NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
68382-0423-06 ZYD 41551 Ranitidine 150Mg/6Ml Mdv Sol
8.69
J2780
68382-0422-02 ZYD 41552 Ranitidine 50Mg/2Ml Vl 10/Pk
37.42
J2780
44087-0044-03 EMD 23013 Rebif 44Mcg/0.5Ml Pfs 12/Pk ( R )
5424.00
00078-0435-61 NOV 30069 Reclast 5Mg Vl 100Ml
1300.60
Q2051
00944-2843-10 BAX 39046 Recombinate Pds 1080Iu 5Ml Vl ( R )
1.63
J7192
00006-4981-00 MER 13770 Recombivax 5Mcg P/F Sdv 10/Pk ( R )
278.45
90744
28400-0105-41 THE 34279 Recothrom 5000Iu Kit
103.20
00023-9205-15 ALL 30960 Refresh Liq Gel Drp 15 Ml
8.81
00023-0798-15 ALL 30961 Refresh Tears Drp 15 Ml
8.81
65649-0551-02 SAL 38795 Relistor 12Mg Vl
71.46
57894-0030-01 JOM 10026 Remicade 100Mg 20Ml Vl ( R )
1012.26
J1745
00062-0275-01 VAL 34942 Retin A 0.1% Crm 45Gm Ea
366.40
59572-0410-00 CEL 27937 Revlimid 10Mg 100/Btl
50337.61
59572-0410-28 CEL 33877 Revlimid 10Mg Cap 28/Btl
14094.53
59572-0415-00 CEL 28335 Revlimid 15Mg Cap 100
50542.91
59572-0415-21 CEL 28334 Revlimid 15Mg Cap 21
10614.01
59572-0402-00 CEL 39486 Revlimid 2.5Mg Cap 100/Btl
49487.70
59572-0402-28 CEL 39485 Revlimid 2.5Mg Cap 28/Btl
13856.56
59572-0420-00 CEL 41259 Revlimid 20Mg Cap 100
51039.78
59572-0420-21 CEL 41258 Revlimid 20Mg Cap 21
10718.36
59572-0425-00 CEL 28330 Revlimid 25Mg Cap 100
51039.78
59572-0425-21 CEL 33878 Revlimid 25Mg Cap 21/Btl
10718.36
59572-0405-00 CEL 27935 Revlimid 5Mg 100/Btl
49487.70
59572-0405-28 CEL 33876 Revlimid 5Mg Cap 28/Btl
13856.56
00009-0436-01 PFI
41403 R-Gene 10 300Ml Vl
36.32
66435-0107-99 KAD 41771 Ribapak 600/600 Mg Tab Bp 56
1384.02
68382-0260-07 ZYD 30571 Ribavirin 200Mg Cap 56
556.29
67457-0177-50 MYL 30224 Rimso-50 Vl 50Ml Ea
113.43
J1212
00093-0221-06 TEV 33401 Risperidone 0.25Mg Tab 60
234.10
50242-0051-21 GEN 10152 Rituxan 100Mg Vl 10Ml ( R )
801.28
J9310
50242-0053-06 GEN 10151 Rituxan 500Mg Vl 50Ml ( R )
4006.38
J9310
63807-0100-11 EXC 34545 Saline Pf Syr 10Ml 30X10Ml
3.59
59148-0020-50 OTS 41218 Samsca 15Mg Tab 10 Blisterpack
3440.40
42747-0726-01 PRO 33561 Sancuso 3.1Mg Patch
444.00
00078-0340-61 NOV 25195 Sandostat Lar 10Mg Dil Pfs Kit ( R )
2448.29
J2353
00078-0341-61 NOV 25260 Sandostat Lar 20Mg Dil Pfs Kit ( R )
3207.67
J2353
00078-0342-61 NOV 25143 Sandostat Lar 30Mg Dil Pfs Kit ( R )
4803.25
J2353
00078-0181-01 NOV 23329 Sandostatin 0.1Mg/Ml Amp10X1Ml ( R )
254.02
J2354
00078-0184-25 NOV 13318 Sandostatin 1Mg/Ml Mdv 5Ml ( R )
1288.54
J2354
00078-0183-25 NOV 10900 Sandostatin 200Mcg/Ml Mdv 5Ml ( R )
261.88
J2354
55513-0073-30 AMG 24632 Sensipar 30Mg Tablets 30
559.08
00310-0280-60 AST 37107 Seroquel Xr 50Mg Tab 60
460.84
59762-4910-01 GRE 28359 Sertraline 100Mg Tab 30/Btl
81.37
59762-4960-01 GRE 29369 Sertraline 25Mg Tab 30
81.37
59762-4900-01 GRE 28358 Sertraline 50Mg Tab 30/Btl
81.37
80196-0296-60 MED 41805 Silvasorb Wound Gel 1.5Oz
67877-0124-20 ASC 37181 Silver Sulf 1% Crm 20Gm
43598-0210-55 DR 41137 Silver Sulfadiaz 1% Jarcrm50Gm
14.88
43598-0210-85 DR 39291 Silver Sulfadiaz 1%Tubecrm85Gm
26.47
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,35,36,37,38,39,40,41,42,43,44 46,47,48,49,50,51,52,53,54,55,...112