Page 52 - ecatalogJuly14.indd
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NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00075-8004-04 AVE 36905 Taxotere 80Mg Sdv
2511.65
J9171
00085-1366-04 MER 40478 Temodar 100Mg Cap Sachet 14
4111.30
J8700
00085-1366-03 MER 40462 Temodar 100Mg Cap Sachet 5
1468.30
J8700
00085-1425-04 MER 40530 Temodar 140Mg Cap Sachet 14
5755.79
J8700
00085-1425-03 MER 40436 Temodar 140Mg Cap Sachet 5
2055.62
J8700
00085-1519-04 MER 40473 Temodar 20Mg Cap Sachet 14
822.26
J8700
00085-1519-03 MER 40472 Temodar 20Mg Cap Sachet 5
293.70
J8700
00085-1417-02 MER 40529 Temodar 250Mg Cap Sachet 5
3671.76
J8700
00085-3004-04 MER 40694 Temodar 5Mg Cap Sachet 14
206.62
J8700
00085-1381-01 MER 33836 Temodar Inj 100Mg Sdv Lyo ( R )
647.72
J9328
00781-2693-44 SAN 41558 Temozolomide 100Mg Cap 14 Btl
3536.09
J8700
47335-0892-21 CAR 42334 Temozolomide 100Mg Cap 14 Btl
3532.15
J8700
00781-2693-75 SAN 41557 Temozolomide 100Mg Cap 5 Btl
1262.87
J8700
47335-0892-80 CAR 42333 Temozolomide 100Mg Cap 5 Btl
1261.45
J8700
00781-2694-44 SAN 41560 Temozolomide 140Mg Cap 14 Btl
4950.51
J8700
47335-0929-21 CAR 42336 Temozolomide 140Mg Cap 14 Btl
4944.94
J8700
00781-2694-75 SAN 41559 Temozolomide 140Mg Cap 5 Btl
1768.03
J8700
47335-0929-80 CAR 42335 Temozolomide 140Mg Cap 5 Btl
1766.05
J8700
00781-2695-44 SAN 41562 Temozolomide 180Mg Cap 14 Btl
6364.92
J8700
47335-0930-21 CAR 42338 Temozolomide 180Mg Cap 14 Btl
6357.82
J8700
00781-2695-75 SAN 41561 Temozolomide 180Mg Cap 5 Btl
2273.18
J8700
47335-0930-80 CAR 42337 Temozolomide 180Mg Cap 5 Btl
2270.65
J8700
00781-2692-44 SAN 41556 Temozolomide 20Mg Cap 14 Btl
707.22
J8700
47335-0891-21 CAR 42332 Temozolomide 20Mg Cap 14 Btl
706.44
J8700
00781-2692-75 SAN 41555 Temozolomide 20Mg Cap 5 Btl
252.61
J8700
47335-0891-80 CAR 42331 Temozolomide 20Mg Cap 5 Btl
252.30
J8700
00781-2696-75 SAN 41783 Temozolomide 250Mg Cap 5 Btl
3158.06
J8700
47335-0893-80 CAR 42339 Temozolomide 250Mg Cap 5 Btl
3154.55
J8700
00781-2691-44 SAN 41554 Temozolomide 5Mg Cap 14 Btl
177.71
J8700
47335-0890-21 CAR 42330 Temozolomide 5Mg Cap 14 Btl
175.28
J8700
00781-2691-75 SAN 41553 Temozolomide 5Mg Cap 5 Btl
62.70
J8700
47335-0890-80 CAR 42329 Temozolomide 5Mg Cap 5 Btl
62.60
J8700
44567-0507-01 WG 42224 Teniposide Inj 50Mg/5Ml Ampule ( R )
958.80
49281-0215-15 SAN 39081 Tenivac Td P/F Syg 10/Ctn.5 Ml ( R )
265.14
90714
31722-0209-01 CAM 35612 Terbinafine 250Mg Tab 100
1307.50
49281-0820-10 SAN 27634 Tetanus Tox A Sdv 10X0.5 Vl ( R )
482.74
90703
59572-0210-15 CEL 28391 Thalomid 100Mg Cap 28
9049.42
59572-0215-13 CEL 29565 Thalomid 150Mg Cap 28/Pk
9676.06
59572-0220-16 CEL 28392 Thalomid 200Mg Cap 28
10303.10
59572-0205-14 CEL 28390 Thalomid 50Mg Cap 28
5575.04
AME 20582 Thermal Labels 4X2 750/Roll
63323-0013-02 FRE 13701 Thiamine 100Mg/Ml Mdv 25X2Ml
310.94
J3411
58468-1849-04 GEN 18484 Thyrogen Sdv 2X1.1Ml ( R )
3247.20
J3240
00456-0461-01 FOR 13422 Thyroid 2 Grain Tab 100
66.00
61314-0647-25 SAN 42295 Tobramy/Dex 0.3%/0.1% Sus2.5Ml
65.31
61314-0643-05 SAN 13480 Tobramycin 0.3% Opht Sol 5Ml
34.00
68462-0109-60 GLE 35608 Topiramate 100Mg Tab 60
362.47
00703-5653-01 TEV 10374 Toposar 100Mg/5Ml Mdv Sol
11.24
J9181 , J9182
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
