Page 32 - 2020 Catalog
P. 32

50858
                                                                                                           J7187
                            CSL
             63833‐0616‐02
                                          Humate‐P Pds 965 Rcof Vl  ( R )
                                                                                        1.62
                                          Humate‐P Pds 975 Rcof Vl  ( R )
                                                                                        1.62
             63833‐0616‐02
                                                                                                           J7187
                                  45579
                            CSL
      BRANDED DRUGS  NDC/PCode/UPC  Mfr.  Item #  Description                        AWP Pkg               J‐Code
                                          Humate‐P Pds 997 Rcof Vl  ( R )
                            CSL
                                                                                        1.62
                                  40911
             63833‐0616‐02
                                                                                                           J7187
             00074‐4339‐07
                                                                                     6208.91
             00074‐4339‐02  ABB   52260   Humira Pen Ps 40Mg 4X0.8Ml  ( R )         12417.84               J0135
                                  39624
                            ABB
                                          Humira Sgl Use Pen 40Mg2X0.8Ml  ( R )
             00283‐0679‐02  BEU   14696   Hurricane Spray 2Oz Beutlich                 30.19
             00078‐0672‐01  NOV   49177   Hycamtin 0.25Mg Cap 10  ( R )              1205.92               J8705
             00078‐0673‐01  NOV   48446   Hycamtin 1Mg Cap 10  ( R )                 4823.58               J8705
             18657‐0117‐04  HAL   45117   Hylenex 150U/Ml 4X1Ml Vl  ( R )             267.84               J3473
             00944‐2512‐02  BAX   43772   Hyqvia 10% Liq 10Gm/100Ml  ( R )           2391.12               J1575
             00944‐2510‐02  BAX   43770   Hyqvia 10% Liq 2.5Gm/25Ml  ( R )            597.78               J1575
             00944‐2513‐02  BAX   43773   Hyqvia 10% Liq 20Gm/200Ml  ( R )           4782.24               J1575
             00944‐2514‐02  BAX   43774   Hyqvia 10% Liq 30Gm/300Ml  ( R )           7173.36               J1575
             00944‐2511‐02  BAX   43771   Hyqvia 10% Liq 5Gm/50Ml  ( R )             1195.56               J1575
             00069‐0188‐21  PFI   44304   Ibrance 100Mg Cap 21                      14227.85
             00069‐0189‐21  PFI   44305   Ibrance 125Mg Cap 21                      14227.85
             00069‐0187‐21  PFI   44303   Ibrance 75Mg Cap 21                       14227.85
             69911‐0867‐02  CSL   55558   Idelvion 1982Iu Vl  ( R )                     5.44               J7202
             69911‐0865‐02  CSL   51238   Idelvion 545Iu Vl  ( R )                      5.44               J7202
             59572‐0710‐30  CEL   49156*  Idhifa 100Mg Tab 30                       30891.02
             59572‐0705‐30  CEL   49155*  Idhifa 50Mg Tab 30                        30891.02
             47335‐0177‐95  SUN   52342   Ilumya 100Mg/Ml Pfs 1Ml  ( R )            15907.00               J3245
             57962‐0140‐12  PHA   42002   Imbruvica 140Mg Cap 120/Btl               20696.08
             57962‐0140‐09  PHA   42001   Imbruvica 140Mg Cap 90/Btl                15522.06
             57962‐0014‐28  PHA   50780   Imbruvica 140Mg Tab 28 Ud                 14487.26
             57962‐0280‐28  PHA   50781   Imbruvica 280Mg Tab 28 Ud                 14487.26
             57962‐0420‐28  PHA   50782   Imbruvica 420Mg Tab 28 Ud                 14487.26
             57962‐0560‐28  PHA   50783   Imbruvica 560Mg Tab 28 Ud                 14487.26
             57962‐0070‐28  PHA   50722   Imbruvica 70Mg Cap 28/Btl                 14487.26
             00310‐4500‐12  AST   48656   Imfinzi 120Mg Sdv  ( R )                   1039.92               J9173
             00310‐4611‐50  AST   48657   Imfinzi 500Mg Sdv  ( R )                   4333.01               J9173
             55513‐0078‐01  AMG   45654*  Imlygic 10^6 1M Pfu/Ml 1Ml Vl  ( R )         59.26               J9325
             55513‐0079‐01  AMG   45655*  Imlygic 10^8 100M Pfu/Ml 1Mlvl  ( R )      5925.40               J9325
             43900‐0992‐90  NES   52398   Impact Recovery Van 15X6Oz Cs                 6.00
             00023‐6082‐10  ALL   53614   Infed 50Mg/Ml Vl 10X2Ml                     333.85               J1750
             54643‐5649‐01  BAX   32245   Infuvite Adltmultvit Vl5X2X5Ml  ( R )      1213.80
             00517‐0650‐01  AME   41523   Injectafer Sdv 750 Mg/15 Ml                1342.81               J1439
             00069‐0145‐01  PFI   40320   Inlyta 1Mg Tab 180                        18098.94
             00069‐0151‐11  PFI   40321   Inlyta 5Mg Tab 60                         18098.94
             59572‐0720‐12  CEL   55514*  Inrebic 100Mg Cap 120                     25200.00
             00187‐0746‐33  VAL   11242   Insta Glucose Tri‐ Pack 3X31Gm               13.99
             00002‐8715‐01  ELI   10061   Insulin Hum 70/30 10Ml Vl  ( R )            178.44          J1815 , J1817
             00002‐8799‐59  ELI   42594   Insulin Hum Kwik Pen 5X3Ml  ( R )           636.48          J1815 , J1817
             00002‐8315‐01  ELI   10064   Insulin Hum N 100Un 10Ml Vl  ( R )          178.44          J1815 , J1817
             00002‐8215‐01  ELI   10063   Insulin Hum R 100U/Ml Mdv10 Ml  ( R )       178.44          J1815 , J1817
             00002‐8215‐17  ELI   36002   Insulin Hum R 100U/Ml Vl 3Ml  ( R )          53.53          J1815 , J1817
             00002‐8501‐01  ELI   50500   Insulin Hum R 500 U/Ml Vl 20Ml  ( R )      1784.40          J1815 , J1817
             00002‐7510‐01  ELI   13685   Insulin Humalog100U/Ml10Ml Mdv  ( R )       329.64          J1815 , J1817
             00088‐2220‐33  SAN   21696   Insulin Lantus 100U/Ml Vl 10Ml  ( R )       340.27
             00169‐1834‐11  NOV   20486   Insulin Nov N 100Un/Ml 10Ml  ( R )          165.24          J1815 , J1817
             00169‐1833‐11  NOV   14339   Insulin Nov R 100Un/Ml 10Ml  ( R )          165.24          J1815 , J1817
             00169‐7501‐11  NOV   30083   Insulin Novolog 100Un/Mlvl10Ml  ( R )       347.23          J1815 , J1817
             00169‐6339‐10  NOV   37445   Insulin Novolog Flxpen 5X3Ml  ( R )         670.60          J1815 , J1817
                                        ( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
                                                    PRICES ARE SUBJECT TO CHANGE



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