HCPCS J codes
J0013 Esketamine, nasal spray, 1 mgJ0120 Injection, tetracycline, up to 250 mgJ0121 Injection, omadacycline, 1 mgJ0122 Injection, eravacycline, 1 mgJ0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)J0130 Injection abciximab, 10 mgJ0131 Injection, acetaminophen, not otherwise specified,10 mgJ0132 Injection, acetylcysteine, 100 mgJ0133 Injection, acyclovir, 5 mgJ0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mgJ0135 Injection, adalimumab, 20 mgJ0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mgJ0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mgJ0138 Injection, acetaminophen 10 mg and ibuprofen 3 mgJ0139 Injection, adalimumab, 1 mgJ0150 Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)J0151 Injection, adenosine for diagnostic use, 1 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)J0162 Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mgJ0163 Injection, epinephrine in sodium chloride (endo), 0.1 mgJ0164 Injection, epinephrine in sodium chloride (baxter), 0.1 mgJ0165 Injection, epinephrine, not otherwise specified, 0.1 mgJ0166 Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mgJ0167 Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mgJ0168 Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mgJ0169 Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mgJ0171 Injection, adrenalin, epinephrine, 0.1 mgJ0172 Injection, aducanumab-avwa, 2 mgJ0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mgJ0174 Lecanemab-irmb, for intravenous injection, 1 mgJ0175 Injection, donanemab-azbt, 2 mgJ0177 Injection, aflibercept hd, 1 mgJ0178 Injection, aflibercept, 1 mgJ0179 Injection, brolucizumab-dbll, 1 mgJ0180 Injection, agalsidase beta, 1 mgJ0184 Injection, amisulpride, 1 mgJ0185 Injection, aprepitant, 1 mgJ0190 Injection, biperiden lactate, per 5 mgJ0200 Injection, alatrofloxacin mesylate, 100 mgJ0202 Injection, alemtuzumab, 1 mgJ0205 Injection, alglucerase, per 10 unitsJ0206 Injection, allopurinol sodium, 1 mgJ0207 Injection, amifostine, 500 mgJ0208 Injection, sodium thiosulfate (pedmark), 100 mgJ0209 Injection, sodium thiosulfate (hope), 100 mgJ0210 Injection, methyldopate hcl, up to 250 mgJ0211 Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)J0215 Injection, alefacept, 0.5 mgJ0216 Injection, alfentanil hydrochloride, 500 microgramsJ0217 Injection, velmanase alfa-tycv, 1 mgJ0218 Injection, olipudase alfa-rpcp, 1 mgJ0219 Injection, avalglucosidase alfa-ngpt, 4 mgJ0220 Injection, alglucosidase alfa, 10 mg, not otherwise specifiedJ0221 Injection, alglucosidase alfa, (lumizyme), 10 mgJ0222 Injection, patisiran, 0.1 mgJ0223 Injection, givosiran, 0.5 mgJ0224 Injection, lumasiran, 0.5 mgJ0225 Injection, vutrisiran, 1 mgJ0248 Injection, remdesivir, 1 mgJ0256 Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mgJ0257 Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mgJ0270 Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)J0275 Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)J0278 Injection, amikacin sulfate, 100 mgJ0280 Injection, aminophyllin, up to 250 mgJ0281 Injection, aminocaproic acid, 1 gramJ0282 Injection, amiodarone hydrochloride, 30 mgJ0283 Injection, amiodarone hydrochloride (nexterone), 30 mgJ0285 Injection, amphotericin b, 50 mgJ0287 Injection, amphotericin b lipid complex, 10 mgJ0288 Injection, amphotericin b cholesteryl sulfate complex, 10 mgJ0289 Injection, amphotericin b liposome, 10 mgJ0290 Injection, ampicillin sodium, 500 mgJ0291 Injection, plazomicin, 5 mgJ0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gmJ0300 Injection, amobarbital, up to 125 mgJ0330 Injection, succinylcholine chloride, up to 20 mgJ0348 Injection, anidulafungin, 1 mgJ0349 Injection, rezafungin, 1 mgJ0350 Injection, anistreplase, per 30 unitsJ0360 Injection, hydralazine hcl, up to 20 mgJ0364 Injection, apomorphine hydrochloride, 1 mgJ0365 Injection, aprotonin, 10,000 kiuJ0380 Injection, metaraminol bitartrate, per 10 mgJ0390 Injection, chloroquine hydrochloride, up to 250 mgJ0391 Injection, artesunate, 1 mgJ0395 Injection, arbutamine hcl, 1 mgJ0400 Injection, aripiprazole, intramuscular, 0.25 mgJ0401 Injection, aripiprazole (abilify maintena), 1 mgJ0402 Injection, aripiprazole (abilify asimtufii), 1 mgJ0456 Injection, azithromycin, 500 mgJ0457 Injection, aztreonam, 100 mgJ0458 Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg)J0461 Injection, atropine sulfate, 0.01 mgJ0462 Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mgJ0463 Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mgJ0470 Injection, dimercaprol, per 100 mgJ0475 Injection, baclofen, 10 mgJ0476 Injection, baclofen, 50 mcg for intrathecal trialJ0480 Injection, basiliximab, 20 mgJ0485 Injection, belatacept, 1 mgJ0490 Injection, belimumab, 10 mgJ0491 Injection, anifrolumab-fnia, 1 mgJ0500 Injection, dicyclomine hcl, up to 20 mgJ0515 Injection, benztropine mesylate, per 1 mgJ0517 Injection, benralizumab, 1 mgJ0520 Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mgJ0525 Injection, cefotetan disodium, 10 mgJ0528 Injection, fosfomycin disodium, 20 mgJ0558 Injection, penicillin g benzathine and penicillin g procaine, 100,000 unitsJ0561 Injection, penicillin g benzathine, 100,000 unitsJ0565 Injection, bezlotoxumab, 10 mgJ0567 Injection, cerliponase alfa, 1 mgJ0570 Buprenorphine implant, 74.2 mgJ0571 Buprenorphine, oral, 1 mgJ0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphineJ0573 Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphineJ0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphineJ0575 Buprenorphine/naloxone, oral, greater than 10 mg buprenorphineJ0576 Injection, buprenorphine extended-release (brixadi), 1 mgJ0577 Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapyJ0578 Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapyJ0582 Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mgJ0583 Injection, bivalirudin, 1 mgJ0584 Injection, burosumab-twza 1 mgJ0585 Injection, onabotulinumtoxina, 1 unitJ0586 Injection, abobotulinumtoxina, 5 unitsJ0587 Injection, rimabotulinumtoxinb, 100 unitsJ0588 Injection, incobotulinumtoxin a, 1 unitJ0589 Injection, daxibotulinumtoxina-lanm, 1 unitJ0591 Injection, deoxycholic acid, 1 mgJ0592 Injection, buprenorphine hydrochloride, 0.1 mgJ0593 Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)J0594 injection, busulfan, 1 mgJ0595 Injection, butorphanol tartrate, 1 mgJ0596 Injection, c1 esterase inhibitor (recombinant), ruconest, 10 unitsJ0597 Injection, c-1 esterase inhibitor (human), berinert, 10 unitsJ0598 Injection, c-1 esterase inhibitor (human), cinryze, 10 unitsJ0599 Injection, c-1 esterase inhibitor (human), (haegarda), 10 unitsJ0600 Injection, edetate calcium disodium, up to 1000 mgJ0601 Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)J0602 Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)J0603 Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)J0604 Cinacalcet, oral, 1 mg, (for esrd on dialysis)J0605 Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)J0606 Injection, etelcalcetide, 0.1 mgJ0607 Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)J0608 Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)J0609 Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)J0610 Injection, calcium gluconate (fresenius kabi), per 10 mlJ0611 Injection, calcium gluconate (wg critical care), per 10 mlJ0612 Injection, calcium gluconate, not otherwise specified, 10 mgJ0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mgJ0614 Injection, treosulfan, 50 mgJ0615 Calcium acetate, oral, 23 mg (for esrd on dialysis)J0616 Injection, metoprolol tartrate, 1 mgJ0618 Injection, calcium chloride, 2 mgJ0620 Injection, calcium glycerophosphate and calcium lactate, per 10 mlJ0630 Injection, calcitonin salmon, up to 400 unitsJ0636 Injection, calcitriol, 0.1 mcgJ0637 Injection, caspofungin acetate, 5 mgJ0638 Injection, canakinumab, 1 mgJ0640 Injection, leucovorin calcium, per 50 mgJ0641 Injection, levoleucovorin, not otherwise specified, 0.5 mgJ0642 Injection, levoleucovorin (khapzory), 0.5 mgJ0650 Injection, levothyroxine sodium, not otherwise specified, 10 mcgJ0651 Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcgJ0652 Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcgJ0654 Injection, liothyronine, 1 mcgJ0665 Injection, bupivicaine, not otherwise specified, 0.5 mgJ0666 Injection, bupivacaine liposome, 1 mgJ0668 Instillation, bupivacaine and meloxicam, 1 mg/0.03 mgJ0670 Injection, mepivacaine hydrochloride, per 10 mlJ0675 Injection, carboprost tromethamine, 0.1 mgJ0681 Injection, ceftobiprole medocaril sodium, 3 mgJ0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mgJ0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mgJ0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mgJ0690 Injection, cefazolin sodium, 500 mgJ0691 Injection, lefamulin, 1 mgJ0692 Injection, cefepime hydrochloride, 500 mgJ0693 Injection, cefiderocol, 5 mgJ0694 Injection, cefoxitin sodium, 1 gmJ0695 Injection, ceftolozane 50 mg and tazobactam 25 mgJ0696 Injection, ceftriaxone sodium, per 250 mgJ0697 Injection, sterile cefuroxime sodium, per 750 mgJ0698 Injection, cefotaxime sodium, per gmJ0699 Injection, cefiderocol, 10 mgJ0701 Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mgJ0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mgJ0703 Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mgJ0706 Injection, caffeine citrate, 5 mgJ0710 Injection, cephapirin sodium, up to 1 gmJ0712 Injection, ceftaroline fosamil, 10 mgJ0713 Injection, ceftazidime, per 500 mgJ0714 Injection, ceftazidime and avibactam, 0.5 g/0.125 gJ0715 Injection, ceftizoxime sodium, per 500 mgJ0716 Injection, centruroides immune f(ab)2, up to 120 milligramsJ0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)J0720 Injection, chloramphenicol sodium succinate, up to 1 gmJ0725 Injection, chorionic gonadotropin, per 1,000 usp unitsJ0735 Injection, clonidine hydrochloride, 1 mgJ0736 Injection, clindamycin phosphate, 300 mgJ0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mgJ0738 Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)J0739 Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)J0740 Injection, cidofovir, 375 mgJ0741 Injection, cabotegravir and rilpivirine, 2mg/3mgJ0742 Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mgJ0743 Injection, cilastatin sodium; imipenem, per 250 mgJ0744 Injection, ciprofloxacin for intravenous infusion, 200 mgJ0745 Injection, codeine phosphate, per 30 mgJ0750 Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)J0751 Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)J0752 Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)J0759 Injection, clevidipine butyrate, 1 mgJ0760 Injection, colchicine, per 1 mgJ0770 Injection, colistimethate sodium, up to 150 mgJ0775 Injection, collagenase, clostridium histolyticum, 0.01 mgJ0780 Injection, prochlorperazine, up to 10 mgJ0791 Injection, crizanlizumab-tmca, 5 mgJ0795 Injection, corticorelin ovine triflutate, 1 microgramJ0799 Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classifiedJ0800 Injection, corticotropin, up to 40 unitsJ0801 Injection, corticotropin (acthar gel), up to 40 unitsJ0802 Injection, corticotropin (ani), up to 40 unitsJ0833 Injection, cosyntropin, not otherwise specified, 0.25 mgJ0834 Injection, cosyntropin, 0.25 mgJ0840 Injection, crotalidae polyvalent immune fab (ovine), up to 1 gramJ0841 Injection, crotalidae immune f(ab')2 (equine), 120 mgJ0850 Injection, cytomegalovirus immune globulin intravenous (human), per vialJ0870 Injection, imetelstat, 1 mgJ0872 Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mgJ0873 Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mgJ0874 Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mgJ0875 Injection, dalbavancin, 5 mgJ0877 Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mgJ0878 Injection, daptomycin, 1 mgJ0879 Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use)J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)J0883 Injection, argatroban, 1 mg (for non-esrd use)J0884 Injection, argatroban, 1 mg (for esrd on dialysis)J0885 Injection, epoetin alfa, (for non-esrd use), 1000 unitsJ0886 Injection, epoetin alfa, 1000 units (for esrd on dialysis)J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis)J0888 Injection, epoetin beta, 1 microgram, (for non esrd use)J0889 Daprodustat, oral, 1 mg, (for esrd on dialysis)J0890 Injection, peginesatide, 0.1 mg (for esrd on dialysis)J0891 Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)J0892 Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)J0893 Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mgJ0894 Injection, decitabine, 1 mgJ0895 Injection, deferoxamine mesylate, 500 mgJ0896 Injection, luspatercept-aamt, 0.25 mgJ0897 Injection, denosumab, 1 mgJ0898 Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)J0899 Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)J0900 Injection, testosterone enanthate and estradiol valerate, up to 1 ccJ0901 Vadadustat, oral, 1 mg (for esrd on dialysis)J0911 Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)J0945 Injection, brompheniramine maleate, per 10 mgJ1000 Injection, depo-estradiol cypionate, up to 5 mgJ1010 Injection, methylprednisolone acetate, 1 mgJ1020 Injection, methylprednisolone acetate, 20 mgJ1030 Injection, methylprednisolone acetate, 40 mgJ1040 Injection, methylprednisolone acetate, 80 mgJ1050 Injection, medroxyprogesterone acetate, 1 mgJ1060 Injection, testosterone cypionate and estradiol cypionate, up to 1 mlJ1070 Injection, testosterone cypionate, up to 100 mgJ1071 Injection, testosterone cypionate, 1 mgJ1072 Injection, testosterone cypionate (azmiro), 1 mgJ1073 Testosterone pellet, implant, 75 mgJ1080 Injection, testosterone cypionate, 1 cc, 200 mgJ1094 Injection, dexamethasone acetate, 1 mgJ1095 Injection, dexamethasone 9 percent, intraocular, 1 microgramJ1096 Dexamethasone, lacrimal ophthalmic insert, 0.1 mgJ1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 mlJ1098 Articaine ophthalmic, 8% solution, 0.4 mlJ1100 Injection, dexamethasone sodium phosphate, 1 mgJ1105 Dexmedetomidine, oral, 1 mcgJ1110 Injection, dihydroergotamine mesylate, per 1 mgJ1120 Injection, acetazolamide sodium, up to 500 mgJ1130 Injection, diclofenac sodium, 0.5 mgJ1160 Injection, digoxin, up to 0.5 mgJ1162 Injection, digoxin immune fab (ovine), per vialJ1163 Injection, diltiazem hydrochloride, 0.5 mgJ1164 Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mgJ1165 Injection, phenytoin sodium, per 50 mgJ1170 Injection, hydromorphone, up to 4 mgJ1171 Injection, hydromorphone, 0.1 mgJ1180 Injection, dyphylline, up to 500 mgJ1190 Injection, dexrazoxane hydrochloride, per 250 mgJ1200 Injection, diphenhydramine hcl, up to 50 mgJ1201 Injection, cetirizine hydrochloride, 0.5 mgJ1202 Miglustat, oral, 65 mgJ1203 Injection, cipaglucosidase alfa-atga, 5 mgJ1205 Injection, chlorothiazide sodium, per 500 mgJ1212 Injection, dmso, dimethyl sulfoxide, 50%, 50 mlJ1230 Injection, methadone hcl, up to 10 mgJ1240 Injection, dimenhydrinate, up to 50 mgJ1245 Injection, dipyridamole, per 10 mgJ1250 Injection, dobutamine hydrochloride, per 250 mgJ1260 Injection, dolasetron mesylate, 10 mgJ1265 Injection, dopamine hcl, 40 mgJ1267 Injection, doripenem, 10 mgJ1270 Injection, doxercalciferol, 1 mcgJ1271 Injection, doxycycline hyclate, 1 mgJ1289 Injection, narsoplimab-wuug, 1 mgJ1290 Injection, ecallantide, 1 mgJ1299 Injection, eculizumab, 2 mgJ1300 Injection, eculizumab, 10 mgJ1301 Injection, edaravone, 1 mgJ1302 Injection, sutimlimab-jome, 10 mgJ1303 Injection, ravulizumab-cwvz, 10 mgJ1304 Injection, tofersen, 1 mgJ1305 Injection, evinacumab-dgnb, 5mgJ1306 Injection, inclisiran, 1 mgJ1307 Injection, crovalimab-akkz, 10 mgJ1308 Injection, famotidine, 0.25 mgJ1320 Injection, amitriptyline hcl, up to 20 mgJ1322 Injection, elosulfase alfa, 1 mgJ1323 Injection, elranatamab-bcmm, 1 mgJ1324 Injection, enfuvirtide, 1 mgJ1325 Injection, epoprostenol, 0.5 mgJ1326 Injection, zolbetuximab-clzb, 2 mgJ1327 Injection, eptifibatide, 5 mgJ1330 Injection, ergonovine maleate, up to 0.2 mgJ1335 Injection, ertapenem sodium, 500 mgJ1364 Injection, erythromycin lactobionate, per 500 mgJ1370 Injection, esomeprazole sodium, 1 mgJ1380 Injection, estradiol valerate, up to 10 mgJ1410 Injection, estrogen conjugated, per 25 mgJ1411 Injection, etranacogene dezaparvovec-drlb, per therapeutic doseJ1412 Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomesJ1413 Injection, delandistrogene moxeparvovec-rokl, per therapeutic doseJ1414 Injection, fidanacogene elaparvovec-dzkt, per therapeutic doseJ1426 Injection, casimersen, 10 mgJ1427 Injection, viltolarsen, 10 mgJ1428 Injection, eteplirsen, 10 mgJ1429 Injection, golodirsen, 10 mgJ1430 Injection, ethanolamine oleate, 100 mgJ1434 Injection, fosaprepitant (focinvez), 1 mgJ1435 Injection, estrone, per 1 mgJ1436 Injection, etidronate disodium, per 300 mgJ1437 Injection, ferric derisomaltose, 10 mgJ1438 Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)J1439 Injection, ferric carboxymaltose, 1 mgJ1440 Fecal microbiota, live - jslm, 1 mlJ1442 Injection, filgrastim (g-csf), excludes biosimilars, 1 microgramJ1443 Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of ironJ1444 Injection, ferric pyrophosphate citrate powder, 0.1 mg of ironJ1445 Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of ironJ1446 Injection, tbo-filgrastim, 5 microgramsJ1447 Injection, tbo-filgrastim, 1 microgramJ1448 Injection, trilaciclib, 1mgJ1449 Injection, eflapegrastim-xnst, 0.1 mgJ1450 Injection fluconazole, 200 mgJ1451 Injection, fomepizole, 15 mgJ1452 Injection, fomivirsen sodium, intraocular, 1.65 mgJ1453 Injection, fosaprepitant, 1 mgJ1454 Injection, fosnetupitant 235 mg and palonosetron 0.25 mgJ1455 Injection, foscarnet sodium, per 1000 mgJ1456 Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mgJ1457 Injection, gallium nitrate, 1 mgJ1458 Injection, galsulfase, 1 mgJ1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mgJ1460 Injection, gamma globulin, intramuscular, 1 ccJ1551 Injection, immune globulin (cutaquig), 100 mgJ1552 Injection, immune globulin (alyglo), 500 mgJ1553 Injection, immune globulin (yimmugo), 100 mgJ1554 Injection, immune globulin (asceniv), 500 mgJ1555 Injection, immune globulin (cuvitru), 100 mgJ1556 Injection, immune globulin (bivigam), 500 mgJ1557 Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mgJ1558 Injection, immune globulin (xembify), 100 mgJ1559 Injection, immune globulin (hizentra), 100 mgJ1560 Injection, gamma globulin, intramuscular, over 10 ccJ1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mgJ1562 Injection, immune globulin (vivaglobin), 100 mgJ1566 Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mgJ1568 Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mgJ1569 Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mgJ1570 Injection, ganciclovir sodium, 500 mgJ1571 Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 mlJ1572 Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mgJ1573 Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 mlJ1574 Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mgJ1575 Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulinJ1576 Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mgJ1577 Injection, immune globulin (qivigy), 100 mgJ1580 Injection, garamycin, gentamicin, up to 80 mgJ1590 Injection, gatifloxacin, 10 mgJ1595 Injection, glatiramer acetate, 20 mgJ1596 Injection, glycopyrrolate, 0.1 mgJ1597 Injection, glycopyrrolate (glyrx-pf), 0.1 mgJ1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mgJ1599 Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mgJ1600 Injection, gold sodium thiomalate, up to 50 mgJ1602 Injection, golimumab, 1 mg, for intravenous useJ1610 Injection, glucagon hydrochloride, per 1 mgJ1611 Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mgJ1612 Injection, glucagon (gvoke), 0.01 mgJ1620 Injection, gonadorelin hydrochloride, per 100 mcgJ1626 Injection, granisetron hydrochloride, 100 mcgJ1627 Injection, granisetron, extended-release, 0.1 mgJ1628 Injection, guselkumab, 1 mgJ1630 Injection, haloperidol, up to 5 mgJ1631 Injection, haloperidol decanoate, per 50 mgJ1632 Injection, brexanolone, 1 mgJ1640 Injection, hemin, 1 mgJ1642 Injection, heparin sodium, (heparin lock flush), per 10 unitsJ1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 unitsJ1644 Injection, heparin sodium, per 1000 unitsJ1645 Injection, dalteparin sodium, per 2500 iuJ1650 Injection, enoxaparin sodium, 10 mgJ1652 Injection, fondaparinux sodium, 0.5 mgJ1655 Injection, tinzaparin sodium, 1000 iuJ1670 Injection, tetanus immune globulin, human, up to 250 unitsJ1675 Injection, histrelin acetate, 10 microgramsJ1700 Injection, hydrocortisone acetate, up to 25 mgJ1710 Injection, hydrocortisone sodium phosphate, up to 50 mgJ1720 Injection, hydrocortisone sodium succinate, up to 100 mgJ1725 Injection, hydroxyprogesterone caproate, 1 mgJ1726 Injection, hydroxyprogesterone caproate, (makena), 10 mgJ1729 Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mgJ1730 Injection, diazoxide, up to 300 mgJ1736 Injection, meloxicam (delova), 1 mgJ1737 Injection, meloxicam (azurity), 1 mgJ1738 Injection, meloxicam, 1 mgJ1740 Injection, ibandronate sodium, 1 mgJ1741 Injection, ibuprofen, 100 mgJ1742 Injection, ibutilide fumarate, 1 mgJ1743 Injection, idursulfase, 1 mgJ1744 Injection, icatibant, 1 mgJ1745 Injection, infliximab, excludes biosimilar, 10 mgJ1746 Injection, ibalizumab-uiyk, 10 mgJ1747 Injection, spesolimab-sbzo, 1 mgJ1748 Injection, infliximab-dyyb (zymfentra), 10 mgJ1749 Injection, iloprost, 0.1 mcgJ1750 Injection, iron dextran, 50 mgJ1756 Injection, iron sucrose, 1 mgJ1786 Injection, imiglucerase, 10 unitsJ1790 Injection, droperidol, up to 5 mgJ1800 Injection, propranolol hcl, up to 1 mgJ1805 Injection, esmolol hydrochloride, 10 mgJ1806 Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mgJ1807 Injection, ethacrynate sodium, 1 mgJ1808 Injection, folic acid, 0.1 mgJ1809 Injection, fosdenopterin, 0.1 mgJ1810 Injection, droperidol and fentanyl citrate, up to 2 ml ampuleJ1811 Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 unitsJ1812 Insulin (fiasp), per 5 unitsJ1813 Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 unitsJ1814 Insulin (lyumjev), per 5 unitsJ1815 Injection, insulin, per 5 unitsJ1817 Insulin for administration through dme (i.e., insulin pump) per 50 unitsJ1823 Injection, inebilizumab-cdon, 1 mgJ1826 Injection, interferon beta-1a, 30 mcgJ1830 Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)J1833 Injection, isavuconazonium, 1 mgJ1834 Injection, isoniazid, 1 mgJ1835 Injection, itraconazole, 50 mgJ1836 Injection, metronidazole, 10 mgJ1837 Injection, posaconazole, 1 mgJ1840 Injection, kanamycin sulfate, up to 500 mgJ1850 Injection, kanamycin sulfate, up to 75 mgJ1885 Injection, ketorolac tromethamine, per 15 mgJ1890 Injection, cephalothin sodium, up to 1 gramJ1920 Injection, labetalol hydrochloride, 5 mgJ1921 Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mgJ1930 Injection, lanreotide, 1 mgJ1931 Injection, laronidase, 0.1 mgJ1932 Injection, lanreotide, (cipla), 1 mgJ1938 Injection, furosemide, 1 mgJ1939 Injection, bumetanide, 0.5 mgJ1940 Injection, furosemide, up to 20 mgJ1941 Injection, furosemide (furoscix), 20 mgJ1942 Injection, aripiprazole lauroxil, 1 mgJ1943 Injection, aripiprazole lauroxil, (aristada initio), 1 mgJ1944 Injection, aripiprazole lauroxil, (aristada), 1 mgJ1945 Injection, lepirudin, 50 mgJ1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mgJ1951 Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mgJ1952 Leuprolide injectable, camcevi, 1 mgJ1953 Injection, levetiracetam, 10 mgJ1954 Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mgJ1955 Injection, levocarnitine, per 1 gmJ1956 Injection, levofloxacin, 250 mgJ1960 Injection, levorphanol tartrate, up to 2 mgJ1961 Injection, lenacapavir (only for use as hiv treatment), 1 mgJ1980 Injection, hyoscyamine sulfate, up to 0.25 mgJ1990 Injection, chlordiazepoxide hcl, up to 100 mgJ2001 Injection, lidocaine hcl for intravenous infusion, 10 mgJ2002 Injection, lidocaine hcl in 5% dextrose, 1 mgJ2003 Injection, lidocaine hydrochloride, 1 mgJ2004 Injection, lidocaine hcl with epinephrine, 1 mgJ2010 Injection, lincomycin hcl, up to 300 mgJ2020 Injection, linezolid, 200 mgJ2021 Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mgJ2060 Injection, lorazepam, 2 mgJ2062 Loxapine for inhalation, 1 mgJ2150 Injection, mannitol, 25% in 50 mlJ2151 Injection, mannitol, 250 mgJ2170 Injection, mecasermin, 1 mgJ2175 Injection, meperidine hydrochloride, per 100 mgJ2180 Injection, meperidine and promethazine hcl, up to 50 mgJ2182 Injection, mepolizumab, 1 mgJ2183 Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mgJ2184 Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mgJ2185 Injection, meropenem, 100 mgJ2186 Injection, meropenem and vaborbactam, 10mg/10mg (20mg)J2210 Injection, methylergonovine maleate, up to 0.2 mgJ2212 Injection, methylnaltrexone, 0.1 mgJ2246 Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mgJ2247 Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mgJ2248 Injection, micafungin sodium, 1 mgJ2249 Injection, remimazolam, 1 mgJ2250 Injection, midazolam hydrochloride, per 1 mgJ2251 Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mgJ2252 Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mgJ2253 Injection, midazolam (seizalam), 1 mgJ2260 Injection, milrinone lactate, 5 mgJ2265 Injection, minocycline hydrochloride, 1 mgJ2267 Injection, mirikizumab-mrkz, 1 mgJ2270 Injection, morphine sulfate, up to 10 mgJ2271 Injection, morphine sulfate, 100mgJ2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mgJ2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mgJ2275 Injection, morphine sulfate (preservative-free sterile solution), per 10 mgJ2277 Injection, motixafortide, 0.25 mgJ2278 Injection, ziconotide, 1 microgramJ2280 Injection, moxifloxacin, 100 mgJ2281 Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mgJ2290 Injection, nafcillin sodium, 20 mgJ2291 Injection, nafcillin sodium (baxter), 20 mgJ2300 Injection, nalbuphine hydrochloride, per 10 mgJ2305 Injection, nitroglycerin, 5 mgJ2310 Injection, naloxone hydrochloride, per 1 mgJ2311 Injection, naloxone hydrochloride (zimhi), 1 mgJ2312 Injection, naloxone hydrochloride, not otherwise specified, 0.01 mgJ2313 Injection, naloxone hydrochloride (zimhi), 0.01 mgJ2315 Injection, naltrexone, depot form, 1 mgJ2320 Injection, nandrolone decanoate, up to 50 mgJ2323 Injection, natalizumab, 1 mgJ2325 Injection, nesiritide, 0.1 mgJ2326 Injection, nusinersen, 0.1 mgJ2327 Injection, risankizumab-rzaa, intravenous, 1 mgJ2329 Injection, ublituximab-xiiy, 1mgJ2350 Injection, ocrelizumab, 1 mgJ2351 Injection, ocrelizumab, 1 mg and hyaluronidase-ocsqJ2353 Injection, octreotide, depot form for intramuscular injection, 1 mgJ2354 Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcgJ2355 Injection, oprelvekin, 5 mgJ2356 Injection, tezepelumab-ekko, 1 mgJ2357 Injection, omalizumab, 5 mgJ2358 Injection, olanzapine, long-acting, 1 mgJ2359 Injection, olanzapine, 0.5 mgJ2360 Injection, orphenadrine citrate, up to 60 mgJ2361 Injection, depemokimab-ulaa, 1 mgJ2370 Injection, phenylephrine hcl, up to 1 mlJ2371 Injection, phenylephrine hydrochloride, 20 microgramsJ2372 Injection, phenylephrine hydrochloride (biorphen), 20 microgramsJ2373 Injection, phenylephrine hydrochloride (immphentiv), 20 microgramsJ2374 Apraclonidine hydrochloride ophthalmic, 1% solution, 0.1 mlJ2400 Injection, chloroprocaine hydrochloride, per 30 mlJ2401 Injection, chloroprocaine hydrochloride, per 1 mgJ2402 Injection, chloroprocaine hydrochloride (clorotekal), per 1 mgJ2403 Chloroprocaine hcl ophthalmic, 3% gel, 1 mgJ2404 Injection, nicardipine, 0.1 mgJ2405 Injection, ondansetron hydrochloride, per 1 mgJ2406 Injection, oritavancin (kimyrsa), 10 mgJ2407 Injection, oritavancin (orbactiv), 10 mgJ2410 Injection, oxymorphone hcl, up to 1 mgJ2425 Injection, palifermin, 50 microgramsJ2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mgJ2427 Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mgJ2428 Injection, paliperidone palmitate extended release (erzofri), 1 mgJ2430 Injection, pamidronate disodium, per 30 mgJ2440 Injection, papaverine hcl, up to 60 mgJ2460 Injection, oxytetracycline hcl, up to 50 mgJ2468 Injection, palonosetron hydrochloride (posfrea), 25 microgramsJ2469 Injection, palonosetron hcl, 25 mcgJ2470 Injection, pantoprazole sodium, 40 mgJ2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mgJ2472 Injection, pantoprazole sodium in sodium chloride (baxter), 40 mgJ2501 Injection, paricalcitol, 1 mcgJ2502 Injection, pasireotide long acting, 1 mgJ2503 Injection, pegaptanib sodium, 0.3 mgJ2504 Injection, pegademase bovine, 25 iuJ2505 Injection, pegfilgrastim, 6 mgJ2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mgJ2507 Injection, pegloticase, 1 mgJ2508 Injection, pegunigalsidase alfa-iwxj, 1 mgJ2510 Injection, penicillin g procaine, aqueous, up to 600,000 unitsJ2513 Injection, pentastarch, 10% solution, 100 mlJ2515 Injection, pentobarbital sodium, per 50 mgJ2516 Injection, pentamidine isethionate, 1 mgJ2540 Injection, penicillin g potassium, up to 600,000 unitsJ2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)J2545 Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mgJ2547 Injection, peramivir, 1 mgJ2550 Injection, promethazine hcl, up to 50 mgJ2560 Injection, phenobarbital sodium, up to 120 mgJ2561 Injection, phenobarbital sodium (sezaby), 1 mgJ2562 Injection, plerixafor, 1 mgJ2590 Injection, oxytocin, up to 10 unitsJ2596 Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unitJ2597 Injection, desmopressin acetate, per 1 mcgJ2598 Injection, vasopressin, 1 unitJ2599 Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unitJ2601 Injection, vasopressin (baxter), 1 unitJ2650 Injection, prednisolone acetate, up to 1 mlJ2670 Injection, tolazoline hcl, up to 25 mgJ2675 Injection, progesterone, per 50 mgJ2679 Injection, fluphenazine hcl, 1.25 mgJ2680 Injection, fluphenazine decanoate, up to 25 mgJ2690 Injection, procainamide hcl, up to 1 gmJ2700 Injection, oxacillin sodium, up to 250 mgJ2704 Injection, propofol, 10 mgJ2710 Injection, neostigmine methylsulfate, up to 0.5 mgJ2711 Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mgJ2720 Injection, protamine sulfate, per 10 mgJ2724 Injection, protein c concentrate, intravenous, human, 10 iuJ2725 Injection, protirelin, per 250 mcgJ2730 Injection, pralidoxime chloride, up to 1 gmJ2760 Injection, phentolamine mesylate, up to 5 mgJ2765 Injection, metoclopramide hcl, up to 10 mgJ2770 Injection, quinupristin/dalfopristin, 500 mg (150/350)J2777 Injection, faricimab-svoa, 0.1 mgJ2778 Injection, ranibizumab, 0.1 mgJ2779 Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mgJ2780 Injection, ranitidine hydrochloride, 25 mgJ2781 Injection, pegcetacoplan, intravitreal, 1 mgJ2782 Injection, avacincaptad pegol, 0.1 mgJ2783 Injection, rasburicase, 0.5 mgJ2785 Injection, regadenoson, 0.1 mgJ2786 Injection, reslizumab, 1 mgJ2787 Riboflavin 5'-phosphate, ophthalmic solution (photrexa viscous/photrexa), up to 3 mlJ2788 Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)J2789 Riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 mlJ2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iuJ2792 Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iuJ2793 Injection, rilonacept, 1 mgJ2794 Injection, risperidone (risperdal consta), 0.5 mgJ2795 Injection, ropivacaine hydrochloride, 1 mgJ2796 Injection, romiplostim, 10 microgramsJ2797 Injection, rolapitant, 0.5 mgJ2798 Injection, risperidone, (perseris), 0.5 mgJ2799 Injection, risperidone (uzedy), 1 mgJ2800 Injection, methocarbamol, up to 10 mlJ2801 Injection, risperidone (rykindo), 0.5 mgJ2802 Injection, romiplostim, 1 microgramJ2804 Injection, rifampin, 1 mgJ2805 Injection, sincalide, 5 microgramsJ2806 Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 microgramsJ2810 Injection, theophylline, per 40 mgJ2820 Injection, sargramostim (gm-csf), 50 mcgJ2840 Injection, sebelipase alfa, 1 mgJ2850 Injection, secretin, synthetic, human, 1 microgramJ2860 Injection, siltuximab, 10 mgJ2865 Injection, sulfamethoxazole 5 mg and trimethoprim 1 mgJ2910 Injection, aurothioglucose, up to 50 mgJ2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mgJ2919 Injection, methylprednisolone sodium succinate, 5 mgJ2920 Injection, methylprednisolone sodium succinate, up to 40 mgJ2930 Injection, methylprednisolone sodium succinate, up to 125 mgJ2940 Injection, somatrem, 1 mgJ2941 Injection, somatropin, 1 mgJ2950 Injection, promazine hcl, up to 25 mgJ2993 Injection, reteplase, 18.1 mgJ2995 Injection, streptokinase, per 250,000 iuJ2997 Injection, alteplase recombinant, 1 mgJ2998 Injection, plasminogen, human-tvmh, 1 mgJ3000 Injection, streptomycin, up to 1 gmJ3010 Injection, fentanyl citrate, 0.1 mgJ3030 Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)J3031 Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)J3032 Injection, eptinezumab-jjmr, 1 mgJ3055 Injection, talquetamab-tgvs, 0.25 mgJ3060 Injection, taliglucerase alfa, 10 unitsJ3070 Injection, pentazocine, 30 mgJ3090 Injection, tedizolid phosphate, 1 mgJ3095 Injection, telavancin, 10 mgJ3101 Injection, tenecteplase, 1 mgJ3105 Injection, terbutaline sulfate, up to 1 mgJ3110 Injection, teriparatide, 10 mcgJ3111 Injection, romosozumab-aqqg, 1 mgJ3120 Injection, testosterone enanthate, up to 100 mgJ3121 Injection, testosterone enanthate, 1 mgJ3130 Injection, testosterone enanthate, up to 200 mgJ3140 Injection, testosterone suspension, up to 50 mgJ3145 Injection, testosterone undecanoate, 1 mgJ3150 Injection, testosterone propionate, up to 100 mgJ3230 Injection, chlorpromazine hcl, up to 50 mgJ3240 Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vialJ3241 Injection, teprotumumab-trbw, 10 mgJ3243 Injection, tigecycline, 1 mgJ3244 Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mgJ3245 Injection, tildrakizumab, 1 mgJ3246 Injection, tirofiban hcl, 0.25 mgJ3247 Injection, secukinumab, intravenous, 1 mgJ3250 Injection, trimethobenzamide hcl, up to 200 mgJ3260 Injection, tobramycin sulfate, up to 80 mgJ3262 Injection, tocilizumab, 1 mgJ3263 Injection, toripalimab-tpzi, 1 mgJ3265 Injection, torsemide, 10 mg/mlJ3280 Injection, thiethylperazine maleate, up to 10 mgJ3285 Injection, treprostinil, 1 mgJ3290 Injection, tranexamic acid, 5 mgJ3291 Injection, tranexamic acid in sodium chloride, 5 mgJ3299 Injection, triamcinolone acetonide (xipere), 1 mgJ3300 Injection, triamcinolone acetonide, preservative free, 1 mgJ3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mgJ3302 Injection, triamcinolone diacetate, per 5 mgJ3303 Injection, triamcinolone hexacetonide, per 5 mgJ3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mgJ3305 Injection, trimetrexate glucuronate, per 25 mgJ3310 Injection, perphenazine, up to 5 mgJ3315 Injection, triptorelin pamoate, 3.75 mgJ3316 Injection, triptorelin, extended-release, 3.75 mgJ3320 Injection, spectinomycin dihydrochloride, up to 2 gmJ3350 Injection, urea, up to 40 gmJ3355 Injection, urofollitropin, 75 iuJ3357 Ustekinumab, for subcutaneous injection, 1 mgJ3358 Ustekinumab, for intravenous injection, 1 mgJ3360 Injection, diazepam, up to 5 mgJ3364 Injection, urokinase, 5000 iu vialJ3365 Injection, iv, urokinase, 250,000 i.u. vialJ3370 Injection, vancomycin hcl, 500 mgJ3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mgJ3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mgJ3373 Injection, vancomycin hydrochloride, 10 mgJ3374 Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mgJ3375 Injection, vancomycin hydrochloride (tyzavan), not therapeutically equivalent to j3373, 10 mgJ3376 Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mgJ3379 Injection, valproate sodium, 5 mgJ3380 Injection, vedolizumab, intravenous, 1 mgJ3385 Injection, velaglucerase alfa, 100 unitsJ3386 Injection, etuvetidigene autotemcel, per treatmentJ3387 Injection, elivaldogene autotemcel, per treatmentJ3389 Topical administration, prademagene zamikeracel, per treatmentJ3391 Injection, atidarsagene autotemcel, per treatmentJ3392 Injection, exagamglogene autotemcel, per treatmentJ3393 Injection, betibeglogene autotemcel, per treatmentJ3394 Injection, lovotibeglogene autotemcel, per treatmentJ3396 Injection, verteporfin, 0.1 mgJ3397 Injection, vestronidase alfa-vjbk, 1 mgJ3398 Injection, voretigene neparvovec-rzyl, 1 billion vector genomesJ3399 Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomesJ3400 Injection, triflupromazine hcl, up to 20 mgJ3401 Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 mlJ3402 Injection, remestemcel-l-rknd, per therapeutic doseJ3403 Revakinagene taroretcel-lwey, per implantJ3404 Injection, zopapogene imadenovec-drba suspension, per therapeutic doseJ3405 Injection, onasemnogene abeparvovec-brve, per treatmentJ3410 Injection, hydroxyzine hcl, up to 25 mgJ3411 Injection, thiamine hcl, 100 mgJ3415 Injection, pyridoxine hcl, 100 mgJ3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcgJ3424 Injection, hydroxocobalamin, intravenous, 25 mgJ3425 Injection, hydroxocobalamin, intramuscular, 10 mcgJ3430 Injection, phytonadione (vitamin k), per 1 mgJ3465 Injection, voriconazole, 10 mgJ3470 Injection, hyaluronidase, up to 150 unitsJ3471 Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)J3472 Injection, hyaluronidase, ovine, preservative free, per 1000 usp unitsJ3473 Injection, hyaluronidase, recombinant, 1 usp unitJ3475 Injection, magnesium sulfate, per 500 mgJ3480 Injection, potassium chloride, per 2 meqJ3485 Injection, zidovudine, 10 mgJ3486 Injection, ziprasidone mesylate, 10 mgJ3489 Injection, zoledronic acid, 1 mgJ3490 Unclassified drugsJ3520 Edetate disodium, per 150 mgJ3530 Nasal vaccine inhalationJ3535 Drug administered through a metered dose inhalerJ3570 Laetrile, amygdalin, vitamin b17J3590 Unclassified biologicsJ3591 Unclassified drug or biological used for esrd on dialysisJ7030 Infusion, normal saline solution , 1000 ccJ7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)J7042 5% dextrose/normal saline (500 ml = 1 unit)J7050 Infusion, normal saline solution, 250 ccJ7060 5% dextrose/water (500 ml = 1 unit)J7070 Infusion, d5w, 1000 ccJ7100 Infusion, dextran 40, 500 mlJ7110 Infusion, dextran 75, 500 mlJ7120 Ringers lactate infusion, up to 1000 ccJ7121 5% dextrose in lactated ringers infusion, up to 1000 ccJ7131 Hypertonic saline solution, 1 mlJ7165 Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activityJ7168 Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activityJ7169 Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mgJ7170 Injection, emicizumab-kxwh, 0.5 mgJ7171 Injection, adamts13, recombinant-krhn, 10 iuJ7172 Injection, marstacimab-hncq, 0.5 mgJ7173 Injection, concizumab-mtci, 0.5 mgJ7174 Injection, fitusiran, 0.04 mgJ7175 Injection, factor x, (human), 1 i.u.J7176 Injection, human fibrinogen - chmt (fesilty), 1 mgJ7177 Injection, human fibrinogen concentrate (fibryga), 1 mgJ7178 Injection, human fibrinogen concentrate, not otherwise specified, 1 mgJ7179 Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rcoJ7180 Injection, factor xiii (antihemophilic factor, human), 1 i.u.J7181 Injection, factor xiii a-subunit, (recombinant), per iuJ7182 Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iuJ7183 Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rcoJ7185 Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.J7186 Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.J7187 Injection, von willebrand factor complex (humate-p), per iu vwf:rcoJ7188 Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u.J7189 Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgramJ7190 Factor viii (antihemophilic factor, human) per i.u.J7191 Factor viii (antihemophilic factor (porcine)), per i.u.J7192 Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specifiedJ7193 Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.J7194 Factor ix, complex, per i.u.J7195 Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specifiedJ7196 Injection, antithrombin recombinant, 50 i.u.J7197 Antithrombin iii (human), per i.u.J7198 Anti-inhibitor, per i.u.J7199 Hemophilia clotting factor, not otherwise classifiedJ7200 Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iuJ7201 Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.J7202 Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.J7203 Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iuJ7204 Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iuJ7205 Injection, factor viii fc fusion protein (recombinant), per iuJ7207 Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.J7208 Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.J7209 Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.J7210 Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u.J7211 Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.J7212 Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgramJ7213 Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.J7214 Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.J7294 Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, eachJ7295 Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, eachJ7296 Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mgJ7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mgJ7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mgJ7299 Intrauterine copper contraceptive (miudella)J7300 Intrauterine copper contraceptive (paragard)J7301 Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mgJ7302 Levonorgestrel-releasing intrauterine contraceptive system, 52 mgJ7303 Contraceptive supply, hormone containing vaginal ring, eachJ7304 Contraceptive supply, hormone containing patch, eachJ7306 Levonorgestrel (contraceptive) implant system, including implants and suppliesJ7307 Etonogestrel (contraceptive) implant system, including implant and suppliesJ7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)J7309 Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gramJ7310 Ganciclovir, 4.5 mg, long-acting implantJ7311 Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mgJ7312 Injection, dexamethasone, intravitreal implant, 0.1 mgJ7313 Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mgJ7314 Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mgJ7315 Mitomycin, ophthalmic, 0.2 mgJ7316 Injection, ocriplasmin, 0.125 mgJ7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mgJ7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mgJ7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per doseJ7322 Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mgJ7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per doseJ7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per doseJ7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mgJ7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per doseJ7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per doseJ7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mgJ7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mgJ7330 Autologous cultured chondrocytes, implantJ7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mgJ7332 Hyaluronan or derivative, triluron, for intra-articular injection, 1 mgJ7333 Hyaluronan or derivative, visco-3, for intra-articular injection, per doseJ7335 Capsaicin 8% patch, per 10 square centimetersJ7336 Capsaicin 8% patch, per square centimeterJ7340 Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 mlJ7342 Instillation, ciprofloxacin otic suspension, 6 mgJ7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mgJ7351 Injection, bimatoprost, intracameral implant, 1 microgramJ7352 Afamelanotide implant, 1 mgJ7353 Anacaulase-bcdb, 8.8% gel, 1 gramJ7354 Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)J7355 Injection, travoprost, intracameral implant, 1 microgramJ7356 Injection, foscarbidopa 0.25 mg/foslevodopa 5 mgJ7401 Mometasone furoate sinus implant, 10 microgramsJ7402 Mometasone furoate sinus implant, (sinuva), 10 microgramsJ7500 Azathioprine, oral, 50 mgJ7501 Azathioprine, parenteral, 100 mgJ7502 Cyclosporine, oral, 100 mgJ7503 Tacrolimus, extended release, (envarsus xr), oral, 0.25 mgJ7504 Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mgJ7505 Muromonab-cd3, parenteral, 5 mgJ7506 Prednisone, oral, per 5 mgJ7507 Tacrolimus, immediate release, oral, 1 mgJ7508 Tacrolimus, extended release, (astagraf xl), oral, 0.1 mgJ7509 Methylprednisolone oral, per 4 mgJ7510 Prednisolone oral, per 5 mgJ7511 Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mgJ7512 Prednisone, immediate release or delayed release, oral, 1 mgJ7513 Daclizumab, parenteral, 25 mgJ7514 Mycophenolate mofetil (myhibbin), oral suspension, 100 mgJ7515 Cyclosporine, oral, 25 mgJ7516 Injection, cyclosporine, 250 mgJ7517 Mycophenolate mofetil, oral, 250 mgJ7518 Mycophenolic acid, oral, 180 mgJ7519 Injection, mycophenolate mofetil, 10 mgJ7520 Sirolimus, oral, 1 mgJ7521 Tacrolimus, granules, oral suspension, 0.1 mgJ7525 Tacrolimus, parenteral, 5 mgJ7527 Everolimus, oral, 0.25 mgJ7528 Mycophenolate mofetil, for suspension, oral, 100 mgJ7599 Immunosuppressive drug, not otherwise classifiedJ7601 Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mgJ7604 Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gramJ7605 Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 microgramsJ7606 Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 microgramsJ7607 Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mgJ7608 Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gramJ7609 Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mgJ7610 Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mgJ7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mgJ7612 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mgJ7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mgJ7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mgJ7615 Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mgJ7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dmeJ7622 Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7624 Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mgJ7627 Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mgJ7628 Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligramJ7629 Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7631 Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligramsJ7632 Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligramsJ7633 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligramJ7634 Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligramJ7635 Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligramJ7636 Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7637 Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligramJ7638 Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7639 Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligramJ7640 Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 microgramsJ7641 Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligramJ7642 Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligramJ7643 Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligramJ7645 Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7647 Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligramJ7648 Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligramJ7649 Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligramJ7650 Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7657 Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligramJ7658 Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligramJ7659 Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligramJ7660 Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7665 Mannitol, administered through an inhaler, 5 mgJ7667 Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligramsJ7668 Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligramsJ7669 Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligramsJ7670 Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligramsJ7674 Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mgJ7676 Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mgJ7677 Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgramJ7680 Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligramJ7681 Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7682 Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligramsJ7683 Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligramJ7684 Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligramJ7685 Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligramsJ7686 Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mgJ7699 Noc drugs, inhalation solution administered through dmeJ7799 Noc drugs, other than inhalation drugs, administered through dmeJ7999 Compounded drug, not otherwise classifiedJ8498 Antiemetic drug, rectal/suppository, not otherwise specifiedJ8499 Prescription drug, oral, non chemotherapeutic, nosJ8501 Aprepitant, oral, 5 mgJ8502 Injection, aprepitant (aponvie), 1 mgJ8510 Busulfan; oral, 2 mgJ8515 Cabergoline, oral, 0.25 mgJ8520 Capecitabine, oral, 150 mgJ8521 Capecitabine, oral, 500 mgJ8522 Capecitabine, oral, 50 mgJ8530 Cyclophosphamide; oral, 25 mgJ8540 Dexamethasone, oral, 0.25 mgJ8541 Dexamethasone (hemady), oral, 0.25 mgJ8560 Etoposide; oral, 50 mgJ8562 Fludarabine phosphate, oral, 10 mgJ8565 Gefitinib, oral, 250 mgJ8597 Antiemetic drug, oral, not otherwise specifiedJ8600 Melphalan; oral, 2 mgJ8610 Methotrexate; oral, 2.5 mgJ8611 Methotrexate (jylamvo), oral, 2.5 mgJ8612 Methotrexate (xatmep), oral, 2.5 mgJ8650 Nabilone, oral, 1 mgJ8655 Netupitant 300 mg and palonosetron 0.5 mg, oralJ8670 Rolapitant, oral, 1 mgJ8700 Temozolomide, oral, 5 mgJ8705 Topotecan, oral, 0.25 mgJ8999 Prescription drug, oral, chemotherapeutic, nosJ9000 Injection, doxorubicin hydrochloride, 10 mgJ9003 Leuprolide injectable (camcevi etm), 1 mgJ9010 Injection, alemtuzumab, 10 mgJ9011 Injection, datopotamab deruxtecan-dlnk, 1 mgJ9015 Injection, aldesleukin, per single use vialJ9017 Injection, arsenic trioxide, 1 mgJ9019 Injection, asparaginase (erwinaze), 1,000 iuJ9020 Injection, asparaginase, not otherwise specified, 10,000 unitsJ9021 Injection, asparaginase, recombinant, (rylaze), 0.1 mgJ9022 Injection, atezolizumab, 10 mgJ9023 Injection, avelumab, 10 mgJ9024 Injection, atezolizumab, 5 mg and hyaluronidase-tqjsJ9025 Injection, azacitidine, 1 mgJ9026 Injection, tarlatamab-dlle, 1 mgJ9027 Injection, clofarabine, 1 mgJ9028 Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgramJ9029 Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic doseJ9030 Bcg live intravesical instillation, 1 mgJ9031 Bcg (intravesical) per instillationJ9032 Injection, belinostat, 10 mgJ9033 Injection, bendamustine hydrochloride, 1 mgJ9034 Injection, bendamustine hcl (bendeka), 1 mgJ9035 Injection, bevacizumab, 10 mgJ9036 Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mgJ9037 Injection, belantamab mafodotin-blmf, 0.5 mgJ9038 Injection, axatilimab-csfr, 0.1 mgJ9039 Injection, blinatumomab, 1 microgramJ9040 Injection, bleomycin sulfate, 15 unitsJ9041 Injection, bortezomib, 0.1 mgJ9042 Injection, brentuximab vedotin, 1 mgJ9043 Injection, cabazitaxel, 1 mgJ9044 Injection, bortezomib, not otherwise specified, 0.1 mgJ9045 Injection, carboplatin, 50 mgJ9046 Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mgJ9047 Injection, carfilzomib, 1 mgJ9048 Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mgJ9049 Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mgJ9050 Injection, carmustine, 100 mgJ9051 Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mgJ9052 Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mgJ9053 Injection, belantamab mafodotin-blmf, 0.1 mgJ9054 Injection, bortezomib (boruzu), 0.1 mgJ9055 Injection, cetuximab, 10 mgJ9056 Injection, bendamustine hydrochloride (vivimusta), 1 mgJ9057 Injection, copanlisib, 1 mgJ9058 Injection, bendamustine hydrochloride (apotex), 1 mgJ9059 Injection, bendamustine hydrochloride (baxter), 1 mgJ9060 Injection, cisplatin, powder or solution, 10 mgJ9061 Injection, amivantamab-vmjw, 2 mgJ9062 Injection, amivantamab 5 mg and hyaluronidase-lpujJ9063 Injection, mirvetuximab soravtansine-gynx, 1 mgJ9064 Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mgJ9065 Injection, cladribine, per 1 mgJ9070 Cyclophosphamide, 100 mgJ9071 Injection, cyclophosphamide (auromedics), 5 mgJ9072 Injection, cyclophosphamide (frindovyx), 5 mgJ9073 Injection, cyclophosphamide (dr. reddy's), 5 mgJ9074 Injection, cyclophosphamide (sandoz), 5 mgJ9075 Injection, cyclophosphamide, not otherwise specified, 5 mgJ9076 Injection, cyclophosphamide (baxter), 5 mgJ9098 Injection, cytarabine liposome, 10 mgJ9100 Injection, cytarabine, 100 mgJ9118 Injection, calaspargase pegol-mknl, 10 unitsJ9119 Injection, cemiplimab-rwlc, 1 mgJ9120 Injection, dactinomycin, 0.5 mgJ9130 Dacarbazine, 100 mgJ9144 Injection, daratumumab, 10 mg and hyaluronidase-fihjJ9145 Injection, daratumumab, 10 mgJ9150 Injection, daunorubicin, 10 mgJ9151 Injection, daunorubicin citrate, liposomal formulation, 10 mgJ9153 Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabineJ9155 Injection, degarelix, 1 mgJ9160 Injection, denileukin diftitox, 300 microgramsJ9161 Injection, denileukin diftitox-cxdl, 1 mcgJ9165 Injection, diethylstilbestrol diphosphate, 250 mgJ9171 Injection, docetaxel, 1 mgJ9172 Injection, docetaxel (docivyx), 1 mgJ9173 Injection, durvalumab, 10 mgJ9174 Injection, docetaxel (beizray), 1 mgJ9175 Injection, elliotts' b solution, 1 mlJ9176 Injection, elotuzumab, 1 mgJ9177 Injection, enfortumab vedotin-ejfv, 0.25 mgJ9178 Injection, epirubicin hcl, 2 mgJ9179 Injection, eribulin mesylate, 0.1 mgJ9181 Injection, etoposide, 10 mgJ9183 Gemcitabine intravesical system, 225 mgJ9184 Injection, gemcitabine hydrochloride (avyxa), 200 mgJ9185 Injection, fludarabine phosphate, 50 mgJ9190 Injection, fluorouracil, 500 mgJ9196 Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mgJ9198 Injection, gemcitabine hydrochloride, (infugem), 100 mgJ9199 Injection, gemcitabine hydrochloride (infugem), 200 mgJ9200 Injection, floxuridine, 500 mgJ9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mgJ9202 Goserelin acetate implant, per 3.6 mgJ9203 Injection, gemtuzumab ozogamicin, 0.1 mgJ9204 Injection, mogamulizumab-kpkc, 1 mgJ9205 Injection, irinotecan liposome, 1 mgJ9206 Injection, irinotecan, 20 mgJ9207 Injection, ixabepilone, 1 mgJ9208 Injection, ifosfamide, 1 gramJ9209 Injection, mesna, 200 mgJ9210 Injection, emapalumab-lzsg, 1 mgJ9211 Injection, idarubicin hydrochloride, 5 mgJ9212 Injection, interferon alfacon-1, recombinant, 1 microgramJ9213 Injection, interferon, alfa-2a, recombinant, 3 million unitsJ9214 Injection, interferon, alfa-2b, recombinant, 1 million unitsJ9215 Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iuJ9216 Injection, interferon, gamma 1-b, 3 million unitsJ9217 Leuprolide acetate (for depot suspension), 7.5 mgJ9218 Leuprolide acetate, per 1 mgJ9219 Leuprolide acetate implant, 65 mgJ9220 Injection, indigotindisulfonate sodium, 1 mgJ9223 Injection, lurbinectedin, 0.1 mgJ9225 Histrelin implant (vantas), 50 mgJ9226 Histrelin implant (supprelin la), 50 mgJ9227 Injection, isatuximab-irfc, 10 mgJ9228 Injection, ipilimumab, 1 mgJ9229 Injection, inotuzumab ozogamicin, 0.1 mgJ9230 Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mgJ9232 Injection, docetaxel (hospira), not therapeutically equivalent to j9171, 1 mgJ9245 Injection, melphalan hydrochloride, not otherwise specified, 50 mgJ9246 Injection, melphalan (evomela), 1 mgJ9247 Injection, melphalan flufenamide, 1mgJ9248 Injection, melphalan (hepzato), 1 mgJ9249 Injection, melphalan (apotex), 1 mgJ9250 Methotrexate sodium, 5 mgJ9255 Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mgJ9256 Injection, nipocalimab-aahu, 3 mgJ9258 Injection, paclitaxel protein-bound particles (teva), not therapeutically equivalent to j9264, 1 mgJ9259 Injection, paclitaxel protein-bound particles (american regent), not therapeutically equivalent to j9264, 1 mgJ9260 Injection, methotrexate sodium, 50 mgJ9261 Injection, nelarabine, 50 mgJ9262 Injection, omacetaxine mepesuccinate, 0.01 mgJ9263 Injection, oxaliplatin, 0.5 mgJ9264 Injection, paclitaxel protein-bound particles, 1 mgJ9265 Injection, paclitaxel, 30 mgJ9266 Injection, pegaspargase, per single dose vialJ9267 Injection, paclitaxel, 1 mgJ9268 Injection, pentostatin, 10 mgJ9269 Injection, tagraxofusp-erzs, 10 microgramsJ9270 Injection, plicamycin, 2.5 mgJ9271 Injection, pembrolizumab, 1 mgJ9272 Injection, dostarlimab-gxly, 10 mgJ9273 Injection, tisotumab vedotin-tftv, 1 mgJ9274 Injection, tebentafusp-tebn, 1 microgramJ9275 Injection, cosibelimab-ipdl, 2 mgJ9276 Injection, zanidatamab-hrii, 2 mgJ9277 Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmphJ9278 Injection, carboplatin (avyxa), 1 mgJ9280 Injection, mitomycin, 5 mgJ9281 Mitomycin pyelocalyceal instillation, 1 mgJ9282 Mitomycin, intravesical instillation, 1 mgJ9285 Injection, olaratumab, 10 mgJ9286 Injection, glofitamab-gxbm, 2.5 mgJ9289 Injection, nivolumab, 2 mg and hyaluronidase-nvhyJ9292 Injection, pemetrexed dipotassium, 10 mgJ9293 Injection, mitoxantrone hydrochloride, per 5 mgJ9294 Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mgJ9295 Injection, necitumumab, 1 mgJ9296 Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mgJ9297 Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mgJ9298 Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mgJ9299 Injection, nivolumab, 1 mgJ9300 Injection, gemtuzumab ozogamicin, 5 mgJ9301 Injection, obinutuzumab, 10 mgJ9302 Injection, ofatumumab, 10 mgJ9303 Injection, panitumumab, 10 mgJ9304 Injection, pemetrexed (pemfexy), 10 mgJ9305 Injection, pemetrexed, not otherwise specified, 10 mgJ9306 Injection, pertuzumab, 1 mgJ9307 Injection, pralatrexate, 1 mgJ9308 Injection, ramucirumab, 5 mgJ9309 Injection, polatuzumab vedotin-piiq, 1 mgJ9310 Injection, rituximab, 100 mgJ9311 Injection, rituximab 10 mg and hyaluronidaseJ9312 Injection, rituximab, 10 mgJ9313 Injection, moxetumomab pasudotox-tdfk, 0.01 mgJ9314 Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mgJ9315 Injection, romidepsin, 1 mgJ9316 Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mgJ9317 Injection, sacituzumab govitecan-hziy, 2.5 mgJ9318 Injection, romidepsin, non-lyophilized, 0.1 mgJ9319 Injection, romidepsin, lyophilized, 0.1 mgJ9320 Injection, streptozocin, 1 gramJ9321 Injection, epcoritamab-bysp, 0.16 mgJ9322 Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mgJ9323 Injection, pemetrexed ditromethamine, 10 mgJ9324 Injection, pemetrexed (pemrydi rtu), 10 mgJ9325 Injection, talimogene laherparepvec, per 1 million plaque forming unitsJ9326 Injection, telisotuzumab vedotin-tllv, 1 mgJ9328 Injection, temozolomide, 1 mgJ9329 Injection, tislelizumab-jsgr, 1mgJ9330 Injection, temsirolimus, 1 mgJ9331 Injection, sirolimus protein-bound particles, 1 mgJ9332 Injection, efgartigimod alfa-fcab, 2mgJ9333 Injection, rozanolixizumab-noli, 1 mgJ9334 Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfcJ9340 Injection, thiotepa, 15 mgJ9341 Injection, thiotepa (tepylute), 1 mgJ9342 Injection, thiotepa, not otherwise specified, 1 mgJ9345 Injection, retifanlimab-dlwr, 1 mgJ9347 Injection, tremelimumab-actl, 1 mgJ9348 Injection, naxitamab-gqgk, 1 mgJ9349 Injection, tafasitamab-cxix, 2 mgJ9350 Injection, mosunetuzumab-axgb, 1 mgJ9351 Injection, topotecan, 0.1 mgJ9352 Injection, trabectedin, 0.1 mgJ9353 Injection, margetuximab-cmkb, 5 mgJ9354 Injection, ado-trastuzumab emtansine, 1 mgJ9355 Injection, trastuzumab, excludes biosimilar, 10 mgJ9356 Injection, trastuzumab, 10 mg and hyaluronidase-oyskJ9357 Injection, valrubicin, intravesical, 200 mgJ9358 Injection, fam-trastuzumab deruxtecan-nxki, 1 mgJ9359 Injection, loncastuximab tesirine-lpyl, 0.075 mgJ9360 Injection, vinblastine sulfate, 1 mgJ9361 Injection, efbemalenograstim alfa-vuxw, 0.5 mgJ9370 Vincristine sulfate, 1 mgJ9371 Injection, vincristine sulfate liposome, 1 mgJ9376 Injection, pozelimab-bbfg, 1 mgJ9380 Injection, teclistamab-cqyv, 0.5 mgJ9381 Injection, teplizumab-mzwv, 5 mcgJ9382 Injection, zenocutuzumab-zbco, 1 mgJ9390 Injection, vinorelbine tartrate, 10 mgJ9393 Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mgJ9394 Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mgJ9395 Injection, fulvestrant, 25 mgJ9400 Injection, ziv-aflibercept, 1 mgJ9600 Injection, porfimer sodium, 75 mgJ9601 Injection, linvoseltamab-gcpt, 1 mgJ9999 Not otherwise classified, antineoplastic drugs