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Company Treprostinil / / IndustryTerm saline solution / / MedicalCondition RIV3 no preserv Rabies / im Rabies / im Tetanus / im/sc Rabies / esrd / 1000u Dalteparin sodium Inj enoxaparin sodium Fondaparinux sodium Tetanus / Flu / A9576 A9577 A9578 A9579 A9581 A9583 A9585 Flu / yrs+ Typhoid / / MedicalTreatment insulin pump / / Organization Medicare / USP UNIT / / Position contractor / / Product Carboplatin / Methylprednisolone / Colistimethate / Clonidine hydrochloride / Leucovorin calcium / Procainamide hcl / Cisplatin / Bivalirudin Injection / Abciximab injection / protamine sulfate / Dimenhydrinate / Ipilimumab injection / Ceftriaxone sodium / Acetylcysteine / Iron sucrose injection Imuglucerase injection / Promethazine / Cyclosporine / Linezolid / Cytarabine / Glucagon / Medroxyprogesterone acetate / Kanamycin sulfate / Bleomycin sulfate / Reteplase injection / milrinone lactate / Ranitidine hydrochloride / Chorionic gonadotropin / gentamicin / dextrose / Vitamin k / Glassia injection / Caspofungin acetate Canakinumab injection / Dimecaprol injection / Ampicillin / Estradiol valerate / Cefoxitin / Elliotts b solution / Anidulafungin injection Hydralazine hcl injection Apomorphine hydrochloride Aripiprazole injection / Depo-estradiol / Pegaspargase injection / Doxorubicin hcl injection Aldesleukin injection / Irinotecan injection Ixabepilone injection / Albuterol / Oxacillin sodium / Hydroxyzine / Methotrexate sodium / nalbuphine hydrochloride / Phenobarbital sodium inj Plerixafor injection / multihance / HCl injection / Penicillin g potassium / Mitomycin / J9260 J9261 J9263 J9264 J9265 J9266 J9268 J9280 Short Description Bortezomib injection / Tacrolimus injection / Inj dobutamine HCL/250 mg Dolasetron mesylate Dopamine injection Doripenem injection Injection / Basiliximab Belatacept injection Belimumab injection Dicyclomine injection / multihance multipack / Cefazolin sodium / Diazepam / Haloperidol decanoate / Etanercept injection / Lumizyme injection / Dexrazoxane / Piperacillin / ESRD Decitabine injection / Fentanyl citrate / Carmustine injection Cetuximab injection / Adalimumab injection Injection / Etoposide / Garamycin / Prednisolone / Ertapenem injection / Buprenorphine hydrochloride / Pegloticase injection / J3360 J3370 J3385 J3396 J3410 J3411 J3415 Short Description Rasburicase Regadenoson injection / Quinupristin/dalfopristin Ranibizumab injection / theophylline / Infliximab injection / Testosterone enanthate / Paclitaxel / Docetaxel injection / Baclofen / Digoxin / Amikacin sulfate / Sincalide injection / Floxuridine / Supprelin LA / Hydromorphone injection / epinephrine / Lidocaine / Ropivacaine HCl injection Romiplostim injection / Streptomycin injection / phytonadione / magnesium sulfate / Prochlorperazine / Prednisone / iron dextran / Azathioprine / cortrosyn / Ciprofloxacin / prohance multipack / Fosaprepitant injection Galsulfase injection / Vantas / midazolam hydrochloride / Bendamustine injection Bevacizumab injection / NOS Azacitidine injection Clofarabine injection / Aflibercept injection / Metoclopramide / desmopressin acetate / calcitriol / potassium chloride / Mesna / Granisetron / Vancomycin hcl / Zidovudine / Pamidronate disodium / General Electric J1250 Digital Camera / Busulfan injection / Morphine sulfate / Methocarbamol / Orphenadrine injection / Haloperidol / Wilate injection / Fluocinolone acetonide / Dexamethasone / Penicillin / Methadone injection / Gammaplex injection Hizentra injection / Flebogamma injection / cladribine / Daptomycin injection / Acyclovir / Arsenic trioxide injection Erwinaze injection / Ipratropium bromide / Pentobarbital sodium / Ibandronate sodium injection Ibutilide fumarate injection Idursulfase injection / Cefotaxime sodium / Cyclophosphamide / Cromolyn sodium / Droperidol / Triamcinolone / naloxone hydrochloride / Pralidoxime chloride / Ecallantide injection Eculizumab injection Epoprostenol injection Eptifibatide injection / Ifosfamide / Risperidone / benztropine mesylate / Fluphenazine decanoate / Lanreotide injection Laronidase injection / Nelarabine injection / MG injection / J0585 J0586 J0587 J0588 J0592 J0594 J0595 J0597 Short Description Abatacept injection / Atropine sulfate / Pentostatin / Mannitol / Propranolol injection Insulin injection / Oxytocin / Fluconazole / Chlorpromazine hcl injection Thyrotropin injection Tigecycline injection / levocarnitine / cefuroxime / Rhophylac injection / Corticotropin / Tobramycin / ceftazidime / Brentuximab vedotin inj Cabazitaxel injection / Ampicillin sodium / Levofloxacin / Cosyntropin / Olanzapine / Fomepizole / Pentazocine injection Telavancin injection Tenecteplase injection / MG Levetiracetam injection / Tobramycin sulfate / Verteporfin injection / Leuprolide acetate / MG 3 / Amphotericin B / Tocilizumab injection Treprostinil injection / Aminophyllin / Oprelvekin injection Omalizumab injection / Azithromycin / Ustekinumab injection / Amifostine / Chlorothiazide / Testosterone / Ganciclovir / Cidofovir injection / Gamma / Lorazepam / Lincomycin injection / inh / Dipyridamole / Penicillin g procaine / Ketorolac tromethamine / MG inj Dactinomycin injection / Ganciclovir sodium / Caffeine citrate / Denosumab injection / Terbutaline sulfate / Ziconotide injection / Fludarabine phosphate / Dimethyl sulfoxide / Butorphanol tartrate / Methyldopate hcl / Fluorouracil / Octagam injection / Chloramphenicol / adenosine / Phenytoin sodium / Furosemide / Hydrocortisone / Levoleucovorin / heparin sodium / NOS / 1ml Gadoxetate disodium inj Gadofosveset trisodium inj Gadobutrol injection / Dacarbazine / Natalizumab injection Nesiritide injection Octreotide injection / Ondansetron / Degarelix injection / Oxymorphone hcl injection Palifermin injection / MG Sargramostim injection / / ProgrammingLanguage ML / / Technology Alpha / /
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Payment Allowance Limits for Medicare Part B Drugs Effective January 1, 2014 through March 31, 2014 Note 1: Payment allowance limits subject to the ASP methodology are based on 3Q13 ASP data. Note 2: The absence or prese