NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00006-3822-10 MER 20538 Cancidas Iv 50Mg 1 Dose ( R )
405.25
J0637
00781-5939-31 SAN 41222 Candesartan 32Mg Tab 30
134.27
00093-7473-06 TEV 42446 Capecitabine 150Mg Tab 60/Btl
704.22
J8520 , J8521
00093-7474-89 TEV 42447 Capecitabine 500Mg Tab 120/Btl
4694.24
J8521
51079-0863-20 MYL 42854 Captopril 12.5Mg Tab 100Ud
155.83
58914-0170-14 AXC 25500 Carafate 1Gm/10Ml Sus 14Oz
131.60
00409-1036-30 HOS 27993 Carbocaine 1% Mp/F Sdv 30Ml
5.60
J0670
00703-4246-01 TEV 27965 Carboplatin 150Mg/15Ml Mdv Sol
25.20
J9045
61703-0339-22 HOS 28735 Carboplatin 150Mg/15Ml Mdv Sol
19.21
J9045
00703-4248-01 TEV 27577 Carboplatin 450Mg/45Ml Mdv Sol
78.00
J9045
61703-0339-50 HOS 28736 Carboplatin 450Mg/45Ml Mdv Sol
45.67
J9045
63323-0172-45 FRE 27974 Carboplatin 450Mg/45Ml Mdv Sol
113.54
J9045
00703-4244-01 TEV 27980 Carboplatin 50Mg/5Ml Mdv Sol
9.90
J9045
61703-0339-18 HOS 27544 Carboplatin 50Mg/5Ml Mdv Sol
11.09
J9045
61703-0339-56 HOS 25661 Carboplatin 600Mg/60Ml Mdv Sol
62.05
J9045
63323-0172-60 FRE 27979 Carboplatin 600Mg/60Ml Mdv Sol
129.60
J9045
44206-0418-12 CSL 24399 Carimune Nf 12Gm Vl
1272.00
J1566
44206-0417-06 CSL 24395 Carimune Nf 6Gm Vl
636.00
J1566
68382-0095-01 ZYD 37733 Carvedilol 25Mg Tab 100
213.69
68382-0093-01 ZYD 35478 Carvedilol 6.25Mg Tab 100
213.69
61442-0172-30 CAR 40587 Cefaclor 500Mg Cap 30
116.84
00143-9924-90 WES 40377 Cefazolin 1Gm Vl 25X10Ml
115.25
J0690
25021-0121-20 SAG 36583 Cefepime 1Gm Sdv 20 Ml 10/Pk
72.00
J0692
25021-0122-50 SAG 36584 Cefepime 2Gm Sdv 50 Ml 10/Pk
120.00
J0692
63323-0385-10 FRE 40496 Cefotetan 1Gm Vl 10X10Ml ( R )
177.48
00409-7332-01 HOS 26591 Ceftriaxone 1Gm Ftv Pwd 10/Pk
15.24
J0696
00409-7336-04 HOS 33735 Ceftriaxone 2Gm Adv Sdv 10/Pk
94.56
J0696
00409-7335-03 HOS 26592 Ceftriaxone 2Gm Sdv 10/Pk
33.00
J0696
68180-0302-20 LUP 41134 Cefuroxime 250Mg Tab 20
87.97
68180-0303-20 LUP 41135 Cefuroxime 500Mg Tab 20
160.31
00025-1525-31 PFI
14272 Celebrex 200Mg Cap 100
842.36
00085-0566-05 MER 10401 Celestone Sol 6Mg/Ml Mdv 5Ml
42.36
J0702
68180-0121-01 LUP 33283 Cephalexin 250 Mg Cap 100
69.35
68180-0122-01 LUP 32849 Cephalexin 500Mg Cap 100
137.60
00187-1371-12 VAL 40365 Cerave Moisturizing Lot 12Oz
58468-4663-01 GEN 24390 Cerezyme 400U Vl ( R )
1903.20
J1786
00299-3917-16 GAL 18171 Cetaphil Cream 16Oz
13.13
00536-4088-11 MAJ 40574 Cetirizine 10Mg Tab 90
10.43
51079-0597-20 UDL 40539 Cetirizine 10Mg Tab Ud 100
249.40
45802-0919-87 AME 31514 Cetirizine10Mg Tab 300
749.25
00116-2001-16 XTT 29251 Chlorhexidine 0.12% Liq 16Oz
10.40
51079-0519-20 MYL 42445 Chlorpromazine 25Mg Tab 100 Ud
208.29
51079-0058-20 MYL 42616 Chlorthalidone 25Mg Tab 100 Ud
96.54
00002-4464-30 ELI
24656 Cialis 20Mg Tabs 30/Btl
1139.40
67457-0210-05 MYL 41098 Cidofovir 375Mg Inj 5Ml
951.43
J0740
00093-8192-01 TEV 28107 Cimetidine 300Mg Tab 100
100.62
00093-8204-01 TEV 37378 Cimetidine 400Mg Tab 100/Btl
163.61
50474-0700-62 UCB 33593 Cimzia 400Mg Kit ( R )
3322.98
J0717
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
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