Page 29 - 2020 Catalog
P. 29

NDC/PCode/UPC  Mfr.  Item #  Description                                AWP Pkg               J‐Code
             00085‐4610‐01  MER   44969   Dulera 200/5Mcg Inhaler 120                 373.62
             00037‐0245‐23  MED   42906   Dymista 137/50Mcg Spray 23Gm                225.14                            BRANDED DRUGS
             15054‐0530‐06  IPS   44774   Dysport 300 Unit Vl  ( R )                  618.60               J0586
             15054‐0500‐01  IPS   44773   Dysport 500 Unit Vl  ( R )                 1030.80               J0586
             60631‐0425‐30  ARB   49352   Edarbyclor 40Mg/25Mg Tab 30                 230.36
             51801‐0011‐30  NOM   48184   Effer‐K 20Meq Un Tab 30                      16.80
             00069‐0106‐01  PFI   49375   Elelyso 200Un Sdv 10Ml  ( R )               935.34               J3060
             62935‐0223‐05  TOL   44769   Eligard 22.5Mg 3 Month Kit  ( R )          1626.08               J9217
             62935‐0303‐30  TOL   44770   Eligard 30Mg 4 Month Kit  ( R )            2168.11               J9217
             62935‐0453‐45  TOL   44771   Eligard 45Mg 6 Month Kit  ( R )            3252.16               J9217
             62935‐0753‐75  TOL   44768   Eligard 7.5Mg 1 Month Kit  ( R )            542.03               J9217
             00003‐0893‐21  BRI   41688   Eliquis 2.5Mg Tab 60                        533.00
             00003‐0894‐21  BRI   41689   Eliquis 5Mg Tab 60                          533.00
             00003‐0894‐70  BRI   49414   Eliquis 5Mg Tab 74                          657.38
             00003‐3764‐74  BRI   50440   Eliquis 5Mg Tab 74                          657.38
             00024‐5150‐10  GEN   25197   Elitek 1.5Mg Sdv W/Dil 3/Pk  ( R )         3121.66               J2783
             00024‐5151‐75  GEN   34297   Elitek 7.5Mg Vl  ( R )                     5202.76               J2783
             72187‐0401‐01  STE   53125*  Elzonris Inj 1000Mcg/Ml  ( R )            30635.22              NEW07
             00013‐0132‐02  PFI   19063   Emcyt 140Mg Cap 100  ( R )                 1923.97
             00006‐3061‐00  MER   48889   Emend 150Mg Sdv 10Ml  ( R )                 401.56               J1453
             00006‐0461‐02  MER   31335   Emend 80Mg Cap 2/Pk                         525.05               J8501
             00006‐3862‐03  MER   23321   Emend Trifold 125/80Mg Cap 3                929.23               J8501
             00003‐2291‐11  BRI   45809   Empliciti 300Mg Sdv Lyo  ( R )             2295.91               J9176
             00003‐4522‐11  BRI   45810   Empliciti 400Mg Sdv Lyo  ( R )             3061.20               J9176
             58406‐0425‐34  AMG   10514   Enbrel 25Mg Vl 4/Bx  ( R )                 3104.44               J1438
             58406‐0455‐04  AMG   29559   Enbrel 25Mg/0.5Ml Syg 4/Pk  ( R )          3104.44               J1438
             58406‐0445‐04  AMG   28356   Enbrel Sureclick 50Mg/Ml 4/Pk  ( R )       6208.87               J1438
             42457‐0420‐60  EMM   50503   Endari Powder 5 Gram 60/Bx                 1332.00
             58160‐0821‐11  GLA   30326   Engerix Adt20Mcg P/F Sdv10X1Ml  ( R )       705.90   90740 , 90746 , 90747
             64764‐0300‐20  TAK   42958   Entyvio 300Mg 20Mlsdv Ea  ( R )            7762.68               J3380
             50419‐0320‐05  BAY   36563   Eovist 0.25 Mol Vl 5X10Ml                   851.76               A9581
             24357‐0911‐20  FOC   53720   Epinep Snap‐V 1Mg/1Ml Sdv Kit               180.00
             49502‐0500‐02  MYL   34632   Epipen Adult 0.3Mg 2/Pk                     730.33
             49502‐0501‐02  MYL   34631   Epipen Jr 0.15Mg Syg 2/Pk                   730.33
             66733‐0948‐23  ELI   24544   Erbitux 100Mg/50Ml Vl  ( R )                765.00               J9055
             66733‐0958‐23  ELI   29585   Erbitux 200Mg/100Ml Vl  ( R )              1530.00               J9055
             50242‐0140‐01  GEN   39092   Erivedge 150Mg Cap 28                     13308.42
             59676‐0600‐12  JOM   50634   Erleada 60Mg Tab 120/Btl                  14008.18
             00430‐3754‐14  ALL   46505   Estrace 0.01% Vag Crm 42.5Gm                413.74
             00013‐2150‐36  PFI   22614   Estring Vagl Ring 2Mg                       543.49
             00386‐0001‐02  GEB   20073   Ethyl Chl Mst Spy Can Aer3.5Oz               32.00
             66220‐0017‐03  CUM   47554   Ethyol 500Mg Vl 3X10 Ml                    4017.78               J0207
             00015‐3404‐20  H2    18774   Etopophos 100Mg  ( R )                      169.13          J9181 , J9182
             72140‐0110‐15  BEI   51048   Eucerin Intensive Repair 8.4Oz                8.59
             55724‐0211‐21  PFI   49778   Eucrisa 2% Ont 60 Gm                        759.89
             55513‐0880‐02  AMG   54523   Evenity 105Mg Syg 1.17Ml 2/Pk  ( R )       2190.00               J3111
             00078‐0468‐15  NOV   27363*  Exjade 125Mg Tablets 30/Btl                1520.22
             00078‐0469‐15  NOV   27364*  Exjade 250Mg Tablets 30/Btl                3040.38
             00078‐0470‐15  NOV   27362*  Exjade 500Mg Tablets 30/Btl                6080.64
             58468‐0040‐01  GEN   25855*  Fabrazyme 35Mg Vl‐Non Return  ( R )        7284.00               J0180
             58468‐0041‐01  GEN   25854*  Fabrazyme 5Mg Vl‐Non Return  ( R )         1040.40               J0180
             42747‐0327‐30  KYO   40617   Fareston 60Mg Tab 30                       1559.34
             00078‐0650‐06  SEC   44533   Farydak 10Mg Cap 6 Ud                     10695.86
                                        ( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
                                                     PRICES ARE SUBJECT TO CHANGE



                                                                                                                      27
                                                                                      1.800.633.7555 • www.oncologysupply.com  27
   24   25   26   27   28   29   30   31   32   33   34