NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00517-0031-25 AME 10067 Cyanoco 1000Mcg/Ml 25X1Ml Vl
76.25
J3420
63323-0044-01 FRE 11478 Cyanoco 1000Mcg/Ml Mdv 25X1Ml
93.90
J3420
10702-0007-01 KVK 42676 Cyclobenz 10Mg Tab 100
117.80
59746-0211-06 CAD 41133 Cyclobenz 5Mg Tab 100
172.89
00054-4129-25 ROX 27188 Cyclophospham 25Mg Tab 100
209.32
J8530
00054-4130-25 ROX 27186 Cyclophospham 50Mg Tab 100
384.15
J8530
10019-0956-01 BAX 24822 Cyclophosphamide Sdv 1Gm
879.00
J9070, J9080, J9090-92
10019-0957-01 BAX 24824 Cyclophosphamide Sdv 2Gm
1758.00
J9070, J9080, J9090-92
10019-0955-01 BAX 24823 Cyclophosphamide Sdv 500Mg
439.50
J9070, J9080, J9090-92
00172-7312-46 TEV 31923 Cyclospor Mic 100Mg Sgc Ud 30
164.89
J7502
00172-7310-46 TEV 32990 Cyclospor Mic 25Mg Sgc 30Ud
41.25
J7515
00002-3240-30 ELI
30860 Cymbalta 30Mg Cap 30
261.72
51991-0838-01 BRE 43036 Cyprohept 4Mg Tab 100
106.73
00002-7669-01 ELI
42792 Cyramza 100Mg 10Ml Sdv Ea ( R )
1224.00
00002-7678-01 ELI
42793 Cyramza 500Mg 50Ml Sdv Ea ( R )
6120.00
63323-0120-20 FRE 24778 Cytarabine 2G/20Ml Sdv Sol
25.08
J9100 , J9110
61703-0304-36 HOS 23386 Cytarabine 500Mg/25Ml Mdv Sol
14.14
J9100 , J9110
63323-0127-10 FRE 18725 Dacarbazine 100Mg Sdpwd 10/Pk ( R )
113.40
J9130 , J9140
63323-0128-20 FRE 18726 Dacarbazine 200Mg Sdpwd 10/Pk ( R )
144.00
J9130 , J9140
62856-0600-01 EIS 35216 Dacogen Inj 50Mg
2053.20
J0894
00527-1368-01 LAN 39121 Danazol 100Mg Cap 100
239.40
00703-5233-13 TEV 20150 Daunorubicin 20Mg/4Mlsdv 10/Pk ( R )
946.74
J9150
THO 42773 Daxibeqol 30 Sachets/Bx
00075-2451-53 AVE 18897 Ddavp 4Mcg/Ml 10Ml ( R )
732.89
J2597
00075-2451-01 AVE 18896 Ddavp 4Mcg/Ml Amps 10X1Ml ( R )
723.90
J2597
00904-5711-35 MAJ 28724 Decg 0.05% Oxymet Nsl Spy 15Ml
2.05
00904-5711-30 MAJ 42026 Decg 0.05% Oxymet Nsl Spy 30Ml
2.95
47335-0361-41 CAR 42851 Decitabine Inj 50Mg Pwd Sd Kit
1845.80
J0894
55111-0556-10 DR 41359 Decitabine Inj 50Mg Pwd Sdv
1950.54
J0894
00409-2337-25 HOS 26101 Deferoxamine 2Gm Vl 4/Pk
148.70
J0895
00409-2336-10 HOS 26217 Deferoxamine 500Mg Vl 4/Pk
37.54
J0895
00009-0271-01 PFI
10656 Depo Estradiol 5Mg/Ml Vl 5Ml
63.43
J1000
00009-0280-03 PFI
14452 Depo Medrol 40Mg/Ml Mdv 10Ml
64.19
J1030
00009-0280-02 PFI
10654 Depo Medrol 40Mg/Ml Mdv 5Ml
35.24
J1030
00009-3073-01 PFI
14453 Depo Medrol 40Mg/Ml Sdv 1Ml
9.94
J1030
00009-0306-02 PFI
14460 Depo Medrol 80Mg/Ml Mdv 5Ml
64.19
J1040
00009-3475-01 PFI
14457 Depo Medrol 80Mg/Ml Sdv 1Ml
17.24
J1040
00009-7376-11 PFI
39766 Depo Provera 150Mg/Ml Syg
151.14
J1051
00009-0746-30 PFI
10650 Depo Provera 150Mg/Ml Vlinj1Ml
157.97
00009-0626-01 PFI
10655 Depo Provera 400Mg/Ml Vl 2.5Ml
342.16
J1050
57665-0331-01 SIG 23733 Depocyt Inj 50Mg ( R )
3255.29
J9098
THO 42769 Dermaqol Aloe Spry 8.5Oz/Btl
THO 42771 Dermaqol Lip Balm .15Oz Tube
THO 42770 Dermaqol Therapy Cream 2Oz Jar
00054-3177-63 ROX 25140 Dexameth 0.5Mg/5Ml Sol 16Oz
23.91
00054-3177-57 ROX 41106 Dexameth 0.5Mg/5Ml Sol 240Ml
63.69
00054-4180-25 ROX 30385 Dexameth 0.75Mg Tab 100
33.08
63323-0516-10 FRE 26931 Dexameth 10Mg/Ml Mdv10X10Ml Lf
99.96
J1100
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,21,22,23,24,25,26,27,28,29,30 32,33,34,35,36,37,38,39,40,41,...116