NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
25021Ͳ0142Ͳ20 SAG 42911 Ampicil/Sulb 1.5Gm Vl 10/Pk
36.00
J0295
00172Ͳ5241Ͳ60 TEV 29115 Anagrelide 0.5Mg Cap 100
893.05
00172Ͳ5240Ͳ60 TEV 30106 Anagrelide 1Mg Cap 100
1925.48
68001Ͳ0155Ͳ04 AME 42431 Anastrozole 1Mg Tab 30
404.36
24385Ͳ0357Ͳ40 PER 39594 Antacid Liq 12Oz
3.59
00904Ͳ7725Ͳ12 MAJ
38523 AntiͲDiarrhea 2Mg Cpl 12
3.99
24385Ͳ0629Ͳ78 BIR 39834 Apap Arth 650Mg Cpl 100
6.95
67457Ͳ0118Ͳ50 MYL 38221 Ascorbic Acid 500Mg/Ml 50Ml Vl ( R )
19.53
, J3490
66553Ͳ0002Ͳ01 BIR 42775 Aspirin Child 81Mg Chew Ud 500
29.88
00781Ͳ1078Ͳ01 SAN 13535 Atenolol 25Mg Tab 100
81.76
00781Ͳ1506Ͳ01 SAN 23573 Atenolol 50Mg Tab 100/Btl
83.42
00378Ͳ2063Ͳ01 MYL 21049 Atenolol/Chlo 50/25Mg Tab 100
150.68
60505Ͳ2578Ͳ09 APO 40112 Atorvastatin 10Mg Tab 90
364.28
60505Ͳ2579Ͳ09 APO 40064 Atorvastatin 20Mg Tab 90
519.63
60505Ͳ2580Ͳ09 APO 42322 Atorvastatin 40Mg Tab 90
519.63
00409Ͳ4910Ͳ34 HOS 26989 Atropine Lfs 0.5Mg Syg 10X5Ml
99.60
J0461
76329Ͳ3339Ͳ01 INT 40085 Atropine Ljt 1Mg Syg 10X10Ml
53.20
00641Ͳ6006Ͳ10 WES 39220 Atropine Sul 0.4Mg/Ml 10X20Ml
421.20
J0461
00781Ͳ3253Ͳ94 SAN 41724 Azacitidine 100Mg Vl
617.62
J9025
43598Ͳ0305Ͳ62 DR 41727 Azacitidine 100Mg Vl
592.92
J9025
59762Ͳ3140Ͳ01 GRE 38069 Azithromycin 200Mg/5Ml Sus30Ml
34.88
00781Ͳ1496Ͳ31 SAN 31390 Azithromycin 250Mg Tab 30
233.51
00781Ͳ1496Ͳ68 SAN 31424 Azithromycin 250Mg Uou Tab 3X6
140.10
00781Ͳ1941Ͳ33 SAN 31304 Azithromycin 500Mg Uou Tab 3X3
140.10
62756Ͳ0512Ͳ44 CAR 42913 Azithromycin 500Mg Vl 10/Pk
72.00
J0456
45802Ͳ0061Ͳ01 PER 40571 Bac/Neo/Poly Ont 0.5Oz
4.25
00832Ͳ1024Ͳ00 UPS 36096 Baclofen 10Mg Tab 100
247.10
00904Ͳ5551Ͳ59 MAJ
38742 Banophen 25Mg Tab 100
5.95
00409Ͳ4888Ͳ50 MER 29983 Bcg Sodium Chloride Sdv 50Ml ( R )
52.80
, J7030, J7040, J7050
65162Ͳ0752Ͳ10 AMN 42704 Benazepril 10Mg Tab 100
105.11
00904Ͳ5904Ͳ60 MAJ
44155 Benzonatate 100Mg Cap 100
99.86
00093Ͳ0220Ͳ56 TEV 34413 Bicalutamide 50Mg Tab 30
556.79
00904Ͳ7927Ͳ17 MAJ
36149 Bisacodyl Ec 5Mg Tab 25/Btl
2.50
29300Ͳ0126Ͳ13 UNI
42724 Bisoprolol 5Mg Tab 30
36.59
61703Ͳ0332Ͳ18 HOS 18883 Bleomycin 15Iu/Vl Sdv Lyo ( R )
39.70
J9040
63323Ͳ0136Ͳ10 FRE 33612 Bleomycin 15Iu/Vl Sdv Lyo ( R )
41.40
J9040
00703Ͳ3154Ͳ01 TEV 18587 Bleomycin 15Iu/Vl Sdv Pwd ( R )
53.65
J9040
61703Ͳ0323Ͳ22 HOS 18882 Bleomycin 30Iu/Vl Sdv Lyo ( R )
64.26
J9040
63323Ͳ0137Ͳ20 FRE 33613 Bleomycin 30Iu/Vl Sdv Lyo ( R )
91.54
J9040
00703Ͳ3155Ͳ01 TEV 18588 Bleomycin 30Iu/Vl Sdv Pwd ( R )
107.30
J9040
00093Ͳ4233Ͳ01 TEV 32183 Bumetanide 1Mg Tab 100/Btl
137.31
00641Ͳ6007Ͳ10 WES 40340 Bumetanide Inj.25Mg/Ml 10X10Ml
29.64
J3490
00378Ͳ0435Ͳ01 MYL 23527 Bupropion 100Mg Tab 100/Btl
106.01
00781Ͳ5169Ͳ60 SAN 43620 Bupropion Sr 150Mg Tab 60
223.85
51079Ͳ0986Ͳ20 MYL 43022 Buspirone 10Mg Tab Ud 100
134.50
00591Ͳ0718Ͳ60 ACT 42462 Buspirone 15Mg Tab 60
9.20
00536Ͳ3414Ͳ10 ACT 22691 Cal Carbonate 10Gm Tab 1000
15.75
00904Ͳ3233Ͳ52 MAJ
37536 Calc W/D 600Mg/400Iu Tab 60
3.45
17478Ͳ0931Ͳ01 AKO 38711 Calcitriol 1Mcg/Ml Amp 10X1Ml
7.47
J0636
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
