|
00054-0012-21
|
60
|
36F79723D0140
|
X |
Golden Sta
|
FLECAINIDE ACETATE 150MG TAB
|
FLECAINIDE ACETATE 150MG TAB
|
$76.81
|
$0.00
|
$0.00
|
|
57664-0690-88
|
100
|
36F79723D0140
|
X |
Golden Sta
|
AMITRIPTYLINE HCL 100MG TAB
|
AMITRIPTYLINE HCL 100MG TAB
|
$76.97
|
$0.00
|
$0.00
|
|
66689-0694-79
|
1000ML
|
36F79723D0140
|
X |
Golden Sta
|
METHADONE HCL 10MG/ML SOLN,ORAL
|
METHADONE HCL 10MG/ML SOLN,ORAL
|
$77.01
|
$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
|
$77.01
|
$0.00
|
$0.00
|
|
70954-0488-10
|
200ML
|
36F79723D0140
|
X |
Golden Sta
|
LACOSAMIDE 10MG/ML SOLN,ORAL
|
LACOSAMIDE 10MG/ML SOLN,ORAL
|
$77.51
|
$0.00
|
$0.00
|
|
60429-0982-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
EZETIMIBE 10MG TAB
|
EZETIMIBE 10MG TAB
|
$77.62
|
$0.00
|
$0.00
|
|
51660-0200-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
EZETIMIBE 10MG TAB
|
EZETIMIBE 10MG TAB
|
$77.64
|
$0.00
|
$0.00
|
|
00641-6083-25
|
25X1ML
|
36F79723D0140
|
X |
Golden Sta
|
PROMETHAZINE HCL 50MG/ML INJ
|
PHENERGAN 50MG/ML INJ AMPS
|
$77.68
|
$0.00
|
$0.00
|
|
00121-4675-40
|
40X5ML
|
36F79723D0140
|
X |
Golden Sta
|
VALPROIC ACID 250MG/5ML SOLN,ORAL
|
VALPROIC ACID 250MG/5ML SOLN,ORAL
|
$77.86
|
$0.00
|
$0.00
|
|
00121-0874-16
|
480ML
|
36F79723D0140
|
X |
Golden Sta
|
CETIRIZINE HCL 1MG/ML SOLN,ORAL
|
CETIRIZINE HCL 1MG/ML SOLN,ORAL
|
$77.91
|
$0.00
|
$0.00
|
|
47335-0992-02
|
100ML
|
36F79723D0140
|
X |
Golden Sta
|
MAGNESIUM SO4 4GM/100ML INJ,BAG
|
MAGNESIUM SO4 4GM/100ML INJ,BAG
|
$77.91
|
$0.00
|
$0.00
|
|
68094-0029-62
|
30X7.5ML
|
36F79723D0140
|
X |
Golden Sta
|
LOPERAMIDE HCL 1MG/7.5ML SUSP,ORAL
|
LOPERAMIDE HCL 1MG/7.5ML SUSP,ORAL
|
$78.14
|
$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
|
|
00781-6206-93
|
3ML
|
36F79723D0140
|
X |
Golden Sta
|
BIMATOPROST 0.03% SOLN,EYELASH,5ML
|
BIMATOPROST 0.03% SOLN,EYELASH,5ML
|
$79.69
|
$0.00
|
$0.00
|
|
71357-0008-10
|
10X100ML
|
36F79723D0140
|
X |
Golden Sta
|
SODIUM ACETATE 2MEQ/ML (PF) INJ
|
SODIUM ACETATE 2MEQ/ML (PF) INJ
|
$79.83
|
$0.00
|
$0.00
|
|
60429-0063-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
OXCARBAZEPINE 600MG TAB
|
OXCARBAZEPINE 600MG TAB
|
$80.00
|
$0.00
|
$0.00
|
|
51407-0707-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
RAMIPRIL 2.5MG CAP
|
RAMIPRIL 2.5MG CAP
|
$81.21
|
$0.00
|
$0.00
|
|
51407-0069-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
QUETIAPINE FUMARATE 200MG TAB
|
QUETIAPINE FUMARATE 200MG TAB
|
$81.45
|
$0.00
|
$0.00
|
|
23155-0906-41
|
10
|
36F79723D0140
|
X |
Golden Sta
|
NAFCILLIN NA 1GM/VIL INJ
|
NAFCILLIN NA 1GM/VIL INJ
|
$81.97
|
$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
|
|
51407-0820-28
|
280
|
36F79723D0140
|
X |
Golden Sta
|
BALSALAZIDE DISODIUM 750MG CAP
|
BALSALAZIDE DISODIUM 750MG CAP
|
$82.84
|
$0.00
|
$0.00
|
|
70010-0022-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
POTASSIUM CHLORIDE 10MEQ TAB,SA
|
POTASSIUM CHLORIDE 10MEQ TAB,SA
|
$83.07
|
$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
|
|
60429-0020-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
KETOCONAZOLE 200MG TAB
|
KETOCONAZOLE 200MG TAB
|
$83.28
|
$0.00
|
$0.00
|
|
00641-6084-25
|
25X1ML
|
36F79723D0140
|
X |
Golden Sta
|
PROMETHAZINE HCL 25MG/ML INJ
|
PHENERGAN 25MG/ML INJ VIALS
|
$83.30
|
$0.00
|
$0.00
|
|
71357-0002-10
|
10X20ML
|
36F79723D0140
|
X |
Golden Sta
|
SODIUM ACETATE 2MEQ/ML (PF) INJ
|
SODIUM ACETATE 2MEQ/ML (PF) INJ
|
$83.66
|
$0.00
|
$0.00
|
|
51407-0376-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
METRONIDAZOLE 250MG TAB
|
METRONIDAZOLE 250MG TAB
|
$83.98
|
$0.00
|
$0.00
|
|
60505-2795-00
|
3
|
36F79723D0140
|
X |
Golden Sta
|
IBANDRONATE NA 150MG TAB
|
IBANDRONATE NA 150MG TAB
|
$84.00
|
$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
|
|
00143-9290-01
|
5ML
|
36F79723D0140
|
X |
Golden Sta
|
ESTRADIOL VALERATE 20MG/ML INJ (IN OIL)
|
ESTRADIOL VALERATE 20MG/ML INJ (IN OIL)
|
$84.54
|
$0.00
|
$0.00
|
|
51672-4079-04
|
59GM
|
36F79723D0140
|
X |
Golden Sta
|
DESONIDE 0.05% LOTION
|
DESONIDE 0.05% LOTION
|
$85.20
|
$0.00
|
$0.00
|
|
68094-0048-61
|
10X10
|
36F79723D0140
|
X |
Golden Sta
|
GUAIFENESIN 600MG TAB,SA
|
GUAIFENESIN 600MG TAB,SA
|
$85.36
|
$0.00
|
$0.00
|
|
69452-0209-13
|
30
|
36F79723D0140
|
X |
Golden Sta
|
NIMODIPINE 30MG CAP
|
NIMODIPINE 30MG CAP
|
$85.76
|
$0.00
|
$0.00
|
|
00781-3485-95
|
10X2.5ML
|
36F79723D0140
|
X |
Golden Sta
|
IRON SUCROSE 20MG/ML INJ
|
IRON SUCROSE 20MG/ML INJ
|
$85.93
|
$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
|
|
51407-0708-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
RAMIPRIL 5MG CAP
|
RAMIPRIL 5MG CAP
|
$86.66
|
$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
|
|
71357-0007-10
|
10X50ML
|
36F79723D0140
|
X |
Golden Sta
|
SODIUM ACETATE 2MEQ/ML (PF) INJ
|
SODIUM ACETATE 2MEQ/ML (PF) INJ
|
$89.01
|
$0.00
|
$0.00
|
|
51672-1279-03
|
60GM
|
36F79723D0140
|
X |
Golden Sta
|
FLUOCINONIDE 0.05% GEL,TOP
|
FLUOCINONIDE 0.05% GEL,TOP
|
$89.07
|
$0.00
|
$0.00
|
|
68382-0188-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
DIPYRIDAMOLE 50MG TAB
|
DIPYRIDAMOLE 50MG TAB
|
$89.21
|
$0.00
|
$0.00
|
|
00378-3205-25
|
250
|
36F79723D0140
|
X |
Golden Sta
|
PRAZOSIN HCL 5MG CAP
|
PRAZOSIN HCL 5MG CAP
|
$89.42
|
$0.00
|
$0.00
|
|
69315-0911-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
OXAZEPAM 10MG CAP
|
OXAZEPAM 10MG CAP
|
$89.83
|
$0.00
|
$0.00
|
|
51407-0896-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
CARBAMAZEPINE 200MG TAB,SA (TARO)
|
CARBAMAZEPINE 200MG TAB,SA (TARO)
|
$89.85
|
$0.00
|
$0.00
|
|
71930-0020-13
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
HYDROCODONE 7.5MG/ACETAMINOPHEN 325MG TAB
|
HYDROCODONE 7.5MG/ACETAMINOPHEN 325MG TAB
|
$90.55
|
$0.00
|
$0.00
|
|
51407-0854-30
|
30
|
36F79723D0140
|
X |
Golden Sta
|
ERYTHROMYCIN BASE 500MG TAB,EC
|
ERYTHROMYCIN BASE 500MG TAB,EC
|
$90.88
|
$0.00
|
$0.00
|
|
00781-3269-95
|
10X1ML
|
36F79723D0140
|
X |
Golden Sta
|
EPHEDRINE SO4 50MG/ML INJ
|
EPHEDRINE SO4 50MG/ML INJ
|
$90.93
|
$0.00
|
$0.00
|
|
00121-1870-00
|
100X10ML
|
36F79723D0140
|
X |
Golden Sta
|
DOCUSATE NA 50MG/5ML LIQUID
|
DOCUSATE NA 50MG/5ML LIQUID
|
$91.02
|
$0.00
|
$0.00
|
|
70748-0261-60
|
60X2ML
|
36F79723D0140
|
X |
Golden Sta
|
FORMOTEROL FUMARATE 10MCG/ML SOLN,INH,2ML
|
FORMOTEROL FUMARATE 10MCG/ML SOLN,INH,2ML
|
$91.04
|
$0.00
|
$0.00
|
|
51407-0068-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
QUETIAPINE FUMARATE 100MG TAB
|
QUETIAPINE FUMARATE 100MG TAB
|
$91.07
|
$0.00
|
$0.00
|
|
62332-0628-25
|
25X5ML
|
36F79723D0140
|
X |
Golden Sta
|
GLYCOPYRROLATE 0.2MG/ML INJ
|
GLYCOPYRROLATE 0.2MG/ML INJ
|
$91.36
|
$0.00
|
$0.00
|
|
42192-0608-16
|
470ML
|
36F79723D0140
|
X |
Golden Sta
|
GABAPENTIN 250MG/5ML SOLN,ORAL
|
GABAPENTIN 250MG/5ML SOLN,ORAL
|
$92.00
|
$0.00
|
$0.00
|
|
00054-0401-22
|
90
|
36F79723D0140
|
X |
Golden Sta
|
DESVENLAFAXINE (EQV-PRISTIQ) 100MG TAB,SA
|
DESVENLAFAXINE (EQV-PRISTIQ) 100MG TAB,SA
|
$93.40
|
$0.00
|
$0.00
|
|
51407-0536-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
DICLOFENAC NA 25MG TAB,EC
|
DICLOFENAC NA 25MG TAB,EC
|
$93.50
|
$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
|
|
72485-0611-30
|
30GM
|
36F79723D0140
|
X |
Golden Sta
|
LIDOCAINE HCL 2% JELLY
|
LIDOCAINE HCL 2% JELLY
|
$94.05
|
$0.00
|
$0.00
|
|
68094-0129-62
|
30X15ML
|
36F79723D0140
|
X |
Golden Sta
|
LOPERAMIDE HCL 2MG/15ML SUSP,ORAL
|
LOPERAMIDE HCL 2MG/15ML SUSP,ORAL
|
$94.26
|
$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
|
|
50742-0323-60
|
60X0.2ML
|
36F79723D0140
|
X |
Golden Sta
|
DORZOLAMIDE HCL 22.3MG/TIMOLOL MALEATE 6.8MG/ML (PF) SOLN,OPH
|
DORZOLAMIDE HCL 22.3MG/TIMOLOL MALEATE 6.8MG/
|
$94.99
|
$0.00
|
$0.00
|
|
27241-0316-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
KETOROLAC TROMETHAMINE 10MG TAB
|
KETOROLAC TROMETHAMINE 10MG TAB
|
$95.41
|
$0.00
|
$0.00
|
|
69292-0650-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
KETOROLAC TROMETHAMINE 10MG TAB
|
KETOROLAC TROMETHAMINE 10MG TAB
|
$95.41
|
$0.00
|
$0.00
|
|
51991-0474-28
|
28
|
36F79723D0140
|
X |
Golden Sta
|
ESTRADIOL 1MG/NORETHINDRONE 05MG TAB
|
ESTRADIOL 1MG/NORETHINDRONE 05MG TAB
|
$95.60
|
$0.00
|
$0.00
|
|
00121-0868-50
|
50X5ML
|
36F79723D0140
|
X |
Golden Sta
|
NYSTATIN 100000UNT/ML SUSP,ORAL
|
NYSTATIN 100000UNT/ML SUSP,ORAL
|
$95.99
|
$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
|
|
51672-4018-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
ETODOLAC 400MG TAB
|
ETODOLAC 400MG TAB
|
$96.05
|
$0.00
|
$0.00
|
|
60505-2579-08
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
ATORVASTATIN CA 20MG TAB
|
ATORVASTATIN CA 20MG TAB
|
$96.83
|
$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
|
|
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
|
|
68682-0103-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
DICLOFENAC NA 100MG TAB,SA
|
DICLOFENAC NA 100MG TAB,SA
|
$97.17
|
$0.00
|
$0.00
|
|
51672-4042-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
CLORAZEPATE DIPOTASSIUM 3.75MG TAB
|
CLORAZEPATE DIPOTASSIUM 3.75MG TAB
|
$97.50
|
$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
|
|
00781-1874-31
|
30
|
36F79723D0140
|
X |
Golden Sta
|
AMOXICILLIN 250MG/CLAVULANATE K 125MG TAB
|
AMOXICILLIN 250MG/CLAVULANATE K 125MG TAB
|
$97.67
|
$0.00
|
$0.00
|
|
51672-4172-01
|
237ML
|
36F79723D0140
|
X |
Golden Sta
|
FELBAMATE 600MG/5ML SUSP,ORAL
|
FELBAMATE 600MG/5ML SUSP,ORAL
|
$97.77
|
$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
|
|
00143-1171-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
CAPTOPRIL 12.5MG TAB
|
CAPTOPRIL 12.5MG TAB
|
$98.24
|
$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
|
|
51991-0750-33
|
30
|
36F79723D0140
|
X |
Golden Sta
|
DULOXETINE HCL 40MG CAP,EC
|
DULOXETINE HCL 40MG CAP,EC
|
$98.50
|
$0.00
|
$0.00
|
|
51407-0088-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
FELODIPINE 5MG TAB,SA
|
FELODIPINE 5MG TAB,SA
|
$98.90
|
$0.00
|
$0.00
|
|
51407-0351-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
MIRTAZAPINE 30MG TAB
|
MIRTAZAPINE 30MG TAB
|
$99.20
|
$0.00
|
$0.00
|
|
51407-0709-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
RAMIPRIL 10MG CAP
|
RAMIPRIL 10MG CAP
|
$99.46
|
$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
|
$99.58
|
$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
|
$99.94
|
$0.00
|
$0.00
|
|
60505-2580-08
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
ATORVASTATIN CA 40MG TAB
|
ATORVASTATIN CA 40MG TAB
|
$99.99
|
$0.00
|
$0.00
|
|
71930-0010-30
|
30
|
36F79723D0140
|
X |
Golden Sta
|
ALOSETRON HCL 0.5MG TAB
|
ALOSETRON HCL 0.5MG TAB
|
$100.00
|
$0.00
|
$0.00
|
|
00121-4766-05
|
40X5ML
|
36F79723D0140
|
X |
Golden Sta
|
CALCIUM CARBONATE 1250MG/5ML SUSP,ORAL
|
CALCIUM CARBONATE 1250MG/5ML SUSP,ORAL
|
$100.14
|
$0.00
|
$0.00
|
|
51672-4036-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
ETODOLAC 500MG TAB
|
ETODOLAC 500MG TAB
|
$102.05
|
$0.00
|
$0.00
|
|
51407-0523-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
RAMELTEON 8MG TAB
|
RAMELTEON 8MG TAB
|
$102.49
|
$0.00
|
$0.00
|
|
62756-0233-01
|
1
|
36F79723D0140
|
X |
Golden Sta
|
AMPHOTERICIN B LIPOSOME 50MG/VIL INJ
|
AMPHOTERICIN B LIPOSOME 50MG/VIL INJ
|
$103.01
|
$0.00
|
$0.00
|
|
70436-0057-06
|
90
|
36F79723D0140
|
X |
Golden Sta
|
MEMANTINE HCL 28MG CAP,SA
|
MEMANTINE HCL 28MG CAP,SA
|
$103.09
|
$0.00
|
$0.00
|
|
70436-0055-06
|
90
|
36F79723D0140
|
X |
Golden Sta
|
MEMANTINE HCL 14MG CAP,SA
|
MEMANTINE HCL 14MG CAP,SA
|
$103.09
|
$0.00
|
$0.00
|
|
00781-7186-85
|
15ML
|
36F79723D0140
|
X |
Golden Sta
|
BRIMONIDINE TARTRATE 0.2%/TIMOLOL MALEATE 0.5% SOLN,OPH
|
BRIMONIDINE TARTRATE 0.2%/TIMOLOL MALEATE 0.5
|
$103.48
|
$0.00
|
$0.00
|
|
51862-0858-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
CARBIDOPA 25MG/LEVODOPA 250MG TAB
|
CARBIDOPA 25MG/LEVODOPA 250MG TAB
|
$103.58
|
$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
|
|
00781-7177-70
|
10ML
|
36F79723D0140
|
X |
Golden Sta
|
BRIMONIDINE TARTRATE 0.1% SOLN,OPH
|
BRIMONIDINE TARTRATE 0.1% SOLN,OPH
|
$104.81
|
$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
|
|
51672-1292-06
|
45G
|
36F79723D0140
|
X |
Golden Sta
|
HYDROCORTISONE VALERATE 0.2% OINT,TOP
|
HYDROCORTISONE VALERATE 0.2% OINT,TOP
|
$105.76
|
$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
|