GE!1011F!AF!!21583011000036105!doxepin!27462011000036107!doxepin 10 mg capsule, 50!Deptran 10!12949011000036105!Deptran 10 mg capsule, 50!!50!2.98!2.98!
GE!1012G!AF!!21583011000036105!doxepin!26942011000036100!doxepin 50 mg tablet, 50!Deptran 50!12135011000036109!Deptran 50 mg tablet, 50!!50!3.02!3.02!
GE!1013H!AF!!21583011000036105!doxepin!27463011000036100!doxepin 25 mg capsule, 50!Deptran 25!12950011000036102!Deptran 25 mg capsule, 50!!50!3.86!3.86!
GE!1463B!PF!!858661000168109!heparin!27220011000036101!heparin sodium 5000 units/5 mL injection, 50 x 5 mL ampoules!Pfizer Australia Pty Ltd!12587011000036103!Heparin Sodium (Pfizer (Perth)) 5000 units/5 mL injection, 50 x 5 mL ampoules!!50!73.47!73.47!
GE!2977Q!AF!!21671011000036106!ampicillin!28099011000036101!ampicillin 1 g injection, 5 vials!Ampicyn!13936011000036105!Ampicyn 1 g powder for injection, 5 vials!!5!5.71!5.71!
GE!3062E!AF!!21768011000036103!pindolol!26933011000036106!pindolol 5 mg tablet, 100!Barbloc 5!12123011000036106!Barbloc 5 mg tablet, 100!!100!19.42!19.42!
GE!3179H!PF!!21651011000036108!norethisterone + mestranol!27486011000036108!norethisterone 1 mg + mestranol 50 microgram tablet [21] (&) inert substance tablet [7], 4 x 28!Norinyl-1/28!12986011000036109!Norinyl-1 28 Day (21 x 1 mg/50 microgram tablets, 7 x inert tablets), 4 x 28!!4!8.96!8.96!
GE!3314K!AF!!21671011000036106!ampicillin!28099011000036101!ampicillin 1 g injection, 5 vials!Ampicyn!13936011000036105!Ampicyn 1 g powder for injection, 5 vials!!5!5.71!5.71!
GE!5259T!SW!!21724011000036103!roxithromycin!27333011000036102!roxithromycin 50 mg dispersible tablet, 10!Rulide D!12753011000036101!Rulide D 50 mg dispersible tablet, 10!!10!5.24!5.24!
GE!8129W!SW!!21724011000036103!roxithromycin!27333011000036102!roxithromycin 50 mg dispersible tablet, 10!Rulide D!12753011000036101!Rulide D 50 mg dispersible tablet, 10!!10!5.24!5.24!
GE!8334P!SW!!21253011000036107!cromoglycate!27622011000036104!sodium cromoglycate 5 mg/actuation inhalation, 112 actuations!Intal Forte CFC-Free!13211011000036105!Intal Forte CFC-Free 5 mg/actuation inhalation, 112 actuations!!1!25.79!25.79!
GE!8382E!RW!!21386011000036101!dipyridamole + aspirin!27629011000036109!dipyridamole 200 mg + aspirin 25 mg modified release capsule, 60!Diasp SR!701021000168108!Diasp SR modified release capsule, 60!!60!20.91!20.91!
GE!8403G!SG!!21462011000036109!interferon beta-1a!27700011000036102!interferon beta-1a 12 million units (44 microgram)/0.5 mL injection, 12 x 0.5 mL syringes!Rebif 44!13333011000036109!Rebif 12 million units (44 microgram)/0.5 mL injection, 12 x 0.5 mL syringes!!12!763.52!763.52!
GE!8899J!AF!!12321000144109!risedronate (&) calcium carbonate!55151000144102!risedronate sodium 35 mg tablet [4] (&) calcium (as carbonate) 500 mg tablet [24], 28!Acris Combi!66511000144106!Acris Combi (4 x 35 mg tablets, 24 x 500 mg tablets), 1 pack!!1!22.33!22.33!
GE!8968B!SG!!21462011000036109!interferon beta-1a!1213801000168104!interferon beta-1a 12 million units (44 microgram)/0.5 mL injection, 12 x 0.5 mL pen devices!Rebif 44!1213811000168101!Rebif Rebidose 12 million units (44 microgram)/0.5 mL injection, 12 x 0.5 mL pen devices!!12!763.52!763.52!
GE!9332E!SG!!21462011000036109!interferon beta-1a!86455011000036102!interferon beta-1a 36 million units (132 microgram)/1.5 mL injection, 4 x 1.5 mL cartridges!Rebif 44!85766011000036105!Rebif 36 million units (132 microgram)/1.5 mL injection, 4 x 1.5 mL cartridges!!4!763.52!763.52!
GE!9412J!GO!!9341000144106!pancreatic extract!44341000144100!pancreatic extract 40 000 units modified release capsule, 100!Creon 40,000!133941000144105!Creon 40 000 units modified release capsule, 100!!200!77.63!77.63!
GE!9413K!GO!!9341000144106!pancreatic extract!44341000144100!pancreatic extract 40 000 units modified release capsule, 100!Creon 40,000!133941000144105!Creon 40 000 units modified release capsule, 100!!200!77.63!77.63!
GE!11444H!VF!!50747011000036106!medium chain triglycerides!994651000168104!medium chain triglycerides oral liquid, 15 x 225 mL bottles!Betaquik!994661000168102!Betaquik oral liquid, 15 x 225 mL bottles!!2!118.53!118.53!
GE!11584Q!MK!!1228611000168101!ertugliflozin + metformin!1232221000168106!ertugliflozin 2.5 mg + metformin hydrochloride 500 mg tablet, 56!Segluromet 2.5/500!1232231000168109!Segluromet 2.5/500 tablet, 56!!56!45.28!45.28!
GE!11575F!MK!!1228611000168101!ertugliflozin + metformin!1232221000168106!ertugliflozin 2.5 mg + metformin hydrochloride 500 mg tablet, 56!Segluromet 2.5/500!1232231000168109!Segluromet 2.5/500 tablet, 56!!56!45.28!45.28!
GE!11564P!MK!!1228611000168101!ertugliflozin + metformin!1229031000168109!ertugliflozin 2.5 mg + metformin hydrochloride 1 g tablet, 56!Segluromet 2.5/1000!1229041000168100!Segluromet 2.5/1000 tablet, 56!!56!46.59!46.59!
GE!11581M!MK!!1228611000168101!ertugliflozin + metformin!1229031000168109!ertugliflozin 2.5 mg + metformin hydrochloride 1 g tablet, 56!Segluromet 2.5/1000!1229041000168100!Segluromet 2.5/1000 tablet, 56!!56!46.59!46.59!
GE!11562M!MK!!1228611000168101!ertugliflozin + metformin!1232101000168106!ertugliflozin 7.5 mg + metformin hydrochloride 500 mg tablet, 56!Segluromet 7.5/500!1232111000168109!Segluromet 7.5/500 tablet, 56!!56!45.28!45.28!
GE!11568W!MK!!1228611000168101!ertugliflozin + metformin!1232101000168106!ertugliflozin 7.5 mg + metformin hydrochloride 500 mg tablet, 56!Segluromet 7.5/500!1232111000168109!Segluromet 7.5/500 tablet, 56!!56!45.28!45.28!
GE!11569X!MK!!1228611000168101!ertugliflozin + metformin!1228681000168107!ertugliflozin 7.5 mg + metformin hydrochloride 1 g tablet, 56!Segluromet 7.5/1000!1228691000168105!Segluromet 7.5/1000 tablet, 56!!56!46.59!46.59!
GE!11563N!MK!!1228611000168101!ertugliflozin + metformin!1228681000168107!ertugliflozin 7.5 mg + metformin hydrochloride 1 g tablet, 56!Segluromet 7.5/1000!1228691000168105!Segluromet 7.5/1000 tablet, 56!!56!46.59!46.59!
GE!12744R!JC!!84416011000036108!golimumab!845591000168109!golimumab 50 mg/0.5 mL injection, 0.5 mL pen device!Simponi!845601000168102!Simponi Smartject 50 mg/0.5 mL injection, 0.5 mL pen device!!1!1044.43!1044.43!
GE!12703N!JC!!84416011000036108!golimumab!84636011000036100!golimumab 50 mg/0.5 mL injection, 0.5 mL syringe!Simponi!84004011000036107!Simponi 50 mg/0.5 mL injection, 0.5 mL syringe!!1!1044.43!1044.43!
GE!12702M!UC!!87751011000036108!certolizumab pegol!862491000168105!certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices!Cimzia!862501000168103!Cimzia 200 mg/mL injection, 2 x 1 mL pen devices!!6!952.13!952.13!
GE!12712C!UC!!87751011000036108!certolizumab pegol!87809011000036100!certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes!Cimzia!87446011000036106!Cimzia 200 mg/mL injection, 2 x 1 mL syringes!!6!952.13!952.13!
GE!12742P!UC!!87751011000036108!certolizumab pegol!862491000168105!certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices!Cimzia!862501000168103!Cimzia 200 mg/mL injection, 2 x 1 mL pen devices!!2!952.13!952.13!
GE!12724Q!UC!!87751011000036108!certolizumab pegol!87809011000036100!certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes!Cimzia!87446011000036106!Cimzia 200 mg/mL injection, 2 x 1 mL syringes!!2!952.13!952.13!
GE!12691Y!UC!!87751011000036108!certolizumab pegol!862491000168105!certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices!Cimzia!862501000168103!Cimzia 200 mg/mL injection, 2 x 1 mL pen devices!!2!952.13!952.13!
GE!12743Q!UC!!87751011000036108!certolizumab pegol!87809011000036100!certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes!Cimzia!87446011000036106!Cimzia 200 mg/mL injection, 2 x 1 mL syringes!!2!952.13!952.13!
GE!12708W!LY!!1107081000168107!baricitinib!1107141000168103!baricitinib 2 mg tablet, 28!Olumiant!1107151000168101!Olumiant 2 mg tablet, 28!!28!1149.97!1149.97!
GE!12730B!LY!!1107081000168107!baricitinib!1107291000168103!baricitinib 4 mg tablet, 28!Olumiant!1107301000168102!Olumiant 4 mg tablet, 28!!28!1149.97!1149.97!
GE!12685P!VE!!1462431000168101!upadacitinib!1462491000168102!upadacitinib 15 mg modified release tablet, 28!Rinvoq!1462501000168109!Rinvoq 15 mg modified release tablet, 28!!28!1149.97!1149.97!
GE!12700K!VE!!21584011000036107!adalimumab!967421000168103!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices!Humira!967431000168100!Humira 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices!!2!818.54!818.54!
GE!12678G!VE!!21584011000036107!adalimumab!967341000168102!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes!Humira!967351000168100!Humira 40 mg/0.4 mL injection, 2 x 0.4 mL syringes!!2!818.54!818.54!
GE!12729Y!PK!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Idacio!1494451000168104!Idacio 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
GE!12729Y!SZ!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Hyrimoz!1532951000168102!Hyrimoz 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
GE!12729Y!XT!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Amgevita!1157871000168108!Amgevita Sureclick 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
GE!12729Y!RF!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Hadlima!1158711000168107!Hadlima Pushtouch Auto-Injector 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
GE!12719K!XT!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Amgevita!1157971000168103!Amgevita 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
GE!12719K!RF!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Hadlima!1158681000168106!Hadlima 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
GE!12719K!PK!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Idacio!1494331000168104!Idacio 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
GE!12719K!SZ!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Hyrimoz!1533871000168109!Hyrimoz 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
GE!12680J!BQ!!33635011000036100!abatacept!899691000168101!abatacept 125 mg/mL injection, 4 x 1 mL pen devices!Orencia ClickJect!899701000168101!Orencia Clickject Autoinjector 125 mg/mL injection, 4 x 1 mL pen devices!!4!852.28!852.28!
GE!12758L!BQ!!33635011000036100!abatacept!7511000036109!abatacept 125 mg/mL injection, 4 x 1 mL syringes!Orencia!7501000036107!Orencia 125 mg/mL injection, 4 x 1 mL syringes!!4!852.28!852.28!
GE!12687R!EW!!21926011000036101!infliximab!1513281000168103!infliximab 120 mg/mL injection, 1 mL pen device!Remsima SC!1513291000168100!Remsima 120 mg/mL injection, 1 mL pen device!!2!332.80!332.80!
GE!12677F!EW!!21926011000036101!infliximab!1513091000168107!infliximab 120 mg/mL injection, 1 mL syringe!Remsima SC!1513101000168102!Remsima with Safety Guard 120 mg/mL injection, 1 mL syringe!!2!332.80!332.80!
GE!12689W!EW!!21926011000036101!infliximab!1513281000168103!infliximab 120 mg/mL injection, 1 mL pen device!Remsima SC!1513291000168100!Remsima 120 mg/mL injection, 1 mL pen device!!1!332.80!332.80!
GE!12688T!EW!!21926011000036101!infliximab!1513091000168107!infliximab 120 mg/mL injection, 1 mL syringe!Remsima SC!1513101000168102!Remsima with Safety Guard 120 mg/mL injection, 1 mL syringe!!1!332.80!332.80!
GE!12748Y!EW!!21926011000036101!infliximab!1513281000168103!infliximab 120 mg/mL injection, 1 mL pen device!Remsima SC!1513291000168100!Remsima 120 mg/mL injection, 1 mL pen device!!2!332.80!332.80!
GE!12753F!EW!!21926011000036101!infliximab!1513091000168107!infliximab 120 mg/mL injection, 1 mL syringe!Remsima SC!1513101000168102!Remsima with Safety Guard 120 mg/mL injection, 1 mL syringe!!2!332.80!332.80!
GE!12720L!PF!!718541000168101!tofacitinib!718571000168108!tofacitinib 5 mg tablet, 56!Xeljanz!718581000168106!Xeljanz 5 mg tablet, 56!!56!1092.47!1092.47!
GE!12718J!PF!!21347011000036107!etanercept!28011011000036101!etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack!Enbrel!13920011000036109!Enbrel (4 x 25 mg vials, 4 x 1 mL inert diluent syringes), 1 pack!!2!469.63!469.63!
GE!12679H!PF!!21347011000036107!etanercept!898001000168109!etanercept 50 mg/mL injection, 4 x 1 mL pen devices!Enbrel!898011000168107!Enbrel Auto-Injector 50 mg/mL injection, 4 x 1 mL pen devices!!1!939.25!939.25!
GE!12679H!RF!!21347011000036107!etanercept!898001000168109!etanercept 50 mg/mL injection, 4 x 1 mL pen devices!Brenzys!899301000168102!Brenzys Auto-Injector 50 mg/mL injection, 4 x 1 mL pen devices!!1!939.25!939.25!
GE!12737J!RF!!21347011000036107!etanercept!79241011000036109!etanercept 50 mg/mL injection, 4 x 1 mL syringes!Brenzys!880521000168109!Brenzys 50 mg/mL injection, 4 x 1 mL syringes!!1!939.25!939.25!
GE!12737J!PF!!21347011000036107!etanercept!79241011000036109!etanercept 50 mg/mL injection, 4 x 1 mL syringes!Enbrel!933223531000036103!Enbrel 50 mg/mL injection, 4 x 1 mL syringes!!1!939.25!939.25!
GE!12750C!PF!!21347011000036107!etanercept!28011011000036101!etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack!Enbrel!13920011000036109!Enbrel (4 x 25 mg vials, 4 x 1 mL inert diluent syringes), 1 pack!!2!469.63!469.63!
GE!12716G!PF!!21347011000036107!etanercept!898001000168109!etanercept 50 mg/mL injection, 4 x 1 mL pen devices!Enbrel!898011000168107!Enbrel Auto-Injector 50 mg/mL injection, 4 x 1 mL pen devices!!1!939.25!939.25!
GE!12676E!PF!!21347011000036107!etanercept!79241011000036109!etanercept 50 mg/mL injection, 4 x 1 mL syringes!Enbrel!933223531000036103!Enbrel 50 mg/mL injection, 4 x 1 mL syringes!!1!939.25!939.25!
GE!12701L!VE!!21584011000036107!adalimumab!967421000168103!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices!Humira!967431000168100!Humira 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices!!2!818.54!818.54!
GE!12752E!VE!!21584011000036107!adalimumab!967341000168102!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes!Humira!967351000168100!Humira 40 mg/0.4 mL injection, 2 x 0.4 mL syringes!!2!818.54!818.54!
GE!12690X!PK!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Idacio!1494451000168104!Idacio 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
GE!12690X!XT!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Amgevita!1157871000168108!Amgevita Sureclick 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
GE!12690X!RF!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Hadlima!1158711000168107!Hadlima Pushtouch Auto-Injector 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
GE!12690X!SZ!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Hyrimoz!1532951000168102!Hyrimoz 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
GE!12741N!RF!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Hadlima!1158681000168106!Hadlima 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
GE!12741N!PK!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Idacio!1494331000168104!Idacio 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
GE!12741N!SZ!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Hyrimoz!1533871000168109!Hyrimoz 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
GE!12741N!XT!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Amgevita!1157971000168103!Amgevita 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
GE!12909K!PF!!21347011000036107!etanercept!1547341000168104!etanercept 50 mg/mL injection, 4 x 1 mL cartridges!Enbrel!1547351000168102!Enbrel 50 mg/mL injection, 4 x 1 mL cartridges!!1!939.25!939.25!
GE!12907H!PF!!21347011000036107!etanercept!1547341000168104!etanercept 50 mg/mL injection, 4 x 1 mL cartridges!Enbrel!1547351000168102!Enbrel 50 mg/mL injection, 4 x 1 mL cartridges!!1!939.25!939.25!
HB!12756J!BQ!!33635011000036100!abatacept!33791011000036102!abatacept 250 mg injection, 1 vial!Orencia!33282011000036104!Orencia 250 mg powder for injection, 1 vial!!1!266.34!266.34!
HB!12717H!OQ!!21926011000036101!infliximab!27724011000036101!infliximab 100 mg injection, 1 vial!Renflexis!971771000168105!Renflexis 100 mg powder for injection, 1 vial!!1!253.52!253.52!
HB!12717H!JC!!21926011000036101!infliximab!27724011000036101!infliximab 100 mg injection, 1 vial!Remicade!13375011000036107!Remicade 100 mg powder for injection, 1 vial!!1!253.52!253.52!
HB!12717H!PF!!21926011000036101!infliximab!27724011000036101!infliximab 100 mg injection, 1 vial!Inflectra!730981000168106!Inflectra 100 mg powder for injection, 1 vial!!1!253.52!253.52!
HB!12740M!PF!!21347011000036107!etanercept!28011011000036101!etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack!Enbrel!13920011000036109!Enbrel (4 x 25 mg vials, 4 x 1 mL inert diluent syringes), 1 pack!!1!469.63!469.63!
HB!12735G!PF!!21347011000036107!etanercept!898001000168109!etanercept 50 mg/mL injection, 4 x 1 mL pen devices!Enbrel!898011000168107!Enbrel Auto-Injector 50 mg/mL injection, 4 x 1 mL pen devices!!1!939.25!939.25!
HB!12675D!PF!!21347011000036107!etanercept!79241011000036109!etanercept 50 mg/mL injection, 4 x 1 mL syringes!Enbrel!933223531000036103!Enbrel 50 mg/mL injection, 4 x 1 mL syringes!!1!939.25!939.25!
HB!12699J!VE!!21584011000036107!adalimumab!1122481000168105!adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes!Humira!1122491000168108!Humira 20 mg/0.2 mL injection, 2 x 0.2 mL syringes!!2!818.54!818.54!
HB!12695E!XT!!21584011000036107!adalimumab!1158041000168108!adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe!Amgevita!1158051000168105!Amgevita 20 mg/0.4 mL injection, 0.4 mL syringe!!2!409.27!409.27!
HB!12696F!VE!!21584011000036107!adalimumab!967421000168103!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices!Humira!967431000168100!Humira 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices!!2!818.54!818.54!
HB!12697G!VE!!21584011000036107!adalimumab!967341000168102!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes!Humira!967351000168100!Humira 40 mg/0.4 mL injection, 2 x 0.4 mL syringes!!2!818.54!818.54!
HB!12698H!RF!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Hadlima!1158711000168107!Hadlima Pushtouch Auto-Injector 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
HB!12698H!XT!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Amgevita!1157871000168108!Amgevita Sureclick 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
HB!12698H!PK!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Idacio!1494451000168104!Idacio 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
HB!12698H!SZ!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Hyrimoz!1532951000168102!Hyrimoz 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
HB!12733E!SZ!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Hyrimoz!1533871000168109!Hyrimoz 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
HB!12733E!XT!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Amgevita!1157971000168103!Amgevita 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
HB!12733E!PK!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Idacio!1494331000168104!Idacio 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
HB!12733E!RF!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Hadlima!1158681000168106!Hadlima 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
HB!12908J!PF!!21347011000036107!etanercept!1547341000168104!etanercept 50 mg/mL injection, 4 x 1 mL cartridges!Enbrel!1547351000168102!Enbrel 50 mg/mL injection, 4 x 1 mL cartridges!!1!939.25!939.25!
HS!12738K!BQ!!33635011000036100!abatacept!33791011000036102!abatacept 250 mg injection, 1 vial!Orencia!33282011000036104!Orencia 250 mg powder for injection, 1 vial!!1!266.34!266.34!
HS!12751D!OQ!!21926011000036101!infliximab!27724011000036101!infliximab 100 mg injection, 1 vial!Renflexis!971771000168105!Renflexis 100 mg powder for injection, 1 vial!!1!253.52!253.52!
HS!12751D!JC!!21926011000036101!infliximab!27724011000036101!infliximab 100 mg injection, 1 vial!Remicade!13375011000036107!Remicade 100 mg powder for injection, 1 vial!!1!253.52!253.52!
HS!12751D!PF!!21926011000036101!infliximab!27724011000036101!infliximab 100 mg injection, 1 vial!Inflectra!730981000168106!Inflectra 100 mg powder for injection, 1 vial!!1!253.52!253.52!
HS!12734F!PF!!21347011000036107!etanercept!28011011000036101!etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack!Enbrel!13920011000036109!Enbrel (4 x 25 mg vials, 4 x 1 mL inert diluent syringes), 1 pack!!1!469.63!469.63!
HS!12736H!PF!!21347011000036107!etanercept!898001000168109!etanercept 50 mg/mL injection, 4 x 1 mL pen devices!Enbrel!898011000168107!Enbrel Auto-Injector 50 mg/mL injection, 4 x 1 mL pen devices!!1!939.25!939.25!
HS!12757K!PF!!21347011000036107!etanercept!79241011000036109!etanercept 50 mg/mL injection, 4 x 1 mL syringes!Enbrel!933223531000036103!Enbrel 50 mg/mL injection, 4 x 1 mL syringes!!1!939.25!939.25!
HS!12686Q!VE!!21584011000036107!adalimumab!1122481000168105!adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes!Humira!1122491000168108!Humira 20 mg/0.2 mL injection, 2 x 0.2 mL syringes!!2!818.54!818.54!
HS!12674C!XT!!21584011000036107!adalimumab!1158041000168108!adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe!Amgevita!1158051000168105!Amgevita 20 mg/0.4 mL injection, 0.4 mL syringe!!2!409.27!409.27!
HS!12732D!VE!!21584011000036107!adalimumab!967421000168103!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices!Humira!967431000168100!Humira 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices!!2!818.54!818.54!
HS!12749B!VE!!21584011000036107!adalimumab!967341000168102!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes!Humira!967351000168100!Humira 40 mg/0.4 mL injection, 2 x 0.4 mL syringes!!2!818.54!818.54!
HS!12715F!PK!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Idacio!1494451000168104!Idacio 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
HS!12715F!XT!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Amgevita!1157871000168108!Amgevita Sureclick 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
HS!12715F!RF!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Hadlima!1158711000168107!Hadlima Pushtouch Auto-Injector 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
HS!12715F!SZ!!21584011000036107!adalimumab!729821000168108!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!Hyrimoz!1532951000168102!Hyrimoz 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices!!2!818.54!818.54!
HS!12731C!PK!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Idacio!1494331000168104!Idacio 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
HS!12731C!XT!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Amgevita!1157971000168103!Amgevita 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
HS!12731C!RF!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Hadlima!1158681000168106!Hadlima 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
HS!12731C!SZ!!21584011000036107!adalimumab!28164011000036107!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!Hyrimoz!1533871000168109!Hyrimoz 40 mg/0.8 mL injection, 2 x 0.8 mL syringes!!2!818.54!818.54!
HS!12906G!PF!!21347011000036107!etanercept!1547341000168104!etanercept 50 mg/mL injection, 4 x 1 mL cartridges!Enbrel!1547351000168102!Enbrel 50 mg/mL injection, 4 x 1 mL cartridges!!1!939.25!939.25!
IN!7257Y!SZ!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Riximyo!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!7257Y!SZ!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Riximyo!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!7257Y!EW!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Truxima!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!7257Y!EW!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Truxima!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!7257Y!PF!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Ruxience!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!7257Y!PF!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Ruxience!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!7258B!SZ!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Riximyo!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!7258B!SZ!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Riximyo!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!7258B!EW!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Truxima!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!7258B!EW!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Truxima!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!7258B!PF!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Ruxience!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!7258B!PF!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Ruxience!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!7259C!SZ!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Riximyo!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!7259C!SZ!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Riximyo!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!7259C!EW!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Truxima!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!7259C!EW!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Truxima!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!7259C!PF!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Ruxience!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!7259C!PF!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Ruxience!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!10193L!SZ!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Riximyo!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!10193L!SZ!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Riximyo!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!10193L!EW!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Truxima!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!10193L!EW!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Truxima!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IN!10193L!PF!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Ruxience!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IN!10193L!PF!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Ruxience!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!4613T!SZ!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Riximyo!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!4613T!SZ!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Riximyo!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!4613T!EW!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Truxima!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!4613T!EW!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Truxima!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!4613T!PF!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Ruxience!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!4613T!PF!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Ruxience!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!4614W!SZ!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Riximyo!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!4614W!SZ!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Riximyo!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!4614W!EW!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Truxima!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!4614W!EW!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Truxima!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!4614W!PF!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Ruxience!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!4614W!PF!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Ruxience!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!4615X!SZ!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Riximyo!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!4615X!SZ!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Riximyo!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!4615X!EW!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Truxima!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!4615X!EW!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Truxima!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!4615X!PF!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Ruxience!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!4615X!PF!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Ruxience!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!10179R!SZ!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Riximyo!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!10179R!SZ!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Riximyo!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!10179R!EW!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Truxima!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!10179R!EW!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Truxima!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
IP!10179R!PF!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!Ruxience!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!100!800!67.96!67.96!
IP!10179R!PF!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!Ruxience!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!500!800!339.80!339.80!
