NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00185-5400-01 SAN 29119 Lisinopril 5Mg Tab 100
97.25
68180-0520-01 LUP 33665 Lisnop/Hctz 20/25Mg Tb 100/Btl
122.75
00904-2687-60 MAJ 37890 L-Lysine 500Mg Tab 100
3.77
00496-0882-07 FER 23900 Lmx4 Plus 4% Cream 5X5Gm
48.07
00378-2100-01 MYL 14719 Loperamide 2Mg 100 Cap
79.52
00093-0311-01 TEV 20078 Loperamide 2Mg Cap 100/Btl
61.10
51079-0690-20 UDL 24006 Loperamide 2Mg Cap Ud 10X10
70.25
00078-0458-05 NOV 35864 Lopressor 50Mg Tab 100/Btl
216.68
45802-0650-78 PER 35453 Loratadine 10Mg Tab 100
30.07
68084-0248-01 AME 41210 Loratadine 10Mg Tab 100 Ud
70.23
68382-0137-06 ZYD 39209 Losartan 100Mg Tab 30
92.46
13668-0409-30 TOR 41722 Losartan 50Mg Tab 30
67.80
00781-5206-92 SAN 38965 Losartan/Hctz 50/12.5Mg Tab 90
225.16
00078-0406-05 NOV 30268 Lotrel 5/20Mg Cap 100
619.26
11017-0235-23 MER 40039 Lotrimin Ultra Crm 12Gm
00173-0783-02 GLA 34338 Lovaza Cap 120
252.94
00075-0623-00 AVE 13340 Lovenox 100Mg Pfs 10X1Ml
993.44
J1650
00075-2912-01 AVE 20750 Lovenox 120Mg Pfs 10X0.8Ml
1192.52
J1650
00075-2915-01 AVE 20751 Lovenox 150Mg Pfs 10X1Ml
1490.68
J1650
00075-0626-03 AVE 23342 Lovenox 300Mg Mdv 3Ml
297.70
J1650
00075-0624-30 AVE 11759 Lovenox 30Mg Pfs 10X.3Ml
297.70
J1650
00075-0620-40 AVE 18894 Lovenox 40Mg Pfs 10X.4Ml
396.91
J1650
00075-0621-60 AVE 18895 Lovenox 60Mg Pfs 10X.6Ml
596.08
J1650
00075-0622-80 AVE 11132 Lovenox 80Mg Pfs 10X0.8Ml
794.77
J1650
00074-3663-03 ABB 34673 Lupron Depot 11.2 5Mg 3M Kit
2886.32
J1950
00074-3346-03 ABB 34014 Lupron Depot 22.5Mg 3Mo Syg
3439.45
J9217
00074-3641-03 ABB 34015 Lupron Depot 3.75 Mg Kit
962.09
J1950
00074-3683-03 ABB 34017 Lupron Depot 30Mg 4Mo Kit 1
4585.94
J9217
00074-3473-03 ABB 38151 Lupron Depot 45Mg 6Mo Kit 1
6879.02
J9217
00074-3642-03 ABB 34016 Lupron Depot 7.5Mg Kit Syr
1146.50
J9217
00015-3080-60 BRI
19511 Lysodren 500Mg Tab 100
543.34
68585-0005-75 RIS 32518 Mag 64Mg Tab 60
8.65
67457-0134-50 MYL 37845 Mag Chl 200Mg/Ml Vl 50Ml
17.38
00869-0693-38 AME 41489 Mag Citrate Sol Cherry 12X10Oz
1.07
00869-0686-38 AME 41490 Mag Citrate Sol Lemon 12X10Oz
1.07
63323-0064-02 FRE 10489 Mag Sul 1000Mg/2Ml Sdv 25X2Ml
31.80
J3475
63323-0064-10 FRE 18711 Mag Sulf 50% 500Mg/Ml 25X10Ml
39.90
J3475
63323-0064-20 FRE 30240 Mag Sulf 50% 500Mg/Ml 25X20Ml
165.90
J3475
00409-1754-10 HOS 33677 Mag Sulf 50% Ans Syg 10X10Ml
99.24
J3475
00409-2168-02 HOS 38092 Mag Sulf Ftv 10G/20Ml 25/Pk
37.80
J3475
00409-6729-09 HOS 41047 Mag Sulfate 40G/1000Ml 12/Cs
109.30
60258-0171-01 CYP 28098 Magnesium Oxi 400Mg Tab 120
9.99
64011-0243-01 THE 38777 Makena 1250Mg/5Ml Vl
4140.00
00409-7715-03 HOS 27078 Mannitol 20% Sol 12X500Ml
251.42
J2150
00409-4031-01 HOS 25578 Mannitol 25% Ftv 25X50Ml
45.60
J2150
63323-0024-25 FRE 11474 Mannitol 25% Sdv 25X50Ml
111.00
J2150
00409-1610-50 HOS 27367 Marcaine 0.5% Vl 50Ml
5.04
65162-0442-10 AMN 40968 Meclizine 25Mg Tab 100
40.14
00259-3192-82 AME 41791 Mederma Cream Spf30 20Gm
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
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