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Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Product: Adalimumab-fkjp Injection
Prescribing Information
Size: 40 mg/0.8 mL 1 mL Single-dose Prefilled Syringe Carton of 2
Manufacturer: Biocon
NDC#: 83257-0021-42
Code*: J3590
RNINo
340BYes
Product: Adalimumab-fkjp Injection
Prescribing Information
Size: 40 mg/0.8 mL 1 mL Single-dose Prefilled Pen Carton of 2
Manufacturer: Biocon
NDC#: 83257-0022-32
Code*: J3590
RNINo
340BYes
Product: ABRILADA™ (adalimumab-afzb)
Prescribing Information
Size: 40 mg/0.8 mL Single-Dose Prefilled Glass Syringe Carton of 2 - LO-WAC
Manufacturer: Pfizer
NDC#: 00025-0328-02
Code*: Q5145
RNINo
340BYes
Product: ABRILADA™ (adalimumab-afzb)
Prescribing Information
Size: 40 mg/0.8 mL Single-Dose Prefilled Glass Syringe - HI-WAC
Manufacturer: Pfizer
NDC#: 00069-0328-02
Code*: Q5145
RNINo
340BYes
Product: ABRILADA™ (adalimumab-afzb)
Prescribing Information
Size: 40 mg/0.8 mL Single-Dose Prefilled Pen Carton of 2 - LO-WAC
Manufacturer: Pfizer
NDC#: 00025-0325-02
Code*: Q5145
RNINo
340BYes
Product: ABRILADA™ (adalimumab-afzb)
Prescribing Information
Size: 40 mg/0.8 mL Single-Dose Pen Carton of 2 - HI-WAC
Manufacturer: Pfizer
NDC#: 00069-0325-02
Code*: Q5145
RNINo
340BYes
Product: ABRILADA™ (adalimumab-afzb)
Prescribing Information
Size: 40 mg/0.8 mL Single-Dose Prefilled Pen - LO-WAC
Manufacturer: Pfizer
NDC#: 00025-0325-01
Code*: Q5145
RNINo
340BYes
Product: ABRILADA™ (adalimumab-afzb)
Prescribing Information
Size: 40 mg/0.8 mL Single-Dose Pen - HI-WAC
Manufacturer: Pfizer
NDC#: 00069-0325-01
Code*: Q5145
RNINo
340BYes
Product: ABRILADA™ (adalimumab-afzb)
Prescribing Information
Size: 20 mg/0.4 mL Prefilled Glass Syringe Carton of 2 - LO-WAC
Manufacturer: Pfizer
NDC#: 00025-0333-02
Code*: Q5145
RNINo
340BYes
Product: ABRILADA™ (adalimumab-afzb)
Prescribing Information
Size: 20 mg/0.4 mL Prefilled Syringe Carton of 2 - HI-WAC
Manufacturer: Pfizer
NDC#: 00069-0333-02
Code*: Q5145
RNINo
340BYes
Product: ABRYSVO®
Prescribing Information
Size: 0.5 mL Pre-filled Syringe and Act-O-Vial Carton of 1 Vial
Manufacturer: Pfizer
NDC#: 00069-2465-01
Code*: 90678
RNINo
340BTBD
Product: Adalimumab-aaty Injection
Prescribing Information
Size: 20 mg/0.2 mL 1 mL Single-dose Prefilled Syringe Carton of 2
Manufacturer: Celltrion
NDC#: 72606-0041-01
Code*: J3590
RNINo
340BYes
Product: Adalimumab-aaty Injection
Prescribing Information
Size: 40 mg/0.4 mL 1 mL Single-dose Prefilled Syringe with Safety Guard Carton of 2
Manufacturer: Celltrion
NDC#: 72606-0022-06
Code*: J3590
RNINo
340BYes
Product: Adalimumab-aaty Injection
Prescribing Information
Size: 40 mg/0.4 mL 1 mL Single-dose Prefilled Syringe & Auto-Injector Carton of 1
Manufacturer: Celltrion
NDC#: 72606-0022-09
Code*: J3590
RNINo
340BYes
Product: Adalimumab-aaty Injection
Prescribing Information
Size: 40 mg/0.4 mL 1 mL Single-dose Prefilled Syringe & Auto-Injector Carton of 2
Manufacturer: Celltrion
NDC#: 72606-0022-10
Code*: J3590
RNINo
340BYes
Product: Adalimumab-aaty Injection
Prescribing Information
Size: 80 mg/0.8 mL 1 mL Single-dose Prefilled Syringe & Auto-Injector Carton of 1
Manufacturer: Celltrion
NDC#: 72606-0040-04
Code*: J3590
RNINo
340BYes
Product: Adalimumab-aaty Injection
Prescribing Information
Size: 80 mg/0.8 mL 1 mL Single-dose Prefilled Syringe & Auto-Injector Carton of 3
Manufacturer: Celltrion
NDC#: 72606-0040-06
Code*: J3590
RNINo
340BYes
Product: Adrenalin® Epinephrine in Sodium Chloride Injection
Prescribing Information
Size: 4 mg 250 mL Single-dose Infusion Bag Carton of 10
Manufacturer: Endo
NDC#: 42023-0315-10
Code*: J3490
RNINo
340BYes
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 3.1 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0005-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 6.3 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0010-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 9.4 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0015-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 12.5 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0020-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 15.7 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0025-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 18.8 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0030-30
Code*: J3490
RNINo
340BNo
Product: Afluria® Trivalent
Prescribing Information
Size: 0.5 mL Pre-Filled Syringe, Luer-Lok™ Attachment Without Needles Carton of 10
Manufacturer: CSL Seqirus
NDC#: 33332-0025-03
Code*: 90685
RNINo
340BNo
Product: AK-FLUOR® (Fluorescein Injection, USP) 10%
Prescribing Information
Size: 500 mg 5 mL Single-dose Glass Vial Pack of 12
Manufacturer: Long Grove Pharmaceuticals
NDC#: 81298-8660-03
Code*: J3490
RNINo
340BYes
Product: Alhemo® (concizumab-mtci) Injection
Prescribing Information
Size: 60 mg/1.5 mL (40 mg/mL) Single-patient-use Prefilled Pens
Manufacturer: Novo Nordisk
NDC#: 00169-2084-15
Code*: J3590
RNINo
340BYes
Product: Alhemo® (concizumab-mtci) Injection
Prescribing Information
Size: 150 mg/1.5 mL (100 mg/mL) Single-patient-use Prefilled Pens
Manufacturer: Novo Nordisk
NDC#: 00169-2080-15
Code*: J3590
RNINo
340BYes
Product: Alhemo® (concizumab-mtci) Injection
Prescribing Information
Size: 300 mg/3 mL (100 mg/mL) Single-patient-use Prefilled Pens
Manufacturer: Novo Nordisk
NDC#: 00169-2081-03
Code*: J3590
RNINo
340BYes
Product: ALYGLO™ 10%
Prescribing Information
Size: 5 gm/50 mL Single-dose Vial
Manufacturer: GC Biopharma
NDC#: 61476-0104-05
Code*: J1552
RNINo
340BYes
Product: ALYGLO™ 10%
Prescribing Information
Size: 10 gm/100 mL Single-dose Vial
Manufacturer: GC Biopharma
NDC#: 61476-0104-10
Code*: J1552
RNINo
340BYes
Product: ALYGLO™ 10%
Prescribing Information
Size: 20 gm/200 mL Single-dose Vial
Manufacturer: GC Biopharma
NDC#: 61476-0104-20
Code*: J1552
RNINo
340BYes
Product: AURLUMYN™ (Iloprost) Injection
Prescribing Information
Size: 1 mL Single-dose Glass Vial Box of 1
Manufacturer: BTG/SERB Pharmaceuticals
NDC#: 83226-2001-01
Code*: J1749
RNINo
340BTBD
Product: BIMZELX® (bimekizumab-bkzx) Injection
Prescribing Information
Size: 160 mg/mL Single dose Pre-filled Syringe With Needle Guard Carton of 1
Manufacturer: UCB
NDC#: 50474-0780-78
Code*: J3590
RNINo
340BTBD
Product: BIMZELX® (bimekizumab-bkzx) Injection
Prescribing Information
Size: 160 mg/mL Single dose Pre-filled Syringe With Needle Guard Carton of 2
Manufacturer: UCB
NDC#: 50474-0780-79
Code*: J3590
RNINo
340BTBD
Product: BIMZELX® (bimekizumab-bkzx) Injection
Prescribing Information
Size: 160 mg/mL Single dose Pre-filled Autoinjector Carton of 1
Manufacturer: UCB
NDC#: 50474-0781-84
Code*: J3590
RNINo
340BTBD
Product: BIMZELX® (bimekizumab-bkzx) Injection
Prescribing Information
Size: 160 mg/mL Single dose Pre-filled Autoinjector Carton of 2
Manufacturer: UCB
NDC#: 50474-0781-85
Code*: J3590
RNINo
340BTBD
Product: Brevibloc
Prescribing Information
Size: 2000 mcg 100 mL Ready-to-use IntraVia® Bag
Manufacturer: Baxter
NDC#: 10019-0075-87
Code*: J1805
RNINo
340BNo
Product: Brevibloc
Prescribing Information
Size: 2500 mcg 250 mL Ready-to-use IntraVia® Bag
Manufacturer: Baxter
NDC#: 10019-0055-61
Code*: J1805
RNINo
340BNo
Product: CAPVAXIVE™
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled Syringe (Luer-Lock™ Syringes with Tip Caps) Pack of 10
Manufacturer: Merck
NDC#: 00006-4347-02
Code*: 90684
RNINo
340BNo
Product: Cefazolin in DUPLEX® Container
Prescribing Information
Size: 3 gm 50 mL Single-dose DUPLEX® Flexible Dual Chamber Container Case of 24
Manufacturer: B. Braun Medical
NDC#: 00264-3107-11
Code*: J0690
RNINo
340BYes
Product: Cetaphil® Acne Fast Rescue Pimple Patch 2
Prescribing Information
Size: Patch Count of 24
Manufacturer: Galderma
NDC#: 00299-0853-08
Code*: TBD
RNINo
340BNo
Product: Cetaphil® Everyday Sunscreen Tinted Face Lotion SPF 40 2
Prescribing Information
Size: 1.7 oz Pump Tube
Manufacturer: Galderma
NDC#: 00299-0530-96
Code*: TBD
RNINo
340BNo
Product: Cetaphil® Healthy Renew Face Serum 2
Prescribing Information
Size: 1 oz Airless Pump
Manufacturer: Galderma
NDC#: 00299-0260-04
Code*: TBD
RNINo
340BNo
Product: Cetaphil® Hydrating & Firming Cream 2
Prescribing Information
Size: 12 oz Container
Manufacturer: Galderma
NDC#: 00299-0530-71
Code*: TBD
RNINo
340BNo
Product: CISplatin Injection 2
Prescribing Information
Size: 50 mg/50 mL Multi-dose Vial Box of 1
Manufacturer: Fresenius Kabi
NDC#: 63323-0103-51
Code*: J9060
RNINo
340BYes
Product: CISplatin Injection 2
Prescribing Information
Size: 100 mg/100 mL Multi-dose Vial Box of 1
Manufacturer: Fresenius Kabi
NDC#: 63323-0103-65
Code*: J9060
RNINo
340BYes
Product: CISplatin Injection 2
Prescribing Information
Size: 200 mg/200 mL Multi-dose Vial Box of 1
Manufacturer: Fresenius Kabi
NDC#: 63323-0103-64
Code*: J9060
RNINo
340BYes
Product: COMIRNATY® (COVID-19 Vaccine, mRNA)
Size: 0.3 mL Single-dose Glass Prefilled Syringe - Carton of 10
Manufacturer: Pfizer
NDC#: 99999-9999-99
Code*: 91320
RNINo
340BNo
Product: Cotempla XR-ODT®
Prescribing Information
Size: 8.6 mg Methylphenidate Extended-release Orally Disintegrating Tablet (5 Blister Cards/6 Tablets) Carton of 30 Reusable Travel Case
Manufacturer: Aytu BioPharma
NDC#: 70165-0100-30
Code*: TBD
RNINo
340BNo
Product: Cotempla XR-ODT®
Prescribing Information
Size: 17.3 mg Methylphenidate Extended-release Orally Disintegrating Tablet (5 Blister Cards/6 Tablets) Carton of 30 Reusable Travel Case
Manufacturer: Aytu BioPharma
NDC#: 70165-0200-30
Code*: TBD
RNINo
340BNo
Product: Cotempla XR-ODT®
Prescribing Information
Size: 25.9 mg Methylphenidate Extended-release Orally Disintegrating Tablet (5 Blister Cards/6 Tablets) Carton of 30 Reusable Travel Case
Manufacturer: Aytu BioPharma
NDC#: 70165-0300-30
Code*: TBD
RNINo
340BNo
Product: Differin® (Power Patch) 2
Prescribing Information
Size: Salicylic Acid Acne-Prone Patches Count of 36
Manufacturer: Galderma
NDC#: 00299-0851-08
Code*: TBD
RNITBD
340BYes
Product: Droperidol Injection
Prescribing Information
Size: 2.5 mg/mL 1 mL Vial Pack of 25
Manufacturer: HIKMA
NDC#: 00143-9515-25
Code*: J1790
RNINo
340BYes
Product: Droperidol Injection
Prescribing Information
Size: 2.5 mg/mL 2 mL Vial Pack of 25
Manufacturer: HIKMA
NDC#: 00143-9514-25
Code*: J1790
RNINo
340BYes
Product: Esperoct®
Prescribing Information
Size: 4000 IU Range Single-dose Vial
Manufacturer: Novo Nordisk
NDC#: 00169-8400-01
Code*: J7204
RNINo
340BYes
Product: FIBRYGA®
Prescribing Information
Size: 1 gm Single-dose Bottle
Manufacturer: Octapharma
NDC#: 68982-0349-01
Code*: J7177
RNIRNI
340BYes
Product: Fluad® Trivalent
Prescribing Information
Size: 0.5 mL Single-dose Syringe Carton of 10
Manufacturer: CSL Seqirus
NDC#: 70461-0025-03
Code*: 90694
RNINo
340BNo
Product: FLUARIX® Trivalent
Size: 0.5 mL Single-dose Disposable TIP-LOK Syringe Box of 10
Manufacturer: GSK
NDC#: 58160-0912-52
Code*: 90686
RNINo
340BNo
Product: Flucelvax® Trivalent
Prescribing Information
Size: 0.5 mL Pre-Filled Syringe Carton of 10
Manufacturer: CSL Seqirus
NDC#: 70461-0655-03
Code*: 90674
RNINo
340BNo
Product: Flublok® Trivalent
Size: 0.5 mL Single-dose Pre-Filled Syringe Carton of 10
Manufacturer: Sanofi
NDC#: 49281-0725-10
Code*: 90682
RNINo
340BNo
Product: FLULAVAL® Trivalent
Size: 0.5 mL Single-dose TIP-LOK Syringe Box of 10
Manufacturer: GSK
NDC#: 19515-0904-52
Code*: 90686
RNINo
340BNo
Product: FluMist® Trivalent
Size: 0.2 mL Single-dose Intranasal Spray Carton of 10
Manufacturer: AstraZeneca
NDC#: 66019-0112-10
Code*: 90672
RNINo
340BNo
Product: Fluzone® Trivalent
Size: 0.5 mL Single-dose Syringe Without Needles Pack of 10
Manufacturer: Sanofi
NDC#: 49281-0424-50
Code*: 90686
RNINo
340BNo
Product: Fluzone® Trivalent
Size: 5 mL Multi-dose Vial (10 Doses/Vial)
Manufacturer: Sanofi
NDC#: 49281-0643-15
Code*: TBD
RNINo
340BNo
Product: Fluzone® Trivalent High-Dose
Size: 0.5 mL Pre-Filled Syringe Without Needle Package of 10
Manufacturer: Sanofi
NDC#: 49281-0125-65
Code*: 90662
RNINo
340BNo
Product: Gadobutrol Injection
Prescribing Information
Size: 7.5 mL Single-Dose Vial Carton of 20
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0212-54
Code*: A9585
RNINo
340BYes
Product: Gadobutrol Injection
Prescribing Information
Size: 15 mL Single-Dose Vial Carton of 20
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0214-54
Code*: A9585
RNINo
340BYes
Product: Gadoteridol Injection
Prescribing Information
Size: 5 mL Single-dose Vial Box of 5
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0121-31
Code*: A9579
RNINo
340BYes
Product: Gadoteridol Injection
Prescribing Information
Size: 10 mL Single-dose Vial Box of 5
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0121-33
Code*: A9579
RNINo
340BYes
Product: Gadoteridol Injection
Prescribing Information
Size: 15 mL Single-dose Vial Box of 5
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0121-34
Code*: A9579
RNINo
340BYes
Product: Gadoteridol Injection
Prescribing Information
Size: 20 mL Single-dose Vial Box of 5
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0121-35
Code*: A9579
RNINo
340BYes
Product: Gadoterate Meglumine Injection
Prescribing Information
Size: 5 mL Single-Dose Vial Pack of 10
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0123-31
Code*: A9575
RNINo
340BYes
Product: Gadoterate Meglumine Injection
Prescribing Information
Size: 20 mL Single-Dose Vial Pack of 10
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0123-35
Code*: A9575
RNINo
340BYes
Product: Gadoterate Meglumine Injection
Prescribing Information
Size: 5 mmol 10 mL Solution Single-Dose Vial Box of 10
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0123-33
Code*: A9575
RNINo
340BYes
Product: Gadoterate Meglumine Injection
Prescribing Information
Size: 7.5 mmol 15 mL Solution Single-Dose Vial Box of 10
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0123-34
Code*: A9575
RNINo
340BYes
Product: Gadoterate Meglumine Injection
Prescribing Information
Size: 50 mmol 100 mL Solution Single-Dose Vial Box of 6 – Pharmacy Bulk Package
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0123-56
Code*: A9575
RNINo
340BYes
Product: HYMPAVZI™ (marstacimab-hncq) Injection
Prescribing Information
Size: 150 mg/mL Single-dose Prefilled Pen
Manufacturer: Pfizer
NDC#: 00069-2151-01
Code*: J3590
RNINo
340BYes
Product: Insulin Glargine
Prescribing Information
Size: 3 mL (100 Units/mL) Single-Patient Prefilled Pen Pack of 5
Manufacturer: Biocon
NDC#: 83257-0015-32
Code*: J1815
RNINo
340BYes
Product: Insulin Glargine
Prescribing Information
Size: 10 mL (100 Units/mL) Multiple-dose Vial
Manufacturer: Biocon
NDC#: 83257-0014-11
Code*: J1815
RNINo
340BYes
Product: Metadate CD®
Prescribing Information
Size: 10 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0579-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 20 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0580-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 30 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0581-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 40 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0582-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 50 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0583-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 60 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0584-30
Code*: J8499
RNINo
340BNo
Product: Metronidazole Topical Lotion 0.75%
Prescribing Information
Size: 2 Fluid Ounces (59 mL) Bottle
Manufacturer: Mayne Pharma
NDC#: 68308-0712-59
Code*: TBD
RNINo
340BNo
Product: mNEXSPIKE®
Prescribing Information
Size: 0.2 mL Single-dose Pre-filled Syringe Carton of 10
Manufacturer: Moderna
NDC#: 80777-0400-60
Code*: 91321
RNINo
340BNo
Product: Moderna COVID-19 Vaccine
Size: 0.25 mL Single-dose Pre-filled Syringe Box of 10
Manufacturer: Moderna
NDC#: 99999-9999-99
Code*: 91321
RNINo
340BNo
Product: NARCAN®
Prescribing Information
Size: 4 mg 0.1 mL Single-dose Nasal Spray Device Box of 2
Manufacturer: Emergent Devices
NDC#: 69547-0627-02
Code*: J3490
RNINo
340BNo
Product: Norepinephrine In Sodium Chloride
Prescribing Information
Size: 4 mg/250 mL (16 mcg/mL) Infusion Bag Package of 10 Bags
Manufacturer: Long Grove Pharmaceuticals
NDC#: 81298-9659-03
Code*: J7999
RNINo
340BYes
Product: Norepinephrine In Sodium Chloride
Prescribing Information
Size: 8 mg/250 mL (32 mcg/mL) Infusion Bag Package of 10 Bags
Manufacturer: Long Grove Pharmaceuticals
NDC#: 81298-9655-03
Code*: J7999
RNINo
340BYes
Product: Norepinephrine In Sodium Chloride
Prescribing Information
Size: 16 mg/250 mL (64 mcg/mL) Infusion Bag Package of 10 Bags
Manufacturer: Long Grove Pharmaceuticals
NDC#: 81298-9658-03
Code*: J7999
RNINo
340BYes
Product: Novavax COVID-19 Vaccine
Size: 0.5 mL Pre-filled Syringe Box of 10
Manufacturer: Novavax, Inc.
NDC#: 99999-9999-99
Code*: 91304
RNINo
340BNo
Product: NYVEPRIA™ (pegfilgrastim-apgf)
Prescribing Information
Size: 6 mg Prefilled Single-dose Syringe BD UltraSafe Plus™ Passive Needle Guard
Manufacturer: Pfizer
NDC#: 00069-0324-01
Code*: Q5122
RNINo
340BYes
Product: NIVESTYM™ (filgrastim-aafi)
Prescribing Information
Size: 300 mcg/0.5 mL Single-dose Prefilled Syringe with UltraSafe Plus™ Passive Needle Guard
Manufacturer: Pfizer
NDC#: 00069-0291-01
Code*: Q5110
RNINo
340BYes
Product: NIVESTYM™ (filgrastim-aafi)
Prescribing Information
Size: 300 mcg/0.5 mL Single-dose Prefilled Syringe with UltraSafe Plus™ Passive Needle Guard Pack of 10
Manufacturer: Pfizer
NDC#: 00069-0291-10
Code*: Q5110
RNINo
340BYes
Product: NIVESTYM™ (filgrastim-aafi)
Prescribing Information
Size: 480 mcg/0.8 mL Single-dose Prefilled Syringe with UltraSafe Plus™ Passive Needle Guard
Manufacturer: Pfizer
NDC#: 00069-0292-01
Code*: Q5110
RNINo
340BYes
Product: NIVESTYM™ (filgrastim-aafi)
Prescribing Information
Size: 480 mcg/0.8 mL Single-dose Syringe Pack 10
Manufacturer: Pfizer
NDC#: 00069-0292-10
Code*: Q5110
RNINo
340BYes
Product: NIVESTYM™ (filgrastim-aafi)
Prescribing Information
Size: 480 mcg/1.6 mL (300 mcg/mL) Single-dose Vial Pack of 10
Manufacturer: Pfizer
NDC#: 00069-0294-10
Code*: Q5110
RNINo
340BYes
Product: NIVESTYM™ (filgrastim-aafi)
Prescribing Information
Size: 300 mcg/1 mL Single-dose Vial Pack of 10
Manufacturer: Pfizer
NDC#: 00069-0293-10
Code*: Q5110
RNINo
340BYes
Product: ODRescue Pouch™
Size: Naloxone Carrying Case for Naloxone Nasal Spray
Manufacturer: ODRescue - WORK 'N LEISURE PRODUCTS, INC
NDC#: N/A
Code*: -
RNI-
340B-
Product: ODRescue Box™
Size: Wall Mount Case for Naloxone Nasal Spray
Manufacturer: ODRescue - WORK 'N LEISURE PRODUCTS, INC
NDC#: N/A
Code*: -
RNI-
340B-
Product: OGIVRI® (Trastuzumab-Dkst)
Prescribing Information
Size: 150 mg Single-dose Vial
Manufacturer: Biocon
NDC#: 83257-0001-11
Code*: Q5114
RNINo
340BYes
Product: OGIVRI® (Trastuzumab-Dkst)
Prescribing Information
Size: 420 mg Multiple-dose Vial, 20 mL Bacteriostatic Water for Injection
Manufacturer: Biocon
NDC#: 83257-0004-12
Code*: Q5114
RNINo
340BYes
Product: ONTRUZANT (trastuzumab-dttb)
Prescribing Information
Size: 150 mg Single-Dose Vial
Manufacturer: Organon
NDC#: 78206-0147-01
Code*: Q5112
RNINo
340BTBD
Product: ONTRUZANT (trastuzumab-dttb)
Prescribing Information
Size: 420 mg Multi-Dose Vial & 20 mL Water for Injection
Manufacturer: Organon
NDC#: 78206-0148-01
Code*: Q5112
RNINo
340BTBD
Product: OPVEE®
Prescribing Information
Size: 2.7 mg (Nalmefene) Nasal Spray in 0.1 mL Carton of 2
Manufacturer: Invidior
NDC#: 12496-0003-02
Code*: J3490
RNINo
340BNo
Product: PAXLOVID™
Prescribing Information
Size: 300 mg Nirmatrelvir Tablets, 100 mg Ritonavir Tablets 11 Tablets in 1 Blister Cards
Manufacturer: Pfizer
NDC#: 00069-0521-11
Code*: J8499
RNINo
340BNo
Product: Pregnyl® (chorionic gonadotropin) Injection
Prescribing Information
Size: 10 mL 10,000 IU Multiple-dose Vial & 10 mL Multiple-dose Vial Solvent Water
Manufacturer: Organon
NDC#: 78206-0150-01
Code*: J0725
RNINo
340BTBD
Product: OSENVELT® (denosumab-bmwo)
Prescribing Information
Size: 120 mg/1.7 mL (70 mg/mL) Single-dose Vial
Manufacturer: Celltrion
NDC#: 72606-0038-01
Code*: J3590
RNINo
340BTBD
Product: PENBRAYA™ Meningococcal Vaccine
Prescribing Information
Size: 0.5 mL Vial, Pre-filled Syringe, Vial Adapter Kit Carton of 1
Manufacturer: Pfizer
NDC#: 00069-0600-01
Code*: 90623
RNINo
340BTBD
Product: PENBRAYA™ Meningococcal Vaccine
Prescribing Information
Size: 0.5 mL Vial, Pre-filled Syringe, Vial Adapter Kit Carton of 5
Manufacturer: Pfizer
NDC#: 00069-0600-05
Code*: 90623
RNINo
340BTBD
Product: QFITLIA™
Prescribing Information
Size: 20 mg 0.2 mL Single-dose Vial
Manufacturer: Genzyme
NDC#: 58468-0347-01
Code*: J3490/ C9399
RNINo
340BYes
Product: QFITLIA™
Prescribing Information
Size: 50 mg 0.5 mL (100 mg/mL) in a Single-Dose Prefilled Pen
Manufacturer: Genzyme
NDC#: 58468-0348-01
Code*: J3490/ C9399
RNINo
340BYes
Product: RoxyBond™ (Oxycodone Hydrochloride)1
Prescribing Information
Size: 5 mg Coated Tablets Bottle of 100
Manufacturer: Protega Pharmaceuticals
NDC#: 81140-0101-10
Code*: J8499
RNINo
340BNo
Product: RoxyBond™ (Oxycodone Hydrochloride)1
Prescribing Information
Size: 10 mg Coated Tablets Bottle of 100
Manufacturer: Protega Pharmaceuticals
NDC#: 81140-0104-10
Code*: J8499
RNINo
340BNo
Product: RoxyBond™ (Oxycodone Hydrochloride)1
Prescribing Information
Size: 15 mg Coated Tablets Bottle of 100
Manufacturer: Protega Pharmaceuticals
NDC#: 81140-0102-10
Code*: J8499
RNINo
340BNo
Product: RoxyBond™ (Oxycodone Hydrochloride)1
Prescribing Information
Size: 30 mg Coated Tablets Bottle of 100
Manufacturer: Protega Pharmaceuticals
NDC#: 81140-0103-10
Code*: J8499
RNINo
340BNo
Product: SEVENFACT®
Prescribing Information
Size: 2 mg (2000 mcg) Single-dose Vial, 2.2 mL Pre-filled Syringe Sterile Water with 13 mm Vial Adapter
Manufacturer: HEMA Biologics
NDC#: 71127-2000-01
Code*: J7212
RNINo
340BYes
Product: Sodium Acetate Injection, USP
Prescribing Information
Size: 40 mEq/20 mL (2 mEq/mL) Single-dose Vial
Manufacturer: Hikma
NDC#: 00641-6261-01
Code*: J3490
RNINo
340BYes
Product: Sodium Acetate Injection, USP
Prescribing Information
Size: 100 mEq/50 mL (2 mEq/50 mL) Pharmacy Bulk Package
Manufacturer: Hikma
NDC#: 00641-6262-01
Code*: J3490
RNINo
340BYes
Product: Spikevax COVID-19 Vaccine [12+]
Size: 0.5 mL Single-dose Pre-filled Syringe Box of 10
Manufacturer: Moderna
NDC#: 99999-9999-99
Code*: 91322
RNINo
340BNo
Product: Stoboclo® (denosumab-bmwo) Injection
Prescribing Information
Size: 60 mg 1 mL Single-dose Prefilled Syringe
Manufacturer: Celltrion
NDC#: 72606-0037-01
Code*: J3590
RNINo
340BTBD
Product: TNKase®
Prescribing Information
Size: 50 mg Lyophilized Powder Single-dose Vial
Manufacturer: Genentech
NDC#: 50242-0176-01
Code*: J3101
RNIRNI
340BYes
Product: RUXIENCE® (rituximab-pvvr)
Prescribing Information
Size: 100 mg/10 mL (10 mL/1 mL) Single-dose Vial
Manufacturer: Pfizer
NDC#: 00069-0238-01
Code*: Q5119
RNINo
340BYes
Product: RUXIENCE® (rituximab-pvvr)
Prescribing Information
Size: 500 mg/50 mL (10 mL/1 mL) Single-dose Vial
Manufacturer: Pfizer
NDC#: 00069-0249-01
Code*: Q5119
RNINo
340BYes
Product: Steqeyma® (ustekinumab-stba) Injection
Prescribing Information
Size: 45 mg/0.5 mL Single-dose Pre-filled Syringe
Manufacturer: Celltrion
NDC#: 72606-0027-01
Code*: J3590
RNINo
340BYes
Product: Steqeyma® (ustekinumab-stba) Injection
Prescribing Information
Size: 90 mg/1 mL Single-dose Pre-filled Syringe
Manufacturer: Celltrion
NDC#: 72606-0028-01
Code*: J3590
RNINo
340BYes
Product: Steqeyma® (ustekinumab-stba) Injection
Prescribing Information
Size: 130 mg/26 mL (5 mg/mL) Single-dose Vial
Manufacturer: Celltrion
NDC#: 72606-0029-01
Code*: J3590
RNINo
340BYes
Product: TRAZIMERA™ (Trastuzumab-Qyyp)
Prescribing Information
Size: 150 mg Lyophilized Powder in a Single-Dose Vial for Reconstitution
Manufacturer: Pfizer
NDC#: 00069-0308-01
Code*: Q5116
RNINo
340BYes
Product: TRAZIMERA™ (Trastuzumab-Qyyp)
Prescribing Information
Size: 420 mg Lyophilized Powder in a Multi-Dose Vial & 20 mL Vial Water for Injection (BWFI)
Manufacturer: Pfizer
NDC#: 00069-0305-01
Code*: Q5116
RNINo
340BYes
Product: Tretinoin Gel (Microsphere)
Prescribing Information
Size: 0.08% 50 Gram Pump
Manufacturer: Mayne Pharma
NDC#: 68308-0777-50
Code*: J3490
RNINo
340BNo
Product: Vaxchora®
Prescribing Information
Size: 100 mL Live Oral Suspension Single-dose Packet
Manufacturer: Bavarian Nordic
NDC#: 50632-0015-02
Code*: 90625
RNINo
340BTBD
Product: VEGZELMA® (bevacizumab-adcd) Injection
Prescribing Information
Size: 100 mg/4 mL (25 mg/mL) Single-Dose Vial Carton of 1
Manufacturer: Celltrion
NDC#: 72606-0011-01
Code*: Q5129
RNINo
340BYes
Product: VEGZELMA® (bevacizumab-adcd) Injection
Prescribing Information
Size: 400 mg/16 mL (25 mg/mL) Single-Dose Vial Carton of 1
Manufacturer: Celltrion
NDC#: 72606-0012-01
Code*: Q5129
RNINo
340BYes
Product: VIBATIV®
Prescribing Information
Size: 750 mg Single-dose Vials Pack of 4
Manufacturer: Cumberland Pharmaceuticals
NDC#: 66220-0315-44
Code*: J3095
RNIRNI
340BTBD
Product: VIMKUNYA™ (Chikungunya Vaccine, Recombinant)
Prescribing Information
Size: 0.8 mL Single-dose Pre-filled Syringe (Without Needles) Carton of 1
Manufacturer: Bavarian Nordic
NDC#: 50632-0018-02
Code*: TBD
RNINo
340BNo
Product: YCANTH™ (Cantharidin) Topical Solution
Prescribing Information
Size: (7 mL/mL) 0.45 mL Single-use Applicator Carton of 1
Manufacturer: Verrica Pharmaceuticals
NDC#: 71349-0070-11
Code*: TBD
RNIRNI
340BNo
Product: YESINTEK™ (ustekinumab-kfce) Injection
Prescribing Information
Size: 45 mg 0.5 mL Single-dose Vial
Manufacturer: Biocon
NDC#: 83257-0024-11
Code*: J3590
RNINo
340BYes
Product: YESINTEK™ (ustekinumab-kfce) Injection
Prescribing Information
Size: 130 mg/26 mL (5 mg/mL) Single-dose Vial
Manufacturer: Biocon
NDC#: 83257-0026-11
Code*: J3590
RNINo
340BYes
Product: YESINTEK™ (ustekinumab-kfce) Injection
Prescribing Information
Size: 45 mg 0.5 mL Single-dose Prefilled Syringe with Needle Safety Guard
Manufacturer: Biocon
NDC#: 83257-0023-41
Code*: J3590
RNINo
340BYes
Product: YESINTEK™ (ustekinumab-kfce) Injection
Prescribing Information
Size: 90 mg 1 mL Single-dose Prefilled Syringe with Needle Safety Guard
Manufacturer: Biocon
NDC#: 83257-0025-41
Code*: J3590
RNINo
340BYes
Product: YUFLYMA® (adalimumab-aaty) Injection
Prescribing Information
Size: 20 mg/0.2 mL 1 mL Prefilled Syringe Carton of 2
Manufacturer: Celltrion
NDC#: 72606-0024-01
Code*: Q5141
RNINo
340BYes
Product: YUFLYMA® (adalimumab-aaty) Injection
Prescribing Information
Size: 40 mg/0.4 mL 1 mL Single-Dose Prefilled Syringe with Safety Guard Carton of 2
Manufacturer: Celltrion
NDC#: 72606-0030-06
Code*: Q5141
RNINo
340BYes
Product: YUFLYMA® (adalimumab-aaty) Injection
Prescribing Information
Size: 40 mg/0.4 mL 1 mL Single-Dose Prefilled Auto Injector Carton of 1
Manufacturer: Celltrion
NDC#: 72606-0030-09
Code*: Q5141
RNINo
340BYes
Product: YUFLYMA® (adalimumab-aaty) Injection
Prescribing Information
Size: 40 mg/0.4 mL 1 mL Single-Dose Prefilled Auto Injector Carton of 2
Manufacturer: Celltrion
NDC#: 72606-0030-10
Code*: Q5141
RNINo
340BYes
Product: ZILRETTA® 2
Prescribing Information
Size: 32 mg Single-dose Kit
Manufacturer: Pacira Pharmaceuticals
NDC#: 65250-0003-01
Code*: J3304
RNIRNI
340BYes
Product: ZIMHI™
Prescribing Information
Size: 5 mg 0.5 mL Single-dose Pre-filled Syringe Carton of 2
Manufacturer: USWM, LLC
NDC#: 78670-0140-02
Code*: J2311
RNINo
340BNo
Product: ZYMFENTRA™ (infliximab-dyyb) Injection
Prescribing Information
Size: 120 mg/mL Solution Prefilled Syringe Needle Guard Carton of 2
Manufacturer: Celltrion
NDC#: 72606-0025-10
Code*: J1748
RNINo
340BYes
Product: ZYMFENTRA™ (infliximab-dyyb) Injection
Prescribing Information
Size: 120 mg/mL Solution Single-Dose Prefilled Pen Carton of 1
Manufacturer: Celltrion
NDC#: 72606-0025-01
Code*: J1748
RNINo
340BYes
Product: ZYMFENTRA™ (infliximab-dyyb) Injection
Prescribing Information
Size: 120 mg/mL Solution Single-Dose Prefilled Pens Carton of 2
Manufacturer: Celltrion
NDC#: 72606-0025-02
Code*: J1748
RNINo
340BYes
* All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
2 Call for eligibility.
+Call (800) 843-7477 or check ordering screen for RCo values.
RNI - RightNow Inventory™ Eligible Products | 340B - Public Health Services 340B Pricing Available.

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