NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
66993Ͳ0022Ͳ27 PRA 40208 Levalbuterol 0.63Mg Sol 24X3Ml
160.79
J7614
66993Ͳ0023Ͳ27 PRA 40207 Levalbuterol 1.25Mg Sol 24X3Ml
160.79
J7614
68001Ͳ0117Ͳ07 AME 43074 Levetiracetam 500Mg Tab 120
421.71
00781Ͳ3342Ͳ09 SAN 38339 Levofloxac 500Mg Bag 24X100Ml
396.86
J1956
68180Ͳ0240Ͳ08 LUP 38129 Levofloxacin 250Mg Tab 50
841.48
17478Ͳ0107Ͳ20 AKO 38513 Levofloxacin 500Mg Sdv 20Ml
44.74
J1956
68180Ͳ0241Ͳ08 LUP 38131 Levofloxacin 500Mg Tab 50
964.40
68180Ͳ0242Ͳ20 LUP 38130 Levofloxacin 750Mg Tab 20
722.36
00781Ͳ5184Ͳ92 SAN 40562 Levothyroxine 100Mcg Tab 90
52.68
00781Ͳ5185Ͳ92 SAN 42845 Levothyroxine 112Mcg Tab 90
60.91
00781Ͳ5191Ͳ92 SAN 42618 Levothyroxine 137Mcg Tab 90
62.61
00781Ͳ5187Ͳ92 SAN 40690 Levothyroxine 150Mcg Tab 90
63.56
00781Ͳ5180Ͳ92 SAN 42915 Levothyroxine 25Mcg Tab 90
40.96
00781Ͳ5181Ͳ92 SAN 42916 Levothyroxine 50Mcg Tab 90
46.50
00781Ͳ5182Ͳ92 SAN 42917 Levothyroxine 75Mcg Tab 90
51.39
76329Ͳ3013Ͳ05 INT 39644 Lido 2% Jelly Urojet 25X10Ml
213.13
76329Ͳ3012Ͳ05 INT 39478 Lido 2% Jelly Urojet 25X5Ml
191.19
00054Ͳ3505Ͳ47 ROX 11246 Lido Top 4% Sol 50Ml
9.16
00115Ͳ1468Ͳ60 GLO 43033 Lido/Prilo 2.5/2.5% Crm 5X5Gm
40.20
00168Ͳ0357Ͳ30 SAN 27884 Lido/Priloc 2.5% Crm 30Gm
51.11
00115Ͳ1468Ͳ45 GLO 43410 Lido/Priloc 2.5% Crm 30Gm
46.07
17478Ͳ0711Ͳ30 AKO 27622 Lidocaine 2% Jelly 30Ml
16.67
00591Ͳ3525Ͳ30 ACT 41974 Lidocaine 5% Patch 30/Bx
269.58
00054Ͳ3500Ͳ49 ROX 11247 Lidocaine Viscous 2% Sol 100Ml
3.42
47335Ͳ0049Ͳ40 CAR 40984 Liposome Doxo 20Mg/10Ml Sdv ( R )
1162.80
Q2050
47335Ͳ0050Ͳ40 CAR 40985 Liposome Doxo 50Mg/25Ml Sdv ( R )
2907.10
Q2050
68180Ͳ0518Ͳ01 LUP 36958 Lisino/Hctz 10/12.5Mg Tab 100
112.04
68180Ͳ0519Ͳ01 LUP 31839 Lisinop/Hctz 20/12.5Mg Tab 100
121.28
68001Ͳ0210Ͳ00 AME 42713 Lisinopril 10Mg Tab 100
100.42
68001Ͳ0208Ͳ00 AME 42729 Lisinopril 20Mg Tab 100
107.54
68001Ͳ0212Ͳ00 AME 43029 Lisinopril 30Mg Tab 100
150.76
68001Ͳ0209Ͳ00 AME 42914 Lisinopril 40Mg Tab 100
157.21
68001Ͳ0207Ͳ00 AME 42712 Lisinopril 5Mg Tab 100
97.25
68180Ͳ0520Ͳ01 LUP 33665 Lisnop/Hctz 20/25Mg Tb 100/Btl
122.75
00904Ͳ2687Ͳ60 MAJ
37890 LͲLysine 500Mg Tab 100
3.77
00093Ͳ0311Ͳ01 TEV 20078 Loperamide 2Mg Cap 100/Btl
81.26
51079Ͳ0690Ͳ20 UDL 24006 Loperamide 2Mg Cap Ud 10X10
87.47
45802Ͳ0650Ͳ78 PER 35453 Loratadine 10Mg Tab 100
30.07
68084Ͳ0248Ͳ01 AME 41210 Loratadine 10Mg Tab 100 Ud
70.23
00781Ͳ5371Ͳ01 SAN 42935 Lorazepam 0.5Mg Tab 100
67.75
00781Ͳ5377Ͳ01 SAN 43073 Lorazepam 1Mg Tab 100
88.25
00641Ͳ6046Ͳ10 WES 39697 Lorazepam 2Mg/Ml Vl 10X10Ml ( R )
81.36
J2060
00409Ͳ6778Ͳ02 HOS 27601 Lorazepam 2Mg/Ml Vl 10X1Ml ( R )
11.04
J2060
00641Ͳ6044Ͳ25 WES 39696 Lorazepam 2Mg/Ml Vl 25X1Ml ( R )
22.50
J2060
00781Ͳ5204Ͳ92 SAN 43146 Losart/Hctz 100/12.5Mg Tab 90
306.70
68180Ͳ0212Ͳ06 LUP 43817 Losartan 100Mg Tab 30
92.45
68180Ͳ0210Ͳ09 LUP 43293 Losartan 25Mg Tab 90
151.43
68180Ͳ0211Ͳ06 LUP 43816 Losartan 50Mg Tab 30
67.88
00781Ͳ5206Ͳ92 SAN 38965 Losartan/Hctz 50/12.5Mg Tab 90
225.16
68585Ͳ0005Ͳ75 RIS 32518 Mag 64Mg Tab 60
8.65
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
