mg-25 mg
3.19118
52959096812 KALETRA LOPINAVIR/RITONAVIR ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITOR COMB TABLET 100 mg-25 mg
3.19118
66215050115 OPSUMIT MACITENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
227.08800
66215050130 OPSUMIT MACITENTAN ORAL PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST TABLET 10 mg
227.08800
00173088101 NUCALA MEPOLIZUMAB SUBCUTANEOUS MONOCLONAL ANTIBODY - INTERLEUKIN-5 ANTAGONISTS VIAL (EA) 100 mg
2,490.00000
54436001702 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 17.5 mg/0.4 mL
357.93750
54436001704 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 17.5 mg/0.4 mL
357.93750
54436002202 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 22.5 mg/0.4 mL
357.93750
54436002204 OTREXUP METHOTREXATE/PF SUBCUTANEOUS ANTI-ARTHRITIC, FOLATE ANTAGONIST AGENTS AUTO-INJECTOR (ML) 22.5 mg/0.4 mL
357.93750
59353040309 MIRCERA METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS SYRINGE (ML) 100 mcg/0.3 mL
597.60000
00004040509 MIRCERA METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS SYRINGE (ML) 200 mcg/0.3 mL
1,197.60000
59353040509 MIRCERA METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA INJECTION ERYTHROPOIESIS-STIMULATING AGENTS SYRINGE (ML) 200 mcg/0.3 mL
1,197.60000
64406000801 TYSABRI NATALIZUMAB INTRAVENOUS LEUKOCYTE ADHESION INHIB,ALPHA4-MEDIAT IGG4K MC AB VIAL (ML) 300 mg/15 mL
310.68550
NDC Label Generic Name SMAC Price
63010001030 VIRACEPT NELFINAVIR MESYLATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS TABLET 250 mg
3.23484
63010002770 VIRACEPT NELFINAVIR MESYLATE ORAL ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS TABLET 625 mg
8.08710
50242007001 GAZYVA OBINUTUZUMAB INTRAVENOUS ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY VIAL (ML) 1,000 mg/40 mL
135.64773
00078081181 SANDOSTATIN LAR DEPOT
OCTREOTIDE ACETATE, MICROSPHERES INTRAMUSCULAR SOMATOSTATIC AGENTS VIAL (EA) 10 mg
2,536.78212
00078069061 ARZERRA OFATUMUMAB INTRAVENOUS ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 1,000 mg/50 mL
87.64800
00078066913 ARZERRA OFATUMUMAB INTRAVENOUS ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 100 mg/5 mL
87.64800
00078066961 ARZERRA OFATUMUMAB INTRAVENOUS ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 100 mg/5 mL
87.64800
00517095501 OLANZAPINE OLANZAPINE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST VIAL (EA) 10 mg
29.58000
00781315972 OLANZAPINE OLANZAPINE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST VIAL (EA) 10 mg
29.58000
00781910572 OLANZAPINE OLANZAPINE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST VIAL (EA) 10 mg
29.58000
00002759701 ZYPREXA OLANZAPINE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST VIAL (EA) 10 mg
29.58000
00002763511 ZYPREXA RELPREVV
OLANZAPINE PAMOATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 210 mg
554.27400
00002765801 ZYPREXA RELPREVV
OLANZAPINE PAMOATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 210 mg
554.27400
00002763611 ZYPREXA RELPREVV
OLANZAPINE PAMOATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 300 mg
791.82000
00002765901 ZYPREXA RELPREVV
OLANZAPINE PAMOATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 300 mg
791.82000
00002763711 ZYPREXA RELPREVV
OLANZAPINE PAMOATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 405 mg
1,068.95700
NDC Label Generic Name SMAC Price
00002766001 ZYPREXA RELPREVV
OLANZAPINE PAMOATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 405 mg
1,068.95700
63459017714 SYNRIBO OMACETAXINE MEPESUCCINATE SUBCUTANEOUS ANTINEOPLASTICS,MISCELLANEOUS VIAL (SDV,MDV OR ADDITIVE) (EA) 3.5 mg
831.66000
50242004062 XOLAIR OMALIZUMAB SUBCUTANEOUS MONOCLONAL ANTIBODIES TO IMMUNOGLOBULIN E (IGE) VIAL (SDV,MDV OR ADDITIVE) (EA) 150 mg
687.98700
00310134930 TAGRISSO OSIMERTINIB MESYLATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 40 mg
423.30000
50458060601 INVEGA TRINZA
PALIPERIDONE PALMITATE INTRAMUSCULAR ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST SYRINGE (ML) 273 mg/0.875 mL
2,399.47214
60574411301 SYNAGIS PALIVIZUMAB INTRAMUSCULAR ANTIVIRAL MONOCLONAL ANTIBODIES VIAL (ML) 100 mg/mL
2,618.62510
60574411401 SYNAGIS PALIVIZUMAB INTRAMUSCULAR ANTIVIRAL MONOCLONAL ANTIBODIES VIAL (ML) 50 mg/0.5 mL
2,773.54460
55513095401 VECTIBIX PANITUMUMAB INTRAVENOUS ANTINEOPLASTIC EGF RECEPTOR BLOCKER MCLON ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 100 mg/5 mL (20 mg/mL)
172.45740
55513095601 VECTIBIX PANITUMUMAB INTRAVENOUS ANTINEOPLASTIC EGF RECEPTOR BLOCKER MCLON ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 400 mg/20 mL (20 mg/mL)
177.45732
00944381001 ONCASPAR PEGASPARGASE INJECTION ANTINEOPLASTICS,MISCELLANEOUS VIAL (ML) 750 unit/mL
2,682.66020
00004035730 PEGASYS PEGINTERFERON ALFA-2A SUBCUTANEOUS HEPATITIS C TREATMENT AGENTS DISPOSABLE SYRINGE (ML) 180 mcg/0.5 mL
1,341.90000
00004035009 PEGASYS PEGINTERFERON ALFA-2A SUBCUTANEOUS HEPATITIS C TREATMENT AGENTS VIAL (SDV,MDV OR ADDITIVE) (ML) 180 mcg/mL
614.42410
00085434701 SYLATRON PEGINTERFERON ALFA-2B SUBCUTANEOUS ANTINEOPLASTIC IMMUNOMODULATOR AGENTS KIT 200 mcg
1,539.80604
00085434801 SYLATRON PEGINTERFERON ALFA-2B SUBCUTANEOUS ANTINEOPLASTIC IMMUNOMODULATOR AGENTS KIT 300 mcg
2,309.68416
00085435301 PEGINTRON PEGINTERFERON ALFA-2B SUBCUTANEOUS HEPATITIS C TREATMENT AGENTS KIT 50 mcg/0.5 mL
637.08100
64406001101 PLEGRIDY PEN PEGINTERFERON BETA-1A SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS PEN INJECTOR (ML) 125 mcg/0.5 mL
4,752.91200
64406001102 PLEGRIDY PEN PEGINTERFERON BETA-1A SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS PEN INJECTOR (ML) 125 mcg/0.5 mL
4,752.91200
64406001201 PLEGRIDY PEN PEGINTERFERON BETA-1A SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS PEN INJECTOR (ML) 63 mcg/0.5 mL (1)-94 mcg/0.5 mL (1)
4,752.91200
64406001501 PLEGRIDY PEGINTERFERON BETA-1A SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS SYRINGE (ML) 125 mcg/0.5 mL
4,752.91200
64406001502 PLEGRIDY PEGINTERFERON BETA-1A SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS SYRINGE (ML) 125 mcg/0.5 mL
4,752.91200
NDC Label Generic Name SMAC Price
64406001601 PLEGRIDY PEGINTERFERON BETA-1A SUBCUTANEOUS AGENTS TO TREAT MULTIPLE SCLEROSIS SYRINGE (ML) 63 mcg/0.5 mL (1)-94 mcg/0.5 mL (1)
4,752.91200
50242014501 PERJETA PERTUZUMAB INTRAVENOUS ANTINEOPLASTIC EGF RECEPTOR BLOCKER MCLON ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 420 mg/14 mL (30 mg/mL)
289.95398
50242012101 ESBRIET PIRFENIDONE ORAL ANTIFIBROTIC THERAPY - PYRIDONE ANALOGS CAPSULE 267 mg
28.77332
00002766901 CYRAMZA RAMUCIRUMAB INTRAVENOUS ANTINEOPLASTIC - VEGFR ANTAGONIST VIAL (ML) 100 mg/10 mL (10 mg/mL)
101.59000
00002767801 CYRAMZA RAMUCIRUMAB INTRAVENOUS ANTINEOPLASTIC - VEGFR ANTAGONIST VIAL (ML) 500 mg/50 mL (10 mg/mL)
101.59000
59310061031 CINQAIR RESLIZUMAB INTRAVENOUS MONOCLONAL ANTIBODY - INTERLEUKIN-5 ANTAGONISTS VIAL (ML) 10 mg/mL
83.16600
66435010656 RIBASPHERE RIBAPAK
RIBAVIRIN ORAL HEPATITIS C TREATMENT AGENTS TABLET, DOSE PACK 600 mg (7)-400 mg (7)
24.48400
66435010756 RIBASPHERE RIBAPAK
RIBAVIRIN ORAL HEPATITIS C TREATMENT AGENTS TABLET, DOSE PACK 600 mg (7)-600 mg (7)
24.48400
10454071210 MYOBLOC RIMABOTULINUMTOXINB INTRAMUSCULAR NEUROMUSCULAR BLOCKING AGENTS VIAL (SDV,MDV OR ADDITIVE) (ML) 10,000 unit/2 mL
521.90400
10454071110 MYOBLOC RIMABOTULINUMTOXINB INTRAMUSCULAR NEUROMUSCULAR BLOCKING AGENTS VIAL (SDV,MDV OR ADDITIVE) (ML) 5,000 unit/mL
521.90400
50419025001 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 0.5 mg
82.99900
50419025003 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 0.5 mg
82.99900
50419025091 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 0.5 mg
82.99900
50419025101 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 1 mg
82.99900
50419025103 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 1 mg
82.99900
50419025191 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 1 mg
82.99900
50419025201 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 1.5 mg
82.99900
50419025203 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 1.5 mg
82.99900
50419025291 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 1.5 mg
82.99900
50419025301 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 2 mg
82.99900
50419025303 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 2 mg
82.99900
NDC Label Generic Name SMAC Price
50419025391 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 2 mg
82.99900
50419025401 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 2.5 mg
82.99900
50419025403 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 2.5 mg
82.99900
50419025491 ADEMPAS RIOCIGUAT ORAL PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASE STIMULATOR TABLET 2.5 mg
82.99900
50242005110 RITUXAN RITUXIMAB INTRAVENOUS ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 10 mg/mL
64.72605
50242005121 RITUXAN RITUXIMAB INTRAVENOUS ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 10 mg/mL
64.72605
50242005306 RITUXAN RITUXIMAB INTRAVENOUS ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY VIAL (SDV,MDV OR ADDITIVE) (ML) 10 mg/mL
64.72605
55513022101 NPLATE ROMIPLOSTIM SUBCUTANEOUS THROMBOPOIETIN RECEPTOR AGONISTS VIAL (SDV,MDV OR ADDITIVE) (EA) 250 mcg
1,221.59400
55513022201 NPLATE ROMIPLOSTIM SUBCUTANEOUS THROMBOPOIETIN RECEPTOR AGONISTS VIAL (SDV,MDV OR ADDITIVE) (EA) 500 mcg
2,320.87920
68135030002 KUVAN SAPROPTERIN DIHYDROCHLORIDE ORAL PKU TX AGENT-COFACTOR OF PHENYLALANINE HYDROXYLASE TABLET, SOLUBLE 100 mg
31.52340
00024584301 LEUKINE SARGRAMOSTIM INJECTION LEUKOCYTE (WBC) STIMULANTS VIAL (SDV,MDV OR ADDITIVE) (EA) 250 mcg
169.97736
00024584305 LEUKINE SARGRAMOSTIM INJECTION LEUKOCYTE (WBC) STIMULANTS VIAL (SDV,MDV OR ADDITIVE) (EA) 250 mcg
169.97736
25682000701 KANUMA SEBELIPASE ALFA INTRAVENOUS METABOLIC DX ENZYME REPLACEMENT,LYSO.ACID LIP.DEF. VIAL (ML) 20 mg/10 mL (2 mg/mL)
996.00000
57894042001 SYLVANT SILTUXIMAB INTRAVENOUS ANTINEOPLASTIC-INTERLEUKIN-6(IL-6)INHIB,ANTIBODY VIAL (EA) 100 mg
829.66800
57894042101 SYLVANT SILTUXIMAB INTRAVENOUS ANTINEOPLASTIC-INTERLEUKIN-6(IL-6)INHIB,ANTIBODY VIAL (EA) 400 mg
3,318.67200
00002814801 HUMATROPE SOMATROPIN INJECTION GROWTH HORMONES CARTRIDGE (EA) 12 mg (36 unit)
895.80240
00002814901 HUMATROPE SOMATROPIN INJECTION GROWTH HORMONES CARTRIDGE (EA) 24 mg (72 unit)
1,791.60480
00002814701 HUMATROPE SOMATROPIN INJECTION GROWTH HORMONES CARTRIDGE (EA) 6 mg (18 unit)
447.90120
00013264681 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES CARTRIDGE (EA) 12 mg/mL (36 unit/mL)
954.51600
44087001601 SAIZEN-SAIZENPREP
SOMATROPIN SUBCUTANEOUS GROWTH HORMONES CARTRIDGE (EA) 8.8 mg/1.5 mL (Final concentration)
596.48780
00781300107 OMNITROPE SOMATROPIN SUBCUTANEOUS GROWTH HORMONES CARTRIDGE (ML) 5 mg/1.5 mL (3.3 mg/mL)
333.11552
00013264902 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 0.2 mg/0.25 mL
15.15106
NDC Label Generic Name SMAC Price
00013265002 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 0.4 mg/0.25 mL
36.41376
00013265102 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 0.6 mg/0.25 mL
45.45199
00013265202 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 0.8 mg/0.25 mL
60.60186
00013265302 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 1 mg/0.25 mL
75.75291
00013265402 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 1.2 mg/0.25 mL
90.90397
00013265502 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 1.4 mg/0.25 mL
106.05266
00013265602 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 1.6 mg/0.25 mL
121.20134
00013265702 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 1.8 mg/0.25 mL
136.35477
00013265802 GENOTROPIN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES DISPOSABLE SYRINGE (EA) 2 mg/0.25 mL
151.50464
00169770321 NORDITROPIN FLEXPRO
SOMATROPIN SUBCUTANEOUS GROWTH HORMONES PEN INJECTOR (ML) 30 mg/3 mL (10 mg/mL)
948.78960
44087100502 SAIZEN SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (EA) 5 mg 288.84000
44087000501 SEROSTIM SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (EA) 5 mg 288.84000
44087000507 SEROSTIM SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (EA) 5 mg 288.84000
55566180101 ZOMACTON SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (EA) 5 mg 288.84000
00781400436 OMNITROPE SOMATROPIN SUBCUTANEOUS GROWTH HORMONES VIAL (SDV,MDV OR ADDITIVE) (EA) 5.8 mg
201.31956
00069098038 SUTENT SUNITINIB MALATE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS CAPSULE 50 mg
524.98300
00069010601 ELELYSO TALIGLUCERASE ALFA INTRAVENOUS METABOLIC DISEASE ENZYME REPLACEMENT, GAUCHER'S DX VIAL (SDV,MDV OR ADDITIVE) (EA) 200 unit
592.62000
55513007801 IMLYGIC TALIMOGENE LAHERPAREPVEC INJECTION ANTINEOPLASTIC - IMMUNOTHERAPY, VIRUS-BASED AGENTS VIAL (ML) 10exp6 (1 million) PFU/mL
43.82400
55513007901 IMLYGIC TALIMOGENE LAHERPAREPVEC INJECTION ANTINEOPLASTIC - IMMUNOTHERAPY, VIRUS-BASED AGENTS VIAL (ML) 10exp8 (100 million) PFU/mL
4,382.40000
61958040301 VIREAD TENOFOVIR DISOPROXIL FUMARATE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOTIDE ANALOG, RTI POWDER (GRAM) 40 mg/scoop (40 mg/gram)
7.10729
61958040401 VIREAD TENOFOVIR DISOPROXIL FUMARATE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOTIDE ANALOG, RTI TABLET 150 mg
24.16074
61958040501 VIREAD TENOFOVIR DISOPROXIL FUMARATE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOTIDE ANALOG, RTI TABLET 200 mg
24.16074
NDC Label Generic Name SMAC Price
61958040601 VIREAD TENOFOVIR DISOPROXIL FUMARATE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOTIDE ANALOG, RTI TABLET 250 mg
24.16074
58468021101 AUBAGIO TERIFLUNOMIDE ORAL AGENTS TO TREAT MULTIPLE SCLEROSIS TABLET 7 mg
123.13191
58468021104 AUBAGIO TERIFLUNOMIDE ORAL AGENTS TO TREAT MULTIPLE SCLEROSIS TABLET 7 mg
123.13191
59572022016 THALOMID THALIDOMIDE ORAL ANTILEPROTICS CAPSULE (HARD, SOFT, ETC.) 200 mg
279.49656
59572022096 THALOMID THALIDOMIDE ORAL ANTILEPROTICS CAPSULE (HARD, SOFT, ETC.) 200 mg
279.49656
59572020514 THALOMID THALIDOMIDE ORAL ANTILEPROTICS CAPSULE (HARD, SOFT, ETC.) 50 mg 151.23591
59572020517 THALOMID THALIDOMIDE ORAL ANTILEPROTICS CAPSULE (HARD, SOFT, ETC.) 50 mg 151.23591
59572020594 THALOMID THALIDOMIDE ORAL ANTILEPROTICS CAPSULE (HARD, SOFT, ETC.) 50 mg 151.23591
59572020597 THALOMID THALIDOMIDE ORAL ANTILEPROTICS CAPSULE (HARD, SOFT, ETC.) 50 mg 151.23591
60793020505 THROMBIN-JMI
THROMBIN (BOVINE) NASAL TOPICAL HEMOSTATICS NASAL SPRAY SYRINGE (EA) 5,000 unit
72.91716
00597000302 APTIVUS TIPRANAVIR ORAL ANTIVIRALS, HIV-SPEC, NON-PEPTIDIC PROTEASE INHIB CAPSULE (HARD, SOFT, ETC.) 250 mg
9.23472
00597000201 APTIVUS TIPRANAVIR/VITAMIN E TPGS ORAL ANTIVIRALS, HIV-SPEC, NON-PEPTIDIC PROTEASE INHIB SOLUTION, ORAL 100 mg/mL
3.88816
00781717175 TOBRAMYCIN TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
26.10163
43598060556 TOBRAMYCIN TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
26.10163
65162091446 TOBRAMYCIN TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
26.10163
68180096204 TOBRAMYCIN TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
26.10163
68180096256 TOBRAMYCIN TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
26.10163
00078049461 TOBI TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
26.10163
00078049471 TOBI TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
26.10163
00093408563 TOBRAMYCIN TOBRAMYCIN IN 0.225 % SODIUM CHLORIDE INHALATION AMINOGLYCOSIDES AMPUL FOR NEBULIZATION (ML) 300 mg/5 mL
26.10163
00078063019 TOBI PODHALER
TOBRAMYCIN INHALATION AMINOGLYCOSIDES CAPSULE, WITH INHALATION DEVICE 28 mg
39.40674
00078063035 TOBI PODHALER
TOBRAMYCIN INHALATION AMINOGLYCOSIDES CAPSULE, WITH INHALATION DEVICE 28 mg
39.40674
50242013601 ACTEMRA TOCILIZUMAB INTRAVENOUS INTERLEUKIN-6 (IL-6) RECEPTOR INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (ML) 200 mg/10 mL (20 mg/mL)
68.77961
NDC Label Generic Name SMAC Price
50242013701 ACTEMRA TOCILIZUMAB INTRAVENOUS INTERLEUKIN-6 (IL-6) RECEPTOR INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (ML) 400 mg/20 mL (20 mg/mL)
68.77961
50242013501 ACTEMRA TOCILIZUMAB INTRAVENOUS INTERLEUKIN-6 (IL-6) RECEPTOR INHIBITORS VIAL (SDV,MDV OR ADDITIVE) (ML) 80 mg/4 mL (20 mg/mL)
68.77795
42747032730 FARESTON TOREMIFENE CITRATE ORAL SELECTIVE ESTROGEN RECEPTOR MODULATORS (SERM) TABLET 60 mg
25.64700
64980040403 TOREMIFENE CITRATE
TOREMIFENE CITRATE ORAL SELECTIVE ESTROGEN RECEPTOR MODULATORS (SERM) TABLET 60 mg
25.64700
59676061001 YONDELIS TRABECTEDIN INTRAVENOUS ANTINEOPLASTIC - TOPOISOMERASE I INHIBITORS VIAL (EA) 1 mg
2,689.20000
00078066815 MEKINIST TRAMETINIB DIMETHYL SULFOXIDE ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 2 mg
334.36848
66302020603 TYVASO TREPROSTINIL INHALATION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE AMPUL FOR NEBULIZATION (ML) 1.74 mg/2.9 mL (0.6 mg/mL)
148.60344
66302011001 REMODULIN TREPROSTINIL SODIUM INJECTION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE VIAL (ML) 10 mg/mL
459.81000
00703069601 TREPROSTINIL TREPROSTINIL SODIUM INJECTION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE VIAL (ML) 10 mg/mL
459.81000
00781343080 TREPROSTINIL TREPROSTINIL SODIUM INJECTION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE VIAL (ML) 10 mg/mL
459.81000
42023020901 TREPROSTINIL TREPROSTINIL SODIUM INJECTION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE VIAL (ML) 10 mg/mL
459.81000
66302020602 TYVASO REFILL KIT
TREPROSTINIL/NEBULIZER ACCESSORIES INHALATION PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE AMPUL FOR NEBULIZATION (ML) 1.74 mg/2.9 mL (0.6 mg/mL)
148.60344
58468782003 CAPRELSA VANDETANIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 100 mg
164.34000
58468784003 CAPRELSA VANDETANIB ORAL ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS TABLET 300 mg
328.68000
64764030020 ENTYVIO VEDOLIZUMAB INTRAVENOUS INTEGRIN RECEPTOR ANTAGONIST, MONOCLONAL ANTIBODY VIAL (EA) 300 mg
4,799.72400
54092070104 VPRIV VELAGLUCERASE ALFA INTRAVENOUS METABOLIC DISEASE ENZYME REPLACEMENT, GAUCHER'S DX VIAL (SDV,MDV OR ADDITIVE) (EA) 400 unit
1,344.60000
00074056111 VENCLEXTA VENETOCLAX ORAL ANTINEOPLASTIC-B CELL LYMPHOMA-2(BCL-2) INHIBITORS TABLET 10 mg
7.93314
00074056114 VENCLEXTA VENETOCLAX ORAL ANTINEOPLASTIC-B CELL LYMPHOMA-2(BCL-2) INHIBITORS TABLET 10 mg
7.93314
00074057611 VENCLEXTA VENETOCLAX ORAL ANTINEOPLASTIC-B CELL LYMPHOMA-2(BCL-2) INHIBITORS TABLET 100 mg
79.34625
00074057622 VENCLEXTA VENETOCLAX ORAL ANTINEOPLASTIC-B CELL LYMPHOMA-2(BCL-2) INHIBITORS TABLET 100 mg
79.34625
NDC Label Generic Name SMAC Price
00074057634 VENCLEXTA VENETOCLAX ORAL ANTINEOPLASTIC-B CELL LYMPHOMA-2(BCL-2) INHIBITORS TABLET 100 mg
79.34625
00074056607 VENCLEXTA VENETOCLAX ORAL ANTINEOPLASTIC-B CELL LYMPHOMA-2(BCL-2) INHIBITORS TABLET 50 mg
39.67352
00074056611 VENCLEXTA VENETOCLAX ORAL ANTINEOPLASTIC-B CELL LYMPHOMA-2(BCL-2) INHIBITORS TABLET 50 mg
39.67352
00074057928 VENCLEXTA STARTING PACK
VENETOCLAX ORAL ANTINEOPLASTIC-B CELL LYMPHOMA-2(BCL-2) INHIBITORS TABLET, DOSE PACK 10 mg (14)-50 mg (7)-100 mg (21)
48.93015
20536032201 MARQIBO VINCRISTINE SULFATE LIPOSOMAL INTRAVENOUS ANTINEOPLASTIC - VINCA ALKALOIDS KIT 5 mg/31 mL (0.16 mg/mL) (final concentration)
9,711.00000
50242014001 ERIVEDGE VISMODEGIB ORAL ANTINEOPLASTIC - HEDGEHOG PATHWAY INHIBITOR CAPSULE (HARD, SOFT, ETC.) 150 mg
266.78571
00944755302 VONVENDI VON WILLEBRAND FACTOR (RECOMBINANT) INTRAVENOUS BLOOD FACTORS,MISCELLANEOUS VIAL (EA) 1,300 (+/-) unit range
1.97208
00944755102 VONVENDI VON WILLEBRAND FACTOR (RECOMBINANT) INTRAVENOUS BLOOD FACTORS,MISCELLANEOUS VIAL (EA) 650 (+/-) unit range
1.97208
49702021248 RETROVIR ZIDOVUDINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI SYRUP 10 mg/mL
0.15000
65862004824 ZIDOVUDINE ZIDOVUDINE ORAL ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI SYRUP 10 mg/mL
0.15000
00049120301 GEODON ZIPRASIDONE MESYLATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 20 mg
16.79837
00049120310 GEODON ZIPRASIDONE MESYLATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 20 mg
16.79837
00049392020 GEODON ZIPRASIDONE MESYLATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 20 mg
16.79837
00049392083 GEODON ZIPRASIDONE MESYLATE INTRAMUSCULAR ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,& SEROTONIN ANTAG VIAL (SDV,MDV OR ADDITIVE) (EA) 20 mg
16.79837