Page 47 - ecatalogJan14.indd
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NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00085-1312-01 MER 37935 Sylatron 888 Mcg Sdv W Dil
4174.61
63459-0177-14 TEV 40326 Synribo 3.5Mg Sdv 8Ml
1002.00
NEW02
00904-0530-60 MAJ 37881 Tab-A-Vite Red Tab 100
3.10
76388-0880-25 PRA 41586 Tabloid 40Mg Tab 25
376.80
50742-0207-01 ING 40588 Tacrolimus 0.5Mg Cap 100
222.98
J7507
00781-2103-01 SAN 34570 Tacrolimus 1 Mg Cap 100
445.95
J7507
00173-0846-08 GLA 41208 Tafinlar 50Mg Cap 120
6080.40
00173-0847-08 GLA 41280 Tafinlar 75Mg Cap 120
9120.00
00004-0800-85 GEN 18366 Tamiflu 75Mg B/Pk Uou Cap10/Bx
132.77
00093-0784-06 TEV 28104 Tamoxifen Cit 10Mg Tab 60
113.77
00093-0782-56 TEV 28103 Tamoxifen Cit 20Mg Tab 30
113.77
68382-0132-01 ZYD 36018 Tamsulosin 0.4Mg Cap 100
421.36
50242-0063-01 GEN 25589 Tarceva 100Mg Tab 30/Btl
6102.41
50242-0064-01 GEN 25588 Tarceva 150Mg Tab 30/Btl
6902.26
50242-0062-01 GEN 25590 Tarceva 25Mg Tab 30/Btl
2221.74
00078-0592-87 NOV 36168 Tasigna 150Mg Caps 4X28
9948.56
00078-0526-87 NOV 29593 Tasigna 200Mg Caps 4X28
9948.56
00075-8003-01 AVE 36904 Taxotere 20Mg Sdv
570.84
J9171
00075-8004-04 AVE 36905 Taxotere 80Mg Sdv
2283.31
J9171
00085-1366-04 MER 40478 Temodar 100Mg Cap Sachet 14
3771.83
J8700
00085-1366-03 MER 40462 Temodar 100Mg Cap Sachet 5
1347.06
J8700
00085-1425-04 MER 40530 Temodar 140Mg Cap Sachet 14
5280.54
J8700
00085-1425-03 MER 40436 Temodar 140Mg Cap Sachet 5
1885.90
J8700
00085-1430-04 MER 40437 Temodar 180Mg Cap Sachet 14
6789.25
J8700
00085-1430-03 MER 40445 Temodar 180Mg Cap Sachet 5
2424.72
J8700
00085-1519-04 MER 40473 Temodar 20Mg Cap Sachet 14
754.37
J8700
00085-1519-03 MER 40472 Temodar 20Mg Cap Sachet 5
269.45
J8700
00085-1417-02 MER 40529 Temodar 250Mg Cap Sachet 5
3368.59
J8700
00085-3004-04 MER 40694 Temodar 5Mg Cap Sachet 14
189.55
J8700
00085-3004-03 MER 40787 Temodar 5Mg Cap Sachet 5
66.88
J8700
00085-1381-01 MER 33836 Temodar Inj 100Mg Sdv Lyo ( R )
594.24
J9328
00781-2693-44 SAN 41558 Temozolomide 100Mg Cap 14 Btl
3536.09
J8700
00781-2693-75 SAN 41557 Temozolomide 100Mg Cap 5 Btl
1262.87
J8700
00781-2694-44 SAN 41560 Temozolomide 140Mg Cap 14 Btl
4950.51
J8700
00781-2694-75 SAN 41559 Temozolomide 140Mg Cap 5 Btl
1768.03
J8700
00781-2695-44 SAN 41562 Temozolomide 180Mg Cap 14 Btl
6364.92
J8700
00781-2695-75 SAN 41561 Temozolomide 180Mg Cap 5 Btl
2273.18
J8700
00781-2692-44 SAN 41556 Temozolomide 20Mg Cap 14 Btl
707.22
J8700
00781-2692-75 SAN 41555 Temozolomide 20Mg Cap 5 Btl
252.61
J8700
00093-7602-57 TEV 41649 Temozolomide 250Mg Cap 5 Btl
3031.73
J8700
00781-2696-75 SAN 41783 Temozolomide 250Mg Cap 5 Btl
3158.06
J8700
00781-2691-44 SAN 41554 Temozolomide 5Mg Cap 14 Btl
177.71
J8700
49281-0215-15 SAN 39081 Tenivac Td P/F Syg 10/Ctn.5 Ml ( R )
257.86
90714
31722-0209-01 CAM 35612 Terbinafine 250Mg Tab 100
1307.50
49281-0820-10 SAN 27634 Tetanus Tox A Sdv 10X0.5 Vl ( R )
460.10
90703
59572-0210-15 CEL 28391 Thalomid 100Mg Cap 28
8785.84
59572-0215-13 CEL 29565 Thalomid 150Mg Cap 28/Pk
9394.22
59572-0220-16 CEL 28392 Thalomid 200Mg Cap 28
10003.01
59572-0205-14 CEL 28390 Thalomid 50Mg Cap 28
5412.66
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
