Page 27 - 2020 Catalog
P. 27

NDC/PCode/UPC  Mfr.  Item #  Description                                AWP Pkg               J‐Code
             58394‐0634‐03  PFI   48377   Benefix‐Rt Pds 534Iu Vl  ( R )                1.64               J7195
             43900‐0284‐10  NES   52396   Beneprotein Powder 6X8Oz Cs                  13.48                            BRANDED DRUGS
             65597‐0103‐30  SAN   48118   Benicar 20 Mg Tab 30                        263.88
             49401‐0101‐01  GLA   37637   Benlysta 120Mg Sdv  ( R )                   631.18               J0490
             49401‐0102‐01  GLA   37638   Benlysta 400Mg Sdv  ( R )                  2103.86               J0490
             00008‐0100‐01  PFI   49307   Besponsa0.9Mg Sfdpwd Sdvpf20Ml  ( R )     23113.20               J9229
             58160‐0976‐20  GLA   47864   Bexsero Pfs 175Mcg 10X0.5Ml  ( R )         2047.50
             60793‐0600‐10  PFI   30435   Bicillin Cr 1200Mu Pfs 10X2Ml  ( R )       1505.30          J0550 , J0558
             60793‐0702‐10  PFI   28840   Bicillin La 2400Mu Pfs4Ml10/Pk  ( R )      3869.62          J0561 , J0580
             23155‐0261‐41  HER   41235   Bicnu 100Mg Vl  ( R )                      4716.94               J9050
             17238‐0900‐11  HUB   41420   Bioglo Oph Strp 1Mg 100/Pk                   14.06
             68712‐0007‐02  EPI   42841   Bionect Cream 25Gm                          156.25
             48582‐0004‐40  GLA   39352   Biotene M/Wash Liq 33.8Oz                     8.28
             48582‐0003‐30  GLA   30856   Biotene M/Wsh Mint Liq 16Oz                   5.28
             24385‐0903‐63  AME   51739   Bisacodylec 5Mg Tab 25/Btl                    3.86
             55513‐0160‐01  AMG   44076   Blincyto 35 Mcg Sdv  ( R )                 4582.38               J9039
             00004‐0191‐09  GEN   38471   Boniva 3Mg/3Ml Inj Pfs Ea                   632.88               J1740
             43900‐0186‐29  NES   52464   Boost Breeze Orange 27X8Oz Cs                 1.49
             43900‐0186‐49  NES   52470   Boost Breeze Peach 27X8Oz Cs                  1.49
             43900‐0186‐00  NES   52395   Boost Breeze Variety 27X8Oz Cs               44.57
             43900‐0186‐66  NES   52400   Boost Breeze Wlberry 27X8Oz Cs                1.49
             41679‐0946‐03  NES   52465   Boost Pudding Ch 48X5Oz Cup Cs               67.27
             41679‐0945‐03  NES   52466   Boost Pudding Va 48X5Oz Cup Cs               67.27
             43900‐0182‐15  NES   52397   Boost Very Vanilla 27 X 8Oz Cs                1.81
             00069‐0135‐01  PFI   40062   Bosulif 100Mg Tab 120                     17911.93
             00069‐0193‐01  PFI   50168   Bosulif 400Mg Tab 30                      17911.93
             00069‐0136‐01  PFI   40063   Bosulif 500Mg Tab 30                      17911.93
             70255‐0025‐03  ARR   55094   Braftovi 75Mg 2X60 Cap 120 Btl            13798.80
             70255‐0025‐01  ARR   51646   Braftovi 75Mg 2X90 Cap 180 Btl            13798.80
             00173‐0859‐10  GLA   48307   Breo Ellipta 100/25Mcg Inh2/30              421.52
             00173‐0882‐10  GLA   48464   Breoellipta 200/25Mcg Inh 2X30              421.52
             00186‐0777‐60  AST   47277   Brilinta 90Mg Tab 60                        448.92
             00310‐6512‐01  AST   50146   Byetta 5Mcg250Mcg/Ml Crt1.2Ml  ( R )        875.56
             00456‐1405‐30  ALL   48795   Bystolic 5Mg Tab 30                         171.89
             42388‐0024‐26  EXE   46506   Cabometyx 20Mg Tab 30                     23030.22
             42388‐0025‐26  EXE   46507   Cabometyx 40Mg Tab 30                     23030.22
             42388‐0023‐26  EXE   46508   Cabometyx 60Mg Tab 30                     23030.22
             24385‐0413‐96  HUM   50401   Calamine 8% Plain Liq 6Oz                     0.00
             00799‐0001‐05  AME   52622   Calmoseptine Ont144X.125 Oz Pk                0.00
             00310‐0512‐60  AST   49902   Calquence 100Mg Cap 60                    16876.80
             58914‐0170‐14  ALL   25500   Carafate 1Gm/10Ml Sus 14Oz                  251.14
             00409‐1036‐30  PFI   27993   Carbocaine 1% Sdv 30Ml                        6.40               J0670
             SA520          THO   45153   Carnityl 500Mg 60/Btl
             00009‐5181‐01  PFI   30097   Caverject 10Mcg Kit 2/Pk                    184.98
             00085‐4320‐01  MER   48746   Celestone Sol 6Mg/Ml Mdv 5Ml                 44.88               J0702
             00187‐1371‐12  L'O   40365   Cerave Moisturizing Lot 12Oz
             58468‐4663‐01  GEN   24390*  Cerezyme 400U Vl  ( R )                    1970.40               J1786
             46122‐0020‐26  AME   46846   Cetirizine Child 1Mg/Ml 4Oz                   0.00
             00069‐0469‐56  PFI   29002   Chantix 1Mg Tab 56/Btl                      505.57
             00069‐0471‐03  PFI   45744   Chantix Start Month Tab 53 Ud               505.57
             00573‐1943‐13  PFI   50494   Chapstick Hyd Van Crm 6X 12Oz
             00002‐4462‐30  ELI   35466   Cialis 5Mg Tab 30                           426.96
             50474‐0700‐62  UCB   33593   Cimzia 200Mg Kit 2/Ea  ( R )               5192.92               J0717
                                        ( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
                                                    PRICES ARE SUBJECT TO CHANGE



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