program-code!item-code!manufacturer-code!brand-name!unit-of-measure!mp-id!mp-pt!mpuu-id!mpuu-pt!mpp-id!mpp-pt!tpuu-id!tpuu-pt!tpp-id!tpp-pt!vial-content!mq-pack!mq-uu!cemp-tpp!cemp-tpuu!memp-tpp!memp-tpuu!pfdi
GE!2115H!MK!Andriol Testocaps!!21393011000036106!testosterone undecanoate!!!28103011000036109!testosterone undecanoate 40 mg capsule, 60!!!14040011000036104!Andriol Testocap 40 mg capsule, 60!!1!60!20.43!0.00!20.43!!
GE!3179H!PF!Norinyl-1/28!!21651011000036108!norethisterone + mestranol!!!27486011000036108!norethisterone 1 mg + mestranol 50 microgram tablet [21] (&) inert substance tablet [7], 4 x 28!!!12986011000036109!Norinyl-1 28 Day (21 x 1 mg/50 microgram tablets, 7 x inert tablets), 4 x 28!!1!4!8.96!0.00!8.96!!
GE!5259T!SW!Rulide D!!21724011000036103!roxithromycin!!!27333011000036102!roxithromycin 50 mg dispersible tablet, 10!!!12753011000036101!Rulide D 50 mg dispersible tablet, 10!!1!10!5.24!0.00!5.24!!
GE!8129W!SW!Rulide D!!21724011000036103!roxithromycin!!!27333011000036102!roxithromycin 50 mg dispersible tablet, 10!!!12753011000036101!Rulide D 50 mg dispersible tablet, 10!!1!10!5.24!0.00!5.24!!
GE!8334P!SW!Intal Forte CFC-Free!!21253011000036107!cromoglycate!!!27622011000036104!sodium cromoglycate 5 mg/actuation inhalation, 112 actuations!!!13211011000036105!Intal Forte CFC-Free 5 mg/actuation inhalation, 112 actuations!!1!1!25.79!0.00!25.79!!
GE!8767K!SW!Intal CFC-Free!!21253011000036107!cromoglycate!!!28131011000036101!sodium cromoglycate 1 mg/actuation inhalation, 200 actuations!!!14079011000036106!Intal CFC-Free 1 mg/actuation inhalation, 200 actuations!!1!1!21.90!0.00!21.90!!
GE!9412J!GO!Creon 40,000!!9341000144106!pancreatic extract!!!44341000144100!pancreatic extract 40 000 units modified release capsule, 100!!!133941000144105!Creon 40 000 units modified release capsule, 100!!2!200!77.63!0.00!77.63!!
GE!9413K!GO!Creon 40,000!!9341000144106!pancreatic extract!!!44341000144100!pancreatic extract 40 000 units modified release capsule, 100!!!133941000144105!Creon 40 000 units modified release capsule, 100!!2!200!77.63!0.00!77.63!!
GE!10668L!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
GE!10628J!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
GE!10670N!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
GE!10992M!QH!PKU Bettermilk Lite!!132091000036106!glycomacropeptide and essential amino acids with vitamins and minerals!!!858861000168105!glycomacropeptide and essential amino acids with vitamins and minerals powder for oral liquid, 30 x 51 g sachets!!!858871000168104!PKU Bettermilk Lite powder for oral liquid, 30 x 51 g sachets!!4!4!480.97!0.00!480.97!!
GE!11444H!VF!Betaquik!!50747011000036106!medium chain triglycerides!!!994651000168104!medium chain triglycerides oral liquid, 15 x 225 mL bottles!!!994661000168102!Betaquik oral liquid, 15 x 225 mL bottles!!2!2!118.53!0.00!118.53!!
GE!12239E!GQ!Phenelzine sulfate USP (Generic Health)!!21399011000036109!phenelzine!!!1433721000168106!phenelzine 15 mg tablet, 60!!!511611000144102!Phenelzine sulfate USP (Generic Health) 15 mg tablet, 60!!1.67!100!83.71!0.00!83.71!!
HB!10661D!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HB!10667K!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HB!10669M!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HB!11549W!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HB!11529T!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HB!11830P!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HS!10672Q!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HS!10653Q!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HS!10679C!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HS!11523L!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HS!11504L!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HS!11847M!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
IN!7257Y!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7257Y!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7257Y!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7257Y!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7257Y!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IN!7257Y!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7258B!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7258B!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7258B!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7258B!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7258B!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7258B!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IN!7259C!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7259C!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7259C!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7259C!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7259C!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IN!7259C!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!10193L!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!10193L!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!10193L!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!10193L!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!10193L!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IN!10193L!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4613T!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4613T!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4613T!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4613T!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4613T!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IP!4613T!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4614W!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4614W!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4614W!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4614W!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4614W!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IP!4614W!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4615X!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4615X!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4615X!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4615X!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4615X!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IP!4615X!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!10179R!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!10179R!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!10179R!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!10179R!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!10179R!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IP!10179R!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
CA!10344K!BY!Aptivus!!21820011000036106!tipranavir!!!26694011000036103!tipranavir 250 mg capsule, 120!!!11572011000036108!Aptivus 250 mg capsule, 120!!2!240!732.56!0.00!732.56!!
