Pharmaceutical Catalog Search
1201 - 1300 of 1791 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
| 60429-0020-01 | 100 | 36F79723D0140 | X | Golden Sta | KETOCONAZOLE 200MG TAB | KETOCONAZOLE 200MG TAB | $85.28 | $0.00 | $0.00 |
| 60505-3250-06 | 60 | 36F79723D0140 | X | Golden Sta | LAMIVUDINE 100MG TAB | LAMIVUDINE 100MG TAB | $85.35 | $0.00 | $0.00 |
| 69452-0209-13 | 30 | 36F79723D0140 | X | Golden Sta | NIMODIPINE 30MG CAP | NIMODIPINE 30MG CAP | $85.76 | $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 |
| 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 |
| 51407-0971-10 | 1000 | 36F79723D0140 | X | Golden Sta | HYDROXYZINE HCL 50MG TAB | HYDROXYZINE HCL 50MG TAB | $88.62 | $0.00 | $0.00 |
| 73473-0901-05 | 100 | 36F79723D0140 | X | Golden Sta | NEOMYCIN SO4 500MG TAB | NEOMYCIN SO4 500MG TAB | $88.73 | $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 |
| 51407-0912-01 | 100 | 36F79723D0140 | X | Golden Sta | DICLOFENAC POTASSIUM 50MG TAB | DICLOFENAC POTASSIUM 50MG TAB | $89.62 | $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 |
| 60429-0767-60 | 60 | 36F79723D0140 | X | Golden Sta | ZIPRASIDONE HCL 60MG CAP | ZIPRASIDONE HCL 60MG CAP | $90.00 | $0.00 | $0.00 |
| 60429-0768-60 | 60 | 36F79723D0140 | X | Golden Sta | ZIPRASIDONE HCL 80MG CAP | ZIPRASIDONE HCL 80MG CAP | $90.00 | $0.00 | $0.00 |
| 51672-4079-04 | 59GM | 36F79723D0140 | X | Golden Sta | DESONIDE 0.05% LOTION | DESONIDE 0.05% LOTION | $90.13 | $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 |
| 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 |
| 62332-0628-25 | 25X5ML | 36F79723D0140 | X | Golden Sta | GLYCOPYRROLATE 0.2MG/ML INJ | GLYCOPYRROLATE 0.2MG/ML INJ | $91.36 | $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 |
| 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 |
| 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 |
| 68094-0330-61 | 100X10.15ML | 36F79723D0140 | X | Golden Sta | ACETAMINOPHEN 325MG/10.15ML SUSP,ORAL | ACETAMINOPHEN 325MG/10.15ML SUSP,ORAL | $94.25 | $0.00 | $0.00 |
| 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 |
| 27241-0316-01 | 100 | 36F79723D0140 | X | Golden Sta | KETOROLAC TROMETHAMINE 10MG TAB | KETOROLAC TROMETHAMINE 10MG TAB | $95.41 | $0.00 | $0.00 |
| 24208-0464-10 | 10ML | 36F79723D0140 | X | Golden Sta | BRINZOLAMIDE 1% SUSP,OPH | BRINZOLAMIDE 1% SUSP,OPH | $95.43 | $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 |
| 51407-0068-10 | 1000 | 36F79723D0140 | X | Golden Sta | QUETIAPINE FUMARATE 100MG TAB | QUETIAPINE FUMARATE 100MG TAB | $95.66 | $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 |
| 51407-0861-60 | 60 | 36F79723D0140 | X | Golden Sta | TICAGRELOR 90MG TAB | TICAGRELOR 90MG TAB | $96.70 | $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 |
| 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 |
| 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 |
| 51407-0709-01 | 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 |
| 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 |
| 60505-6226-02 | 15ML | 36F79723D0140 | X | Golden Sta | ATROPINE SO4 1% SOLN,OPH | ATROPINE SO4 1% SOLN,OPH | $100.32 | $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 | $100.36 | $0.00 | $0.00 |
| 29033-0003-05 | 500 | 36F79723D0140 | X | Golden Sta | SUCRALFATE 1GM TAB | SUCRALFATE 1GM TAB | $100.77 | $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 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 |
| 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 |
| 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 |
| 00121-4827-50 | 50X5ML | 36F79723D0140 | X | Golden Sta | OXYCODONE HCL 5MG/5ML SOLN,ORAL | OXYCODONE HCL 5MG/5ML SOLN,ORAL | $106.46 | $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 |
| 51407-0318-01 | 100 | 36F79723D0140 | X | Golden Sta | THEOPHYLLINE 400MG 24HR TAB,SA | THEOPHYLLINE 400MG 24HR TAB,SA | $107.28 | $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 |
| 71930-0023-30 | 30ML | 36F79723D0140 | X | Golden Sta | OXYCODONE CONCENTRATED 20MG/ML ORAL,SOLN | OXYCODONE CONCENTRATED 20MG/ML ORAL,SOLN | $107.80 | $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 |
| 51407-0191-90 | 90 | 36F79723D0140 | X | Golden Sta | EZETIMIBE 10MG/SIMVASTATIN 20MG TAB | EZETIMIBE 10MG/SIMVASTATIN 20MG TAB | $108.85 | $0.00 | $0.00 |
| 51407-0352-05 | 500 | 36F79723D0140 | X | Golden Sta | MIRTAZAPINE 45MG TAB | MIRTAZAPINE 45MG TAB | $109.01 | $0.00 | $0.00 |
| 00713-0885-09 | 10 | 36F79723D0140 | X | Golden Sta | CLOMIPHENE CITRATE 50MG TAB | CLOMIPHENE CITRATE 50MG TAB | $109.22 | $0.00 | $0.00 |
| 70594-0049-02 | 10 | 36F79723D0140 | X | Golden Sta | POLYMYXIN B SO4 500000UNT/VIL INJ | POLYMYXIN B SO4 500000UNT/VIL INJ | $110.25 | $0.00 | $0.00 |
| 43598-0581-30 | 30 | 36F79723D0140 | X | Golden Sta | BUPRENORPHINE 12MG/NALOXONE 3MG FILM,SUBLINGUAL | BUPRENORPHINE12MG/NALOXONE 3MG FILM,SUBLING | $110.31 | $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 |
| 27241-0301-01 | 100 | 36F79723D0140 | X | Golden Sta | HYDROCHLOROTHIAZIDE 25MG/METOPROLOL 50MG TAB | HYDROCHLOROTHIAZIDE 25MG/METOPROLOL 50MG TAB | $111.01 | $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 | $111.64 | $0.00 | $0.00 |
| 60505-0564-03 | 15ML | 36F79723D0140 | X | Golden Sta | BRIMONIDINE TARTRATE 0.15% SOLN,OPH | BRIMONIDINE TARTRATE 0.15% SOLN,OPH | $113.18 | $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 |
| 69315-0912-01 | 100 | 36F79723D0140 | X | Golden Sta | OXAZEPAM 15MG CAP | OXAZEPAM 15MG CAP | $113.42 | $0.00 | $0.00 |
