Page 26 - ecatalogJuly14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
58468-0070-01 GEN 26658 Aldurazyme 2.9Mg Vl ( R ) 967.20 J1931
00093-5172-44 TEV 32758 Alendronate 35Mg Tab 4 81.95
00093-5140-56 TEV 42250 Alendronate 5Mg Tab 30 87.80
00093-5171-44 TEV 31567 Alendronate 70Mg Tab 4 81.95
25866-0105-01 BAY 19843 Aleve Tab 24 2.98
00002-7640-01 ELI 31106 Alimta 100Mg Inj Vl 707.94 J9305
00002-7623-01 ELI 24453 Alimta 500Mg Inj Vl 3539.70 J9305
52609-0001-05 APO 39136 Alkeran 2Mg Tab 50 ( R ) 548.50 J8600
00603-2115-21 QUA 33271 Allopurinol 100Mg Tab 100/Btl 24.42
00603-2116-21 QUA 37044 Allopurinol 300Mg Tab 100 66.89
51079-0206-20 MYL 41276 Allopurinol 300Mg Tab 100 Ud 60.81
00536-0025-83 MAJ 42502 Almacone Liquid 12Oz 3.10
128 BIR 37885 Aloe Juice Liq 128 Oz
62856-0797-01 EIS 34026 Aloxi .25Mg/5Ml Sdv 471.60 J2469
2101 BIR 37886 Alpha Lipoic Acid 100Mg Tab 60
00469-3051-30 AST 18892 Ambisome 50Mg Vl 197.82 J0289
55390-0308-03 BED 34569 Amifostine 500Mg Vl 3X10Ml 1800.00 J0207
61748-0045-01 VER 38607 Aminocaproic 500Mg Tab 100 781.78
00409-5921-01 HOS 26788 Aminophylline 250Mg Ftv25X10Ml 110.40 J0280
59762-1540-01 GRE 32004 Amlodipine 10Mg Tab 90 213.65
59762-1530-01 GRE 29959 Amlodipine 5Mg Tab 90 155.69
66685-1002-02 SAN 30068 Amox/Clav Pot 500/125Mg Tab100 367.10
00781-1852-20 SAN 36346 Amox/Clav Pot 875/125Mg Tab 20 101.03
43598-0221-14 DR 43037 Amox/Clav Pot 875/125Mg Tab 20 101.03
66685-1001-01 SAN 29316 Amox/Clav Pot 875/125Mg Tab100 490.00
66685-1002-00 SAN 27177 Amox/Clav Pot500/125Mg Tab 20 75.69
00781-2020-01 SAN 30623 Amoxicillin 250Mg Cap 100/Btl 24.89
00781-6157-52 SAN 37431 Amoxicillin 400Mg/5Mlsus 50Ml 4.90
00781-2613-01 SAN 25428 Amoxicillin 500Mg Cap 100/Btl 43.41
39822-1055-05 X-G 11453 Amphoteric B 50Mg Pwd ( R ) 45.60 J0285
25021-0142-20 SAG 42911 Ampicil/Sulb 1.5Gm Vl 10/Pk 36.00
00172-5241-60 TEV 29115 Anagrelide 0.5Mg Cap 100 893.05
00172-5240-60 TEV 30106 Anagrelide 1Mg Cap 100 1925.48
68001-0155-04 AME 42431 Anastrozole 1Mg Tab 30 404.36
24385-0357-40 PER 39594 Antacid Liq 12Oz 3.59
00904-7725-12 MAJ 38523 Anti-Diarrhea 2Mg Cpl 12 3.99
00088-1206-32 AVE 11629 Anzemet 100Mg P/F Sdv 5Ml 58.15 J1260
00088-1203-05 AVE 20914 Anzemet 100Mg Tab 5/Btl 473.59 Q0180
00088-1209-26 AVE 23700 Anzemet 500Mg Mdv 25Ml 290.70 J1260
24385-0629-78 BIR 39834 Apap Arth 650Mg Cpl 100 6.95
42023-0104-01 JHP 31842 Aplisol 5Tu 10Test Vl 1Ml ( R ) 52.68
72140-0031-47 BEI 13393 Aquaphor Jar Ont 14Oz
00178-0420-40 MIS 42843 Aquoral Oral Spray 40Ml 70.00
55513-0032-01 AMG 28140 Aranesp Plysb 500Mcg Pfs 1.0Ml ( R ) 4052.40 J0881 , J0882
55513-0025-04 AMG 28194 Aranesplysb 100Mcg Pfs 4X.5Ml ( R ) 3241.92 J0881 , J0882
55513-0005-04 AMG 28201 Aranesplysb 100Mcg Sdv 4X1Ml ( R ) 3241.92 J0881 , J0882
55513-0027-04 AMG 28195 Aranesplysb 150Mcg Pfs 4X.3Ml ( R ) 4862.88 J0881 , J0882
55513-0053-04 AMG 28202 Aranesplysb 150Mcg Sdv 4X.75Ml ( R ) 4862.88 J0881 , J0882
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE