Page 36 - 2020 Catalog

OCT
45588
185.04
J1568
Octagam 5% 1 Gm 20Ml Vl ( R )
68982‐0840‐01
J1568
462.60
OCT
68982‐0840‐02
Octagam 5% 2.5Gm 50Ml Vl ( R )
BRANDED DRUGS NDC/PCode/UPC Mfr. Item # Description AWP Pkg J‐Code
45551
J1568
925.20
45552
68982‐0840‐03
OCT
Octagam 5% 5Gm 100Ml Vl ( R )
68982‐0840‐04
1850.40
SUN
47335‐0303‐83 OCT 45553 Octagam 5%10Gm 200Ml Vl ( R ) 13564.10 J1568
49647
Odomzo 200Mg Cap 30
43825‐0102‐01 CAD 38007 Ofirmev 10Mg/Ml Vl 24X100Ml 1251.60
SP607 THO 11695 Omega Plus Cap 90
00407‐1412‐33 GE 36796 Omnipaque+240Mg/Ml Btl10X100Ml 907.56 Q9966
00407‐1414‐89 GE 32944 Omnipaque+350Mg/Ml Btl 10X50Ml 605.74 Q9967
00407‐1414‐91 GE 36832 Omnipaque+350Mg/Ml Btl10X100Ml 1210.68 Q9967
00407‐1414‐93 GE 36833 Omnipaque+350Mg/Ml Btl10X150Ml 1671.24 Q9967
00407‐1414‐98 GE 36835 Omnipaque+350Mg/Ml Btl10X500Ml 4905.94 Q9967
00407‐0690‐20 GE 36784 Omniscan 287Mg/Ml Vl 10X20Ml 1235.24 A9579
15054‐0043‐01 IPS 49780 Onivyde 43Mg/10Ml Sdv Sol ( R ) 2582.40 J9205
00003‐3774‐12 BRI 44118 Opdivo 100Mg 10Ml Vl ( R ) 3241.60 J9299
00003‐3734‐13 BRI 50242 Opdivo 240Mg/24Ml Vl ( R ) 7779.84 J9299
00003‐3772‐11 BRI 44117 Opdivo 40Mg 4Ml Vl ( R ) 1296.64 J9299
00003‐2187‐13 BRI 53062 Orencia 250Mg Vl 15Ml ( R ) 1330.84 J0129
46122‐0165‐10 PER 52419 Oxymetazoline0.05%Nsl Spy 1Oz 0.00
00169‐4136‐02 NOV 52517 Ozempic 1Mg Syringe 2X1.5Ml ( R ) 926.92
00169‐4132‐12 NOV 51006 Ozempic 2Mg/1.5Ml Pfs Ea ( R ) 926.92
00386‐0008‐03 GEB 26843 Pain Ease 3.5Oz Spray 33.00
00386‐0008‐02 GEB 32320 Pain Ease Spray Mist 3.5 Oz 34.00
00004‐0357‐30 GEN 38837 Pegasys 180Mcg Pfs 4X.5Ml ( R ) 4903.15
00004‐0350‐09 GEN 22862 Pegasys 180Mcg/Ml Vl 1Ml ( R ) 1225.79
50242‐0145‐01 GEN 39679 Perjeta 420Mg/14Ml Sdv ( R ) 6165.44 J9306
59767‐0016‐01 DIG 51013 Pertzye 16000U Dr Cap 100 559.20
59767‐0024‐01 DIG 51014 Pertzye 24000U Dr Cap 80 671.04
00078‐0701‐84 NOV 54951* Piqray 200Mg Tabs 28 Ud 18600.00
00078‐0715‐02 NOV 54952* Piqray 250Mg Tabs 56 Ud 18600.00
00078‐0708‐02 NOV 54953* Piqray 300Mg Tabs 56 Ud 18600.00
00006‐4943‐00 MER 10355 Pneumovax 23 Vl 10X0.5Ml ( R ) 1262.33 90732
00574‐0601‐15 PAD 13970 Podocon 25% 15Ml Sol 122.50
50242‐0105‐01 GEN 55051 Polivy 140Mg Sdv ( R ) 18000.00 NEW15
POLIVY GEN 55517 Polivy Supplement Prg Brochure ( R )
59572‐0501‐00 CEL 40662* Pomalyst 1Mg Cap 100 98323.59
59572‐0501‐21 CEL 40661* Pomalyst 1Mg Cap 21 20647.96
59572‐0502‐00 CEL 40664* Pomalyst 2Mg Cap 100 98323.59
59572‐0502‐21 CEL 40663* Pomalyst 2Mg Cap 21 20647.96
59572‐0503‐00 CEL 40666* Pomalyst 3Mg Cap 100 98323.59
59572‐0503‐21 CEL 40665* Pomalyst 3Mg Cap 21 20647.96
59572‐0504‐00 CEL 40668* Pomalyst 4Mg Cap 100 98323.59
59572‐0504‐21 CEL 40667* Pomalyst 4Mg Cap 21 20647.96
00002‐7716‐01 ELI 45884 Portrazza 800Mg/50Ml Sdv Sol ( R ) 5195.70 J9295
00597‐0360‐55 BOE 50626 Pradaxa 150Mg Cap 60 519.14
00597‐0355‐09 BOE 50409 Pradaxa 75Mg Cap 60 519.14
00052‐0315‐10 MER 13941 Pregnyl 10000 Unit 10Ml Mdv 121.79 J0725
00046‐1101‐81 PFI 27751 Premarin .45Mg Tab 100/Btl 674.75
00046‐0872‐21 PFI 39540 Premarin .625Mg Vag Crm 30Gm 448.27
00046‐1102‐81 PFI 27569 Premarin 0.625Mg Tab 100/Btl 674.75
00126‐0072‐92 COL 43700 Prevident Pls T/P Fruit 3.4Oz 16.73
00005‐1971‐05 PFI 41022 Prevnar‐13 Pfs 0.5Ml Ea ( R ) 233.75 90670

( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE

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