Pharmaceutical Catalog Search
1101 - 1200 of 1554 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 43598-0580-30 | 30 | 36F79723D0140 | X | Golden Sta | BUPRENORPHINE 4MG/NALOXONE 1MG FILM,SUBLINGUAL | BUPRENORPHINE 4MG/NALOXONE 1MG FILM,SUBLING | $78.87 | $0.00 | $0.00 |
| 68094-0129-62 | 30X15ML | 36F79723D0140 | X | Golden Sta | LOPERAMIDE HCL 2MG/15ML SUSP,ORAL | LOPERAMIDE HCL 2MG/15ML SUSP,ORAL | $78.92 | $0.00 | $0.00 |
| 51407-0190-30 | 30 | 36F79723D0140 | X | Golden Sta | EZETIMIBE 10MG/SIMVASTATIN 10MG TAB | EZETIMIBE 10MG/SIMVASTATIN 10MG TAB | $79.40 | $0.00 | $0.00 |
| 00054-3722-50 | 120ML | 36F79723D0140 | X | Golden Sta | PREDNISONE 1MG/ML SOLN,ORAL | PREDNISONE 1MG/ML SOLN,ORAL | $79.60 | $0.00 | $0.00 |
| 51407-0059-60 | 60 | 36F79723D0140 | X | Golden Sta | METFORMIN HCL 1000MG OSM 24HR TAB,SA | METFORMIN HCL 1000MG OSM 24HR TAB,SA | $79.77 | $0.00 | $0.00 |
| 24208-0295-10 | 10ML | 36F79723D0140 | X | Golden Sta | DEXAMETHASONE 0.1%/TOBRAMYCIN 0.3% SUSP,OPH | DEXAMETHASONE 0.1%/TOBRAMYCIN 0.3% SUSP,OPH | $79.78 | $0.00 | $0.00 |
| 00054-0062-58 | 240ML | 36F79723D0140 | X | Golden Sta | CITALOPRAM HYDROBROMIDE 10MG/5ML SOLN | CITALOPRAM HYDROBROMIDE 10MG/5ML SOLN | $79.89 | $0.00 | $0.00 |
| 51672-1371-08 | 1X125 | 36F79723D0140 | X | Golden Sta | CLOBETASOL PROPIONATE 0.05% SPRAY,TOP | CLOBETASOL PROPIONATE 0.05% SPRAY,TOP | $80.30 | $0.00 | $0.00 |
| 51407-0380-01 | 100 | 36F79723D0140 | X | Golden Sta | MEXILETINE HCL 200MG CAP | MEXILETINE HCL 200MG CAP | $80.44 | $0.00 | $0.00 |
| 60505-0170-07 | 1000 | 36F79723D0140 | X | Golden Sta | PRAVASTATIN NA 40MG TAB | PRAVASTATIN NA 40MG TAB | $80.91 | $0.00 | $0.00 |
| 60505-2579-08 | 1000 | 36F79723D0140 | X | Golden Sta | ATORVASTATIN CA 20MG TAB | ATORVASTATIN CA 20MG TAB | $81.31 | $0.00 | $0.00 |
| 49884-0110-74 | 10X10 | 36F79723D0140 | X | Golden Sta | ALPRAZOLAM 0.25MG TAB,ORALLY DISINTEGRATING | ALPRAZOLAM 0.25MG TAB,ORALLY DISINTEGRATING | $81.73 | $0.00 | $0.00 |
| 51672-4185-01 | 100 | 36F79723D0140 | X | Golden Sta | FELBAMATE 400MG TAB | FELBAMATE 400MG TAB | $81.80 | $0.00 | $0.00 |
| 00378-8760-91 | 60X0.4ML | 36F79723D0140 | X | Golden Sta | CYCLOSPORINE 0.05% (PF) EMULSION,OPH,0.4ML | CYCLOSPORINE 0.05% (PF) EMULSION,OPH,0.4ML | $81.96 | $0.00 | $0.00 |
| 68382-0528-60 | 60 | 36F79723D0140 | X | Golden Sta | CHOLESTYRAMINE 4GM/9GM PWDR,PKT | CHOLESTYRAMINE 4GM/9GM PWDR,PKT | $82.16 | $0.00 | $0.00 |
| 66689-0694-79 | 1000ML | 36F79723D0140 | X | Golden Sta | METHADONE HCL 10MG/ML SOLN,ORAL | METHADONE HCL 10MG/ML SOLN,ORAL | $82.22 | $0.00 | $0.00 |
| 66689-0695-79 | 1000ML | 36F79723D0140 | X | Golden Sta | METHADONE HCL 10MG/ML SOLN,ORAL,SUGAR FREE | METHADONE HCL 10MG/ML SOLN,ORAL,SUGAR FREE | $82.22 | $0.00 | $0.00 |
| 60429-0098-30 | 30 | 36F79723D0140 | X | Golden Sta | TROSPIUM CL 60MG CAP,SA | TROSPIUM CL 60MG CAP,SA | $82.28 | $0.00 | $0.00 |
| 60429-0734-10 | 1000 | 36F79723D0140 | X | Golden Sta | PAROXETINE HCL 10MG TAB | PAROXETINE HCL 10MG TAB | $83.24 | $0.00 | $0.00 |
| 51672-4003-02 | 500 | 36F79723D0140 | X | Golden Sta | NORTRIPTYLINE HCL 50MG CAP | NORTRIPTYLINE HCL 50MG CAP | $83.53 | $0.00 | $0.00 |
| 00641-6084-25 | 25X1ML | 36F79723D0140 | X | Golden Sta | PROMETHAZINE HCL 25MG/ML INJ | PHENERGAN 25MG/ML INJ VIALS | $83.88 | $0.00 | $0.00 |
| 60505-2580-08 | 1000 | 36F79723D0140 | X | Golden Sta | ATORVASTATIN CA 40MG TAB | ATORVASTATIN CA 40MG TAB | $84.01 | $0.00 | $0.00 |
| 43598-0131-01 | 100 | 36F79723D0140 | X | Golden Sta | HYDROXYCHLOROQUINE SO4 300MG TAB | HYDROXYCHLOROQUINE SO4 300MG TAB | $84.08 | $0.00 | $0.00 |
| 68094-0600-61 | 100X5ML | 36F79723D0140 | X | Golden Sta | IBUPROFEN 100MG/5ML SUSP,ORAL | IBUPROFEN 100MG/5ML (DYE-F) SUSP,ORAL,UD | $84.17 | $0.00 | $0.00 |
| 60429-0970-01 | 100 | 36F79723D0140 | X | Golden Sta | DOXEPIN HCL 100MG CAP | DOXEPIN HCL 100MG CAP | $84.42 | $0.00 | $0.00 |
| 69452-0209-13 | 30 | 36F79723D0140 | X | Golden Sta | NIMODIPINE 30MG CAP | NIMODIPINE 30MG CAP | $85.76 | $0.00 | $0.00 |
| 51672-1373-03 | 60GM | 36F79723D0140 | X | Golden Sta | TAZAROTENE 0.1% CREAM,TOP | TAZAROTENE 0.1% CREAM,TOP | $86.06 | $0.00 | $0.00 |
| 51407-0759-01 | 100 | 36F79723D0140 | X | Golden Sta | CLOMIPRAMINE HCL 75MG CAP | CLOMIPRAMINE HCL 75MG CAP | $86.37 | $0.00 | $0.00 |
| 60505-0065-01 | 1000 | 36F79723D0140 | X | Golden Sta | OMEPRAZOLE 20MG CAP,SA | OMEPRAZOLE 20MG CAP,SA | $86.80 | $0.00 | $0.00 |
| 49884-0310-02 | 10X6 | 36F79723D0140 | X | Golden Sta | CLONAZEPAM 2MG TAB,ORALLY DISINTEGRATING | CLONAZEPAM 2MG TAB,ORALLY DISINTEGRATING | $87.11 | $0.00 | $0.00 |
| 69452-0291-30 | 500 | 36F79723D0140 | X | Golden Sta | ACYCLOVIR 800MG TABLET | ACYCLOVIR 800MG TABLET | $87.60 | $0.00 | $0.00 |
| 60429-0020-01 | 100 | 36F79723D0140 | X | Golden Sta | KETOCONAZOLE 200MG TAB | KETOCONAZOLE 200MG TAB | $87.95 | $0.00 | $0.00 |
| 00054-0327-56 | 60 | 36F79723D0140 | X | Golden Sta | FLUTICASONE 200MCG/SALMETEROL 50MCG INHL,ORAL,DISKUS,60 | FLUTICASONE 200MCG/SALMETEROL 50MCG INHL,ORAL | $88.37 | $0.00 | $0.00 |
| 60429-0973-25 | 250 | 36F79723D0140 | X | Golden Sta | PRAZOSIN HCL 5MG CAP | PRAZOSIN HCL 5MG CAP | $89.32 | $0.00 | $0.00 |
| 42192-0608-16 | 470ML | 36F79723D0140 | X | Golden Sta | GABAPENTIN 250MG/5ML SOLN,ORAL | GABAPENTIN 250MG/5ML SOLN,ORAL | $89.40 | $0.00 | $0.00 |
| 51407-0656-01 | 100 | 36F79723D0140 | X | Golden Sta | NATEGLINIDE 60MG TAB | NATEGLINIDE 60MG TAB | $89.72 | $0.00 | $0.00 |
| 60505-3250-06 | 60 | 36F79723D0140 | X | Golden Sta | LAMIVUDINE 100MG TAB | LAMIVUDINE 100MG TAB | $89.98 | $0.00 | $0.00 |
| 51407-0657-01 | 100 | 36F79723D0140 | X | Golden Sta | NATEGLINIDE 120MG TAB | NATEGLINIDE 120MG TAB | $90.15 | $0.00 | $0.00 |
| 66689-0036-50 | 50X5ML | 36F79723D0140 | X | Golden Sta | PHENYTOIN 125MG/5ML SUSP,ORAL | PHENYTOIN 125MG/5ML SUSP,ORAL | $91.55 | $0.00 | $0.00 |
| 60505-0016-06 | 100 | 36F79723D0140 | X | Golden Sta | DILTIAZEM (EQV-DILT-XR AB2) 240MG 24HR CAP | DILTIAZEM (EQV-DILT-XR AB2) 240MG 24HR CAP | $91.58 | $0.00 | $0.00 |
| 60429-0735-10 | 1000 | 36F79723D0140 | X | Golden Sta | PAROXETINE HCL 20MG TAB | PAROXETINE HCL 20MG TAB | $93.54 | $0.00 | $0.00 |
| 00054-0400-22 | 90 | 36F79723D0140 | X | Golden Sta | DESVENLAFAXINE (EQV-PRISTIQ) 50MG TAB,SA | DESVENLAFAXINE (EQV-PRISTIQ) 50MG TAB,SA | $93.70 | $0.00 | $0.00 |
| 51407-0443-01 | 100 | 36F79723D0140 | X | Golden Sta | DICLOFENAC POTASSIUM 50MG TAB | DICLOFENAC POTASSIUM 50MG TAB | $93.80 | $0.00 | $0.00 |
| 51407-0376-05 | 500 | 36F79723D0140 | X | Golden Sta | METRONIDAZOLE 250MG TAB | METRONIDAZOLE 250MG TAB | $94.47 | $0.00 | $0.00 |
| 51407-0275-01 | 100 | 36F79723D0140 | X | Golden Sta | THIOTHIXENE HCL 1MG CAP | THIOTHIXENE HCL 1MG CAP | $94.92 | $0.00 | $0.00 |
| 51407-0088-05 | 500 | 36F79723D0140 | X | Golden Sta | FELODIPINE 5MG TAB,SA | FELODIPINE 5MG TAB,SA | $95.11 | $0.00 | $0.00 |
| 60505-3110-08 | 1000 | 36F79723D0140 | X | Golden Sta | OLANZAPINE 2.5MG TAB | OLANZAPINE 2.5MG TAB | $95.17 | $0.00 | $0.00 |
| 00143-9290-01 | 5ML | 36F79723D0140 | X | Golden Sta | ESTRADIOL VALERATE 20MG/ML INJ (IN OIL) | ESTRADIOL VALERATE 20MG/ML INJ (IN OIL) | $95.34 | $0.00 | $0.00 |
| 60505-4700-01 | 100 | 36F79723D0140 | X | Golden Sta | METFORMIN HCL (EQV-GLUMETZA) 500MG TAB,SA | METFORMIN HCL (EQV-GLUMETZA) 500MG TAB,SA | $95.45 | $0.00 | $0.00 |
| 00472-0126-45 | 45GM | 36F79723D0140 | X | Golden Sta | ADAPALENE 0.3% GEL,TOP | ADAPALENE 0.3% GEL,TOP | $95.69 | $0.00 | $0.00 |
| 51407-0732-10 | 1000 | 36F79723D0140 | X | Golden Sta | TERAZOSIN HCL 1MG CAP | TERAZOSIN HCL 1MG CAP | $95.76 | $0.00 | $0.00 |
| 51407-0667-01 | 100 | 36F79723D0140 | X | Golden Sta | ACEBUTOLOL HCL 400MG CAP | ACEBUTOLOL HCL 400MG CAP | $96.00 | $0.00 | $0.00 |
| 51407-0460-01 | 100 | 36F79723D0140 | X | Golden Sta | FLUPHENAZINE HCL 5MG TAB | FLUPHENAZINE HCL 5MG TAB | $96.26 | $0.00 | $0.00 |
| 51407-0258-02 | 2 | 36F79723D0140 | X | Golden Sta | ALBENDAZOLE 200MG TAB | ALBENDAZOLE 200MG TAB | $96.59 | $0.00 | $0.00 |
| 51672-1359-03 | 60GM | 36F79723D0140 | X | Golden Sta | OXICONAZOLE 1% CREAM,TOP | OXICONAZOLE 1% CREAM,TOP | $96.85 | $0.00 | $0.00 |
| 51407-0092-90 | 90 | 36F79723D0140 | X | Golden Sta | FENOFIBRATE 200MG CAP | FENOFIBRATE 200MG CAP | $97.02 | $0.00 | $0.00 |
| 00641-6176-10 | 10X1ML | 36F79723D0140 | X | Golden Sta | OCTREOTIDE ACETATE 0.5MG/ML INJ | OCTREOTIDE ACETATE 0.5MG/ML INJ | $97.15 | $0.00 | $0.00 |
| 51672-1367-03 | 50GM | 36F79723D0140 | X | Golden Sta | BENZOYL PEROXIDE 2.5%/CLINDAMYCIN PO4 1.2% PUMP GEL,TOP | BENZOYL PEROXIDE 2.5%/CLINDAMYCIN PO4 1.2% PU | $97.15 | $0.00 | $0.00 |
| 68094-0330-61 | 100X10.15ML | 36F79723D0140 | X | Golden Sta | ACETAMINOPHEN 325MG/10.15ML SUSP,ORAL | ACETAMINOPHEN 325MG/10.15ML SUSP,ORAL | $97.36 | $0.00 | $0.00 |
| 51672-4079-04 | 59GM | 36F79723D0140 | X | Golden Sta | DESONIDE 0.05% LOTION | DESONIDE 0.05% LOTION | $97.38 | $0.00 | $0.00 |
| 00054-0278-03 | 9 | 36F79723D0140 | X | Golden Sta | NARATRIPTAN HCL 1MG TAB,UD | NARATRIPTAN HCL 1MG TAB,UD | $97.57 | $0.00 | $0.00 |
| 00054-0279-03 | 9 | 36F79723D0140 | X | Golden Sta | NARATRIPTAN HCL 2.5MG TAB,UD | NARATRIPTAN HCL 2.5MG TAB,UD | $97.57 | $0.00 | $0.00 |
| 00121-1154-00 | 100X30ML | 36F79723D0140 | X | Golden Sta | LACTULOSE 10GM/15ML SOLN,ORAL | LACTULOSE 10GM/15ML SOLN,ORAL | $97.85 | $0.00 | $0.00 |
| 00054-8175-25 | 10X10 | 36F79723D0140 | X | Golden Sta | DEXAMETHASONE 4MG TAB | DEXAMETHASONE 4MG TAB UD | $97.87 | $0.00 | $0.00 |
| 51991-0623-28 | 28 | 36F79723D0140 | X | Golden Sta | ESTRADIOL 0.5MG/NORETHINDRONE 0.1MG TAB | ESTRADIOL 0.5MG/NORETHINDRONE 0.1MG TAB | $97.98 | $0.00 | $0.00 |
| 51991-0750-33 | 30 | 36F79723D0140 | X | Golden Sta | DULOXETINE HCL 40MG CAP,EC | DULOXETINE HCL 40MG CAP,EC | $98.50 | $0.00 | $0.00 |
| 00641-2569-44 | 5X10ML | 36F79723D0140 | X | Golden Sta | DIPYRIDAMOLE 5MG/ML INJ | DIPYRIDAMOLE 5MG/ML INJ | $98.50 | $0.00 | $0.00 |
| 49884-0111-74 | 10X10 | 36F79723D0140 | X | Golden Sta | ALPRAZOLAM 0.5MG TAB,ORALLY DISINTEGRATING | ALPRAZOLAM 0.5MG TAB,ORALLY DISINTEGRATING | $98.60 | $0.00 | $0.00 |
| 00378-3205-25 | 250 | 36F79723D0140 | X | Golden Sta | PRAZOSIN HCL 5MG CAP | PRAZOSIN HCL 5MG CAP | $98.85 | $0.00 | $0.00 |
| 51672-4042-01 | 100 | 36F79723D0140 | X | Golden Sta | CLORAZEPATE DIPOTASSIUM 3.75MG TAB | CLORAZEPATE DIPOTASSIUM 3.75MG TAB | $99.01 | $0.00 | $0.00 |
| 51407-0733-10 | 1000 | 36F79723D0140 | X | Golden Sta | TERAZOSIN HCL 2MG CAP | TERAZOSIN HCL 2MG CAP | $99.27 | $0.00 | $0.00 |
| 00121-1350-00 | 100X10ML | 36F79723D0140 | X | Golden Sta | VALPROIC ACID 250MG/5ML SOLN,ORAL | VALPROIC ACID 250MG/5ML SOLN,ORAL | $99.46 | $0.00 | $0.00 |
| 00143-1171-01 | 100 | 36F79723D0140 | X | Golden Sta | CAPTOPRIL 12.5MG TAB | CAPTOPRIL 12.5MG TAB | $100.27 | $0.00 | $0.00 |
| 60505-6226-02 | 15ML | 36F79723D0140 | X | Golden Sta | ATROPINE SO4 1% SOLN,OPH | ATROPINE SO4 1% SOLN,OPH | $100.32 | $0.00 | $0.00 |
| 53489-0400-01 | 100 | 36F79723D0140 | X | Golden Sta | NYSTATIN 500000UNT TAB | NYSTATIN 500000UNT TAB | $100.61 | $0.00 | $0.00 |
| 51407-0734-10 | 1000 | 36F79723D0140 | X | Golden Sta | TERAZOSIN HCL 5MG CAP | TERAZOSIN HCL 5MG CAP | $100.65 | $0.00 | $0.00 |
| 29033-0003-05 | 500 | 36F79723D0140 | X | Golden Sta | SUCRALFATE 1GM TAB | SUCRALFATE 1GM TAB | $100.77 | $0.00 | $0.00 |
| 66689-0711-16 | 500ML | 36F79723D0140 | X | Golden Sta | METHADONE HCL 5MG/5ML SOLN,ORAL | METHADONE HCL 5MG/5ML SOLN,ORAL | $100.80 | $0.00 | $0.00 |
| 68094-0044-61 | 10X10 | 36F79723D0140 | X | Golden Sta | CALCIUM ACETATE 667MG (CA 169MG) CAP | CALCIUM ACETATE 667MG (CA 169MG) CAP | $101.85 | $0.00 | $0.00 |
| 51672-1381-06 | 50GM | 36F79723D0140 | X | Golden Sta | BENZOYL PEROXIDE 5%/CLINDAMYCIN PO4 1% GEL,TOP | BENZOYL PEROXIDE 5%/CLINDAMYCIN PO4 1% GEL PU | $101.96 | $0.00 | $0.00 |
| 68462-0609-65 | 60GM | 36F79723D0140 | X | Golden Sta | PIMECROLIMUS 1% CREAM,TOP | PIMECROLIMUS 1% CREAM,TOP | $102.41 | $0.00 | $0.00 |
| 51672-4025-02 | 500 | 36F79723D0140 | X | Golden Sta | AMIODARONE HCL 200MG TAB | AMIODARONE HCL 200MG TAB | $102.75 | $0.00 | $0.00 |
| 51407-0735-10 | 1000 | 36F79723D0140 | X | Golden Sta | TERAZOSIN HCL 10MG CAP | TERAZOSIN HCL 10MG CAP | $102.96 | $0.00 | $0.00 |
| 70010-0022-10 | 1000 | 36F79723D0140 | X | Golden Sta | POTASSIUM CHLORIDE 10MEQ TAB,SA | POTASSIUM CHLORIDE 10MEQ TAB,SA | $103.34 | $0.00 | $0.00 |
| 51672-4172-01 | 237ML | 36F79723D0140 | X | Golden Sta | FELBAMATE 600MG/5ML SUSP,ORAL | FELBAMATE 600MG/5ML SUSP,ORAL | $104.13 | $0.00 | $0.00 |
| 60505-4033-01 | 120 | 36F79723D0140 | X | Golden Sta | ICOSAPENT ETHYL 1GM CAP | ICOSAPENT ETHYL 1GM CAP | $104.14 | $0.00 | $0.00 |
| 60505-0253-03 | 1000 | 36F79723D0140 | X | Golden Sta | CLOPIDOGREL BISULFATE 75MG TAB | CLOPIDOGREL BISULFATE 75MG TAB | $104.58 | $0.00 | $0.00 |
| 62559-0630-01 | 100ML | 36F79723D0140 | X | Golden Sta | ERYTHROMYCIN ES 200MG/5ML SUSP,PWDR,ORAL | ERYTHROMYCIN ES 200MG/5ML SUSP,PWD (35 DAY) | $104.76 | $0.00 | $0.00 |
| 00228-3086-06 | 60 | 36F79723D0140 | X | Golden Sta | ALPRAZOLAM 3MG TAB,SA | ALPRAZOLAM 3MG TAB,SA | $105.51 | $0.00 | $0.00 |
| 51407-0677-01 | 100 | 36F79723D0140 | X | Golden Sta | KETOROLAC TROMETHAMINE 10MG TAB | KETOROLAC TROMETHAMINE 10MG TAB | $105.68 | $0.00 | $0.00 |
| 00054-0622-63 | 473ML | 36F79723D0140 | X | Golden Sta | DICYCLOMINE HCL 10MG/5ML SOLN, ORAL | DICYCLOMINE HCL 10MG/5ML SOLN, ORAL | $106.33 | $0.00 | $0.00 |
| 60505-0583-04 | 2.5ML | 36F79723D0140 | X | Golden Sta | BIMATOPROST 0.03% SOLN,OPH | BIMATOPROST 0.03% SOLN,OPH | $106.62 | $0.00 | $0.00 |
| 51862-0855-05 | 500 | 36F79723D0140 | X | Golden Sta | CARBIDOPA 10MG/LEVODOPA 100MG TAB | CARBIDOPA 10MG/LEVODOPA 100MG TAB | $106.79 | $0.00 | $0.00 |
| 70010-0002-01 | 100 | 36F79723D0140 | X | Golden Sta | COLCHICINE 0.6MG TAB | COLCHICINE 0.6MG TAB | $107.02 | $0.00 | $0.00 |
| 00143-9318-10 | 10X4ML | 36F79723D0140 | X | Golden Sta | NOREPINEPHRINE BITARTRATE 1MG/ML INJ | NOREPINEPHRINE BITARTRATE 1MG/ML INJ | $107.19 | $0.00 | $0.00 |
| 60429-0186-10 | 1000 | 36F79723D0140 | X | Golden Sta | ENALAPRIL MALEATE 20MG TAB | ENALAPRIL MALEATE 20MG TAB | $107.20 | $0.00 | $0.00 |
| 51862-0856-05 | 500 | 36F79723D0140 | X | Golden Sta | CARBIDOPA 25MG/LEVODOPA 100MG TAB | CARBIDOPA 25MG/LEVODOPA 100MG TAB | $107.35 | $0.00 | $0.00 |
| 69452-0125-50 | 250ML | 36F79723D0140 | X | Golden Sta | OXCARBAZEPINE 300MG/5ML SUSP | OXCARBAZEPINE 300MG/5ML SUSP | $107.54 | $0.00 | $0.00 |
| 51991-0474-28 | 28 | 36F79723D0140 | X | Golden Sta | ESTRADIOL 1MG/NORETHINDRONE 05MG TAB | ESTRADIOL 1MG/NORETHINDRONE 05MG TAB | $107.70 | $0.00 | $0.00 |
| 00054-4496-25 | 100 | 36F79723D0140 | X | Golden Sta | LEUCOVORIN CALCIUM 5MG TAB | LEUCOVORIN CALCIUM 5MG TAB | $107.78 | $0.00 | $0.00 |
