Page 36 - ecatalogJan14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
00007-4207-11 GLA 32932 Hycamtin 1Mg Cap 10 ( R ) 4285.68 J8705
00168-0146-30 SAN 30501 Hydocort 2.5% Ont 1Oz 11.00
00172-2083-60 TEV 14537 Hydrochlorothiaz 25Mg Tab 100 8.48
00168-0015-31 SAN 32858 Hydrocort 1% Crm 1Oz 7.20
00603-3900-21 QUA 34102 Hydrocort 10Mg Tab 100 57.30
00603-3901-21 QUA 41743 Hydrocortisone 20Mg Tab 100 108.70
45802-0004-02 PER 13324 Hydrocortisone Crm 2.5% 20Gm 4.90
00591-2888-30 ACT 38067 Hydroxocobal 1000Mcg/Ml 30Ml 38.26
00555-0882-02 TEV 26072 Hydroxyurea 500Mg Cap 100 127.73
00185-0613-01 SAN 30324 Hydroxyz Pam 25Mg Cap 100 29.94
23155-0106-01 HER 40589 Hydroxyzine 25Mg Tab 100 91.46
18657-0102-04 HAL 39835 Hylenex 150U/Ml 4X1Ml Vl ( R ) 248.02 J3473
24486-0602-10 ARI 33653 Hyomax Sr .375Mg Tab 100/Btl 161.48
00574-0250-01 PAD 38516 Hyoscyamine .125Mg Sub Tab 100 85.00
00591-3770-31 ACT 41354 Ibandronate 150Mg Tab 3/Pk 399.54
57896-0941-01 AME 30037 Ibuprofen 200Mg Tab 100 1.60
00904-7914-61 MAJ 28519 Ibuprofen 200Mg Tab 100 Ud 6.77
00904-7915-24 MAJ 40570 Ibuprofen 200Mg Tab 24 2.20
53746-0464-01 AMN 41503 Ibuprofen 400Mg Tab 100 20.48
53746-0465-01 AMN 41453 Ibuprofen 600Mg Tab 100 29.02
53746-0466-01 AMN 41504 Ibuprofen 800Mg Tab 100 38.08
00013-2586-91 PFI 20278 Idamycin Pfs 10Mg/10Ml Vl ( R ) 600.00 J9211
00013-2596-91 PFI 20279 Idamycin Pfs 20Mg/20Ml Vl ( R ) 1200.00 J9211
00013-2576-91 PFI 20277 Idamycin Pfs 5Mg/5Ml Vl ( R ) 300.00 J9211
00703-4155-11 TEV 22769 Idarubicin 10Mg/10Ml Sdv Sol ( R ) 197.64 J9211
00703-4156-11 TEV 22770 Idarubicin 20Mg/20Ml Sdv Sol ( R ) 395.28 J9211
00703-4154-11 TEV 22768 Idarubicin 5Mg/5Ml Sdv Sol ( R ) 98.82 J9211
10019-0925-01 BAX 26775 Ifosfamide 1Gm Inj 30Ml Sdv 44.09 J9208
63323-0142-10 FRE 22483 Ifosfamide 1Gm Inj 30Ml Sdv 72.56 J9208
10019-0926-02 BAX 26776 Ifosfamide 3Gm Inj 75Ml Sdv 129.05 J9208
57962-0140-12 PHA 42002 Imbruvica 140Mg Cap 120/Btl
00093-4030-01 TEV 33285 Indomethacin 50Mg Cap 100 63.75
52544-0931-02 ACT 22668 Infed 50Mg/Ml Vl 10X2Ml 377.04 J1750
66435-0201-15 KAD 39739 Infergen 15Mcg/.5Ml 6X.5Ml Vl ( R ) 1042.74
54643-5649-01 BAX 32245 Infuvite Adltmultvit Vl5X2X5Ml ( R ) 874.08
00517-0650-01 AME 41523 Injectafer Sdv 750 Mg/15 Ml 937.50 NEW06
00069-0145-01 PFI 40320 Inlyta 1Mg Tab 180 11007.36
00069-0151-11 PFI 40321 Inlyta 5Mg Tab 60 11007.36
00187-0746-33 VAL 11242 Insta Glucose Tri- Pack 3X31Gm 13.99
00002-8315-01 ELI 10064 Insulin Hum N 100Un 10Ml Vl ( R ) 99.00 J1815 , J1817
00002-8215-01 ELI 10063 Insulin Hum R 100U/Ml Mdv10 Ml ( R ) 99.00 J1815 , J1817
00085-1168-01 MER 11384 Intron A Hsaf 18Mm 3Ml/.5 Mdv ( R ) 517.49 J9214
00085-1133-01 MER 11389 Intron A Hsaf 25Mm /3.2Ml Vl ( R ) 718.80 J9214
00085-0571-02 MER 10261 Intron A Pwd 10Mm Iu Vl 1Ml ( R ) 223.42 J9214
00085-1110-01 MER 11658 Intron A Pwd 18Mm Un Vl 1Ml ( R ) 402.17 J9214
00085-0539-01 MER 10481 Intron A Pwd 50Mm Iu Vl 1Ml ( R ) 1117.25 J9214
00006-3843-71 MER 21602 Invanz 1Gm Vl 10X20Ml 848.94 J1335
49281-0860-10 SAN 10910 Ipol Vac 10 Dose Vial ( R ) 327.76 90713
00487-0201-03 NEP 41148 Iprat/Albut 0.5/3Mg Amp 30X3Ml 65.71 J7620
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE