Page 48 - ecatalogJuly14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
00008-0923-55 HEM 25449 Protonix Iv 40Mg Vl 10/Pk 60.00 J3490
00054-0211-25 ROX 42727 Protriptyline 10Mg Tab 100 306.60
30237-8900-06 DEN 38849 Provenge 250Ml Sus ( R ) 42505.20 Q2043
42546-0130-90 PRU 36465 Prutect Topic Eml 90Gm 53.18
9652 BIR 39366 Purell Sanitz Orgn 8Oz
61748-0012-01 VER 21472 Pyrazinamide 500Mg Tab 100 285.72
AME 26244 Pyxis 4X3 Thermal Label 930/Rl
AME 22493 Pyxis Thermal Paper Roll
00603-0823-58 QUA 35687 Q-Dryl 12.5Mg/5Ml Elx 16Oz 4.66
66993-0417-02 PRA 42694 Raloxifene 60Mg Tab 100 712.01
68462-0248-60 GLE 42320 Ranitidine 150Mg Tab 60 95.30
68382-0423-06 ZYD 41551 Ranitidine 150Mg/6Ml Mdv Sol 8.69 J2780
68382-0422-02 ZYD 41552 Ranitidine 50Mg/2Ml Vl 10/Pk 37.42 J2780
32909-0725-03 BRA 35357 Readi-Cat Banana 24X450Ml 108.67
32909-0715-03 BRA 35354 Readi-Cat Berry 24X450Ml 108.67
32909-0755-03 BRA 35358 Readi-Cat Creamy Van 24X450Ml
32909-0775-03 BRA 35360 Readi-Cat Mochaccino 24X450Ml
32909-0723-01 BRA 35361 Readi-Cat2 Barium2.1% 24X450Ml 124.85
44087-0044-03 EMD 23013 Rebif 44Mcg/0.5Ml Pfs 12/Pk ( R ) 5803.68
00078-0435-61 NOV 30069 Reclast 5Mg Vl 100Ml 1300.60 J3489
00944-2843-10 BAX 37745 Recombinate Pds 1030Iu 5Ml Vl ( R ) 1.67 J7192
00006-4981-00 MER 13770 Recombivax 5Mcg P/F Sdv 10/Pk ( R ) 278.45 90744
28400-0105-41 THE 34279 Recothrom 5000Iu Kit 103.20
00023-9205-15 ALL 30960 Refresh Liq Gel Drp 15 Ml 8.81
00023-0798-15 ALL 30961 Refresh Tears Drp 15 Ml 8.81
65649-0551-02 SAL 38795 Relistor 12Mg Vl 78.61
57894-0030-01 JOM 10026 Remicade 100Mg 20Ml Vl ( R ) 1061.86 J1745
00062-0275-01 VAL 34942 Retin A 0.1% Crm 45Gm Ea 366.40
00062-0190-11 VAL 40077 Retin-A Micro 0.1% Pmp 50 Gm 868.93
59572-0410-00 CEL 27937 Revlimid 10Mg 100/Btl 52351.12
59572-0410-28 CEL 33877 Revlimid 10Mg Cap 28/Btl 14658.31
59572-0415-00 CEL 28335 Revlimid 15Mg Cap 100 52564.62
59572-0415-21 CEL 28334 Revlimid 15Mg Cap 21 11038.57
59572-0402-00 CEL 39486 Revlimid 2.5Mg Cap 100/Btl 51467.21
59572-0402-28 CEL 39485 Revlimid 2.5Mg Cap 28/Btl 14410.82
59572-0420-00 CEL 41259 Revlimid 20Mg Cap 100 53081.38
59572-0420-21 CEL 41258 Revlimid 20Mg Cap 21 11147.10
59572-0425-00 CEL 28330 Revlimid 25Mg Cap 100 53081.38
59572-0425-21 CEL 33878 Revlimid 25Mg Cap 21/Btl 11147.10
59572-0405-00 CEL 27935 Revlimid 5Mg 100/Btl 51467.21
59572-0405-28 CEL 33876 Revlimid 5Mg Cap 28/Btl 14410.82
67457-0177-50 MYL 30224 Rimso-50 Vl 50Ml Ea 136.13 J1212
50242-0051-21 GEN 10152 Rituxan 100Mg Vl 10Ml ( R ) 823.31 J9310
50242-0053-06 GEN 10151 Rituxan 500Mg Vl 50Ml ( R ) 4116.54 J9310
63807-0100-11 EXC 34545 Saline Pf Syr 10Ml 30X10Ml 3.59
42747-0726-01 PRO 33561 Sancuso 3.1Mg Patch 475.08
00078-0340-61 NOV 25195 Sandostat Lar 10Mg Dil Pfs Kit ( R ) 2497.50 J2353
00078-0341-61 NOV 25260 Sandostat Lar 20Mg Dil Pfs Kit ( R ) 3272.15 J2353
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE