Page 24 - ecatalogJan14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
00487-9501-25 NEP 35017 Albuterol 0.083%Ml Sol 25X3Ml 20.00 J7613
58468-0070-01 GEN 26658 Aldurazyme 2.9Mg Vl ( R ) 930.00 J1931
00093-5172-44 TEV 32758 Alendronate 35Mg Tab 4 81.95
00093-5171-44 TEV 31567 Alendronate 70Mg Tab 4 81.95
25866-0105-01 BAY 19843 Aleve Tab 24 2.98
00002-7640-01 ELI 31106 Alimta 100Mg Inj Vl 702.31 J9305
00002-7623-01 ELI 24453 Alimta 500Mg Inj Vl 3511.56 J9305
52609-0001-05 APO 39136 Alkeran 2Mg Tab 50 ( R ) 527.40 J8600
00603-2115-21 QUA 33271 Allopurinol 100Mg Tab 100/Btl 24.42
00603-2116-21 QUA 37044 Allopurinol 300Mg Tab 100 66.89
51079-0206-20 MYL 41276 Allopurinol 300Mg Tab 100 Ud 60.81
128 BIR 37885 Aloe Juice Liq 128 Oz
62856-0797-01 EIS 34024 Aloxi .25Mg/5Ml For Pf 464.40 J2469
62856-0797-01 EIS 34026 Aloxi .25Mg/5Ml Sdv 464.40 J2469
2101 BIR 37886 Alpha Lipoic Acid 100Mg Tab 60
00469-3051-30 AST 18892 Ambisome 50Mg Vl 188.40 J0289
55390-0308-03 BED 34569 Amifostine 500Mg Vl 3X10Ml 1800.00 J0207
61748-0045-01 VER 38607 Aminocaproic 500Mg Tab 100 781.78
00409-5921-01 HOS 26788 Aminophylline 250Mg Ftv25X10Ml 55.20 J0280
00143-9875-10 WES 33539 Amiodarone 50Mg/Ml Vl 10X3 Ml 25.00 J0282
59762-1540-01 GRE 32004 Amlodipine 10Mg Tab 90 213.65
59762-1530-01 GRE 29959 Amlodipine 5Mg Tab 90 155.69
66685-1002-02 SAN 30068 Amox/Clav Pot 500/125Mg Tab100 367.10
00781-1852-20 SAN 36346 Amox/Clav Pot 875/125Mg Tab 20 101.03
66685-1001-01 SAN 29316 Amox/Clav Pot 875/125Mg Tab100 490.00
66685-1002-00 SAN 27177 Amox/Clav Pot500/125Mg Tab 20 75.69
00781-6157-52 SAN 37431 Amoxicillin 400Mg/5Mlsus 50Ml 4.90
00781-2613-01 SAN 25428 Amoxicillin 500Mg Cap 100/Btl 43.41
39822-1055-05 X-G 11453 Amphoteric B 50Mg Pwd ( R ) 45.60 J0285
00172-5241-60 TEV 29115 Anagrelide 0.5Mg Cap 100 751.50
00172-5240-60 TEV 30106 Anagrelide 1Mg Cap 100 1617.54
00496-0799-04 FER 41139 Analpram Hc 2.5% Crm 1Oz 133.56
68382-0209-06 ZYD 36526 Anastrazole 1Mg Tab 30 404.36
24385-0357-40 PER 39594 Antacid Liq 12Oz 3.59
00904-7725-12 MAJ 38523 Anti-Diarrhea 2Mg Cpl 12 3.99
00088-1206-32 AVE 11629 Anzemet 100Mg P/F Sdv 5Ml 52.86 J1260
00088-1203-05 AVE 20914 Anzemet 100Mg Tab 5/Btl 430.54 Q0180
00088-1209-26 AVE 23700 Anzemet 500Mg Mdv 25Ml 264.28 J1260
24385-0629-78 BIR 39834 Apap Arth 650Mg Cpl 100 6.95
42023-0104-01 JHP 31842 Aplisol 5Tu 10Test Vl 1Ml ( R ) 50.65
72140-0031-47 BEI 13393 Aquaphor Jar Ont 14Oz
55513-0032-01 AMG 28140 Aranesp Plysb 500Mcg Pfs 1.0Ml ( R ) 3859.20 J0881 , J0882
55513-0025-04 AMG 28194 Aranesplysb 100Mcg Pfs 4X.5Ml ( R ) 3087.36 J0881 , J0882
55513-0005-04 AMG 28201 Aranesplysb 100Mcg Sdv 4X1Ml ( R ) 3087.36 J0881 , J0882
55513-0027-04 AMG 28195 Aranesplysb 150Mcg Pfs 4X.3Ml ( R ) 4631.04 J0881 , J0882
55513-0053-04 AMG 28202 Aranesplysb 150Mcg Sdv 4X.75Ml ( R ) 4631.04 J0881 , J0882
55513-0028-01 AMG 28196 Aranesplysb 200Mcg Pfs 0.4Ml ( R ) 1543.68 J0881 , J0882
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE