NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
31722Ͳ0525Ͳ30 CAM 38921 Finasteride 5Mg Tab 30
93.39
31722Ͳ0525Ͳ90 CAM 38838 Finasteride 5Mg Tab 90
280.14
65628Ͳ0053Ͳ01 CUT 37395 First Mary'S M/Wsh Sus 8Oz
63.47
65628Ͳ0051Ͳ01 CUT 37394 FirstͲBxn M/Wsh Kit 237Ml
55.00
68001Ͳ0252Ͳ04 AME 42919 Fluconazole 100Mg Tab 30
264.09
68001Ͳ0253Ͳ20 AME 42918 Fluconazole 150Mg Tab 12
168.12
68001Ͳ0254Ͳ04 AME 42853 Fluconazole 200Mg Tab 30
432.14
50111Ͳ0647Ͳ01 PLI
29161 Fluoxetine 10Mg Cap 100
259.83
00078Ͳ0382Ͳ05 NOV 33352 Focalin 10Mg Tab 100
155.65
00603Ͳ3162Ͳ21 QUA 36587 Folic Acid 1 Mg Tab 100
35.99
00603Ͳ3162Ͳ32 QUA 36536 Folic Acid 1 Mg Tab 1000
79.49
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
00270Ͳ0445Ͳ40 BRA 22242 Gastrografin 37%Sol120Ml 12/Cs
957.90
Q9963
89141Ͳ0456Ͳ02 DAR 43377 Gelclair Gel 15X15Ml
258.00
31722Ͳ0225Ͳ60 CAM 42180 Gemfibrozil 600Mg Tab 60
145.86
00597Ͳ0141Ͳ30 BOE 41631 Gilotrif 20Mg Tab 30
7768.22
00597Ͳ0137Ͳ30 BOE 41632 Gilotrif 30Mg Tab 30
7768.22
00597Ͳ0138Ͳ30 BOE 41633 Gilotrif 40Mg Tab 30
7768.22
44675
BIR 42325 Ginger Root 550Mg Cap 100
0.00
87701Ͳ0408Ͳ34 BIR 42324 Ginseng 200Mg Cap 50
0.00
00078Ͳ0401Ͳ34 NOV 31332 Gleevec 100Mg Tab 90/Btl
9201.94
00078Ͳ0438Ͳ15 NOV 26150 Gleevec 400Mg Tab 30
11052.70
68001Ͳ0179Ͳ00 BLU 43898 Glimepiride 4Mg Tab 100
121.60
60505Ͳ0141Ͳ00 APO 41954 Glipizide 5Mg Tab 100
36.35
00574Ͳ0070Ͳ30 PAD 31398 Glutose 15 Tube Gel 3X15Gm
11.85
00574Ͳ0069Ͳ30 PAD 10464 Glutose Gel 3X15Gm
11.85
23155Ͳ0058Ͳ01 HER 42251 Glyburide M 5Mg Tab 100
77.70
00093Ͳ7485Ͳ20 TEV 31083 Granisetron 1Mg Tab 20/Pk
1180.05
Q0166
00591Ͳ0444Ͳ01 ACT 43621 Guanfacine 1Mg Tab 100
24.48
00781Ͳ1396Ͳ13 SAN 34039 Haloperidol 5Mg Tab Ud 100
97.49
61958Ͳ1801Ͳ01 GIL 44151 Harvoni 90Mg/400Mg Tab 28
37800.00
62856Ͳ0001Ͳ10 EIS 38608 Hexalen 50Mg Cap 100
1683.60
00283Ͳ0679Ͳ02 BEU 14696 Hurricane Spray 2Oz Beutlich
26.51
00007Ͳ4205Ͳ11 GLA 32931 Hycamtin 0.25Mg Cap 10 ( R )
1170.79
J8705
00007Ͳ4207Ͳ11 GLA 32932 Hycamtin 1Mg Cap 10 ( R )
4683.08
J8705
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
00003Ͳ0830Ͳ50 BRI
13050 Hydrea 500Mg Cap 100
163.81
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
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
ORAL DRUGS
