NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
00378Ͳ0415Ͳ01 MYL 27374 Diphxyl/Atr2.5/.025Mgtab100/Bt
70.00
68382Ͳ0189Ͳ01 ZYD 42681 Dipyridamole 75Mg Tab 100
125.90
68382Ͳ0032Ͳ05 ZYD 43097 Divalproex Dr 250Mg Tab 500
881.11
16729Ͳ0267Ͳ65 ACC 41119 Docetaxel 160Mg/8Ml Rtu Mdv
2921.20
J9171
00955Ͳ1020Ͳ01 WIN 37176 Docetaxel 20Mg Vl 1Ml
444.76
J9171
16729Ͳ0267Ͳ63 ACC 41846 Docetaxel 20Mg/1Ml Rtu Mdv
365.15
J9171
25021Ͳ0222Ͳ01 SAG 41975 Docetaxel 20Mg/1Ml Sdv
240.00
J9171
00955Ͳ1021Ͳ04 WIN 37177 Docetaxel 80Mg Vl 4Ml
1779.00
J9171
16729Ͳ0267Ͳ64 ACC 41468 Docetaxel 80Mg/4Ml Rtu Mdv
1460.60
J9171
25021Ͳ0222Ͳ04 SAG 41976 Docetaxel 80Mg/4Ml Sdv
960.00
J9171
00409Ͳ0201Ͳ20 HOS 37031 Docetaxel Inj 160Mg/16Ml Mdv
1583.00
J9171
66758Ͳ0050Ͳ03 SAN 38424 Docetaxel Inj 160Mg/16Ml Mdv
3036.35
J9171
66758Ͳ0050Ͳ01 SAN 38422 Docetaxel Inj 20Mg/2Ml Mdv
379.54
J9171
00409Ͳ0201Ͳ02 HOS 37029 Docetaxel Inj 20Mg/2Ml Sdv
199.84
J9171
00409Ͳ0201Ͳ10 HOS 37030 Docetaxel Inj 80Mg/8Ml Mdv
799.48
J9171
66758Ͳ0050Ͳ02 SAN 38423 Docetaxel Inj 80Mg/8Ml Mdv
1518.17
J9171
57896Ͳ0401Ͳ01 AME 28163 Docusate Sod 100Mg Cap 100
1.00
00536Ͳ3757Ͳ01 ACT 40164 Docusate Sod 250Mg Cap 100
6.57
13668Ͳ0103Ͳ30 TOR 43983 Donepezil 10Mg Tab 30
233.70
00093Ͳ9612Ͳ12 TEV 43035 Doxepin Oral 10Mg/Ml Sol 4Oz
35.55
63323Ͳ0883Ͳ05 FRE 18729 Doxorubicin 10Mg/5Ml Sdv Sol ( R )
10.80
J9000
00069Ͳ3030Ͳ20 PFI
37910 Doxorubicin 10Mg/5Ml Sdv Sol ( R )
12.00
J9000
00069Ͳ3033Ͳ20 PFI
37913 Doxorubicin 150Mg/75Ml Mdv Sol ( R )
126.00
J9000
00703Ͳ5040Ͳ01 TEV 10759 Doxorubicin 200Mg/100Ml Mdvsol ( R )
168.98
J9000
63323Ͳ0101Ͳ61 FRE 11118 Doxorubicin 200Mg/100Ml Mdvsol ( R )
159.97
J9000
00069Ͳ3034Ͳ20 PFI
37914 Doxorubicin 200Mg/100Ml Mdvsol ( R )
168.00
J9000
25021Ͳ0207Ͳ51 SAG 42042 Doxorubicin 200Mg/100Ml Mdvsol ( R )
166.80
J9000
63323Ͳ0883Ͳ10 FRE 18730 Doxorubicin 20Mg/10Ml Sdv Sol ( R )
31.20
J9000
00069Ͳ3031Ͳ20 PFI
37911 Doxorubicin 20Mg/10Ml Sdv Sol ( R )
24.00
J9000
63323Ͳ0883Ͳ30 FRE 10222 Doxorubicin 50Mg/25Ml Sdv Sol ( R )
40.00
J9000
00703Ͳ5046Ͳ01 TEV 10758 Doxorubicin 50Mg/25Ml Sdv Sol ( R )
56.40
J9000
00069Ͳ3032Ͳ20 PFI
37912 Doxorubicin 50Mg/25Ml Sdv Sol ( R )
42.00
J9000
25021Ͳ0207Ͳ25 SAG 42041 Doxorubicin 50Mg/25Ml Sdv Sol ( R )
42.00
J9000
67253Ͳ0391Ͳ15 QUA 44019 Doxycycline 100Mg Tab 50
307.35
00527Ͳ1336Ͳ01 LAN 40846 Doxycycline 20Mg Tab 100
115.14
53489Ͳ0119Ͳ02 MUT 20664 Doxycyline 100Mg Cap 50/Btl
307.35
00591Ͳ3592Ͳ60 ACT 33138 Dronabinol 5Mg Cap 60 ( R )
706.45
68001Ͳ0255Ͳ06 BLU 43819 Duloxetine 20Mg Dr Cap 60
419.40
68001Ͳ0256Ͳ04 BLU 43818 Duloxetine 30Mg Dr Cap 30
235.25
64679Ͳ0923Ͳ02 WOC 31890 Enalapril 2.5Mg Tab 100/Btl
145.74
68084Ͳ0392Ͳ01 AME 43878 Enalapril 20Mg Tab 100 Ud
182.40
46122Ͳ0161Ͳ28 BIR 42493 Enema Saline Liq 4.5Oz
1.39
00781Ͳ3500Ͳ69 SAN 38660 Enoxaparin 100Mg Pfs 10X1Ml
812.79
J1650
00955Ͳ1010Ͳ10 WIN 40331 Enoxaparin 100Mg Pfs 10X1Ml
893.11
J1650
00781Ͳ3612Ͳ68 SAN 38661 Enoxaparin 120Mg Pfs 10X.8Ml
975.69
J1650
00955Ͳ1012Ͳ10 WIN 40332 Enoxaparin 120Mg Pfs 10X.8Ml
1072.08
J1650
00955Ͳ1015Ͳ10 WIN 40333 Enoxaparin 150Mg Pfs 10X1Ml
1340.11
J1650
00955Ͳ1016Ͳ01 WIN 40338 Enoxaparin 300Mg Vl 1X3Ml Mdv
267.64
J1650
00955Ͳ1003Ͳ10 WIN 40327 Enoxaparin 30Mg Pfs 10X.3Ml
267.64
J1650
00781Ͳ3224Ͳ64 SAN 38664 Enoxaparin 40Mg Pfs 10X.4Ml
324.72
J1650
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
