Pharmaceutical Catalog Search
1201 - 1300 of 1548 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 68094-0750-62 | 30X5ML | 36F79723D0140 | X | Golden Sta | DIAZEPAM 5MG/5ML SOLN,ORAL | DIAZEPAM 5MG/5ML SOLN,ORAL | $114.37 | $0.00 | $0.00 |
| 60429-0736-10 | 1000 | 36F79723D0140 | X | Golden Sta | PAROXETINE HCL 30MG TAB | PAROXETINE HCL 30MG TAB | $114.55 | $0.00 | $0.00 |
| 51672-1292-06 | 45G | 36F79723D0140 | X | Golden Sta | HYDROCORTISONE VALERATE 0.2% OINT,TOP | HYDROCORTISONE VALERATE 0.2% OINT,TOP | $115.39 | $0.00 | $0.00 |
| 51672-4040-03 | 1000 | 36F79723D0140 | X | Golden Sta | ENALAPRIL MALEATE 20MG TAB | ENALAPRIL MALEATE 20MG TAB | $115.72 | $0.00 | $0.00 |
| 51672-4004-02 | 500 | 36F79723D0140 | X | Golden Sta | NORTRIPTYLINE HCL 75MG CAP | NORTRIPTYLINE HCL 75MG CAP | $115.75 | $0.00 | $0.00 |
| 57664-0688-18 | 1000 | 36F79723D0140 | X | Golden Sta | AMITRIPTYLINE HCL 25MG TAB | AMITRIPTYLINE HCL 25MG TAB | $116.05 | $0.00 | $0.00 |
| 00641-6085-25 | 25X1ML | 36F79723D0140 | X | Golden Sta | PROMETHAZINE HCL 50MG/ML INJ | PHENERGAN 50MG/ML INJ VIALS | $116.25 | $0.00 | $0.00 |
| 00121-1314-00 | 100X10.15ML | 36F79723D0140 | X | Golden Sta | ACETAMINOPHEN 325MG/10.15ML ELIXIR | ACETAMINOPHEN 325MG/10.15ML ELIXIR | $116.26 | $0.00 | $0.00 |
| 00378-7502-32 | 10.3GM | 36F79723D0140 | X | Golden Sta | BUDESONIDE 80MCG/FORMOTEROL FUM 4.5MCG/SPRAY INHL,ORAL,10.3GM | BUDESONIDE 80MCG/FORMOTEROL FUM 4.5MCG/SPRAY | $116.65 | $0.00 | $0.00 |
| 51862-0858-05 | 500 | 36F79723D0140 | X | Golden Sta | CARBIDOPA 25MG/LEVODOPA 250MG TAB | CARBIDOPA 25MG/LEVODOPA 250MG TAB | $117.12 | $0.00 | $0.00 |
| 60429-0737-10 | 1000 | 36F79723D0140 | X | Golden Sta | PAROXETINE HCL 40MG TAB | PAROXETINE HCL 40MG TAB | $118.40 | $0.00 | $0.00 |
| 50742-0183-24 | 24 | 36F79723D0140 | X | Golden Sta | LEUCOVORIN CALCIUM 15MG TAB | LEUCOVORIN CALCIUM 15MG TAB | $119.83 | $0.00 | $0.00 |
| 51407-0381-01 | 100 | 36F79723D0140 | X | Golden Sta | MEXILETINE HCL 250MG CAP | MEXILETINE HCL 250MG CAP | $120.23 | $0.00 | $0.00 |
| 00121-1971-00 | 100X20.3ML | 36F79723D0140 | X | Golden Sta | ACETAMINOPHEN 650MG/20.3ML (AF & SF) SOLN,ORAL | ACETAMINOPHEN 650MG/20.3ML (AF & SF) SOLN,ORA | $120.33 | $0.00 | $0.00 |
| 51407-0067-10 | 1000 | 36F79723D0140 | X | Golden Sta | QUETIAPINE FUMARATE 50MG TAB | QUETIAPINE FUMARATE 50MG TAB | $121.12 | $0.00 | $0.00 |
| 50742-0182-24 | 24 | 36F79723D0140 | X | Golden Sta | LEUCOVORIN CALCIUM 10MG TAB | LEUCOVORIN CALCIUM 10MG TAB | $121.39 | $0.00 | $0.00 |
| 51672-3007-01 | 10ML | 36F79723D0140 | X | Golden Sta | ACETIC ACID 2%/HYDROCORTISONE 1% SOLN,OTIC | ACETIC ACID 2%/HYDROCORTISONE 1% SOLN,OTIC | $121.91 | $0.00 | $0.00 |
| 49884-0315-55 | 5X6 | 36F79723D0140 | X | Golden Sta | RISPERIDONE 1MG TAB,ORAL DISINTEGRATING | RISPERIDONE 1MG TAB,ORAL DISINTEGRATING | $122.32 | $0.00 | $0.00 |
| 50742-0505-24 | 24 | 36F79723D0140 | X | Golden Sta | SCOPOLAMINE 0.33MG/24HRS PATCH | SCOPOLAMINE 0.33MG/24HRS PATCH | $122.69 | $0.00 | $0.00 |
| 51407-0461-01 | 100 | 36F79723D0140 | X | Golden Sta | FLUPHENAZINE HCL 10MG TAB | FLUPHENAZINE HCL 10MG TAB | $123.59 | $0.00 | $0.00 |
| 29033-0030-01 | 100 | 36F79723D0140 | X | Golden Sta | ACETAZOLAMIDE 500MG CAP,SA | ACETAZOLAMIDE 500MG CAP,SA | $124.00 | $0.00 | $0.00 |
| 51407-0372-05 | 500 | 36F79723D0140 | X | Golden Sta | METRONIDAZOLE 500MG TAB | METRONIDAZOLE 500MG TAB | $124.61 | $0.00 | $0.00 |
| 51407-0352-05 | 500 | 36F79723D0140 | X | Golden Sta | MIRTAZAPINE 45MG TAB | MIRTAZAPINE 45MG TAB | $125.40 | $0.00 | $0.00 |
| 57664-0687-18 | 1000 | 36F79723D0140 | X | Golden Sta | AMITRIPTYLINE HCL 10MG TAB | AMITRIPTYLINE HCL 10MG TAB | $125.68 | $0.00 | $0.00 |
| 51407-0276-01 | 100 | 36F79723D0140 | X | Golden Sta | THIOTHIXENE HCL 2MG CAP | THIOTHIXENE HCL 2MG CAP | $125.85 | $0.00 | $0.00 |
| 00641-6178-01 | 5ML | 36F79723D0140 | X | Golden Sta | OCTREOTIDE ACETATE 1MG/ML INJ | OCTREOTIDE ACETATE 1MG/ML INJ | $128.02 | $0.00 | $0.00 |
| 00054-0236-24 | 4X25 | 36F79723D0140 | X | Golden Sta | MORPHINE SO4 30MG TAB,UD | MORPHINE SO4 30MG TAB,UD | $128.02 | $0.00 | $0.00 |
| 51407-0286-05 | 500 | 36F79723D0140 | X | Golden Sta | HYDROCHLOROTHIAZIDE 25MG/TRIAMTERENE 37.5MG TAB | HYDROCHLOROTHIAZIDE 25MG/TRIAMTERENE 37.5MG T | $128.96 | $0.00 | $0.00 |
| 64380-0159-03 | 500 | 36F79723D0140 | X | Golden Sta | MEGESTROL ACETATE 40MG TAB | MEGESTROL ACETATE 40MG TAB | $129.20 | $0.00 | $0.00 |
| 51672-4166-06 | 45GM | 36F79723D0140 | X | Golden Sta | CLOCORTOLONE PIVALATE 0.1% CREAM,TOP | CLOCORTOLONE PIVALATE 0.1% CREAM,TOP | $131.12 | $0.00 | $0.00 |
| 00378-7503-32 | 10.3GM | 36F79723D0140 | X | Golden Sta | BUDESONIDE 160MCG/FORMOTEROL FUM 4.5MCG/SPRAY INHL,ORAL,10.3GM | BUDESONIDE 160MCG/FORMOTEROL FUM 4.5MCG/SPRAY | $133.36 | $0.00 | $0.00 |
| 51672-1292-03 | 60GM | 36F79723D0140 | X | Golden Sta | HYDROCORTISONE VALERATE 0.2% OINT,USP,TOP | HYDROCORTISONE VALERATE 0.2% OINT,USP,TOP | $134.11 | $0.00 | $0.00 |
| 51407-0351-05 | 500 | 36F79723D0140 | X | Golden Sta | MIRTAZAPINE 30MG TAB | MIRTAZAPINE 30MG TAB | $134.12 | $0.00 | $0.00 |
| 51407-0485-90 | 90 | 36F79723D0140 | X | Golden Sta | NEBIVOLOL 10MG TAB | NEBIVOLOL 10MG TAB | $134.87 | $0.00 | $0.00 |
| 42192-0608-45 | 40X5ML | 36F79723D0140 | X | Golden Sta | GABAPENTIN 250MG/5ML SOLN,ORAL | GABAPENTIN 250MG/5ML SOLN,ORAL | $135.22 | $0.00 | $0.00 |
| 51672-1386-04 | 120GM | 36F79723D0140 | X | Golden Sta | FLUOCINONIDE 0.05% CREAM,TOP | FLUOCINONIDE 0.05% CREAM,TOP | $137.09 | $0.00 | $0.00 |
| 60429-0934-05 | 500 | 36F79723D0140 | X | Golden Sta | CARBAMAZEPINE 100MG TAB,CHEWABLE | CARBAMAZEPINE 100MG TAB,CHEWABLE | $137.40 | $0.00 | $0.00 |
| 51672-1261-03 | 60GM | 36F79723D0140 | X | Golden Sta | DESOXIMETASONE 0.05% GEL,TOP | DESOXIMETASONE 0.05% GEL,TOP | $137.64 | $0.00 | $0.00 |
| 69292-0530-10 | 1000 | 36F79723D0140 | X | Golden Sta | PROPRANOLOL HCL 10MG TAB | PROPRANOLOL HCL 10MG TAB | $137.97 | $0.00 | $0.00 |
| 60505-3112-08 | 1000 | 36F79723D0140 | X | Golden Sta | OLANZAPINE 7.5MG TAB | OLANZAPINE 7.5MG TAB | $138.68 | $0.00 | $0.00 |
| 51672-4043-01 | 100 | 36F79723D0140 | X | Golden Sta | CLORAZEPATE DIPOTASSIUM 7.5MG TAB | CLORAZEPATE DIPOTASSIUM 7.5MG TAB | $139.01 | $0.00 | $0.00 |
| 42799-0922-02 | 500 | 36F79723D0140 | X | Golden Sta | BISOPROLOL FUMARATE 10MG/HYDROCHLOROTHIAZIDE 6.25MG TAB | BISOPROLOL FUMARATE 10MG/HYDROCHLOROTHIAZIDE | $139.25 | $0.00 | $0.00 |
| 42799-0921-02 | 500 | 36F79723D0140 | X | Golden Sta | BISOPROLOL FUMARATE 5MG/HYDROCHLOROTHIAZIDE 6.25MG TAB | BISOPROLOL FUMARATE 5MG/HYDROCHLOROTHIAZIDE | $139.25 | $0.00 | $0.00 |
| 42799-0920-02 | 500 | 36F79723D0140 | X | Golden Sta | BISOPROLOL FUMARATE 2.5MG/HYDROCHLOROTHIAZIDE 6.25MG TAB | BISOPROLOL FUMARATE 2.5MG/HYDROCHLOROTHIAZIDE | $139.25 | $0.00 | $0.00 |
| 57664-0606-88 | 100 | 36F79723D0140 | X | Golden Sta | METHYLPHENIDATE HCL (EQV-CONCERTA) 18MG TAB,SA | METHYLPHENIDATE HCL (EQV-CONCERTA) 18MG TAB,S | $142.10 | $0.00 | $0.00 |
| 64380-0843-07 | 500 | 36F79723D0140 | X | Golden Sta | PIROXICAM 20MG CAP | PIROXICAM 20MG CAP | $142.56 | $0.00 | $0.00 |
| 57664-0691-88 | 100 | 36F79723D0140 | X | Golden Sta | AMITRIPTYLINE HCL 150MG TAB | AMITRIPTYLINE HCL 150MG TAB | $142.86 | $0.00 | $0.00 |
| 51672-4061-04 | 60ML | 36F79723D0140 | X | Golden Sta | HYDROCORTISONE BUTYRATE 0.1% SOLN,TOP | HYDROCORTISONE BUTYRATE 0.1% SOLN,TOP | $143.80 | $0.00 | $0.00 |
| 51407-0293-30 | 30 | 36F79723D0140 | X | Golden Sta | FEBUXOSTAT 40MG TAB | FEBUXOSTAT 40MG TAB | $143.82 | $0.00 | $0.00 |
| 51407-0294-30 | 30 | 36F79723D0140 | X | Golden Sta | FEBUXOSTAT 80MG TAB | FEBUXOSTAT 80MG TAB | $143.82 | $0.00 | $0.00 |
| 49884-0020-10 | 1000 | 36F79723D0140 | X | Golden Sta | ISOSORBIDE DINITRATE 5MG TAB,ORAL | ISOSORBIDE DINITRATE 5MG TAB,ORAL | $144.10 | $0.00 | $0.00 |
| 51672-4079-08 | 118GM | 36F79723D0140 | X | Golden Sta | DESONIDE 0.05% LOTION | DESONIDE 0.05% LOTION | $144.20 | $0.00 | $0.00 |
| 51407-0437-01 | 100 | 36F79723D0140 | X | Golden Sta | CHLORPROMAZINE HCL 100MG TAB | CHLORPROMAZINE HCL 100MG TAB | $144.34 | $0.00 | $0.00 |
| 57664-0607-88 | 100 | 36F79723D0140 | X | Golden Sta | METHYLPHENIDATE HCL (EQV-CONCERTA) 27MG TAB,SA | METHYLPHENIDATE HCL (EQV-CONCERTA) 27MG TAB,S | $145.56 | $0.00 | $0.00 |
| 43598-0581-30 | 30 | 36F79723D0140 | X | Golden Sta | BUPRENORPHINE 12MG/NALOXONE 3MG FILM,SUBLINGUAL | BUPRENORPHINE12MG/NALOXONE 3MG FILM,SUBLING | $145.73 | $0.00 | $0.00 |
| 51407-0069-05 | 500 | 36F79723D0140 | X | Golden Sta | QUETIAPINE FUMARATE 200MG TAB | QUETIAPINE FUMARATE 200MG TAB | $146.48 | $0.00 | $0.00 |
| 51672-4186-01 | 100 | 36F79723D0140 | X | Golden Sta | FELBAMATE 600MG TAB | FELBAMATE 600MG TAB | $147.03 | $0.00 | $0.00 |
| 00054-4186-25 | 100 | 36F79723D0140 | X | Golden Sta | DEXAMETHASONE 6MG TAB | DEXAMETHASONE 6MG TAB | $147.19 | $0.00 | $0.00 |
| 42571-0360-07 | 473ML | 36F79723D0140 | X | Golden Sta | METFORMIN HCL 500MG/5ML SOLN,ORAL | METFORMIN HCL 500MG/5ML SOLN,ORAL | $147.55 | $0.00 | $0.00 |
| 51672-1296-03 | 60GM | 36F79723D0140 | X | Golden Sta | DIFLORASONE DIACETATE 0.05% CREAM,USP,TOP | DIFLORASONE DIACETATE 0.05% CREAM,USP,TOP | $148.03 | $0.00 | $0.00 |
| 51407-0027-01 | 100 | 36F79723D0140 | X | Golden Sta | METHAZOLAMIDE 50MG TAB | METHAZOLAMIDE 50MG TAB | $148.74 | $0.00 | $0.00 |
| 70710-1302-07 | 5X6 | 36F79723D0140 | X | Golden Sta | MESALAMINE 1000MG SUPP,RTL | MESALAMINE 1000MG SUPP,RTL | $149.18 | $0.00 | $0.00 |
| 51407-0602-01 | 100 | 36F79723D0140 | X | Golden Sta | CAPTOPRIL 50MG TAB | CAPTOPRIL 50MG TAB | $149.43 | $0.00 | $0.00 |
| 60505-0589-01 | 5ML | 36F79723D0140 | X | Golden Sta | BRIMONIDINE TARTRATE 0.2%/TIMOLOL MALEATE 0.5% SOLN,OPH | BRIMONIDINE TARTRATE 0.2%/TIMOLOL MALEATE 0.5 | $150.52 | $0.00 | $0.00 |
| 57664-0608-88 | 100 | 36F79723D0140 | X | Golden Sta | METHYLPHENIDATE HCL (EQV-CONCERTA) 36MG TAB,SA | METHYLPHENIDATE HCL (EQV-CONCERTA) 36MG TAB,S | $150.78 | $0.00 | $0.00 |
| 00121-0678-16 | 473ML | 36F79723D0140 | X | Golden Sta | NORTRIPTYLINE HCL 10MG/5ML SOLN,ORAL | NORTRIPTYLINE HCL 10MG/5ML SOLN,ORAL | $151.90 | $0.00 | $0.00 |
| 70748-0261-30 | 30X2ML | 36F79723D0140 | X | Golden Sta | FORMOTEROL FUMARATE 10MCG/ML SOLN,INH,2ML | FORMOTEROL FUMARATE 10MCG/ML SOLN,INH,2ML | $152.06 | $0.00 | $0.00 |
| 00781-3154-01 | 17ML | 36F79723D0140 | X | Golden Sta | FERUMOXYTOL 30MG (IRON)/ML INJ | FERUMOXYTOL 30MG (IRON)/ML INJ | $153.46 | $0.00 | $0.00 |
| 00054-8183-25 | 10X10 | 36F79723D0140 | X | Golden Sta | DEXAMETHASONE 6MG TAB | DEXAMETHASONE 6MG TAB UD | $153.99 | $0.00 | $0.00 |
| 00121-4827-40 | 40X5ML | 36F79723D0140 | X | Golden Sta | OXYCODONE HCL 5MG/5ML SOLN,ORAL | OXYCODONE HCL 5MG/5ML SOLN,ORAL | $154.48 | $0.00 | $0.00 |
| 00143-9379-10 | 10X50ML | 36F79723D0140 | X | Golden Sta | MIDAZOLAM 1MG/ML/NACL 0.9% INJ,BAG,50ML | MIDAZOLAM 1MG/ML/NACL 0.9% INJ,BAG,50ML | $154.70 | $0.00 | $0.00 |
| 57664-0609-88 | 100 | 36F79723D0140 | X | Golden Sta | METHYLPHENIDATE HCL (EQV-CONCERTA) 54MG TAB,SA | METHYLPHENIDATE HCL (EQV-CONCERTA) 54MG TAB,S | $154.88 | $0.00 | $0.00 |
| 68094-0762-62 | 30X2.5ML | 36F79723D0140 | X | Golden Sta | MIDAZOLAM HCL 2MG/ML SYRUP | MIDAZOLAM HCL 2MG/ML SYRUP | $157.42 | $0.00 | $0.00 |
| 00121-0431-30 | 100X30ML | 36F79723D0140 | X | Golden Sta | MILK OF MAGNESIA,30ML | MILK OF MAGNESIA,30ML | $158.34 | $0.00 | $0.00 |
| 51862-0179-01 | 100 | 36F79723D0140 | X | Golden Sta | APAP 325MG/BUTALBITAL 50MG/CAFN 40MG CAP | APAP 325MG/BUTALBITAL 50MG/CAFN 40MG CAP | $158.97 | $0.00 | $0.00 |
| 50742-0263-01 | 100 | 36F79723D0140 | X | Golden Sta | COLCHICINE 0.5MG/PROBENECID 500MG TAB | COLCHICINE 0.5MG/PROBENECID 500MG TAB | $159.70 | $0.00 | $0.00 |
| 00143-9291-01 | 5ML | 36F79723D0140 | X | Golden Sta | ESTRADIOL VALERATE 40MG/ML INJ (IN OIL) | ESTRADIOL VALERATE 40MG/ML INJ (IN OIL) | $162.62 | $0.00 | $0.00 |
| 00143-1241-10 | 1000 | 36F79723D0140 | X | Golden Sta | DIGOXIN 0.25MG TAB | DIGOXIN 0.25MG TAB | $166.36 | $0.00 | $0.00 |
| 00143-1240-10 | 1000 | 36F79723D0140 | X | Golden Sta | DIGOXIN 0.125MG TAB | DIGOXIN 0.125MG TAB | $166.36 | $0.00 | $0.00 |
| 00143-1227-10 | 1000 | 36F79723D0140 | X | Golden Sta | DICYCLOMINE HCL 20MG TAB | DICYCLOMINE HCL 20MG TAB | $166.51 | $0.00 | $0.00 |
| 42543-0961-04 | 30 | 36F79723D0140 | X | Golden Sta | CINACALCET HCL 30MG TAB | CINACALCET HCL 30MG TAB | $167.83 | $0.00 | $0.00 |
| 60505-2671-08 | 1000 | 36F79723D0140 | X | Golden Sta | ATORVASTATIN CA 80MG TAB | ATORVASTATIN CA 80MG TAB | $168.00 | $0.00 | $0.00 |
| 51407-0350-10 | 1000 | 36F79723D0140 | X | Golden Sta | MIRTAZAPINE 15MG TAB | MIRTAZAPINE 15MG TAB | $168.11 | $0.00 | $0.00 |
| 51407-0068-10 | 1000 | 36F79723D0140 | X | Golden Sta | QUETIAPINE FUMARATE 100MG TAB | QUETIAPINE FUMARATE 100MG TAB | $169.06 | $0.00 | $0.00 |
| 60505-3113-08 | 1000 | 36F79723D0140 | X | Golden Sta | OLANZAPINE 10MG TAB | OLANZAPINE 10MG TAB | $171.23 | $0.00 | $0.00 |
| 42543-0493-05 | 500 | 36F79723D0140 | X | Golden Sta | AMANTADINE HCL 100MG CAP | AMANTADINE HCL 100MG CAP | $171.63 | $0.00 | $0.00 |
| 68462-0609-94 | 100GM | 36F79723D0140 | X | Golden Sta | PIMECROLIMUS 1% CREAM,TOP | PIMECROLIMUS 1% CREAM,TOP | $174.07 | $0.00 | $0.00 |
| 60429-0971-10 | 1000 | 36F79723D0140 | X | Golden Sta | PRAZOSIN HCL 1MG CAP | PRAZOSIN HCL 1MG CAP | $175.01 | $0.00 | $0.00 |
| 51407-0486-90 | 90 | 36F79723D0140 | X | Golden Sta | NEBIVOLOL 20MG TAB | NEBIVOLOL 20MG TAB | $176.62 | $0.00 | $0.00 |
| 00121-0974-94 | 30X10ML | 36F79723D0140 | X | Golden Sta | SUCRALFATE 500MG/5ML SUSP,ORAL | SUCRALFATE 500MG/5ML SUSP,ORAL | $177.26 | $0.00 | $0.00 |
| 00121-4721-05 | 40X5ML | 36F79723D0140 | X | Golden Sta | FLUOXETINE HCL 20MG/5ML SOLN,ORAL,5ML | FLUOXETINE HCL 20MG/5ML SOLN,ORAL,5ML | $178.97 | $0.00 | $0.00 |
| 69292-0538-50 | 500 | 36F79723D0140 | X | Golden Sta | PROPRANOLOL HCL 80MG TAB | PROPRANOLOL HCL 80MG TAB | $179.54 | $0.00 | $0.00 |
| 51407-0192-90 | 90 | 36F79723D0140 | X | Golden Sta | EZETIMIBE 10MG/SIMVASTATIN 40MG TAB | EZETIMIBE 10MG/SIMVASTATIN 40MG TAB | $181.02 | $0.00 | $0.00 |
| 00054-0639-05 | 12 | 36F79723D0140 | X | Golden Sta | METHYLERGONOVINE MALEATE 0.2MG TAB | METHYLERGONOVINE MALEATE 0.2MG TAB | $182.21 | $0.00 | $0.00 |
| 66689-0710-06 | 5X.65ML | 36F79723D0140 | X | Golden Sta | TRIPLE DYE PIN POINT APPLICATOR,TOP,0.65ML | TRIPLE DYE PIN POINT APPLICATOR,TOP,0.65ML | $182.29 | $0.00 | $0.00 |
| 68094-0764-62 | 30X5ML | 36F79723D0140 | X | Golden Sta | MIDAZOLAM HCL 2MG/ML SYRUP | MIDAZOLAM HCL 2MG/ML SYRUP | $182.40 | $0.00 | $0.00 |
| 51407-0738-01 | 100 | 36F79723D0140 | X | Golden Sta | TRIMETHOPRIM 100MG TAB | TRIMETHOPRIM 100MG TAB | $182.57 | $0.00 | $0.00 |
| 62559-0631-01 | 100ML | 36F79723D0140 | X | Golden Sta | ERYTHROMYCIN ES 400MG/5ML SUSP,PWDR,ORAL | ERYTHROMYCIN ES 400MG/5ML SUSP,PWD (35 DAY) | $184.23 | $0.00 | $0.00 |
| 49884-0277-11 | 30 | 36F79723D0140 | X | Golden Sta | FLUOXETINE HCL 25MG/OLANZAPINE 3MG CAP | FLUOXETINE HCL 25MG/OLANZAPINE 3MG CAP | $184.40 | $0.00 | $0.00 |
| 51407-0603-01 | 100 | 36F79723D0140 | X | Golden Sta | CAPTOPRIL 100MG TAB | CAPTOPRIL 100MG TAB | $184.41 | $0.00 | $0.00 |
