NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
25021-0203-51 SAG 36345 Epirubicin 200Mg Sdv 100Ml ( R )
252.00
J9178
61703-0359-59 HOS 30336 Epirubicin 200Mg/100Ml Sdv Sol ( R )
191.34
J9178
00703-3069-11 TEV 30368 Epirubicin 200Mg/100Ml Sdv Sol ( R )
457.39
J9178
25021-0203-25 SAG 36344 Epirubicin 50Mg Sdv 25Ml ( R )
72.00
J9178
61703-0347-35 HOS 28772 Epirubicin 50Mg Sdv Lyo
46.25
J9178
61703-0359-93 HOS 30335 Epirubicin 50Mg/25Ml Sdv Sol ( R )
49.14
J9178
00703-3067-11 TEV 30367 Epirubicin 50Mg/25Ml Sdv Sol ( R )
114.35
J9178
53270-0100-10 CAN 40290 Episil Oral Liq 10Ml Btl
150.00
66733-0948-23 BRI
24544 Erbitux 100Mg/50Ml Vl ( R )
611.35
J9055
66733-0958-23 BRI
29585 Erbitux 200Mg/100Ml Vl ( R )
1222.70
J9055
50242-0140-01 GEN 39092 Erivedge 150Mg Cap 28
9450.00
00093-5851-01 TEV 39403 Escitalopram 10Mg Tab 100
432.65
00093-5852-01 TEV 39404 Escitalopram 20Mg Tab 100
451.46
00015-3404-20 BRI
18774 Etopophos 100Mg ( R )
159.55
J9181 , J9182
63323-0104-05 FRE 16136 Etoposide 20Mg/Ml Mdv 10X5Ml
149.28
J9181 , J9182
00378-3266-94 MYL 22971 Etoposide 50Mg Cap 20/Ud ( R )
1417.19
J8560
63323-0104-25 FRE 18713 Etoposide Inj 20Mg/Ml 25Ml Md
74.63
J9181 , J9182
63323-0104-50 FRE 18714 Etoposide Inj 20Mg/Ml 50Ml Mdv
149.26
J9181 , J9182
16729-0114-31 ACC 37616 Etoposide Inj 20Mg/Ml 5Ml Mdv
11.37
J9181
00002-4165-02 ELI
13682 Evista 60Mg Tab 100
720.72
59762-2858-01 GRE 37816 Exemestane 25Mg Tab 30
392.80
00078-0490-15 NOV 36961 Exforge 5/320Mg Tab 30
201.19
58468-0040-01 GEN 25855 Fabrazyme 35Mg Vl-Non Return ( R )
5796.00
J0180
58468-0041-01 GEN 25854 Fabrazyme 5Mg Vl-Non Return ( R )
828.00
J0180
00054-0197-13 ROX 41175 Famciclovir 250Mg Tab 30
208.42
00054-0198-13 ROX 41049 Famciclovir 500Mg Tab 30
418.57
63323-0738-09 FRE 40382 Famotidine 10Mg Mdv 10X4Ml ( R )
21.60
J3490
63323-0738-20 FRE 38362 Famotidine 200Mg Mdv 10X20Ml ( R )
413.00
J3490
63323-0739-12 FRE 22115 Famotidine 20Mg Sdv 25X2Ml ( R )
102.50
J3490
64679-0936-01 WOC 29126 Famotidine 20Mg Tab 30
52.20
63739-0484-10 MCK 42080 Famotidine 20Mg Tab Ud 100
8.64
00172-5729-60 TEV 34699 Famotidine 40Mg Tab 100
334.40
00078-0596-20 NOV 41942 Fanapt 2Mg Tab 60
836.26
00078-0597-20 NOV 41943 Fanapt 4Mg Tab 60
836.26
00078-0598-20 NOV 41944 Fanapt 6Mg Tab 60
836.26
42747-0327-30 PRO 40617 Fareston 60Mg Tab 30
1070.40
00310-0720-10 AST 36987 Faslodex 500Mg Pf Syr 2X5.0Ml ( R )
2138.17
J9395
00378-5012-01 MYL 31974 Felodipine 5Mg Er Tab 100
151.09
00078-0249-15 NOV 20960 Femara 2.5Mg Tabs 30/Btl
664.33
59338-0775-01 AMA 34408 Feraheme 510 Mg/17Ml Sdv
579.47
Q0138 , Q0139
59338-0775-10 AMA 34409 Feraheme 510 Mg/17Ml Sdv 10/Pk
5794.68
Q0138 , Q0139
51991-0203-11 AME 30088 Ferrex 150Mg Caps Ud 100/Bx
27.50
51991-0588-28 BRE 37415 Ferrex 28 Tab 28
28.95
00024-2792-10 AVE 37769 Ferrlecit 62.5Mg/5Ml Vl 10X5Ml
381.60
J2916
50383-0778-16 AME 31018 Ferrous Sul 220Mg/5Ml Elx 16Oz
6.85
00536-5890-01 WAT 27170 Ferrous Sul 325Mg Red Tab 100
4.04
45802-0571-78 PER 38217 Fexofenadine 180Mg Tab 100
41.82
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
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