NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
61703-0326-18 HOS 26730 Pamidronate 90Mg/10Ml Sdv Sol
43.02
J2430
61703-0324-18 HOS 30768 Pamidronate Sol 3Mg/Ml10Mlea
14.34
J2430
00008-0607-01 ESI
31783 Pantoprazole 40Mg Tab 90
39.06
68382-0098-06 ZYD 30574 Paroxetine 20Mg Tab 30
81.99
00006-4897-00 MER 13760 Pedvax Hib 10X1Dose Sdv ( R )
273.23
90647
10572-0100-01 AFF 35463 Peg-3350 Pwd 4000Ml
16.46
00004-0357-30 GEN 38837 Pegasys 180Mcg Pfs 4X.5Ml ( R )
3702.10
00004-0350-09 GEN 22862 Pegasys 180Mcg/Ml Vl 1Ml ( R )
925.52
00085-1304-01 MER 19475 Peg-Intron 120Ug/.5Ml Pwdw/Dil
846.19
00085-1368-01 MER 19473 Peg-Intron 50Ug/0.5Ml Pwdw/Dil
767.57
00085-1291-01 MER 19474 Peg-Intron 80Ug/0.5Ml Pwdw/Dil
805.86
00085-1297-01 MER 24570 Peg-Intron Redipen 120Ug/.5Ml ( R )
846.19
00085-1370-01 MER 24573 Peg-Intron Redipen 150Ug/.5Ml ( R )
888.53
00085-1316-01 MER 24571 Peg-Intron Redipen 80Ug/.5Ml ( R )
805.86
00781-1655-01 SAN 23420 Penicil Vk 500Mg Tab 100/Btl
77.77
63323-0113-10 FRE 23812 Pentam 300 Sdv P/F 15Ml 10/Pk
1185.00
J2545
50242-0145-01 GEN 39679 Perjeta 420Mg/14Ml Sdv ( R )
4890.79
NEW08
50222-0503-47 LEO 40800 Picato 0.05% Gel 2X0.47Gm ( R )
765.77
00054-0056-25 ROX 41672 Pilocarpine 5Mg Tab 100
152.28
44567-0801-10 WG 41132 Piperacil/Taz 2.25Gm 10X20Ml
87.96
J2543
00006-4739-00 MER 10486 Pneumovax 23 5Dose Vl 2.5Ml ( R )
409.74
90732
00006-4943-00 MER 10355 Pneumovax 23 Vl 10X0.5Ml ( R )
819.44
90732
51991-0457-58 BRE 31272 Polyethyl Gly 3350 Pwd 255Gm
21.91
60258-0185-01 CYP 40572 Poly-Iron 150Mg Cap 100
27.95
59572-0501-00 CEL 40662 Pomalyst 1Mg Cap 100
59688.00
59572-0501-21 CEL 40661 Pomalyst 1Mg Cap 21
12534.48
59572-0502-00 CEL 40664 Pomalyst 2Mg Cap 100
59688.00
59572-0502-21 CEL 40663 Pomalyst 2Mg Cap 21
12534.48
59572-0503-00 CEL 40666 Pomalyst 3Mg Cap 100
59688.00
59572-0503-21 CEL 40665 Pomalyst 3Mg Cap 21
12534.48
59572-0504-00 CEL 40668 Pomalyst 4Mg Cap 100
59688.00
59572-0504-21 CEL 40667 Pomalyst 4Mg Cap 21
12534.48
00409-6635-01 HOS 31925 Pot Chl 10Meq Ftv 25X5Ml
47.40
J3480
00409-7115-09 HOS 36647 Pot Chl 20Meq 1000Ml 12/Cs
39.31
J3480
00409-6651-06 HOS 27420 Pot Chl 20Meq Ftv 25X10Ml
36.30
J3480
63323-0965-10 FRE 11489 Pot Chl 2Meq/Ml 25X10Ml
30.00
J3480
63323-0965-20 FRE 18731 Pot Chl 2Meq/Ml 25X20Ml
47.10
J3480
63323-0967-30 FRE 28891 Pot Chl 2Meq/Ml Vl 25X30Ml
66.00
J3480
00409-3294-51 HOS 26414 Potassium Ace 2 Meq 25X50Ml
157.50
00781-5710-01 SAN 33536 Potassium Chl 10 Meq Tab 100
59.60
00781-5720-01 SAN 33497 Potassium Chl 20 Meq Tab 100
62.73
00781-1526-01 SAN 23498 Potassium Chl10Meq Tab 100/Btl
56.46
00597-0135-54 BOE 37190 Pradaxa 150Mg Cap 60
318.47
00597-0149-54 BOE 38864 Pradaxa 75Mg Cap 60
318.47
68180-0486-09 LUP 35132 Pravastatin 20Mg Tab 90
294.04
68180-0487-09 LUP 35940 Pravastatin 40Mg Tab 90
431.50
00603-5338-21 QUA 41452 Prednisone 10Mg Tab 100
21.83
00143-1473-01 WES 29298 Prednisone 10Mg Tab 100
8.40
J7506
00054-4741-25 ROX 25860 Prednisone 1Mg Tab 100
19.43
J7506
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
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