NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
31722Ͳ0377Ͳ02 CAM 43120 Calcium Ace 667Mg Cap 200
205.30
00904Ͳ1883Ͳ52 MAJ
40451 Calcium Oyster 500Mg Tab 60
3.40
00009Ͳ7529Ͳ05 PFI
37186 Camptosar 20Mg/Ml Sdv 15Ml
225.00
J9206
00009Ͳ7529Ͳ04 PFI
37185 Camptosar 20Mg/Ml Sdv 2Ml
30.00
J9206
00009Ͳ7529Ͳ03 PFI
37170 Camptosar 20Mg/Ml Vl 5Ml Ea
75.00
J9206
00781Ͳ5939Ͳ31 SAN 41222 Candesartan 32Mg Tab 30
134.27
00093Ͳ7473Ͳ06 TEV 42446 Capecitabine 150Mg Tab 60/Btl
704.22
J8520, J8521
00378Ͳ2511Ͳ91 MYL 43378 Capecitabine 150Mg Tab 60/Btl
703.44
J8520
00378Ͳ2512Ͳ78 MYL 43379 Capecitabine 500Mg Tab 120/Btl
4689.02
J8521
00093Ͳ7474Ͳ89 TEV 42447 Capecitabine 500Mg Tab 120/Btl
4694.24
J8521
51079Ͳ0863Ͳ20 MYL 42854 Captopril 12.5Mg Tab 100Ud
155.83
61703Ͳ0339Ͳ22 HOS 28735 Carboplatin 150Mg/15Ml Mdv Sol
27.48
J9045
00703Ͳ4246Ͳ01 TEV 27965 Carboplatin 150Mg/15Ml Mdv Sol
25.20
J9045
00703Ͳ4248Ͳ01 TEV 27577 Carboplatin 450Mg/45Ml Mdv Sol
78.00
J9045
63323Ͳ0172Ͳ45 FRE 27974 Carboplatin 450Mg/45Ml Mdv Sol
113.54
J9045
61703Ͳ0339Ͳ50 HOS 28736 Carboplatin 450Mg/45Ml Mdv Sol
62.04
J9045
67457Ͳ0493Ͳ46 MYL 43370 Carboplatin 450Mg/45Ml Mdv Sol
53.75
J9045
00703Ͳ4244Ͳ01 TEV 27980 Carboplatin 50Mg/5Ml Mdv Sol
9.90
J9045
61703Ͳ0339Ͳ18 HOS 27544 Carboplatin 50Mg/5Ml Mdv Sol
15.84
J9045
61703Ͳ0339Ͳ56 HOS 25661 Carboplatin 600Mg/60Ml Mdv Sol
86.04
J9045
63323Ͳ0172Ͳ60 FRE 27979 Carboplatin 600Mg/60Ml Mdv Sol
129.60
J9045
00703Ͳ4239Ͳ01 TEV 43831 Carboplatin 600Mg/60Ml Mdv Sol
79.30
J9045
67457Ͳ0494Ͳ61 MYL 43371 Carboplatin 600Mg/60Ml Mdv Sol
62.05
J9045
51525Ͳ5901Ͳ01 MED 36747 Carisoprodol Tab 100 250Mg
330.59
68001Ͳ0152Ͳ00 BLU 43889 Carvedilol 25Mg Tab 100
213.69
68001Ͳ0154Ͳ00 BLU 43888 Carvedilol 6.25Mg Tab 100
213.69
61442Ͳ0172Ͳ30 CAR 40587 Cefaclor 500Mg Cap 30
116.84
00143Ͳ9924Ͳ90 WES 40377 Cefazolin 1 Gm Sdv 25X10 Ml
115.25
J0690
44567Ͳ0240Ͳ10 WG 44104 Cefepime 1Gm Sdv 20Ml 10/Pk
68.40
J0692
44567Ͳ0241Ͳ10 WG 44105 Cefepime 2Gm Sdv 20Ml 10/Pk
117.60
J0692
63323Ͳ0385Ͳ10 FRE 40496 Cefotetan 1Gm Vl 10X10Ml ( R )
177.48
00409Ͳ7332Ͳ01 HOS 26591 Ceftriaxone 1Gm Ftv Pwd 10/Pk
18.00
J0696
00409Ͳ7336Ͳ04 HOS 33735 Ceftriaxone 2Gm Adv Sdv 10/Pk
94.80
J0696
00409Ͳ7335Ͳ03 HOS 26592 Ceftriaxone 2Gm Sdv 10/Pk
34.20
J0696
68180Ͳ0302Ͳ20 LUP 41134 Cefuroxime 250Mg Tab 20
87.97
68180Ͳ0303Ͳ20 LUP 41135 Cefuroxime 500Mg Tab 20
160.31
00093Ͳ7166Ͳ01 TEV 44154 Celecoxib 200Mg Cap 100
758.12
68180Ͳ0121Ͳ01 LUP 33283 Cephalexin 250 Mg Cap 100
69.35
68180Ͳ0122Ͳ01 LUP 32849 Cephalexin 500Mg Cap 100
137.60
00536Ͳ4088Ͳ11 MAJ
40574 Cetirizine 10Mg Tab 90
10.43
51079Ͳ0597Ͳ20 UDL 40539 Cetirizine 10Mg Tab Ud 100
249.40
45802Ͳ0919Ͳ87 AME 31514 Cetirizine10Mg Tab 300
749.25
00116Ͳ2001Ͳ16 XTT 29251 Chlorhexidine 0.12% Liq 16Oz
10.40
51079Ͳ0519Ͳ20 MYL 42445 Chlorpromazine 25Mg Tab 100 Ud
956.08
51079Ͳ0058Ͳ20 MYL 42616 Chlorthalidone 25Mg Tab 100 Ud
96.54
23155Ͳ0216Ͳ31 HER 40789 Cidofovir 375Mg Sdv 5Ml
888.00
J0740
00093Ͳ8192Ͳ01 TEV 28107 Cimetidine 300Mg Tab 100
133.33
00093Ͳ8204Ͳ01 TEV 37378 Cimetidine 400Mg Tab 100/Btl
216.79
61314Ͳ0656Ͳ05 SAN 42239 Ciprofloxacin .3% Drops 5Ml
47.31
00172Ͳ5311Ͳ60 TEV 40590 Ciprofloxacin 250Mg Tab 100
458.89
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
