NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
AME 20582 Thermal Labels 4X2 750/Roll
63323-0013-02 FRE 13701 Thiamine 100Mg/Ml Mdv 25X2Ml
310.94
J3411
58468-1849-04 GEN 18484 Thyrogen Sdv 2X1.1Ml ( R )
2751.60
J3240
00456-0461-01 FOR 13422 Thyroid 2 Grain Tab 100
32.41
61314-0227-15 SAN 22095 Timolol 0.5% O/S 15Ml Ea
48.75
68462-0109-60 GLE 35608 Topiramate 100Mg Tab 60
362.47
00703-5653-01 TEV 10374 Toposar 100Mg/5Ml Mdv Sol
11.24
J9181 , J9182
00703-5657-01 TEV 19384 Toposar 1Gm/50Ml Mdv Sol
91.18
J9181 , J9182
00703-5656-01 TEV 10696 Toposar 500Mg/25Ml Mdv Sol
45.59
J9181 , J9182
25021-0206-06 SAG 37169 Topotecan 4 Mg Sdv Pwd 8Ml
360.00
J9351
63323-0762-17 FRE 37155 Topotecan 4Mg/10Ml Sdv 5/Pk
1410.00
J9351
63323-0762-10 FRE 37154 Topotecan 4Mg/10Ml Singles
282.00
J9351
00409-0302-01 HOS 37148 Topotecan 4Mg/4Ml Vl ( R )
296.96
J9351
00008-1179-01 HEM 30179 Torisel 25Mg Inj Kit W/Dil ( R )
1653.06
J9330
38423-0110-01 APR 30656 Totect Extravasation Kit
8125.00
J1190
10019-0553-01 BAX 33655 Transderm Scop 1.5Mg Pat 10/Pk
191.40
50111-0433-01 TEV 20092 Trazodone 50Mg Tab100
56.52
63459-0391-20 TEV 31693 Treanda 100Mg Vl 20Ml
2460.00
J9033
63459-0390-08 TEV 35244 Treanda 25Mg Vl 8Ml
615.00
J9033
52544-0092-76 ACT 35848 Trelstar 6Month 22.5Mg Mixject
5855.33
J3315
52544-0189-76 ACT 32203 Trelstar Depot 3.75Mg Mixject
975.89
J3315
52544-0188-76 ACT 32204 Trelstar La 11.25Mg Mixject
2927.66
J3315
45802-0182-42 PER 40383 Tretinoin .025% Crm 45Gm
82.05
45802-0361-42 PER 30765 Tretinoin 0.05% Crm 45Gm
94.28
45802-0183-42 PER 30328 Tretinoin 0.1% Crm 45Gm
109.90
00555-0808-02 TEV 31513 Tretinoin 10Mg Cap 100
2988.16
45802-0063-35 PER 17564 Triamcino Ace 0.025% Crm 15Gm
4.45
45802-0055-35 PER 21284 Triamcinolone 0.1% Oint 15Gm
5.57
45802-0064-35 PER 13326 Triamcinolone Ace 0.1% Crm15Gm
5.57
45802-0065-35 PER 17857 Triamcinolone Crm 0.5% 15Gm
10.11
00781-2715-01 SAN 22287 Triamter/Hctz 50/25 R Cap 100
207.68
45802-0061-70 AME 10683 Triple Antib Foil Ont 144X.9Gm
39.99
00168-0012-35 SAN 13513 Triple Antibiotic Oint 15Gm
4.61
63459-0600-10 TEV 28355 Trisenox 10Mg/10Ml Amp 10X10Ml
5644.80
J9017
00766-0741-52 GLA 11067 Tums R/S Fruit Tab 150/Pk
4.42
00173-0752-00 GLA 29383 Tykerb 250Mg Tab 150
5632.31
50580-0449-09 JOH 16913 Tylenol 500Mg Capl 100
10.12
58337-0003-01 CRU 14025 Typhoid Vivotif Oral 4 Dose Pk ( R )
53.12
64406-0008-01 BIO 41409 Tysabri 300Mg 15Ml Vl ( R )
5296.80
J2323
58914-0785-10 AXC 22859 Urso 250Mg Tab 100/Btl
354.78
60429-0138-01 GOL 41488 Ursodiol 300Mg Cap 100
71.10
00591-3249-30 ACT 39973 Valacyclovir 1000Mg Tab 30
182.24
63304-0904-30 RAN 35224 Valacyclovir 500Mg Tab 30
216.72
67979-0001-01 END 34716 Valstar 200Mg/5Ml Sdv 4X5Ml ( R )
4881.36
J9357
63323-0284-20 FRE 11470 Vancomycin 1Gm Sdv 10X20Ml
156.00
J3370
00409-6533-01 HOS 26111 Vancomycin 1Gm Sdv Ftv 10/Bx
47.28
J3370
63323-0221-10 FRE 10103 Vancomycin 500Mg 25X10Ml Vl
210.00
J3370
00409-4332-01 HOS 26216 Vancomycin 500Mg Sdvftv 10/Bx
30.24
J3370
00409-6509-01 HOS 26410 Vancomycin 5Gm Vl
24.58
J3370
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,38,39,40,41,42,43,44,45,46,47 49,50,51,52,53,54,55,56,57,58,...112