NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
43598-0210-40 DR 38515 Silver Sulfadiaz Crm 400Gm
63.59
57894-0350-01 JOM 41463 Simponi Aria 50Mg/4Ml Vl Ea ( R )
1380.00
68382-0067-16 ZYD 35085 Simvastatin 20Mg Tab 90
442.80
68382-0068-16 ZYD 36957 Simvastatin 40Mg Tab 90
442.80
53746-0272-01 AMN 38000 Smz/Tmp 800/160Mg Tab 100/Btl
115.40
00409-3299-05 HOS 26282 Sod Acet 2Meq/Ml Ftv 25X50Ml
69.00
00409-6625-02 HOS 26054 Sod Bic 8.4% Ftv 25X50Ml
47.40
00409-6637-34 HOS 26736 Sod Bic 8.4% Ls Syg 10X50Ml
74.40
00409-7101-02 HOS 27114 Sod Chl 0.9% Adv Bag 24X250Ml
70.85 J7030 , J7040 , J7050
00338-0054-03 BAX 10328 Sod Chl 3% Sol 24X500Ml
66.82
J3490
00338-6304-03 BAX 41550 Sod Chl Aviva 6E1323 24X500Ml
4.20 J7030 , J7040 , J7050
00409-1966-12 HOS 37054 Sod Chl Bact 0.9%Vl 25X10Ml
32.70
64253-0202-30 MED 40651 Sod Chl Inj Usp .9% Pfs 60/Bx
241.20
J3490
08290-3065-53 BEC 41899 Sod Chl Iv Flush 10Ml 240/Cs
36.60
00264-7865-00 B.B 35000 Sod Chl Kcl 20Meg L8650 12/Cs
3.20
J3480
00409-7983-25 HOS 34746 Sod Chl Viv .9% 24X250Ml
36.00 J7030 , J7040 , J7050
00591-0149-87 ACT 39476 Sod Fer Glu Cpinj 62.5Mg10X5Ml
381.60
J2916
00409-7391-72 HOS 28117 Sod Phos 45Mm Ftv 25X15Ml
157.50
25682-0001-01 ALE 29525 Soliris 300Mg/30Ml Non-Return ( R )
7000.80
J1300
00009-0825-01 PFI
10671 Solu Cortef 100Mg Vl
5.30
J1720
00009-0005-01 PFI
35899 Solu Cortef P/F 1000Mg Aov 8Ml
50.41
J1720
00009-0011-03 PFI
35894 Solu Cortef P/F 100Mg Aov 2Ml
6.84
J1720
00009-0013-05 PFI
35896 Solu Cortef P/F 250Mg Aov 2Ml
12.12
J1720
00009-0011-04 PFI
35895 Solu Cortef P/F100Mg Aov25X2Ml
171.10
J1720
00009-0698-01 PFI
10675 Solu Medrol 1000 Wo/Dil Vl
25.66
J2930
00009-0047-22 PFI
35681 Solu Medrol 125Mg Aov P/F25/Pk
145.84
J2930
00009-0018-20 PFI
35683 Solu Medrol 1Gm Aov P/F 8Ml
34.80
J2930
00009-0003-02 PFI
35682 Solu Medrol 500Mg Aov P/F 4Ml
21.95
J2930
00009-0758-01 PFI
10674 Solu Medrol Mdv 500Mg Vl
13.55
J2930
00009-0796-01 PFI
10693 Solu Medrol/D 2Gm Vl
56.03
J2930
00009-0039-28 PFI
35680 Solu Medrol40Mg Aovp/F1Ml25/Bx
90.44
J2920
65162-0511-10 AMN 41451 Spironolact 25Mg Tab 100
45.99
00003-0852-22 BRI
32303 Sprycel 100Mg Tab 30
10607.51
00003-0857-22 BRI
37454 Sprycel 140Mg Tab 30
10607.51
00003-0527-11 BRI
28315 Sprycel 20Mg Tab 60/Btl
5667.26
00003-0528-11 BRI
28316 Sprycel 50Mg Tab 60/Btl
11334.50
00003-0524-11 BRI
28317 Sprycel 70Mg Tab 60/Btl
11334.50
57894-0060-03 JOM 35548 Stelara 45Mg Pfs 0.5Ml ( R )
8277.18
J3357
63807-0100-91 EXC 37737 Sterile Saline Pfs 280/Cs
00053-6871-00 CSL 36136 Stimate Nasal 1.5Mg Spy 2.5Ml
682.80
50419-0171-03 BAY 40073 Stivarga 40Mg Tab 84/Ctn
11781.00
00002-3239-30 ELI
25504 Strattera 60Mg Cap 30/Btl
265.68
29033-0003-01 NOS 38346 Sucralfate 1Gm Tab 100
72.95
63304-0099-19 RAN 38980 Sumatriptan 100Mg Tab 9
226.26
00069-0550-38 PFI
28370 Sutent 12.5Mg Caps 28/Btl
3676.13
00069-0770-38 PFI
28369 Sutent 25Mg Caps 28/Btl
7352.24
00069-0980-38 PFI
28368 Sutent 50Mg Caps 28/Btl
13559.57
00085-1388-01 MER 37931 Sylatron 296 Mcg Sdv W Dil
1391.54
00085-1287-02 MER 37933 Sylatron 444 Mcg Sdv W Dil
2087.30
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,36,37,38,39,40,41,42,43,44,45 47,48,49,50,51,52,53,54,55,56,...112