Page 27 - ecatalogJan14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
00009-7529-05 PFI 37186 Camptosar 20Mg/Ml Sdv 15Ml 225.00 J9206
00009-7529-04 PFI 37185 Camptosar 20Mg/Ml Sdv 2Ml 30.00 J9206
00009-7529-03 PFI 37170 Camptosar 20Mg/Ml Vl 5Ml Ea 75.00 J9206
00006-3822-10 MER 20538 Cancidas Iv 50Mg 1 Dose ( R ) 405.25 J0637
00781-5939-31 SAN 41222 Candesartan 32Mg Tab 30 134.27
58914-0170-14 AXC 25500 Carafate 1Gm/10Ml Sus 14Oz 122.42
00409-1036-30 HOS 27993 Carbocaine 1% Mp/F Sdv 30Ml 5.60 J0670
00703-4246-01 TEV 27965 Carboplatin 150Mg/15Ml Mdv Sol 25.20 J9045
61703-0339-22 HOS 28735 Carboplatin 150Mg/15Ml Mdv Sol 19.21 J9045
61703-0339-50 HOS 28736 Carboplatin 450Mg/45Ml Mdv Sol 45.67 J9045
63323-0172-45 FRE 27974 Carboplatin 450Mg/45Ml Mdv Sol 113.54 J9045
00703-4248-01 TEV 27577 Carboplatin 450Mg/45Ml Mdv Sol 78.00 J9045
00703-4244-01 TEV 27980 Carboplatin 50Mg/5Ml Mdv Sol 9.90 J9045
61703-0339-18 HOS 27544 Carboplatin 50Mg/5Ml Mdv Sol 11.09 J9045
63323-0172-60 FRE 27979 Carboplatin 600Mg/60Ml Mdv Sol 129.60 J9045
61703-0339-56 HOS 25661 Carboplatin 600Mg/60Ml Mdv Sol 62.05 J9045
44206-0418-12 CSL 24399 Carimune Nf 12Gm Vl 1272.00 J1566
44206-0417-06 CSL 24395 Carimune Nf 6Gm Vl 636.00 J1566
61442-0172-30 CAR 40587 Cefaclor 500Mg Cap 30 116.84
00143-9924-90 WES 40377 Cefazolin 1Gm Vl 25X10Ml 115.25 J0690
68180-0711-60 LUP 36226 Cefdinir 300Mg Cap 60/Btl 306.83
25021-0121-20 SAG 36583 Cefepime 1Gm Sdv 20 Ml 10/Pk 72.00 J0692
25021-0122-50 SAG 36584 Cefepime 2Gm Sdv 50 Ml 10/Pk 120.00 J0692
63323-0385-10 FRE 40496 Cefotetan 1Gm Vl 10X10Ml ( R ) 142.25
00409-7332-01 HOS 26591 Ceftriaxone 1Gm Ftv Pwd 10/Pk 15.24 J0696
00409-7336-04 HOS 33735 Ceftriaxone 2Gm Sdv 10/Pk 94.56 J0696
68180-0302-20 LUP 41134 Cefuroxime 250Mg Tab 20 87.97
68180-0303-20 LUP 41135 Cefuroxime 500Mg Tab 20 160.31
00025-1525-31 PFI 14272 Celebrex 200Mg Cap 100 687.24
00085-0566-05 MER 10401 Celestone Sol 6Mg/Ml Mdv 5Ml 42.36 J0702
68180-0121-01 LUP 33283 Cephalexin 250 Mg Cap 100 69.35
68180-0122-01 LUP 32849 Cephalexin 500Mg Cap 100 137.60
00187-1371-12 VAL 40365 Cerave Moisturizing Lot 12Oz
58468-4663-01 GEN 24390 Cerezyme 400U Vl ( R ) 1903.20 J1786
00299-3917-16 GAL 18171 Cetaphil Cream 16Oz 13.13
00536-4088-11 MAJ 40574 Cetirizine 10Mg Tab 90 10.43
51079-0597-20 UDL 40539 Cetirizine 10Mg Tab Ud 100 249.40
45802-0919-87 AME 31514 Cetirizine10Mg Tab 300 749.25
42192-0336-01 ACE 40471 Chlordiaz/Cld 5/2.5Mg Cap 100 158.49
00116-2001-16 XTT 29251 Chlorhexidine 0.12% Liq 16Oz 10.40
00185-0940-97 SAN 26914 Cholestyr Reg Orng Pwd 378Gm 131.13
00002-4464-30 ELI 24656 Cialis 20Mg Tabs 30/Btl 1045.44
67457-0210-05 MYL 41098 Cidofovir 375Mg Inj 5Ml 799.20 J0740
00093-8192-01 TEV 28107 Cimetidine 300Mg Tab 100 100.62
50474-0700-62 UCB 33593 Cimzia 400Mg Kit ( R ) 3023.64 J0718
50474-0710-79 UCB 35284 Cimzia Pfs 400Mg Kit ( R ) 3023.64 J0718
00172-5311-60 TEV 40590 Ciprofloxacin 250Mg Tab 100 458.89
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE