| Q2004 | Bladder calculi irrig sol |
| Q2009 | Fosphenytoin inj pe |
| Q2017 | Teniposide, 50 mg |
| Q2025 | Oral fludarabine phosphate |
| Q2026 | Radiesse injection |
| Q2027 | Sculptra injection |
| Q2028 | Inj, sculptra, 0.5mg |
| Q2033 | Influenza vaccine, (flublok) |
| Q2034 | Agriflu vaccine |
| Q2035 | Afluria vacc, 3 yrs & >, im |
| Q2036 | Flulaval vacc, 3 yrs & >, im |
| Q2037 | Fluvirin vacc, 3 yrs & >, im |
| Q2038 | Fluzone vacc, 3 yrs & >, im |
| Q2039 | Nos flu vacc, 3 yrs & >, im |
| Q2040 | Incobotulinumtoxin a |
| Q2041 | Wilate injection |
| Q2042 | Hydroxyprogesterone caproate |
| Q2043 | Sipuleucel-t auto cd54+ |
| Q2044 | Belimumab injection |
| Q2045 | Human fibrinogen conc inj |
| Q2046 | Aflibercept injection |
| Q2047 | Peginesatide injection |
| Q2048 | Doxil injection |
| Q2049 | Imported lipodox inj |
| Q2050 | Doxorubicin inj 10mg |
| Q2051 | Zoldedronic acid 1mg |
| Q2052 | Ivig demo, services/supplies |
