Medication HCPCS Code Price
AMPicillin-SULBACTAM 1.5 G Vial J0295 $24.10
AMPicillin-SULBACTAM 3 G Vial J0295 $79.85
Anastrozole 1 Mg Tab $63.10
Anidulafungin 100 Mg Vial J0348 $930.60
Apixaban 2.5 Mg Tab $42.00
Apixaban 5 Mg Tab $42.00
Aprepitant 125 Mg Cap J8501 $1,368.85
Aprepitant 80 Mg Cap J8501 $878.35
Arformoterol 15 Mcg Inh Soln $89.25
ARGATROban 250 Mg/2.5 ML Vial J0883 $2,625.50