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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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