NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00173-0804-09 GLA 35014 Votrient 200Mg Tab 120
8556.42
54092-0701-04 SHI
36010 Vpriv 400 Units/Vl Sdv ( R )
1652.40
J3385
00544-8209-31 SIG 37838 Vsl # 3 Cap 60
38.80
51672-4035-01 TAR 28093 Warfarin Sod 10Mg Tab 100
99.74
51672-4027-01 TAR 28087 Warfarin Sod 1Mg Tab 100
60.81
51672-4029-01 TAR 28089 Warfarin Sod 2.5Mg Tab 100
65.41
51672-4028-01 TAR 28088 Warfarin Sod 2Mg Tab 100
63.45
51672-4030-01 TAR 29244 Warfarin Sod 3 Mg Tab 100
65.69
51672-4031-01 TAR 28090 Warfarin Sod 4Mg Tab 100
65.86
51672-4032-01 TAR 28091 Warfarin Sod 5Mg Tab 100
67.43
00338-0004-04 BAX 10588 Water Ster Irr 12X1000Ml
31.68
00264-2101-70 B.B 40435 Water Str Irr R5007 4L 4/Cs
10.39
53270-3100-01 CAN 36052 Winrho Sdf Liq 1000Mcg 5000Iu ( R )
1351.72
J2792
53270-3000-01 CAN 36053 Winrho Sdf Liq 3000Mcg 15000Iu ( R )
4055.14
J2792
53270-3300-01 CAN 36054 Winrho Sdf Liq 300Mcg 1500Iu ( R )
403.01
J2792
53270-3500-01 CAN 36055 Winrho Sdf Liq 500Mcg 2500Iu ( R )
675.85
J2792
00069-8141-20 PFI
40178 Xalkori 200Mg Cap 60
13045.37
00069-8140-20 PFI
40179 Xalkori 250Mg Cap 60
13045.37
50458-0580-30 JOM 39436 Xarelto 10Mg Tab 30
318.46
50458-0578-30 JOM 39435 Xarelto 15Mg Tab 30
318.46
50458-0579-30 JOM 39422 Xarelto 20Mg Tab 30
318.46
00004-1100-20 GEN 24825 Xeloda 150Mg Tabs 60/Btl
717.86
J8520
00004-1101-50 GEN 24826 Xeloda 500Mg Tabs 120/Btl
4785.16
J8521
55513-0730-01 AMG 37145 Xgeva 120Mg Sdv 1.7Ml ( R )
2017.68
J0897
00469-0125-99 AST 40086 Xtandi 40Mg Cap 120
9467.46
63323-0498-89 FRE 35583 Xylocaine 2% Amp 10X5Ml
46.32
J3490
63323-0486-57 FRE 37631 Xylocaine 2% Mdv 25X50Ml
186.00
J3490
00003-2328-22 BRI
37721 Yervoy 200Mg/40Ml 1X40Ml Vl ( R )
30115.54
J9228
00003-2327-11 BRI
37717 Yervoy 50Mg/10Ml 1X10Ml Vl ( R )
7528.88
J9228
00024-5840-01 AVE 39971 Zaltrap 100Mg/4Ml Sdv Sol ( R )
1920.00
NEW01
00024-5841-01 AVE 39972 Zaltrap 200Mg/8Ml Sdv Sol ( R )
3840.00
NEW01
00703-4636-01 TEV 24180 Zanosar 1Gm Vl Pwd ( R )
419.08
J9320
00173-0363-01 COV 11045 Zantac 150Mg/6Ml Mdv Sol
9.26
J2780
00173-0363-00 COV 11447 Zantac 1Gm/40Ml Vl Sol
60.54
J2780
00173-0362-38 COV 11435 Zantac 50Mg/2Ml Vl 10/Pk Sol
39.91
J2780
50242-0090-01 GEN 38631 Zelboraf 240Mg Tab 120
6510.48
42865-0105-02 EUR 38846 Zenpep 25000U Cap 100
582.53
66582-0414-31 MER 23169 Zetia 10Mg Tab 30/Btl
196.37
00536-6671-01 ACT 37883 Zinc Chel 50Mg Tab 100
2.85
00013-8717-62 PFI
34717 Zinecard 250Mg/Ml Sdv
281.86
J1190
00013-8727-89 PFI
34718 Zinecard 500Mg/Ml Sdv
563.72
J1190
00173-0442-00 GLA 11427 Zofran 2Mg/Ml Mdv 20Ml
256.40
J2405
00310-0951-30 AST 23350 Zoladex 10.8Mg Sfty Syg
1488.94
J9202
00310-0950-36 AST 23351 Zoladex 3.6Mg Sfty Syg
496.31
J9202
25021-0826-82 SAG 40684 Zoledronic 4Mg/100Ml Bag
600.00
Q2051
42023-0151-01 JHP 40763 Zoledronic 4Mg/5Ml Vl
600.00
Q2051
23155-0170-31 HER 41151 Zoledronic 4Mg/5Ml Vl
960.00
Q2051
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,40,41,42,43,44,45,46,47,48,49 51,52,53,54,55,56,57,58,59,60,...112