Page 46 - ecatalogJuly14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
61703-0342-22 HOS 24648 Paclitaxel 100Mg/16.7Ml Md Sol 21.98 J9265
63323-0763-16 FRE 34400 Paclitaxel 100Mg/20Ml Mdv Sol 51.83 J9265
25021-0213-50 SAG 41248 Paclitaxel 300Mg/50Ml Mdv Sol 156.00 J9265
61703-0342-50 HOS 24647 Paclitaxel 300Mg/50Ml Mdv Sol 56.00 J9265
63323-0763-50 FRE 34401 Paclitaxel 300Mg/50Ml Mdv Sol 155.16 J9265
61703-0342-09 HOS 24958 Paclitaxel 30Mg/5Ml Mdv Sol 9.91 J9265
63323-0763-05 FRE 34399 Paclitaxel 30Mg/5Ml Mdv Sol 15.52 J9265
00386-0008-03 GEB 26843 Pain Ease 3.5Oz Spray 27.50
00386-0008-02 GEB 32320 Pain Ease Spray Mist 3.5 Oz 27.50
63323-0734-10 FRE 22161 Pamidronate 30Mg/10Ml Sdv Sol 42.30 J2430
61703-0325-18 HOS 23054 Pamidronate 60Mg/10Ml Sdv Sol 33.65 J2430
61703-0326-18 HOS 26730 Pamidronate 90Mg/10Ml Sdv Sol 43.02 J2430
63323-0735-10 FRE 22162 Pamidronate 90Mg/10Ml Sdv Sol 126.72 J2430
61703-0324-18 HOS 30768 Pamidronate Sol 3Mg/Ml10Mlea 14.34 J2430
00008-0606-01 ESI 31907 Pantoprazole 20Mg Tab 90 39.06
00008-0607-01 ESI 31783 Pantoprazole 40Mg Tab 90 39.06
68382-0098-06 ZYD 30574 Paroxetine 20Mg Tab 30 81.99
10572-0100-01 AFF 35463 Peg-3350 Pwd 4000Ml 16.46
00004-0357-30 GEN 38837 Pegasys 180Mcg Pfs 4X.5Ml ( R ) 3702.10
00004-0350-09 GEN 22862 Pegasys 180Mcg/Ml Vl 1Ml ( R ) 925.52
00085-1304-01 MER 19475 Peg-Intron 120Ug/.5Ml Pwdw/Dil 929.96
00085-1368-01 MER 19473 Peg-Intron 50Ug/0.5Ml Pwdw/Dil 843.55
00085-1291-01 MER 19474 Peg-Intron 80Ug/0.5Ml Pwdw/Dil 885.64
00781-1655-01 SAN 23420 Penicil Vk 500Mg Tab 100/Btl 77.77
63323-0113-10 FRE 23812 Pentam 300 Sdv P/F 15Ml 10/Pk 1185.00 J2545
50242-0145-01 GEN 39679 Perjeta 420Mg/14Ml Sdv ( R ) 4890.79 J9306
24385-0092-27 BIR 42888 Petroleum Jelly Jel 13Oz
64980-0104-01 RIS 29266 Phospha 250 250Mg Neu Tab 100 50.77
00093-2048-56 TEV 42494 Pioglitazone 15Mg Tab 30 210.40
44567-0801-10 WG 41132 Piperacil/Taz 2.25Gm 10X20Ml 87.96 J2543
00006-4739-00 MER 10486 Pneumovax 23 5Dose Vl 2.5Ml ( R ) 409.74 90732
00006-4943-00 MER 10355 Pneumovax 23 Vl 10X0.5Ml ( R ) 819.44 90732
60258-0185-01 CYP 40572 Poly-Iron 150Mg Cap 100 27.95
59572-0501-00 CEL 40662 Pomalyst 1Mg Cap 100 61478.64
59572-0501-21 CEL 40661 Pomalyst 1Mg Cap 21 12910.51
59572-0502-00 CEL 40664 Pomalyst 2Mg Cap 100 61478.64
59572-0502-21 CEL 40663 Pomalyst 2Mg Cap 21 12910.51
59572-0503-00 CEL 40666 Pomalyst 3Mg Cap 100 61478.64
59572-0503-21 CEL 40665 Pomalyst 3Mg Cap 21 12910.51
59572-0504-00 CEL 40668 Pomalyst 4Mg Cap 100 61478.64
59572-0504-21 CEL 40667 Pomalyst 4Mg Cap 21 12910.51
00409-6635-01 HOS 31925 Pot Chl 10Meq Ftv 25X5Ml 94.50 J3480
00409-7115-09 HOS 36647 Pot Chl 20Meq 1000Ml 12/Cs 39.31 J3480
00409-6651-06 HOS 27420 Pot Chl 20Meq Ftv 25X10Ml 72.60 J3480
63323-0965-10 FRE 11489 Pot Chl 2Meq/Ml 25X10Ml 30.00 J3480
63323-0965-20 FRE 18731 Pot Chl 2Meq/Ml 25X20Ml 47.10 J3480
63323-0967-30 FRE 28891 Pot Chl 2Meq/Ml Vl 25X30Ml 66.00 J3480
00409-3294-51 HOS 26414 Potassium Ace 2 Meq 25X50Ml 315.00
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE