NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00015-1911-13 BRI
30725 Ixempra Kit 45Mg ( R )
3665.02
J9207
50881-0010-60 INC 40080 Jakafi 10Mg Tab 60
10502.40
50881-0015-60 INC 40081 Jakafi 15Mg Tab 60
10502.40
50881-0020-60 INC 40082 Jakafi 20Mg Tab 60
10502.40
50881-0025-60 INC 40083 Jakafi 25Mg Tab 60
10502.40
50881-0005-60 INC 40079 Jakafi 5Mg Tab 60
10502.40
00006-0112-31 MER 42893 Januvia 50Mg Tab 30
340.61
00024-5824-11 AVE 36316 Jevtana Sdv 60Mg/1.5Ml W/Dil
10392.38
J9043
50242-0088-01 GEN 40717 Kadcyla 100Mg/15Ml Sdv ( R )
3328.28
J9354
50242-0087-01 GEN 40718 Kadcyla 160Mg/20Ml Sdv ( R )
5325.25
J9354
00003-0293-05 BRI
13053 Kenalog 40Mg/Ml 1Ml Vl
10.26
J3301
00003-0293-28 BRI
10132 Kenalog 40Mg/Ml Vl 10Ml
77.76
J3301
00003-0293-20 BRI
10133 Kenalog 40Mg/Ml Vl 5Ml
52.07
J3301
66658-0112-06 BIO 37142 Kepivance 6.25Mg/Ml Vl 6/Pk ( R )
12864.00
J2425
50474-0597-66 UCB 33469 Keppra 1000 Mg Tab 60
907.69
51672-1298-03 TAR 40810 Ketoconazole 2% Crm 60Gm
79.13
51672-4026-06 TAR 25883 Ketoconazole 200Mg Tab 30/Btl
94.80
00409-3793-01 HOS 26651 Ketorolac 15Mg/Ml Sdv 25X1Ml
23.10
J1885
00409-3795-01 HOS 27681 Ketorolac 30Mg/Ml Sdv 25X1Ml
25.20
J1885
17478-0717-10 AKO 36350 Ketotifen Fum .025% Drp 5Ml Ea
12.19
00574-2004-16 PAD 33703 Kionex Pwd 454 Gm
201.90
54396-0801-01 CRE 37078 Krystexxa 8Mg Sdv 1Ml ( R )
10026.00
J2507
76075-0101-01 ONY 39896 Kyprolis 60Mg Pwd Lyo Sdv ( R )
2026.80
J9047
00185-0118-01 SAN 42595 Labetalol 300Mg Tab 100
96.83
00409-7953-02 HOS 32998 Lactated Ring Lc 24X250Ml
92.45
J7120
00264-7750-20 B.B 30842 Lactated Ringer 250Ml Bag Ea
1.96
J7120
00338-6307-02 BRI
30726 Lactated Ringer Bag 250Ml
5.40
J7120
00603-1378-56 QUA 39922 Lactulose 10Gm/15Ml Sol 240Ml
18.28
55111-0399-90 DR 37397 Lansoprazole 30Mg Cap 90
529.97
00023-3616-70 ALL 41830 Latisse 0.03% Sol 3Ml
132.28
00093-7620-56 TEV 43007 Letrozole 2.5Mg Tab 30
544.04
62756-0511-83 CAR 38768 Letrozole 2.5Mg Tab 30
543.44
63323-0710-50 FRE 18727 Leucovorin 200Mg Sdv Lyo
25.27
J0640
00555-0485-27 TEV 40070 Leucovorin 25Mg Tab 25
600.00
55390-0054-01 BED 21155 Leucovorin 350Mg Sdv Lyo
37.20
J0640
63323-0711-00 FRE 18728 Leucovorin 500Mg Sdv Lyo
63.18
J0640
25021-0814-30 SAG 40138 Leucovorin P/F 100Mg Sdv Lyo
24.00
J0640
25021-0815-30 SAG 40139 Leucovorin P/F 200Mg Sdv Lyo
48.00
J0640
25021-0816-30 SAG 40140 Leucovorin P/F 350Mg Sdv Lyo
84.00
J0640
25021-0813-10 SAG 40137 Leucovorin P/F 50Mg 10/Pk Lyo
120.00
J0640
76388-0635-50 PRA 39954 Leukeran 2Mg Tab 50 ( R )
556.80
00024-5843-05 AVE 41962 Leukine 250Mcg 5X1Ml ( R )
1311.10
J2820
66993-0022-27 PRA 40208 Levalbuterol 0.63Mg Sol 24X3Ml
160.79
J7614
66993-0023-27 PRA 40207 Levalbuterol 1.25Mg Sol 24X3Ml
160.79
J7614
00169-3687-12 NOV 42937 Levemir 100U/Ml Vl 10Ml ( R )
266.50
68180-0113-16 LUP 34874 Levetiracetam 500 Mg Tab 120
421.71
00781-3342-09 SAN 38339 Levofloxac 500Mg Bag 24X100Ml
396.86
J1956
68180-0240-08 LUP 38129 Levofloxacin 250Mg Tab 50
841.48
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
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