Page 53 - 2020 Catalog
P. 53
NDC/PCode/UPC Mfr. Item # Description AWP Pkg J‐Code
42858‐0869‐06 RHO 55061 Dronabinol 10Mg Cap 60 ( R ) Q0167
42858‐0868‐06 RHO 55689 Dronabinol 10Mg Cap 60 ( R )
42858‐0867‐06 RHO 55199 Dronabinol 2.5Mg Cap 60 0.00
67877‐0568‐60 ASC 51107 Dronabinol 2.5Mg Cap 60 ( R ) 353.50 Q0167
67877‐0569‐60 ASC 52118 Dronabinol 5Mg Cap 60 ( R ) 735.50 Q0167
68001‐0255‐06 AME 43819 Duloxetine 20Mg Dr Cap 60 419.40
68001‐0256‐04 AME 43818 Duloxetine 30Mg Dr Cap 30 235.25
68001‐0257‐04 AME 45269 Duloxetine 60Mg Dr Cap 30 235.25 GENERIC DRUGS
42806‐0549‐30 EPI 50837 Dutasteride 0.5Mg Cap 30
60631‐0040‐30 ARB 50243 Edarbi 40Mg Tab 30 224.54
51801‐0005‐30 NOM 54313 Effer‐K 25Meq Lc Tab 30/Bx 11.70
27241‐0040‐21 AJA 50241 Eletripran Hbr 40Mg Tab 12 Ud 774.39
00009‐5091‐01 PFI 19061 Ellence 50Mg/25Ml Sdv ( R ) 55.20 J9178
68084‐0391‐01 AME 44397 Enalapril 10Mg Tab 100 Ud 129.67
68084‐0392‐01 AME 43878 Enalapril 20Mg Tab 100 Ud 182.40
51672‐4046‐01 TAR 50548 Enalapril Hctz 10‐25Mg Tab100 122.05
64679‐0926‐02 WOC 30828 Enalapril Mal 20Mg Tab 100 276.61
68084‐0390‐01 AME 50163 Enalapril Mal 5Mg Tab 100 Ud 123.73
68682‐0711‐01 VAL 51752 Enalapril Maleate 5Mg Tab 100 66.64
00536‐7415‐51 MAJ 46381 Enema 4.5Oz Watson 1.03
00955‐1010‐10 WIN 40331 Enoxaparin 100Mg Pfs 10X1Ml 893.11 J1650
00703‐8580‐23 TEV 36335 Enoxaparin 100Mg Pfs 10X1Ml 238.56 J1650
00703‐8610‐23 TEV 36336 Enoxaparin 120Mg Pfs 10X.8Ml 286.20 J1650
00955‐1012‐10 WIN 40332 Enoxaparin 120Mg Pfs 10X.8Ml 1072.08 J1650
00703‐8510‐23 TEV 36337 Enoxaparin 150Mg Pfs 10X1Ml 357.72 J1650
00955‐1015‐10 WIN 40333 Enoxaparin 150Mg Pfs 10X1Ml 1340.11 J1650
00955‐1016‐01 WIN 40338 Enoxaparin 300Mg Vl 1X3Ml Mdv 267.64 J1650
00955‐1003‐10 WIN 40327 Enoxaparin 30Mg Pfs 10X.3Ml 267.64 J1650
00955‐1004‐10 WIN 40328 Enoxaparin 40Mg Pfs 10X.4Ml 356.82 J1650
00703‐8540‐23 TEV 36332 Enoxaparin 40Mg Pfs 10X.4Ml 95.28 J1650
00703‐8560‐23 TEV 36333 Enoxaparin 60Mg Pfs 10X.6Ml 143.16 J1650
00955‐1006‐10 WIN 40329 Enoxaparin 60Mg Pfs 10X.6Ml 535.87 J1650
00548‐5603‐00 AMP 46582 Enoxaparin 60Mg Pfs 10X0.6Ml 108.00 J1650
00955‐1008‐10 WIN 40330 Enoxaparin 80Mg Pfs 10X.8Ml 714.50 J1650
00093‐5786‐56 TEV 45987 Entecavir 0.5Mg Tab 30 1333.05
45963‐0438‐64 TEV 55295 Enulose 10Gm/15Ml Sol 473Ml 36.50
54288‐0103‐10 BPI 48229 Epineph 1Mg/Ml Pfsf 10X1Ml Amp 175.00
49502‐0101‐02 MYL 47933 Epinephrine .15Mg Autoinj 2/Pk 375.00
00115‐1695‐49 GLO 48635 Epinephrine 0.15Mg Inj 2 494.01
00115‐1694‐49 GLO 48730 Epinephrine 0.3Mg Auto Inj 2 494.01
49502‐0102‐02 MYL 47931 Epinephrine 0.3Mg Autoinj 2/Pk 375.00
00409‐4921‐34 PFI 27478 Epinephrine 20G Ls Abj 10X10Ml 54.72 J0171
00143‐9203‐01 HIK 50388 Epirubicin 200Mg/100Ml Sdv Sol ( R ) 232.22 J9178
00143‐9202‐01 HIK 50387 Epirubicin 50Mg/25Ml Sdv Sol ( R ) 58.08 J9178
59762‐1720‐01 GRE 45146 Eplerenone 50Mg Tab 30 124.98
00378‐7132‐93 MYL 54812 Erlotinib 100Mg Tab 30 8518.10
00093‐7663‐56 TEV 54806 Erlotinib 100Mg Tab 30 8518.10
00378‐7133‐93 MYL 54813 Erlotinib 150Mg Tab 30 9634.60
00093‐7664‐56 TEV 54816 Erlotinib 150Mg Tab 30 9634.60
00378‐7131‐93 MYL 54811 Erlotinib 25Mg Tab 30 3101.25
( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
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