Page 50 - ecatalogJuly14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
00078-0342-61 NOV 25143 Sandostat Lar 30Mg Dil Pfs Kit ( R ) 4899.80 J2353
00078-0181-01 NOV 23329 Sandostatin 0.1Mg/Ml Amp10X1Ml ( R ) 279.17 J2354
00078-0183-25 NOV 10900 Sandostatin 200Mcg/Ml Mdv 5Ml ( R ) 287.80 J2354
00310-0280-60 AST 37107 Seroquel Xr 50Mg Tab 60 506.92
59762-4910-01 GRE 28359 Sertraline 100Mg Tab 30/Btl 81.37
59762-4960-01 GRE 29369 Sertraline 25Mg Tab 30 81.37
59762-4900-01 GRE 28358 Sertraline 50Mg Tab 30/Btl 81.37
80196-0296-60 MED 41805 Silvasorb Wound Gel 1.5Oz
67877-0124-25 ASC 42695 Silver Sulf 1% Crm 25Gm Tube 5.64
67877-0124-40 ASC 42698 Silver Sulf 1% Crm 400Gm Jar 35.56
67877-0124-50 ASC 42696 Silver Sulf 1% Crm 50Gm Jar 15.12
67877-0124-85 ASC 42697 Silver Sulf 1% Crm 85Gm Tube 14.89
43598-0210-85 DR 39291 Silver Sulfadiaz 1%Tubecrm85Gm 26.47
57894-0350-01 JOM 41463 Simponi Aria 50Mg/4Ml Vl Ea ( R ) 1447.62 J1602
68382-0066-16 ZYD 42208 Simvastatin 10Mg Tab 90 253.80
68382-0067-16 ZYD 35085 Simvastatin 20Mg Tab 90 442.80
68382-0068-16 ZYD 36957 Simvastatin 40Mg Tab 90 442.80
68382-0065-16 ZYD 42615 Simvastatin 5Mg Tab 90 189.38
53746-0271-01 AMN 42083 Smz/Tmp 400/80Mg Tab 100/Btl 66.45
53746-0272-01 AMN 38000 Smz/Tmp 800/160Mg Tab 100/Btl 115.40
00409-3299-05 HOS 26282 Sod Acet 2Meq/Ml Ftv 25X50Ml 138.00
00409-6625-02 HOS 26054 Sod Bic 8.4% Ftv 25X50Ml 157.50
00409-6637-34 HOS 26736 Sod Bic 8.4% Ls Syg 10X50Ml 74.40
00409-7101-02 HOS 27114 Sod Chl 0.9% Adv Bag 24X250Ml 70.85 J7030 , J7040 , J7050
00338-0054-03 BAX 10328 Sod Chl 3% Sol 24X500Ml 72.71 J3490
00338-6304-03 BAX 41550 Sod Chl Aviva 6E1323 24X500Ml 4.20 J7030 , J7040 , J7050
00409-1966-12 HOS 37054 Sod Chl Bact 0.9%Vl 25X10Ml 34.20
63323-0139-40 FRE 42739 Sod Chl Conc 14.6% Vl 25X40Ml 127.50
63323-0088-63 FRE 42741 Sod Chl Conc 23.4% Vl 20X200Ml 375.12
63323-0187-30 FRE 11484 Sod Chl Conc 23.4% Vl 25X30Ml 82.80
63323-0088-61 FRE 42740 Sod Chl Conc 23.4% Vl 40X100Ml 398.40
64253-0202-30 MED 40651 Sod Chl Inj Usp .9% Pfs 60/Bx 241.20 J3490
08290-3065-53 BEC 41899 Sod Chl Iv Flush 10Ml 240/Cs 36.60
00264-7865-00 B.B 35000 Sod Chl Kcl 20Meg L8650 12/Cs 3.20 J3480
00409-7983-25 HOS 34746 Sod Chl Viv .9% 24X250Ml 131.04 J7030 , J7040 , J7050
00591-0149-87 ACT 39476 Sod Fer Glu Cpinj 62.5Mg10X5Ml 381.60 J2916
63323-0623-59 FRE 42603 Sodchl Bag0.9% Iv Inf 20X500Ml 216.00
63323-0623-00 FRE 42605 Sodchl Bag0.9% Iv Inf 50X100Ml 300.00
63323-0623-10 FRE 42602 Sodchl Bag0.9%Iv Inf 10X1000Ml 120.00
25682-0001-01 ALE 29525 Soliris 300Mg/30Ml Non-Return ( R ) 7000.80 J1300
00009-0825-01 PFI 10671 Solu Cortef 100Mg Vl 6.30 J1720
00009-0005-01 PFI 35899 Solu Cortef P/F 1000Mg Aov 8Ml 59.89 J1720
00009-0011-03 PFI 35894 Solu Cortef P/F 100Mg Aov 2Ml 8.14 J1720
00009-0013-05 PFI 35896 Solu Cortef P/F 250Mg Aov 2Ml 14.40 J1720
00009-0011-04 PFI 35895 Solu Cortef P/F100Mg Aov25X2Ml 203.27 J1720
00009-0698-01 PFI 10675 Solu Medrol 1000 Wo/Dil Vl 28.22 J2930
00009-0047-22 PFI 35681 Solu Medrol 125Mg Aov P/F25/Pk 160.42 J2930
00009-0018-20 PFI 35683 Solu Medrol 1Gm Aov P/F 8Ml 38.28 J2930
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE