NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
68308Ͳ0152Ͳ30 MID 37228 Nystatin 100M Un/Gm Pwd 30 Gm
40.67
68308Ͳ0152Ͳ60 MID 41794 Nystatin 100M Un/Gm Pwd 60 Gm
65.37
00603Ͳ1481Ͳ58 QUA 43076 Nystatin 100M Un/Ml Sus 16Oz
116.00
00603Ͳ1481Ͳ49 QUA 43075 Nystatin 100M Un/Ml Sus 60Ml
16.93
51672Ͳ1289Ͳ02 TAR 37601 Nystatin Usp 100Mun/Gm Crm30Gm
26.33
00555Ͳ9131Ͳ67 TEV 33699 Ocella 3/ 0.03Mg Tab 3X28
230.05
25021Ͳ0452Ͳ01 SAG 43607 Octreotide 0.1Mg/Ml 10X1Ml ( R )
78.00
J2354
43598Ͳ0166Ͳ30 DR 42674 Olanzapine 10Mg Tab 30
597.46
4040
BIR 37887 OmegaͲ3 1000Mg Gcp 150
0.00
62175Ͳ0136Ͳ32 KRE 35384 Omeprazole 40Mg Dr Cap 30
200.63
62175Ͳ0118Ͳ37 KRE 42464 Omeprazole Dr 20Mg Cap 100
337.34
62175Ͳ0118Ͳ32 KRE 30121 Omeprazole Dr 20Mg Cap 30
101.20
63323Ͳ0374Ͳ20 FRE 29159 Ondansetron 2Mg/Ml Mdv 20Ml
25.31
J2405
23155Ͳ0168Ͳ31 HER 41250 Ondansetron 2Mg/Ml Mdv 20Ml
6.02
J2405
36000Ͳ0013Ͳ01 CLA 42504 Ondansetron 2Mg/Ml Mdv 20Ml
3.25
J2405
62756Ͳ0240Ͳ64 CAR 41291 Ondansetron 4Mg Odt Tab 30 Ud
667.50
0
62756Ͳ0130Ͳ01 CAR 40828 Ondansetron 4Mg Tab 30
708.90
36000Ͳ0012Ͳ25 CLA 43931 Ondansetron 4Mg/2Ml 25X2Ml
16.25
J2405
62756Ͳ0356Ͳ64 CAR 41293 Ondansetron 8Mg Odt Tab 30 Ud
1099.90
0
62756Ͳ0131Ͳ01 CAR 40829 Ondansetron 8Mg Tab 30
1179.95
Q0162
61703Ͳ0363Ͳ22 HOS 33908 Oxaliplatin 100Mg/20Ml Sdv Sol
207.90
J9263
63323Ͳ0212Ͳ20 FRE 43530 Oxaliplatin 100Mg/20Ml Sdv Sol
538.80
J9263
25021Ͳ0233Ͳ20 SAG 43619 Oxaliplatin 100Mg/20Ml Sdv Sol
204.00
J9263
67457Ͳ0442Ͳ20 MYL 42936 Oxaliplatin 100Mg/20Ml Sdv Sol
240.00
J9263
61703Ͳ0363Ͳ18 HOS 33907 Oxaliplatin 50Mg/10Ml Sdv Sol
103.96
J9263
25021Ͳ0233Ͳ10 SAG 43618 Oxaliplatin 50Mg/10Ml Sdv Sol
102.00
J9263
63323Ͳ0211Ͳ10 FRE 43529 Oxaliplatin 50Mg/10Ml Sdv Sol
268.80
J9263
67457Ͳ0469Ͳ10 MYL 43724 Oxaliplatin 50Mg/10Ml Sdv Sol
120.00
J9263
68084Ͳ0610Ͳ21 AME 44233 Oxybutynin 10Mg Er Tab 30 Ud
98.63
53746Ͳ0204Ͳ01 AMN 41297 Oxycod/Apap 10/325Mg Tab 100
355.08
00406Ͳ0512Ͳ62 MAL 28733 Oxycod/Apap 5/325Mg Tab Ud 100
136.87
10702Ͳ0056Ͳ01 KVK 37569 Oxycodone 10Mg Tab 100
62.50
00378Ͳ6113Ͳ01 MYL 41748 Oxycodone 15Mg Tab 100
121.27
00378Ͳ6112Ͳ01 MYL 40569 Oxycodone 5Mg Tab 100
47.94
66689Ͳ0401Ͳ50 VIS 39752 Oxycodone 5Mg/5Ml Sol 50X5Mlud
255.00
00406Ͳ0512Ͳ01 MAL 21013 Oxycodone/Apap 5/325Mg Tab 100
136.87
00406Ͳ0522Ͳ01 MAL 30613 Oxycodone/Apap7.5/325Mg Tab100
271.54
61703Ͳ0342Ͳ22 HOS 24648 Paclitaxel 100Mg/16.7Ml Md Sol
30.60
J9267
44567Ͳ0505Ͳ01 WG 43568 Paclitaxel 100Mg/16.7Ml Md Sol
33.00
J9267
63323Ͳ0763Ͳ17 FRE 43635 Paclitaxel 100Mg/20Ml Mdv Sol
51.83
J9267
61703Ͳ0342Ͳ50 HOS 24647 Paclitaxel 300Mg/50Ml Mdv Sol
77.40
J9267
44567Ͳ0506Ͳ01 WG 43569 Paclitaxel 300Mg/50Ml Mdv Sol
99.00
J9267
63323Ͳ0763Ͳ52 FRE 43636 Paclitaxel 300Mg/50Ml Mdv Sol
155.16
J9267
67457Ͳ0434Ͳ51 MYL 43372 Paclitaxel 300Mg/50Ml Mdv Sol
120.00
J9267
61703Ͳ0342Ͳ09 HOS 24958 Paclitaxel 30Mg/5Ml Mdv Sol
9.79
J9267
63323Ͳ0763Ͳ06 FRE 43634 Paclitaxel 30Mg/5Ml Mdv Sol
15.52
J9267
63323Ͳ0734Ͳ10 FRE 22161 Pamidronate 30Mg/10Ml Sdv Sol
42.30
J2430
61703Ͳ0325Ͳ18 HOS 23054 Pamidronate 60Mg/10Ml Sdv Sol
33.65
J2430
63323Ͳ0735Ͳ10 FRE 22162 Pamidronate 90Mg/10Ml Sdv Sol
126.72
J2430
61703Ͳ0326Ͳ18 HOS 26730 Pamidronate 90Mg/10Ml Sdv Sol
43.02
J2430
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
GENERIC DRUGS
