Page 60 - 2020 Catalog

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J‐Code
00143‐9554‐01 HIK 48900 Leucovorin 100Mg Sdv 19.20 J0640
67457‐0528‐10 MYL 55254 Leucovorin 100Mg Sdv Pwd 24.00 J0640
00703‐5140‐01 TEV 10719 Leucovorin 100Mg Sdv Pwd 24.00 J0640
00054‐4497‐10 ROX 45390 Leucovorin 10Mg Tab 24 199.86
Leucovorin 200Mg Sdv
00143‐9553‐01 HIK 48901 Leucovorin 200Mg Sdv Lyo 28.80 J0640
FRE
18727
J0640
63323‐0710‐50
GENERIC DRUGS 67457‐0529‐20 MYL 55255 Leucovorin 200Mg Sdv Pwd 618.35 J0640
25.27
48.00
HIK
00054‐4499‐11
Leucovorin 25Mg Tab 25
51214
67457‐0530‐35 MYL 53791 Leucovorin 350Mg Sdv Pwd 31.20 J0640
Leucovorin 350Mg Sdv Pwd
J0640
47234
00143‐9552‐01
HIK
31.20
00703‐5145‐01
FRE
63323‐0711‐00 TEV 10559 Leucovorin 350Mg Sdv Pwd 22.74 J0640
J0640
18728
94.45
Leucovorin 500Mg Sdv Lyo
25021‐0828‐50 SAG 52403 Leucovorin 500Mg Sdv Lyo 120.00 J0640
50742‐0464‐50 ING 54092 Leucovorin 500Mg/50Ml Sdv Sol ( R ) 87.50 J0640
00143‐9555‐01 HIK 48899 Leucovorin 50Mg Sdv 12.00 J0640
25021‐0814‐30 SAG 40138 Leucovorin P/F 100Mg Sdv Lyo 24.00 J0640
25021‐0815‐30 SAG 40139 Leucovorin P/F 200Mg Sdv Lyo 48.00 J0640
25021‐0816‐30 SAG 40140 Leucovorin P/F 350Mg Sdv Lyo 84.00 J0640
25021‐0813‐10 SAG 40137 Leucovorin P/F 50Mg 10/Pk Lyo 120.00 J0640
68001‐0115‐06 AME 46137 Levetiracetam 1000Mg Tab 60 422.18
68180‐0099‐01 LUP 50731 Levetiracetam 100Mg/Ml Sol 302.92
68001‐0113‐06 AME 51757 Levetiracetam 500Mg Er Tab 60 266.82
68001‐0117‐07 AME 43074 Levetiracetam 500Mg Tab 120 421.71
68001‐0118‐07 AME 45549 Levetiracetam 750Mg Tab 120 571.31
31722‐0551‐90 CAM 48747 Levocetirizine 5Mg Tab 90 276.88
33342‐0200‐10 MAC 54874 Levocetirizine 5Mg Tab 90 0.00
65862‐0536‐50 AUR 47696 Levofloxacin 250Mg Tab 50 840.55
65862‐0537‐50 AUR 47902 Levofloxacin 500 Mg Tab 50 963.30
17478‐0107‐20 AKO 38513 Levofloxacin 500Mg Sdv 20Ml 44.74 J1956
00904‐6352‐61 MAJ 54020 Levofloxacin 500Mg Tab 100 Ud 1682.08
65862‐0538‐20 AUR 51824 Levofloxacin 750Mg Tab 20 721.55
44567‐0436‐24 WG 50749 Levofloxacin/Dex 500Mg24X100Ml 361.44 J1956
70121‐1572‐01 AMN 54822 Levoleucovorin 175Mg/17.5Mlsdv ( R ) 144.00 J0641
00781‐3201‐94 SAN 44749 Levoleucovorin 175Mg/17.5Mlsol ( R ) 997.50 J0641
43598‐0771‐11 DR 53279 Levoleucovorin 175Mg/17.5Mlsol ( R ) J0641
43598‐0773‐11 DR 53280 Levoleucovorin 250Mg/25Ml Sol ( R ) J0641
50742‐0495‐25 ING 52345 Levoleucovorin 250Mg/25Mlsol ( R ) 203.88 J0641
00143‐9558‐01 HIK 47073 Levoleucovorin 50Mg/10Ml Pwd 218.88 J0641
70121‐1099‐01 AMN 48257 Levoleucovorin 50Mg/5Ml Sdv 218.88 J0641
69238‐1834‐01 AMN 53622 Levothyroxine 100Mcg Tab 100 56.18
69238‐1835‐01 AMN 54369 Levothyroxine 112Mcg Tab 100 64.97
69238‐1836‐01 AMN 54095 Levothyroxine 125Mcg Tab 100 65.87
69238‐1837‐01 AMN 54935 Levothyroxine 137Mcg Tab 100 66.78
00378‐1815‐77 MYL 54972 Levothyroxine 150Mcg Tab 90 61.02
69238‐1839‐01 AMN 53793 Levothyroxine 175Mcg Tab 100 80.58
69238‐1840‐01 AMN 54821 Levothyroxine 200Mcg Tab 100 80.74
69238‐1830‐01 AMN 54023 Levothyroxine 25Mcg Tab 100 43.69
69238‐1841‐01 AMN 55253 Levothyroxine 300Mcg Tab 100 108.56
63323‐0648‐10 FRE 38854 Levothyroxine 500Mcg Sdv 633.49
70860‐0453‐10 ATH 53865 Levothyroxine 500Mcg Sdv 570.78
( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE

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