Page 38 - 2020 Catalog

AWP Pkg
CEL
28330*
Revlimid 25Mg Cap 100
59572‐0425‐00
BRANDED DRUGS NDC/PCode/UPC Mfr. Item # Description 86378.38 J‐Code
33878*
Revlimid 25Mg Cap 21/Btl
18139.48
CEL
59572‐0425‐21
59572‐0405‐00
27935*
86378.38
Revlimid 5Mg 100/Btl
CEL
59572‐0405‐28
Rhogam Ult‐Filt Plus Syg 300Ug ( R )
126.14
00562‐7805‐01 CEL 33876* Revlimid 5Mg Cap 28/Btl 24185.93 J2790
40522
KED
00562‐7805‐05 KED 40523 Rhogam Ult‐Filt Plus Syg 5/Pk ( R ) 630.70 J2790
44206‐0300‐01 CSL 24603 Rhophylac 300Mcg Prefilsyg 2Ml ( R ) 192.46 J2791
67457‐0177‐50 MYL 30224 Rimso‐50 Vl 50Ml Ea 742.31 J1212
00074‐2306‐30 ABB 55635 Rinvoq Er 15Mg Tab 30 5900.00
50242‐0051‐21 GEN 10152 Rituxan 100Mg Vl 10Ml ( R ) 1127.42 J9312
50242‐0051‐10 GEN 55234 Rituxan 100Mg/10Ml Sdv 10/Bx ( R ) 11274.24 J9312
50242‐0053‐06 GEN 10151 Rituxan 500Mg Vl 50Ml ( R ) 5637.12 J9312
50242‐0108‐01 GEN 48962 Rituxan Hycela 1400 Mg Sdv ( R ) 7891.90 J9311
50242‐0109‐01 GEN 48963 Rituxan Hycela 1600 Mg Sdv ( R ) 9019.31 J9311
50242‐0091‐30 GEN 55515 Rozlytrek 100 Mg Cap 30 6720.00
50242‐0094‐90 GEN 55516 Rozlytrek 200 Mg Cap 90 20160.00
69660‐0201‐91 CLO 48002 Rubraca 200 Mg Tab 60/Btl 9553.20
69660‐0202‐91 CLO 48823 Rubraca 250 Mg Tab 60/Btl 9553.20
69660‐0203‐91 CLO 47974 Rubraca 300 Mg Tab 60/Btl 9553.20
00078‐0698‐99 NOV 48653 Rydapt 25Mg Cap 2 7X4 10201.00
00078‐0698‐19 NOV 48654 Rydapt 25Mg Cap 4 7X4 20401.99
70275‐0629‐12 FOR 48045 Salivamax 351 Mg 120/Bx 942.75
42747‐0726‐01 KYO 33561 Sancuso 3.1Mg Patch 659.46
00078‐0811‐81 NOV 48712 Sandostat Lar 10Mg Dil Pfs Kit ( R ) 3906.12 J2353
00078‐0818‐81 NOV 47909 Sandostat Lar 20Mg Dil Pfs Kit ( R ) 5117.69 J2353
00078‐0825‐81 NOV 47899 Sandostat Lar 30Mg Dil Pfs Kit ( R ) 7663.37 J2353
00078‐0181‐01 NOV 23329 Sandostatin 0.1Mg/Ml Amp10X1Ml ( R ) 322.14 J2354
65597‐0203‐30 DAI 52157 Savaysa 60 Mg Tab 30 436.32
00310‐0280‐60 AST 37107 Seroquel Xr 50Mg Tab 60 591.26
58160‐0819‐12 GLA 49895 Shingrix Vax 1 Dose/2 Vials ( R ) 173.04
71770‐0100‐60 MED 54196 Siklos 100Mg Tab 60 360.00
57894‐0350‐01 JOM 41463 Simponi Aria 50Mg/4Ml Vl Ea ( R ) 2182.21 J1602
00024‐5761‐05 SAN 49243 Soliqua 100/33 Mcg Pfs 5X3Ml ( R ) 848.12
25682‐0001‐01 ALE 29525* Soliris 300Mg/30Ml Non‐Return ( R ) 7827.60 J1300
00009‐0825‐01 PFI 10671 Solu Cortef 100Mg Vl 11.93 J1720
00009‐0005‐01 PFI 35899 Solu Cortef P/F 1000Mg Aov 8Ml 119.24 J1720
00009‐0011‐03 PFI 35894 Solu Cortef P/F 100Mg Aov 2Ml 16.12 J1720
00009‐0013‐05 PFI 35896 Solu Cortef P/F 250Mg Aov 2Ml 29.81 J1720
00009‐0011‐04 PFI 35895 Solu Cortef P/F100Mg Aov25X2Ml 402.85 J1720
00009‐0698‐01 PFI 10675 Solu Medrol 1000 Wo/Dil Vl 50.27 J2930
00009‐0047‐22 PFI 35681 Solu Medrol 125Mg Aovpf 25X2Ml 290.63 J2930
00009‐0018‐20 PFI 35683 Solu Medrol 1Gm Aov Pf 8Ml 68.16 J2930
00009‐0039‐28 PFI 35680 Solu Medrol 40Mg Aov Pf 25X1Ml 180.47 J2920
00009‐0003‐02 PFI 35682 Solu Medrol 500Mg Aov Pf 4Ml 46.86 J2930
00009‐0758‐01 PFI 10674 Solu Medrol Mdv 500Mg Vl 27.74 J2930
00009‐0796‐01 PFI 10693 Solu Medrol/D 2Gm Vl 99.73 J2930
15054‐1120‐04 IPS 55698 Somatuline Depot 120Mg Pfs Ea ( R ) 9560.40 J1930
15054‐1060‐04 IPS 55697 Somatuline Depot 60Mg Pfs Ea ( R ) 6086.40 J1930
15054‐1060‐03 IPS 44229 Somatuline Depot 60Mg Pfs Ea ( R ) 6086.40 J1930
15054‐1090‐03 IPS 44230 Somatuline Depot 90Mg Pfs Ea ( R ) 8107.20 J1930
15054‐1090‐04 IPS 55695 Somatuline Depot 90Mg Pfs Ea ( R ) 8107.20 J1930
00597‐0075‐41 BOE 31756 Spiriva 18Mcg Hh Cap 30/Btl 515.36

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

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