Page 37 - ecatalogJan14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
00487-9801-25 NEP 35113 Ipratrop Brom .02% Pf 25X2.5Ml 33.00 J7644
00093-7465-56 TEV 39897 Irbesartan 150Mg Tab 30 92.13
61703-0349-36 HOS 31558 Irinotecan 20Mg/Ml Sdv 25Ml 160.85 J9206
00703-4432-11 TEV 31559 Irinotecan 20Mg/Ml Sdv 2Ml 18.22 J9206
63323-0193-02 FRE 33498 Irinotecan 20Mg/Ml Sdv 2Ml 19.20 J9206
23155-0179-31 HER 41236 Irinotecan 20Mg/Ml Sdv 2Ml 276.15 J9206
63323-0193-52 FRE 41281 Irinotecan 20Mg/Ml Sdv 2Ml 19.20 J9206
66758-0048-01 SAN 36023 Irinotecan 20Mg/Ml Sdv 2Ml 276.15 J9206
61703-0349-16 HOS 31556 Irinotecan 20Mg/Ml Sdv 2Ml 14.81 J9206
61703-0349-09 HOS 31557 Irinotecan 20Mg/Ml Sdv 5Ml 33.83 J9206
00703-4434-11 TEV 31560 Irinotecan 20Mg/Ml Sdv 5Ml 42.36 J9206
66758-0048-02 SAN 36024 Irinotecan 20Mg/Ml Sdv 5Ml 690.35 J9206
23155-0179-32 HER 41237 Irinotecan 20Mg/Ml Sdv 5Ml 690.35 J9206
63323-0193-55 FRE 41282 Irinotecan 20Mg/Ml Sdv 5Ml 40.80 J9206
50967-0126-30 WOM 38054 Irospan 24/6 Tab 30 53.63
00270-1317-05 BRA 36669 Isovue 250 51% Vl 10X50 Ml 553.12 Q9966
00270-1315-30 BRA 21881 Isovue 300 61% 10X50Ml 574.88 Q9967
59572-0983-01 CEL 36432 Istodax 10Mg Inj Sol Kit 2950.80 J9315
00015-1910-12 BRI 30724 Ixempra Kit 15Mg ( R ) 1197.72 J9207
00015-1911-13 BRI 30725 Ixempra Kit 45Mg ( R ) 3593.18 J9207
50881-0010-60 INC 40080 Jakafi 10Mg Tab 60 10026.00
50881-0015-60 INC 40081 Jakafi 15Mg Tab 60 10026.00
50881-0020-60 INC 40082 Jakafi 20Mg Tab 60 10026.00
50881-0025-60 INC 40083 Jakafi 25Mg Tab 60 10026.00
50881-0005-60 INC 40079 Jakafi 5Mg Tab 60 10026.00
00024-5824-11 AVE 36316 Jevtana Sdv 60Mg/1.5Ml W/Dil 10392.38 J9043
50242-0088-01 GEN 40717 Kadcyla 100Mg/15Ml Sdv ( R ) 3328.28 NEW04
50242-0087-01 GEN 40718 Kadcyla 160Mg/20Ml Sdv ( R ) 5325.25 NEW04
00003-0293-05 BRI 13053 Kenalog 40Mg/Ml 1Ml Vl 10.26 J3301
00003-0293-28 BRI 10132 Kenalog 40Mg/Ml Vl 10Ml 77.76 J3301
00003-0293-20 BRI 10133 Kenalog 40Mg/Ml Vl 5Ml 52.07 J3301
66658-0112-06 BIO 37142 Kepivance 6.25Mg/Ml Vl 6/Pk ( R ) 12480.00 J2425
50474-0597-66 UCB 33469 Keppra 1000 Mg Tab 60 825.92
51672-1298-03 TAR 40810 Ketoconazole 2% Crm 60Gm 42.05
51672-4026-06 TAR 25883 Ketoconazole 200Mg Tab 30/Btl 94.80
00409-3795-01 HOS 27681 Ketorolac 30Mg/Ml Ftv 25X1Ml 25.20 J1885
17478-0717-10 AKO 36350 Ketotifen Fum .025% Drp 5Ml Ea 12.19
00574-2004-16 PAD 33703 Kionex Pwd 454 Gm 201.90
54396-0801-01 SAV 37078 Krystexxa 8Mg Sdv 1Ml ( R ) 6468.00 J2507
76075-0101-01 ONY 39896 Kyprolis 60Mg Pwd Lyo Sdv ( R ) 1989.60 NEW00
00409-7953-02 HOS 32998 Lactated Ring Lc 24X250Ml 52.13 J7120
00264-7750-20 B.B 30842 Lactated Ringer 250Ml Bag Ea 1.96 J7120
00603-1378-56 QUA 39922 Lactulose 10Gm/15Ml Sol 240Ml 18.28
55111-0398-30 DR 41322 Lansoprazole 15Mg Cap 30 176.66
55111-0399-90 DR 37397 Lansoprazole 30Mg Cap 90 529.97
00023-3616-70 ALL 41830 Latisse 0.03% Sol 3Ml 124.79
62756-0511-83 CAR 38768 Letrozole 2.5Mg Tab 30 543.44
00054-4498-10 ROX 10754 Leucovorin 15Mg Tab 24/Btl 254.62
63323-0710-50 FRE 18727 Leucovorin 200Mg Sdv Lyo 19.44 J0640
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE