Page 97 - 2020 Catalog

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J‐Code
00023‐5301‐05 ALL 50052 Restasis Multidose .05% Drp 669.26
59572‐0410‐00 CEL 27937* Revlimid 10Mg 100/Btl 86378.38
59572‐0410‐28 CEL 33877* Revlimid 10Mg Cap 28/Btl 24185.93
59572‐0415‐00 CEL 28335* Revlimid 15Mg Cap 100 86378.38
59572‐0415‐21 CEL 28334* Revlimid 15Mg Cap 21 18139.48
59572‐0402‐00 CEL 39486* Revlimid 2.5Mg Cap 100/Btl 86378.38
59572‐0402‐28 CEL 39485* Revlimid 2.5Mg Cap 28/Btl 24185.93
59572‐0420‐00 CEL 41259* Revlimid 20Mg Cap 100 86378.38
59572‐0420‐21 CEL 41258* Revlimid 20Mg Cap 21 18139.48
59572‐0425‐00 CEL 28330* Revlimid 25Mg Cap 100 86378.38
59572‐0425‐21 CEL 33878* Revlimid 25Mg Cap 21/Btl 18139.48
59572‐0405‐00 CEL 27935* Revlimid 5Mg 100/Btl 86378.38
59572‐0405‐28 CEL 33876* Revlimid 5Mg Cap 28/Btl 24185.93
00074‐2306‐30 ABB 55635 Rinvoq Er 15Mg Tab 30 5900.00
68382‐0114‐14 ZYD 43099 Risperidone 1Mg Tab 60/Btl 273.09 ORAL DRUGS
68382‐0115‐14 ZYD 49643 Risperidone 2Mg Tab 60 456.41
33342‐0088‐41 MAC 54621 Rizatriptan 10Mg Tab 18 Ud 597.75
68462‐0466‐99 GLE 46778 Rizatriptan 10Mg Tab 18 Ud 654.68
68462‐0465‐99 GLE 46603 Rizatriptan 5Mg Tab 18 Ud 654.68
00904‐6759‐20 MAJ 54693 Robafen Dm Cgh/Cong Liq 4Oz 2.03
00904‐6306‐20 MAJ 51872 Robafen Dm Cgh/Cong Liq 4Oz 2.25
62332‐0030‐31 ALE 49787 Ropinirole 0.25Mg Tab 100 249.98
68462‐0254‐01 GLE 46523 Ropinirole 0.5Mg Tab 100 250.52
68462‐0255‐01 GLE 44965 Ropinirole 1Mg Tab 100 250.52
13811‐0639‐30 TRI 50185 Ropinirole 2Mg Er Tab 30 55.00
62332‐0034‐31 ALE 50428 Ropinirole 3 Mg Tab 100 249.98
62332‐0035‐31 ALE 50546 Ropinirole 4Mg Er Tab 100 249.98
13668‐0180‐90 TOR 53867 Rosuvastatin 10Mg Tab 90 805.04
31722‐0883‐90 CAM 51496 Rosuvastatin 10Mg Tab 90 805.02
31722‐0884‐90 CAM 51497 Rosuvastatin 20Mg Tab 90 805.02
13668‐0182‐30 TOR 53868 Rosuvastatin 40Mg Tab 30 286.36
31722‐0885‐30 CAM 49322 Rosuvastatin 40Mg Tab 30 268.33
57237‐0168‐90 CAS 47241 Rosuvastatin 5Mg Tab 90 805.05
50242‐0091‐30 GEN 55515 Rozlytrek 100 Mg Cap 30 6720.00
50242‐0094‐90 GEN 55516 Rozlytrek 200 Mg Cap 90 20160.00
69660‐0201‐91 CLO 48002 Rubraca 200 Mg Tab 60/Btl 9553.20
69660‐0202‐91 CLO 48823 Rubraca 250 Mg Tab 60/Btl 9553.20
69660‐0203‐91 CLO 47974 Rubraca 300 Mg Tab 60/Btl 9553.20
00078‐0698‐99 NOV 48653 Rydapt 25Mg Cap 2 7X4 10201.00
00078‐0698‐19 NOV 48654 Rydapt 25Mg Cap 4 7X4 20401.99
70275‐0629‐12 FOR 48045 Salivamax 351 Mg 120/Bx 942.75
42747‐0726‐01 KYO 33561 Sancuso 3.1Mg Patch 659.46
65597‐0203‐30 DAI 52157 Savaysa 60 Mg Tab 30 436.32
57896‐0455‐01 AME 45638 Senna Plus 8.6/50Mg Tab 100 2.63
00310‐0280‐60 AST 37107 Seroquel Xr 50Mg Tab 60 591.26
65862‐0013‐30 AUR 46834 Sertraline 100Mg Tab 30 85.45
65862‐0011‐30 AUR 47686 Sertraline 25Mg Tab 30 85.45
65862‐0012‐30 AUR 46833 Sertraline 50Mg Tab 30 85.45
65862‐0921‐27 AUR 50631 Sevelamer/Carb 800Mg Tab 270 1645.75
71770‐0100‐60 MED 54196 Siklos 100Mg Tab 60 360.00
( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE

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