Page 39 - ecatalogJuly14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
00703-4154-11 TEV 22768 Idarubicin 5Mg/5Ml Sdv Sol ( R ) 98.82 J9211
10019-0925-01 BAX 26775 Ifosfamide 1Gm Inj 30Ml Sdv 44.09 J9208
63323-0142-10 FRE 22483 Ifosfamide 1Gm Inj 30Ml Sdv 72.56 J9208
10019-0926-02 BAX 26776 Ifosfamide 3Gm Inj 75Ml Sdv 129.05 J9208
57962-0140-12 PHA 42002 Imbruvica 140Mg Cap 120/Btl 13120.00
57962-0140-09 PHA 42001 Imbruvica 140Mg Cap 90/Btl 9840.00
00093-4030-01 TEV 33285 Indomethacin 50Mg Cap 100 63.75
52544-0931-02 ACT 22668 Infed 50Mg/Ml Vl 10X2Ml 377.04 J1750
66435-0201-15 KAD 39739 Infergen 15Mcg/.5Ml 6X.5Ml Vl ( R ) 1042.74
THO 42767 Inflaqol 120/Btl
54643-5649-01 BAX 32245 Infuvite Adltmultvit Vl5X2X5Ml ( R ) 917.78
00517-0650-01 AME 41523 Injectafer Sdv 750 Mg/15 Ml 965.60 NEW06
00069-0145-01 PFI 40320 Inlyta 1Mg Tab 180 12251.20
00069-0151-11 PFI 40321 Inlyta 5Mg Tab 60 12251.20
00187-0746-33 VAL 11242 Insta Glucose Tri- Pack 3X31Gm 13.99
00002-8315-01 ELI 10064 Insulin Hum N 100Un 10Ml Vl ( R ) 119.76 J1815 , J1817
00002-8215-01 ELI 10063 Insulin Hum R 100U/Ml Mdv10 Ml ( R ) 119.76 J1815 , J1817
00169-7501-11 NOV 30083 Insulin Novolog 100Un/Mlvl10Ml ( R ) 221.82 J1815 , J1817
00085-1168-01 MER 11384 Intron A Hsaf 18Mm 3Ml/.5 Mdv ( R ) 528.36 J9214
00085-1133-01 MER 11389 Intron A Hsaf 25Mm /3.2Ml Vl ( R ) 733.90 J9214
00085-0571-02 MER 10261 Intron A Pwd 10Mm Iu Vl 1Ml ( R ) 228.11 J9214
00085-1110-01 MER 11658 Intron A Pwd 18Mm Un Vl 1Ml ( R ) 410.62 J9214
00085-0539-01 MER 10481 Intron A Pwd 50Mm Iu Vl 1Ml ( R ) 1140.71 J9214
00006-3843-71 MER 21602 Invanz 1Gm Vl 10X20Ml 891.30 J1335
49281-0860-10 SAN 10910 Ipol Vac 10 Dose Vial ( R ) 327.76 90713
00487-0201-03 NEP 41148 Iprat/Albut 0.5/3Mg Amp 30X3Ml 65.71 J7620
00487-9801-25 NEP 35113 Ipratrop Brom .02% Pf 25X2.5Ml 33.00 J7644
68180-0411-06 LUP 42912 Irbesartan 150Mg Tab 30 92.12
61703-0349-36 HOS 31558 Irinotecan 20Mg/Ml Sdv 25Ml 160.85 J9206
00703-4432-11 TEV 31559 Irinotecan 20Mg/Ml Sdv 2Ml 18.22 J9206
23155-0179-31 HER 41236 Irinotecan 20Mg/Ml Sdv 2Ml 276.15 J9206
61703-0349-16 HOS 31556 Irinotecan 20Mg/Ml Sdv 2Ml 14.81 J9206
63323-0193-02 FRE 33498 Irinotecan 20Mg/Ml Sdv 2Ml 19.20 J9206
63323-0193-52 FRE 41281 Irinotecan 20Mg/Ml Sdv 2Ml 19.20 J9206
66758-0048-01 SAN 36023 Irinotecan 20Mg/Ml Sdv 2Ml 276.15 J9206
00703-4434-11 TEV 31560 Irinotecan 20Mg/Ml Sdv 5Ml 42.36 J9206
23155-0179-32 HER 41237 Irinotecan 20Mg/Ml Sdv 5Ml 690.35 J9206
61703-0349-09 HOS 31557 Irinotecan 20Mg/Ml Sdv 5Ml 33.83 J9206
63323-0193-05 FRE 33499 Irinotecan 20Mg/Ml Sdv 5Ml 40.80 J9206
63323-0193-55 FRE 41282 Irinotecan 20Mg/Ml Sdv 5Ml 40.80 J9206
66758-0048-02 SAN 36024 Irinotecan 20Mg/Ml Sdv 5Ml 690.35 J9206
50967-0126-30 WOM 38054 Irospan 24/6 Tab 30 66.04
00270-1317-05 BRA 36669 Isovue 250 51% Vl 10X50 Ml 553.12 Q9966
00270-1315-30 BRA 21881 Isovue 300 61% 10X50Ml 574.88 Q9967
00270-1315-35 BRA 32427 Isovue 300 61% Btl 10X100Ml 1123.50 Q9967
00270-1316-35 BRA 36681 Isovue 370 76% Btl 10X100 Ml 1246.88 Q9967
59572-0983-01 CEL 36432 Istodax 10Mg Inj Sol Kit 3098.34 J9315
00015-1910-12 BRI 30724 Ixempra Kit 15Mg ( R ) 1221.67 J9207
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE