Page 34 - 2020 Catalog
P. 34
AWP Pkg
J7192
Kogenate Fsadaptorpds 2111Iuvl ( R )
53575
BAY
1.97
00026‐3786‐65
J2507
75987‐0080‐10
Krystexxa 8Mg Sdv 1Ml ( R )
BRANDED DRUGS NDC/PCode/UPC Mfr. Item # Description 27122.40 J‐Code
HOR
49329
Kyprolis 10Mg Pwd Lyo Sdv ( R )
AMG
J9047
464.33
76075‐0103‐01
51927
76075‐0102‐01
J9047
39896
2785.99
76075‐0101‐01 AMG 46970 Kyprolis 30Mg Pwd Lyo Sdv ( R ) 1393.00 J9047
AMG
Kyprolis 60Mg Pwd Lyo Sdv ( R )
00088‐2219‐05 SAN 36629 Lantus Solo 100U/Ml Pen 5X3Ml ( R ) 510.37
00023‐3616‐70 ALL 41830 Latisse 0.03% Sol 3Ml 154.30
62856‐0710‐30 EIS 48431 Lenvima 10Mg/Daily Dose 30 Cap 22048.80
62856‐0712‐30 EIS 51995 Lenvima 12Mg/Daily Dose 90 Cap 22048.80
62856‐0714‐30 EIS 48436 Lenvima 14Mg/Daily Dose 60 Cap 22048.80
62856‐0718‐30 EIS 48432 Lenvima 18Mg/Daily Dose 90 Cap 22048.80
62856‐0720‐30 EIS 48433 Lenvima 20Mg/Daily Dose 60 Cap 22048.80
62856‐0724‐30 EIS 48434 Lenvima 24Mg/Daily Dose 90 Cap 22048.80
62856‐0704‐30 EIS 51994 Lenvima 4Mg/Daily Dose 30 Cap 22048.80
62856‐0708‐30 EIS 48435 Lenvima 8Mg/Daily Dose 60 Cap 22048.80
76388‐0635‐25 PRA 47448 Leukeran 2Mg Tab 25 ( R ) 729.83
00024‐5843‐05 PAR 51651 Leukine 250Mcg 5X1Ml ( R ) 1574.14 J2820
SA519 THO 45388 L‐Glutamine Powder 18.1Oz
61755‐0008‐01 REG 52512 Libtayo 350 Mg Sdv 7Ml ( R ) 10920.00 J9119
00456‐1202‐30 ACT 46081 Linzess 290Mcg Cap 30 508.60
66869‐0204‐90 KOW 44128 Livalo 2Mg Tab 90 1064.28
64842‐1025‐01 TAI 45446 Lonsurf 15Mg Tab 20/Btl 3959.68
64842‐1025‐02 TAI 45447 Lonsurf 15Mg Tab 40/Btl 7919.34
64842‐1025‐03 TAI 45448 Lonsurf 15Mg Tab 60/Btl 11879.03
64842‐1020‐01 TAI 45449 Lonsurf 20Mg Tab 20/Btl 5279.58
64842‐1020‐02 TAI 45450 Lonsurf 20Mg Tab 40/Btl 10559.15
64842‐1020‐03 TAI 45451 Lonsurf 20Mg Tab 60/Btl 15838.70
00069‐0231‐01 PFI 53064 Lorbrena 100Mg Tab 30 19266.97
00069‐0227‐01 PFI 53063 Lorbrena 25Mg Tab 30 6422.33
00310‐4715‐11 AST 52701 Lumoxiti 1Mg Ivss Sdv ( R ) 0.00
00310‐4700‐01 AST 52700 Lumoxiti 1Mg Lyo Sdv ( R ) 2500.00 NEW14
PAPH AST 52702 Lumoxiti Dosing/Admin Guide ( R )
00074‐3663‐03 ABB 34673 Lupron Depot 11.25Mg 3M Kit 4681.38 J1950
00074‐3346‐03 ABB 34014 Lupron Depot 22.5Mg 3Mo Syg 5578.54 J9217
00074‐3641‐03 ABB 34015 Lupron Depot 3.75 Mg Kit 1560.44 J1950
00074‐3683‐03 ABB 34017 Lupron Depot 30Mg 4Mo Kit 1 7438.06 J9217
00074‐3473‐03 ABB 38151 Lupron Depot 45Mg 6Mo Kit 1 11157.24 J9217
00074‐3642‐03 ABB 34016 Lupron Depot 7.5Mg Kit Syr 1859.52 J9217
00310‐0668‐12 AST 49304 Lynparza 100Mg Tab 120 16830.38
00310‐0668‐60 AST 49305 Lynparza 100Mg Tab 60 8415.19
00310‐0679‐12 AST 49303 Lynparza 150Mg Tab 120 16830.38
00310‐0679‐60 AST 49306 Lynparza 150Mg Tab 60 8415.19
87701‐0407‐78 AME 51463 Magnesium 250Mg Tab 100
64011‐0243‐01 AMA 38777* Makena 1250Mg/5Ml Vl 4818.00
00409‐1610‐50 PFI 27367 Marcaine 0.5% Vl 250Mg/50Ml 6.06
20536‐0322‐01 AUR 53191 Marqibo Kit 5Mg/31Ml ( R ) 18089.35 J9371
31515 INT 38304 Medihoney 1.5Oz Tube Ea
00078‐0666‐15 NOV 46454* Mekinist 0.5Mg Tab 30 ( R ) 3991.60
00078‐0668‐15 NOV 46401* Mekinist 2Mg Tab 30 ( R ) 13585.45
70255‐0010‐02 ARR 51644 Mektovi 15Mg Tab 180 13798.80
87701‐0408‐13 AME 42323 Melatonin 3Mg Tab 100
87701‐0408‐14 AME 47321 Melatonin 5Mg Tab 100 0.00
49281‐0589‐05 SAN 26157 Menactra Vaccine 5 Doses/Pk ( R ) 733.09 90734
( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
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