NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC078049471 Tobramycin Nebu Soln 300 MG/5ML TOBI Aminoglycosides
53905006504 Tobramycin Nebu Soln 300 MG/5ML TOBI Aminoglycosides
781717156 Tobramycin Nebu Soln 300 MG/5ML TOBRAMYCIN Aminoglycosides
53905006501 Tobramycin Nebu Soln 300 MG/5ML TOBI Aminoglycosides
093408563 Tobramycin Nebu Soln 300 MG/5ML TOBRAMYCIN Aminoglycosides
078049461 Tobramycin Nebu Soln 300 MG/5ML TOBI Aminoglycosides
42794000308 Adefovir Dipivoxil Tab 10 MG ADEFOVIR DIPIVOXIL Hepatitis Agents
54569560400 Adefovir Dipivoxil Tab 10 MG HEPSERA Hepatitis Agents
61958050101 Adefovir Dipivoxil Tab 10 MG HEPSERA Hepatitis Agents
003161113 Entecavir Tab 0.5 MG BARACLUDE Hepatitis Agents
003161112 Entecavir Tab 0.5 MG BARACLUDE Hepatitis Agents
003161412 Entecavir Oral Soln 0.05 MG/ML BARACLUDE Hepatitis Agents
085031402 Boceprevir Cap 200 MG VICTRELIS Hepatitis Agents
66435020199 Interferon alfacon‐1 Inj 9 MCG/0.3ML INFERGEN Hepatitis Agents
64116003924 Interferon alfacon‐1 Inj 9 MCG/0.3ML INFERGEN Hepatitis Agents
187200706 Interferon alfacon‐1 Inj 9 MCG/0.3ML INFERGEN Hepatitis Agents
187200702 Interferon alfacon‐1 Inj 9 MCG/0.3ML INFERGEN Hepatitis Agents
66435020195 Interferon alfacon‐1 Inj 9 MCG/0.3ML INFERGEN Hepatitis Agents
64116003901 Interferon alfacon‐1 Inj 9 MCG/0.3ML INFERGEN Hepatitis Agents
66435020295 Interferon alfacon‐1 Inj 9 MCG/0.3ML INFERGEN Hepatitis Agents
66435020209 Interferon alfacon‐1 Inj 9 MCG/0.3ML INFERGEN Hepatitis Agents
64116003906 Interferon alfacon‐1 Inj 9 MCG/0.3ML INFERGEN Hepatitis Agents
187200601 Interferon alfacon‐1 Inj 15 MCG/0.5ML INFERGEN Hepatitis Agents
187200605 Interferon alfacon‐1 Inj 15 MCG/0.5ML INFERGEN Hepatitis Agents
66435020196 Interferon alfacon‐1 Inj 15 MCG/0.5ML INFERGEN Hepatitis Agents
64116003106 Interferon alfacon‐1 Inj 15 MCG/0.5ML INFERGEN Hepatitis Agents
64116003101 Interferon alfacon‐1 Inj 15 MCG/0.5ML INFERGEN Hepatitis Agents
66435020115 Interferon alfacon‐1 Inj 15 MCG/0.5ML INFERGEN Hepatitis Agents
64116003124 Interferon alfacon‐1 Inj 15 MCG/0.5ML INFERGEN Hepatitis Agents
54868488700 Peginterferon alfa‐2a Inj 180 MCG/ML PEGASYS Hepatitis Agents
004035009 Peginterferon alfa‐2a Inj 180 MCG/ML PEGASYS Hepatitis Agents
004036030 Peginterferon alfa‐2a Inj 135 MCG/0.5ML PEGASYS PROCLICK Hepatitis Agents
004036530 Peginterferon alfa‐2a Inj 180 MCG/0.5ML PEGASYS PROCLICK Hepatitis Agents
004035730 Peginterferon alfa‐2a Inj 180 MCG/0.5ML PEGASYS Hepatitis Agents
004035239 Peginterferon alfa‐2a Inj Kit 180 MCG/0.5ML PEGASYS Hepatitis Agents
085132302 Peginterferon alfa‐2b For Inj Kit 50 MCG/0.5ML PEG‐INTRON REDIPEN PAK 4 Hepatitis Agents
085132301 Peginterferon alfa‐2b For Inj Kit 50 MCG/0.5ML PEG‐INTRON REDIPEN Hepatitis Agents
085136801 Peginterferon alfa‐2b For Inj Kit 50 MCG/0.5ML PEG‐INTRON Hepatitis Agents
085131602 Peginterferon alfa‐2b For Inj Kit 80 MCG/0.5ML PEG‐INTRON REDIPEN PAK 4 Hepatitis Agents
085129101 Peginterferon alfa‐2b For Inj Kit 80 MCG/0.5ML PEG‐INTRON Hepatitis Agents
085131601 Peginterferon alfa‐2b For Inj Kit 80 MCG/0.5ML PEG‐INTRON REDIPEN Hepatitis Agents
085130401 Peginterferon alfa‐2b For Inj Kit 120 MCG/0.5ML PEG‐INTRON Hepatitis Agents
085129701 Peginterferon alfa‐2b For Inj Kit 120 MCG/0.5ML PEG‐INTRON REDIPEN Hepatitis Agents
085129702 Peginterferon alfa‐2b For Inj Kit 120 MCG/0.5ML PEG‐INTRON REDIPEN PAK 4 Hepatitis Agents
085137001 Peginterferon alfa‐2b For Inj Kit 150 MCG/0.5ML PEG‐INTRON REDIPEN Hepatitis Agents
085137002 Peginterferon alfa‐2b For Inj Kit 150 MCG/0.5ML PEG‐INTRON REDIPEN PAK 4 Hepatitis Agents
54868503601 Peginterferon alfa‐2b For Inj Kit 150 MCG/0.5ML PEG‐INTRON REDIPEN Hepatitis Agents
085127901 Peginterferon alfa‐2b For Inj Kit 150 MCG/0.5ML PEG‐INTRON Hepatitis Agents
54868503600 Peginterferon alfa‐2b For Inj Kit 150 MCG/0.5ML PEG‐INTRON REDIPEN Hepatitis Agents
65862029018 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
093722758 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
66435010118 Ribavirin Cap 200 MG RIBASPHERE Hepatitis Agents
42291071856 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
54868452101 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
23490014105 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
49884085656 Ribavirin Cap 200 MG RIBASPHERE Hepatitis Agents
68382026009 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
68382026028 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
54738095356 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
66435010156 Ribavirin Cap 200 MG RIBASPHERE Hepatitis Agents
406226042 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
085132704 Ribavirin Cap 200 MG REBETOL Hepatitis Agents
54738095342 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
54738095370 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
59930152301 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
68084017965 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
54868452100 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
406226056 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
59930152303 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
42291071884 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
406226084 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
085119403 Ribavirin Cap 200 MG REBETOL Hepatitis Agents
66435010184 Ribavirin Cap 200 MG RIBASPHERE Hepatitis Agents
093722777 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
49884085692 Ribavirin Cap 200 MG RIBASPHERE Hepatitis Agents
781204316 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
66435010142 Ribavirin Cap 200 MG RIBASPHERE Hepatitis Agents
49884085693 Ribavirin Cap 200 MG RIBASPHERE Hepatitis Agents
54868452103 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
093722763 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
68084017911 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
68382026010 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
781204342 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
42291071870 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
781204367 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
1
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC54868452102 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
085135105 Ribavirin Cap 200 MG REBETOL Hepatitis Agents
68382026004 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
59930152304 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
65862029070 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
68382026012 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
54868503500 Ribavirin Cap 200 MG REBETOL Hepatitis Agents
085138507 Ribavirin Cap 200 MG REBETOL Hepatitis Agents
54738095318 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
59930152302 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
54738095384 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
66435010170 Ribavirin Cap 200 MG RIBASPHERE Hepatitis Agents
49884085694 Ribavirin Cap 200 MG RIBASPHERE Hepatitis Agents
68382026007 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
781204304 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
65862029042 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
65862029084 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
42291071818 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
65862029056 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
406226070 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
093722772 Ribavirin Cap 200 MG RIBAVIRIN Hepatitis Agents
49884004532 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
65862020768 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
54868488800 Ribavirin Tab 200 MG COPEGUS Hepatitis Agents
66435010216 Ribavirin Tab 200 MG RIBASPHERE Hepatitis Agents
68084015065 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
68382004628 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
68382004610 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
406204616 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
004008694 Ribavirin Tab 200 MG COPEGUS Hepatitis Agents
093723281 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
68382004603 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
54738095016 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
68084015011 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
074319716 Ribavirin Tab 200 MG MODERIBA Hepatitis Agents
781517728 Ribavirin Tab 200 MG RIBAVIRIN Hepatitis Agents
074323956 Ribavirin Tab 400 MG MODERIBA 800 DOSE PACK Hepatitis Agents
66435010356 Ribavirin Tab 400 MG RIBASPHERE Hepatitis Agents
16241006956 Ribavirin Tab 400 MG RIBATAB Hepatitis Agents
54738095156 Ribavirin Tab 400 MG RIBAVIRIN Hepatitis Agents
68382012707 Ribavirin Tab 400 MG !Unknown! Hepatitis Agents
16241006976 Ribavirin Tab 400 MG RIBATAB Hepatitis Agents
49884033876 Ribavirin Tab 400 MG RIBAPAK Hepatitis Agents
66435010556 Ribavirin Tab 400 MG RIBASPHERE RIBAPAK Hepatitis Agents
66435010599 Ribavirin Tab 400 MG RIBASPHERE RIBAPAK Hepatitis Agents
66435010456 Ribavirin Tab 600 MG RIBASPHERE Hepatitis Agents
16241007056 Ribavirin Tab 600 MG RIBATAB Hepatitis Agents
16241007076 Ribavirin Tab 600 MG RIBATAB Hepatitis Agents
54738095256 Ribavirin Tab 600 MG RIBAVIRIN Hepatitis Agents
66435010756 Ribavirin Tab 600 MG RIBASPHERE RIBAPAK Hepatitis Agents
68382012907 Ribavirin Tab 600 MG !Unknown! Hepatitis Agents
074328256 Ribavirin Tab 600 MG MODERIBA 1200 DOSE PACK Hepatitis Agents
49884034076 Ribavirin Tab 600 MG RIBAPAK Hepatitis Agents
66435010799 Ribavirin Tab 600 MG RIBASPHERE RIBAPAK Hepatitis Agents
085131801 Ribavirin Soln 40 MG/ML REBETOL Hepatitis Agents
66435010899 Ribavirin Tab 200 MG & Ribavirin Tab 400 MG Dose Pack RIBASPHERE RIBAPAK Hepatitis Agents
66435010856 Ribavirin Tab 200 MG & Ribavirin Tab 400 MG Dose Pack RIBASPHERE RIBAPAK Hepatitis Agents
074322456 Ribavirin Tab 200 MG & Ribavirin Tab 400 MG Dose Pack MODERIBA Hepatitis Agents
16241033776 Ribavirin Tab 400 MG & Ribavirin Tab 600 MG Dose Pack RIBATAB Hepatitis Agents
074327156 Ribavirin Tab 400 MG & Ribavirin Tab 600 MG Dose Pack MODERIBA Hepatitis Agents
49884007176 Ribavirin Tab 400 MG & Ribavirin Tab 600 MG Dose Pack RIBAPAK Hepatitis Agents
66435010656 Ribavirin Tab 400 MG & Ribavirin Tab 600 MG Dose Pack RIBASPHERE RIBAPAK Hepatitis Agents
66435010699 Ribavirin Tab 400 MG & Ribavirin Tab 600 MG Dose Pack RIBASPHERE RIBAPAK Hepatitis Agents
59676022528 Simeprevir Sodium Cap 150 MG (Base Equivalent) OLYSIO Hepatitis Agents
61958150101 Sofosbuvir Tab 400 MG SOVALDI Hepatitis Agents
51167010003 Telaprevir Tab 375 MG INCIVEK Hepatitis Agents
51167010001 Telaprevir Tab 375 MG INCIVEK Hepatitis Agents
61958090101 Aztreonam Lysine For Inhal Soln 75 MG (Base Equivalent) CAYSTON Anti‐infective Agents ‐ Misc.
006384571 Ertapenem Sodium For IV Inj 1 GM (Base Equivalent) INVANZ Carbapenems
60574310101 Cytomegalovirus Immune Globulin (Human) IV Inj CYTOGAM Immune Serums
44206310101 Cytomegalovirus Immune Globulin (Human) IV Inj CYTOGAM Immune Serums
44206310110 Cytomegalovirus Immune Globulin (Human) IV Inj !Unknown! Immune Serums
44206053211 Cytomegalovirus Immune Globulin (Human) IV Inj CYTOGAM Immune Serums
13533063603 Hepatitis B Immune Globulin (Human) IM Inj Soln HYPERHEP B S/D Immune Serums
49999042505 Hepatitis B Immune Globulin (Human) IM Inj Soln NABI‐HB Immune Serums
59730420501 Hepatitis B Immune Globulin (Human) IM Inj Soln NOVAPLUS NABI‐HB Immune Serums
13533063605 Hepatitis B Immune Globulin (Human) IM Inj Soln HYPERHEP B S/D Immune Serums
13533063650 Hepatitis B Immune Globulin (Human) IM Inj Soln HYPERHEP B S/D Immune Serums
13533063601 Hepatitis B Immune Globulin (Human) IM Inj Soln HYPERHEP B S/D Immune Serums
13533063602 Hepatitis B Immune Globulin (Human) IM Inj Soln HYPERHEP B S/D Immune Serums
13533063610 Hepatitis B Immune Globulin (Human) IM Inj Soln HYPERHEP B S/D Immune Serums
59730420301 Hepatitis B Immune Globulin (Human) IM Inj Soln NABI‐HB Immune Serums
59730420401 Hepatitis B Immune Globulin (Human) IM Inj Soln NOVAPLUS NABI‐HB Immune Serums
13533063630 Hepatitis B Immune Globulin (Human) IM Inj Soln HYPERHEP B S/D Immune Serums
13533063620 Hepatitis B Immune Globulin (Human) IM Inj Soln HYPERHEP B S/D Immune Serums
2
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC59730420201 Hepatitis B Immune Globulin (Human) IM Inj Soln NABI‐HB Immune Serums
54569473900 Hepatitis B Immune Globulin (Human) IM Inj Soln NABI‐HB Immune Serums
60492005101 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
53270005301 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
53270005401 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
60492005202 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
60505607300 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
60505607100 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
60492005201 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
53270005201 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
60492005102 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
53270005101 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
60505607200 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
60505607400 Hepatitis B Immune Globulin (Human) Inj Soln HEPAGAM B Immune Serums
54569582800 Immune Globulin (Human) Inj GAMASTAN S/D Immune Serums
13533063513 Immune Globulin (Human) Inj GAMASTAN S/D Immune Serums
52769057622 Immune Globulin (Human) Inj IMMUNE GLOBULIN Immune Serums
13533063512 Immune Globulin (Human) Inj GAMASTAN S/D Immune Serums
13533063504 Immune Globulin (Human) Inj GAMASTAN S/D Immune Serums
13533063503 Immune Globulin (Human) Inj GAMASTAN S/D Immune Serums
13533063540 Immune Globulin (Human) Inj GAMASTAN S/D Immune Serums
14362011502 Immune Globulin (Human) Inj IMMUNE GLOBULIN Immune Serums
61953000301 Immune Globulin (Human) IV Soln 0.5 GM/10ML FLEBOGAMMA Immune Serums
61953000406 Immune Globulin (Human) IV Soln 0.5 GM/10ML FLEBOGAMMA DIF Immune Serums
61953000401 Immune Globulin (Human) IV Soln 0.5 GM/10ML FLEBOGAMMA DIF Immune Serums
68209084301 Immune Globulin (Human) IV Soln 1 GM/20ML OCTAGAM Immune Serums
67467084301 Immune Globulin (Human) IV Soln 1 GM/20ML OCTAGAM Immune Serums
61953000407 Immune Globulin (Human) IV Soln 2.5 GM/50ML FLEBOGAMMA DIF Immune Serums
64208823401 Immune Globulin (Human) IV Soln 2.5 GM/50ML GAMMAPLEX Immune Serums
64208823405 Immune Globulin (Human) IV Soln 2.5 GM/50ML GAMMAPLEX Immune Serums
61953000302 Immune Globulin (Human) IV Soln 2.5 GM/50ML FLEBOGAMMA Immune Serums
61953000402 Immune Globulin (Human) IV Soln 2.5 GM/50ML FLEBOGAMMA DIF Immune Serums
67467084302 Immune Globulin (Human) IV Soln 2.5 GM/50ML OCTAGAM Immune Serums
68209084302 Immune Globulin (Human) IV Soln 2.5 GM/50ML OCTAGAM Immune Serums
67467084303 Immune Globulin (Human) IV Soln 5 GM/100ML OCTAGAM Immune Serums
61953000408 Immune Globulin (Human) IV Soln 5 GM/100ML FLEBOGAMMA DIF Immune Serums
64208823402 Immune Globulin (Human) IV Soln 5 GM/100ML GAMMAPLEX Immune Serums
68209084303 Immune Globulin (Human) IV Soln 5 GM/100ML OCTAGAM Immune Serums
61953000403 Immune Globulin (Human) IV Soln 5 GM/100ML FLEBOGAMMA DIF Immune Serums
64208823406 Immune Globulin (Human) IV Soln 5 GM/100ML GAMMAPLEX Immune Serums
61953000303 Immune Globulin (Human) IV Soln 5 GM/100ML FLEBOGAMMA Immune Serums
61953000304 Immune Globulin (Human) IV Soln 10 GM/200ML FLEBOGAMMA Immune Serums
67467084304 Immune Globulin (Human) IV Soln 10 GM/200ML OCTAGAM Immune Serums
61953000409 Immune Globulin (Human) IV Soln 10 GM/200ML FLEBOGAMMA DIF Immune Serums
64208823403 Immune Globulin (Human) IV Soln 10 GM/200ML GAMMAPLEX Immune Serums
68209084304 Immune Globulin (Human) IV Soln 10 GM/200ML OCTAGAM Immune Serums
64208823407 Immune Globulin (Human) IV Soln 10 GM/200ML GAMMAPLEX Immune Serums
61953000404 Immune Globulin (Human) IV Soln 10 GM/200ML FLEBOGAMMA DIF Immune Serums
64208823408 Immune Globulin (Human) IV Soln 20 GM/400ML GAMMAPLEX Immune Serums
61953000405 Immune Globulin (Human) IV Soln 20 GM/400ML FLEBOGAMMA DIF Immune Serums
61953000400 Immune Globulin (Human) IV Soln 20 GM/400ML FLEBOGAMMA DIF Immune Serums
64208823404 Immune Globulin (Human) IV Soln 20 GM/400ML GAMMAPLEX Immune Serums
67467084305 Immune Globulin (Human) IV Soln 25 GM/500ML OCTAGAM Immune Serums
13533064512 Immune Globulin (Human) IV Soln 1 GM/10ML GAMUNEX Immune Serums
13533064515 Immune Globulin (Human) IV Soln 2.5 GM/25ML GAMUNEX Immune Serums
61953000501 Immune Globulin (Human) IV Soln 5 GM/50ML FLEBOGAMMA DIF Immune Serums
44206043605 Immune Globulin (Human) IV Soln 5 GM/50ML PRIVIGEN Immune Serums
13533064520 Immune Globulin (Human) IV Soln 5 GM/50ML GAMUNEX Immune Serums
61953000504 Immune Globulin (Human) IV Soln 5 GM/50ML FLEBOGAMMA DIF Immune Serums
59730650201 Immune Globulin (Human) IV Soln 5 GM/50ML BIVIGAM Immune Serums
68516162201 Immune Globulin (Human) IV Soln 5 GM/50ML VENOGLOBULIN‐S Immune Serums
44206043710 Immune Globulin (Human) IV Soln 10 GM/100ML PRIVIGEN Immune Serums
61953000505 Immune Globulin (Human) IV Soln 10 GM/100ML FLEBOGAMMA DIF Immune Serums
68516162301 Immune Globulin (Human) IV Soln 10 GM/100ML VENOGLOBULIN‐S Immune Serums
59730650301 Immune Globulin (Human) IV Soln 10 GM/100ML BIVIGAM Immune Serums
61953000502 Immune Globulin (Human) IV Soln 10 GM/100ML FLEBOGAMMA DIF Immune Serums
13533064571 Immune Globulin (Human) IV Soln 10 GM/100ML GAMUNEX Immune Serums
13533064524 Immune Globulin (Human) IV Soln 20 GM/200ML GAMUNEX Immune Serums
61953000503 Immune Globulin (Human) IV Soln 20 GM/200ML FLEBOGAMMA DIF Immune Serums
61953000506 Immune Globulin (Human) IV Soln 20 GM/200ML FLEBOGAMMA DIF Immune Serums
68516162401 Immune Globulin (Human) IV Soln 20 GM/200ML VENOGLOBULIN‐S Immune Serums
44206043820 Immune Globulin (Human) IV Soln 20 GM/200ML PRIVIGEN Immune Serums
44206043940 Immune Globulin (Human) IV Soln 40 GM/400ML PRIVIGEN Immune Serums
944262001 Immune Globulin (Human) IV For Soln 0.5 GM GAMMAGARD S/D Immune Serums
944047169 Immune Globulin (Human) IV For Soln 0.5 GM POLYGAM S/D Immune Serums
944262002 Immune Globulin (Human) IV For Soln 2.5 GM GAMMAGARD S/D Immune Serums
053748602 Immune Globulin (Human) IV For Soln 2.5 GM !Unknown! Immune Serums
944047172 Immune Globulin (Human) IV For Soln 2.5 GM POLYGAM S/D Immune Serums
52769047172 Immune Globulin (Human) IV For Soln 2.5 GM POLYGAM S/D Immune Serums
52769027073 Immune Globulin (Human) IV For Soln 3 GM PANGLOBULIN Immune Serums
44206041603 Immune Globulin (Human) IV For Soln 3 GM CARIMUNE NANOFILTERED Immune Serums
64193025050 Immune Globulin (Human) IV For Soln 5 GM IVEEGAM EN Immune Serums
944047175 Immune Globulin (Human) IV For Soln 5 GM POLYGAM S/D Immune Serums
944265503 Immune Globulin (Human) IV For Soln 5 GM GAMMAGARD S/D IGA LESS TH Immune Serums
944265603 Immune Globulin (Human) IV For Soln 5 GM GAMMAGARD S/D IGA LESS TH Immune Serums
3
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC053748605 Immune Globulin (Human) IV For Soln 5 GM GAMMAR‐P I.V. Immune Serums
944262003 Immune Globulin (Human) IV For Soln 5 GM GAMMAGARD S/D Immune Serums
44206041706 Immune Globulin (Human) IV For Soln 6 GM CARIMUNE NANOFILTERED Immune Serums
52769041706 Immune Globulin (Human) IV For Soln 6 GM PANGLOBULIN NF Immune Serums
52769026866 Immune Globulin (Human) IV For Soln 6 GM PANGLOBULIN Immune Serums
944047180 Immune Globulin (Human) IV For Soln 10 GM POLYGAM S/D Immune Serums
52769047180 Immune Globulin (Human) IV For Soln 10 GM POLYGAM S/D Immune Serums
053748610 Immune Globulin (Human) IV For Soln 10 GM GAMMAR‐P I.V. Immune Serums
944265504 Immune Globulin (Human) IV For Soln 10 GM GAMMAGARD S/D IGA LESS TH Immune Serums
944262004 Immune Globulin (Human) IV For Soln 10 GM GAMMAGARD S/D Immune Serums
944265804 Immune Globulin (Human) IV For Soln 10 GM GAMMAGARD S/D IGA LESS TH Immune Serums
44206041812 Immune Globulin (Human) IV For Soln 12 GM CARIMUNE NANOFILTERED Immune Serums
52769041812 Immune Globulin (Human) IV For Soln 12 GM PANGLOBULIN NF Immune Serums
52769026972 Immune Globulin (Human) IV For Soln 12 GM PANGLOBULIN Immune Serums
053759610 Immune Globulin (Human) Subcutaneous Inj 160 MG/ML (16%) VIVAGLOBIN Immune Serums
053759615 Immune Globulin (Human) Subcutaneous Inj 160 MG/ML (16%) VIVAGLOBIN Immune Serums
053759603 Immune Globulin (Human) Subcutaneous Inj 160 MG/ML (16%) VIVAGLOBIN Immune Serums
053759601 Immune Globulin (Human) Subcutaneous Inj 160 MG/ML (16%) VIVAGLOBIN Immune Serums
053759620 Immune Globulin (Human) Subcutaneous Inj 160 MG/ML (16%) VIVAGLOBIN Immune Serums
053759625 Immune Globulin (Human) Subcutaneous Inj 160 MG/ML (16%) VIVAGLOBIN Immune Serums
44206045101 Immune Globulin (Human) Subcutaneous Inj 1 GM/5ML HIZENTRA Immune Serums
44206045202 Immune Globulin (Human) Subcutaneous Inj 2 GM/10ML HIZENTRA Immune Serums
44206045404 Immune Globulin (Human) Subcutaneous Inj 4 GM/20ML HIZENTRA Immune Serums
44206045510 Immune Globulin (Human) Subcutaneous Inj 10 GM/50ML HIZENTRA Immune Serums
944270002 Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML GAMMAGARD LIQUID Immune Serums
76125090001 Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML GAMMAKED Immune Serums
13533080012 Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML GAMUNEX‐C Immune Serums
13533080013 Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML GAMUNEX‐C Immune Serums
76125090025 Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML GAMMAKED Immune Serums
944270003 Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML GAMMAGARD LIQUID Immune Serums
13533080016 Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML GAMUNEX‐C Immune Serums
13533080015 Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML GAMUNEX‐C Immune Serums
76125090050 Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML GAMMAKED Immune Serums
13533080021 Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML GAMUNEX‐C Immune Serums
944270004 Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML GAMMAGARD LIQUID Immune Serums
13533080020 Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML GAMUNEX‐C Immune Serums
76125090010 Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML GAMMAKED Immune Serums
13533080071 Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML GAMUNEX‐C Immune Serums
944270005 Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML GAMMAGARD LIQUID Immune Serums
13533080072 Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML GAMUNEX‐C Immune Serums
76125090020 Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML GAMMAKED Immune Serums
13533080024 Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML GAMUNEX‐C Immune Serums
944270006 Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML GAMMAGARD LIQUID Immune Serums
13533080025 Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML GAMUNEX‐C Immune Serums
944270007 Immune Globulin (Human) IV or Subcutaneous Soln 30 GM/300ML GAMMAGARD LIQUID Immune Serums
44206030010 Rho D Immune Globulin (Human) Inj 1500 Unt/2ML (300 MCG/2ML) RHOPHYLAC Immune Serums
44206030001 Rho D Immune Globulin (Human) Inj 1500 Unt/2ML (300 MCG/2ML) RHOPHYLAC Immune Serums
944296707 Rho D Immune Globulin (Human) Inj 2500 Unit/2.2ML WINRHO SDF Immune Serums
53270350001 Rho D Immune Globulin (Human) Inj 2500 Unit/2.2ML WINRHO SDF Immune Serums
944296705 Rho D Immune Globulin (Human) Inj 5000 Unit/4.4ML WINRHO SDF Immune Serums
53270310001 Rho D Immune Globulin (Human) Inj 5000 Unit/4.4ML WINRHO SDF Immune Serums
944296703 Rho D Immune Globulin (Human) Inj 1500 Unit/1.3ML WINRHO SDF Immune Serums
53270330001 Rho D Immune Globulin (Human) Inj 1500 Unit/1.3ML WINRHO SDF Immune Serums
53270300001 Rho D Immune Globulin (Human) Inj 15000 Unit/13ML WINRHO SDF Immune Serums
944296709 Rho D Immune Globulin (Human) Inj 15000 Unit/13ML WINRHO SDF Immune Serums
944296701 Rho D Immune Globulin (Human) Inj 600 Unit/0.5ML WINRHO SDF Immune Serums
562780605 Rho D Immune Globulin (Human) IM Inj 50 MCG MICRHOGAM ULTRA‐FILTERED Immune Serums
562780600 Rho D Immune Globulin (Human) IM Inj 50 MCG MICRHOGAM ULTRA‐FILTERED Immune Serums
13533063106 Rho D Immune Globulin (Human) IM Inj 50 MCG HYPERRHO S/D Immune Serums
562780601 Rho D Immune Globulin (Human) IM Inj 50 MCG MICRHOGAM ULTRA‐FILTERED Immune Serums
562780801 Rho D Immune Globulin (Human) IM Inj 50 MCG MICRHOGAM Immune Serums
562780826 Rho D Immune Globulin (Human) IM Inj 50 MCG MICRHOGAM Immune Serums
562780806 Rho D Immune Globulin (Human) IM Inj 50 MCG MICRHOGAM Immune Serums
562780625 Rho D Immune Globulin (Human) IM Inj 50 MCG MICRHOGAM ULTRA‐FILTERED Immune Serums
13533066106 Rho D Immune Globulin (Human) IM Inj 50 MCG HYPERRHO S/D MINI‐DOSE Immune Serums
562780501 Rho D Immune Globulin (Human) IM Inj 300 MCG RHOGAM ULTRA‐FILTERED PLU Immune Serums
562780500 Rho D Immune Globulin (Human) IM Inj 300 MCG RHOGAM ULTRA‐FILTERED PLU Immune Serums
13533063120 Rho D Immune Globulin (Human) IM Inj 300 MCG HYPERRHO S/D Immune Serums
562780726 Rho D Immune Globulin (Human) IM Inj 300 MCG RHOGAM HUMAN Immune Serums
562780525 Rho D Immune Globulin (Human) IM Inj 300 MCG RHOGAM ULTRA‐FILTERED PLU Immune Serums
54569439500 Rho D Immune Globulin (Human) IM Inj 300 MCG BAYRHO‐D Immune Serums
562780505 Rho D Immune Globulin (Human) IM Inj 300 MCG RHOGAM ULTRA‐FILTERED PLU Immune Serums
562780710 Rho D Immune Globulin (Human) IM Inj 300 MCG RHOGAM HUMAN Immune Serums
54569576400 Rho D Immune Globulin (Human) IM Inj 300 MCG HYPERRHO S/D Immune Serums
562780701 Rho D Immune Globulin (Human) IM Inj 300 MCG RHOGAM HUMAN Immune Serums
13533063102 Rho D Immune Globulin (Human) IM Inj 300 MCG HYPERRHO S/D Immune Serums
562780706 Rho D Immune Globulin (Human) IM Inj 300 MCG RHOGAM HUMAN Immune Serums
60574411401 Palivizumab IM Soln 50 MG/0.5ML SYNAGIS Monoclonal Antibodies
60574411301 Palivizumab IM Soln 100 MG/ML SYNAGIS Monoclonal Antibodies
57665000101 Pegademase Bovine Inj 250 Unit/ML ADAGEN Biologicals Misc
63459039120 Bendamustine HCl For IV Soln 100 MG TREANDA Alkylating Agents
093759941 Temozolomide Cap 5 MG TEMOZOLOMIDE Alkylating Agents
54868534801 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
085124803 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
093759957 Temozolomide Cap 5 MG TEMOZOLOMIDE Alkylating Agents
4
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC085300402 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
085300404 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
54569583600 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
47335089080 Temozolomide Cap 5 MG TEMOZOLOMIDE Alkylating Agents
47335089021 Temozolomide Cap 5 MG TEMOZOLOMIDE Alkylating Agents
085124802 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
781269175 Temozolomide Cap 5 MG TEMOZOLOMIDE Alkylating Agents
54569583700 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
781269144 Temozolomide Cap 5 MG TEMOZOLOMIDE Alkylating Agents
085124801 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
085300401 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
54868534800 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
085300403 Temozolomide Cap 5 MG TEMODAR Alkylating Agents
093760041 Temozolomide Cap 20 MG TEMOZOLOMIDE Alkylating Agents
54868414203 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
085151904 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
085151903 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
093760057 Temozolomide Cap 20 MG TEMOZOLOMIDE Alkylating Agents
085124402 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
54868414206 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
54868414204 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
085124401 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
54868414201 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
54868414200 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
54569583800 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
47335089121 Temozolomide Cap 20 MG TEMOZOLOMIDE Alkylating Agents
54868414205 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
54569583900 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
54868414202 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
781269275 Temozolomide Cap 20 MG TEMOZOLOMIDE Alkylating Agents
085151901 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
47335089180 Temozolomide Cap 20 MG TEMOZOLOMIDE Alkylating Agents
781269244 Temozolomide Cap 20 MG TEMOZOLOMIDE Alkylating Agents
085151902 Temozolomide Cap 20 MG TEMODAR Alkylating Agents
085125901 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
54868535002 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
781269375 Temozolomide Cap 100 MG TEMOZOLOMIDE Alkylating Agents
54569584300 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
54569584200 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
54868535004 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
093760157 Temozolomide Cap 100 MG TEMOZOLOMIDE Alkylating Agents
54868535000 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
47335089280 Temozolomide Cap 100 MG TEMOZOLOMIDE Alkylating Agents
085136603 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
47335089221 Temozolomide Cap 100 MG TEMOZOLOMIDE Alkylating Agents
781269344 Temozolomide Cap 100 MG TEMOZOLOMIDE Alkylating Agents
085136601 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
085125902 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
093760141 Temozolomide Cap 100 MG TEMOZOLOMIDE Alkylating Agents
085136602 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
085136604 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
54868535003 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
54868535001 Temozolomide Cap 100 MG TEMODAR Alkylating Agents
085142504 Temozolomide Cap 140 MG TEMODAR Alkylating Agents
781269444 Temozolomide Cap 140 MG TEMOZOLOMIDE Alkylating Agents
093763841 Temozolomide Cap 140 MG TEMOZOLOMIDE Alkylating Agents
781269475 Temozolomide Cap 140 MG TEMOZOLOMIDE Alkylating Agents
093763857 Temozolomide Cap 140 MG TEMOZOLOMIDE Alkylating Agents
085142502 Temozolomide Cap 140 MG TEMODAR Alkylating Agents
47335092921 Temozolomide Cap 140 MG TEMOZOLOMIDE Alkylating Agents
085142503 Temozolomide Cap 140 MG TEMODAR Alkylating Agents
085142501 Temozolomide Cap 140 MG TEMODAR Alkylating Agents
47335092980 Temozolomide Cap 140 MG TEMOZOLOMIDE Alkylating Agents
085143001 Temozolomide Cap 180 MG TEMODAR Alkylating Agents
47335093021 Temozolomide Cap 180 MG TEMOZOLOMIDE Alkylating Agents
093763957 Temozolomide Cap 180 MG TEMOZOLOMIDE Alkylating Agents
781269575 Temozolomide Cap 180 MG TEMOZOLOMIDE Alkylating Agents
093763941 Temozolomide Cap 180 MG TEMOZOLOMIDE Alkylating Agents
47335093080 Temozolomide Cap 180 MG TEMOZOLOMIDE Alkylating Agents
54868598000 Temozolomide Cap 180 MG TEMODAR Alkylating Agents
085143002 Temozolomide Cap 180 MG TEMODAR Alkylating Agents
085143004 Temozolomide Cap 180 MG TEMODAR Alkylating Agents
781269544 Temozolomide Cap 180 MG TEMOZOLOMIDE Alkylating Agents
085143003 Temozolomide Cap 180 MG TEMODAR Alkylating Agents
54569584500 Temozolomide Cap 250 MG TEMODAR Alkylating Agents
085125201 Temozolomide Cap 250 MG TEMODAR Alkylating Agents
093760257 Temozolomide Cap 250 MG TEMOZOLOMIDE Alkylating Agents
085141701 Temozolomide Cap 250 MG TEMODAR Alkylating Agents
781269675 Temozolomide Cap 250 MG TEMOZOLOMIDE Alkylating Agents
085125202 Temozolomide Cap 250 MG TEMODAR Alkylating Agents
085141702 Temozolomide Cap 250 MG TEMODAR Alkylating Agents
54569584400 Temozolomide Cap 250 MG TEMODAR Alkylating Agents
54868535400 Temozolomide Cap 250 MG TEMODAR Alkylating Agents
47335089380 Temozolomide Cap 250 MG TEMOZOLOMIDE Alkylating Agents
085138101 Temozolomide For IV Soln 100 MG TEMODAR Alkylating Agents
5
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC15210040335 Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
61703034318 Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
55390008301 Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
10518010510 Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
703468501 Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
63323013210 Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
44087152001 Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML) NOVANTRONE Antineoplastic Antibiotics
703468591 Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
703468001 Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
55390008401 Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
703468091 Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
10518010511 Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
61703034365 Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
44087152501 Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML) NOVANTRONE Antineoplastic Antibiotics
63323013212 Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
10518010512 Mitoxantrone HCl Inj Conc 30 MG/15ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
703468691 Mitoxantrone HCl Inj Conc 30 MG/15ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
63323013215 Mitoxantrone HCl Inj Conc 30 MG/15ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
55390008501 Mitoxantrone HCl Inj Conc 30 MG/15ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
703468601 Mitoxantrone HCl Inj Conc 30 MG/15ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
44087153001 Mitoxantrone HCl Inj Conc 30 MG/15ML (2 MG/ML) NOVANTRONE Antineoplastic Antibiotics
15210040337 Mitoxantrone HCl Inj Conc 30 MG/15ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
61703034366 Mitoxantrone HCl Inj Conc 30 MG/15ML (2 MG/ML) MITOXANTRONE HCL Antineoplastic Antibiotics
57902024901 Asparaginase Erwinia Chrysanthemi For IM Inj 10000 Unit ERWINAZE Antineoplastic Enzymes
57902024905 Asparaginase Erwinia Chrysanthemi For IM Inj 10000 Unit ERWINAZE Antineoplastic Enzymes
781925394 Azacitidine For Inj 100 MG AZACITIDINE Antimetabolites
67211010201 Azacitidine For Inj 100 MG VIDAZA Antimetabolites
43598030562 Azacitidine For Inj 100 MG AZACITIDINE Antimetabolites
781325394 Azacitidine For Inj 100 MG AZACITIDINE Antimetabolites
59572010201 Azacitidine For Inj 100 MG VIDAZA Antimetabolites
378251191 Capecitabine Tab 150 MG CAPECITABINE Antimetabolites
004110020 Capecitabine Tab 150 MG XELODA Antimetabolites
54868414303 Capecitabine Tab 150 MG XELODA Antimetabolites
54868414302 Capecitabine Tab 150 MG XELODA Antimetabolites
54868414300 Capecitabine Tab 150 MG XELODA Antimetabolites
54868414301 Capecitabine Tab 150 MG XELODA Antimetabolites
093747306 Capecitabine Tab 150 MG CAPECITABINE Antimetabolites
54868526001 Capecitabine Tab 500 MG XELODA Antimetabolites
54868526003 Capecitabine Tab 500 MG XELODA Antimetabolites
54569571700 Capecitabine Tab 500 MG XELODA Antimetabolites
004110175 Capecitabine Tab 500 MG XELODA Antimetabolites
51079051005 Capecitabine Tab 500 MG CAPECITABINE Antimetabolites
54868526006 Capecitabine Tab 500 MG XELODA Antimetabolites
54868526002 Capecitabine Tab 500 MG XELODA Antimetabolites
54868526000 Capecitabine Tab 500 MG XELODA Antimetabolites
54868526004 Capecitabine Tab 500 MG XELODA Antimetabolites
004110150 Capecitabine Tab 500 MG XELODA Antimetabolites
68258903601 Capecitabine Tab 500 MG XELODA Antimetabolites
54868526007 Capecitabine Tab 500 MG XELODA Antimetabolites
54868526008 Capecitabine Tab 500 MG XELODA Antimetabolites
54868526005 Capecitabine Tab 500 MG XELODA Antimetabolites
093747489 Capecitabine Tab 500 MG CAPECITABINE Antimetabolites
378251278 Capecitabine Tab 500 MG CAPECITABINE Antimetabolites
51079051001 Capecitabine Tab 500 MG CAPECITABINE Antimetabolites
54868526009 Capecitabine Tab 500 MG XELODA Antimetabolites
781313980 Decitabine For Inj 50 MG DECITABINE Antimetabolites
47335036141 Decitabine For Inj 50 MG DECITABINE Antimetabolites
43598034837 Decitabine For Inj 50 MG DECITABINE Antimetabolites
62856060001 Decitabine For Inj 50 MG DACOGEN Antimetabolites
55111055610 Decitabine For Inj 50 MG DECITABINE Antimetabolites
58063060050 Decitabine For Inj 50 MG DACOGEN Antimetabolites
024582020 Fludarabine Phosphate Tab 10 MG OFORTA Antimetabolites
002762301 Pemetrexed Disodium For IV Soln 500 MG (Base Equiv) ALIMTA Antimetabolites
024584001 Ziv‐Aflibercept IV Soln 100 MG/4ML (For Infusion) ZALTRAP Antineoplastic ‐ Angiogenesis Inhibitors
024584101 Ziv‐Aflibercept IV Soln 200 MG/8ML (For Infusion) ZALTRAP Antineoplastic ‐ Angiogenesis Inhibitors
50242006001 Bevacizumab IV Soln 100 MG/4ML (For Infusion) AVASTIN Antineoplastic ‐ Angiogenesis Inhibitors
50242006101 Bevacizumab IV Soln 400 MG/16ML (For Infusion) AVASTIN Antineoplastic ‐ Angiogenesis Inhibitors
002766901 Ramucirumab IV Soln 100 MG/10ML (For Infusion) CYRAMZA Antineoplastic ‐ Angiogenesis Inhibitors
002767801 Ramucirumab IV Soln 500 MG/50ML (For Infusion) CYRAMZA Antineoplastic ‐ Angiogenesis Inhibitors
55513095401 Panitumumab IV Soln 100 MG/5ML VECTIBIX Antineoplastic ‐ Antibodies
55513095501 Panitumumab IV Soln 200 MG/10ML VECTIBIX Antineoplastic ‐ Antibodies
55513095601 Panitumumab IV Soln 400 MG/20ML VECTIBIX Antineoplastic ‐ Antibodies
50242014501 Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML) PERJETA Antineoplastic ‐ Antibodies
50242005306 Rituximab For IV Inj Conc 10 MG/ML RITUXAN Antineoplastic ‐ Antibodies
50242005121 Rituximab For IV Inj Conc 10 MG/ML RITUXAN Antineoplastic ‐ Antibodies
50242013468 Trastuzumab For IV Soln 440 MG HERCEPTIN Antineoplastic ‐ Antibodies
50242005656 Trastuzumab For IV Soln 440 MG HERCEPTIN Antineoplastic ‐ Antibodies
51144005001 Brentuximab Vedotin For IV Soln 50 MG ADCETRIS Antineoplastic ‐ Antibodies
50242014001 Vismodegib Cap 150 MG ERIVEDGE !Unknown!
469012599 Enzalutamide Cap 40 MG XTANDI Antineoplastic ‐ Hormonal Agents
54569394300 Goserelin Acetate Implant 3.6 MG ZOLADEX Antineoplastic ‐ Hormonal Agents
310095036 Goserelin Acetate Implant 3.6 MG ZOLADEX Antineoplastic ‐ Hormonal Agents
310095130 Goserelin Acetate Implant 10.8 MG ZOLADEX Antineoplastic ‐ Hormonal Agents
55592050001 Histrelin Acetate Implant Kit 50 MG VANTAS Antineoplastic ‐ Hormonal Agents
67979050001 Histrelin Acetate Implant Kit 50 MG VANTAS Antineoplastic ‐ Hormonal Agents
6
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC300361224 Leuprolide Acetate Inj 5 MG/ML LUPRON 6‐PACK Antineoplastic ‐ Hormonal Agents
703402419 Leuprolide Acetate Inj 5 MG/ML LEUPROLIDE ACETATE Antineoplastic ‐ Hormonal Agents
074364103 Leuprolide Acetate For Inj Kit 3.75 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
300364101 Leuprolide Acetate For Inj Kit 3.75 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
54868282500 Leuprolide Acetate For Inj Kit 3.75 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
54569613600 Leuprolide Acetate Inj Kit 5 MG/ML LEUPROLIDE ACETATE Antineoplastic ‐ Hormonal Agents
185740085 Leuprolide Acetate Inj Kit 5 MG/ML LEUPROLIDE ACETATE Antineoplastic ‐ Hormonal Agents
182315499 Leuprolide Acetate Inj Kit 5 MG/ML LEUPROLIDE ACETATE Antineoplastic ‐ Hormonal Agents
49884036826 Leuprolide Acetate Inj Kit 5 MG/ML LEUPROLIDE ACETATE Antineoplastic ‐ Hormonal Agents
703401418 Leuprolide Acetate Inj Kit 5 MG/ML LEUPROLIDE ACETATE Antineoplastic ‐ Hormonal Agents
300361228 Leuprolide Acetate Inj Kit 5 MG/ML LUPRON 2 WEEK SUPPLY Antineoplastic ‐ Hormonal Agents
781400332 Leuprolide Acetate Inj Kit 5 MG/ML LEUPROLIDE ACETATE Antineoplastic ‐ Hormonal Agents
41616093640 Leuprolide Acetate Inj Kit 5 MG/ML LEUPROLIDE ACETATE Antineoplastic ‐ Hormonal Agents
54868327700 Leuprolide Acetate For Inj Kit 7.5 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
300364201 Leuprolide Acetate For Inj Kit 7.5 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
074364203 Leuprolide Acetate For Inj Kit 7.5 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
024079375 Leuprolide Acetate For Subcutaneous Inj Kit 7.5 MG ELIGARD Antineoplastic ‐ Hormonal Agents
024079379 Leuprolide Acetate For SC Inj Kit 7.5 MG !Unknown! Antineoplastic ‐ Hormonal Agents
074366303 Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
300366301 Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
300334601 Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
074334603 Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
024022205 Leuprolide Acetate (3 Month) For Subcutaneous Inj Kit 22.5MG ELIGARD Antineoplastic ‐ Hormonal Agents
074368303 Leuprolide Acetate (4 Month) For Inj Kit 30 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
54868556800 Leuprolide Acetate (4 Month) For Inj Kit 30 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
300368301 Leuprolide Acetate (4 Month) For Inj Kit 30 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
024061030 Leuprolide Acetate (4 Month) For Subcutaneous Inj Kit 30 MG ELIGARD Antineoplastic ‐ Hormonal Agents
024060545 Leuprolide Acetate (6 Month) For Subcutaneous Inj Kit 45 MG ELIGARD Antineoplastic ‐ Hormonal Agents
074347303 Leuprolide Acetate (6 Month) For Inj Kit 45 MG LUPRON DEPOT Antineoplastic ‐ Hormonal Agents
52544015376 Triptorelin Pamoate For IM Susp 3.75 MG TRELSTAR DEPOT Antineoplastic ‐ Hormonal Agents
52544018924 Triptorelin Pamoate For IM Susp 3.75 MG TRELSTAR DEPOT MIXJECT Antineoplastic ‐ Hormonal Agents
52544015302 Triptorelin Pamoate For IM Susp 3.75 MG TRELSTAR DEPOT Antineoplastic ‐ Hormonal Agents
52544018976 Triptorelin Pamoate For IM Susp 3.75 MG TRELSTAR DEPOT MIXJECT Antineoplastic ‐ Hormonal Agents
52544015476 Triptorelin Pamoate For IM Susp 11.25 MG TRELSTAR LA Antineoplastic ‐ Hormonal Agents
52544018824 Triptorelin Pamoate For IM Susp 11.25 MG TRELSTAR LA MIXJECT Antineoplastic ‐ Hormonal Agents
52544018876 Triptorelin Pamoate For IM Susp 11.25 MG TRELSTAR LA MIXJECT Antineoplastic ‐ Hormonal Agents
52544015402 Triptorelin Pamoate For IM Susp 11.25 MG TRELSTAR LA Antineoplastic ‐ Hormonal Agents
55566830301 Degarelix Acetate For Inj 80 MG (Base Equiv) FIRMAGON Antineoplastic ‐ Hormonal Agents
55566830101 Degarelix Acetate For Inj 80 MG (Base Equiv) FIRMAGON Antineoplastic ‐ Hormonal Agents
55566830102 Degarelix Acetate For Inj 80 MG (Base Equiv) FIRMAGON Antineoplastic ‐ Hormonal Agents
55566840102 Degarelix Acetate For Inj 120 MG (Base Equiv) FIRMAGON Antineoplastic ‐ Hormonal Agents
55566840301 Degarelix Acetate For Inj 120 MG (Base Equiv) FIRMAGON Antineoplastic ‐ Hormonal Agents
55566840101 Degarelix Acetate For Inj 120 MG (Base Equiv) FIRMAGON Antineoplastic ‐ Hormonal Agents
57894015012 Abiraterone Acetate Tab 250 MG ZYTIGA Antineoplastic ‐ Hormonal Agents
59572050121 Pomalidomide Cap 1 MG POMALYST Antineoplastic ‐ Immunomodulators
59572050100 Pomalidomide Cap 1 MG POMALYST Antineoplastic ‐ Immunomodulators
59572050221 Pomalidomide Cap 2 MG POMALYST Antineoplastic ‐ Immunomodulators
59572050200 Pomalidomide Cap 2 MG POMALYST Antineoplastic ‐ Immunomodulators
59572050321 Pomalidomide Cap 3 MG POMALYST Antineoplastic ‐ Immunomodulators
59572050300 Pomalidomide Cap 3 MG POMALYST Antineoplastic ‐ Immunomodulators
59572050421 Pomalidomide Cap 4 MG POMALYST Antineoplastic ‐ Immunomodulators
59572050400 Pomalidomide Cap 4 MG POMALYST Antineoplastic ‐ Immunomodulators
62856038901 Eribulin Mesylate Inj 1 MG/2ML (0.5 MG/ML) HALAVEN Mitotic Inhibitors
015191012 Ixabepilone For IV Infusion 15 MG IXEMPRA KIT Mitotic Inhibitors
015191113 Ixabepilone For IV Infusion 45 MG IXEMPRA KIT Mitotic Inhibitors
006056840 Vorinostat Cap 100 MG ZOLINZA Antineoplastic Enzyme Inhibitors
173084608 Dabrafenib Mesylate Cap 50 MG (Base Equivalent) TAFINLAR Antineoplastic Enzyme Inhibitors
173084708 Dabrafenib Mesylate Cap 75 MG (Base Equivalent) TAFINLAR Antineoplastic Enzyme Inhibitors
50242009001 Vemurafenib Tab 240 MG (Base Equivalent) ZELBORAF Antineoplastic Enzyme Inhibitors
078059461 Everolimus Tab 2.5 MG AFINITOR Antineoplastic Enzyme Inhibitors
078059451 Everolimus Tab 2.5 MG AFINITOR Antineoplastic Enzyme Inhibitors
078056661 Everolimus Tab 5 MG AFINITOR Antineoplastic Enzyme Inhibitors
078056651 Everolimus Tab 5 MG AFINITOR Antineoplastic Enzyme Inhibitors
078062051 Everolimus Tab 7.5 MG AFINITOR Antineoplastic Enzyme Inhibitors
078062061 Everolimus Tab 7.5 MG AFINITOR Antineoplastic Enzyme Inhibitors
078056761 Everolimus Tab 10 MG AFINITOR Antineoplastic Enzyme Inhibitors
078056751 Everolimus Tab 10 MG AFINITOR Antineoplastic Enzyme Inhibitors
078062661 Everolimus Tab for Oral Susp 2 MG AFINITOR DISPERZ Antineoplastic Enzyme Inhibitors
078062651 Everolimus Tab for Oral Susp 2 MG AFINITOR DISPERZ Antineoplastic Enzyme Inhibitors
078062761 Everolimus Tab for Oral Susp 3 MG AFINITOR DISPERZ Antineoplastic Enzyme Inhibitors
078062751 Everolimus Tab for Oral Susp 3 MG AFINITOR DISPERZ Antineoplastic Enzyme Inhibitors
078062861 Everolimus Tab for Oral Susp 5 MG AFINITOR DISPERZ Antineoplastic Enzyme Inhibitors
078062851 Everolimus Tab for Oral Susp 5 MG AFINITOR DISPERZ Antineoplastic Enzyme Inhibitors
008117901 Temsirolimus Soln For IV Infusion 25 MG/ML TORISEL Antineoplastic Enzyme Inhibitors
50419017103 Regorafenib Tab 40 MG STIVARGA Antineoplastic Enzyme Inhibitors
50419017101 Regorafenib Tab 40 MG STIVARGA Antineoplastic Enzyme Inhibitors
026848858 Sorafenib Tosylate Tab 200 MG (Base Equivalent) NEXAVAR Antineoplastic Enzyme Inhibitors
50419048858 Sorafenib Tosylate Tab 200 MG (Base Equivalent) NEXAVAR Antineoplastic Enzyme Inhibitors
069055030 Sunitinib Malate Cap 12.5 MG (Base Equivalent) SUTENT Antineoplastic Enzyme Inhibitors
069055038 Sunitinib Malate Cap 12.5 MG (Base Equivalent) SUTENT Antineoplastic Enzyme Inhibitors
54569598200 Sunitinib Malate Cap 12.5 MG (Base Equivalent) SUTENT Antineoplastic Enzyme Inhibitors
54569598300 Sunitinib Malate Cap 25 MG (Base Equivalent) SUTENT Antineoplastic Enzyme Inhibitors
069077030 Sunitinib Malate Cap 25 MG (Base Equivalent) SUTENT Antineoplastic Enzyme Inhibitors
069077038 Sunitinib Malate Cap 25 MG (Base Equivalent) SUTENT Antineoplastic Enzyme Inhibitors
54868557300 Sunitinib Malate Cap 50 MG (Base Equivalent) !Unknown! Antineoplastic Enzyme Inhibitors
7
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC069098030 Sunitinib Malate Cap 50 MG (Base Equivalent) SUTENT Antineoplastic Enzyme Inhibitors
069098038 Sunitinib Malate Cap 50 MG (Base Equivalent) SUTENT Antineoplastic Enzyme Inhibitors
9850084913 Trametinib Dimethyl Sulfoxide Tab 0.5 MG (Base Equivalent) MEKINIST Antineoplastic Enzyme Inhibitors
173084913 Trametinib Dimethyl Sulfoxide Tab 0.5 MG (Base Equivalent) MEKINIST Antineoplastic Enzyme Inhibitors
9850084813 Trametinib Dimethyl Sulfoxide Tab 2 MG (Base Equivalent) MEKINIST Antineoplastic Enzyme Inhibitors
173084813 Trametinib Dimethyl Sulfoxide Tab 2 MG (Base Equivalent) MEKINIST Antineoplastic Enzyme Inhibitors
597014130 Afatinib Dimaleate Tab 20 MG (Base Equivalent) GILOTRIF Antineoplastic Enzyme Inhibitors
597013730 Afatinib Dimaleate Tab 30 MG (Base Equivalent) GILOTRIF Antineoplastic Enzyme Inhibitors
597013830 Afatinib Dimaleate Tab 40 MG (Base Equivalent) GILOTRIF Antineoplastic Enzyme Inhibitors
069014501 Axitinib Tab 1 MG INLYTA Antineoplastic Enzyme Inhibitors
069015111 Axitinib Tab 5 MG INLYTA Antineoplastic Enzyme Inhibitors
069013501 Bosutinib Tab 100 MG BOSULIF Antineoplastic Enzyme Inhibitors
069013601 Bosutinib Tab 500 MG BOSULIF Antineoplastic Enzyme Inhibitors
078064070 Ceritinib Cap 150 MG ZYKADIA Antineoplastic Enzyme Inhibitors
069814120 Crizotinib Cap 200 MG XALKORI Antineoplastic Enzyme Inhibitors
069814020 Crizotinib Cap 250 MG XALKORI Antineoplastic Enzyme Inhibitors
003052711 Dasatinib Tab 20 MG SPRYCEL Antineoplastic Enzyme Inhibitors
003052811 Dasatinib Tab 50 MG SPRYCEL Antineoplastic Enzyme Inhibitors
003052411 Dasatinib Tab 70 MG SPRYCEL Antineoplastic Enzyme Inhibitors
54868575900 Dasatinib Tab 70 MG SPRYCEL Antineoplastic Enzyme Inhibitors
003085522 Dasatinib Tab 80 MG SPRYCEL Antineoplastic Enzyme Inhibitors
003085222 Dasatinib Tab 100 MG SPRYCEL Antineoplastic Enzyme Inhibitors
003085722 Dasatinib Tab 140 MG SPRYCEL Antineoplastic Enzyme Inhibitors
50242006201 Erlotinib Tab 25 MG TARCEVA Antineoplastic Enzyme Inhibitors
54868529000 Erlotinib Tab 25 MG TARCEVA Antineoplastic Enzyme Inhibitors
50242006301 Erlotinib Tab 100 MG TARCEVA Antineoplastic Enzyme Inhibitors
54569584700 Erlotinib Tab 100 MG TARCEVA Antineoplastic Enzyme Inhibitors
54868547400 Erlotinib Tab 100 MG TARCEVA Antineoplastic Enzyme Inhibitors
50242006401 Erlotinib Tab 150 MG TARCEVA Antineoplastic Enzyme Inhibitors
54868544700 Erlotinib Tab 150 MG TARCEVA Antineoplastic Enzyme Inhibitors
54569584800 Erlotinib Tab 150 MG TARCEVA Antineoplastic Enzyme Inhibitors
310048230 Gefitinib Tab 250 MG IRESSA Antineoplastic Enzyme Inhibitors
57962014009 Ibrutinib Cap 140 MG IMBRUVICA Antineoplastic Enzyme Inhibitors
57962014012 Ibrutinib Cap 140 MG IMBRUVICA Antineoplastic Enzyme Inhibitors
078040134 Imatinib Mesylate Tab 100 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54868528902 Imatinib Mesylate Tab 100 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54868528900 Imatinib Mesylate Tab 100 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54868528903 Imatinib Mesylate Tab 100 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
078040105 Imatinib Mesylate Tab 100 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
68258902801 Imatinib Mesylate Tab 100 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54868528901 Imatinib Mesylate Tab 100 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54868528904 Imatinib Mesylate Tab 100 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
078043815 Imatinib Mesylate Tab 400 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54569584600 Imatinib Mesylate Tab 400 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54868542700 Imatinib Mesylate Tab 400 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54868542703 Imatinib Mesylate Tab 400 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54868542701 Imatinib Mesylate Tab 400 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
54868542702 Imatinib Mesylate Tab 400 MG (Base Equivalent) GLEEVEC Antineoplastic Enzyme Inhibitors
173075200 Lapatinib Ditosylate Tab 250 MG (Base Equiv) TYKERB Antineoplastic Enzyme Inhibitors
078059287 Nilotinib Cap 150 MG TASIGNA Antineoplastic Enzyme Inhibitors
078059251 Nilotinib Cap 150 MG TASIGNA Antineoplastic Enzyme Inhibitors
078052687 Nilotinib Cap 200 MG TASIGNA Antineoplastic Enzyme Inhibitors
078052651 Nilotinib Cap 200 MG TASIGNA Antineoplastic Enzyme Inhibitors
173080409 Pazopanib HCl Tab 200 MG (Base Equiv) VOTRIENT Antineoplastic Enzyme Inhibitors
76189053560 Ponatinib HCl Tab 15 MG (Base Equiv) ICLUSIG Antineoplastic Enzyme Inhibitors
76189053530 Ponatinib HCl Tab 15 MG (Base Equiv) ICLUSIG Antineoplastic Enzyme Inhibitors
76189053430 Ponatinib HCl Tab 45 MG (Base Equiv) ICLUSIG Antineoplastic Enzyme Inhibitors
310782030 Vandetanib Tab 100 MG CAPRELSA Antineoplastic Enzyme Inhibitors
310781030 Vandetanib Tab 100 MG VANDETANIB Antineoplastic Enzyme Inhibitors
310783030 Vandetanib Tab 300 MG VANDETANIB Antineoplastic Enzyme Inhibitors
310784030 Vandetanib Tab 300 MG CAPRELSA Antineoplastic Enzyme Inhibitors
63020004901 Bortezomib For Inj 3.5 MG VELCADE Antineoplastic Enzyme Inhibitors
50881000560 Ruxolitinib Phosphate Tab 5 MG (Base Equivalent) JAKAFI Antineoplastic Enzyme Inhibitors
50881001060 Ruxolitinib Phosphate Tab 10 MG (Base Equivalent) JAKAFI Antineoplastic Enzyme Inhibitors
50881001560 Ruxolitinib Phosphate Tab 15 MG (Base Equivalent) JAKAFI Antineoplastic Enzyme Inhibitors
50881002060 Ruxolitinib Phosphate Tab 20 MG (Base Equivalent) JAKAFI Antineoplastic Enzyme Inhibitors
50881002560 Ruxolitinib Phosphate Tab 25 MG (Base Equivalent) JAKAFI Antineoplastic Enzyme Inhibitors
59923070205 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
25021021405 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
10518010311 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
10019093402 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
143970101 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
25021023005 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
57884300201 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
009752901 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) CAMPTOSAR Topoisomerase I Inhibitors
55390029601 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
009111102 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) CAMPTOSAR Topoisomerase I Inhibitors
703443491 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
10019093479 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
703443411 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
23155017932 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
18111000203 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
61703034909 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
66758004802 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
781306675 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
8
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC61703034962 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
591318926 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
009752903 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) CAMPTOSAR Topoisomerase I Inhibitors
63323019305 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
59762752902 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
63323019355 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) IRINOTECAN Topoisomerase I Inhibitors
007420511 Topotecan HCl Cap 0.25 MG (Base Equiv) HYCAMTIN Topoisomerase I Inhibitors
007420711 Topotecan HCl Cap 1 MG (Base Equiv) HYCAMTIN Topoisomerase I Inhibitors
007420105 Topotecan HCl For Inj 4 MG HYCAMTIN Topoisomerase I Inhibitors
55390037010 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
66435041005 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
25021020661 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
63323076294 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
007420101 Topotecan HCl For Inj 4 MG HYCAMTIN Topoisomerase I Inhibitors
25021082406 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
16729015131 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
069007501 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
25021020606 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
63323076210 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
62756002340 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
63323076217 Topotecan HCl For Inj 4 MG TOPOTECAN HCL Topoisomerase I Inhibitors
60429026501 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
68258904001 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
54868477302 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
440761360 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
54868477303 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
440761310 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
49884072401 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
57866443601 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
54868477301 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
68084028411 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
440761330 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
440761320 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
54569571500 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
54738054701 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
42291032101 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
68084028401 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
54868136700 Hydroxyurea Cap 500 MG HYDREA Antineoplastics Misc.
54868477300 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
003083050 Hydroxyurea Cap 500 MG HYDREA Antineoplastics Misc.
555088202 Hydroxyurea Cap 500 MG HYDROXYUREA Antineoplastics Misc.
63459017714 Omacetaxine Mepesuccinate For Inj 3.5 MG SYNRIBO Antineoplastics Misc.
54482005301 Procarbazine HCl Cap 50 MG MATULANE Antineoplastics Misc.
54868136600 Procarbazine HCl Cap 50 MG MATULANE Antineoplastics Misc.
004201507 Interferon Alfa‐2A Inj Kit 3 MU/0.5 ML ROFERON‐A Antineoplastics Misc.
004201509 Interferon Alfa‐2A Inj Kit 3 MU/0.5 ML ROFERON‐A Antineoplastics Misc.
004201609 Interferon Alfa‐2A Inj Kit 6 MU/0.5 ML ROFERON‐A Antineoplastics Misc.
004201607 Interferon Alfa‐2A Inj Kit 6 MU/0.5 ML ROFERON‐A Antineoplastics Misc.
004201709 Interferon Alfa‐2A Inj Kit 9 MU/0.5 ML ROFERON‐A Antineoplastics Misc.
004201707 Interferon Alfa‐2A Inj Kit 9 MU/0.5 ML ROFERON‐A Antineoplastics Misc.
339650499 Interferon Alfa‐2B Inj 6000000 U/ML !Unknown! Antineoplastics Misc.
085116801 Interferon Alfa‐2B Inj 6000000 Unit/ML INTRON‐A Antineoplastics Misc.
339650399 Interferon Alfa‐2B Inj 6000000 U/ML !Unknown! Antineoplastics Misc.
085118401 Interferon Alfa‐2B Inj 6000000 U/ML INTRON‐A Antineoplastics Misc.
339650799 Interferon Alfa‐2B Inj 10 MU/ML !Unknown! Antineoplastics Misc.
339650699 Interferon Alfa‐2B Inj 10 MU/ML !Unknown! Antineoplastics Misc.
085117901 Interferon Alfa‐2B Inj 10 MU/ML INTRON‐A Antineoplastics Misc.
085113301 Interferon Alfa‐2B Inj 10000000 Unit/ML INTRON‐A Antineoplastics Misc.
339650599 Interferon Alfa‐2B Inj 10 MU/ML !Unknown! Antineoplastics Misc.
339651499 Interferon Alfa‐2B For Inj 10 MU !Unknown! Antineoplastics Misc.
085057102 Interferon Alfa‐2B For Inj 10000000 Unit INTRON‐A W/DILUENT Antineoplastics Misc.
339651599 Interferon Alfa‐2B For Inj 18 MU !Unknown! Antineoplastics Misc.
085111001 Interferon Alfa‐2B For Inj 18000000 Unit INTRON‐A W/DILUENT Antineoplastics Misc.
339651799 Interferon Alfa‐2B For Inj 50 MU !Unknown! Antineoplastics Misc.
54868334100 Interferon Alfa‐2B For Inj 50000000 Unit INTRON‐A W/DILUENT Antineoplastics Misc.
085053901 Interferon Alfa‐2B For Inj 50000000 Unit INTRON‐A W/DILUENT Antineoplastics Misc.
085124201 Interferon Alfa‐2B Inj Kit 3000000 Unit/0.2ML INTRON‐A Antineoplastics Misc.
085123501 Interferon Alfa‐2B Inj Kit 5000000 Unit/0.2ML INTRON‐A Antineoplastics Misc.
085125401 Interferon Alfa‐2B Inj Kit 10000000 Unit/0.2ML INTRON‐A Antineoplastics Misc.
54746000101 Interferon Alfa‐n3 Inj 5000000 Unit/ML ALFERON N Antineoplastics Misc.
42238011112 Interferon Gamma‐1B Inj 100 MCG/0.5ML (2000000 Unit/0.5ML) ACTIMMUNE Antineoplastics Misc.
42238011101 Interferon Gamma‐1B Inj 100 MCG/0.5ML (2000000 Unit/0.5ML) ACTIMMUNE Antineoplastics Misc.
64116001101 Interferon Gamma‐1B Inj 100 MCG/0.5ML (2000000 Unit/0.5ML) ACTIMMUNE Antineoplastics Misc.
64116001112 Interferon Gamma‐1B Inj 100 MCG/0.5ML (2000000 Unit/0.5ML) ACTIMMUNE Antineoplastics Misc.
085128703 Peginterferon alfa‐2b For Inj Kit 4 X 444 MCG SYLATRON Antineoplastics Misc.
078049561 Aldesleukin For IV Soln 22000000 Unit PROLEUKIN Antineoplastics Misc.
53905099101 Aldesleukin For IV Soln 22000000 Unit PROLEUKIN Antineoplastics Misc.
65483011607 Aldesleukin For IV Soln 22000000 Unit PROLEUKIN Antineoplastics Misc.
54868559600 Aldesleukin For IV Soln 22000000 Unit PROLEUKIN Antineoplastics Misc.
004025001 Tretinoin Cap 10 MG VESANOID Antineoplastics Misc.
68084007511 Tretinoin Cap 10 MG TRETINOIN Antineoplastics Misc.
555080802 Tretinoin Cap 10 MG TRETINOIN Antineoplastics Misc.
10370026801 Tretinoin Cap 10 MG TRETINOIN Antineoplastics Misc.
68084007521 Tretinoin Cap 10 MG TRETINOIN Antineoplastics Misc.
64365050201 Bexarotene Cap 75 MG TARGRETIN Antineoplastics Misc.
9
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC187552675 Bexarotene Cap 75 MG TARGRETIN Antineoplastics Misc.
62856060210 Bexarotene Cap 75 MG TARGRETIN Antineoplastics Misc.
67457020950 Dexrazoxane For Inj 500 MG DEXRAZOXANE Chemotherapy Rescue/Antidote Agents
55390006002 Dexrazoxane For Inj 500 MG DEXRAZOXANE Chemotherapy Rescue/Antidote Agents
67457020850 Dexrazoxane For Inj 500 MG DEXRAZOXANE Chemotherapy Rescue/Antidote Agents
013872789 Dexrazoxane For Inj 500 MG ZINECARD Chemotherapy Rescue/Antidote Agents
38423011001 Dexrazoxane For Inj 500 MG TOTECT Chemotherapy Rescue/Antidote Agents
013872589 Dexrazoxane For Inj 500 MG ZINECARD Chemotherapy Rescue/Antidote Agents
68152010100 Levoleucovorin Calcium For IV Inj 50 MG (Base Equiv) FUSILEV Chemotherapy Rescue/Antidote Agents
50633021011 Glucarpidase For IV Inj 1000 UNIT VORAXAZE Chemotherapy Rescue/Antidote Agents
67108356509 Mesna Tab 400 MG MESNEX Chemotherapy Rescue/Antidote Agents
015356302 Mesna Inj 100 MG/ML MESNEX Chemotherapy Rescue/Antidote Agents
55390026601 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
25021020168 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
67457014810 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
55390034701 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
25021020169 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
25021020166 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
63323073311 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
015356303 Mesna Inj 100 MG/ML MESNEX Chemotherapy Rescue/Antidote Agents
63323073312 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
10019095301 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
338130503 Mesna Inj 100 MG/ML MESNEX Chemotherapy Rescue/Antidote Agents
63323073310 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
25021020110 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
25021020111 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
25021020167 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
67457014800 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
10019095362 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
703480503 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
55390004501 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
10019095302 Mesna Inj 100 MG/ML MESNA Chemotherapy Rescue/Antidote Agents
338130501 Mesna Inj 100 MG/ML MESNEX Chemotherapy Rescue/Antidote Agents
50419042301 Levonorgestrel Releasing IUD 20 MCG/24HR (52 MG Total) MIRENA Progestin Contraceptives ‐ IUD
50419042101 Levonorgestrel Releasing IUD 20 MCG/24HR (52 MG Total) MIRENA Progestin Contraceptives ‐ IUD
64011024301 Hydroxyprogesterone Caproate IM in Oil 250 MG/ML MAKENA Progestins
76346007301 Mifepristone Tab 300 MG KORLYM Diabetic Other
76346007302 Mifepristone Tab 300 MG KORLYM Diabetic Other
53150087101 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
47335003540 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
078038725 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOMETA Calcium Regulators ‐ Misc.
60505611000 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
143964201 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
25021080166 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
43598033011 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
42023015101 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
23155017031 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
55111068507 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
078059061 Zoledronic Acid IV Soln 4 MG/100ML ZOMETA Calcium Regulators ‐ Misc.
25021082682 Zoledronic Acid IV Soln 4 MG/100ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
078043561 Zoledronic Acid IV Soln 5 MG/100ML RECLAST Calcium Regulators ‐ Misc.
43598033111 Zoledronic Acid IV Soln 5 MG/100ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
25021083082 Zoledronic Acid IV Soln 5 MG/100ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
55111068852 Zoledronic Acid IV Soln 5 MG/100ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
35356035101 Zoledronic Acid IV Soln 5 MG/100ML RECLAST Calcium Regulators ‐ Misc.
23155018631 Zoledronic Acid IV Soln 5 MG/100ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
42023016301 Zoledronic Acid IV Soln 5 MG/100ML ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
47335096241 Zoledronic Acid For IV Soln 4 MG ZOLEDRONIC ACID Calcium Regulators ‐ Misc.
002840001 Teriparatide (Recombinant) Inj 600 MCG/2.4ML FORTEO Calcium Regulators ‐ Misc.
55513071001 Denosumab Inj 60 MG/ML PROLIA Calcium Regulators ‐ Misc.
55513073001 Denosumab Inj 120 MG/1.7ML XGEVA Calcium Regulators ‐ Misc.
67979000201 Histrelin Acetate (CPP) Implant Kit 50 MG SUPPRELIN LA LHRH/GnRH Agonist Analog Pituitary Suppressants
074210803 Leuprolide Acetate For Inj Pediatric Kit 7.5 MG LUPRON DEPOT‐PED LHRH/GnRH Agonist Analog Pituitary Suppressants
300210801 Leuprolide Acetate For Inj Pediatric Kit 7.5 MG LUPRON DEPOT‐PED LHRH/GnRH Agonist Analog Pituitary Suppressants
300228201 Leuprolide Acetate For Inj Pediatric Kit 11.25 MG LUPRON DEPOT‐PED LHRH/GnRH Agonist Analog Pituitary Suppressants
074228203 Leuprolide Acetate For Inj Pediatric Kit 11.25 MG LUPRON DEPOT‐PED LHRH/GnRH Agonist Analog Pituitary Suppressants
300244001 Leuprolide Acetate For Inj Pediatric Kit 15 MG LUPRON DEPOT‐PED LHRH/GnRH Agonist Analog Pituitary Suppressants
074244003 Leuprolide Acetate For Inj Pediatric Kit 15 MG LUPRON DEPOT‐PED LHRH/GnRH Agonist Analog Pituitary Suppressants
074377903 Leuprolide Acetate (3 Month) For Inj Pediatric Kit 11.25 MG LUPRON DEPOT‐PED LHRH/GnRH Agonist Analog Pituitary Suppressants
074969403 Leuprolide Acetate (3 Month) For Inj Pediatric Kit 30 MG LUPRON DEPOT‐PED LHRH/GnRH Agonist Analog Pituitary Suppressants
50242007501 Somatropin Inj 5 MG/2ML NUTROPIN AQ NUSPIN 5 Growth Hormones
50242007401 Somatropin Inj 10 MG/2ML NUTROPIN AQ NUSPIN 10 Growth Hormones
50242002220 Somatropin Inj 10 MG/2ML NUTROPIN AQ Growth Hormones
50242004314 Somatropin Inj 10 MG/2ML NUTROPIN AQ PEN Growth Hormones
781300126 Somatropin Inj 5 MG/1.5ML OMNITROPE Growth Hormones
54868614600 Somatropin Inj 5 MG/1.5ML NORDITROPIN NORDIFLEX PEN Growth Hormones
781300107 Somatropin Inj 5 MG/1.5ML OMNITROPE Growth Hormones
169770421 Somatropin Inj 5 MG/1.5ML NORDITROPIN FLEXPRO Growth Hormones
169776811 Somatropin Inj 5 MG/1.5ML NORDITROPIN CARTRIDGE Growth Hormones
12280007215 Somatropin Inj 5 MG/1.5ML NORDITROPIN NORDIFLEX PEN Growth Hormones
169770411 Somatropin Inj 5 MG/1.5ML NORDITROPIN NORDIFLEX PEN Growth Hormones
781300144 Somatropin Inj 5 MG/1.5ML OMNITROPE Growth Hormones
12280009215 Somatropin Inj 5 MG/1.5ML NORDITROPIN CARTRIDGE Growth Hormones
781300426 Somatropin Inj 10 MG/1.5ML OMNITROPE Growth Hormones
169770521 Somatropin Inj 10 MG/1.5ML NORDITROPIN FLEXPRO Growth Hormones
10
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC781300407 Somatropin Inj 10 MG/1.5ML OMNITROPE Growth Hormones
169770511 Somatropin Inj 10 MG/1.5ML NORDITROPIN NORDIFLEX PEN Growth Hormones
781300444 Somatropin Inj 10 MG/1.5ML OMNITROPE Growth Hormones
169770821 Somatropin Inj 15 MG/1.5ML NORDITROPIN FLEXPRO Growth Hormones
169770811 Somatropin Inj 15 MG/1.5ML NORDITROPIN NORDIFLEX PEN Growth Hormones
169777011 Somatropin Inj 15 MG/1.5ML NORDITROPIN CARTRIDGE Growth Hormones
50242007601 Somatropin Inj 20 MG/2ML NUTROPIN AQ NUSPIN 20 Growth Hormones
50242007301 Somatropin Inj 20 MG/2ML NUTROPIN AQ PEN Growth Hormones
169770311 Somatropin Inj 30 MG/3ML NORDITROPIN NORDIFLEX PEN Growth Hormones
002733516 Somatropin For Inj 5 MG HUMATROPE COMBO PACK Growth Hormones
002733501 Somatropin For Inj 5 MG HUMATROPE COMBO PACK Growth Hormones
002733511 Somatropin For Inj 5 MG HUMATROPE COMBO PACK Growth Hormones
002734901 Somatropin For Inj 5 MG HUMATROPE Growth Hormones
013262681 Somatropin For Subcutaneous Inj 5 MG GENOTROPIN Growth Hormones
50242007203 Somatropin For Subcutaneous Inj 5 MG NUTROPIN Growth Hormones
50242001902 Somatropin For Subcutaneous Inj 5 MG NUTROPIN Growth Hormones
013262694 Somatropin For Subcutaneous Inj 5 MG GENOTROPIN Growth Hormones
57844071341 Somatropin For Subcutaneous Inj 5 MG TEV‐TROPIN Growth Hormones
57844071319 Somatropin For Subcutaneous Inj 5 MG TEV‐TROPIN Growth Hormones
781400436 Somatropin For Inj 5.8 MG OMNITROPE Growth Hormones
781401471 Somatropin For Inj 5.8 MG OMNITROPE Growth Hormones
002814701 Somatropin For Inj 6 MG (18 Unit) HUMATROPE Growth Hormones
002814801 Somatropin For Inj 12 MG (36 Unit) HUMATROPE Growth Hormones
013264681 Somatropin For Inj 12 MG (13.8 MG Overfill) GENOTROPIN Growth Hormones
58016477101 Somatropin For Inj 12 MG (13.8 MG Overfill) GENOTROPIN Growth Hormones
013264694 Somatropin For Inj 12 MG (13.8 MG Overfill) GENOTROPIN Growth Hormones
50242001821 Somatropin For Inj 10 MG NUTROPIN Growth Hormones
50242002020 Somatropin For Inj 10 MG NUTROPIN Growth Hormones
002814901 Somatropin For Inj 24 MG HUMATROPE Growth Hormones
54868560100 Somatropin For Inj 0.2 MG GENOTROPIN MINIQUICK Growth Hormones
013264902 Somatropin For Inj 0.2 MG GENOTROPIN MINIQUICK Growth Hormones
54868563400 Somatropin For Inj 0.4 MG GENOTROPIN MINIQUICK Growth Hormones
013265002 Somatropin For Inj 0.4 MG GENOTROPIN MINIQUICK Growth Hormones
54868591700 Somatropin For Inj 0.6 MG GENOTROPIN MINIQUICK Growth Hormones
013265102 Somatropin For Inj 0.6 MG GENOTROPIN MINIQUICK Growth Hormones
013265202 Somatropin For Inj 0.8 MG GENOTROPIN MINIQUICK Growth Hormones
54868576000 Somatropin For Inj 0.8 MG GENOTROPIN MINIQUICK Growth Hormones
013265302 Somatropin For Inj 1 MG GENOTROPIN MINIQUICK Growth Hormones
013265402 Somatropin For Inj 1.2 MG GENOTROPIN MINIQUICK Growth Hormones
013265502 Somatropin For Inj 1.4 MG GENOTROPIN MINIQUICK Growth Hormones
013265602 Somatropin For Inj 1.6 MG GENOTROPIN MINIQUICK Growth Hormones
013265702 Somatropin For Inj 1.8 MG GENOTROPIN MINIQUICK Growth Hormones
013265802 Somatropin For Inj 2 MG GENOTROPIN MINIQUICK Growth Hormones
44087000401 Somatropin (Non‐Refrigerated) For Subcutaneous Inj 4 MG SEROSTIM Growth Hormones
44087000407 Somatropin (Non‐Refrigerated) For Subcutaneous Inj 4 MG SEROSTIM Growth Hormones
54569493000 Somatropin (Non‐Refrigerated) For Inj 5 MG SAIZEN Growth Hormones
44087100502 Somatropin (Non‐Refrigerated) For Inj 5 MG SAIZEN Growth Hormones
44087000501 Somatropin (Non‐Refrigerated) For Subcutaneous Inj 5 MG SEROSTIM Growth Hormones
44087000507 Somatropin (Non‐Refrigerated) For Subcutaneous Inj 5 MG SEROSTIM Growth Hormones
44087000607 Somatropin (Non‐Refrigerated) For Subcutaneous Inj 6 MG SEROSTIM Growth Hormones
44087000601 Somatropin (Non‐Refrigerated) For Subcutaneous Inj 6 MG SEROSTIM Growth Hormones
44087108801 Somatropin (Non‐Refrigerated) For Inj 8.8 MG SAIZEN Growth Hormones
44087108001 Somatropin (Non‐Refrigerated) For Inj 8.8 MG SAIZEN CLICK.EASY Growth Hormones
44087338807 Somatropin (Non‐Refrigerated) For Subcutaneous Inj 8.8 MG ZORBTIVE Growth Hormones
44087008804 Somatropin (Non‐Refrigerated) For Subcutaneous Inj 8.8 MG SEROSTIM Growth Hormones
44087201003 Tesamorelin Acetate For Inj 1 MG (Base Equiv) EGRIFTA !Unknown!
62064001160 Tesamorelin Acetate For Inj 1 MG (Base Equiv) EGRIFTA !Unknown!
44087201102 Tesamorelin Acetate For Inj 2 MG (Base Equiv) EGRIFTA !Unknown!
62064002130 Tesamorelin Acetate For Inj 2 MG (Base Equiv) EGRIFTA !Unknown!
15054104005 Mecasermin Inj 40 MG/4ML (10 MG/ML) INCRELEX Insulin‐Like Growth Factors (Somatomedins)
15054006001 Lanreotide Acetate Extended Release Inj 60 MG/0.2ML SOMATULINE DEPOT Somatostatic Agents
15054009001 Lanreotide Acetate Extended Release Inj 90 MG/0.3ML SOMATULINE DEPOT Somatostatic Agents
15054012001 Lanreotide Acetate Extended Release Inj 120 MG/0.5ML SOMATULINE DEPOT Somatostatic Agents
15054012002 Lanreotide Acetate Extended Release Inj 120 MG/0.5ML SOMATULINE DEPOT Somatostatic Agents
25021045101 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
63323036501 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
781916695 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
63323036504 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
67457023901 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
67457023900 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
078018061 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) SANDOSTATIN Somatostatic Agents
078018001 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) SANDOSTATIN Somatostatic Agents
55390016010 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
781916671 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
703330104 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
62756034844 Octreotide Acetate Inj 50 MCG/ML (0.05 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
55390037510 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
781916795 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
078018101 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) SANDOSTATIN Somatostatic Agents
781916771 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
63323037601 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
64679063302 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
703331101 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
703331104 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
67457024500 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
11
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC63323037604 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
078018161 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) SANDOSTATIN Somatostatic Agents
62756009444 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
62756034944 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
25021045201 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
67457024501 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
55390016110 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
781916575 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
62756035040 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
781316575 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
55390037701 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
078018325 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) SANDOSTATIN Somatostatic Agents
25021045405 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
703333301 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
64679063401 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
55390016301 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
63323037805 Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
55390016210 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
55390037610 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
078018201 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) SANDOSTATIN Somatostatic Agents
63323037704 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
25021045301 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
67457024600 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
64679063502 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
703332101 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
781916871 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
67457024601 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
62756035144 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
63323037701 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
078018261 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) SANDOSTATIN Somatostatic Agents
703332194 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
703332104 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
781916895 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
62756035240 Octreotide Acetate Inj 1000 MCG/ML (1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
25021045505 Octreotide Acetate Inj 1000 MCG/ML (1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
64679063201 Octreotide Acetate Inj 1000 MCG/ML (1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
781316475 Octreotide Acetate Inj 1000 MCG/ML (1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
078018425 Octreotide Acetate Inj 1000 MCG/ML (1 MG/ML) SANDOSTATIN Somatostatic Agents
781916475 Octreotide Acetate Inj 1000 MCG/ML (1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
63323037905 Octreotide Acetate Inj 1000 MCG/ML (1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
703334301 Octreotide Acetate Inj 1000 MCG/ML (1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
55390016401 Octreotide Acetate Inj 1000 MCG/ML (1 MG/ML) OCTREOTIDE ACETATE Somatostatic Agents
62756065240 Octreotide Acetate Inj 1 MG/ML !Unknown! Somatostatic Agents
078034061 Octreotide Acetate For IM Inj Kit 10 MG SANDOSTATIN LAR DEPOT Somatostatic Agents
078034161 Octreotide Acetate For IM Inj Kit 20 MG SANDOSTATIN LAR DEPOT Somatostatic Agents
078034261 Octreotide Acetate For IM Inj Kit 30 MG SANDOSTATIN LAR DEPOT Somatostatic Agents
078063361 Pasireotide Diaspartate Inj 0.3 MG/ML (Base Equiv) SIGNIFOR Somatostatic Agents
078063320 Pasireotide Diaspartate Inj 0.3 MG/ML (Base Equiv) SIGNIFOR Somatostatic Agents
078063306 Pasireotide Diaspartate Inj 0.3 MG/ML (Base Equiv) SIGNIFOR Somatostatic Agents
078063406 Pasireotide Diaspartate Inj 0.6 MG/ML (Base Equiv) SIGNIFOR Somatostatic Agents
078063461 Pasireotide Diaspartate Inj 0.6 MG/ML (Base Equiv) SIGNIFOR Somatostatic Agents
078063420 Pasireotide Diaspartate Inj 0.6 MG/ML (Base Equiv) SIGNIFOR Somatostatic Agents
078063506 Pasireotide Diaspartate Inj 0.9 MG/ML (Base Equiv) SIGNIFOR Somatostatic Agents
078063561 Pasireotide Diaspartate Inj 0.9 MG/ML (Base Equiv) SIGNIFOR Somatostatic Agents
078063520 Pasireotide Diaspartate Inj 0.9 MG/ML (Base Equiv) SIGNIFOR Somatostatic Agents
009517502 Pegvisomant For Inj 10 MG (As Protein) SOMAVERT Growth Hormone Receptor Antagonists
009517602 Pegvisomant For Inj 10 MG (As Protein) SOMAVERT Growth Hormone Receptor Antagonists
009517601 Pegvisomant For Inj 10 MG (As Protein) SOMAVERT Growth Hormone Receptor Antagonists
009517801 Pegvisomant For Inj 15 MG (As Protein) SOMAVERT Growth Hormone Receptor Antagonists
009517802 Pegvisomant For Inj 15 MG (As Protein) SOMAVERT Growth Hormone Receptor Antagonists
009518002 Pegvisomant For Inj 20 MG (As Protein) SOMAVERT Growth Hormone Receptor Antagonists
009518001 Pegvisomant For Inj 20 MG (As Protein) SOMAVERT Growth Hormone Receptor Antagonists
053245300 Desmopressin Acetate Nasal Soln 1.5 MG/ML STIMATE Posterior Pituitary Hormones
053687100 Desmopressin Acetate Nasal Soln 1.5 MG/ML STIMATE Posterior Pituitary Hormones
54868580500 Desmopressin Acetate Nasal Soln 1.5 MG/ML STIMATE Posterior Pituitary Hormones
63004871001 Corticotropin Inj Gel 80 Unit/ML H.P. ACTHAR Corticotropin
63004773101 Corticotropin Inj Gel 80 Unit/ML ACTHAR HP Corticotropin
58468004101 Agalsidase beta For IV Soln 5 MG FABRAZYME Metabolic Modifiers
58468004001 Agalsidase beta For IV Soln 35 MG FABRAZYME Metabolic Modifiers
66658010260 Nitisinone Cap 2 MG ORFADIN Metabolic Modifiers
66607100206 Nitisinone Cap 2 MG ORFADIN Metabolic Modifiers
66621100206 Nitisinone Cap 2 MG ORFADIN Metabolic Modifiers
66607010026 Nitisinone Cap 2 MG !Unknown! Metabolic Modifiers
66607010056 Nitisinone Cap 5 MG !Unknown! Metabolic Modifiers
66658010560 Nitisinone Cap 5 MG ORFADIN Metabolic Modifiers
66621100506 Nitisinone Cap 5 MG ORFADIN Metabolic Modifiers
66607100506 Nitisinone Cap 5 MG ORFADIN Metabolic Modifiers
66621101006 Nitisinone Cap 10 MG ORFADIN Metabolic Modifiers
66607010106 Nitisinone Cap 10 MG !Unknown! Metabolic Modifiers
66658011060 Nitisinone Cap 10 MG ORFADIN Metabolic Modifiers
66607101006 Nitisinone Cap 10 MG ORFADIN Metabolic Modifiers
68727040001 Betaine Powder For Oral Solution CYSTADANE Metabolic Modifiers
66621400001 Betaine Powder For Oral Solution CYSTADANE Metabolic Modifiers
62161000420 Betaine Powder For Oral Solution CYSTADANE Metabolic Modifiers
55513007330 Cinacalcet HCl Tab 30 MG (Base Equiv) SENSIPAR Metabolic Modifiers
12
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC54868561600 Cinacalcet HCl Tab 30 MG (Base Equiv) SENSIPAR Metabolic Modifiers
55513007430 Cinacalcet HCl Tab 60 MG (Base Equiv) SENSIPAR Metabolic Modifiers
55513007530 Cinacalcet HCl Tab 90 MG (Base Equiv) SENSIPAR Metabolic Modifiers
66780031001 Metreleptin For Subcutaneous Inj 11.3 MG MYALEPT Metabolic Modifiers
58468007001 Laronidase Soln For IV Infusion 2.9 MG/5ML ALDURAZYME Metabolic Modifiers
54092070001 Idursulfase Soln for IV Infusion 6 MG/3ML (2 MG/ML) ELAPRASE Metabolic Modifiers
68135010001 Elosulfase Alfa Soln For IV Infusion 5 MG/5ML (1 MG/ML) VIMIZIM Metabolic Modifiers
68135002001 Galsulfase Soln For IV Infusion 1 MG/ML NAGLAZYME Metabolic Modifiers
58468016001 Alglucosidase Alfa For IV Soln 50 MG LUMIZYME Metabolic Modifiers
58468015001 Alglucosidase Alfa For IV Soln 50 MG MYOZYME Metabolic Modifiers
58468016002 Alglucosidase Alfa For IV Soln 50 MG LUMIZYME Metabolic Modifiers
76325010004 Glycerol Phenylbutyrate Liquid 1.1 GM/ML RAVICTI Metabolic Modifiers
76325010025 Glycerol Phenylbutyrate Liquid 1.1 GM/ML RAVICTI Metabolic Modifiers
76325049603 Sodium Phenylbutyrate Tab 500 MG BUPHENYL Metabolic Modifiers
62592049603 Sodium Phenylbutyrate Tab 500 MG BUPHENYL Metabolic Modifiers
42794008614 Sodium Phenylbutyrate Oral Powder 3 GM/Teaspoonful SODIUM PHENYLBUTYRATE Metabolic Modifiers
76325018864 Sodium Phenylbutyrate Oral Powder 3 GM/Teaspoonful BUPHENYL Metabolic Modifiers
62592018864 Sodium Phenylbutyrate Oral Powder 3 GM/Teaspoonful BUPHENYL Metabolic Modifiers
52276031205 Carglumic Acid Tab 200 MG CARBAGLU Metabolic Modifiers
52276031260 Carglumic Acid Tab 200 MG CARBAGLU Metabolic Modifiers
68135030111 Sapropterin Dihydrochloride Powder Packet 100 MG KUVAN Metabolic Modifiers
68135030122 Sapropterin Dihydrochloride Powder Packet 100 MG KUVAN Metabolic Modifiers
68135030002 Sapropterin Dihydrochloride Soluble Tab 100 MG KUVAN Metabolic Modifiers
76431010501 Lomitapide Mesylate Cap 5 MG (Base Equiv) JUXTAPID !Unknown!
76431011001 Lomitapide Mesylate Cap 10 MG (Base Equiv) JUXTAPID !Unknown!
76431012001 Lomitapide Mesylate Cap 20 MG (Base Equiv) JUXTAPID !Unknown!
58468019102 Mipomersen Sodium Inj 200 MG/ML KYNAMRO Antihyperlipidemics ‐ Misc.
58468019101 Mipomersen Sodium Inj 200 MG/ML KYNAMRO Antihyperlipidemics ‐ Misc.
50419025003 Riociguat Tab 0.5 MG ADEMPAS !Unknown!
50419025001 Riociguat Tab 0.5 MG ADEMPAS !Unknown!
50419025101 Riociguat Tab 1 MG ADEMPAS !Unknown!
50419025103 Riociguat Tab 1 MG ADEMPAS !Unknown!
50419025201 Riociguat Tab 1.5 MG ADEMPAS !Unknown!
50419025203 Riociguat Tab 1.5 MG ADEMPAS !Unknown!
50419025301 Riociguat Tab 2 MG ADEMPAS !Unknown!
50419025303 Riociguat Tab 2 MG ADEMPAS !Unknown!
50419025401 Riociguat Tab 2.5 MG ADEMPAS !Unknown!
50419025403 Riociguat Tab 2.5 MG ADEMPAS !Unknown!
55111037290 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
65162035109 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
378165777 Sildenafil Citrate Tab 20 MG SILDENAFIL Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
63629502903 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
13668018505 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
069419068 Sildenafil Citrate Tab 20 MG REVATIO Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
16714033801 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
60505340409 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
68001017605 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
60505340405 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
68071207203 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
68071207201 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
68071207204 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
68071207208 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
591378019 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
63629502902 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
68258697409 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
63629502905 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
68071207202 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
63629502901 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
13668018590 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
63629502904 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
42291073090 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
68084062211 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
093551798 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
59762003301 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
68084062221 Sildenafil Citrate Tab 20 MG SILDENAFIL CITRATE Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
33342012110 Sildenafil Citrate Tab 20 MG SILDENAFIL Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
069033801 Sildenafil Citrate IV Soln 10 MG/12.5ML (Base Equivalent) REVATIO Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
66302046760 Tadalafil Tab 20 MG (PAH) ADCIRCA Pulmonary Hypertension ‐ Phosphodiesterase Inhibitors
61958080101 Ambrisentan Tab 5 MG LETAIRIS Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
61958080102 Ambrisentan Tab 5 MG LETAIRIS Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
61958080103 Ambrisentan Tab 5 MG LETAIRIS Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
61958080201 Ambrisentan Tab 10 MG LETAIRIS Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
61958080203 Ambrisentan Tab 10 MG LETAIRIS Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
61958080202 Ambrisentan Tab 10 MG LETAIRIS Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
66215010106 Bosentan Tab 62.5 MG TRACLEER Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
66215010103 Bosentan Tab 62.5 MG TRACLEER Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
66215010203 Bosentan Tab 125 MG TRACLEER Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
66215010206 Bosentan Tab 125 MG TRACLEER Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
66215050130 Macitentan Tab 10 MG OPSUMIT Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
66215050115 Macitentan Tab 10 MG OPSUMIT Pulmonary Hypertension ‐ Endothelin Receptor Antagonists
173051700 Epoprostenol Sodium For Inj 0.5 MG FLOLAN Prostaglandin Vasodilators
703198501 Epoprostenol Sodium For Inj 0.5 MG EPOPROSTENOL SODIUM Prostaglandin Vasodilators
66215040301 Epoprostenol Sodium For Inj 0.5 MG VELETRI Prostaglandin Vasodilators
173051900 Epoprostenol Sodium For Inj 1.5 MG FLOLAN Prostaglandin Vasodilators
66215040101 Epoprostenol Sodium For Inj 1.5 MG VELETRI Prostaglandin Vasodilators
13
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC703199501 Epoprostenol Sodium For Inj 1.5 MG EPOPROSTENOL SODIUM Prostaglandin Vasodilators
66215040201 Epoprostenol Sodium For Inj 1.5 MG VELETRI Prostaglandin Vasodilators
10148010101 Iloprost Inhalation Solution 10 MCG/ML VENTAVIS Prostaglandin Vasodilators
66215030200 Iloprost Inhalation Solution 10 MCG/ML VENTAVIS Prostaglandin Vasodilators
10148010100 Iloprost Inhalation Solution 10 MCG/ML VENTAVIS Prostaglandin Vasodilators
66215030230 Iloprost Inhalation Solution 10 MCG/ML VENTAVIS Prostaglandin Vasodilators
10148010200 Iloprost Inhalation Solution 10 MCG/ML VENTAVIS Prostaglandin Vasodilators
10148010130 Iloprost Inhalation Solution 10 MCG/ML VENTAVIS Prostaglandin Vasodilators
10148010230 Iloprost Inhalation Solution 10 MCG/ML VENTAVIS Prostaglandin Vasodilators
66215030330 Iloprost Inhalation Solution 20 MCG/ML VENTAVIS Prostaglandin Vasodilators
66215030300 Iloprost Inhalation Solution 20 MCG/ML VENTAVIS Prostaglandin Vasodilators
66302020602 Treprostinil Inhalation Solution 0.6 MG/ML TYVASO REFILL Prostaglandin Vasodilators
66302020603 Treprostinil Inhalation Solution 0.6 MG/ML TYVASO Prostaglandin Vasodilators
66302020601 Treprostinil Inhalation Solution 0.6 MG/ML TYVASO STARTER Prostaglandin Vasodilators
66302010101 Treprostinil Sodium Inj 1 MG/ML (Base Equiv) REMODULIN Prostaglandin Vasodilators
66302010201 Treprostinil Sodium Inj 2.5 MG/ML (Base Equiv) REMODULIN Prostaglandin Vasodilators
66302010501 Treprostinil Sodium Inj 5 MG/ML (Base Equiv) REMODULIN Prostaglandin Vasodilators
66302011001 Treprostinil Sodium Inj 10 MG/ML (Base Equiv) REMODULIN Prostaglandin Vasodilators
50242004062 Omalizumab For Inj 150 MG XOLAIR Antiasthmatic ‐ Monoclonal Antibodies
944288401 Alpha1‐Proteinase Inhibitor (Human) Inj 1000 MG/50ML GLASSIA Alpha‐Proteinase Inhibitor (Human)
944280201 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 400 MG ARALAST NP Alpha‐Proteinase Inhibitor (Human)
944280101 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 400 MG ARALAST Alpha‐Proteinase Inhibitor (Human)
49669580001 Proteinase Inhibitor (Human) For IV Soln 400 MG ARALAST Alpha‐Proteinase Inhibitor (Human)
944281201 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 500 MG ARALAST NP Alpha‐Proteinase Inhibitor (Human)
13533060130 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 500 MG PROLASTIN Alpha‐Proteinase Inhibitor (Human)
944281401 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 500 MG ARALAST NP Alpha‐Proteinase Inhibitor (Human)
49669580002 Proteinase Inhibitor (Human) For IV Soln 800 MG ARALAST Alpha‐Proteinase Inhibitor (Human)
944280202 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 800 MG ARALAST NP Alpha‐Proteinase Inhibitor (Human)
944280102 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 800 MG ARALAST Alpha‐Proteinase Inhibitor (Human)
944281501 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 1000 MG ARALAST NP Alpha‐Proteinase Inhibitor (Human)
13533070002 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 1000 MG PROLASTIN‐C Alpha‐Proteinase Inhibitor (Human)
944282202 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 1000 MG ARALAST NP Alpha‐Proteinase Inhibitor (Human)
13533060135 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 1000 MG PROLASTIN Alpha‐Proteinase Inhibitor (Human)
053720102 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 1000 MG ZEMAIRA Alpha‐Proteinase Inhibitor (Human)
13533070001 Alpha1‐Proteinase Inhibitor (Human) For IV Soln 1000 MG PROLASTIN‐C Alpha‐Proteinase Inhibitor (Human)
51167020002 Ivacaftor Tab 150 MG KALYDECO Cystic Fibrosis Agents
50242010039 Dornase Alfa Inhal Soln 1 MG/ML PULMOZYME Cystic Fibrosis Agents
50242010040 Dornase Alfa Inhal Soln 1 MG/ML PULMOZYME Cystic Fibrosis Agents
64764030020 Vedolizumab For IV Solution 300 MG ENTYVIO Inflammatory Bowel Agents
50474070062 Certolizumab Pegol For Inj Kit 2 X 200 MG CIMZIA Inflammatory Bowel Agents
50474071079 Certolizumab Pegol Inj Kit 2 X 200 MG/ML CIMZIA Inflammatory Bowel Agents
50474071081 Certolizumab Pegol Inj Kit 6 X 200 MG/ML CIMZIA STARTER KIT Inflammatory Bowel Agents
57894003001 Infliximab For IV Inj 100 MG REMICADE Inflammatory Bowel Agents
68875010102 Teduglutide (rDNA) For Inj Kit 5 MG GATTEX !Unknown!
68875010101 Teduglutide (rDNA) For Inj Kit 5 MG GATTEX !Unknown!
68875010201 Teduglutide (rDNA) For Inj Kit 5 MG GATTEX !Unknown!
68875010301 Teduglutide (rDNA) For Inj Kit 5 MG GATTEX !Unknown!
378904001 Cysteamine Bitartrate Cap 50 MG CYSTAGON Cystinosis Agents
378904005 Cysteamine Bitartrate Cap 50 MG CYSTAGON Cystinosis Agents
378904505 Cysteamine Bitartrate Cap 150 MG CYSTAGON Cystinosis Agents
378904501 Cysteamine Bitartrate Cap 150 MG CYSTAGON Cystinosis Agents
50458056001 Paliperidone Palmitate IM Extended‐Release Susp 39 MG/0.25ML INVEGA SUSTENNA Benzisoxazoles
50458056101 Paliperidone Palmitate IM Extended‐Release Susp 78 MG/0.5ML INVEGA SUSTENNA Benzisoxazoles
50458056201 Paliperidone Palmitate IM Extend‐Release Susp 117 MG/0.75ML INVEGA SUSTENNA Benzisoxazoles
50458056301 Paliperidone Palmitate IM Extended‐Release Susp 156 MG/ML INVEGA SUSTENNA Benzisoxazoles
50458056401 Paliperidone Palmitate IM Extended‐Release Susp 234 MG/1.5ML INVEGA SUSTENNA Benzisoxazoles
50458030911 Risperidone Microspheres For Inj 12.5 MG RISPERDAL CONSTA Benzisoxazoles
50458030611 Risperidone Microspheres For Inj 25 MG RISPERDAL CONSTA Benzisoxazoles
50458030711 Risperidone Microspheres For Inj 37.5 MG RISPERDAL CONSTA Benzisoxazoles
50458030811 Risperidone Microspheres For Inj 50 MG RISPERDAL CONSTA Benzisoxazoles
002765801 Olanzapine Pamoate For Extended Rel IM Susp 210 MG (Base Eq) ZYPREXA RELPREVV Dibenzapines
002763511 Olanzapine Pamoate For Extended Rel IM Susp 210 MG (Base Eq) ZYPREXA RELPREVV Dibenzapines
002763611 Olanzapine Pamoate For Extended Rel IM Susp 300 MG (Base Eq) ZYPREXA RELPREVV Dibenzapines
002765901 Olanzapine Pamoate For Extended Rel IM Susp 300 MG (Base Eq) ZYPREXA RELPREVV Dibenzapines
002763711 Olanzapine Pamoate For Extended Rel IM Susp 405 MG (Base Eq) ZYPREXA RELPREVV Dibenzapines
002766001 Olanzapine Pamoate For Extended Rel IM Susp 405 MG (Base Eq) ZYPREXA RELPREVV Dibenzapines
59148001871 Aripiprazole IM For Extended Release Susp 300 MG ABILIFY MAINTENA Quinolinone Derivatives
59148001971 Aripiprazole IM For Extended Release Susp 400 MG ABILIFY MAINTENA Quinolinone Derivatives
67386042101 Tetrabenazine Tab 12.5 MG XENAZINE Movement Disorder Drug Therapy
67386042201 Tetrabenazine Tab 25 MG XENAZINE Movement Disorder Drug Therapy
68546031730 Glatiramer Acetate Inj Kit 20 MG/ML COPAXONE Multiple Sclerosis Agents
68115075030 Glatiramer Acetate Inj Kit 20 MG/ML COPAXONE Multiple Sclerosis Agents
088115330 Glatiramer Acetate Inj Kit 20 MG/ML COPAXONE Multiple Sclerosis Agents
68546032512 Glatiramer Acetate Soln Prefilled Syringe 40 MG/ML COPAXONE Multiple Sclerosis Agents
44087002203 Interferon Beta‐1a Inj 22 MCG/0.5ML (12MU/ML) (44 MCG/ML) REBIF Multiple Sclerosis Agents
44087332201 Interferon Beta‐1a Inj 22 MCG/0.5ML (12MU/ML) (44 MCG/ML) REBIF REBIDOSE Multiple Sclerosis Agents
44087002201 Interferon Beta‐1a Inj 22 MCG/0.5ML (12MU/ML) (44 MCG/ML) REBIF Multiple Sclerosis Agents
44087004401 Interferon Beta‐1a Inj 44 MCG/0.5ML (24MU/ML) (88 MCG/ML) REBIF Multiple Sclerosis Agents
44087334401 Interferon Beta‐1a Inj 44 MCG/0.5ML (24MU/ML) (88 MCG/ML) REBIF REBIDOSE Multiple Sclerosis Agents
44087004403 Interferon Beta‐1a Inj 44 MCG/0.5ML (24MU/ML) (88 MCG/ML) REBIF Multiple Sclerosis Agents
44087018801 Interferon Beta‐1a Inj 6 X 8.8 MCG/0.2ML & 6 X 22 MCG/0.5ML REBIF REBIDOSE TITRATION Multiple Sclerosis Agents
44087882201 Interferon Beta‐1a Inj 6 X 8.8 MCG/0.2ML & 6 X 22 MCG/0.5ML REBIF TITRATION PACK Multiple Sclerosis Agents
59627000103 Interferon Beta‐1a For IM Inj Kit 30MCG (33MCG(6.6 MU)/Vial) AVONEX Multiple Sclerosis Agents
59627000104 Interferon Beta‐1a For IM Inj Kit 30MCG (33MCG(6.6 MU)/Vial) AVONEX Multiple Sclerosis Agents
59627000207 Interferon Beta‐1a IM Inj Kit 30 MCG/0.5ML AVONEX Multiple Sclerosis Agents
14
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC59627000205 Interferon Beta‐1a IM Inj Kit 30 MCG/0.5ML AVONEX Multiple Sclerosis Agents
59627000304 Interferon Beta‐1a IM Inj Kit 30 MCG/0.5ML AVONEX PEN Multiple Sclerosis Agents
50419052325 Interferon Beta‐1b For Inj 0.3 MG BETASERON Multiple Sclerosis Agents
50419052335 Interferon Beta‐1b For Inj Kit 0.3 MG BETASERON Multiple Sclerosis Agents
50419052401 Interferon Beta‐1b For Inj Kit 0.3 MG BETASERON Multiple Sclerosis Agents
078056999 Interferon Beta‐1b For Inj Kit 0.3 MG EXTAVIA Multiple Sclerosis Agents
50419052309 Interferon Beta‐1b For Inj Kit 0.3 MG BETASERON Multiple Sclerosis Agents
50419052435 Interferon Beta‐1b For Inj Kit 0.3 MG BETASERON Multiple Sclerosis Agents
078056912 Interferon Beta‐1b For Inj Kit 0.3 MG EXTAVIA Multiple Sclerosis Agents
078056961 Interferon Beta‐1b For Inj Kit 0.3 MG EXTAVIA Multiple Sclerosis Agents
58468021101 Teriflunomide Tab 7 MG AUBAGIO Multiple Sclerosis Agents
58468021002 Teriflunomide Tab 14 MG AUBAGIO Multiple Sclerosis Agents
64406000801 Natalizumab for IV Inj Conc 300 MG/15ML TYSABRI Multiple Sclerosis Agents
59075073015 Natalizumab for IV Inj Conc 300 MG/15ML TYSABRI Multiple Sclerosis Agents
64406000703 Dimethyl Fumarate Capsule DR Starter Pack 120 MG & 240 MG TECFIDERA STARTER PACK Multiple Sclerosis Agents
64406000501 Dimethyl Fumarate Capsule Delayed Release 120 MG TECFIDERA Multiple Sclerosis Agents
64406000602 Dimethyl Fumarate Capsule Delayed Release 240 MG TECFIDERA Multiple Sclerosis Agents
10144042760 Dalfampridine Tab SR 12HR 10 MG AMPYRA Multiple Sclerosis Agents
078060751 Fingolimod HCl Cap 0.5 MG (Base Equiv) GILENYA Multiple Sclerosis Agents
59075072310 Ziconotide Acetate Intrathecal Inj 500 MCG/20ML (25 MCG/ML) PRIALT Analgesics‐Peptide Channel Blockers
18860072310 Ziconotide Acetate Intrathecal Inj 500 MCG/20ML (25 MCG/ML) PRIALT Analgesics‐Peptide Channel Blockers
18860072210 Ziconotide Acetate Intrathecal Inj 500 MCG/5ML PRIALT Analgesics‐Peptide Channel Blockers
59075072210 Ziconotide Acetate Intrathecal Inj 500 MCG/5ML PRIALT Analgesics‐Peptide Channel Blockers
66658023401 Anakinra Subcutaneous Inj 100 MG/0.67ML KINERET Interleukin‐1 Receptor Antagonist (IL‐1Ra)
55513017707 Anakinra Subcutaneous Inj 100 MG/0.67ML KINERET Interleukin‐1 Receptor Antagonist (IL‐1Ra)
55513017701 Anakinra Subcutaneous Inj 100 MG/0.67ML KINERET Interleukin‐1 Receptor Antagonist (IL‐1Ra)
66658023407 Anakinra Subcutaneous Inj 100 MG/0.67ML KINERET Interleukin‐1 Receptor Antagonist (IL‐1Ra)
55513017728 Anakinra Subcutaneous Inj 100 MG/0.67ML KINERET Interleukin‐1 Receptor Antagonist (IL‐1Ra)
66658023428 Anakinra Subcutaneous Inj 100 MG/0.67ML KINERET Interleukin‐1 Receptor Antagonist (IL‐1Ra)
074937402 Adalimumab Inj Kit 20 MG/0.4ML HUMIRA Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
54868482200 Adalimumab Inj Kit 40 MG/0.8ML (50 MG/ML) HUMIRA Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
58118994802 Adalimumab Inj Kit 40 MG/0.8ML (50 MG/ML) HUMIRA PEN Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
074433902 Adalimumab Inj Kit 40 MG/0.8ML (50 MG/ML) HUMIRA PEN Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
074433906 Adalimumab Inj Kit 40 MG/0.8ML (50 MG/ML) HUMIRA PEN‐CROHNS DISEASE Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
074379902 Adalimumab Inj Kit 40 MG/0.8ML (50 MG/ML) HUMIRA Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
074433907 Adalimumab Inj Kit 40 MG/0.8ML (50 MG/ML) HUMIRA PEN‐PSORIASIS STAR Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
57894035001 Golimumab IV Soln 50 MG/4ML SIMPONI ARIA Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
57894007002 Golimumab Subcutaneous Inj 50 MG/0.5ML SIMPONI Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
57894007001 Golimumab Subcutaneous Inj 50 MG/0.5ML SIMPONI Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
57894007101 Golimumab Subcutaneous Inj 100 MG/ML SIMPONI Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
57894007102 Golimumab Subcutaneous Inj 100 MG/ML SIMPONI Anti‐TNF‐alpha ‐ Monoclonoal Antibodies
58406043501 Etanercept Subcutaneous Inj 50 MG/ML ENBREL Soluble Tumor Necrosis Factor Receptor Agents
54868544400 Etanercept Subcutaneous Inj 50 MG/ML ENBREL Soluble Tumor Necrosis Factor Receptor Agents
58406043504 Etanercept Subcutaneous Inj 50 MG/ML ENBREL Soluble Tumor Necrosis Factor Receptor Agents
58406044504 Etanercept Subcutaneous Inj 50 MG/ML ENBREL SURECLICK Soluble Tumor Necrosis Factor Receptor Agents
58406044501 Etanercept Subcutaneous Inj 50 MG/ML ENBREL SURECLICK Soluble Tumor Necrosis Factor Receptor Agents
58406045504 Etanercept Subcutaneous Inj 25 MG/0.5ML ENBREL Soluble Tumor Necrosis Factor Receptor Agents
58406045501 Etanercept Subcutaneous Inj 25 MG/0.5ML ENBREL Soluble Tumor Necrosis Factor Receptor Agents
58406042541 Etanercept For Subcutaneous Inj Kit 25 MG ENBREL Soluble Tumor Necrosis Factor Receptor Agents
58406042534 Etanercept For Subcutaneous Inj Kit 25 MG ENBREL Soluble Tumor Necrosis Factor Receptor Agents
54868478200 Etanercept For Subcutaneous Inj Kit 25 MG ENBREL Soluble Tumor Necrosis Factor Receptor Agents
003218811 Abatacept Subcutaneous Inj 125 MG/ML ORENCIA Selective Costimulation Modulators
003218831 Abatacept Subcutaneous Inj 125 MG/ML ORENCIA Selective Costimulation Modulators
003218710 Abatacept For IV Soln 250 MG ORENCIA Selective Costimulation Modulators
61755000101 Rilonacept For Inj 220 MG ARCALYST Interleukin‐1 Blockers
078058261 Canakinumab For Inj 180 MG ILARIS !Unknown!
50242013501 Tocilizumab IV Inj 80 MG/4ML ACTEMRA !Unknown!
50242013601 Tocilizumab IV Inj 200 MG/10ML ACTEMRA !Unknown!
50242013701 Tocilizumab IV Inj 400 MG/20ML ACTEMRA !Unknown!
069100101 Tofacitinib Citrate Tab 5 MG (Base Equivalent) XELJANZ !Unknown!
59572063106 Apremilast Tab 30 MG OTEZLA !Unknown!
59572063006 Apremilast Tab 30 MG OTEZLA !Unknown!
54396080101 Pegloticase Inj 8 MG/ML (For IV Infusion) KRYSTEXXA Gout Agents
67386011101 Vigabatrin Tab 500 MG SABRIL GABA Modulators
67386021165 Vigabatrin Powd Pack 500 MG SABRIL GABA Modulators
62794025513 Apomorphine Hydrochloride Inj 10 MG/ML APOKYN Antiparkinson Dopaminergics
27505000405 Apomorphine Hydrochloride Inj 10 MG/ML APOKYN Antiparkinson Dopaminergics
15054021105 Apomorphine Hydrochloride Inj 10 MG/ML APOKYN Antiparkinson Dopaminergics
62794025537 Apomorphine Hydrochloride Inj 10 MG/ML APOKYN Antiparkinson Dopaminergics
16887021101 Apomorphine Hydrochloride Inj 10 MG/ML APOKYN Antiparkinson Dopaminergics
15054021101 Apomorphine Hydrochloride Inj 10 MG/ML APOKYN Antiparkinson Dopaminergics
16887021105 Apomorphine Hydrochloride Inj 10 MG/ML APOKYN Antiparkinson Dopaminergics
27505000401 Apomorphine Hydrochloride Inj 10 MG/ML APOKYN Antiparkinson Dopaminergics
15054053006 AbobotulinumtoxinA For Inj 300 Unit DYSPORT Neuromuscular Blocking Agent ‐ Neurotoxins
15054005001 AbobotulinumtoxinA For Inj 500 Unit DYSPORT Neuromuscular Blocking Agent ‐ Neurotoxins
15054050001 AbobotulinumtoxinA For Inj 500 Unit DYSPORT Neuromuscular Blocking Agent ‐ Neurotoxins
54868412300 OnabotulinumtoxinA For Inj 100 Unit BOTOX Neuromuscular Blocking Agent ‐ Neurotoxins
023114501 OnabotulinumtoxinA For Inj 100 Unit BOTOX Neuromuscular Blocking Agent ‐ Neurotoxins
023392102 OnabotulinumtoxinA For Inj 200 Unit BOTOX Neuromuscular Blocking Agent ‐ Neurotoxins
10454071010 RimabotulinumtoxinB Inj 2500 Unit/0.5ML MYOBLOC Neuromuscular Blocking Agent ‐ Neurotoxins
10454071110 RimabotulinumtoxinB Inj 5000 Unit/ML MYOBLOC Neuromuscular Blocking Agent ‐ Neurotoxins
59075071210 RimabotulinumtoxinB Inj 5000 Unit/ML MYOBLOC Neuromuscular Blocking Agent ‐ Neurotoxins
10454071210 RimabotulinumtoxinB Inj 10000 Unit/2ML MYOBLOC Neuromuscular Blocking Agent ‐ Neurotoxins
259160501 IncobotulinumtoxinA For Inj 50 Unit XEOMIN Neuromuscular Blocking Agent ‐ Neurotoxins
259161001 IncobotulinumtoxinA For Inj 100 Unit XEOMIN Neuromuscular Blocking Agent ‐ Neurotoxins
15
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC85836015153 Cross‐Linked Hyaluronate Intra‐articular Gel 30 MG/3ML GEL‐ONE Viscosupplements
35356003403 Hylan Intra‐articular Inj 8 MG/ML SYNVISC Viscosupplements
68115053503 Hylan Intra‐articular Inj 8 MG/ML SYNVISC Viscosupplements
59676036001 Hyaluronan Intra‐articular Inj 15 MG/ML ORTHOVISC Viscosupplements
35356003501 Hyaluronan Intra‐articular Inj 15 MG/ML ORTHOVISC Viscosupplements
35356003502 Hyaluronan Intra‐articular Inj 15 MG/ML ORTHOVISC Viscosupplements
8024072412 Sodium Hyaluronate Intra‐articular Inj 20 MG/2ML HYALGAN Viscosupplements
18837026502 Sodium Hyaluronate Intra‐articular Inj 20 MG/2ML HYALGAN Viscosupplements
89122072412 Sodium Hyaluronate Intra‐articular Inj 20 MG/2ML HYALGAN Viscosupplements
35356021901 Sodium Hyaluronate Intra‐articular Inj 20 MG/2ML HYALGAN Viscosupplements
55566410001 Sodium Hyaluronate Intra‐articular Inj 20 MG/2ML EUFLEXXA Viscosupplements
8024072420 Sodium Hyaluronate Intra‐articular Inj 20 MG/2ML HYALGAN Viscosupplements
89122072420 Sodium Hyaluronate Intra‐articular Inj 20 MG/2ML HYALGAN Viscosupplements
21695037402 Sodium Hyaluronate Intra‐articular Inj 20 MG/2ML HYALGAN Viscosupplements
54569554300 Sodium Hyaluronate Intra‐articular Inj 20 MG/2ML HYALGAN Viscosupplements
8363776101 Sodium Hyaluronate Intra‐articular Inj 25 MG/2.5ML SUPARTZ Viscosupplements
8363776501 Sodium Hyaluronate Intra‐articular Inj 25 MG/2.5ML SUPARTZ Viscosupplements
89130555501 Sodium Hyaluronate Intra‐articular Inj 25 MG/2.5ML SUPARTZ Viscosupplements
35356003602 Sodium Hyaluronate Intra‐articular Inj 25 MG/2.5ML SUPARTZ Viscosupplements
35356003601 Sodium Hyaluronate Intra‐articular Inj 25 MG/2.5ML SUPARTZ Viscosupplements
55513000201 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 25 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513000204 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 25 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513009001 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 25 MCG/0.42ML ARANESP ALBUMIN FREE SURE Hematopoietic Growth Factors
55513005701 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 25 MCG/0.42ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513005704 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 25 MCG/0.42ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513000304 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 40 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513000301 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 40 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513009101 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 40 MCG/0.4ML ARANESP ALBUMIN FREE SURE Hematopoietic Growth Factors
55513002104 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 40 MCG/0.4ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513002101 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 40 MCG/0.4ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513000401 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 60 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513000404 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 60 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513002304 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 60 MCG/0.3ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513002301 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 60 MCG/0.3ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513009201 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 60 MCG/0.3ML ARANESP ALBUMIN FREE SURE Hematopoietic Growth Factors
55513000501 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 100 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513000504 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 100 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513002504 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 100 MCG/0.5ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513009301 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 100 MCG/0.5ML ARANESP ALBUMIN FREE SURE Hematopoietic Growth Factors
55513002501 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 100 MCG/0.5ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513005304 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 150 MCG/0.75ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513005301 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 150 MCG/0.75ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513002701 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 150 MCG/0.3ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513009401 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 150 MCG/0.3ML ARANESP ALBUMIN FREE SURE Hematopoietic Growth Factors
55513002704 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 150 MCG/0.3ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513000601 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 200 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513002801 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 200 MCG/0.4ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
54868542800 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 200 MCG/0.4ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513009501 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 200 MCG/0.4ML ARANESP ALBUMIN FREE SURE Hematopoietic Growth Factors
55513011001 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 300 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513011101 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 300 MCG/0.6ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
54868542900 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 300 MCG/0.6ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513009601 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 300 MCG/0.6ML ARANESP ALBUMIN FREE SURE Hematopoietic Growth Factors
54868586700 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 500 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
55513009701 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 500 MCG/ML ARANESP ALBUMIN FREE SURE Hematopoietic Growth Factors
55513003201 Darbepoetin Alfa‐Polysorbate 80 Soln Inj 500 MCG/ML ARANESP ALBUMIN FREE Hematopoietic Growth Factors
59676030202 Epoetin Alfa Inj 2000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513012610 Epoetin Alfa Inj 2000 Unit/ML EPOGEN Hematopoietic Growth Factors
59676030200 Epoetin Alfa Inj 2000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513012601 Epoetin Alfa Inj 2000 Unit/ML EPOGEN Hematopoietic Growth Factors
59676030201 Epoetin Alfa Inj 2000 Unit/ML PROCRIT Hematopoietic Growth Factors
59676030302 Epoetin Alfa Inj 3000 Unit/ML PROCRIT Hematopoietic Growth Factors
59676030301 Epoetin Alfa Inj 3000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513026710 Epoetin Alfa Inj 3000 Unit/ML EPOGEN Hematopoietic Growth Factors
59676030300 Epoetin Alfa Inj 3000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513026701 Epoetin Alfa Inj 3000 Unit/ML EPOGEN Hematopoietic Growth Factors
59676030402 Epoetin Alfa Inj 4000 Unit/ML PROCRIT Hematopoietic Growth Factors
59676030400 Epoetin Alfa Inj 4000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513014810 Epoetin Alfa Inj 4000 Unit/ML EPOGEN Hematopoietic Growth Factors
59676030401 Epoetin Alfa Inj 4000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513014801 Epoetin Alfa Inj 4000 Unit/ML EPOGEN Hematopoietic Growth Factors
55513028301 Epoetin Alfa Inj 10000 Unit/ML EPOGEN Hematopoietic Growth Factors
59676031002 Epoetin Alfa Inj 10000 Unit/ML PROCRIT Hematopoietic Growth Factors
59676031001 Epoetin Alfa Inj 10000 Unit/ML PROCRIT Hematopoietic Growth Factors
54868252301 Epoetin Alfa Inj 10000 Unit/ML PROCRIT Hematopoietic Growth Factors
59676031204 Epoetin Alfa Inj 10000 Unit/ML PROCRIT Hematopoietic Growth Factors
59676031000 Epoetin Alfa Inj 10000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513014410 Epoetin Alfa Inj 10000 Unit/ML EPOGEN Hematopoietic Growth Factors
55513028310 Epoetin Alfa Inj 10000 Unit/ML EPOGEN Hematopoietic Growth Factors
59676031200 Epoetin Alfa Inj 10000 Unit/ML PROCRIT Hematopoietic Growth Factors
54868252300 Epoetin Alfa Inj 10000 Unit/ML PROCRIT Hematopoietic Growth Factors
59676031201 Epoetin Alfa Inj 10000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513014401 Epoetin Alfa Inj 10000 Unit/ML EPOGEN Hematopoietic Growth Factors
55513047810 Epoetin Alfa Inj 20000 Unit/ML EPOGEN Hematopoietic Growth Factors
59676032001 Epoetin Alfa Inj 20000 Unit/ML PROCRIT Hematopoietic Growth Factors
16
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC59676032004 Epoetin Alfa Inj 20000 Unit/ML PROCRIT Hematopoietic Growth Factors
54868567301 Epoetin Alfa Inj 20000 Unit/ML PROCRIT Hematopoietic Growth Factors
59676032000 Epoetin Alfa Inj 20000 Unit/ML PROCRIT Hematopoietic Growth Factors
54868567300 Epoetin Alfa Inj 20000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513047801 Epoetin Alfa Inj 20000 Unit/ML EPOGEN Hematopoietic Growth Factors
59676034001 Epoetin Alfa Inj 40000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513082310 Epoetin Alfa Inj 40000 Unit/ML EPOGEN Hematopoietic Growth Factors
54868580200 Epoetin Alfa Inj 40000 Unit/ML PROCRIT Hematopoietic Growth Factors
55513082301 Epoetin Alfa Inj 40000 Unit/ML EPOGEN Hematopoietic Growth Factors
64764061010 Peginesatide Acetate Soln Inj 10 MG/ML OMONTYS Hematopoietic Growth Factors
64764062020 Peginesatide Acetate Soln Inj 20 MG/2ML OMONTYS Hematopoietic Growth Factors
54868252201 Filgrastim Inj 300 MCG/ML NEUPOGEN Hematopoietic Growth Factors
54868252200 Filgrastim Inj 300 MCG/ML NEUPOGEN Hematopoietic Growth Factors
55513053010 Filgrastim Inj 300 MCG/ML NEUPOGEN Hematopoietic Growth Factors
55513053001 Filgrastim Inj 300 MCG/ML NEUPOGEN Hematopoietic Growth Factors
55513054601 Filgrastim Inj 480 MCG/1.6ML (300 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
55513054610 Filgrastim Inj 480 MCG/1.6ML (300 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
55513092491 Filgrastim Inj 300 MCG/0.5ML (600 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
55513092410 Filgrastim Inj 300 MCG/0.5ML (600 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
54868502000 Filgrastim Inj 300 MCG/0.5ML (600 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
55513092401 Filgrastim Inj 300 MCG/0.5ML (600 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
55513020901 Filgrastim Inj 480 MCG/0.8ML (600 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
55513020991 Filgrastim Inj 480 MCG/0.8ML (600 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
55513020910 Filgrastim Inj 480 MCG/0.8ML (600 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
54868305000 Filgrastim Inj 480 MCG/0.8ML (600 MCG/ML) NEUPOGEN Hematopoietic Growth Factors
55513019001 Pegfilgrastim Inj 6 MG/0.6ML NEULASTA Hematopoietic Growth Factors
54868522900 Pegfilgrastim Inj 6 MG/0.6ML NEULASTA Hematopoietic Growth Factors
50419059501 Sargramostim Inj 500 MCG/ML LEUKINE Hematopoietic Growth Factors
50419005030 Sargramostim Inj 500 MCG/ML LEUKINE Hematopoietic Growth Factors
50419059505 Sargramostim Inj 500 MCG/ML LEUKINE Hematopoietic Growth Factors
58468018101 Sargramostim Inj 500 MCG/ML LEUKINE Hematopoietic Growth Factors
58468018102 Sargramostim Inj 500 MCG/ML LEUKINE Hematopoietic Growth Factors
54868318800 Sargramostim Inj 500 MCG/ML LEUKINE Hematopoietic Growth Factors
50419005014 Sargramostim Inj 500 MCG/ML LEUKINE Hematopoietic Growth Factors
024584305 Sargramostim Lyophilized For Inj 250 MCG LEUKINE Hematopoietic Growth Factors
58468018001 Sargramostim Lyophilized For Inj 250 MCG LEUKINE Hematopoietic Growth Factors
50419000201 Sargramostim Lyophilized For Inj 250 MCG LEUKINE Hematopoietic Growth Factors
58468018002 Sargramostim Lyophilized For Inj 250 MCG LEUKINE Hematopoietic Growth Factors
50419000233 Sargramostim Lyophilized For Inj 250 MCG LEUKINE Hematopoietic Growth Factors
58394000401 Oprelvekin For Inj 5 MG NEUMEGA Hematopoietic Growth Factors
58394010408 Oprelvekin For Inj 5 MG NEUMEGA Hematopoietic Growth Factors
58394000408 Oprelvekin For Inj 5 MG NEUMEGA Hematopoietic Growth Factors
58394000402 Oprelvekin For Inj 5 MG NEUMEGA Hematopoietic Growth Factors
54868556900 Oprelvekin For Inj 5 MG NEUMEGA Hematopoietic Growth Factors
007464313 Eltrombopag Olamine Tab 12.5 MG (Base Equiv) PROMACTA Hematopoietic Growth Factors
007464013 Eltrombopag Olamine Tab 25 MG (Base Equiv) PROMACTA Hematopoietic Growth Factors
007464113 Eltrombopag Olamine Tab 50 MG (Base Equiv) PROMACTA Hematopoietic Growth Factors
007464213 Eltrombopag Olamine Tab 75 MG (Base Equiv) PROMACTA Hematopoietic Growth Factors
55513022101 Romiplostim For Inj 250 MCG NPLATE Hematopoietic Growth Factors
55513022201 Romiplostim For Inj 500 MCG NPLATE Hematopoietic Growth Factors
58468014001 Plerixafor Subcutaneous Inj 24 MG/1.2ML (20 MG/ML) MOZOBIL Stem Cell Mobilizers
024586201 Plerixafor Subcutaneous Inj 24 MG/1.2ML (20 MG/ML) MOZOBIL Stem Cell Mobilizers
58468106001 Alglucerase IV Soln 80 Unit/ML CEREDASE Agents for Gaucher Disease
58468198301 Imiglucerase For Inj 200 Unit CEREZYME Agents for Gaucher Disease
58468466301 Imiglucerase For Inj 400 Unit CEREZYME Agents for Gaucher Disease
66215020190 Miglustat Cap 100 MG ZAVESCA Agents for Gaucher Disease
66215020118 Miglustat Cap 100 MG ZAVESCA Agents for Gaucher Disease
069010601 Taliglucerase Alfa For Inj 200 Unit ELELYSO Agents for Gaucher Disease
54092070104 Velaglucerase Alfa For Inj 400 Unit VPRIV Agents for Gaucher Disease
641246041 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
069005903 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
641040064 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
63739095325 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
641040002 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
641040037 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
641246055 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
63739095311 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
63323026201 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
25021040201 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
409140212 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
25021040210 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
641040012 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
069005902 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
069005904 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
641246045 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
641246030 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
641040025 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
63323026255 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
409272301 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
409140231 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
069005901 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
677027521 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
641040021 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
409272302 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
63323004710 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
17
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC63739090128 Heparin Sodium (Porcine) Inj 5000 Unit/ML HEPARIN SODIUM Heparins And Heparinoid‐Like Agents
62856010101 Dalteparin Sodium Inj 10000 Unit/ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856010110 Dalteparin Sodium Inj 10000 Unit/ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856025001 Dalteparin Sodium Inj 2500 Unit/0.2ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856025010 Dalteparin Sodium Inj 2500 Unit/0.2ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856050010 Dalteparin Sodium Inj 5000 Unit/0.2ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856050001 Dalteparin Sodium Inj 5000 Unit/0.2ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856075010 Dalteparin Sodium Inj 7500 Unit/0.3ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856075001 Dalteparin Sodium Inj 7500 Unit/0.3ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856012510 Dalteparin Sodium Inj 12500 Unit/0.5ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856012501 Dalteparin Sodium Inj 12500 Unit/0.5ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856015001 Dalteparin Sodium Inj 15000 Unit/0.6ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856015010 Dalteparin Sodium Inj 15000 Unit/0.6ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856018010 Dalteparin Sodium Inj 18000 Unit/0.72ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856018001 Dalteparin Sodium Inj 18000 Unit/0.72ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856025101 Dalteparin Sodium Inj 25000 Unit/ML FRAGMIN Heparins And Heparinoid‐Like Agents
62856010201 Dalteparin Sodium Inj 95000 Unit/9.5ML FRAGMIN Heparins And Heparinoid‐Like Agents
548563100 Enoxaparin Sodium Inj 30 MG/0.3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781311963 Enoxaparin Sodium Inj 30 MG/0.3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075801310 Enoxaparin Sodium Inj 30 MG/0.3ML LOVENOX Heparins And Heparinoid‐Like Agents
955100310 Enoxaparin Sodium Inj 30 MG/0.3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075062430 Enoxaparin Sodium Inj 30 MG/0.3ML LOVENOX Heparins And Heparinoid‐Like Agents
35356048110 Enoxaparin Sodium Inj 30 MG/0.3ML LOVENOX Heparins And Heparinoid‐Like Agents
781311901 Enoxaparin Sodium Inj 30 MG/0.3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781313363 Enoxaparin Sodium Inj 30 MG/0.3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075801301 Enoxaparin Sodium Inj 30 MG/0.3ML LOVENOX Heparins And Heparinoid‐Like Agents
781313301 Enoxaparin Sodium Inj 30 MG/0.3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
548560100 Enoxaparin Sodium Inj 30 MG/0.3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
62037083920 Enoxaparin Sodium Inj 30 MG/0.3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075062431 Enoxaparin Sodium Inj 30 MG/0.3ML LOVENOX Heparins And Heparinoid‐Like Agents
781311964 Enoxaparin Sodium Inj 40 MG/0.4ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075801410 Enoxaparin Sodium Inj 40 MG/0.4ML LOVENOX Heparins And Heparinoid‐Like Agents
781322464 Enoxaparin Sodium Inj 40 MG/0.4ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075801401 Enoxaparin Sodium Inj 40 MG/0.4ML LOVENOX Heparins And Heparinoid‐Like Agents
58016487201 Enoxaparin Sodium Inj 40 MG/0.4ML LOVENOX Heparins And Heparinoid‐Like Agents
075062041 Enoxaparin Sodium Inj 40 MG/0.4ML LOVENOX Heparins And Heparinoid‐Like Agents
548560200 Enoxaparin Sodium Inj 40 MG/0.4ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781322402 Enoxaparin Sodium Inj 40 MG/0.4ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075062040 Enoxaparin Sodium Inj 40 MG/0.4ML LOVENOX Heparins And Heparinoid‐Like Agents
955100410 Enoxaparin Sodium Inj 40 MG/0.4ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
54868544001 Enoxaparin Sodium Inj 40 MG/0.4ML LOVENOX Heparins And Heparinoid‐Like Agents
54868544000 Enoxaparin Sodium Inj 40 MG/0.4ML LOVENOX Heparins And Heparinoid‐Like Agents
548563200 Enoxaparin Sodium Inj 40 MG/0.4ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
68115074910 Enoxaparin Sodium Inj 40 MG/0.4ML LOVENOX Heparins And Heparinoid‐Like Agents
781311902 Enoxaparin Sodium Inj 40 MG/0.4ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
35356001810 Enoxaparin Sodium Inj 40 MG/0.4ML LOVENOX Heparins And Heparinoid‐Like Agents
62037084920 Enoxaparin Sodium Inj 40 MG/0.4ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
955100610 Enoxaparin Sodium Inj 60 MG/0.6ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075801610 Enoxaparin Sodium Inj 60 MG/0.6ML LOVENOX Heparins And Heparinoid‐Like Agents
54868558700 Enoxaparin Sodium Inj 60 MG/0.6ML LOVENOX Heparins And Heparinoid‐Like Agents
781335666 Enoxaparin Sodium Inj 60 MG/0.6ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
35356001910 Enoxaparin Sodium Inj 60 MG/0.6ML LOVENOX Heparins And Heparinoid‐Like Agents
62037086120 Enoxaparin Sodium Inj 60 MG/0.6ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075801601 Enoxaparin Sodium Inj 60 MG/0.6ML LOVENOX Heparins And Heparinoid‐Like Agents
781311903 Enoxaparin Sodium Inj 60 MG/0.6ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781311966 Enoxaparin Sodium Inj 60 MG/0.6ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
54868558701 Enoxaparin Sodium Inj 60 MG/0.6ML LOVENOX Heparins And Heparinoid‐Like Agents
075062161 Enoxaparin Sodium Inj 60 MG/0.6ML LOVENOX Heparins And Heparinoid‐Like Agents
68115077410 Enoxaparin Sodium Inj 60 MG/0.6ML LOVENOX Heparins And Heparinoid‐Like Agents
781335603 Enoxaparin Sodium Inj 60 MG/0.6ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075062160 Enoxaparin Sodium Inj 60 MG/0.6ML LOVENOX Heparins And Heparinoid‐Like Agents
548563300 Enoxaparin Sodium Inj 60 MG/0.6ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
548560300 Enoxaparin Sodium Inj 60 MG/0.6ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075062281 Enoxaparin Sodium Inj 80 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
54569574201 Enoxaparin Sodium Inj 80 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
955100810 Enoxaparin Sodium Inj 80 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
548560400 Enoxaparin Sodium Inj 80 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781342868 Enoxaparin Sodium Inj 80 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
54868511200 Enoxaparin Sodium Inj 80 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
35356002010 Enoxaparin Sodium Inj 80 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
781342804 Enoxaparin Sodium Inj 80 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075801801 Enoxaparin Sodium Inj 80 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
075801810 Enoxaparin Sodium Inj 80 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
54569574200 Enoxaparin Sodium Inj 80 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
075062280 Enoxaparin Sodium Inj 80 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
781311968 Enoxaparin Sodium Inj 80 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781311904 Enoxaparin Sodium Inj 80 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
54868511201 Enoxaparin Sodium Inj 80 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
548563400 Enoxaparin Sodium Inj 80 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
62037086220 Enoxaparin Sodium Inj 80 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
54868583500 Enoxaparin Sodium Inj 100 MG/ML LOVENOX Heparins And Heparinoid‐Like Agents
075062300 Enoxaparin Sodium Inj 100 MG/ML LOVENOX Heparins And Heparinoid‐Like Agents
781350069 Enoxaparin Sodium Inj 100 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781350005 Enoxaparin Sodium Inj 100 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075062301 Enoxaparin Sodium Inj 100 MG/ML LOVENOX Heparins And Heparinoid‐Like Agents
18
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC781311969 Enoxaparin Sodium Inj 100 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
548560500 Enoxaparin Sodium Inj 100 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075802001 Enoxaparin Sodium Inj 100 MG/ML LOVENOX Heparins And Heparinoid‐Like Agents
62037086320 Enoxaparin Sodium Inj 100 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
955101010 Enoxaparin Sodium Inj 100 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
548563500 Enoxaparin Sodium Inj 100 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075802010 Enoxaparin Sodium Inj 100 MG/ML LOVENOX Heparins And Heparinoid‐Like Agents
781311905 Enoxaparin Sodium Inj 100 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
955101210 Enoxaparin Sodium Inj 120 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781361204 Enoxaparin Sodium Inj 120 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
548560600 Enoxaparin Sodium Inj 120 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
548563600 Enoxaparin Sodium Inj 120 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
62037086420 Enoxaparin Sodium Inj 120 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075291201 Enoxaparin Sodium Inj 120 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
781361268 Enoxaparin Sodium Inj 120 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075802210 Enoxaparin Sodium Inj 120 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
075802201 Enoxaparin Sodium Inj 120 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
781312168 Enoxaparin Sodium Inj 120 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781312104 Enoxaparin Sodium Inj 120 MG/0.8ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075291202 Enoxaparin Sodium Inj 120 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
54868583700 Enoxaparin Sodium Inj 120 MG/0.8ML LOVENOX Heparins And Heparinoid‐Like Agents
781312169 Enoxaparin Sodium Inj 150 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075291501 Enoxaparin Sodium Inj 150 MG/ML LOVENOX Heparins And Heparinoid‐Like Agents
075802510 Enoxaparin Sodium Inj 150 MG/ML LOVENOX Heparins And Heparinoid‐Like Agents
075802501 Enoxaparin Sodium Inj 150 MG/ML LOVENOX Heparins And Heparinoid‐Like Agents
781365569 Enoxaparin Sodium Inj 150 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781312105 Enoxaparin Sodium Inj 150 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075291502 Enoxaparin Sodium Inj 150 MG/ML LOVENOX Heparins And Heparinoid‐Like Agents
955101510 Enoxaparin Sodium Inj 150 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
62037086620 Enoxaparin Sodium Inj 150 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
548560700 Enoxaparin Sodium Inj 150 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781365505 Enoxaparin Sodium Inj 150 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
548563700 Enoxaparin Sodium Inj 150 MG/ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
781312293 Enoxaparin Sodium Inj 300 MG/3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
075803001 Enoxaparin Sodium Inj 300 MG/3ML LOVENOX Heparins And Heparinoid‐Like Agents
075062604 Enoxaparin Sodium Inj 300 MG/3ML LOVENOX Heparins And Heparinoid‐Like Agents
075062603 Enoxaparin Sodium Inj 300 MG/3ML LOVENOX Heparins And Heparinoid‐Like Agents
955101601 Enoxaparin Sodium Inj 300 MG/3ML ENOXAPARIN SODIUM Heparins And Heparinoid‐Like Agents
67211034253 Tinzaparin Sodium Inj 20000 anti‐Xa Unit/ML INNOHEP Heparins And Heparinoid‐Like Agents
67211034208 Tinzaparin Sodium Inj 20000 anti‐Xa Unit/ML INNOHEP Heparins And Heparinoid‐Like Agents
50222034208 Tinzaparin Sodium Inj 20000 anti‐Xa Unit/ML INNOHEP Heparins And Heparinoid‐Like Agents
50222034253 Tinzaparin Sodium Inj 20000 anti‐Xa Unit/ML INNOHEP Heparins And Heparinoid‐Like Agents
60505607800 Fondaparinux Sodium Inj 2.5 MG/0.5ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
55111067810 Fondaparinux Sodium Inj 2.5 MG/0.5ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
35356007810 Fondaparinux Sodium Inj 2.5 MG/0.5ML ARIXTRA Heparins And Heparinoid‐Like Agents
007323002 Fondaparinux Sodium Inj 2.5 MG/0.5ML ARIXTRA Heparins And Heparinoid‐Like Agents
007323001 Fondaparinux Sodium Inj 2.5 MG/0.5ML ARIXTRA Heparins And Heparinoid‐Like Agents
55111067802 Fondaparinux Sodium Inj 2.5 MG/0.5ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
60505607804 Fondaparinux Sodium Inj 2.5 MG/0.5ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
35356007802 Fondaparinux Sodium Inj 2.5 MG/0.5ML ARIXTRA Heparins And Heparinoid‐Like Agents
007323011 Fondaparinux Sodium Inj 2.5 MG/0.5ML ARIXTRA Heparins And Heparinoid‐Like Agents
35356007910 Fondaparinux Sodium Inj 5 MG/0.4ML ARIXTRA Heparins And Heparinoid‐Like Agents
007323211 Fondaparinux Sodium Inj 5 MG/0.4ML ARIXTRA Heparins And Heparinoid‐Like Agents
007323202 Fondaparinux Sodium Inj 5 MG/0.4ML ARIXTRA Heparins And Heparinoid‐Like Agents
55111067902 Fondaparinux Sodium Inj 5 MG/0.4ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
35356007902 Fondaparinux Sodium Inj 5 MG/0.4ML ARIXTRA Heparins And Heparinoid‐Like Agents
007323201 Fondaparinux Sodium Inj 5 MG/0.4ML ARIXTRA Heparins And Heparinoid‐Like Agents
60505607904 Fondaparinux Sodium Inj 5 MG/0.4ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
55111067910 Fondaparinux Sodium Inj 5 MG/0.4ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
54868565200 Fondaparinux Sodium Inj 5 MG/0.4ML ARIXTRA Heparins And Heparinoid‐Like Agents
60505607900 Fondaparinux Sodium Inj 5 MG/0.4ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
55111068002 Fondaparinux Sodium Inj 7.5 MG/0.6ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
007323401 Fondaparinux Sodium Inj 7.5 MG/0.6ML ARIXTRA Heparins And Heparinoid‐Like Agents
007323402 Fondaparinux Sodium Inj 7.5 MG/0.6ML ARIXTRA Heparins And Heparinoid‐Like Agents
60505608004 Fondaparinux Sodium Inj 7.5 MG/0.6ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
60505608000 Fondaparinux Sodium Inj 7.5 MG/0.6ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
35356008010 Fondaparinux Sodium Inj 7.5 MG/0.6ML ARIXTRA Heparins And Heparinoid‐Like Agents
54868550100 Fondaparinux Sodium Inj 7.5 MG/0.6ML ARIXTRA Heparins And Heparinoid‐Like Agents
54868550101 Fondaparinux Sodium Inj 7.5 MG/0.6ML ARIXTRA Heparins And Heparinoid‐Like Agents
55111068010 Fondaparinux Sodium Inj 7.5 MG/0.6ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
007323411 Fondaparinux Sodium Inj 7.5 MG/0.6ML ARIXTRA Heparins And Heparinoid‐Like Agents
35356008002 Fondaparinux Sodium Inj 7.5 MG/0.6ML ARIXTRA Heparins And Heparinoid‐Like Agents
54868550102 Fondaparinux Sodium Inj 7.5 MG/0.6ML ARIXTRA Heparins And Heparinoid‐Like Agents
35356008102 Fondaparinux Sodium Inj 10 MG/0.8ML ARIXTRA Heparins And Heparinoid‐Like Agents
55111068110 Fondaparinux Sodium Inj 10 MG/0.8ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
007323602 Fondaparinux Sodium Inj 10 MG/0.8ML ARIXTRA Heparins And Heparinoid‐Like Agents
60505608104 Fondaparinux Sodium Inj 10 MG/0.8ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
55111068102 Fondaparinux Sodium Inj 10 MG/0.8ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
007323601 Fondaparinux Sodium Inj 10 MG/0.8ML ARIXTRA Heparins And Heparinoid‐Like Agents
007323611 Fondaparinux Sodium Inj 10 MG/0.8ML ARIXTRA Heparins And Heparinoid‐Like Agents
60505608100 Fondaparinux Sodium Inj 10 MG/0.8ML FONDAPARINUX SODIUM Heparins And Heparinoid‐Like Agents
35356008110 Fondaparinux Sodium Inj 10 MG/0.8ML ARIXTRA Heparins And Heparinoid‐Like Agents
944130101 Antihemophilic Factor (Human) For Inj 220‐400 Unit MONARC‐M Antihemophilic Products
944130110 Antihemophilic Factor (Human) For Inj 220‐400 Unit MONARC‐M Antihemophilic Products
944293501 Antihemophilic Factor (Human) For Inj 220‐400 Unit HEMOFIL M Antihemophilic Products
19
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC944293001 Antihemophilic Factor (Human) For Inj 220‐400 Unit HEMOFIL M Antihemophilic Products
13533066520 Antihemophilic Factor (Human) For Inj 250 Unit KOATE‐DVI Antihemophilic Products
026066420 Antihemophilic Factor (Human) For Inj 250 IU !Unknown! Antihemophilic Products
76125025020 Antihemophilic Factor (Human) For Inj 250 Unit KOATE‐DVI Antihemophilic Products
944394002 Antihemophilic Factor (Human) For Inj 250 Unit HEMOFIL M Antihemophilic Products
68516460001 Antihemophilic Factor (Human) For Inj 250‐500 Unit ALPHANATE Antihemophilic Products
944293101 Antihemophilic Factor (Human) For Inj 401‐800 Unit HEMOFIL M Antihemophilic Products
944130210 Antihemophilic Factor (Human) For Inj 401‐800 Unit MONARC‐M Antihemophilic Products
944293502 Antihemophilic Factor (Human) For Inj 401‐800 Unit HEMOFIL M Antihemophilic Products
944130201 Antihemophilic Factor (Human) For Inj 401‐800 Unit MONARC‐M Antihemophilic Products
76125066730 Antihemophilic Factor (Human) For Inj 500 Unit KOATE‐DVI Antihemophilic Products
76125050030 Antihemophilic Factor (Human) For Inj 500 Unit KOATE‐DVI Antihemophilic Products
026066430 Antihemophilic Factor (Human) For Inj 500 IU !Unknown! Antihemophilic Products
944394202 Antihemophilic Factor (Human) For Inj 500 Unit HEMOFIL M Antihemophilic Products
13533066530 Antihemophilic Factor (Human) For Inj 500 Unit KOATE‐DVI Antihemophilic Products
944130310 Antihemophilic Factor (Human) For Inj 801‐1700 Unit MONARC‐M Antihemophilic Products
944293503 Antihemophilic Factor (Human) For Inj 801‐1700 Unit HEMOFIL M Antihemophilic Products
944130301 Antihemophilic Factor (Human) For Inj 801‐1700 Unit MONARC‐M Antihemophilic Products
76125066750 Antihemophilic Factor (Human) For Inj 1000 Unit KOATE‐DVI Antihemophilic Products
944394402 Antihemophilic Factor (Human) For Inj 1000 Unit HEMOFIL M Antihemophilic Products
13533066550 Antihemophilic Factor (Human) For Inj 1000 Unit KOATE‐DVI Antihemophilic Products
026066450 Antihemophilic Factor (Human) For Inj 1000 IU !Unknown! Antihemophilic Products
68516460002 Antihemophilic Factor (Human) For Inj 1000‐1500 Unit ALPHANATE Antihemophilic Products
944394602 Antihemophilic Factor (Human) For Inj 1700 Unit HEMOFIL M Antihemophilic Products
944130401 Antihemophilic Factor (Human) For Inj 1701‐2000 Unit MONARC‐M Antihemophilic Products
944293504 Antihemophilic Factor (Human) For Inj 1701‐2000 Unit HEMOFIL M Antihemophilic Products
944130410 Antihemophilic Factor (Human) For Inj 1701‐2000 Unit MONARC‐M Antihemophilic Products
944293201 Antihemophilic Factor (Human) For Inj 801‐1500 Unit HEMOFIL M Antihemophilic Products
944293301 Antihemophilic Factor (Human) For Inj 1501‐2000 Unit HEMOFIL M Antihemophilic Products
053765601 Antihemophilic Factor (Human) For Inj Kit 250 Unit MONOCLATE‐P Antihemophilic Products
053765602 Antihemophilic Factor (Human) For Inj Kit 500 Unit MONOCLATE‐P Antihemophilic Products
053765604 Antihemophilic Factor (Human) For Inj Kit 1000 Unit MONOCLATE‐P Antihemophilic Products
053763302 Antihemophilic Factor (Human) For Inj Kit 1000 Unit MONOCLATE‐P Antihemophilic Products
053765605 Antihemophilic Factor (Human) For Inj Kit 1500 Unit MONOCLATE‐P Antihemophilic Products
053763402 Antihemophilic Factor (Human) For Inj Kit 1500 Unit MONOCLATE‐P Antihemophilic Products
944284110 Antihemophilic Factor (Recombinant) For Inj 220‐400 Unit RECOMBINATE Antihemophilic Products
944283110 Antihemophilic Factor (Recombinant) For Inj 220‐400 Unit RECOMBINATE Antihemophilic Products
944293801 Antihemophilic Factor (Recombinant) For Inj 220‐400 Unit RECOMBINATE Antihemophilic Products
944284210 Antihemophilic Factor (Recombinant) For Inj 401‐800 Unit RECOMBINATE Antihemophilic Products
944293802 Antihemophilic Factor (Recombinant) For Inj 401‐800 Unit RECOMBINATE Antihemophilic Products
944283210 Antihemophilic Factor (Recombinant) For Inj 401‐800 Unit RECOMBINATE Antihemophilic Products
944293803 Antihemophilic Factor (Recombinant) For Inj 801‐1240 Unit RECOMBINATE Antihemophilic Products
944283310 Antihemophilic Factor (Recombinant) For Inj 801‐1240 Unit RECOMBINATE Antihemophilic Products
944284310 Antihemophilic Factor (Recombinant) For Inj 801‐1240 Unit RECOMBINATE Antihemophilic Products
944284410 Antihemophilic Factor (Recombinant) For Inj 1241‐1800 Unit RECOMBINATE Antihemophilic Products
944283410 Antihemophilic Factor (Recombinant) For Inj 1241‐1800 Unit RECOMBINATE Antihemophilic Products
944283401 Antihemophilic Factor (Recombinant) For Inj 1241‐1800 Unit RECOMBINATE Antihemophilic Products
944283501 Antihemophilic Factor (Recombinant) For Inj 1801‐2400 Unit RECOMBINATE Antihemophilic Products
944283510 Antihemophilic Factor (Recombinant) For Inj 1801‐2400 Unit RECOMBINATE Antihemophilic Products
944284510 Antihemophilic Factor (Recombinant) For Inj 1801‐2400 Unit RECOMBINATE Antihemophilic Products
58394000702 Antihemophilic Factor (Recombinant) For Inj Kit 250 Unit REFACTO Antihemophilic Products
58394000704 Antihemophilic Factor (Recombinant) For Inj Kit 250 Unit REFACTO Antihemophilic Products
026037220 Antihemophilic Factor (Recombinant) For Inj Kit 250 Unit KOGENATE FS Antihemophilic Products
026378225 Antihemophilic Factor (Recombinant) For Inj Kit 250 Unit KOGENATE FS Antihemophilic Products
026379220 Antihemophilic Factor (Recombinant) For Inj Kit 250 Unit KOGENATE FS BIO‐SET Antihemophilic Products
053813001 Antihemophilic Factor (Recombinant) For Inj Kit 250 Unit HELIXATE FS Antihemophilic Products
053813102 Antihemophilic Factor (Recombinant) For Inj Kit 250 Unit HELIXATE FS Antihemophilic Products
026378220 Antihemophilic Factor (Recombinant) For Inj Kit 250 Unit KOGENATE FS Antihemophilic Products
026037920 Antihemophilic Factor (Recombinant) For Inj Kit 250 Unit KOGENATE FS BIO‐SET Antihemophilic Products
026378330 Antihemophilic Factor (Recombinant) For Inj Kit 500 Unit KOGENATE FS Antihemophilic Products
58394000604 Antihemophilic Factor (Recombinant) For Inj Kit 500 Unit REFACTO Antihemophilic Products
053813202 Antihemophilic Factor (Recombinant) For Inj Kit 500 Unit HELIXATE FS Antihemophilic Products
026379330 Antihemophilic Factor (Recombinant) For Inj Kit 500 Unit KOGENATE FS BIO‐SET Antihemophilic Products
026378335 Antihemophilic Factor (Recombinant) For Inj Kit 500 Unit KOGENATE FS Antihemophilic Products
026037230 Antihemophilic Factor (Recombinant) For Inj Kit 500 Unit KOGENATE FS Antihemophilic Products
58394000602 Antihemophilic Factor (Recombinant) For Inj Kit 500 Unit REFACTO Antihemophilic Products
026037930 Antihemophilic Factor (Recombinant) For Inj Kit 500 Unit KOGENATE FS BIO‐SET Antihemophilic Products
053813002 Antihemophilic Factor (Recombinant) For Inj Kit 500 Unit HELIXATE FS Antihemophilic Products
026378555 Antihemophilic Factor (Recombinant) For Inj Kit 1000 Unit KOGENATE FS Antihemophilic Products
053813302 Antihemophilic Factor (Recombinant) For Inj Kit 1000 Unit HELIXATE FS Antihemophilic Products
026378550 Antihemophilic Factor (Recombinant) For Inj Kit 1000 Unit KOGENATE FS Antihemophilic Products
58394000504 Antihemophilic Factor (Recombinant) For Inj Kit 1000 Unit REFACTO Antihemophilic Products
58394000502 Antihemophilic Factor (Recombinant) For Inj Kit 1000 Unit REFACTO Antihemophilic Products
053813004 Antihemophilic Factor (Recombinant) For Inj Kit 1000 Unit HELIXATE FS Antihemophilic Products
026379550 Antihemophilic Factor (Recombinant) For Inj Kit 1000 Unit KOGENATE FS BIO‐SET Antihemophilic Products
026037950 Antihemophilic Factor (Recombinant) For Inj Kit 1000 Unit KOGENATE FS BIO‐SET Antihemophilic Products
026037250 Antihemophilic Factor (Recombinant) For Inj Kit 1000 Unit KOGENATE FS Antihemophilic Products
053813402 Antihemophilic Factor (Recombinant) For Inj Kit 2000 Unit HELIXATE FS Antihemophilic Products
58394001102 Antihemophilic Factor (Recombinant) For Inj Kit 2000 Unit REFACTO Antihemophilic Products
58394001104 Antihemophilic Factor (Recombinant) For Inj Kit 2000 Unit REFACTO Antihemophilic Products
026378665 Antihemophilic Factor (Recombinant) For Inj Kit 2000 Unit KOGENATE FS Antihemophilic Products
053813005 Antihemophilic Factor (Recombinant) For Inj Kit 2000 Unit HELIXATE FS Antihemophilic Products
026379660 Antihemophilic Factor (Recombinant) For Inj Kit 2000 Unit KOGENATE FS BIO‐SET Antihemophilic Products
026378660 Antihemophilic Factor (Recombinant) For Inj Kit 2000 Unit KOGENATE FS Antihemophilic Products
026378775 Antihemophilic Factor (Recombinant) For Inj Kit 3000 Unit KOGENATE FS Antihemophilic Products
20
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC026378770 Antihemophilic Factor (Recombinant) For Inj Kit 3000 Unit KOGENATE FS Antihemophilic Products
026379770 Antihemophilic Factor (Recombinant) For Inj Kit 3000 Unit KOGENATE FS BIO‐SET Antihemophilic Products
053813502 Antihemophilic Factor (Recombinant) For Inj Kit 3000 Unit HELIXATE FS Antihemophilic Products
944296010 Antihemophilic Factor rAHF‐PFM For Inj 250 Unit ADVATE Antihemophilic Products
944292102 Antihemophilic Factor rAHF‐PFM For Inj 250 Unit ADVATE Antihemophilic Products
944294001 Antihemophilic Factor rAHF‐PFM For Inj 250 Unit ADVATE Antihemophilic Products
944294110 Antihemophilic Factor rAHF‐PFM For Inj 250 Unit ADVATE Antihemophilic Products
944305102 Antihemophilic Factor rAHF‐PFM For Inj 250 Unit ADVATE Antihemophilic Products
944305202 Antihemophilic Factor rAHF‐PFM For Inj 500 Unit ADVATE Antihemophilic Products
944292202 Antihemophilic Factor rAHF‐PFM For Inj 500 Unit ADVATE Antihemophilic Products
944294210 Antihemophilic Factor rAHF‐PFM For Inj 500 Unit ADVATE Antihemophilic Products
944294002 Antihemophilic Factor rAHF‐PFM For Inj 500 Unit ADVATE Antihemophilic Products
944296110 Antihemophilic Factor rAHF‐PFM For Inj 500 Unit ADVATE Antihemophilic Products
944294003 Antihemophilic Factor rAHF‐PFM For Inj 1000 Unit ADVATE Antihemophilic Products
944292302 Antihemophilic Factor rAHF‐PFM For Inj 1000 Unit ADVATE Antihemophilic Products
944305302 Antihemophilic Factor rAHF‐PFM For Inj 1000 Unit ADVATE Antihemophilic Products
944294310 Antihemophilic Factor rAHF‐PFM For Inj 1000 Unit ADVATE Antihemophilic Products
944296210 Antihemophilic Factor rAHF‐PFM For Inj 1000 Unit ADVATE Antihemophilic Products
944305402 Antihemophilic Factor rAHF‐PFM For Inj 1500 Unit ADVATE Antihemophilic Products
944296310 Antihemophilic Factor rAHF‐PFM For Inj 1500 Unit ADVATE Antihemophilic Products
944294004 Antihemophilic Factor rAHF‐PFM For Inj 1500 Unit ADVATE Antihemophilic Products
944292402 Antihemophilic Factor rAHF‐PFM For Inj 1500 Unit ADVATE Antihemophilic Products
944294410 Antihemophilic Factor rAHF‐PFM For Inj 1500 Unit ADVATE Antihemophilic Products
944296410 Antihemophilic Factor rAHF‐PFM For Inj 2000 Unit ADVATE Antihemophilic Products
944304510 Antihemophilic Factor rAHF‐PFM For Inj 2000 Unit ADVATE Antihemophilic Products
944294510 Antihemophilic Factor rAHF‐PFM For Inj 2000 Unit ADVATE Antihemophilic Products
944294010 Antihemophilic Factor rAHF‐PFM For Inj 2000 Unit ADVATE Antihemophilic Products
944294610 Antihemophilic Factor rAHF‐PFM For Inj 3000 Unit ADVATE Antihemophilic Products
944296510 Antihemophilic Factor rAHF‐PFM For Inj 3000 Unit ADVATE Antihemophilic Products
944304610 Antihemophilic Factor rAHF‐PFM For Inj 3000 Unit ADVATE Antihemophilic Products
944304710 Antihemophilic Factor rAHF‐PFM For Inj 4000 Unit ADVATE Antihemophilic Products
944294810 Antihemophilic Factor rAHF‐PFM For Inj 4000 Unit ADVATE Antihemophilic Products
58394001201 Antihemophilic Factor Recombinant PAF For Inj Kit 250 Unit XYNTHA Antihemophilic Products
58394002203 Antihemophilic Factor Recombinant PAF For Inj Kit 250 Unit XYNTHA SOLOFUSE Antihemophilic Products
58394001202 Antihemophilic Factor Recombinant PAF For Inj Kit 250 Unit XYNTHA Antihemophilic Products
58394001302 Antihemophilic Factor Recombinant PAF For Inj Kit 500 Unit XYNTHA Antihemophilic Products
58394002303 Antihemophilic Factor Recombinant PAF For Inj Kit 500 Unit XYNTHA SOLOFUSE Antihemophilic Products
58394001301 Antihemophilic Factor Recombinant PAF For Inj Kit 500 Unit XYNTHA Antihemophilic Products
58394001402 Antihemophilic Factor Recombinant PAF For Inj Kit 1000 Unit XYNTHA Antihemophilic Products
58394001401 Antihemophilic Factor Recombinant PAF For Inj Kit 1000 Unit XYNTHA Antihemophilic Products
58394002403 Antihemophilic Factor Recombinant PAF For Inj Kit 1000 Unit XYNTHA SOLOFUSE Antihemophilic Products
58394001502 Antihemophilic Factor Recombinant PAF For Inj Kit 2000 Unit XYNTHA Antihemophilic Products
58394001501 Antihemophilic Factor Recombinant PAF For Inj Kit 2000 Unit XYNTHA Antihemophilic Products
58394002503 Antihemophilic Factor Recombinant PAF For Inj Kit 2000 Unit XYNTHA SOLOFUSE Antihemophilic Products
58394001603 Antihemophilic Factor Recombinant PAF For Inj Kit 3000 Unit XYNTHA SOLOFUSE Antihemophilic Products
053762005 Antihemophilic Factor/VWF (Human) For Inj 250‐500 Unit HUMATE‐P Antihemophilic Products
053761505 Antihemophilic Factor/VWF (Human) For Inj 250‐600 Unit HUMATE‐P Antihemophilic Products
63833061502 Antihemophilic Factor/VWF (Human) For Inj 250‐600 Unit HUMATE‐P Antihemophilic Products
67467018201 Antihemophilic Factor/VWF (Human) For Inj 500‐500 Unit WILATE Antihemophilic Products
053762010 Antihemophilic Factor/VWF (Human) For Inj 500‐1000 Unit HUMATE‐P Antihemophilic Products
63833061602 Antihemophilic Factor/VWF (Human) For Inj 500‐1200 Unit HUMATE‐P Antihemophilic Products
053761510 Antihemophilic Factor/VWF (Human) For Inj 500‐1200 Unit HUMATE‐P Antihemophilic Products
67467018202 Antihemophilic Factor/VWF (Human) For Inj 1000‐1000 Unit WILATE Antihemophilic Products
053762020 Antihemophilic Factor/VWF (Human) For Inj 1000‐2000 Unit HUMATE‐P Antihemophilic Products
63833061702 Antihemophilic Factor/VWF (Human) For Inj 1000‐2400 Unit HUMATE‐P Antihemophilic Products
053761520 Antihemophilic Factor/VWF (Human) For Inj 1000‐2400 Unit HUMATE‐P Antihemophilic Products
68516460501 Antihemophilic Factor/VWF (Human) For Inj 250 Unit ALPHANATE/VON WILLEBRAND Antihemophilic Products
68516460101 Antihemophilic Factor/VWF (Human) For Inj 250 Unit ALPHANATE/VON WILLEBRAND Antihemophilic Products
68516460201 Antihemophilic Factor/VWF (Human) For Inj 500 Unit ALPHANATE/VON WILLEBRAND Antihemophilic Products
68516460601 Antihemophilic Factor/VWF (Human) For Inj 500 Unit ALPHANATE/VON WILLEBRAND Antihemophilic Products
68516460702 Antihemophilic Factor/VWF (Human) For Inj 1000 Unit ALPHANATE/VON WILLEBRAND Antihemophilic Products
68516460302 Antihemophilic Factor/VWF (Human) For Inj 1000 Unit ALPHANATE/VON WILLEBRAND Antihemophilic Products
68516460802 Antihemophilic Factor/VWF (Human) For Inj 1500 Unit ALPHANATE/VON WILLEBRAND Antihemophilic Products
68516460402 Antihemophilic Factor/VWF (Human) For Inj 1500 Unit ALPHANATE/VON WILLEBRAND Antihemophilic Products
64193022203 Antiinhibitor Coagulant Complex For Inj FEIBA VH IMMUNO Antihemophilic Products
64193022204 Antiinhibitor Coagulant Complex For Inj FEIBA VH IMMUNO Antihemophilic Products
64193022502 Antiinhibitor Coagulant Complex For Inj FEIBA NF Antihemophilic Products
64193022302 Antiinhibitor Coagulant Complex For Inj FEIBA NF Antihemophilic Products
64193042302 Antiinhibitor Coagulant Complex For Inj FEIBA NF Antihemophilic Products
64193042502 Antiinhibitor Coagulant Complex For Inj FEIBA NF Antihemophilic Products
64193022205 Antiinhibitor Coagulant Complex For Inj FEIBA VH IMMUNO Antihemophilic Products
64193022402 Antiinhibitor Coagulant Complex For Inj FEIBA NF Antihemophilic Products
64193042402 Antiinhibitor Coagulant Complex For Inj FEIBA NF Antihemophilic Products
169720101 Coagulation Factor VIIa (Recomb) For Inj 1 MG (1000 MCG) NOVOSEVEN RT Antihemophilic Products
169701001 Coagulation Factor VIIa (Recomb) For Inj 1 MG (1000 MCG) NOVOSEVEN RT Antihemophilic Products
169706001 Coagulation Factor VIIa (Recomb) For Inj 1.2 MG (1200 MCG) NOVOSEVEN Antihemophilic Products
169720201 Coagulation Factor VIIa (Recomb) For Inj 2 MG (2000 MCG) NOVOSEVEN RT Antihemophilic Products
169702001 Coagulation Factor VIIa (Recomb) For Inj 2 MG (2000 MCG) NOVOSEVEN RT Antihemophilic Products
169706101 Coagulation Factor VIIa (Recomb) For Inj 2.4 MG (2400 MCG) NOVOSEVEN Antihemophilic Products
169706201 Coagulation Factor VIIa (Recomb) For Inj 4.8 MG (4800 MCG) NOVOSEVEN Antihemophilic Products
169720501 Coagulation Factor VIIa (Recomb) For Inj 5 MG (5000 MCG) NOVOSEVEN RT Antihemophilic Products
169705001 Coagulation Factor VIIa (Recomb) For Inj 5 MG (5000 MCG) NOVOSEVEN RT Antihemophilic Products
169704001 Coagulation Factor VIIa (Recomb) For Inj 8 MG (8000 MCG) NOVOSEVEN RT Antihemophilic Products
169720801 Coagulation Factor VIIa (Recomb) For Inj 8 MG (8000 MCG) NOVOSEVEN RT Antihemophilic Products
68516360002 Coagulation Factor IX For Inj 250‐1500 Unit ALPHANINE SD Antihemophilic Products
21
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC053766801 Coagulation Factor IX For Inj 250 Unit MONONINE Antihemophilic Products
053766802 Coagulation Factor IX For Inj 500 Unit MONONINE Antihemophilic Products
68516360402 Coagulation Factor IX For Inj 500 Unit ALPHANINE SD Antihemophilic Products
68516360102 Coagulation Factor IX For Inj 500 Unit ALPHANINE SD Antihemophilic Products
68516360004 Coagulation Factor IX For Inj 500 Unit ALPHANINE SD Antihemophilic Products
053623302 Coagulation Factor IX For Inj 1000 Unit MONONINE Antihemophilic Products
053766804 Coagulation Factor IX For Inj 1000 Unit MONONINE Antihemophilic Products
68516360502 Coagulation Factor IX For Inj 1000 Unit ALPHANINE SD Antihemophilic Products
68516360202 Coagulation Factor IX For Inj 1000 Unit ALPHANINE SD Antihemophilic Products
68516360005 Coagulation Factor IX For Inj 1000 Unit ALPHANINE SD Antihemophilic Products
68516360006 Coagulation Factor IX For Inj 1500 Unit ALPHANINE SD Antihemophilic Products
68516360602 Coagulation Factor IX For Inj 1500 Unit ALPHANINE SD Antihemophilic Products
68516360302 Coagulation Factor IX For Inj 1500 Unit ALPHANINE SD Antihemophilic Products
58394000306 Coagulation Factor IX (Recombinant) For Inj 250 Unit BENEFIX Antihemophilic Products
944302602 Coagulation Factor IX (Recombinant) For Inj 250 Unit RIXUBIS Antihemophilic Products
58394000305 Coagulation Factor IX (Recombinant) For Inj 250 Unit BENEFIX Antihemophilic Products
58394063303 Coagulation Factor IX (Recombinant) For Inj 250 Unit BENEFIX Antihemophilic Products
58394000301 Coagulation Factor IX (Recombinant) For Inj 250 Unit BENEFIX Antihemophilic Products
58394000206 Coagulation Factor IX (Recombinant) For Inj 500 Unit BENEFIX Antihemophilic Products
58394063403 Coagulation Factor IX (Recombinant) For Inj 500 Unit BENEFIX Antihemophilic Products
58394000201 Coagulation Factor IX (Recombinant) For Inj 500 Unit BENEFIX Antihemophilic Products
944302802 Coagulation Factor IX (Recombinant) For Inj 500 Unit RIXUBIS Antihemophilic Products
58394000205 Coagulation Factor IX (Recombinant) For Inj 500 Unit BENEFIX Antihemophilic Products
58394000101 Coagulation Factor IX (Recombinant) For Inj 1000 Unit BENEFIX Antihemophilic Products
944303002 Coagulation Factor IX (Recombinant) For Inj 1000 Unit RIXUBIS Antihemophilic Products
58394063503 Coagulation Factor IX (Recombinant) For Inj 1000 Unit BENEFIX Antihemophilic Products
58394000105 Coagulation Factor IX (Recombinant) For Inj 1000 Unit BENEFIX Antihemophilic Products
58394000106 Coagulation Factor IX (Recombinant) For Inj 1000 Unit BENEFIX Antihemophilic Products
58394000803 Coagulation Factor IX (Recombinant) For Inj 2000 Unit BENEFIX Antihemophilic Products
58394063603 Coagulation Factor IX (Recombinant) For Inj 2000 Unit BENEFIX Antihemophilic Products
58394000802 Coagulation Factor IX (Recombinant) For Inj 2000 Unit BENEFIX Antihemophilic Products
944303202 Coagulation Factor IX (Recombinant) For Inj 2000 Unit RIXUBIS Antihemophilic Products
944303402 Coagulation Factor IX (Recombinant) For Inj 3000 Unit RIXUBIS Antihemophilic Products
58394063703 Coagulation Factor IX (Recombinant) For Inj 3000 Unit BENEFIX Antihemophilic Products
64406091101 Coagulation Factor IX (Recomb) (rFIXFc) For Inj 500 Unit ALPROLIX Antihemophilic Products
64406092201 Coagulation Factor IX (Recomb) (rFIXFc) For Inj 1000 Unit ALPROLIX Antihemophilic Products
64406093301 Coagulation Factor IX (Recomb) (rFIXFc) For Inj 2000 Unit ALPROLIX Antihemophilic Products
64406094401 Coagulation Factor IX (Recomb) (rFIXFc) For Inj 3000 Unit ALPROLIX Antihemophilic Products
026062620 Factor IX Complex For Inj 500 U !Unknown! Antihemophilic Products
68516320401 Factor IX Complex For Inj 500 Unit PROFILNINE SD Antihemophilic Products
68516320101 Factor IX Complex For Inj 500 Unit PROFILNINE SD Antihemophilic Products
68516320002 Factor IX Complex For Inj 500 Unit PROFILNINE SD Antihemophilic Products
68516320502 Factor IX Complex For Inj 1000 Unit PROFILNINE SD Antihemophilic Products
68516320202 Factor IX Complex For Inj 1000 Unit PROFILNINE SD Antihemophilic Products
68516320004 Factor IX Complex For Inj 1000 Unit PROFILNINE SD Antihemophilic Products
026062650 Factor IX Complex For Inj 1000 U !Unknown! Antihemophilic Products
68516320602 Factor IX Complex For Inj 1500 Unit PROFILNINE SD Antihemophilic Products
68516320005 Factor IX Complex For Inj 1500 Unit PROFILNINE SD Antihemophilic Products
68516320302 Factor IX Complex For Inj 1500 Unit PROFILNINE SD Antihemophilic Products
64193024402 Factor IX Complex For Inj 200‐1200 Unit BEBULIN VH Antihemophilic Products
64193044502 Factor IX Complex For Inj 200‐1200 Unit BEBULIN Antihemophilic Products
944058101 Factor IX Complex For Inj 700‐3900 Unit PROPLEX T FACTOR IX COMP Antihemophilic Products
68516320003 Factor IX Complex For Inj 1000‐1500 Unit PROFILNINE SD Antihemophilic Products
169701301 Coagulation Factor XIII A‐Subunit For Inj 2000‐3125 Unit TRETTEN Antihemophilic Products
63833891510 Fibrinogen Conc (Human) Inj Approximately 1 GM (900‐1300 MG) !Unknown! Antihemophilic Products
63833891501 Fibrinogen Conc (Human) Inj Approximately 1 GM (900‐1300 MG) RIASTAP Antihemophilic Products
63833089151 Fibrinogen Conc (Human) Inj Approximately 1 GM (900‐1300 MG) RIASTAP Antihemophilic Products
13533060320 Antithrombin III (Human) For Inj 500 Unit THROMBATE III W/10 ML STE Plasma Proteins
944099601 Antithrombin III (Human) For Inj 500 IU !Unknown! Plasma Proteins
13533060321 Antithrombin III (Human) For Inj 500 Unit THROMBATE III W/10 ML STE Plasma Proteins
944417505 Protein C Concentrate (Human) For IV Soln 500 Unit CEPROTIN Human Protein C
944417510 Protein C Concentrate (Human) For IV Soln 1000 Unit CEPROTIN Human Protein C
25682000101 Eculizumab IV Soln 10 MG/ML (For Infusion) SOLIRIS Complement Inhibitors
42227008105 C1 Esterase Inhibitor (Human) For IV Inj 500 Unit CINRYZE Complement Inhibitors
63833082502 C1 Esterase Inhibitor (Human) For IV Inj Kit 500 Unit BERINERT Complement Inhibitors
54092070202 Icatibant Acetate Inj 30 MG/3ML (Base Equivalent) FIRAZYR !Unknown!
54092070203 Icatibant Acetate Inj 30 MG/3ML (Base Equivalent) FIRAZYR !Unknown!
47783010101 Ecallantide Inj 10 MG/ML KALBITOR !Unknown!
023334807 Dexamethasone Intravitreal Implant 0.7 MG OZURDEX Ophthalmic Steroids
24208041601 Fluocinolone Acetonide Intravitreal Implant 0.59 MG RETISERT Ophthalmic Steroids
61755000502 Aflibercept Intravitreal Inj 2 MG/0.05ML (40 MG/ML) EYLEA Ophthalmic ‐ Angiogenesis Inhibitors
68782000101 Pegaptanib Sodium Intravitreous Inj 0.3 MG/90 Microliter MACUGEN Ophthalmic ‐ Angiogenesis Inhibitors
68782000102 Pegaptanib Sodium Intravitreous Inj 0.3 MG/90 Microliter MACUGEN Ophthalmic ‐ Angiogenesis Inhibitors
50242008201 Ranibizumab Intravitreal Inj 0.3 MG/0.05ML (6 MG/ML) LUCENTIS Ophthalmic ‐ Angiogenesis Inhibitors
50242008001 Ranibizumab Intravitreal Inj 0.5 MG/0.05ML (10 MG/ML) LUCENTIS Ophthalmic ‐ Angiogenesis Inhibitors
078043761 Verteporfin For IV Soln 15 MG (2 MG/ML) VISUDYNE Ophthalmic Photodynamic Therapy Agents
50236000115 Verteporfin For IV Soln 15 MG (2 MG/ML) VISUDYNE Ophthalmic Photodynamic Therapy Agents
187560015 Verteporfin For IV Soln 15 MG (2 MG/ML) VISUDYNE Ophthalmic Photodynamic Therapy Agents
145380001 Acitretin Cap 10 MG w/ Moisturizer Kit SORIATANE CK Antipsoriatics
145430001 Acitretin Cap 25 MG w/ Moisturizer Kit SORIATANE CK Antipsoriatics
469002104 Alefacept For IM Inj 15 MG AMEVIVE Antipsoriatics
59627002103 Alefacept For IM Inj 15 MG AMEVIVE Antipsoriatics
469002103 Alefacept For IM Inj 15 MG AMEVIVE Antipsoriatics
59627002104 Alefacept For IM Inj 15 MG AMEVIVE Antipsoriatics
50242005801 Efalizumab For Subcutaneous Inj Kit 125 MG (150 MG) RAPTIVA Antipsoriatics
22
NATIONAL DRUG
CODE NUMBER GPI GENERIC NAME PRODUCT NAME GPI 4 SEGMENT DESC50242005804 Efalizumab For Subcutaneous Inj Kit 125 MG (150 MG) RAPTIVA Antipsoriatics
57894006002 Ustekinumab Inj 45 MG/0.5ML STELARA Antipsoriatics
57894006003 Ustekinumab Inj 45 MG/0.5ML STELARA Antipsoriatics
57894006103 Ustekinumab Inj 90 MG/ML STELARA Antipsoriatics
62856060422 Bexarotene Gel 1% TARGRETIN Antineoplastic or Premalignant Lesion Agents ‐ Topical
64365050401 Bexarotene Gel 1% TARGRETIN Antineoplastic or Premalignant Lesion Agents ‐ Topical
99207050030 AbobotulinumtoxinA (Glabellar Lines) For Inj 300 Unit DYSPORT Glabellar Lines (Frown Lines) Agents
023923250 OnabotulinumtoxinA (Cosmetic) For Inj 50 Unit BOTOX COSMETIC Glabellar Lines (Frown Lines) Agents
023391950 OnabotulinumtoxinA (Cosmetic) For Inj 50 Unit BOTOX COSMETIC Glabellar Lines (Frown Lines) Agents
023923201 OnabotulinumtoxinA (Cosmetic) For Inj 100 Unit BOTOX COSMETIC Glabellar Lines (Frown Lines) Agents
9978000199 Cultured Skin Substitute ‐ Disk APLIGRAF Wound Care Products
703846309 Deferoxamine Mesylate For Inj 500 MG DEFEROXAMINE MESYLATE Antidotes
591397404 Deferoxamine Mesylate For Inj 500 MG DEFEROXAMINE MESYLATE Antidotes
409233610 Deferoxamine Mesylate For Inj 500 MG DEFEROXAMINE MESYLATE Antidotes
083380104 Deferoxamine Mesylate For Inj 500 MG DESFERAL Antidotes
078046791 Deferoxamine Mesylate For Inj 500 MG DESFERAL Antidotes
55390026310 Deferoxamine Mesylate For Inj 500 MG DEFEROXAMINE MESYLATE Antidotes
078046761 Deferoxamine Mesylate For Inj 500 MG DESFERAL Antidotes
555113212 Deferoxamine Mesylate For Inj 500 MG DEFEROXAMINE MESYLATE Antidotes
63323059710 Deferoxamine Mesylate For Inj 500 MG DEFEROXAMINE MESYLATE Antidotes
63323059930 Deferoxamine Mesylate For Inj 2 GM DEFEROXAMINE MESYLATE Antidotes
078034751 Deferoxamine Mesylate For Inj 2 GM DESFERAL Antidotes
591397530 Deferoxamine Mesylate For Inj 2 GM DEFEROXAMINE MESYLATE Antidotes
703846501 Deferoxamine Mesylate For Inj 2 GM DEFEROXAMINE MESYLATE Antidotes
078034761 Deferoxamine Mesylate For Inj 2 GM DESFERAL Antidotes
55390026501 Deferoxamine Mesylate For Inj 2 GM DEFEROXAMINE MESYLATE Antidotes
555113111 Deferoxamine Mesylate For Inj 2 GM DEFEROXAMINE MESYLATE Antidotes
409233725 Deferoxamine Mesylate For Inj 2 GM DEFEROXAMINE MESYLATE Antidotes
078046815 Deferasirox Tab For Oral Susp 125 MG EXJADE Antidotes ‐ Chelating Agents
078046915 Deferasirox Tab For Oral Susp 250 MG EXJADE Antidotes ‐ Chelating Agents
078047015 Deferasirox Tab For Oral Susp 500 MG EXJADE Antidotes ‐ Chelating Agents
52609000601 Deferiprone Tab 500 MG FERRIPROX Antidotes ‐ Chelating Agents
63459030042 Naltrexone For IM Extended Release Susp 380 MG VIVITROL Opioid Antagonists
65757030001 Naltrexone For IM Extended Release Susp 380 MG VIVITROL Opioid Antagonists
67457022700 Cosyntropin For Inj 0.25 MG COSYNTROPIN Diagnostic Drugs
10139090510 Cosyntropin For Inj 0.25 MG COSYNTROPIN Diagnostic Drugs
10139090502 Cosyntropin For Inj 0.25 MG COSYNTROPIN Diagnostic Drugs
781344095 Cosyntropin For Inj 0.25 MG COSYNTROPIN Diagnostic Drugs
548590000 Cosyntropin For Inj 0.25 MG CORTROSYN Diagnostic Drugs
67457025702 Cosyntropin For Inj 0.25 MG COSYNTROPIN Diagnostic Drugs
67457022702 Cosyntropin For Inj 0.25 MG COSYNTROPIN Diagnostic Drugs
781344071 Cosyntropin For Inj 0.25 MG COSYNTROPIN Diagnostic Drugs
58468184904 Thyrotropin Alfa For Inj 1.1 MG THYROGEN Diagnostic Drugs
173051801 Glycine Diluent for Injection STERILE DILUENT FOR FLOLA Liquid Vehicles
703925809 Glycine Diluent for Injection STERILE DILUENT FOR EPOPR Liquid Vehicles
66887000301 Collagenase Clostridium Histolyticum For Inj 0.9 MG XIAFLEX Enzymes
89114085003 Dextranomer‐Sodium Hyaluronate Inj Gel 50‐15 MG/ML SOLESTA !Unknown!
59572020514 Thalidomide Cap 50 MG THALOMID Immunomodulators
59572020594 Thalidomide Cap 50 MG THALOMID Immunomodulators
59572020517 Thalidomide Cap 50 MG THALOMID Immunomodulators
59572020597 Thalidomide Cap 50 MG THALOMID Immunomodulators
59572021095 Thalidomide Cap 100 MG THALOMID Immunomodulators
59572021015 Thalidomide Cap 100 MG THALOMID Immunomodulators
59572021593 Thalidomide Cap 150 MG THALOMID Immunomodulators
59572021513 Thalidomide Cap 150 MG THALOMID Immunomodulators
59572022096 Thalidomide Cap 200 MG THALOMID Immunomodulators
59572022016 Thalidomide Cap 200 MG THALOMID Immunomodulators
59572040228 Lenalidomide Caps 2.5 MG REVLIMID Immunomodulators
59572040200 Lenalidomide Caps 2.5 MG REVLIMID Immunomodulators
59572040500 Lenalidomide Cap 5 MG REVLIMID Immunomodulators
59572040528 Lenalidomide Cap 5 MG REVLIMID Immunomodulators
59572040530 Lenalidomide Cap 5 MG REVLIMID Immunomodulators
59572041030 Lenalidomide Cap 10 MG REVLIMID Immunomodulators
59572041028 Lenalidomide Cap 10 MG REVLIMID Immunomodulators
59572041000 Lenalidomide Cap 10 MG REVLIMID Immunomodulators
59572041521 Lenalidomide Cap 15 MG REVLIMID Immunomodulators
59572041500 Lenalidomide Cap 15 MG REVLIMID Immunomodulators
59572042000 Lenalidomide Cap 20 MG REVLIMID Immunomodulators
59572042021 Lenalidomide Cap 20 MG REVLIMID Immunomodulators
59572042525 Lenalidomide Cap 25 MG REVLIMID Immunomodulators
59572042521 Lenalidomide Cap 25 MG REVLIMID Immunomodulators
59572042500 Lenalidomide Cap 25 MG REVLIMID Immunomodulators
009722402 Lymphocyte Immune Globulin Anti‐Thymocyte G Inj 50 MG/ML(Eq) ATGAM Immunosuppressive Agents
009722401 Lymphocyte Immune Globulin Anti‐Thymocyte G Inj 50 MG/ML(Eq) ATGAM Immunosuppressive Agents
58468008001 Anti‐Thymocyte Globulin For IV Soln 25 MG (Lymphocyte IG) THYMOGLOBULIN Immunosuppressive Agents
62053053425 Anti‐Thymocyte Globulin For IV Soln 25 MG (Lymphocyte IG) THYMOGLOBULIN Immunosuppressive Agents
49401010101 Belimumab For IV Soln 120 MG BENLYSTA !Unknown!
49401010201 Belimumab For IV Soln 400 MG BENLYSTA !Unknown!
23