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Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Product: ABRYSVO®
Prescribing Information
Size: 0.5 mL Pre-filled Syringe and Act-O-Vial Carton of 10 Vials
Manufacturer: Pfizer
NDC#: 00069-2465-10
Code*: 90678
RNINo
340BNo
Product: Acthar® Gel 2
Prescribing Information
Size: 40 USP/0.5 mL Single-dose Pre-filled SelfJect™ Injector Container of 4
Manufacturer: Mallinckrodt
NDC#: 63004-8712-04
Code*: TBD
RNINo
340BYes
Product: Acthar® Gel 2
Prescribing Information
Size: 80 USP/1 mL Single-dose Pre-filled SelfJect™ Injector Container of 4
Manufacturer: Mallinckrodt
NDC#: 63004-8711-04
Code*: TBD
RNINo
340BYes
Product: Adrenalin® Epinephrine in Sodium Chloride Injection
Prescribing Information
Size: 4 mg 250 mL Single-dose Infusion Bag Carton of 10
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0315-10
Code*: J3490
RNINo
340BYes
Product: Afluria® Trivalent
Prescribing Information
Size: 0.5 mL Pre-Filled Syringe, Luer-Lok™ Attachment Without Needles Carton of 10
Manufacturer: CSL Seqirus
NDC#: 33332-0024-03
Code*: 90685
RNINo
340BNo
Product: Afluria® Trivalent
Prescribing Information
Size: 5 mL Multi-Dose Vial
Manufacturer: CSL Seqirus
NDC#: 33332-0124-10
Code*: 90685
RNINo
340BNo
Product: Balfaxar®
Prescribing Information
Size: 500 IU Range 20 mL Vial
Manufacturer: Octapharma
NDC#: 68982-0261-01
Code*: J3590/ C9399
RNITBD
340BYes
Product: Balfaxar®
Prescribing Information
Size: 1000 IU Range 40 mL Vial
Manufacturer: Octapharma
NDC#: 68982-0261-02
Code*: J3590/ C9399
RNITBD
340BYes
Product: BIJUVA® Capsules
Prescribing Information
Size: 0.5 mg Estradiol/100 mg Progesterone 30 Count
Manufacturer: Mayne Pharma
NDC#: 68308-0751-30
Code*: J8499
RNINo
340BNo
Product: Cetaphil® Gentle Exfoliating SA Cleanser 2
Prescribing Information
Size: 8 oz Pump Bottle
Manufacturer: Galderma
NDC#: 00299-0530-16
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Gentle Exfoliating SA Cleanser 2
Prescribing Information
Size: 8 oz Pump Bottle
Manufacturer: Galderma
NDC#: 00299-0530-15
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Gentle Exfoliating SA Cleanser 2
Prescribing Information
Size: 16 oz Pump Bottle
Manufacturer: Galderma
NDC#: 00299-0530-18
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Gentle Exfoliating SA Cleanser 2
Prescribing Information
Size: 10 oz Pump Bottle
Manufacturer: Galderma
NDC#: 00299-0114-10
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Gentle Cleansing Bar 2
Prescribing Information
Size: 4.5 oz Pack of 3
Manufacturer: Galderma
NDC#: 00299-3923-61
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Deep Cleansing Bar 2
Prescribing Information
Size: 4.5 oz Pack of 3
Manufacturer: Galderma
NDC#: 00299-3923-57
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Healing Ointment 2
Prescribing Information
Size: 12 oz Container
Manufacturer: Galderma
NDC#: 00299-4116-10
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Redness Relieving Daily Facial Moisturizer Lotion With SPF 40 2
Prescribing Information
Size: 1.7 oz Bottle
Manufacturer: Galderma
NDC#: 00299-5889-00
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Daily Facial Cleanser 2
Prescribing Information
Size: 8 oz Bottle
Manufacturer: Galderma
NDC#: 00299-3927-35
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Daily Facial Moisturizer With SPF 15 2
Prescribing Information
Size: 4 oz Bottle
Manufacturer: Galderma
NDC#: 00299-3928-04
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Daily Facial Moisturizer With SPF 50 2
Prescribing Information
Size: 1.7 oz Bottle
Manufacturer: Galderma
NDC#: 00299-3930-02
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Oil-Free Facial Moisturizer With Sunscreen SPF 35 2
Prescribing Information
Size: 3 oz Bottle
Manufacturer: Galderma
NDC#: 00299-4113-00
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Gentle Skin Cleanser 2
Prescribing Information
Size: 8 oz Bottle
Manufacturer: Galderma
NDC#: 00299-0110-26
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Moisturizing Cream (Body Lotion / Hand Cream) 2
Prescribing Information
Size: 8.8 oz Container
Manufacturer: Galderma
NDC#: 00299-3917-54
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Moisturizing Lotion (Body Lotion / Hand Cream) 2
Prescribing Information
Size: 8 oz Bottle
Manufacturer: Galderma
NDC#: 00299-0241-37
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Gentle Skin Cleansing Cloths 2
Prescribing Information
Size: 10 Count
Manufacturer: Galderma
NDC#: 00299-3934-57
Code*: TBD
RNITBD
340BNo
Product: Cetaphil® Restoraderm Soothing Wash 2
Prescribing Information
Size: 10 oz Bottle
Manufacturer: Galderma
NDC#: 00299-0210-10
Code*: TBD
RNITBD
340BNo
Product: Cupric Chloride Injection
Prescribing Information
Size: 4 mg 10 mL
Manufacturer: Exela Pharma Sciences
NDC#: 51754-0103-04
Code*: J3490
RNINo
340BYes
Product: Differin® Cleanse Daily Deep Cleanser (Benzoyl Peroxide 5%) 2
Prescribing Information
Size: 4 oz Tube
Manufacturer: Galderma
NDC#: 00299-4606-00
Code*: TBD
RNITBD
340BYes
Product: Differin® Gel 0.1% (Adapalene) 2
Prescribing Information
Size: 15 gm Pump Bottle
Manufacturer: Galderma
NDC#: 00299-4910-10
Code*: TBD
RNITBD
340BYes
Product: Differin® Gel 0.1% (Adapalene) 2
Prescribing Information
Size: 45 gm Pump Bottle
Manufacturer: Galderma
NDC#: 00299-4910-40
Code*: TBD
RNITBD
340BYes
Product: Differin® Gel 0.1% (Adapalene) 2
Prescribing Information
Size: 15 gm Tube
Manufacturer: Galderma
NDC#: 00299-4910-15
Code*: TBD
RNITBD
340BYes
Product: Differin® Gel 0.1% (Adapalene) 2
Prescribing Information
Size: 45 gm Tube
Manufacturer: Galderma
NDC#: 00299-4910-45
Code*: TBD
RNITBD
340BYes
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 50 mcg 1 mL Single-dose Vial 25 Count
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6247-25
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 100 mcg 2 mL Single-dose Vial 25 Count
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6027-25
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 250 mcg 5 mL Single-dose Vial 25 Count
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6028-25
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 1,000 mcg 20 mL Single-dose Vial
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6029-01
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 2,500 mcg 50 mL Single-dose Vial
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6030-01
Code*: J3010
RNINo
340BTBD
Product: Fluad® Trivalent
Prescribing Information
Size: 0.5 mL Single-dose Syringe Carton of 10
Manufacturer: CSL Seqirus
NDC#: 70461-0024-03
Code*: 90694
RNINo
340BNo
Product: FLUARIX® Trivalent
Prescribing Information
Size: 0.5 mL Single-dose Disposable TIP-LOK Syringe Box of 10
Manufacturer: GSK
NDC#: 58160-0884-52
Code*: 90686
RNINo
340BNo
Product: Flublok® Trivalent
Prescribing Information
Size: 0.5 mL Single-dose Pre-Filled Syringe Carton of 10
Manufacturer: Sanofi
NDC#: 49281-0724-10
Code*: 90682
RNINo
340BNo
Product: Flucelvax® Trivalent
Prescribing Information
Size: 0.5 mL Pre-Filled Syringe Carton of 10
Manufacturer: CSL Seqirus
NDC#: 70461-0654-03
Code*: 90674
RNINo
340BNo
Product: Flucelvax® Trivalent
Prescribing Information
Size: 5 mL Multi-Dose Vial Carton of 10
Manufacturer: CSL Seqirus
NDC#: 70461-0554-10
Code*: 90756
RNINo
340BNo
Product: FLULAVAL® Trivalent
Prescribing Information
Size: 0.5 mL Single-dose TIP-LOK Syringe Box of 10
Manufacturer: GSK
NDC#: 19515-0810-52
Code*: 90686
RNINo
340BNo
Product: FluMist® Trivalent
Prescribing Information
Size: 0.2 mL Single-dose Intranasal Spray Carton of 10
Manufacturer: AstraZeneca
NDC#: 66019-0311-10
Code*: 90672
RNINo
340BNo
Product: Fluzone® Trivalent High-Dose
Prescribing Information
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 High-Dose
Prescribing Information
Size: 5 mL Multi-dose Vial (10 Doses/Vial)
Manufacturer: Sanofi
NDC#: 49281-0641-15
Code*: 90688
RNINo
340BNo
Product: Fluzone® Trivalent High-Dose
Prescribing Information
Size: 0.5 mL Pre-Filled Syringe Without Needle Package of 10
Manufacturer: Sanofi
NDC#: 49281-0124-65
Code*: 90662
RNINo
340BNo
Product: Fulphila® Injection
Prescribing Information
Size: 6 mg/0.6 mL Pre-filled Syringe
Manufacturer: Biocon
NDC#: 83257-0005-41
Code*: Q5108
RNINo
340BTBD
Product: HEMLIBRA®
Prescribing Information
Size: 12 mg 0.4 mL (30 mg/mL) Single-dose Vial
Manufacturer: Genentech
NDC#: 50242-0927-01
Code*: J3590
RNINo
340BYes
Product: Heparin Sodium
Prescribing Information
Size: 1,000/mL 1 mL Single Dose Vial - Box of 25
Manufacturer: Meitheal
NDC#: 71288-0419-96
Code*: J1644
RNINo
340BTBD
Product: Heparin Sodium
Prescribing Information
Size: 10,000/mL 10 mL Single Dose Vial - Box of 25
Manufacturer: Meitheal
NDC#: 71288-0420-96
Code*: J1644
RNINo
340BTBD
Product: HIBERIX
Prescribing Information
Size: 0.5 mL Single-dose Vial & prefilled TIP-LOK Syringe Carton of 10
Manufacturer: GSK
NDC#: 58160-0726-15
Code*: 90648
RNINo
340BNo
Product: Indocin® Suppositories
Prescribing Information
Size: 50 mg - Box of 30
Manufacturer: Assertio
NDC#: 69344-0102-33
Code*: J3490
RNINo
340BNo
Product: Isotretinoin (Accutane)
Prescribing Information
Size: 10 mg Capsules Box of 30
Manufacturer: Mayne Pharma
NDC#: 68308-0781-30
Code*: J8499
RNINo
340BNo
Product: Isotretinoin (Accutane)
Prescribing Information
Size: 20 mg Capsules Box of 30
Manufacturer: Mayne Pharma
NDC#: 68308-0782-30
Code*: J8499
RNINo
340BNo
Product: Isotretinoin (Accutane)
Prescribing Information
Size: 30 mg Capsules Box of 30
Manufacturer: Mayne Pharma
NDC#: 68308-0783-30
Code*: J8499
RNINo
340BNo
Product: Isotretinoin (Accutane)
Prescribing Information
Size: 40 mg Capsules Box of 30
Manufacturer: Mayne Pharma
NDC#: 68308-0784-30
Code*: J8499
RNINo
340BNo
Product: Ivermectin Cream 1%
Prescribing Information
Size: 45 gm Tube
Manufacturer: Mayne Pharma
NDC#: 68308-0701-45
Code*: TBD
RNINo
340BNo
Product: IXCHIQ®
Prescribing Information
Size: 0.5 mL Single-dose Vial Prefilled Syringe Sterile Water Diluent (Without Needles)
Manufacturer: Valneva
NDC#: 42515-0003-01
Code*: 90589
RNINo
340BNo
Product: JYNNEOS®
Prescribing Information
Size: 0.5 mL Single-dose Vial Package of 10
Manufacturer: Bavarian Nordic
NDC#: 50632-0001-03
Code*: 90611
RNINo
340BYes
Product: Ketamine Hydrochloride Injection 1
Prescribing Information
Size: 500 mg 5 mL (100 mg/mL) Multiple-dose Vial 10 Pack
Manufacturer: Hikma Pharmaceuticals
NDC#: 00413-9509-10
Code*: TBD
RNINo
340BTBD
Product: Ketamine Hydrochloride Injection 1
Prescribing Information
Size: 500 mg 10 mL (100 mg/mL) Multiple-dose Vial 10 Pack
Manufacturer: Hikma Pharmaceuticals
NDC#: 00413-9508-10
Code*: TBD
RNINo
340BTBD
Product: mRESVIA®
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled Plastic Syringes Box of 10
Manufacturer: Moderna
NDC#: 80777-0345-96
Code*: 90683
RNINo
340BTBD
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
Prescribing Information
Size: 0.5 mL Pre-filled Syringe Box of 10
Manufacturer: Novavax, Inc.
NDC#: 99999-9999-99
Code*: TBD
RNINo
340BNo
Product: PAXLOVID™
Prescribing Information
Size: 150 mg Nirmatrelvir, 100 mg Ritonavir 20 Tablets in 10 Blister Cards
Manufacturer: Pfizer
NDC#: 00069-5317-20
Code*: J8499
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: PAXLOVID™
Prescribing Information
Size: 300 mg Nirmatrelvir, 100 mg Ritonavir 30 Tablets in 10 Blister Cards
Manufacturer: Pfizer
NDC#: 00069-5321-30
Code*: J8499
RNINo
340BTBD
Product: Potassium Acetate Injection, USP 1
Prescribing Information
Size: 100 mL Molded Clear Glass Vial Carton 25
Manufacturer: Exela Pharma Sciences
NDC#: 51754-2004-04
Code*: J3490
RNINo
340BYes
Product: RabAvert®
Prescribing Information
Size: 2.5 IU/mL Freeze-dried Pre-filled Syringe Single-dose Kit
Manufacturer: Bavarian Nordic
NDC#: 50632-0010-01
Code*: 90675
RNINo
340BYes
Product: Vecuronium Bromide for Injection
Prescribing Information
Size: 10 mg/10 mL Vial Carton of 10
Manufacturer: Fresenius Kabi
NDC#: 63323-0781-10
Code*: J3490
RNINo
340BNo
Product: Vecuronium Bromide for Injection ProRx®
Prescribing Information
Size: 10 mg/10 mL Vial Carton of 10
Manufacturer: Fresenius Kabi
NDC#: 63323-0781-44
Code*: J3490
RNINo
340BNo
Product: VIBATIV®
Prescribing Information
Size: 750 mg Single-dose Vials Pack of 4
Manufacturer: Cumberland Pharmaceuticals
NDC#: 66220-0315-44
Code*: J3095
RNINo
340BTBD
Product: Vivotif®
Prescribing Information
Size: Capsule Blister Pack of 4
Manufacturer: Bavarian Nordic
NDC#: 69401-0000-02
Code*: 90690
RNINo
340BYes
Product: WYNZORA® (Calcipotriene and Betamethasone Dipropionate)
Prescribing Information
Size: 0.005%/0.064% Cream 60 gm Tube
Manufacturer: Mayne Pharma
NDC#: 73499-0001-01
Code*: J3490
RNINo
340BNo
Product: Zemaira®
Prescribing Information
Size: 1000 mg 20 mL Single Dose Vial Mix2Vial®
Manufacturer: CSL Behring
NDC#: 00053-7201-02
Code*: J0256
RNINo
340BYes
Product: Zemaira®
Prescribing Information
Size: 4000 mg 76 mL Single Dose Vial Mix2Vial®
Manufacturer: CSL Behring
NDC#: 00053-7202-02
Code*: J0256
RNINo
340BYes
Product: Zemaira®
Prescribing Information
Size: 5,000 mg 95 mL Single Dose Vial Mix2Vial®
Manufacturer: CSL Behring
NDC#: 00053-7203-02
Code*: J0256
RNINo
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
* 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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