Page 37 - 2020 Catalog

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J‐Code
00005‐1971‐02 PFI 38983 Prevnar‐13 Pfs 10X0.5Ml ( R ) 2266.66 90670
37000‐0455‐04 AME 30138 Prilosec Otc Tab 42/Pk 27.06 BRANDED DRUGS
44206‐0437‐10 CSL 31316 Privigen 10Gm Sdv ( R ) 1704.00 J1459
44206‐0438‐20 CSL 31317 Privigen 20Gm Sdv ( R ) 3408.00 J1459
44206‐0439‐40 CSL 41205 Privigen 40Gm Sdv ( R ) 6816.00 J1459
44206‐0436‐05 CSL 31315 Privigen 5Gm Sdv ( R ) 852.00 J1459
59310‐0579‐22 TEV 40430 Proair Hfa 90Mcg Inh 8.5Gm 77.92
59676‐0312‐04 JOM 31310 Procrit 10M Un/Ml 2Ml Mdv 4/Pk ( R ) 2565.60 J0885 , Q4081
59676‐0310‐01 JOM 10510 Procrit 10M Un/Ml Vl 6X1Ml ( R ) 1924.20 J0885 , Q4081
59676‐0320‐04 JOM 30696 Procrit 20M Un/Ml Mdv 4X1Ml ( R ) 2565.60 J0885 , Q4081
59676‐0340‐01 JOM 10982 Procrit 40M Un/Ml Vl 4X1Ml ( R ) 5131.20 J0885 , Q4081
68516‐3207‐01 GRI 53080 Profilnine Factor Ix 550Iu Vl ( R ) 1.61 J7194
65483‐0116‐07 CLI 39000 Proleukin 22Mm Iu Vl ( R ) 5620.32 J9015
55513‐0710‐01 AMG 38610 Prolia Uro Onc 60Mg Syg ( R ) 1462.87 J0897
00078‐0684‐15 NOV 47345* Promacta 12.5Mg Tab 30 5911.76
00078‐0685‐15 NOV 46693* Promacta 25Mg Tab 30 5911.76
00078‐0686‐15 NOV 46549* Promacta 50Mg Tab 30 10698.41
00078‐0687‐15 NOV 46459* Promacta 75Mg Tab 30 16047.61
00006‐0071‐31 MER 10142 Propecia 1Mg Uu Tab 30/Btl 124.20
00008‐0923‐55 PFI 25449 Protonix Iv 40Mg Vl 10/Pk 60.00 J3490
00517‐0374‐05 AME 47318 Provayblue 5Mg/Ml Amp 5X10Ml 1239.66
30237‐8900‐06 DEN 38849* Provenge 250Ml Sus ( R ) 70937.70 Q2043
00186‐0917‐06 AST 37354 Pulmicort Flexhaler 90Mcg Ea 211.84
59310‐0302‐40 TEV 51466 Qvar 40Mcg Inh 10.6Gm 215.33
70510‐2171‐02 MIT 49207 Radicava 30Mg/100Ml Sd 2/Pk 1329.26 J1301
61958‐1003‐01 GIL 46046 Ranexa 500Mg Tab 60 449.22
52544‐0151‐30 ALL 48797 Rapaflo 4Mg Cap 30 299.12
00023‐6147‐30 ALL 52435 Rapaflo 4Mg Capsule 30 313.78
00008‐1041‐05 PFI 30667 Rapamune 1Mg Tab 100 3684.13 J7520
32909‐0722‐03 BRA 49284 Readi‐Cat Banana 24X450Ml 116.28
32909‐0711‐03 BRA 48869 Readi‐Cat Berry 24X450Ml 116.28
32909‐0756‐03 BRA 48887 Readi‐Cat Creamyvan24X450Ml 116.28
32909‐0777‐03 BRA 48888 Readi‐Catmochaccino24X450Ml 116.28
00078‐0435‐61 NOV 30069 Reclast 5Mg Vl 100Ml 1300.60 J3489
43825‐0606‐41 BAX 48627 Recothrom 5000Iu 103.20
58914‐0301‐80 ALL 44504 Rectiv 0.4% Ointment 30Gm 768.89
00023‐9205‐15 ALL 30960 Refresh Liq Gel Drp 15 Ml 9.47
00023‐0403‐50 ALL 37237 Refresh Plus 0.5% 0.4Ml 50/Pk 15.36
65649‐0551‐02 VAL 38795 Relistor 12Mg Vl 138.65
65649‐0150‐90 VAL 55726 Relistor 150 Mg Tab 90 2079.72
57894‐0030‐01 JOM 10026 Remicade 100Mg 20Ml Vl ( R ) 1401.38 J1745
58468‐0021‐01 GEN 20572 Renagel 800Mg Tab 180/Btl 1524.10
00023‐9163‐60 ALL 39839 Restasis 0.05% Vl 60X0.4Ml 669.26
00023‐5301‐05 ALL 50052 Restasis Multidose .05% Drp 669.26
59572‐0410‐00 CEL 27937* Revlimid 10Mg 100/Btl 86378.38
59572‐0410‐28 CEL 33877* Revlimid 10Mg Cap 28/Btl 24185.93
59572‐0415‐00 CEL 28335* Revlimid 15Mg Cap 100 86378.38
59572‐0415‐21 CEL 28334* Revlimid 15Mg Cap 21 18139.48
59572‐0402‐00 CEL 39486* Revlimid 2.5Mg Cap 100/Btl 86378.38
59572‐0402‐28 CEL 39485* Revlimid 2.5Mg Cap 28/Btl 24185.93
59572‐0420‐00 CEL 41259* Revlimid 20Mg Cap 100 86378.38
59572‐0420‐21 CEL 41258* Revlimid 20Mg Cap 21 18139.48

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

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