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!1196Y!SW!!21310011000036102!chlorpromazine!27254011000036107!chlorpromazine hydrochloride 10 mg tablet, 100!Largactil!12645011000036109!Largactil 10 mg tablet, 100!!100!2.92!2.92!
GE!1895R!AF!!21531011000036103!piroxicam!27881011000036106!piroxicam 10 mg dispersible tablet, 50!Mobilis D-10!12691011000036101!Mobilis D 10 mg dispersible tablet, 50!!50!4.15!4.15!
GE!2682E!AG!!35687011000036109!polyvinyl alcohol!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!Liquifilm Tears!35557011000036105!Liquifilm Tears 1.4% eye drops, 15 mL!!1!3.50!4.79!
GE!2682E!PE!!35687011000036109!polyvinyl alcohol!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!PVA Tears!35565011000036106!PVA Tears 1.4% eye drops, 15 mL!!1!3.50!3.50!0.00
GE!2899N!AF!!21392011000036104!propranolol!26940011000036104!propranolol hydrochloride 160 mg tablet, 50!Deralin 160!12133011000036108!Deralin 160 mg tablet, 50!!50!4.70!4.70!
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!6.14!6.14!
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!5201R!AF!!21531011000036103!piroxicam!27881011000036106!piroxicam 10 mg dispersible tablet, 50!Mobilis D-10!12691011000036101!Mobilis D 10 mg dispersible tablet, 50!!50!4.15!4.15!
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!5452Y!AF!!44887011000036108!losartan!933224091000036109!losartan potassium 25 mg tablet, 30!Cozavan!933224081000036107!Cozavan 25 mg tablet, 30!!30!3.83!3.83!
GE!5526W!AG!!35687011000036109!polyvinyl alcohol!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!Liquifilm Tears!35557011000036105!Liquifilm Tears 1.4% eye drops, 15 mL!!1!3.50!4.79!
GE!5526W!PE!!35687011000036109!polyvinyl alcohol!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!PVA Tears!35565011000036106!PVA Tears 1.4% eye drops, 15 mL!!1!3.50!3.50!0.00
GE!5532E!AQ!!11731000144100!polyethylene glycol-400 + propylene glycol!154541000144100!polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses!Systane!152351000144101!Systane 0.4% / 0.3% eye drops, 28 x 0.8 mL unit doses!!2!7.07!7.07!
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!8203R!AF!!44887011000036108!losartan!46465011000036101!losartan potassium 50 mg tablet, 30!Cozavan!933224071000036105!Cozavan 50 mg tablet, 30!!60!5.47!5.47!
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!15.73!15.73!
GE!8750M!AP!!21281011000036101!budesonide + formoterol (eformoterol)!83499011000036101!budesonide 400 microgram/actuation + formoterol (eformoterol) fumarate dihydrate 12 microgram/actuation powder for inhalation, 2 x 60 actuations!Symbicort Turbuhaler 400/12!83332011000036105!Symbicort Turbuhaler 400/12 powder for inhalation, 2 x 60 actuations!!1!44.14!44.14!
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!9170P!AQ!!11731000144100!polyethylene glycol-400 + propylene glycol!154541000144100!polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses!Systane!152351000144101!Systane 0.4% / 0.3% eye drops, 28 x 0.8 mL unit doses!!2!7.07!7.07!
GE!9220G!PE!!35687011000036109!polyvinyl alcohol!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!PVA Tears!35565011000036106!PVA Tears 1.4% eye drops, 15 mL!!1!3.50!3.50!0.00
GE!9220G!AG!!35687011000036109!polyvinyl alcohol!35772011000036106!polyvinyl alcohol 1.4% eye drops, 15 mL!Liquifilm Tears!35557011000036105!Liquifilm Tears 1.4% eye drops, 15 mL!!1!3.50!4.79!
GE!11617K!ON!!21432011000036100!nicotine!898831000168107!nicotine 2 mg lozenge, 216!Nicotinell!898841000168103!Nicotinell Peppermint 2 mg lozenge, 216!!216!35.23!35.23!
GE!11619M!ON!!21432011000036100!nicotine!897951000168105!nicotine 4 mg lozenge, 216!Nicotinell!897961000168107!Nicotinell Peppermint 4 mg lozenge, 216!!216!35.23!35.23!
GE!11618L!ON!!21432011000036100!nicotine!897621000168106!nicotine 2 mg chewing gum, 216!Nicotinell!897631000168109!Nicotinell Mint 2 mg chewing gum, 216!!432!26.42!26.42!
GE!11612E!ON!!21432011000036100!nicotine!897451000168100!nicotine 4 mg chewing gum, 216!Nicotinell!897461000168103!Nicotinell Mint 4 mg chewing gum, 216!!216!35.23!35.23!
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!11705C!NO!!21699011000036100!insulin aspart!476231000144102!insulin aspart 100 units/mL fast acting injection, 1 x 10 mL vial!Fiasp!476311000144100!Fiasp 100 units/mL fast acting injection, 10 mL vial!!5!16.33!16.33!
GE!11706D!NO!!21699011000036100!insulin aspart!476411000144109!insulin aspart 100 units/mL fast acting injection, 5 x 3 mL pen devices!Fiasp FlexTouch!476431000144101!Fiasp Flextouch 100 units/mL fast acting injection, 5 x 3 mL pen devices!!5!28.18!28.18!
GE!11924N!TX!!21256011000036101!donepezil!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!APO-Donepezil!101521000036104!Donepezil (Apo) 10 mg tablet, 28!!28!7.44!7.44!0.00
GE!11924N!RW!!21256011000036101!donepezil!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!Aridon 10!102061000036108!Aridon 10 mg tablet, 28!!28!7.44!7.44!0.00
GE!11924N!AF!!21256011000036101!donepezil!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!Arazil!101451000036106!Arazil 10 mg tablet, 28!!28!7.44!7.44!0.00
GE!11924N!VO!!21256011000036101!donepezil!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!NOUMED DONEPEZIL!1240401000168101!Donepezil (Noumed) 10 mg tablet, 28!!28!7.44!7.44!0.00
GE!11924N!HQ!!21256011000036101!donepezil!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!Donepezil GH!933201151000036107!Donepezil Hydrochloride (GH) 10 mg tablet, 28!!28!7.44!7.44!0.00
GE!11924N!PF!!21256011000036101!donepezil!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!Aricept!12942011000036100!Aricept 10 mg tablet, 28!!28!7.44!14.09!
GE!11924N!SZ!!21256011000036101!donepezil!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!Donepezil Sandoz!101201000036106!Donepezil Hydrochloride (Sandoz) 10 mg tablet, 28!!28!7.44!7.44!0.00
GE!11924N!RF!!21256011000036101!donepezil!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!Aridon APN 10!671031000168106!Aridon APN 10 mg tablet, 28!!28!7.44!7.44!0.00
GE!11924N!RZ!!21256011000036101!donepezil!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!Donepezil-DRLA!101191000036109!Donepezil Hydrochloride (DRLA) 10 mg tablet, 28!!28!7.44!7.44!0.00
GE!11922L!VO!!21256011000036101!donepezil!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!NOUMED DONEPEZIL!1240731000168103!Donepezil (Noumed) 5 mg tablet, 28!!28!7.44!7.44!0.00
GE!11922L!RF!!21256011000036101!donepezil!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!Aridon APN 5!671061000168103!Aridon APN 5 mg tablet, 28!!28!7.44!7.44!0.00
GE!11922L!HQ!!21256011000036101!donepezil!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!Donepezil GH!933201041000036108!Donepezil Hydrochloride (GH) 5 mg tablet, 28!!28!7.44!7.44!0.00
GE!11922L!RW!!21256011000036101!donepezil!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!Aridon 5!102051000036105!Aridon 5 mg tablet, 28!!28!7.44!7.44!0.00
GE!11922L!SZ!!21256011000036101!donepezil!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!Donepezil Sandoz!101211000036108!Donepezil Hydrochloride (Sandoz) 5 mg tablet, 28!!28!7.44!7.44!0.00
GE!11922L!RZ!!21256011000036101!donepezil!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!Donepezil-DRLA!101181000036107!Donepezil Hydrochloride (DRLA) 5 mg tablet, 28!!28!7.44!7.44!0.00
GE!11922L!PF!!21256011000036101!donepezil!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!Aricept!12941011000036106!Aricept 5 mg tablet, 28!!28!7.44!10.16!
GE!11922L!TX!!21256011000036101!donepezil!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!APO-Donepezil!101531000036102!Donepezil (Apo) 5 mg tablet, 28!!28!7.44!7.44!0.00
GE!11922L!AF!!21256011000036101!donepezil!27455011000036105!donepezil hydrochloride 5 mg tablet, 28!Arazil!101461000036109!Arazil 5 mg tablet, 28!!28!7.44!7.44!0.00
GE!11917F!AF!!21521011000036100!galantamine!28248011000036107!galantamine 8 mg modified release capsule, 28!Galantyl!87453011000036102!Galantyl 8 mg modified release capsule, 28!!28!20.35!20.35!
GE!11917F!RW!!21521011000036100!galantamine!28248011000036107!galantamine 8 mg modified release capsule, 28!Gamine XR!43471000036104!Gamine XR 8 mg modified release capsule, 28!!28!20.35!20.35!
GE!11917F!JC!!21521011000036100!galantamine!28248011000036107!galantamine 8 mg modified release capsule, 28!Reminyl!14249011000036104!Reminyl 8 mg modified release capsule, 28!!28!20.35!20.35!
GE!11917F!TX!!21521011000036100!galantamine!28248011000036107!galantamine 8 mg modified release capsule, 28!APO-Galantamine MR!43481000036102!Galantamine MR (Apo) 8 mg modified release capsule, 28!!28!20.35!20.35!
GE!11918G!TX!!21521011000036100!galantamine!28249011000036104!galantamine 16 mg modified release capsule, 28!APO-Galantamine MR!43521000036102!Galantamine MR (Apo) 16 mg modified release capsule, 28!!28!24.89!24.89!
GE!11918G!AF!!21521011000036100!galantamine!28249011000036104!galantamine 16 mg modified release capsule, 28!Galantyl!87450011000036105!Galantyl 16 mg modified release capsule, 28!!28!24.89!24.89!
GE!11918G!RW!!21521011000036100!galantamine!28249011000036104!galantamine 16 mg modified release capsule, 28!Gamine XR!43501000036107!Gamine XR 16 mg modified release capsule, 28!!28!24.89!24.89!
GE!11918G!JC!!21521011000036100!galantamine!28249011000036104!galantamine 16 mg modified release capsule, 28!Reminyl!14250011000036107!Reminyl 16 mg modified release capsule, 28!!28!24.89!24.89!
GE!11899G!AF!!21521011000036100!galantamine!28250011000036107!galantamine 24 mg modified release capsule, 28!Galantyl!87455011000036101!Galantyl 24 mg modified release capsule, 28!!28!29.66!29.66!
GE!11899G!TX!!21521011000036100!galantamine!28250011000036107!galantamine 24 mg modified release capsule, 28!APO-Galantamine MR!43491000036100!Galantamine MR (Apo) 24 mg modified release capsule, 28!!28!29.66!29.66!
GE!11899G!RW!!21521011000036100!galantamine!28250011000036107!galantamine 24 mg modified release capsule, 28!Gamine XR!43511000036109!Gamine XR 24 mg modified release capsule, 28!!28!29.66!29.66!
GE!11899G!JC!!21521011000036100!galantamine!28250011000036107!galantamine 24 mg modified release capsule, 28!Reminyl!14251011000036100!Reminyl 24 mg modified release capsule, 28!!28!29.66!29.66!
GE!11925P!NV!!21413011000036101!rivastigmine!27691011000036102!rivastigmine 1.5 mg capsule, 56!Exelon!13321011000036106!Exelon 1.5 mg capsule, 56!!56!47.77!47.77!
GE!11904M!NV!!21413011000036101!rivastigmine!731071000168100!rivastigmine 13.3 mg/24 hours patch, 30!Exelon Patch 15!731081000168102!Exelon-15 13.3 mg/24 hours patch, 30!!30!64.64!64.64!
GE!11901J!NV!!21413011000036101!rivastigmine!27692011000036108!rivastigmine 3 mg capsule, 56!Exelon!13322011000036100!Exelon 3 mg capsule, 56!!56!47.77!47.77!
GE!11923M!NV!!21413011000036101!rivastigmine!27693011000036101!rivastigmine 4.5 mg capsule, 56!Exelon!13323011000036107!Exelon 4.5 mg capsule, 56!!56!47.77!47.77!
GE!11916E!NV!!21413011000036101!rivastigmine!27694011000036104!rivastigmine 6 mg capsule, 56!Exelon!13324011000036109!Exelon 6 mg capsule, 56!!56!47.77!47.77!
GE!11912Y!NV!!21413011000036101!rivastigmine!38682011000036101!rivastigmine 4.6 mg/24 hours patch, 30!Exelon Patch 5!36785011000036108!Exelon-5 4.6 mg/24 hours patch, 30!!30!64.64!64.64!
GE!11903L!NV!!21413011000036101!rivastigmine!38683011000036108!rivastigmine 9.5 mg/24 hours patch, 30!Exelon Patch 10!36786011000036101!Exelon-10 9.5 mg/24 hours patch, 30!!30!64.64!64.64!
GE!11902K!TX!!37759011000036103!memantine!38842011000036103!memantine hydrochloride 10 mg tablet, 56!APO-Memantine!920422011000036106!Memantine (Apo) 10 mg tablet, 56!!56!28.09!28.09!
GE!11902K!GQ!!37759011000036103!memantine!38842011000036103!memantine hydrochloride 10 mg tablet, 56!Memantine generichealth!667601000168105!Memantine (Generic Health) 10 mg tablet, 56!!56!28.09!28.09!
GE!11902K!LU!!37759011000036103!memantine!38842011000036103!memantine hydrochloride 10 mg tablet, 56!Ebixa!36961011000036101!Ebixa 10 mg tablet, 56!!56!28.09!28.09!
GE!11902K!RW!!37759011000036103!memantine!38842011000036103!memantine hydrochloride 10 mg tablet, 56!Memanxa!84002011000036103!Memanxa 10 mg tablet, 56!!56!28.09!28.09!
GE!11905N!LU!!37759011000036103!memantine!83496011000036105!memantine hydrochloride 20 mg tablet, 28!Ebixa!83325011000036104!Ebixa 20 mg tablet, 28!!28!28.09!28.09!
GE!11905N!TX!!37759011000036103!memantine!83496011000036105!memantine hydrochloride 20 mg tablet, 28!APO-Memantine!649551000168108!Memantine (Apo) 20 mg tablet, 28!!28!28.09!28.09!
GE!11905N!GQ!!37759011000036103!memantine!83496011000036105!memantine hydrochloride 20 mg tablet, 28!Memantine generichealth!785231000168103!Memantine (Generic Health) 20 mg tablet, 28!!28!28.09!28.09!
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!618.90!618.90!
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!618.90!618.90!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!839.67!839.67!
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!839.67!839.67!
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!371.81!371.81!
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!743.60!743.60!
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!743.60!743.60!
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!743.60!743.60!
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!743.60!743.60!
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!371.81!371.81!
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!743.60!743.60!
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!743.60!743.60!
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!618.90!618.90!
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!618.90!618.90!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
HB!12756J!BQ!!33635011000036100!abatacept!33791011000036102!abatacept 250 mg injection, 1 vial!Orencia!33282011000036104!Orencia 250 mg powder for injection, 1 vial!!1!262.40!262.40!
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!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!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!371.81!371.81!
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!743.60!743.60!
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!743.60!743.60!
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!618.90!618.90!
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!380.99!380.99!
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!618.90!618.90!
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!618.90!618.90!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
HS!12738K!BQ!!33635011000036100!abatacept!33791011000036102!abatacept 250 mg injection, 1 vial!Orencia!33282011000036104!Orencia 250 mg powder for injection, 1 vial!!1!262.40!262.40!
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!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!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!371.81!371.81!
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!743.60!743.60!
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!743.60!743.60!
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!618.90!618.90!
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!380.99!380.99!
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!618.90!618.90!
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!618.90!618.90!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
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!761.98!761.98!
