NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
46122-0176-08 BIR 42654 Nicotine Mint Sf 2Mg Loz 72
00088-1111-14 AVE 27166 Nilandron 150Mg Tab 30
5030.40
00409-0801-01 HOS 30454 Nipent 10Mg Vl 5Ml ( R )
2016.00
J9268
52536-0300-65 WIL 37671 Nitroglycerin 400Mcg Spy 4.9Gm
224.47
00071-0418-13 PFI
19819 Nitrostat 0.4 Mg Tabs 4X25
55.76
00093-0812-01 TEV 42891 Nortriptyline 50Mg Cap 100
145.55
00074-3333-30 ABB 42952 Norvir 100Mg Tab 30
308.60
00085-1328-01 MER 31305 Noxafil Oral Sus 200Mg/5Ml
1230.52
55513-0221-01 AMG 32768 Nplate 250Mcg Sdv 0.5Ml ( R )
1553.64
J2796
55513-0222-01 AMG 32769 Nplate 500Mcg Sdv 1.0Ml ( R )
3107.28
J2796
47781-0303-01 ALV 41719 Ntrofur Macr 100Mg Cap 100
381.39
00003-0371-13 BRI
40706 Nulojix 250Mg Vl ( R )
1107.60
J0485
68308-0152-30 MID 37228 Nystatin 100M Un/Gm Pwd 30 Gm
40.67
68308-0152-60 MID 41794 Nystatin 100M Un/Gm Pwd 60 Gm
65.37
50383-0587-16 HI-
40335 Nystatin 100M Un/Ml Sus 16Oz
116.07
50383-0587-66 HI-
40315 Nystatin Oral Sus 60Ml
16.94
51672-1289-02 TAR 37601 Nystatin Usp 100Mun/Gm Crm30Gm
26.33
00555-9131-67 TEV 33699 Ocella 3/ 0.03Mg Tab 3X28
230.05
67467-0843-02 OCT 39265 Octagam 5% 2.5M 50Ml Nonreturn ( R )
353.50
J1568
67467-0843-03 OCT 39266 Octagam 5% 5Gm 100Ml Nonreturn ( R )
706.98
J1568
68209-0843-03 OCT 39267 Octagam 5% 5Gm 100Ml Nonreturn ( R )
706.98
J1568
67467-0843-04 OCT 39268 Octagam 5%10Gm 200Ml Nonreturn ( R )
1413.96
J1568
68209-0843-04 OCT 39269 Octagam 5%10Gm 200Ml Nonreturn ( R )
1413.96
J1568
43825-0102-01 CAD 38007 Ofirmev Acetamin 1000Mg Inj 24
1019.52
C9283
43598-0166-30 DR 42674 Olanzapine 10Mg Tab 30
597.46
4040
BIR 37887 Omega-3 1000Mg Gcp 150
62175-0136-32 KRE 35384 Omeprazole 40Mg Dr Cap 30
200.63
62175-0118-37 KRE 42464 Omeprazole Dr 20Mg Cap 100
337.34
62175-0118-32 KRE 30121 Omeprazole Dr 20Mg Cap 30
101.20
54482-0301-01 SIG 38687 Oncaspar 750Iu/Ml Sdvpf 5Ml
7182.49
J9266
23155-0168-31 HER 41250 Ondansetron 2Mg/Ml Mdv 20Ml
25.00
J2405
36000-0013-01 CLA 42504 Ondansetron 2Mg/Ml Mdv 20Ml
3.25
J2405
63323-0374-20 FRE 29159 Ondansetron 2Mg/Ml Mdv 20Ml
25.31
J2405
62756-0240-64 CAR 41291 Ondansetron 4Mg Odt Tab 30 Ud
667.50
62756-0130-01 CAR 40828 Ondansetron 4Mg Tab 30
708.90
00641-6078-25 WES 39205 Ondansetron 4Mg/2Ml 25X2Ml
28.50
J2405
62756-0356-64 CAR 41293 Ondansetron 8Mg Odt Tab 30 Ud
1099.90
62756-0131-01 CAR 40829 Ondansetron 8Mg Tab 30
1179.95
Q0162
00003-2187-10 BRI
28321 Orencia 250Mg Vl15Ml Nonreturn ( R )
810.26
J0129
00338-0357-02 BAX 39276 Osmitrol Inj 20% 250Ml 36/Cs
873.94
25021-0212-50 SAG 39931 Oxaliplatin 100Mg Sdv Lyo
420.00
J9263
61703-0363-22 HOS 33908 Oxaliplatin 100Mg/20Ml Sdv Sol
207.90
J9263
63323-0650-20 FRE 36146 Oxaliplatin 100Mg/20Ml Sdv Sol
538.80
J9263
67457-0442-20 MYL 42936 Oxaliplatin 100Mg/20Ml Sdv Sol
240.00
J9263
25021-0211-20 SAG 39930 Oxaliplatin 50Mg Sdv Lyo
210.00
J9263
00069-0074-01 MYL 39940 Oxaliplatin 50Mg/10Ml Sdv Sol
120.00
J9263
61703-0363-18 HOS 33907 Oxaliplatin 50Mg/10Ml Sdv Sol
103.96
J9263
63323-0650-10 FRE 36145 Oxaliplatin 50Mg/10Ml Sdv Sol
268.80
J9263
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE