NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
00178Ͳ0089Ͳ90 MIS 42844 Ferralet 90 Mg Tab 90
156.24
00024Ͳ2792Ͳ10 AVE 37769 Ferrlecit 62.5Mg/5Ml Vl 10X5Ml
381.60
J2916
55566Ͳ8403Ͳ01 FER 41326 Firmagon 240Mg Kit
1620.24
J9155
55566Ͳ8303Ͳ01 FER 41325 Firmagon 80Mg Kit
540.00
J9155
65628Ͳ0053Ͳ01 CUT 37395 First Mary'S M/Wsh Sus 8Oz
63.47
65628Ͳ0051Ͳ01 CUT 37394 FirstͲBxn M/Wsh Kit 237Ml
55.00
61953Ͳ0004Ͳ04 GRI
29505 Flebogamma Dif5% 10Gm 200Ml Vl ( R )
1006.56
J1572
61953Ͳ0004Ͳ05 GRI
29506 Flebogamma Dif5% 20Gm 400Ml Vl ( R )
2013.12
J1572
61953Ͳ0004Ͳ03 GRI
29504 Flebogamma Dif5% 5Gm 100Ml Vl ( R )
503.28
J1572
00078Ͳ0382Ͳ05 NOV 33352 Focalin 10Mg Tab 100
155.65
48818Ͳ0001Ͳ01 ALL 34637 Folotyn 20 Mg Injection ( R )
4818.06
J9307
48818Ͳ0001Ͳ02 ALL 34636 Folotyn 40 Mg Injection ( R )
9636.12
J9307
62856Ͳ0101Ͳ10 EIS 28857 Fragmin 10M Iu Pfs 10X1Ml
850.82
J1645
62856Ͳ0125Ͳ10 EIS 31731 Fragmin 12500Iu Pfs 10X.5Ml
1063.54
J1645
62856Ͳ0150Ͳ10 EIS 30745 Fragmin 15000Iu Pfs 10X.6Ml
1276.25
J1645
62856Ͳ0180Ͳ10 EIS 30767 Fragmin 18000Iu Pfs 10X.72Ml
1531.46
J1645
62856Ͳ0250Ͳ10 EIS 33888 Fragmin 2500Iu Pfs 10X0.2Ml
262.25
J1645
62856Ͳ0500Ͳ10 EIS 27983 Fragmin 5000Iu Pfs 10X0.2Ml
425.42
J1645
62856Ͳ0750Ͳ10 EIS 29225 Fragmin 7500Iu Pfs 10X0.3Ml
638.16
J1645
68152Ͳ0101Ͳ00 SPE 32424 Fusilev Levoleuco 50Mgvl10Ml
265.20
J0641
00944Ͳ2700Ͳ02 BAX 26746 Gammagard Liq 1Gm 10Ml Nonret ( R )
149.29
J1569
00944Ͳ2700Ͳ03 BAX 26747 Gammagard Liq 2.5Gm25Ml Nonret ( R )
373.24
J1569
00944Ͳ2700Ͳ04 BAX 26748 Gammagard Liq 5Gm 50Ml Nonret ( R )
746.46
J1569
00944Ͳ2700Ͳ05 BAX 26749 Gammagard Liq10Gm 100Ml Nonret ( R )
1492.92
J1569
00944Ͳ2700Ͳ06 BAX 26750 Gammagard Liq20Gm 200Ml Nonret ( R )
2985.84
J1569
00944Ͳ2700Ͳ07 BAX 38110 Gammagard Liq30Gm 300Ml Nonret ( R )
4478.76
J1569
00944Ͳ2658Ͳ04 BAX 41016 Gammagard S/D Low Iga 10Gm Vl
1902.36
J1566
00944Ͳ2656Ͳ03 BAX 41015 Gammagard S/D Low Iga 5Gm Vl
951.18
J1566
76125Ͳ0900Ͳ10 KED 38460* Gammaked 10% 10Gm 100Ml ( R )
1447.40
J1561
76125Ͳ0900Ͳ01 KED 38927* Gammaked 10% 1Gm 10Ml ( R )
144.74
J1561
76125Ͳ0900Ͳ25 KED 39168* Gammaked 10% 2.5Gm 25Ml ( R )
361.84
J1561
76125Ͳ0900Ͳ20 KED 38353* Gammaked 10% 20Gm 200Ml ( R )
2894.79
J1561
76125Ͳ0900Ͳ50 KED 38613* Gammaked 10% 5Gm 50Ml ( R )
723.70
J1561
64208Ͳ8234Ͳ03 BIO 39765* Gammaplex 5% 10Gm Liq 200Ml ( R )
1539.36
J1557
64208Ͳ8234Ͳ04 BIO 43093* Gammaplex 5% 20Gm Liq 400Ml ( R )
0.00
J1557
64208Ͳ8234Ͳ02 BIO 39764* Gammaplex 5% 5Gm Liq 100Ml ( R )
769.68
J1557
13533Ͳ0800Ͳ71 GRI
37282 GamunexͲC 10% 10Gm 100Ml ( R )
1216.44
J1561
13533Ͳ0800Ͳ24 GRI
37285 GamunexͲC 10% 20Gm 200Ml ( R )
2432.88
J1561
13533Ͳ0800Ͳ20 GRI
37286 GamunexͲC 10% 5Gm 50Ml ( R )
608.22
J1561
00006Ͳ4045Ͳ00 MER 28210 Gardasil Hpv Vaccine Vl Ea ( R )
176.62
00270Ͳ0445Ͳ40 BRA 22242 Gastrografin 37%Sol120Ml 12/Cs
957.90
Q9963
50242Ͳ0070Ͳ01 GEN 41963 Gazyva Inj 1000Mg/40Ml ( R )
6192.00
J9301
89141Ͳ0456Ͳ02 DAR 43377 Gelclair Gel 15X15Ml
258.00
00002Ͳ7502Ͳ01 ELI
11398 Gemzar 1Gm Vl 50Ml
889.14
J9201
00002Ͳ7501Ͳ01 ELI
11399 Gemzar 200Mg Vl 10Ml
177.83
J9201
00013Ͳ2626Ͳ81 PFI
41054 Genotropin 5Mg Syg Crt 1 ( R )
578.15
00597Ͳ0141Ͳ30 BOE 41631 Gilotrif 20Mg Tab 30
7768.22
00597Ͳ0137Ͳ30 BOE 41632 Gilotrif 30Mg Tab 30
7768.22
00597Ͳ0138Ͳ30 BOE 41633 Gilotrif 40Mg Tab 30
7768.22
44675
BIR 42325 Ginger Root 550Mg Cap 100
0.00
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
BRANDED DRUGS
