NDC/PCode/UPC Mfr.
Item # Description
AWP Pkg
J-Code
00409-2053-10 HOS 26199 KETAMINE 50MG/ML VL 10X10ML
49.80
J3490
00781-5404-01 SAN 40613 LORAZEPAM 0.5MG TAB 100
67.75
00781-5406-01 SAN 40614 LORAZEPAM 1MG TAB 100
88.25
00641-6046-10 WES 39697 LORAZEPAM 2MG/ML VL 10X10ML
81.36
J2060
00409-6778-02 HOS 27601 LORAZEPAM 2MG/ML VL 10X1ML
11.04
J2060
00641-6044-25 WES 39696 LORAZEPAM 2MG/ML VL 25X1ML
22.50
J2060
00641-6045-25 WES 39698 LORAZEPAM 4MG/ML VL 25X1ML
54.00
J2060
00071-1018-68 PFI
29887 LYRICA 300MG CAP 90
395.59
00071-1013-68 PFI
29888 LYRICA 50MG CAP 90
395.59
00071-1014-68 PFI
27414 LYRICA 75MG CAPS 90
395.59
00641-6052-25 WES 38984 MEPERIDINE 25MG/ML VL 25X1ML
36.00
J2175
00641-6053-25 WES 38982 MEPERIDINE 50MG/ML VL 25X1ML
37.50
J2175
00406-5755-01 MAL 40483 METHADONE 5MG TAB 100
8.68
00406-5771-01 MAL 31661 METHADONE HCL 10 MG TAB 100
14.10
00409-2305-05 HOS 27405 MIDAZOLAM 1MG/ML SDV 10X5ML
9.84
J2250
00409-2587-05 HOS 27630 MIDAZOLAM 1MG/ML VL 10X10ML
20.52
J2250
55253-0801-30 TEV 41744 MODAFINIL 100MG TAB 30
662.04
55253-0802-30 TEV 41745 MODAFINIL 200MG TAB 30
1000.08
00641-6068-01 WES 39227 MORPH SUL 10MG/ML MDV 10ML EA
7.68
00641-6070-25 WES 39219 MORPH SUL 10MG/ML SDV 25X1ML
30.30
00406-8315-01 MAL 33707 MORPH SUL 15MG ER TAB 100/BTL
167.57
00641-6071-25 WES 39445 MORPH SUL 15MG/ML SDV 25X1ML
31.20
00641-6073-25 WES 39223 MORPH SUL 5MG/ML SDV 25X1ML
29.70
00641-6075-25 WES 39446 MORPH SUL 8MG/ML SDV 25X1ML
33.60
00409-1890-01 HOS 40272 MORPHINE 2MG/ML P/F CJ 10X1ML
21.60
J2270
42858-0802-01 RHO 40910 MORPHINE 30MG ER TAB 100/BTL
169.84
00409-1891-01 HOS 40273 MORPHINE 4MG/ML P/F CJ 10X1ML
21.60
J2270
00054-0235-25 ROX 35482 MORPHINE SULF IR 15MG TAB 100
18.32
50458-0820-04 JOM 37103 NUCYNTA 50MG TAB 100
287.45
50458-0830-04 JOM 34994 NUCYNTA 75MG TAB 100
336.49
53746-0204-01 AMN 41297 OXYCOD/APAP 10/325MG TAB 100
355.08
10702-0056-01 KVK 37569 OXYCODONE 10MG TAB 100
62.50
00378-6113-01 MYL 41748 OXYCODONE 15MG TAB 100
121.27
00378-6112-01 MYL 40569 OXYCODONE 5MG TAB 100
47.94
66689-0401-50 VIS 39752 OXYCODONE 5MG/5ML SOL 50X5MLUD
223.75
00406-0512-01 MAL 21013 OXYCODONE/APAP 5/325MG TAB 100
136.87
00406-0522-01 MAL 30613 OXYCODONE/APAP7.5/325MG TAB100
271.54
59011-0410-10 PUR 36641 OXYCONTIN 10MG TAB 100/BTL
255.83
10702-0025-01 KVK 34252 PHENTERMINE 37.5MG B/W TAB 100
154.25
50383-0804-16 HI-
40735 PROMETH/COD 6.25/10MG SYR 16OZ
32.75
00378-4010-01 MYL 28160 TEMAZEPAM 15MG CAP 100
73.45
00378-5050-01 MYL 14760 TEMAZEPAM 30MG CAP 100
88.45
51079-0419-20 UDL 14431 TEMAZEPAM 30MG CAP UD 100
83.33
00574-0820-10 PAD 34777 TESTOSTERONE CYP200MG/MLVL10ML
101.39
J1080
57664-0377-08 CAR 40304 TRAMADOL HCL 50MG TABLET 100
83.81
59762-3718-04 GRE 24284 TRIAZOLAM 0.25MG UOU TB 10X10
274.23
00378-5310-01 MYL 37700 ZOLPIDEM TART 10MG TAB 100
461.95
00378-5305-01 MYL 37699 ZOLPIDEM TART 5MG TAB 100
461.95
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE
1...,43,44,45,46,47,48,49,50,51,52 54,55,56,57,58,59,60,61,62,63,...112