NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
00009Ͳ0005Ͳ01 PFI
35899 Solu Cortef P/F 1000Mg Aov 8Ml
66.24
J1720
00009Ͳ0011Ͳ03 PFI
35894 Solu Cortef P/F 100Mg Aov 2Ml
8.95
J1720
00009Ͳ0013Ͳ05 PFI
35896 Solu Cortef P/F 250Mg Aov 2Ml
16.56
J1720
00009Ͳ0011Ͳ04 PFI
35895 Solu Cortef P/F100Mg Aov25X2Ml
223.80
J1720
00009Ͳ0698Ͳ01 PFI
10675 Solu Medrol 1000 Wo/Dil Vl
29.64
J2930
00009Ͳ0047Ͳ22 PFI
35681 Solu Medrol 125Mg Aov P/F25/Pk
168.43
J2930
00009Ͳ0018Ͳ20 PFI
35683 Solu Medrol 1Gm Aov P/F 8Ml
40.20
J2930
00009Ͳ0003Ͳ02 PFI
35682 Solu Medrol 500Mg Aov P/F 4Ml
25.36
J2930
00009Ͳ0758Ͳ01 PFI
10674 Solu Medrol Mdv 500Mg Vl
15.65
J2930
00009Ͳ0796Ͳ01 PFI
10693 Solu Medrol/D 2Gm Vl
61.63
J2930
00009Ͳ0039Ͳ28 PFI
35680 Solu Medrol40Mg Aovp/F1Ml25/Bx
104.47
J2920
15054Ͳ1120Ͳ03 IPS 44231 Somatuline Depot 120Mg Pfs Ea ( R )
6488.40
15054Ͳ1060Ͳ03 IPS 44229 Somatuline Depot 60Mg Pfs Ea ( R )
3763.20
15054Ͳ1090Ͳ03 IPS 44230 Somatuline Depot 90Mg Pfs Ea ( R )
5013.60
00003Ͳ0852Ͳ22 BRI
32303 Sprycel 100Mg Tab 30
11561.24
00003Ͳ0857Ͳ22 BRI
37454 Sprycel 140Mg Tab 30
11561.24
00003Ͳ0527Ͳ11 BRI
28315 Sprycel 20Mg Tab 60/Btl
6414.61
00003Ͳ0528Ͳ11 BRI
28316 Sprycel 50Mg Tab 60/Btl
12829.20
00003Ͳ0524Ͳ11 BRI
28317 Sprycel 70Mg Tab 60/Btl
12829.20
00003Ͳ0855Ͳ22 BRI
42272 Sprycel 80Mg Tab 30
11561.24
57894Ͳ0060Ͳ03 JOM 35548 Stelara 45Mg Pfs 0.5Ml ( R )
9193.39
J3357
00053Ͳ6871Ͳ00 CSL 36136 Stimate Nasal 1.5Mg Spy 2.5Ml
750.00
50419Ͳ0171Ͳ03 BAY 40073 Stivarga 40Mg Tab 84/Ctn
14161.24
00002Ͳ3239Ͳ30 ELI
25504 Strattera 60Mg Cap 30/Btl
363.24
00069Ͳ0550Ͳ38 PFI
28370 Sutent 12.5Mg Caps 28/Btl
4419.23
00069Ͳ0770Ͳ38 PFI
28369 Sutent 25Mg Caps 28/Btl
8838.46
00069Ͳ0830Ͳ38 PFI
43294 Sutent 37.5Mg Caps 28/Btl
13257.71
00069Ͳ0980Ͳ38 PFI
28368 Sutent 50Mg Caps 28/Btl
15386.52
00085Ͳ4347Ͳ01 MER 44033 Sylatron 296 Mcg Sdv W/Dil
1560.59
00085Ͳ4348Ͳ01 MER 44034 Sylatron 444 Mcg Sdv W/Dil
2340.88
00085Ͳ4349Ͳ01 MER 44035 Sylatron 888 Mcg Sdv W/Dil
4681.74
57894Ͳ0420Ͳ01 ORT 42812 Sylvant 100Mg Lyp Pwd Sdv Ea ( R )
999.60
57894Ͳ0421Ͳ01 ORT 42811 Sylvant 400Mg Lyp Pwd Sdv Ea ( R )
3998.40
63459Ͳ0177Ͳ14 TEV 40326 Synribo 3.5Mg Sdv 8Ml
1002.00
NEW02
00074Ͳ6624Ͳ90 ABB 44085 Synthroid 100Mcg Tab 90
106.15
00074Ͳ3727Ͳ90 ABB 44169 Synthroid 137Mcg Tab 90
110.83
00074Ͳ7069Ͳ90 ABB 43916 Synthroid 150Mcg Tab 90
111.61
00074Ͳ4552Ͳ90 ABB 43362 Synthroid 50Mcg Tab 90
102.37
00074Ͳ5182Ͳ90 ABB 44204 Synthroid 75Mcg Tab 90
103.69
76388Ͳ0880Ͳ25 PRA 41586 Tabloid 40Mg Tab 25
433.32
00173Ͳ0846Ͳ08 GLA 41208 Tafinlar 50Mg Cap 120
7038.83
00173Ͳ0847Ͳ08 GLA 41280 Tafinlar 75Mg Cap 120
10557.54
00004Ͳ0800Ͳ85 GEN 18366 Tamiflu 75Mg B/Pk Uou Cap10/Bx
144.72
50242Ͳ0063Ͳ01 GEN 25589 Tarceva 100Mg Tab 30/Btl
7117.85
50242Ͳ0064Ͳ01 GEN 25588 Tarceva 150Mg Tab 30/Btl
8050.79
50242Ͳ0062Ͳ01 GEN 25590 Tarceva 25Mg Tab 30/Btl
2591.45
62856Ͳ0604Ͳ22 VAL 34323* Targretin 1% Gel 60Gm
16199.47
00187Ͳ5526Ͳ75 VAL 42436* Targretin 75Mg Sgc 100
31093.24
00078Ͳ0592Ͳ87 NOV 36168* Tasigna 150Mg Caps 4X28
10947.42
00078Ͳ0526Ͳ87 NOV 29593* Tasigna 200Mg Caps 4X28
10947.42
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
BRANDED DRUGS
