NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
61703Ͳ0304Ͳ36 HOS 23386 Cytarabine 500Mg/25Ml Mdv Sol
14.14
J9100, J9110
61703Ͳ0305Ͳ38 HOS 37707 Cytarabine Aq 100Mg Solvl5X5Ml
33.54
J9100
63323Ͳ0127Ͳ10 FRE 18725 Dacarbazine 100Mg Sdpwd 10/Pk ( R )
113.40
J9130, J9140
63323Ͳ0128Ͳ20 FRE 18726 Dacarbazine 200Mg Sdpwd 10/Pk ( R )
144.00
J9130, J9140
62856Ͳ0600Ͳ01 EIS 35216 Dacogen Inj 50Mg
2053.20
J0894
00527Ͳ1368Ͳ01 LAN 39121 Danazol 100Mg Cap 100
239.40
00703Ͳ5233Ͳ13 TEV 20150 Daunorubicin 20Mg/4Mlsdv 10/Pk ( R )
946.74
J9150
00904Ͳ5711Ͳ35 MAJ
28724 Decg 0.05% Oxymet Nsl Spy 15Ml
2.05
00904Ͳ5711Ͳ30 MAJ
42026 Decg 0.05% Oxymet Nsl Spy 30Ml
2.95
47335Ͳ0361Ͳ41 CAR 42851 Decitabine Inj 50Mg Pwd Sd Kit
1845.80
J0894
00781Ͳ3139Ͳ80 SAN 41093 Decitabine Inj 50Mg Pwd Sdv
2112.50
J0894
55111Ͳ0556Ͳ10 DR 41359 Decitabine Inj 50Mg Pwd Sdv
1950.54
J0894
00409Ͳ2337Ͳ25 HOS 26101 Deferoxamine 2Gm Vl 4/Pk
148.70
J0895
00409Ͳ2336Ͳ10 HOS 26217 Deferoxamine 500Mg Vl 4/Pk
37.54
J0895
51672Ͳ1280Ͳ01 TAR 43887 Desonide 0.05% Crm 15Gm
80.29
00054Ͳ3177Ͳ63 ROX 25140 Dexameth 0.5Mg/5Ml Sol 16Oz
23.91
00054Ͳ3177Ͳ57 ROX 41106 Dexameth 0.5Mg/5Ml Sol 240Ml
63.69
00054Ͳ4180Ͳ25 ROX 30385 Dexameth 0.75Mg Tab 100
36.39
67457Ͳ0420Ͳ10 MYL 43374 Dexameth 10Mg/Ml Mdv 10X10Ml
47.98
J1100
63323Ͳ0516Ͳ10 FRE 26931 Dexameth 10Mg/Ml Mdv10X10Ml Lf
99.96
J1100
00054Ͳ4183Ͳ25 ROX 35763 Dexameth 2Mg Tab 100
68.54
00054Ͳ8175Ͳ25 ROX 30550 Dexameth 4Mg Tab Ud 100
68.26
67457Ͳ0421Ͳ30 MYL 43375 Dexameth 4Mg/Ml Mdv 25X30Ml
315.00
J1100
67457Ͳ0422Ͳ54 MYL 43373 Dexameth 4Mg/Ml Mdv 25X5Ml
58.50
J1100
00641Ͳ0367Ͳ25 WES 11173 Dexameth Pho 10Mg/1Ml Sdv25/Pk
39.00
J1100
63323Ͳ0165Ͳ05 FRE 20182 Dexameth Pho 20Mg/5Ml Mdv25/Pk
121.80
J1100
63323Ͳ0165Ͳ01 FRE 19790 Dexameth Pho 4Mg/1Ml Sdv 25/Pk
50.70
J1100
63323Ͳ0165Ͳ30 FRE 12733 Dexameth Phos 4Mg/Ml Vl 30Ml
26.26
J1100
63323Ͳ0506Ͳ01 FRE 23457 Dexameth Phos Pf10Mg/Ml 25X1Ml
121.20
J1100
61314Ͳ0294Ͳ05 SAN 41817 Dexamethasone 0.1% Drp 5Ml
21.10
00054Ͳ4184Ͳ25 ROX 23813 Dexamethasone 4Mg Tab 100
64.25
00054Ͳ8183Ͳ25 ROX 42579 Dexamethasone 6Mg Tab Ud 100
107.07
00591Ͳ5619Ͳ01 ACT 27700 Diazepam 5Mg Tab 100/Btl
3.53
00409Ͳ3213Ͳ12 HOS 30723 Diazepam 5Mg/Ml Ftv 10X10Ml
226.80
J3360
00409Ͳ1273Ͳ32 HOS 26770 Diazepam Ll 5Mg/Ml C/J 10X2Ml
132.72
J3360
16571Ͳ0201Ͳ06 PAC 41702 Diclofenac 75Mg Ec Tab 60
106.43
00591Ͳ0794Ͳ01 ACT 24765 Dicyclomine 10Mg Cap 100/Btl
7.08
00641Ͳ1410Ͳ35 WES 13434 Digoxin 500Mcg/2Ml Amp 25X2Ml
165.00
J1160
00093Ͳ0318Ͳ01 TEV 41347 Diltiazem 30Mg Tab 100
52.59
68084Ͳ0052Ͳ01 AME 44232 Diltiazem Cd 120Mg Cap 100 Ud
43.27
00093Ͳ5117Ͳ98 TEV 41610 Diltiazem Cd 180Mg Cap 90
130.12
00093Ͳ5118Ͳ98 TEV 28150 Diltiazem Er 240Mg Cap 90
184.60
00904Ͳ5306Ͳ60 MAJ
19079 Diphen/Banophen 25Mg Cap 100
4.10
00185Ͳ0648Ͳ10 SAN 28110 Diphenhyd 25Mg Cap 1000
45.50
00904Ͳ5306Ͳ61 MAJ
38759 Diphenhyd 25Mg Cap Ud 100/Pk
12.50
00185Ͳ0649Ͳ01 SAN 28111 Diphenhyd 50Mg Cap 100
9.04
51672Ͳ2066Ͳ02 TAR 37673 Diphenhydram 2% Crm 1Oz
4.13
67457Ͳ0124Ͳ10 MYL 38222 Diphenhydram 50Mg/Ml Mdv 10Ml
143.70
J1200
63323Ͳ0664Ͳ01 FRE 22253 Diphenhydramine 50Mg 25X1Ml
82.50
J1200
00641Ͳ0376Ͳ25 WES 11153 Diphenhydramne 50Mg Vl 25X1Ml
24.60
J1200
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
