Page 99 - 2020 Catalog
P. 99
NDC/PCode/UPC Mfr. Item # Description AWP Pkg J‐Code
00186‐0370‐28 AST 45661 Symbicort 60 160/4.5Mcg 6Gm 282.82
00186‐0372‐28 AST 47615 Symbicort 60 80/4.5Mcg 6.9Gm 245.84
20482‐0335‐30 INS 50937 Syndros 5Mg/Ml Oral 1399.99
00597‐0290‐74 BOE 49365 Synjardy Xr 5Mg/1000Mg Tab 60 591.42
00074‐6624‐90 ABB 44085 Synthroid 100Mcg Tab 90 133.68
00074‐9296‐90 ABB 50138 Synthroid 112 Mcg Tab 90 133.69
00074‐7068‐90 AKO 48808 Synthroid 125 Mcg Tab 90 133.76
00074‐3727‐90 ABB 44169 Synthroid 137Mcg Tab 90 133.74
00074‐7069‐90 ABB 43916 Synthroid 150Mcg Tab 90 133.76
00074‐7070‐90 ABB 48180 Synthroid 175Mcg Tab 90 133.57
00074‐4341‐90 ABB 46624 Synthroid 25Mcg Tab 90 133.74
00074‐4552‐90 ABB 43362 Synthroid 50Mcg Tab 90 133.69
00074‐5182‐90 ABB 44204 Synthroid 75Mcg Tab 90 133.73
00904‐0530‐60 MAJ 37881 Tab‐A‐Vite Red Tab 100 3.10
76388‐0880‐25 PRA 41586 Tabloid 40Mg Tab 25 758.32
16729‐0041‐01 ACC 47279 Tacrolimus 0.5Mg Cap 100 222.98 J7507 ORAL DRUGS
16729‐0042‐01 ACC 47280 Tacrolimus 1Mg Cap 100 445.95 J7507
69097‐0373‐02 CIP 54878 Tadalafil 2.5Mg Tab 30 367.65
43598‐0576‐30 DR 54434 Tadalafil 2.5Mg Tab 30 389.88
66993‐0703‐30 PRA 54107 Tadalafil 20 Mg Tab 30 2161.92
69097‐0376‐02 CIP 54436 Tadalafil 20Mg Tab 30 2154.32
43598‐0575‐30 DR 54435 Tadalafil 5Mg Tab 30 389.88
00078‐0682‐66 NOV 46581* Tafinlar 50Mg Cap 120 9709.25
00078‐0681‐66 NOV 46432* Tafinlar 75Mg Cap 120 12512.80
00310‐1349‐30 AST 45759 Tagrisso 40Mg Tab 30 17715.17
00310‐1350‐30 AST 45760 Tagrisso 80Mg Tab 30 17715.17
00069‐0296‐30 PFI 52756 Talzenna 0.25Mg Cap 30/Btl 5832.00
00069‐1195‐30 PFI 52757 Talzenna 1Mg Cap 30/Btl 17496.00
00591‐2472‐60 ACT 42294 Tamoxifen Cit 10Mg Tab 60 113.64
00591‐2473‐30 TEV 42201 Tamoxifen Cit 20Mg Tab 30 113.64
68382‐0132‐01 ZYD 36018 Tamsulosin 0.4Mg Cap 100 421.36
50242‐0063‐01 GEN 25589 Tarceva 100Mg Tab 30/Btl 8966.42
50242‐0064‐01 GEN 25588 Tarceva 150Mg Tab 30/Btl 10141.68
50242‐0062‐01 GEN 25590 Tarceva 25Mg Tab 30/Btl 3264.47
00078‐0592‐87 NOV 36168* Tasigna 150Mg Caps 4X28 16503.95
00078‐0526‐87 NOV 29593* Tasigna 200Mg Caps 4X28 16503.95
00078‐0951‐66 NOV 50868* Tasigna Hgc 50Mg Caps 120 17682.74
71332‐0001‐01 RIG 51258 Tavalisse 100Mg Tabs 60 12914.40
71332‐0002‐01 RIG 51259 Tavalisse 150Mg Tabs 60 12914.40
13668‐0157‐30 TOR 55513 Telmisartan 40 Mg Tab 30 175.00
67877‐0484‐84 ASC 47003 Telmisartan 80Mg Tab 30 Ud 167.41
00228‐2076‐10 TEV 55498 Temazepam 15Mg Cap 100 73.45
00378‐4010‐01 MYL 28160 Temazepam 15Mg Cap 100 73.45
00378‐5050‐01 MYL 14760 Temazepam 30Mg Cap 100 88.45
51079‐0419‐20 UDL 14431 Temazepam 30Mg Cap Ud 100 83.33
65162‐0803‐14 AMN 48486 Temozolomide 100Mg Cap 14 4028.71 J8700
00781‐2693‐44 SAN 41558 Temozolomide 100Mg Cap 14 Btl 3536.09 J8700
16729‐0050‐54 ACC 48317 Temozolomide 100Mg Cap 14 Btl 4028.71 J8700
65162‐0803‐51 AMN 48485 Temozolomide 100Mg Cap 5 1438.80 J8700
00781‐2693‐75 SAN 41557 Temozolomide 100Mg Cap 5 Btl 1262.87 J8700
( R ) ‐ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
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