PEMBROLIZUMAB ( INYECTABLE) Code 75247 Quantity 9 Unit AMPOLLA Unit price $ 117.273 Price reference In range ? Within the usual range paid for purchases of the same item over the last 36 months. 1,0× the median Median $ 121.670 · range $ 76.223 – 125.730 · 46 comparables View comparable purchases Total $ 1.055.457 EMICIZUMAB (INYECTABLE) Code 80010 Quantity 6 Unit AMPOLLA Unit price $ 165.750 Price reference List price ? Matches a known tariff or legal denomination for this item (e.g. a fixed stamp fee), so it isn't compared against the median. 1,2× the median Median $ 134.286 · range $ 58.645 – 335.714 · 48 comparables View comparable purchases Total $ 994.500 EMICIZUMAB (INYECTABLE) Code 80010 Quantity 1 Unit AMPOLLA Unit price $ 33.150 Price reference Below usual ? Below the usual range paid for purchases of the same item over the last 36 months. 0,2× the median Median $ 134.286 · range $ 58.645 – 335.714 · 48 comparables View comparable purchases Total $ 33.150 ATEZOLIZUMAB ( INYECTABLE) Code 76375 Quantity 2 Unit AMPOLLA Unit price $ 72.821 Price reference Below usual ? Below the usual range paid for purchases of the same item over the last 36 months. 0,5× the median Median $ 145.562 · range $ 145.562 – 145.562 · 239 comparables View comparable purchases Total $ 145.642 RITUXIMAB (INYECTABLE) Code 17028 Quantity 2 Unit AMPOLLA Unit price $ 11.980 Price reference Well above ? Well above the usual range — the same threshold price flags use. 1,3× the median Median $ 9.500 · range $ 2.830 – 11.144 · 120 comparables View comparable purchases Total $ 23.960 RITUXIMAB (INYECTABLE) Code 17028 Quantity 1 Unit AMPOLLA Unit price $ 6.964 Price reference In range ? Within the usual range paid for purchases of the same item over the last 36 months. 0,7× the median Median $ 9.500 · range $ 2.830 – 11.144 · 120 comparables View comparable purchases Total $ 6.964 VENETOCLAX Code 74961 Quantity 1 Unit COMPRIMIDO Unit price $ 149.014 Price reference List price ? Matches a known tariff or legal denomination for this item (e.g. a fixed stamp fee), so it isn't compared against the median. 53,8× the median Median $ 2.769 · range $ 2.743 – 149.014 · 164 comparables View comparable purchases Total $ 149.014 CETUXIMAB (INYECTABLE) Code 64934 Quantity 15 Unit AMPOLLA Unit price $ 27.863 Price reference In range ? Within the usual range paid for purchases of the same item over the last 36 months. 1,0× the median Median $ 27.863 · range $ 27.863 – 125.382 · 16 comparables View comparable purchases Total $ 417.941 BEVACIZUMAB (INYECTABLE) Code 27666 Quantity 2 Unit AMPOLLA Unit price $ 4.335 Price reference Below usual ? Below the usual range paid for purchases of the same item over the last 36 months. 0,2× the median Median $ 26.010 · range $ 7.805 – 28.760 · 581 comparables View comparable purchases Total $ 8.670 BEVACIZUMAB (INYECTABLE) Code 27666 Quantity 1 Unit AMPOLLA Unit price $ 17.340 Price reference In range ? Within the usual range paid for purchases of the same item over the last 36 months. 0,7× the median Median $ 26.010 · range $ 7.805 – 28.760 · 581 comparables View comparable purchases Total $ 17.340 TEMOZOLOMIDA (COMPRIMIDOS) Code 26424 Quantity 1 Unit COMPRIMIDO Unit price $ 1.158 Price reference Above ? Above the usual range, without reaching the threshold that triggers a price flag. 1,5× the median Median $ 760 · range $ 760 – 1.498 · 53 comparables View comparable purchases Total $ 1.158 BORTEZOMIB (INYECTABLE) Code 39098 Quantity 2 Unit AMPOLLA Unit price $ 3.433 Price reference Below usual ? Below the usual range paid for purchases of the same item over the last 36 months. 0,5× the median Median $ 6.850 · range $ 6.850 – 8.869 · 32 comparables View comparable purchases Total $ 6.867 DARATUMUMAB (INYECTABLE) Code 76528 Quantity 4 Unit AMPOLLA Unit price $ 17.850 Price reference In range ? Within the usual range paid for purchases of the same item over the last 36 months. 0,3× the median Median $ 70.000 · range $ 17.500 – 71.400 · 460 comparables View comparable purchases Total $ 71.400 DARATUMUMAB (INYECTABLE) Code 76528 Quantity 4 Unit AMPOLLA Unit price $ 71.400 Price reference List price ? Matches a known tariff or legal denomination for this item (e.g. a fixed stamp fee), so it isn't compared against the median. 1,0× the median Median $ 70.000 · range $ 17.500 – 71.400 · 460 comparables View comparable purchases Total $ 285.600 OMALIZUMAB ( INYECTABLE) Code 73360 Quantity 1 Unit AMPOLLA Unit price $ 31.591 Price reference Below usual ? Below the usual range paid for purchases of the same item over the last 36 months. 1,0× the median Median $ 32.000 · range $ 32.000 – 32.000 · 282 comparables View comparable purchases Total $ 31.591 IDURSULFASA (INYECTABLE) Code 100671 Quantity 1 Unit AMPOLLA Unit price $ 112.543 Price reference Below usual ? Below the usual range paid for purchases of the same item over the last 36 months. 0,9× the median Median $ 126.398 · range $ 116.267 – 358.911 · 27 comparables View comparable purchases Total $ 112.543