program-code!atc!atc-type!atc-print-option!item-code!restriction-flag!has-caution!has-note!mq!repeats!manufacturer-code!pack-size!markup-band!fee-code!dangerous-drug-code!brand-premium!therapeutic-premium!cp2p!cdpmq!lp2p!ldpmq!mp2p!mdpmq!mrvsn!bioequivalence!brand-name!mp-pt!tpuu-or-mpp-pt
GE!N06AA12!P!1!1011F!U!!N!50!2!AF!50!C!RP!!0.00!0.00!3.39!15.53!0.00!0.00!0.00!0.00!16.84!!Deptran 10!doxepin!doxepin 10 mg capsule, 50
GE!N06AA12!P!1!1012G!U!!N!50!2!AF!50!C!RP!!0.00!0.00!3.43!15.57!0.00!0.00!0.00!0.00!16.88!!Deptran 50!doxepin!doxepin 50 mg tablet, 50
GE!N06AA12!P!1!1013H!U!!N!50!2!AF!50!C!RP!!0.00!0.00!4.27!16.41!0.00!0.00!0.00!0.00!17.72!!Deptran 25!doxepin!doxepin 25 mg capsule, 50
GE!V06D!P!1!11444H!A!!N!2!5!VF!1!C!RP!!0.00!0.00!80.52!176.24!0.00!0.00!0.00!0.00!30.00!!Betaquik!medium chain triglycerides!medium chain triglycerides oral liquid, 15 x 225 mL bottles
GE!A10BD23!P!1!11562M!A!!N!56!5!MK!56!C!RP!!0.00!0.00!48.69!60.83!0.00!0.00!0.00!0.00!30.00!!Segluromet 7.5/500!ertugliflozin + metformin!ertugliflozin 7.5 mg + metformin hydrochloride 500 mg tablet, 56
GE!A10BD23!P!1!11563N!A!!N!56!5!MK!56!C!RP!!0.00!0.00!50.09!62.23!0.00!0.00!0.00!0.00!30.00!!Segluromet 7.5/1000!ertugliflozin + metformin!ertugliflozin 7.5 mg + metformin hydrochloride 1 g tablet, 56
GE!A10BD23!P!1!11564P!A!!N!56!5!MK!56!C!RP!!0.00!0.00!50.09!62.23!0.00!0.00!0.00!0.00!30.00!!Segluromet 2.5/1000!ertugliflozin + metformin!ertugliflozin 2.5 mg + metformin hydrochloride 1 g tablet, 56
GE!A10BD23!P!1!11568W!A!!N!56!5!MK!56!C!RP!!0.00!0.00!48.69!60.83!0.00!0.00!0.00!0.00!30.00!!Segluromet 7.5/500!ertugliflozin + metformin!ertugliflozin 7.5 mg + metformin hydrochloride 500 mg tablet, 56
GE!A10BD23!P!1!11569X!A!!N!56!5!MK!56!C!RP!!0.00!0.00!50.09!62.23!0.00!0.00!0.00!0.00!30.00!!Segluromet 7.5/1000!ertugliflozin + metformin!ertugliflozin 7.5 mg + metformin hydrochloride 1 g tablet, 56
GE!A10BD23!P!1!11575F!A!!N!56!5!MK!56!C!RP!!0.00!0.00!48.69!60.83!0.00!0.00!0.00!0.00!30.00!!Segluromet 2.5/500!ertugliflozin + metformin!ertugliflozin 2.5 mg + metformin hydrochloride 500 mg tablet, 56
GE!A10BD23!P!1!11581M!A!!N!56!5!MK!56!C!RP!!0.00!0.00!50.09!62.23!0.00!0.00!0.00!0.00!30.00!!Segluromet 2.5/1000!ertugliflozin + metformin!ertugliflozin 2.5 mg + metformin hydrochloride 1 g tablet, 56
GE!A10BD23!P!1!11584Q!A!!N!56!5!MK!56!C!RP!!0.00!0.00!48.69!60.83!0.00!0.00!0.00!0.00!30.00!!Segluromet 2.5/500!ertugliflozin + metformin!ertugliflozin 2.5 mg + metformin hydrochloride 500 mg tablet, 56
GE!N07BA01!P!1!11612E!R!!N!216!2!ON!216!C!RP!!0.00!0.00!37.88!50.02!0.00!0.00!0.00!0.00!30.00!!Nicotinell!nicotine!nicotine 4 mg chewing gum, 216
GE!N07BA01!P!1!11617K!R!!N!216!2!ON!216!C!RP!!0.00!0.00!37.88!50.02!0.00!0.00!0.00!0.00!30.00!!Nicotinell!nicotine!nicotine 2 mg lozenge, 216
GE!N07BA01!P!1!11618L!R!!N!432!1!ON!216!C!RP!!0.00!0.00!28.41!68.96!0.00!0.00!0.00!0.00!30.00!!Nicotinell!nicotine!nicotine 2 mg chewing gum, 216
GE!N07BA01!P!1!11619M!R!!N!216!2!ON!216!C!RP!!0.00!0.00!37.88!50.02!0.00!0.00!0.00!0.00!30.00!!Nicotinell!nicotine!nicotine 4 mg lozenge, 216
GE!A10AB05!P!1!11705C!U!!!5!2!NO!1!C!RP!!0.00!0.00!17.56!99.92!0.00!0.00!0.00!0.00!30.00!!Fiasp!insulin aspart!insulin aspart 100 units/mL fast acting injection, 1 x 10 mL vial
GE!A10AB05!P!1!11706D!U!!!5!1!NO!1!C!RP!!0.00!0.00!30.30!166.22!0.00!0.00!0.00!0.00!30.00!!Fiasp FlexTouch!insulin aspart!insulin aspart 100 units/mL fast acting injection, 5 x 3 mL pen devices
GE!N05AA01!P!1!1196Y!U!!N!100!5!SW!100!C!RP!!0.00!0.00!3.33!15.47!0.00!0.00!0.00!0.00!16.78!!Largactil!chlorpromazine!chlorpromazine hydrochloride 10 mg tablet, 100
PL!N02AA03!P!1!12473L!A!C!N!28!0!JC!14!C!RP!DD!0.00!0.00!24.76!66.50!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 16 mg modified release tablet, 14
PL!N02AA03!P!1!12482Y!A!C!N!28!0!JC!14!C!RP!DD!0.00!0.00!14.99!46.96!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 8 mg modified release tablet, 14
PL!N02AA03!P!1!12496Q!A!C!N!28!0!JC!14!C!RP!DD!0.00!0.00!11.99!40.96!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 4 mg modified release tablet, 14
PL!N02AA03!P!1!12535R!A!C!N!28!0!JC!14!C!RP!DD!0.00!0.00!80.55!181.14!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 64 mg modified release tablet, 14
PL!N02AA03!P!1!12543E!A!C!N!28!0!JC!14!C!RP!DD!0.00!0.00!45.71!108.40!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 32 mg modified release tablet, 14
HS!L04AB04!P!1!12674C!A!!N!2!0!XT!1!D!RP!!0.00!0.00!380.99!800.28!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe
HB!L04AB01!P!1!12675D!A!!N!1!0!PF!1!A!NF!!0.00!0.00!743.60!743.60!0.00!0.00!0.00!0.00!30.00!a!Enbrel!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL syringes
GE!L04AB01!P!1!12676E!A!!N!1!5!PF!1!C!RP!!0.00!0.00!797.74!844.77!0.00!0.00!0.00!0.00!30.00!a!Enbrel!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL syringes
GE!L04AB02!P!1!12677F!A!!N!2!2!EW!1!C!RP!!0.00!0.00!357.83!758.58!0.00!0.00!0.00!0.00!30.00!!Remsima SC!infliximab!infliximab 120 mg/mL injection, 1 mL syringe
GE!L04AB04!P!1!12678G!A!!N!2!5!VE!2!C!RP!!0.00!0.00!636.95!675.94!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
GE!L04AB01!P!1!12679H!A!!N!1!5!PF!1!C!RP!!0.00!0.00!797.74!844.77!0.00!0.00!0.00!0.00!30.00!a!Enbrel!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL pen devices
GE!L04AB01!P!1!12679H!A!!N!1!5!RF!1!C!RP!!0.00!0.00!797.74!844.77!0.00!0.00!0.00!0.00!30.00!a!Brenzys!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL pen devices
GE!L04AA24!P!1!12680J!A!!N!4!5!BQ!4!C!RP!!0.00!0.00!893.81!945.64!0.00!0.00!0.00!0.00!30.00!!Orencia ClickJect!abatacept!abatacept 125 mg/mL injection, 4 x 1 mL pen devices
GE!L04AA44!P!1!12685P!A!!N!28!5!VE!28!C!RP!!0.00!0.00!1204.11!1271.46!0.00!0.00!0.00!0.00!30.00!!Rinvoq!upadacitinib!upadacitinib 15 mg modified release tablet, 28
HS!L04AB04!P!1!12686Q!A!!N!2!0!VE!2!D!RP!!0.00!0.00!618.90!651.48!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes
GE!L04AB02!P!1!12687R!A!!N!2!2!EW!1!C!RP!!0.00!0.00!357.83!758.58!0.00!0.00!0.00!0.00!30.00!!Remsima SC!infliximab!infliximab 120 mg/mL injection, 1 mL pen device
GE!L04AB02!P!1!12688T!A!!N!1!0!EW!1!C!RP!!0.00!0.00!357.83!382.86!0.00!0.00!0.00!0.00!30.00!!Remsima SC!infliximab!infliximab 120 mg/mL injection, 1 mL syringe
GE!L04AB02!P!1!12689W!A!!N!1!0!EW!1!C!RP!!0.00!0.00!357.83!382.86!0.00!0.00!0.00!0.00!30.00!!Remsima SC!infliximab!infliximab 120 mg/mL injection, 1 mL pen device
GE!L04AB04!P!1!12690X!A!!N!2!5!PK!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Idacio!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
GE!L04AB04!P!1!12690X!A!!N!2!5!RF!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Hadlima!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
GE!L04AB04!P!1!12690X!A!!N!2!5!SZ!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Hyrimoz!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
GE!L04AB04!P!1!12690X!A!!N!2!5!XT!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
GE!L04AB05!P!1!12691Y!A!!N!2!5!UC!2!C!RP!!0.00!0.00!970.18!1025.83!0.00!0.00!0.00!0.00!30.00!!Cimzia!certolizumab pegol!certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices
HB!L04AB04!P!1!12695E!A!!N!2!0!XT!1!A!NF!!0.00!0.00!380.99!761.98!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe
HB!L04AB04!P!1!12696F!A!!N!2!0!VE!2!A!NF!!0.00!0.00!618.90!618.90!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
HB!L04AB04!P!1!12697G!A!!N!2!0!VE!2!A!NF!!0.00!0.00!618.90!618.90!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
HB!L04AB04!P!1!12698H!A!!N!2!0!PK!2!A!NF!!0.00!0.00!761.98!761.98!0.00!0.00!0.00!0.00!30.00!a!Idacio!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
HB!L04AB04!P!1!12698H!A!!N!2!0!RF!2!A!NF!!0.00!0.00!761.98!761.98!0.00!0.00!0.00!0.00!30.00!a!Hadlima!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
HB!L04AB04!P!1!12698H!A!!N!2!0!SZ!2!A!NF!!0.00!0.00!761.98!761.98!0.00!0.00!0.00!0.00!30.00!a!Hyrimoz!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
HB!L04AB04!P!1!12698H!A!!N!2!0!XT!2!A!NF!!0.00!0.00!761.98!761.98!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
HB!L04AB04!P!1!12699J!A!!N!2!0!VE!2!A!NF!!0.00!0.00!618.90!618.90!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes
GE!L04AB04!P!1!12700K!A!!N!2!5!VE!2!C!RP!!0.00!0.00!636.95!675.94!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
GE!L04AB04!P!1!12701L!A!!N!2!5!VE!2!C!RP!!0.00!0.00!636.95!675.94!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
GE!L04AB05!P!1!12702M!A!!N!6!0!UC!2!C!RP!!0.00!0.00!970.18!3017.69!0.00!0.00!0.00!0.00!30.00!!Cimzia!certolizumab pegol!certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices
GE!L04AB06!P!1!12703N!A!!N!1!5!JC!1!C!RP!!0.00!0.00!1098.57!1160.64!0.00!0.00!0.00!0.00!30.00!!Simponi!golimumab!golimumab 50 mg/0.5 mL injection, 0.5 mL syringe
GE!L04AA37!P!1!12708W!A!!N!28!5!LY!28!C!RP!!0.00!0.00!1204.11!1271.46!0.00!0.00!0.00!0.00!30.00!!Olumiant!baricitinib!baricitinib 2 mg tablet, 28
GE!L04AB05!P!1!12712C!A!!N!6!0!UC!2!C!RP!!0.00!0.00!970.18!3017.69!0.00!0.00!0.00!0.00!30.00!!Cimzia!certolizumab pegol!certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes
HS!L04AB04!P!1!12715F!A!!N!2!0!PK!2!D!RP!!0.00!0.00!761.98!800.28!0.00!0.00!0.00!0.00!30.00!a!Idacio!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
HS!L04AB04!P!1!12715F!A!!N!2!0!RF!2!D!RP!!0.00!0.00!761.98!800.28!0.00!0.00!0.00!0.00!30.00!a!Hadlima!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
HS!L04AB04!P!1!12715F!A!!N!2!0!SZ!2!D!RP!!0.00!0.00!761.98!800.28!0.00!0.00!0.00!0.00!30.00!a!Hyrimoz!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
HS!L04AB04!P!1!12715F!A!!N!2!0!XT!2!D!RP!!0.00!0.00!761.98!800.28!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
GE!L04AB01!P!1!12716G!A!!N!1!5!PF!1!C!RP!!0.00!0.00!797.74!844.77!0.00!0.00!0.00!0.00!30.00!a!Enbrel!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL pen devices
HB!L04AB02!P!1!12717H!A!!N!1!0!JC!1!A!NF!!0.00!0.00!253.52!253.52!0.00!0.00!0.00!0.00!30.00!a!Remicade!infliximab!infliximab 100 mg injection, 1 vial
HB!L04AB02!P!1!12717H!A!!N!1!0!OQ!1!A!NF!!0.00!0.00!253.52!253.52!0.00!0.00!0.00!0.00!30.00!a!Renflexis!infliximab!infliximab 100 mg injection, 1 vial
HB!L04AB02!P!1!12717H!A!!N!1!0!PF!1!A!NF!!0.00!0.00!253.52!253.52!0.00!0.00!0.00!0.00!30.00!a!Inflectra!infliximab!infliximab 100 mg injection, 1 vial
GE!L04AB01!P!1!12718J!A!!N!2!5!PF!1!C!RP!!0.00!0.00!398.88!844.78!0.00!0.00!0.00!0.00!30.00!!Enbrel!etanercept!etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack
GE!L04AB04!P!1!12719K!A!!N!2!5!PK!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Idacio!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
GE!L04AB04!P!1!12719K!A!!N!2!5!RF!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Hadlima!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
GE!L04AB04!P!1!12719K!A!!N!2!5!SZ!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Hyrimoz!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
GE!L04AB04!P!1!12719K!A!!N!2!5!XT!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
GE!L04AA29!P!1!12720L!A!!N!56!5!PF!56!C!RP!!0.00!0.00!1146.61!1211.08!0.00!0.00!0.00!0.00!30.00!!Xeljanz!tofacitinib!tofacitinib 5 mg tablet, 56
GE!L04AB05!P!1!12724Q!A!!N!2!4!UC!2!C!RP!!0.00!0.00!970.18!1025.83!0.00!0.00!0.00!0.00!30.00!!Cimzia!certolizumab pegol!certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes
GE!L04AB04!P!1!12729Y!A!!N!2!5!PK!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Idacio!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
GE!L04AB04!P!1!12729Y!A!!N!2!5!RF!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Hadlima!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
GE!L04AB04!P!1!12729Y!A!!N!2!5!SZ!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Hyrimoz!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
GE!L04AB04!P!1!12729Y!A!!N!2!5!XT!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices
GE!L04AA37!P!1!12730B!A!!N!28!5!LY!28!C!RP!!0.00!0.00!1204.11!1271.46!0.00!0.00!0.00!0.00!30.00!!Olumiant!baricitinib!baricitinib 4 mg tablet, 28
HS!L04AB04!P!1!12731C!A!!N!2!0!PK!2!D!RP!!0.00!0.00!761.98!800.28!0.00!0.00!0.00!0.00!30.00!a!Idacio!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
HS!L04AB04!P!1!12731C!A!!N!2!0!RF!2!D!RP!!0.00!0.00!761.98!800.28!0.00!0.00!0.00!0.00!30.00!a!Hadlima!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
HS!L04AB04!P!1!12731C!A!!N!2!0!SZ!2!D!RP!!0.00!0.00!761.98!800.28!0.00!0.00!0.00!0.00!30.00!a!Hyrimoz!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
HS!L04AB04!P!1!12731C!A!!N!2!0!XT!2!D!RP!!0.00!0.00!761.98!800.28!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
HS!L04AB04!P!1!12732D!A!!N!2!0!VE!2!D!RP!!0.00!0.00!618.90!651.48!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
HB!L04AB04!P!1!12733E!A!!N!2!0!PK!2!A!NF!!0.00!0.00!761.98!761.98!0.00!0.00!0.00!0.00!30.00!a!Idacio!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
HB!L04AB04!P!1!12733E!A!!N!2!0!RF!2!A!NF!!0.00!0.00!761.98!761.98!0.00!0.00!0.00!0.00!30.00!a!Hadlima!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
HB!L04AB04!P!1!12733E!A!!N!2!0!SZ!2!A!NF!!0.00!0.00!761.98!761.98!0.00!0.00!0.00!0.00!30.00!a!Hyrimoz!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
HB!L04AB04!P!1!12733E!A!!N!2!0!XT!2!A!NF!!0.00!0.00!761.98!761.98!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
HS!L04AB01!P!1!12734F!A!!N!1!0!PF!1!D!RP!!0.00!0.00!371.81!394.50!0.00!0.00!0.00!0.00!30.00!!Enbrel!etanercept!etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack
HB!L04AB01!P!1!12735G!A!!N!1!0!PF!1!A!NF!!0.00!0.00!743.60!743.60!0.00!0.00!0.00!0.00!30.00!a!Enbrel!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL pen devices
HS!L04AB01!P!1!12736H!A!!N!1!0!PF!1!D!RP!!0.00!0.00!743.60!781.16!0.00!0.00!0.00!0.00!30.00!a!Enbrel!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL pen devices
GE!L04AB01!P!1!12737J!A!!N!1!5!PF!1!C!RP!!0.00!0.00!797.74!844.77!0.00!0.00!0.00!0.00!30.00!a!Enbrel!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL syringes
GE!L04AB01!P!1!12737J!A!!N!1!5!RF!1!C!RP!!0.00!0.00!797.74!844.77!0.00!0.00!0.00!0.00!30.00!a!Brenzys!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL syringes
HS!L04AA24!P!1!12738K!A!!N!1!0!BQ!1!D!RP!!0.00!0.00!262.40!280.72!0.00!0.00!0.00!0.00!30.00!!Orencia!abatacept!abatacept 250 mg injection, 1 vial
HB!L04AB01!P!1!12740M!A!!N!1!0!PF!1!A!NF!!0.00!0.00!371.81!371.81!0.00!0.00!0.00!0.00!30.00!!Enbrel!etanercept!etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack
GE!L04AB04!P!1!12741N!A!!N!2!5!PK!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Idacio!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
GE!L04AB04!P!1!12741N!A!!N!2!5!RF!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Hadlima!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
GE!L04AB04!P!1!12741N!A!!N!2!5!SZ!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Hyrimoz!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
GE!L04AB04!P!1!12741N!A!!N!2!5!XT!2!C!RP!!0.00!0.00!780.03!826.17!0.00!0.00!0.00!0.00!30.00!a!Amgevita!adalimumab!adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
GE!L04AB05!P!1!12742P!A!!N!2!4!UC!2!C!RP!!0.00!0.00!970.18!1025.83!0.00!0.00!0.00!0.00!30.00!!Cimzia!certolizumab pegol!certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices
GE!L04AB05!P!1!12743Q!A!!N!2!5!UC!2!C!RP!!0.00!0.00!970.18!1025.83!0.00!0.00!0.00!0.00!30.00!!Cimzia!certolizumab pegol!certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes
GE!L04AB06!P!1!12744R!A!!N!1!5!JC!1!C!RP!!0.00!0.00!1098.57!1160.64!0.00!0.00!0.00!0.00!30.00!!Simponi!golimumab!golimumab 50 mg/0.5 mL injection, 0.5 mL pen device
GE!L04AB02!P!1!12748Y!A!!N!2!5!EW!1!C!RP!!0.00!0.00!357.83!758.58!0.00!0.00!0.00!0.00!30.00!!Remsima SC!infliximab!infliximab 120 mg/mL injection, 1 mL pen device
HS!L04AB04!P!1!12749B!A!!N!2!0!VE!2!D!RP!!0.00!0.00!618.90!651.48!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
GE!L04AB01!P!1!12750C!A!!N!2!5!PF!1!C!RP!!0.00!0.00!398.88!844.78!0.00!0.00!0.00!0.00!30.00!!Enbrel!etanercept!etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack
HS!L04AB02!P!1!12751D!A!!N!1!0!JC!1!D!RP!!0.00!0.00!253.52!271.48!0.00!0.00!0.00!0.00!30.00!a!Remicade!infliximab!infliximab 100 mg injection, 1 vial
HS!L04AB02!P!1!12751D!A!!N!1!0!OQ!1!D!RP!!0.00!0.00!253.52!271.48!0.00!0.00!0.00!0.00!30.00!a!Renflexis!infliximab!infliximab 100 mg injection, 1 vial
HS!L04AB02!P!1!12751D!A!!N!1!0!PF!1!D!RP!!0.00!0.00!253.52!271.48!0.00!0.00!0.00!0.00!30.00!a!Inflectra!infliximab!infliximab 100 mg injection, 1 vial
GE!L04AB04!P!1!12752E!A!!N!2!5!VE!2!C!RP!!0.00!0.00!636.95!675.94!0.00!0.00!0.00!0.00!30.00!a!Humira!adalimumab!adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
GE!L04AB02!P!1!12753F!A!!N!2!5!EW!1!C!RP!!0.00!0.00!357.83!758.58!0.00!0.00!0.00!0.00!30.00!!Remsima SC!infliximab!infliximab 120 mg/mL injection, 1 mL syringe
HB!L04AA24!P!1!12756J!A!!N!1!0!BQ!1!A!NF!!0.00!0.00!262.40!262.40!0.00!0.00!0.00!0.00!30.00!!Orencia!abatacept!abatacept 250 mg injection, 1 vial
HS!L04AB01!P!1!12757K!A!!N!1!0!PF!1!D!RP!!0.00!0.00!743.60!781.16!0.00!0.00!0.00!0.00!30.00!a!Enbrel!etanercept!etanercept 50 mg/mL injection, 4 x 1 mL syringes
GE!L04AA24!P!1!12758L!A!!N!4!5!BQ!4!C!RP!!0.00!0.00!893.81!945.64!0.00!0.00!0.00!0.00!30.00!!Orencia!abatacept!abatacept 125 mg/mL injection, 4 x 1 mL syringes
GE!M01AC01!P!1!1895R!R!!!50!3!AF!50!C!RP!!0.00!0.00!4.56!16.70!0.00!0.00!0.00!0.00!18.01!!Mobilis D-10!piroxicam!piroxicam 10 mg dispersible tablet, 50
GE!J01CA01!P!1!2390T!U!!!5!1!AL!5!C!RP!!0.00!0.00!5.02!17.16!0.00!0.00!0.00!0.00!18.47!!Austrapen!ampicillin!ampicillin 500 mg injection, 5 vials
GE!S01XA20!P!1!2682E!R!!!1!5!AG!1!C!RP!!1.29!0.00!3.91!16.05!0.00!0.00!5.20!17.34!17.36!a!Liquifilm Tears!polyvinyl alcohol!polyvinyl alcohol 1.4% eye drops, 15 mL
GE!S01XA20!P!1!2682E!R!!!1!5!PE!1!C!RP!!0.00!0.00!3.91!16.05!0.00!0.00!0.00!0.00!17.36!a!PVA Tears!polyvinyl alcohol!polyvinyl alcohol 1.4% eye drops, 15 mL
GE!C07AA05!P!1!2899N!U!!!50!5!AF!50!C!RP!!0.00!0.00!5.11!17.25!0.00!0.00!0.00!0.00!18.56!!Deralin 160!propranolol!propranolol hydrochloride 160 mg tablet, 50
GE!J01CA01!P!1!2977Q!U!!!5!1!AF!5!C!RP!!0.00!0.00!6.14!18.28!0.00!0.00!0.00!0.00!19.59!!Ampicyn!ampicillin!ampicillin 1 g injection, 5 vials
GE!C07AA03!P!1!3062E!U!!!100!5!AF!100!C!RP!!0.00!0.00!20.88!33.02!0.00!0.00!0.00!0.00!30.00!!Barbloc 5!pindolol!pindolol 5 mg tablet, 100
GE!G03AA05!P!1!3179H!U!!!4!2!PF!4!C!RP!!0.00!0.00!6.60!18.74!0.00!0.00!0.00!0.00!20.05!!Norinyl-1/28!norethisterone + mestranol!norethisterone 1 mg + mestranol 50 microgram tablet [21] (&) inert substance tablet [7], 4 x 28
GE!J01CA01!P!1!3313J!U!!!5!0!AL!5!C!RP!!0.00!0.00!5.02!17.16!0.00!0.00!0.00!0.00!18.47!!Austrapen!ampicillin!ampicillin 500 mg injection, 5 vials
GE!J01CA01!P!1!3314K!U!!!5!0!AF!5!C!RP!!0.00!0.00!6.14!18.28!0.00!0.00!0.00!0.00!19.59!!Ampicyn!ampicillin!ampicillin 1 g injection, 5 vials
GE!M01AC01!P!1!5201R!R!!!50!0!AF!50!C!RP!!0.00!0.00!4.56!16.70!0.00!0.00!0.00!0.00!18.01!!Mobilis D-10!piroxicam!piroxicam 10 mg dispersible tablet, 50
GE!J01FA06!P!1!5259T!U!!!10!0!SW!10!C!RP!!0.00!0.00!5.65!17.79!0.00!0.00!0.00!0.00!19.10!!Rulide D!roxithromycin!roxithromycin 50 mg dispersible tablet, 10
GE!C09CA01!P!1!5452Y!U!!!30!5!AF!30!C!RP!!0.00!0.00!4.24!16.38!0.00!0.00!0.00!0.00!17.69!!Cozavan!losartan!losartan potassium 25 mg tablet, 30
GE!S01XA20!P!1!5526W!R!!!1!5!AG!1!C!RP!!1.29!0.00!3.91!16.05!0.00!0.00!5.20!17.34!17.36!a!Liquifilm Tears!polyvinyl alcohol!polyvinyl alcohol 1.4% eye drops, 15 mL
GE!S01XA20!P!1!5526W!R!!!1!5!PE!1!C!RP!!0.00!0.00!3.91!16.05!0.00!0.00!0.00!0.00!17.36!a!PVA Tears!polyvinyl alcohol!polyvinyl alcohol 1.4% eye drops, 15 mL
GE!S01XA20!P!1!5532E!A!!!2!5!AQ!1!C!RP!!0.00!0.00!7.60!27.34!0.00!0.00!0.00!0.00!28.65!!Systane!polyethylene glycol-400 + propylene glycol!polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses
GE!J01FA06!P!1!8129W!U!!N!10!0!SW!10!C!RP!!0.00!0.00!5.65!17.79!0.00!0.00!0.00!0.00!19.10!!Rulide D!roxithromycin!roxithromycin 50 mg dispersible tablet, 10
GE!C09CA01!P!1!8203R!U!!!60!5!AF!30!C!RP!!0.00!0.00!5.88!23.90!0.00!0.00!0.00!0.00!25.21!!Cozavan!losartan!losartan potassium 50 mg tablet, 30
GE!B01AC30!P!1!8382E!R!!N!60!5!RW!60!C!RP!!0.00!0.00!16.91!29.05!0.00!0.00!0.00!0.00!30.00!!Diasp SR!dipyridamole + aspirin!dipyridamole 200 mg + aspirin 25 mg modified release capsule, 60
GE!M05BB02!P!1!8899J!A!!N!1!5!AF!1!C!RP!!0.00!0.00!24.01!36.15!0.00!0.00!0.00!0.00!30.00!!Acris Combi!risedronate (&) calcium carbonate!risedronate sodium 35 mg tablet [4] (&) calcium (as carbonate) 500 mg tablet [24], 28
GE!S01XA20!P!1!9170P!A!!!2!5!AQ!1!C!RP!!0.00!0.00!7.60!27.34!0.00!0.00!0.00!0.00!28.65!!Systane!polyethylene glycol-400 + propylene glycol!polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses
GE!S01XA20!P!1!9220G!R!!N!1!11!AG!1!C!RP!!1.29!0.00!3.91!16.05!0.00!0.00!5.20!17.34!17.36!a!Liquifilm Tears!polyvinyl alcohol!polyvinyl alcohol 1.4% eye drops, 15 mL
GE!S01XA20!P!1!9220G!R!!N!1!11!PE!1!C!RP!!0.00!0.00!3.91!16.05!0.00!0.00!0.00!0.00!17.36!a!PVA Tears!polyvinyl alcohol!polyvinyl alcohol 1.4% eye drops, 15 mL
GE!N02AA03!P!1!9299K!A!C!N!14!0!JC!14!C!RP!DD!0.00!0.00!11.99!28.97!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 4 mg modified release tablet, 14
GE!N02AA03!P!1!9406C!A!C!N!14!0!JC!14!C!RP!DD!0.00!0.00!14.99!31.97!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 8 mg modified release tablet, 14
GE!N02AA03!P!1!9407D!A!C!N!14!0!JC!14!C!RP!DD!0.00!0.00!24.76!41.74!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 16 mg modified release tablet, 14
GE!N02AA03!P!1!9408E!A!C!N!14!0!JC!14!C!RP!DD!0.00!0.00!45.71!62.69!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 32 mg modified release tablet, 14
GE!N02AA03!P!1!9409F!A!C!N!14!0!JC!14!C!RP!DD!0.00!0.00!80.55!97.53!0.00!0.00!0.00!0.00!30.00!!Jurnista!hydromorphone!hydromorphone hydrochloride 64 mg modified release tablet, 14
