Page 42 - ecatalogJan14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
55513-0222-01 AMG 32769 Nplate 500Mcg Sdv 1.0Ml ( R ) 2987.76 J2796
47781-0303-01 ALV 41719 Ntrofur Macr 100Mg Cap 100 381.39
00003-0371-13 BRI 40706 Nulojix 250Mg Vl ( R ) 1107.60 J0485
68308-0152-30 MID 37228 Nystatin 100M Un/Gm Pwd 30 Gm 40.67
68308-0152-60 MID 41794 Nystatin 100M Un/Gm Pwd 60 Gm 65.37
50383-0587-16 HI- 40335 Nystatin 100M Un/Ml Sus 16Oz 116.07
50383-0587-66 HI- 40315 Nystatin Oral Sus 60Ml 16.94
51672-1289-02 TAR 37601 Nystatin Usp 100Mun/Gm Crm30Gm 26.33
00555-9131-67 TEV 33699 Ocella 3/ 0.03Mg Tab 3X28 230.05
67467-0843-02 OCT 39265 Octagam 5% 2.5M 50Ml Nonreturn ( R ) 344.88 J1568
67467-0843-03 OCT 39266 Octagam 5% 5Gm 100Ml Nonreturn ( R ) 689.76 J1568
68209-0843-03 OCT 39267 Octagam 5% 5Gm 100Ml Nonreturn ( R ) 689.76 J1568
67467-0843-04 OCT 39268 Octagam 5%10Gm 200Ml Nonreturn ( R ) 1379.52 J1568
68209-0843-04 OCT 39269 Octagam 5%10Gm 200Ml Nonreturn ( R ) 1379.52 J1568
4040 BIR 37887 Omega-3 1000Mg Gcp 150
62175-0136-32 KRE 35384 Omeprazole 40Mg Dr Cap 30 200.63
62175-0118-32 KRE 30121 Omeprazole Dr 20Mg Cap 30 101.20
54482-0301-01 SIG 38687 Oncaspar 750 Iu/Ml Sdvpf 5Ml 6939.60 J9266
00069-1340-02 PFI 38933 Ondansetron 2Mg/Ml Mdv 20Ml 3.60 J2405
23155-0168-31 HER 41250 Ondansetron 2Mg/Ml Mdv 20Ml 25.00 J2405
63323-0374-20 FRE 29159 Ondansetron 2Mg/Ml Mdv 20Ml 25.31 J2405
00409-4759-01 HOS 28975 Ondansetron 2Mg/Ml Mdv 20Ml 2.80 J2405
62756-0240-64 CAR 41291 Ondansetron 4Mg Odt Tab 30 Ud 667.50
62756-0130-01 CAR 40828 Ondansetron 4Mg Tab 30 708.90
00641-6078-25 WES 39205 Ondansetron 4Mg/2Ml 25X2Ml 28.50 J2405
62756-0356-64 CAR 41293 Ondansetron 8Mg Odt Tab 30 Ud 1099.90
62756-0131-01 CAR 40829 Ondansetron 8Mg Tab 30 1179.95 Q0162
00003-2187-10 BRI 28321 Orencia 250Mg Vl15Ml Nonreturn ( R ) 772.42 J0129
00338-0357-02 BAX 39276 Osmitrol Inj 20% 250Ml 36/Cs 873.94
25021-0212-50 SAG 39931 Oxaliplatin 100Mg Sdv Lyo 420.00 J9263
61703-0363-22 HOS 33908 Oxaliplatin 100Mg/20Ml Sdv Sol 207.90 J9263
63323-0650-20 FRE 36146 Oxaliplatin 100Mg/20Ml Sdv Sol 538.80 J9263
00069-0070-01 PFI 39941 Oxaliplatin 100Mg/20Ml Sdv Sol 240.00 J9263
25021-0211-20 SAG 39930 Oxaliplatin 50Mg Sdv Lyo 210.00 J9263
63323-0650-10 FRE 36145 Oxaliplatin 50Mg/10Ml Sdv Sol 268.80 J9263
00069-0074-01 PFI 39940 Oxaliplatin 50Mg/10Ml Sdv Sol 120.00 J9263
61703-0363-18 HOS 33907 Oxaliplatin 50Mg/10Ml Sdv Sol 103.96 J9263
61703-0342-22 HOS 24648 Paclitaxel 100Mg/16.7Ml Md Sol 21.98 J9265
63323-0763-16 FRE 34400 Paclitaxel 100Mg/20Ml Mdv Sol 51.83 J9265
63323-0763-50 FRE 34401 Paclitaxel 300Mg/50Ml Mdv Sol 155.16 J9265
61703-0342-50 HOS 24647 Paclitaxel 300Mg/50Ml Mdv Sol 56.00 J9265
63323-0763-05 FRE 34399 Paclitaxel 30Mg/5Ml Mdv Sol 15.52 J9265
61703-0342-09 HOS 24958 Paclitaxel 30Mg/5Ml Mdv Sol 9.91 J9265
00069-0078-01 PFI 40061 Paclitaxel P/F 300Mg/50Ml Mdv 120.00 J9265
00386-0008-03 GEB 26843 Pain Ease 3.5Oz Spray 27.50
00386-0008-02 GEB 32320 Pain Ease Spray Mist 3.5 Oz 27.50
63323-0734-10 FRE 22161 Pamidronate 30Mg/10Ml Sdv Sol 42.30 J2430
61703-0325-18 HOS 23054 Pamidronate 60Mg/10Ml Sdv Sol 33.65 J2430
63323-0735-10 FRE 22162 Pamidronate 90Mg/10Ml Sdv Sol 126.72 J2430
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE