Page 51 - ecatalogJuly14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
00009-0003-02 PFI 35682 Solu Medrol 500Mg Aov P/F 4Ml 24.14 J2930
00009-0758-01 PFI 10674 Solu Medrol Mdv 500Mg Vl 14.90 J2930
00009-0796-01 PFI 10693 Solu Medrol/D 2Gm Vl 61.63 J2930
00009-0039-28 PFI 35680 Solu Medrol40Mg Aovp/F1Ml25/Bx 99.49 J2920
53746-0511-01 AMN 42725 Spironolact 25Mg Tab 100 45.99
53746-0514-01 AMN 42726 Spironolact 50Mg Tab 100 81.65
00003-0852-22 BRI 32303 Sprycel 100Mg Tab 30 11021.20
00003-0857-22 BRI 37454 Sprycel 140Mg Tab 30 11021.20
00003-0527-11 BRI 28315 Sprycel 20Mg Tab 60/Btl 6114.97
00003-0528-11 BRI 28316 Sprycel 50Mg Tab 60/Btl 12229.93
00003-0524-11 BRI 28317 Sprycel 70Mg Tab 60/Btl 12229.93
00003-0855-22 BRI 42272 Sprycel 80Mg Tab 30 11021.20
57894-0060-03 JOM 35548 Stelara 45Mg Pfs 0.5Ml ( R ) 8848.31 J3357
63807-0100-91 EXC 37737 Sterile Saline Pfs 280/Cs
00053-6871-00 CSL 36136 Stimate Nasal 1.5Mg Spy 2.5Ml 682.80
50419-0171-03 BAY 40073 Stivarga 40Mg Tab 84/Ctn 12370.06
00002-3239-30 ELI 25504 Strattera 60Mg Cap 30/Btl 289.62
29033-0003-01 NOS 38346 Sucralfate 1Gm Tab 100 72.95
63304-0099-19 RAN 38980 Sumatriptan 100Mg Tab 9 226.26
00069-0550-38 PFI 28370 Sutent 12.5Mg Caps 28/Btl 4130.12
00069-0770-38 PFI 28369 Sutent 25Mg Caps 28/Btl 8260.24
00069-0980-38 PFI 28368 Sutent 50Mg Caps 28/Btl 14379.92
00085-1388-01 MER 37931 Sylatron 296 Mcg Sdv W Dil 1473.65
00085-1287-02 MER 37933 Sylatron 444 Mcg Sdv W Dil 2210.46
00085-1312-01 MER 37935 Sylatron 888 Mcg Sdv W Dil 4420.91
57894-0420-01 ORT 42812 Sylvant 100Mg Lyp Pwd Sdv Ea ( R ) 999.60
57894-0421-01 ORT 42811 Sylvant 400Mg Lyp Pwd Sdv Ea ( R ) 3998.40
63459-0177-14 TEV 40326 Synribo 3.5Mg Sdv 8Ml 1002.00 NEW02
00904-0530-60 MAJ 37881 Tab-A-Vite Red Tab 100 3.10
76388-0880-25 PRA 41586 Tabloid 40Mg Tab 25 376.80
62175-0380-37 KRE 42495 Tacrolimus 0.5Mg Cap 100 222.98
62175-0381-37 KRE 42496 Tacrolimus 1Mg Cap 100 445.95
00173-0846-08 GLA 41208 Tafinlar 50Mg Cap 120 6384.42
00173-0847-08 GLA 41280 Tafinlar 75Mg Cap 120 9576.00
00004-0800-85 GEN 18366 Tamiflu 75Mg B/Pk Uou Cap10/Bx 132.77
00093-0784-06 TEV 28104 Tamoxifen Cit 10Mg Tab 60 113.77
00591-2472-60 ACT 42294 Tamoxifen Cit 10Mg Tab 60 27.42
00093-0782-56 TEV 28103 Tamoxifen Cit 20Mg Tab 30 113.77
00591-2473-30 ACT 42201 Tamoxifen Cit 20Mg Tab 30 27.42
68382-0132-01 ZYD 36018 Tamsulosin 0.4Mg Cap 100 421.36
50242-0063-01 GEN 25589 Tarceva 100Mg Tab 30/Btl 6590.60
50242-0064-01 GEN 25588 Tarceva 150Mg Tab 30/Btl 7454.44
50242-0062-01 GEN 25590 Tarceva 25Mg Tab 30/Btl 2399.48
62856-0604-22 VAL 34323 Targretin 1% Gel 60Gm 7704.86
00187-5526-75 VAL 42436 Targretin 75Mg Sgc 100 14788.70
00078-0592-87 NOV 36168 Tasigna 150Mg Caps 4X28 10436.04
00078-0526-87 NOV 29593 Tasigna 200Mg Caps 4X28 10436.04
00075-8003-01 AVE 36904 Taxotere 20Mg Sdv 627.92 J9171
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE