NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
63323-0165-01 FRE 19790 Dexameth Pho 4Mg/1Ml Sdv 25/Pk
40.50
J1100
63323-0165-30 FRE 12733 Dexameth Phos 4Mg/Ml Vl 30Ml
21.00
J1100
61314-0294-05 SAN 41817 Dexamethasone 0.1% Drp 5Ml
21.10
00054-4184-25 ROX 23813 Dexamethasone 4Mg Tab 100
58.41
00517-0234-10 AME 10743 Dexferrum Iv 50Mg/Ml Sdv10X2Ml
450.00
J1750
00517-0131-25 AME 17425 Dexpanthenol 250Mg/Ml 25X2Ml
101.56
00409-7922-25 HOS 34745 Dext Viv 5% 24X250Ml
34.56
J7060
00409-7926-02 HOS 36941 Dext/Sod Lc 5%/.45%Sol24X250Ml
46.37
J7042
00409-7517-16 HOS 27419 Dextrose 50% Ansyr Syg 10X50Ml
67.68
00409-4902-34 HOS 27423 Dextrose 50% Lfs Syg 10X50Ml
114.12
16571-0201-06 PAC 41702 Diclofenac 75Mg Ec Tab 60
106.43
00093-3123-01 TEV 18483 Dicloxacillin 250Mg Cap 100
66.00
00591-0794-01 ACT 24765 Dicyclomine 10Mg Cap 100/Btl
7.08
00378-1620-01 MYL 23449 Dicyclomine 20Mg Tab 100/Btl
35.50
00093-0318-01 TEV 41347 Diltiazem 30Mg Tab 100
52.59
00093-5117-98 TEV 41610 Diltiazem Cd 180Mg Cap 90
130.12
00904-5306-60 MAJ 19079 Diphen/Banophen 25Mg Cap 100
4.10
00185-0648-10 SAN 28110 Diphenhyd 25Mg Cap 1000
45.50
00904-5306-61 MAJ 38759 Diphenhyd 25Mg Cap Ud 100/Pk
12.50
00185-0649-01 SAN 28111 Diphenhyd 50Mg Cap 100
9.04
Q0163
00409-2290-31 HOS 26722 Diphenhyd 50Mg/Ml C/J 10X1Ml
17.28
J1200
51672-2066-02 TAR 37673 Diphenhydram 2% Crm 1Oz
4.13
67457-0124-10 MYL 38222 Diphenhydram 50Mg/Ml Mdv 10Ml
143.70
J1200
00185-0648-01 SAN 10704 Diphenhydramin 25Mgcap 100/Btl
8.26
63323-0664-01 FRE 22253 Diphenhydramine 50Mg 25X1Ml
82.50
J1200
00641-0376-25 WES 11153 Diphenhydramne 50Mg Vl 25X1Ml
24.60
J1200
16729-0267-65 ACC 41119 Docetaxel 160Mg/8Ml Rtu Mdv
2921.20
J9171
16729-0267-63 ACC 41846 Docetaxel 20Mg/1Ml Rtu Mdv
365.15
J9171
16729-0267-64 ACC 41468 Docetaxel 80Mg/4Ml Rtu Mdv
1460.60
J9171
00409-0201-20 HOS 37031 Docetaxel Inj 160Mg/16Ml Mdv
1583.00
J9171
66758-0050-03 SAN 38424 Docetaxel Inj 160Mg/16Ml Mdv
3036.35
J9171
66758-0050-01 SAN 38422 Docetaxel Inj 20Mg/2Ml Mdv
379.54
J9171
00409-0201-02 HOS 37029 Docetaxel Inj 20Mg/2Ml Sdv
199.84
J9171
00409-0201-10 HOS 37030 Docetaxel Inj 80Mg/8Ml Mdv
799.48
J9171
66758-0050-02 SAN 38423 Docetaxel Inj 80Mg/8Ml Mdv
1518.17
J9171
57896-0401-01 AME 28163 Docusate Sod 100Mg Cap 100
1.00
00536-3757-01 ACT 40164 Docusate Sod 250Mg Cap 100
6.57
01650-0023-24 BAY 21950 Domeboro Pkt Pwd 12/Pk
13668-0102-30 TOR 39183 Donepezil 5Mg Tab 30
233.70
66213-0423-16 PBM 26285 Donnatal Grape Elx 16Oz
421.20
59676-0960-01 ORT 37770 Doxil 20Mg Vl 10Ml ( R )
1293.48
Q2050
63323-0883-05 FRE 18729 Doxorubicin 10Mg/5Ml Sdv Sol ( R )
10.80
J9000
00069-3030-20 PFI
37910 Doxorubicin 10Mg/5Ml Sdv Sol ( R )
12.00
J9000
00069-3033-20 PFI
37913 Doxorubicin 150Mg/75Ml Mdv Sol ( R )
126.00
J9000
00703-5040-01 TEV 10759 Doxorubicin 200Mg/100Ml Mdvsol ( R )
168.98
J9000
00069-3034-20 PFI
37914 Doxorubicin 200Mg/100Ml Mdvsol ( R )
168.00
J9000
63323-0101-61 FRE 11118 Doxorubicin 200Mg/100Ml Mdvsol ( R )
159.97
J9000
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
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