{
 "meta": {
  "vintage": "2026-Q2",
  "issue": 1,
  "generated": "2026-08-12",
  "version": "2.0",
  "citation": "CareCost Estimate Infusion Reimbursement Index, Issue 01 (Q2 2026), v2.0. CC-BY 4.0.",
  "n_payers_raw": 69,
  "n_payers_pub": 61,
  "includes_national_carriers": true,
  "national_carriers_label": "UnitedHealthcare, Aetna, Anthem, Cigna, Centene, Kaiser",
  "unattributed_cells": 119260,
  "unattributed_note": "Cells whose carrier label could not be resolved are kept in the index but excluded from payer-level tables.",
  "n_parents": 39,
  "n_publishable": 829646,
  "n_provisional": 508684,
  "n_suppressed": 2615117,
  "n_drugs": 958,
  "n_states": 51,
  "coverage_top_payer": "aetna",
  "coverage_top_pub_pct": 12.7,
  "coverage_top_raw_pct": 7.5
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   "state": "AK",
   "cells": 6703,
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   "state": "NE",
   "cells": 12118,
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  {
   "state": "ID",
   "cells": 12806,
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  {
   "state": "HI",
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   "state": "KS",
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  {
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  {
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   "state": "WI",
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   "state": "DE",
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   "code": "J7312",
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   "code": "J0177",
   "drug": "Eylea hd (aflibercept)",
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   "spend_m_national": 835.0,
   "is_biosim": false
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   "code": "J1556",
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   "payers": 12,
   "lo": 0.74,
   "mid": 0.98,
   "hi": 6.6,
   "spread_x": 9.0,
   "spend_m_national": 42.0,
   "is_biosim": false
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  {
   "code": "J2507",
   "drug": "Krystexxa (pegloticase)",
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   "payers": 12,
   "lo": 0.72,
   "mid": 0.96,
   "hi": 6.14,
   "spread_x": 8.5,
   "spend_m_national": 241.0,
   "is_biosim": false
  },
  {
   "code": "J2778",
   "drug": "Lucentis (ranibizumab)",
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   "payers": 16,
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   "mid": 1.38,
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  {
   "code": "J1745",
   "drug": "Infliximab",
   "state": "TX",
   "payers": 39,
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   "mid": 1.03,
   "hi": 3.49,
   "spread_x": 6.1,
   "spend_m_national": 260.0,
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  {
   "code": "J0185",
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   "mid": 1.07,
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   "spend_m_national": 33.0,
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  {
   "code": "J0717",
   "drug": "Cimzia (certolizumab pegol)",
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   "mid": 1.29,
   "hi": 4.34,
   "spread_x": 5.9,
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   "code": "J9311",
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   "spend_m_national": 39.0,
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  {
   "code": "J9264",
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   "mid": 1.34,
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   "spread_x": 5.3,
   "spend_m_national": 215.0,
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  {
   "code": "J2403",
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   "code": "J1930",
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   "code": "Q5119",
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   "is_biosim": true
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   "code": "Q5126",
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   "spread_x": 6.6,
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   "code": "Q5118",
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   "spread_x": 6.1,
   "spend_m_national": 46.0,
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   "code": "Q5108",
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   "hi": 6.65,
   "spread_x": 6.0,
   "spend_m_national": 68.0,
   "is_biosim": true
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   "code": "Q5115",
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   "code": "Q5107",
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   "lo": 0.82,
   "mid": 1.05,
   "hi": 4.34,
   "spread_x": 5.3,
   "spend_m_national": 107.0,
   "is_biosim": true
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   "code": "Q5128",
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   "code": "Q5111",
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   "code": "Q5114",
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   "spread_x": 4.7,
   "spend_m_national": 63.0,
   "is_biosim": true
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  {
   "code": "Q5123",
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   "spread_x": 4.7,
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   "code": "Q5104",
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 ],
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   "code": "Q4264",
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  {
   "code": "Q4302",
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   "mid": 1.25,
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   "spread_x": 14.1,
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   "is_biosim": false
  },
  {
   "code": "Q4297",
   "drug": "Emerge matrix, per sq cm",
   "state": "TX",
   "payers": 21,
   "lo": 0.55,
   "mid": 1.08,
   "hi": 7.6,
   "spread_x": 13.8,
   "spend_m_national": 61.0,
   "is_biosim": false
  },
  {
   "code": "Q4248",
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   "payers": 24,
   "lo": 0.89,
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   "spread_x": 9.7,
   "spend_m_national": 34.0,
   "is_biosim": false
  },
  {
   "code": "Q4299",
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   "mid": 1.0,
   "hi": 4.68,
   "spread_x": 8.3,
   "spend_m_national": 52.0,
   "is_biosim": false
  },
  {
   "code": "Q4205",
   "drug": "Membrane graft or wrap sq cm",
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   "lo": 0.69,
   "mid": 1.0,
   "hi": 5.26,
   "spread_x": 7.6,
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   "is_biosim": false
  },
  {
   "code": "Q4280",
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   "state": "NJ",
   "payers": 11,
   "lo": 0.55,
   "mid": 1.0,
   "hi": 4.11,
   "spread_x": 7.5,
   "spend_m_national": 1364.0,
   "is_biosim": false
  },
  {
   "code": "Q4282",
   "drug": "Cygnus dual per sq cm",
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   "payers": 10,
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   "mid": 1.18,
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   "spread_x": 7.1,
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   "code": "Q4322",
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   "code": "Q4204",
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   "spend_m_national": 158.0,
   "is_biosim": false
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   "code": "Q4180",
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   "spread_x": 6.6,
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  },
  {
   "code": "Q4294",
   "drug": "Amnio quad-core, per sq cm",
   "state": "NJ",
   "payers": 10,
   "lo": 0.73,
   "mid": 1.0,
   "hi": 4.48,
   "spread_x": 6.1,
   "spend_m_national": 251.0,
   "is_biosim": false
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 ],
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   {
    "bucket": "6-7",
    "n_markets": 1195,
    "p90p10": 1.246,
    "maxmin": 1.4
   },
   {
    "bucket": "8-11",
    "n_markets": 3146,
    "p90p10": 1.175,
    "maxmin": 1.389
   },
   {
    "bucket": "12-19",
    "n_markets": 3344,
    "p90p10": 1.134,
    "maxmin": 1.453
   },
   {
    "bucket": "20+",
    "n_markets": 1498,
    "p90p10": 1.154,
    "maxmin": 1.872
   }
  ],
  "note": "max/min rises with the number of insurers in a market while p90/p10 does not, so max/min partly measures how many insurers filed rather than how much they disagree. The published Spread is p90/p10; max/min is shown only as a labelled extreme."
 },
 "scorecard": {
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  "median_x": 1.015,
  "p90": 1.5385,
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  "p99": 4.464,
  "share_ge_125": 0.1853,
  "share_ge_2": 0.0529,
  "spend_weighted_x": 1.0052,
  "spread_clean": {
   "median_x": 1.16,
   "share_15": 0.167,
   "n_markets": 9183,
   "iqr_x": 1.061,
   "maxmin_x": 1.47,
   "estimator": "p90/p10 across insurers in a drug x state market"
  },
  "dispersion_all": {
   "median_x": 1.26,
   "share_15": 0.298,
   "n_markets": 32535,
   "iqr_x": 1.075,
   "maxmin_x": 1.97,
   "estimator": "p90/p10 across insurers in a drug x state market"
  }
 },
 "loo": {
  "dropped": "aetna",
  "index_ex": 101.3,
  "spread_ex_x": 1.14,
  "index_full": 101.5,
  "spread_full_x": 1.16
 },
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   "bin_lo": 0.5,
   "n": 832
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  {
   "bin_lo": 0.55,
   "n": 2180
  },
  {
   "bin_lo": 0.6,
   "n": 6531
  },
  {
   "bin_lo": 0.65,
   "n": 5592
  },
  {
   "bin_lo": 0.7,
   "n": 10873
  },
  {
   "bin_lo": 0.75,
   "n": 10786
  },
  {
   "bin_lo": 0.8,
   "n": 20249
  },
  {
   "bin_lo": 0.85,
   "n": 27202
  },
  {
   "bin_lo": 0.9,
   "n": 49307
  },
  {
   "bin_lo": 0.95,
   "n": 199710
  },
  {
   "bin_lo": 1.0,
   "n": 162955
  },
  {
   "bin_lo": 1.05,
   "n": 77113
  },
  {
   "bin_lo": 1.1,
   "n": 46271
  },
  {
   "bin_lo": 1.15,
   "n": 34936
  },
  {
   "bin_lo": 1.2,
   "n": 21416
  },
  {
   "bin_lo": 1.25,
   "n": 19345
  },
  {
   "bin_lo": 1.3,
   "n": 15035
  },
  {
   "bin_lo": 1.35,
   "n": 12678
  },
  {
   "bin_lo": 1.4,
   "n": 9712
  },
  {
   "bin_lo": 1.45,
   "n": 8524
  },
  {
   "bin_lo": 1.5,
   "n": 7361
  },
  {
   "bin_lo": 1.55,
   "n": 5217
  },
  {
   "bin_lo": 1.6,
   "n": 5536
  },
  {
   "bin_lo": 1.65,
   "n": 4665
  },
  {
   "bin_lo": 1.7,
   "n": 3884
  },
  {
   "bin_lo": 1.75,
   "n": 4923
  },
  {
   "bin_lo": 1.8,
   "n": 3826
  },
  {
   "bin_lo": 1.85,
   "n": 3811
  },
  {
   "bin_lo": 1.9,
   "n": 2803
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   "code": "J0177",
   "drug": "Eylea hd (aflibercept)",
   "specialty": "Ophthalmology",
   "median_x": 1.038,
   "lo": 0.65,
   "hi": 6.99,
   "payers": 51,
   "spend_m": 835.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4250",
   "drug": "Amnioamp-mp per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.67,
   "hi": 3.79,
   "payers": 32,
   "spend_m": 824.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9173",
   "drug": "Imfinzi (durvalumab)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.981,
   "lo": 0.71,
   "hi": 2.14,
   "payers": 57,
   "spend_m": 823.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4271",
   "drug": "Complete ft per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.009,
   "lo": 0.75,
   "hi": 5.44,
   "payers": 35,
   "spend_m": 751.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0896",
   "drug": "Reblozyl (luspatercept-aamt)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.983,
   "lo": 0.71,
   "hi": 3.44,
   "payers": 57,
   "spend_m": 727.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0129",
   "drug": "Orencia (abatacept)",
   "specialty": "Rheumatology",
   "median_x": 0.976,
   "lo": 0.7,
   "hi": 2.43,
   "payers": 58,
   "spend_m": 718.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3111",
   "drug": "Evenity (romosozumab-aqqg)",
   "specialty": "Rheumatology",
   "median_x": 0.957,
   "lo": 0.68,
   "hi": 2.08,
   "payers": 58,
   "spend_m": 651.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4265",
   "drug": "Neostim tl per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.006,
   "lo": 0.55,
   "hi": 2.68,
   "payers": 35,
   "spend_m": 603.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J3380",
   "drug": "Entyvio (vedolizumab)",
   "specialty": "Gastroenterology",
   "median_x": 0.988,
   "lo": 0.65,
   "hi": 2.5,
   "payers": 59,
   "spend_m": 574.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1569",
   "drug": "Gammagard liquid (immun glob g)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.995,
   "lo": 0.63,
   "hi": 3.4,
   "payers": 58,
   "spend_m": 570.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9358",
   "drug": "Enhertu (fam-trastuzumab deruxtecn-nxki)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.952,
   "lo": 0.69,
   "hi": 3.34,
   "payers": 58,
   "spend_m": 552.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9177",
   "drug": "Padcev (enfortumab vedotin-ejfv)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.002,
   "lo": 0.72,
   "hi": 3.51,
   "payers": 58,
   "spend_m": 538.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1303",
   "drug": "Ultomiris (ravulizumab-cwvz)",
   "specialty": "Gastroenterology",
   "median_x": 0.988,
   "lo": 0.71,
   "hi": 2.52,
   "payers": 56,
   "spend_m": 535.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4205",
   "drug": "Membrane graft or wrap sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.65,
   "hi": 5.26,
   "payers": 33,
   "spend_m": 499.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J2350",
   "drug": "Ocrevus (ocrelizumab)",
   "specialty": "Neurology",
   "median_x": 0.978,
   "lo": 0.7,
   "hi": 3.08,
   "payers": 58,
   "spend_m": 475.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1561",
   "drug": "Gammaked (immune globul g)",
   "specialty": "Neurology",
   "median_x": 1.015,
   "lo": 0.72,
   "hi": 3.4,
   "payers": 57,
   "spend_m": 472.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9022",
   "drug": "Tecentriq (atezolizumab)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.982,
   "lo": 0.7,
   "hi": 2.28,
   "payers": 58,
   "spend_m": 459.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0225",
   "drug": "Amvuttra (vutrisiran sodium)",
   "specialty": "Pulmonary Disease",
   "median_x": 1.001,
   "lo": 0.72,
   "hi": 4.88,
   "payers": 56,
   "spend_m": 457.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4344",
   "drug": "Tri membrane wrap, per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.67,
   "hi": 4.14,
   "payers": 36,
   "spend_m": 425.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9228",
   "drug": "Yervoy (ipilimumab)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.983,
   "lo": 0.69,
   "hi": 2.09,
   "payers": 57,
   "spend_m": 422.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4325",
   "drug": "Acapatch, per sq cm",
   "specialty": null,
   "median_x": 1.038,
   "lo": 0.75,
   "hi": 2.02,
   "payers": 36,
   "spend_m": 415.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0585",
   "drug": "Botox (onabotulinumtoxina)",
   "specialty": "Neurology",
   "median_x": 1.001,
   "lo": 0.72,
   "hi": 3.69,
   "payers": 59,
   "spend_m": 395.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9334",
   "drug": "Vyvgart hytrulo (efgartigimod-hyaluronidas-qvfc)",
   "specialty": "Anesthesiology",
   "median_x": 1.002,
   "lo": 0.72,
   "hi": 3.49,
   "payers": 51,
   "spend_m": 380.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1459",
   "drug": "Privigen (immun glob g)",
   "specialty": "Neurology",
   "median_x": 0.991,
   "lo": 0.71,
   "hi": 2.41,
   "payers": 57,
   "spend_m": 360.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3262",
   "drug": "Actemra (tocilizumab)",
   "specialty": "Rheumatology",
   "median_x": 1.037,
   "lo": 0.73,
   "hi": 2.44,
   "payers": 58,
   "spend_m": 348.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4239",
   "drug": "Amnio-maxx or lite per sq cm",
   "specialty": "Podiatry",
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 4.76,
   "payers": 31,
   "spend_m": 346.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4290",
   "drug": "Membrane wrap hydr per sq cm",
   "specialty": "Internal Medicine",
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 4.09,
   "payers": 37,
   "spend_m": 344.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J2353",
   "drug": "Octreotide acetate er (octreotide acetate,mi-spheres)",
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   "median_x": 0.966,
   "lo": 0.69,
   "hi": 3.35,
   "payers": 58,
   "spend_m": 343.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2781",
   "drug": "Syfovre (pegcetacoplan)",
   "specialty": "Ophthalmology",
   "median_x": 0.962,
   "lo": 0.67,
   "hi": 3.25,
   "payers": 51,
   "spend_m": 339.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9332",
   "drug": "Vyvgart (efgartigimod alfa-fcab)",
   "specialty": "Nurse Practitioner",
   "median_x": 1.002,
   "lo": 0.71,
   "hi": 4.42,
   "payers": 56,
   "spend_m": 337.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4303",
   "drug": "Complete aa, per sq cm",
   "specialty": "Plastic and Reconstructive Surgery",
   "median_x": 1.0,
   "lo": 0.7,
   "hi": 4.4,
   "payers": 36,
   "spend_m": 336.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9298",
   "drug": "Opdualag (nivolumab-relatlimab-rmbw)",
   "specialty": "Medical Oncology",
   "median_x": 0.982,
   "lo": 0.71,
   "hi": 3.44,
   "payers": 56,
   "spend_m": 334.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3245",
   "drug": "Ilumya (tildrakizumab-asmn)",
   "specialty": "Nurse Practitioner",
   "median_x": 0.996,
   "lo": 0.66,
   "hi": 2.62,
   "payers": 57,
   "spend_m": 330.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4275",
   "drug": "Esano aca, per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.7,
   "hi": 3.77,
   "payers": 30,
   "spend_m": 330.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9312",
   "drug": "Rituxan (rituximab)",
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   "hi": 3.3,
   "payers": 58,
   "spend_m": 327.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1306",
   "drug": "Leqvio (inclisiran sodium)",
   "specialty": "Nurse Practitioner",
   "median_x": 0.983,
   "lo": 0.71,
   "hi": 3.45,
   "payers": 56,
   "spend_m": 322.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2802",
   "drug": "Nplate (romiplostim)",
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   "lo": 0.69,
   "hi": 2.62,
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   "spend_m": 316.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2357",
   "drug": "Xolair (omalizumab)",
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   "median_x": 0.977,
   "lo": 0.7,
   "hi": 2.09,
   "payers": 58,
   "spend_m": 316.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5147",
   "drug": "Pavblu (aflibercept-ayyh)",
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   "lo": 0.78,
   "hi": 3.78,
   "payers": 55,
   "spend_m": 302.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "Q4301",
   "drug": "Activate matrix, per sq cm",
   "specialty": "Emergency Medicine",
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 4.71,
   "payers": 33,
   "spend_m": 300.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9119",
   "drug": "Libtayo (cemiplimab-rwlc)",
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   "median_x": 1.003,
   "lo": 0.7,
   "hi": 3.39,
   "payers": 57,
   "spend_m": 296.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9047",
   "drug": "Kyprolis (carfilzomib)",
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   "lo": 0.57,
   "hi": 3.23,
   "payers": 57,
   "spend_m": 291.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0717",
   "drug": "Cimzia (certolizumab pegol)",
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   "median_x": 1.135,
   "lo": 0.74,
   "hi": 5.23,
   "payers": 57,
   "spend_m": 274.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2782",
   "drug": "Izervay (avacincaptad pegol sodium)",
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   "median_x": 1.002,
   "lo": 0.72,
   "hi": 3.49,
   "payers": 56,
   "spend_m": 262.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1745",
   "drug": "Infliximab",
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   "hi": 7.09,
   "payers": 59,
   "spend_m": 260.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4294",
   "drug": "Amnio quad-core, per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.6,
   "hi": 4.48,
   "payers": 38,
   "spend_m": 251.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1559",
   "drug": "Hizentra (immun glob g)",
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   "median_x": 0.977,
   "lo": 0.66,
   "hi": 2.05,
   "payers": 57,
   "spend_m": 247.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2507",
   "drug": "Krystexxa (pegloticase)",
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   "lo": 0.53,
   "hi": 6.14,
   "payers": 57,
   "spend_m": 241.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1930",
   "drug": "Lanreotide acetate",
   "specialty": "Hematology-Oncology",
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   "lo": 0.68,
   "hi": 4.08,
   "payers": 56,
   "spend_m": 237.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1602",
   "drug": "Simponi aria (golimumab)",
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   "median_x": 1.054,
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   "hi": 4.35,
   "payers": 57,
   "spend_m": 232.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4313",
   "drug": "Dermabind fm, per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.73,
   "hi": 4.55,
   "payers": 37,
   "spend_m": 217.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9306",
   "drug": "Perjeta (pertuzumab)",
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   "median_x": 0.99,
   "lo": 0.61,
   "hi": 2.35,
   "payers": 58,
   "spend_m": 216.0,
   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J9264",
   "drug": "Abraxane (paclitaxel protein-bound)",
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   "median_x": 1.242,
   "lo": 0.89,
   "hi": 4.86,
   "payers": 58,
   "spend_m": 215.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2356",
   "drug": "Tezspire (tezepelumab-ekko)",
   "specialty": "Nurse Practitioner",
   "median_x": 0.994,
   "lo": 0.72,
   "hi": 3.48,
   "payers": 56,
   "spend_m": 211.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2182",
   "drug": "Nucala (mepolizumab)",
   "specialty": "Nurse Practitioner",
   "median_x": 0.988,
   "lo": 0.71,
   "hi": 2.37,
   "payers": 58,
   "spend_m": 210.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9317",
   "drug": "Trodelvy (sacituzumab govitecan-hziy)",
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   "median_x": 0.982,
   "lo": 0.71,
   "hi": 3.44,
   "payers": 58,
   "spend_m": 202.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1568",
   "drug": "Octagam (immun globg)",
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   "median_x": 1.026,
   "lo": 0.73,
   "hi": 3.49,
   "payers": 57,
   "spend_m": 192.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4279",
   "drug": "Vendaje ac, per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 4.38,
   "payers": 33,
   "spend_m": 191.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0517",
   "drug": "Fasenra pen (benralizumab)",
   "specialty": "Nurse Practitioner",
   "median_x": 0.992,
   "lo": 0.6,
   "hi": 2.53,
   "payers": 57,
   "spend_m": 188.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9309",
   "drug": "Polivy (polatuzumab vedotin-piiq)",
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   "median_x": 0.956,
   "lo": 0.69,
   "hi": 3.34,
   "payers": 57,
   "spend_m": 188.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9272",
   "drug": "Jemperli (dostarlimab-gxly)",
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   "median_x": 0.985,
   "lo": 0.71,
   "hi": 2.47,
   "payers": 57,
   "spend_m": 183.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7170",
   "drug": "Hemlibra (emicizumab-kxwh)",
   "specialty": "Pharmacy",
   "median_x": 0.973,
   "lo": 0.64,
   "hi": 2.28,
   "payers": 55,
   "spend_m": 181.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q2056",
   "drug": "Carvykti (ciltacabtagene autoleucel)",
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   "median_x": 1.001,
   "lo": 0.75,
   "hi": 3.1,
   "payers": 37,
   "spend_m": 177.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4298",
   "drug": "Amnicore pro, per sq cm",
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   "median_x": 1.0,
   "lo": 0.57,
   "hi": 3.87,
   "payers": 36,
   "spend_m": 174.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9380",
   "drug": "Tecvayli (teclistamab-cqyv)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.979,
   "lo": 0.7,
   "hi": 3.43,
   "payers": 51,
   "spend_m": 172.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9063",
   "drug": "Elahere (mirvetuximab soravtansine-gynx)",
   "specialty": null,
   "median_x": 0.989,
   "lo": 0.71,
   "hi": 3.46,
   "payers": 51,
   "spend_m": 168.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7601",
   "drug": "Ohtuvayre (ensifentrine)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.41,
   "payers": 53,
   "spend_m": 166.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3241",
   "drug": "Tepezza (teprotumumab-trbw)",
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   "lo": 0.7,
   "hi": 3.41,
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   "spend_m": 164.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9301",
   "drug": "Gazyva (obinutuzumab)",
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   "median_x": 0.981,
   "lo": 0.7,
   "hi": 2.08,
   "payers": 58,
   "spend_m": 158.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4204",
   "drug": "Xwrap 1 sq cm",
   "specialty": "Podiatry",
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   "lo": 0.58,
   "hi": 4.01,
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   "spend_m": 158.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4300",
   "drug": "Acesso tl, per sq cm",
   "specialty": null,
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   "lo": 0.72,
   "hi": 5.61,
   "payers": 35,
   "spend_m": 153.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4238",
   "drug": "Derm-maxx, per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 4.87,
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   "spend_m": 144.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9217",
   "drug": "Eligard (leuprolide acetate)",
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   "lo": 0.62,
   "hi": 8.41,
   "payers": 59,
   "spend_m": 144.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9042",
   "drug": "Adcetris (brentuximab vedotin)",
   "specialty": null,
   "median_x": 0.962,
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   "hi": 2.06,
   "payers": 58,
   "spend_m": 142.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0174",
   "drug": "Leqembi (lecanemab-irmb)",
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   "median_x": 0.999,
   "lo": 0.72,
   "hi": 3.47,
   "payers": 54,
   "spend_m": 139.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1299",
   "drug": "Soliris (eculizumab)",
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   "lo": 0.73,
   "hi": 2.38,
   "payers": 54,
   "spend_m": 138.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7677",
   "drug": "Yupelri (revefenacin)",
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   "lo": 0.71,
   "hi": 3.43,
   "payers": 55,
   "spend_m": 137.0,
   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J9055",
   "drug": "Erbitux (cetuximab)",
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   "median_x": 0.994,
   "lo": 0.66,
   "hi": 2.22,
   "payers": 58,
   "spend_m": 134.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7686",
   "drug": "Tyvaso institutional start kit (treprostinil)",
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   "median_x": 0.951,
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   "payers": 53,
   "spend_m": 132.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3247",
   "drug": "Cosentyx (secukinumab)",
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   "median_x": 0.991,
   "lo": 0.71,
   "hi": 3.47,
   "payers": 50,
   "spend_m": 127.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9303",
   "drug": "Vectibix (panitumumab)",
   "specialty": null,
   "median_x": 0.977,
   "lo": 0.55,
   "hi": 1.99,
   "payers": 57,
   "spend_m": 117.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2323",
   "drug": "Tysabri (natalizumab)",
   "specialty": "Neurology",
   "median_x": 1.004,
   "lo": 0.72,
   "hi": 2.41,
   "payers": 58,
   "spend_m": 115.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9316",
   "drug": "Phesgo (pertuzumab-trastuzumab-hy-zzxf)",
   "specialty": null,
   "median_x": 1.043,
   "lo": 0.69,
   "hi": 3.13,
   "payers": 58,
   "spend_m": 114.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0881",
   "drug": "Aranesp (darbepoetin alfa in polysorbat)",
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   "median_x": 1.053,
   "lo": 0.74,
   "hi": 5.73,
   "payers": 58,
   "spend_m": 113.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9061",
   "drug": "Rybrevant (amivantamab-vmjw)",
   "specialty": null,
   "median_x": 0.975,
   "lo": 0.64,
   "hi": 3.4,
   "payers": 57,
   "spend_m": 109.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4326",
   "drug": "Woundplus, per sq cm",
   "specialty": "Family Practice",
   "median_x": 1.01,
   "lo": 0.71,
   "hi": 2.06,
   "payers": 37,
   "spend_m": 109.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1554",
   "drug": "Asceniv (immune globulin,gammaslra)",
   "specialty": "Pediatric Medicine",
   "median_x": 0.984,
   "lo": 0.69,
   "hi": 4.37,
   "payers": 55,
   "spend_m": 107.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5107",
   "drug": "Mvasi (bevacizumab-awwb)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.972,
   "lo": 0.7,
   "hi": 4.46,
   "payers": 58,
   "spend_m": 107.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J9354",
   "drug": "Kadcyla (ado-trastuzumab emtansine)",
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   "median_x": 0.967,
   "lo": 0.68,
   "hi": 2.23,
   "payers": 58,
   "spend_m": 107.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9308",
   "drug": "Cyramza (ramucirumab)",
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   "median_x": 0.988,
   "lo": 0.71,
   "hi": 2.16,
   "payers": 57,
   "spend_m": 105.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0490",
   "drug": "Benlysta (belimumab)",
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   "median_x": 0.981,
   "lo": 0.71,
   "hi": 2.1,
   "payers": 58,
   "spend_m": 104.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1437",
   "drug": "Monoferric (ferric derisomaltose)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.083,
   "lo": 0.78,
   "hi": 3.8,
   "payers": 56,
   "spend_m": 103.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2327",
   "drug": "Skyrizi (risankizumab-rzaa)",
   "specialty": "Nurse Practitioner",
   "median_x": 1.028,
   "lo": 0.68,
   "hi": 9.29,
   "payers": 56,
   "spend_m": 103.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9035",
   "drug": "Avastin (bevacizumab)",
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   "median_x": 1.012,
   "lo": 0.71,
   "hi": 3.45,
   "payers": 59,
   "spend_m": 102.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0485",
   "drug": "Nulojix (belatacept)",
   "specialty": "Infectious Disease",
   "median_x": 1.001,
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   "hi": 2.52,
   "payers": 57,
   "spend_m": 102.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0256",
   "drug": "Aralast np (alpha-1-proteinase inhibitor)",
   "specialty": "Family Practice",
   "median_x": 1.046,
   "lo": 0.75,
   "hi": 2.55,
   "payers": 57,
   "spend_m": 100.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3055",
   "drug": "Talvey (talquetamab-tgvs)",
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   "median_x": 0.977,
   "lo": 0.7,
   "hi": 3.42,
   "payers": 51,
   "spend_m": 98.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5115",
   "drug": "Truxima (rituximab-abbs)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.898,
   "lo": 0.63,
   "hi": 4.19,
   "payers": 57,
   "spend_m": 98.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J1555",
   "drug": "Cuvitru (immun glob g)",
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   "median_x": 0.969,
   "lo": 0.68,
   "hi": 2.72,
   "payers": 57,
   "spend_m": 98.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7503",
   "drug": "Envarsus xr (tacrolimus)",
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   "lo": 0.54,
   "hi": 3.42,
   "payers": 54,
   "spend_m": 97.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5129",
   "drug": "Vegzelma (bevacizumab-adcd)",
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   "median_x": 1.614,
   "lo": 1.0,
   "hi": 5.77,
   "payers": 56,
   "spend_m": 96.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "Q4302",
   "drug": "Complete aca, per sq cm",
   "specialty": null,
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   "lo": 0.65,
   "hi": 9.12,
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   "spend_m": 96.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q2054",
   "drug": "Breyanzi (lisocabtagene maraleucel)",
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   "lo": 0.83,
   "hi": 3.01,
   "payers": 36,
   "spend_m": 96.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9026",
   "drug": "Imdelltra (tarlatamab-dlle)",
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   "median_x": 0.972,
   "lo": 0.7,
   "hi": 7.0,
   "payers": 55,
   "spend_m": 94.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1439",
   "drug": "Injectafer (ferric carboxymaltose)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.989,
   "lo": 0.71,
   "hi": 3.47,
   "payers": 58,
   "spend_m": 91.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9145",
   "drug": "Darzalex (daratumumab)",
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   "median_x": 0.978,
   "lo": 0.68,
   "hi": 2.52,
   "payers": 58,
   "spend_m": 86.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4295",
   "drug": "Amnio tri-core, per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.61,
   "hi": 4.33,
   "payers": 36,
   "spend_m": 85.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4309",
   "drug": "Via matrix, per sq cm",
   "specialty": "Internal Medicine",
   "median_x": 1.023,
   "lo": 0.6,
   "hi": 2.39,
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   "spend_m": 85.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J3285",
   "drug": "Remodulin (treprostinil sodium)",
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   "median_x": 1.008,
   "lo": 0.72,
   "hi": 3.91,
   "payers": 56,
   "spend_m": 85.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4289",
   "drug": "Revoshield+ amnio, per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 1.86,
   "payers": 29,
   "spend_m": 85.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q5111",
   "drug": "Udenyca autoinjector (pegfilgrastim-cbqv)",
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   "median_x": 1.086,
   "lo": 0.56,
   "hi": 3.81,
   "payers": 58,
   "spend_m": 84.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J9043",
   "drug": "Jevtana (cabazitaxel)",
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   "median_x": 0.998,
   "lo": 0.65,
   "hi": 3.46,
   "payers": 57,
   "spend_m": 81.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5126",
   "drug": "Alymsys (bevacizumab-maly)",
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   "median_x": 0.689,
   "lo": 0.53,
   "hi": 3.55,
   "payers": 56,
   "spend_m": 79.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J7214",
   "drug": "Altuviiio (fviii rec,fc-vwf-xten,bdd-ehtl)",
   "specialty": null,
   "median_x": 0.995,
   "lo": 0.72,
   "hi": 3.21,
   "payers": 49,
   "spend_m": 77.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9029",
   "drug": "Adstiladrin (nadofaragene firadenovec-vncg)",
   "specialty": null,
   "median_x": 0.999,
   "lo": 0.65,
   "hi": 3.94,
   "payers": 49,
   "spend_m": 77.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3032",
   "drug": "Vyepti (eptinezumab-jjmr)",
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   "median_x": 0.974,
   "lo": 0.68,
   "hi": 3.4,
   "payers": 58,
   "spend_m": 77.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9223",
   "drug": "Zepzelca (lurbinectedin)",
   "specialty": null,
   "median_x": 0.982,
   "lo": 0.7,
   "hi": 3.42,
   "payers": 58,
   "spend_m": 77.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7355",
   "drug": "Idose tr (travoprost)",
   "specialty": "Ambulatory Surgical Center",
   "median_x": 1.001,
   "lo": 0.72,
   "hi": 5.69,
   "payers": 54,
   "spend_m": 77.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5119",
   "drug": "Ruxience (rituximab-pvvr)",
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   "median_x": 0.847,
   "lo": 0.54,
   "hi": 6.02,
   "payers": 58,
   "spend_m": 75.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J0175",
   "drug": "Kisunla (donanemab-azbt)",
   "specialty": "Neurology",
   "median_x": 1.001,
   "lo": 0.72,
   "hi": 3.51,
   "payers": 48,
   "spend_m": 74.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9039",
   "drug": "Blincyto (blinatumomab)",
   "specialty": null,
   "median_x": 0.948,
   "lo": 0.58,
   "hi": 3.32,
   "payers": 57,
   "spend_m": 72.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4161",
   "drug": "Bio-connekt per square cm",
   "specialty": "Podiatry",
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 1.89,
   "payers": 34,
   "spend_m": 71.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9274",
   "drug": "Kimmtrak (tebentafusp-tebn)",
   "specialty": null,
   "median_x": 0.976,
   "lo": 0.7,
   "hi": 3.41,
   "payers": 56,
   "spend_m": 71.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0870",
   "drug": "Rytelo (imetelstat sodium)",
   "specialty": null,
   "median_x": 0.979,
   "lo": 0.69,
   "hi": 3.43,
   "payers": 55,
   "spend_m": 70.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q2043",
   "drug": "Provenge (sipuleucel-t)",
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   "median_x": 1.006,
   "lo": 0.69,
   "hi": 4.25,
   "payers": 57,
   "spend_m": 69.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9205",
   "drug": "Onivyde (irinotecan liposomal)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.02,
   "lo": 0.62,
   "hi": 3.51,
   "payers": 57,
   "spend_m": 68.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5108",
   "drug": "Fulphila (pegfilgrastim-jmdb)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.477,
   "lo": 1.0,
   "hi": 6.65,
   "payers": 58,
   "spend_m": 68.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J1575",
   "drug": "Hyqvia (igg)",
   "specialty": "Allergy/ Immunology",
   "median_x": 1.025,
   "lo": 0.71,
   "hi": 2.2,
   "payers": 57,
   "spend_m": 65.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1823",
   "drug": "Uplizna (inebilizumab-cdon)",
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   "median_x": 0.97,
   "lo": 0.7,
   "hi": 3.4,
   "payers": 56,
   "spend_m": 64.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9204",
   "drug": "Poteligeo (mogamulizumab-kpkc)",
   "specialty": null,
   "median_x": 0.98,
   "lo": 0.71,
   "hi": 3.44,
   "payers": 56,
   "spend_m": 64.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0491",
   "drug": "Saphnelo (anifrolumab-fnia)",
   "specialty": "Rheumatology",
   "median_x": 0.991,
   "lo": 0.71,
   "hi": 3.47,
   "payers": 57,
   "spend_m": 63.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5114",
   "drug": "Ogivri (trastuzumab-dkst)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.18,
   "lo": 0.85,
   "hi": 4.48,
   "payers": 57,
   "spend_m": 63.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J1576",
   "drug": "Panzyga (immun glob g-ifas)",
   "specialty": "Neurology",
   "median_x": 1.035,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 50,
   "spend_m": 62.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4180",
   "drug": "Revita, per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.039,
   "lo": 0.63,
   "hi": 4.17,
   "payers": 35,
   "spend_m": 62.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4297",
   "drug": "Emerge matrix, per sq cm",
   "specialty": "Emergency Medicine",
   "median_x": 1.0,
   "lo": 0.54,
   "hi": 7.6,
   "payers": 34,
   "spend_m": 61.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0775",
   "drug": "Xiaflex (collagenase clostridium hist.)",
   "specialty": "Hand Surgery",
   "median_x": 0.995,
   "lo": 0.64,
   "hi": 3.39,
   "payers": 58,
   "spend_m": 61.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9227",
   "drug": "Sarclisa (isatuximab-irfc)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.975,
   "lo": 0.69,
   "hi": 3.35,
   "payers": 56,
   "spend_m": 60.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9176",
   "drug": "Empliciti (elotuzumab)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.982,
   "lo": 0.71,
   "hi": 2.22,
   "payers": 57,
   "spend_m": 59.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9286",
   "drug": "Columvi (glofitamab-gxbm)",
   "specialty": null,
   "median_x": 0.993,
   "lo": 0.68,
   "hi": 3.48,
   "payers": 51,
   "spend_m": 56.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9321",
   "drug": "Epkinly (epcoritamab-bysp)",
   "specialty": null,
   "median_x": 0.982,
   "lo": 0.68,
   "hi": 3.43,
   "payers": 51,
   "spend_m": 56.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1449",
   "drug": "Rolvedon (eflapegrastim-xnst)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.645,
   "lo": 0.54,
   "hi": 2.14,
   "payers": 55,
   "spend_m": 55.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7202",
   "drug": "Idelvion (factor ix recom,albumin fusion)",
   "specialty": "Pharmacy",
   "median_x": 0.966,
   "lo": 0.7,
   "hi": 2.26,
   "payers": 54,
   "spend_m": 55.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0219",
   "drug": "Nexviazyme (avalglucosidase alfa-ngpt)",
   "specialty": null,
   "median_x": 0.968,
   "lo": 0.7,
   "hi": 3.39,
   "payers": 55,
   "spend_m": 55.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9355",
   "drug": "Herceptin (trastuzumab)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.078,
   "lo": 0.75,
   "hi": 3.71,
   "payers": 58,
   "spend_m": 54.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7327",
   "drug": "Monovisc (hyaluronate sodium, stabilized)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.084,
   "lo": 0.69,
   "hi": 3.66,
   "payers": 58,
   "spend_m": 53.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7201",
   "drug": "Alprolix (factor ix rec, fc fusion protn)",
   "specialty": null,
   "median_x": 0.97,
   "lo": 0.54,
   "hi": 2.27,
   "payers": 55,
   "spend_m": 52.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4299",
   "drug": "Amnicore pro+, per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.56,
   "hi": 4.68,
   "payers": 37,
   "spend_m": 52.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q5123",
   "drug": "Riabni (rituximab-arrx)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.128,
   "lo": 0.81,
   "hi": 5.54,
   "payers": 56,
   "spend_m": 51.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J0875",
   "drug": "Dalvance (dalbavancin hcl)",
   "specialty": "Infectious Disease",
   "median_x": 1.381,
   "lo": 0.55,
   "hi": 4.84,
   "payers": 57,
   "spend_m": 51.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1323",
   "drug": "Elrexfio (elranatamab-bcmm)",
   "specialty": "Medical Oncology",
   "median_x": 0.979,
   "lo": 0.71,
   "hi": 3.43,
   "payers": 50,
   "spend_m": 50.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3304",
   "drug": "Zilretta (triamcinolone acetonide)",
   "specialty": "Orthopedic Surgery",
   "median_x": 0.967,
   "lo": 0.69,
   "hi": 3.38,
   "payers": 58,
   "spend_m": 49.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2403",
   "drug": "Iheezo (chloroprocaine hcl)",
   "specialty": "Ophthalmology",
   "median_x": 0.818,
   "lo": 0.6,
   "hi": 4.16,
   "payers": 56,
   "spend_m": 48.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9023",
   "drug": "Bavencio (avelumab)",
   "specialty": null,
   "median_x": 0.972,
   "lo": 0.7,
   "hi": 2.13,
   "payers": 57,
   "spend_m": 48.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0180",
   "drug": "Fabrazyme (agalsidase beta)",
   "specialty": null,
   "median_x": 0.99,
   "lo": 0.71,
   "hi": 2.06,
   "payers": 56,
   "spend_m": 48.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9347",
   "drug": "Imjudo (tremelimumab-actl)",
   "specialty": null,
   "median_x": 0.975,
   "lo": 0.68,
   "hi": 3.41,
   "payers": 51,
   "spend_m": 47.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5118",
   "drug": "Zirabev (bevacizumab-bvzr)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.998,
   "lo": 0.68,
   "hi": 4.84,
   "payers": 57,
   "spend_m": 46.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "Q5127",
   "drug": "Stimufend (pegfilgrastim-fpgk)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.083,
   "lo": 0.7,
   "hi": 4.61,
   "payers": 55,
   "spend_m": 44.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "Q4259",
   "drug": "Celera per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.04,
   "lo": 0.55,
   "hi": 4.65,
   "payers": 36,
   "spend_m": 43.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9333",
   "drug": "Rystiggo (rozanolixizumab-noli)",
   "specialty": null,
   "median_x": 0.992,
   "lo": 0.71,
   "hi": 3.47,
   "payers": 51,
   "spend_m": 42.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4322",
   "drug": "Caregraft, per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 5.42,
   "payers": 36,
   "spend_m": 42.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1556",
   "drug": "Bivigam (immun glob g)",
   "specialty": "Neurology",
   "median_x": 0.98,
   "lo": 0.61,
   "hi": 6.6,
   "payers": 55,
   "spend_m": 42.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0666",
   "drug": "Exparel (bupivacaine liposome)",
   "specialty": null,
   "median_x": 0.99,
   "lo": 0.69,
   "hi": 3.47,
   "payers": 57,
   "spend_m": 41.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5104",
   "drug": "Renflexis (infliximab-abda)",
   "specialty": "Rheumatology",
   "median_x": 1.043,
   "lo": 0.75,
   "hi": 4.23,
   "payers": 58,
   "spend_m": 40.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J9034",
   "drug": "Bendeka (bendamustine hcl)",
   "specialty": "Medical Oncology",
   "median_x": 1.063,
   "lo": 0.74,
   "hi": 3.72,
   "payers": 58,
   "spend_m": 40.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4164",
   "drug": "Helicoll, per square cm",
   "specialty": "General Surgery",
   "median_x": 1.0,
   "lo": 0.7,
   "hi": 3.62,
   "payers": 33,
   "spend_m": 39.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9311",
   "drug": "Rituxan hycela (rituximab)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.035,
   "lo": 0.67,
   "hi": 3.95,
   "payers": 57,
   "spend_m": 39.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7326",
   "drug": "Gel-one (hyaluronate sod, cross-linked)",
   "specialty": "Orthopedic Surgery",
   "median_x": 0.992,
   "lo": 0.69,
   "hi": 4.52,
   "payers": 57,
   "spend_m": 39.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7325",
   "drug": "Synvisc-one (hylan g-f 20)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.256,
   "lo": 0.61,
   "hi": 5.69,
   "payers": 58,
   "spend_m": 38.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7192",
   "drug": "Advate (antihemophil.fviii,full length)",
   "specialty": "Pharmacy",
   "median_x": 1.006,
   "lo": 0.63,
   "hi": 3.25,
   "payers": 56,
   "spend_m": 38.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4193",
   "drug": "Coll-e-derm 1 sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.79,
   "hi": 2.6,
   "payers": 32,
   "spend_m": 37.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J7189",
   "drug": "Novoseven rt (coagulation factor viia,recomb)",
   "specialty": null,
   "median_x": 0.945,
   "lo": 0.63,
   "hi": 2.05,
   "payers": 55,
   "spend_m": 37.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2778",
   "drug": "Lucentis (ranibizumab)",
   "specialty": "Ophthalmology",
   "median_x": 1.328,
   "lo": 0.88,
   "hi": 9.16,
   "payers": 58,
   "spend_m": 37.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9028",
   "drug": "Anktiva (nogapendekin alfa inbakic-pmln)",
   "specialty": null,
   "median_x": 1.004,
   "lo": 0.72,
   "hi": 3.52,
   "payers": 55,
   "spend_m": 36.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1566",
   "drug": "Gammagard s-d (immun glob g)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.993,
   "lo": 0.68,
   "hi": 2.2,
   "payers": 56,
   "spend_m": 36.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7340",
   "drug": "Duopa (carbidopa)",
   "specialty": null,
   "median_x": 0.997,
   "lo": 0.62,
   "hi": 3.49,
   "payers": 54,
   "spend_m": 35.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7323",
   "drug": "Euflexxa (hyaluronate sodium)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.105,
   "lo": 0.77,
   "hi": 4.41,
   "payers": 58,
   "spend_m": 35.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4342",
   "drug": "Theramend, per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 4.53,
   "payers": 28,
   "spend_m": 35.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4304",
   "drug": "Grafix plus, per sq cm",
   "specialty": "General Surgery",
   "median_x": 1.008,
   "lo": 0.58,
   "hi": 4.57,
   "payers": 38,
   "spend_m": 34.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J2329",
   "drug": "Briumvi (ublituximab-xiiy)",
   "specialty": "Neurology",
   "median_x": 0.971,
   "lo": 0.7,
   "hi": 3.4,
   "payers": 51,
   "spend_m": 34.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7312",
   "drug": "Ozurdex (dexamethasone)",
   "specialty": "Ophthalmology",
   "median_x": 1.004,
   "lo": 0.72,
   "hi": 6.86,
   "payers": 57,
   "spend_m": 34.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4282",
   "drug": "Cygnus dual per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.57,
   "hi": 4.33,
   "payers": 39,
   "spend_m": 34.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1786",
   "drug": "Cerezyme (imiglucerase)",
   "specialty": null,
   "median_x": 0.998,
   "lo": 0.72,
   "hi": 2.39,
   "payers": 55,
   "spend_m": 34.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4248",
   "drug": "Dermacyte amn mem allo sq cm",
   "specialty": "Podiatry",
   "median_x": 1.085,
   "lo": 0.75,
   "hi": 8.65,
   "payers": 36,
   "spend_m": 34.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9172",
   "drug": "Docivyx (docetaxel)",
   "specialty": null,
   "median_x": 1.093,
   "lo": 0.77,
   "hi": 3.77,
   "payers": 50,
   "spend_m": 34.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7318",
   "drug": "Durolane (hyaluronate sodium, stabilized)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.079,
   "lo": 0.75,
   "hi": 5.13,
   "payers": 58,
   "spend_m": 33.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0185",
   "drug": "Cinvanti (aprepitant)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.075,
   "lo": 0.63,
   "hi": 3.77,
   "payers": 57,
   "spend_m": 33.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1558",
   "drug": "Xembify (immune globulin,gammaklhw)",
   "specialty": null,
   "median_x": 1.008,
   "lo": 0.71,
   "hi": 2.31,
   "payers": 56,
   "spend_m": 33.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9349",
   "drug": "Monjuvi (tafasitamab-cxix)",
   "specialty": null,
   "median_x": 0.988,
   "lo": 0.71,
   "hi": 3.46,
   "payers": 57,
   "spend_m": 33.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4269",
   "drug": "Surgraft xt per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.58,
   "hi": 3.19,
   "payers": 32,
   "spend_m": 33.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J7322",
   "drug": "Hymovis (hyaluronate,mod.,non-crosslink)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.0,
   "lo": 0.7,
   "hi": 3.46,
   "payers": 57,
   "spend_m": 31.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0751",
   "drug": "Descovy (emtricitabine)",
   "specialty": "Pharmacy",
   "median_x": 0.999,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 50,
   "spend_m": 31.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1302",
   "drug": "Enjaymo (sutimlimab-jome)",
   "specialty": null,
   "median_x": 0.987,
   "lo": 0.69,
   "hi": 3.39,
   "payers": 55,
   "spend_m": 31.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0885",
   "drug": "Epogen (epoetin alfa)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.127,
   "lo": 0.81,
   "hi": 6.54,
   "payers": 58,
   "spend_m": 30.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4264",
   "drug": "Cocoon membrane, per sq cm",
   "specialty": "Family Practice",
   "median_x": 1.131,
   "lo": 0.61,
   "hi": 9.21,
   "payers": 36,
   "spend_m": 30.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J7308",
   "drug": "Levulan (aminolevulinic acid hcl)",
   "specialty": "Dermatology",
   "median_x": 1.002,
   "lo": 0.71,
   "hi": 3.51,
   "payers": 58,
   "spend_m": 30.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5128",
   "drug": "Cimerli (ranibizumab-eqrn)",
   "specialty": "Ophthalmology",
   "median_x": 1.004,
   "lo": 0.58,
   "hi": 5.02,
   "payers": 54,
   "spend_m": 30.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "Q5106",
   "drug": "Retacrit (epoetin alfa-epbx)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.985,
   "lo": 0.68,
   "hi": 3.48,
   "payers": 58,
   "spend_m": 29.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J2506",
   "drug": "Neulasta onpro (pegfilgrastim)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.889,
   "lo": 0.62,
   "hi": 5.23,
   "payers": 54,
   "spend_m": 29.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9304",
   "drug": "Pemfexy (pemetrexed)",
   "specialty": "Hematology-Oncology",
   "median_x": 4.995,
   "lo": 0.94,
   "hi": 9.26,
   "payers": 56,
   "spend_m": 29.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1096",
   "drug": "Dextenza (dexamethasone)",
   "specialty": "Ambulatory Surgical Center",
   "median_x": 1.096,
   "lo": 0.79,
   "hi": 6.0,
   "payers": 58,
   "spend_m": 29.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9281",
   "drug": "Jelmyto (mitomycin)",
   "specialty": "Urology",
   "median_x": 0.983,
   "lo": 0.71,
   "hi": 3.44,
   "payers": 56,
   "spend_m": 28.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5117",
   "drug": "Kanjinti (trastuzumab-anns)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.871,
   "lo": 0.53,
   "hi": 4.93,
   "payers": 57,
   "spend_m": 27.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J7626",
   "drug": "Budesonide",
   "specialty": "General Practice",
   "median_x": 1.007,
   "lo": 0.7,
   "hi": 9.02,
   "payers": 55,
   "spend_m": 27.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7336",
   "drug": "Qutenza (capsaicin)",
   "specialty": "Podiatry",
   "median_x": 0.975,
   "lo": 0.7,
   "hi": 3.41,
   "payers": 57,
   "spend_m": 26.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1817",
   "drug": "Humalog kwikpen u-100 (insulin lispro)",
   "specialty": null,
   "median_x": 1.045,
   "lo": 0.75,
   "hi": 6.06,
   "payers": 56,
   "spend_m": 26.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4332",
   "drug": "Axolotl dualgraft, per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.69,
   "hi": 3.99,
   "payers": 38,
   "spend_m": 26.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4350",
   "drug": "Palisade dm matrix per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 5.97,
   "payers": 35,
   "spend_m": 25.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J3101",
   "drug": "Tnkase (tenecteplase)",
   "specialty": null,
   "median_x": 0.86,
   "lo": 0.58,
   "hi": 3.01,
   "payers": 56,
   "spend_m": 25.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0588",
   "drug": "Xeomin (incobotulinumtoxina)",
   "specialty": "Neurology",
   "median_x": 1.022,
   "lo": 0.66,
   "hi": 3.48,
   "payers": 57,
   "spend_m": 25.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0638",
   "drug": "Ilaris (canakinumab)",
   "specialty": "Rheumatology",
   "median_x": 0.95,
   "lo": 0.64,
   "hi": 2.2,
   "payers": 56,
   "spend_m": 25.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7195",
   "drug": "Benefix (factor ix human recombinant)",
   "specialty": "Pharmacy",
   "median_x": 0.984,
   "lo": 0.54,
   "hi": 2.21,
   "payers": 55,
   "spend_m": 24.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4169",
   "drug": "Artacent wound, per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.54,
   "hi": 4.61,
   "payers": 29,
   "spend_m": 24.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J7187",
   "drug": "Humate-p (antihemophilic factor)",
   "specialty": "Pharmacy",
   "median_x": 0.971,
   "lo": 0.61,
   "hi": 2.08,
   "payers": 55,
   "spend_m": 24.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3385",
   "drug": "Vpriv (velaglucerase alfa)",
   "specialty": null,
   "median_x": 0.984,
   "lo": 0.7,
   "hi": 2.81,
   "payers": 56,
   "spend_m": 24.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4191",
   "drug": "Restorigin 1 sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.57,
   "hi": 4.08,
   "payers": 36,
   "spend_m": 23.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1305",
   "drug": "Evkeeza (evinacumab-dgnb)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 55,
   "spend_m": 23.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5146",
   "drug": "Hercessi (trastuzumab-strf)",
   "specialty": null,
   "median_x": 1.167,
   "lo": 0.63,
   "hi": 5.66,
   "payers": 54,
   "spend_m": 23.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J9356",
   "drug": "Herceptin hylecta (trastuzumab-hyaluronidase-oysk)",
   "specialty": null,
   "median_x": 1.066,
   "lo": 0.75,
   "hi": 3.56,
   "payers": 57,
   "spend_m": 23.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4357",
   "drug": "Xwrap plus, per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.63,
   "hi": 3.1,
   "payers": 32,
   "spend_m": 22.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9350",
   "drug": "Lunsumio (mosunetuzumab-axgb)",
   "specialty": null,
   "median_x": 0.972,
   "lo": 0.7,
   "hi": 3.4,
   "payers": 51,
   "spend_m": 22.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5103",
   "drug": "Inflectra (infliximab-dyyb)",
   "specialty": "Rheumatology",
   "median_x": 0.968,
   "lo": 0.55,
   "hi": 6.64,
   "payers": 58,
   "spend_m": 21.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J9307",
   "drug": "Folotyn (pralatrexate)",
   "specialty": null,
   "median_x": 1.017,
   "lo": 0.57,
   "hi": 3.56,
   "payers": 56,
   "spend_m": 21.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1952",
   "drug": "Camcevi (leuprolide mesylate)",
   "specialty": "Urology",
   "median_x": 1.356,
   "lo": 0.9,
   "hi": 4.75,
   "payers": 57,
   "spend_m": 21.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1552",
   "drug": "Alyglo (immune globulin,gammastwk)",
   "specialty": null,
   "median_x": 1.019,
   "lo": 0.73,
   "hi": 3.57,
   "payers": 55,
   "spend_m": 21.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1932",
   "drug": "Lanreotide acetate",
   "specialty": "Hematology-Oncology",
   "median_x": 1.88,
   "lo": 0.95,
   "hi": 6.41,
   "payers": 56,
   "spend_m": 21.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7356",
   "drug": "Vyalev (foscarbidopa)",
   "specialty": null,
   "median_x": 0.997,
   "lo": 0.71,
   "hi": 3.4,
   "payers": 50,
   "spend_m": 21.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4347",
   "drug": "Rampart dl matrix per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.7,
   "hi": 4.32,
   "payers": 30,
   "spend_m": 21.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9289",
   "drug": "Opdivo qvantig (nivolumab-hyaluronidase-nvhy)",
   "specialty": null,
   "median_x": 0.988,
   "lo": 0.71,
   "hi": 6.53,
   "payers": 54,
   "spend_m": 20.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5130",
   "drug": "Fylnetra (pegfilgrastim-pbbk)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.21,
   "lo": 0.87,
   "hi": 4.25,
   "payers": 55,
   "spend_m": 20.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J9319",
   "drug": "Istodax (romidepsin)",
   "specialty": null,
   "median_x": 1.009,
   "lo": 0.72,
   "hi": 3.53,
   "payers": 56,
   "spend_m": 20.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q0138",
   "drug": "Feraheme (ferumoxytol)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.973,
   "lo": 0.59,
   "hi": 8.11,
   "payers": 57,
   "spend_m": 20.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1628",
   "drug": "Tremfya one-press (guselkumab)",
   "specialty": null,
   "median_x": 1.09,
   "lo": 0.78,
   "hi": 4.2,
   "payers": 58,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7212",
   "drug": "Sevenfact (coagulation viia,recomb-jncw)",
   "specialty": null,
   "median_x": 1.071,
   "lo": 0.77,
   "hi": 2.51,
   "payers": 54,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0791",
   "drug": "Adakveo (crizanlizumab-tmca)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.49,
   "payers": 57,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7320",
   "drug": "Genvisc 850 (hyaluronate sodium)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.25,
   "lo": 0.66,
   "hi": 7.36,
   "payers": 56,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9038",
   "drug": "Niktimvo (axatilimab-csfr)",
   "specialty": null,
   "median_x": 0.986,
   "lo": 0.71,
   "hi": 3.45,
   "payers": 54,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0584",
   "drug": "Crysvita (burosumab-twza)",
   "specialty": null,
   "median_x": 0.971,
   "lo": 0.69,
   "hi": 2.27,
   "payers": 55,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0257",
   "drug": "Glassia (alpha-1-proteinase inhibitor)",
   "specialty": null,
   "median_x": 1.019,
   "lo": 0.73,
   "hi": 2.48,
   "payers": 56,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9359",
   "drug": "Zynlonta (loncastuximab tesirine-lpyl)",
   "specialty": null,
   "median_x": 0.977,
   "lo": 0.68,
   "hi": 3.42,
   "payers": 56,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1454",
   "drug": "Akynzeo (fosnetupitant)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.086,
   "lo": 0.63,
   "hi": 3.8,
   "payers": 57,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9179",
   "drug": "Eribulin mesylate",
   "specialty": null,
   "median_x": 1.28,
   "lo": 0.81,
   "hi": 4.66,
   "payers": 57,
   "spend_m": 19.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7639",
   "drug": "Pulmozyme (dornase alfa)",
   "specialty": null,
   "median_x": 0.971,
   "lo": 0.55,
   "hi": 3.31,
   "payers": 55,
   "spend_m": 18.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5116",
   "drug": "Trazimera (trastuzumab-qyyp)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.772,
   "lo": 0.57,
   "hi": 8.44,
   "payers": 54,
   "spend_m": 18.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J7324",
   "drug": "Orthovisc (hyaluronate sodium)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.116,
   "lo": 0.8,
   "hi": 5.72,
   "payers": 59,
   "spend_m": 18.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4270",
   "drug": "Complete sl per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 4.46,
   "payers": 27,
   "spend_m": 18.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4278",
   "drug": "Epieffect, per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.57,
   "hi": 3.33,
   "payers": 45,
   "spend_m": 18.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q0224",
   "drug": "Pemgarda (pemivibart)",
   "specialty": "Pharmacy",
   "median_x": 1.0,
   "lo": 0.68,
   "hi": 3.5,
   "payers": 46,
   "spend_m": 18.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7351",
   "drug": "Durysta (bimatoprost)",
   "specialty": "Ophthalmology",
   "median_x": 1.001,
   "lo": 0.72,
   "hi": 7.33,
   "payers": 58,
   "spend_m": 17.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9229",
   "drug": "Besponsa (inotuzumab ozogamicin)",
   "specialty": null,
   "median_x": 0.98,
   "lo": 0.68,
   "hi": 5.9,
   "payers": 57,
   "spend_m": 17.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4353",
   "drug": "Xceed tl matrix per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.69,
   "hi": 4.37,
   "payers": 35,
   "spend_m": 17.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1448",
   "drug": "Cosela (trilaciclib dihydrochloride)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.005,
   "lo": 0.71,
   "hi": 3.48,
   "payers": 57,
   "spend_m": 16.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9352",
   "drug": "Yondelis (trabectedin)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.953,
   "lo": 0.68,
   "hi": 3.34,
   "payers": 57,
   "spend_m": 16.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0223",
   "drug": "Givlaari (givosiran sodium)",
   "specialty": null,
   "median_x": 0.998,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 56,
   "spend_m": 16.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7321",
   "drug": "Hyalgan (hyaluronate sodium)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.059,
   "lo": 0.75,
   "hi": 4.17,
   "payers": 58,
   "spend_m": 16.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4256",
   "drug": "Mlg complet, per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.53,
   "hi": 7.4,
   "payers": 33,
   "spend_m": 16.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9305",
   "drug": "Alimta (pemetrexed disodium)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.634,
   "lo": 0.53,
   "hi": 7.59,
   "payers": 53,
   "spend_m": 16.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3145",
   "drug": "Aveed (testosterone undecanoate)",
   "specialty": "Urology",
   "median_x": 0.963,
   "lo": 0.55,
   "hi": 3.37,
   "payers": 57,
   "spend_m": 16.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0222",
   "drug": "Onpattro (patisiran sodium,lipid complex)",
   "specialty": "Pulmonary Disease",
   "median_x": 0.999,
   "lo": 0.71,
   "hi": 2.43,
   "payers": 56,
   "spend_m": 16.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4194",
   "drug": "Novachor 1 sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.59,
   "hi": 5.06,
   "payers": 36,
   "spend_m": 16.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4355",
   "drug": "Abio xpl abio xpl hy p sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.79,
   "hi": 4.23,
   "payers": 30,
   "spend_m": 15.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4296",
   "drug": "Rebound matrix, per sq cm",
   "specialty": "Family Practice",
   "median_x": 1.0,
   "lo": 0.67,
   "hi": 4.77,
   "payers": 35,
   "spend_m": 15.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J7209",
   "drug": "Nuwiq (antihemoph.fviii,hek b-delete)",
   "specialty": null,
   "median_x": 0.966,
   "lo": 0.67,
   "hi": 2.38,
   "payers": 55,
   "spend_m": 15.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4221",
   "drug": "Amniowrap2 per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.65,
   "hi": 4.62,
   "payers": 34,
   "spend_m": 15.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J7179",
   "drug": "Vonvendi (von willebrand factor)",
   "specialty": null,
   "median_x": 1.016,
   "lo": 0.55,
   "hi": 2.38,
   "payers": 55,
   "spend_m": 14.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0741",
   "drug": "Cabenuva (cabotegravir)",
   "specialty": null,
   "median_x": 0.98,
   "lo": 0.7,
   "hi": 3.43,
   "payers": 58,
   "spend_m": 14.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9395",
   "drug": "Faslodex (fulvestrant)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.084,
   "lo": 0.78,
   "hi": 6.21,
   "payers": 57,
   "spend_m": 14.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2468",
   "drug": "Posfrea (palonosetron hcl)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.061,
   "lo": 0.76,
   "hi": 3.72,
   "payers": 49,
   "spend_m": 14.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4225",
   "drug": "Amnio or derma tl, per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 2.54,
   "payers": 33,
   "spend_m": 13.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4186",
   "drug": "Epifix 1 sq cm",
   "specialty": "Podiatry",
   "median_x": 1.0,
   "lo": 0.58,
   "hi": 4.61,
   "payers": 58,
   "spend_m": 13.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q5135",
   "drug": "Tyenne autoinjector (tocilizumab-aazg)",
   "specialty": "Nurse Practitioner",
   "median_x": 1.053,
   "lo": 0.74,
   "hi": 3.62,
   "payers": 50,
   "spend_m": 13.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J7345",
   "drug": "Ameluz (aminolevulinic acid hcl)",
   "specialty": "Dermatology",
   "median_x": 0.969,
   "lo": 0.54,
   "hi": 3.39,
   "payers": 58,
   "spend_m": 13.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2426",
   "drug": "Invega sustenna (paliperidone palmitate)",
   "specialty": "Psychiatry",
   "median_x": 0.979,
   "lo": 0.58,
   "hi": 3.43,
   "payers": 57,
   "spend_m": 13.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9273",
   "drug": "Tivdak (tisotumab vedotin-tftv)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 57,
   "spend_m": 13.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7518",
   "drug": "Mycophenolic acid (mycophenolate sodium)",
   "specialty": null,
   "median_x": 0.985,
   "lo": 0.55,
   "hi": 9.23,
   "payers": 51,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3301",
   "drug": "Kenalog-10 (triamcinolone acetonide)",
   "specialty": "Orthopedic Surgery",
   "median_x": 0.873,
   "lo": 0.55,
   "hi": 4.48,
   "payers": 59,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3315",
   "drug": "Trelstar (triptorelin pamoate)",
   "specialty": "Urology",
   "median_x": 1.018,
   "lo": 0.54,
   "hi": 3.46,
   "payers": 57,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7329",
   "drug": "Trivisc (hyaluronate sodium)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.189,
   "lo": 0.78,
   "hi": 7.13,
   "payers": 56,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q2050",
   "drug": "Doxil (doxorubicin hcl peg-liposomal)",
   "specialty": "Gynecological Oncology",
   "median_x": 0.9,
   "lo": 0.6,
   "hi": 7.86,
   "payers": 57,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2997",
   "drug": "Activase (alteplase)",
   "specialty": "Ambulatory Surgical Center",
   "median_x": 0.958,
   "lo": 0.66,
   "hi": 3.33,
   "payers": 58,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0475",
   "drug": "Baclofen",
   "specialty": "Physical Medicine and Rehabilitation",
   "median_x": 0.975,
   "lo": 0.57,
   "hi": 4.36,
   "payers": 56,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7606",
   "drug": "Formoterol fumarate",
   "specialty": "Allergy/ Immunology",
   "median_x": 1.422,
   "lo": 0.53,
   "hi": 7.53,
   "payers": 55,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0586",
   "drug": "Dysport (abobotulinumtoxina)",
   "specialty": "Physical Medicine and Rehabilitation",
   "median_x": 0.995,
   "lo": 0.71,
   "hi": 2.32,
   "payers": 57,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7211",
   "drug": "Kovaltry (antihemophil.fviii,full length)",
   "specialty": "Pharmacy",
   "median_x": 0.984,
   "lo": 0.63,
   "hi": 2.23,
   "payers": 55,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1551",
   "drug": "Cutaquig (immun glob g-hipp)",
   "specialty": null,
   "median_x": 1.056,
   "lo": 0.76,
   "hi": 3.7,
   "payers": 56,
   "spend_m": 12.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1557",
   "drug": "Gammaplex (immun glob g)",
   "specialty": "Nurse Practitioner",
   "median_x": 0.976,
   "lo": 0.59,
   "hi": 2.5,
   "payers": 56,
   "spend_m": 11.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1750",
   "drug": "Infed (iron dextran complex)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.954,
   "lo": 0.67,
   "hi": 6.57,
   "payers": 58,
   "spend_m": 11.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0702",
   "drug": "Betamethasone sod phos-acetate (betamethasone acetate,sod phos)",
   "specialty": "Orthopedic Surgery",
   "median_x": 0.978,
   "lo": 0.7,
   "hi": 3.3,
   "payers": 58,
   "spend_m": 11.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4229",
   "drug": "Cogenex amnio memb per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.54,
   "hi": 4.22,
   "payers": 35,
   "spend_m": 11.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1010",
   "drug": "Depo-medrol (methylprednisolone acetate)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.026,
   "lo": 0.68,
   "hi": 8.55,
   "payers": 57,
   "spend_m": 11.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9248",
   "drug": "Hepzato (melphalan hcl)",
   "specialty": null,
   "median_x": 0.992,
   "lo": 0.71,
   "hi": 3.48,
   "payers": 49,
   "spend_m": 11.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9155",
   "drug": "Firmagon (degarelix acetate)",
   "specialty": "Urology",
   "median_x": 1.002,
   "lo": 0.71,
   "hi": 5.62,
   "payers": 58,
   "spend_m": 11.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5122",
   "drug": "Nyvepria (pegfilgrastim-apgf)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.974,
   "lo": 0.7,
   "hi": 4.97,
   "payers": 55,
   "spend_m": 11.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "Q9967",
   "drug": "Iodixanol",
   "specialty": "Diagnostic Radiology",
   "median_x": 0.968,
   "lo": 0.58,
   "hi": 7.03,
   "payers": 60,
   "spend_m": 11.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7205",
   "drug": "Eloctate (antihemoph.fviii rec,fc fusion)",
   "specialty": "Pharmacy",
   "median_x": 0.958,
   "lo": 0.69,
   "hi": 2.24,
   "payers": 55,
   "spend_m": 11.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3240",
   "drug": "Thyrogen (thyrotropin alfa)",
   "specialty": "Endocrinology",
   "median_x": 0.985,
   "lo": 0.66,
   "hi": 3.45,
   "payers": 58,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4328",
   "drug": "Most, per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 4.33,
   "payers": 35,
   "spend_m": 10.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9030",
   "drug": "Bcg (bcg live)",
   "specialty": "Urology",
   "median_x": 1.004,
   "lo": 0.59,
   "hi": 3.4,
   "payers": 58,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7190",
   "drug": "Hemofil m (antihemophilic factor, human)",
   "specialty": null,
   "median_x": 0.891,
   "lo": 0.59,
   "hi": 2.3,
   "payers": 54,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2860",
   "drug": "Sylvant (siltuximab)",
   "specialty": null,
   "median_x": 0.985,
   "lo": 0.57,
   "hi": 3.4,
   "payers": 56,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3300",
   "drug": "Triesence (triamcinolone acetonide)",
   "specialty": "Interventional Pain Management",
   "median_x": 1.276,
   "lo": 0.58,
   "hi": 6.53,
   "payers": 56,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1950",
   "drug": "Lupron depot-ped (leuprolide acetate)",
   "specialty": "Urology",
   "median_x": 0.959,
   "lo": 0.56,
   "hi": 3.36,
   "payers": 59,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7208",
   "drug": "Jivi (fviii rec,b-dom delet peg-aucl)",
   "specialty": null,
   "median_x": 0.962,
   "lo": 0.69,
   "hi": 2.25,
   "payers": 54,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0739",
   "drug": "Apretude (cabotegravir)",
   "specialty": null,
   "median_x": 0.98,
   "lo": 0.71,
   "hi": 3.43,
   "payers": 57,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9024",
   "drug": "Tecentriq hybreza (atezolizumab-hyaluronidas-tqjs)",
   "specialty": null,
   "median_x": 0.986,
   "lo": 0.71,
   "hi": 3.45,
   "payers": 53,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7200",
   "drug": "Rixubis (factor ix human recombinant)",
   "specialty": null,
   "median_x": 1.013,
   "lo": 0.58,
   "hi": 2.37,
   "payers": 55,
   "spend_m": 10.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1434",
   "drug": "Focinvez (fosaprepitant dimeglumine)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.071,
   "lo": 0.77,
   "hi": 3.75,
   "payers": 50,
   "spend_m": 9.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9056",
   "drug": "Vivimusta (bendamustine hcl)",
   "specialty": null,
   "median_x": 1.069,
   "lo": 0.77,
   "hi": 3.75,
   "payers": 51,
   "spend_m": 9.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7332",
   "drug": "Triluron (hyaluronate sodium)",
   "specialty": "Orthopedic Surgery",
   "median_x": 0.991,
   "lo": 0.7,
   "hi": 4.92,
   "payers": 55,
   "spend_m": 9.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7507",
   "drug": "Prograf (tacrolimus)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.65,
   "hi": 5.8,
   "payers": 53,
   "spend_m": 9.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9036",
   "drug": "Belrapzo (bendamustine hcl)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.202,
   "lo": 0.83,
   "hi": 4.18,
   "payers": 56,
   "spend_m": 9.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7527",
   "drug": "Everolimus",
   "specialty": null,
   "median_x": 1.049,
   "lo": 0.73,
   "hi": 7.94,
   "payers": 52,
   "spend_m": 9.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9032",
   "drug": "Beleodaq (belinostat)",
   "specialty": null,
   "median_x": 0.975,
   "lo": 0.61,
   "hi": 3.42,
   "payers": 56,
   "spend_m": 9.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1326",
   "drug": "Vyloy (zolbetuximab-clzb)",
   "specialty": null,
   "median_x": 0.993,
   "lo": 0.71,
   "hi": 5.42,
   "payers": 54,
   "spend_m": 9.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q2041",
   "drug": "Yescarta (axicabtagene ciloleucel)",
   "specialty": null,
   "median_x": 0.946,
   "lo": 0.71,
   "hi": 2.94,
   "payers": 36,
   "spend_m": 8.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0221",
   "drug": "Lumizyme (alglucosidase alfa)",
   "specialty": null,
   "median_x": 0.983,
   "lo": 0.71,
   "hi": 2.14,
   "payers": 55,
   "spend_m": 8.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4274",
   "drug": "Esano ac, per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.67,
   "hi": 3.36,
   "payers": 31,
   "spend_m": 8.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1640",
   "drug": "Panhematin (hemin)",
   "specialty": null,
   "median_x": 0.986,
   "lo": 0.6,
   "hi": 3.45,
   "payers": 56,
   "spend_m": 8.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9202",
   "drug": "Zoladex (goserelin acetate)",
   "specialty": "Urology",
   "median_x": 1.033,
   "lo": 0.64,
   "hi": 5.66,
   "payers": 57,
   "spend_m": 8.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2783",
   "drug": "Elitek (rasburicase)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.989,
   "lo": 0.62,
   "hi": 5.78,
   "payers": 57,
   "spend_m": 8.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5121",
   "drug": "Avsola (infliximab-axxq)",
   "specialty": "Rheumatology",
   "median_x": 0.91,
   "lo": 0.62,
   "hi": 4.09,
   "payers": 57,
   "spend_m": 8.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J0179",
   "drug": "Beovu (brolucizumab-dbll)",
   "specialty": "Ophthalmology",
   "median_x": 0.982,
   "lo": 0.71,
   "hi": 4.75,
   "payers": 56,
   "spend_m": 8.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9331",
   "drug": "Fyarro (sirolimus protein-bound)",
   "specialty": null,
   "median_x": 0.957,
   "lo": 0.69,
   "hi": 3.35,
   "payers": 56,
   "spend_m": 8.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9345",
   "drug": "Zynyz (retifanlimab-dlwr)",
   "specialty": null,
   "median_x": 0.985,
   "lo": 0.71,
   "hi": 3.45,
   "payers": 51,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2351",
   "drug": "Ocrevus zunovo (ocrelizumab-hyaluronidase-ocsq)",
   "specialty": null,
   "median_x": 0.979,
   "lo": 0.7,
   "hi": 3.43,
   "payers": 54,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7313",
   "drug": "Iluvien (fluocinolone acetonide)",
   "specialty": "Ophthalmology",
   "median_x": 0.983,
   "lo": 0.71,
   "hi": 2.41,
   "payers": 57,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7314",
   "drug": "Yutiq (fluocinolone acetonide)",
   "specialty": "Ophthalmology",
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 56,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7207",
   "drug": "Adynovate (antihemo.fviii,full length peg)",
   "specialty": null,
   "median_x": 1.019,
   "lo": 0.73,
   "hi": 2.38,
   "payers": 55,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1304",
   "drug": "Qalsody (tofersen)",
   "specialty": null,
   "median_x": 0.971,
   "lo": 0.61,
   "hi": 3.4,
   "payers": 50,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7620",
   "drug": "Ipratropium-albuterol (ipratropium)",
   "specialty": "Nurse Practitioner",
   "median_x": 0.995,
   "lo": 0.7,
   "hi": 9.45,
   "payers": 55,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7682",
   "drug": "Bethkis (tobramycin)",
   "specialty": null,
   "median_x": 1.013,
   "lo": 0.59,
   "hi": 7.5,
   "payers": 54,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4276",
   "drug": "Orion, per sq cm",
   "specialty": "Family Practice",
   "median_x": 1.038,
   "lo": 0.59,
   "hi": 7.36,
   "payers": 37,
   "spend_m": 7.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q5113",
   "drug": "Herzuma (trastuzumab-pkrb)",
   "specialty": null,
   "median_x": 1.02,
   "lo": 0.6,
   "hi": 4.35,
   "payers": 55,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J9073",
   "drug": "Cyclophosphamide",
   "specialty": "Hematology-Oncology",
   "median_x": 1.406,
   "lo": 0.94,
   "hi": 8.84,
   "payers": 52,
   "spend_m": 7.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7517",
   "drug": "Cellcept (mycophenolate mofetil)",
   "specialty": null,
   "median_x": 1.145,
   "lo": 0.8,
   "hi": 9.39,
   "payers": 51,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2785",
   "drug": "Lexiscan (regadenoson)",
   "specialty": "Cardiology",
   "median_x": 1.0,
   "lo": 0.63,
   "hi": 3.27,
   "payers": 56,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2406",
   "drug": "Kimyrsa (oritavancin diphosphate)",
   "specialty": "Infectious Disease",
   "median_x": 0.915,
   "lo": 0.65,
   "hi": 3.18,
   "payers": 56,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4266",
   "drug": "Neostim per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.07,
   "lo": 0.6,
   "hi": 6.73,
   "payers": 37,
   "spend_m": 6.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4196",
   "drug": "Puraply am 1 sq cm",
   "specialty": "Podiatry",
   "median_x": 1.032,
   "lo": 0.57,
   "hi": 6.18,
   "payers": 56,
   "spend_m": 6.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1442",
   "drug": "Neupogen (filgrastim)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.014,
   "lo": 0.72,
   "hi": 3.48,
   "payers": 57,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1325",
   "drug": "Epoprostenol sodium",
   "specialty": null,
   "median_x": 0.925,
   "lo": 0.67,
   "hi": 2.64,
   "payers": 56,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9324",
   "drug": "Pemrydi rtu (pemetrexed disodium)",
   "specialty": null,
   "median_x": 1.079,
   "lo": 0.78,
   "hi": 3.78,
   "payers": 49,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5112",
   "drug": "Ontruzant (trastuzumab-dttb)",
   "specialty": "Medical Oncology",
   "median_x": 1.299,
   "lo": 0.72,
   "hi": 6.6,
   "payers": 56,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J1203",
   "drug": "Pombiliti (cipaglucosidase alfa-atga)",
   "specialty": null,
   "median_x": 0.959,
   "lo": 0.68,
   "hi": 3.32,
   "payers": 50,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q2055",
   "drug": "Abecma (idecabtagene vicleucel)",
   "specialty": null,
   "median_x": 0.986,
   "lo": 0.83,
   "hi": 3.05,
   "payers": 36,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4310",
   "drug": "Procenta, per 100 mg",
   "specialty": "General Practice",
   "median_x": 1.085,
   "lo": 0.64,
   "hi": 6.71,
   "payers": 43,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7605",
   "drug": "Arformoterol tartrate",
   "specialty": "Pulmonary Disease",
   "median_x": 0.978,
   "lo": 0.7,
   "hi": 9.22,
   "payers": 54,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2786",
   "drug": "Cinqair (reslizumab)",
   "specialty": null,
   "median_x": 0.983,
   "lo": 0.68,
   "hi": 2.22,
   "payers": 56,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2267",
   "drug": "Omvoh pen (mirikizumab-mrkz)",
   "specialty": null,
   "median_x": 1.289,
   "lo": 0.58,
   "hi": 4.5,
   "payers": 50,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5101",
   "drug": "Zarxio (filgrastim-sndz)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.992,
   "lo": 0.57,
   "hi": 8.5,
   "payers": 57,
   "spend_m": 6.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J3358",
   "drug": "Stelara (ustekinumab)",
   "specialty": "Rheumatology",
   "median_x": 1.1,
   "lo": 0.79,
   "hi": 2.77,
   "payers": 58,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9269",
   "drug": "Elzonris (tagraxofusp-erzs)",
   "specialty": null,
   "median_x": 0.999,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 56,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9072",
   "drug": "Cyclophosphamide",
   "specialty": null,
   "median_x": 1.02,
   "lo": 0.72,
   "hi": 3.53,
   "payers": 50,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9292",
   "drug": "Axtle (pemetrexed dipotassium)",
   "specialty": null,
   "median_x": 1.113,
   "lo": 0.73,
   "hi": 3.86,
   "payers": 54,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9075",
   "drug": "Cyclophosphamide",
   "specialty": "Hematology-Oncology",
   "median_x": 1.087,
   "lo": 0.68,
   "hi": 8.7,
   "payers": 50,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3263",
   "drug": "Loqtorzi (toripalimab-tpzi)",
   "specialty": null,
   "median_x": 0.983,
   "lo": 0.71,
   "hi": 3.45,
   "payers": 50,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7328",
   "drug": "Gelsyn-3 (hyaluronate sodium)",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.164,
   "lo": 0.82,
   "hi": 6.85,
   "payers": 58,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9353",
   "drug": "Margenza (margetuximab-cmkb)",
   "specialty": null,
   "median_x": 0.952,
   "lo": 0.69,
   "hi": 3.34,
   "payers": 55,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0587",
   "drug": "Myobloc (rimabotulinumtoxinb)",
   "specialty": "Neurology",
   "median_x": 1.0,
   "lo": 0.64,
   "hi": 2.46,
   "payers": 56,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5125",
   "drug": "Releuko (filgrastim-ayow)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.093,
   "lo": 0.8,
   "hi": 7.72,
   "payers": 56,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J7175",
   "drug": "Coagadex (coagulation factor x)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 2.33,
   "payers": 53,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7613",
   "drug": "Albuterol sulfate",
   "specialty": "Pulmonary Disease",
   "median_x": 1.111,
   "lo": 0.95,
   "hi": 8.89,
   "payers": 55,
   "spend_m": 5.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4340",
   "drug": "Simpligraft, per sq cm",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.56,
   "hi": 1.87,
   "payers": 34,
   "spend_m": 5.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4263",
   "drug": "Surgraft tl, per sq cm",
   "specialty": "Physician Assistant",
   "median_x": 1.0,
   "lo": 0.56,
   "hi": 4.18,
   "payers": 33,
   "spend_m": 5.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0401",
   "drug": "Abilify maintena (aripiprazole)",
   "specialty": "Nurse Practitioner",
   "median_x": 0.976,
   "lo": 0.58,
   "hi": 3.42,
   "payers": 58,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9210",
   "drug": "Gamifant (emapalumab-lzsg)",
   "specialty": null,
   "median_x": 0.978,
   "lo": 0.7,
   "hi": 3.43,
   "payers": 55,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9153",
   "drug": "Vyxeos (daunorubicin)",
   "specialty": null,
   "median_x": 0.957,
   "lo": 0.69,
   "hi": 3.34,
   "payers": 56,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1440",
   "drug": "Rebyota (fecal microbiota, live-jslm)",
   "specialty": "Infectious Disease",
   "median_x": 0.985,
   "lo": 0.71,
   "hi": 3.45,
   "payers": 51,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4197",
   "drug": "Puraply xt 1 sq cm",
   "specialty": "Podiatry",
   "median_x": 1.321,
   "lo": 0.75,
   "hi": 4.24,
   "payers": 52,
   "spend_m": 4.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0640",
   "drug": "Leucovorin calcium",
   "specialty": "Hematology-Oncology",
   "median_x": 1.31,
   "lo": 0.74,
   "hi": 7.41,
   "payers": 58,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9041",
   "drug": "Bortezomib",
   "specialty": "Hematology-Oncology",
   "median_x": 1.316,
   "lo": 0.66,
   "hi": 4.48,
   "payers": 58,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5124",
   "drug": "Byooviz (ranibizumab-nuna)",
   "specialty": "Ophthalmology",
   "median_x": 0.919,
   "lo": 0.58,
   "hi": 6.92,
   "payers": 17,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J7198",
   "drug": "Feiba (anti-inhibitor coagulant comp.)",
   "specialty": null,
   "median_x": 0.997,
   "lo": 0.56,
   "hi": 2.15,
   "payers": 54,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7185",
   "drug": "Xyntha solofuse (antihemoph.fviii,b-domain del)",
   "specialty": null,
   "median_x": 1.16,
   "lo": 0.73,
   "hi": 2.47,
   "payers": 55,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7210",
   "drug": "Afstyla (antihem.fviii,sin-chn,b-dm tru)",
   "specialty": null,
   "median_x": 0.976,
   "lo": 0.62,
   "hi": 2.75,
   "payers": 54,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2779",
   "drug": "Susvimo (ranibizumab)",
   "specialty": "Ophthalmology",
   "median_x": 1.019,
   "lo": 0.73,
   "hi": 3.94,
   "payers": 55,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7515",
   "drug": "Cyclosporine modified (cyclosporine, modified)",
   "specialty": null,
   "median_x": 1.051,
   "lo": 0.6,
   "hi": 5.43,
   "payers": 51,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4249",
   "drug": "Amniply, per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.53,
   "hi": 4.29,
   "payers": 31,
   "spend_m": 4.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q5110",
   "drug": "Nivestym (filgrastim-aafi)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.87,
   "lo": 0.62,
   "hi": 9.32,
   "payers": 58,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J7171",
   "drug": "Adzynma (adamts13, recombinant-krhn)",
   "specialty": null,
   "median_x": 0.982,
   "lo": 0.71,
   "hi": 3.43,
   "payers": 49,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0248",
   "drug": "Veklury (remdesivir)",
   "specialty": "Internal Medicine",
   "median_x": 0.919,
   "lo": 0.66,
   "hi": 3.22,
   "payers": 56,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2508",
   "drug": "Elfabrio (pegunigalsidase alfa-iwxj)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 50,
   "spend_m": 4.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4281",
   "drug": "Barrera slor dl per sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.07,
   "lo": 0.55,
   "hi": 5.2,
   "payers": 37,
   "spend_m": 3.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q4133",
   "drug": "Grafix stravix prime pl sqcm",
   "specialty": "Podiatry",
   "median_x": 1.0,
   "lo": 0.56,
   "hi": 5.03,
   "payers": 55,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7203",
   "drug": "Rebinyn (factor ix human rec,pegylated)",
   "specialty": null,
   "median_x": 0.973,
   "lo": 0.64,
   "hi": 2.35,
   "payers": 54,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4199",
   "drug": "Cygnus matrix, per sq cm",
   "specialty": "General Surgery",
   "median_x": 1.082,
   "lo": 0.7,
   "hi": 6.27,
   "payers": 49,
   "spend_m": 3.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J7181",
   "drug": "Tretten (factor xiii a-subunit,recomb)",
   "specialty": null,
   "median_x": 0.971,
   "lo": 0.7,
   "hi": 2.27,
   "payers": 53,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3299",
   "drug": "Xipere (triamcinolone acetonide)",
   "specialty": "Ophthalmology",
   "median_x": 1.002,
   "lo": 0.72,
   "hi": 5.05,
   "payers": 56,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2919",
   "drug": "Methylprednisolone sodium succ (methylprednisolone sod succ)",
   "specialty": "Rheumatology",
   "median_x": 1.161,
   "lo": 0.54,
   "hi": 4.98,
   "payers": 49,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0121",
   "drug": "Nuzyra (omadacycline tosylate)",
   "specialty": "Infectious Disease",
   "median_x": 0.989,
   "lo": 0.71,
   "hi": 3.46,
   "payers": 55,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9025",
   "drug": "Azacitidine",
   "specialty": "Hematology-Oncology",
   "median_x": 1.147,
   "lo": 0.7,
   "hi": 5.34,
   "payers": 56,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7204",
   "drug": "Esperoct (fviii rec,b-dom trunc peg-exei)",
   "specialty": null,
   "median_x": 0.976,
   "lo": 0.7,
   "hi": 2.5,
   "payers": 54,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1743",
   "drug": "Elaprase (idursulfase)",
   "specialty": null,
   "median_x": 0.979,
   "lo": 0.7,
   "hi": 2.15,
   "payers": 55,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3060",
   "drug": "Elelyso (taliglucerase alfa)",
   "specialty": null,
   "median_x": 0.96,
   "lo": 0.69,
   "hi": 2.46,
   "payers": 55,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4159",
   "drug": "Affinity1 square cm",
   "specialty": "Podiatry",
   "median_x": 1.0,
   "lo": 0.53,
   "hi": 7.81,
   "payers": 56,
   "spend_m": 3.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3489",
   "drug": "Reclast (zoledronic acid)",
   "specialty": "Hematology-Oncology",
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  {
   "code": "J2278",
   "drug": "Prialt (ziconotide acetate)",
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  {
   "code": "J8522",
   "drug": "Capecitabine",
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  {
   "code": "J2427",
   "drug": "Invega hafyera (paliperidone palmitate)",
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   "median_x": 0.979,
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   "hi": 3.43,
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  },
  {
   "code": "J0224",
   "drug": "Oxlumo (lumasiran sodium)",
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  {
   "code": "J1610",
   "drug": "Glucagen (glucagon)",
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   "payers": 57,
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  {
   "code": "J1212",
   "drug": "Rimso-50 (dimethyl sulfoxide)",
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  {
   "code": "J7331",
   "drug": "Sodium hyaluronate (hyaluronate sodium)",
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   "is_biosim": false
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  {
   "code": "J1747",
   "drug": "Spevigo (spesolimab-sbzo)",
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   "is_biosim": false
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  {
   "code": "J0802",
   "drug": "Cortrophin (corticotropin)",
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   "is_biosim": false
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  {
   "code": "J9329",
   "drug": "Tevimbra (tislelizumab-jsgr)",
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   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J1611",
   "drug": "Glucagon emergency kit (glucagon hcl)",
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   "is_biosim": false
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  {
   "code": "J7183",
   "drug": "Wilate (antihemophilic factor)",
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   "is_biosim": false
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  {
   "code": "J1627",
   "drug": "Sustol (granisetron)",
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   "is_biosim": false
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  {
   "code": "Q9957",
   "drug": "Definity rt (perflutren lipid microspheres)",
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   "is_biosim": false
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  {
   "code": "Q4158",
   "drug": "Kerecis omega3, per sq cm",
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   "is_skin": true,
   "is_biosim": false
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  {
   "code": "J7213",
   "drug": "Ixinity (factor ix human recomb,thr 148)",
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   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0217",
   "drug": "Lamzede (velmanase alfa-tycv)",
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   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J7520",
   "drug": "Rapamune (sirolimus)",
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   "is_biosim": false
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  {
   "code": "Q4343",
   "drug": "Dermacyte ac matrx per sq cm",
   "specialty": null,
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   "is_skin": true,
   "is_biosim": false
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  {
   "code": "J7182",
   "drug": "Novoeight (antihemoph.fviii,b-dom truncat)",
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   "is_biosim": false
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  {
   "code": "J2562",
   "drug": "Mozobil (plerixafor)",
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   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J0349",
   "drug": "Rezzayo (rezafungin acetate)",
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  {
   "code": "Q4283",
   "drug": "Biovance tri or 3l, sq cm",
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   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q5133",
   "drug": "Tofidence (tocilizumab-bavi)",
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   "hi": 3.91,
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   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J0561",
   "drug": "Bicillin l-a (penicillin g benzathine)",
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   "hi": 3.97,
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   "is_skin": false,
   "is_biosim": false
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  {
   "code": "Q4187",
   "drug": "Epicord 1 sq cm",
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   "is_skin": true,
   "is_biosim": false
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  {
   "code": "Q4262",
   "drug": "Dual layer impax, per sq cm",
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   "is_biosim": false
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  {
   "code": "J0894",
   "drug": "Dacogen (decitabine)",
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   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J1813",
   "drug": "Lyumjev (insulin lispro-aabc)",
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   "hi": 6.29,
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   "spend_m": 2.0,
   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J9190",
   "drug": "Fluorouracil",
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   "median_x": 1.018,
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   "hi": 5.43,
   "payers": 57,
   "spend_m": 2.0,
   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J9276",
   "drug": "Ziihera (zanidatamab-hrii)",
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   "spend_m": 2.0,
   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J2260",
   "drug": "Milrinone in 5% dextrose (milrinone lactate)",
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   "spend_m": 2.0,
   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J9207",
   "drug": "Ixempra (ixabepilone)",
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   "hi": 3.51,
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   "is_skin": false,
   "is_biosim": false
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  {
   "code": "J7502",
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   "is_biosim": false
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  {
   "code": "J2407",
   "drug": "Orbactiv (oritavancin diphosphate)",
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  {
   "code": "J7180",
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  {
   "code": "Q4339",
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   "code": "J2315",
   "drug": "Vivitrol (naltrexone microspheres)",
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  {
   "code": "J0480",
   "drug": "Simulect (basiliximab)",
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   "code": "J8700",
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   "code": "J9203",
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   "code": "J8705",
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   "is_biosim": false
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   "code": "J9074",
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   "is_biosim": false
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  {
   "code": "J1955",
   "drug": "Carnitor (levocarnitine)",
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   "is_skin": false,
   "is_biosim": false
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   "code": "Q9965",
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   "is_biosim": false
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  {
   "code": "J1756",
   "drug": "Venofer (iron sucrose complex)",
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   "is_skin": false,
   "is_biosim": false
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   "code": "J0850",
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   "spend_m": 2.0,
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   "is_biosim": false
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  {
   "code": "Q4331",
   "drug": "Axolotl graft, per sq cm",
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   "spend_m": 2.0,
   "is_skin": true,
   "is_biosim": false
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   "code": "J7500",
   "drug": "Azasan (azathioprine)",
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   "spend_m": 2.0,
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   "is_biosim": false
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   "code": "J1885",
   "drug": "Ketorolac tromethamine",
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   "hi": 7.03,
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   "spend_m": 2.0,
   "is_skin": false,
   "is_biosim": false
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   "code": "J1447",
   "drug": "Granix (tbo-filgrastim)",
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   "spend_m": 2.0,
   "is_skin": false,
   "is_biosim": false
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   "code": "J2502",
   "drug": "Signifor lar (pasireotide pamoate)",
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   "spend_m": 2.0,
   "is_skin": false,
   "is_biosim": false
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   "code": "J7508",
   "drug": "Astagraf xl (tacrolimus)",
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   "spend_m": 2.0,
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   "is_biosim": false
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   "code": "Q4323",
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   "spend_m": 2.0,
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   "is_biosim": false
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   "code": "J9200",
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   "spend_m": 2.0,
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   "is_biosim": false
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   "code": "J9266",
   "drug": "Oncaspar (pegaspargase)",
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  {
   "code": "J7608",
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   "code": "J7193",
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   "code": "J9021",
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   "spend_m": 1.0,
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   "code": "J7186",
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   "code": "J0202",
   "drug": "Lemtrada (alemtuzumab)",
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  {
   "code": "J2820",
   "drug": "Leukine (sargramostim)",
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   "spend_m": 1.0,
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  {
   "code": "J1100",
   "drug": "Dexamethasone sodium phosphate (dexamethasone sodium phosp)",
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  {
   "code": "J9033",
   "drug": "Bendamustine hcl",
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   "code": "J0289",
   "drug": "Ambisome (amphotericin b liposome)",
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  {
   "code": "J2469",
   "drug": "Aloxi (palonosetron hcl)",
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   "hi": 7.91,
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   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2277",
   "drug": "Aphexda (motixafortide acetate)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 50,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q9992",
   "drug": "Sublocade (buprenorphine)",
   "specialty": null,
   "median_x": 0.966,
   "lo": 0.58,
   "hi": 3.39,
   "payers": 58,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9280",
   "drug": "Mitomycin",
   "specialty": "Urology",
   "median_x": 0.827,
   "lo": 0.6,
   "hi": 6.79,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0597",
   "drug": "Berinert (c1 esterase inhibitor)",
   "specialty": null,
   "median_x": 0.959,
   "lo": 0.59,
   "hi": 2.07,
   "payers": 56,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0878",
   "drug": "Cubicin rf (daptomycin)",
   "specialty": "Infectious Disease",
   "median_x": 2.414,
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   "payers": 7,
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   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0589",
   "drug": "Daxxify (daxibotulinumtoxina-lanm)",
   "specialty": "Neurology",
   "median_x": 1.014,
   "lo": 0.73,
   "hi": 3.55,
   "payers": 51,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4173",
   "drug": "Palingen or palingen xplus",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.55,
   "hi": 4.89,
   "payers": 38,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9357",
   "drug": "Valrubicin",
   "specialty": null,
   "median_x": 1.061,
   "lo": 0.75,
   "hi": 4.74,
   "payers": 55,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q0249",
   "drug": "Actemra (tocilizumab)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 49,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9267",
   "drug": "Paclitaxel",
   "specialty": "Hematology-Oncology",
   "median_x": 1.049,
   "lo": 0.63,
   "hi": 5.76,
   "payers": 58,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1931",
   "drug": "Aldurazyme (laronidase)",
   "specialty": null,
   "median_x": 0.963,
   "lo": 0.69,
   "hi": 2.33,
   "payers": 55,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9294",
   "drug": "Pemetrexed disodium",
   "specialty": null,
   "median_x": 1.505,
   "lo": 0.95,
   "hi": 8.06,
   "payers": 55,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1961",
   "drug": "Sunlenca (lenacapavir sodium)",
   "specialty": null,
   "median_x": 0.972,
   "lo": 0.7,
   "hi": 3.41,
   "payers": 51,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J8560",
   "drug": "Etoposide",
   "specialty": null,
   "median_x": 0.986,
   "lo": 0.71,
   "hi": 3.45,
   "payers": 53,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9171",
   "drug": "Docetaxel",
   "specialty": "Hematology-Oncology",
   "median_x": 1.425,
   "lo": 0.94,
   "hi": 8.09,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0642",
   "drug": "Khapzory (levoleucovorin)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.083,
   "lo": 0.77,
   "hi": 3.69,
   "payers": 54,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4227",
   "drug": "Amniocore per sq cm",
   "specialty": "Podiatry",
   "median_x": 1.0,
   "lo": 0.73,
   "hi": 1.86,
   "payers": 31,
   "spend_m": 1.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J3415",
   "drug": "Pyridoxine hcl",
   "specialty": "Nurse Practitioner",
   "median_x": 1.202,
   "lo": 0.6,
   "hi": 4.1,
   "payers": 53,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9201",
   "drug": "Gemcitabine hcl",
   "specialty": "Hematology-Oncology",
   "median_x": 1.245,
   "lo": 0.77,
   "hi": 7.05,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2274",
   "drug": "Duramorph (morphine sulfate)",
   "specialty": "Anesthesiology",
   "median_x": 0.714,
   "lo": 0.54,
   "hi": 2.68,
   "payers": 54,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9263",
   "drug": "Oxaliplatin",
   "specialty": "Hematology-Oncology",
   "median_x": 1.455,
   "lo": 0.98,
   "hi": 8.36,
   "payers": 43,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1301",
   "drug": "Edaravone",
   "specialty": null,
   "median_x": 2.703,
   "lo": 1.0,
   "hi": 6.5,
   "payers": 55,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4137",
   "drug": "Amnioexcel biodexcel 1sq cm",
   "specialty": "Podiatry",
   "median_x": 1.005,
   "lo": 0.75,
   "hi": 6.86,
   "payers": 52,
   "spend_m": 1.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9185",
   "drug": "Fludarabine phosphate",
   "specialty": "Hematology-Oncology",
   "median_x": 1.055,
   "lo": 0.55,
   "hi": 4.4,
   "payers": 32,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q9966",
   "drug": "Iodixanol",
   "specialty": "Physical Medicine and Rehabilitation",
   "median_x": 0.966,
   "lo": 0.6,
   "hi": 9.2,
   "payers": 58,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9382",
   "drug": "Bizengri (zenocutuzumab-zbco)",
   "specialty": null,
   "median_x": 0.991,
   "lo": 0.71,
   "hi": 5.43,
   "payers": 53,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4121",
   "drug": "Theraskin",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.64,
   "hi": 4.66,
   "payers": 50,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3396",
   "drug": "Visudyne (verteporfin)",
   "specialty": "Ophthalmology",
   "median_x": 1.017,
   "lo": 0.73,
   "hi": 3.56,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1250",
   "drug": "Dobutamine hcl-d5w (dobutamine hcl in dextrose 5 %)",
   "specialty": "Cardiology",
   "median_x": 1.043,
   "lo": 0.73,
   "hi": 3.55,
   "payers": 54,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9045",
   "drug": "Carboplatin",
   "specialty": "Hematology-Oncology",
   "median_x": 0.964,
   "lo": 0.63,
   "hi": 7.93,
   "payers": 58,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1201",
   "drug": "Quzyttir (cetirizine hcl)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.996,
   "lo": 0.72,
   "hi": 7.04,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9381",
   "drug": "Tzield (teplizumab-mzwv)",
   "specialty": null,
   "median_x": 0.979,
   "lo": 0.7,
   "hi": 4.12,
   "payers": 51,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0600",
   "drug": "Calcium disodium versenate (edetate calcium disodium)",
   "specialty": "Family Practice",
   "median_x": 1.003,
   "lo": 0.72,
   "hi": 3.52,
   "payers": 55,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1746",
   "drug": "Trogarzo (ibalizumab-uiyk)",
   "specialty": null,
   "median_x": 0.977,
   "lo": 0.7,
   "hi": 3.42,
   "payers": 55,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3420",
   "drug": "Cyanocobalamin injection (cyanocobalamin)",
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   "median_x": 0.981,
   "lo": 0.67,
   "hi": 7.14,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1335",
   "drug": "Ertapenem (ertapenem sodium)",
   "specialty": "Infectious Disease",
   "median_x": 1.357,
   "lo": 0.65,
   "hi": 8.33,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q9991",
   "drug": "Sublocade (buprenorphine)",
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   "median_x": 0.966,
   "lo": 0.7,
   "hi": 3.39,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7511",
   "drug": "Thymoglobulin (anti-thymocyte globulin,rabbit)",
   "specialty": null,
   "median_x": 0.967,
   "lo": 0.66,
   "hi": 3.34,
   "payers": 55,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1944",
   "drug": "Aristada (aripiprazole lauroxil)",
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   "median_x": 0.939,
   "lo": 0.56,
   "hi": 3.29,
   "payers": 56,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2794",
   "drug": "Risperdal consta (risperidone microspheres)",
   "specialty": "Psychiatry",
   "median_x": 1.007,
   "lo": 0.69,
   "hi": 3.53,
   "payers": 56,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1453",
   "drug": "Emend (fosaprepitant dimeglumine)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.894,
   "lo": 0.65,
   "hi": 5.24,
   "payers": 58,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7644",
   "drug": "Ipratropium bromide",
   "specialty": "Family Practice",
   "median_x": 0.946,
   "lo": 0.65,
   "hi": 9.08,
   "payers": 56,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3095",
   "drug": "Vibativ (telavancin hcl)",
   "specialty": "Infectious Disease",
   "median_x": 0.985,
   "lo": 0.7,
   "hi": 3.45,
   "payers": 55,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9071",
   "drug": "Cyclophosphamide",
   "specialty": "Hematology-Oncology",
   "median_x": 1.245,
   "lo": 0.9,
   "hi": 7.59,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0598",
   "drug": "Cinryze (c1 esterase inhibitor)",
   "specialty": null,
   "median_x": 0.983,
   "lo": 0.71,
   "hi": 2.15,
   "payers": 54,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4236",
   "drug": "Carepatch per sq cm",
   "specialty": "Internal Medicine",
   "median_x": 1.01,
   "lo": 0.58,
   "hi": 8.6,
   "payers": 35,
   "spend_m": 1.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "Q9956",
   "drug": "Optison (perflutren protein-a microsphr)",
   "specialty": "Cardiology",
   "median_x": 0.984,
   "lo": 0.71,
   "hi": 3.35,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4101",
   "drug": "Apligraf (cult skin subst,human-bovine)",
   "specialty": null,
   "median_x": 1.44,
   "lo": 0.76,
   "hi": 7.14,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1811",
   "drug": "Fiasp pumpcart (insulin aspart)",
   "specialty": null,
   "median_x": 4.574,
   "lo": 0.99,
   "hi": 8.63,
   "payers": 49,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0696",
   "drug": "Ceftriaxone (ceftriaxone in is-osm dextrose)",
   "specialty": "Nurse Practitioner",
   "median_x": 1.139,
   "lo": 0.64,
   "hi": 6.96,
   "payers": 59,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0565",
   "drug": "Zinplava (bezlotoxumab)",
   "specialty": "Infectious Disease",
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 56,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J8530",
   "drug": "Cyclophosphamide",
   "specialty": null,
   "median_x": 1.221,
   "lo": 0.56,
   "hi": 4.16,
   "payers": 53,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9330",
   "drug": "Temsirolimus",
   "specialty": null,
   "median_x": 0.763,
   "lo": 0.58,
   "hi": 3.49,
   "payers": 55,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7177",
   "drug": "Fibryga (fibrinogen)",
   "specialty": null,
   "median_x": 0.998,
   "lo": 0.72,
   "hi": 2.41,
   "payers": 54,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9206",
   "drug": "Camptosar (irinotecan hcl)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.994,
   "lo": 0.54,
   "hi": 5.49,
   "payers": 57,
   "spend_m": 1.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2760",
   "drug": "Phentolamine mesylate",
   "specialty": "Urology",
   "median_x": 1.457,
   "lo": 0.62,
   "hi": 5.11,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0888",
   "drug": "Mircera (methoxy peg-epoetin beta)",
   "specialty": "Nurse Practitioner",
   "median_x": 1.119,
   "lo": 0.81,
   "hi": 4.18,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0122",
   "drug": "Xerava (eravacycline di-hydrochloride)",
   "specialty": "Infectious Disease",
   "median_x": 0.934,
   "lo": 0.67,
   "hi": 3.27,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4111",
   "drug": "Gammagraft",
   "specialty": "Podiatry",
   "median_x": 1.0,
   "lo": 0.73,
   "hi": 4.21,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1245",
   "drug": "Dipyridamole",
   "specialty": "Cardiology",
   "median_x": 1.0,
   "lo": 0.54,
   "hi": 3.41,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9314",
   "drug": "Pemetrexed",
   "specialty": null,
   "median_x": 1.395,
   "lo": 0.55,
   "hi": 7.11,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4118",
   "drug": "Matristem micromatrix",
   "specialty": "Plastic and Reconstructive Surgery",
   "median_x": 1.183,
   "lo": 0.76,
   "hi": 4.46,
   "payers": 48,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J1230",
   "drug": "Methadone hcl",
   "specialty": "Internal Medicine",
   "median_x": 1.393,
   "lo": 0.55,
   "hi": 4.75,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4253",
   "drug": "Zenith amniotic membrane psc",
   "specialty": "Nurse Practitioner",
   "median_x": 1.085,
   "lo": 0.71,
   "hi": 8.11,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J2800",
   "drug": "Methocarbamol",
   "specialty": "Family Practice",
   "median_x": 1.007,
   "lo": 0.58,
   "hi": 3.78,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7120",
   "drug": "Lactated ringers (ringer's solution,lactated)",
   "specialty": "Anesthesiology",
   "median_x": 1.042,
   "lo": 0.74,
   "hi": 4.6,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0558",
   "drug": "Bicillin c-r (pen g benz)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.55,
   "hi": 6.43,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7631",
   "drug": "Cromolyn sodium",
   "specialty": "Allergy/ Immunology",
   "median_x": 1.317,
   "lo": 0.55,
   "hi": 6.18,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q9961",
   "drug": "Conray (iothalamate meglumine)",
   "specialty": "Nephrology",
   "median_x": 1.161,
   "lo": 0.54,
   "hi": 8.93,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2405",
   "drug": "Ondansetron hcl",
   "specialty": "Hematology-Oncology",
   "median_x": 1.023,
   "lo": 0.8,
   "hi": 6.93,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2183",
   "drug": "Meropenem",
   "specialty": null,
   "median_x": 1.115,
   "lo": 0.71,
   "hi": 3.8,
   "payers": 49,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0714",
   "drug": "Avycaz (ceftazidime)",
   "specialty": null,
   "median_x": 0.954,
   "lo": 0.67,
   "hi": 4.98,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1630",
   "drug": "Haloperidol lactate",
   "specialty": null,
   "median_x": 1.059,
   "lo": 0.71,
   "hi": 5.8,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2373",
   "drug": "Immphentiv (phenylephrine hcl)",
   "specialty": null,
   "median_x": 1.129,
   "lo": 0.81,
   "hi": 5.28,
   "payers": 48,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1652",
   "drug": "Arixtra (fondaparinux sodium)",
   "specialty": null,
   "median_x": 0.951,
   "lo": 0.62,
   "hi": 8.65,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0841",
   "drug": "Anavip (antivenin,crotalidae)",
   "specialty": null,
   "median_x": 1.0,
   "lo": 0.62,
   "hi": 3.5,
   "payers": 40,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2791",
   "drug": "Rhophylac (rho immune globulin)",
   "specialty": null,
   "median_x": 0.994,
   "lo": 0.71,
   "hi": 4.18,
   "payers": 58,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0280",
   "drug": "Aminophylline",
   "specialty": "Cardiology",
   "median_x": 0.933,
   "lo": 0.56,
   "hi": 3.18,
   "payers": 53,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1790",
   "drug": "Droperidol",
   "specialty": null,
   "median_x": 0.887,
   "lo": 0.63,
   "hi": 3.01,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0713",
   "drug": "Ceftazidime",
   "specialty": "Infectious Disease",
   "median_x": 1.019,
   "lo": 0.69,
   "hi": 5.41,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9328",
   "drug": "Temodar (temozolomide)",
   "specialty": null,
   "median_x": 0.999,
   "lo": 0.7,
   "hi": 3.5,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9394",
   "drug": "Fulvestrant",
   "specialty": "Hematology-Oncology",
   "median_x": 1.0,
   "lo": 0.54,
   "hi": 7.13,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7611",
   "drug": "Albuterol sulfate",
   "specialty": "Pulmonary Disease",
   "median_x": 1.121,
   "lo": 0.56,
   "hi": 4.91,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0577",
   "drug": "Brixadi (buprenorphine)",
   "specialty": null,
   "median_x": 0.976,
   "lo": 0.7,
   "hi": 3.42,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3430",
   "drug": "Phytonadione",
   "specialty": "Nurse Practitioner",
   "median_x": 0.898,
   "lo": 0.54,
   "hi": 3.93,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9208",
   "drug": "Ifex (ifosfamide)",
   "specialty": null,
   "median_x": 0.925,
   "lo": 0.65,
   "hi": 5.09,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0742",
   "drug": "Recarbrio (imipenem)",
   "specialty": null,
   "median_x": 0.966,
   "lo": 0.64,
   "hi": 3.29,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0697",
   "drug": "Cefuroxime sodium",
   "specialty": "Ophthalmology",
   "median_x": 1.003,
   "lo": 0.71,
   "hi": 4.74,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0515",
   "drug": "Benztropine mesylate",
   "specialty": null,
   "median_x": 1.021,
   "lo": 0.74,
   "hi": 6.71,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2305",
   "drug": "Nitroglycerin in d5w (nitroglycerin in 5 % dextrose)",
   "specialty": "Cardiology",
   "median_x": 0.976,
   "lo": 0.53,
   "hi": 3.33,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9209",
   "drug": "Mesna",
   "specialty": null,
   "median_x": 1.303,
   "lo": 0.69,
   "hi": 9.2,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9040",
   "drug": "Bleomycin sulfate",
   "specialty": "Dermatology",
   "median_x": 0.927,
   "lo": 0.58,
   "hi": 6.4,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4222",
   "drug": "Progenamatrix, per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.53,
   "hi": 4.25,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0641",
   "drug": "Levoleucovorin calcium",
   "specialty": "Hematology-Oncology",
   "median_x": 1.224,
   "lo": 1.12,
   "hi": 6.73,
   "payers": 29,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0692",
   "drug": "Cefepime hcl",
   "specialty": "Infectious Disease",
   "median_x": 0.826,
   "lo": 0.56,
   "hi": 7.85,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4190",
   "drug": "Artacent ac 1 sq cm",
   "specialty": "Nurse Practitioner",
   "median_x": 1.036,
   "lo": 0.63,
   "hi": 8.65,
   "payers": 49,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0688",
   "drug": "Cefazolin sodium",
   "specialty": "Physician Assistant",
   "median_x": 1.039,
   "lo": 0.76,
   "hi": 3.54,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0725",
   "drug": "Chorionic gonadotropin (chorionic gonadotropin, human)",
   "specialty": "Internal Medicine",
   "median_x": 1.022,
   "lo": 0.59,
   "hi": 3.48,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0873",
   "drug": "Daptomycin",
   "specialty": "Infectious Disease",
   "median_x": 1.444,
   "lo": 1.33,
   "hi": 2.22,
   "payers": 8,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2597",
   "drug": "Ddavp (desmopressin acetate)",
   "specialty": null,
   "median_x": 0.957,
   "lo": 0.69,
   "hi": 5.68,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9178",
   "drug": "Ellence (epirubicin hcl)",
   "specialty": null,
   "median_x": 0.988,
   "lo": 0.71,
   "hi": 5.6,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q0139",
   "drug": "Feraheme (ferumoxytol)",
   "specialty": null,
   "median_x": 0.973,
   "lo": 0.59,
   "hi": 8.11,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1570",
   "drug": "Ganciclovir sodium",
   "specialty": null,
   "median_x": 1.082,
   "lo": 0.65,
   "hi": 4.42,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9060",
   "drug": "Cisplatin",
   "specialty": "Hematology-Oncology",
   "median_x": 1.019,
   "lo": 0.71,
   "hi": 5.62,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1644",
   "drug": "Heparin sodium in 0.45% nacl (heparin sod,pork in 0.45% nacl)",
   "specialty": "Urology",
   "median_x": 0.994,
   "lo": 0.55,
   "hi": 5.08,
   "payers": 58,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3105",
   "drug": "Terbutaline sulfate",
   "specialty": "Family Practice",
   "median_x": 0.947,
   "lo": 0.57,
   "hi": 8.45,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0740",
   "drug": "Cidofovir",
   "specialty": null,
   "median_x": 1.013,
   "lo": 0.56,
   "hi": 3.43,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0153",
   "drug": "Adenosine",
   "specialty": "Cardiology",
   "median_x": 1.345,
   "lo": 0.61,
   "hi": 6.09,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3465",
   "drug": "Vfend iv (voriconazole)",
   "specialty": null,
   "median_x": 1.332,
   "lo": 0.75,
   "hi": 6.38,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1573",
   "drug": "Hepagam b (hepatitis b immun glob)",
   "specialty": null,
   "median_x": 1.07,
   "lo": 0.76,
   "hi": 3.72,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7060",
   "drug": "Dextrose in water (dextrose 5 % in water)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.098,
   "lo": 0.61,
   "hi": 5.31,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0616",
   "drug": "Metoprolol tartrate",
   "specialty": null,
   "median_x": 0.774,
   "lo": 0.58,
   "hi": 4.13,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2790",
   "drug": "Hyperrho (rho immune globulin)",
   "specialty": null,
   "median_x": 0.946,
   "lo": 0.58,
   "hi": 3.37,
   "payers": 58,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2704",
   "drug": "Diprivan (propofol in lipid emulsions)",
   "specialty": "Anesthesiology",
   "median_x": 1.011,
   "lo": 0.67,
   "hi": 7.08,
   "payers": 53,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2765",
   "drug": "Metoclopramide hcl",
   "specialty": "Internal Medicine",
   "median_x": 1.076,
   "lo": 0.54,
   "hi": 3.67,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0651",
   "drug": "Levothyroxine sodium",
   "specialty": null,
   "median_x": 1.015,
   "lo": 0.55,
   "hi": 3.56,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1072",
   "drug": "Azmiro (testosterone cypionate)",
   "specialty": null,
   "median_x": 1.026,
   "lo": 0.64,
   "hi": 3.6,
   "payers": 49,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q9963",
   "drug": "Gastrografin (diatrizoate meglumine, sodium)",
   "specialty": "Diagnostic Radiology",
   "median_x": 1.028,
   "lo": 0.61,
   "hi": 9.35,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3010",
   "drug": "Fentanyl citrate",
   "specialty": "Vascular Surgery",
   "median_x": 0.859,
   "lo": 0.62,
   "hi": 2.92,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2679",
   "drug": "Fluphenazine hcl",
   "specialty": null,
   "median_x": 1.017,
   "lo": 0.73,
   "hi": 3.46,
   "payers": 49,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1805",
   "drug": "Brevibloc (esmolol hcl)",
   "specialty": "Cardiology",
   "median_x": 0.957,
   "lo": 0.65,
   "hi": 4.24,
   "payers": 49,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4154",
   "drug": "Biovance 1 square cm",
   "specialty": "Internal Medicine",
   "median_x": 1.0,
   "lo": 0.59,
   "hi": 5.29,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4195",
   "drug": "Puraply 1 sq cm",
   "specialty": "Plastic and Reconstructive Surgery",
   "median_x": 1.0,
   "lo": 0.69,
   "hi": 5.93,
   "payers": 52,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0895",
   "drug": "Deferoxamine mesylate",
   "specialty": "Hematology-Oncology",
   "median_x": 0.856,
   "lo": 0.61,
   "hi": 4.29,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1954",
   "drug": "Leuprolide depot (leuprolide acetate)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.028,
   "lo": 0.65,
   "hi": 3.6,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7402",
   "drug": "Sinuva (mometasone furoate)",
   "specialty": "Ambulatory Surgical Center",
   "median_x": 1.0,
   "lo": 0.72,
   "hi": 3.51,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4201",
   "drug": "Matrion 1 sq cm",
   "specialty": "Podiatry",
   "median_x": 1.228,
   "lo": 0.75,
   "hi": 6.1,
   "payers": 49,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9351",
   "drug": "Hycamtin (topotecan hcl)",
   "specialty": null,
   "median_x": 0.79,
   "lo": 0.54,
   "hi": 3.77,
   "payers": 46,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3473",
   "drug": "Hylenex (hyaluronidase, human recomb.)",
   "specialty": "Physical Medicine and Rehabilitation",
   "median_x": 0.989,
   "lo": 0.71,
   "hi": 5.85,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4267",
   "drug": "Neostim dl per sq cm",
   "specialty": "Emergency Medicine",
   "median_x": 1.0,
   "lo": 0.59,
   "hi": 3.59,
   "payers": 40,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J7354",
   "drug": "Ycanth (cantharidin)",
   "specialty": null,
   "median_x": 0.952,
   "lo": 0.68,
   "hi": 3.31,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1943",
   "drug": "Aristada initio (aripiprazole lauroxil,submicr.)",
   "specialty": null,
   "median_x": 0.939,
   "lo": 0.58,
   "hi": 3.29,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3260",
   "drug": "Tobramycin sulfate",
   "specialty": "Urology",
   "median_x": 0.947,
   "lo": 0.63,
   "hi": 3.96,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0736",
   "drug": "Cleocin phosphate (clindamycin phosphate)",
   "specialty": "Family Practice",
   "median_x": 0.968,
   "lo": 0.53,
   "hi": 3.3,
   "payers": 48,
   "spend_m": 0.0,
   "is_skin": false,
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   "code": "J1650",
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   "code": "J0278",
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   "code": "J7070",
   "drug": "Dextrose in water (dextrose 5 % in water)",
   "specialty": "Internal Medicine",
   "median_x": 1.078,
   "lo": 0.67,
   "hi": 6.14,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0295",
   "drug": "Ampicillin-sulbactam (ampicillin sod)",
   "specialty": "Infectious Disease",
   "median_x": 0.93,
   "lo": 0.66,
   "hi": 8.82,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4166",
   "drug": "Cytal, per square centimeter",
   "specialty": "Dermatology",
   "median_x": 1.113,
   "lo": 0.6,
   "hi": 8.41,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0712",
   "drug": "Teflaro (ceftaroline fosamil acetate)",
   "specialty": null,
   "median_x": 0.966,
   "lo": 0.68,
   "hi": 3.38,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2799",
   "drug": "Uzedy (risperidone)",
   "specialty": null,
   "median_x": 0.961,
   "lo": 0.69,
   "hi": 3.35,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1162",
   "drug": "Digifab (digoxin immune fab)",
   "specialty": null,
   "median_x": 0.96,
   "lo": 0.69,
   "hi": 3.36,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q9958",
   "drug": "Cysto-conray ii (iothalamate meglumine)",
   "specialty": "Urology",
   "median_x": 1.039,
   "lo": 0.78,
   "hi": 8.05,
   "payers": 53,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0735",
   "drug": "Clonidine hcl",
   "specialty": "Anesthesiology",
   "median_x": 1.166,
   "lo": 0.6,
   "hi": 8.77,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4160",
   "drug": "Nushield 1 square cm",
   "specialty": "Podiatry",
   "median_x": 1.0,
   "lo": 0.59,
   "hi": 4.4,
   "payers": 29,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1631",
   "drug": "Haldol decanoate 100 (haloperidol decanoate)",
   "specialty": "Psychiatry",
   "median_x": 0.809,
   "lo": 0.53,
   "hi": 5.04,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2270",
   "drug": "Morphine sulfate",
   "specialty": "Home Infusion Therapy Services",
   "median_x": 0.571,
   "lo": 0.53,
   "hi": 2.44,
   "payers": 31,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3360",
   "drug": "Diazepam",
   "specialty": "Family Practice",
   "median_x": 1.013,
   "lo": 0.7,
   "hi": 3.5,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4257",
   "drug": "Relese, per sq cm",
   "specialty": "Dermatology",
   "median_x": 1.0,
   "lo": 0.54,
   "hi": 2.39,
   "payers": 34,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J2700",
   "drug": "Oxacillin sodium",
   "specialty": null,
   "median_x": 0.891,
   "lo": 0.55,
   "hi": 7.01,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2680",
   "drug": "Fluphenazine decanoate",
   "specialty": "Psychiatry",
   "median_x": 1.072,
   "lo": 0.65,
   "hi": 5.0,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2360",
   "drug": "Orphenadrine citrate",
   "specialty": "Family Practice",
   "median_x": 0.909,
   "lo": 0.59,
   "hi": 4.41,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2690",
   "drug": "Procainamide hcl",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.166,
   "lo": 0.56,
   "hi": 4.09,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0457",
   "drug": "Azactam (aztreonam)",
   "specialty": null,
   "median_x": 1.008,
   "lo": 0.71,
   "hi": 3.35,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2401",
   "drug": "Chloroprocaine hcl",
   "specialty": "Orthopedic Surgery",
   "median_x": 1.905,
   "lo": 1.43,
   "hi": 3.33,
   "payers": 7,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1670",
   "drug": "Hypertet (tetanus immune globulin)",
   "specialty": "Family Practice",
   "median_x": 0.989,
   "lo": 0.68,
   "hi": 3.47,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4188",
   "drug": "Amnioarmor 1 sq cm",
   "specialty": "Podiatry",
   "median_x": 1.0,
   "lo": 0.75,
   "hi": 8.34,
   "payers": 36,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J9196",
   "drug": "Gemcitabine hcl",
   "specialty": "Hematology-Oncology",
   "median_x": 1.0,
   "lo": 0.57,
   "hi": 5.66,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0699",
   "drug": "Fetroja (cefiderocol sulfate tosylate)",
   "specialty": null,
   "median_x": 0.95,
   "lo": 0.68,
   "hi": 3.33,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0883",
   "drug": "Argatroban-0.9% nacl (argatroban in 0.9 % sod chlor)",
   "specialty": null,
   "median_x": 0.938,
   "lo": 0.59,
   "hi": 5.54,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0840",
   "drug": "Crofab (antivenin,crotalidae fab)",
   "specialty": null,
   "median_x": 0.965,
   "lo": 0.69,
   "hi": 4.01,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9049",
   "drug": "Bortezomib",
   "specialty": "Medical Oncology",
   "median_x": 0.847,
   "lo": 0.58,
   "hi": 5.84,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1200",
   "drug": "Diphenhydramine hcl",
   "specialty": "Hematology-Oncology",
   "median_x": 0.944,
   "lo": 0.68,
   "hi": 5.32,
   "payers": 58,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1160",
   "drug": "Digoxin",
   "specialty": null,
   "median_x": 2.447,
   "lo": 0.93,
   "hi": 6.08,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3410",
   "drug": "Hydroxyzine hcl",
   "specialty": "Internal Medicine",
   "median_x": 0.921,
   "lo": 0.54,
   "hi": 2.91,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q9950",
   "drug": "Lumason (sulfur hexafluoride microsphr)",
   "specialty": "Cardiology",
   "median_x": 1.002,
   "lo": 0.72,
   "hi": 4.05,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9017",
   "drug": "Arsenic trioxide",
   "specialty": null,
   "median_x": 1.458,
   "lo": 0.94,
   "hi": 8.97,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0872",
   "drug": "Daptomycin",
   "specialty": "Infectious Disease",
   "median_x": 1.429,
   "lo": 1.43,
   "hi": 4.76,
   "payers": 29,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1460",
   "drug": "Gamastan (immune globul g)",
   "specialty": "Rheumatology",
   "median_x": 1.021,
   "lo": 0.56,
   "hi": 2.64,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2272",
   "drug": "Morphine sulfate",
   "specialty": null,
   "median_x": 0.828,
   "lo": 0.58,
   "hi": 2.73,
   "payers": 52,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0282",
   "drug": "Amiodarone hcl",
   "specialty": null,
   "median_x": 1.025,
   "lo": 0.64,
   "hi": 6.0,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0694",
   "drug": "Cefoxitin sodium",
   "specialty": "Family Practice",
   "median_x": 1.106,
   "lo": 0.55,
   "hi": 5.96,
   "payers": 58,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0689",
   "drug": "Cefazolin sodium-dextrose (cefazolin sodium)",
   "specialty": "Ambulatory Surgical Center",
   "median_x": 0.984,
   "lo": 0.67,
   "hi": 3.36,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0348",
   "drug": "Eraxis (anidulafungin)",
   "specialty": null,
   "median_x": 1.049,
   "lo": 0.76,
   "hi": 8.23,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9370",
   "drug": "Vincasar pfs (vincristine sulfate)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.883,
   "lo": 0.58,
   "hi": 4.84,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1920",
   "drug": "Labetalol hcl",
   "specialty": "Ambulatory Surgical Center",
   "median_x": 1.606,
   "lo": 0.57,
   "hi": 4.86,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2792",
   "drug": "Winrho sdf (rho immune globulin)",
   "specialty": null,
   "median_x": 0.957,
   "lo": 0.56,
   "hi": 3.32,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J8610",
   "drug": "Methotrexate (methotrexate sodium)",
   "specialty": null,
   "median_x": 0.974,
   "lo": 0.71,
   "hi": 6.49,
   "payers": 53,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0750",
   "drug": "Emtricitabine-tenofovir disop (emtricitabine)",
   "specialty": null,
   "median_x": 2.958,
   "lo": 0.99,
   "hi": 7.11,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0695",
   "drug": "Zerbaxa (ceftolozane)",
   "specialty": "Family Practice",
   "median_x": 0.892,
   "lo": 0.59,
   "hi": 3.12,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2795",
   "drug": "Naropin (ropivacaine hcl)",
   "specialty": "Pain Management",
   "median_x": 1.538,
   "lo": 1.41,
   "hi": 4.36,
   "payers": 26,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3470",
   "drug": "Amphadase (hyaluronidase)",
   "specialty": "Ophthalmology",
   "median_x": 1.001,
   "lo": 0.68,
   "hi": 4.07,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7674",
   "drug": "Provocholine (methacholine chloride)",
   "specialty": "Pulmonary Disease",
   "median_x": 0.978,
   "lo": 0.54,
   "hi": 3.33,
   "payers": 52,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2175",
   "drug": "Demerol (meperidine hcl)",
   "specialty": "Gastroenterology",
   "median_x": 1.286,
   "lo": 0.64,
   "hi": 4.76,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0613",
   "drug": "Calcium gluconate-nacl (calcium gluc in nacl, iso-osm)",
   "specialty": "Neurology",
   "median_x": 1.8,
   "lo": 1.2,
   "hi": 6.2,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0476",
   "drug": "Baclofen",
   "specialty": null,
   "median_x": 1.357,
   "lo": 0.69,
   "hi": 4.7,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9293",
   "drug": "Mitoxantrone hcl",
   "specialty": null,
   "median_x": 1.079,
   "lo": 0.64,
   "hi": 6.87,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0594",
   "drug": "Busulfan",
   "specialty": null,
   "median_x": 0.862,
   "lo": 0.62,
   "hi": 5.76,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2798",
   "drug": "Perseris (risperidone)",
   "specialty": null,
   "median_x": 0.997,
   "lo": 0.72,
   "hi": 3.49,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9342",
   "drug": "Tepadina (thiotepa)",
   "specialty": null,
   "median_x": 1.797,
   "lo": 0.72,
   "hi": 6.12,
   "payers": 53,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0500",
   "drug": "Bentyl (dicyclomine hcl)",
   "specialty": "Family Practice",
   "median_x": 1.33,
   "lo": 0.67,
   "hi": 8.71,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2250",
   "drug": "Midazolam hcl",
   "specialty": "Anesthesiology",
   "median_x": 0.979,
   "lo": 0.56,
   "hi": 7.34,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9050",
   "drug": "Bicnu (carmustine)",
   "specialty": null,
   "median_x": 1.007,
   "lo": 0.61,
   "hi": 8.03,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3090",
   "drug": "Sivextro (tedizolid phosphate)",
   "specialty": null,
   "median_x": 0.942,
   "lo": 0.58,
   "hi": 3.3,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5105",
   "drug": "Retacrit (epoetin alfa-epbx)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.991,
   "lo": 0.69,
   "hi": 5.02,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J3374",
   "drug": "Vancomycin hcl",
   "specialty": null,
   "median_x": 1.031,
   "lo": 0.62,
   "hi": 6.6,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4124",
   "drug": "Oasis ultra (porcine acell submucosa,meshed)",
   "specialty": "Dermatology",
   "median_x": 1.009,
   "lo": 0.79,
   "hi": 6.69,
   "payers": 52,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J2312",
   "drug": "Naloxone hcl",
   "specialty": null,
   "median_x": 1.014,
   "lo": 0.87,
   "hi": 5.14,
   "payers": 49,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3000",
   "drug": "Streptomycin sulfate",
   "specialty": "General Practice",
   "median_x": 1.265,
   "lo": 0.69,
   "hi": 4.29,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0744",
   "drug": "Cipro i.v. (ciprofloxacin in 5 % dextrose)",
   "specialty": "Urology",
   "median_x": 1.163,
   "lo": 0.58,
   "hi": 3.97,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7521",
   "drug": "Prograf (tacrolimus)",
   "specialty": null,
   "median_x": 1.013,
   "lo": 0.61,
   "hi": 3.45,
   "payers": 48,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2720",
   "drug": "Protamine sulfate",
   "specialty": "Vascular Surgery",
   "median_x": 0.905,
   "lo": 0.54,
   "hi": 3.03,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2550",
   "drug": "Phenergan (promethazine hcl)",
   "specialty": "Internal Medicine",
   "median_x": 1.091,
   "lo": 0.55,
   "hi": 3.72,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1643",
   "drug": "Heparin sodium (heparin sodium,porcine)",
   "specialty": "Ambulatory Surgical Center",
   "median_x": 1.227,
   "lo": 0.58,
   "hi": 8.94,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3250",
   "drug": "Tigan (trimethobenzamide hcl)",
   "specialty": "General Practice",
   "median_x": 0.915,
   "lo": 0.66,
   "hi": 3.12,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2540",
   "drug": "Penicillin g potassium",
   "specialty": "Dermatology",
   "median_x": 1.224,
   "lo": 0.57,
   "hi": 7.06,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1265",
   "drug": "Dopamine hcl in 5% dextrose (dopamine hcl in dextrose 5 %)",
   "specialty": null,
   "median_x": 0.791,
   "lo": 0.57,
   "hi": 8.89,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1450",
   "drug": "Fluconazole-nacl (fluconazole in nacl,iso-osm)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.734,
   "lo": 0.55,
   "hi": 8.21,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J8670",
   "drug": "Varubi (rolapitant hcl)",
   "specialty": null,
   "median_x": 1.013,
   "lo": 0.72,
   "hi": 8.49,
   "payers": 52,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0291",
   "drug": "Zemdri (plazomicin sulfate)",
   "specialty": "Infectious Disease",
   "median_x": 0.997,
   "lo": 0.72,
   "hi": 3.5,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4104",
   "drug": "Integra bmwd",
   "specialty": null,
   "median_x": 1.276,
   "lo": 0.62,
   "hi": 4.82,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0287",
   "drug": "Abelcet (amphotericin b lipid complex)",
   "specialty": "Family Practice",
   "median_x": 1.04,
   "lo": 0.73,
   "hi": 3.82,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9260",
   "drug": "Methotrexate sodium",
   "specialty": "Rheumatology",
   "median_x": 0.911,
   "lo": 0.63,
   "hi": 4.96,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0690",
   "drug": "Cefazolin sodium-dextrose (cefazolin sodium)",
   "specialty": "Infectious Disease",
   "median_x": 1.068,
   "lo": 0.75,
   "hi": 7.54,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1110",
   "drug": "Dihydroergotamine mesylate",
   "specialty": "Podiatry",
   "median_x": 1.038,
   "lo": 0.62,
   "hi": 4.0,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1939",
   "drug": "Bumetanide",
   "specialty": "Nurse Practitioner",
   "median_x": 0.743,
   "lo": 0.54,
   "hi": 8.03,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q0162",
   "drug": "Ondansetron hcl",
   "specialty": null,
   "median_x": 4.063,
   "lo": 3.75,
   "hi": 8.75,
   "payers": 6,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1190",
   "drug": "Dexrazoxane (dexrazoxane hcl)",
   "specialty": null,
   "median_x": 1.4,
   "lo": 0.93,
   "hi": 7.94,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4132",
   "drug": "Grafix core, grafixpl core",
   "specialty": "Podiatry",
   "median_x": 1.031,
   "lo": 0.56,
   "hi": 6.6,
   "payers": 52,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9246",
   "drug": "Evomela (melphalan hcl)",
   "specialty": null,
   "median_x": 1.077,
   "lo": 0.74,
   "hi": 4.65,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0360",
   "drug": "Hydralazine hcl",
   "specialty": "Pain Management",
   "median_x": 1.293,
   "lo": 0.92,
   "hi": 7.85,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4217",
   "drug": "Woundfix biowound plus xplus",
   "specialty": "Nurse Practitioner",
   "median_x": 1.0,
   "lo": 0.6,
   "hi": 5.32,
   "payers": 38,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0743",
   "drug": "Imipenem-cilastatin sodium (imipenem)",
   "specialty": "Infectious Disease",
   "median_x": 1.089,
   "lo": 0.57,
   "hi": 5.45,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1270",
   "drug": "Doxercalciferol",
   "specialty": null,
   "median_x": 0.954,
   "lo": 0.65,
   "hi": 4.31,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0596",
   "drug": "Ruconest (c1 esterase inhibitor, recomb)",
   "specialty": null,
   "median_x": 0.972,
   "lo": 0.7,
   "hi": 2.1,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0169",
   "drug": "Adrenalin (epinephrine)",
   "specialty": null,
   "median_x": 1.762,
   "lo": 0.74,
   "hi": 5.34,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1165",
   "drug": "Phenytoin sodium",
   "specialty": null,
   "median_x": 1.101,
   "lo": 0.66,
   "hi": 9.17,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0578",
   "drug": "Brixadi (buprenorphine)",
   "specialty": null,
   "median_x": 0.976,
   "lo": 0.7,
   "hi": 3.42,
   "payers": 51,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7030",
   "drug": "Sodium chloride (0.9 % sodium chloride)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.945,
   "lo": 0.6,
   "hi": 7.1,
   "payers": 58,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9120",
   "drug": "Cosmegen (dactinomycin)",
   "specialty": null,
   "median_x": 1.074,
   "lo": 0.61,
   "hi": 5.94,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2675",
   "drug": "Progesterone",
   "specialty": "Family Practice",
   "median_x": 1.288,
   "lo": 0.8,
   "hi": 6.94,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2543",
   "drug": "Piperacillin-tazobactam (piperacillin sodium)",
   "specialty": "Infectious Disease",
   "median_x": 0.895,
   "lo": 0.65,
   "hi": 8.81,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1598",
   "drug": "Glycopyrrolate",
   "specialty": null,
   "median_x": 0.999,
   "lo": 0.72,
   "hi": 4.1,
   "payers": 49,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3230",
   "drug": "Chlorpromazine hcl",
   "specialty": null,
   "median_x": 1.31,
   "lo": 0.66,
   "hi": 4.46,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J3411",
   "drug": "Thiamine hcl",
   "specialty": "Nurse Practitioner",
   "median_x": 1.134,
   "lo": 0.63,
   "hi": 6.39,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0637",
   "drug": "Cancidas (caspofungin acetate)",
   "specialty": null,
   "median_x": 1.327,
   "lo": 0.87,
   "hi": 5.84,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7178",
   "drug": "Riastap (fibrinogen)",
   "specialty": null,
   "median_x": 1.028,
   "lo": 0.67,
   "hi": 2.41,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2601",
   "drug": "Vasopressin-0.9% nacl (vasopressin in 0.9 % nacl)",
   "specialty": null,
   "median_x": 1.266,
   "lo": 0.83,
   "hi": 4.44,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1808",
   "drug": "Folic acid",
   "specialty": null,
   "median_x": 1.176,
   "lo": 1.0,
   "hi": 6.08,
   "payers": 34,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9150",
   "drug": "Daunorubicin hcl",
   "specialty": "Urology",
   "median_x": 0.914,
   "lo": 0.65,
   "hi": 7.5,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9000",
   "drug": "Adriamycin (doxorubicin hcl)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.04,
   "lo": 0.57,
   "hi": 8.32,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1596",
   "drug": "Glycopyrrolate",
   "specialty": "Otolaryngology",
   "median_x": 1.041,
   "lo": 0.63,
   "hi": 5.81,
   "payers": 49,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9400",
   "drug": "Zaltrap (ziv-aflibercept)",
   "specialty": null,
   "median_x": 0.912,
   "lo": 0.6,
   "hi": 4.04,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1953",
   "drug": "Keppra (levetiracetam)",
   "specialty": "Neurology",
   "median_x": 1.875,
   "lo": 1.88,
   "hi": 6.88,
   "payers": 12,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J8540",
   "drug": "Dexamethasone intensol (dexamethasone)",
   "specialty": null,
   "median_x": 3.077,
   "lo": 2.31,
   "hi": 4.62,
   "payers": 11,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2354",
   "drug": "Octreotide acetate",
   "specialty": null,
   "median_x": 1.107,
   "lo": 0.79,
   "hi": 6.48,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0882",
   "drug": "Aranesp (darbepoetin alfa in polysorbat)",
   "specialty": null,
   "median_x": 1.051,
   "lo": 0.74,
   "hi": 3.31,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0133",
   "drug": "Acyclovir sodium",
   "specialty": "Dermatology",
   "median_x": 3.429,
   "lo": 1.71,
   "hi": 8.86,
   "payers": 23,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4268",
   "drug": "Surgraft ft per sq cm",
   "specialty": "Family Practice",
   "median_x": 1.009,
   "lo": 0.59,
   "hi": 8.56,
   "payers": 37,
   "spend_m": 0.0,
   "is_skin": true,
   "is_biosim": false
  },
  {
   "code": "J0703",
   "drug": "Cefepime-dextrose (cefepime hcl in dextrose 5 %)",
   "specialty": null,
   "median_x": 1.105,
   "lo": 0.68,
   "hi": 3.77,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7040",
   "drug": "Sodium chloride (0.9 % sodium chloride)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.956,
   "lo": 0.69,
   "hi": 7.73,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1171",
   "drug": "Dilaudid (hydromorphone hcl)",
   "specialty": "Anesthesiology",
   "median_x": 1.029,
   "lo": 0.59,
   "hi": 7.35,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2425",
   "drug": "Kepivance (palifermin)",
   "specialty": null,
   "median_x": 0.949,
   "lo": 0.55,
   "hi": 3.32,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7050",
   "drug": "Sodium chloride (0.9 % sodium chloride)",
   "specialty": "Hematology-Oncology",
   "median_x": 0.967,
   "lo": 0.55,
   "hi": 7.43,
   "payers": 58,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1720",
   "drug": "Hydrocortisone sod succinate",
   "specialty": "Hematology-Oncology",
   "median_x": 0.957,
   "lo": 0.63,
   "hi": 5.42,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1380",
   "drug": "Delestrogen (estradiol valerate)",
   "specialty": "Family Practice",
   "median_x": 0.967,
   "lo": 0.63,
   "hi": 4.12,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q4081",
   "drug": "Epogen (epoetin alfa)",
   "specialty": null,
   "median_x": 1.119,
   "lo": 0.8,
   "hi": 5.76,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0456",
   "drug": "Azithromycin",
   "specialty": "Family Practice",
   "median_x": 1.08,
   "lo": 0.56,
   "hi": 3.68,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9245",
   "drug": "Alkeran (melphalan hcl)",
   "specialty": null,
   "median_x": 0.914,
   "lo": 0.59,
   "hi": 5.02,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2916",
   "drug": "Ferrlecit (sodium ferric gluconat)",
   "specialty": "Hematology-Oncology",
   "median_x": 1.047,
   "lo": 0.6,
   "hi": 6.42,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7042",
   "drug": "Dextrose 5%-0.9% nacl (dextrose 5 % and 0.9 % nacl)",
   "specialty": "Physician Assistant",
   "median_x": 1.078,
   "lo": 0.63,
   "hi": 6.58,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J1956",
   "drug": "Levofloxacin-d5w (levofloxacin in dextrose 5 %)",
   "specialty": "Pulmonary Disease",
   "median_x": 1.131,
   "lo": 0.56,
   "hi": 4.15,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J2185",
   "drug": "Meropenem",
   "specialty": "Infectious Disease",
   "median_x": 1.169,
   "lo": 0.55,
   "hi": 8.71,
   "payers": 56,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "Q5100",
   "drug": "Yesintek (ustekinumab-kfce)",
   "specialty": null,
   "median_x": 7.502,
   "lo": 0.79,
   "hi": 9.42,
   "payers": 54,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": true
  },
  {
   "code": "J7510",
   "drug": "Prednisolone sodium phosphate",
   "specialty": null,
   "median_x": 1.184,
   "lo": 0.54,
   "hi": 6.83,
   "payers": 48,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J7612",
   "drug": "Levalbuterol concentrate (levalbuterol hcl)",
   "specialty": "Pulmonary Disease",
   "median_x": 1.108,
   "lo": 0.61,
   "hi": 7.49,
   "payers": 55,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9390",
   "drug": "Vinorelbine tartrate",
   "specialty": "Medical Oncology",
   "median_x": 1.268,
   "lo": 0.57,
   "hi": 7.68,
   "payers": 57,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J9323",
   "drug": "Pemetrexed disodium",
   "specialty": null,
   "median_x": 1.04,
   "lo": 0.8,
   "hi": 5.12,
   "payers": 50,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0595",
   "drug": "Butorphanol tartrate",
   "specialty": "Family Practice",
   "median_x": 0.598,
   "lo": 0.53,
   "hi": 3.43,
   "payers": 44,
   "spend_m": 0.0,
   "is_skin": false,
   "is_biosim": false
  },
  {
   "code": "J0136",
   "drug": "Acetaminophen",
   "specialty": null,
   "median_x": 1.277,
   "lo": 1.28,
   "hi": 3.62,
   "payers": 27,
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   "payer": "regence",
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   "payer": "uhc",
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  {
   "payer": "wellmark",
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   "payer": "wellmark",
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  {
   "payer": "wellmark",
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 ],
 "steering": {
  "n_policies": 19,
  "med_pref": 1.072,
  "med_nonpref": 1.119,
  "ratio": 0.912,
  "pref_pays_less": 12
 },
 "policy_gap": {
  "no_policy": [
   {
    "parent": "bcbs_nc",
    "cells": 43198,
    "pct": 6.08
   },
   {
    "parent": "bcbs_az",
    "cells": 17394,
    "pct": 2.45
   },
   {
    "parent": "bcbs_carefirst",
    "cells": 17203,
    "pct": 2.42
   },
   {
    "parent": "harvard_pilgrim",
    "cells": 9170,
    "pct": 1.29
   },
   {
    "parent": "bcbs_id",
    "cells": 5660,
    "pct": 0.8
   },
   {
    "parent": "bcbs_al",
    "cells": 4711,
    "pct": 0.66
   },
   {
    "parent": "bcbs_wy",
    "cells": 4606,
    "pct": 0.65
   },
   {
    "parent": "bcbs_nd",
    "cells": 3269,
    "pct": 0.46
   },
   {
    "parent": "bcbs_ri",
    "cells": 2334,
    "pct": 0.33
   },
   {
    "parent": "bcbs_kc",
    "cells": 1609,
    "pct": 0.23
   },
   {
    "parent": "bcbs_vt",
    "cells": 158,
    "pct": 0.02
   }
  ],
  "coverage_pct": 84.6,
  "policy_payers": 31,
  "policy_drugs": 36,
  "policy_asof": "2026-08-02"
 },
 "bands": {
  "spread": {
   "median_x": 1.16,
   "n_markets": 9183,
   "ci95": [
    1.156,
    1.164
   ]
  },
  "spread_minp8_reference": {
   "median_x": 1.15,
   "n_markets": 7988,
   "ci95": [
    1.149,
    1.156
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  },
  "index": {
   "median_x": 1.0146,
   "n_cells": 829646,
   "n_payers": 61,
   "ci95_x100": [
    100.1,
    103.0
   ]
  },
  "method": "95% bootstrap CIs. Same-Drug Spread: resample drug-state markets with replacement (2000 reps) and take the median spread. Index: resample whole insurers (payer clusters, 1000 reps) and take the median x ASP across their cells - cells within one insurer are not independent, so we resample insurers, not rows."
 },
 "reference_lines": {
  "lines": [
   {
    "x": 1.0,
    "label": "ASP \u2014 nominal",
    "share_spend_below": 56.5
   },
   {
    "x": 1.027,
    "label": "typical non-340B acquisition (CMS ODACS)",
    "share_spend_below": 85.0
   },
   {
    "x": 1.043,
    "label": "Medicare after sequestration",
    "share_spend_below": 92.0
   },
   {
    "x": 1.06,
    "label": "Medicare statutory ASP+6%",
    "share_spend_below": 94.3
   }
  ],
  "n_below_acquisition": 477,
  "spend_below_acquisition_b": 35.8,
  "total_spend_b": 42.0,
  "drugs": 723,
  "note": "Skin substitutes are excluded here, as everywhere this report draws a conclusion: their prices are administratively set rather than ASP-anchored. Including them, the share below acquisition would read 87.1% of $53.4B \u2014 the exclusion makes the headline smaller, not larger. Underwater is defined against typical acquisition (102.7), not bare ASP, because a practice rarely buys at exactly ASP."
 },
 "underwater_acq": [
  {
   "code": "J9271",
   "drug": "Keytruda",
   "median_x": 1.01,
   "payers": 58,
   "spend_m": 4716.0
  },
  {
   "code": "J9144",
   "drug": "Darzalex Faspro",
   "median_x": 0.986,
   "payers": 58,
   "spend_m": 2311.0
  },
  {
   "code": "J0897",
   "drug": "Prolia",
   "median_x": 0.98,
   "payers": 59,
   "spend_m": 1976.0
  },
  {
   "code": "J2777",
   "drug": "Vabysmo",
   "median_x": 1.016,
   "payers": 57,
   "spend_m": 1771.0
  },
  {
   "code": "J9299",
   "drug": "Opdivo",
   "median_x": 0.982,
   "payers": 58,
   "spend_m": 1514.0
  },
  {
   "code": "J9173",
   "drug": "Imfinzi",
   "median_x": 0.981,
   "payers": 57,
   "spend_m": 823.0
  },
  {
   "code": "J0896",
   "drug": "Reblozyl",
   "median_x": 0.983,
   "payers": 57,
   "spend_m": 727.0
  },
  {
   "code": "J0129",
   "drug": "Orencia",
   "median_x": 0.976,
   "payers": 58,
   "spend_m": 718.0
  },
  {
   "code": "J3111",
   "drug": "Evenity",
   "median_x": 0.957,
   "payers": 58,
   "spend_m": 651.0
  },
  {
   "code": "J3380",
   "drug": "Entyvio",
   "median_x": 0.988,
   "payers": 59,
   "spend_m": 574.0
  },
  {
   "code": "J1569",
   "drug": "Gammagard Liquid",
   "median_x": 0.995,
   "payers": 58,
   "spend_m": 570.0
  },
  {
   "code": "J9358",
   "drug": "Enhertu",
   "median_x": 0.952,
   "payers": 58,
   "spend_m": 552.0
  },
  {
   "code": "J9177",
   "drug": "Padcev",
   "median_x": 1.002,
   "payers": 58,
   "spend_m": 538.0
  },
  {
   "code": "J1303",
   "drug": "Ultomiris",
   "median_x": 0.988,
   "payers": 56,
   "spend_m": 535.0
  },
  {
   "code": "J2350",
   "drug": "Ocrevus",
   "median_x": 0.978,
   "payers": 58,
   "spend_m": 475.0
  },
  {
   "code": "J1561",
   "drug": "Gammaked",
   "median_x": 1.015,
   "payers": 57,
   "spend_m": 472.0
  },
  {
   "code": "J9022",
   "drug": "Tecentriq",
   "median_x": 0.982,
   "payers": 58,
   "spend_m": 459.0
  },
  {
   "code": "J0225",
   "drug": "Amvuttra",
   "median_x": 1.001,
   "payers": 56,
   "spend_m": 457.0
  },
  {
   "code": "J9228",
   "drug": "Yervoy",
   "median_x": 0.983,
   "payers": 57,
   "spend_m": 422.0
  },
  {
   "code": "J0585",
   "drug": "Botox",
   "median_x": 1.001,
   "payers": 59,
   "spend_m": 395.0
  }
 ],
 "spread_decomposition": {
  "between_carrier_p90p10": 1.202,
  "median_distinct_prices_within_a_carrier": 9.0,
  "share_carrier_markets_with_one_price": 0.115,
  "markets": 44184,
  "note": "Between-carrier dispersion is what a practice cannot negotiate away \u2014 it is which contract you are on. Within-carrier price count is the negotiable part: where a carrier holds one price for everyone there is nothing to win at the table."
 },
 "lookup_confidence": {
  "J9027": {
   "payers": 50,
   "med_tin": 152.0,
   "thin": false
  },
  "Q4201": {
   "payers": 49,
   "med_tin": 122.0,
   "thin": false
  },
  "J2010": {
   "payers": 56,
   "med_tin": 153.0,
   "thin": false
  },
  "J7631": {
   "payers": 54,
   "med_tin": 123.0,
   "thin": false
  },
  "Q5116": {
   "payers": 54,
   "med_tin": 138.0,
   "thin": false
  },
  "Q4186": {
   "payers": 58,
   "med_tin": 121.0,
   "thin": false
  },
  "J7402": {
   "payers": 55,
   "med_tin": 165.0,
   "thin": false
  },
  "J7120": {
   "payers": 56,
   "med_tin": 145.0,
   "thin": false
  },
  "J9272": {
   "payers": 57,
   "med_tin": 145.0,
   "thin": false
  },
  "Q9961": {
   "payers": 55,
   "med_tin": 132.0,
   "thin": false
  },
  "Q5107": {
   "payers": 58,
   "med_tin": 131.0,
   "thin": false
  },
  "J1954": {
   "payers": 54,
   "med_tin": 137.0,
   "thin": false
  },
  "J7351": {
   "payers": 58,
   "med_tin": 159.0,
   "thin": false
  },
  "J2246": {
   "payers": 48,
   "med_tin": 123.0,
   "thin": false
  },
  "J2545": {
   "payers": 56,
   "med_tin": 144.0,
   "thin": false
  },
  "J0558": {
   "payers": 57,
   "med_tin": 145.0,
   "thin": false
  },
  "Q4163": {
   "payers": 50,
   "med_tin": 120.0,
   "thin": false
  },
  "J0895": {
   "payers": 55,
   "med_tin": 147.0,
   "thin": false
  },
  "J9211": {
   "payers": 55,
   "med_tin": 145.0,
   "thin": false
  },
  "Q4102": {
   "payers": 54,
   "med_tin": 118.0,
   "thin": false
  },
  "J9178": {
   "payers": 55,
   "med_tin": 130.0,
   "thin": false
  },
  "Q4195": {
   "payers": 52,
   "med_tin": 121.0,
   "thin": false
  },
  "J1576": {
   "payers": 50,
   "med_tin": 146.0,
   "thin": false
  },
  "J0283": {
   "payers": 55,
   "med_tin": 146.0,
   "thin": false
  },
  "J7198": {
   "payers": 54,
   "med_tin": 155.0,
   "thin": false
  },
  "J9054": {
   "payers": 54,
   "med_tin": 136.0,
   "thin": false
  },
  "J0791": {
   "payers": 57,
   "med_tin": 147.0,
   "thin": false
  },
  "J7517": {
   "payers": 51,
   "med_tin": 131.0,
   "thin": false
  },
  "Q4346": {
   "payers": 34,
   "med_tin": 146.0,
   "thin": false
  },
  "J0885": {
   "payers": 58,
   "med_tin": 145.0,
   "thin": false
  },
  "Q5133": {
   "payers": 50,
   "med_tin": 158.0,
   "thin": false
  },
  "J9055": {
   "payers": 58,
   "med_tin": 140.0,
   "thin": false
  },
  "J2800": {
   "payers": 57,
   "med_tin": 146.0,
   "thin": false
  },
  "J1120": {
   "payers": 56,
   "med_tin": 152.0,
   "thin": false
  },
  "J9201": {
   "payers": 57,
   "med_tin": 132.0,
   "thin": false
  },
  "J2359": {
   "payers": 50,
   "med_tin": 131.0,
   "thin": false
  },
  "J0834": {
   "payers": 57,
   "med_tin": 140.0,
   "thin": false
  },
  "J2274": {
   "payers": 54,
   "med_tin": 152.0,
   "thin": false
  },
  "J3415": {
   "payers": 53,
   "med_tin": 146.0,
   "thin": false
  },
  "J2183": {
   "payers": 49,
   "med_tin": 158.0,
   "thin": false
  },
  "Q4115": {
   "payers": 49,
   "med_tin": 123.0,
   "thin": false
  },
  "J9061": {
   "payers": 57,
   "med_tin": 145.0,
   "thin": false
  },
  "Q4253": {
   "payers": 51,
   "med_tin": 121.0,
   "thin": false
  },
  "Q5118": {
   "payers": 57,
   "med_tin": 138.0,
   "thin": false
  },
  "J1571": {
   "payers": 56,
   "med_tin": 145.0,
   "thin": false
  },
  "Q4266": {
   "payers": 37,
   "med_tin": 119.0,
   "thin": false
  },
  "J1240": {
   "payers": 36,
   "med_tin": 118.0,
   "thin": false
  },
  "Q4309": {
   "payers": 38,
   "med_tin": 114.0,
   "thin": false
  },
  "Q4367": {
   "payers": 33,
   "med_tin": 123.0,
   "thin": false
  },
  "J9351": {
   "payers": 46,
   "med_tin": 104.0,
   "thin": false
  },
  "J9297": {
   "payers": 22,
   "med_tin": 65.0,
   "thin": false
  },
  "J1308": {
   "payers": 1,
   "med_tin": 3492.0,
   "thin": true
  },
  "J1410": {
   "payers": 57,
   "med_tin": 149.0,
   "thin": false
  },
  "J2805": {
   "payers": 57,
   "med_tin": 140.0,
   "thin": false
  },
  "J0582": {
   "payers": 46,
   "med_tin": 114.0,
   "thin": false
  },
  "J3375": {
   "payers": 51,
   "med_tin": 116.0,
   "thin": false
  },
  "J9185": {
   "payers": 32,
   "med_tin": 103.0,
   "thin": false
  },
  "J9268": {
   "payers": 56,
   "med_tin": 145.0,
   "thin": false
  },
  "J7525": {
   "payers": 55,
   "med_tin": 149.0,
   "thin": false
  },
  "Q5117": {
   "payers": 57,
   "med_tin": 138.0,
   "thin": false
  },
  "J1630": {
   "payers": 55,
   "med_tin": 110.0,
   "thin": false
  },
  "Q9999": {
   "payers": 47,
   "med_tin": 158.0,
   "thin": false
  },
  "J1448": {
   "payers": 57,
   "med_tin": 147.0,
   "thin": false
  },
  "J0687": {
   "payers": 49,
   "med_tin": 114.0,
   "thin": false
  },
  "J0583": {
   "payers": 55,
   "med_tin": 122.0,
   "thin": false
  },
  "Q4350": {
   "payers": 35,
   "med_tin": 144.0,
   "thin": false
  },
  "J7340": {
   "payers": 54,
   "med_tin": 150.0,
   "thin": false
  },
  "J1290": {
   "payers": 55,
   "med_tin": 152.0,
   "thin": false
  },
  "J2997": {
   "payers": 58,
   "med_tin": 147.0,
   "thin": false
  },
  "Q4297": {
   "payers": 34,
   "med_tin": 124.0,
   "thin": false
  },
  "J1626": {
   "payers": 55,
   "med_tin": 119.0,
   "thin": false
  },
  "J2403": {
   "payers": 56,
   "med_tin": 125.0,
   "thin": false
  },
  "J9280": {
   "payers": 57,
   "med_tin": 139.0,
   "thin": false
  },
  "Q4283": {
   "payers": 35,
   "med_tin": 123.0,
   "thin": false
  },
  "J0217": {
   "payers": 49,
   "med_tin": 165.0,
   "thin": false
  },
  "J7313": {
   "payers": 57,
   "med_tin": 151.0,
   "thin": false
  },
  "J0561": {
   "payers": 57,
   "med_tin": 149.0,
   "thin": false
  },
  "J9248": {
   "payers": 49,
   "med_tin": 146.0,
   "thin": false
  },
  "Q9998": {
   "payers": 53,
   "med_tin": 148.0,
   "thin": false
  },
  "J8501": {
   "payers": 53,
   "med_tin": 146.0,
   "thin": false
  },
  "J3055": {
   "payers": 51,
   "med_tin": 150.0,
   "thin": false
  },
  "Q4262": {
   "payers": 51,
   "med_tin": 120.0,
   "thin": false
  },
  "Q4316": {
   "payers": 35,
   "med_tin": 134.0,
   "thin": false
  },
  "Q4259": {
   "payers": 36,
   "med_tin": 120.0,
   "thin": false
  },
  "J0165": {
   "payers": 51,
   "med_tin": 113.0,
   "thin": false
  },
  "Q4155": {
   "payers": 45,
   "med_tin": 168.0,
   "thin": false
  },
  "J1449": {
   "payers": 55,
   "med_tin": 146.0,
   "thin": false
  },
  "J9076": {
   "payers": 55,
   "med_tin": 145.0,
   "thin": false
  },
  "J9334": {
   "payers": 51,
   "med_tin": 157.0,
   "thin": false
  },
  "J7204": {
   "payers": 54,
   "med_tin": 156.0,
   "thin": false
  },
  "Q4232": {
   "payers": 52,
   "med_tin": 118.0,
   "thin": false
  },
  "J2280": {
   "payers": 55,
   "med_tin": 147.0,
   "thin": false
  },
  "J7323": {
   "payers": 58,
   "med_tin": 149.0,
   "thin": false
  },
  "J1271": {
   "payers": 53,
   "med_tin": 115.0,
   "thin": false
  },
  "J9311": {
   "payers": 57,
   "med_tin": 142.0,
   "thin": false
  },
  "J9100": {
   "payers": 55,
   "med_tin": 114.0,
   "thin": false
  },
  "Q4290": {
   "payers": 37,
   "med_tin": 131.0,
   "thin": false
  },
  "J0894": {
   "payers": 55,
   "med_tin": 114.0,
   "thin": false
  },
  "J1740": {
   "payers": 32,
   "med_tin": 99.0,
   "thin": false
  },
  "Q4187": {
   "payers": 51,
   "med_tin": 114.0,
   "thin": false
  },
  "J9181": {
   "payers": 57,
   "med_tin": 139.0,
   "thin": false
  },
  "J1741": {
   "payers": 54,
   "med_tin": 146.0,
   "thin": false
  },
  "J0131": {
   "payers": 42,
   "med_tin": 175.0,
   "thin": false
  },
  "Q4328": {
   "payers": 35,
   "med_tin": 135.0,
   "thin": false
  },
  "Q4203": {
   "payers": 31,
   "med_tin": 138.0,
   "thin": false
  },
  "Q5124": {
   "payers": 17,
   "med_tin": 82.0,
   "thin": false
  },
  "J1456": {
   "payers": 2,
   "med_tin": 73.0,
   "thin": true
  },
  "J2791": {
   "payers": 58,
   "med_tin": 144.0,
   "thin": false
  },
  "J9227": {
   "payers": 56,
   "med_tin": 145.0,
   "thin": false
  },
  "J9118": {
   "payers": 56,
   "med_tin": 146.0,
   "thin": false
  },
  "Q4303": {
   "payers": 36,
   "med_tin": 157.0,
   "thin": false
  },
  "J9047": {
   "payers": 57,
   "med_tin": 145.0,
   "thin": false
  },
  "J2356": {
   "payers": 56,
   "med_tin": 148.0,
   "thin": false
  },
  "J2184": {
   "payers": 55,
   "med_tin": 147.0,
   "thin": false
  },
  "J9308": {
   "payers": 57,
   "med_tin": 142.0,
   "thin": false
  },
  "J7312": {
   "payers": 57,
   "med_tin": 153.0,
   "thin": false
  },
  "J3240": {
   "payers": 58,
   "med_tin": 146.0,
   "thin": false
  },
  "J0129": {
   "payers": 58,
   "med_tin": 142.0,
   "thin": false
  },
  "Q4355": {
   "payers": 30,
   "med_tin": 110.0,
   "thin": false
  },
  "J0280": {
   "payers": 53,
   "med_tin": 155.0,
   "thin": false
  },
  "J3471": {
   "payers": 52,
   "med_tin": 121.0,
   "thin": false
  },
  "J2351": {
   "payers": 54,
   "med_tin": 146.0,
   "thin": false
  },
  "J0713": {
   "payers": 56,
   "med_tin": 145.0,
   "thin": false
  },
  "Q4325": {
   "payers": 36,
   "med_tin": 125.0,
   "thin": false
  },
  "J2781": {
   "payers": 51,
   "med_tin": 168.0,
   "thin": false
  },
  "J9328": {
   "payers": 55,
   "med_tin": 146.0,
   "thin": false
  },
  "J3247": {
   "payers": 50,
   "med_tin": 155.0,
   "thin": false
  },
  "J7212": {
   "payers": 54,
   "med_tin": 157.0,
   "thin": false
  },
  "Q4148": {
   "payers": 51,
   "med_tin": 118.0,
   "thin": false
  },
  "J9307": {
   "payers": 56,
   "med_tin": 140.0,
   "thin": false
  },
  "J1931": {
   "payers": 55,
   "med_tin": 148.0,
   "thin": false
  },
  "J7611": {
   "payers": 57,
   "med_tin": 116.0,
   "thin": false
  },
  "J9208": {
   "payers": 56,
   "med_tin": 145.0,
   "thin": false
  },
  "J0717": {
   "payers": 57,
   "med_tin": 149.0,
   "thin": false
  },
  "J9040": {
   "payers": 57,
   "med_tin": 133.0,
   "thin": false
  },
  "J3430": {
   "payers": 56,
   "med_tin": 145.0,
   "thin": false
  },
  "J0697": {
   "payers": 56,
   "med_tin": 145.0,
   "thin": false
  },
  "J0515": {
   "payers": 56,
   "med_tin": 147.0,
   "thin": false
  },
  "J9394": {
   "payers": 54,
   "med_tin": 141.0,
   "thin": false
  },
  "J2507": {
   "payers": 57,
   "med_tin": 147.0,
   "thin": false
  },
  "J9299": {
   "payers": 58,
   "med_tin": 138.0,
   "thin": false
  },
  "Q4282": {
   "payers": 39,
   "med_tin": 121.0,
   "thin": false
  },
  "J3315": {
   "payers": 57,
   "med_tin": 145.0,
   "thin": false
  },
  "J0714": {
   "payers": 56,
   "med_tin": 147.0,
   "thin": false
  },
  "J1952": {
   "payers": 57,
   "med_tin": 146.0,
   "thin": false
  },
  "J0462": {
   "payers": 47,
   "med_tin": 115.0,
   "thin": false
  },
  "Q4222": {
   "payers": 50,
   "med_tin": 131.0,
   "thin": false
  },
  "J2373": {
   "payers": 48,
   "med_tin": 131.0,
   "thin": false
  },
  "J9209": {
   "payers": 57,
   "med_tin": 140.0,
   "thin": false
  },
  "Q2041": {
   "payers": 36,
   "med_tin": 159.0,
   "thin": false
  },
  "J9039": {
   "payers": 57,
   "med_tin": 145.0,
   "thin": false
  },
  "J9353": {
   "payers": 55,
   "med_tin": 146.0,
   "thin": false
  },
  "Q5104": {
   "payers": 58,
   "med_tin": 145.0,
   "thin": false
  },
  "J0577": {
   "payers": 50,
   "med_tin": 161.0,
   "thin": false
  },
  "J2760": {
   "payers": 56,
   "med_tin": 147.0,
   "thin": false
  },
  "J1813": {
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  "J2794": {
   "payers": 56,
   "med_tin": 146.0,
   "thin": false
  },
  "Q4298": {
   "payers": 36,
   "med_tin": 135.0,
   "thin": false
  },
  "J0739": {
   "payers": 57,
   "med_tin": 147.0,
   "thin": false
  },
  "J2865": {
   "payers": 15,
   "med_tin": 69.0,
   "thin": false
  },
  "Q0162": {
   "payers": 6,
   "med_tin": 157.0,
   "thin": true
  }
 },
 "benchmark_changes": {
  "as_of": "2026-08-12",
  "items": [
   {
    "title": "IRA negotiation reaches Part B drugs",
    "body": "CMS selected 15 drugs for the 2026 cycle spanning Part B and Part D, with Maximum Fair Prices effective 1 Jan 2028 \u2014 the first cycle to include physician-administered drugs. For a negotiated Part B drug, MFP replaces ASP+6% as the benchmark, so the \u00d7ASP frame in this report stops applying to exactly the highest-spend single-source drugs.",
    "source": "CMS / KFF"
   },
   {
    "title": "340B rebate pilot changes the cash-flow shape",
    "body": "HRSA re-issued the rebate model on 3 Aug 2026: participating drugs are purchased at wholesale acquisition cost, with a rebate paid back to the 340B ceiling price. Voluntary for manufacturers, scheduled to begin 1 Jan 2027 and tied to the MFP drug list. Buy-at-WAC-then-wait inverts the upfront-discount assumption behind this report's 340B caveat.",
    "source": "HRSA"
   },
   {
    "title": "CY2027 OPPS proposes a ~40% cut to 340B drug payment",
    "body": "The proposed rule would pay 340B-acquired drugs at ASP\u221233.4% rather than ASP+6%, alongside new site-neutral provisions. For 340B hospital outpatient sites the paid side moves sharply \u2014 the other half of a margin this report cannot yet see. Comments were open through 31 Aug 2026.",
    "source": "CMS proposed rule / AHA"
   }
  ],
  "note": "ASP+6% is a moving denominator. These are the changes that would alter the benchmark itself, not the rates measured against it."
 },
 "ira_baseline": {
  "drugs": [
   {
    "code": "J0129",
    "brand": "Orencia",
    "generic": "abatacept",
    "payers": 58,
    "median_x": 0.976,
    "x10": 0.962,
    "x90": 1.212,
    "dollars_per_unit": 44.77,
    "cells": 1056,
    "partb_spend_m": 718
   },
   {
    "code": "J3380",
    "brand": "Entyvio",
    "generic": "vedolizumab",
    "payers": 59,
    "median_x": 0.988,
    "x10": 0.97,
    "x90": 1.224,
    "dollars_per_unit": 21.37,
    "cells": 1053,
    "partb_spend_m": 574
   },
   {
    "code": "J2357",
    "brand": "Xolair",
    "generic": "omalizumab",
    "payers": 58,
    "median_x": 0.977,
    "x10": 0.898,
    "x90": 1.105,
    "dollars_per_unit": 45.5,
    "cells": 1041,
    "partb_spend_m": 316
   },
   {
    "code": "J0585",
    "brand": "Botox",
    "generic": "onabotulinumtoxinA",
    "payers": 59,
    "median_x": 1.001,
    "x10": 0.962,
    "x90": 1.2,
    "dollars_per_unit": 6.51,
    "cells": 1063,
    "partb_spend_m": 395
   },
   {
    "code": "J0717",
    "brand": "Cimzia",
    "generic": "certolizumab pegol",
    "payers": 57,
    "median_x": 1.135,
    "x10": 1.1,
    "x90": 2.2,
    "dollars_per_unit": 3.91,
    "cells": 1020,
    "partb_spend_m": 274
   },
   {
    "code": "J3247",
    "brand": "Cosentyx",
    "generic": "secukinumab",
    "payers": 50,
    "median_x": 0.991,
    "x10": 0.978,
    "x90": 1.122,
    "dollars_per_unit": 18.07,
    "cells": 928,
    "partb_spend_m": 127
   }
  ],
  "selected": "2026-01-27",
  "mfp_effective": "2028-01-01",
  "note": "The first Part B drugs ever selected for Medicare price negotiation. From 2028 their benchmark becomes the negotiated Maximum Fair Price, not ASP+6% \u2014 CMS will publish only 106% of MFP for them. This table is the commercial baseline before that happens."
 },
 "rand_reconciliation": {
  "inputs": {
   "institutional_median_x": 1.083,
   "professional_median_x": 1.011,
   "derived_perdiem_median_x": 1.064,
   "institutional_p90": 2.4,
   "percent_of_charge_cells": 0
  },
  "body": "Widely cited claims-based studies (RAND's hospital price studies; Sage) put commercial administered-drug prices at 200-280% of ASP. This report says 101.5. Both are right, because they measure different instruments. Those studies measure amounts PAID on hospital claims, where percent-of-charge contracts dominate; this report measures CONTRACTED dollar rates in payers' machine-readable files. Percent-of-charge arrangements are published as percentage arrangements, not dollar rates - across 3.95 million cells in this corpus there are exactly zero percent-of-charge dollar cells, so that contract type is structurally invisible to this instrument. Where hospital (institutional) rates ARE dollar-denominated, they run a median of 1.083x ASP with a 90th percentile of 2.4x - higher and far wider than professional rates, pointing in the direction of the claims-based numbers without reaching them. Read this report as the fee-schedule floor of the market, not the paid-claims ceiling."
 },
 "risk_list": {
  "method": "CareCost Risk Score 0-100: rank-weighted blend of Part B spend (45%), reimbursement deficit vs the 102.7 acquisition benchmark (40%), and between-payer dispersion (15%). Drugs under $50M spend or under 15 payers excluded, along with skin substitutes, whose prices are administratively set rather than ASP-anchored and which this report scopes out throughout.",
  "acq_benchmark": 102.7,
  "drugs": [
   {
    "code": "J9358",
    "drug": "Enhertu",
    "index": 95.2,
    "payer_p90p10": 1.14,
    "payers": 58,
    "spend_m": 552.0,
    "gap_per_100k": -7291.0,
    "risk_score": 82.8
   },
   {
    "code": "J2353",
    "drug": "Octreotide Acetate Er",
    "index": 96.6,
    "payer_p90p10": 1.216,
    "payers": 58,
    "spend_m": 343.0,
    "gap_per_100k": -5925.0,
    "risk_score": 82.2
   },
   {
    "code": "J0129",
    "drug": "Orencia",
    "index": 97.6,
    "payer_p90p10": 1.197,
    "payers": 58,
    "spend_m": 718.0,
    "gap_per_100k": -4941.0,
    "risk_score": 82.1
   },
   {
    "code": "J1930",
    "drug": "Lanreotide Acetate",
    "index": 95.4,
    "payer_p90p10": 1.268,
    "payers": 56,
    "spend_m": 237.0,
    "gap_per_100k": -7072.0,
    "risk_score": 79.8
   },
   {
    "code": "J2781",
    "drug": "Syfovre",
    "index": 96.2,
    "payer_p90p10": 1.156,
    "payers": 51,
    "spend_m": 339.0,
    "gap_per_100k": -6345.0,
    "risk_score": 79.5
   },
   {
    "code": "J3111",
    "drug": "Evenity",
    "index": 95.7,
    "payer_p90p10": 1.114,
    "payers": 58,
    "spend_m": 651.0,
    "gap_per_100k": -6774.0,
    "risk_score": 78.9
   },
   {
    "code": "J9173",
    "drug": "Imfinzi",
    "index": 98.1,
    "payer_p90p10": 1.156,
    "payers": 57,
    "spend_m": 823.0,
    "gap_per_100k": -4489.0,
    "risk_score": 76.9
   },
   {
    "code": "J2350",
    "drug": "Ocrevus",
    "index": 97.8,
    "payer_p90p10": 1.154,
    "payers": 58,
    "spend_m": 475.0,
    "gap_per_100k": -4817.0,
    "risk_score": 75.4
   },
   {
    "code": "J0897",
    "drug": "Prolia",
    "index": 98.0,
    "payer_p90p10": 1.132,
    "payers": 59,
    "spend_m": 1976.0,
    "gap_per_100k": -4541.0,
    "risk_score": 75.2
   },
   {
    "code": "J2357",
    "drug": "Xolair",
    "index": 97.7,
    "payer_p90p10": 1.221,
    "payers": 58,
    "spend_m": 316.0,
    "gap_per_100k": -4903.0,
    "risk_score": 74.7
   },
   {
    "code": "J2802",
    "drug": "Nplate",
    "index": 95.6,
    "payer_p90p10": 1.133,
    "payers": 55,
    "spend_m": 316.0,
    "gap_per_100k": -6879.0,
    "risk_score": 73.8
   },
   {
    "code": "J9299",
    "drug": "Opdivo",
    "index": 98.2,
    "payer_p90p10": 1.143,
    "payers": 58,
    "spend_m": 1514.0,
    "gap_per_100k": -4342.0,
    "risk_score": 73.5
   },
   {
    "code": "J9047",
    "drug": "Kyprolis",
    "index": 94.5,
    "payer_p90p10": 1.129,
    "payers": 57,
    "spend_m": 291.0,
    "gap_per_100k": -7944.0,
    "risk_score": 73.3
   },
   {
    "code": "J3380",
    "drug": "Entyvio",
    "index": 98.8,
    "payer_p90p10": 1.205,
    "payers": 59,
    "spend_m": 574.0,
    "gap_per_100k": -3764.0,
    "risk_score": 72.3
   },
   {
    "code": "J2507",
    "drug": "Krystexxa",
    "index": 97.3,
    "payer_p90p10": 1.157,
    "payers": 57,
    "spend_m": 241.0,
    "gap_per_100k": -5226.0,
    "risk_score": 70.1
   },
   {
    "code": "J9309",
    "drug": "Polivy",
    "index": 95.6,
    "payer_p90p10": 1.143,
    "payers": 57,
    "spend_m": 188.0,
    "gap_per_100k": -6955.0,
    "risk_score": 69.6
   },
   {
    "code": "J1569",
    "drug": "Gammagard Liquid",
    "index": 99.5,
    "payer_p90p10": 1.228,
    "payers": 58,
    "spend_m": 570.0,
    "gap_per_100k": -3069.0,
    "risk_score": 69.3
   },
   {
    "code": "J0896",
    "drug": "Reblozyl",
    "index": 98.3,
    "payer_p90p10": 1.131,
    "payers": 57,
    "spend_m": 727.0,
    "gap_per_100k": -4294.0,
    "risk_score": 68.9
   },
   {
    "code": "J9144",
    "drug": "Darzalex Faspro",
    "index": 98.6,
    "payer_p90p10": 1.127,
    "payers": 58,
    "spend_m": 2311.0,
    "gap_per_100k": -3988.0,
    "risk_score": 68.7
   },
   {
    "code": "J9022",
    "drug": "Tecentriq",
    "index": 98.2,
    "payer_p90p10": 1.142,
    "payers": 58,
    "spend_m": 459.0,
    "gap_per_100k": -4345.0,
    "risk_score": 68.3
   },
   {
    "code": "Q5115",
    "drug": "Truxima",
    "index": 89.8,
    "payer_p90p10": 1.482,
    "payers": 57,
    "spend_m": 98.0,
    "gap_per_100k": -12526.0,
    "risk_score": 68.2
   },
   {
    "code": "J9042",
    "drug": "Adcetris",
    "index": 96.2,
    "payer_p90p10": 1.164,
    "payers": 58,
    "spend_m": 142.0,
    "gap_per_100k": -6283.0,
    "risk_score": 68.2
   },
   {
    "code": "J9228",
    "drug": "Yervoy",
    "index": 98.3,
    "payer_p90p10": 1.149,
    "payers": 57,
    "spend_m": 422.0,
    "gap_per_100k": -4297.0,
    "risk_score": 68.0
   },
   {
    "code": "J1559",
    "drug": "Hizentra",
    "index": 97.7,
    "payer_p90p10": 1.153,
    "payers": 57,
    "spend_m": 247.0,
    "gap_per_100k": -4873.0,
    "risk_score": 67.2
   },
   {
    "code": "J1459",
    "drug": "Privigen",
    "index": 99.1,
    "payer_p90p10": 1.213,
    "payers": 57,
    "spend_m": 360.0,
    "gap_per_100k": -3538.0,
    "risk_score": 67.1
   }
  ]
 },
 "payer_scorecard": [
  {
   "payer": "bcbs_il",
   "index": 166.1,
   "brand_index": 166.0,
   "biosim_index": 170.7,
   "vs_acquisition_pct": 61.7,
   "grade": "A",
   "variability": "High",
   "drugs": 713,
   "states": 8,
   "cells": 1036,
   "display": "BlueCross BlueShield of Illinois"
  },
  {
   "payer": "anthem_co",
   "index": 132.5,
   "brand_index": 131.6,
   "biosim_index": 154.8,
   "vs_acquisition_pct": 29.0,
   "grade": "A",
   "variability": "Medium",
   "drugs": 890,
   "states": 8,
   "cells": 2088,
   "display": "anthem_co"
  },
  {
   "payer": "bcbs_wy",
   "index": 132.3,
   "brand_index": 130.8,
   "biosim_index": 210.1,
   "vs_acquisition_pct": 28.8,
   "grade": "A",
   "variability": "Low",
   "drugs": 911,
   "states": 7,
   "cells": 4606,
   "display": "BlueCross BlueShield of Wyoming"
  },
  {
   "payer": "bcbs_sc",
   "index": 124.7,
   "brand_index": 124.1,
   "biosim_index": 196.1,
   "vs_acquisition_pct": 21.5,
   "grade": "A",
   "variability": "Low",
   "drugs": 869,
   "states": 6,
   "cells": 5530,
   "display": "BlueCross BlueShield of South Carolina"
  },
  {
   "payer": "hmsa",
   "index": 124.1,
   "brand_index": 123.3,
   "biosim_index": 141.9,
   "vs_acquisition_pct": 20.8,
   "grade": "A",
   "variability": "Low",
   "drugs": 874,
   "states": 5,
   "cells": 4232,
   "display": "HMSA (BCBS Hawaii)"
  },
  {
   "payer": "regence_id",
   "index": 118.4,
   "brand_index": 118.5,
   "biosim_index": 118.2,
   "vs_acquisition_pct": 15.3,
   "grade": "A",
   "variability": "Low",
   "drugs": 714,
   "states": 6,
   "cells": 4514,
   "display": "regence_id"
  },
  {
   "payer": "premera",
   "index": 114.9,
   "brand_index": 114.0,
   "biosim_index": 156.4,
   "vs_acquisition_pct": 11.9,
   "grade": "A",
   "variability": "Low",
   "drugs": 897,
   "states": 9,
   "cells": 9196,
   "display": "Premera Blue Cross"
  },
  {
   "payer": "bcbs_ne",
   "index": 113.2,
   "brand_index": 113.2,
   "biosim_index": 121.8,
   "vs_acquisition_pct": 10.2,
   "grade": "A",
   "variability": "Low",
   "drugs": 932,
   "states": 7,
   "cells": 7455,
   "display": "BlueCross BlueShield of Nebraska"
  },
  {
   "payer": "bcbs_tx",
   "index": 113.2,
   "brand_index": 113.2,
   "biosim_index": 132.2,
   "vs_acquisition_pct": 10.2,
   "grade": "A",
   "variability": "Low",
   "drugs": 781,
   "states": 28,
   "cells": 6255,
   "display": "BlueCross BlueShield of Texas"
  },
  {
   "payer": "bcbs_ok",
   "index": 112.4,
   "brand_index": 112.1,
   "biosim_index": 167.0,
   "vs_acquisition_pct": 9.4,
   "grade": "A",
   "variability": "High",
   "drugs": 630,
   "states": 3,
   "cells": 1035,
   "display": "BlueCross BlueShield of Oklahoma"
  },
  {
   "payer": "regence_ut",
   "index": 109.7,
   "brand_index": 109.7,
   "biosim_index": 111.8,
   "vs_acquisition_pct": 6.8,
   "grade": "A",
   "variability": "Low",
   "drugs": 710,
   "states": 5,
   "cells": 3430,
   "display": "regence_ut"
  },
  {
   "payer": "bcbs_kc",
   "index": 109.6,
   "brand_index": 109.6,
   "biosim_index": 109.9,
   "vs_acquisition_pct": 6.7,
   "grade": "A",
   "variability": "Medium",
   "drugs": 758,
   "states": 2,
   "cells": 1609,
   "display": "Blue KC (Kansas City)"
  },
  {
   "payer": "bcbs_ar",
   "index": 108.5,
   "brand_index": 108.5,
   "biosim_index": 133.4,
   "vs_acquisition_pct": 5.6,
   "grade": "A",
   "variability": "Low",
   "drugs": 917,
   "states": 21,
   "cells": 20816,
   "display": "BlueCross BlueShield of Arkansas"
  },
  {
   "payer": "blueshield_ca",
   "index": 108.1,
   "brand_index": 107.7,
   "biosim_index": 114.4,
   "vs_acquisition_pct": 5.3,
   "grade": "A",
   "variability": "Medium",
   "drugs": 850,
   "states": 4,
   "cells": 4742,
   "display": "Blue Shield of California"
  },
  {
   "payer": "bcbs_ks",
   "index": 108.1,
   "brand_index": 108.1,
   "biosim_index": 117.4,
   "vs_acquisition_pct": 5.3,
   "grade": "A",
   "variability": "Low",
   "drugs": 847,
   "states": 6,
   "cells": 4808,
   "display": "BlueCross BlueShield of Kansas"
  },
  {
   "payer": "bcbs_nd",
   "index": 107.3,
   "brand_index": 107.3,
   "biosim_index": 107.0,
   "vs_acquisition_pct": 4.4,
   "grade": "A",
   "variability": "High",
   "drugs": 909,
   "states": 3,
   "cells": 3269,
   "display": "BCBS North Dakota"
  },
  {
   "payer": "bcbs_id",
   "index": 107.1,
   "brand_index": 106.9,
   "biosim_index": 113.7,
   "vs_acquisition_pct": 4.3,
   "grade": "A",
   "variability": "Medium",
   "drugs": 928,
   "states": 6,
   "cells": 5660,
   "display": "Blue Cross of Idaho"
  },
  {
   "payer": "bcbs_la",
   "index": 107.0,
   "brand_index": 107.0,
   "biosim_index": 109.5,
   "vs_acquisition_pct": 4.2,
   "grade": "A",
   "variability": "Low",
   "drugs": 900,
   "states": 7,
   "cells": 7172,
   "display": "BlueCross BlueShield of Louisiana"
  },
  {
   "payer": "bcbs_nc",
   "index": 105.7,
   "brand_index": 105.6,
   "biosim_index": 121.8,
   "vs_acquisition_pct": 2.9,
   "grade": "A",
   "variability": "Medium",
   "drugs": 844,
   "states": 52,
   "cells": 43198,
   "display": "Blue Cross NC"
  },
  {
   "payer": "kaiser",
   "index": 105.4,
   "brand_index": 105.0,
   "biosim_index": 117.3,
   "vs_acquisition_pct": 2.7,
   "grade": "A",
   "variability": "High",
   "drugs": 937,
   "states": 8,
   "cells": 10949,
   "display": "Kaiser Permanente"
  },
  {
   "payer": "regence",
   "index": 105.0,
   "brand_index": 104.9,
   "biosim_index": 105.7,
   "vs_acquisition_pct": 2.2,
   "grade": "A",
   "variability": "Medium",
   "drugs": 718,
   "states": 15,
   "cells": 10393,
   "display": "Regence BlueCross BlueShield"
  },
  {
   "payer": "excellus",
   "index": 103.7,
   "brand_index": 103.6,
   "biosim_index": 122.2,
   "vs_acquisition_pct": 1.0,
   "grade": "B+",
   "variability": "Low",
   "drugs": 915,
   "states": 1,
   "cells": 1830,
   "display": "Excellus BCBS"
  },
  {
   "payer": "aetna",
   "index": 103.2,
   "brand_index": 103.0,
   "biosim_index": 112.8,
   "vs_acquisition_pct": 0.4,
   "grade": "B",
   "variability": "Medium",
   "drugs": 920,
   "states": 51,
   "cells": 90116,
   "display": "Aetna"
  },
  {
   "payer": "anthem_ma",
   "index": 102.9,
   "brand_index": 102.9,
   "biosim_index": 103.8,
   "vs_acquisition_pct": 0.2,
   "grade": "B",
   "variability": "Low",
   "drugs": 851,
   "states": 25,
   "cells": 22000,
   "display": "anthem_ma"
  },
  {
   "payer": "anthem_wi",
   "index": 102.8,
   "brand_index": 102.6,
   "biosim_index": 109.3,
   "vs_acquisition_pct": 0.1,
   "grade": "B",
   "variability": "Medium",
   "drugs": 884,
   "states": 14,
   "cells": 5773,
   "display": "anthem_wi"
  },
  {
   "payer": "capital_blue",
   "index": 102.7,
   "brand_index": 102.7,
   "biosim_index": 103.6,
   "vs_acquisition_pct": -0.0,
   "grade": "B",
   "variability": "Low",
   "drugs": 924,
   "states": 35,
   "cells": 36912,
   "display": "Capital Blue Cross"
  },
  {
   "payer": "regence_wa",
   "index": 101.5,
   "brand_index": 101.4,
   "biosim_index": 106.9,
   "vs_acquisition_pct": -1.2,
   "grade": "C+",
   "variability": "Low",
   "drugs": 699,
   "states": 5,
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    "big_over_small": 1.0,
    "share_big_gets_less": 0.185
   },
   "bcbs_sc": {
    "cells": 324431,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.95,
    "share_one_price": 0.301,
    "share_near_flat": 0.546,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.92,
    "size_cells": 57192,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.148
   },
   "bcbs_tn": {
    "cells": 309746,
    "median_distinct_rates": 4.0,
    "median_modal_share": 0.915,
    "share_one_price": 0.286,
    "share_near_flat": 0.521,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.92,
    "size_cells": 39798,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.263
   },
   "bcbs_vt": {
    "cells": 317647,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.964,
    "share_one_price": 0.325,
    "share_near_flat": 0.591,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.9,
    "size_cells": 61604,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.146
   },
   "capital_blue": {
    "cells": 327485,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.924,
    "share_one_price": 0.225,
    "share_near_flat": 0.549,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.87,
    "size_cells": 60820,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.145
   },
   "carefirst": {
    "cells": 264862,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.943,
    "share_one_price": 0.305,
    "share_near_flat": 0.551,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.61,
    "size_cells": 40790,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.275
   },
   "centene": {
    "cells": 4826,
    "median_distinct_rates": 7.0,
    "median_modal_share": 0.686,
    "share_one_price": 0.068,
    "share_near_flat": 0.301,
    "median_tin_p90p10": 1.068,
    "p90_tin_p90p10": 1.66,
    "size_cells": 751,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.393
   },
   "excellus": {
    "cells": 942,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.743,
    "share_one_price": 0.098,
    "share_near_flat": 0.174,
    "median_tin_p90p10": 1.038,
    "p90_tin_p90p10": 1.04,
    "size_cells": 941,
    "big_over_small": 0.9639,
    "share_big_gets_less": 0.792
   },
   "harvard_pilgrim": {
    "cells": 9494,
    "median_distinct_rates": 2.0,
    "median_modal_share": 0.999,
    "share_one_price": 0.401,
    "share_near_flat": 0.997,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.0,
    "size_cells": 8541,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.0
   },
   "hmhs": {
    "cells": 318842,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.925,
    "share_one_price": 0.282,
    "share_near_flat": 0.526,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.89,
    "size_cells": 41283,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.266
   },
   "hmsa": {
    "cells": 311153,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.962,
    "share_one_price": 0.318,
    "share_near_flat": 0.583,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.94,
    "size_cells": 60390,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.138
   },
   "horizon": {
    "cells": 297561,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.96,
    "share_one_price": 0.32,
    "share_near_flat": 0.579,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.91,
    "size_cells": 42942,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.26
   },
   "independence": {
    "cells": 297558,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.959,
    "share_one_price": 0.317,
    "share_near_flat": 0.578,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.91,
    "size_cells": 42546,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.258
   },
   "kaiser": {
    "cells": 2593,
    "median_distinct_rates": 14.0,
    "median_modal_share": 0.382,
    "share_one_price": 0.006,
    "share_near_flat": 0.091,
    "median_tin_p90p10": 1.252,
    "p90_tin_p90p10": 2.51,
    "size_cells": 866,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.388
   },
   "regence": {
    "cells": 332240,
    "median_distinct_rates": 3.0,
    "median_modal_share": 0.926,
    "share_one_price": 0.299,
    "share_near_flat": 0.522,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.9,
    "size_cells": 58286,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.171
   },
   "wellmark": {
    "cells": 9350,
    "median_distinct_rates": 2.0,
    "median_modal_share": 0.994,
    "share_one_price": 0.388,
    "share_near_flat": 1.0,
    "median_tin_p90p10": 1.0,
    "p90_tin_p90p10": 1.0,
    "size_cells": 4675,
    "big_over_small": 1.0,
    "share_big_gets_less": 0.0
   }
  },
  "card_offsets": {
   "uhc": [
    {
     "offset_band": "105-115%",
     "share": 0.231
    },
    {
     "offset_band": "115-135%",
     "share": 0.094
    },
    {
     "offset_band": "135-200%",
     "share": 0.083
    },
    {
     "offset_band": "85-95%",
     "share": 0.181
    },
    {
     "offset_band": "95-105% (near-modal)",
     "share": 0.17
    },
    {
     "offset_band": "<85% of modal",
     "share": 0.16
    },
    {
     "offset_band": ">200%",
     "share": 0.081
    }
   ],
   "aetna": [
    {
     "offset_band": "105-115%",
     "share": 0.141
    },
    {
     "offset_band": "115-135%",
     "share": 0.117
    },
    {
     "offset_band": "135-200%",
     "share": 0.084
    },
    {
     "offset_band": "85-95%",
     "share": 0.059
    },
    {
     "offset_band": "95-105% (near-modal)",
     "share": 0.485
    },
    {
     "offset_band": "<85% of modal",
     "share": 0.063
    },
    {
     "offset_band": ">200%",
     "share": 0.05
    }
   ]
  },
  "note": "All 37 filings, professional billing, cells with 25+ practices. 'Modal share' is the share of practice rows on the single most common rate (row grain includes modifiers, so approximate). Practice size is a within-payer footprint proxy; size effects are correlation, not causation."
 },
 "flagext": {
  "measured_margin": {
   "n": 77,
   "median_acq_index": 97.7,
   "median_margin_pts": 3.0,
   "share_negative": 0.442,
   "p25": -17.4,
   "p75": 31.4,
   "worst": [
    {
     "code": "Q5106",
     "drug": "RETACRIT",
     "med_idx": 98.5,
     "acq_idx": 137.9,
     "margin_pts": -39.4,
     "spend_m": 29.0
    },
    {
     "code": "J2353",
     "drug": "OCTREOTIDE ACETATE ER",
     "med_idx": 96.6,
     "acq_idx": 125.0,
     "margin_pts": -28.4,
     "spend_m": 343.0
    },
    {
     "code": "J7626",
     "drug": "BUDESONIDE",
     "med_idx": 100.7,
     "acq_idx": 114.3,
     "margin_pts": -13.6,
     "spend_m": 27.0
    },
    {
     "code": "J9145",
     "drug": "DARZALEX",
     "med_idx": 97.8,
     "acq_idx": 99.9,
     "margin_pts": -2.1,
     "spend_m": 86.0
    },
    {
     "code": "J7170",
     "drug": "HEMLIBRA",
     "med_idx": 97.3,
     "acq_idx": 99.0,
     "margin_pts": -1.7,
     "spend_m": 181.0
    },
    {
     "code": "J9144",
     "drug": "DARZALEX FASPRO",
     "med_idx": 98.6,
     "acq_idx": 91.2,
     "margin_pts": 7.4,
     "spend_m": 2311.0
    },
    {
     "code": "J9063",
     "drug": "ELAHERE",
     "med_idx": 98.9,
     "acq_idx": 90.6,
     "margin_pts": 8.2,
     "spend_m": 168.0
    },
    {
     "code": "J9309",
     "drug": "POLIVY",
     "med_idx": 95.6,
     "acq_idx": 84.1,
     "margin_pts": 11.4,
     "spend_m": 188.0
    }
   ]
  },
  "moving_denominator": {
   "drugs": 723,
   "share_spend_falling_pct": 28.9,
   "median_chg_pct": 2.8,
   "spendwtd_chg_pct": 9.0,
   "double_squeeze_n": 143,
   "double_squeeze_spend_b": 6.5,
   "falling": [
    {
     "code": "Q5119",
     "drug": "RUXIENCE",
     "chg": -75.7,
     "med_idx": 84.7,
     "spend_m": 75.0
    },
    {
     "code": "Q5123",
     "drug": "RIABNI",
     "chg": -68.5,
     "med_idx": 112.8,
     "spend_m": 51.0
    },
    {
     "code": "Q5108",
     "drug": "FULPHILA",
     "chg": -61.1,
     "med_idx": 147.7,
     "spend_m": 68.0
    },
    {
     "code": "J9264",
     "drug": "ABRAXANE",
     "chg": -57.1,
     "med_idx": 124.2,
     "spend_m": 215.0
    },
    {
     "code": "Q5129",
     "drug": "VEGZELMA",
     "chg": -50.3,
     "med_idx": 161.4,
     "spend_m": 96.0
    },
    {
     "code": "J1930",
     "drug": "LANREOTIDE ACETATE",
     "chg": -46.0,
     "med_idx": 95.4,
     "spend_m": 237.0
    },
    {
     "code": "Q5115",
     "drug": "TRUXIMA",
     "chg": -45.5,
     "med_idx": 89.8,
     "spend_m": 98.0
    },
    {
     "code": "Q5107",
     "drug": "MVASI",
     "chg": -40.3,
     "med_idx": 97.2,
     "spend_m": 107.0
    },
    {
     "code": "J0717",
     "drug": "CIMZIA",
     "chg": -39.6,
     "med_idx": 113.5,
     "spend_m": 274.0
    },
    {
     "code": "Q5114",
     "drug": "OGIVRI",
     "chg": -35.8,
     "med_idx": 118.0,
     "spend_m": 63.0
    }
   ],
   "series": [
    {
     "q": "2022-01",
     "idx": 100.0
    },
    {
     "q": "2022-04",
     "idx": 99.86
    },
    {
     "q": "2022-07",
     "idx": 101.05
    },
    {
     "q": "2022-10",
     "idx": 101.12
    },
    {
     "q": "2023-01",
     "idx": 101.43
    },
    {
     "q": "2023-04",
     "idx": 102.45
    },
    {
     "q": "2023-07",
     "idx": 103.47
    },
    {
     "q": "2023-10",
     "idx": 104.01
    },
    {
     "q": "2024-01",
     "idx": 104.22
    },
    {
     "q": "2024-04",
     "idx": 103.6
    },
    {
     "q": "2024-07",
     "idx": 130.49
    },
    {
     "q": "2024-10",
     "idx": 135.41
    },
    {
     "q": "2025-01",
     "idx": 104.77
    },
    {
     "q": "2025-04",
     "idx": 133.11
    },
    {
     "q": "2025-07",
     "idx": 128.99
    },
    {
     "q": "2025-10",
     "idx": 125.49
    },
    {
     "q": "2026-01",
     "idx": 107.08
    },
    {
     "q": "2026-04",
     "idx": 107.1
    }
   ]
  },
  "risk_context": {
   "J9358": {
    "asp_chg": 27.1,
    "margin_pts": null
   },
   "J2353": {
    "asp_chg": -8.8,
    "margin_pts": -28.4
   },
   "J0129": {
    "asp_chg": 0.4,
    "margin_pts": null
   },
   "J1930": {
    "asp_chg": -46.0,
    "margin_pts": null
   },
   "J2781": {
    "asp_chg": -3.7,
    "margin_pts": null
   },
   "J3111": {
    "asp_chg": 30.6,
    "margin_pts": null
   },
   "J9173": {
    "asp_chg": 12.1,
    "margin_pts": null
   },
   "J2350": {
    "asp_chg": 1.2,
    "margin_pts": null
   },
   "J0897": {
    "asp_chg": 39.2,
    "margin_pts": 18.7
   },
   "J2357": {
    "asp_chg": 11.5,
    "margin_pts": null
   },
   "J2802": {
    "asp_chg": 5.3,
    "margin_pts": null
   },
   "J9299": {
    "asp_chg": 15.0,
    "margin_pts": null
   },
   "J9047": {
    "asp_chg": 36.8,
    "margin_pts": null
   },
   "J3380": {
    "asp_chg": -1.5,
    "margin_pts": null
   },
   "J2507": {
    "asp_chg": 28.8,
    "margin_pts": null
   },
   "J9309": {
    "asp_chg": 20.8,
    "margin_pts": 11.4
   },
   "J1569": {
    "asp_chg": 5.2,
    "margin_pts": null
   },
   "J0896": {
    "asp_chg": 14.3,
    "margin_pts": null
   },
   "J9144": {
    "asp_chg": 22.2,
    "margin_pts": 7.4
   },
   "J9022": {
    "asp_chg": 18.1,
    "margin_pts": null
   },
   "Q5115": {
    "asp_chg": -45.5,
    "margin_pts": null
   },
   "J9042": {
    "asp_chg": 36.7,
    "margin_pts": null
   },
   "J9228": {
    "asp_chg": 16.5,
    "margin_pts": null
   },
   "J1559": {
    "asp_chg": 23.2,
    "margin_pts": null
   },
   "J1459": {
    "asp_chg": 10.1,
    "margin_pts": null
   }
  }
 }
}