NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
00955Ͳ1004Ͳ10 WIN 40328 Enoxaparin 40Mg Pfs 10X.4Ml
356.82
J1650
00955Ͳ1006Ͳ10 WIN 40329 Enoxaparin 60Mg Pfs 10X.6Ml
535.87
J1650
00781Ͳ3428Ͳ68 SAN 38666 Enoxaparin 80Mg Pfs 10X.8Ml
650.25
J1650
00955Ͳ1008Ͳ10 WIN 40330 Enoxaparin 80Mg Pfs 10X.8Ml
714.50
J1650
00409Ͳ7241Ͳ01 HOS 26815 Epinep 1:1000 Amp 25X1Ml
63.00
J0171
00409Ͳ4921Ͳ34 HOS 27478 Epinep 1:10000 20G Abj 10X10Ml
58.08
, J0171
54505Ͳ0101Ͳ02 AME 44048 Epinephrine 0.15Mg Inj 2
372.88
54505Ͳ0102Ͳ02 AME 41502 Epinephrine 0.3Mg Inj 2
372.88
25021Ͳ0203Ͳ51 SAG 36345 Epirubicin 200Mg Sdv 100Ml ( R )
252.00
J9178
61703Ͳ0359Ͳ59 HOS 30336 Epirubicin 200Mg/100Ml Sdv Sol ( R )
191.34
J9178
00703Ͳ3069Ͳ11 TEV 30368 Epirubicin 200Mg/100Ml Sdv Sol ( R )
457.39
J9178
25021Ͳ0203Ͳ25 SAG 36344 Epirubicin 50Mg Sdv 25Ml ( R )
72.00
J9178
61703Ͳ0359Ͳ93 HOS 30335 Epirubicin 50Mg/25Ml Sdv Sol ( R )
49.14
J9178
00703Ͳ3067Ͳ11 TEV 30367 Epirubicin 50Mg/25Ml Sdv Sol ( R )
114.35
J9178
00185Ͳ5368Ͳ30 SAN 44217 Eplerenone 25Mg Tab 30
130.18
00185Ͳ5369Ͳ30 SAN 43363 Eplerenone 50Mg Tab 30
130.19
68001Ͳ0196Ͳ00 BLU 43899 Escitalopram 10Mg Tab 100
432.65
68001Ͳ0197Ͳ00 BLU 43900 Escitalopram 20Mg Tab 100
451.46
00591Ͳ0487Ͳ01 ACT 42497 Estradiol 1Mg Tab 100
34.50
63323Ͳ0104Ͳ05 FRE 16136 Etoposide 20Mg/Ml Mdv 10X5Ml
149.28
J9181, J9182
00378Ͳ3266Ͳ94 MYL 22971 Etoposide 50Mg Cap 20/Ud ( R )
1417.19
J8560
63323Ͳ0104Ͳ25 FRE 18713 Etoposide Inj 20Mg/Ml 25Ml Md
74.63
J9181, J9182
63323Ͳ0104Ͳ50 FRE 18714 Etoposide Inj 20Mg/Ml 50Ml Mdv
149.26
J9181, J9182
16729Ͳ0114Ͳ31 ACC 37616 Etoposide Inj 20Mg/Ml 5Ml Mdv
11.37
J9181
59762Ͳ2858Ͳ01 GRE 37816 Exemestane 25Mg Tab 30
606.94
00054Ͳ0197Ͳ13 ROX 41175 Famciclovir 250Mg Tab 30
208.42
00054Ͳ0198Ͳ13 ROX 41049 Famciclovir 500Mg Tab 30
418.57
63323Ͳ0738Ͳ09 FRE 40382 Famotidine 10Mg/Ml Mdv 10X4Ml ( R )
21.60
NEW03
63323Ͳ0738Ͳ20 FRE 38362 Famotidine 200Mg Mdv 10X20Ml ( R )
413.00
NEW03
63323Ͳ0739Ͳ12 FRE 22115 Famotidine 20Mg Sdv 25X2Ml ( R )
102.50
NEW03
68001Ͳ0240Ͳ00 BLU 43449 Famotidine 20Mg Tab 100
173.00
63739Ͳ0484Ͳ10 MCK 42080 Famotidine 20Mg Tab Ud 100
8.64
68001Ͳ0241Ͳ00 BLU 44020 Famotidine 40Mg Tab 100
334.40
00378Ͳ5012Ͳ01 MYL 31974 Felodipine 5Mg Er Tab 100
151.09
00406Ͳ9025Ͳ76 MAL 41353 Fentanyl 25 Mcg/Hr Patch 5/Pk
72.10
00378Ͳ9122Ͳ98 MYL 32776 Fentanyl 50Mcg Patch 5/Pk
131.80
00409Ͳ9093Ͳ32 HOS 27223 Fentanyl Cit/05Mg/Ml Amp10X2Ml
14.40
J3010
00406Ͳ9000Ͳ76 MAL 40395 Fentanyl Mtx 100 Mcg Pat 5/Pk
266.80
00406Ͳ9075Ͳ76 MAL 41324 Fentanyl Mtx 75Mcg Pat 5
201.05
51991Ͳ0203Ͳ11 AME 30088 Ferrex 150Mg Caps Ud 100/Bx
27.50
51991Ͳ0588Ͳ28 BRE 37415 Ferrex 28 Tab 28
28.95
50383Ͳ0778Ͳ16 AME 31018 Ferrous Sul 220Mg/5Ml Elx 16Oz
6.85
00536Ͳ5890Ͳ01 WAT 27170 Ferrous Sul 325Mg Red Tab 100
4.04
45802Ͳ0571Ͳ78 PER 38217 Fexofenadine 180Mg Tab 100
41.82
45802Ͳ0425Ͳ78 PER 38865 Fexofenadine 60Mg Tab 100
71.93
31722Ͳ0525Ͳ30 CAM 38921 Finasteride 5Mg Tab 30
93.39
31722Ͳ0525Ͳ90 CAM 38838 Finasteride 5Mg Tab 90
280.14
63323Ͳ0145Ͳ07 FRE 19717 Floxuridine 500Mg Vl Lyo
150.00
J9200
00409Ͳ4688Ͳ23 HOS 37969 Fluconaz/Sal 200Mg Bag 6X100Ml
70.06
J1450
68001Ͳ0252Ͳ04 AME 42919 Fluconazole 100Mg Tab 30
264.09
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
