Updated 10/2/17

NDC HCPCS HCPCS Description NDC Description Effective Date End Date

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Only Fee Schedule

68152-0103-03 A9543 YTTRIUM Y-90 IBRITUMOMAB TIUXETAN ZEVALIN Y-90 VIAL 9/1/2013 99/99/9999 M01

00407-0690-05 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML VIAL 7/1/2015 99/99/9999 M01

00407-0690-10 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML VIAL 7/1/2015 99/99/9999 M01

00407-0690-12 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00407-0690-15 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML VIAL 7/1/2015 99/99/9999 M01

00407-0690-17 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00407-0690-20 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML VIAL 7/1/2015 99/99/9999 M01

00407-0690-22 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00407-0690-30 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML VIAL 7/1/2015 99/99/9999 M01

00407-0690-40 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML VIAL 7/1/2015 99/99/9999 M01

00407-0690-42 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00407-0690-43 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00407-0690-50 A9579 Gad-base MR contrast NOS,1ml OMNISCAN 287 MG/ML VIAL 7/1/2015 99/99/9999 M01

00407-0691-62 A9579 Gad-base MR contrast NOS,1ml OMNISCAN PREFILL PLUS SYRINGE 7/1/2015 99/99/9999 M01

00407-0691-63 A9579 Gad-base MR contrast NOS,1ml OMNISCAN PREFILL PLUS SYRINGE 7/1/2015 99/99/9999 M01

50419-0188-01 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST VIAL 7/1/2015 99/99/9999 M01

50419-0188-02 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST VIAL 7/1/2015 99/99/9999 M01

50419-0188-05 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST VIAL 7/1/2015 99/99/9999 M01

50419-0188-11 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST BULK VIAL 7/1/2015 99/99/9999 M01

50419-0188-15 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST VIAL 7/1/2015 99/99/9999 M01

50419-0188-36 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST SYRINGE 7/1/2015 99/99/9999 M01

50419-0188-37 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST SYRINGE 7/1/2015 99/99/9999 M01

50419-0188-38 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST SYRINGE 7/1/2015 99/99/9999 M01

50419-0188-58 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST BULK VIAL 7/1/2015 99/99/9999 M01

50419-0188-81 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST VIAL 7/1/2015 99/99/9999 M01

50419-0188-82 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST VIAL 7/1/2015 99/99/9999 M01

50419-0188-83 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST VIAL 7/1/2015 99/99/9999 M01

50419-0188-84 A9579 Gad-base MR contrast NOS,1ml MAGNEVIST VIAL 7/1/2015 99/99/9999 M01

50419-0320-05 A9581 INJECTION, GADOXETATE DISODIUM, 1 ML EOVIST 2.5 MMOL/10 ML VIAL 10/1/2011 99/99/9999 M01

50419-0325-11 A9585 GADOBUTROL INJECTION GADAVIST 7.5 MMOL/7.5 ML VIAL 7/1/2015 99/99/9999 Y M01

50419-0325-12 A9585 GADOBUTROL INJECTION GADAVIST 10 MMOL/10 ML VIAL 7/1/2015 99/99/9999 Y M01

50419-0325-13 A9585 GADOBUTROL INJECTION GADAVIST 15 MMOL/15 ML VIAL 7/1/2015 99/99/9999 Y M01

50419-0325-14 A9585 GADOBUTROL INJECTION GADAVIST 1 MMOL/ML BULK VIAL 7/1/2015 99/99/9999 Y M01

50419-0325-15 A9585 GADOBUTROL INJECTION GADAVIST 1 MMOL/ML BULK VIAL 7/1/2015 99/99/9999 Y M01

50419-0325-27 A9585 GADOBUTROL INJECTION GADAVIST 7.5 MMOL/7.5 ML SYR 7/1/2015 99/99/9999 Y M01

50419-0325-28 A9585 GADOBUTROL INJECTION GADAVIST 10 MMOL/10 ML SYRINGE 7/1/2015 99/99/9999 Y M01

50419-0325-29 A9585 GADOBUTROL INJECTION GADAVIST 15 MMOL/15 ML SYRINGE 7/1/2015 99/99/9999 Y M01

00003-2187-10 J0129 ABATACEPT INJECTION ORENCIA 250 MG VIAL 7/1/2015 99/99/9999 M01

57894-0200-01 J0130 ABCIXIMAB REOPRO 10 MG/5 ML VIAL 7/1/2015 9/30/2016 M01

00002-7140-01 J0130 ABCIXIMAB REOPRO 10 MG/5 ML VIAL 7/1/2015 1/31/2019 M01

66220-0207-30 J0132 INJECTION, ACETYLCYSTEINE ACETADOTE 200 MG/ML VIAL 7/1/2015 99/99/9999 M01

00074-4339-07 J0135 INJECTION (HUMIRA) HUMIRA PEN PSORIASIS-UVEITIS 7/1/2015 99/99/9999 M01

00074-9374-02 J0135 INJECTION (HUMIRA) HUMIRA 20 MG/0.4 ML SYRINGE 7/1/2015 99/99/9999 M01

00074-3799-02 J0135 INJECTION (HUMIRA) HUMIRA 40 MG/0.8 ML SYRINGE 7/1/2015 99/99/9999 M01

00074-4339-02 J0135 INJECTION (HUMIRA) HUMIRA 40 MG/0.8 ML PEN 7/1/2015 99/99/9999 M01

00074-4339-06 J0135 INJECTION (HUMIRA) HUMIRA PEN CROHN-UC-HS STARTER 7/1/2015 99/99/9999 M01

00409-4921-34 J0171 ADRENALIN EPINEPHRINE INJECT EPINEPHRINE 0.1 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00409-7241-61 J0171 ADRENALIN EPINEPHRINE INJECT EPINEPHRINE 1 MG/ML AMPUL 7/1/2015 99/99/9999 M01

42023-0159-25 J0171 ADRENALIN EPINEPHRINE INJECT ADRENALIN 1 MG/ML VIAL 1/1/2017 99/99/9999 M01

76329-9061-00 J0171 ADRENALIN EPINEPHRINE INJECT EPINEPHRINE 1 MG/ML VIAL 1/1/2013 99/99/9999 M01

00143-9984-90 J0171 ADRENALIN EPINEPHRINE INJECT EPINEPHRINE 1 MG/ML VIAL 1/1/2013 6/30/2015 M01

00409-4901-18 J0171 ADRENALIN EPINEPHRINE INJECT EPINEPHRINE 0.1 MG/ML SYRINGE 1/1/2013 1/1/2017 M01

00409-7241-01 J0171 ADRENALIN EPINEPHRINE INJECT EPINEPHRINE 1 MG/ML AMPUL 1/1/2013 99/99/9999 M01

42023-0122-25 J0171 ADRENALIN EPINEPHRINE INJECT ADRENALIN CL 1 MG/ML VIAL 1/1/2013 9/30/2014 M01

49502-0500-02 J0171 ADRENALIN EPINEPHRINE INJECT EPIPEN 2-PAK 0.3 MG AUTO-INJCT 1/1/2013 99/99/9999 M01

76329-3316-01 J0171 ADRENALIN EPINEPHRINE INJECT EPINEPHRINE 0.1 MG/ML SYRINGE 1/1/2013 99/99/9999 M01

61755-0005-02 J0178 AFLIBERCEPT INJECTION EYLEA 2 MG/0.05 ML VIAL 1/1/2016 99/99/9999 M01

58468-0040-01 J0180 AGALSIDASE INJECTION FABRAZYME 35 MG VIAL 7/1/2015 99/99/9999 M01

58468-0041-01 J0180 AGALSIDASE INJECTION FABRAZYME 5 MG VIAL 7/1/2015 99/99/9999 M01

50242-0917-01 J0202 INJECTION, ALEMTUZUMAB TECENTRIQ 1,200 MG/20 ML VIAL 5/18/2016 99/99/9999 M01

47335-0581-40 J0207 INJECTION, AMIFOSTINE AMIFOSTINE 500 MG VIAL 7/1/2015 99/99/9999 M01

47335-0581-42 J0207 INJECTION, AMIFOSTINE AMIFOSTINE 500 MG VIAL 7/1/2015 99/99/9999 M01

62756-0581-40 J0207 INJECTION, AMIFOSTINE AMIFOSTINE 500 MG VIAL 3/1/2010 3/31/2014 M01

62756-0581-42 J0207 INJECTION, AMIFOSTINE AMIFOSTINE 500 MG VIAL 3/1/2010 3/31/2014 M01

55390-0308-03 J0207 INJECTION, AMIFOSTINE AMIFOSTINE 500 MG VIAL 3/1/2010 12/31/2016 M01

58178-0017-01 J0207 INJECTION, AMIFOSTINE ETHYOL 500 MG VIAL 3/1/2010 9/30/2013 M01

58178-0017-03 J0207 INJECTION, AMIFOSTINE ETHYOL 500 MG VIAL 3/1/2010 9/30/2013 M01

58468-0150-01 J0220 ALGLUCOSIDASE ALFA INJECTION MYOZYME 50 MG VIAL 7/1/2015 99/99/9999 Y M01

58468-0160-01 J0221 LUMIZYME INJECTION LUMIZYME 50 MG VIAL 1/1/2012 99/99/9999 M01

00944-2802-01 J0256 ALPHA 1 PROTEINASE INHIBITOR ARALAST NP 500 MG VIAL 7/1/2015 12/31/2015 M01

00944-2802-02 J0256 ALPHA 1 PROTEINASE INHIBITOR ARALAST NP 1,000 MG VIAL 7/1/2015 4/30/2016 M01

00053-7201-02 J0256 ALPHA 1 PROTEINASE INHIBITOR ZEMAIRA 1,000 MG VIAL 7/1/2015 99/99/9999 M01

00944-2884-01 J0257 GLASSIA INJECTION GLASSIA 1 GM/50 ML VIAL 1/1/2012 99/99/9999 M01

00009-3169-01 J0270 INJECTION, ALPPROSTADIL PROSTIN VR PEDI 500 MCG/ML AMP 7/1/2015 99/99/9999 M01

00703-1501-01 J0270 INJECTION, ALPPROSTADIL ALPROSTADIL 500 MCG/ML VIAL 7/1/2015 99/99/9999 M01

52244-0010-02 J0270 INJECTION, ALPPROSTADIL EDEX 10 MCG CARTRIDGE 2-PK KIT 7/1/2015 99/99/9999 M01

52244-0010-06 J0270 INJECTION, ALPPROSTADIL EDEX 10 MCG CARTRIDGE 6-PK KIT 7/1/2015 99/99/9999 M01

52244-0020-02 J0270 INJECTION, ALPPROSTADIL EDEX 20 MCG CARTRIDGE 2-PK KIT 7/1/2015 99/99/9999 M01

52244-0020-06 J0270 INJECTION, ALPPROSTADIL EDEX 20 MCG CARTRIDGE 6-PK KIT 7/1/2015 99/99/9999 M01

52244-0040-02 J0270 INJECTION, ALPPROSTADIL EDEX 40 MCG CARTRIDGE 2-PK KIT 7/1/2015 99/99/9999 M01

52244-0040-06 J0270 INJECTION, ALPPROSTADIL EDEX 40 MCG CARTRIDGE 6-PK KIT 7/1/2015 99/99/9999 M01

00009-3169-06 J0270 INJECTION, ALPPROSTADIL PROSTIN VR PEDI 500 MCG/ML AMP 7/1/2015 99/99/9999 M01

00009-3701-05 J0270 INJECTION, ALPPROSTADIL CAVERJECT 20 MCG VIAL 7/1/2015 99/99/9999 M01

00009-5181-01 J0270 INJECTION, ALPPROSTADIL CAVERJECT IMPULSE 10 MCG KIT 7/1/2015 99/99/9999 M01

00009-5182-01 J0270 INJECTION, ALPPROSTADIL CAVERJECT IMPULSE 20 MCG KIT 7/1/2015 99/99/9999 M01

00009-7686-04 J0270 INJECTION, ALPPROSTADIL CAVERJECT 40 MCG VIAL 7/1/2015 99/99/9999 M01

00703-1501-02 J0270 INJECTION, ALPPROSTADIL ALPROSTADIL 500 MCG/ML VIAL 7/1/2015 99/99/9999 M01

00703-9032-01 J0278 INJECTION, AMIKACIN SULFATE AMIKACIN SULF 500 MG/2 ML VIAL 7/1/2015 99/99/9999 M01

00703-9040-01 J0278 INJECTION, AMIKACIN SULFATE AMIKACIN SULF 1 GRAM/4 ML VIAL 7/1/2015 99/99/9999 M01

00703-9032-03 J0278 INJECTION, AMIKACIN SULFATE AMIKACIN SULF 500 MG/2 ML VIAL 7/1/2015 99/99/9999 M01

00703-9040-03 J0278 INJECTION, AMIKACIN SULFATE AMIKACIN SULF 1 GRAM/4 ML VIAL 7/1/2015 99/99/9999 M01

55390-0226-02 J0278 INJECTION, AMIKACIN SULFATE AMIKACIN SULF 500 MG/2 ML VIAL 7/1/2015 7/31/2015 M01

00409-5921-01 J0280 INJECTION, AMINOPHYLLIN, UP TO 250 MG AMINOPHYLLINE 250 MG/10 ML VL 7/1/2015 99/99/9999 M01

00409-5922-01 J0280 INJECTION, AMINOPHYLLIN, UP TO 250 MG AMINOPHYLLINE 500 MG/20 ML VL 7/1/2015 99/99/9999 M01

39822-1055-05 J0285 AMPHOTERICIN B AMPHOTERICIN B 50 MG VIAL 7/1/2015 99/99/9999 M01

57665-0101-41 J0287 INJECTION AMPHOTERICIN B LIPID COMPLEX ABELCET 100 MG/20 ML VIAL 7/1/2015 99/99/9999 M01

00469-3051-30 J0289 INJECT, AMPHOTERICIN B LIPOSOME AMBISOME 50 MG VIAL 7/1/2015 99/99/9999 Y M01

00781-3400-78 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 125 MG VIAL 7/1/2015 99/99/9999 M01

00781-3402-78 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 250 MG VIAL 7/1/2015 99/99/9999 M01

00781-3404-85 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

00781-3407-78 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

00781-3408-80 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM VIAL 7/1/2015 99/99/9999 M01

00781-9413-15 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM A-V VIAL 7/1/2015 99/99/9999 M01

25021-0134-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 250 MG VIAL 7/1/2015 99/99/9999 M01

25021-0135-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

25021-0136-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

25021-0137-20 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM VIAL 7/1/2015 99/99/9999 M01

25021-0138-99 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 10 GM VIAL 7/1/2015 10/31/2015 M01

44567-0101-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

44567-0102-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

44567-0103-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM VIAL 7/1/2015 99/99/9999 M01

44567-0104-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

63323-0704-08 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

00781-3400-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 125 MG VIAL 7/1/2015 99/99/9999 M01

00781-3402-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 250 MG VIAL 7/1/2015 99/99/9999 M01

00781-3404-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

00781-3407-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

00781-3408-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM VIAL 7/1/2015 99/99/9999 M01

00781-3409-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

00781-3412-92 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 1 GM A-V VIAL 7/1/2015 99/99/9999 M01

00781-3413-92 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM A-V VIAL 7/1/2015 99/99/9999 M01

00781-9401-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 125 MG VIAL 7/1/2015 99/99/9999 M01

00781-9402-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 250 MG VIAL 7/1/2015 99/99/9999 M01

00781-9404-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

00781-9407-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

00781-9408-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM VIAL 7/1/2015 99/99/9999 M01

00781-9409-95 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

00781-9412-92 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 1 GM A-V VIAL 7/1/2015 99/99/9999 M01

00781-9413-92 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM A-V VIAL 7/1/2015 99/99/9999 M01

63323-0387-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 250 MG VIAL 7/1/2015 99/99/9999 M01

63323-0388-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

63323-0389-10 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

63323-0399-23 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM VIAL 7/1/2015 99/99/9999 M01

00781-9402-78 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 250 MG VIAL 7/1/2015 99/99/9999 M01

00781-9407-78 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

00781-9408-80 J0290 INJECTION, AMPICILLIN, UP TO 500 MG AMPICILLIN 2 GM VIAL 7/1/2015 99/99/9999 M01

00641-6116-10 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 1.5 GM VL 7/1/2015 99/99/9999 M01

00641-6117-10 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 3 GM VIAL 7/1/2015 99/99/9999 M01

00641-6118-01 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 15 GM VL 7/1/2015 99/99/9999 M01

00641-6119-10 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 1.5 GM VL 7/1/2015 99/99/9999 M01

00641-6120-10 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 3 GM VIAL 7/1/2015 99/99/9999 M01

00641-6121-01 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 15 GM VL 7/1/2015 99/99/9999 M01

25021-0142-20 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 1.5 GM VL 7/1/2015 99/99/9999 M01

25021-0143-30 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 3 GM VIAL 7/1/2015 99/99/9999 M01

25021-0144-99 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 15 GM VL 7/1/2015 99/99/9999 M01

00049-0013-83 J0295 AMPICILLIN/SULBACTAM 1.5GM UNASYN 1.5 GM VIAL 7/1/2015 99/99/9999 M01

00049-0014-83 J0295 AMPICILLIN/SULBACTAM 1.5GM UNASYN 3 GM VIAL 7/1/2015 99/99/9999 M01

00049-0024-28 J0295 AMPICILLIN/SULBACTAM 1.5GM UNASYN 15 GM VIAL 7/1/2015 99/99/9999 M01

00409-2687-15 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 15 GM VL 7/1/2015 6/30/2016 M01

00409-2689-01 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 1.5 GM VL 7/1/2015 6/30/2016 M01

00409-2987-03 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULB 3 GM ADD VIAL 7/1/2015 6/30/2016 M01

00409-2988-01 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 1.5 GM VL 7/1/2015 6/30/2016 M01

00409-2998-03 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 3 GM VIAL 7/1/2015 6/30/2016 M01

00781-3032-95 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 1.5 GM VL 7/1/2015 99/99/9999 M01

00781-3033-95 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 3 GM VIAL 7/1/2015 99/99/9999 M01

00781-3034-46 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 15 GM VL 7/1/2015 99/99/9999 M01

63323-0368-20 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 1.5 GM VL 7/1/2015 99/99/9999 M01

63323-0369-20 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 3 GM VIAL 7/1/2015 99/99/9999 M01

63323-0370-62 J0295 AMPICILLIN/SULBACTAM 1.5GM AMPICILLIN-SULBACTAM 15 GM VL 7/1/2015 99/99/9999 M01

00187-4303-05 J0300 INJECTION, AMOBARBITAL, UP TO 125 MG AMYTAL SODIUM 0.5 GRAM VIAL 7/1/2015 99/99/9999 M01

42998-0303-01 J0300 INJECTION, AMOBARBITAL, UP TO 125 MG AMYTAL SODIUM 0.5 GRAM VIAL 7/1/2015 3/31/2016 M01

00781-3009-70 J0330 INJECTION, SUCCINYCHOLINE CHLORIDE, UP T ANECTINE 20 MG/ML VIAL 7/1/2015 5/31/2017 M01

00409-6629-02 J0330 INJECTION, SUCCINYCHOLINE CHLORIDE, UP T QUELICIN 200 MG/10 ML VIAL 7/1/2015 99/99/9999 M01

00781-3009-95 J0330 INJECTION, SUCCINYCHOLINE CHLORIDE, UP T ANECTINE 20 MG/ML VIAL 7/1/2015 5/31/2017 M01

00049-0114-28 J0348 INJECTION, ANIDULAFUNGIN, 1 MG ERAXIS(WATER DIL) 50 MG VIAL 7/1/2015 99/99/9999 M01

00049-0116-28 J0348 INJECTION, ANIDULAFUNGIN, 1 MG ERAXIS(WATER DIL) 100 MG VIAL 7/1/2015 99/99/9999 M01

17478-0934-01 J0360 INJECTION, HYDRALAZINE HCL, UP TO 20 MG HYDRALAZINE 20 MG/ML VIAL 7/1/2015 5/31/2017 M01

63323-0614-01 J0360 INJECTION, HYDRALAZINE HCL, UP TO 20 MG HYDRALAZINE 20 MG/ML VIAL 7/1/2015 99/99/9999 M01

63323-0614-55 J0360 INJECTION, HYDRALAZINE HCL, UP TO 20 MG HYDRALAZINE 20 MG/ML VIAL 7/1/2015 99/99/9999 M01

59148-0016-65 J0400 ARIPIPRAZOLE INJECTION ABILIFY 9.7 MG/1.3 ML VIAL 7/1/2015 9/30/2016 Y M01

00409-0144-11 J0456 INJECTION, AZITHROMYCIN AZITHROMYCIN I.V. 500 MG VIAL 7/1/2015 99/99/9999 M01

25021-0112-10 J0456 INJECTION, AZITHROMYCIN AZITHROMYCIN I.V. 500 MG VIAL 7/1/2015 99/99/9999 M01

60505-6076-04 J0456 INJECTION, AZITHROMYCIN AZITHROMYCIN I.V. 500 MG VIAL 7/1/2015 99/99/9999 M01

00069-3150-83 J0456 INJECTION, AZITHROMYCIN ZITHROMAX I.V. 500 MG VIAL 7/1/2015 99/99/9999 M01

50111-0794-78 J0456 INJECTION, AZITHROMYCIN AZITHROMYCIN I.V. 500 MG VIAL 7/1/2015 99/99/9999 M01

63323-0398-10 J0456 INJECTION, AZITHROMYCIN AZITHROMYCIN I.V. 500 MG VIAL 7/1/2015 99/99/9999 M01

63323-0398-12 J0456 INJECTION, AZITHROMYCIN AZITHROMYCIN I.V. 500 MG VIAL 7/1/2015 99/99/9999 M01

00409-1630-10 J0461 INJECTION, ATROPINE SULFATE, 0.01 MG ATROPINE 0.1 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00409-4911-34 J0461 INJECTION, ATROPINE SULFATE, 0.01 MG ATROPINE 0.1 MG/ML ABBOJECT 7/1/2015 99/99/9999 M01

00409-9630-05 J0461 INJECTION, ATROPINE SULFATE, 0.01 MG ATROPINE 0.05 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00517-0401-25 J0461 INJECTION, ATROPINE SULFATE, 0.01 MG ATROPINE 0.4 MG/ML VIAL 7/1/2015 99/99/9999 M01

76329-3339-01 J0461 INJECTION, ATROPINE SULFATE, 0.01 MG ATROPINE 0.1 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00517-1010-25 J0461 INJECTION, ATROPINE SULFATE, 0.01 MG ATROPINE 1 MG/ML VIAL 3/1/2010 99/99/9999 M01

00641-6006-10 J0461 INJECTION, ATROPINE SULFATE, 0.01 MG ATROPINE 8 MG/20 ML VIAL 8/29/2012 99/99/9999 M01

00409-4910-34 J0461 INJECTION, ATROPINE SULFATE, 0.01 MG ATROPINE 0.1 MG/ML ABBOJECT 3/1/2010 99/99/9999 M01

45945-0155-02 J0475 INJECTION, BACLOFEN GABLOFEN 10,000 MCG/20 ML VIAL 3/1/2016 99/99/9999 M01

45945-0157-02 J0475 INJECTION, BACLOFEN GABLOFEN 40,000 MCG/20 ML VIAL 3/1/2016 99/99/9999 M01

58281-0560-01 J0475 INJECTION, BACLOFEN LIORESAL IT 10 MG/20 ML KIT 3/1/2016 99/99/9999 M01

45945-0157-01 J0475 INJECTION, BACLOFEN GABLOFEN 40,000 MCG/20 ML SYRG 1/1/2017 99/99/9999 M01

45945-0157-02 J0475 INJECTION, BACLOFEN GABLOFEN 40,000 MCG/20 ML VIAL 7/1/2015 99/99/9999 M01

70257-0563-01 J0475 INJECTION, BACLOFEN LIORESAL IT 40 MG/20 ML KIT 7/1/2015 99/99/9999 M01

70257-0563-02 J0475 INJECTION, BACLOFEN LIORESAL IT 40 MG/20 ML KIT 7/1/2015 99/99/9999 M01

58281-0560-01 J0475 INJECTION, BACLOFEN LIORESAL IT 10 MG/20 ML KIT 7/1/2015 2/29/2016 M01

58281-0560-02 J0475 INJECTION, BACLOFEN LIORESAL IT 10 MG/20 ML KIT 7/1/2015 99/99/9999 M01

58281-0561-02 J0475 INJECTION, BACLOFEN LIORESAL IT 10 MG/5 ML KIT 7/1/2015 99/99/9999 M01

58281-0563-01 J0475 INJECTION, BACLOFEN LIORESAL IT 40 MG/20 ML KIT 7/1/2015 99/99/9999 M01

58281-0563-02 J0475 INJECTION, BACLOFEN LIORESAL IT 40 MG/20 ML KIT 7/1/2015 99/99/9999 M01

45945-0151-01 J0476 BACLOFEN GABLOFEN 50 MCG/ML SYRINGE 7/1/2015 99/99/9999 M01

58281-0562-01 J0476 BACLOFEN LIORESAL IT 0.05 MG/1 ML AMP 7/1/2015 99/99/9999 M01

00078-0331-84 J0480 INJECTION, BASILIXIMAB SIMULECT 20 MG VIAL 7/1/2015 99/99/9999 M01

00078-0393-61 J0480 INJECTION, BASILIXIMAB SIMULECT 10 MG VIAL 7/1/2015 99/99/9999 M01

00003-0371-13 J0485 BELATACEPT INJECTION NULOJIX 250 MG VIAL 7/1/2015 99/99/9999 Y M01

49401-0101-01 J0490 BELIMUMAB INJECTION BENLYSTA 120 MG VIAL 1/1/2012 99/99/9999 Y M01

49401-0102-01 J0490 BELIMUMAB INJECTION BENLYSTA 400 MG VIAL 1/1/2012 99/99/9999 Y M01

58914-0080-52 J0500 INJECTION, DICYCLOMINE, UP TO 20 MG BENTYL 10 MG/ML AMPUL 7/1/2015 99/99/9999 M01

00143-9729-05 J0515 INJECTION, BENZTROPINE BENZTROPINE 2 MG/2 ML AMPULE 7/1/2015 99/99/9999 M01

63323-0970-02 J0515 INJECTION, BENZTROPINE BENZTROPINE 2 MG/2 ML VIAL 7/1/2015 99/99/9999 M01

60793-0600-10 J0558 PENG BENZATHINE/PROCAINE INJ BICILLIN C-R 1.2 MILLION UNIT 7/1/2015 99/99/9999 Y M01

60793-0601-10 J0558 PENG BENZATHINE/PROCAINE INJ BICILLIN C-R 1.2 MILLION UNIT 7/1/2015 99/99/9999 Y M01

60793-0602-10 J0558 PENG BENZATHINE/PROCAINE INJ BICILLIN C-R 900-300 SYRINGE 7/1/2015 99/99/9999 Y M01

60793-0600-02 J0561 PENICILLIN G BENZATHINE INJ BICILLIN C-R 1.2 MILLION UNIT 7/1/2015 99/99/9999 M01

60793-0701-02 J0561 PENICILLIN G BENZATHINE INJ BICILLIN L-A 1,200,000 UNITS 7/1/2016 99/99/9999 M01

60793-0700-10 J0561 PENICILLIN G BENZATHINE INJ BICILLIN L-A 600,000 UNIT/ML 1/1/2011 99/99/9999 M01

60793-0131-10 J0561 PENICILLIN G BENZATHINE INJ PEN G 1.2 MILLION UNIT/2 ML 1/1/2011 99/99/9999 M01

60793-0600-10 J0561 PENICILLIN G BENZATHINE INJ BICILLIN C-R 1.2 MILLION UNIT 1/1/2011 99/99/9999 M01

60793-0701-10 J0561 PENICILLIN G BENZATHINE INJ BICILLIN L-A 1,200,000 UNITS 1/1/2011 99/99/9999 M01

60793-0702-10 J0561 PENICILLIN G BENZATHINE INJ BICILLIN L-A 2,400,000 UNITS 1/1/2011 99/99/9999 M01

00023-3921-02 J0585 INJECTION, ONABOTULINUMTOXINA, 1 UNIT BOTOX 200 UNITS VIAL 1/1/2014 99/99/9999 M01

15054-0530-06 J0585 INJECTION, ONABOTULINUMTOXINA, 1 UNIT DYSPORT 300 UNIT VIAL 4/1/2012 3/31/2013 M01

15054-0500-01 J0585 INJECTION, ONABOTULINUMTOXINA, 1 UNIT DYSPORT 500 UNITS VIAL 4/1/2012 3/31/2013 M01

00023-1145-01 J0585 INJECTION, ONABOTULINUMTOXINA, 1 UNIT BOTOX 100 UNITS VIAL 4/1/2012 99/99/9999 M01

00023-9232-01 J0585 INJECTION, ONABOTULINUMTOXINA, 1 UNIT BOTOX COSMETIC 100 UNITS VIAL 4/1/2012 99/99/9999 M01

00023-9232-50 J0585 INJECTION, ONABOTULINUMTOXINA, 1 UNIT BOTOX COSMETIC 50 UNITS VIAL 4/1/2012 6/30/2016 M01

54868-4123-00 J0585 INJECTION, ONABOTULINUMTOXINA, 1 UNIT BOTOX 100 UNITS VIAL 4/1/2012 6/30/2016 M01

00023-1145-01 J0585 INJECTION, ONABOTULINUMTOXINA, 1 UNIT BOTOX 100 UNITS VIAL 4/1/2012 99/99/9999 M01

00023-3919-50 J0585 INJECTION, ONABOTULINUMTOXINA, 1 UNIT BOTOX COSMETIC 50 UNITS VIAL 4/1/2012 99/99/9999 M01

15054-0500-01 J0586 INJECTION, ABOBOTULINUMTOXINA, 5 UNITS DYSPORT 500 UNITS VIAL 4/1/2013 99/99/9999 M01

15054-0530-06 J0586 INJECTION, ABOBOTULINUMTOXINA, 5 UNITS DYSPORT 300 UNIT VIAL 4/1/2013 99/99/9999 M01

10454-0710-10 J0587 INJECTION, RIMABOTULINUMTOXINB, 100 UNIT MYOBLOC 2,500 UNIT/0.5 ML VIAL 2/1/2013 99/99/9999 M01

10454-0711-10 J0587 INJECTION, RIMABOTULINUMTOXINB, 100 UNIT MYOBLOC 5,000 UNITS/1 ML VIAL 2/1/2013 99/99/9999 M01

10454-0712-10 J0587 INJECTION, RIMABOTULINUMTOXINB, 100 UNIT MYOBLOC 10,000 UNITS/2 ML VIAL 2/1/2013 99/99/9999 M01

00259-1605-01 J0588 INCOBOTULINUMTOXIN A XEOMIN 50 UNIT VIAL 1/1/2012 99/99/9999 M01

00259-1610-01 J0588 INCOBOTULINUMTOXIN A XEOMIN 100 UNIT VIAL 1/1/2012 99/99/9999 M01

00409-2012-32 J0592 INJECTION, BUPRENORPHINE HYDROCHLORIDE BUPRENORPHINE 0.3 MG/ML SYRING 7/1/2015 99/99/9999 Y M01

12496-0757-01 J0592 INJECTION, BUPRENORPHINE HYDROCHLORIDE BUPRENEX 0.3 MG/ML AMPUL 7/1/2015 99/99/9999 Y M01

59148-0070-90 J0594 INJECTION, BUSULFAN, 1 MG BUSULFEX 60 MG/10 ML VIAL 7/1/2015 99/99/9999 M01

59148-0070-91 J0594 INJECTION, BUSULFAN, 1 MG BUSULFEX 60 MG/10 ML VIAL 7/1/2015 99/99/9999 M01

00409-1623-01 J0595 BUTORPHANOL TARTRATE, INJECTION BUTORPHANOL 1 MG/ML VIAL 7/1/2015 99/99/9999 M01

00409-1626-01 J0595 BUTORPHANOL TARTRATE, INJECTION BUTORPHANOL 2 MG/ML VIAL 7/1/2015 99/99/9999 M01

00409-1626-02 J0595 BUTORPHANOL TARTRATE, INJECTION BUTORPHANOL 2 MG/ML VIAL 7/1/2015 99/99/9999 M01

63833-0825-02 J0597 C-1 ESTERASE, BERINERT BERINERT 500 UNIT KIT 7/1/2015 99/99/9999 Y M01

42227-0081-05 J0598 C-1 ESTERASE, CINRYZE CINRYZE 500 UNIT VIAL 7/1/2015 99/99/9999 M01

63833-0825-02 J0598 C-1 ESTERASE, CINRYZE BERINERT 500 UNIT KIT 2/1/2013 99/99/9999 M01

63323-0311-19 J0610 INJECTION, CALCIUM GLUCONATE, PER 10 ML CALCIUM GLUCONATE 10% VIAL 10/1/2016 99/99/9999 M01

00517-3900-25 J0610 INJECTION, CALCIUM GLUCONATE, PER 10 ML CALCIUM GLUCONATE 10% VIAL 7/1/2015 99/99/9999 M01

63323-0311-10 J0610 INJECTION, CALCIUM GLUCONATE, PER 10 ML CALCIUM GLUCONATE 10% VIAL 7/1/2015 99/99/9999 M01

63323-0311-50 J0610 INJECTION, CALCIUM GLUCONATE, PER 10 ML CALCIUM GLUCONATE 10% VIAL 7/1/2015 99/99/9999 M01

63323-0311-61 J0610 INJECTION, CALCIUM GLUCONATE, PER 10 ML CALCIUM GLUCONATE 10% VIAL 7/1/2015 99/99/9999 M01

54766-0149-23 J0630 INJECTION, CALCITONIN SALMON, UP TO 400 MIACALCIN 400 UNIT/2 ML VIAL 8/31/2015 5/31/2018 M01

00078-0149-23 J0630 INJECTION, CALCITONIN SALMON, UP TO 400 MIACALCIN 200 UNIT/ML VIAL 7/1/2015 8/31/2017 M01

00078-0582-61 J0638 CANAKINUMAB INJECTION ILARIS 180 MG VIAL 1/1/2013 99/99/9999 M01

00703-2797-01 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG CALCIUM FOLINATE 10 MG/ML VIAL 7/1/2015 99/99/9999 M01

25021-0815-30 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 200 MG VIAL 2/15/2013 99/99/9999 M01

25021-0816-30 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 350 MG VIAL 2/15/2013 99/99/9999 M01

00703-5140-01 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 100 MG VIAL 3/1/2008 99/99/9999 M01

00703-5145-01 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 350 MG VIAL 3/1/2008 99/99/9999 M01

55390-0009-01 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CAL 500 MG/50 ML VL 3/1/2008 6/30/2013 M01

55390-0051-10 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 50 MG VIAL 3/1/2008 8/31/2013 M01

55390-0052-10 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 100 MG VIAL 3/1/2008 8/31/2014 M01

55390-0053-01 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 200 MG VIAL 3/1/2008 4/30/2014 M01

55390-0054-01 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 350 MG VIAL 3/1/2008 2/28/2015 M01

55390-0818-10 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 100 MG VIAL 3/1/2008 8/31/2014 M01

55390-0824-01 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 200 MG VIAL 3/1/2008 4/30/2014 M01

55390-0825-01 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 350 MG VIAL 3/1/2008 5/31/2013 M01

55390-0826-01 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CAL 500 MG/50 ML VL 3/1/2008 6/30/2013 M01

63323-0711-00 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 500 MG VL 3/1/2008 99/99/9999 M01

63323-0710-50 J0640 INJECTION, LEUCOVORIN CALCIUM, PER 50 MG LEUCOVORIN CALCIUM 200 MG VIAL 8/30/2011 99/99/9999 M01

67457-0601-30 J0641 LEVOLEUCOVORIN INJECTION LEVOLEUCOVORIN 250 MG/25 ML VL 1/1/2017 99/99/9999 M01

68152-0101-00 J0641 LEVOLEUCOVORIN INJECTION FUSILEV I.V. 50 MG VIAL 7/1/2015 99/99/9999 M01

00409-1036-30 J0670 INJECTION, MEPIVACAINE CARBOCAINE 1% VIAL 7/1/2015 99/99/9999 M01

00409-1038-50 J0670 INJECTION, MEPIVACAINE CARBOCAINE 1% VIAL 7/1/2015 99/99/9999 M01

00409-1041-30 J0670 INJECTION, MEPIVACAINE CARBOCAINE 1.5% VIAL 7/1/2015 99/99/9999 M01

00409-1067-20 J0670 INJECTION, MEPIVACAINE CARBOCAINE 2% VIAL 7/1/2015 99/99/9999 M01

00409-2047-50 J0670 INJECTION, MEPIVACAINE CARBOCAINE 2% VIAL 7/1/2015 99/99/9999 M01

00143-9983-03 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

00409-0806-01 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

00781-3450-70 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

00781-3451-70 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

00781-3452-46 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

25021-0101-10 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

25021-0102-99 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

44567-0707-25 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

63323-0446-66 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 20 GM BULK VIAL 7/1/2015 99/99/9999 M01

63323-0449-61 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 20 GM BULK VIAL 7/1/2015 99/99/9999 M01

25021-0100-10 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

00143-9923-90 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

00143-9924-90 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

00143-9983-91 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

00264-3103-11 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 G/50 ML-DEXTROSE 7/1/2015 99/99/9999 M01

00338-3503-41 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 G/50 ML-DEXTROSE 7/1/2015 99/99/9999 M01

00409-2585-01 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM ADD-VAN VIAL 7/1/2015 99/99/9999 M01

00781-3450-95 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

00781-3451-96 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

00781-3452-95 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

60505-0749-04 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

60505-0749-05 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

60505-0769-00 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

63323-0236-10 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 500 MG VIAL 7/1/2015 99/99/9999 M01

63323-0237-10 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

63323-0238-61 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 10 GM VIAL 7/1/2015 99/99/9999 M01

00781-9338-95 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 500 MG VIAL 7/1/2015 6/30/2017 M01

00409-0805-01 J0690 INJECTION, CEFAZOLIN SODIUM, UP TO 500 M CEFAZOLIN 1 GM VIAL 7/1/2015 99/99/9999 M01

00264-3193-11 J0692 INJECTION CEFEPIME-DEXTROSE 1 GM/50 ML 7/1/2015 99/99/9999 M01

00264-3195-11 J0692 INJECTION CEFEPIME-DEXTROSE 2 GM/50 ML 7/1/2015 99/99/9999 M01

00338-1301-41 J0692 INJECTION CEFEPIME 1 GM INJECTION 7/1/2015 99/99/9999 M01

00338-1301-48 J0692 INJECTION CEFEPIME 2 GM INJECTION 7/1/2015 99/99/9999 M01

25021-0121-20 J0692 INJECTION CEFEPIME HCL 1 GM VIAL 7/1/2015 99/99/9999 M01

25021-0122-50 J0692 INJECTION CEFEPIME HCL 2 GRAM VIAL 7/1/2015 99/99/9999 M01

63323-0340-20 J0692 INJECTION CEFEPIME HCL 2 GRAM VIAL 7/1/2015 99/99/9999 M01

00781-3222-80 J0692 INJECTION CEFEPIME HCL 1 GM VIAL 7/1/2015 7/31/2017 M01

00781-3222-95 J0692 INJECTION CEFEPIME HCL 1 GM VIAL 7/1/2015 7/31/2017 M01

00781-3223-91 J0692 INJECTION CEFEPIME HCL 2 GRAM VIAL 7/1/2015 7/31/2017 M01

00781-3223-95 J0692 INJECTION CEFEPIME HCL 2 GRAM VIAL 7/1/2015 7/31/2017 M01

60505-6030-04 J0692 INJECTION CEFEPIME HCL 1 GM VIAL 7/1/2015 99/99/9999 M01

60505-6031-04 J0692 INJECTION CEFEPIME HCL 2 GRAM VIAL 7/1/2015 99/99/9999 M01

63323-0326-20 J0692 INJECTION CEFEPIME HCL 1 GM VIAL 7/1/2015 99/99/9999 M01

60505-0681-00 J0692 INJECTION CEFEPIME HCL 2 GRAM VIAL 7/1/2015 99/99/9999 M01

60505-0681-04 J0692 INJECTION CEFEPIME HCL 2 GRAM VIAL 7/1/2015 99/99/9999 M01

60505-0834-00 J0692 INJECTION CEFEPIME HCL 1 GM VIAL 7/1/2015 99/99/9999 M01

60505-0834-04 J0692 INJECTION CEFEPIME HCL 1 GM VIAL 7/1/2015 99/99/9999 M01

68180-0633-10 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFTRIAXONE 1 GM VIAL 3/1/2016 99/99/9999 M01

00143-9876-10 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 10 GM VIAL 7/1/2015 99/99/9999 M01

00143-9877-25 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 2 GM VIAL 7/1/2015 99/99/9999 M01

00143-9878-25 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 1 GM VIAL 7/1/2015 99/99/9999 M01

25021-0109-10 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 1 GM VIAL 7/1/2015 99/99/9999 M01

25021-0110-20 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 2 GM VIAL 7/1/2015 99/99/9999 M01

25021-0111-99 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 10 GM VIAL 7/1/2015 99/99/9999 M01

63323-0341-25 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 1 GM VIAL 7/1/2015 99/99/9999 M01

63323-0342-25 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 2 GM VIAL 7/1/2015 99/99/9999 M01

63323-0343-66 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 10 GM VIAL 7/1/2015 99/99/9999 M01

60505-6025-05 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 1 GM VIAL 7/1/2015 99/99/9999 M01

60505-6026-05 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 2 GM VIAL 7/1/2015 99/99/9999 M01

00264-3123-11 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 1 GM PIGGYBACK BAG 7/1/2015 99/99/9999 M01

00264-3125-11 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 2 GM PIGGYBACK BAG 7/1/2015 99/99/9999 M01

60505-0759-05 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 1 GM VIAL 7/1/2015 99/99/9999 M01

60505-0760-05 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 2 GM VIAL 7/1/2015 99/99/9999 M01

60505-0761-04 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 10 GM VIAL 7/1/2015 99/99/9999 M01

63323-0343-61 J0694 INJECTION, CEFOXITIN SODIUM, 1 GM CEFOXITIN 10 GM VIAL 7/1/2015 99/99/9999 M01

00781-3207-95 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/8/2016 99/99/9999 M01

60505-0752-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2017 99/99/9999 M01

00143-9858-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2017 99/99/9999 M01

00143-9859-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 1/1/2017 99/99/9999 M01

00781-3209-90 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 7/1/2015 99/99/9999 M01

25021-0108-99 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 10 GM VIAL 7/1/2015 99/99/9999 M01

55390-0310-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 11/9/2009 12/31/2014 M01

25021-0104-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 12/30/2008 12/31/2010 M01

25021-0105-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 12/30/2008 99/99/9999 M01

25021-0106-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 12/30/2008 99/99/9999 M01

25021-0107-20 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 12/30/2008 99/99/9999 M01

00517-8711-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 9/2/2008 12/31/2012 M01

00517-8722-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 9/2/2008 12/31/2012 M01

00517-8725-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 9/2/2008 12/31/2012 M01

00517-8750-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 9/2/2008 12/31/2012 M01

68330-0005-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM PIGGYBACK 9/2/2008 9/30/2011 M01

55390-0309-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 11/9/2009 12/31/2014 M01

55390-0311-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 11/1/2009 12/31/2014 M01

00069-4481-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 11/9/2009 12/31/2011 M01

00069-4481-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 11/9/2009 12/31/2011 M01

00069-4482-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 11/9/2009 5/31/2012 M01

00069-4482-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 11/9/2009 5/31/2012 M01

00703-0315-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 5/29/2008 1/31/2013 M01

00703-0325-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 5/29/2008 9/30/2011 M01

00703-0335-04 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 5/29/2008 4/30/2013 M01

00703-0346-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 5/29/2008 1/31/2013 M01

00703-0359-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 10 GM VIAL 5/29/2008 1/31/2013 M01

00781-3208-85 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 5/29/2008 99/99/9999 M01

68330-0006-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM PIGGYBACK 5/29/2008 9/30/2011 M01

00781-9328-85 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

00143-9856-25 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 9/30/2008 99/99/9999 M01

00143-9857-25 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 1/1/2010 99/99/9999 M01

00143-9858-25 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 9/2/2008 99/99/9999 M01

00143-9859-25 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 9/2/2008 99/99/9999 M01

00703-0325-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 5/29/2008 9/30/2011 M01

00004-1962-02 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG ROCEPHIN 250 MG VIAL 3/1/2008 9/30/2008 M01

00004-1963-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG ROCEPHIN 500 MG VIAL 3/1/2008 7/31/2014 M01

00004-1963-02 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG ROCEPHIN 500 MG VIAL 3/1/2008 7/31/2014 M01

00004-1964-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG ROCEPHIN 1 GM VIAL 3/1/2008 2/28/2015 M01

00004-1964-04 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG ROCEPHIN 1 GM VIAL 3/1/2008 2/28/2015 M01

00004-1965-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG ROCEPHIN 2 GM VIAL 3/1/2008 8/31/2008 M01

00004-1971-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG ROCEPHIN 10 GM VIAL 3/1/2008 8/31/2008 M01

00264-3153-11 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM-D5W BAG 3/1/2008 99/99/9999 M01

00264-3155-11 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM-D5W BAG 3/1/2008 99/99/9999 M01

00338-5002-41 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM PIGGYBACK 3/1/2008 99/99/9999 M01

00338-5003-41 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM PIGGYBACK 3/1/2008 99/99/9999 M01

00409-7332-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

00409-7333-04 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

00409-7333-49 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

00409-7334-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 10 GM VIAL 3/1/2008 99/99/9999 M01

00409-7335-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 99/99/9999 M01

00409-7336-04 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM ADD VIAL 3/1/2008 99/99/9999 M01

00409-7336-49 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM ADD VIAL 3/1/2008 11/1/2016 M01

00409-7337-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 99/99/9999 M01

00409-7338-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 99/99/9999 M01

00781-3206-95 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 99/99/9999 M01

00781-9326-95 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 7/31/2015 M01

10019-0098-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

10019-0098-71 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

10019-0685-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 12/31/2011 M01

10019-0685-71 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 9/30/2013 M01

10019-0686-02 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 12/31/2011 M01

10019-0686-71 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 9/30/2013 M01

10019-0687-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 12/31/2011 M01

10019-0687-71 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 9/30/2013 M01

10019-0688-04 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 12/31/2014 M01

10019-0688-27 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 12/31/2014 M01

10019-0689-05 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 10 GM VIAL 3/1/2008 12/31/2014 M01

60505-0679-05 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 10 GM VIAL 3/1/2008 99/99/9999 M01

60505-0679-08 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM PIGGYBACK 3/1/2008 99/99/9999 M01

60505-0679-09 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM PIGGYBACK 3/1/2008 99/99/9999 M01

60505-0750-00 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 99/99/9999 M01

60505-0750-04 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 99/99/9999 M01

60505-0751-00 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 99/99/9999 M01

60505-0751-04 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 99/99/9999 M01

60505-0752-00 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 9/30/2016 M01

60505-0752-04 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

60505-0753-00 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 99/99/9999 M01

60505-0753-04 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 99/99/9999 M01

63323-0344-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 99/99/9999 M01

63323-0345-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 99/99/9999 M01

63323-0346-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

63323-0347-20 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 99/99/9999 M01

63323-0348-61 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 10 GM VIAL 3/1/2008 99/99/9999 M01

68180-0611-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 99/99/9999 M01

68180-0611-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 99/99/9999 M01

68180-0622-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 99/99/9999 M01

68180-0622-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 99/99/9999 M01

68180-0633-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

68180-0633-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

68180-0644-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 99/99/9999 M01

68180-0644-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 99/99/9999 M01

68330-0001-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 9/30/2011 M01

68330-0001-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 9/30/2011 M01

68330-0002-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 9/30/2011 M01

68330-0002-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 9/30/2011 M01

68330-0003-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 9/30/2011 M01

68330-0003-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 9/30/2011 M01

68330-0004-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 9/30/2011 M01

68330-0004-10 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 9/30/2011 M01

64679-0701-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 99/99/9999 M01

64679-0701-02 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 11/30/2016 M01

64679-0701-03 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 3/1/2008 9/30/2011 M01

64679-0702-02 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 10/31/2016 M01

64679-0703-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 10/31/2017 M01

64679-0703-02 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 10/31/2017 M01

64679-0983-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 8/31/2017 M01

64679-0983-02 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 8/31/2017 M01

64679-0702-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 10/31/2016 M01

00781-9329-90 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 1/1/2010 8/31/2015 M01

00781-3207-95 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 3/7/2016 M01

00781-3208-95 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

00781-3209-95 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 99/99/9999 M01

00781-3210-46 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 10 GM VIAL 3/1/2008 99/99/9999 M01

00781-9327-95 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 3/1/2008 6/15/2018 M01

00781-9328-95 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 1 GM VIAL 3/1/2008 99/99/9999 M01

00781-9329-95 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 2 GM VIAL 3/1/2008 8/31/2015 M01

00781-9330-46 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 10 GM VIAL 3/1/2008 6/30/2015 M01

00781-3206-85 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 7/17/2009 99/99/9999 M01

00781-3207-85 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 12/30/2008 99/99/9999 M01

00781-9326-85 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 250 MG VIAL 9/30/2011 7/31/2015 M01

00781-9327-85 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG CEFTRIAXONE 500 MG VIAL 8/16/2012 6/15/2018 M01

00004-1962-01 J0696 INJECTION,CEFTRIAXONE SODIUM,PER 250 MG ROCEPHIN 250 MG VIAL 3/1/2008 9/30/2008 M01

00143-9976-03 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P CEFUROXIME SOD 7.5 GM VIAL 7/1/2015 99/99/9999 M01

00143-9977-22 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P CEFUROXIME SOD 1.5 GM VIAL 7/1/2015 99/99/9999 M01

00143-9979-22 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P CEFUROXIME SOD 750 MG VIAL 7/1/2015 99/99/9999 M01

24987-0352-10 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P ZINACEF 750 MG VIAL 7/1/2015 99/99/9999 M01

24987-0354-10 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P ZINACEF 1.5 GM VIAL 7/1/2015 99/99/9999 M01

24987-0400-00 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P ZINACEF 7.5 GM VIAL 7/1/2015 99/99/9999 M01

63323-0352-45 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P CEFUROXIME SOD 750 MG VIAL 7/1/2015 99/99/9999 M01

63323-0353-45 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P CEFUROXIME SOD 1.5 GM VIAL 7/1/2015 99/99/9999 M01

63323-0354-45 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P CEFUROXIME SOD 7.5 GM VIAL 7/1/2015 99/99/9999 M01

00143-9976-91 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P CEFUROXIME SOD 7.5 GM VIAL 7/1/2015 99/99/9999 M01

00143-9977-90 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P CEFUROXIME SOD 1.5 GM VIAL 7/1/2015 99/99/9999 M01

00143-9979-90 J0697 INJECTION, STERILE CEFUROXIME SODIUM, P CEFUROXIME SOD 750 MG VIAL 7/1/2015 99/99/9999 M01

60505-0752-04 J0698 CEFOTAXIME SODIUM, PER GM CEFTRIAXONE 1 GM VIAL 3/1/2016 99/99/9999 M01

64679-0983-02 J0698 CEFOTAXIME SODIUM, PER GM CEFTRIAXONE 1 GM VIAL 3/1/2016 8/31/2017 M01

00143-9930-10 J0698 CEFOTAXIME SODIUM, PER GM CEFOTAXIME SODIUM 500 MG VIAL 7/1/2015 99/99/9999 M01

00143-9931-25 J0698 CEFOTAXIME SODIUM, PER GM CEFOTAXIME SODIUM 1 GM VIAL 7/1/2015 99/99/9999 M01

00143-9933-25 J0698 CEFOTAXIME SODIUM, PER GM CEFOTAXIME SODIUM 2 GM VIAL 7/1/2015 99/99/9999 M01

00039-0018-10 J0698 CEFOTAXIME SODIUM, PER GM CLAFORAN 1 GM VIAL 7/1/2015 1/31/2016 M01

00039-0019-10 J0698 CEFOTAXIME SODIUM, PER GM CLAFORAN 2 GM VIAL 7/1/2015 1/31/2016 M01

00039-0020-01 J0698 CEFOTAXIME SODIUM, PER GM CLAFORAN 10 GM VIAL 7/1/2015 1/31/2016 M01

00039-0023-25 J0698 CEFOTAXIME SODIUM, PER GM CLAFORAN 1 GM ADD-VANTAGE VL 7/1/2015 7/31/2015 M01

00039-0037-05 J0698 CEFOTAXIME SODIUM, PER GM CLAFORAN-DEXTROSE 1 GM/50 ML 7/1/2015 2/3/2016 M01

00039-0038-05 J0698 CEFOTAXIME SODIUM, PER GM CLAFORAN-DEXTROSE 2 GM/50 ML 7/1/2015 2/2/2016 M01

00143-9930-03 J0698 CEFOTAXIME SODIUM, PER GM CEFOTAXIME SODIUM 500 MG VIAL 7/1/2015 99/99/9999 M01

00143-9931-22 J0698 CEFOTAXIME SODIUM, PER GM CEFOTAXIME SODIUM 1 GM VIAL 7/1/2015 99/99/9999 M01

00143-9933-22 J0698 CEFOTAXIME SODIUM, PER GM CEFOTAXIME SODIUM 2 GM VIAL 7/1/2015 99/99/9999 M01

00143-9935-91 J0698 CEFOTAXIME SODIUM, PER GM CEFOTAXIME SODIUM 10 GM VIAL 7/1/2015 99/99/9999 M01

00085-0566-05 J0702 INJECTION, BETAMETHASONE ACETATE CELESTONE SOLUSPAN 30 MG/5 ML 3/8/2016 99/99/9999 M01

00517-0720-01 J0702 INJECTION, BETAMETHASONE ACETATE BETAMETHASONE AC-SP 6 MG/ML VL 7/1/2015 99/99/9999 M01

00085-0566-05 J0702 INJECTION, BETAMETHASONE ACETATE CELESTONE SOLUSPAN 30 MG/5 ML 7/1/2015 3/7/2016 M01

00456-0400-10 J0712 CEFTAROLINE FOSAMIL INJ TEFLARO 400 MG VIAL 1/1/2012 99/99/9999 M01

00456-0600-01 J0712 CEFTAROLINE FOSAMIL INJ TEFLARO 600 MG VIAL 1/1/2012 99/99/9999 M01

00456-0600-10 J0712 CEFTAROLINE FOSAMIL INJ TEFLARO 600 MG VIAL 1/1/2012 99/99/9999 M01

00264-3143-11 J0713 CEFTAZIDIME CEFTAZIDIME 1 GM PIGGYBACK 7/1/2015 99/99/9999 M01

00264-3145-11 J0713 CEFTAZIDIME CEFTAZIDIME 2 GM PIGGYBACK 7/1/2015 99/99/9999 M01

00781-3177-80 J0713 CEFTAZIDIME CEFTAZIDIME 1 GM VIAL 7/1/2015 99/99/9999 M01

00781-3178-91 J0713 CEFTAZIDIME CEFTAZIDIME 2 GM VIAL 7/1/2015 99/99/9999 M01

24987-0377-10 J0713 CEFTAZIDIME FORTAZ 500 MG VIAL 7/1/2015 99/99/9999 M01

24987-0378-10 J0713 CEFTAZIDIME FORTAZ 1 GM VIAL 7/1/2015 99/99/9999 M01

24987-0379-34 J0713 CEFTAZIDIME FORTAZ 2 GM VIAL 7/1/2015 99/99/9999 M01

24987-0382-37 J0713 CEFTAZIDIME FORTAZ 6 GM VIAL 7/1/2015 99/99/9999 M01

24987-0413-00 J0713 CEFTAZIDIME FORTAZ-ISO-OSMOT 2 GM/50 ML 7/1/2015 99/99/9999 M01

25021-0127-20 J0713 CEFTAZIDIME CEFTAZIDIME 1 GM VIAL 7/1/2015 99/99/9999 M01

25021-0128-50 J0713 CEFTAZIDIME CEFTAZIDIME 2 GM VIAL 7/1/2015 99/99/9999 M01

25021-0129-99 J0713 CEFTAZIDIME CEFTAZIDIME 6 GM VIAL 7/1/2015 99/99/9999 M01

44567-0235-25 J0713 CEFTAZIDIME CEFTAZIDIME 1 GM VIAL 1/1/2017 99/99/9999 M01

00409-5082-16 J0713 CEFTAZIDIME TAZICEF 1 GRAM VIAL 7/1/2015 99/99/9999 M01

00409-5082-52 J0713 CEFTAZIDIME TAZICEF 1 GRAM VIAL 7/1/2015 3/1/2016 M01

00409-5084-11 J0713 CEFTAZIDIME TAZICEF 2 GRAM VIAL 7/1/2015 99/99/9999 M01

00409-5084-51 J0713 CEFTAZIDIME TAZICEF 2 GRAM VIAL 7/1/2015 11/1/2015 M01

00409-5086-11 J0713 CEFTAZIDIME TAZICEF 6 GRAM VIAL 7/1/2015 99/99/9999 M01

00409-5086-51 J0713 CEFTAZIDIME TAZICEF 6 GRAM VIAL 7/1/2015 7/1/2015 M01

00409-5092-16 J0713 CEFTAZIDIME TAZICEF 1 GM ADD-VANTAGE VIAL 7/1/2015 99/99/9999 M01

00409-5093-11 J0713 CEFTAZIDIME TAZICEF 2 GM ADD-VANTAGE 7/1/2015 99/99/9999 M01

00781-3177-96 J0713 CEFTAZIDIME CEFTAZIDIME 1 GM VIAL 7/1/2015 6/30/2017 M01

00781-3178-95 J0713 CEFTAZIDIME CEFTAZIDIME 2 GM VIAL 7/1/2015 6/30/2017 M01

00781-3179-86 J0713 CEFTAZIDIME CEFTAZIDIME 6 GM VIAL 7/1/2015 6/30/2017 M01

66621-0150-01 J0716 CENTRUROIDES IMMUNE F(AB) ANASCORP 120 MG VIAL 7/1/2015 99/99/9999 Y M01

50474-0700-62 J0717 CERTOLIZUMAB PEGOL INJ 1MG CIMZIA 200 MG VIAL KIT 7/1/2015 99/99/9999 Y M01

50474-0710-79 J0717 CERTOLIZUMAB PEGOL INJ 1MG CIMZIA 200 MG/ML SYRINGE KIT 7/1/2015 99/99/9999 Y M01

50474-0710-81 J0717 CERTOLIZUMAB PEGOL INJ 1MG CIMZIA 200 MG/ML STARTER KIT 7/1/2015 99/99/9999 Y M01

63323-0011-15 J0720 INJECTION, CHLORAMPHENICOL SODIUM SUCCIN CHLORAMPHEN NA SUCC 1 GM VL 7/1/2015 99/99/9999 M01

00052-0315-10 J0725 INJECTION, CHORIONIC GONADOTROPIN PREGNYL 10,000 UNITS VIAL 7/1/2015 99/99/9999 M01

55566-1501-01 J0725 INJECTION, CHORIONIC GONADOTROPIN NOVAREL 10,000 UNITS VIAL 7/1/2015 99/99/9999 M01

63323-0025-10 J0725 INJECTION, CHORIONIC GONADOTROPIN CHORIONIC GONAD 10,000 UNIT VL 7/1/2015 99/99/9999 M01

00143-9723-01 J0735 INJECTION, CLONIDINE HYDROCHLORIDE CLONIDINE 5,000 MCG/10 ML VIAL 7/1/2015 99/99/9999 M01

00143-9724-01 J0735 INJECTION, CLONIDINE HYDROCHLORIDE CLONIDINE 1,000 MCG/10 ML VIAL 7/1/2015 99/99/9999 M01

00517-0730-01 J0735 INJECTION, CLONIDINE HYDROCHLORIDE CLONIDINE 1,000 MCG/10 ML VIAL 7/1/2015 99/99/9999 M01

00517-0731-01 J0735 INJECTION, CLONIDINE HYDROCHLORIDE CLONIDINE 5,000 MCG/10 ML VIAL 7/1/2015 99/99/9999 M01

63323-0405-10 J0735 INJECTION, CLONIDINE HYDROCHLORIDE CLONIDINE 1,000 MCG/10 ML VIAL 7/1/2015 99/99/9999 M01

63323-0427-10 J0735 INJECTION, CLONIDINE HYDROCHLORIDE CLONIDINE 5,000 MCG/10 ML VIAL 7/1/2015 99/99/9999 M01

00006-3514-58 J0743 INJECTION, CILASTATIN SODIUM; IMIPENEM, PRIMAXIN 250 MG VIAL 7/1/2015 5/1/2017 M01

00006-3516-59 J0743 INJECTION, CILASTATIN SODIUM; IMIPENEM, PRIMAXIN 500 MG VIAL 7/1/2015 99/99/9999 M01

00006-3551-58 J0743 INJECTION, CILASTATIN SODIUM; IMIPENEM, PRIMAXIN 250 MG VIAL 7/1/2015 5/31/2016 M01

00006-3552-59 J0743 INJECTION, CILASTATIN SODIUM; IMIPENEM, PRIMAXIN 500 MG VIAL 7/1/2015 5/31/2016 M01

00409-4777-49 J0744 INJECTION CIPROFLOXACN-D5W 200 MG/100 ML 7/1/2015 99/99/9999 M01

00409-4777-50 J0744 INJECTION CIPROFLOXACN-D5W 400 MG/200 ML 7/1/2015 99/99/9999 M01

00781-3239-46 J0744 INJECTION CIPROFLOXACN-D5W 200 MG/100 ML 7/1/2015 4/30/2018 M01

25021-0114-82 J0744 INJECTION CIPROFLOXACN-D5W 200 MG/100 ML 7/1/2015 3/31/2016 M01

25021-0114-87 J0744 INJECTION CIPROFLOXACN-D5W 400 MG/200 ML 7/1/2015 99/99/9999 M01

50419-0759-01 J0744 INJECTION CIPRO I.V. 400 MG/200 ML D5W 7/1/2015 99/99/9999 M01

00409-4777-02 J0744 INJECTION CIPROFLOXACN-D5W 400 MG/200 ML 7/1/2015 99/99/9999 M01

00409-4777-23 J0744 INJECTION CIPROFLOXACN-D5W 200 MG/100 ML 7/1/2015 99/99/9999 M01

00781-3239-09 J0744 INJECTION CIPROFLOXACN-D5W 200 MG/100 ML 7/1/2015 4/30/2018 M01

00781-3240-09 J0744 INJECTION CIPROFLOXACN-D5W 400 MG/200 ML 7/1/2015 11/30/2018 M01

00409-4765-86 J0744 INJECTION CIPROFLOXACIN 200 MG/20 ML VL 7/1/2015 8/1/2015 M01

00409-4778-86 J0744 INJECTION CIPROFLOXACIN 400 MG/40 ML VL 7/1/2015 11/1/2015 M01

39822-0615-02 J0770 INJECTION, COLISTIMETHATE SODIUM, UP TO COLISTIMETHATE 150 MG VIAL 7/1/2015 99/99/9999 M01

42023-0107-01 J0770 INJECTION, COLISTIMETHATE SODIUM, UP TO COLY-MYCIN M 150 MG VIAL 7/1/2015 99/99/9999 M01

42023-0107-06 J0770 INJECTION, COLISTIMETHATE SODIUM, UP TO COLY-MYCIN M 150 MG VIAL 7/1/2015 99/99/9999 M01

63323-0393-06 J0770 INJECTION, COLISTIMETHATE SODIUM, UP TO COLISTIMETHATE 150 MG VIAL 7/1/2015 99/99/9999 M01

00574-0858-01 J0770 INJECTION, COLISTIMETHATE SODIUM, UP TO COLISTIMETHATE 150 MG VIAL 7/1/2015 6/30/2018 M01

39822-0615-01 J0770 INJECTION, COLISTIMETHATE SODIUM, UP TO COLISTIMETHATE 150 MG VIAL 7/1/2015 99/99/9999 M01

66887-0003-01 J0775 COLLAGENASE, CLOST HIST INJ XIAFLEX 0.9 MG VIAL 7/1/2015 99/99/9999 Y M01

23155-0294-42 J0780 INJECTION, PROCHLORPERAZINE, UP TO 10 MG PROCHLORPERAZINE 10 MG/2 ML VL 7/1/2015 99/99/9999 M01

55566-0302-01 J0795 INJECTION, CORTICORELIN OVINE TRIFLUTATE ACTHREL 100 MCG VIAL 7/1/2015 99/99/9999 M01

67457-0227-02 J0833 INJECTION, COSYNTROPIN, NOS, 0.25 MG COSYNTROPIN 0.25 MG VIAL 7/1/2015 99/99/9999 M01

00781-3440-71 J0833 INJECTION, COSYNTROPIN, NOS, 0.25 MG COSYNTROPIN 0.25 MG VIAL 7/1/2013 99/99/9999 M01

00781-3052-95 J0833 INJECTION, COSYNTROPIN, NOS, 0.25 MG COSYNTROPIN 0.25 MG/ML 1/1/2013 6/30/2015 M01

00548-5900-00 J0833 INJECTION, COSYNTROPIN, NOS, 0.25 MG CORTROSYN 0.25 MG VIAL 1/1/2013 12/31/2014 M01

00548-5900-00 J0834 INJECTION, COSYNTROPIN, 0.25 MG CORTROSYN 0.25 MG VIAL 1/1/2014 12/31/2014 M01

00281-0330-10 J0840 CROTALIDAE POLY IMMUNE FAB CROFAB VIAL 1/1/2012 6/30/2013 M01

44206-0532-11 J0850 CYTOMEGALOVIRUS IGH CYTOGAM 2.5 GM/50 ML VIAL 7/1/2015 99/99/9999 M01

67919-0011-01 J0878 DAPTOMYCIN INJECTION CUBICIN 500 MG VIAL 7/1/2015 99/99/9999 M01

55513-0057-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 25 MCG/0.42 ML SYRING 3/8/2016 99/99/9999 M01

55513-0057-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 25 MCG/0.42 ML SYRING 3/8/2016 99/99/9999 M01

55513-0002-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 25 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0002-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 25 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0003-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 40 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0003-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 40 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0004-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 60 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0004-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 60 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0005-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 100 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0005-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 100 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0006-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 200 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0021-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 40 MCG/0.4 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0021-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 40 MCG/0.4 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0023-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 60 MCG/0.3 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0023-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 60 MCG/0.3 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0025-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 100 MCG/0.5 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0025-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 100 MCG/0.5 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0027-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 150 MCG/0.3 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0027-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 150 MCG/0.3 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0028-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 200 MCG/0.4 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0032-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 500 MCG/1 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0053-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 150 MCG/0.75 ML VIAL 7/1/2015 10/31/2015 M01

55513-0053-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 150 MCG/0.75 ML VIAL 7/1/2015 10/31/2015 M01

55513-0057-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 25 MCG/0.42 ML SYRING 7/1/2015 3/7/2016 M01

55513-0057-04 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 25 MCG/0.42 ML SYRING 7/1/2015 3/7/2016 M01

55513-0110-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 300 MCG/ML VIAL 7/1/2015 99/99/9999 M01

55513-0111-01 J0881 INJECTION, DARBEPOETIN ALFA ARANESP 300 MCG/0.6 ML SYRINGE 7/1/2015 99/99/9999 M01

55513-0002-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 25 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

55513-0003-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 40 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

55513-0004-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 60 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

55513-0004-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 60 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

55513-0005-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 100 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

55513-0006-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 200 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

55513-0021-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 40 MCG/0.4 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0021-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 40 MCG/0.4 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0023-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 60 MCG/0.3 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0023-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 60 MCG/0.3 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0025-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 100 MCG/0.5 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0027-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 150 MCG/0.3 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0028-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 200 MCG/0.4 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0032-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 500 MCG/1 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0053-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 150 MCG/0.75 ML VIAL 7/1/2015 10/31/2015 Y M01

55513-0053-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 150 MCG/0.75 ML VIAL 7/1/2015 10/31/2015 Y M01

55513-0057-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 25 MCG/0.42 ML SYRING 7/1/2015 99/99/9999 Y M01

55513-0110-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 300 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

55513-0111-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 300 MCG/0.6 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0025-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 100 MCG/0.5 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0027-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 150 MCG/0.3 ML SYRINGE 7/1/2015 99/99/9999 Y M01

55513-0057-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 25 MCG/0.42 ML SYRING 7/1/2015 99/99/9999 Y M01

55513-0002-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 25 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

55513-0003-04 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 40 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

55513-0005-01 J0882 INJECTION, DARBEPOETIN ALFA, ARANESP 100 MCG/ML VIAL 7/1/2015 99/99/9999 Y M01

59676-0340-01 J0885 INJECTION, EPOETIN ALFA PROCRIT 40,000 UNITS/ML VIAL 3/1/2016 99/99/9999 M01

59676-0310-00 J0885 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

59676-0312-00 J0885 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

59676-0312-04 J0885 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0126-01 J0885 INJECTION, EPOETIN ALFA EPOGEN 2,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0126-10 J0885 INJECTION, EPOETIN ALFA EPOGEN 2,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0144-01 J0885 INJECTION, EPOETIN ALFA EPOGEN 10,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0144-10 J0885 INJECTION, EPOETIN ALFA EPOGEN 10,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0148-01 J0885 INJECTION, EPOETIN ALFA EPOGEN 4,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0148-10 J0885 INJECTION, EPOETIN ALFA EPOGEN 4,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0267-01 J0885 INJECTION, EPOETIN ALFA EPOGEN 3,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0267-10 J0885 INJECTION, EPOETIN ALFA EPOGEN 3,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0283-01 J0885 INJECTION, EPOETIN ALFA EPOGEN 20,000 UNITS/2 ML VIAL 7/1/2015 99/99/9999 M01

55513-0283-10 J0885 INJECTION, EPOETIN ALFA EPOGEN 20,000 UNITS/2 ML VIAL 7/1/2015 99/99/9999 M01

55513-0478-01 J0885 INJECTION, EPOETIN ALFA EPOGEN 20,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0478-10 J0885 INJECTION, EPOETIN ALFA EPOGEN 20,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

59676-0302-01 J0885 INJECTION, EPOETIN ALFA PROCRIT 2,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

59676-0303-01 J0885 INJECTION, EPOETIN ALFA PROCRIT 3,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

59676-0304-01 J0885 INJECTION, EPOETIN ALFA PROCRIT 4,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

59676-0310-01 J0885 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

59676-0310-02 J0885 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

59676-0320-04 J0885 INJECTION, EPOETIN ALFA PROCRIT 20,000 UNITS/ML VIAL 7/1/2015 99/99/9999 M01

55513-0126-01 J0886 INJECTION, EPOETIN ALFA EPOGEN 2,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

55513-0126-10 J0886 INJECTION, EPOETIN ALFA EPOGEN 2,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

55513-0144-01 J0886 INJECTION, EPOETIN ALFA EPOGEN 10,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

55513-0144-10 J0886 INJECTION, EPOETIN ALFA EPOGEN 10,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

55513-0148-01 J0886 INJECTION, EPOETIN ALFA EPOGEN 4,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

55513-0148-10 J0886 INJECTION, EPOETIN ALFA EPOGEN 4,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

55513-0267-01 J0886 INJECTION, EPOETIN ALFA EPOGEN 3,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

55513-0267-10 J0886 INJECTION, EPOETIN ALFA EPOGEN 3,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

55513-0283-01 J0886 INJECTION, EPOETIN ALFA EPOGEN 20,000 UNITS/2 ML VIAL 7/1/2015 12/31/2015 M01

55513-0283-10 J0886 INJECTION, EPOETIN ALFA EPOGEN 20,000 UNITS/2 ML VIAL 7/1/2015 12/31/2015 M01

55513-0478-01 J0886 INJECTION, EPOETIN ALFA EPOGEN 20,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

55513-0478-10 J0886 INJECTION, EPOETIN ALFA EPOGEN 20,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0302-01 J0886 INJECTION, EPOETIN ALFA PROCRIT 2,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0303-01 J0886 INJECTION, EPOETIN ALFA PROCRIT 3,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0304-01 J0886 INJECTION, EPOETIN ALFA PROCRIT 4,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0310-00 J0886 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0310-01 J0886 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0310-02 J0886 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0312-00 J0886 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0312-04 J0886 INJECTION, EPOETIN ALFA PROCRIT 10,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0340-01 J0886 INJECTION, EPOETIN ALFA PROCRIT 40,000 UNITS/ML VIAL 7/1/2015 12/31/2015 M01

59676-0320-04 J0886 INJECTION, EPOETIN ALFA PROCRIT 20,000 UNITS/ML VIAL 5/1/2011 12/31/2015 M01

62856-0600-01 J0894 INJECTION, DECITABINE, 1 MG DACOGEN 50 MG VIAL 7/1/2015 99/99/9999 M01

63323-0597-10 J0895 INJECTION, DEFEROXAMINE MESYLATE, 500 MG DEFEROXAMINE 500 MG VIAL 7/1/2015 99/99/9999 M01

63323-0599-30 J0895 INJECTION, DEFEROXAMINE MESYLATE, 500 MG DEFEROXAMINE 2 GRAM VIAL 7/1/2015 99/99/9999 M01

00078-0347-51 J0895 INJECTION, DEFEROXAMINE MESYLATE, 500 MG DESFERAL 2 GRAM VIAL 7/1/2015 7/31/2017 M01

00078-0467-91 J0895 INJECTION, DEFEROXAMINE MESYLATE, 500 MG DESFERAL MESYLATE 500 MG VL 7/1/2015 99/99/9999 M01

00409-2336-10 J0895 INJECTION, DEFEROXAMINE MESYLATE, 500 MG DEFEROXAMINE 500 MG VIAL 7/1/2015 99/99/9999 M01

00409-2337-25 J0895 INJECTION, DEFEROXAMINE MESYLATE, 500 MG DEFEROXAMINE 2 GRAM VIAL 7/1/2015 99/99/9999 M01

55513-0730-01 J0897 DENOSUMAB INJECTION XGEVA 120 MG/1.7 ML VIAL 1/1/2012 99/99/9999 M01

55513-0710-01 J0897 DENOSUMAB INJECTION PROLIA 60 MG/ML SYRINGE 1/1/2012 99/99/9999 M01

00009-0271-01 J1000 INJECTION, DEPO-ESTRADIOL CYPIONATE, UP DEPO-ESTRADIOL 5 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0306-02 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 DEPO-MEDROL 80 MG/ML VIAL 3/1/2016 99/99/9999 M01

00009-0274-01 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 DEPO-MEDROL 20 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-02 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-03 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-51 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-52 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0306-12 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 DEPO-MEDROL 80 MG/ML VIAL 7/1/2015 99/99/9999 M01

00703-0043-01 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 99/99/9999 M01

00703-0045-01 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 99/99/9999 M01

00703-0063-01 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 METHYLPREDNISOLONE 80 MG/ML VL 7/1/2015 99/99/9999 M01

00781-3136-70 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 3/31/2016 M01

00781-3137-75 J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 2 METHYLPREDNISOLONE 80 MG/ML VL 7/1/2015 3/31/2016 M01

00009-0306-02 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 80 MG/ML VIAL 3/1/2016 99/99/9999 M01

00009-3475-01 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 80 MG/ML VIAL 3/1/2016 99/99/9999 M01

00703-0063-01 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 METHYLPREDNISOLONE 80 MG/ML VL 3/1/2016 99/99/9999 M01

00009-0274-01 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 20 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0306-12 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 80 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-3073-22 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-3073-23 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00781-3131-71 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 6/30/2016 M01

00781-3131-95 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 3/31/2016 M01

00781-3136-70 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 3/31/2016 M01

00781-3137-75 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 METHYLPREDNISOLONE 80 MG/ML VL 7/1/2015 3/31/2016 M01

00009-0280-02 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-03 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-51 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-52 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-3073-01 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-3073-03 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00703-0031-01 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 99/99/9999 M01

00703-0031-04 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 99/99/9999 M01

00703-0043-01 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 99/99/9999 M01

00703-0045-01 J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 4 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 99/99/9999 M01

00009-0274-01 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 20 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-02 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-51 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0280-52 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 40 MG/ML VIAL 7/1/2015 99/99/9999 M01

00703-0043-01 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 99/99/9999 M01

00703-0045-01 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 99/99/9999 M01

00781-3136-70 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 METHYLPREDNISOLONE 40 MG/ML VL 7/1/2015 3/31/2016 M01

00781-3132-95 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 METHYLPREDNISOLONE 80 MG/ML VL 8/4/2010 3/31/2016 M01

00781-3132-71 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 METHYLPREDNISOLONE 80 MG/ML VL 8/4/2010 3/31/2016 M01

00781-3137-75 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 METHYLPREDNISOLONE 80 MG/ML VL 3/1/2010 3/31/2016 M01

00703-0051-01 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 METHYLPREDNISOLONE 80 MG/ML VL 3/1/2010 99/99/9999 M01

00703-0051-04 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 METHYLPREDNISOLONE 80 MG/ML VL 3/1/2010 99/99/9999 M01

00703-0063-01 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 METHYLPREDNISOLONE 80 MG/ML VL 3/1/2010 99/99/9999 M01

00009-0306-12 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 80 MG/ML VIAL 3/1/2010 99/99/9999 M01

00009-0306-02 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 80 MG/ML VIAL 3/1/2010 99/99/9999 M01

00009-3475-01 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 80 MG/ML VIAL 3/1/2010 99/99/9999 M01

00009-3475-03 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 80 MG/ML VIAL 3/1/2010 99/99/9999 M01

00009-3073-01 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 40 MG/ML VIAL 3/1/2010 99/99/9999 M01

00009-3073-22 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 40 MG/ML VIAL 3/1/2010 99/99/9999 M01

00009-3475-22 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 80 MG/ML VIAL 3/1/2010 99/99/9999 M01

00009-3475-23 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 80 MG/ML VIAL 3/1/2010 99/99/9999 M01

00003-0293-20 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 KENALOG-40 40 MG/ML VIAL 3/1/2010 99/99/9999 M01

00009-0280-03 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 40 MG/ML VIAL 3/1/2010 99/99/9999 M01

00009-0306-01 J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 8 DEPO-MEDROL 80 MG/ML VIAL 3/1/2010 3/31/2015 M01

59762-4537-01 J1050 MEDROXYPROGESTERONE ACETATE MEDROXYPROGESTERONE 150 MG/ML 3/8/2016 99/99/9999 M01

59762-4538-02 J1050 MEDROXYPROGESTERONE ACETATE MEDROXYPROGESTERONE 150 MG/ML 7/1/2015 99/99/9999 M01

00009-0626-01 J1050 MEDROXYPROGESTERONE ACETATE DEPO-PROVERA 400 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-4709-13 J1050 MEDROXYPROGESTERONE ACETATE DEPO-SUBQ PROVERA 104 SYRINGE 7/1/2015 99/99/9999 M01

00009-7376-11 J1050 MEDROXYPROGESTERONE ACETATE DEPO-PROVERA 150 MG/ML SYRINGE 7/1/2015 99/99/9999 M01

00703-6801-01 J1050 MEDROXYPROGESTERONE ACETATE MEDROXYPROGESTERONE 150 MG/ML 7/1/2015 99/99/9999 M01

00703-6801-04 J1050 MEDROXYPROGESTERONE ACETATE MEDROXYPROGESTERONE 150 MG/ML 7/1/2015 99/99/9999 M01

00009-0746-30 J1050 MEDROXYPROGESTERONE ACETATE DEPO-PROVERA 150 MG/ML VIAL 7/1/2015 99/99/9999 M01

00009-0746-35 J1050 MEDROXYPROGESTERONE ACETATE DEPO-PROVERA 150 MG/ML VIAL 7/1/2015 99/99/9999 M01

59762-4537-02 J1050 MEDROXYPROGESTERONE ACETATE MEDROXYPROGESTERONE 150 MG/ML 7/1/2015 99/99/9999 M01

59762-4537-01 J1050 MEDROXYPROGESTERONE ACETATE MEDROXYPROGESTERONE 150 MG/ML 7/1/2015 3/7/2016 M01

00009-0347-02 J1071 INJ TESTOSTERONE CYPIONATE DEPO-TESTOSTERONE 100 MG/ML VL 3/8/2016 99/99/9999 M01

00009-0417-01 J1071 INJ TESTOSTERONE CYPIONATE DEPO-TESTOSTERONE 200 MG/ML 3/8/2016 99/99/9999 M01

00009-0417-02 J1071 INJ TESTOSTERONE CYPIONATE DEPO-TESTOSTERONE 200 MG/ML 3/8/2016 99/99/9999 M01

00591-3223-79 J1071 INJ TESTOSTERONE CYPIONATE TESTOSTERON CYP 2,000 MG/10 ML 3/8/2016 5/31/2017 M01

00781-3073-70 J1071 INJ TESTOSTERONE CYPIONATE TESTOSTERONE CYP 100 MG/ML 3/8/2016 3/31/2016 M01

00009-0520-10 J1071 INJ TESTOSTERONE CYPIONATE DEPO-TESTOSTERONE 200 MG/ML 7/1/2016 99/99/9999 M01

00009-0347-02 J1071 INJ TESTOSTERONE CYPIONATE DEPO-TESTOSTERONE 100 MG/ML VL 1/1/2015 3/7/2016 M01

00574-0820-01 J1071 INJ TESTOSTERONE CYPIONATE TESTOSTERONE CYP 200 MG/ML 1/1/2015 99/99/9999 M01

00781-3073-70 J1071 INJ TESTOSTERONE CYPIONATE TESTOSTERONE CYP 100 MG/ML 1/1/2015 3/7/2016 M01

00781-3074-70 J1071 INJ TESTOSTERONE CYPIONATE TESTOSTERONE CYP 200 MG/ML 1/1/2015 9/30/2016 M01

00781-3074-71 J1071 INJ TESTOSTERONE CYPIONATE TESTOSTERONE CYP 200 MG/ML 1/1/2015 9/30/2016 M01

00574-0820-10 J1071 INJ TESTOSTERONE CYPIONATE TESTOSTERONE CYP 200 MG/ML 1/1/2015 99/99/9999 M01

00009-0417-01 J1071 INJ TESTOSTERONE CYPIONATE DEPO-TESTOSTERONE 200 MG/ML 1/1/2015 3/7/2016 M01

00009-0417-02 J1071 INJ TESTOSTERONE CYPIONATE DEPO-TESTOSTERONE 200 MG/ML 1/1/2015 3/7/2016 M01

00591-3223-79 J1071 INJ TESTOSTERONE CYPIONATE TESTOSTERON CYP 2,000 MG/10 ML 1/1/2015 3/7/2016 M01

55150-0237-01 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 4 MG/ML VIAL 1/1/2017 99/99/9999 M01

67457-0420-10 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 100 MG/10 ML VL 1/1/2017 99/99/9999 M01

67457-0423-12 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 4 MG/ML VIAL 7/1/2015 99/99/9999 M01

00641-0367-21 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 10 MG/ML VIAL 9/2/2008 99/99/9999 M01

00069-4541-01 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 100 MG/10 ML VL 8/16/2012 8/31/2015 M01

00069-4543-01 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 20 MG/5 ML VIAL 8/16/2012 3/31/2015 M01

00069-4543-02 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 20 MG/5 ML VIAL 8/30/2011 3/31/2015 M01

00069-4545-02 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 120 MG/30 ML VL 8/30/2011 4/30/2015 M01

00069-4541-02 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 100 MG/10 ML VL 8/30/2011 8/31/2015 M01

00517-4901-25 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 4 MG/ML VIAL 3/1/2008 12/31/2014 M01

00517-4905-25 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 20 MG/5 ML VIAL 3/1/2008 12/31/2014 M01

00517-4930-25 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 120 MG/30 ML VL 3/1/2008 12/31/2014 M01

00641-0367-25 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 10 MG/ML VIAL 3/1/2008 99/99/9999 M01

00703-3524-01 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 10 MG/ML VIAL 3/1/2008 2/28/2011 M01

00703-3524-03 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 10 MG/ML VIAL 3/1/2008 3/31/2011 M01

63323-0165-01 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 4 MG/ML VIAL 3/1/2008 99/99/9999 M01

63323-0165-05 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 20 MG/5 ML VIAL 3/1/2008 99/99/9999 M01

63323-0165-30 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 120 MG/30 ML VL 3/1/2008 99/99/9999 M01

63323-0506-01 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 10 MG/ML VIAL 3/1/2008 99/99/9999 M01

63323-0516-10 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE 100 MG/10 ML VL 3/1/2008 99/99/9999 M01

00054-3176-44 J1100 DEXAMETHOSONE SODIUM PHOSPHATE, 1MG DEXAMETHASONE INTENSOL 1MG/1ML 3/1/2008 99/99/9999 M01

00574-0850-05 J1110 INJECTION, DEHYDROERGOTAMINE, PER 1 MG DIHYDROERGOTAMINE 1 MG/ML AM 7/1/2015 99/99/9999 M01

00574-0850-10 J1110 INJECTION, DEHYDROERGOTAMINE, PER 1 MG DIHYDROERGOTAMINE 1 MG/ML AM 7/1/2015 99/99/9999 M01

66490-0041-01 J1110 INJECTION, DEHYDROERGOTAMINE, PER 1 MG D.H.E.45 1 MG/ML AMPUL 7/1/2015 99/99/9999 M01

39822-0190-01 J1120 INJECTION, ACETAZOLAMIDE SODIUM, UP TO 5 ACETAZOLAMIDE SOD 500 MG VIAL 7/1/2015 99/99/9999 M01

39822-0190-07 J1120 INJECTION, ACETAZOLAMIDE SODIUM, UP TO 5 ACETAZOLAMIDE SOD 500 MG VIAL 7/1/2015 99/99/9999 M01

24987-0260-10 J1160 INJECTION, DIGOXIN, UP TO 0.5 MG LANOXIN 500 MCG/2 ML AMPULE 12/1/2016 99/99/9999 M01

24987-0262-10 J1160 INJECTION, DIGOXIN, UP TO 0.5 MG LANOXIN PED 100 MCG/ML AMPUL 7/1/2015 99/99/9999 M01

00641-1410-35 J1160 INJECTION, DIGOXIN, UP TO 0.5 MG DIGOXIN 500 MCG/2 ML AMPULE 7/1/2015 99/99/9999 M01

00781-3059-95 J1160 INJECTION, DIGOXIN, UP TO 0.5 MG DIGOXIN 500 MCG/2 ML AMPULE 7/1/2015 99/99/9999 M01

00641-1410-31 J1160 INJECTION, DIGOXIN, UP TO 0.5 MG DIGOXIN 500 MCG/2 ML AMPULE 7/1/2015 99/99/9999 M01

39822-4050-02 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 100 MG/2 ML VIAL 7/1/2015 99/99/9999 M01

39822-4050-03 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 100 MG/2 ML VIAL 7/1/2015 99/99/9999 M01

39822-4050-05 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 250 MG/5 ML VIAL 7/1/2015 99/99/9999 M01

39822-4050-06 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 250 MG/5 ML VIAL 7/1/2015 99/99/9999 M01

00143-9881-25 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 250 MG/5 ML VIAL 7/1/2015 99/99/9999 M01

00143-9882-25 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 100 MG/2 ML VIAL 7/1/2015 99/99/9999 M01

00641-0493-25 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 50 MG/ML VIAL 7/1/2015 99/99/9999 M01

00641-2555-45 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 50 MG/ML VIAL 7/1/2015 99/99/9999 M01

60505-0765-04 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG FOSPHENYTOIN 500 MG PE/10 ML 7/1/2015 6/30/2016 M01

00641-2555-41 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 50 MG/ML VIAL 7/1/2015 99/99/9999 M01

00641-0493-21 J1165 INJECTION, PHENYTOIN SODIUM,PER 50 MG PHENYTOIN 50 MG/ML VIAL 7/1/2015 99/99/9999 M01

00703-0018-01 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 10 MG/ML VIAL 7/1/2015 99/99/9999 M01

00703-0110-03 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 10 MG/ML VIAL 7/1/2015 99/99/9999 M01

00703-0113-03 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 50 MG/5 ML VIAL 7/1/2015 99/99/9999 M01

17478-0540-01 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE HCL 10 MG/ML AMP 7/1/2015 99/99/9999 M01

17478-0540-05 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE HCL 10 MG/ML AMP 7/1/2015 99/99/9999 M01

00409-1312-10 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 2 MG/ML ISECURE 10/1/2010 99/99/9999 M01

17478-0540-50 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE HCL 10 MG/ML VL 11/10/2010 99/99/9999 M01

00409-1283-10 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 1 MG/ML SYRINGE 10/1/2010 99/99/9999 M01

00409-2634-01 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 10 MG/ML VIAL 6/1/2009 99/99/9999 M01

00409-2634-05 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 50 MG/5 ML VIAL 6/1/2009 99/99/9999 M01

00409-2634-50 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 500 MG/50 ML VIA 6/1/2009 99/99/9999 M01

59011-0441-10 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID 1 MG/ML AMPUL 6/1/2009 2/28/2017 M01

59011-0442-10 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID 2 MG/ML AMPUL 6/1/2009 2/28/2017 M01

59011-0442-25 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID 2 MG/ML AMPUL 6/1/2009 2/28/2017 M01

59011-0444-10 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID 4 MG/ML AMPUL 6/1/2009 4/30/2017 M01

59011-0445-01 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID-HP 10 MG/ML AMPUL 6/1/2009 11/30/2017 M01

59011-0445-05 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID-HP 10 MG/ML AMPUL 6/1/2009 11/30/2017 M01

59011-0445-50 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID-HP 10 MG/ML VIAL 6/1/2009 5/31/2016 M01

59011-0446-25 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID-HP 250 MG VIAL 6/1/2009 7/31/2016 M01

00074-2332-11 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID 1 MG/ML AMPUL 6/1/2009 3/31/2011 M01

00074-2333-11 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID 2 MG/ML AMPUL 6/1/2009 3/31/2011 M01

00074-2333-26 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID 2 MG/ML AMPUL 6/1/2009 3/1/2011 M01

00074-2334-11 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID 4 MG/ML AMPUL 6/1/2009 3/31/2011 M01

00074-2414-21 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG DILAUDID 2 MG/ML VIAL 6/1/2009 3/31/2010 M01

00406-3245-52 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE HCL POWDER 6/1/2009 3/31/2011 M01

00409-1283-31 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 1 MG/ML CARPUJCT 6/1/2009 99/99/9999 M01

00409-1304-31 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 4 MG/ML CARPUJCT 6/1/2009 99/99/9999 M01

00409-1312-30 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 2 MG/ML CARPUJCT 6/1/2009 99/99/9999 M01

00409-2172-01 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE HCL 10 MG/ML AMP 6/1/2009 7/1/2011 M01

00409-2172-05 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE HCL 10 MG/ML AMP 6/1/2009 9/30/2011 M01

00409-2540-01 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE HCL 4 MG/ML AMP 6/1/2009 99/99/9999 M01

00409-2552-01 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE HCL 1 MG/ML AMP 6/1/2009 99/99/9999 M01

00409-3356-01 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE HCL 2 MG/ML AMP 6/1/2009 99/99/9999 M01

00409-3365-01 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 2 MG/ML VIAL 6/1/2009 99/99/9999 M01

00555-1117-05 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 10 MG/ML VIAL 6/1/2009 8/31/2011 M01

00555-1117-06 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 10 MG/ML VIAL 6/1/2009 9/30/2011 M01

00555-1117-07 J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG HYDROMORPHONE 10 MG/ML VIAL 6/1/2009 6/30/2011 M01

00574-2017-01 J1170 INJECTION, HYDROMORP