NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
68001Ͳ0253Ͳ20 AME 42918 Fluconazole 150Mg Tab 12
168.12
68001Ͳ0254Ͳ04 AME 42853 Fluconazole 200Mg Tab 30
432.14
25021Ͳ0205Ͳ05 SAG 36343 Fludarabine 50Mg Sdv Lyo
132.00
J9185
00703Ͳ5854Ͳ01 TEV 23881 Fludarabine 50Mg Sdv Lyo ( R )
113.40
J9185
00703Ͳ4852Ͳ11 TEV 24941 Fludarabine 50Mg/2Ml Sdv Sol ( R )
261.00
J9185
63323Ͳ0192Ͳ02 FRE 34398 Fludarabine 50Mg/2Ml Sdv Sol ( R )
326.26
J9185
66758Ͳ0046Ͳ01 SAN 30651 Fludarabine 50Mg/2Ml Sdv Sol ( R )
350.00
J9185
00143Ͳ9784Ͳ10 WES 40606 Flumazenil 0.1Mg/Ml Vl 10X5Ml
81.25
J3490
51672Ͳ1253Ͳ01 TAR 24982 Fluocinonide 0.05% Crm 15Gm
45.55
51672Ͳ1253Ͳ02 TAR 41138 Fluocinonide 0.05% Crm 30Gm
91.10
16729Ͳ0276Ͳ67 ACC 42398 Fluorouracil 1Gm/20Ml 10/Pk
286.90
J9190
63323Ͳ0117Ͳ20 FRE 18715 Fluorouracil 1Gm/20Ml Sd 10/Pk
72.00
J9190
63323Ͳ0117Ͳ51 FRE 18716 Fluorouracil 2.5Gm/50Ml Pbp
16.06
J9190
16729Ͳ0276Ͳ11 ACC 42399 Fluorouracil 2.5Gm/50Ml Pbp
34.38
J9190
51672Ͳ4118Ͳ06 TAR 37189 Fluorouracil 5% Crm 40 Gm
384.94
63323Ͳ0117Ͳ10 FRE 10753 Fluorouracil 500Mg/10Ml 10/Pk
36.00
J9190
16729Ͳ0276Ͳ68 ACC 42397 Fluorouracil 500Mg/10Ml 10/Pk
159.40
J9190
63323Ͳ0117Ͳ61 FRE 10745 Fluorouracil 5Gm/100Ml Pbp
32.12
J9190
16729Ͳ0276Ͳ38 ACC 42400 Fluorouracil 5Gm/100Ml Pbp
68.75
J9190
50111Ͳ0647Ͳ01 PLI
29161 Fluoxetine 10Mg Cap 100
259.83
00054Ͳ3270Ͳ99 ROX 28154 Fluticasone 50Mcg Spray 16Gm
75.27
00603Ͳ3162Ͳ21 QUA 36587 Folic Acid 1 Mg Tab 100
35.99
00603Ͳ3162Ͳ32 QUA 36536 Folic Acid 1 Mg Tab 1000
79.49
63323Ͳ0184Ͳ10 FRE 10101 Folic Acid 5Mg/Ml Mdv 10Ml
32.04
J3490
55111Ͳ0681Ͳ10 DR 39833 Fondaparinux 10Mg Syg 10X0.8Ml
1286.10
J1652
55111Ͳ0681Ͳ02 DR 39826 Fondaparinux 10Mg Syg 2X0.8Ml
271.60
J1652
55111Ͳ0678Ͳ02 DR 39823 Fondaparinux 2.5Mg Syg 2X0.5Ml
115.40
J1652
55111Ͳ0678Ͳ10 DR 39830 Fondaparinux 2.5Mg Syg10X0.5Ml
546.52
J1652
55111Ͳ0679Ͳ10 DR 39831 Fondaparinux 5Mg Syg 10X0.4Ml
1286.10
J1652
55111Ͳ0679Ͳ02 DR 39824 Fondaparinux 5Mg Syg 2X0.4Ml
271.60
J1652
55111Ͳ0680Ͳ02 DR 39825 Fondaparinux 7.5Mg Syg 2X0.6Ml
271.60
J1652
55111Ͳ0680Ͳ10 DR 39832 Fondaparinux 7.5Mg Syg10X0.6Ml
1286.10
J1652
00409Ͳ6102Ͳ02 HOS 26089 Furosemide 10Mg/Ml Ftv 25X2Ml
81.90
J1940
00409Ͳ6102Ͳ04 HOS 26110 Furosemide 10Mg/Ml Ftv 25X4Ml
105.90
, J1940
00409Ͳ9631Ͳ04 HOS 28180 Furosemide 10Mg/Ml Syg 10X4Ml
78.72
J1940
50742Ͳ0104Ͳ01 ING 38707 Furosemide 20Mg Tab 100
14.30
50742Ͳ0105Ͳ01 ING 38727 Furosemide 40Mg Tab 100
16.30
53746Ͳ0101Ͳ01 AMN 33599 Gabapentin 100Mg Cap 100
53.69
53746Ͳ0102Ͳ01 AMN 33647 Gabapentin 300Mg Cap 100
134.18
53746Ͳ0103Ͳ01 AMN 33535 Gabapentin 400Mg Cap 100
159.71
68382Ͳ0204Ͳ01 ZYD 41277 Gabapentin 600Mg Tab 100
252.62
16729Ͳ0117Ͳ11 ACC 38374 Gemcitabine 1Gm Sdv 50Ml
579.42
J9201
63323Ͳ0125Ͳ53 FRE 39799 Gemcitabine 1Gm Sdv 50Ml
58.80
J9201
00409Ͳ0181Ͳ01 HOS 38476 Gemcitabine 1Gm Vl 26.3Ml Sol ( R )
53.56
J9201
67457Ͳ0462Ͳ01 MYL 43723 Gemcitabine 1Gm Vl 50Ml
90.00
J9201
16729Ͳ0092Ͳ03 ACC 38373 Gemcitabine 200Mg Sdv 10Ml
115.88
J9201
25021Ͳ0208Ͳ10 SAG 38323 Gemcitabine 200Mg Vl 10Ml
48.00
J9201
63323Ͳ0102Ͳ13 FRE 40458 Gemcitabine 200Mg Vl 10Ml
14.40
J9201
67457Ͳ0464Ͳ20 MYL 43291 Gemcitabine 200Mg Vl 10Ml
18.00
J9201
00409Ͳ0183Ͳ01 HOS 38475 Gemcitabine 200Mg Vl5.26Ml Sol ( R )
10.72
J9201
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
