NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
16729Ͳ0118Ͳ38 ACC 41443 Gemcitabine 2Gm Sdv 100Ml
1158.84
J9201
00409Ͳ0187Ͳ01 HOS 37060 Gemcitabine 2Gm Vl 100Ml
119.70
J9201
63323Ͳ0126Ͳ00 FRE 37939 Gemcitabine 2Gm Vl 100Ml
118.80
J9201
67457Ͳ0463Ͳ02 MYL 43292 Gemcitabine 2Gm Vl 100Ml
180.00
J9201
00409Ͳ0182Ͳ01 HOS 38477 Gemcitabine 2Gm Vl 52.6Ml Sol ( R )
119.70
J9201
31722Ͳ0225Ͳ60 CAM 42180 Gemfibrozil 600Mg Tab 60
145.86
00409Ͳ1207Ͳ03 HOS 26708 Gentamicin 40Mg/Ml Ftv 25X2Ml
31.50
J1580
63323Ͳ0010Ͳ20 FRE 12734 Gentamicin 40Mg/Ml Vl 25X20Ml
607.50
J1580
68001Ͳ0179Ͳ00 BLU 43898 Glimepiride 4Mg Tab 100
121.60
60505Ͳ0141Ͳ00 APO 41954 Glipizide 5Mg Tab 100
36.35
23155Ͳ0058Ͳ01 HER 42251 Glyburide M 5Mg Tab 100
77.70
00093Ͳ7485Ͳ20 TEV 31083 Granisetron 1Mg Tab 20/Pk
1180.05
Q0166
63323Ͳ0318Ͳ01 FRE 32302 Granisetron 1Mg/1Ml Sdv Sol
24.00
J1626
66758Ͳ0035Ͳ01 SAN 32265 Granisetron 1Mg/1Ml Sdv Sol
50.00
J1626
63323Ͳ0319Ͳ04 FRE 33375 Granisetron 4Mg/4Ml Mdv Sol
79.20
J1626
66758Ͳ0036Ͳ01 SAN 32266 Granisetron 4Mg/4Ml Mdv Sol
200.00
J1626
00591Ͳ0444Ͳ01 ACT 43621 Guanfacine 1Mg Tab 100
24.48
00781Ͳ1396Ͳ13 SAN 34039 Haloperidol 5Mg Tab Ud 100
97.49
00168Ͳ0146Ͳ30 SAN 30501 Hydocort 2.5% Ont 1Oz
11.00
50111Ͳ0398Ͳ01 TEV 35556 Hydralazine 10Mg Tab 100
41.15
50111Ͳ0327Ͳ01 TEV 40217 Hydralazine 25Mg Tab 100
50.84
50111Ͳ0328Ͳ01 TEV 44016 Hydralazine 50Mg Tab 100
56.33
59746Ͳ0382Ͳ06 CAD 35524 Hydrochloro 12.5 Mg Cap 100
42.40
00172Ͳ2083Ͳ60 TEV 14537 Hydrochlorothiaz 25Mg Tab 100
8.48
64376Ͳ0640Ͳ40 QUA 43666 Hydroco/Apap 7.5/325Mg Sol 4Oz
38.69
00591Ͳ2612Ͳ01 ACT 43824 Hydrocod/Apap 10/325Mg Tab 100
52.30
00591Ͳ2612Ͳ05 ACT 43669 Hydrocod/Apap 10/325Mg Tab 500
263.27
00406Ͳ0123Ͳ01 MAL 43825 Hydrocod/Apap 5/325Mg Tab 100
69.15
00603Ͳ3891Ͳ21 QUA 43661 Hydrocod/Apap 7.5/325Mgtab 100
77.02
00168Ͳ0015Ͳ31 SAN 32858 Hydrocort 1% Crm 1Oz
7.20
45802Ͳ0455Ͳ35 PER 43578 Hydrocort Val 0.2% Cream 15Gm
89.54
54505Ͳ0332Ͳ10 AME 42699 Hydrocortisone 10Mg Tab 100
57.30
54505Ͳ0333Ͳ10 AME 42700 Hydrocortisone 20Mg Tab 100
108.70
45802Ͳ0004Ͳ02 PER 13324 Hydrocortisone Crm 2.5% 20Gm
4.90
00409Ͳ1283Ͳ31 HOS 37957 Hydromorph 1Mg/Ml C/J 10X1Ml
24.96
J1170
00409Ͳ1312Ͳ30 HOS 27345 Hydromorph 2Mg/Ml C/J 10X1Ml
27.03
J1170
00409Ͳ2552Ͳ01 HOS 31094 Hydromorphone 1Mg/Mlamp 10X1Ml
12.84
J1170
42858Ͳ0301Ͳ01 RHO 41411 Hydromorphone 2Mg Tab 100
49.88
00409Ͳ3356Ͳ01 HOS 32517 Hydromorphone 2Mg/Ml Amp10X1Ml
13.44
J1170
00641Ͳ2341Ͳ41 WES 21007 Hydromorphone 2Mg/Ml Mdv 20Ml
15.60
J1170
42858Ͳ0302Ͳ01 RHO 41338 Hydromorphone 4Mg Tab 100
72.81
00591Ͳ2888Ͳ30 ACT 38067 Hydroxocobal 1000Mcg/Ml 30Ml
38.26
00555Ͳ0882Ͳ02 TEV 26072 Hydroxyurea 500Mg Cap 100
147.40
00555Ͳ0323Ͳ02 TEV 43394 Hydroxyz Pam 25Mg Cap 100
56.89
23155Ͳ0106Ͳ01 HER 40589 Hydroxyzine 25Mg Tab 100
91.46
24486Ͳ0602Ͳ10 ARI
33653 Hyomax Sr .375Mg Tab 100/Btl
161.48
76439Ͳ0309Ͳ10 VIR 42146 Hyoscyamine .125Mg Sub Tab 100
109.64
00591Ͳ3770Ͳ31 ACT 41354 Ibandronate 150Mg Tab 3/Pk
399.54
62756Ͳ0218Ͳ40 CAR 42550 Ibandronate Sodium 3Mg/3Ml Inj
505.20
J1740
57896Ͳ0941Ͳ01 AME 30037 Ibuprofen 200Mg Tab 100
1.60
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
