Jan2024
0.45% SALINE
PH000403
22.14
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
22.14
22.14
Jan2024
0.9% SALINE
PH000404
0.020925
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.020925
0.020925
Jan2024
5-IN-1 CONNECTOR
270RT
2.56
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.56
2.56
Jan2024
7% SALINE
PH000538
0.374985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.374985
0.374985
Jan2024
Abacavir
PH001629
11.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
11.25
11.25
Jan2024
Abb Catheter Connector
270MS
11.8
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
11.8
11.8
Jan2024
Abb PICC Plus/Stat lock/Cath stab dev
270MS
27.84
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
27.84
27.84
Jan2024
Abb Prim IV Plumset 104In WO Filter
270MS
34.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
34.48
34.48
Jan2024
Abb Prim IV Plumset 112in w filter
270MS
47.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
47.4
47.4
Jan2024
Abb Prim Nutrit Plumset 104in
270MS
55.04
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
55.04
55.04
Jan2024
Abb Sec 34in Non DEHP infus hanger
270MS
6.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.4
6.4
Jan2024
Abb Y Type Bld Plum set Nonvent 122in
270MS
81.68
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
81.68
81.68
Jan2024
Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus
76805
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2024
Abilify
PH001186
96.36921
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
96.36921
96.36921
Jan2024
Abilify
PH001182
133.795485
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
133.795485
133.795485
Jan2024
Abilify
PH001183
133.795485
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
133.795485
133.795485
Jan2024
Abilify
PH001184
133.795485
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
133.795485
133.795485
Jan2024
Abilify
PH001185
133.795485
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
133.795485
133.795485
Jan2024
ABREVA
PH000284
34.785
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
34.785
34.785
Jan2024
Acarbose
PH000920
2.034
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.034
2.034
Jan2024
Accumax Mattress
9471040
60.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.5
60.5
Jan2024
Accupril
PH000152
21.7944
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.7944
21.7944
Jan2024
Accupril
PH000153
21.7944
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.7944
21.7944
Jan2024
Acetic Acid
PH000415
0.02727
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.02727
0.02727
Jan2024
Acetone/Ketone (Semi-Quant)
30082009
16.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
16.25
16.25
Jan2024
Acetylcysteine
PH000478
1.5345
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.5345
1.5345
Jan2024
ACID FAST STAIN
30087206
44.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
44.75
44.75
Jan2024
Aclovate
PH001466
11.538
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
11.538
11.538
Jan2024
ACTIVE LIQ PROTEIN CC, BERRY, 30 OZ BTL
99ENT
155.9
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
155.9
155.9
Jan2024
ACTIVE PROTEIN POWDER, 8 OZ CAN
99ENT
33.29
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
33.29
33.29
Jan2024
Actonel
PH000301
124.09875
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
124.09875
124.09875
Jan2024
Actos
PH001453
4.19805
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.19805
4.19805
Jan2024
Actos
PH001367
96.61347
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
96.61347
96.61347
Jan2024
Acuair
9471049
45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
45
45
Jan2024
Acute and subacute endocarditis with major complications
DRG 288
NA
NA
2127.6
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2127.6
2127.6
Jan2024
Acute myocardial infarction with comorbities
DRG 281
NA
NA
1697.42
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1697.42
1697.42
Jan2024
Acute myocardial infarction with major complications
DRG 280
NA
NA
1968.29
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1968.29
1968.29
Jan2024
Acute myocardial infarction without comorbities or major complications
DRG 282
NA
NA
1697.42
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1697.42
1697.42
Jan2024
ADALAT
PH000949
6.7266
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.7266
6.7266
Jan2024
ADALAT
PH001455
13.104
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
13.104
13.104
Jan2024
Adap, Cath/Syringe/Luer
270MS
2.44
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.44
2.44
Jan2024
ADAPTER, PORTEX, SWIVEL
270RT
104
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
104
104
Jan2024
ADAPTER, Y SITE EXTENSION
270MS
5.8
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.8
5.8
Jan2024
ADAPTER,CUFF,UNIVERSAL,22MM ID
270RT
2.06
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.06
2.06
Jan2024
ADAPTER,MULTI,15MM ID X 22MM OD
270RT
2.04
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.04
2.04
Jan2024
ADAPTER,NUT & NIPPLE,CHRISTMAS TREE
270RT
2.29
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.29
2.29
Jan2024
ADAPTER,VALVED TEE,22MM OD/OD
270RT
10.33
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10.33
10.33
Jan2024
ADAPTOR, MDI, 22MM
270RT
5.12
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.12
5.12
Jan2024
ADAPTOR, PRESSUE LINE, 5-7MM
270RT
1.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.88
1.88
Jan2024
Add-A-Vial Binary Connector
PH000391
9.315
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.315
9.315
Jan2024
Adderall
PH002102
1.6776
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.6776
1.6776
Jan2024
ADDERALL
PH000580
3.89655
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.89655
3.89655
Jan2024
Adderall
PH001563
22.18185
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
22.18185
22.18185
Jan2024
Adempas
PH001618
547.903485
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
547.903485
547.903485
Jan2024
ADENOCARD
PH001326
24.6375
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.6375
24.6375
Jan2024
ADHESIVE,MEDICAL,SPRAY CAN,3.2 OZ
270MS
161.05
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
161.05
161.05
Jan2024
Adrenalin
PH000893
67.32
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
67.32
67.32
Jan2024
Advair Diskus
PH000345
48.770325
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
48.770325
48.770325
Jan2024
Advair Diskus
PH000346
48.770325
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
48.770325
48.770325
Jan2024
Advair Diskus
PH000347
79.48926
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
79.48926
79.48926
Jan2024
ADVIL
PH001457
3.285
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.285
3.285
Jan2024
AEGIS, 1" DISK 7MM HOLE, IN SLEEVE
270MS
25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
25
25
Jan2024
Afrin
PH000913
0.315
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.315
0.315
Jan2024
Aftercare with Complication or Comorbidity/Major Complication or Comorbidity
DRG 949
NA
NA
1729.39
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1729.39
1729.39
Jan2024
Aftercare, Musculoskeletal System and Connective Tissue with Complication or Comorbidity
DRG 560
NA
NA
1627.96
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1627.96
1627.96
Jan2024
Aftercare, Musculoskeletal System and Connective Tissue with Major Complication or Comorbidity
DRG 559
NA
NA
1903.57
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1903.57
1903.57
Jan2024
Aggrenox
PH000616
42.291
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
42.291
42.291
Jan2024
Agrylin
PH001135
3.74805
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.74805
3.74805
Jan2024
AIRWAY, NASOPHARYNGEAL 8MM ID
270RT
14.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.88
14.88
Jan2024
AIRWAY,NASOPAHRYNGEAL,ROBERTAZZI,30FR,LF
270RT
26.22
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
26.22
26.22
Jan2024
Alanine Amino (ALT) (Sgpt)
30084460
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2024
ALARIS TUBING
270MS
56
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
56
56
Jan2024
Albumin
30082040
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2024
Albumin 25GM
PH002109
4.32
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.32
4.32
Jan2024
Albumin, Pleural
30082042
89.18
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
89.18
89.18
Jan2024
Aldolase
30082085
71.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
71.03
71.03
Jan2024
ALDOMET
PH001004
0.80775
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.80775
0.80775
Jan2024
Aldosterone
30082088
289.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
289.25
289.25
Jan2024
Alkaline Phosphatase
30084075
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2024
Alkaline Phosphatases
30084080
125.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
125.13
125.13
Jan2024
Alka-Seltzer
PH001589
0.443745
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.443745
0.443745
Jan2024
Allegra
PH001035
5.8275
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.8275
5.8275
Jan2024
Alpha Lipoic Acid
PH001487
0.26775
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.26775
0.26775
Jan2024
Alpha-1-Antitrypsin
30082103
86.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
86.13
86.13
Jan2024
Alpha-Fetoprotein Serum (Afp),
30082105
100.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100.1
100.1
Jan2024
ALPHAGAN
PH000837
13.23
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
13.23
13.23
Jan2024
ALPHAGAN P
PH001233
126.153
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
126.153
126.153
Jan2024
ALTERNAGEL
PH000262
0.07857
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.07857
0.07857
Jan2024
Amaryl
PH001021
1.9602
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.9602
1.9602
Jan2024
Ambien
PH001056
0.4977
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.4977
0.4977
Jan2024
AMBISOME
PH000528
1167.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1167.75
1167.75
Jan2024
Amicar
PH001390
12.5073
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
12.5073
12.5073
Jan2024
Amikacin
30080150
123.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
123.83
123.83
Jan2024
AMIKIN
PH001156
30.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30.15
30.15
Jan2024
Aminocaproic Acid
PH000558
2.025
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.025
2.025
Jan2024
Aminophylline
PH000285
0.27675
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.27675
0.27675
Jan2024
Aminophylline
PH001610
55.98
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
55.98
55.98
Jan2024
Amiodarone HCL
PH001507
31.725
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.725
31.725
Jan2024
Amitiza
PH001366
27.8325
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
27.8325
27.8325
Jan2024
Ammonia
30082140
39.95
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
39.95
39.95
Jan2024
AMOXIL
PH000690
0.1611
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.1611
0.1611
Jan2024
AMPHOJEL
PH000563
0.048105
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.048105
0.048105
Jan2024
Ampicillin Sodium
PH001312
26.55
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
26.55
26.55
Jan2024
Ampicillin Sodium
PH001314
35.73
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
35.73
35.73
Jan2024
Ampicillin Trihydrate
PH001404
0.486
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.486
0.486
Jan2024
Ampicillin Trihydrate
PH001402
0.52875
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.52875
0.52875
Jan2024
Ampicillin Trihydrate
PH001403
0.91125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.91125
0.91125
Jan2024
Ampicillin Trihydrate
PH000678
2.3301
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.3301
2.3301
Jan2024
Amylase
30082150
27.95
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
27.95
27.95
Jan2024
ANA W/REFLX
30086038
89.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
89.38
89.38
Jan2024
Anagrelide HCL
PH001615
8.0595
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.0595
8.0595
Jan2024
Analpram HC
PH000541
11.5875
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
11.5875
11.5875
Jan2024
Anastrozole
PH001274
1.1925
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.1925
1.1925
Jan2024
ANCEF
PH000857
7.2
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.2
7.2
Jan2024
ANCEF
PH000386
57.459375
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57.459375
57.459375
Jan2024
ANCOBON
PH001373
571.68
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
571.68
571.68
Jan2024
Androderm
PH001130
92.385
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
92.385
92.385
Jan2024
ANDROGEL
PH001632
56.205
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
56.205
56.205
Jan2024
ANECREAM
PH000853
4.79997
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.79997
4.79997
Jan2024
Ankle Contracture boot
270MS
289.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
289.88
289.88
Jan2024
Antibody Screen
30086850
155
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
155
155
Jan2024
Antibody; Hiv1 & Hiv2, Sing As
30086703
40.3
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40.3
40.3
Jan2024
Anti-Mitochondrial Ab
30083520
97.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.83
97.83
Jan2024
Antinuclear Antibodies (ANA)
30086039
76.55
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
76.55
76.55
Jan2024
ANTIVERT
PH000988
2.56995
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.56995
2.56995
Jan2024
ANTIVERT
PH000989
3.07935
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.07935
3.07935
Jan2024
Anusol-Hc
PH001502
235.94247
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
235.94247
235.94247
Jan2024
Anusol-Hc
PH001384
235.949985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
235.949985
235.949985
Jan2024
Aph Assess per hr
44496105
320
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
320
320
Jan2024
Aplisol
PH000891
399.735
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
399.735
399.735
Jan2024
APPLICATOR,CHLORAPREP,3ML
270MS
2.84
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.84
2.84
Jan2024
APPLICATOR,SILVER NITRATE 6",100/VIAL
270MS
2.18
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.18
2.18
Jan2024
APRESOLINE
PH000782
0.47205
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.47205
0.47205
Jan2024
APRESOLINE
PH000783
0.5616
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.5616
0.5616
Jan2024
APRESOLINE
PH000784
0.61965
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.61965
0.61965
Jan2024
APRESOLINE
PH001324
15.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
15.75
15.75
Jan2024
Aqua Mephyton
PH000503
19.125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.125
19.125
Jan2024
AQUAPAK,1028 SW, 1070 ML ,W/028 ADAPTOR
270RT
20.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.58
20.58
Jan2024
AQUAPHOR
PH001254
0.13923
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.13923
0.13923
Jan2024
Aquasol A
PH001250
2598.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2598.75
2598.75
Jan2024
Aranesp
PH001162
870.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
870.75
870.75
Jan2024
Aranesp
PH001159
1393.2
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1393.2
1393.2
Jan2024
Aranesp
PH001160
2089.8
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2089.8
2089.8
Jan2024
Aranesp
PH001161
3483
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3483
3483
Jan2024
ARICEPT
PH000780
0.61245
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.61245
0.61245
Jan2024
ARICEPT
PH001278
69.075
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
69.075
69.075
Jan2024
ARIPiprazole
PH002210
1.378485
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.378485
1.378485
Jan2024
ARIPiprazole
PH001587
7.49997
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.49997
7.49997
Jan2024
ARIPiprazole
PH001569
7.56747
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.56747
7.56747
Jan2024
Arise 1000 Ex Mattress System
9471089
49.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
49.75
49.75
Jan2024
ARISE 1000 EX MATTRESS SYSTEM
947MEQ
49.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
49.75
49.75
Jan2024
Arixtra
PH001224
196.74
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
196.74
196.74
Jan2024
Armour Thyroid
PH000512
1.0125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.0125
1.0125
Jan2024
As-1 Red Bld Cell Leuk Reduc
390P9016
1175
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
957.4
957.4
Jan2024
Ascorbic Acid
PH001410
8.1432
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.1432
8.1432
Jan2024
Aspercreme
PH000890
0.216495
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.216495
0.216495
Jan2024
Aspergillus Ag Eia
30087305
396.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
396.48
396.48
Jan2024
Aspirin
PH001518
0.0369
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.0369
0.0369
Jan2024
Aspirin
PH001518
0.0369
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.0369
0.0369
Jan2024
Aspirin
PH001344
0.21915
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.21915
0.21915
Jan2024
Aspirin
PH000594
5.24997
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.24997
5.24997
Jan2024
Aspirin
PH000595
5.42997
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.42997
5.42997
Jan2024
Aspirin Buffered
PH000362
0.072
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.072
0.072
Jan2024
Aspirin Ec
PH001169
0.05805
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.05805
0.05805
Jan2024
Aspirin Ec
PH000568
0.1197
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.1197
0.1197
Jan2024
Aspirin Ec
PH001347
0.218565
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.218565
0.218565
Jan2024
Assay of Barbiturates
30082205
172.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
172.38
172.38
Jan2024
Assay of Calcitonin
30082308
273.85
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
273.85
273.85
Jan2024
Assay of Copper
30082525
132.53
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
132.53
132.53
Jan2024
Assay of Corticosteroids 17
30083491
109.68
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
109.68
109.68
Jan2024
Assay of CPK In Blood
30082552
160.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
160.88
160.88
Jan2024
Assay of Nos Vitamin
30084591
296.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
296.5
296.5
Jan2024
Assay of Oxalate
30083945
166.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
166.78
166.78
Jan2024
Assay of Renin
30084244
146.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
146.25
146.25
Jan2024
Assay of Selenium
30084255
262.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
262.1
262.1
Jan2024
Assay of Vitamin A
30084590
295.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
295.48
295.48
Jan2024
Assay of Vitamin B-2
30084252
57.33
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57.33
57.33
Jan2024
Assay Serotonin
30084260
316.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
316.58
316.58
Jan2024
Assay Toxin or Antitoxin
30087230
344.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
344.75
344.75
Jan2024
Assistive Technology Assessmen
42097755
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2024
Assistive Technology Assessment
43097755
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2024
Astelin
PH000078
20.23947
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.23947
20.23947
Jan2024
Atacand
PH000371
15.98247
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
15.98247
15.98247
Jan2024
ATARAX
PH000941
1.82025
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.82025
1.82025
Jan2024
Atherosclerosis with major complications
DRG 302
NA
NA
1697.42
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1697.42
1697.42
Jan2024
Atherosclerosis without major complications
DRG 303
NA
NA
1697.42
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1697.42
1697.42
Jan2024
ATIVAN
PH001016
0.87345
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.87345
0.87345
Jan2024
ATIVAN
PH001018
0.9
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.9
0.9
Jan2024
ATIVAN
PH001017
1.0431
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.0431
1.0431
Jan2024
ATIVAN
PH000648
4.35915
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.35915
4.35915
Jan2024
ATIVAN
PH000646
4.8222
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.8222
4.8222
Jan2024
ATIVAN
PH000646
4.8222
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.8222
4.8222
Jan2024
ATIVAN
PH000647
11.5722
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
11.5722
11.5722
Jan2024
ATIVAN
PH000472
13.1445
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
13.1445
13.1445
Jan2024
Atorvastatin Calcium
PH001528
1.35648
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.35648
1.35648
Jan2024
Atripla
PH002112
449.20647
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
449.20647
449.20647
Jan2024
Atropine Sulfate
PH000466
2.48355
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.48355
2.48355
Jan2024
Atropine Sulfate
PH000167
2.7522
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.7522
2.7522
Jan2024
Atrovent HFA
PH000624
143.508105
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
143.508105
143.508105
Jan2024
Atrovent NS
PH000622
20.5875
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.5875
20.5875
Jan2024
Atrovent NS
PH000623
35.289
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
35.289
35.289
Jan2024
Augmentin
PH001396
6.34725
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.34725
6.34725
Jan2024
Augmentin
PH001395
7.596
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.596
7.596
Jan2024
Augmentin
PH000231
18.1935
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
18.1935
18.1935
Jan2024
Augmentin XR
PH000075
15.516945
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
15.516945
15.516945
Jan2024
Auralgan
PH000826
63.72
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
63.72
63.72
Jan2024
Automated Diff WBC Count
30085004
10.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10.03
10.03
Jan2024
Automated Rbc Count
30085041
9.53
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.53
9.53
Jan2024
Automated urinalysis test
81002 or 81003
5.98
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.98
5.98
Jan2024
Avandia
PH000074
17.555985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
17.555985
17.555985
Jan2024
Avapro
PH000210
12.79647
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
12.79647
12.79647
Jan2024
Avelox
PH001388
13.235985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
13.235985
13.235985
Jan2024
Avodart
PH000348
29.72097
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
29.72097
29.72097
Jan2024
Avonex
PH001191
6548.625
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6548.625
6548.625
Jan2024
Avycaz
PH000520
1614.6405
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1614.6405
1614.6405
Jan2024
AZACTAM
PH001315
148.275
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
148.275
148.275
Jan2024
AZACTAM
PH001316
245.79
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
245.79
245.79
Jan2024
Azilect
PH001568
66.3975
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
66.3975
66.3975
Jan2024
Azmacort
PH000228
26.765415
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
26.765415
26.765415
Jan2024
AZOPT
PH000133
146.403
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
146.403
146.403
Jan2024
Azulfidine
PH001208
0.8325
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.8325
0.8325
Jan2024
Bacitracin
PH000908
0.54639
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.54639
0.54639
Jan2024
Bacitracin
PH000592
126.9
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
126.9
126.9
Jan2024
Bacteria ID Aerobic
30087077
22.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
22.13
22.13
Jan2024
Bacterial and Tuberculous infections
DRG 95
NA
NA
1905.3
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1905.3
1905.3
Jan2024
Bacterial and Tuberculous infections
DRG 94
NA
NA
2226.03
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2226.03
2226.03
Jan2024
BACTRIM
PH000660
56.43
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
56.43
56.43
Jan2024
BACTRIM DS
PH000995
0.882
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.882
0.882
Jan2024
Bactroban
PH000073
26.4645
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
26.4645
26.4645
Jan2024
Bactroban Nasal
PH000072
76.824
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
76.824
76.824
Jan2024
BAG SET, KANGAROO, 1000ML
270MS
9.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.38
9.38
Jan2024
BAG, LEG, TWIST-VALVE, STRAPS, MEDIUM, 20OZ
270MS
6.3
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.3
6.3
Jan2024
BAG, OSTOMY 3/4 TO 1 1/4 630ML
270MS
50.24
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50.24
50.24
Jan2024
BAG,ABG KIT,3CC
270RT
19.69
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.69
19.69
Jan2024
BAG,COLLECTION,FLEXI-SEAL,FMS,1EA
270MS
33.55
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
33.55
33.55
Jan2024
BAG,DRAINAGE,UROLOGY,2000ML,ANTI REFLUX
270MS
8.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.25
8.25
Jan2024
BAGS, DRAINAGE, PLEURAL, ASPIRA
270MS
453.32
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
453.32
453.32
Jan2024
BANDAGE,COFLEX,MED,4"X5YD,TAN,LATEX,NS
270MS
6.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.75
6.75
Jan2024
BANDAGE,ELASTIC,MATRIX,4"X5YD,SELF CLSR
270MS
6.94
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.94
6.94
Jan2024
BANDAGE,ELASTIC,MATRIX,6"X5YD,LF,HOOK&LP
270MS
3.73
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.73
3.73
Jan2024
BANDAGE,ELSTC,SWIFT-WRAP,4"X5YD,SLF CLSR
270MS
7.7
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.7
7.7
Jan2024
BANDAGE,ELSTC,SWIFT-WRAP,6"X5YD,SLF CLSR
270MS
8.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.15
8.15
Jan2024
BANDAGE,GAUZE,4.5"X4.1YD,STERILE,LF
270MS
2.42
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.42
2.42
Jan2024
BANDAGE,SELF ADH,COBAN,6"X5",TAN,STERILE
270MS
20.55
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.55
20.55
Jan2024
BANDAGE,SELF ADHRNT,COBAN,2" X 5,YD,TAN
270MS
5.65
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.65
5.65
Jan2024
BANDAGE,SELF ADHRNT,COBAN,3"X 5,TAN,STRL
270MS
10.3
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10.3
10.3
Jan2024
BANDAGE,SELF ADHRNT,COBAN,4"X5YD,LF,STRL
270MS
14.85
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.85
14.85
Jan2024
Bari Tilt Recliner 785 - Broda
99EQ101
40
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40
40
Jan2024
BARI TILT RECLINER 785 - BRODA
99MEQ
40
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40
40
Jan2024
Bari10a System W/Lal Mattress
9471085
162.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
162.5
162.5
Jan2024
BARI10A SYSTEM W/LAL MATTRESS
947MEQ
162.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
162.5
162.5
Jan2024
Bariatric
9471045
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2024
Bariatric
947MEQ
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2024
Bariatric Total Care
9471046
275
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
275
275
Jan2024
BARRIER, 2-PC, SENSURA, CVX-LT, PRE-CUT, NDS
270MS
181.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
181.6
181.6
Jan2024
BARRIER,NI,2PC,FF, 2.25"FL,UPTO1-11/16"
270MS
34.95
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
34.95
34.95
Jan2024
BARRIER,OSTOMY,STD,CTF,10-55MM,BLUE
270MS
31.85
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.85
31.85
Jan2024
Base Rental Kit Invia Liberty
9471007
97.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.5
97.5
Jan2024
BASE RENTAL KIT INVIA LIBERTY (wnd)
947WND
97.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.5
97.5
Jan2024
Basic metabolic panel
80048
19.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.83
19.83
Jan2024
Battery Backup W/ Holder
99EQ142
25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
25
25
Jan2024
BAZA
PH000795
0.50598
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.50598
0.50598
Jan2024
Beconase Aq
PH000335
52.8048
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
52.8048
52.8048
Jan2024
Bed Drive System
99EQ141
50
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50
50
Jan2024
BED RC750 SYSTEM W/ FOAM
99EQ156
53.73
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
53.73
53.73
Jan2024
BED RC750 SYSTEM W/ FOAM
99MEQ
53.73
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
53.73
53.73
Jan2024
BEHAV AND QUALITATIVE ANALY VOICE AND RESONANCE
44492524
560
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
560
560
Jan2024
Belladonna-Opium
PH000596
120.42747
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120.42747
120.42747
Jan2024
BENADRYL
PH000728
0.1539
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.1539
0.1539
Jan2024
BENADRYL
PH000711
0.19125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.19125
0.19125
Jan2024
BENADRYL
PH000640
4.797
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.797
4.797
Jan2024
BENADRYL
PH000256
6.885
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.885
6.885
Jan2024
BENADRYL 2%
PH000569
0.329535
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.329535
0.329535
Jan2024
Bengay Ultra Strength
PH001513
0.315
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.315
0.315
Jan2024
Benicar
PH001380
34.65
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
34.65
34.65
Jan2024
Benicar
PH001381
48.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
48.15
48.15
Jan2024
Benign Prostatic Hypertrophy with Major Complication or Comorbidity
DRG 725
NA
NA
1697.42
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1697.42
1697.42
Jan2024
Bentyl
PH001175
189.1305
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
189.1305
189.1305
Jan2024
Benztropine Mesylate
PH001509
2.53125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.53125
2.53125
Jan2024
Beta Lactamase Microbe Suscept
30087185
3.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.1
3.1
Jan2024
Beta-2-Protein
30082232
151.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
151.13
151.13
Jan2024
Betagan C
PH001228
4.185
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.185
4.185
Jan2024
Betaseron
PH000964
1998.871065
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1998.871065
1998.871065
Jan2024
Bethanechol Chloride
PH001376
1.3068
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.3068
1.3068
Jan2024
BETOPTIC
PH000834
42.4485
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
42.4485
42.4485
Jan2024
BETOPTIC S
PH000130
139.7385
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
139.7385
139.7385
Jan2024
BIAXIN
PH001051
25.0632
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
25.0632
25.0632
Jan2024
BIAXIN
PH001052
25.0659
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
25.0659
25.0659
Jan2024
BIAXIN ORAL
PH000689
7.14645
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.14645
7.14645
Jan2024
Bicillin L-A
PH001230
0
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0
0
Jan2024
Bicillin L-A
PH001248
105.741
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
105.741
105.741
Jan2024
BICITRA
PH000260
0
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0
0
Jan2024
BICITRA
PH000261
8.145
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.145
8.145
Jan2024
Bidil
PH000822
9.149985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.149985
9.149985
Jan2024
Biktarvy
PH001590
485.74647
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
485.74647
485.74647
Jan2024
Bilirubin, Direct
30082248
19.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.5
19.5
Jan2024
Bilirubin, Total
30082247
19.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.5
19.5
Jan2024
BINDER,ABDOMINAL,9",TRI-PANL,PREM,SM/MD
270MS
54.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
54.1
54.1
Jan2024
BINDER,ABDOMINAL12",4-PANEL,PREM,LG/XL
270MS
57
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57
57
Jan2024
BINDER,ABDOMINAL12",4-PANEL,PREM,SM/MD
270MS
56.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
56.6
56.6
Jan2024
BIOPATCH - IV supply
270MS
49.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
49.15
49.15
Jan2024
Biopsy of large bowel using an endoscope
45380
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2024
Biopsy of prostate gland
55700
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2024
Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope
43239
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2024
Biotene Oralbalance
PH001532
21.195
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.195
21.195
Jan2024
Bipap
9471005
20.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.6
20.6
Jan2024
BIPAP
947RT
20.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.6
20.6
Jan2024
BIPAP MASK, SMALL
270RT
356.72
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
356.72
356.72
Jan2024
Bipap Own
9472000
20.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.6
20.6
Jan2024
BIPAP own
947RT
20.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.6
20.6
Jan2024
BIPAP, HEAD GEAR
270RT
89.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
89.6
89.6
Jan2024
BLASTOMYCES AB, ID
30086612
160.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
160.78
160.78
Jan2024
Bleeding Time
30085002
14.3
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.3
14.3
Jan2024
Blistik
PH001488
2.79
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.79
2.79
Jan2024
Blood Gases W/O2 Saturation
30082805
152.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
152.75
152.75
Jan2024
Blood Smear Periph Interp by P
30085060
24.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.88
24.88
Jan2024
Blood test, clotting time
85610
10.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10.15
10.15
Jan2024
Blood test, comprehensive group of blood chemicals
80053
24.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.78
24.78
Jan2024
Blood test, lipids (cholesterol and triglycerides)
80061
40.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40.48
40.48
Jan2024
Blood test, thyroid stimulating hormone (TSH)
84443
88.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
88.58
88.58
Jan2024
Blood Typ, Abo Rh Grouping
30086900
205
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
205
205
Jan2024
Blood Typing, Rbc Antigens
30086905
170
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
170
170
Jan2024
Blood/Uric Acid
30084550
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2024
BLUE RHINO, TRACH TRAY
270RT
1958.2
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1958.2
1958.2
Jan2024
BNP
30083880
202.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
202.88
202.88
Jan2024
Body Fluid Cell Count
30089050
28.28
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
28.28
28.28
Jan2024
Botox
PH000062
2704.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2704.5
2704.5
Jan2024
Boudreauxs
PH001261
0.295695
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.295695
0.295695
Jan2024
BRACKT RING 1200CC W/STRAIGHT,CONNECT
270MS
47
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
47
47
Jan2024
Brain and peripheral nerve disorders
DRG 73
NA
NA
1905.3
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1905.3
1905.3
Jan2024
Brain hemorrhages
DRG 65
NA
NA
1549.71
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1549.71
1549.71
Jan2024
Brain hemorrhages
DRG 64
NA
NA
2833.31
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2833.31
2833.31
Jan2024
Brilinta
PH000375
29.47725
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
29.47725
29.47725
Jan2024
Brilinta
PH002103
29.47725
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
29.47725
29.47725
Jan2024
Briviact
PH001581
88.451235
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
88.451235
88.451235
Jan2024
Bronchitis and Asthma with comorbities or major complications
DRG 202
NA
NA
1905.3
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1905.3
1905.3
Jan2024
Bronchoscopy Tray bedside
2700023
1527
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1527
1527
Jan2024
BUMEX
PH001080
0.9171
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.9171
0.9171
Jan2024
BUMEX
PH001081
1.1025
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.1025
1.1025
Jan2024
BUMEX
PH000462
1.4175
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.4175
1.4175
Jan2024
BUMEX
PH001082
1.79685
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.79685
1.79685
Jan2024
BUMEX
PH000461
9.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.45
9.45
Jan2024
BUMINATE 5%
PH000799
1.96686
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.96686
1.96686
Jan2024
BUN (Urea Nitrogen)
30084520
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2024
Bupropion HCL Sr
PH001510
2.63745
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.63745
2.63745
Jan2024
BUSPAR
PH001102
0.61965
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.61965
0.61965
Jan2024
BUSPAR
PH001424
0.72225
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.72225
0.72225
Jan2024
Bystolic
PH000517
13.05495
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
13.05495
13.05495
Jan2024
Bystolic
PH000516
22.559985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
22.559985
22.559985
Jan2024
Bystolic
PH000515
22.9887
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
22.9887
22.9887
Jan2024
C Difficile Detect Agnt Nos Dn
30087798
119.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
119.4
119.4
Jan2024
C. Diff Cult W/Refl
30087081
21.63
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.63
21.63
Jan2024
Ca, Immuno Tumor 15-3
30086300
188.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
188.5
188.5
Jan2024
Ca, Immuno Tumor 19-9
30086301
138.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
138.15
138.15
Jan2024
Cabergoline
PH000241
73.125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
73.125
73.125
Jan2024
Calagesic
PH000441
0.098865
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.098865
0.098865
Jan2024
Calamine
PH000715
0.043065
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.043065
0.043065
Jan2024
CALAN
PH000718
0.36
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.36
0.36
Jan2024
CALAN
PH000457
3.195
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.195
3.195
Jan2024
CALAN
PH000324
3.2625
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.2625
3.2625
Jan2024
CALAN SR
PH000433
1.45125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.45125
1.45125
Jan2024
Calciferol
PH000217
12.88872
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
12.88872
12.88872
Jan2024
CALCIJEX
PH000544
22.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
22.5
22.5
Jan2024
Calcitonin-Salmon
PH002097
91.058085
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
91.058085
91.058085
Jan2024
Calcium 24 HR (U)
30082340
18.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
18.88
18.88
Jan2024
Calcium Acetate
PH002083
0.5841
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.5841
0.5841
Jan2024
Calcium Chloride
PH000488
4.1994
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.1994
4.1994
Jan2024
Calcium Gluconate
PH001304
2.43
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.43
2.43
Jan2024
Calcuim Ionized
30082330
81.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
81.25
81.25
Jan2024
Calmoseptine
PH000692
0.253485
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.253485
0.253485
Jan2024
Campral
PH000522
6.58872
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.58872
6.58872
Jan2024
Cancidas
PH000033
1519.695
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1519.695
1519.695
Jan2024
Cancidas
PH000034
1578.96
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1578.96
1578.96
Jan2024
CANDIDA PRECIPITINS
30086628
160.85
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
160.85
160.85
Jan2024
CANISTER,SUCTION,W/TURRET LID,1500CC
270RT
9.42
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.42
9.42
Jan2024
CANNULA, 25FT
270RT
4.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.25
4.25
Jan2024
CANNULA, HF 7'
270RT
6.46
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.46
6.46
Jan2024
CANNULA,ADULT,SOFT-TOUCH,7'TUBE,SC
270RT
1.93
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.93
1.93
Jan2024
CANNULA,INNER,6.0MM,X-LONG,DISPOSABLE
270RT
31.47
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.47
31.47
Jan2024
CANNULA,INNER,7.0MM,X-LONG,DISPOSABLE
270RT
31.47
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.47
31.47
Jan2024
CANNULA,INNER,8.0MM, X-LONG,DISPOSABLE
270RT
31.47
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.47
31.47
Jan2024
CANNULA,INNER,SHILEY,SIZE 4,DISP
270RT
16.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
16.78
16.78
Jan2024
CANNULA,INNER,SHILEY,SIZE 6,DISP
270RT
16.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
16.78
16.78
Jan2024
CANNULA,INNER,SIZE 8,DISPOSABLE
270RT
16.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
16.78
16.78
Jan2024
CANNULA,OXY,ADULT,SUPERSOFT,W/7'TUB,UC
270RT
4.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.5
4.5
Jan2024
CAP,RED,DUAL FUNCTION,LUER
270MS
1.24
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.24
1.24
Jan2024
CAP,TRACH,UNIVERSAL
270RT
29.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
29.6
29.6
Jan2024
Capoten
PH001363
5.19975
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.19975
5.19975
Jan2024
Capoten
PH001070
6.43545
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.43545
6.43545
Jan2024
Capoten
PH001071
6.9867
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.9867
6.9867
Jan2024
Carafate
PH001505
2.354355
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.354355
2.354355
Jan2024
Carbamazepine (Tegretol)
30080156
84.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.83
84.83
Jan2024
Carbidopa-Levodopa-Entacapone
PH001538
13.5027
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
13.5027
13.5027
Jan2024
Carbon Dioxide (Co2)
30082374
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2024
Carcinoembryonic Antigen (CEA)
30082378
107.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
107.03
107.03
Jan2024
CARDENE
PH000854
7.478235
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.478235
7.478235
Jan2024
CARDENE
PH000431
8.02449
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.02449
8.02449
Jan2024
CARDENE
PH000294
114.84
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
114.84
114.84
Jan2024
CARDENE IV
PH000810
457.425
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
457.425
457.425
Jan2024
CARDENE IV
PH000811
914.85
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
914.85
914.85
Jan2024
Cardiac arrhythmia and conduction disease
DRG 309
NA
NA
1905.3
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1905.3
1905.3
Jan2024
Cardiac congenital and valve discorders
DRG 307
NA
NA
2349.23
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2349.23
2349.23
Jan2024
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities
DRG 216
NA
NA
2049.1
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2049.1
2049.1
Jan2024
Cardiolipin Antibody
30086147
493.28
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
493.28
493.28
Jan2024
CARDIZEM
PH001057
0.7677
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.7677
0.7677
Jan2024
CARDIZEM
PH001058
1.20375
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.20375
1.20375
Jan2024
CARDIZEM
PH001059
1.6461
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.6461
1.6461
Jan2024
CARDIZEM
PH001092
2.36475
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.36475
2.36475
Jan2024
CARDIZEM
PH001092
2.36475
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.36475
2.36475
Jan2024
CARDIZEM
PH000809
21.825
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.825
21.825
Jan2024
CARDIZEM ER
PH000729
2.12445
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.12445
2.12445
Jan2024
CARDIZEM ER
PH001093
3.01329
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.01329
3.01329
Jan2024
CARDIZEM ER
PH001340
3.8358
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.8358
3.8358
Jan2024
CARDIZEM ER
PH000382
6.330465
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.330465
6.330465
Jan2024
CARDIZEM ER
PH001216
7.73496
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.73496
7.73496
Jan2024
CARDURA
PH000735
3.63735
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.63735
3.63735
Jan2024
CARDURA
PH000734
3.81375
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.81375
3.81375
Jan2024
CARDURA
PH000736
3.8475
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.8475
3.8475
Jan2024
Caregiver Trng w/o Pt (ea add'l 15min)
44097551
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2024
Caregiver Trng w/o Pt (ea add'l 15min)
42097551
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2024
Caregiver Trng w/o Pt (ea add'l 15min)
43097551
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2024
Caregiver Trng w/o Pt (first 30min)
44097750
240
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
240
240
Jan2024
Caregiver Trng w/o Pt (first 30min)
42097750
240
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
240
240
Jan2024
Caregiver Trng w/o Pt (first 30min)
43097750
240
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
240
240
Jan2024
Carisoprodol
PH000983
1.11285
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.11285
1.11285
Jan2024
CARNITINE, LC/MS/MS
30082379
465.3
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
465.3
465.3
Jan2024
Carnitor
PH001371
2.69748
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.69748
2.69748
Jan2024
Carnitor
PH001141
29.808
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
29.808
29.808
Jan2024
Carteolol HCL
PH001240
11.655
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
11.655
11.655
Jan2024
Carvedilol
PH000771
0.3717
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.3717
0.3717
Jan2024
Carvedilol
PH000772
0.3717
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.3717
0.3717
Jan2024
Carvedilol
PH000773
0.3717
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.3717
0.3717
Jan2024
Casodex
PH000221
3.119985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.119985
3.119985
Jan2024
Castor Oil
PH000591
0.274545
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.274545
0.274545
Jan2024
CATAPRES
PH000740
0.23175
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.23175
0.23175
Jan2024
CATAPRES
PH001011
0.5796
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.5796
0.5796
Jan2024
CATAPRES
PH001012
0.72
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.72
0.72
Jan2024
CATAPRES-TTS
PH000581
119.3625
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
119.3625
119.3625
Jan2024
CATAPRES-TTS
PH000582
200.98125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
200.98125
200.98125
Jan2024
CATAPRES-TTS
PH000429
278.505
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
278.505
278.505
Jan2024
Catecholamines Fractionated
30082384
210.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
210.38
210.38
Jan2024
CATH, SILICONE ELASTOMER CTD, 18 FR, 5CC
270MS
4.41
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.41
4.41
Jan2024
Catheter Plug and Cap
270MS
2.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.4
2.4
Jan2024
CATHETER, IV,AUTOGUARD,INSYTE,18GX1.
270MS
8.72
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.72
8.72
Jan2024
CATHETER, IV,AUTOGUARD,INSYTE,20GX1.00
270MS
8.72
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.72
8.72
Jan2024
CATHETER, IV,AUTOGUARD,INSYTE,22GX1.00
270MS
8.72
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.72
8.72
Jan2024
CATHETER, IV,AUTOGUARD,INSYTE,24GX0.75
270MS
9.04
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.04
9.04
Jan2024
CATHETER, URETH, VINYL, UNIVERSAL, 16",14FR
270MS
3.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.15
3.15
Jan2024
CATHETER, URETH, VINYL, UNIVERSAL, 16",16 FR
270MS
3.35
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.35
3.35
Jan2024
CATHETER,EXTERNAL,FEMALE,PUREWICK
270MS
68.05
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
68.05
68.05
Jan2024
CATHETER,EXTERNAL,MALE,EXO,LTX,LG,35MM
270MS
2.61
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.61
2.61
Jan2024
CATHETER,EXTERNAL,MALE,EXO,LTX,MED,30MM
270MS
1.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.83
1.83
Jan2024
CATHETER,EXTERNAL,MALE,EXO,LTX,SM,25MM
270MS
3.14
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.14
3.14
Jan2024
CATHETER,FOLEY,3-WAY,16FR 30ML,100%SILI
270MS
43.94
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
43.94
43.94
Jan2024
CATHETER,FOLEY,3-WAY,18FR,30ML,100% SILI
270MS
43.94
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
43.94
43.94
Jan2024
CATHETER,FOLEY,3-WAY,20FR,30ML,100%SILI
270MS
43.94
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
43.94
43.94
Jan2024
CATHETER,FOLEY,3WAY,SILI-ELAST,16FR,30ML
270MS
18.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
18.25
18.25
Jan2024
CATHETER,FOLEY,3WAY,SILI-ELAST,18FR,30ML
270MS
18.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
18.25
18.25
Jan2024
CATHETER,FOLEY,3WAY,SILI-ELAST,20FR,30ML
270MS
18.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
18.25
18.25
Jan2024
CATHETER,FOLEY,3WAY,SILI-ELAST,22FR,30ML
270MS
18.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
18.25
18.25
Jan2024
CATHETER,FOLEY,COUDE,LATEX,16FR,10ML
270MS
27.76
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
27.76
27.76
Jan2024
CATHETER,FOLEY,COUDE,LATEX,18FR,10ML
270MS
28.94
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
28.94
28.94
Jan2024
CATHETER,FOLEY,SILI-ELAST,LTX,12FR,30ML
270MS
4.24
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.24
4.24
Jan2024
CATHETER,FOLEY,SILI-ELAST,LTX,20FR,10ML
270MS
4.41
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.41
4.41
Jan2024
CATHETER,FOLEY,SILI-ELAST,LTX,24FR,10ML
270MS
4.41
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.41
4.41
Jan2024
CATHETER,FOLEY,SILI-ELAST,LTX,26FR,10ML
270MS
4.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.45
4.45
Jan2024
CATHETER,URETH,VINYL,UNIVERSAL,16",14 FR
270MS
3.06
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.06
3.06
Jan2024
CATHETER,URETHRAL,REDRUBBER,STRL,16FR
270MS
2.06
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.06
2.06
Jan2024
Cathflo Activase
PH000944
688.77
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
688.77
688.77
Jan2024
CAUTERY, HIGH TEMP FINE TIP
270MS
41.04
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41.04
41.04
Jan2024
CAUTERY, LOW TEMP FINE TIP
270MS
41.04
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41.04
41.04
Jan2024
CEFDINIR
PH000679
3.749985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.749985
3.749985
Jan2024
CEFOTAN
PH001310
86.535
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
86.535
86.535
Jan2024
CEFOTAN
PH001311
173.115
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
173.115
173.115
Jan2024
cefPODOXime PROXETIL
PH001601
24.255
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.255
24.255
Jan2024
Cefuroxime
PH001285
2.7135
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.7135
2.7135
Jan2024
Cefuroxime
PH001389
4.874985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.874985
4.874985
Jan2024
CeleBREX
PH000068
36.43245
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
36.43245
36.43245
Jan2024
CeleBREX
PH000069
59.75865
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
59.75865
59.75865
Jan2024
CeleXA
PH000763
0.2727
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.2727
0.2727
Jan2024
Cellcept
PH001451
2.7
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.7
2.7
Jan2024
CELLCEPT
PH001454
16.763985
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
16.763985
16.763985
Jan2024
Cellcept
PH000024
80.9631
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
80.9631
80.9631
Jan2024
Cellulitis with Major Complication or Comorbidity
DRG 603
NA
NA
1528.62
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1528.62
1528.62
Jan2024
Cellulitis with Major Complication or Comorbidity
DRG 602
NA
NA
1844.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1844.63
1844.63
Jan2024
Cepacol Sore Throat
PH001355
0.67779
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.67779
0.67779
Jan2024
Cepastat
PH001334
0.54
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.54
0.54
Jan2024
Cephalexin
PH000236
0.594
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.594
0.594
Jan2024
Cephalexin
PH000238
0.9225
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.9225
0.9225
Jan2024
Cephalexin
PH000237
0.981
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.981
0.981
Jan2024
Cerebrovascular disorders
DRG 71
NA
NA
1634.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1634.12
1634.12
Jan2024
Cerebyx
PH000158
107.91
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
107.91
107.91
Jan2024
Ceruloplasmin
30082390
88.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
88.58
88.58
Jan2024
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).
DRG 473
NA
NA
1797.42
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1797.42
1797.42
Jan2024
Cetacaine
PH000813
4.12632
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.12632
4.12632
Jan2024
Chantix
PH000148
13.909005
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
13.909005
13.909005
Jan2024
Charcoal, Activated
PH002078
0.541485
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.541485
0.541485
Jan2024
Chemiluminescent Assay
30082397
272.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
272.38
272.38
Jan2024
Chest X-Ray 1v
32071045
158.18
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
158.18
158.18
Jan2024
Chest X-Ray 1v (CXR)
32071010
158.18
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
158.18
158.18
Jan2024
Chest X-Ray 2v
32071046
170.23
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
170.23
170.23
Jan2024
Chest X-Ray 2v (CXR)
32071020
170.23
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
170.23
170.23
Jan2024
Chest x-ray 3v
32071047
60.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.58
60.58
Jan2024
Chest X-Ray 3v (CXR)
32071021
60.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.58
60.58
Jan2024
Chest X-Ray, Special View
32071035
53.9
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
53.9
53.9
Jan2024
ChestTube Tray bedside
2700020
1025
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1025
1025
Jan2024
Chlamydia & Chlamydophila
30086631
225
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
225
225
Jan2024
Chlamydia/Chlamydoph
30086632
185.53
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
185.53
185.53
Jan2024
Chloride Blood
30082435
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2024
chlorproMAZINE HCL
PH001593
24.23925
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.23925
24.23925
Jan2024
chlorproPAMIDE
PH000428
7.6203
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.6203
7.6203
Jan2024
Chlorthalidone
PH000984
8.6076
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.6076
8.6076
Jan2024
Chorionic Gonadotropin Test
30084702
162.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
162.5
162.5
Jan2024
Chromium
PH000484
8.793
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.793
8.793
Jan2024
Chromotography Quant Mult
30082492
311.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
311.1
311.1
Jan2024
Chronic obstructive pulmonary disease
DRG 192
NA
NA
1549.71
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1549.71
1549.71
Jan2024
Chronic obstructive pulmonary disease
DRG 191
NA
NA
1697.42
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1697.42
1697.42
Jan2024
Chronic obstructive pulmonary disease
DRG 190
NA
NA
1861.08
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1861.08
1861.08
Jan2024
Chronulac
PH000270
3.06
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3.06
3.06
Jan2024
Cilostazol
PH001007
1.41075
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1.41075
1.41075
Jan2024
Ciloxan
PH000136
275.605695
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
275.605695
275.605695
Jan2024
Cinacalcet HCL
PH002101
58.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
58.5
58.5
Jan2024
Cipro HC Otic
PH000139
142.1415
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
142.1415
142.1415
Jan2024
Ciprodex
PH001560
149.454
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
149.454
149.454
Jan2024
Ciprofloxacin HCL
PH001349
0.8073
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
0.8073
0.8073
Jan2024
Ciprofloxacin HCL
PH001002
0.891
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive