NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00054-4742-25 ROX 21917 Prednisone 2.5Mg Tab 100
6.53
J7506
00054-0018-20 ROX 31369 Prednisone 20Mg Tab Ud 100/Pk
17.41
J7506
00054-0019-25 ROX 25798 Prednisone 50Mg Tab 100
30.76
J7506
00143-1475-01 WES 29246 Prednisone 5Mg Tab 100
6.50
J7506
00143-9740-01 WES 41705 Prednisone 5Mg Tab 100
22.61
J7506
00046-0749-05 PFI
14509 Premarin Iv 25Mg 5Ml Vl ( R )
189.08
J1410
00005-1971-02 PFI
38983 Prevnar-13 Pfs 10X0.5Ml ( R )
1620.66
90670
37000-0455-04 AME 30138 Prilosec Otc Tab 42/Pk
28.96
44206-0437-10 CSL 31316 Privigen 10Gm Sdv
1400.26
J1459
44206-0438-20 CSL 31317 Privigen 20Gm Sdv
2800.51
J1459
44206-0436-05 CSL 31315 Privigen 5Gm Sdv
700.13
J1459
59310-0579-22 TEV 40430 Proair Hfa 90Mcg Inh 8.5Gm
53.42
00378-0156-01 MYL 14750 Probenecid 500Mg Tab 100
114.56
00781-5021-01 SAN 25320 Prochlorperaz 10Mg Tab 100/Btl
89.00
Q0165
51079-0542-20 MYL 30552 Prochlorperaz 10Mg Tab Ud 100
92.08
Q0165
00093-9643-01 TEV 11742 Prochlorperaz 5Mg Tab 100/Btl
54.18
Q0164
55390-0077-10 BED 25358 Prochlorperaz 5Mg/Ml Vl 10X2Ml
55.20
J0780
59676-0312-04 ORT 31310 Procrit 10M Un/Ml 2Ml Mdv 4/Pk ( R )
1946.88 , J0885 , J0886 , Q4081
59676-0310-02 ORT 11190 Procrit 10M Un/Ml Vl 25X1Ml ( R )
6084.00 J0885 , J0886 , Q4081
59676-0310-01 ORT 10510 Procrit 10M Un/Ml Vl 6X1Ml ( R )
1460.16 J0885 , J0886 , Q4081
59676-0340-01 ORT 24637 Procrit 40M Un/Ml 4X1Ml For Pf ( R )
3893.76 J0885 , J0886 , Q4081
59676-0340-01 ORT 10982 Procrit 40M Un/Ml Vl 4X1Ml ( R )
3893.76 J0885 , J0886 , Q4081
59676-0304-01 ORT 10509 Procrit 4M Un/Ml Vl 6X1Ml ( R )
584.06 J0885 , J0886 , Q4081
59676-0320-04 ORT 30697 Procrit20M Un/Ml 4X1Ml For Pf ( R )
1946.88 J0885 , J0886 , Q4081
59676-0320-04 ORT 30696 Procrit20M Un/Ml Mdv 4X1Ml ( R )
1946.88 J0885 , J0886 , Q4081
68220-0143-15 MED 41142 Proctofoam Aerosol 15Gm
57.61
68516-3201-01 GRI
38891 Profilnine Sd Pds 500Iu Vl ( R )
1.19
J7194
68516-3201-01 GRI
37683 Profilnine Sd Pds 530Iu Vl ( R )
1.19
J7194
65483-0116-07 PRO 39000 Proleukin 22Mm Iu Vl ( R )
2174.15
J9015
55513-0710-01 AMG 38610 Prolia Uro Onc 60Mg Syg ( R )
1008.84
J0897
00007-4643-13 GLA 39011 Promacta 12.5Mg Tab 30
3056.29
00007-4640-13 GLA 33374 Promacta 25Mg Tab 30
3056.29
00007-4641-13 GLA 33378 Promacta 50Mg Tab 30
6112.57
00007-4642-13 GLA 35704 Promacta 75Mg Tab 30
9168.86
68382-0040-01 ZYD 36409 Promethazine 12.5Mg Tab 100
49.00
68382-0041-01 ZYD 30170 Promethazine 25Mg Tab 100
50.64
00641-1495-35 WES 11151 Promethazine 25Mg/Ml Amp25X1Ml
39.60
J2550
00641-1496-35 WES 13453 Promethazine 50Mg/Ml Amp25X1Ml
55.50
J2550
00713-0526-12 G&W 26258 Promethegan 25Mg Supp 12/Pk ( R )
212.46
00008-0923-55 HEM 25449 Protonix Iv 40Mg Vl 10/Pk
60.00
J3490
30237-8900-06 DEN 38849 Provenge 250Ml Sus ( R )
41307.60
Q2043
42546-0130-90 PRU 36465 Prutect Topic Eml 90Gm
53.18
9652
BIR 39366 Purell Sanitz Orgn 8Oz
61748-0012-01 VER 21472 Pyrazinamide 500Mg Tab 100
285.72
63323-0180-01 FRE 31780 Pyridoxine Vit B6 100Mg 25X1Ml
280.94
J3415
AME 26244 Pyxis 4X3 Thermal Label 930/Rl
AME 22493 Pyxis Thermal Paper Roll
00603-0823-58 QUA 35687 Q-Dryl 12.5Mg/5Ml Elx 16Oz
4.66
53746-0253-60 AMN 34822 Ranitidine 150Mg Tab 60
91.97
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,34,35,36,37,38,39,40,41,42,43 45,46,47,48,49,50,51,52,53,54,...112