Page 33 - ecatalogJuly14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
00536-3757-01 ACT 40164 Docusate Sod 250Mg Cap 100 6.57
01650-0023-24 BAY 21950 Domeboro Pkt Pwd 12/Pk
00093-9612-12 TEV 43035 Doxepin Oral 10Mg/Ml Sol 4Oz 35.55
59676-0960-01 ORT 37770 Doxil 20Mg Vl 10Ml ( R ) 1293.48 Q2050
63323-0883-05 FRE 18729 Doxorubicin 10Mg/5Ml Sdv Sol ( R ) 10.80 J9000
00069-3030-20 PFI 37910 Doxorubicin 10Mg/5Ml Sdv Sol ( R ) 12.00 J9000
00069-3033-20 PFI 37913 Doxorubicin 150Mg/75Ml Mdv Sol ( R ) 126.00 J9000
00703-5040-01 TEV 10759 Doxorubicin 200Mg/100Ml Mdvsol ( R ) 168.98 J9000
63323-0101-61 FRE 11118 Doxorubicin 200Mg/100Ml Mdvsol ( R ) 159.97 J9000
00069-3034-20 PFI 37914 Doxorubicin 200Mg/100Ml Mdvsol ( R ) 168.00 J9000
25021-0207-51 SAG 42042 Doxorubicin 200Mg/100Ml Mdvsol ( R ) 166.80 J9000
63323-0883-10 FRE 18730 Doxorubicin 20Mg/10Ml Sdv Sol ( R ) 31.20 J9000
00069-3031-20 PFI 37911 Doxorubicin 20Mg/10Ml Sdv Sol ( R ) 24.00 J9000
63323-0883-30 FRE 10222 Doxorubicin 50Mg/25Ml Sdv Sol ( R ) 40.00 J9000
00703-5046-01 TEV 10758 Doxorubicin 50Mg/25Ml Sdv Sol ( R ) 56.40 J9000
00069-3032-20 PFI 37912 Doxorubicin 50Mg/25Ml Sdv Sol ( R ) 42.00 J9000
25021-0207-25 SAG 42041 Doxorubicin 50Mg/25Ml Sdv Sol ( R ) 42.00 J9000
00143-2112-50 WES 34698 Doxycycline 100Mg Tab 50 276.61
00527-1336-01 LAN 40846 Doxycycline 20Mg Tab 100 115.14
53489-0119-02 MUT 20664 Doxycyline 100Mg Cap 50/Btl 307.35
66993-0076-30 PRA 42728 Duloxetine 30Mg Dr Cap 30 235.29
00037-0245-23 MED 42906 Dymista 137/50Mcg Spray 23Gm 173.75
00024-0222-05 TOL 24476 Eligard 22.5Mg 3 Mo Kit Pfs ( R ) 1479.60 J9217
00024-0610-30 TOL 23310 Eligard 30Mg 4 Month Kit ( R ) 1972.80 J9217
00024-0605-45 TOL 25857 Eligard 45Mg 6 Month Kit ( R ) 2959.20 J9217
00024-0793-75 TOL 24242 Eligard 7.5Mg 1 Month Kit ( R ) 493.20 J9217
00003-0893-21 BRI 41688 Eliquis 2.5Mg Tab 60 349.99
00003-0894-21 BRI 41689 Eliquis 5Mg Tab 60 349.99
00024-5150-10 AVE 25197 Elitek 1.5Mg Sdv W/Dil 3/Pk ( R ) 2345.12 J2783
00024-5151-75 AVE 34297 Elitek 7.5Mg Vl ( R ) 3908.63 J2783
00009-5091-01 PFI 19061 Ellence 50Mg/25Ml Sdv ( R ) 67.20 J9178
00024-0591-20 AVE 26299 Eloxatin 100Mg/20Ml Sdv Sol 3186.44 J9263
00024-0590-10 AVE 26298 Eloxatin 50Mg/10Ml Sdv Sol 1593.22 J9263
00013-0132-02 PFI 19063 Emcyt 140Mg Cap 100 ( R ) 1050.67
00006-3941-32 MER 37123 Emend 150Mg Sdv 10Ml ( R ) 308.35 J1453
00006-0461-02 MER 31335 Emend 80Mg Cap 2/Pk 282.53 J8501
00006-3862-03 MER 23321 Emend Trifold 125/80Mg Cap 3 500.00 J8501
64679-0923-02 WOC 31890 Enalapril 2.5Mg Tab 100/Btl 88.33
00904-5611-61 MAJ 42290 Enalapril 20Mg Tab 100 Ud 169.49
58406-0425-34 AMG 10514 Enbrel 25Mg Vl 4/Bx ( R ) 1620.48 J1438
58406-0435-04 AMG 25479 Enbrel 50Mg/Ml Pref Syg 4/Ctn ( R ) 3240.96 J1438
58406-0445-04 AMG 28356 Enbrel Sureclick 50Mg/Ml 4/Pk ( R ) 3240.96 J1438
46122-0161-28 BIR 42493 Enema Saline Liq 4.5Oz 1.39
58160-0821-11 GLA 30326 Engerix Adt20Mcg P/F Sdv10X1Ml ( R ) 628.50 90740 , 90746 , 90747
00781-3500-69 SAN 38660 Enoxaparin 100Mg Pfs 10X1Ml 812.79 J1650
00955-1010-10 WIN 40331 Enoxaparin 100Mg Pfs 10X1Ml 893.11 J1650
00781-3612-68 SAN 38661 Enoxaparin 120Mg Pfs 10X.8Ml 975.69 J1650
00955-1012-10 WIN 40332 Enoxaparin 120Mg Pfs 10X.8Ml 1072.08 J1650
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE