Page 30 - 2020 Catalog

AWP Pkg
SEC
Farydak 15Mg Cap 6 Ud
00078‐0651‐06
44534
BRANDED DRUGS NDC/PCode/UPC Mfr. Item # Description 10695.86 J‐Code
Farydak 20Mg Cap 6 Ud
44535
SEC
10695.86
00078‐0652‐06
Fasenra 30Mg Pfs Ea ( R )
50077
00310‐1730‐30
5874.89
AST
J0517
00310‐0720‐10
J7198
2.70
BAX
64193‐0425‐02 AST 36987 Faslodex 250Mg Pf Syr 2X5Ml ( R ) 2326.86 J9395
49117
Feiba Nf Pds 2214Iu Vl ( R )
64193‐0425‐02 BAX 49893 Feiba Nf Pds 2488Iu Vl ( R ) 2.70 J7198
64193‐0424‐02 BAX 49116 Feiba Nf Pds 978Iu Vl ( R ) 2.70 J7198
00078‐0249‐15 NOV 20960 Femara 2.5Mg Tabs 30/Btl 842.50
59338‐0775‐01 AMA 34408 Feraheme 510 Mg/17Ml Sdv 1200.24 Q0138 , Q0139
00024‐2792‐10 SAN 37769 Ferrlecit 62.5Mg/5Ml Vl 10X5Ml 381.60 J2916
55566‐8403‐01 FER 41326 Firmagon 240Mg Kit 1829.02 J9155
55566‐8303‐01 FER 41325 Firmagon 80Mg Kit 586.14 J9155
65628‐0050‐01 CUT 33419 First Mthwsh Blm Liq 8Oz 53.81
60793‐0411‐30 PFI 50531 Flector 1.3% Pat 30 447.56
SF811 THO 44595 Floramend Prime Probio 30/Btl
00173‐0718‐20 GLA 31417 Flovent Hfa 44Mcg Inh 10.6Gm 224.62
49281‐0405‐65 SAN 53329 Fluzone Hd19/20Syg0.5Ml 10/Pk ( R ) 589.54 90662
48818‐0001‐01 AUR 34637 Folotyn 20 Mg Injection ( R ) 6856.48 J9307
48818‐0001‐02 AUR 34636 Folotyn 40 Mg Injection ( R ) 13712.95 J9307
00069‐0217‐02 PFI 44488 Fragmin 10000Iu Pfs 10X1Ml 984.90 J1645
00069‐0220‐02 PFI 44489 Fragmin 12500Iu Pfs 10X0.5Ml 1231.21 J1645
00069‐0223‐02 PFI 44490 Fragmin 15000Iu Pfs 10X0.6Ml 1477.37 J1645
00069‐0228‐02 PFI 44491 Fragmin 18000Iu Pfs 10X0.72Ml 1772.83 J1645
00069‐0195‐02 PFI 44485 Fragmin 2500Iu Pfs 10X0.2Ml 303.54 J1645
00069‐0196‐02 PFI 44486 Fragmin 5000Iu Pfs 10X0.2Ml 492.46 J1645
00069‐0206‐02 PFI 44487 Fragmin 7500Iu Pfs 10X0.3Ml 738.76 J1645
52747‐0502‐30 US 46831 Fusion Plus Cap 30 32.16
00944‐2700‐02 BAX 26746 Gammagard 10% Liq 1Gm 10Ml ( R ) 163.08 J1569
00944‐2700‐03 BAX 26747 Gammagard 10% Liq 2.5Gm25Ml ( R ) 407.70 J1569
00944‐2700‐04 BAX 26748 Gammagard 10% Liq 5Gm 50Ml ( R ) 815.40 J1569
00944‐2700‐05 BAX 26749 Gammagard 10% Liq10Gm 100Ml ( R ) 1630.80 J1569
00944‐2700‐06 BAX 26750 Gammagard 10% Liq20Gm 200Ml ( R ) 3261.60 J1569
00944‐2700‐07 BAX 38110 Gammagard 10% Liq30Gm 300Ml ( R ) 4892.40 J1569
00944‐2658‐04 BAX 41016 Gammagard 5% S/D Low Iga 10Gm 2221.68 J1566
00944‐2656‐03 BAX 41015 Gammagard 5% S/D Low Iga 5Gm 1110.84 J1566
13533‐0800‐71 GRI 37277 Gamunex‐C 10% 10Gm 100Ml ( R ) 1395.59 J1561
13533‐0800‐12 GRI 37278 Gamunex‐C 10% 1Gm 10Ml ( R ) 139.55 J1561
13533‐0800‐24 GRI 37280 Gamunex‐C 10% 20Gm 200Ml ( R ) 2791.16 J1561
13533‐0800‐20 GRI 37281 Gamunex‐C 10% 5Gm 50Ml ( R ) 697.78 J1561
50242‐0070‐01 GEN 41963 Gazyva Inj 1000Mg/40Ml ( R ) 7861.20 J9301
89130‐3111‐01 BIO 47226 Gelsyn‐3 16.8Mg Pfs 2Ml 414.00 J7328
00013‐2646‐81 PFI 27711 Genotropin 12Mg Pfs Crt ( R ) 1835.36
00078‐0429‐47 ALC 35054 Genteal Severe Gel 10Ml 8.08
00597‐0141‐30 BOE 41631 Gilotrif 20Mg Tab 30 10568.58
00597‐0137‐30 BOE 41632 Gilotrif 30Mg Tab 30 10568.58
00597‐0138‐30 BOE 41633 Gilotrif 40Mg Tab 30 10568.58
74312‐0051‐45 AME 47648 Ginger Root 550Mg Cap 100 0.00
00078‐0401‐34 NOV 42538 Gleevec 100Mg Tab 90/Btl 10112.93
00078‐0649‐30 NOV 44218 Gleevec 400Mg Tab 30 Ud 12146.92
58181‐3042‐05 NEX 44642 Gleostine 100Mg Cap 5 6027.12
58181‐3040‐05 NEX 44640 Gleostine 10Mg Cap 5 545.82
58181‐3041‐05 NEX 44641 Gleostine 40Mg Cap 5 2183.34
00002‐8031‐01 ELI 13683 Glucagon Emer Kit 8030/8031 336.96 J1610
( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE

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