drug prices 2018 - sprhc
Post on 04-Jun-2022
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Procedure
Code
Description NDC Number Charge
Type
Charge
4330000851 SODIUM CHLORIDE 0.45% W/ 20mEq
KCL in 1,000 ML BAG
00338067104A PREMIX $75.00
4330000000 NORMAL SALINE 0.45% 1,000 ML BAG 00409798509 IVF $75.00
4330000857 ABATACEPT 250 MG/10 ML VIAL 00003218710 CSPMED $3,661.88
4330000857 ABATACEPT 250 MG/10 ML VIAL 00003218710 CSP $3,711.88
4330000003 ACETAMINOPHEN IV 1000 MG/100 ML
*PREMIX*
43825010201 PREMIX $140.53
4330000001 ACETAMINOPHEN 120 MG SUPP 00713011812 UD $2.50
4330000002 ACETAMINOPHEN PEDS 160 MG/5ML
CUP
68094058759 UD $3.50
4330000004 ACETAMINOPHEN 325 MG TABLET 00904198261 UD $2.50
4330000005 ACETAMINOPHEN 500 MG TABLET 00904198861 UD $2.50
4330000006 ACETAMINOPHEN 650 MG SUPP 45802073032 UD $2.50
4330000007 acetaZOLAMIDE 250 MG TABLET 68084054101 UD $14.67
4330000008 acetaZOLAMIDE 500 MG SR CAPSULE 68084040121 UD $17.12
4330000009 ACETYLCYSTEINE 20% 30ML
ORAL/INHALATION
00409330803 UD $35.81
4330000010 ACETYLCYSTEINE 20% 30ML
INJECTION
63323096330 INJ $658.00
4330000010 ACETYLCYSTEINE 20% 30ML
INJECTION
63323096330 CSP $708.00
4330000011 ACETYLCYSTEINE 20% 4 ML
ORAL/INHALATION
63323069404 UD $44.77
4330000748 ACYCLOVIR 5% CREAM 5 GM TUBE 00187099445 BULK $2,787.75
4330000012 ACYCLOVIR 200MG CAPSULE 00093894001 UD $3.40
4330000013 ACYCLOVIR 500 MG/10ML INJ 55150015410 INJ $56.00
4330000013 ACYCLOVIR 500 MG/10ML INJ 55150015410 CSP $106.00
Drug Prices 2018
4330000665 ADENOSINE 6 MG/2ML VIAL 63323065102A INJ $38.33
4330000665 ADENOSINE 6 MG/2ML VIAL 63323065102A CSP $88.33
4330000014 FLUTICASONE 100 / SALMETEROL 50
(14 DISK BOX)
00173069504 BULK $584.64
4330000015 FULTICASONE 250 / SALMETEROL 50
(14 DISK BOX)
00173069604 BULK $584.64
4330000016 FLUTICASONE 500/ SALMETEROL 50
(14 DISK BOX)
00173069704 BULK $1,038.66
4330000759 DIPYRDAMOLE/ASPIRIN 200/25 MG
CAPSULE
00597000160 UD $30.45
4330000159 COMBIVENT
(ALBUTEROL/IPRATROPIUM) ORAL
00597002402 BULK $1,303.79
4330000743 ALBUTEROL *PED* 2.5 MG/0.5 ML NEB
SOL
50383074120 BULK $3.50
4330000017 ALBUMIN 25% 25GM/100ML BAG
*PREMIX*
00944049302 PREMIX $486.01
4330000018 ALBUTEROL 2.5 MG/3 ML NEB
SOLUTION
00487950160 UD $3.00
4330000019 ALBUTEROL 200 INH/8.5 GM 59310057922A BULK $208.50
4330000020 ALENDRONATE 70 MG TABLET 51079094205 UD $71.61
4330000021 ALFUZOSIN HCL 10 MG ER TAB 24H 47335095688 UD $2.50
4330000022 ALKA SELTZER GOLD 1 PKT (2 TABS) 16500004108 UD $2.50
4330000023 ALLOPURINOL 100 MG TABLET 51079020520 UD $2.50
4330000024 ALLOPURINOL 300 MG TABLET 51079020620 UD $2.66
4330000025 ALPRAZolam 0.25 MG TABLET 51079078820 CSPO $9.50
4330000026 ALPRAZolam 0.5 MG TABLET 00904585961 CSPO $9.50
4330000027 ALTEPLASE CATHFLO 2 MG VIAL 50242004164 CSP $585.71
4330000029 AMANTADINE HCL 100 MG CAPSULE 51079024720 UD $11.55
4330000031 aMILoride 5 MG TABLET 64980015101 UD $4.48
4330000773 AA 4.25%/CALCIUM/LYTES/D5W 1,000
ML IV BAG *PREMIX*
00338114403 PREMIX $131.60
4330000667 AMINOPHYLLINE 500 MG / 20 ML 00409592201 INJ $24.50
4330000667 AMINOPHYLLINE 500 MG / 20 ML 00409592201 CSP $74.50
4330000814 AMIODARONE 360 MG/200ML BAG
*PREMIX*
43066036020 PREMIX $161.49
4330000034 AMIODARONE 450 MG/9 ML VIAL (50
MG/ML)
63323061609 INJ $17.25
4330000034 AMIODARONE 450 MG/9 ML VIAL (50
MG/ML)
63323061609 CSP $65.33
4330000032 AMIODARONE 200 MG TABLET 00904655661A UD $2.50
4330000033 AMIODARONE HCL 150 MG/3ML VIAL 63323061603 INJ $17.25
4330000033 AMIODARONE HCL 150 MG/3ML VIAL 63323061603 CSP $54.94
4330000035 AMITRIPTYLINE 10 MG TABLET 51079013120 UD $2.50
4330000036 AMITRIPTYLINE 25 MG TABLET 00904020161 UD $2.50
4330000037 amLODIPine BESYLATE 5 MG TABLET 51079045120 UD $6.06
4330000038 AMMONIA AROMATIC 1 VAPOROLES 39822990001 UD $2.50
4330000040 AMOXICILLIN 250 MG/5 ML SUSP
100ML BOTTLE
00093415573 BULK $21.46
4330000039 AMOXICILLIN 250 MG CAPSULE 00093310701 UD $2.50
4330000041 AMOXICILLIN 500 MG CAPSULE 00093310953 UD $2.50
4330000834 AMPICILLIN 2,000 MG VIAL 67457035210 INJ $55.72
4330000834 AMPICILLIN 2,000 MG VIAL 67457035210 CSP $105.72
4330000043 AMPICILLIN 1,000 MG VIAL 44567010210 INJ $25.20
4330000043 AMPICILLIN 1,000 MG VIAL 44567010210 CSP $75.20
4330000046 HYDROCORTISONE 30 GM CREAM 64980030130 BULK $305.66
4330000045 ANUSOL HC (HYDROCORTISONE) 25
MG SUPPOSITORY
00574709012 UD $50.51
4330000835 APIXABAN 2.5 MG TABLET 00003089321 UD $24.43
4330000047 PETROLATUM,WHITE 50 APP/50 GM
TUBE
72140045231A BULK $19.04
4330000768 PETROLATUM,WHITE 400 APP/400 GM
JAR
72140003147A BULK $56.53
4330000048 ARIPiprazole 10 MG TAB 59148000813A UD $104.06
4330000049 ARTIFICIAL TEARS 15 ML BOT 300
DROP/15 ML BOTTLE
00536108494A BULK $15.33
4330000052 ASPIRIN ENTERIC COATED 325 MG
TABLET
00904201360A UD $2.50
4330000053 ASPIRIN 300 MG SUPP 00574703412 UD $5.11
4330000054 ASPIRIN 325 MG TABLET 00536105301 UD $2.50
4330000051 ASPIRIN ENTERIC COATED 81 MG
TABLET
00280210012A UD $2.50
4330000055 ASPIRIN 81 MG CHEW TABLET 63739043401 UD $2.50
4330000056 ATENOLOL 25 MG TABLET 51079075920A UD $2.80
4330000057 ATENOLOL 50 MG TABLET 00093075201A UD $2.91
4330000058 ATORVASTATIN 10 MG TABLET 51079020820 UD $2.50
4330000059 ATORVASTATIN 20 MG TABLET 51079020920 UD $2.50
4330000670 ATROPINE 0.4 MG/1 ML VIAL 00517040125 INJ $30.63
4330000791 EDROPHONIUM CL/ATRO 10-0.14MG 5
ML AMPUL
67457019205 INJ $92.40
4330000061 ATROPINE 1MG/10 ML SYRINGE 00409491134 INJ $32.38
4330000060 ATROPINE 0.4MG/1 ML -20ML VIAL 00641600610 INJ $122.85
4330000062 AMOXICIL/CLAVUL 250MG/5ML SUSP
BOTTLE
60432006500A BULK $302.51
4330000063 AMOXICILLIN/CLAV 500 MG TABLET 43598020614 UD $13.23
4330000042 AMOXICILLIN/CLAV 875 MG TABLET 66685100100 UD $17.68
4330000064 AMOXICILLIN/CLAV XR 1000 MG TAB 00781194382 UD $24.43
4330000066 AZITHROMYCIN 100MG/5 ML SUSP
(300MG/15ML BOTTLE)
59762311001A BULK $122.08
4330000067 AZITHROMYCIN 200MG/5 ML SUSP
(600MG/15ML BOTTLE)
59762312001 BULK $122.08
4330000747 AZITHROMYCIN 250 MG TAB 50268009815A UD $25.87
4330000065 AZITHROMYCIN 500 MG VIAL 00069315084 INJ $38.50
4330000065 AZITHROMYCIN 500 MG VIAL 00069315084 CSP $88.50
4330000068 AZTREONAM 1000 MG VIAL 00003256016 INJ $101.50
4330000068 AZTREONAM 1000 MG VIAL 00003256016 CSP $151.50
4330000070 BACITRACIN ZINC OINT 0.9 GM
PACKET
45802006070 UD $2.50
4330000069 BACITRACIN OINT 30 GM TUBE 45802006001 BULK $26.99
4330000071 BACLOFEN 10 MG TABLET 68084085501 UD $2.59
4330000073 BECLOMETHASONE 40 MCG/PUFF 120
INH
59310020212 BULK $592.48
4330000706 BENAZEPRIL 10 MG TABLET 51079014520 UD $3.33
4330000074 BEN-GAY 60 APP/2 OZ TUBE 00363368004A BULK $22.05
4330000075 BENZOCAINE 20% LIQ 0.45 OZ 50428711641A BULK $2.50
4330000077 BENZONATATE 100 MG PERLES 60687011501 UD $2.56
4330000078 BETAMETHASONE 6MG/1ML 5ML VIAL 00085056605 INJ $130.90
4330000079 BETAXOLOL-S OPTH 0.25% DROPS
10ML
00065024610 BULK $1,086.86
4330000505 PENICILLIN G BENZATHINE 1,200,000
UNIT/2 ML TUBEX
60793070110 INJ $550.80
4330000506 PENICILLIN G BENZATHINE 600000
TUBEX
60793070010 INJ $318.01
4330000080 BISACODYL 10 MG SUPP 00713010950 UD $2.50
4330000081 BISACODYL 5 MG DR TABLET 00904640761A UD $2.50
4330000082 BISMUTH SUBSALICYLATE 262 MG
CHEW TABLET
00904131546A UD $2.50
4330000083 PEPTO-BISMOL (BISMUTH
SUBSALICYLATE) 8OZ BOTTLE
00904131309 BULK $8.26
4330000072 BALANCED OPTH SALT SOLUTION 15
ML BOTTLE
00065079515 BULK $28.91
4330000086 BUDESONIDE 0.25 MG/2ML NEB
SOLUTION
00186198804 UD $30.52
4330000087 BUDESONIDE 0.5 MG/2 ML NEB
SOLUTION
00186198904 UD $35.91
4330000088 BUMETANIDE 0.5 MG TABLET 00093423201 UD $3.50
4330000089 BUMETANIDE 1 MG/4ML VIAL 00409141204 INJ $17.25
4330000089 BUMETANIDE 1 MG/4ML VIAL 00409141204 CSP $57.35
4330000730 BUPIVACAINE HCL 0.25% 50 ML MDV 00409158750A INJ $20.44
4330000731 BUPIVACAINE HCL 0.5% 50 ML MDV 00409161050A INJ $17.68
4330000091 BUPIVACAINE-EPI 0.5%/1:200000 10 ML
VIAL
00409904517 INJ $17.25
4330000091 BUPIVACAINE-EPI 0.5%/1:200000 10 ML
VIAL
00409904517 CSP $52.84
4330000095 BUPIVACAINE LIPOSOME 1.3% 20ML
VIAL
65250026620 INJ $1,102.50
4330000095 BUPIVACAINE LIPOSOME 1.3% 20ML
VIAL
65250026620 CSP $1,152.50
4330000090 BUPIVACAINE 0.25%/EPI MPF 30 ML
VIAL
63323046837 INJ $26.95
4330000803 BUPIVACAINE-EPI /PF 0.25% 1:200000
VIAL 30 ML
63323046837A INJ $26.95
4330000803 BUPIVACAINE-EPI /PF 0.25% 1:200000
VIAL 30 ML
63323046837A CSP $76.95
4330000804 BUPIVACAINE 0.5%/EPI 1:200,000SDV
30 ML VIAL
00409904517A INJ $17.25
4330000093 BUPIVACAINE-MPF 0.5% 10 ML VIAL 63323046617 INJ $17.25
4330000093 BUPIVACAINE-MPF 0.5% 10 ML VIAL 63323046617 CSP $65.96
4330000092 BUPIVACAINE 0.25% PF 30 ML SDV 00409115901 INJ $17.25
4330000092 BUPIVACAINE 0.25% PF 30 ML SDV 00409115901 CSP $66.91
4330000094 BUPIVACAINE 0.5% PF 30 ML SDV 00409116202A INJ $17.25
4330000094 BUPIVACAINE 0.5% PF 30 ML SDV 00409116202A CSP $56.37
4330000096 buPROPion SR 150MG TAB 12-HR 51079039220 UD $6.34
4330000097 busPIRone 5 MG TAB 51079098520A UD $2.70
4330000098 BUTORPHANOL 2 MG/ML-1 ML VIAL 00409162601 CSINJ $17.25
4330000099 CAFFEINE 200MG TABLET 46017001816 UD $2.50
4330000100 CAFFEINE/SODIUM BENZOATE
500MG/2ML VIAL
00517250210 INJ $76.58
4330000100 CAFFEINE/SODIUM BENZOATE
500MG/2ML VIAL
00517250210 CSP $126.58
4330000101 CALADRYL LOTION (CALAMINE
8%/PRAMOXINE 1%) 177 ML BOTT
37205013030 BULK $17.47
4330000675 CALCITONIN-SALMON INJ 400IU/2ML
VIAL
67457067502A INJ $11,352.88
4330000200 CALCIUM CARBONATE 500MG CHEW
TABLET
00536104815A UD $2.50
4330000104 CALCIUM CHLORIDE 1GM/10ML
SYRINGE
00409492834 INJ $29.86
4330000104 CALCIUM CHLORIDE 1GM/10ML
SYRINGE
00409492834 CSP $79.86
4330000102 CALCITONIN NASAL SPRAY (200
UNIT/SPRAY) 3.7 ML
60505082306 BULK $414.89
4330000676 CALCIUM GLUCONATE 1000MG/10ML
VIAL
63323031119 INJ $24.57
4330000676 CALCIUM GLUCONATE 1000MG/10ML
VIAL
63323031119 CSP $74.57
4330000878 MENTHOL/ZINC OXIDE 113 GM TUBE 46876000040A BULK $26.25
4330000103 CALCIUM CARBONATE/VITAMIN D3
600/200 MG TAB
00904585692 UD $2.50
4330000105 CAPTOPRIL 25 MG TABLET 51079086420 UD $6.51
4330000106 carBAMazepine 100 MG CHEW TABLET 51079087020 UD $2.50
4330000107 carBAMazepine 200 MG TABLET 00093010901 UD $5.60
4330000108 carBAMazepine 200 MG/10ML CUP 68094000859 UD $15.93
4330000188 CARBAMIDE PEROXIDE OTIC DROPS
15 ML
00536112494A BULK $4.87
4330000109 CARISOPRODOL 350 MG TABLET 63739004910 CSPO $9.50
4330000111 CARVEDILOL 3.125 MG TABLET 51079077120 UD $7.46
4330000110 CARVEDILOL 6.25 MG TABLET 51079093020 UD $7.46
4330000112 ceFAZolin 1000 MG VIAL 44567070725 INJ $17.25
4330000112 ceFAZolin 1000 MG VIAL 44567070725 CSP $56.93
4330000113 CEFEPIME 1000 MG VIAL 44567024010 INJ $23.94
4330000113 CEFEPIME 1000 MG VIAL 44567024010 CSP $73.94
4330000867 CEFEPIME 2000 MG VIAL 44567024110A INJ $41.16
4330000867 CEFEPIME 2000 MG VIAL 44567024110A CSP $91.16
4330000114 CEFOTAXIME 1,000 MG VIAL 00143993125 INJ $17.25
4330000114 CEFOTAXIME 1,000 MG VIAL 00143993125 CSP $57.70
4330000114 CEFOTAXIME 1,000 MG VIAL 00143993125 CSP $75.00
4330000707 CEFOXITIN 1,000 MG VIAL 44567024525A INJ $25.20
4330000707 CEFOXITIN 1,000 MG VIAL 44567024525A CSP $75.20
4330000115 CEFTAROLINE 400 MG VIAL 00456040010 INJ $614.08
4330000115 CEFTAROLINE 400 MG VIAL 00456040010 CSP $664.08
4330000116 CEFTAROLINE 600 MG VIAL 00456060010 INJ $614.08
4330000116 CEFTAROLINE 600 MG VIAL 00456060010 CSP $664.08
4330000117 cefTAZidime 1000MG VIAL 00409508216 INJ $17.25
4330000117 cefTAZidime 1000MG VIAL 00409508216 CSP $64.70
4330000118 cefTRIAXONE SODIUM 1,000 MG VIAL 00143985701 INJ $17.25
4330000118 cefTRIAXONE SODIUM 1,000 MG VIAL 00143985701 CSP $56.30
4330000120 cefTRIAXONE SODIUM 250 MG VIAL 00409733701 INJ $17.25
4330000120 cefTRIAXONE SODIUM 250 MG VIAL 00409733701 CSP $52.63
4330000119 cefTRIAXONE SODIUM 2,000MG VIAL 64679070301 INJ $316.37
4330000119 cefTRIAXONE SODIUM 2,000MG VIAL 64679070301 CSP $366.37
4330000728 cefTRIAXONE SODIUM 500 MG VIAL 00409733801 INJ $17.25
4330000728 cefTRIAXONE SODIUM 500 MG VIAL 00409733801 CSP $53.33
4330000121 cefUROXime 250 MG TABLET 68180030260 UD $15.40
4330000122 CELECOXIB 100 MG CAPSULE 00025152034 UD $25.73
4330000123 BENZOCAINE/MENTHOL 1 EACH
LOZENGE
63824071316A BULK $2.50
4330000124 cephALEXin 250 MG CAPSULE 50268015115 UD $2.50
4330000125 cephALEXin 250MG/5ML SUSP 100ML
BOTTLE
00093417773 BULK $100.63
4330000126 CEPHALEXIN 500 MG CAPSULE 50268015215 UD $4.27
4330000127 CETIRIZINE 10 MG TABLET 51079059720 UD $8.72
4330000128 CHARCOAL ACTIVATED 25 GM/120 ML
TUBE
00574012174 BULK $58.45
4330000130 chlordiazePOXIDE 25 MG CAPSULE 00555015902 CSPO $9.50
4330000131 chlordiazePOXIDE 5 MG CAPSULE 51079037420 CSPO $9.50
4330000132 chlorproMAZINE 25 MG/ML AMP 00641139735 INJ $87.71
4330000132 chlorproMAZINE 25 MG/ML AMP 00641139735 CSP $137.71
4330000839 CHOLESTYRAMINE (QUESTRAN) 4 GM
PACKET
49884046565 UD $11.80
4330000136 CIPROFLOXACIN 200 MG/100 ML D5W
*PREMIX*
36000000824 CSP $60.50
4330000136 CIPROFLOXACIN 200 MG/100 ML D5W
*PREMIX*
36000000824 CSP $75.00
4330000137 CIPROFLOXACIN 250MG TABLET 68084006901 UD $19.11
4330000139 CIPROFLOXACIN 500 MG TABLET 68084007001 UD $11.13
4330000138 CIPROFLOXACIN 400 MG/200 ML D5W
*PREMIX*
36000000924 CSP $64.00
4330000138 CIPROFLOXACIN 400 MG/200 ML D5W
*PREMIX*
36000000924 CSP $75.00
4330000135 CIPROFLOXACIN 0.3% OPH SOL 5 ML
BOTTLE
61314065605 BULK $165.59
4330000140 CITALOPRAM 20 MG TABLET 00904608561 UD $2.50
4330000141 CLARITHROMYCIN 500 MG TABLET 00781196260 UD $21.07
4330000142 CLINDAMYCIN 150 MG CAPSULE 63739005910 UD $2.50
4330000143 CLINDAMYCIN 600MG/50 ML D5W
*PREMIX*
00781328991 CSP $75.00
4330000144 CLINDAMYCIN PHOSPHATE 600 MG/4
ML VIAL
00009077520A INJ $17.25
4330000144 CLINDAMYCIN PHOSPHATE 600 MG/4
ML VIAL
00009077520A CSP $62.18
4330000145 CLINDAMYCIN 75 MG/5ML ORAL
SOLUTION
59762001601 BULK $217.11
4330000347 clonazePAM 1 MG TABLET 51079088220 CSPO $9.50
4330000148 cloNIDine HCL 1,000 MCG/10 ML VIAL 39822200001 INJ $87.50
4330000148 cloNIDine HCL 1,000 MCG/10 ML VIAL 39822200001 CSP $137.50
4330000149 cloNIDine 0.1 MG/DAY WEEKLY PATCH 00378087116A UD $116.06
4330000147 cloNIDine 0.1 MG TABLET 51079029920 UD $2.50
4330000150 cloNIDine 0.2 MG/DAY WEEKLY PATCH 51862045404 UD $195.41
4330000151 cloNIDine 0.3 MG/DAY WEEKLY PATCH 51862045504A UD $271.08
4330000152 CLOPIDOGREL 75 MG TABLET 68084053601 UD $23.84
4330000154 CLOTRIMAZOLE 10 MG TROCHE 00054414622 UD $11.27
4330000153 CLOTRIMAZOLE 1 % CREAM 15GM 00904782236 BULK $4.55
4330000155 CLOTRIMAZOLE 1% VAGINAL CR
21GM TUBE
51672206200 BULK $37.10
4330000156 CODEINE 30 MG TABLET 00054024424 CSPO $9.50
4330000218 DOCUSATE SODIUM 10MG/ML LIQUID
CUP
50383077116 UD $2.50
4330000157 COLCHICINE 0.6 MG CAP 00143301801 UD $22.89
4330000158 COLLAGENASE (SANTYL) 30 GM TUBE 50484001030A BULK $790.13
4330000162 CONJUGATED ESTROGENS 25MG
VIAL
00046074905 INJ $1,038.80
4330000162 CONJUGATED ESTROGENS 25MG
VIAL
00046074905 CSP $1,088.80
4330000160 CONJUGATED ESTROGENS 0.3 MG
TAB
00046110081 UD $18.76
4330000161 CONJUGATED ESTROGENS 0.625 MG
TAB
00046110281 UD $18.76
4330000163 ESTROGENS, CONJUGATED VAG CR
30 GM TUBE
00046087221A BULK $1,245.20
4330000164 CORTISPORIN OPTHALMIC OINT 3.5
GM TUBE
17478071935 BULK $215.88
4330000165 NEOMYCIN/POLYMYXIN B SULF/HC 20
DROP/7.5 ML BOTTLE
61314064175A BULK $544.18
4330000166 CORTISPORIN OTIC SUSP 10 ML
BOTTLE
24208063110 BULK $293.65
4330000167 COSYNTROPIN 250 MCG/1 ML VIAL 00548590000 INJ $373.03
4330000167 COSYNTROPIN 250 MCG/1 ML VIAL 00548590000 CSP $423.03
4330000858 LIPASE/PROTEASE/AMYLASE 1 EACH
CAPSULE.DR
00032121201B UD $10.26
4330000169 CYANOCOBALAMIN 1000MCG TAB 00536355601A UD $2.50
4330000168 CYANOCOBALAMIN 100 MCG TAB 00536354201A UD $2.50
4330000170 CYANOCOBALAMIN 1000 MCG/1 ML
VIAL
63323004401B INJ $24.19
4330000171 CYCLOBENZAPRINE 10 MG TAB 43063005004A UD $18.87
4330000173 CYPROHEPTADINE 4 MG TAB 00093292901 UD $3.75
4330000174 DEXTROSE 10% 1000ML BAG 00409793009 CSP $75.00
4330000820 DEXTROSE 10% 250 ML BAG 00409793002A IVF $75.00
4330000185 DEXTROSE 50% 50ML SYRINGE 00409490234 INJ $28.67
4330000185 DEXTROSE 50% 50ML SYRINGE 00409490234 CSP $78.67
4330000180 D5W 100 ML BAG 00409792337 CSP $75.00
4330000181 D5W 1000ML BAG 00409792209 CSP $75.00
4330000182 D5W 250 ML BAG 00409792202 CSP $75.00
4330000183 D5W 50 ML BAG 00409792336 CSP $75.00
4330000184 D5W 500 ML BAG 00409792203 CSP $75.00
4330000176 D5 1/2 NORMAL SALINE 1,000 ML BAG 00409792609 CSP $75.00
4330000808 D5 1/2 NORMAL SALINE 250 ML BAG 00409792602 CSP $75.00
4330000177 D5 1/2 NORMAL SALINE 500 ML BAG 00409792603 CSP $75.00
4330000179 D5/LACTATED RINGER 1000 ML BAG 00409792909 CSP $75.00
4330000178 D5 NORMAL SALINE 1,000 ML BAG 00409794109 CSP $75.00
4330000807 D5 NORMAL SALINE 500 ML BAG 00409794103 CSP $75.00
4330000175 D5 1/4 NORMAL SALINE 1,000 ML BAG 00409792409 CSP $75.00
4330000186 DANTROLENE 20 MG VIAL 42023012306 HCOST $88.64
4330000186 DANTROLENE 20 MG VIAL 42023012306 CSP $360.24
4330000187 DAPTOmycin 500 MG VIAL 67919001101 HCOST $445.49
4330000187 DAPTOmycin 500 MG VIAL 67919001101 CSP $1,609.22
4330000831 DARBEPOETIN ALFA 100 MCG/0.5 ML
SYRINGE
55513002501A INJ $2,709.00
4330000786 DENOSUMAB 60 MG/ML SYRINGE 55513071001A HCOST $2,958.88
4330000863 DESMOPRESSIN ACETATE 10
MCG/0.1 ML 5 ML NASAL SPRAY
55566250000A BULK $1,630.02
4330000190 DESOXIMETASONE 0.25% CREAM
15GM TUBE
45802049535 BULK $203.98
4330000738 DESOXIMETASONE 0.05% CREAM
60GM TUBE
51672127103A BULK $1,286.04
4330000191 DEXAMETHASONE 10 MG/ML 1ML VIAL 63323050601A INJ $18.38
4330000191 DEXAMETHASONE 10 MG/ML 1ML VIAL 63323050601A CSP $68.38
4330000192 DEXAMETHASONE 2 MG TAB 00054817625 UD $2.59
4330000194 DEXAMETHASONE 4 MG TABLET 00054817525A UD $4.20
4330000193 DEXAMETHASONE 4 MG/ML VIAL 63323016501 INJ $17.25
4330000196 DEXAMETHASONE OPHTH SUSP 0.1%
15 DROP/5 ML BOTTLE
00998061505A BULK $263.94
4330000195 DEXAMETHASONE 0.5 MG/5 ML ORAL
240ML
00054317757A BULK $4.66
4330000787 MAGNESIUM SULFATE 1GM/100 ML
D5W *PREMIX*
00409672723 CSP $75.00
4330000199 diazePAM 10 MG/2 ML SYRINGE 00409127332 CSINJ $95.73
4330000197 DIAZEPAM 2 MG TABLET 51079028420 CSPO $9.50
4330000198 DIAZEPAM 5 MG TABLET 63739007310 CSPO $9.50
4330000793 DICLOFENAC SODIUM 1% GEL 100 GM 63481068447 BULK $189.07
4330000202 DICYCLOMINE HCL 10 MG CAPSULE 51079011820 UD $2.50
4330000201 DICYCLOMINE HCL 20 MG/2 ML AMPUL 58914008052 INJ $280.46
4330000203 DIGOXIN IMMUNE FAB 40 MG VIAL 50633012011 HCOST $8,875.00
4330000203 DIGOXIN IMMUNE FAB 40 MG VIAL 50633012011 CSP $12,475.00
4330000206 DIGOXIN 500 MCG/2 ML AMP 70515026010 INJ $322.56
4330000205 DIGOXIN 125 MCG/2.5 ML SOLUTION 00054005746 BULK $24.50
4330000204 DIGOXIN 125 MCG TABLET 68084036601 UD $8.96
4330000210 dilTIAZem 120 MG ER CAP **24 HR** 68084005201 UD $2.50
4330000211 dilTIAZem HCL 180 MG ER CAP
**24HR**
68084005301 UD $2.50
4330000208 dilTIAZem 50 MG/10ML VIAL 17478093710 INJ $17.25
4330000208 dilTIAZem 50 MG/10ML VIAL 17478093710 CSP $62.74
4330000859 dilTIAZem 125 MG/ 25 ML VIAL 00641601501A INJ $24.40
4330000859 dilTIAZem 125 MG/ 25 ML VIAL 00641601501A CSP $74.40
4330000207 dilTIAZem HCL 30 MG TABLET 51079074520 UD $2.50
4330000209 dilTIAZem 25 MG/5 ML VIAL 00641601310 INJ $17.25
4330000209 dilTIAZem 25 MG/5 ML VIAL 00641601310 CSP $58.40
4330000677 dilTIAZem ER 60 MG CAPSULE 51079092420A UD $13.90
4330000666 TETANUS AND DIPHTHERIA TOX/PF
0.5 ML VIAL
49281021510 INJ $109.87
4330000212 diphenhydrAMINE 25MG TAB 00904555124 UD $2.50
4330000672 diphenhydrAMINE 25MG/10ML CUP 00121048900A UD $18.24
4330000213 diphenhydrAMINE 50MG/ML INJ (1ml) 63323066401 INJ $17.25
4330000214 TETANUS,DIPHTHERIA TOXD
PEDIATRIC 0.5 ML VIAL
49281022558 INJ $177.00
4330000215 DIVALPROEX SODIUM 125 MG
SPRINKLE CAP
68084031301 UD $4.97
4330000216 DIVALPROEX SODIUM 250 MG *24 HR*
EXTENDED RELEASE TAB
68084031001 UD $8.58
4330000217 DOBUTamine 500MG/250ML BAG
*PREMIX*
00409234732 CSP $93.82
4330000217 DOBUTamine 500MG/250ML BAG
*PREMIX*
00409234732 CSP $75.00
4330000679 DOCUSATE SODIUM 100 MG CAP 00904645561A UD $2.50
4330000668 DONEPEZIL HCL 5 MG TABLET 00904640861 UD $2.50
4330000219 PHENOBARB/HYOSCY/ATROPINE/SCO
P 5 ML/16.2 MG ELIXIR
59212042304 UD $13.90
4330000220 DOPamine HCL 400 MG/10 ML VIAL 00409910420 INJ $17.25
4330000220 DOPamine HCL 400 MG/10 ML VIAL 00409910420 CSP $56.58
4330000221 DOPAMINE HCL 400MG /D5W 250 ML
*PREMIX*
00338100702 CSP $75.00
4330000853 DORZOLAMIDE 2% OPH SOL 10 ML 00006351936 BULK $295.02
4330000222 DOXAZOSIN 2 MG TABLET 51079095820 UD $13.16
4330000223 DOXEPIN HCL 25 MG CAPSULE 51079043720 UD $2.94
4330000744 DOXYCYCLINE 100 MG CAPSULE 00143314250 UD $4.20
4330000224 DOXYCYCLINE 100 MG/5 ML VIAL 63323013011 INJ $84.56
4330000224 DOXYCYCLINE 100 MG/5 ML VIAL 63323013011 CSP $134.56
4330000696 DROPERIDOL 5MG/2ML VIAL 00517970225 INJ $17.25
4330000769 DULOXETINE HCL 30 MG DR CAPSULE 00002324030A UD $27.97
4330000225 DUTASTERIDE 0.5 MG CAPSULE 00173071204 UD $22.44
4330000229 ENALAPRILAT 2.5 MG/2 ML VIAL 00409212202 INJ $17.25
4330000645 ENALAPRIL MAL 5 MG TABLET 51079095120 UD $6.48
4330000761 ENOXAPARIN 40 MG/0.4 ML SYRINGE 00075062040A INJ $115.78
4330000232 ENOXAPARIN 60 MG/0.6 ML SYRINGE 00781335603A INJ $262.61
4330000230 ENOXAPARIN 100 MG/1 ML SYRINGE 00781350005A INJ $321.37
4330000231 ENOXAPARIN 30 MG/0.3 ML SYRINGE 00781313301A INJ $85.23
4330000233 ePHEDrine SULFATE 50MG/ML AMP 17478051500 INJ $184.73
4330000233 ePHEDrine SULFATE 50MG/ML AMP 17478051500 CSP $234.73
4330000866 EPINEPHRINE HCL 1MG/ML AMPUL
PRESERVATIVE FREE
54288010310A INJ $61.25
4330000866 EPINEPHRINE HCL 1MG/ML AMPUL
PRESERVATIVE FREE
54288010310A CSP $111.25
4330000235 EPINEPHrine 1 MG/ML 30 ML MDV 76329906100 INJ $206.50
4330000235 EPINEPHrine 1 MG/ML 30 ML MDV 76329906100 CSP $256.50
4330000237 EPINEPHrine 1 MG/ML VIAL 42023015925 INJ $52.36
4330000237 EPINEPHrine 1 MG/ML VIAL 42023015925 CSP $102.36
4330000234 EPINEPHrine 1 MG/10 ML SYRINGE 00409492134 INJ $17.25
4330000236 EPINEPHrine HCL 1 MG/ML TOPICAL
NASAL SOLN 30 ML BOTTLE
42023010301 BULK $665.00
4330000238 EPOETIN ALFA 10,000 UNIT/1 ML VIAL 55513014410 INJ $580.30
4330000685 MAGNESIUM SULFATE 1 LB BOX 10
APP/1 LB BOX
37205060243A BULK $2.50
4330000818 EPTIFIBATIDE 75 MG/100 ML VIAL
*PREMIX*
00085113601B CSP $1,954.18
4330000818 EPTIFIBATIDE 75 MG/100 ML VIAL
*PREMIX*
00085113601B CSP $1,088.10
4330000763 EPTIFIBATIDE 20,000 MCG/10ML VIAL 00085117701 INJ $608.44
4330000763 EPTIFIBATIDE 20,000 MCG/10ML VIAL 00085117701 CSP $658.44
4330000240 ERTAPENEM SODIUM 1000 MG VIAL 00006384371 INJ $450.31
4330000240 ERTAPENEM SODIUM 1000 MG VIAL 00006384371 CSP $500.31
4330000243 ERYTHROMYCIN BASE 250 MG ER
CAPSULE
68308025010 UD $21.11
4330000832 ERYTHROMYCIN 0.5% OPHTH OINT
1GM TUBE
17478007031A BULK $35.77
4330000833 ERYTHROMYCIN 0.5% OPHTH OINT
3.5 GM TUBE
17478007035 BULK $65.28
4330000687 ERYTHROMYCIN ETHYLSUCC
200MG/5 ML 100ML BOTTLE
24338013402 BULK $65.84
4330000242 ERYTHROMYCIN BASE 500 MG
TABLET
24338010413 UD $61.22
4330000244 ESCITALOPRAM OXALATE 10 MG
TABLET
68084061701 UD $15.12
4330000245 ESMOLOL 100 MG/10 ML VIAL 67457018210 INJ $29.40
4330000245 ESMOLOL 100 MG/10 ML VIAL 67457018210 CSP $79.40
4330000850 ESOMEPRAZOLE 40 mg SUSP 40 MG
SUSPDR.PKT
00186405001 UD $31.61
4330000246 ESOMEPRAZOLE SODIUM 40 MG VIAL 00186604001 INJ $156.28
4330000246 ESOMEPRAZOLE SODIUM 40 MG VIAL 00186604001 CSP $206.28
4330000247 ETHYL CHLORIDE SPRAY 3.5 OZ BOT 00386000104 BULK $129.50
4330000248 ETOMIDATE 20 MG/10 ML VIAL 00409669501 INJ $19.46
4330000249 EYE IRRIGATING SOLN 120 ML
BOTTLE
59390017518A BULK $23.80
4330000250 EZETIMIBE 10 MG TABLET 66582041431 UD $40.25
4330000251 FAMOTIDINE 20 MG TABLET 51079096620 UD $6.09
4330000252 FAMOTIDINE 20 MG/2 ML VIAL 63323073912 INJ $17.25
4330000252 FAMOTIDINE 20 MG/2 ML VIAL 63323073912 CSP $53.15
4330000733 fentaNYL CITRATE 100 MCG/2 ML VIAL 00409909422A CSINJ $17.25
4330000734 fentaNYL CITRATE 250 MCG/5 ML VAIL 00409909425A CSINJ $17.25
4330000253 fentaNYL TRANSDERMAL PATCH 12
MCG/HR X 72 HR PATCH
00378911998 CSPO $71.05
4330000254 fentaNYL TRANSDERMAL PATCH 25
MCG/HR X 72 HR PATCH
00378912198 CSPO $50.47
4330000255 fentaNYL TRANSDERMAL PATCH 50
MCG/HR X 72 HR PATCH
60505700702 CSPO $136.08
4330000256 fentaNYL TRANSDERMAL PATCH 75
MCG/HR X 72 HR PATCH
60505700802 CSPO $207.59
4330000865 FERROUS GLUCONATE 324 MG
(ELEMENTAL IRON 37.5MG) TABLET
00904213761A UD $2.50
4330000688 FERROUS SULFATE LIQUID 220 MG/5
ML LIQ
50383077816A BULK $2.50
4330000257 FERROUS SULFATE (65MG)= 325MG
(ELEMENTAL IRON 65MG) 1 TAB
00245010801 UD $2.87
4330000258 FINASTERIDE 5MG TABLET 50268032315 UD $11.03
4330000259 OMEGA-3 FISH OIL 1,000 MG CAPSULE 00904404360 UD $2.50
4330000260 FLEET ENEMA 1 BOTTLE 00132020140 BULK $4.66
4330000261 MINERAL OIL 1 ENEMA BOTTLE 00132030140A BULK $6.06
4330000269 FLUoxetine HCL 10MG CAPSULE 00904578461 UD $2.50
4330000872 FLU VACC HD 2018-19(65YR+)/PF 180
MCG/0.5 ML SYRINGE
49281040365A INJ $161.67
4330000874 FLU VACC QD PEDS 2018-19(6-
35MOS)PF 30 MCG/0.25 ML SYRINGE
49281051825A INJ $64.79
4330000267 FLUCONAZOLE 100 MG TABLET 00172541146 UD $30.63
4330000263 FLUCONAZOLE 150MG TABLET 00172541211 UD $48.76
4330000264 FLUCONAZOLE 200MG/100ML NS
*PREMIX*
25021011382A CSP $81.50
4330000264 FLUCONAZOLE 200MG/100ML NS
*PREMIX*
25021011382A CSP $75.00
4330000265 FLUCONAZOLE 400MG/200ML NS
*PREMIX*
70655008806 CSP $75.00
4330000266 FLUCONAZOLE 40MG/ML SUSP 35ML
BOTTLE
59762503001 BULK $455.11
4330000877 FLUDROCORTISONE ACETATE 0.1 MG
TABLET
00115703301 UD $2.63
4330000842 FLU VACC HD 2017-18(65YR+)/PF 180
MCG/0.5 ML SYRINGE
49281040165B INJ $148.33
4330000268 FLUMAZENIL 0.1MG/ML 10ML VIAL 63323042410A INJ $218.40
4330000705 FLUOCINONIDE 0.05% CREAM 15
APP/15 GM TUBE
00093026215A BULK $159.43
4330000752 FLUOCINONIDE 0.05% OINT 15 APP/15
GM TUBE
00093026415A BULK $247.63
4330000690 FLUORESCEIN OPHTHALMIC 0.6 MG
STRIP
17478040303A UD $2.50
4330000844 FLU VACC QS 2017-18(6-35MOS)PF
30MCG/0.25 ML SYRINGE
49281051725A INJ $62.90
4330000873 FLU VACC QUAD 2018-19(36MOS+)PF
60 MCG/0.5 ML SYRINGE
49281041850A INJ $60.27
4330000843 FLU VACC QUAD 2017-18(36MOS+)PF
60MCG/0.5 ML SYRINGE
49281041750B INJ $60.27
4330000270 FLUTICASONE HFA 110 MCG ORAL
INH ** 12 GM **
00173071920 BULK $851.52
4330000753 FLUTICASONE HFA 220 MCG ORAL
INH **12 GM **
00173072020A BULK $1,322.62
4330000271 FLUTICASONE HFA 44 MCG ORAL INH
** 10.6 GM **
00173071820 BULK $636.06
4330000262 FLUTICASONE NASAL SPRAY**50
MCG/SPRAY**120 SPRAY/16 GM
60505082901 BULK $298.41
4330000272 FOLIC ACID 1 MG TABLET 62584089701 UD $2.50
4330000273 FOLIC ACID 5 MG/ML 10ML VIAL 63323018410 INJ $17.25
4330000273 FOLIC ACID 5 MG/ML 10ML VIAL 63323018410 CSP $65.79
4330000274 FOSPHENYTOIN SODIUM 500 PE/10
ML VIAL
00069600110 INJ $398.09
4330000274 FOSPHENYTOIN SODIUM 500 PE/10
ML VIAL
00069600110 CSP $448.09
4330000702 FUROSEMIDE SOLUTION 10 MG/ML
SOLUTION
00054329446 BULK $2.50
4330000277 FUROSEMIDE 20 MG TABLET 00904579661 UD $2.50
4330000276 FUROSEMIDE 20 MG/2 ML VIAL 36000028225 INJ $17.25
4330000278 FUROSEMIDE 40 MG TABLET 51079007320 UD $2.50
4330000275 FUROSEMIDE 40 MG/4 ML VIAL 36000028325 INJ $17.25
4330000279 GABAPENTIN 100 MG CAPSULE 60505011200 UD $2.50
4330000281 GABAPENTIN 300 MG CAPSULE 60505011308 UD $4.66
4330000280 GABAPENTIN 400 MG CAPSULE 60505011400 UD $5.67
4330000283 GEMFIBROZIL 600 MG TABLET 68084047301 UD $15.51
4330000286 GENTAMICIN SULFATE 3% OPHTH 5
ML
17478028310 BULK $67.13
4330000285 GENTAMICIN 0.3% OPHTHALMIC OINT
3.5 GM
17478028435 BULK $124.04
4330000284 GENTAMICIN SULF 80 MG/2 ML VIAL 63323001002 INJ $17.25
4330000284 GENTAMICIN SULF 80 MG/2 ML VIAL 63323001002 CSP $61.31
4330000284 GENTAMICIN SULF 80 MG/2 ML VIAL 63323001002 CSP $75.00
4330000289 glipiZIDE 2.5 MG ER TABLET 24-HR 68084029521 UD $4.17
4330000288 glipiZIDE 5 MG TABLET 51079081020 UD $2.50
4330000287 glipiZIDE XL 5 MG ER TABLET 68084011101 UD $2.52
4330000290 GLUCAGON 1 MG/ML VIAL 55390000410 INJ $600.60
4330000291 glyBURIDE 5 MG TABLET 51079087320 UD $2.50
4330000292 GLYCERIN ADULT 1 SUPP 00713010109 UD $2.73
4330000293 GLYCERIN SUPPOSITORY **CHILD** 00713010209 UD $2.66
4330000294 GLYCOPYRROLATE 0.2MG/ML 5ML
VIAL
00517460525 INJ $37.56
4330000788 guaiFENesin/PSEUDOEPHED HCL
600/60MG ER TABLET
63824005736 UD $2.50
4330000295 guaiFENesin 100 MG/5 ML CUP 00121174405 UD $2.50
4330000306 guaiFENesin 600 MG ER TABLET
(MUCINEX)
63824000815 UD $2.50
4330000297 HALOPERIDOL DECANOATE 50MG/ML
1ML AMP
10147092103 INJ $90.62
4330000298 HALOPERIDOL 0.5 MG TABLET 51079073320 UD $2.50
4330000299 HALOPERIDOL 5 MG TABLET 51079073620A UD $3.82
4330000300 HALOPERIDOL 5 MG/ML VIAL 63323047401 INJ $20.97
4330000310 hydroCHLOROthiazide 25 MG TABLET 63739012810 UD $2.50
4330000304 HEPARIN LOCK FLUSH 500 UNITS/5 ML
(100 UNITS/ML) SYRINGE**PF**
08290306515 INJ $17.25
4330000775 HEPARIN LOCK FLUSH 300 UNITS/3 ML
(100 UNITS/ML) SYRINGE
08290306517 INJ $17.25
4330000856 HEPARIN SODIUM 10,000 UNITS/10 ML
(1000 UNIT/ML) VIAL
63323054011A INJ $25.45
4330000303 HEPARIN SODIUM 1,000 UNIT/1 ML
VIAL
63323054001A INJ $17.25
4330000693 HEPARIN 5,000 UNIT/1 ML VIAL 25021040201B INJ $17.25
4330000823 HEPARIN 25,000 UNITS/250ML
*PREMIX* (100 UNITS/ML)
00409779362A CSP $78.88
4330000823 HEPARIN 25,000 UNITS/250ML
*PREMIX* (100 UNITS/ML)
00409779362A CSP $75.00
4330000302 HEPATITIS B VACCINE ADULT 20
MCG/ML SYRINGE
58160082152 INJ $197.75
4330000848 HONEY LEPTOSPERMUM 44 ML
PASTE
09958003361A BULK $50.47
4330000326 INSULIN NovoLIN 70/30 100 UNIT/1ML 00002871501 INSULIN $40.00
4330000330 INSULIN-HumaLOG MIX 75/25 100
UNIT/1ML
00002751101 INSULIN $40.00
4330000329 INSULIN LISPRO 100 UNIT/1ML 00002751001 INSULIN $40.00
4330000327 INSULIN-HUMAN NPH 100 UNIT/1 ML 00002831501 INSULIN $40.00
4330000328 INSULIN-HUMAN REGULAR 100 UNIT/1
ML
00002821501 INSULIN $40.00
4330000328 INSULIN-HUMAN REGULAR 100 UNIT/1
ML
00002821501 CSP $102.05
4330000811 HYDROGEN PEROXIDE 240 ML
SOLUTION
00363087143A BULK $8.40
4330000308 hydrALAZINE HCL 10 MG TABLET 51079007420 UD $2.50
4330000307 hydrALAZINE 20 MG/ML 1ML VIAL 63323061416A INJ $17.25
4330000309 hydrALAZINE HCL 25 MG TABLET 62584073301 UD $2.50
4330000312 HYDROCORTISONE 1% CREAM 28 GM
TUBE
45802043803 BULK $13.97
4330000311 HYDROCORTISONE 0.5% CREAM 30
GM TUBE
00168001431 BULK $10.01
4330000694 HYDROCORTISONE 20 MG TABLET 00115170001A UD $3.82
4330000681 HYDROmorphone 2 MG TABLET 00406324301A CSPO $9.50
4330000314 HYDROmorphone HCL 2 MG/1 ML VIAL 00409336501 CSINJ $17.25
4330000313 HYDROCORTISONE (Solu-CORTEF)
100 MG/2 ML VIAL
00009001103 INJ $47.01
4330000315 hydrOXYzine HCL 25mg TABLET 68084025401 UD $2.50
4330000316 hydrOXYzine HCL 25 MG/ML VIAL 00517420125 INJ $84.70
4330000317 HYOSCYAMINE SULFATE 0.125 MG
TAB (SL, CHEWABLE OR ORAL)
51525011301 UD $2.50
4330000319 IBUPROFEN 200 MG TABLET 00904791461 UD $2.50
4330000320 IBUPROFEN 400 MG TABLET 00904585361 UD $2.50
4330000321 IBUPROFEN 800 MG TABLET 63739069110 UD $2.50
4330000318 IBUPROFEN 100 MG/5 ML UNIT DOSE
CUP
00121477405 UD $6.58
4330000324 INDOMETHACIN 25 MG CAPSULE 00093402901 UD $2.50
4330000799 FLU VACC HD 2016-17 (65YR+)/PF 180
MCG/0.5 ML SYRINGE
49281040165A INJ $148.33
4330000325 inFLIXimab 100 MG VIAL 57894003001 HCOST $2,919.55
4330000325 inFLIXimab 100 MG VIAL 57894003001 CSP $4,137.37
4330000691 FLU VACC QUAD 2016-17(36MOS+)/PF
0.5 ML SYRINGE
49281041750A INJ $60.27
4330000692 FLU VACC QS 2016-17(6-35MOS)PF
0.25 ML SYRINGE
49281051700A INJ $62.90
4330000331 INSULIN LANTUS 100 UNIT/1ML 00088222033 INSULIN $40.00
4330000333 IPRATROPIUM BROMIDE 0.2 MG/ML
SOLUTION
00378797091 UD $6.65
4330000335 IPRATROPIUM/ALBUTEROL 3 ML NEB
SOL
00487020160 UD $7.35
4330000334 IPRATROPIUM HFA ORAL INHALER
12.9 GM(17 MCG/PUFF 200 PUFF)
00597008717 BULK $1,257.73
4330000336 IRON DEXTRAN 100 MG/2ML VIAL 52544093102 INJ $92.82
4330000336 IRON DEXTRAN 100 MG/2ML VIAL 52544093102 CSP $142.82
4330000337 IRON SUCROSE INJ 100 MG/5 ML VIAL 00517234010 INJ $210.00
4330000337 IRON SUCROSE INJ 100 MG/5 ML VIAL 00517234010 CSP $260.00
4330000339 ISOSORBIDE MONONITRATE 10 MG
TABLET
62175010601 UD $2.50
4330000695 ISOSORBIDE MONONITRATE 60 MG
ER TAB
00143226001 UD $5.01
4330000816 IOPAMIDOL 61% 50ML VIAL 00270131530A INJ $157.75
4330000815 IOPAMIDOL 61% 100ML VIAL 00270131535 INJ $308.28
4330000783 IOPAMIDOL 76 % 100 ML VIAL 00270131635 INJ $342.16
4330000776 IOPAMIDOL 41% 20 ML VIAL 00270141125 INJ $309.89
4330000531 POTASSIUM CHLORIDE 10 MEQ ER
TABLET
63739044610A UD $3.01
4330000532 POTASSIUM CHLORIDE IV 20 MEQ/10
ML VIAL
00409665106 INJ $17.25
4330000532 POTASSIUM CHLORIDE IV 20 MEQ/10
ML VIAL
00409665106 CSP $60.40
4330000530 POTASSIUM CHLORIDE LIQUID 20
MEQ/15 ML LIQUID
00121146515 UD $18.97
4330000860 KCL 20 MEQ IN SWI 100 ML PREMIX 00409707526A PREMIX $75.00
4330000528 POTASSIUM CHLORIDE 20 MEQ ER
TABLET
66758019013 UD $2.50
4330000533 POTASSIUM CHLORIDE 8MEQ ER CAP
8 MEQ ERCAP
68382070201 UD $3.29
4330000806 KETAMINE 500 MG/5 ML VIAL 42023011510A CSINJ $34.58
4330000806 KETAMINE 500 MG/5 ML VIAL 42023011510A CSP $84.58
4330000341 KETOCONAZOLE 2% CREAM 15 GM
TUBE
00168009915 BULK $108.15
4330000346 KETOROLAC TROMETHAMINE 10 MG
TABLET
00093031401 UD $7.56
4330000343 KETOROLAC 15 MG/ 1 ML VIAL 00409379301 INJ $17.25
4330000344 KETOROLAC 30 MG/ 1 ML VIAL 00409379501 INJ $20.13
4330000345 KETOROLAC 60 MG/2 ML VIAL 00409379601 INJ $17.25
4330000348 LABETALOL HCL 100MG/20 ML INJ
VIAL
00409226720 INJ $17.25
4330000348 LABETALOL HCL 100MG/20 ML INJ
VIAL
00409226720 CSP $61.87
4330000348 LABETALOL HCL 100MG/20 ML INJ
VIAL
00409226720 CSP $75.00
4330000349 LABETALOL HCL 200 MG TABLET 51079092920 UD $2.50
4330000700 LACRI LUBE 3.5 GM TUBE 00023031204A BULK $34.20
4330000701 ACIDOPHILUS 175 MG CAP 175 MG
CAPSULE
40985021339A UD $2.50
4330000351 LACTULOSE 20 GM/30 ML CUP 66689003801 UD $5.85
4330000352 lamoTRIgine 100MG TABLET 51079049920 UD $16.63
4330000353 LANSOPRAZOLE 30 MG CAPSULE 51079012108 UD $19.81
4330000767 LATANOPROST 0.005% OPH 20
DROP/2.5 ML BOTTLE
61314054701 BULK $332.50
4330000354 LEVALBUTEROL 0.31 MG/3 ML NEB
SOLUTION
00093414564 UD $23.49
4330000758 LEVALBUTEROL 1.25 MG/3 ML NEB
SOLUTION
00093414864B UD $34.00
4330000355 LEVALBUTEROL 0.63 MG/3 ML NEB
SOLUTION
00093414664 UD $23.49
4330000356 levETIRAcetam 500 MG TABLET 50268046815 UD $11.69
4330000357 levETIRAcetam 500 MG/5 ML INJ VIAL 50474000263 INJ $185.64
4330000357 levETIRAcetam 500 MG/5 ML INJ VIAL 50474000263 CSP $235.64
4330000703 levoFLOXacin 250 MG/D5 50ML
*PREMIX*
36000004624A CSP $64.88
4330000703 levoFLOXacin 250 MG/D5 50ML
*PREMIX*
36000004624A CSP $75.00
4330000358 levoFLOXacin 250MG TABLET 68084048101 UD $57.72
4330000359 levoFLOXacin 500 MG/D5 100 ML
*PREMIX*
36000004724 CSP $71.74
4330000359 levoFLOXacin 500 MG/D5 100 ML
*PREMIX*
36000004724 CSP $75.00
4330000360 Levofloxacin 500Mg Tab 68084048201 UD $66.15
4330000361 levoFLOXacin 750 MG/D5 150 ML
*PREMIX*
36000004824 CSP $74.05
4330000361 levoFLOXacin 750 MG/D5 150 ML
*PREMIX*
36000004824 CSP $75.00
4330000362 LEVONORGESTREL 1.5 MG TABLET 68180085211A UD $127.96
4330000365 LEVOTHYROXINE SODIUM 112 MCG
TABLET
00074929690 UD $4.13
4330000368 LEVOTHYROXINE SODIUM 100 MCG
TABLET
00074662411 UD $4.24
4330000736 LEVOTHYROXINE SODIUM 200 MCG
INJ VIAL
63323064710A UD $739.06
4330000366 LEVOTHYROXINE SODIUM 25 MCG
TABLET
51079044420 UD $2.50
4330000367 LEVOTHYROXINE SODIUM 50 MCG
TABLET
51079044020 UD $2.50
4330000363 LEVOTHYROXINE SODIUM 75 MCG
TABLET
51079044120 UD $2.50
4330000364 LEVOTHYROXINE SODIUM 88 MCG
TABLET
00378180777 UD $2.50
4330000374 LIDOCAINE HCL 2% 100 MG/5 ML
SYRINGE
76329339001 INJ $17.25
4330000369 LIDOCAINE HCL 1% W\EPI 1:100,000 20
ML VIAL
63323048227 INJ $17.25
4330000373 LIDOCAINE HCL 1% MDV 10 MG/ML
VIAL
63323048527 INJ $17.25
4330000371 LIDOCAINE HCL 2% W/EPI 1:100,000
20ML MDV
63323048327 INJ $17.25
4330000377 LIDOCAINE 2GM/D5W 500ML *PREMIX* 00338040903 CSP $70.41
4330000377 LIDOCAINE 2GM/D5W 500ML *PREMIX* 00338040903 CSP $75.00
4330000375 LIDOCAINE HCL 2% 10 ML MDV VIAL 63323048617 INJ $17.25
4330000376 LIDOCAINE 2% VISCOUS SOLUTION 15
ML CUP
50383077515A UD $2.70
4330000370 LIDOCAINE HCL 2% 5 ML UROJET
SYRINGE
76329301205 UD $20.13
4330000378 LIDOCAINE PF 4% INJ SOLUTION
[40MG/ML] 5 ML
00409428311A INJ $17.25
4330000379 LIDOCAINE HCL 4% TOPICAL
SOLUTION 50 ML BOTTLE
00054350547 BULK $168.00
4330000380 LIDOCAINE 5% OINTMENT 35 GM
TUBE
50383093335A BULK $1,036.98
4330000372 LIDOCAINE-MPF 0.5% 50ML SDV [5
MG/ML ]
63323049157 INJ $44.07
4330000228 LIDOCAINE 4% CREAM 5 GM TUBE (L-
M-X-4)
00496088206 UD $29.40
4330000381 LIDOCAINE PATCH 5% SINGLE
PATCH""
63481068706 BULK $55.30
4330000864 LINAGLIPTIN 5 MG TABLET 00597014030 UD $48.02
4330000382 LINEZOLID 600 MG TABLET 00009513502 UD $595.25
4330000383 LINEZOLID 600 MG/300 ML *PREMIX* 00703906031 CSP $246.60
4330000772 FAT EMULSIONS 20% 500 ML BAG 00338051913A CSP $177.33
4330000724 LISINOPRIL 10 MG TABLET 51079098220 UD $3.29
4330000723 LISINOPRIL 5 MG TABLET 51079098120 UD $3.19
4330000725 LISINOPRIL 20 MG TAB 00172376060A UD $3.68
4330000384 LITHIUM CARBONATE 300 MG TABLET 00054852825 UD $2.50
4330000385 DIPHENOXYLATE-ATROPINE 1 TAB 59762106101 CSPO $9.50
4330000386 DIPHENOXYLATE-ATROPINE 2.5 MG/5
ML LIQUID
00054319446 CSPO $24.50
4330000387 LOPERAMIDE HCL 2 MG CAPSULE 51079069020 UD $3.05
4330000790 LORazepam 2MG/ML ORAL CONC 30
ML BOTTLE
00121077001A CSPO $9.50
4330000388 LORATADINE 10 MG TABLET 68084024801A UD $2.50
4330000391 LORazepam 1 MG TABLET 51079038620 CSPO $9.50
4330000389 LORazepam 2 MG/ML 1 ML VIAL 00641604425 CSINJ $17.25
4330000389 LORazepam 2 MG/ML 1 ML VIAL 00641604425 CSP $53.43
4330000390 LORazepam 0.5 MG TABLET 51079041720 CSPO $9.50
4330000392 LOSARTAN POTASSIUM 25 MG
TABLET
00904639161 UD $2.50
4330000680 LOSARTAN POTASSIUM 50 MG
TABLET
68084034701A UD $7.88
4330000393 CLOTRIMAZOLE/BETAMETHASONE
DIP 15 APP/15 GM TUBE
00085092401 BULK $204.75
4330000394 CLOTRIMAZOLE/BETAMETHASONE
DIP 30 ML LOTION
00168037030 BULK $433.30
4330000395 LOVASTATIN 20 MG TABLET 51079097520 UD $8.30
4330000350 LACTATED RINGERS 1,000 ML BAG 00409795309 CSP $75.00
4330000817 LACTATED RINGERS 500 ML BAG 00338011703A CSP $75.00
4330000396 SURGICAL LUBRICANT 5 GM PACKET 00281020545 UD $2.50
4330000397 SURGICAL LUBRICANT 56.7 GM TUBE 00281020502 BULK $5.53
4330000399 MAGNESIUM CITRATE 300 ML BOTTLE 37205036238 BULK $10.50
4330000756 MAGNESIUM OXIDE 400MG TABLET 63739035410A UD $2.50
4330000400 MAGNESIUM SULFATE 1GM/2ML VIAL 63323006402 INJ $17.25
4330000400 MAGNESIUM SULFATE 1GM/2ML VIAL 63323006402 CSP $55.53
4330000401 MAGNESIUM SULFATE 10 GM/20 ML
VIAL
00409216802 INJ $17.25
4330000401 MAGNESIUM SULFATE 10 GM/20 ML
VIAL
00409216802 CSP $63.27
4330000402 MANNITOL 20 % 100 GM/500 ML BAG 00338035703 CSP $242.78
4330000402 MANNITOL 20 % 100 GM/500 ML BAG 00338035703 CSP $110.16
4330000847 NEOMYCIN/POLYMYXIN
B/DEXAMETHA 3.5 GM OPHTH OINT
00065063136A BULK $682.12
4330000403 MAXZIDE-25 (TRIAMTERENE 37.5
MG/HCTZ 25MG) TAB
00591042401 UD $2.50
4330000405 MECLIZINE 25 MG TABLET 68084049101 UD $3.01
4330000407 medroxyPROGESTERone 10 MG
TABLET
59762374202 UD $2.50
4330000406 medroxyPROGESTERone 2.5 mg
TABLET
59762005501 UD $2.50
4330000408 MEGESTROL ACETATE 400 MG/10 ML
SUSP CUP
00121477610A UD $2.50
4330000825 MELATONIN 3 MG TABLET 00904518252 UD $2.50
4330000876 MELATONIN 1 MG TABLET 00536111411A UD $2.50
4330000841 MELOXICAM 7.5 MG TABLET 00440584100 UD $2.50
4330000409 MEMANTINE HCL 5 MG TABLET 00456320511 UD $25.94
4330000821 HALLS COUGH 5.8 MG LOZENGE 12546062544 UD $2.50
4330000410 MEPERIDINE 50 MG/1 ML INJ SYRINGE 00409117830 CSINJ $21.53
4330000411 MEPERIDINE 50MG TABLET 00054859511 CSPO $10.57
4330000412 MEPERIDINE 75 MG/1 ML INJ SYRINGE 00409117930 CSINJ $20.16
4330000413 MEPERIDINE PCA 300 MG/30 ML
CARTRIDGE
00409603004 CSINJ $29.19
4330000414 MEROPENEM 500MG VIAL 00409350501 INJ $50.75
4330000414 MEROPENEM 500MG VIAL 00409350501 CSP $100.75
4330000669 MESALAMINE 400 MG DR CAPSULE 00023585318 UD $12.39
4330000837 METAXALONE 800 MG TABLET 55289073615 UD $46.76
4330000829 METFORMIN HCL 500 MG TAB.ER.24H 53746017810 UD $2.63
4330000415 metFORMIN 500 MG TABLET 63739064010 UD $2.50
4330000854 METHYLNALTREXONE 12 MG/0.6 ML
INJ
65649055102 INJ $381.50
4330000774 METHOHEXITAL 500 MG/ 5 ML VIAL 42023010501 INJ $231.95
4330000774 METHOHEXITAL 500 MG/ 5 ML VIAL 42023010501 CSP $281.95
4330000809 METHADONE HCL 10 MG TABLET 00406577162A CSPO $9.50
4330000416 METHOCARBAMOL 1,000 MG/10 ML
VIAL
00641610301 INJ $277.52
4330000416 METHOCARBAMOL 1,000 MG/10 ML
VIAL
00641610301 CSP $327.52
4330000417 METHOCARBAMOL 500 MG TABLET 68084005601 UD $2.50
4330000418 METHYLENE BLUE 1% (10 MG/ML) 1
ML VIAL
17478050401A INJ $70.49
4330000421 methylPPREDNISolone SS 125 MG/2 ML
VIAL
00009004725 INJ $21.28
4330000421 methylPPREDNISolone SS 125 MG/2 ML
VIAL
00009004725 CSP $71.28
4330000420 methylPREDNISolone SS 1,000 MG/8 ML
VIAL
00009001820 INJ $198.80
4330000420 methylPREDNISolone SS 1,000 MG/8 ML
VIAL
00009001820 CSP $248.80
4330000422 methylPREDNISolone SS 40 MG/1 ML
VIAL
00009003930 INJ $20.62
4330000422 methylPREDNISolone SS 40 MG/1 ML
VIAL
00009003930 CSP $70.62
4330000423 methylPREDNISolone 4MG DOSEPAK 00603459315 BULK $5.01
4330000424 methylPREDNISolone 4MG TABLET 59762444003 UD $5.01
4330000419 methylPREDNISolone ACETATE 40
MG/ML 1 ML VIAL
00009028002 INJ $32.10
4330000427 METOCLOPRAMIDE HCL 10MG/10ML
ORAL SOLN
00121057616 UD $2.63
4330000426 METOCLOPRAMIDE HCL 10 MG/2 ML
VIAL
00703450204 INJ $17.25
4330000426 METOCLOPRAMIDE HCL 10 MG/2 ML
VIAL
00703450204 CSP $61.73
4330000425 METOCLOPRAMIDE HCL 5MG TABLET 51079088620 UD $3.15
4330000428 metOLazone 2.5 MG TABLET 51079002320 UD $11.52
4330000429 METOPROLOL SUCC XL 25MG TABLET 68084065901 UD $3.92
4330000430 METOPROLOL TART 50MG TABLET 62584026601 UD $2.50
4330000431 METOPROLOL TART 5 MG/5 ML VIAL 63323066005 INJ $17.25
4330000432 metroNIDAZOLE 500 MG/100 ML
*PREMIX*
00409781137 CSP $75.00
4330000433 metronDIAZOLE 250 MG TABLET 00904145361 UD $2.50
4330000689 metroNIDAZOLE 500 MG TABLET 42292000120A UD $2.91
4330000434 MICONAZOLE 7 VAG CREAM 2% 45 GM 00713025237 BULK $30.10
4330000435 MIDAZOLAM HCL 10 MG/5 ML ORAL
SYRUP
00054356699 CSPO $37.73
4330000436 MIDAZOLAM 5 MG/1 ML 1ML VIAL 00641606125A CSINJ $17.25
4330000438 MINERAL OIL 30 ML CUP 00574061816 UD $2.50
4330000526 POLYETHYLENE GLYCOL /LYTES 17
GM PKT
51079030601 UD $6.58
4330000757 MIRTAZAPINE 15 MG TAB 51079008601A UD $9.52
4330000404 MEASLES MUMPS RUBELLA VACCINE 00006468100 INJ $240.35
4330000437 MILK OF MAGNESIA 30 ML CUP 00121043130 UD $8.19
4330000684 MOMETASONE FUROATE 0.1% CREAM
15 APP/15 GM TUBE
45802025735 BULK $21.18
4330000439 MOMETASONE FUROATE 0.1% OINT
15 APP/15 GM TUBE
00168027115 BULK $53.73
4330000440 MONTELUKAST 10MG TABLET 51079022320 UD $19.78
4330000846 morphine IR 10MG/0.5ML ORAL SOL 68094075458A CSPO $9.50
4330000826 morphine IR 20 MG/ML ORAL SOL 68094075501 CSPO $15.37
4330000709 morphine SULFATE 2 MG/ML 1 ML INJ
CARPJECT
00409189001 CSINJ $17.25
4330000710 morphine SULFATE 4 MG/ML 1 ML INJ
CARPJECT
00409189101 CSINJ $17.25
4330000445 morphine SULFATE 10 MG/ML 1 ML INJ
CARPJECT
00409189301 CSINJ $17.25
4330000444 morphine PCA 30 MG/30 ML
CARTRIDGE
00409202902 CSINJ $27.93
4330000441 morphine 15 MG SR *12 HR* TABLET
(MS CONTIN)
00406831562 CSPO $9.50
4330000442 MORPHINE SO4 ORAL 20MG/ML 30ML
BULK
00406800330 CSPO $9.50
4330000443 morphine 30 MG SR*12 HR*TABLET (MS
CONTIN)
00406833062 CSPO $11.83
4330000446 MUPIROCIN 2% CREAM 15 GM TUBE 68462056417 BULK $858.06
4330000447 MUPIROCIN 2% OINTMENT 22 GM
TUBE
45802011222 BULK $39.38
4330000448 MVI-12 10ML VIAL 54643564901 INJ $70.81
4330000448 MVI-12 10ML VIAL 54643564901 CSP $120.81
4330000449 NYSTATIN /TRIAMCINOLONE CRM 30
APP/30 GM TUBE
51672126302 BULK $558.32
4330000450 NYSTATIN/TRIAMCIN OINT 15 APP/15
GM TUBE
51672127201 BULK $391.79
4330000451 MAG HYDROX/AL HYDROX/SIMETH SU
30 ML ORAL.SUSP
00121176130 UD $9.73
4330000459 NAFCILLIN SOD 2000MG VIAL 55150012315 INJ $98.98
4330000459 NAFCILLIN SOD 2000MG VIAL 55150012315 CSP $148.98
4330000460 NALOXONE 0.4MG /1 ML VIAL 00409121501 INJ $55.41
4330000460 NALOXONE 0.4MG /1 ML VIAL 00409121501 CSP $105.41
4330000461 NALOXONE 2 MG/ 2 ML SYRINGE 76329336901 INJ $115.50
4330000461 NALOXONE 2 MG/ 2 ML SYRINGE 76329336901 CSP $165.50
4330000462 NAPROXEN 250 MG TABLET 65162018810 UD $2.70
4330000463 NEOMYCIN 500 MG TABLET 39822031005 UD $4.76
4330000712 NEOSPORIN OPTHALMIC OINT 3.5 GM 24208078055A BULK $199.33
4330000714 NEOMYCN/BACI ZN/PMYX BS/PRAMOX
15 APP/15 GM TUBE
00810073794A BULK $15.23
4330000465 POLYMIXI/BACITRACIN/NEOMYCIN 15
APP/15 GM TUBE
45802014301 BULK $14.88
4330000464 NEOSPORIN PKT 1/32 OZ 45802014370 UD $2.50
4330000713 NEOMYCIN/POLYMYXN B/GRAMICIDIN
10 ML BOTTLE
24208079062A BULK $216.79
4330000466 NEOSTIGMINE METHYLSULFATE 1
MG/ML VIAL
63323041510 INJ $41.06
4330000466 NEOSTIGMINE METHYLSULFATE 1
MG/ML VIAL
63323041510 CSP $91.06
4330000715 FILGRASTIM 300 MCG/1 ML 55513053001A INJ $1,101.91
4330000868 FILGRASTIM 300 MCG/0.5 ML SYRINGE 55513092491A INJ $1,167.95
4330000467 NIACIN ER 500 MG TABLET 54629071201A UD $2.50
4330000856 niCARdipine 20 MG/200 ML NS PREMIX
BAG
10122031310B PREMIX $426.93
4330000855 niCARdipine 20 MG/NS 200 ML
*PREMIX*
10122031310C PREMIX $426.93
4330000468 NICOTINE TRANSDERMAL PATCH 14
MG PATCH
00536589588 UD $7.49
4330000469 NICOTINE TRANSDERMAL PATCH 21
MG PATCH
00536589653A UD $6.97
4330000471 NIFEdipine CC 30 MG 24-HR TABLET 68084059701 UD $4.73
4330000470 NIFEdipine 10 MG CAPSULE 43386044024 UD $4.52
4330000472 NITROFURANTOIN 100 MG CAP
(MACROBID)
51079034820 UD $17.85
4330000593 NITROPRUSSIDE SODIUM 50 MG/2 ML
VIAL
00187430202A INJ $1,050.00
4330000593 NITROPRUSSIDE SODIUM 50 MG/2 ML
VIAL
00187430202A CSP $1,100.00
4330000798 HYDROC 2.5 MG/APAP 108MG SUSP 5
ML CUP
00121477205A CSPO $24.78
4330000332 INSULIN ASPART 100 UNIT/1ML 00169750111A INSULIN $40.00
4330000771 HYDROcodone 5 MG/APAP 325 MG
TABLET
00406012362 CSPO $9.50
4330000704 NORepinephrine BITARTRATE 4 MG/4
ML INJ
00409337504 INJ $70.81
4330000704 NORepinephrine BITARTRATE 4 MG/4
ML INJ
00409337504 CSP $120.81
4330000454 NORMAL SALINE 0.9% 100 ML BAG 00409798437 CSP $75.00
4330000475 NORMAL SALINE 0.9% 1,000 ML BAG 00409798309 CSP $75.00
4330000849 POTASSIUM CHLORIDE IN 0.9%NACL
1,000 ML BAG
00338069104A CSPMED $35.00
4330000849 POTASSIUM CHLORIDE IN 0.9%NACL
1,000 ML BAG
00338069104A PREMIX $75.00
4330000452 NORMAL SALINE 0.9% 25 ML BAG 00409798420 CSP $75.00
4330000476 NORMAL SALINE 0.9% 250ML BAG 00409798302 CSP $75.00
4330000453 NORMAL SALINE 0.9% 50ML BAG 00409798436 CSP $75.00
4330000477 NORMAL SALINE 0.9% 500 ML BAG 00409798303 CSP $75.00
4330000664 SODIUM CHLORIDE 0.9% 3ML NEB
SOLN
00487930103 UD $2.50
4330000473 NITROGLYCERIN OINTMENT 2% 1GM
FOIL PKG
00281032608 UD $9.66
4330000716 NITROGLYCERIN 0.1 MG/HR PATCH 00378910293 UD $6.51
4330000478 NITROGLYCERIN 0.2 MG/HR PATCH 00904549546 UD $2.50
4330000479 NITROGLYCERIN 0.4MG/HR PATCH 00904549646 UD $2.50
4330000480 NITROGLYCERIN SUBLINGUAL 0.4MG
0.4 MG/TAB BOTTLE
00071041813 UD $4.38
4330000482 NYSTATIN 100,000 U/ML 60ML ORAL
SUSP
51672411704 BULK $59.29
4330000717 NYSTATIN CREAM 15 GM TUBE 45802005935A BULK $61.25
4330000483 NYSTATIN OINTMENT 15GM TUBE 45802004835 BULK $61.25
4330000481 NYSTATIN POWDER 15 GM BOTTLE 00574200815 BULK $96.11
4330000484 OCEAN SALINE NASAL SPRAY 44 ML
BOTTLE
45802035758 BULK $13.65
4330000875 OCTREOTIDE ACETATE 200 MCG/ML
(1000MCG\5 ML)VIAL
63323037805A INJ $83.48
4330000875 OCTREOTIDE ACETATE 200 MCG/ML
(1000MCG\5 ML)VIAL
63323037805A CSP $133.48
4330000485 OCTREOTIDE 100MCG/ 1 ML AMPUL 00078018101 INJ $93.98
4330000485 OCTREOTIDE 100MCG/ 1 ML AMPUL 00078018101 CSP $143.98
4330000749 OLANZapine 2.5 MG TABLET 68084052501 UD $39.10
4330000486 OLANZapine 5 MG ODTABLET 00002445385 UD $50.51
4330000819 OLOPATADINE 0.1% OPTH SOLN 5ML
BOTTLE
00065027105 BULK $959.56
4330000487 OMEPRAZOLE 20 MG SR CAPSULE 00904568461 UD $2.50
4330000489 ONDANSETRON 4 MG/5 ML ORAL
SOLUTION
00054006447 UD $83.93
4330000488 ONDANSETRON 4 MG/2 ML VIAL 00641607825 INJ $17.25
4330000488 ONDANSETRON 4 MG/2 ML VIAL 00641607825 CSP $53.33
4330000490 ONDANSETRON 4 MG ORALLY
DISINTERGRATING TABLET
00781523864 UD $28.00
4330000491 ORITAVANCIN 400 MG/40 ML VIAL 70842014003 HCOST $2,489.18
4330000491 ORITAVANCIN 400 MG/40 ML VIAL 70842014003 CSP $3,534.85
4330000492 ORPHENADRINE CIT 60 MG/ 2ML VIAL 17478053802 INJ $77.70
4330000493 OSELTAMIVIR PHOSPHATE 30 MG
CAPSULE
00004080285 UD $48.76
4330000494 OSELTAMIVIR PHOSPHATE 6 MG/ML
60 ML BOT
00004082205 BULK $531.58
4330000495 OSELTAMIVIR PHOSPHATE 75 MG
CAPSULE
00004080085 UD $53.17
4330000496 OXYBUTYNIN CHLORIDE 5 MG
TABLET
68084040001 UD $2.50
4330000499 oxyCODONE 5 MG IR TABLET 68084035401 CSPO $9.50
4330000497 oxyCODONE CR 10 MG TABLET 59011041010 CSPO $12.88
4330000498 oxyCODONE CR 20 MG TABLET 59011042020 CSPO $24.61
4330000500 OXYMETAZOLINE HCL 0.05% NASAL
SPRAY 15 ML
00904571135 BULK $2.70
4330000721 OXYTOCIN 10 UNITS/ML VIAL 42023011601A INJ $17.25
4330000721 OXYTOCIN 10 UNITS/ML VIAL 42023011601A CSP $53.71
4330000501 PANTOPRAZOLE SODIUM 40 MG/10 ML
VIAL
00008092355 INJ $17.50
4330000501 PANTOPRAZOLE SODIUM 40 MG/10 ML
VIAL
00008092355 CSP $67.50
4330000501 PANTOPRAZOLE SODIUM 40 MG/10 ML
VIAL
00008092355 CSP $75.00
4330000502 PANTOPRAZOLE SODIUM 40MG DR
TABLET
51079005120 UD $18.45
4330000503 PARoxetine 20 MG TABLET 51079077420 UD $9.56
4330000880 PATIROMER 8.4 GM ORAL SUSP
PACKET
53436008404A UD $128.31
4330000559 PROTHROMBIN CPLX(PCC)4FACT 500
U/20 ML (KCENTRA)
63833038602A HCOST $2,219.20
4330000559 PROTHROMBIN CPLX(PCC)4FACT 500
U/20 ML (KCENTRA)
63833038602A CSP $3,156.88
4330000718 PENICILLIN V POT 250MG TABLET 00781120501 UD $2.50
4330000504 PENICILLIN G POTASSIUM 5,000,000
UNIT VIAL
00049052083 INJ $44.31
4330000504 PENICILLIN G POTASSIUM 5,000,000
UNIT VIAL
00049052083 CSP $94.31
4330000629 PENTOXIFYLLINE ER 400 MG TABLET 51079088920 UD $5.25
4330000507 OXYCODONE 5MG/APAP 325 MG
TABLET (PERCOCET)
00406051262 CSPO $9.50
4330000227 PERMETHRIN 5% CREAM 60 GM 00472024260 BULK $433.13
4330000742 PETROLATUM, WHITE 5 GR PKT 00168005316A BULK $2.50
4330000678 CHLORASEPTIC SPRAY 6OZ BOTTLE 00536242558 BULK $7.18
4330000508 PHENAZOPYRIDINE HCL 100 MG
TABLET
51293080101 UD $9.45
4330000720 PHENobarbital 20 MG/5 ML ELIXIR 00603150858 CSPO $9.50
4330000802 PHENobarbital 32.4 MG TABLET 63739020110 CSPO $9.50
4330000719 PHENobarbital SODIUM 65 MG/ML VIAL 00641047625 CSINJ $72.80
4330000726 PHENTOLAMINE MESYL 5MG/2ML VIAL 00143956410 INJ $1,487.50
4330000726 PHENTOLAMINE MESYL 5MG/2ML VIAL 00143956410 CSP $1,537.50
4330000514 PHENYLEPHRINE 10 MG/ML VIAL 00641614225 INJ $42.00
4330000514 PHENYLEPHRINE 10 MG/ML VIAL 00641614225 CSP $92.00
4330000510 PHENYLEPHRINE 1% NASAL SPRAY
15 ML
00024135202 BULK $22.72
4330000511 PHENYLEPHRINE 1/2 % NASAL 15 ML 00024135301 BULK $22.72
4330000519 PHENYTOIN SODIUM ER 100 MG
CAPSULE
51079090520 UD $2.50
4330000518 PHENYTOIN SODIUM 125MG/5ML
SUSP
60432013108 UD $2.52
4330000517 PHENYTOIN SODIUM 250 MG/5 ML
VIAL
39822405006 INJ $17.25
4330000517 PHENYTOIN SODIUM 250 MG/5 ML
VIAL
39822405006 CSP $60.50
4330000516 PHENYTOIN SODIUM 50 MG CHEW
TABLET
00071000740 UD $5.74
4330000520 K-PHOS NEUTRAL PHOSPHORUS 250
MG TABLET
64980010401 UD $2.50
4330000522 PHYTONADIONE 10 MG 1 ML AMP 00409915801 INJ $168.84
4330000522 PHYTONADIONE 10 MG 1 ML AMP 00409915801 CSP $218.84
4330000521 PHYTONADIONE NEONATAL 1 MG/0.5
ML PFS
76329124001 INJ $78.75
4330000708 PHYTONADIONE 5 MG TABLET 00187170405 UD $205.66
4330000525 PNEUMOCOCCAL 23 VACCINE 0.5 ML
VIAL
00006494300 INJ $330.79
4330000810 BACITRACIN/POLYMYXIN B PKT 1 APP
PACKET
52959005444A UD $2.50
4330000527 POLYSPORIN OINTMENT 15 GM TUBE 54569402300A BULK $17.50
4330000529 POTASSIUM PHOSPHATE 4.4 MEQ/ML
15 ML VIAL
63323008615A INJ $105.98
4330000529 POTASSIUM PHOSPHATE 4.4 MEQ/ML
15 ML VIAL
63323008615A CSP $155.98
4330000534 PRALIDOXIME CHLORIDE 1 GM/20 ML
VIAL
60977014101 INJ $303.45
4330000534 PRALIDOXIME CHLORIDE 1 GM/20 ML
VIAL
60977014101 CSP $353.45
4330000535 PRAMIPEXOLE 0.125 MG TABLET 68462033090 UD $11.69
4330000828 PRAMIPEXOLE DI-HCL 1 MG TABLET 68462033390 UD $11.69
4330000536 PRAVASTATIN 20 MG TABLET 51079045820 UD $11.45
4330000540 predniSONE 10 MG TABLET 63739051910 UD $2.50
4330000539 predniSONE 1 MG TABLET 00054873925 UD $2.50
4330000541 predniSONE 20 MG TABLET 00054001820 UD $2.50
4330000542 predniSONE 5 MG TABLET 63739051810 UD $2.50
4330000538 prednisoLONE 15 MG/5 ML SOL 00121075908 UD $2.50
4330000543 PREGABALIN 25MG CAPSULE 00071101268 CSPO $26.01
4330000544 PREGABALIN 50MG CAPSULE 00071101341 CSPO $28.60
4330000322 IMIPENEM/CILASTATIN 250MG VIAL 00409350801A INJ $17.47
4330000322 IMIPENEM/CILASTATIN 250MG VIAL 00409350801A CSP $67.47
4330000322 IMIPENEM/CILASTATIN 250MG VIAL 00409350801A CSP $75.00
4330000545 IMIPENEM/CILASTATIN 500MG VIAL 00409350701 INJ $33.99
4330000545 IMIPENEM/CILASTATIN 500MG VIAL 00409350701 CSP $83.99
4330000545 IMIPENEM/CILASTATIN 500MG VIAL 00409350701 CSP $75.00
4330000546 PROCAINAMIDE HCL 1000 MG/10ML
VIAL
00409190201 INJ $302.33
4330000546 PROCAINAMIDE HCL 1000 MG/10ML
VIAL
00409190201 CSP $352.33
4330000547 PROCHLORPERAZINE EDISYLATE 10
MG/2 ML VIAL
23155029442 INJ $64.75
4330000547 PROCHLORPERAZINE EDISYLATE 10
MG/2 ML VIAL
23155029442 CSP $114.75
4330000548 PROCHLORPERAZINE 5 MG TABLET 51079054120 UD $2.50
4330000800 EPOETIN ALFA 20,000 UNIT/1 ML VIAL 59676032004A INJ $1,800.51
4330000812 PROMETH/COD 6.25-10MG/5ML SYR 5
ML BOTTLE
00603158554 CSPO $31.68
4330000551 PROMETHAZINE 12.5 MG SUPP 00713053612 UD $61.99
4330000552 PROMETHAZINE 25 MG SUPP 00591299239 UD $61.99
4330000553 PROMETHAZINE HCL 25 MG TABLET 68084015501 UD $2.50
4330000549 PROMETHAZINE 25MG 25 MG/ML VIAL 00641092821 INJ $17.25
4330000549 PROMETHAZINE 25MG 25 MG/ML VIAL 00641092821 CSP $53.01
4330000509 PROMETHAZINE HCL 6.25 MG/5 ML LIQ 00603158454A UD $2.50
4330000550 PROMETHAZINE VC/CODEINE 5 ML
CUP
70408018531 CSPO $9.50
4330000697 PROPRANOLOL HCL 10 MG TAB 00115165901A UD $2.50
4330000554 PROPOFOL 10,000 MCG/ML-100ML 63323026965 CSP $155.00
4330000554 PROPOFOL 10,000 MCG/ML-100ML 63323026965 CSP $75.00
4330000555 PROPOFOL 200 MG/20 ML VIAL 63323026970 INJ $17.25
4330000556 PROPRANOLOL HCL 40 MG TABLET 00378018401A UD $2.52
4330000323 PROPRANOLOL LONG ACTING 60MG
SRCAPSULE
00228277811 UD $7.21
4330000557 PROPYLTHIOURICIL 50 MG TABLET 00228234810 UD $3.15
4330000558 PROTAMINE SULFATE 250 MG/25 ML
VIAL
63323022930 INJ $129.01
4330000558 PROTAMINE SULFATE 250 MG/25 ML
VIAL
63323022930 CSP $179.01
4330000560 PSYLLIUM PACKET 37000002404 UD $2.50
4330000562 QUEtiapine FUMARATE 25 MG TABLET 68084053001 UD $13.23
4330000869 RABIES VACCINE (PCEC)/PF 2.5
UNIT/1 ML VIAL
58160096412A INJ $1,179.50
4330000563 RACEMIC EPINEPHRINE 2.25% 0.5 ML
NEBSOL
00487590199 UD $4.38
4330000746 raNITIdine 50 MG/2 ML VIAL 68382042202 INJ $54.15
4330000746 raNITIdine 50 MG/2 ML VIAL 68382042202 CSP $104.15
4330000565 raNITIdine HCL 150 MG TABLET 51079087920 UD $5.57
4330000564 raNITIdine HCL 150 MG/10 ML SYRUP 68094020459 UD $28.39
4330000870 RHO(D) IMMUNE GLOBULIN 300 MCG
(1500 UNIT) 2 ML SYRINGE
00562780501A INJ $413.00
4330000727 risperiDONE 1 MG TABLET 51079046220 UD $15.89
4330000566 risperiDONE-M 0.5 MG ODT 49884031191 UD $17.22
4330000567 RIVAROXABAN 10 MG TABLET 50458058010 UD $48.90
4330000568 RIVAROXABAN 15 MG TABLET 50458057810 UD $48.90
4330000852 RIVASTIGMINE 4.6 MG/24 HOUR
PATCH
00078050261 UD $75.50
4330000569 RIZATRIPTAN 5 MG TABLET 23155024446 UD $116.38
4330000830 guaiFENesin 200
MG/DEXTROMETHORPHAN 20 MG-10
00121127600A UD $7.42
4330000296 guaiFENesin 100
MG/DEXTROMETHORPHAN 10 MG-5
00121063805 UD $2.50
4330000762 guaiFENesin 200 MG/CODEINE 20MG-
10ML CUP(ROBITUSSIN AC SUGAR
00121177510A CSPO $9.50
4330000845 guaiFENesin/COD 100/10MG 5ML CUP 00121177500A CSPO $9.50
4330000570 ROCURONIUM 50 MG/5 ML VIAL 00409955805 INJ $17.25
4330000571 ROSUVASTATIN CALCIUM 10 MG
TABLET
00310075139 UD $30.45
4330000779 SODIUM CHLORIDE 3% INHALATION
SOL 15ML
00378699789 UD $2.50
4330000572 SALMETEROL 50 MCG/PUFF 28 DISK
INHALER
00173052000 BULK $739.80
4330000840 BIOTENE SALIVA SUBSTITUTE 237 ML 48582080220 BULK $10.33
4330000573 SCOPOLAMINE 1.5 MG PATCH-3 DAY 1
PATCH PATCH
10019055303 UD $74.55
4330000682 SENNOSIDES 8.6/DOCUSATE 50MG 1
TABLET
00904564361 UD $2.50
4330000574 SENNOSIDES 8.6 MG TAB 1 TAB
TABLET
67618030010A UD $2.50
4330000671 BACTRIM (SMX 800MG/TMP 160MG) 10
ML VIAL
00703951403A INJ $43.89
4330000671 BACTRIM (SMX 800MG/TMP 160MG) 10
ML VIAL
00703951403A CSP $93.89
4330000575 BACTRIM DOUBLE STRENGTH (SMX
800MG/TMP 160MG) 1 DS TAB
61971012001A UD $4.03
4330000805 BACTRIM SUSP (SMX 800MG/TMP
160MG) 20 ML CUP
50383082420A UD $17.29
4330000577 SERTRALINE 50 MG TABLET 68084018101 UD $2.50
4330000838 SEVELAMER CARBONATE 800 MG
TABLET
58468013001 UD $19.74
4330000578 SILVER NITRATE 5 STICK BAG G 12870000101 UD $2.50
4330000579 SILVER sulfADIAZINE CREAM 400 GM
JAR
67877012440 BULK $227.33
4330000580 SILVER sulfADIAZINE CREAM 50 GM
TUBE
43598021050 BULK $52.08
4330000582 SIMETHICONE 80 MG CHEWABLE
TABLET
63739022510 UD $2.50
4330000581 SIMETHICONE 40MG/0.6ML DROPS 30
ML BOTTLE
00904589430 BULK $6.51
4330000584 SIMVASTATIN 20 MG TABLET 68084051201 UD $17.22
4330000583 SIMVASTATIN 40 MG TABLET 51079045620 UD $17.22
4330000585 SINEMET (CARBIDOPA/LEVODOPA)
10/100 MG TAB
63739004610 UD $4.03
4330000586 SINEMET (CARBIDOPA/LEVODOPA)
25/100 MG TAB
68084009301 UD $2.87
4330000587 SINEMET (CARBIDOPA/LEVODOPA)
25/250 MG TAB
63739001310 UD $2.50
4330000588 SINEMET-CR
(CARBIDOPA/LEVODOPA) 50/200 MG
68084028201 UD $5.53
4330000398 MAGNESIUM CHLORIDE 64 MG SR
TABLET
68585000575A UD $2.50
4330000044 CROTALIDAE IMMUNE FAB(OVINE) 1
VIAL
50633011012 HCOST $7,995.00
4330000044 CROTALIDAE IMMUNE FAB(OVINE) 1
VIAL
50633011012 CSP $11,243.00
4330000590 SODIUM BICARBONATE 8.4%
*PEDIATRIC* 10 MEQ/10 ML SYRINGE
00409490034 INJ $49.18
4330000589 SODIUM BICARBONATE 8.4% 50
MEQ/50 ML SYRINGE
76329335201 INJ $35.00
4330000589 SODIUM BICARBONATE 8.4% 50
MEQ/50 ML SYRINGE
76329335201 CSP $85.00
4330000591 SODIUM BICARBONATE 8.4% 50
MEQ/50 ML VIAL
00409662502 INJ $33.92
4330000591 SODIUM BICARBONATE 8.4% 50
MEQ/50 ML VIAL
00409662502 CSP $83.92
4330000592 SODIUM BICARBONATE 650 MG
TABLET
00223172101 UD $2.50
4330000457 SODIUM CHLORIDE 1 GM TABLET 00223176001 UD $2.50
4330000458 SODIUM CHLORIDE 3% 500 ML BAG 00338005403 PREMIX $19.08
4330000458 SODIUM CHLORIDE 3% 500 ML BAG 00338005403 PREMIX $75.00
4330000711 SODIUM CHLORIDE 23.4% 120 MEQ/30
ML VIAL
63323018730A INJ $17.25
4330000711 SODIUM CHLORIDE 23.4% 120 MEQ/30
ML VIAL
63323018730A CSP $65.72
4330000871 SOLIFENACIN SUCCINATE 10 MG
TABLET
51248015101A UD $42.42
4330000594 SORBITOL SOLUTION 70% W/W 30 ML
BOTTLE
46287050030A UD $7.84
4330000595 SOTALOL 80 MG TABLET 00245001201 UD $9.14
4330000596 SPIRONOLACTONE 25 MG TABLET 51079010320 UD $2.50
4330000597 SODIUM POLYSTYRENE SULFONATE
15 GM/60 ML CUP
00574200202 UD $39.38
4330000598 SUCCINYLCHOLINE 200 MG/10 ML
VIAL
00409662902 INJ $67.13
4330000600 SUCRALFATE 1 GM TABLET 51079075320 UD $2.50
4330000599 SUCRALFATE 1 GM/10 ML SUSP 00121074710 UD $35.21
4330000879 SUGAMMADEX SODIUM 200 MG/2 ML
VIAL
00006542312A INJ $332.50
4330000601 SULFACETAMIDE SODIUM 10%
OPHTHALMIC SOL 15 ML BOTTLE
61314070101 BULK $194.78
4330000602 SUMAtriptan 50 MG TABLET 65862014736 UD $87.99
4330000603 SUMAtriptan SUCCINATE 6 MG/0.5 ML
VIAL
55150017301 INJ $297.50
4330000604 BUDESONIDE 160 MCG/FORMOTEROL
4.5 MCG- 60 INH ORAL INHALER
00186037028 BULK $894.92
4330000605 BUDESONIDE 80 MCG/FORMOTEROL
4.5 MCG -60 INH ORAL INHALER
00186037228 BULK $676.48
4330000636 APAP 300/CODEINE 30MG (TYLENOL
#3) TABLET
00406048462 CSPO $9.50
4330000607 TAMSULOSIN HCL 0.4 MG CAPSULE 51079029420 UD $14.74
4330000606 TAMOXIFEN CITRATE 10 MG TAB 10
MG TABLET
00591247260 UD $6.62
4330000635 TUBERCULIN PPD 5 TU/0.1 ML SKIN
TEST
49281075221 INJ $27.13
4330000615 TETRACYCLINE 250 MG CAPSULE 23155001701 UD $27.58
4330000751 APAP 120MG + CODEINE 12MG
(TYLENOL+CODEINE ELIXIR) 5 ML CUP
00121050405A CSPO $9.50
4330000608 BOOSTRIX
(TETANUS/DIPHTHERIA/PERTUSSIS
58160084252 INJ $132.30
4330000609 TEMAZEPAM 15 MG CAPSULE 51079041820 CSPO $9.50
4330000611 TERAZOSIN 1 MG CAPSULE 51079093620 UD $5.64
4330000612 TERAZOSIN 5 MG CAPSULE 51079093820 UD $5.64
4330000673 TERBUTALINE SULFATE 1MG/ML 1 ML
VIAL
00143974610A INJ $17.25
4330000614 TETRACAINE HCL 0.5% OPHTHALMIC
SOLUTION 2 ML BOTTLE
00065074114A BULK $17.89
4330000617 MULTIVITAMIN LIQUID 5 ML 00005434462A BULK $16.00
4330000618 THERAGRAN M 1 TABLET 00904053060 UD $2.50
4330000620 THIAMINE HCL 100 MG TABLET 00904054460 UD $2.50
4330000619 THIAMINE HCL 100 MG/ML 2 ML VIAL 63323001302 INJ $34.83
4330000619 THIAMINE HCL 100 MG/ML 2 ML VIAL 63323001302 CSP $84.83
4330000622 TIMOLOL MALEATE 0.25% OPHTH SOL
5 ML
61314022605 BULK $52.50
4330000621 TIMOLOL MALEATE 0.5% OPHTH SOL
5 ML
61314022705 BULK $59.50
4330000623 TIOTROPIUM BROMIDE 18 MCG
HANDIHALER (5 CAPS PER BOX)
00597007575 BULK $517.41
4330000610 TENECTEPLASE 50 MG VIAL 50242012001 HCOST $14,654.68
4330000624 TOBRADEX (TOBRAMYCIN
0.3%/DEXAMETHASONE 0.1%) OPHTH
00065064835 BULK $753.52
4330000625 TOLTERODINE 2 MG LA CAPSULE 00009519004 UD $43.02
4330000028 TPA 100 MG VIAL 50242008527 HCOST $22,000.90
4330000028 TPA 100 MG VIAL 50242008527 CSP $30,851.26
4330000146 TPN-CLINIMIX E 5/20 1000ML BAG
1,000 ML BAG
00338114803 CSP $79.10
4330000626 traMADol 50 MG TABLET 51079099120 CSPO $9.50
4330000627 TRANEXAMIC ACID 1000 MG/10 ML
AMP
39822100001 INJ $107.45
4330000627 TRANEXAMIC ACID 1000 MG/10 ML
AMP
39822100001 CSP $157.45
4330000765 TRAVOPROST 0.004% OPTH SOL 5 ML 00065026005A BULK $1,191.68
4330000628 traZODone 50 MG TABLET 60505265300 UD $2.50
4330000634 TRIAMCINOLONE ACETONIDE 0.1%
CREAM 15 GM TUBE
00603786274 BULK $19.53
4330000631 TRIAMCINOLONE ACETONIDE 0.1%
OINTMENT 15 GM TUBE
00168000615 BULK $16.28
4330000630 TRIAMCINOLONE ACETONIDE 0.025%
CREAM 15 GM TUBE
00168000315 BULK $13.02
4330000632 TRIAMCINOLONE ACETONIDE 0.5%
CREAM 15 GM TUBE
00168000215 BULK $32.38
4330000699 TRIAMCINOLONE ACETONIDE 0.5%
OINTMENT 15 GM TUBE
45802004935A BULK $35.35
4330000633 TRIAMCINOLONE ACETONIDE 40
MG/ML 1ML VIAL
00003029305 INJ $32.76
4330000637 UNASYN (AMPICILLIN/SULBACTAM) 1.5
GM VIAL
55150011620 INJ $27.09
4330000637 UNASYN (AMPICILLIN/SULBACTAM) 1.5
GM VIAL
55150011620 CSP $77.09
4330000638 UNASYN(AMPICILLIN/SULBACTAM) 3
GM VIAL
44567021110 INJ $66.99
4330000638 UNASYN(AMPICILLIN/SULBACTAM) 3
GM VIAL
44567021110 CSP $116.99
4330000639 URSODIOL 300 MG CAP 50268079615A UD $33.53
4330000861 USTEKINUMAB 90 MG/ML SQ 57894006103 HCOST $51,460.75
4330000862 USTEKINUMAB 130 MG/26 ML VIAL 57894005427A INJ $5,600.00
4330000862 USTEKINUMAB 130 MG/26 ML VIAL 57894005427A CSP $5,650.00
4330000739 valACYclovir HCL 500 MG TABLET 00054011413 UD $25.31
4330000640 VALPROIC ACID 250 MG/5 ML UD LIQ 00121467505 UD $7.56
4330000641 VALSARTAN 80 MG TABLET 00078035834 UD $25.94
4330000740 VANCOMYCIN HCL 500MG INJ VIAL 63323022110A INJ $24.50
4330000740 VANCOMYCIN HCL 500MG INJ VIAL 63323022110A CSP $74.50
4330000643 VANCOMYCIN HCL 125 MG CAPSULE 17478074102 UD $109.66
4330000642 VANCOMYCIN 1000 MG VIAL 00409653301 INJ $56.14
4330000642 VANCOMYCIN 1000 MG VIAL 00409653301 CSP $106.14
4330000644 VANCOMYCIN HCL 250 MG CAPSULE 68180016713 UD $202.02
4330000741 VARICELLA VIRUS VACCINE 00006482700 INJ $424.45
4330000722 VASOPRESSIN 20 UNITS/ML VIAL 42023016425B INJ $585.38
4330000722 VASOPRESSIN 20 UNITS/ML VIAL 42023016425B CSP $635.38
4330000646 VECURONIUM INJ 10 MG VIAL 47335093140 INJ $26.25
4330000646 VECURONIUM INJ 10 MG VIAL 47335093140 CSP $76.25
4330000646 VECURONIUM INJ 10 MG VIAL 47335093140 CSP $75.00
4330000226 VENLAFAXINE XR 37.5 MG CAPSULE 65862052790A UD $14.56
4330000755 VENLAFAXINE HCL 75 MG TABLET 68084085601A UD $7.63
4330000760 VERAPAMIL ER 180 MG ER TABLET 51079089920A UD $8.72
4330000674 VERAPAMIL ER 240 MG TABLET 51079086920A UD $8.86
4330000647 VERAPAMIL HCL 5 MG/2 ML VIAL 00409114405 INJ $101.29
4330000648 VERAPAMIL 80 MG TABLET 23155002601 UD $2.50
4330000745 VITAMIN E 400 UNIT CAPSULE 00904027460A UD $2.50
4330000649 VITAMIN B COMPLEX CAPSULE 00536478701 UD $2.50
4330000050 ASCORBIC ACID (VIT C) 500 MG
TABLET
00904052361 UD $2.50
4330000133 CHOLECALCIFEROL (VIT D 3) 1000
UNIT TABLET
00904582461 UD $2.50
4330000134 CHOLECALCIFEROL (VIT D 3) 400 UNIT
TABLET
00904582360A UD $2.50
4330000655 WARFARIN SODIUM 1 MG TABLET 00056016975 UD $7.21
4330000651 WARFARIN SODIUM 2.5 MG TABLET 00056017675 UD $7.77
4330000652 WARFARIN SODIUM 2 MG TABLET 00832121201 UD $2.50
4330000653 WARFARIN SODIUM 3 MG TABLET 00056018875 UD $7.81
4330000650 WARFARIN SODIUM 4 MG TABLET 00056016875 UD $7.81
4330000654 WARFARIN SODIUM 5 MG TABLET 00056017075 UD $7.53
4330000301 ZIAC (BISOPROLOL 2.5 MG/HCTZ 6.25
MG) TAB
29300018701 UD $12.53
4330000084 ZIAC (BISOPROLOL 5 MG/HCTZ 6.25
MG) TAB
29300018813 UD $11.80
4330000782 MULTITRACE-5=ZI/CO/MAN/CHR/SEL 1
ML VIAL
00517820125 INJ $54.71
4330000782 MULTITRACE-5=ZI/CO/MAN/CHR/SEL 1
ML VIAL
00517820125 CSP $104.71
4330000657 ZINC OXIDE 20% OINTMENT 28GM
TUBE
00168006231 BULK $9.03
4330000658 ZINC SULFATE 220 MG CAP (50 MG
ELEMENTAL ZINC)
00904533260 UD $2.50
4330000659 ZIPRASIDONE HCL 20 MG CAPSULE 00904626908 UD $16.91
4330000660 ZOLEDRONIC ACID (RECLAST) 5
MG/100 ML INJ
55111068852 PREMIX $3,515.47
4330000661 ZOLPIDEM 5 MG TABLET 00904608261 CSPO $9.50
4330000524 PIPERACILLIN/TAZOBACTAM 2.25 GM
VIAL
00409338302 INJ $24.05
4330000524 PIPERACILLIN/TAZOBACTAM 2.25 GM
VIAL
00409338302 CSP $74.05
4330000662 PIPERACILLIN/TAZOBACTAM 3.375 GM
VIAL
00781335094 INJ $83.48
4330000662 PIPERACILLIN/TAZOBACTAM 3.375 GM
VIAL
00781335094 CSP $133.48
4330000663 PIPERACILLIN/TAZOBACTAM 4.5 GM
VIAL
55150012150 INJ $96.43
4330000663 PIPERACILLIN/TAZOBACTAM 4.5 GM
VIAL
55150012150 CSP $146.43
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