NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
00904Ͳ7914Ͳ61 MAJ
28519 Ibuprofen 200Mg Tab 100 Ud
6.77
00904Ͳ7915Ͳ24 MAJ
40570 Ibuprofen 200Mg Tab 24
2.20
53746Ͳ0464Ͳ01 AMN 41503 Ibuprofen 400Mg Tab 100
39.25
53746Ͳ0465Ͳ01 AMN 41453 Ibuprofen 600Mg Tab 100
54.75
53746Ͳ0466Ͳ01 AMN 41504 Ibuprofen 800Mg Tab 100
80.25
00013Ͳ2576Ͳ91 PFI
20277 Idamycin Pfs 5Mg/5Ml Vl ( R )
300.00
J9211
00013Ͳ2586Ͳ91 PFI
20278 Idamycin Pfs 10Mg/10Ml Vl ( R )
600.00
J9211
00703Ͳ4155Ͳ11 TEV 22769 Idarubicin 10Mg/10Ml Sdv Sol ( R )
197.64
J9211
00703Ͳ4156Ͳ11 TEV 22770 Idarubicin 20Mg/20Ml Sdv Sol ( R )
395.28
J9211
00703Ͳ4154Ͳ11 TEV 22768 Idarubicin 5Mg/5Ml Sdv Sol ( R )
98.82
J9211
00069Ͳ4495Ͳ22 MYL 42998 Ifosfamide 1Gm Inj 20Ml Sdv ( R )
69.60
J9208
63323Ͳ0142Ͳ10 FRE 22483 Ifosfamide 1Gm Inj 30Ml Sdv
72.56
J9208
10019Ͳ0925Ͳ01 BAX 26775 Ifosfamide 1Gm Inj 30Ml Sdv
44.09
J9208
00069Ͳ4496Ͳ22 MYL 42999 Ifosfamide 3Gm Inj 60Ml Sdv ( R )
208.80
J9208
10019Ͳ0926Ͳ02 BAX 26776 Ifosfamide 3Gm Inj 75Ml Sdv
129.05
J9208
00093Ͳ4030Ͳ01 TEV 33285 Indomethacin 50Mg Cap 100
63.75
76204Ͳ0600Ͳ05 RIT 43039 Iprat/Albut 0.5/3Mg Amp 30X3Ml
65.61
J7620
00487Ͳ9801Ͳ25 NEP 35113 Ipratrop Brom .02% Pf 25X2.5Ml
33.00
J7644
68180Ͳ0411Ͳ06 LUP 42912 Irbesartan 150Mg Tab 30
92.12
61703Ͳ0349Ͳ36 HOS 31558 Irinotecan 20Mg/Ml Sdv 25Ml
160.85
J9206
61703Ͳ0349Ͳ16 HOS 31556 Irinotecan 20Mg/Ml Sdv 2Ml
14.81
J9206
00703Ͳ4432Ͳ11 TEV 31559 Irinotecan 20Mg/Ml Sdv 2Ml
18.22
J9206
66758Ͳ0048Ͳ01 SAN 36023 Irinotecan 20Mg/Ml Sdv 2Ml
276.15
J9206
23155Ͳ0179Ͳ31 HER 41236 Irinotecan 20Mg/Ml Sdv 2Ml
276.15
J9206
63323Ͳ0193Ͳ52 FRE 41281 Irinotecan 20Mg/Ml Sdv 2Ml
19.20
J9206
25021Ͳ0230Ͳ02 SAG 43411 Irinotecan 20Mg/Ml Sdv 2Ml
36.00
J9206
61703Ͳ0349Ͳ09 HOS 31557 Irinotecan 20Mg/Ml Sdv 5Ml
33.83
J9206
00703Ͳ4434Ͳ11 TEV 31560 Irinotecan 20Mg/Ml Sdv 5Ml
42.36
J9206
66758Ͳ0048Ͳ02 SAN 36024 Irinotecan 20Mg/Ml Sdv 5Ml
690.35
J9206
63323Ͳ0193Ͳ55 FRE 41282 Irinotecan 20Mg/Ml Sdv 5Ml
40.80
J9206
23155Ͳ0179Ͳ32 HER 41237 Irinotecan 20Mg/Ml Sdv 5Ml
690.35
J9206
25021Ͳ0230Ͳ05 SAG 43412 Irinotecan 20Mg/Ml Sdv 5Ml
78.00
J9206
00409Ͳ2053Ͳ10 HOS 26199 Ketamine 50Mg/Ml Vl 10X10Ml
42.84
J3490
51672Ͳ1298Ͳ03 TAR 40810 Ketoconazole 2% Crm 60Gm
79.13
51672Ͳ4026Ͳ06 TAR 25883 Ketoconazole 200Mg Tab 30/Btl
94.80
00409Ͳ3793Ͳ01 HOS 26651 Ketorolac 15Mg/Ml Sdv 25X1Ml
36.00
J1885
00409Ͳ3795Ͳ01 HOS 27681 Ketorolac 30Mg/Ml Sdv 25X1Ml
55.20
J1885
17478Ͳ0717Ͳ10 AKO 36350 Ketotifen Fum .025% Drp 5Ml Ea
12.19
00574Ͳ2004Ͳ16 PAD 33703 Kionex Pwd 454 Gm
201.90
00185Ͳ0118Ͳ01 SAN 42595 Labetalol 300Mg Tab 100
96.83
00603Ͳ1378Ͳ56 QUA 39922 Lactulose 10Gm/15Ml Sol 240Ml
18.28
68001Ͳ0112Ͳ05 BLU 43879 Lansoprazole 30Mg Dr Cap 90
529.97
00093Ͳ7620Ͳ56 TEV 43007 Letrozole 2.5Mg Tab 30
544.04
63323Ͳ0710Ͳ50 FRE 18727 Leucovorin 200Mg Sdv Lyo
25.27
J0640
00555Ͳ0485Ͳ27 TEV 40070 Leucovorin 25Mg Tab 25
600.00
63323Ͳ0711Ͳ00 FRE 18728 Leucovorin 500Mg Sdv Lyo
63.18
J0640
25021Ͳ0814Ͳ30 SAG 40138 Leucovorin P/F 100Mg Sdv Lyo
24.00
J0640
25021Ͳ0815Ͳ30 SAG 40139 Leucovorin P/F 200Mg Sdv Lyo
48.00
J0640
25021Ͳ0816Ͳ30 SAG 40140 Leucovorin P/F 350Mg Sdv Lyo
84.00
J0640
25021Ͳ0813Ͳ10 SAG 40137 Leucovorin P/F 50Mg 10/Pk Lyo
120.00
J0640
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
