Page 31 - 2020 Catalog
P. 31

NDC/PCode/UPC  Mfr.  Item #  Description                                AWP Pkg               J‐Code
             1426‐00        AME   51453   Glucose Tab Orange 50
             43900‐0283‐00  NES   52399   Glutasolve Unflav 14X0.8Oz Pk                 1.99                            BRANDED DRUGS
             00574‐0069‐15  PER   55178   Glutose 15 Lemon Gel 37.5 Gm                  3.95
             87701‐0408‐22  AME   49182   Gnp Fish Oil 1200 Mg Dr Sgc100
             24385‐0017‐58  PHA   49291   Gnp Pink Bismuth Cap 40                       0.00
             24385‐0302‐26  PHA   49290   Gnp Stomach Relief Orig 4Oz
             62856‐0389‐01  EIS   37122   Halaven 1Mg/2Ml Sdv                        1401.60               J9179
             61958‐1801‐01  GIL   44151   Harvoni 90Mg/400Mg Tab 28                 37800.00
             58160‐0825‐52  GLA   36487   Havrix Ped Tiplok P/F 10/Pk  ( R )          393.18
             50242‐0922‐01  GEN   50095   Hemlibra 105Mg/0.7Ml Sdv  ( R )           12499.50               J7170
             50242‐0923‐01  GEN   50096   Hemlibra 150Mg/Ml Sdv  ( R )              17856.43               J7170
             50242‐0920‐01  GEN   50093   Hemlibra 30Mg/Ml Sdv  ( R )                3571.28               J7170
             50242‐0921‐01  GEN   50094   Hemlibra 60Mg/0.4Ml Sdv  ( R )             7142.57               J7170
             43528‐0003‐05  DYN   52117   Heplisav‐B 20Mcg/0.5Ml Syg 5Pk  ( R )       690.00               90739
             50242‐0132‐10  GEN   55235   Herceptin 150 Mg Sdv 10/Bx  ( R )         18701.04               J9355
             50242‐0132‐01  GEN   48682   Herceptin 150Mg Sdv  ( R )                 1870.10               J9355
             50242‐0077‐01  GEN   54469   Herceptin Hylecta 600Mg Sdv  ( R )         5610.29               J9356
             44206‐0455‐10  CSL   41848   Hizentra 10G 50Ml Sdv  ( R )               2100.00               J1559
             44206‐0451‐01  CSL   35800   Hizentra 1G 5Ml Sdv  ( R )                  210.00               J1559
             44206‐0452‐02  CSL   35801   Hizentra 2G 10Ml Sdv  ( R )                 420.00               J1559
             44206‐0454‐04  CSL   35802   Hizentra 4G 20Ml Sdv  ( R )                 840.00               J1559
             00002‐7712‐27  ELI   50672   Humalog Kwik Pen 200Un 2X3Ml  ( R )         509.18               J1815
             63833‐0617‐02  CSL   53898   Humate‐P Pds 1638 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   52655   Humate‐P Pds 1724 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   54590   Humate‐P Pds 1753 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   55275   Humate‐P Pds 1764 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   51712   Humate‐P Pds 1767 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   53798   Humate‐P Pds 1773 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   53948   Humate‐P Pds 1782 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   54106   Humate‐P Pds 1796 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   48264   Humate‐P Pds 1807 Rcofvl  ( R )               1.62               J7187
             63833‐0617‐02  CSL   51815   Humate‐P Pds 1814 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   41934   Humate‐P Pds 1827 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   50255   Humate‐P Pds 1842 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   52658   Humate‐P Pds 1846 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   55274   Humate‐P Pds 1851 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   49298   Humate‐P Pds 1860 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   40388   Humate‐P Pds 1880 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   55531   Humate‐P Pds 1886 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   48331   Humate‐P Pds 1920 Rcof Vl  ( R )              1.62               J7187
             63833‐0617‐02  CSL   43836   Humate‐P Pds 2005 Rcof Vl  ( R )              1.62               J7187
             63833‐0615‐02  CSL   51427   Humate‐P Pds 431 Rcof Vl  ( R )               1.62               J7187
             63833‐0615‐02  CSL   49245   Humate‐P Pds 449 Rcof Vl  ( R )               1.62               J7187
             63833‐0615‐02  CSL   49900   Humate‐P Pds 451 Rcof Vl  ( R )               1.62               J7187
             63833‐0615‐02  CSL   51635   Humate‐P Pds 459 Rcof Vl  ( R )               1.62               J7187
             63833‐0615‐02  CSL   53949   Humate‐P Pds 465 Rcof Vl  ( R )               1.62               J7187
             63833‐0615‐02  CSL   41107   Humate‐P Pds 481 Rcof Vl  ( R )               1.62               J7187
             63833‐0616‐02  CSL   54989   Humate‐P Pds 886 Rcof Vl  ( R )               1.62               J7187
             63833‐0616‐02  CSL   49405   Humate‐P Pds 898 Rcof Vl  ( R )               1.62               J7187
             63833‐0616‐02  CSL   50725   Humate‐P Pds 910 Rcof Vl  ( R )               1.62               J7187
             63833‐0616‐02  CSL   53038   Humate‐P Pds 915 Rcof Vl  ( R )               1.62               J7187
             63833‐0616‐02  CSL   48015   Humate‐P Pds 918 Rcof Vl  ( R )               1.62               J7187
             63833‐0616‐02  CSL   48748   Humate‐P Pds 939 Rcof Vl  ( R )               1.62               J7187
                                        ( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
                                                    PRICES ARE SUBJECT TO CHANGE



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