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Company Treprostinil / / IndustryTerm saline solution / / MedicalCondition im Rabies / sc Encephalitis / im Tetanus / im/sc Rabies / esrd / nasal Flu / 1000u Dalteparin sodium Inj enoxaparin sodium Fondaparinux sodium Tetanus / preserv Flu / val im Rabies / im Typhoid / im Yellow fever / vaccine / adult im Flu / im Flu / / MedicalTreatment insulin pump / / Organization Medicare / USP UNIT / / / Position contractor / / Product Methylprednisolone / Colistimethate / Clonidine hydrochloride / Leucovorin calcium / Procainamide hcl / Bivalirudin Injection / protamine sulfate / Dimenhydrinate / Ceftriaxone sodium / Acetylcysteine / Agalsidase beta injection Alglucerase injection / Iron sucrose injection Imuglucerase injection / Cyclosporine / Promethazine / Linezolid / Glucagon / Kanamycin sulfate / Adalimumab injection / Sumatriptan succinate / Reteplase injection / milrinone lactate / Ranitidine hydrochloride / Chorionic gonadotropin / dextrose / gentamicin / Vitamin k / HCL/250 mg Dolasetron mesylate Dopamine injection Doripenem injection Injection / Glassia injection / Deferoxamine mesylate / Caspofungin acetate Canakinumab injection / Dimecaprol injection / Ampicillin / Cefoxitin / Estradiol valerate / Depo-estradiol / Albuterol / Oxacillin sodium / Hydroxyzine / nalbuphine hydrochloride / Phenobarbital sodium inj Plerixafor injection / multihance / HCl injection / Penicillin g potassium / Tacrolimus injection / multihance multipack / Cefazolin sodium / Diazepam / Haloperidol decanoate / Lumizyme injection / Etanercept injection / Dexrazoxane / Piperacillin / ESRD Decitabine injection / Fentanyl citrate / J0780 J0795 J0800 J0834 J0840 J0850 J0878 J0881 Short Description Busulfan injection / Garamycin / Prednisolone / Buprenorphine hydrochloride / Ertapenem injection / Pegloticase injection / Quinupristin/dalfopristin Ranibizumab injection / theophylline / Infliximab injection / Testosterone enanthate / Baclofen / Digoxin / Amikacin sulfate / Sincalide injection / Hydromorphone injection / epinephrine / Aripiprazole injection / Lidocaine / Basiliximab Belimumab injection Dicyclomine injection / Ropivacaine HCl injection Romiplostim injection / Streptomycin injection / Hyaluronidase injection / phytonadione / magnesium sulfate / J0515 J0558 J0561 J0583 J0585 J0586 J0587 J0588 J0592 Short Description Injection / Prednisone / Prochlorperazine / iron dextran / Azathioprine / cortrosyn / Ciprofloxacin / prohance multipack / midazolam hydrochloride / J2770 J2778 J2780 J2783 J2785 J2788 J2790 J2791 Short Description Orphenadrine injection / Gallium nitrate injection Galsulfase injection / desmopressin acetate / Anidulafungin injection / calcitriol / potassium chloride / Zidovudine / Granisetron / Vancomycin hcl / Pamidronate disodium / General Electric J1250 Digital Camera / Metoclopramide hcl / Morphine sulfate / Methocarbamol / Haloperidol / Fluocinolone acetonide / Wilate injection / J7195 J7197 J7198 J7308 J7309 J7310 J7311 J7312 Short Description Verteporfin injection / Dexamethasone / Penicillin / Methadone injection / Gammaplex injection Hizentra injection / Flebogamma injection / Daptomycin injection / Acyclovir / Ipratropium bromide / Pentobarbital sodium / Ibandronate sodium injection Ibutilide fumarate injection Idursulfase injection / Cefotaxime sodium / Cromolyn sodium / Droperidol / Triamcinolone / naloxone hydrochloride / Rasburicase Regadenoson injection / Pralidoxime chloride / Ecallantide injection Eculizumab injection Epoprostenol injection Eptifibatide injection / Risperidone / benztropine mesylate / MG Pentazocine injection Telavancin injection Tenecteplase injection / Fluphenazine decanoate / Lanreotide injection Laronidase injection / MG injection / Atropine sulfate / Mannitol / Propranolol injection Insulin injection / Oxytocin / Fluconazole / Chlorpromazine hcl injection Thyrotropin injection Tigecycline injection / levocarnitine / cefuroxime / Rhophylac injection / Corticotropin / Tobramycin / ceftazidime / Ampicillin sodium / Levofloxacin / Cosyntropin / Olanzapine / Triamcinolone diacetate / Fomepizole / MG Levetiracetam injection / Tobramycin sulfate / Reclast / Leuprolide acetate / MG 3 / Amphotericin B / Tocilizumab injection Treprostinil injection / Aminophyllin / Oprelvekin injection Omalizumab injection / Azithromycin / Foscarnet sodium / Ustekinumab injection / Amifostine / Chlorothiazide / Ganciclovir / Testosterone / Fosaprepitant injection / Cidofovir injection / Gamma / Lorazepam / Lincomycin injection / inh / Dipyridamole / Penicillin g procaine / Ketorolac tromethamine / Ganciclovir sodium / Caffeine citrate / Denosumab injection / MG Colchicine injection / Terbutaline sulfate / Ziconotide injection / Dimethyl sulfoxide / Butorphanol tartrate / Methyldopate hcl / Octagam injection / Chloramphenicol / adenosine / Phenytoin sodium / Furosemide / Hydrocortisone / Levoleucovorin / heparin sodium / NOS / 1ml Gadoxetate disodium inj Gadofosveset trisodium inj Gadobutrol injection / Natalizumab injection Nesiritide injection Octreotide injection / Ondansetron / Oxymorphone hcl injection Palifermin injection / MG Sargramostim injection / Abatacept injection Abciximab injection / / ProgrammingLanguage ML / / Technology Alpha / antibodies / /
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Payment Allowance Limits for Medicare Part B Drugs Effective July 1, 2012 through September 30, 2012 Note 1: Payment allowance limits subject to the ASP methodology are based on 1Q12 ASP data. Note 2: The absence or pres