NDC/PCode/UPC Mfr.
Item #
Description
AWP Pkg
J
Ͳ
Code
00603Ͳ3891Ͳ21 QUA 43661 Hydrocod/Apap 7.5/325Mgtab 100
77.02
54505Ͳ0332Ͳ10 AME 42699 Hydrocortisone 10Mg Tab 100
57.30
54505Ͳ0333Ͳ10 AME 42700 Hydrocortisone 20Mg Tab 100
108.70
42858Ͳ0301Ͳ01 RHO 41411 Hydromorphone 2Mg Tab 100
49.88
42858Ͳ0302Ͳ01 RHO 41338 Hydromorphone 4Mg Tab 100
72.81
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
57896Ͳ0941Ͳ01 AME 30037 Ibuprofen 200Mg Tab 100
1.60
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
57962Ͳ0140Ͳ12 PHA 42002 Imbruvica 140Mg Cap 120/Btl
14038.39
57962Ͳ0140Ͳ09 PHA 42001 Imbruvica 140Mg Cap 90/Btl
10528.80
00093Ͳ4030Ͳ01 TEV 33285 Indomethacin 50Mg Cap 100
63.75
QOL102
THO 42767 Inflaqol 120/Btl
0.00
00069Ͳ0151Ͳ11 PFI
40321 Inlyta 5Mg Tab 60
12986.27
00069Ͳ0145Ͳ01 PFI
40320 Inlyta 1Mg Tab 180
12986.27
00187Ͳ0746Ͳ33 VAL 11242 Insta Glucose TriͲ Pack 3X31Gm
13.99
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
50967Ͳ0126Ͳ30 WOM 38054 Irospan 24/6 Tab 30
85.85
50881Ͳ0010Ͳ60 INC 40080 Jakafi 10Mg Tab 60
11001.60
50881Ͳ0015Ͳ60 INC 40081 Jakafi 15Mg Tab 60
11001.60
50881Ͳ0020Ͳ60 INC 40082 Jakafi 20Mg Tab 60
11001.60
50881Ͳ0025Ͳ60 INC 40083 Jakafi 25Mg Tab 60
11001.60
50881Ͳ0005Ͳ60 INC 40079 Jakafi 5Mg Tab 60
11001.60
00006Ͳ0112Ͳ31 MER 42893 Januvia 50Mg Tab 30
396.79
50474Ͳ0597Ͳ66 UCB 33469 Keppra 1000 Mg Tab 60
997.55
51672Ͳ4026Ͳ06 TAR 25883 Ketoconazole 200Mg Tab 30/Btl
94.80
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
00555Ͳ0485Ͳ27 TEV 40070 Leucovorin 25Mg Tab 25
600.00
76388Ͳ0635Ͳ50 PRA 39954 Leukeran 2Mg Tab 50 ( R )
640.32
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
68180Ͳ0240Ͳ08 LUP 38129 Levofloxacin 250Mg Tab 50
841.48
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
( R ) Ͳ Indicates Refrigerated Drug Item / *Indicates Dropship Drug Item
PRICES ARE SUBJECT TO CHANGE
ORAL DRUGS
