NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
00006Ͳ3843Ͳ71 MER 21602 Invanz 1Gm Vl 10X20Ml
982.46
J1335
49281Ͳ0860Ͳ10 SAN 10910 Ipol Vac 10 Dose Vial ( R )
343.76
90713
50967Ͳ0126Ͳ30 WOM 38054 Irospan 24/6 Tab 30
85.85
00270Ͳ1317Ͳ05 BRA 36669 Isovue 250 51% Vl 10X50 Ml
553.12
Q9966
00270Ͳ1315Ͳ30 BRA 21881 Isovue 300 61% 10X50Ml
574.88
Q9967
00270Ͳ1315Ͳ35 BRA 32427 Isovue 300 61% Btl 10X100Ml
1123.50
Q9967
00270Ͳ1316Ͳ35 BRA 36681 Isovue 370 76% Btl 10X100 Ml
1246.88
Q9967
59572Ͳ0983Ͳ01 CEL 36432* Istodax 10Mg Inj Sol Kit
3302.99
J9315
00015Ͳ1910Ͳ12 BRI
30724 Ixempra Kit 15Mg ( R )
1271.03
J9207
00015Ͳ1911Ͳ13 BRI
30725 Ixempra Kit 45Mg ( R )
3813.08
J9207
50881Ͳ0010Ͳ60 INC 40080 Jakafi 10Mg Tab 60
11001.60
50881Ͳ0015Ͳ60 INC 40081 Jakafi 15Mg Tab 60
11001.60
50881Ͳ0020Ͳ60 INC 40082 Jakafi 20Mg Tab 60
11001.60
50881Ͳ0025Ͳ60 INC 40083 Jakafi 25Mg Tab 60
11001.60
50881Ͳ0005Ͳ60 INC 40079 Jakafi 5Mg Tab 60
11001.60
00006Ͳ0112Ͳ31 MER 42893 Januvia 50Mg Tab 30
396.79
00024Ͳ5824Ͳ11 AVE 36316 Jevtana Sdv 60Mg/1.5Ml W/Dil
10797.68
J9043
50242Ͳ0088Ͳ01 GEN 40717 Kadcyla 100Mg/15Ml Sdv ( R )
3328.28
J9354
50242Ͳ0087Ͳ01 GEN 40718 Kadcyla 160Mg/20Ml Sdv ( R )
5325.25
J9354
00003Ͳ0293Ͳ05 BRI
13053 Kenalog 40Mg/Ml 1Ml Vl
10.26
J3301
00003Ͳ0293Ͳ28 BRI
10132 Kenalog 40Mg/Ml Vl 10Ml
77.76
J3301
00003Ͳ0293Ͳ20 BRI
10133 Kenalog 40Mg/Ml Vl 5Ml
52.07
J3301
66658Ͳ0112Ͳ06 BIO 37142 Kepivance 6.25Mg/Ml Vl 6/Pk ( R )
13507.20
J2425
50474Ͳ0597Ͳ66 UCB 33469 Keppra 1000 Mg Tab 60
997.55
00006Ͳ3029Ͳ02 MER 43531 Keytruda 50Mg Sdv Lyo 15Ml ( R )
2589.60
NEW05
54396Ͳ0801Ͳ01 CRE 37078 Krystexxa 8Mg Sdv 1Ml ( R )
14400.00
J2507
76075Ͳ0101Ͳ01 ONY 39896 Kyprolis 60Mg Pwd Lyo Sdv ( R )
2077.20
J9047
00023Ͳ3616Ͳ70 ALL 41830 Latisse 0.03% Sol 3Ml
140.40
76388Ͳ0635Ͳ50 PRA 39954 Leukeran 2Mg Tab 50 ( R )
640.32
00024Ͳ5843Ͳ05 AVE 41962 Leukine 250Mcg 5X1Ml ( R )
1356.19
J2820
00169Ͳ3687Ͳ12 NOV 42937 Levemir 100U/Ml Vl 10Ml ( R )
298.21
63481Ͳ0687Ͳ06 END 22080 Lidoderm Patch 5% Pat 30/Bx
312.01
66869Ͳ0204Ͳ90 KOW 44128 Livalo 2Mg Tab 90
642.60
58181Ͳ3032Ͳ05 NEX 42564 Lomustine 100Mg Cap 5
508.44
58181Ͳ3030Ͳ05 NEX 42562 Lomustine 10Mg Cap 5
102.82
58181Ͳ3031Ͳ05 NEX 42563 Lomustine 40Mg Cap 5
266.44
00078Ͳ0406Ͳ05 NOV 30268 Lotrel 5/20Mg Cap 100
821.08
11017Ͳ0235Ͳ23 MER 40039 Lotrimin Ultra Crm 12Gm
0.00
00173Ͳ0783Ͳ02 GLA 34338 Lovaza Cap 120
317.05
00075Ͳ0624Ͳ30 AVE 11759 Lovenox 30Mg Pfs 10X.3Ml
297.70
J1650
00075Ͳ0622Ͳ80 AVE 11132 Lovenox 80Mg Pfs 10X0.8Ml
794.77
J1650
00075Ͳ2915Ͳ01 AVE 20751 Lovenox 150Mg Pfs 10X1Ml
1490.68
J1650
00075Ͳ0621Ͳ60 AVE 18895 Lovenox 60Mg Pfs 10X.6Ml
596.08
J1650
00074Ͳ3663Ͳ03 ABB 34673 Lupron Depot 11.2 5Mg 3M Kit
3298.37
J1950
00074Ͳ3346Ͳ03 ABB 34014 Lupron Depot 22.5Mg 3Mo Syg
3930.47
J9217
00074Ͳ3641Ͳ03 ABB 34015 Lupron Depot 3.75 Mg Kit
1099.44
J1950
00074Ͳ3683Ͳ03 ABB 34017 Lupron Depot 30Mg 4Mo Kit 1
5240.64
J9217
00074Ͳ3473Ͳ03 ABB 38151 Lupron Depot 45Mg 6Mo Kit 1
7861.08
J9217
00074Ͳ3642Ͳ03 ABB 34016 Lupron Depot 7.5Mg Kit Syr
1310.17
J9217
00071Ͳ1018Ͳ68 PFI
29887 Lyrica 300Mg Cap 90
518.53
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
BRANDED DRUGS
