NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
QOL504
THO 42769 Dermaqol Aloe Spry 8.5Oz/Btl
0.00
QOL507
THO 42771 Dermaqol Lip Balm .15Oz Tube
0.00
QOL506
THO 42770 Dermaqol Therapy Cream 2Oz Jar
0.00
64764Ͳ0171Ͳ30 TAK 42444 Dexilant 30Mg Cap 30
242.50
64764Ͳ0175Ͳ30 TAK 36410 Dexilant 60Mg Cap 30
242.50
00185Ͳ0648Ͳ01 SAN 10704 Diphenhydramin 25Mgcap 100/Btl
8.26
63323Ͳ0269Ͳ29 FRE 40832 Diprivan 10Mg/Ml Vl 10X20Ml
72.00
J2704
01650Ͳ0023Ͳ24 BAY 21950 Domeboro Pkt Pwd 12/Pk
0.00
66213Ͳ0423Ͳ16 PBM 26285 Donnatal Grape Elx 16Oz
941.28
59676Ͳ0960Ͳ01 ORT 37770 Doxil 20Mg Vl 10Ml ( R )
1293.48
Q2050
00037Ͳ0245Ͳ23 MED 42906 Dymista 137/50Mcg Spray 23Gm
200.68
62935Ͳ0222Ͳ05 TOL 42780 Eligard 22.5Mg 3 Mo Inj Kit Ea ( R )
1479.60
J9217
62935Ͳ0302Ͳ30 TOL 42781 Eligard 30Mg 4 Mo Inj Kit Ea ( R )
1972.80
J9217
62935Ͳ0452Ͳ45 TOL 42782 Eligard 45Mg 6 Mo Inj Kit Ea ( R )
2959.20
J9217
62935Ͳ0752Ͳ75 TOL 42779 Eligard 7.5Mg 1 Mo Inj Kit Ea ( R )
493.20
J9217
00003Ͳ0893Ͳ21 BRI
41688 Eliquis 2.5Mg Tab 60
377.99
00003Ͳ0894Ͳ21 BRI
41689 Eliquis 5Mg Tab 60
377.99
00024Ͳ5150Ͳ10 AVE 25197 Elitek 1.5Mg Sdv W/Dil 3/Pk ( R )
2445.61
J2783
00024Ͳ5151Ͳ75 AVE 34297 Elitek 7.5Mg Vl ( R )
4076.10
J2783
00009Ͳ5091Ͳ01 PFI
19061 Ellence 50Mg/25Ml Sdv ( R )
67.20
J9178
00013Ͳ0132Ͳ02 PFI
19063 Emcyt 140Mg Cap 100 ( R )
1134.72
00006Ͳ3941Ͳ32 MER 37123 Emend 150Mg Sdv 10Ml ( R )
308.35
J1453
00006Ͳ0461Ͳ02 MER 31335 Emend 80Mg Cap 2/Pk
335.68
J8501
00006Ͳ3862Ͳ03 MER 23321 Emend Trifold 125/80Mg Cap 3
594.06
J8501
00430Ͳ0170Ͳ15 ACT 43087 Enablex Er 7.5Mg Tab 30
291.65
58406Ͳ0425Ͳ34 AMG 10514 Enbrel 25Mg Vl 4/Bx ( R )
1748.50
J1438
58406Ͳ0435Ͳ04 AMG 25479 Enbrel 50Mg/Ml Pref Syg 4/Ctn ( R )
3496.99
J1438
58406Ͳ0445Ͳ04 AMG 28356 Enbrel Sureclick 50Mg/Ml 4/Pk ( R )
3496.99
J1438
58160Ͳ0821Ͳ11 GLA 30326 Engerix Adt20Mcg P/F Sdv10X1Ml ( R )
628.50
90740, 90746, 90747
64764Ͳ0300Ͳ20 TAK 42958 Entyvio 300Mg 20Mlsdv Ea ( R )
5782.80
C9026
49502Ͳ0500Ͳ02 MYL 34632 Epipen Adult 0.3Mg 2/Pk
481.46
49502Ͳ0501Ͳ02 MYL 34631 Epipen Jr 0.15Mg Syg 2/Pk
481.46
53270Ͳ0100Ͳ10 CAN 40290 Episil Oral Liq 10Ml Btl
150.00
66733Ͳ0948Ͳ23 BRI
24544 Erbitux 100Mg/50Ml Vl ( R )
629.88
J9055
66733Ͳ0958Ͳ23 BRI
29585 Erbitux 200Mg/100Ml Vl ( R )
1259.76
J9055
50242Ͳ0140Ͳ01 GEN 39092 Erivedge 150Mg Cap 28
10319.40
QOL113
THO 42761 Erythroqol 60/Btl
0.00
00015Ͳ3404Ͳ20 BRI
18774 Etopophos 100Mg ( R )
169.13
J9181, J9182
00002Ͳ4165Ͳ02 ELI
13682 Evista 60Mg Tab 100
792.00
00078Ͳ0490Ͳ15 NOV 36961 Exforge 5/320Mg Tab 30
231.17
00078Ͳ0468Ͳ15 NOV 27363* Exjade 125Mg Tablets 30/Btl
1019.06
00078Ͳ0469Ͳ15 NOV 27364* Exjade 250Mg Tablets 30/Btl
2039.76
00078Ͳ0470Ͳ15 NOV 27362* Exjade 500Mg Tablets 30/Btl
4079.45
58468Ͳ0040Ͳ01 GEN 25855* Fabrazyme 35Mg VlͲNon Return ( R )
6283.20
J0180
58468Ͳ0041Ͳ01 GEN 25854* Fabrazyme 5Mg VlͲNon Return ( R )
897.60
J0180
42747Ͳ0327Ͳ30 PRO 40617 Fareston 60Mg Tab 30
1177.44
00310Ͳ0720Ͳ10 AST 36987 Faslodex 500Mg Pf Syr 2X5.0Ml ( R )
2170.36
J9395
00078Ͳ0249Ͳ15 NOV 20960 Femara 2.5Mg Tabs 30/Btl
802.38
59338Ͳ0775Ͳ01 AMA 34408 Feraheme 510 Mg/17Ml Sdv
684.88
Q0138, Q0139
59338Ͳ0775Ͳ10 AMA 34409 Feraheme 510 Mg/17Ml Sdv 10/Pk
6848.76
Q0138, Q0139
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
BRANDED DRUGS
