NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
87701Ͳ0408Ͳ34 BIR 42324 Ginseng 200Mg Cap 50
0.00
00078Ͳ0401Ͳ34 NOV 31332 Gleevec 100Mg Tab 90/Btl
9201.94
00078Ͳ0438Ͳ15 NOV 26150 Gleevec 400Mg Tab 30
11052.70
00002Ͳ8031Ͳ01 ELI
13683 Glucagon Emer Kit 8030/8031
235.25
J1610
00574Ͳ0070Ͳ30 PAD 31398 Glutose 15 Tube Gel 3X15Gm
11.85
00574Ͳ0069Ͳ30 PAD 10464 Glutose Gel 3X15Gm
11.85
63459Ͳ0910Ͳ15 TEV 41987 Granix 300Mcg/0.5Ml Syg 10/Pk ( R )
2868.00
J1446
63459Ͳ0910Ͳ11 TEV 41986 Granix 300Mcg/0.5Ml Syringe ( R )
286.80
J1446
63459Ͳ0912Ͳ15 TEV 41989 Granix 480Mcg/0.8Ml Syg 10/Pk ( R )
4590.00
J1446
63459Ͳ0912Ͳ11 TEV 41988 Granix 480Mcg/0.8Ml Syringe ( R )
459.00
J1446
62856Ͳ0389Ͳ01 EIS 37122 Halaven 1Mg/2Ml Sdv
1148.40
J9179
61958Ͳ1801Ͳ01 GIL
44151 Harvoni 90Mg/400Mg Tab 28
37800.00
58160Ͳ0826Ͳ11 GLA 30445 Havrix Adult Sdv P/F 10X1Ml ( R )
763.19
90632
46122Ͳ0103Ͳ46 AME 41140 Hemorrhoid Ointment 2Oz
7.19
50242Ͳ0134Ͳ68 GEN 23961 Herceptin 440Mg Mdv 20Ml ( R )
4460.29
J9355
62856Ͳ0001Ͳ10 EIS 38608 Hexalen 50Mg Cap 100
1683.60
63833Ͳ0617Ͳ02 CSL 44069 HumateͲP Pds 1986 Rcof Vl ( R )
1.33
J7187
63833Ͳ0617Ͳ02 CSL 43681 HumateͲP Pds 2061 Rcof Vl ( R )
1.33
J7187
63833Ͳ0617Ͳ02 CSL 42506 HumateͲP Pds 2160 Rcof Vl ( R )
1.33
J7187
63833Ͳ0615Ͳ02 CSL 38122 HumateͲP Pds 526 Rcof Vl ( R )
1.33
J7187
00074Ͳ3799Ͳ02 ABB 23034 Humira 40Mg Pfs Kit 2X0.8Ml ( R )
3496.37
J0135
00283Ͳ0679Ͳ02 BEU 14696 Hurricane Spray 2Oz Beutlich
26.51
00007Ͳ4205Ͳ11 GLA 32931 Hycamtin 0.25Mg Cap 10 ( R )
1170.79
J8705
00007Ͳ4207Ͳ11 GLA 32932 Hycamtin 1Mg Cap 10 ( R )
4683.08
J8705
00003Ͳ0830Ͳ50 BRI
13050 Hydrea 500Mg Cap 100
163.81
18657Ͳ0102Ͳ04 HAL 39835 Hylenex 150U/Ml 4X1Ml Vl ( R )
267.84
J3473
13533Ͳ0618Ͳ10 GRI
27251 Hyperrab S/D 10Ml Vl ( R )
2988.47
90375, 90376
00944Ͳ2512Ͳ02 BAX 43772 Hyqvia 10% Liq 10Gm/100Ml ( R )
1920.00
NEW06
00944Ͳ2510Ͳ02 BAX 43770 Hyqvia 10% Liq 2.5Gm/25Ml ( R )
480.00
NEW06
00944Ͳ2513Ͳ02 BAX 43773 Hyqvia 10% Liq 20Gm/200Ml ( R )
3840.00
NEW06
00944Ͳ2514Ͳ02 BAX 43774 Hyqvia 10% Liq 30Gm/300Ml ( R )
5760.00
NEW06
00944Ͳ2511Ͳ02 BAX 43771 Hyqvia 10% Liq 5Gm/50Ml ( R )
960.00
NEW06
57962Ͳ0140Ͳ12 PHA 42002 Imbruvica 140Mg Cap 120/Btl
14038.39
57962Ͳ0140Ͳ09 PHA 42001 Imbruvica 140Mg Cap 90/Btl
10528.80
52544Ͳ0931Ͳ02 ACT 22668 Infed 50Mg/Ml Vl 10X2Ml
377.04
J1750
66435Ͳ0201Ͳ15 KAD 39739 Infergen 15Mcg/.5Ml 6X.5Ml Vl ( R )
1042.74
QOL102
THO 42767 Inflaqol 120/Btl
0.00
54643Ͳ5649Ͳ01 BAX 32245 Infuvite Adltmultvit Vl5X2X5Ml ( R )
917.78
00517Ͳ0650Ͳ01 AME 41523 Injectafer Sdv 750 Mg/15 Ml
1024.00
J1439
00069Ͳ0151Ͳ11 PFI
40321 Inlyta 5Mg Tab 60
12986.27
00069Ͳ0145Ͳ01 PFI
40320 Inlyta 1Mg Tab 180
12986.27
00187Ͳ0746Ͳ33 VAL 11242 Insta Glucose TriͲ Pack 3X31Gm
13.99
00002Ͳ8315Ͳ01 ELI
10064 Insulin Hum N 100Un 10Ml Vl ( R )
131.64
J1815, J1817
00002Ͳ8215Ͳ01 ELI
10063 Insulin Hum R 100U/Ml Mdv10 Ml ( R )
131.64
J1815, J1817
00169Ͳ7501Ͳ11 NOV 30083 Insulin Novolog 100Un/Mlvl10Ml ( R )
243.89
J1815, J1817
00085Ͳ1168Ͳ01 MER 11384 Intron A Hsaf 18Mm 3Ml/.5 Mdv ( R )
560.06
J9214
00085Ͳ1133Ͳ01 MER 11389 Intron A Hsaf 25Mm /3.2Ml Vl ( R )
777.92
J9214
00085Ͳ4350Ͳ01 MER 43845 Intron A Pwd 10Mm Iu Vl 1Ml ( R )
241.80
J9214
00085Ͳ4351Ͳ01 MER 43846 Intron A Pwd 18Mm Iu Vl 1Ml ( R )
435.25
J9214
00085Ͳ4352Ͳ01 MER 43847 Intron A Pwd 50Mm Iu Vl 1Ml ( R )
1209.16
J9214
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
BRANDED DRUGS
