Page 54 - 2020 Catalog

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J‐Code
55150‐0282‐20 AUR 51979 Ertapenem 1Gm Sdv 10/Pk 1500.00 J1335
68001‐0196‐00 AME 43899 Escitalopram 10Mg Tab 100 432.65
68001‐0197‐00 AME 43900 Escitalopram 20Mg Tab 100 451.46
16729‐0170‐01 ACC 55119 Escitalopram 20Mg Tab 100 492.03
68001‐0195‐00 AME 46836 Escitalopram 5Mg Tab 100 413.79
Esomeprazole/Mag 20Mg Cap 30
43598‐0509‐30
30.68
48867
GENERIC DRUGS 51862‐0332‐01 MAY 49377 Estradiol 0.5Mg Tab 100 55.12
DR
68.00
47733
MAY
51862‐0333‐01
Estradiol 1Mg Tab 100
51862‐0334‐01 MAY 49057 Estradiol 2Mg Tab 100 94.15
Estradiol Patch 0.025Mg 8/Pk
00378‐4644‐26
90.62
MYL
45706
92.83
00378‐3350‐99
BRE
51991‐0474‐28 MYL 34275 Estradiol Trn.05Mg/Daypat 4/Pk 136.78
47506
Estradiol‐Noreth 1‐0.5Mg Tab28
00093‐5537‐56 TEV 48157 Eszopiclone 1 Mg Tab 30 350.24
51079‐0349‐03 MYL 49067 Eszopiclone 2Mg 30Ud Tablets 349.85
68180‐0323‐01 MYL 52547 Eszopiclone 2Mg Tab 100 1167.47
23155‐0532‐01 HER 48156 Ethosuximide 250Mg Cap 100 278.49
00386‐0001‐04 GEB 10618 Ethyl Chloride Fine Spy 3.5Oz 37.00
00386‐0001‐03 GEB 10619 Ethyl Chloride Med Spy 3.5Oz 35.00
60505‐0039‐01 APO 45956 Etodolac 200Mg Cap 100 143.71
69238‐1342‐01 AMN 53136 Etodolac 400Mg Tab 100 146.80
00185‐0687‐01 SAN 46305 Etodolac 500Mg Tab 100 140.62
63323‐0104‐05 FRE 16136 Etoposide 20Mg/Ml Mdv 10X5Ml 149.28 J9181 , J9182
00378‐3266‐94 MYL 22971 Etoposide 50Mg Cap 20 Ud ( R ) 2008.78 J8560
00143‐9510‐01 HIK 50687 Etoposide Inj 100Mg/5Ml Mdv 11.24 J9181
16729‐0114‐31 ACC 37616 Etoposide Inj 100Mg/5Ml Mdv 11.37 J9181
68001‐0265‐25 AME 44214 Etoposide Inj 100Mg/5Ml Mdv 11.24 J9181
63323‐0104‐50 FRE 18714 Etoposide Inj 1Gm/50Ml Mdv 149.26 J9181 , J9182
68001‐0265‐27 AME 44216 Etoposide Inj 1Gm/50Ml Mdv 149.26 J9181
00143‐9512‐01 HIK 50688 Etoposide Inj 1Gm/50Ml Mdv 91.18 J9181
63323‐0104‐25 FRE 18713 Etoposide Inj 500Mg/25Ml Md 74.63 J9181 , J9182
68001‐0265‐26 AME 44215 Etoposide Inj 500Mg/25Ml Mdv 74.63 J9181
00143‐9511‐01 HIK 50686 Etoposide Inj 500Mg/25Ml Mdv 45.59 J9181
59762‐2858‐01 GRE 37816 Exemestane 25Mg Tab 30 606.94
67877‐0490‐30 ASC 52706 Ezetimibe 10Mg Tab 30 308.50
31722‐0707‐30 CAM 48172 Famciclovir 250 Mg Tab 30 189.62
31722‐0708‐30 CAM 48102 Famciclovir 500 Mg Tab 30 380.80
46122‐0394‐72 PER 55339 Famotidine 10Mg Tab 60
63323‐0738‐09 FRE 40382 Famotidine 10Mg/Ml Mdv 10X4Ml ( R ) 21.60 NEW03
63323‐0738‐20 FRE 38362 Famotidine 200Mg Mdv 10X20Ml ( R ) 413.00 NEW03
63323‐0739‐12 FRE 22115 Famotidine 20Mg Sdv 25X2Ml ( R ) 102.50 NEW03
68001‐0240‐00 AME 43449 Famotidine 20Mg Tab 100 242.20
50268‐0303‐15 TRI 51822 Famotidine 20Mg Tab 50 Ud 75.87
68001‐0241‐00 AME 44020 Famotidine 40Mg Tab 100 468.16
68462‐0581‐01 GLE 49713 Fenofibrate 134Mg Cap 100 195.90
00378‐3066‐77 MYL 54591 Fenofibrate 145Mg Tab 90 515.58
63304‐0901‐90 SUN 55432 Fenofibrate 160 Mg Tab 90 213.88
68180‐0363‐09 LUP 47900 Fenofibrate 160Mg Tab 90 213.88
00115‐0533‐01 GLO 46271 Fenofibrate 200Mg Cap 100 315.07
42858‐0454‐45 RHO 53780 Fenofibrate 54Mg Tab 90 73.67
68180‐0362‐09 LUP 48191 Fenofibrate 54Mg Tab 90 71.29
( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE

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