NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
43288-0300-45 PRA 42035 Gelx Liq 450Ml
236.40
16729-0117-11 ACC 38374 Gemcitabine 1Gm Sdv 50Ml
579.42
J9201
23155-0214-31 HER 41578 Gemcitabine 1Gm Sdv 50Ml
44.63
J9201
63323-0125-53 FRE 39799 Gemcitabine 1Gm Sdv 50Ml
58.80
J9201
00409-0181-01 HOS 38476 Gemcitabine 1Gm Vl 26.3Ml Sol ( R )
53.56
J9201
00069-3858-10 MYL 41595 Gemcitabine 1Gm Vl 50Ml
90.00
J9201
16729-0092-03 ACC 38373 Gemcitabine 200Mg Sdv 10Ml
115.88
J9201
23155-0213-31 HER 41577 Gemcitabine 200Mg Sdv 10Ml
11.46
J9201
00069-3857-10 MYL 41594 Gemcitabine 200Mg Vl 10Ml
18.00
J9201
63323-0102-13 FRE 40458 Gemcitabine 200Mg Vl 10Ml
14.40
J9201
00409-0183-01 HOS 38475 Gemcitabine 200Mg Vl5.26Ml Sol ( R )
10.72
J9201
16729-0118-38 ACC 41443 Gemcitabine 2Gm Sdv 100Ml
1158.84
J9201
00069-3859-10 MYL 41596 Gemcitabine 2Gm Vl 100Ml
180.00
J9201
00409-0187-01 HOS 37060 Gemcitabine 2Gm Vl 100Ml
119.70
J9201
63323-0126-00 FRE 37939 Gemcitabine 2Gm Vl 100Ml
118.80
J9201
00409-0182-01 HOS 38477 Gemcitabine 2Gm Vl 52.6Ml Sol ( R )
119.70
J9201
31722-0225-60 CAM 42180 Gemfibrozil 600Mg Tab 60
145.86
00002-7502-01 ELI
11398 Gemzar 1Gm Vl 50Ml
889.14
J9201
00002-7501-01 ELI
11399 Gemzar 200Mg Vl 10Ml
177.83
J9201
00013-2626-81 PFI
41054 Genotropin 5Mg Syg Crt 1 ( R )
528.28
00409-1207-03 HOS 26708 Gentamicin 40Mg/Ml Ftv 25X2Ml
31.50
J1580
00078-0429-97 ALC 35335 Genteal Severe Eye Gel 3.5Ml
4.14
00597-0141-30 BOE 41631 Gilotrif 20Mg Tab 30
7192.80
00597-0137-30 BOE 41632 Gilotrif 30Mg Tab 30
7192.80
00597-0138-30 BOE 41633 Gilotrif 40Mg Tab 30
7192.80
44675
BIR 42325 Ginger Root 550Mg Cap 100
87701-0408-34 BIR 42324 Ginseng 200Mg Cap 50
00078-0401-34 NOV 31332 Gleevec 100Mg Tab 90/Btl
7653.58
00078-0438-15 NOV 26150 Gleevec 400Mg Tab 30
9192.91
45802-0947-78 PER 41362 Glimepiride 4Mg Tab 100
121.60
60505-0141-00 APO 41954 Glipizide 5Mg Tab 100
36.35
00002-8031-01 ELI
13683 Glucagon Emer Kit 8030/8031
198.00
J1610
00574-0070-30 PAD 31398 Glutose 15 Tube Gel 3X15Gm
11.85
00574-0069-30 PAD 10464 Glutose Gel 3X15Gm
11.85
23155-0058-01 HER 42251 Glyburide M 5Mg Tab 100
77.70
00093-7485-20 TEV 31083 Granisetron 1Mg Tab 20/Pk
1180.05
Q0166
66758-0035-01 SAN 32265 Granisetron 1Mg/1Ml Sdv Sol
50.00
J1626
66758-0036-01 SAN 32266 Granisetron 4Mg/4Ml Mdv Sol
200.00
J1626
63459-0910-15 TEV 41987 Granix 300Mcg/0.5Ml Syg 10/Pk ( R )
2868.00
J1446
63459-0910-11 TEV 41986 Granix 300Mcg/0.5Ml Syringe ( R )
286.80
J1446
63459-0912-15 TEV 41989 Granix 480Mcg/0.8Ml Syg 10/Pk ( R )
4590.00
J1446
63459-0912-11 TEV 41988 Granix 480Mcg/0.8Ml Syringe ( R )
459.00
J1446
62856-0389-01 EIS 37122 Halaven 1Mg/2Ml Sdv
1131.60
J9179
00904-5925-61 MAJ 42032 Haloperidol 5Mg Tab Ud 100
177.19
58160-0826-11 GLA 30445 Havrix Adult Sdv P/F 10X1Ml ( R )
763.19
90632
46122-0103-46 AME 41140 Hemorrhoid Ointment 2Oz
7.19
63807-0600-51 EXC 34546 Hep Sod Syr 100U 5Ml 30X10Ml
3.50
J1642
64253-0222-23 MED 39379 Hep Syr 10U 3Ml Fill 6Ml 60/Cs
2.99
J1642
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,27,28,29,30,31,32,33,34,35,36 38,39,40,41,42,43,44,45,46,47,...116