Emergency: 119
AMDA-IMIC

Section J: Drugs Administered Other Than Oral Method

1121 procedure codes. CMS quarterly release — October 2026.

HCPCS Level II codes are updated quarterly by CMS. This listing reflects the October 2026 quarterly release.
Code Description Pricing
J0013 Esketamine, nasal spray 00
J0120 Tetracyclin injection 51
J0121 Inj., omadacycline, 1 mg 51
J0122 Inj., eravacycline, 1 mg 51
J0129 Abatacept injection 51
J0130 Abciximab injection 51
J0131 Inj, acetaminophen (nos) 51
J0132 Acetylcysteine injection 51
J0133 Acyclovir injection 51
J0134 Inj acetaminophen -fresenius 51
J0136 Inj, acetaminophen (b braun) 51
J0137 Inj, acetaminophen (hikma) 51
J0138 Inj acetaminoph 10mg/ibu 3mg 51
J0139 Inj, adalimumab, 1 mg 51
J0153 Adenosine inj 1mg 51
J0162 Inj epinephrine (fresenius) 51
J0163 Epinephrine in nacl (endo) 51
J0164 Epinephrine in nacl (baxter) 51
J0165 Inj epinephrine nos 0.1 mg 51
J0166 Inj epinephrine (bpi) 51
J0167 Inj epinephrine (hospira) 51
J0168 Epinephrine (intl med sys) 51
J0169 Inj epinephrine (adrenalin) 51
J0174 Lecanemab-irmb, for iv inj 00
J0175 Inj, donanemab-azbt, 2 mg 51
J0177 Inj, aflibercept hd, 1 mg 51
J0178 Aflibercept injection 51
J0179 Inj, brolucizumab-dbll, 1 mg 51
J0180 Agalsidase beta injection 51
J0184 Inj, amisulpride, 1 mg 51
J0185 Inj., aprepitant, 1 mg 51
J0202 Injection, alemtuzumab 51
J0206 Inj allopurinol sodium 1 mg 51
J0207 Amifostine 51
J0208 Inj, pedmark, 100 mg 51
J0209 Inj, sod thiosulfate (hope) 51
J0210 Methyldopate hcl injection 51
J0211 Inj, nithiodote, 3mg / 125mg 51
J0216 Inj, alfentanil hcl, 500mcg 51
J0217 Inj velmanase alfa-tycv 1 mg 51
J0218 Inj olipudase alfa-rpcp 1mg 51
J0219 Inj aval alfa-nqpt 4mg 51
J0220 Alglucosidase alfa injection 51
J0221 Lumizyme injection 51
J0222 Inj., patisiran, 0.1 mg 51
J0223 Inj givosiran 0.5 mg 51
J0224 Inj. lumasiran, 0.5 mg 51
J0225 Inj, vutrisiran, 1 mg 51
J0248 Inj, remdesivir, 1 mg 51
J0256 Alpha 1 proteinase inhibitor 51
J0257 Glassia injection 51
J0270 Alprostadil for injection 51
J0275 Alprostadil urethral suppos 51
J0278 Amikacin sulfate injection 51
J0280 Aminophyllin 250 mg inj 51
J0281 Inj aminocaproic acid 1 gram 51
J0282 Amiodarone hcl 51
J0283 Inj, amiodarone (nexterone) 51
J0285 Amphotericin b 51
J0287 Amphotericin b lipid complex 51
J0289 Amphotericin b liposome inj 51
J0290 Ampicillin 500 mg inj 51
J0291 Inj., plazomicin, 5 mg 51
J0295 Ampicillin sulbactam 1.5 gm 51
J0300 Amobarbital 125 mg inj 51
J0330 Succinycholine chloride inj 51
J0348 Anidulafungin injection 51
J0349 Inj, rezafungin, 1 mg 51
J0360 Hydralazine hcl injection 51
J0364 Apomorphine hydrochloride 51
J0390 Chloroquine injection 51
J0391 Inj, artesunate, 1mg 51
J0400 Aripiprazole injection 51
J0401 Inj, abilify maintena, 1 mg 51
J0402 Inj, abilify asimtufii, 1 mg 51
J0456 Azithromycin 51
J0457 Injection, aztreonam, 100 mg 51
J0458 Aztreonam/avibactam 10 mg 51
J0461 Atropine sulfate injection 51
J0462 Atropine sulf, nte, 0.01 mg 51
J0463 Inj atropine (fresenius te) 51
J0470 Dimecaprol injection 51
J0475 Baclofen 10 mg injection 51
J0476 Baclofen intrathecal trial 51
J0480 Basiliximab 51
J0485 Belatacept injection 51
J0490 Belimumab injection 51
J0491 Inj anifrolumab-fnia 1mg 51
J0500 Dicyclomine injection 51
J0515 Inj benztropine mesylate 51
J0517 Inj., benralizumab, 1 mg 51
J0520 Bethanechol chloride inject 51
J0525 Inj cefotetan disodium 10 mg 51
J0528 Inj fosfomycin disodium 20mg 51
J0558 Peng benzathine/procaine inj 51
J0561 Penicillin g benzathine inj 51
J0565 Inj, bezlotoxumab, 10 mg 51
J0567 Inj., cerliponase alfa 1 mg 51
J0570 Buprenorphine implant 74.2mg 51
J0571 Buprenorphine oral 1mg 00
J0572 Bupren/nal up to 3mg bupreno 00
J0573 Bupren/nal 3.1 to 6mg bupren 00
J0574 Bupren/nal 6.1 to 10mg bupre 00
J0575 Bupren/nal over 10mg bupreno 00
J0577 Inj, brixadi, 7 days or less 51
J0578 Inj brixadi, more than 7 day 51
J0582 Bivalirudin (endo) 1 mg 51
J0583 Bivalirudin 51
J0584 Injection, burosumab-twza 1m 51
J0585 Injection,onabotulinumtoxina 51
J0586 Abobotulinumtoxina 51
J0587 Inj, rimabotulinumtoxinb 51
J0588 Incobotulinumtoxin a 51
J0589 Inj daxibotulinumtoxina-lanm 51
J0591 Inj deoxycholic acid, 1 mg 51
J0592 Buprenorphine hydrochloride 51
J0593 Inj., lanadelumab-flyo, 1 mg 51
J0594 Busulfan injection 51
J0595 Butorphanol tartrate 1 mg 51
J0596 Injection, ruconest 51
J0597 C-1 esterase, berinert 51
J0598 C-1 esterase, cinryze 51
J0599 Inj., haegarda 10 units 51
J0600 Edetate calcium disodium inj 51
J0601 Sevelamer carbonate 20 mg 57
J0602 Sevelamer carbonate pdr 20mg 57
J0603 Sevelamer hydrochloride 20mg 57
J0604 Cinacalcet, esrd on dialysis 51
J0605 Sucroferric oxyhydroxide 5mg 57
J0606 Inj, etelcalcetide, 0.1 mg 51
J0607 Lanthanum carbonate oral 5mg 57
J0608 Lanthanum carbonate pwdr 5mg 57
J0609 Ferric citrate orl 3 mg iron 57
J0612 Inj, calcium gluconate, nos 51
J0613 Calcium glucon (wg critical) 51
J0614 Inj, treosulfan, 50 mg 51
J0615 Calcium acetate, oral, 23 mg 57
J0616 Inj metoprolol tartrate 1 mg 51
J0618 Inj, calcium chloride, 2 mg 51
J0620 Calcium glycer & lact/10 ml 51
J0630 Calcitonin salmon injection 51
J0636 Inj calcitriol per 0.1 mcg 51
J0637 Caspofungin acetate 51
J0638 Canakinumab injection 51
J0640 Leucovorin calcium injection 51
J0641 Inj levoleucovorin nos 0.5mg 51
J0642 Injection, khapzory, 0.5 mg 51
J0643 Inj leucovorin calcium 1 mg 51
J0644 Inj, leucovorin cal (avyxa) 51
J0650 Inj, levothyroxine nos 10mcg 51
J0651 Inj, levothyroxine, freskabi 51
J0652 Inj, levothyroxine, hikma 51
J0654 Inj, liothyronine, 1 mcg 51
J0665 Inj, bupivacaine, nos, 0.5mg 51
J0666 Inj, bupivacaine liposome 51
J0668 Instill, bupivac and meloxic 51
J0670 Inj mepivacaine hcl/10 ml 51
J0675 Inj, carboprost, 0.1 mg 51
J0681 Inj ceftobipole medocarl 3mg 51
J0687 Inj cefazolin (wg crit care) 51
J0688 Inj cefazolin sodium, hikma 51
J0689 Inj cefazolin sodium, baxter 51
J0690 Cefazolin sodium injection 51
J0691 Inj lefamulin 1 mg 51
J0692 Cefepime hcl for injection 51
J0694 Cefoxitin sodium injection 51
J0695 Inj ceftolozane tazobactam 51
J0696 Ceftriaxone sodium injection 51
J0697 Sterile cefuroxime injection 51
J0698 Cefotaxime sodium injection 51
J0699 Inj, cefiderocol, 10 mg 51
J0701 Inj. cefepime hcl (baxter) 51
J0702 Betamethasone acet&sod phosp 51
J0703 Inj, cefepime hcl (b braun) 51
J0706 Caffeine citrate injection 51
J0712 Ceftaroline fosamil inj 51
J0713 Inj ceftazidime per 500 mg 51
J0714 Ceftazidime and avibactam 51
J0716 Centruroides immune f(ab) 51
J0717 Certolizumab pegol inj 1mg 51
J0720 Chloramphenicol sodium injec 51
J0725 Chorionic gonadotropin/1000u 51
J0735 Clonidine hydrochloride 51
J0736 Inj, clindamycin phosp 300mg 51
J0737 Inj, clindamycin (baxter) 51
J0738 Hiv prep, inj, lenacapavir 57
J0739 Hiv prep, inj, cabotegravir 57
J0740 Cidofovir injection 51
J0741 Inj, cabote rilpivir 2mg 3mg 51
J0742 Inj imip 4 cilas 4 releb 2mg 51
J0743 Cilastatin sodium injection 51
J0744 Ciprofloxacin iv 51
J0745 Inj codeine phosphate /30 mg 51
J0750 Hiv prep, ftc/tdf 200/300mg 57
J0751 Hiv prep, ftc/taf 200/25mg 57
J0752 Hiv prep, oral lenacapavir 57
J0759 Inj, clevidipine, 1 mg 51
J0770 Colistimethate sodium inj 51
J0775 Collagenase, clost hist inj 51
J0780 Prochlorperazine injection 51
J0791 Inj crizanlizumab-tmca 5mg 51
J0799 Hiv prep, fda approved, noc 46
J0801 Inj. acthar gel to 40 units 51
J0802 Inj. (ani), up to 40 units 51
J0834 Inj., cosyntropin, 0.25 mg 51
J0840 Crotalidae poly immune fab 51
J0841 Inj crotalidae im f(ab')2 eq 51
J0850 Cytomegalovirus imm iv /vial 51
J0870 Injection, imetelstat, 1 mg 51
J0871 Inj, daptomycin (endo) 1mg 51
J0872 Daptomycin (xellia) unrefrig 51
J0873 Inj daptomycin (xellia) 51
J0874 Inj, daptomycin (baxter) 51
J0875 Injection, dalbavancin 51
J0877 Inj, daptomycin (hospira) 51
J0878 Daptomycin injection 51
J0879 Difelikefalin, esrd on dialy 57
J0881 Darbepoetin alfa, non-esrd 51
J0882 Darbepoetin alfa, esrd use 57
J0883 Argatroban nonesrd use 1mg 51
J0884 Argatroban esrd dialysis 1mg 51
J0885 Epoetin alfa, non-esrd 51
J0887 Epoetin beta esrd use 57
J0888 Epoetin beta non esrd 57
J0890 Peginesatide injection 51
J0891 Argatroban nonesrd (accord) 51
J0892 Argatroban dialysis (accord) 51
J0893 Inj, decitabine (sun pharma) 51
J0894 Decitabine injection 51
J0895 Deferoxamine mesylate inj 51
J0896 Inj luspatercept-aamt 0.25mg 51
J0897 Denosumab injection 51
J0898 Argatroban nonesrd (auromed) 51
J0899 Argatroban dialysis, auromed 51
J0901 Vadadustat oral 1mg for esrd 51
J0911 Inst tauro 1.35mg/hep 100u 51
J0945 Brompheniramine maleate inj 51
J1000 Depo-estradiol cypionate inj 51
J1010 Inj, methylpred acetate 1 mg 51
J1050 Medroxyprogesterone acetate 51
J1071 Inj testosterone cypionate 51
J1072 Inj, testosterone, azmiro 51
J1073 Testosterone pellet 75 mg 51
J1095 Injection, dexamethasone 9% 53
J1096 Dexametha opth insert 0.1 mg 51
J1097 Phenylep ketorolac opth soln 51
J1098 Articaine ophthalmi 8% 0.4ml 51
J1100 Dexamethasone sodium phos 51
J1105 Dexmedetomidine film, 1 mcg 51
J1110 Inj dihydroergotamine mesylt 51
J1120 Acetazolamid sodium injectio 51
J1130 Inj diclofenac sodium 0.5mg 51
J1160 Digoxin injection 51
J1162 Digoxin immune fab (ovine) 51
J1163 Inj, diltiazem hcl, 0.5 mg 51
J1164 Inj diltiazem in 0.72% nacl 51
J1165 Phenytoin sodium injection 51
J1171 Inj, hydromorphone, 0.1 mg 51
J1180 Dyphylline injection 51
J1190 Dexrazoxane hcl injection 51
J1200 Diphenhydramine hcl injectio 51
J1201 Inj. cetirizine hcl 0.5mg 51
J1202 Miglustat oral 65 mg 51
J1203 Inj, cipaglucosidase, 5 mg 51
J1205 Chlorothiazide sodium inj 51
J1212 Dimethyl sulfoxide 50% 50 ml 51
J1230 Methadone injection 51
J1240 Dimenhydrinate injection 51
J1245 Dipyridamole injection 51
J1250 Inj dobutamine hcl/250 mg 51
J1260 Dolasetron mesylate 51
J1265 Dopamine injection 51
J1270 Injection, doxercalciferol 51
J1271 Inj doxycycline hyclate 1 mg 51
J1289 Narsoplimab-wuug, 1 mg 51
J1290 Ecallantide injection 51
J1299 Inj, eculizumab, 2 mg 51
J1301 Injection, edaravone, 1 mg 51
J1302 Inj, sutimlimab-jome, 10 mg 51
J1303 Inj., ravulizumab-cwvz 10 mg 51
J1304 Inj tofersen intrathec 1 mg 51
J1305 Inj, evinacumab-dgnb, 5mg 51
J1306 Injection, inclisiran, 1 mg 51
J1307 Inj, crovalimab-akkz, 10 mg 51
J1308 Inj, famotidine, 0.25 mg 51
J1320 Amitriptyline injection 51
J1322 Elosulfase alfa, injection 51
J1323 Inj, elranatamab-bcmm, 1 mg 51
J1324 Enfuvirtide injection 51
J1325 Epoprostenol injection 51
J1326 Inj, zolbetuximab-clzb, 2 mg 51
J1327 Eptifibatide injection 51
J1335 Ertapenem injection 51
J1364 Erythro lactobionate /500 mg 51
J1370 Inj, esomeprazole sod, 1 mg 51
J1380 Estradiol valerate 10 mg inj 51
J1410 Inj estrogen conjugate 25 mg 51
J1411 Inj, hemgenix, per tx dose 51
J1412 Inj roctavian ml 2x10^13vc g 51
J1413 Inj delandistrogene mox rokl 51
J1414 Inj, beqvez, per tx dose 51
J1426 Injection, casimersen, 10 mg 51
J1427 Inj. viltolarsen 51
J1428 Inj, eteplirsen, 10 mg 51
J1429 Inj golodirsen 10 mg 51
J1430 Ethanolamine oleate 100 mg 51
J1434 Inj, focinvez, 1mg 51
J1435 Injection estrone per 1 mg 51
J1436 Etidronate disodium inj 51
J1437 Inj. fe derisomaltose 10 mg 51
J1438 Etanercept injection 51
J1439 Inj ferric carboxymaltos 1mg 51
J1440 Fecal microbiota jslm 1 ml 13
J1442 Inj filgrastim excl biosimil 51
J1447 Inj tbo filgrastim 1 microg 51
J1448 Injection, trilaciclib, 1mg 51
J1449 Inj eflapegrastim-xnst 0.1mg 51
J1450 Fluconazole 51
J1451 Fomepizole, 15 mg 51
J1453 Fosaprepitant injection 51
J1454 Inj fosnetupitant, palonoset 51
J1455 Foscarnet sodium injection 51
J1456 Inj, fosaprepitant (teva) 51
J1458 Galsulfase injection 51
J1459 Inj ivig privigen 500 mg 51
J1460 Gamma globulin 1 cc inj 51
J1551 Inj cutaquig 100 mg 51
J1552 Inj, alyglo, 500 mg 51
J1553 Inj yimmugo 100 mg 51
J1554 Inj. asceniv 51
J1555 Inj cuvitru, 100 mg 51
J1556 Inj, imm glob bivigam, 500mg 51
J1557 Gammaplex injection 51
J1558 Inj. xembify, 100 mg 51
J1559 Hizentra injection 51
J1560 Gamma globulin > 10 cc inj 51
J1561 Gamunex-c/gammaked 51
J1566 Immune globulin, powder 51
J1568 Octagam injection 51
J1569 Gammagard liquid/erc inj 51
J1570 Ganciclovir sodium injection 51
J1571 Hepagam b im injection 51
J1572 Flebogamma injection 51
J1573 Hepagam b intravenous, inj 51
J1574 Inj, ganciclovir (exela) 51
J1575 Hyqvia 100mg immuneglobulin 51
J1576 Inj, panzyga, 500 mg 51
J1577 Inj, qivigy, 100mg 51
J1580 Garamycin gentamicin inj 51
J1595 Injection glatiramer acetate 51
J1596 Inj, glycopyrrolate, 0.1 mg 51
J1597 Inj glycopyrrolate, glyrx-pf 51
J1598 Inj glycopyrrolate fres kabi 51
J1599 Ivig non-lyophilized, nos 51
J1600 Gold sodium thiomaleate inj 51
J1602 Golimumab for iv use 1mg 51
J1610 Glucagon hydrochloride/1 mg 51
J1611 Inj glucagon hcl, fresenius 51
J1612 Inj glucagon (gvoke) 0.01 mg 51
J1626 Granisetron hcl injection 51
J1627 Inj, granisetron, xr, 0.1 mg 51
J1628 Inj., guselkumab, 1 mg 51
J1630 Haloperidol injection 51
J1631 Haloperidol decanoate inj 51
J1632 Inj., brexanolone, 1 mg 51
J1640 Hemin, 1 mg 51
J1642 Inj heparin sodium per 10 u 51
J1643 Inj heparin, pfizer, 1000u 51
J1644 Inj heparin sodium per 1000u 51
J1645 Dalteparin sodium 51
J1650 Inj enoxaparin sodium 51
J1652 Fondaparinux sodium 51
J1670 Tetanus immune globulin inj 51
J1675 Histrelin acetate 51
J1700 Hydrocortisone acetate inj 51
J1720 Hydrocortisone sodium succ i 51
J1726 Makena, 10 mg 51
J1729 Inj hydroxyprogst capoat nos 51
J1730 Diazoxide injection 51
J1736 Inj meloxicam (delova) 1mg 51
J1737 Inj meloxicam (azurity) 1mg 51
J1738 Inj. meloxicam 1 mg 51
J1740 Ibandronate sodium injection 51
J1741 Ibuprofen injection 51
J1742 Ibutilide fumarate injection 51
J1743 Idursulfase injection 51
J1744 Icatibant injection 51
J1745 Infliximab not biosimil 10mg 51
J1746 Inj., ibalizumab-uiyk, 10 mg 51
J1747 Inj, spesolimab-sbzo, 1 mg 51
J1748 Inj, zymfentra, 10 mg 51
J1749 Inj, iloprost, 0.1 mcg 51
J1750 Inj iron dextran 51
J1756 Iron sucrose injection 51
J1757 Inj tivideno alfa-eknm 1 51
J1786 Imuglucerase injection 51
J1790 Droperidol injection 51
J1800 Propranolol injection 51
J1805 Inj, esmolol hcl, 10mg 51
J1806 Inj esmolol hcl wg crit care 51
J1807 Inj, ethacrynate sod, 1 mg 51
J1808 Inj, folic acid, 0.1 mg 51
J1809 Inj, fosdenopterin, 0.1mg 51
J1811 Fiasp for insulin pump use 51
J1812 Inj. insulin (fiasp) 51
J1813 Lyumjev for insulin pump use 51
J1814 Inj. insulin (lyumjev) 51
J1815 Insulin injection 51
J1817 Insulin for insulin pump use 51
J1818 Inj pegzilarginase-nbln 51
J1823 Inj. inebilizumab-cdon, 1 mg 51
J1826 Interferon beta-1a inj 00
J1830 Interferon beta-1b / .25 mg 51
J1833 Injection, isavuconazonium 51
J1834 Inj, isoniazid, 1 mg 51
J1835 Itraconazole injection 51
J1836 Inj, metronidazole, 10 mg 51
J1837 Inj, posaconazole, 1 mg 51
J1885 Ketorolac tromethamine inj 51
J1920 Inj, labetalol hcl, 5mg 51
J1921 Inj labetalol hcl hikma, 5mg 51
J1930 Lanreotide injection 51
J1931 Laronidase injection 51
J1932 Inj, lanreotide, (cipla) 1mg 51
J1938 Inj, furosemide, 1 mg 51
J1939 Inj, bumetanide, 0.5 mg 51
J1941 Inj, furoscix, 20 mg 51
J1943 Inj., aristada initio, 1 mg 51
J1944 Aripiprazole lauroxil 1 mg 51
J1946 Inj, furose lasix onyu, 1 mg 51
J1947 Inj, furoscix, 1 mg 51
J1950 Leuprolide acetate /3.75 mg 51
J1951 Inj fensolvi 0.25 mg 51
J1952 Leuprolide inj, camcevi, 1mg 51
J1953 Levetiracetam injection 51
J1954 Inj leu acet lutr dpt 7.5 mg 51
J1955 Inj levocarnitine per 1 gm 51
J1956 Levofloxacin injection 51
J1957 Injection levetiracetam 5 mg 51
J1958 Inj levetirac sodi chlo 5 mg 51
J1960 Levorphanol tartrate inj 51
J1961 Inj lenacapavir (hiv tx) 1mg 51
J1980 Hyoscyamine sulfate inj 51
J1990 Chlordiazepoxide injection 51
J2002 Inj, lidocaine in d5w, 1 mg 51
J2003 Inj, lidocaine hcl, 1 mg 51
J2004 Inj, lidocaine w epinephrine 51
J2010 Lincomycin injection 51
J2020 Linezolid injection 51
J2021 Inj, linezolid (hospira) 51
J2060 Lorazepam injection 51
J2062 Loxapine for inhalation 1 mg 51
J2151 Inj, mannitol, 250 mg 51
J2170 Mecasermin injection 51
J2175 Meperidine hydrochl /100 mg 51
J2180 Meperidine/promethazine inj 51
J2182 Injection, mepolizumab, 1mg 51
J2183 Inj meropenem (wg crit care) 51
J2184 Inj, meropenem (b. braun) 51
J2185 Meropenem 51
J2186 Inj., meropenem, vaborbactam 51
J2210 Methylergonovin maleate inj 51
J2212 Methylnaltrexone injection 51
J2246 Inj, micafungin (baxter) 51
J2247 Inj, micafungin (par pharm) 51
J2248 Micafungin sodium injection 51
J2249 Inj, remimazolam, 1 mg 51
J2250 Inj midazolam hydrochloride 51
J2251 Inj midazolam in 0.9% nacl 51
J2252 Inj midazolam in 0.8% nacl 51
J2253 Inj midazolam (seizalam) 51
J2260 Inj milrinone lactate / 5 mg 51
J2265 Minocycline hydrochloride 51
J2267 Inj, mirikizumab-mrkz, 1 mg 51
J2270 Morphine sulfate injection 51
J2272 Inj, morphine (fresenius) 51
J2274 Inj morphine pf epid ithc 51
J2277 Inj, motixafortide, 0.25 mg 51
J2278 Ziconotide injection 51
J2280 Inj, moxifloxacin 100 mg 51
J2281 Inj moxifloxacin (fres kabi) 51
J2290 Inj, nafcillin sodium, 20 mg 51
J2291 Inj, nafcillin (baxter) 20mg 51
J2300 Inj nalbuphine hydrochloride 51
J2305 Inj, nitroglycerin, 5 mg 51
J2312 Inj naloxone hcl nos, 0.01mg 51
J2313 Inj, naloxone (zimhi) 0.01mg 51
J2315 Naltrexone, depot form 51
J2320 Nandrolone decanoate 50 mg 51
J2323 Natalizumab injection 51
J2325 Nesiritide injection 51
J2326 Inj, nusinersen, 0.1mg 51
J2327 Inj risankizumab-rzaa 1 mg 51
J2329 Inj ublituximab-xiiy, 1 mg 51
J2350 Injection, ocrelizumab, 1 mg 51
J2351 Inj ocrelizumab 1mg hya-ocsq 51
J2353 Octreotide injection, depot 51
J2354 Octreotide inj, non-depot 51
J2355 Oprelvekin injection 51
J2356 Inj tezepelumab-ekko, 1mg 51
J2357 Omalizumab injection 51
J2358 Olanzapine long-acting inj 51
J2359 Inj. olanzapine, 0.5mg 51
J2360 Orphenadrine injection 51
J2361 Inj depemokimab-ulaa 1 mg 51
J2371 Inj phenylephrine hcl 20 mcg 51
J2372 Inj, biorphen, 20 micrograms 51
J2373 Inj, immphentiv, 20 mcg 51
J2374 Apraclonidine hcl opht 0.1ml 51
J2401 Chloroprocaine hcl injection 51
J2402 Chloroprocaine (clorotekal) 51
J2403 Chloroprocaine opht gel, 1mg 51
J2404 Inj, nicardipine 0.1 mg 51
J2405 Ondansetron hcl injection 51
J2406 Injection, oritavancin 10 mg 51
J2407 Injection, oritavancin 51
J2410 Oxymorphone hcl injection 51
J2425 Palifermin injection 51
J2426 Inj, invega sustenna, 1 mg 51
J2427 Inj, invega hafyera/trinza 51
J2428 Inj, erzofri, 1 mg 51
J2430 Pamidronate disodium /30 mg 51
J2440 Papaverin hcl injection 51
J2460 Oxytetracycline injection 51
J2468 Inj, palonosetron (posfrea) 51
J2469 Palonosetron hcl 51
J2470 Inj pantoprazole sodium 40mg 51
J2471 Inj pantoprazole(hikma) 40mg 51
J2472 Inj, pantoprazole sodium chl 51
J2501 Paricalcitol 51
J2502 Inj, pasireotide long acting 51
J2506 Inj pegfilgrast ex bio 0.5mg 51
J2507 Pegloticase injection 51
J2508 Pegunigalsidase alfa-iwxj 51
J2510 Penicillin g procaine inj 51
J2515 Pentobarbital sodium inj 51
J2516 Inj, pentamidine isethionate 51
J2540 Penicillin g potassium inj 51
J2543 Piperacillin/tazobactam 51
J2545 Pentamidine non-comp unit 51
J2547 Injection, peramivir 51
J2550 Promethazine hcl injection 51
J2560 Phenobarbital sodium inj 51
J2561 Inj, sezaby, 1 mg 51
J2562 Plerixafor injection 51
J2590 Oxytocin injection 51
J2596 Vasopressin (long grove) 1 u 51
J2597 Inj desmopressin acetate 51
J2598 Inj, vasopressin, 1 unit 51
J2599 Inj vasopressin (am reg) 1 u 51
J2601 Inj, vasopressin (baxter) 51
J2650 Prednisolone acetate inj 51
J2670 Totazoline hcl injection 51
J2675 Inj progesterone per 50 mg 51
J2679 Inj fluphenazine hcl 1.25 mg 51
J2680 Fluphenazine decanoate 25 mg 51
J2690 Procainamide hcl injection 51
J2700 Oxacillin sodium injeciton 51
J2704 Inj, propofol, 10 mg 51
J2710 Neostigmine methylslfte inj 51
J2711 Inj neostigmin/glycopyrrolat 51
J2720 Inj protamine sulfate/10 mg 51
J2724 Protein c concentrate 51
J2725 Inj protirelin per 250 mcg 51
J2730 Pralidoxime chloride inj 51
J2760 Phentolaine mesylate inj 51
J2765 Metoclopramide hcl injection 51
J2770 Quinupristin/dalfopristin 51
J2777 Inj, faricimab-svoa, 0.1mg 51
J2778 Ranibizumab injection 51
J2779 Inj, susvimo 0.1 mg 51
J2781 Inj, pegcetacoplan, 1mg 51
J2782 Inj avacincaptad pegol 0.1mg 51
J2783 Rasburicase 51
J2785 Regadenoson injection 51
J2786 Injection, reslizumab, 1mg 51
J2787 Riboflavin photrexa/viscous 51
J2788 Rho d immune globulin 50 mcg 51
J2789 Riboflavin epioxa/hd<=2ml 51
J2790 Rho d immune globulin inj 51
J2791 Rhophylac injection 51
J2792 Rho(d) immune globulin h, sd 51
J2793 Rilonacept injection 51
J2794 Inj risperdal consta, 0.5 mg 51
J2795 Ropivacaine hcl injection 51
J2797 Inj., rolapitant, 0.5 mg 51
J2798 Inj., perseris, 0.5 mg 51
J2799 Inj, uzedy, 1 mg 51
J2800 Methocarbamol injection 51
J2801 Inj, rykindo, 0.5 mg 51
J2802 Inj, romiplostim 1 microgram 51
J2804 Inj, rifampin, 1 mg 51
J2805 Sincalide injection 51
J2810 Inj theophylline per 40 mg 51
J2820 Sargramostim injection 51
J2840 Inj sebelipase alfa 1 mg 51
J2850 Inj secretin synthetic human 51
J2860 Injection, siltuximab 51
J2865 Inj sulfameth/trim 5 mg/1 mg 51
J2916 Na ferric gluconate complex 51
J2919 Inj, methylpred sod succ 5mg 51
J2941 Somatropin injection 51
J2950 Promazine hcl injection 51
J2993 Reteplase injection 51
J2997 Alteplase recombinant 51
J2998 Inj plasminogen tvmh 1mg 51
J3000 Streptomycin injection 51
J3010 Fentanyl citrate injection 51
J3030 Sumatriptan succinate / 6 mg 51
J3031 Inj., fremanezumab-vfrm 1 mg 51
J3032 Inj. eptinezumab-jjmr 1 mg 51
J3055 Inj talquetamab-tgvs 0.25 mg 51
J3060 Inj, taliglucerase alfa 10 u 51
J3070 Pentazocine injection 51
J3090 Inj tedizolid phosphate 51
J3095 Telavancin injection 51
J3101 Tenecteplase injection 51
J3105 Terbutaline sulfate inj 51
J3110 Teriparatide injection 51
J3111 Inj. romosozumab-aqqg 1 mg 51
J3121 Inj testostero enanthate 1mg 51
J3145 Testosterone undecanoate 1mg 51
J3230 Chlorpromazine hcl injection 51
J3240 Thyrotropin injection 51
J3241 Inj. teprotumumab-trbw 10 mg 51
J3243 Tigecycline injection 51
J3244 Inj. tigecycline (accord) 51
J3245 Inj., tildrakizumab, 1 mg 51
J3246 Tirofiban hcl 51
J3247 Inj secukinumab intrav 1mg 51
J3250 Trimethobenzamide hcl inj 51
J3260 Tobramycin sulfate injection 51
J3262 Tocilizumab injection 51
J3263 Inj, toripalimab-tpzi, 1 mg 51
J3265 Injection torsemide 10 mg/ml 51
J3268 Injection, delafloxacin 51
J3285 Treprostinil injection 51
J3290 Inj, tranexamic acid 5 mg 00
J3291 Tranexamic acid in sod chlor 00
J3299 Inj xipere 1 mg 51
J3300 Triamcinolone a inj prs-free 51
J3301 Triamcinolone acet inj nos 51
J3302 Triamcinolone diacetate inj 51
J3303 Triamcinolone hexacetonl inj 51
J3304 Inj triamcinolone ace xr 1mg 51
J3315 Triptorelin pamoate 51
J3316 Inj., triptorelin xr 3.75 mg 51
J3350 Urea injection 51
J3357 Ustekinumab sub cu inj, 1 mg 51
J3358 Ustekinumab, iv inject, 1 mg 51
J3360 Diazepam injection 51
J3373 Inj, vancomycin hcl, 10 mg 51
J3374 Inj, vancomycin (mylan) 10mg 51
J3375 Inj, vanco (tyzavan) 10mg 51
J3376 Inj vancomycin (hikma) 10mg 51
J3379 Inj, valproate sod, 5 mg 51
J3380 Inj vedolizumab iv 1 mg 51
J3385 Velaglucerase alfa 51
J3386 Etuvetidigene autotemecel 51
J3387 Inj elivaldogene autotemecel 51
J3389 Topi adm prad zami per treat 51
J3391 Inj, atidarsagene autotemcel 51
J3392 Inj, exagamglogene autotem 51
J3393 Inj, betibeglogene autotemce 51
J3394 Inj, lovotibeglogene autotem 51
J3396 Verteporfin injection 51
J3397 Inj., vestronidase alfa-vjbk 51
J3398 Inj luxturna 1 billion vec g 51
J3399 Inj onase abepar-xioi treat 51
J3401 Vyjuvek 5x10^9pfu/ml, 0.1 ml 51
J3402 Inj. remestemcel-l-rknd/ td 51
J3403 Revakinagene, per implant 51
J3404 Inj zopapogene per ther dose 51
J3405 Inj onase abepar-brve treat 51
J3406 Inj omidubicel-onlv, tx dose 51
J3410 Hydroxyzine hcl injection 51
J3411 Thiamine hcl 100 mg 51
J3415 Pyridoxine hcl 100 mg 51
J3420 Vitamin b12 injection 51
J3424 Inj hydroxocobalamin iv 25mg 51
J3425 Hydroxocobalamin im 10mcg 51
J3430 Vitamin k phytonadione inj 51
J3465 Injection, voriconazole 51
J3470 Hyaluronidase injection 51
J3471 Ovine, up to 999 usp units 51
J3472 Ovine, 1000 usp units 51
J3473 Hyaluronidase recombinant 51
J3475 Inj magnesium sulfate 51
J3480 Inj potassium chloride 51
J3485 Zidovudine 51
J3486 Ziprasidone mesylate 51
J3489 Zoledronic acid 1mg 51
J3490 Drugs unclassified injection 51
J3520 Edetate disodium per 150 mg 00
J3530 Nasal vaccine inhalation 51
J3535 Metered dose inhaler drug 00
J3570 Laetrile amygdalin vit b17 00
J3590 Unclassified biologics 51
J3591 Esrd on dialysi drug/bio noc 51
J7030 Normal saline solution infus 51
J7040 Normal saline solution infus 51
J7042 5% dextrose/normal saline 51
J7050 Normal saline solution infus 51
J7060 5% dextrose/water 51
J7070 D5w infusion 51
J7100 Dextran 40 infusion 51
J7110 Dextran 75 infusion 51
J7120 Ringers lactate infusion 51
J7121 5% dextrose in lac ringers 51
J7131 Hypertonic saline sol 51
J7165 Inj, human-lans, per i.u 51
J7168 Prothrombin complex kcentra 51
J7169 Inj andexxa, 10 mg 51
J7170 Inj., emicizumab-kxwh 0.5 mg 51
J7171 Inj, adzynma, 10 iu 51
J7172 Inj marstacim-hncq, 0.5 mg 51
J7173 Inj. concizumab-mtci, 0.5 mg 51
J7174 Injection fitusiran 0.04 mg 51
J7175 Inj, factor x, (human), 1iu 51
J7176 Inj. fesilty, 1 mg 51
J7177 Inj., fibryga, 1 mg 51
J7178 Inj human fibrinogen con nos 51
J7179 Vonvendi inj 1 iu vwf:rco 51
J7180 Factor xiii anti-hem factor 51
J7181 Factor xiii recomb a-subunit 51
J7182 Factor viii recomb novoeight 51
J7183 Wilate injection 51
J7185 Xyntha inj 51
J7186 Antihemophilic viii/vwf comp 51
J7187 Humate-p, inj 51
J7188 Factor viii recomb obizur 51
J7189 Factor viia recomb novoseven 51
J7190 Factor viii 51
J7191 Factor viii (porcine) 51
J7192 Factor viii recombinant nos 51
J7193 Factor ix non-recombinant 51
J7194 Factor ix complex 51
J7195 Factor ix recombinant nos 51
J7196 Antithrombin recombinant 51
J7197 Antithrombin iii injection 51
J7198 Anti-inhibitor 51
J7199 Hemophilia clot factor noc 51
J7200 Factor ix recombinan rixubis 51
J7201 Factor ix alprolix recomb 51
J7202 Factor ix idelvion inj 51
J7203 Factor ix recomb gly rebinyn 51
J7204 Inj recombin esperoct per iu 51
J7205 Factor viii fc fusion recomb 51
J7207 Factor viii pegylated recomb 51
J7208 Inj. jivi 1 iu 51
J7209 Factor viii nuwiq recomb 1iu 51
J7210 Inj, afstyla, 1 i.u. 51
J7211 Inj, kovaltry, 1 i.u. 51
J7212 Factor viia recomb sevenfact 51
J7213 Inj, ixinity, 1 i.u. 51
J7214 Altuviiio per factor viii iu 51
J7294 Seg acet and eth estr yearly 00
J7295 Eth estr and eton monthly 00
J7296 Kyleena, 19.5 mg 00
J7297 Liletta, 52 mg 00
J7298 Mirena, 52 mg 00
J7299 Intraut copp cont (miudella) 00
J7300 Intra copp contra (paragard) 00
J7301 Skyla, 13.5 mg 00
J7304 Contraceptive hormone patch 00
J7306 Levonorgestrel implant sys 00
J7307 Etonogestrel implant system 00
J7308 Aminolevulinic acid hcl top 51
J7311 Inj., retisert, 0.01 mg 51
J7312 Dexamethasone intra implant 51
J7313 Inj., iluvien, 0.01 mg 51
J7314 Inj., yutiq, 0.01 mg 51
J7315 Ophthalmic mitomycin 51
J7316 Inj, ocriplasmin, 0.125 mg 51
J7318 Inj, durolane 1 mg 51
J7320 Genvisc 850, inj, 1mg 51
J7321 Hyalgan supartz visco-3 dose 51
J7322 Hyaluronan, hymo or hymo one 51
J7323 Euflexxa inj per dose 51
J7324 Orthovisc inj per dose 51
J7325 Synvisc or synvisc-one 51
J7326 Gel-one 51
J7327 Monovisc inj per dose 51
J7328 Gelsyn-3 injection 0.1 mg 51
J7329 Inj, trivisc 1 mg 51
J7330 Cultured chondrocytes implnt 57
J7331 Synojoynt, inj., 1 mg 51
J7332 Inj., triluron, 1 mg 51
J7336 Capsaicin 8% patch 51
J7340 Carbidopa levodopa ent 100ml 51
J7342 Ciprofloxacin otic susp 6 mg 51
J7345 Aminolevulinic acid, 10% gel 51
J7351 Inj bimatoprost itc imp1mcg 51
J7352 Afamelanotide implant, 1 mg 51
J7353 Anacaulase-bcdb 8.8% gel 1 g 51
J7354 Cantharidin top, applicator 51
J7355 Inj travoprost intra impl 51
J7356 Inj foscarb/foslevodopa 5 mg 51
J7402 Mometasone sinus sinuva 51
J7500 Azathioprine oral 50mg 51
J7501 Azathioprine parenteral 51
J7502 Cyclosporine oral 100 mg 57
J7503 Tacrol envarsus ex rel oral 51
J7504 Lymphocyte immune globulin 51
J7507 Tacrolimus imme rel oral 1mg 51
J7508 Tacrol astagraf ex rel oral 51
J7509 Methylprednisolone oral 51
J7510 Prednisolone oral per 5 mg 51
J7511 Antithymocyte globuln rabbit 51
J7512 Prednisone ir or dr oral 1mg 51
J7514 Mycophenol (myhibbin) 100 mg 51
J7515 Cyclosporine oral 25 mg 51
J7516 Inj, cyclosporine 250mg 51
J7517 Mycophenolate mofetil oral 51
J7518 Mycophenolic acid 51
J7519 Inj. mycophenolate mofetil 51
J7520 Sirolimus, oral 51
J7521 Tacrolim granules oral susp 51
J7524 Mycophenol mofetil oral 5 mg 51
J7525 Tacrolimus injection 51
J7526 Inj mycophenola mofetil 5 mg 51
J7527 Oral everolimus 51
J7528 Mycophen mofetil for susp 51
J7529 Mycop mofetil susp oral 5 mg 51
J7530 Mycophenolat (myhibbin) 5 mg 51
J7531 Pred sod pho ora dis ta 1 mg 51
J7599 Immunosuppressive drug noc 51
J7601 Ensifentrine inh 3 mg 51
J7604 Acetylcysteine comp unit 51
J7605 Arformoterol non-comp unit 51
J7606 Formoterol fumarate, inh 51
J7607 Levalbuterol comp con 51
J7608 Acetylcysteine non-comp unit 51
J7609 Albuterol comp unit 51
J7610 Albuterol comp con 51
J7611 Albuterol non-comp con 00
J7612 Levalbuterol non-comp con 00
J7613 Albuterol non-comp unit 00
J7614 Levalbuterol non-comp unit 00
J7615 Levalbuterol comp unit 51
J7620 Albuterol ipratrop non-comp 51
J7622 Beclomethasone comp unit 51
J7624 Betamethasone comp unit 51
J7626 Budesonide non-comp unit 51
J7627 Budesonide comp unit 51
J7628 Bitolterol mesylate comp con 51
J7629 Bitolterol mesylate comp unt 51
J7631 Cromolyn sodium noncomp unit 51
J7632 Cromolyn sodium comp unit 51
J7633 Budesonide non-comp con 51
J7634 Budesonide comp con 51
J7635 Atropine comp con 51
J7636 Atropine comp unit 51
J7637 Dexamethasone comp con 51
J7638 Dexamethasone comp unit 51
J7639 Dornase alfa non-comp unit 51
J7640 Formoterol comp unit 00
J7641 Flunisolide comp unit 51
J7642 Glycopyrrolate comp con 51
J7643 Glycopyrrolate comp unit 51
J7644 Ipratropium bromide non-comp 51
J7645 Ipratropium bromide comp 51
J7647 Isoetharine comp con 51
J7648 Isoetharine non-comp con 51
J7649 Isoetharine non-comp unit 51
J7650 Isoetharine comp unit 51
J7657 Isoproterenol comp con 51
J7658 Isoproterenol non-comp con 51
J7659 Isoproterenol non-comp unit 51
J7660 Isoproterenol comp unit 51
J7665 Mannitol for inhaler 51
J7667 Metaproterenol comp con 51
J7668 Metaproterenol non-comp con 51
J7669 Metaproterenol non-comp unit 51
J7670 Metaproterenol comp unit 51
J7674 Methacholine chloride, neb 51
J7676 Pentamidine comp unit dose 51
J7677 Revefenacin inh non-com 1mcg 51
J7680 Terbutaline sulf comp con 51
J7681 Terbutaline sulf comp unit 51
J7682 Tobramycin non-comp unit 51
J7683 Triamcinolone comp con 51
J7684 Triamcinolone comp unit 51
J7685 Tobramycin comp unit 51
J7686 Treprostinil, non-comp unit 51
J7699 Inhalation solution for dme 51
J7799 Non-inhalation drug for dme 51
J7999 Compounded drug, noc 51
J8498 Antiemetic rectal/supp nos 51
J8499 Oral prescrip drug non chemo 00
J8501 Oral aprepitant 51
J8502 Inj, aponvie, 1 mg 51
J8510 Oral busulfan 51
J8515 Cabergoline, oral 0.25mg 00
J8522 Capecitabine, oral, 50 mg 51
J8530 Cyclophosphamide oral 25 mg 51
J8540 Oral dexamethasone 51
J8541 Oral, hemady, 0.25 mg 51
J8560 Etoposide oral 50 mg 51
J8565 Gefitinib oral 00
J8597 Antiemetic drug oral nos 51
J8600 Melphalan oral 2 mg 51
J8610 Methotrexate oral 2.5 mg 51
J8611 Oral methotrexate (jylamvo) 51
J8612 Oral methotrexate (xatmep) 51
J8655 Oral netupitant, palonosetro 51
J8670 Rolapitant, oral, 1mg 51
J8700 Temozolomide 51
J8705 Topotecan oral 51
J8999 Oral prescription drug chemo 51
J9000 Doxorubicin hcl injection 51
J9003 Leupro inj, camcevi etm, 1mg 51
J9011 Datopotamab deruxtecan, 1 mg 51
J9015 Aldesleukin injection 51
J9017 Arsenic trioxide injection 51
J9021 Inj, aspara, rylaze, 0.1 mg 51
J9022 Inj, atezolizumab,10 mg 51
J9023 Injection, avelumab, 10 mg 51
J9024 Inj atezolizumb 5mg hya-tqjs 51
J9025 Azacitidine injection 51
J9026 Inj, tarlatamab-dlle, 1 mg 51
J9027 Clofarabine injection 51
J9028 Inj, nogapendekin pmln, 1mcg 51
J9029 Instill adstiladrin, tx dose 51
J9030 Bcg live intravesical 1mg 51
J9032 Injection, belinostat, 10mg 51
J9033 Inj, bendamustine (nos) 1mg 51
J9034 Inj., bendeka 1 mg 51
J9035 Bevacizumab injection 51
J9036 Inj. belrapzo/bendamustine 51
J9038 Inj axatilimab-csfr 0.1 mg 51
J9039 Injection, blinatumomab 51
J9040 Bleomycin sulfate injection 51
J9041 Injection, bortezomib, 0.1mg 51
J9042 Brentuximab vedotin inj 51
J9043 Cabazitaxel injection 51
J9045 Carboplatin injection 51
J9046 Inj, bortezomib, dr. reddy's 51
J9047 Injection, carfilzomib, 1 mg 51
J9048 Inj, bortezomib freseniuskab 51
J9049 Inj, bortezomib, hospira 51
J9050 Carmustine injection 51
J9051 Inj, bortezomib (maia) 51
J9052 Inj, carmustine (accord) 51
J9053 Inj belantamab mafodot blmf 51
J9054 Inj bortezomib boruzu 0.1 mg 51
J9055 Cetuximab injection 51
J9056 Inj, vivimusta, 1 mg 51
J9057 Inj., copanlisib, 1 mg 51
J9060 Cisplatin 10 mg injection 51
J9061 Inj, amivantamab-vmjw 51
J9062 Inj amivantamab 5mg hyaluron 51
J9063 Inj, elahere, 1 mg 51
J9064 Inj, cabazitaxel (sandoz) 51
J9065 Inj cladribine per 1 mg 51
J9066 Inj bendamustine, avyxa 1mg 51
J9071 Inj cyclophosphamd auromedic 51
J9072 Inj cyclophos frindovyx 5 mg 51
J9073 Inj cyclophos dr reddys 5 mg 51
J9074 Inj, cyclophosphamd, sandoz 51
J9075 Inj, cyclophosphamide, nos 51
J9076 Inj, cyclophos (baxter) 5mg 51
J9100 Cytarabine hcl 100 mg inj 51
J9118 Inj. calaspargase pegol-mknl 51
J9119 Inj., cemiplimab-rwlc, 1 mg 51
J9120 Dactinomycin injection 51
J9130 Dacarbazine 100 mg inj 51
J9144 Daratumumab, hyaluronidase 51
J9145 Injection, daratumumab 10 mg 51
J9150 Daunorubicin injection 51
J9153 Inj daunorubicin, cytarabine 51
J9155 Degarelix injection 51
J9161 Inj denileuk difti-cxdl 1mcg 51
J9171 Docetaxel injection 51
J9172 Docetaxel (docivyx), 1 mg 51
J9173 Inj., durvalumab, 10 mg 51
J9174 Inj, docetaxel (beizray) 1mg 51
J9175 Elliotts b solution per ml 51
J9176 Injection, elotuzumab, 1mg 51
J9177 Inj enfort vedo-ejfv 0.25mg 51
J9178 Inj, epirubicin hcl, 2 mg 51
J9179 Eribulin mesylate injection 51
J9181 Etoposide injection 51
J9183 Gemcitabine intravesical sys 51
J9184 Inj gemcitabin (avyxa) 200mg 51
J9185 Fludarabine phosphate inj 51
J9186 Inj etoposide (avyxa), 1 mg 51
J9187 Inj, etoposide, 1 mg 51
J9190 Fluorouracil injection 51
J9191 Inj fluorouracil (avyxa)10mg 51
J9192 Inj, fluorouracil, 10 mg 51
J9196 Inj gemcitabine hcl (accord) 51
J9198 Inj. infugem, 100 mg 51
J9200 Floxuridine injection 51
J9201 In gemcitabine hcl nos 200mg 51
J9202 Goserelin acetate implant 51
J9203 Gemtuzumab ozogamicin 0.1 mg 51
J9204 Inj mogamulizumab-kpkc, 1 mg 51
J9205 Inj irinotecan liposome 1 mg 51
J9206 Irinotecan injection 51
J9207 Ixabepilone injection 51
J9208 Ifosfamide injection 51
J9209 Mesna injection 51
J9210 Inj., emapalumab-lzsg, 1 mg 51
J9211 Idarubicin hcl injection 51
J9213 Interferon alfa-2a inj 51
J9214 Interferon alfa-2b inj 51
J9215 Interferon alfa-n3 inj 51
J9216 Interferon gamma 1-b inj 51
J9217 Leuprolide acetate suspnsion 51
J9218 Leuprolide acetate injeciton 51
J9219 Leuprolide acetate implant 51
J9220 Indigotindisulfonate sod 1mg 51
J9223 Inj. lurbinectedin, 0.1 mg 51
J9225 Vantas implant 51
J9226 Supprelin la implant 51
J9227 Inj. isatuximab-irfc 10 mg 51
J9228 Ipilimumab injection 51
J9229 Inj inotuzumab ozogam 0.1 mg 51
J9230 Mechlorethamine hcl inj 51
J9232 Inj docetaxel (hospira) 1 mg 51
J9245 Inj melpha hydroch nos 50 mg 51
J9246 Inj., evomela, 1 mg 51
J9248 Inj melphalan (hepzato) 1 mg 51
J9249 Inj, melphalan (apotex) 1 mg 51
J9255 Inj, methotrexate (accord) 51
J9256 Inj, nipocalimab-aahu, 3 mg 51
J9260 Inj methotrexate sodium 50mg 51
J9261 Nelarabine injection 51
J9262 Inj, omacetaxine mep, 0.01mg 51
J9263 Oxaliplatin 51
J9264 Paclitaxel protein bound 51
J9266 Pegaspargase injection 51
J9267 Paclitaxel injection 51
J9268 Pentostatin injection 51
J9269 Inj. tagraxofusp-erzs 10 mcg 51
J9271 Inj pembrolizumab 51
J9272 Inj, dostarlimab-gxly, 10 mg 51
J9273 Inj tisotu vedotin-tftv, 1mg 51
J9274 Inj, tebentafusp-tebn, 1 mcg 51
J9275 Inj cosibelimab-ipdl, 2 mg 51
J9276 Inj zanidatamab-hrii, 2 mg 51
J9277 Pembrolizumab 1mg berahyalur 51
J9278 Inj, carboplatin (avyxa) 51
J9280 Mitomycin injection 51
J9281 Mitomycin instillation 51
J9282 Mitomycin intravesical inst 51
J9285 Inj, olaratumab, 10 mg 51
J9286 Inj glofitamab gxbm, 2.5 mg 51
J9289 Inj nivolumab 2 mg hyaluron 51
J9292 Inj, pemetrexed dipotassium 51
J9293 Mitoxantrone hydrochl / 5 mg 51
J9294 Inj pemetrexed, hospira 10mg 51
J9295 Injection, necitumumab, 1 mg 51
J9296 Inj pemetrexed (accord) 10mg 51
J9297 Inj pemetrexed (sandoz) 10mg 51
J9298 Inj nivol relatlimab 3mg/1mg 51
J9299 Injection, nivolumab 51
J9301 Obinutuzumab inj 51
J9302 Ofatumumab injection 51
J9303 Panitumumab injection 51
J9304 Inj. pemetrexed, 10 mg 51
J9305 Inj. pemetrexed nos 10mg 51
J9306 Injection, pertuzumab, 1 mg 51
J9307 Pralatrexate injection 51
J9308 Injection, ramucirumab 51
J9309 Inj, polatuzumab vedotin 1mg 51
J9311 Inj rituximab, hyaluronidase 51
J9312 Inj., rituximab, 10 mg 51
J9313 Inj., lumoxiti, 0.01 mg 51
J9314 Inj pemetrexed (teva) 10mg 51
J9316 Pertuzu, trastuzu, 10 mg 51
J9317 Sacituzumab govitecan-hziy 51
J9318 Inj romidepsin non-lyo 0.1mg 51
J9319 Inj romidepsin lyophil 0.1mg 51
J9320 Streptozocin injection 51
J9321 Inj epcoritamab-bysp 0.16 mg 51
J9322 Inj pemetrexed (bluepoint) 51
J9323 Inj pemetrexed ditromethamin 51
J9324 Inj, pemrydi rtu, 10 mg 51
J9325 Inj talimogene laherparepvec 51
J9326 Telisotuzumab vedotin-tllv 51
J9328 Temozolomide injection 51
J9329 Inj, tislelizumab-jsgr 51
J9330 Temsirolimus injection 51
J9331 Inj sirolimus prot part 1 mg 51
J9332 Inj efgartigimod 2mg 51
J9333 Inj rozanolixizum-noli 1 mg 51
J9334 Inj efgart-alfa 2mg hya-qvfc 51
J9341 Inj thiotepa (tepylute) 1 mg 51
J9342 Inj thiotepa nos 1 mg 51
J9345 Inj, retifanlimab-dlwr, 1 mg 51
J9347 Inj, tremelimumab-actl, 1 mg 51
J9348 Inj. naxitamab-gqgk, 1 mg 51
J9349 Inj., tafasitamab-cxix 51
J9350 Inj mosunetuzumab-axgb, 1 mg 51
J9351 Topotecan injection 51
J9352 Injection trabectedin 0.1mg 51
J9353 Inj. margetuximab-cmkb, 5 mg 51
J9354 Inj, ado-trastuzumab emt 1mg 51
J9355 Inj trastuzumab excl biosimi 51
J9356 Inj. herceptin hylecta, 10mg 51
J9357 Valrubicin injection 51
J9358 Inj fam-trastu deru-nxki 1mg 51
J9359 Inj lon tesirin-lpyl 0.075mg 51
J9360 Vinblastine sulfate inj 51
J9361 Inj, efbemalenograstim alfa- 51
J9362 Inj, trabectedin, 0.01 mg 51
J9370 Vincristine sulfate 1 mg inj 51
J9376 Inj pozelimab-bbfg, 1 mg 51
J9380 Inj teclistamab cqyv 0.5 mg 51
J9381 Inj teplizumab mzwv 5 mcg 51
J9382 Inj zenocutuzumab-zbco 1 mg 51
J9390 Vinorelbine tartrate inj 51
J9393 Inj, fulvestrant (teva) 51
J9394 Inj, fulvestrant (fresenius) 51
J9395 Injection, fulvestrant 51
J9400 Inj, ziv-aflibercept, 1mg 51
J9600 Porfimer sodium injection 51
J9601 Inj linvoseltamab-gcpt 1 mg 51
J9999 Chemotherapy drug 51

Last reviewed: September 2026