Pharmaceutical Catalog Search
1201 - 1300 of 1686 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 68094-0330-61 | 100X10.15ML | 36F79723D0140 | X | Golden Sta | ACETAMINOPHEN 325MG/10.15ML SUSP,ORAL | ACETAMINOPHEN 325MG/10.15ML SUSP,ORAL | $94.25 | $0.00 | $0.00 |
| 51862-0855-05 | 500 | 36F79723D0140 | X | Golden Sta | CARBIDOPA 10MG/LEVODOPA 100MG TAB | CARBIDOPA 10MG/LEVODOPA 100MG TAB | $94.46 | $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 |
| 51862-0856-05 | 500 | 36F79723D0140 | X | Golden Sta | CARBIDOPA 25MG/LEVODOPA 100MG TAB | CARBIDOPA 25MG/LEVODOPA 100MG TAB | $94.95 | $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 CAP | ETODOLAC 400MG CAP | $96.05 | $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 |
| 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 |
| 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 |
| 00143-9318-10 | 10X4ML | 36F79723D0140 | X | Golden Sta | NOREPINEPHRINE BITARTRATE 1MG/ML INJ | NOREPINEPHRINE BITARTRATE 1MG/ML INJ | $97.75 | $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 |
| 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 |
| 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 |
| 51407-0735-10 | 1000 | 36F79723D0140 | X | Golden Sta | TERAZOSIN HCL 10MG CAP | TERAZOSIN HCL 10MG CAP | $98.68 | $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 |
| 60429-0311-01 | 100 | 36F79723D0140 | X | Golden Sta | ETODOLAC 400MG TAB | ETODOLAC 400MG TAB | $99.09 | $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 |
| 51862-0148-03 | 3 | 36F79723D0140 | X | Golden Sta | ETHINYL ESTRADIOL/ETONOGESTREL 0.015MG/0.12MG/24HR RING,VAG | ETHINYL ESTRADIOL/ETONOGESTREL 0.015MG/0.12MG | $99.78 | $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 |
| 60505-4033-01 | 120 | 36F79723D0140 | X | Golden Sta | ICOSAPENT ETHYL 1GM CAP | ICOSAPENT ETHYL 1GM CAP | $100.37 | $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 |
| 51407-0068-10 | 1000 | 36F79723D0140 | X | Golden Sta | QUETIAPINE FUMARATE 100MG TAB | QUETIAPINE FUMARATE 100MG TAB | $101.77 | $0.00 | $0.00 |
| 00121-1870-00 | 100X10ML | 36F79723D0140 | X | Golden Sta | DOCUSATE NA 50MG/5ML LIQUID | DOCUSATE NA 50MG/5ML LIQUID | $101.84 | $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 |
| 51672-4036-01 | 100 | 36F79723D0140 | X | Golden Sta | ETODOLAC 500MG CAP | ETODOLAC 500MG CAP | $102.05 | $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 |
| 51407-0523-01 | 100 | 36F79723D0140 | X | Golden Sta | RAMELTEON 8MG TAB | RAMELTEON 8MG TAB | $102.49 | $0.00 | $0.00 |
| 51407-0874-05 | 500 | 36F79723D0140 | X | Golden Sta | AMIODARONE HCL 200MG TAB | AMIODARONE HCL 200MG TAB | $102.75 | $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 |
| 70010-0022-10 | 1000 | 36F79723D0140 | X | Golden Sta | POTASSIUM CHLORIDE 10MEQ TAB,SA | POTASSIUM CHLORIDE 10MEQ TAB,SA | $103.34 | $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 |
| 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 |
| 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 |
| 50742-0183-24 | 24 | 36F79723D0140 | X | Golden Sta | LEUCOVORIN CALCIUM 15MG TAB | LEUCOVORIN CALCIUM 15MG TAB | $105.98 | $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 |
| 49884-0110-74 | 10X10 | 36F79723D0140 | X | Golden Sta | ALPRAZOLAM 0.25MG TAB,ORALLY DISINTEGRATING | ALPRAZOLAM 0.25MG TAB,ORALLY DISINTEGRATING | $106.82 | $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 |
| 51407-0318-01 | 100 | 36F79723D0140 | X | Golden Sta | THEOPHYLLINE 400MG 24HR TAB,SA | THEOPHYLLINE 400MG 24HR TAB,SA | $107.28 | $0.00 | $0.00 |
| 50742-0182-24 | 24 | 36F79723D0140 | X | Golden Sta | LEUCOVORIN CALCIUM 10MG TAB | LEUCOVORIN CALCIUM 10MG 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 |
| 70069-0021-25 | 25X1ML | 36F79723D0140 | X | Golden Sta | DEXAMETHASONE NA PHOSPHATE (PF) 10MG/ML INJ,SOLN | DEXAMETHASONE NA PHOSPHATE (PF) 10MG/ML INJ,S | $108.34 | $0.00 | $0.00 |
| 51407-0352-05 | 500 | 36F79723D0140 | X | Golden Sta | MIRTAZAPINE 45MG TAB | MIRTAZAPINE 45MG TAB | $109.01 | $0.00 | $0.00 |
| 72578-0063-06 | 30 | 36F79723D0140 | X | Golden Sta | VORICONAZOLE 200MG TAB | VORICONAZOLE 200MG TAB | $109.48 | $0.00 | $0.00 |
| 51407-0486-90 | 90 | 36F79723D0140 | X | Golden Sta | NEBIVOLOL 20MG TAB | NEBIVOLOL 20MG TAB | $109.66 | $0.00 | $0.00 |
| 70436-0151-58 | 60X2ML | 36F79723D0140 | X | Golden Sta | ARFORMOTEROL TARTRATE 7.5MCG/ML SOLN,INHL,2ML | ARFORMOTEROL TARTRATE 7.5MCG/ML SOLN,INHL,2ML | $110.97 | $0.00 | $0.00 |
| 51407-0069-05 | 500 | 36F79723D0140 | X | Golden Sta | QUETIAPINE FUMARATE 200MG TAB | QUETIAPINE FUMARATE 200MG TAB | $111.73 | $0.00 | $0.00 |
| 51407-0484-90 | 90 | 36F79723D0140 | X | Golden Sta | NEBIVOLOL 5MG TAB | NEBIVOLOL 5MG TAB | $112.44 | $0.00 | $0.00 |
| 51407-0485-90 | 90 | 36F79723D0140 | X | Golden Sta | NEBIVOLOL 10MG TAB | NEBIVOLOL 10MG TAB | $112.53 | $0.00 | $0.00 |
| 51407-0089-05 | 500 | 36F79723D0140 | X | Golden Sta | FELODIPINE 10MG TAB,SA | FELODIPINE 10MG TAB,SA | $113.26 | $0.00 | $0.00 |
| 51407-0855-30 | 30 | 36F79723D0140 | X | Golden Sta | ERYTHROMYCIN BASE 250MG TAB | ERYTHROMYCIN BASE 250MG TAB | $113.54 | $0.00 | $0.00 |
| 49884-0315-91 | 7X4 | 36F79723D0140 | X | Golden Sta | RISPERIDONE 1MG TAB,ORAL DISINTEGRATING | RISPERIDONE 1MG TAB,ORAL DISINTEGRATING | $114.13 | $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 | $114.37 | $0.00 | $0.00 |
| 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 |
| 50742-0505-24 | 24 | 36F79723D0140 | X | Golden Sta | SCOPOLAMINE 0.33MG/24HRS PATCH | SCOPOLAMINE 0.33MG/24HRS PATCH | $115.15 | $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 |
| 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 |
| 51407-0351-05 | 500 | 36F79723D0140 | X | Golden Sta | MIRTAZAPINE 30MG TAB | MIRTAZAPINE 30MG TAB | $116.30 | $0.00 | $0.00 |
| 51672-1308-03 | 30ML | 36F79723D0140 | X | Golden Sta | BETAMETHASONE DIPROPIONATE 0.05%/CLOTRIMAZOLE 1% LOTION,TOP | BETAMETHASONE DIPROPIONATE 0.05%/CLOTRIMAZOLE | $116.43 | $0.00 | $0.00 |
| 51407-0746-30 | 30 | 36F79723D0140 | X | Golden Sta | DEXLANSOPRAZOLE 30MG CAP,EC | DEXLANSOPRAZOLE 30MG CAP,EC | $116.94 | $0.00 | $0.00 |
| 51407-0088-05 | 500 | 36F79723D0140 | X | Golden Sta | FELODIPINE 5MG TAB,SA | FELODIPINE 5MG TAB,SA | $117.45 | $0.00 | $0.00 |
| 51407-0747-30 | 30 | 36F79723D0140 | X | Golden Sta | DEXLANSOPRAZOLE 60MG CAP,EC | DEXLANSOPRAZOLE 60MG CAP,EC | $117.58 | $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 |
| 60505-4348-06 | 60 | 36F79723D0140 | X | Golden Sta | DABIGATRAN ETEXILATE 150MG CAP,ORAL | DABIGATRAN ETEXILATE 150MG CAP,ORAL | $120.00 | $0.00 | $0.00 |
| 68382-0189-01 | 100 | 36F79723D0140 | X | Golden Sta | DIPYRIDAMOLE 75MG TAB | DIPYRIDAMOLE 75MG TAB | $120.21 | $0.00 | $0.00 |
| 73473-0306-30 | 30GM | 36F79723D0140 | X | Golden Sta | CLINDAMYCIN PHOSPHATE 1.2%/TRETINOIN 0.025% GEL,TOP | CLINDAMYCIN PHOSPHATE 1.2%/TRETINOIN 0.025% G | $120.99 | $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 | $122.13 | $0.00 | $0.00 |
| 00054-0236-24 | 4X25 | 36F79723D0140 | X | Golden Sta | MORPHINE SO4 30MG TAB,UD | MORPHINE SO4 30MG TAB,UD | $122.23 | $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 |
| 00121-4675-00 | 100X5ML | 36F79723D0140 | X | Golden Sta | VALPROIC ACID 250MG/5ML SOLN,ORAL | VALPROIC ACID 250MG/5ML SOLN,ORAL | $123.54 | $0.00 | $0.00 |
| 13811-0719-10 | 100 | 36F79723D0140 | X | Golden Sta | NITROFURANTOIN MONOHYDRATE/MACROCRYSTALLINE 100MG CAP,SA | NITROFURANTOIN MONOHYDRATE/MACROCRYSTALLINE 1 | $123.90 | $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 |
| 00641-6176-10 | 10X1ML | 36F79723D0140 | X | Golden Sta | OCTREOTIDE ACETATE 0.5MG/ML INJ | OCTREOTIDE ACETATE 0.5MG/ML INJ | $124.17 | $0.00 | $0.00 |
| 51407-0372-05 | 500 | 36F79723D0140 | X | Golden Sta | METRONIDAZOLE 500MG TAB | METRONIDAZOLE 500MG TAB | $124.61 | $0.00 | $0.00 |
| 00641-6178-01 | 5ML | 36F79723D0140 | X | Golden Sta | OCTREOTIDE ACETATE 1MG/ML INJ | OCTREOTIDE ACETATE 1MG/ML INJ | $125.03 | $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 |
| 60429-0971-10 | 1000 | 36F79723D0140 | X | Golden Sta | PRAZOSIN HCL 1MG CAP | PRAZOSIN HCL 1MG CAP | $127.78 | $0.00 | $0.00 |
| 51672-4166-06 | 45GM | 36F79723D0140 | X | Golden Sta | CLOCORTOLONE PIVALATE 0.1% CREAM,TOP | CLOCORTOLONE PIVALATE 0.1% CREAM,TOP | $128.06 | $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 | $128.62 | $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 |
| 67877-0540-07 | 5 | 36F79723D0140 | X | Golden Sta | TEMOZOLOMIDE 140MG CAP | TEMOZOLOMIDE 140MG CAP | $129.54 | $0.00 | $0.00 |
| 51407-0350-10 | 1000 | 36F79723D0140 | X | Golden Sta | MIRTAZAPINE 15MG TAB | MIRTAZAPINE 15MG TAB | $129.85 | $0.00 | $0.00 |
| 00121-4948-50 | 50X15ML | 36F79723D0140 | X | Golden Sta | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,15ML | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,15M | $130.85 | $0.00 | $0.00 |
