NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
45802-0425-78 PER 38865 Fexofenadine 60Mg Tab 100
71.93
31722-0525-30 CAM 38921 Finasteride 5Mg Tab 30
93.39
31722-0525-90 CAM 38838 Finasteride 5Mg Tab 90
280.14
55566-8403-01 FER 41326 Firmagon 240Mg Kit
1514.22
J9155
55566-8303-01 FER 41325 Firmagon 80Mg Kit
504.72
J9155
65628-0053-01 CUT 37395 First Mary'S M/Wsh Sus 8Oz
53.50
65628-0051-01 CUT 37394 First-Bxn M/Wsh Kit 237Ml
47.50
61953-0004-04 GRI
29505 Flebogamma Dif5% 10Gm 200Ml Vl ( R )
991.92
J1572
61953-0004-05 GRI
29506 Flebogamma Dif5% 20Gm 400Ml Vl ( R )
1983.84
J1572
61953-0004-03 GRI
29504 Flebogamma Dif5% 5Gm 100Ml Vl ( R )
495.96
J1572
63323-0145-07 FRE 19717 Floxuridine 500Mg Vl Lyo
150.00
J9200
00409-4688-23 HOS 37969 Fluconaz/Sal 200Mg Bag 6X100Ml
70.06
J1450
00172-5411-46 TEV 28803 Fluconazole 100Mg Tab 30
262.62
59762-5017-01 GRE 31600 Fluconazole 150Mg Uou Tab 12Ud
167.20
68462-0104-30 GLE 41734 Fluconazole 200Mg Tab 30
432.14
25021-0205-05 SAG 36343 Fludarabine 50Mg Sdv Lyo
132.00
J9185
63323-0192-02 FRE 34398 Fludarabine 50Mg/2Ml Sdv Sol ( R )
326.26
J9185
66758-0046-01 SAN 30651 Fludarabine 50Mg/2Ml Sdv Sol ( R )
350.00
J9185
00143-9784-10 WES 40606 Flumazenil 0.1Mg/Ml Vl 10X5Ml
81.25
J3490
51672-1253-01 TAR 24982 Fluocinonide 0.05% Crm 15Gm
15.94
51672-1253-02 TAR 41138 Fluocinonide 0.05% Crm 30Gm
22.32
51672-1273-02 TAR 40813 Fluocinonide 0.05% Sol 20Ml
57.57
51672-1273-04 TAR 40809 Fluocinonide 0.05% Sol 60Ml
115.89
63323-0117-20 FRE 18715 Fluorouracil 1Gm/20Ml Sd 10/Pk
72.00
J9190
63323-0117-51 FRE 18716 Fluorouracil 2.5Gm/50Ml Pbp
16.06
J9190
51672-4118-06 TAR 37189 Fluorouracil 5% Crm 40 Gm
384.94
63323-0117-10 FRE 10753 Fluorouracil 500Mg/10Ml 10/Pk
36.00
J9190
63323-0117-61 FRE 10745 Fluorouracil 5Gm/100Ml Pbp
32.12
J9190
00093-0711-01 TEV 41671 Flurbiprofen 100Mg Tab 100
108.25
45802-0222-35 PER 40804 Fluticasone 0.05% Crm 15Gm
22.25
45802-0222-37 PER 40805 Fluticasone 0.05% Crm 60Gm
54.10
00054-3270-99 ROX 28154 Fluticasone 50Mcg Spray 16Gm
75.27
00603-3162-21 QUA 36587 Folic Acid 1 Mg Tab 100
35.99
00603-3162-32 QUA 36536 Folic Acid 1 Mg Tab 1000
79.49
63323-0184-11 FRE 39869 Folic Acid 5Mg/Ml Mdv 10X10Ml
320.40
J3490
48818-0001-01 ALL 34637 Folotyn 20 Mg Injection ( R )
4295.62
J9307
48818-0001-02 ALL 34636 Folotyn 40 Mg Injection ( R )
8591.23
J9307
55111-0681-10 DR 39833 Fondaparinux 10Mg Syg 10X0.8Ml
1286.10
J1652
55111-0681-02 DR 39826 Fondaparinux 10Mg Syg 2X0.8Ml
271.60
J1652
55111-0678-02 DR 39823 Fondaparinux 2.5Mg Syg 2X0.5Ml
115.40
J1652
55111-0678-10 DR 39830 Fondaparinux 2.5Mg Syg10X0.5Ml
546.52
J1652
55111-0679-10 DR 39831 Fondaparinux 5Mg Syg 10X0.4Ml
1286.10
J1652
55111-0679-02 DR 39824 Fondaparinux 5Mg Syg 2X0.4Ml
271.60
J1652
55111-0680-02 DR 39825 Fondaparinux 7.5Mg Syg 2X0.6Ml
271.60
J1652
55111-0680-10 DR 39832 Fondaparinux 7.5Mg Syg10X0.6Ml
1286.10
J1652
00173-0379-34 COV 11450 Fortaz 2Gm Vl 10/Bx
284.53
J0713
62856-0101-10 EIS 28857 Fragmin 10M Iu Pfs 10X1Ml
850.82
J1645
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,23,24,25,26,27,28,29,30,31,32 34,35,36,37,38,39,40,41,42,43,...112