HCPCS Section J: Drugs Administered Other Than Oral Method

J0013 Esketamine, nasal spray

J0120 Tetracyclin injection

J0121 Inj., omadacycline, 1 mg

J0122 Inj., eravacycline, 1 mg

J0129 Abatacept injection

J0130 Abciximab injection

J0131 Inj, acetaminophen (nos)

J0132 Acetylcysteine injection

J0133 Acyclovir injection

J0134 Inj acetaminophen -fresenius

J0135 Adalimumab injection

J0136 Inj, acetaminophen (b braun)

J0137 Inj, acetaminophen (hikma)

J0138 Inj acetaminoph 10mg/ibu 3mg

J0139 Inj, adalimumab, 1 mg

J0150 Injection adenosine 6 mg

J0151 Inj adenosine diag 1mg

J0153 Adenosine inj 1mg

J0162 Inj epinephrine (fresenius)

J0163 Epinephrine in nacl (endo)

J0164 Epinephrine in nacl (baxter)

J0165 Inj epinephrine nos 0.1 mg

J0166 Inj epinephrine (bpi)

J0167 Inj epinephrine (hospira)

J0168 Epinephrine (intl med sys)

J0169 Inj epinephrine (adrenalin)

J0171 Adrenalin epinephrine inject

J0172 Inj, aducanumab-avwa, 2 mg

J0173 Inj, epinephrine (belcher)

J0174 Inj, lecanemab-irmb, 1 mg

J0175 Inj, donanemab-azbt, 2 mg

J0177 Inj, aflibercept hd, 1 mg

J0178 Aflibercept injection

J0179 Inj, brolucizumab-dbll, 1 mg

J0180 Agalsidase beta injection

J0184 Inj, amisulpride, 1 mg

J0185 Inj., aprepitant, 1 mg

J0190 Inj biperiden lactate/5 mg

J0200 Alatrofloxacin mesylate

J0202 Injection, alemtuzumab

J0205 Alglucerase injection

J0206 Inj allopurinol sodium 1 mg

J0207 Amifostine

J0208 Inj, pedmark, 100 mg

J0209 Inj, sod thiosulfate (hope)

J0210 Methyldopate hcl injection

J0211 Inj, nithiodote, 3mg / 125mg

J0215 Alefacept

J0216 Inj, alfentanil hcl, 500mcg

J0217 Inj velmanase alfa-tycv 1 mg

J0218 Inj olipudase alfa-rpcp 1mg

J0219 Inj aval alfa-nqpt 4mg

J0220 Alglucosidase alfa injection

J0221 Lumizyme injection

J0222 Inj., patisiran, 0.1 mg

J0223 Inj givosiran 0.5 mg

J0224 Inj. lumasiran, 0.5 mg

J0225 Inj, vutrisiran, 1 mg

J0248 Inj, remdesivir, 1 mg

J0256 Alpha 1 proteinase inhibitor

J0257 Glassia injection

J0270 Alprostadil for injection

J0275 Alprostadil urethral suppos

J0278 Amikacin sulfate injection

J0280 Aminophyllin 250 mg inj

J0281 Inj aminocaproic acid 1 gram

J0282 Amiodarone hcl

J0283 Inj, amiodarone (nexterone)

J0285 Amphotericin b

J0287 Amphotericin b lipid complex

J0288 Ampho b cholesteryl sulfate

J0289 Amphotericin b liposome inj

J0290 Ampicillin 500 mg inj

J0291 Inj., plazomicin, 5 mg

J0295 Ampicillin sulbactam 1.5 gm

J0300 Amobarbital 125 mg inj

J0330 Succinycholine chloride inj

J0348 Anidulafungin injection

J0349 Inj, rezafungin, 1 mg

J0350 Injection anistreplase 30 u

J0360 Hydralazine hcl injection

J0364 Apomorphine hydrochloride

J0365 Aprotonin, 10,000 kiu

J0380 Inj metaraminol bitartrate

J0390 Chloroquine injection

J0391 Inj, artesunate, 1mg

J0395 Arbutamine hcl injection

J0400 Aripiprazole injection

J0401 Inj, abilify maintena, 1 mg

J0402 Inj, abilify asimtufii, 1 mg

J0456 Azithromycin

J0457 Injection, aztreonam, 100 mg

J0458 Aztreonam/avibactam 10 mg

J0461 Atropine sulfate injection

J0462 Atropine sulf, nte, 0.01 mg

J0470 Dimecaprol injection

J0475 Baclofen 10 mg injection

J0476 Baclofen intrathecal trial

J0480 Basiliximab

J0485 Belatacept injection

J0490 Belimumab injection

J0491 Inj anifrolumab-fnia 1mg

J0500 Dicyclomine injection

J0515 Inj benztropine mesylate

J0517 Inj., benralizumab, 1 mg

J0520 Bethanechol chloride inject

J0525 Inj cefotetan disodium 10 mg

J0558 Peng benzathine/procaine inj

J0561 Penicillin g benzathine inj

J0565 Inj, bezlotoxumab, 10 mg

J0567 Inj., cerliponase alfa 1 mg

J0570 Buprenorphine implant 74.2mg

J0571 Buprenorphine oral 1mg

J0572 Bupren/nal up to 3mg bupreno

J0573 Bupren/nal 3.1 to 6mg bupren

J0574 Bupren/nal 6.1 to 10mg bupre

J0575 Bupren/nal over 10mg bupreno

J0576 Inj buprenorph (brixadi) 1mg

J0577 Inj, brixadi, 7 days or less

J0578 Inj brixadi, more than 7 day

J0582 Bivalirudin (endo) 1 mg

J0583 Bivalirudin

J0584 Injection, burosumab-twza 1m

J0585 Injection,onabotulinumtoxina

J0586 Abobotulinumtoxina

J0587 Inj, rimabotulinumtoxinb

J0588 Incobotulinumtoxin a

J0589 Inj daxibotulinumtoxina-lanm

J0591 Inj deoxycholic acid, 1 mg

J0592 Buprenorphine hydrochloride

J0593 Inj., lanadelumab-flyo, 1 mg

J0594 Busulfan injection

J0595 Butorphanol tartrate 1 mg

J0596 Injection, ruconest

J0597 C-1 esterase, berinert

J0598 C-1 esterase, cinryze

J0599 Inj., haegarda 10 units

J0600 Edetate calcium disodium inj

J0601 Sevelamer carbonate 20 mg

J0602 Sevelamer carbonate pdr 20mg

J0603 Sevelamer hydrochloride 20mg

J0604 Cinacalcet, esrd on dialysis

J0605 Sucroferric oxyhydroxide 5mg

J0606 Inj, etelcalcetide, 0.1 mg

J0607 Lanthanum carbonate oral 5mg

J0608 Lanthanum carbonate pwdr 5mg

J0609 Ferric citrate orl 3 mg iron

J0610 Calcium glucon (fresenius)

J0611 Calcium glucon (wg critical)

J0612 Inj, calcium gluconate, nos

J0613 Calcium glucon (wg critical)

J0614 Inj, treosulfan, 50 mg

J0615 Calcium acetate, oral, 23 mg

J0616 Inj metoprolol tartrate 1 mg

J0618 Inj, calcium chloride, 2 mg

J0620 Calcium glycer & lact/10 ml

J0630 Calcitonin salmon injection

J0636 Inj calcitriol per 0.1 mcg

J0637 Caspofungin acetate

J0638 Canakinumab injection

J0640 Leucovorin calcium injection

J0641 Inj levoleucovorin nos 0.5mg

J0642 Injection, khapzory, 0.5 mg

J0650 Inj, levothyroxine nos 10mcg

J0651 Inj, levothyroxine, freskabi

J0652 Inj, levothyroxine, hikma

J0654 Inj, liothyronine, 1 mcg

J0665 Inj, bupivacaine, nos, 0.5mg

J0666 Inj, bupivacaine liposome

J0668 Instill, bupivac and meloxic

J0670 Inj mepivacaine hcl/10 ml

J0675 Inj, carboprost, 0.1 mg

J0681 Inj ceftobipole medocarl 3mg

J0687 Inj cefazolin (wg crit care)

J0688 Inj cefazolin sodium, hikma

J0689 Inj cefazolin sodium, baxter

J0690 Cefazolin sodium injection

J0691 Inj lefamulin 1 mg

J0692 Cefepime hcl for injection

J0693 Inj., cefiderocol, 5 mg

J0694 Cefoxitin sodium injection

J0695 Inj ceftolozane tazobactam

J0696 Ceftriaxone sodium injection

J0697 Sterile cefuroxime injection

J0698 Cefotaxime sodium injection

J0699 Inj, cefiderocol, 10 mg

J0701 Inj. cefepime hcl (baxter)

J0702 Betamethasone acet&sod phosp

J0703 Inj, cefepime hcl (b braun)

J0706 Caffeine citrate injection

J0710 Cephapirin sodium injection

J0712 Ceftaroline fosamil inj

J0713 Inj ceftazidime per 500 mg

J0714 Ceftazidime and avibactam

J0715 Ceftizoxime sodium / 500 mg

J0716 Centruroides immune f(ab)

J0717 Certolizumab pegol inj 1mg

J0720 Chloramphenicol sodium injec

J0725 Chorionic gonadotropin/1000u

J0735 Clonidine hydrochloride

J0736 Inj, clindamycin phosp 300mg

J0737 Inj, clindamycin (baxter)

J0738 Hiv prep, inj, lenacapavir

J0739 Hiv prep, inj, cabotegravir

J0740 Cidofovir injection

J0741 Inj, cabote rilpivir 2mg 3mg

J0742 Inj imip 4 cilas 4 releb 2mg

J0743 Cilastatin sodium injection

J0744 Ciprofloxacin iv

J0745 Inj codeine phosphate /30 mg

J0750 Hiv prep, ftc/tdf 200/300mg

J0751 Hiv prep, ftc/taf 200/25mg

J0752 Hiv prep, oral lenacapavir

J0759 Inj, clevidipine, 1 mg

J0760 Colchicine injection

J0770 Colistimethate sodium inj

J0775 Collagenase, clost hist inj

J0780 Prochlorperazine injection

J0791 Inj crizanlizumab-tmca 5mg

J0795 Corticorelin ovine triflutal

J0799 Hiv prep, fda approved, noc

J0800 Corticotropin injection

J0801 Inj. acthar gel to 40 units

J0802 Inj. (ani), up to 40 units

J0833 Cosyntropin injection nos

J0834 Inj., cosyntropin, 0.25 mg

J0840 Crotalidae poly immune fab

J0841 Inj crotalidae im f(ab')2 eq

J0850 Cytomegalovirus imm iv /vial

J0870 Injection, imetelstat, 1 mg

J0872 Daptomycin (xellia) unrefrig

J0873 Inj daptomycin (xellia)

J0874 Inj, daptomycin (baxter)

J0875 Injection, dalbavancin

J0877 Inj, daptomycin (hospira)

J0878 Daptomycin injection

J0879 Difelikefalin, esrd on dialy

J0881 Darbepoetin alfa, non-esrd

J0882 Darbepoetin alfa, esrd use

J0883 Argatroban nonesrd use 1mg

J0884 Argatroban esrd dialysis 1mg

J0885 Epoetin alfa, non-esrd

J0886 Epoetin alfa 1000 units esrd

J0887 Epoetin beta esrd use

J0888 Epoetin beta non esrd

J0889 Daprodustat oral 1mg esrd

J0890 Peginesatide injection

J0891 Argatroban nonesrd (accord)

J0892 Argatroban dialysis (accord)

J0893 Inj, decitabine (sun pharma)

J0894 Decitabine injection

J0895 Deferoxamine mesylate inj

J0896 Inj luspatercept-aamt 0.25mg

J0897 Denosumab injection

J0898 Argatroban nonesrd (auromed)

J0899 Argatroban dialysis, auromed

J0900 Testosterone enanthate inj

J0901 Vadadustat oral 1mg for esrd

J0911 Inst tauro 1.35mg/hep 100u

J0945 Brompheniramine maleate inj

J1000 Depo-estradiol cypionate inj

J1010 Inj, methylpred acetate 1 mg

J1020 Methylprednisolone 20 mg inj

J1030 Methylprednisolone 40 mg inj

J1040 Methylprednisolone 80 mg inj

J1050 Medroxyprogesterone acetate

J1060 Testosterone cypionate 1 ml

J1070 Testosterone cypionat 100 mg

J1071 Inj testosterone cypionate

J1072 Inj, testosterone, azmiro

J1073 Testosterone pellet 75 mg

J1080 Testosterone cypionat 200 mg

J1094 Inj dexamethasone acetate

J1095 Injection, dexamethasone 9%

J1096 Dexametha opth insert 0.1 mg

J1097 Phenylep ketorolac opth soln

J1100 Dexamethasone sodium phos

J1105 Dexmedetomidine film, 1 mcg

J1110 Inj dihydroergotamine mesylt

J1120 Acetazolamid sodium injectio

J1130 Inj diclofenac sodium 0.5mg

J1160 Digoxin injection

J1162 Digoxin immune fab (ovine)

J1163 Inj, diltiazem hcl, 0.5 mg

J1165 Phenytoin sodium injection

J1170 Hydromorphone injection

J1171 Inj, hydromorphone, 0.1 mg

J1180 Dyphylline injection

J1190 Dexrazoxane hcl injection

J1200 Diphenhydramine hcl injectio

J1201 Inj. cetirizine hcl 0.5mg

J1202 Miglustat oral 65 mg

J1203 Inj, cipaglucosidase, 5 mg

J1205 Chlorothiazide sodium inj

J1212 Dimethyl sulfoxide 50% 50 ml

J1230 Methadone injection

J1240 Dimenhydrinate injection

J1245 Dipyridamole injection

J1250 Inj dobutamine hcl/250 mg

J1260 Dolasetron mesylate

J1265 Dopamine injection

J1267 Doripenem injection

J1270 Injection, doxercalciferol

J1271 Inj doxycycline hyclate 1 mg

J1290 Ecallantide injection

J1299 Inj, eculizumab, 2 mg

J1300 Eculizumab injection

J1301 Injection, edaravone, 1 mg

J1302 Inj, sutimlimab-jome, 10 mg

J1303 Inj., ravulizumab-cwvz 10 mg

J1304 Inj tofersen intrathec 1 mg

J1305 Inj, evinacumab-dgnb, 5mg

J1306 Injection, inclisiran, 1 mg

J1307 Inj, crovalimab-akkz, 10 mg

J1308 Inj, famotidine, 0.25 mg

J1320 Amitriptyline injection

J1322 Elosulfase alfa, injection

J1323 Inj, elranatamab-bcmm, 1 mg

J1324 Enfuvirtide injection

J1325 Epoprostenol injection

J1326 Inj, zolbetuximab-clzb, 2 mg

J1327 Eptifibatide injection

J1330 Ergonovine maleate injection

J1335 Ertapenem injection

J1364 Erythro lactobionate /500 mg

J1370 Inj, esomeprazole sod, 1 mg

J1380 Estradiol valerate 10 mg inj

J1410 Inj estrogen conjugate 25 mg

J1411 Inj, hemgenix, per tx dose

J1412 Inj roctavian ml 2x10^13vc g

J1413 Inj delandistrogene mox rokl

J1414 Inj, beqvez, per tx dose

J1426 Injection, casimersen, 10 mg

J1427 Inj. viltolarsen

J1428 Inj, eteplirsen, 10 mg

J1429 Inj golodirsen 10 mg

J1430 Ethanolamine oleate 100 mg

J1434 Inj, focinvez, 1mg

J1435 Injection estrone per 1 mg

J1436 Etidronate disodium inj

J1437 Inj. fe derisomaltose 10 mg

J1438 Etanercept injection

J1439 Inj ferric carboxymaltos 1mg

J1440 Fecal microbiota jslm 1 ml

J1442 Inj filgrastim excl biosimil

J1443 Inj ferric pyrophosphate cit

J1444 Fe pyro cit pow 0.1 mg iron

J1445 Inj triferic avnu 0.1mg iron

J1446 Inj, tbo-filgrastim, 5 mcg

J1447 Inj tbo filgrastim 1 microg

J1448 Injection, trilaciclib, 1mg

J1449 Inj eflapegrastim-xnst 0.1mg

J1450 Fluconazole

J1451 Fomepizole, 15 mg

J1452 Intraocular fomivirsen na

J1453 Fosaprepitant injection

J1454 Inj fosnetupitant, palonoset

J1455 Foscarnet sodium injection

J1456 Inj, fosaprepitant (teva)

J1457 Gallium nitrate injection

J1458 Galsulfase injection

J1459 Inj ivig privigen 500 mg

J1460 Gamma globulin 1 cc inj

J1551 Inj cutaquig 100 mg

J1552 Inj, alyglo, 500 mg

J1554 Inj. asceniv

J1555 Inj cuvitru, 100 mg

J1556 Inj, imm glob bivigam, 500mg

J1557 Gammaplex injection

J1558 Inj. xembify, 100 mg

J1559 Hizentra injection

J1560 Gamma globulin > 10 cc inj

J1561 Gamunex-c/gammaked

J1562 Vivaglobin, inj

J1566 Immune globulin, powder

J1568 Octagam injection

J1569 Gammagard liquid injection

J1570 Ganciclovir sodium injection

J1571 Hepagam b im injection

J1572 Flebogamma injection

J1573 Hepagam b intravenous, inj

J1574 Inj, ganciclovir (exela)

J1575 Hyqvia 100mg immuneglobulin

J1576 Inj, panzyga, 500 mg

J1580 Garamycin gentamicin inj

J1590 Gatifloxacin injection

J1595 Injection glatiramer acetate

J1596 Inj, glycopyrrolate, 0.1 mg

J1597 Inj glycopyrrolate, glyrx-pf

J1598 Inj glycopyrrolate fres kabi

J1599 Ivig non-lyophilized, nos

J1600 Gold sodium thiomaleate inj

J1602 Golimumab for iv use 1mg

J1610 Glucagon hydrochloride/1 mg

J1611 Inj glucagon hcl, fresenius

J1612 Inj glucagon (gvoke) 0.01 mg

J1620 Gonadorelin hydroch/ 100 mcg

J1626 Granisetron hcl injection

J1627 Inj, granisetron, xr, 0.1 mg

J1628 Inj., guselkumab, 1 mg

J1630 Haloperidol injection

J1631 Haloperidol decanoate inj

J1632 Inj., brexanolone, 1 mg

J1640 Hemin, 1 mg

J1642 Inj heparin sodium per 10 u

J1643 Inj heparin, pfizer, 1000u

J1644 Inj heparin sodium per 1000u

J1645 Dalteparin sodium

J1650 Inj enoxaparin sodium

J1652 Fondaparinux sodium

J1655 Tinzaparin sodium injection

J1670 Tetanus immune globulin inj

J1675 Histrelin acetate

J1700 Hydrocortisone acetate inj

J1710 Hydrocortisone sodium ph inj

J1720 Hydrocortisone sodium succ i

J1725 Hydroxyprogesterone caproate

J1726 Makena, 10 mg

J1729 Inj hydroxyprogst capoat nos

J1730 Diazoxide injection

J1736 Inj meloxicam (delova) 1mg

J1737 Inj meloxicam (azurity) 1mg

J1738 Inj. meloxicam 1 mg

J1740 Ibandronate sodium injection

J1741 Ibuprofen injection

J1742 Ibutilide fumarate injection

J1743 Idursulfase injection

J1744 Icatibant injection

J1745 Infliximab not biosimil 10mg

J1746 Inj., ibalizumab-uiyk, 10 mg

J1747 Inj, spesolimab-sbzo, 1 mg

J1748 Inj, zymfentra, 10 mg

J1749 Inj, iloprost, 0.1 mcg

J1750 Inj iron dextran

J1756 Iron sucrose injection

J1786 Imuglucerase injection

J1790 Droperidol injection

J1800 Propranolol injection

J1805 Inj, esmolol hcl, 10mg

J1806 Inj esmolol hcl wg crit care

J1807 Inj, ethacrynate sod, 1 mg

J1808 Inj, folic acid, 0.1 mg

J1809 Inj, fosdenopterin, 0.1mg

J1810 Droperidol/fentanyl inj

J1811 Fiasp for insulin pump use

J1812 Inj. insulin (fiasp)

J1813 Lyumjev for insulin pump use

J1814 Inj. insulin (lyumjev)

J1815 Insulin injection

J1817 Insulin for insulin pump use

J1823 Inj. inebilizumab-cdon, 1 mg

J1826 Interferon beta-1a inj

J1830 Interferon beta-1b / .25 mg

J1833 Injection, isavuconazonium

J1834 Inj, isoniazid, 1 mg

J1835 Itraconazole injection

J1836 Inj, metronidazole, 10 mg

J1837 Inj, posaconazole, 1 mg

J1840 Kanamycin sulfate 500 mg inj

J1850 Kanamycin sulfate 75 mg inj

J1885 Ketorolac tromethamine inj

J1890 Cephalothin sodium injection

J1920 Inj, labetalol hcl, 5mg

J1921 Inj labetalol hcl hikma, 5mg

J1930 Lanreotide injection

J1931 Laronidase injection

J1932 Inj, lanreotide, (cipla) 1mg

J1938 Inj, furosemide, 1 mg

J1939 Inj, bumetanide, 0.5 mg

J1940 Furosemide injection

J1941 Inj, furoscix, 20 mg

J1942 Aripiprazole lauroxil 1mg

J1943 Inj., aristada initio, 1 mg

J1944 Aripiprazole lauroxil 1 mg

J1945 Lepirudin

J1950 Leuprolide acetate /3.75 mg

J1951 Inj fensolvi 0.25 mg

J1952 Leuprolide inj, camcevi, 1mg

J1953 Levetiracetam injection

J1954 Inj leu acet lutr dpt 7.5 mg

J1955 Inj levocarnitine per 1 gm

J1956 Levofloxacin injection

J1960 Levorphanol tartrate inj

J1961 Inj lenacapavir (hiv tx) 1mg

J1980 Hyoscyamine sulfate inj

J1990 Chlordiazepoxide injection

J2001 Lidocaine injection

J2002 Inj, lidocaine in d5w, 1 mg

J2003 Inj, lidocaine hcl, 1 mg

J2004 Inj, lidocaine w epinephrine

J2010 Lincomycin injection

J2020 Linezolid injection

J2021 Inj, linezolid (hospira)

J2060 Lorazepam injection

J2062 Loxapine for inhalation 1 mg

J2150 Mannitol injection

J2151 Inj, mannitol, 250 mg

J2170 Mecasermin injection

J2175 Meperidine hydrochl /100 mg

J2180 Meperidine/promethazine inj

J2182 Injection, mepolizumab, 1mg

J2183 Inj meropenem (wg crit care)

J2184 Inj, meropenem (b. braun)

J2185 Meropenem

J2186 Inj., meropenem, vaborbactam

J2210 Methylergonovin maleate inj

J2212 Methylnaltrexone injection

J2246 Inj, micafungin (baxter)

J2247 Inj, micafungin (par pharm)

J2248 Micafungin sodium injection

J2249 Inj, remimazolam, 1 mg

J2250 Inj midazolam hydrochloride

J2251 Inj midazolam in 0.9% nacl

J2252 Inj midazolam in 0.8% nacl

J2253 Inj midazolam (seizalam)

J2260 Inj milrinone lactate / 5 mg

J2265 Minocycline hydrochloride

J2267 Inj, mirikizumab-mrkz, 1 mg

J2270 Morphine sulfate injection

J2271 Morphine so4 injection 100mg

J2272 Inj, morphine (fresenius)

J2274 Inj morphine pf epid ithc

J2275 Morphine sulfate injection

J2277 Inj, motixafortide, 0.25 mg

J2278 Ziconotide injection

J2280 Inj, moxifloxacin 100 mg

J2281 Inj moxifloxacin (fres kabi)

J2290 Inj, nafcillin sodium, 20 mg

J2291 Inj, nafcillin (baxter) 20mg

J2300 Inj nalbuphine hydrochloride

J2305 Inj, nitroglycerin, 5 mg

J2310 Inj naloxone hydrochloride

J2311 Inj, naloxone hcl (zimhi)

J2312 Inj naloxone hcl nos, 0.01mg

J2313 Inj, naloxone (zimhi) 0.01mg

J2315 Naltrexone, depot form

J2320 Nandrolone decanoate 50 mg

J2323 Natalizumab injection

J2325 Nesiritide injection

J2326 Inj, nusinersen, 0.1mg

J2327 Inj risankizumab-rzaa 1 mg

J2329 Inj ublituximab-xiiy, 1 mg

J2350 Injection, ocrelizumab, 1 mg

J2351 Inj ocrelizumab 1mg hya-ocsq

J2353 Octreotide injection, depot

J2354 Octreotide inj, non-depot

J2355 Oprelvekin injection

J2356 Inj tezepelumab-ekko, 1mg

J2357 Omalizumab injection

J2358 Olanzapine long-acting inj

J2359 Inj. olanzapine, 0.5mg

J2360 Orphenadrine injection

J2370 Phenylephrine hcl injection

J2371 Inj phenylephrine hcl 20 mcg

J2372 Inj, biorphen, 20 micrograms

J2373 Inj, immphentiv, 20 mcg

J2400 Chloroprocaine hcl injection

J2401 Chloroprocaine hcl injection

J2402 Chloroprocaine (clorotekal)

J2403 Chloroprocaine opht gel, 1mg

J2404 Inj, nicardipine 0.1 mg

J2405 Ondansetron hcl injection

J2406 Injection, oritavancin 10 mg

J2407 Injection, oritavancin

J2410 Oxymorphone hcl injection

J2425 Palifermin injection

J2426 Inj, invega sustenna, 1 mg

J2427 Inj, invega hafyera/trinza

J2428 Inj, erzofri, 1 mg

J2430 Pamidronate disodium /30 mg

J2440 Papaverin hcl injection

J2460 Oxytetracycline injection

J2468 Inj, palonosetron (posfrea)

J2469 Palonosetron hcl

J2470 Inj pantoprazole sodium 40mg

J2471 Inj pantoprazole(hikma) 40mg

J2472 Inj, pantoprazole sodium chl

J2501 Paricalcitol

J2502 Inj, pasireotide long acting

J2503 Pegaptanib sodium injection

J2504 Pegademase bovine, 25 iu

J2505 Injection, pegfilgrastim 6mg

J2506 Inj pegfilgrast ex bio 0.5mg

J2507 Pegloticase injection

J2508 Pegunigalsidase alfa-iwxj

J2510 Penicillin g procaine inj

J2513 Pentastarch 10% solution

J2515 Pentobarbital sodium inj

J2516 Inj, pentamidine isethionate

J2540 Penicillin g potassium inj

J2543 Piperacillin/tazobactam

J2545 Pentamidine non-comp unit

J2547 Injection, peramivir

J2550 Promethazine hcl injection

J2560 Phenobarbital sodium inj

J2561 Inj, sezaby, 1 mg

J2562 Plerixafor injection

J2590 Oxytocin injection

J2596 Vasopressin (long grove) 1 u

J2597 Inj desmopressin acetate

J2598 Inj, vasopressin, 1 unit

J2599 Inj vasopressin (am reg) 1 u

J2601 Inj, vasopressin (baxter)

J2650 Prednisolone acetate inj

J2670 Totazoline hcl injection

J2675 Inj progesterone per 50 mg

J2679 Inj fluphenazine hcl 1.25 mg

J2680 Fluphenazine decanoate 25 mg

J2690 Procainamide hcl injection

J2700 Oxacillin sodium injeciton

J2704 Inj, propofol, 10 mg

J2710 Neostigmine methylslfte inj

J2711 Inj neostigmin/glycopyrrolat

J2720 Inj protamine sulfate/10 mg

J2724 Protein c concentrate

J2725 Inj protirelin per 250 mcg

J2730 Pralidoxime chloride inj

J2760 Phentolaine mesylate inj

J2765 Metoclopramide hcl injection

J2770 Quinupristin/dalfopristin

J2777 Inj, faricimab-svoa, 0.1mg

J2778 Ranibizumab injection

J2779 Inj, susvimo 0.1 mg

J2780 Ranitidine hydrochloride inj

J2781 Inj, pegcetacoplan, 1mg

J2782 Inj avacincaptad pegol 0.1mg

J2783 Rasburicase

J2785 Regadenoson injection

J2786 Injection, reslizumab, 1mg

J2787 Riboflavin 5'phos opth<=3ml

J2788 Rho d immune globulin 50 mcg

J2790 Rho d immune globulin inj

J2791 Rhophylac injection

J2792 Rho(d) immune globulin h, sd

J2793 Rilonacept injection

J2794 Inj risperdal consta, 0.5 mg

J2795 Ropivacaine hcl injection

J2796 Romiplostim injection

J2797 Inj., rolapitant, 0.5 mg

J2798 Inj., perseris, 0.5 mg

J2799 Inj, uzedy, 1 mg

J2800 Methocarbamol injection

J2801 Inj, rykindo, 0.5 mg

J2802 Inj, romiplostim 1 microgram

J2804 Inj, rifampin, 1 mg

J2805 Sincalide injection

J2806 Inj sincalide, maia, 5 mcg

J2810 Inj theophylline per 40 mg

J2820 Sargramostim injection

J2840 Inj sebelipase alfa 1 mg

J2850 Inj secretin synthetic human

J2860 Injection, siltuximab

J2865 Inj sulfameth/trim 5 mg/1 mg

J2910 Aurothioglucose injeciton

J2916 Na ferric gluconate complex

J2919 Inj, methylpred sod succ 5mg

J2920 Methylprednisolone injection

J2930 Methylprednisolone injection

J2940 Somatrem injection

J2941 Somatropin injection

J2950 Promazine hcl injection

J2993 Reteplase injection

J2995 Inj streptokinase /250000 iu

J2997 Alteplase recombinant

J2998 Inj plasminogen tvmh 1mg

J3000 Streptomycin injection

J3010 Fentanyl citrate injection

J3030 Sumatriptan succinate / 6 mg

J3031 Inj., fremanezumab-vfrm 1 mg

J3032 Inj. eptinezumab-jjmr 1 mg

J3055 Inj talquetamab-tgvs 0.25 mg

J3060 Inj, taliglucerase alfa 10 u

J3070 Pentazocine injection

J3090 Inj tedizolid phosphate

J3095 Telavancin injection

J3101 Tenecteplase injection

J3105 Terbutaline sulfate inj

J3110 Teriparatide injection

J3111 Inj. romosozumab-aqqg 1 mg

J3120 Testosterone enanthate inj

J3121 Inj testostero enanthate 1mg

J3130 Testosterone enanthate inj

J3140 Testosterone suspension inj

J3145 Testosterone undecanoate 1mg

J3150 Testosteron propionate inj

J3230 Chlorpromazine hcl injection

J3240 Thyrotropin injection

J3241 Inj. teprotumumab-trbw 10 mg

J3243 Tigecycline injection

J3244 Inj. tigecycline (accord)

J3245 Inj., tildrakizumab, 1 mg

J3246 Tirofiban hcl

J3247 Inj secukinumab intrav 1mg

J3250 Trimethobenzamide hcl inj

J3260 Tobramycin sulfate injection

J3262 Tocilizumab injection

J3263 Inj, toripalimab-tpzi, 1 mg

J3265 Injection torsemide 10 mg/ml

J3280 Thiethylperazine maleate inj

J3285 Treprostinil injection

J3290 Inj, tranexamic acid 5 mg

J3291 Tranexamic acid in sod chlor

J3299 Inj xipere 1 mg

J3300 Triamcinolone a inj prs-free

J3301 Triamcinolone acet inj nos

J3302 Triamcinolone diacetate inj

J3303 Triamcinolone hexacetonl inj

J3304 Inj triamcinolone ace xr 1mg

J3305 Inj trimetrexate glucoronate

J3310 Perphenazine injeciton

J3315 Triptorelin pamoate

J3316 Inj., triptorelin xr 3.75 mg

J3320 Spectinomycn di-hcl inj

J3350 Urea injection

J3355 Urofollitropin, 75 iu

J3357 Ustekinumab sub cu inj, 1 mg

J3358 Ustekinumab, iv inject, 1 mg

J3360 Diazepam injection

J3364 Urokinase 5000 iu injection

J3365 Urokinase 250,000 iu inj

J3370 Vancomycin hcl injection

J3371 Inj, vancomycin hcl (mylan)

J3372 Inj, vancomycin hcl (xellia)

J3373 Inj, vancomycin hcl, 10 mg

J3374 Inj, vancomycin (mylan) 10mg

J3375 Inj vancomycin (xellia) 10mg

J3376 Inj vancomycin (hikma) 10mg

J3379 Inj, valproate sod, 5 mg

J3380 Inj vedolizumab iv 1 mg

J3385 Velaglucerase alfa

J3387 Inj elivaldogene autotemecel

J3389 Topi adm prad zami per treat

J3391 Inj, atidarsagene autotemcel

J3392 Inj, exagamglogene autotem

J3393 Inj, betibeglogene autotemce

J3394 Inj, lovotibeglogene autotem

J3396 Verteporfin injection

J3397 Inj., vestronidase alfa-vjbk

J3398 Inj luxturna 1 billion vec g

J3399 Inj onase abepar-xioi treat

J3400 Triflupromazine hcl inj

J3401 Vyjuvek 5x10^9pfu/ml, 0.1 ml

J3402 Inj. remestemcel-l-rknd/ td

J3403 Revakinagene, per implant

J3410 Hydroxyzine hcl injection

J3411 Thiamine hcl 100 mg

J3415 Pyridoxine hcl 100 mg

J3420 Vitamin b12 injection

J3424 Inj hydroxocobalamin iv 25mg

J3425 Hydroxocobalamin im 10mcg

J3430 Vitamin k phytonadione inj

J3465 Injection, voriconazole

J3470 Hyaluronidase injection

J3471 Ovine, up to 999 usp units

J3472 Ovine, 1000 usp units

J3473 Hyaluronidase recombinant

J3475 Inj magnesium sulfate

J3480 Inj potassium chloride

J3485 Zidovudine

J3486 Ziprasidone mesylate

J3489 Zoledronic acid 1mg

J3490 Drugs unclassified injection

J3520 Edetate disodium per 150 mg

J3530 Nasal vaccine inhalation

J3535 Metered dose inhaler drug

J3570 Laetrile amygdalin vit b17

J3590 Unclassified biologics

J3591 Esrd on dialysi drug/bio noc

J7030 Normal saline solution infus

J7040 Normal saline solution infus

J7042 5% dextrose/normal saline

J7050 Normal saline solution infus

J7060 5% dextrose/water

J7070 D5w infusion

J7100 Dextran 40 infusion

J7110 Dextran 75 infusion

J7120 Ringers lactate infusion

J7121 5% dextrose in lac ringers

J7131 Hypertonic saline sol

J7165 Inj, human-lans, per i.u

J7168 Prothrombin complex kcentra

J7169 Inj andexxa, 10 mg

J7170 Inj., emicizumab-kxwh 0.5 mg

J7171 Inj, adzynma, 10 iu

J7172 Inj marstacim-hncq, 0.5 mg

J7173 Inj. concizumab-mtci, 0.5 mg

J7174 Injection fitusiran 0.04 mg

J7175 Inj, factor x, (human), 1iu

J7177 Inj., fibryga, 1 mg

J7178 Inj human fibrinogen con nos

J7179 Vonvendi inj 1 iu vwf:rco

J7180 Factor xiii anti-hem factor

J7181 Factor xiii recomb a-subunit

J7182 Factor viii recomb novoeight

J7183 Wilate injection

J7185 Xyntha inj

J7186 Antihemophilic viii/vwf comp

J7187 Humate-p, inj

J7188 Factor viii recomb obizur

J7189 Factor viia recomb novoseven

J7190 Factor viii

J7191 Factor viii (porcine)

J7192 Factor viii recombinant nos

J7193 Factor ix non-recombinant

J7194 Factor ix complex

J7195 Factor ix recombinant nos

J7196 Antithrombin recombinant

J7197 Antithrombin iii injection

J7198 Anti-inhibitor

J7199 Hemophilia clot factor noc

J7200 Factor ix recombinan rixubis

J7201 Factor ix alprolix recomb

J7202 Factor ix idelvion inj

J7203 Factor ix recomb gly rebinyn

J7204 Inj recombin esperoct per iu

J7205 Factor viii fc fusion recomb

J7207 Factor viii pegylated recomb

J7208 Inj. jivi 1 iu

J7209 Factor viii nuwiq recomb 1iu

J7210 Inj, afstyla, 1 i.u.

J7211 Inj, kovaltry, 1 i.u.

J7212 Factor viia recomb sevenfact

J7213 Inj, ixinity, 1 i.u.

J7214 Altuviiio per factor viii iu

J7294 Seg acet and eth estr yearly

J7295 Eth estr and eton monthly

J7296 Kyleena, 19.5 mg

J7297 Liletta, 52 mg

J7298 Mirena, 52 mg

J7299 Intraut copp cont (miudella)

J7300 Intra copp contra (paragard)

J7301 Skyla, 13.5 mg

J7302 Levonorgestrel iu 52 mg

J7303 Contraceptive vaginal ring

J7304 Contraceptive hormone patch

J7306 Levonorgestrel implant sys

J7307 Etonogestrel implant system

J7308 Aminolevulinic acid hcl top

J7309 Methyl aminolevulinate, top

J7310 Ganciclovir long act implant

J7311 Inj., retisert, 0.01 mg

J7312 Dexamethasone intra implant

J7313 Inj., iluvien, 0.01 mg

J7314 Inj., yutiq, 0.01 mg

J7315 Ophthalmic mitomycin

J7316 Inj, ocriplasmin, 0.125 mg

J7318 Inj, durolane 1 mg

J7320 Genvisc 850, inj, 1mg

J7321 Hyalgan supartz visco-3 dose

J7322 Hyaluronan, hymo or hymo one

J7323 Euflexxa inj per dose

J7324 Orthovisc inj per dose

J7325 Synvisc or synvisc-one

J7326 Gel-one

J7327 Monovisc inj per dose

J7328 Gelsyn-3 injection 0.1 mg

J7329 Inj, trivisc 1 mg

J7330 Cultured chondrocytes implnt

J7331 Synojoynt, inj., 1 mg

J7332 Inj., triluron, 1 mg

J7333 Visco-3 inj dose

J7335 Capsaicin 8% patch

J7336 Capsaicin 8% patch

J7340 Carbidopa levodopa ent 100ml

J7342 Ciprofloxacin otic susp 6 mg

J7345 Aminolevulinic acid, 10% gel

J7351 Inj bimatoprost itc imp1mcg

J7352 Afamelanotide implant, 1 mg

J7353 Anacaulase-bcdb 8.8% gel 1 g

J7354 Cantharidin top, applicator

J7355 Inj travoprost intra impl

J7356 Inj foscarb/foslevodopa 5 mg

J7401 Mometasone furoate sinus imp

J7402 Mometasone sinus sinuva

J7500 Azathioprine oral 50mg

J7501 Azathioprine parenteral

J7502 Cyclosporine oral 100 mg

J7503 Tacrol envarsus ex rel oral

J7504 Lymphocyte immune globulin

J7505 Monoclonal antibodies

J7506 Prednisone oral

J7507 Tacrolimus imme rel oral 1mg

J7508 Tacrol astagraf ex rel oral

J7509 Methylprednisolone oral

J7510 Prednisolone oral per 5 mg

J7511 Antithymocyte globuln rabbit

J7512 Prednisone ir or dr oral 1mg

J7513 Daclizumab, parenteral

J7514 Mycophenol (myhibbin) 100 mg

J7515 Cyclosporine oral 25 mg

J7516 Inj, cyclosporine 250mg

J7517 Mycophenolate mofetil oral

J7518 Mycophenolic acid

J7519 Inj. mycophenolate mofetil

J7520 Sirolimus, oral

J7521 Tacrolim granules oral susp

J7525 Tacrolimus injection

J7527 Oral everolimus

J7528 Mycophen mofetil for susp

J7599 Immunosuppressive drug noc

J7601 Ensifentrine inh 3 mg

J7604 Acetylcysteine comp unit

J7605 Arformoterol non-comp unit

J7606 Formoterol fumarate, inh

J7607 Levalbuterol comp con

J7608 Acetylcysteine non-comp unit

J7609 Albuterol comp unit

J7610 Albuterol comp con

J7611 Albuterol non-comp con

J7612 Levalbuterol non-comp con

J7613 Albuterol non-comp unit

J7614 Levalbuterol non-comp unit

J7615 Levalbuterol comp unit

J7620 Albuterol ipratrop non-comp

J7622 Beclomethasone comp unit

J7624 Betamethasone comp unit

J7626 Budesonide non-comp unit

J7627 Budesonide comp unit

J7628 Bitolterol mesylate comp con

J7629 Bitolterol mesylate comp unt

J7631 Cromolyn sodium noncomp unit

J7632 Cromolyn sodium comp unit

J7633 Budesonide non-comp con

J7634 Budesonide comp con

J7635 Atropine comp con

J7636 Atropine comp unit

J7637 Dexamethasone comp con

J7638 Dexamethasone comp unit

J7639 Dornase alfa non-comp unit

J7640 Formoterol comp unit

J7641 Flunisolide comp unit

J7642 Glycopyrrolate comp con

J7643 Glycopyrrolate comp unit

J7644 Ipratropium bromide non-comp

J7645 Ipratropium bromide comp

J7647 Isoetharine comp con

J7648 Isoetharine non-comp con

J7649 Isoetharine non-comp unit

J7650 Isoetharine comp unit

J7657 Isoproterenol comp con

J7658 Isoproterenol non-comp con

J7659 Isoproterenol non-comp unit

J7660 Isoproterenol comp unit

J7665 Mannitol for inhaler

J7667 Metaproterenol comp con

J7668 Metaproterenol non-comp con

J7669 Metaproterenol non-comp unit

J7670 Metaproterenol comp unit

J7674 Methacholine chloride, neb

J7676 Pentamidine comp unit dose

J7677 Revefenacin inh non-com 1mcg

J7680 Terbutaline sulf comp con

J7681 Terbutaline sulf comp unit

J7682 Tobramycin non-comp unit

J7683 Triamcinolone comp con

J7684 Triamcinolone comp unit

J7685 Tobramycin comp unit

J7686 Treprostinil, non-comp unit

J7699 Inhalation solution for dme

J7799 Non-inhalation drug for dme

J7999 Compounded drug, noc

J8498 Antiemetic rectal/supp nos

J8499 Oral prescrip drug non chemo

J8501 Oral aprepitant

J8510 Oral busulfan

J8515 Cabergoline, oral 0.25mg

J8520 Capecitabine, oral, 150 mg

J8521 Capecitabine, oral, 500 mg

J8522 Capecitabine, oral, 50 mg

J8530 Cyclophosphamide oral 25 mg

J8540 Oral dexamethasone

J8541 Oral, hemady, 0.25 mg

J8560 Etoposide oral 50 mg

J8562 Oral fludarabine phosphate

J8565 Gefitinib oral

J8597 Antiemetic drug oral nos

J8600 Melphalan oral 2 mg

J8610 Methotrexate oral 2.5 mg

J8611 Oral methotrexate (jylamvo)

J8612 Oral methotrexate (xatmep)

J8650 Nabilone oral

J8655 Oral netupitant, palonosetro

J8670 Rolapitant, oral, 1mg

J8700 Temozolomide

J8705 Topotecan oral

J8999 Oral prescription drug chemo

J9000 Doxorubicin hcl injection

J9010 Alemtuzumab injection

J9011 Datopotamab deruxtecan, 1 mg

J9015 Aldesleukin injection

J9017 Arsenic trioxide injection

J9019 Erwinaze injection

J9020 Asparaginase, nos

J9021 Inj, aspara, rylaze, 0.1 mg

J9022 Inj, atezolizumab,10 mg

J9023 Injection, avelumab, 10 mg

J9024 Inj atezolizumb 5mg hya-tqjs

J9025 Azacitidine injection

J9026 Inj, tarlatamab-dlle, 1 mg

J9027 Clofarabine injection

J9028 Inj, nogapendekin pmln, 1mcg

J9029 Instill adstiladrin, tx dose

J9030 Bcg live intravesical 1mg

J9031 Bcg live intravesical vac

J9032 Injection, belinostat, 10mg

J9033 Inj, bendamustine hcl, 1mg

J9034 Inj., bendeka 1 mg

J9035 Bevacizumab injection

J9036 Inj. belrapzo/bendamustine

J9037 Inj belantamab mafodot blmf

J9038 Inj axatilimab-csfr 0.1 mg

J9039 Injection, blinatumomab

J9040 Bleomycin sulfate injection

J9041 Injection, bortezomib, 0.1mg

J9042 Brentuximab vedotin inj

J9043 Cabazitaxel injection

J9044 Inj, bortezomib, nos, 0.1 mg

J9045 Carboplatin injection

J9046 Inj, bortezomib, dr. reddy's

J9047 Injection, carfilzomib, 1 mg

J9048 Inj, bortezomib freseniuskab

J9049 Inj, bortezomib, hospira

J9050 Carmustine injection

J9051 Inj, bortezomib (maia)

J9052 Inj, carmustine (accord)

J9054 Inj bortezomib boruzu 0.1 mg

J9055 Cetuximab injection

J9056 Inj, vivimusta, 1 mg

J9057 Inj., copanlisib, 1 mg

J9058 Inj apotex/bendamustine 1 mg

J9059 Inj bendamustine, baxter 1mg

J9060 Cisplatin 10 mg injection

J9061 Inj, amivantamab-vmjw

J9063 Inj, elahere, 1 mg

J9064 Inj, cabazitaxel (sandoz)

J9065 Inj cladribine per 1 mg

J9070 Cyclophosphamide 100 mg inj

J9071 Inj cyclophosphamd auromedic

J9072 Inj cyclophos frindovyx 5 mg

J9073 Inj cyclophos dr reddys 5 mg

J9074 Inj, cyclophosphamd, sandoz

J9075 Inj, cyclophosphamide, nos

J9076 Inj, cyclophos (baxter) 5mg

J9098 Cytarabine liposome inj

J9100 Cytarabine hcl 100 mg inj

J9118 Inj. calaspargase pegol-mknl

J9119 Inj., cemiplimab-rwlc, 1 mg

J9120 Dactinomycin injection

J9130 Dacarbazine 100 mg inj

J9144 Daratumumab, hyaluronidase

J9145 Injection, daratumumab 10 mg

J9150 Daunorubicin injection

J9151 Daunorubicin citrate inj

J9153 Inj daunorubicin, cytarabine

J9155 Degarelix injection

J9160 Denileukin diftitox inj

J9161 Inj denileuk difti-cxdl 1mcg

J9165 Diethylstilbestrol injection

J9171 Docetaxel injection

J9172 Docetaxel (docivyx), 1 mg

J9173 Inj., durvalumab, 10 mg

J9174 Inj, docetaxel (beizray) 1mg

J9175 Elliotts b solution per ml

J9176 Injection, elotuzumab, 1mg

J9177 Inj enfort vedo-ejfv 0.25mg

J9178 Inj, epirubicin hcl, 2 mg

J9179 Eribulin mesylate injection

J9181 Etoposide injection

J9184 Inj gemcitabin (avyxa) 200mg

J9185 Fludarabine phosphate inj

J9190 Fluorouracil injection

J9196 Inj gemcitabine hcl (accord)

J9198 Inj. infugem, 100 mg

J9199 Injection, infugem, 200 mg

J9200 Floxuridine injection

J9201 In gemcitabine hcl nos 200mg

J9202 Goserelin acetate implant

J9203 Gemtuzumab ozogamicin 0.1 mg

J9204 Inj mogamulizumab-kpkc, 1 mg

J9205 Inj irinotecan liposome 1 mg

J9206 Irinotecan injection

J9207 Ixabepilone injection

J9208 Ifosfamide injection

J9209 Mesna injection

J9210 Inj., emapalumab-lzsg, 1 mg

J9211 Idarubicin hcl injection

J9212 Interferon alfacon-1 inj

J9213 Interferon alfa-2a inj

J9214 Interferon alfa-2b inj

J9215 Interferon alfa-n3 inj

J9216 Interferon gamma 1-b inj

J9217 Leuprolide acetate suspnsion

J9218 Leuprolide acetate injeciton

J9219 Leuprolide acetate implant

J9220 Indigotindisulfonate sod 1mg

J9223 Inj. lurbinectedin, 0.1 mg

J9225 Vantas implant

J9226 Supprelin la implant

J9227 Inj. isatuximab-irfc 10 mg

J9228 Ipilimumab injection

J9229 Inj inotuzumab ozogam 0.1 mg

J9230 Mechlorethamine hcl inj

J9245 Inj melpha hydroch nos 50 mg

J9246 Inj., evomela, 1 mg

J9247 Inj, melphalan flufenami 1mg

J9248 Inj melphalan (hepzato) 1 mg

J9249 Inj, melphalan (apotex) 1 mg

J9250 Methotrexate sodium inj

J9255 Inj, methotrexate (accord)

J9256 Inj, nipocalimab-aahu, 3 mg

J9258 Paclitaxel (teva)

J9259 Paclitaxel (american regent)

J9260 Inj methotrexate sodium 50mg

J9261 Nelarabine injection

J9262 Inj, omacetaxine mep, 0.01mg

J9263 Oxaliplatin

J9264 Paclitaxel protein bound

J9265 Paclitaxel injection

J9266 Pegaspargase injection

J9267 Paclitaxel injection

J9268 Pentostatin injection

J9269 Inj. tagraxofusp-erzs 10 mcg

J9270 Plicamycin (mithramycin) inj

J9271 Inj pembrolizumab

J9272 Inj, dostarlimab-gxly, 10 mg

J9273 Inj tisotu vedotin-tftv, 1mg

J9274 Inj, tebentafusp-tebn, 1 mcg

J9275 Inj cosibelimab-ipdl, 2 mg

J9276 Inj zanidatamab-hrii, 2 mg

J9280 Mitomycin injection

J9281 Mitomycin instillation

J9282 Mitomycin intravesical inst

J9285 Inj, olaratumab, 10 mg

J9286 Inj glofitamab gxbm, 2.5 mg

J9289 Inj nivolumab 2 mg hyaluron

J9292 Inj, pemetrexed dipotassium

J9293 Mitoxantrone hydrochl / 5 mg

J9294 Inj pemetrexed, hospira 10mg

J9295 Injection, necitumumab, 1 mg

J9296 Inj pemetrexed (accord) 10mg

J9297 Inj pemetrexed (sandoz) 10mg

J9298 Inj nivol relatlimab 3mg/1mg

J9299 Injection, nivolumab

J9300 Gemtuzumab ozogamicin inj

J9301 Obinutuzumab inj

J9302 Ofatumumab injection

J9303 Panitumumab injection

J9304 Inj. pemetrexed, 10 mg

J9305 Inj. pemetrexed nos 10mg

J9306 Injection, pertuzumab, 1 mg

J9307 Pralatrexate injection

J9308 Injection, ramucirumab

J9309 Inj, polatuzumab vedotin 1mg

J9310 Rituximab injection

J9311 Inj rituximab, hyaluronidase

J9312 Inj., rituximab, 10 mg

J9313 Inj., lumoxiti, 0.01 mg

J9314 Inj pemetrexed (teva) 10mg

J9315 Romidepsin injection

J9316 Pertuzu, trastuzu, 10 mg

J9317 Sacituzumab govitecan-hziy

J9318 Inj romidepsin non-lyo 0.1mg

J9319 Inj romidepsin lyophil 0.1mg

J9320 Streptozocin injection

J9321 Inj epcoritamab-bysp 0.16 mg

J9322 Inj pemetrexed (bluepoint)

J9323 Inj pemetrexed ditromethamin

J9324 Inj, pemrydi rtu, 10 mg

J9325 Inj talimogene laherparepvec

J9326 Telisotuzumab vedotin-tllv

J9328 Temozolomide injection

J9329 Inj, tislelizumab-jsgr

J9330 Temsirolimus injection

J9331 Inj sirolimus prot part 1 mg

J9332 Inj efgartigimod 2mg

J9333 Inj rozanolixizum-noli 1 mg

J9334 Inj efgart-alfa 2mg hya-qvfc

J9340 Thiotepa injection

J9341 Inj thiotepa (tepylute) 1 mg

J9342 Inj thiotepa nos 1 mg

J9345 Inj, retifanlimab-dlwr, 1 mg

J9347 Inj, tremelimumab-actl, 1 mg

J9348 Inj. naxitamab-gqgk, 1 mg

J9349 Inj., tafasitamab-cxix

J9350 Inj mosunetuzumab-axgb, 1 mg

J9351 Topotecan injection

J9352 Injection trabectedin 0.1mg

J9353 Inj. margetuximab-cmkb, 5 mg

J9354 Inj, ado-trastuzumab emt 1mg

J9355 Inj trastuzumab excl biosimi

J9356 Inj. herceptin hylecta, 10mg

J9357 Valrubicin injection

J9358 Inj fam-trastu deru-nxki 1mg

J9359 Inj lon tesirin-lpyl 0.075mg

J9360 Vinblastine sulfate inj

J9361 Inj, efbemalenograstim alfa-

J9370 Vincristine sulfate 1 mg inj

J9371 Inj, vincristine sul lip 1mg

J9376 Inj pozelimab-bbfg, 1 mg

J9380 Inj teclistamab cqyv 0.5 mg

J9381 Inj teplizumab mzwv 5 mcg

J9382 Inj zenocutuzumab-zbco 1 mg

J9390 Vinorelbine tartrate inj

J9393 Inj, fulvestrant (teva)

J9394 Inj, fulvestrant (fresenius)

J9395 Injection, fulvestrant

J9400 Inj, ziv-aflibercept, 1mg

J9600 Porfimer sodium injection

J9999 Chemotherapy drug

Section J: Drugs Administered Other Than Oral Method

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