NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00781-5710-01 SAN 33536 Potassium Chl 10 Meq Tab 100
59.60
00781-5720-01 SAN 33497 Potassium Chl 20 Meq Tab 100
62.73
00781-1526-01 SAN 23498 Potassium Chl10Meq Tab 100/Btl
56.46
00597-0135-54 BOE 37190 Pradaxa 150Mg Cap 60
349.99
00597-0149-54 BOE 38864 Pradaxa 75Mg Cap 60
349.99
68180-0486-09 LUP 35132 Pravastatin 20Mg Tab 90
294.04
68180-0487-09 LUP 35940 Pravastatin 40Mg Tab 90
431.50
00603-5338-21 QUA 41452 Prednisone 10Mg Tab 100
21.83
00054-4741-25 ROX 25860 Prednisone 1Mg Tab 100
19.43
J7506
00054-4742-25 ROX 21917 Prednisone 2.5Mg Tab 100
6.53
J7506
00143-9738-01 WES 42161 Prednisone 20Mg Tab 100
25.90
J7506
00054-0018-20 ROX 31369 Prednisone 20Mg Tab Ud 100/Pk
17.41
J7506
00054-0019-25 ROX 25798 Prednisone 50Mg Tab 100
30.76
J7506
00143-9740-01 WES 41705 Prednisone 5Mg Tab 100
22.61
J7506
00005-1971-02 PFI
38983 Prevnar-13 Pfs 10X0.5Ml ( R )
1628.16
90670
37000-0455-04 AME 30138 Prilosec Otc Tab 42/Pk
28.96
44206-0437-10 CSL 31316 Privigen 10Gm Sdv
1500.00
J1459
44206-0438-20 CSL 31317 Privigen 20Gm Sdv
3000.00
J1459
44206-0436-05 CSL 31315 Privigen 5Gm Sdv
750.00
J1459
59310-0579-22 TEV 40430 Proair Hfa 90Mcg Inh 8.5Gm
56.63
00378-0156-01 MYL 14750 Probenecid 500Mg Tab 100
114.56
THO 42764 Probioqol 30/Btl
00781-5021-01 SAN 25320 Prochlorperaz 10Mg Tab 100/Btl
89.00
Q0164
51079-0542-20 MYL 30552 Prochlorperaz 10Mg Tab Ud 100
92.08
Q0164
59746-0113-06 JUB 43038 Prochlorperaz 5Mg Tab 100 Btl
59.35
00093-9643-01 TEV 11742 Prochlorperaz 5Mg Tab 100/Btl
54.18
Q0164
55390-0077-10 BED 25358 Prochlorperaz 5Mg/Ml Vl 10X2Ml
55.20
J0780
59676-0312-04 ORT 31310 Procrit 10M Un/Ml 2Ml Mdv 4/Pk ( R )
2041.92 J0885 , J0886 , Q4081
59676-0310-02 ORT 11190 Procrit 10M Un/Ml Vl 25X1Ml ( R )
6381.00 J0885 , J0886 , Q4081
59676-0310-01 ORT 10510 Procrit 10M Un/Ml Vl 6X1Ml ( R )
1531.44 J0885 , J0886 , Q4081
59676-0340-01 ORT 10982 Procrit 40M Un/Ml Vl 4X1Ml ( R )
4083.84 J0885 , J0886 , Q4081
59676-0304-01 ORT 10509 Procrit 4M Un/Ml Vl 6X1Ml ( R )
612.58 J0885 , J0886 , Q4081
59676-0320-04 ORT 30696 Procrit20M Un/Ml Mdv 4X1Ml ( R )
2041.92 J0885 , J0886 , Q4081
68220-0143-15 MED 41142 Proctofoam Aerosol 15Gm
60.49
68516-3201-01 GRI
42438 Profilnine Sd Pds 550Iu Vl ( R )
1.26
J7194
65483-0116-07 PRO 39000 Proleukin 22Mm Iu Vl ( R )
2389.39
J9015
55513-0710-01 AMG 38610 Prolia Uro Onc 60Mg Syg ( R )
1028.04
J0897
00007-4643-13 GLA 39011 Promacta 12.5Mg Tab 30
3239.66
00007-4640-13 GLA 33374 Promacta 25Mg Tab 30
3239.66
00007-4641-13 GLA 33378 Promacta 50Mg Tab 30
6479.33
00007-4642-13 GLA 35704 Promacta 75Mg Tab 30
9718.99
68382-0040-01 ZYD 36409 Promethazine 12.5Mg Tab 100
49.00
68382-0041-01 ZYD 30170 Promethazine 25Mg Tab 100
50.64
00641-1495-35 WES 11151 Promethazine 25Mg/Ml Amp25X1Ml
39.60
J2550
00641-1496-35 WES 13453 Promethazine 50Mg/Ml Amp25X1Ml
55.50
J2550
00713-0526-12 G&W 26258 Promethegan 25Mg Supp 12/Pk ( R )
212.46
00054-4721-25 ROX 42147 Propantheline Brm 15Mg Tab 100
60.42
23155-0110-01 BIO 43002 Propranolol 10Mg Tab 100
33.55
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,37,38,39,40,41,42,43,44,45,46 48,49,50,51,52,53,54,55,56,57,...116