Page 50 - 2020 Catalog
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NDC/PCode/UPC Mfr. Item # Description AWP Pkg J‐Code
61703‐0304‐36 PFI 23386 Cytarabine 500Mg/25Ml Mdv Sol 18.41 J9100 , J9110
61703‐0305‐38 PFI 37707 Cytarabine Aq 100Mg Solvl5X5Ml 37.50 J9100
63323‐0127‐10 FRE 18725 Dacarbazine 100Mg Sdpwd 10/Pk ( R ) 113.40 J9130 , J9140
63323‐0128‐20 FRE 18726 Dacarbazine 200Mg Sdpwd 10/Pk ( R ) 144.00 J9130 , J9140
59148‐0046‐70 OTS 45660 Dacogen Inj 50Mg Sdv 2155.86 J0894
51049
MYL
Dactinomycin 0.5Mg Sdv
1749.68
67457‐0513‐05
J9120
GENERIC DRUGS 66993‐0489‐83 PRA 50253 Dactinomycin Inj 0.5Mg Vl 1822.59 J9120
544.26
Danazol 100Mg Cap 100
39121
00527‐1368‐01
LAN
29033‐0037‐30 NOS 49266 Dapsone 100Mg Tab 30 90.70
90.70
SET
46477
13925‐0505‐30
Dapsone 100Mg Tab 30 Ud
68001‐0376‐68
TEV
Daptomycin 500Mg/10Ml Sdv Ea ( R )
J0878
534.54
47387
00703‐0125‐01 AME 55801 Daptomycin 500Mg Sdv Ea ( R ) 480.60 J0878
00703‐5233‐13 TEV 20150 Daunorubicin 20Mg/4Mlsdv 10/Pk ( R ) 1609.70 J9150
42037‐0104‐79 AME 48401 Debrox Earwax Remove 0.5Oz 0.00
42037‐0104‐78 MED 53715 Debrox Earwax Remove Drp 0.5Oz 0.00
47335‐0361‐41 SUN 42851 Decitabine Inj 50Mg Pwd Sd Kit 1845.80 J0894
16729‐0224‐05 ACC 48308 Decitabine Inj 50Mg Pwd Sdv 1950.54 J0894
69097‐0285‐37 CIP 50244 Decitabine Inj 50Mg Pwd Sdv 780.00 J0894
55111‐0556‐10 DR 41359 Decitabine Inj 50Mg Pwd Sdv 1140.00 J0894
68001‐0347‐36 AME 51494 Decitabine Inj 50Mg Pwd Sdv 1449.60 J0894
45963‐0454‐30 TEV 54361 Deferasirox 125Mg Tab 30 1444.21
45963‐0455‐30 TEV 54362 Deferasirox 250Mg Tab 30 2888.36
45963‐0456‐30 TEV 54363 Deferasirox 500Mg Tab 30 5776.61
63323‐0599‐30 FRE 50619 Deferoxamine 2Gm 30Ml Vl 49.44 J0895
63323‐0597‐10 FRE 50620 Deferoxamine 500Mg 10Ml Sdv 15.54 J0895
00009‐0280‐03 PFI 14452 Depo Medrol 40Mg/Ml Mdv 10Ml 110.12 J1030
00009‐0280‐02 PFI 10654 Depo Medrol 40Mg/Ml Mdv 5Ml 55.01 J1030
00009‐3073‐01 PFI 14453 Depo Medrol 40Mg/Ml Sdv 1Ml 12.68 J1030
00009‐0306‐02 PFI 14460 Depo Medrol 80Mg/Ml Mdv 5Ml 110.12 J1040
00009‐3475‐01 PFI 14457 Depo Medrol 80Mg/Ml Sdv 1Ml 22.01 J1040
00009‐0417‐01 PFI 10658 Depo Testosterone 200Mg Vl 1Ml 24.00 J1071
69543‐0107‐10 VIR 48514 Desloratadine 5Mg Tab 100 501.85
69918‐0201‐01 AMR 54047 Desmopressin 0.2Mg Tab 100 141.30
69918‐0899‐10 AMR 47394 Desmopressin 4Mcg Amp 10X1Ml ( R ) 705.52 J2597
69918‐0901‐10 AMR 46400 Desmopressin 4Mcg/Ml 10Ml ( R ) 714.24 J2597
00168‐0309‐15 FOU 45494 Desonide 0.05% Oint 15Gm 60.10
51672‐1270‐01 TAR 21345 Desoximetasone Crm .25% 15Gm 101.25
00591‐4060‐30 ACT 51875 Desvenlafaxine 25Mg Er Tab 30 344.20
00054‐0603‐13 HIK 52499 Desvenlafaxine 25Mg Er Tab 30 358.54
00054‐0400‐13 HIK 50724 Desvenlafaxine 50Mg Er Tab 30 358.54
00054‐3177‐63 ROX 25140 Dexameth 0.5Mg/5Ml Sol 16Oz 23.91
00054‐3177‐57 ROX 41106 Dexameth 0.5Mg/5Ml Sol 240Ml 63.69
00054‐4180‐25 ROX 30385 Dexameth 0.75Mg Tab 100 24.76
67457‐0420‐10 MYL 43374 Dexameth 10Mg/Ml Mdv 10X10Ml 47.98 J1100
63323‐0516‐10 FRE 26931 Dexameth 10Mg/Ml Mdv10X10Ml Lf 141.60 J1100
00054‐4183‐25 ROX 35763 Dexameth 2Mg Tab 100 59.47
00054‐8175‐25 ROX 30550 Dexameth 4Mg Tab 100 Ud 120.46
67457‐0421‐30 MYL 43375 Dexameth 4Mg/Ml Mdv 25X30Ml 315.00 J1100
67457‐0422‐54 MYL 43373 Dexameth 4Mg/Ml Mdv 25X5Ml 58.50 J1100
00054‐4186‐25 ROX 30384 Dexameth 6Mg Tab 100 178.42
( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
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