NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00172-5312-60 TEV 40615 Ciprofloxacin 500Mg Tab 100
537.15
00172-5313-60 TEV 41155 Ciprofloxacin 750Mg Tab 100
582.09
00409-4777-23 HOS 41171 Ciprofloxan 200Mg Bag 24X100Ml
61.92
J0744
00703-5748-11 TEV 19386 Cisplatin 100Mg/100Ml Mdv Sol
48.36
J9060 , J9062
00069-0081-01 PFI
39801 Cisplatin 100Mg/100Ml Mdv Sol
40.80
J9060
44567-0510-01 WG 41925 Cisplatin 100Mg/100Ml Mdv Sol
36.00
J9060
63323-0103-65 FRE 11561 Cisplatin 100Mg/100Ml Mdv Sol
45.13
J9060 , J9062
63323-0103-64 FRE 11581 Cisplatin 200Mg/200Ml Mdv Sol
90.25
J9060 , J9062
00703-5747-11 TEV 19385 Cisplatin 50Mg/50Ml Mdv Sol
24.18
J9060 , J9062
44567-0509-01 WG 41924 Cisplatin 50Mg/50Ml Mdv Sol
18.00
J9060
00069-0084-07 PFI
39800 Cisplatin 50Mg/50Ml Mdv Sol
20.40
J9060
63323-0103-51 FRE 11548 Cisplatin 50Mg/50Ml Mdv Sol
22.56
J9060 , J9062
65162-0052-10 AMN 39726 Citalopram 10Mg Tab 100
245.88
65162-0053-10 AMN 36159 Citalopram 20Mg Tab 100
256.27
65162-0054-10 AMN 38152 Citalopram 40Mg Tab 100
267.43
63323-0140-10 FRE 25327 Cladribine 10Mg/10Ml Sdv Sol ( R )
522.00
J9065
00069-0086-18 PFI
40102 Cladribine 10Mg/10Ml Sdv Sol ( R )
420.00
J9065
00093-7244-06 TEV 39067 Clarithromy 500Mg Er Tab 60
300.38
MER 31703 Claritin 10Mg Redi Tab 30/Pk
59762-3744-01 GRE 29419 Clindamy Phos 1% Lot 60Ml
95.98
59762-3743-01 GRE 30267 Clindamy Phos 1% Top Gel 30Gm
68.99
59762-3328-01 GRE 36976 Clindamycin 150Mg Cap 100
119.11
59762-5010-02 GRE 37147 Clindamycin 300Mg Cap 100
375.94
59762-3728-02 GRE 23655 Clindamycin Phos 1%Topsol 60Ml
78.35
50383-0268-15 HI-
41026 Clobetasol 0.05% Ont 15Gm
29.65
50383-0268-60 HI-
41303 Clobetasol 0.05% Ont 60Gm
75.00
58468-0100-01 AVE 30781 Clolar 20Mg Vl 20Ml
3007.66
J9027
00555-1009-16 TEV 36959 Clonidine 0.1Mg Pat 4
132.63
00228-2127-10 ACT 10093 Clonidine 0.1Mg Tab 100/Btl
25.90
00555-1010-16 TEV 36960 Clonidine 0.2Mg Pat 4
223.31
00228-2128-10 ACT 10094 Clonidine 0.2Mg Tab 100/Btl
37.55
55111-0196-30 DR 39745 Clopidogrel 75Mg Tab30
208.80
00168-0258-46 SAN 33456 Clotrim/Betam Dipr1/.05Crm45Gm
63.70
51672-1275-02 TAR 40808 Clotrimazole 1% Crm 30Gm
34.85
00574-0107-70 PAD 34425 Clotrimazole 10Mg Loz 70
112.54
45802-0434-01 PER 38461 Clotrimazole Af 1% Crm 15Gm Ea
5.99
254003
BIR 37889 Coenzyme Q10 200Mg Tab 30
00574-7226-12 PAD 23164 Compro 25Mg Supp 12/Bx
150.99
00548-5900-00 AMP 23722 Cortrosyn 0.25Mg Vl 10X1Ml
1278.96
J0834
67386-0811-55 REC 41729 Cosmegen Inj 0.5Mg Vl
745.96
J9120
00310-0751-90 AST 37853 Crestor 10Mg Tab 90
616.80
00310-0752-90 AST 32524 Crestor 20 Mg Tab 90
616.80
00310-0754-30 AST 33205 Crestor 40Mg Tab 30/Btl
205.61
67919-0011-01 CUB 24631 Cubicin Daptomycin500Mg 10/Pk ( R )
382.44
J0878
00517-0031-25 AME 10067 Cyanoco 1000Mcg/Ml 25X1Ml Vl
76.25
J3420
63323-0044-01 FRE 11478 Cyanoco 1000Mcg/Ml Mdv 25X1Ml
93.90
J3420
00517-0032-25 AME 17460 Cyanoco 1000Mcg/Ml Vl 25X10Ml
125.00
J3420
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,18,19,20,21,22,23,24,25,26,27 29,30,31,32,33,34,35,36,37,38,...112