Page 39 - 2020 Catalog
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NDC/PCode/UPC Mfr. Item # Description AWP Pkg J‐Code
00597‐0100‐61 BOE 45913 Spiriva Respimat 2.5Mcg Inh 60 515.36
00003‐0852‐22 BRI 32303 Sprycel 100Mg Tab 30 16424.15 BRANDED DRUGS
00003‐0857‐22 BRI 37454 Sprycel 140Mg Tab 30 16424.15
00003‐0527‐11 BRI 28315 Sprycel 20Mg Tab 60/Btl 9112.74
00003‐0528‐11 BRI 28316 Sprycel 50Mg Tab 60/Btl 18225.44
00003‐0524‐11 BRI 28317 Sprycel 70Mg Tab 60/Btl 18225.44
00003‐0855‐22 BRI 42272 Sprycel 80Mg Tab 30 16424.15
57894‐0060‐03 JOM 35548 Stelara 45Mg Pfs 0.5Ml ( R ) 13202.77 J3357
57894‐0060‐02 JOM 34825 Stelara 45Mg Sdv 0.5Ml ( R ) 13202.77 J3357
57894‐0061‐03 JOM 35549 Stelara 90Mg Pfs 1Ml ( R ) 26405.53 J3357
57894‐0054‐27 JOM 47426 Stelara Iv 130Mg Sdv Ea ( R ) 1920.00 J3358
00053‐6871‐00 CSL 36136 Stimate Nasal 1.5Mg Spy 2.5Ml ( R ) 878.40
50419‐0171‐03 BAY 40073 Stivarga 40Mg Tab 84/Ctn 20838.38
00002‐3239‐30 ELI 25504 Strattera 60Mg Cap 30/Btl 515.52
52268‐0012‐01 BRA 48762 Suprep Bowel Kit 1 116.33
47426‐0101‐06 HER 47347 Sustol 10Mg/0.4Ml Pfs Kit 6/Pk ( R ) 4448.23 J1627
00069‐0550‐38 PFI 28370 Sutent 12.5Mg Caps 28/Btl 6159.07
00069‐0770‐38 PFI 28369 Sutent 25Mg Caps 28/Btl 12318.17
00069‐0830‐38 PFI 43294 Sutent 37.5Mg Caps 28/Btl 18477.25
00069‐0980‐38 PFI 28368 Sutent 50Mg Caps 28/Btl 21444.19
00085‐4347‐01 MER 44033 Sylatron 200 Mcg Sdv W/Dil 2376.29 NEW10
00085‐4348‐01 MER 44034 Sylatron 300 Mcg Sdv W/Dil 3564.43 NEW10
57894‐0420‐01 EUS 42812 Sylvant 100Mg Lyp Pwd Sdv Ea ( R ) 1174.21 J2860
57894‐0421‐01 EUS 42811 Sylvant 400Mg Lyp Pwd Sdv Ea ( R ) 4696.81 J2860
00186‐0370‐20 AST 31870 Symbicort 120 160/4.5Mcg10.2Gm 416.20
00186‐0372‐20 AST 31869 Symbicort 120 80/4.5Mcg 10.2Gm 364.10
00186‐0370‐28 AST 45661 Symbicort 60 160/4.5Mcg 6Gm 282.82
00186‐0372‐28 AST 47615 Symbicort 60 80/4.5Mcg 6.9Gm 245.84
00781‐3442‐20 SAN 55373 Symjepi 0.3Mg Inj 2 312.50
00597‐0290‐74 BOE 49365 Synjardy Xr 5Mg/1000Mg Tab 60 591.42
63459‐0177‐14 TEV 40326 Synribo 3.5Mg Sdv 8Ml 1254.12 J9262
00074‐6624‐90 ABB 44085 Synthroid 100Mcg Tab 90 133.68
00074‐9296‐90 ABB 50138 Synthroid 112 Mcg Tab 90 133.69
00074‐7068‐90 AKO 48808 Synthroid 125 Mcg Tab 90 133.76
00074‐3727‐90 ABB 44169 Synthroid 137Mcg Tab 90 133.74
00074‐7069‐90 ABB 43916 Synthroid 150Mcg Tab 90 133.76
00074‐7070‐90 ABB 48180 Synthroid 175Mcg Tab 90 133.57
00074‐4341‐90 ABB 46624 Synthroid 25Mcg Tab 90 133.74
00074‐4552‐90 ABB 43362 Synthroid 50Mcg Tab 90 133.69
00074‐5182‐90 ABB 44204 Synthroid 75Mcg Tab 90 133.73
58468‐0090‐03 SAN 34121 Synvisc‐One Gf‐20 Syr 6Ml Ea 1559.34 J7325
76388‐0880‐25 PRA 41586 Tabloid 40Mg Tab 25 758.32
00078‐0682‐66 NOV 46581* Tafinlar 50Mg Cap 120 9709.25
00078‐0681‐66 NOV 46432* Tafinlar 75Mg Cap 120 12512.80
00310‐1349‐30 AST 45759 Tagrisso 40Mg Tab 30 17715.17
00310‐1350‐30 AST 45760 Tagrisso 80Mg Tab 30 17715.17
00069‐0296‐30 PFI 52756 Talzenna 0.25Mg Cap 30/Btl 5832.00
00069‐1195‐30 PFI 52757 Talzenna 1Mg Cap 30/Btl 17496.00
50242‐0063‐01 GEN 25589 Tarceva 100Mg Tab 30/Btl 8966.42
50242‐0064‐01 GEN 25588 Tarceva 150Mg Tab 30/Btl 10141.68
50242‐0062‐01 GEN 25590 Tarceva 25Mg Tab 30/Btl 3264.47
00078‐0592‐87 NOV 36168* Tasigna 150Mg Caps 4X28 16503.95
( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
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