Pharmaceutical Catalog Search
1301 - 1400 of 1554 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| 51407-0191-90 | 90 | 36F79723D0140 | X | Golden Sta | EZETIMIBE 10MG/SIMVASTATIN 20MG TAB | EZETIMIBE 10MG/SIMVASTATIN 20MG TAB | $185.07 | $0.00 | $0.00 |
| 49884-0401-91 | 7X4 | 36F79723D0140 | X | Golden Sta | RISPERIDONE 2MG TAB,ORAL DISINTEGRATING | RISPERIDONE 2MG TAB,ORAL DISINTEGRATING | $185.71 | $0.00 | $0.00 |
| 68682-0103-01 | 100 | 36F79723D0140 | X | Golden Sta | DICLOFENAC NA 100MG TAB,SA | DICLOFENAC NA 100MG TAB,SA | $187.13 | $0.00 | $0.00 |
| 00054-0210-25 | 100 | 36F79723D0140 | X | Golden Sta | PROTRIPTYLINE HCL 5MG TAB | PROTRIPTYLINE HCL 5MG TAB | $187.30 | $0.00 | $0.00 |
| 51862-0095-01 | 100 | 36F79723D0140 | X | Golden Sta | DISOPYRAMIDE PO4 100MG CAP | DISOPYRAMIDE PO4 100MG CAP | $189.34 | $0.00 | $0.00 |
| 24201-0100-24 | 24X100ML | 36F79723D0140 | X | Golden Sta | ACETAMINOPHEN 10MG/ML INJ | ACETAMINOPHEN 10MG/ML INJ | $189.35 | $0.00 | $0.00 |
| 69452-0159-13 | 30 | 36F79723D0140 | X | Golden Sta | DEFERASIROX 125MG TAB,SUSP,ORAL | DEFERASIROX 125MG TAB,SUSP,ORAL | $189.64 | $0.00 | $0.00 |
| 69292-0532-10 | 1000 | 36F79723D0140 | X | Golden Sta | PROPRANOLOL HCL 20MG TAB | PROPRANOLOL HCL 20MG TAB | $189.97 | $0.00 | $0.00 |
| 51407-0277-01 | 100 | 36F79723D0140 | X | Golden Sta | THIOTHIXENE HCL 5MG CAP | THIOTHIXENE HCL 5MG CAP | $191.38 | $0.00 | $0.00 |
| 62559-0440-02 | 200ML | 36F79723D0140 | X | Golden Sta | ERYTHROMYCIN ES 200MG/5ML SUSP,PWDR,ORAL | ERYTHROMYCIN ES 200MG/5ML SUSP,PWD (10 DAY) | $193.27 | $0.00 | $0.00 |
| 60429-0972-10 | 1000 | 36F79723D0140 | X | Golden Sta | PRAZOSIN HCL 2MG CAP | PRAZOSIN HCL 2MG CAP | $193.50 | $0.00 | $0.00 |
| 00378-1101-10 | 1000 | 36F79723D0140 | X | Golden Sta | PRAZOSIN HCL 1MG CAP | PRAZOSIN HCL 1MG CAP | $194.08 | $0.00 | $0.00 |
| 51672-4194-03 | 50GM | 36F79723D0140 | X | Golden Sta | CLINDAMYCIN PO4 1% FOAM,TOP | CLINDAMYCIN PO4 1% FOAM,TOP | $196.43 | $0.00 | $0.00 |
| 60505-3097-04 | 3 | 36F79723D0140 | X | Golden Sta | RISEDRONATE NA 150MG TAB | RISEDRONATE NA 150MG TAB | $197.49 | $0.00 | $0.00 |
| 51407-0484-90 | 90 | 36F79723D0140 | X | Golden Sta | NEBIVOLOL 5MG TAB | NEBIVOLOL 5MG TAB | $199.52 | $0.00 | $0.00 |
| 00121-1598-20 | 20X10ML | 36F79723D0140 | X | Golden Sta | LEVETIRACETAM 100MG/ML SOLN,ORAL | LEVETIRACETAM 100MG/ML SOLN,ORAL | $200.00 | $0.00 | $0.00 |
| 51407-0640-12 | 120 | 36F79723D0140 | X | Golden Sta | CAPECITABINE 500MG TAB | CAPECITABINE 500MG TAB | $200.30 | $0.00 | $0.00 |
| 60505-0033-07 | 500 | 36F79723D0140 | X | Golden Sta | PENTOXIFYLLINE 400MG TAB,SA | PENTOXIFYLLINE 400MG TAB,SA | $200.76 | $0.00 | $0.00 |
| 66689-0031-50 | 50X10ML UD | 36F79723D0140 | X | Golden Sta | METOCLOPRAMIDE HCL 5MG/5ML (SF) SOLN,ORAL,10ML UD | METOCLOPRAMIDE HCL 5MG/5ML (SF) SOLN,ORAL,10M | $202.89 | $0.00 | $0.00 |
| 51672-1362-08 | 90GM | 36F79723D0140 | X | Golden Sta | NAFTIFINE HCL 1% CREAM | NAFTIFINE HCL 1% CREAM | $204.62 | $0.00 | $0.00 |
| 00121-0974-40 | 40X10ML | 36F79723D0140 | X | Golden Sta | SUCRALFATE 500MG/5ML SUSP,ORAL | SUCRALFATE 500MG/5ML SUSP,ORAL | $205.18 | $0.00 | $0.00 |
| 00254-1010-19 | 30ML | 36F79723D0140 | X | Golden Sta | DIAZOXIDE 50MG/ML SUSP,ORAL | DIAZOXIDE 50MG/ML SUSP,ORAL | $207.69 | $0.00 | $0.00 |
| 51407-0480-12 | 112 | 36F79723D0140 | X | Golden Sta | TETRABENAZINE 12.5MG TAB | TETRABENAZINE 12.5MG TAB | $208.24 | $0.00 | $0.00 |
| 00143-9398-10 | 10X1GM | 36F79723D0140 | X | Golden Sta | ERTAPENEM 1GM/VIL INJ | ERTAPENEM 1GM/VIL INJ | $208.96 | $0.00 | $0.00 |
| 51407-0193-90 | 90 | 36F79723D0140 | X | Golden Sta | EZETIMIBE 10MG/SIMVASTATIN 80MG TAB | EZETIMIBE 10MG/SIMVASTATIN 80MG TAB | $210.27 | $0.00 | $0.00 |
| 00121-1761-30 | 100X30ML | 36F79723D0140 | X | Golden Sta | ALOH/MGOH/SIMETHICONE REGULAR STRENGTH LIQUID,30ML | ALOH/MGOH/SIMETHICONE REGULAR STRENGTH LIQUID | $212.04 | $0.00 | $0.00 |
| 00143-9380-10 | 10X100ML | 36F79723D0140 | X | Golden Sta | MIDAZOLAM 1MG/ML/NACL 0.9% INJ,BAG,100ML | MIDAZOLAM 1MG/ML/NACL 0.9% INJ,BAG,100ML | $212.32 | $0.00 | $0.00 |
| 60505-0583-01 | 5ML | 36F79723D0140 | X | Golden Sta | BIMATOPROST 0.03% SOLN,OPH | BIMATOPROST 0.03% SOLN,OPH | $213.16 | $0.00 | $0.00 |
| 60429-0196-01 | 100 | 36F79723D0140 | X | Golden Sta | DISULFIRAM 250MG TAB | DISULFIRAM 250MG TAB | $213.20 | $0.00 | $0.00 |
| 51862-0096-01 | 100 | 36F79723D0140 | X | Golden Sta | DISOPYRAMIDE PO4 150MG CAP | DISOPYRAMIDE PO4 150MG CAP | $213.46 | $0.00 | $0.00 |
| 00378-2302-10 | 1000 | 36F79723D0140 | X | Golden Sta | PRAZOSIN HCL 2MG CAP | PRAZOSIN HCL 2MG CAP | $214.02 | $0.00 | $0.00 |
| 00121-1576-10 | 100X10ML | 36F79723D0140 | X | Golden Sta | METOCLOPRAMIDE HCL 5MG/5ML SOLN,ORAL,10ML | METOCLOPRAMIDE HCL 5MG/5ML SOLN,ORAL,10ML | $216.15 | $0.00 | $0.00 |
| 68094-0123-62 | 30X5ML | 36F79723D0140 | X | Golden Sta | OXCARBAZEPINE 300MG/5ML SUSP | OXCARBAZEPINE 300MG/5ML SUSP | $216.91 | $0.00 | $0.00 |
| 00121-1762-30 | 100X30ML | 36F79723D0140 | X | Golden Sta | ALOH/MGOH/SIMETHICONE EXTRA STRENGTH LIQUID,30ML | ALOH/MGOH/SIMETHICONE EXTRA STRENGTH LIQUID | $217.68 | $0.00 | $0.00 |
| 60429-0353-60 | 60 | 36F79723D0140 | X | Golden Sta | LAMIVUDINE 150MG TAB | LAMIVUDINE 150MG TAB | $218.71 | $0.00 | $0.00 |
| 60429-0354-30 | 30 | 36F79723D0140 | X | Golden Sta | LAMIVUDINE 300MG TAB | LAMIVUDINE 300MG TAB | $218.71 | $0.00 | $0.00 |
| 51672-4027-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 1MG TAB | WARFARIN NA (TARO) 1MG TAB | $218.74 | $0.00 | $0.00 |
| 51672-4029-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 2.5MG TAB | WARFARIN NA (TARO) 2.5MG TAB | $218.74 | $0.00 | $0.00 |
| 51672-4028-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 2MG TAB | WARFARIN NA (TARO) 2MG TAB | $218.74 | $0.00 | $0.00 |
| 51672-4032-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 5MG TAB | WARFARIN NA (TARO) 5MG TAB | $218.74 | $0.00 | $0.00 |
| 51672-4031-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 4MG TAB | WARFARIN NA (TARO) 4MG TAB | $218.74 | $0.00 | $0.00 |
| 51672-4030-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 3MG TAB | WARFARIN NA (TARO) 3MG TAB | $218.74 | $0.00 | $0.00 |
| 51407-0668-30 | 30 | 36F79723D0140 | X | Golden Sta | AMLODIPINE 5MG/HYDROCHLOROTHIAZIDE 12.5MG/VALSARTAN 160MG TAB | AMLODIPINE 5MG/HYDROCHLOROTHIAZIDE 12.5MG/VAL | $223.19 | $0.00 | $0.00 |
| 51407-0070-05 | 500 | 36F79723D0140 | X | Golden Sta | QUETIAPINE FUMARATE 300MG TAB | QUETIAPINE FUMARATE 300MG TAB | $223.83 | $0.00 | $0.00 |
| 51407-0824-30 | 30 | 36F79723D0140 | X | Golden Sta | BUDESONIDE 9MG TAB,SA | BUDESONIDE 9MG TAB,SA | $226.31 | $0.00 | $0.00 |
| 51407-0669-30 | 30 | 36F79723D0140 | X | Golden Sta | AMLODIPINE 5MG/HYDROCHLOROTHIAZIDE 25MG/VALSARTAN 160MG TAB | AMLODIPINE 5MG/HYDROCHLOROTHIAZIDE 25MG/VALSA | $227.11 | $0.00 | $0.00 |
| 51672-4044-01 | 100 | 36F79723D0140 | X | Golden Sta | CLORAZEPATE DIPOTASSIUM 15MG TAB | CLORAZEPATE DIPOTASSIUM 15MG TAB | $227.54 | $0.00 | $0.00 |
| 00121-0581-05 | 100X5ML | 36F79723D0140 | X | Golden Sta | HALOPERIDOL 2MG/ML SOLN,ORAL,5ML | HALOPERIDOL 2MG/ML SOLN,ORAL,5ML | $232.85 | $0.00 | $0.00 |
| 49884-0021-10 | 1000 | 36F79723D0140 | X | Golden Sta | ISOSORBIDE DINITRATE 10MG TAB,ORAL | ISOSORBIDE DINITRATE 10MG TAB,ORAL | $233.20 | $0.00 | $0.00 |
| 60429-0966-10 | 1000 | 36F79723D0140 | X | Golden Sta | DOXEPIN HCL 10MG CAP | DOXEPIN HCL 10MG CAP | $234.00 | $0.00 | $0.00 |
| 49884-0402-91 | 7X4 | 36F79723D0140 | X | Golden Sta | RISPERIDONE 3MG TAB,ORAL DISINTEGRATING | RISPERIDONE 3MG TAB,ORAL DISINTEGRATING | $234.35 | $0.00 | $0.00 |
| 51672-4172-09 | 473ML | 36F79723D0140 | X | Golden Sta | FELBAMATE 600MG/5ML SUSP,ORAL | FELBAMATE 600MG/5ML SUSP,ORAL | $235.17 | $0.00 | $0.00 |
| 51407-0190-90 | 90 | 36F79723D0140 | X | Golden Sta | EZETIMIBE 10MG/SIMVASTATIN 10MG TAB | EZETIMIBE 10MG/SIMVASTATIN 10MG TAB | $238.20 | $0.00 | $0.00 |
| 69339-0136-34 | 10X2ML | 36F79723D0140 | X | Golden Sta | DIAZEPAM 5MG/ML INJ | DIAZEPAM 5MG/ML INJ | $240.99 | $0.00 | $0.00 |
| 69292-0534-10 | 1000 | 36F79723D0140 | X | Golden Sta | PROPRANOLOL HCL 40MG TAB | PROPRANOLOL HCL 40MG TAB | $241.10 | $0.00 | $0.00 |
| 57664-0689-18 | 1000 | 36F79723D0140 | X | Golden Sta | AMITRIPTYLINE HCL 50MG TAB | AMITRIPTYLINE HCL 50MG TAB | $242.14 | $0.00 | $0.00 |
| 00228-2996-50 | 500 | 36F79723D0140 | X | Golden Sta | TAMSULOSIN HCL 0.4MG CAP | TAMSULOSIN HCL 0.4MG CAP | $245.01 | $0.00 | $0.00 |
| 00121-1760-30 | 100X30ML | 36F79723D0140 | X | Golden Sta | MAGNESIUM HYDROXIDE/ALOH 200-200/5ML,ORAL SUSP | MAGNESIUM HYDROXIDE/ALOH 200-200/5ML,ORAL SUS | $245.03 | $0.00 | $0.00 |
| 60505-0404-05 | 150ML | 36F79723D0140 | X | Golden Sta | ARIPIPRAZOLE 1MG/ML SOLN,ORAL | ARIPIPRAZOLE 1MG/ML SOLN,ORAL | $245.83 | $0.00 | $0.00 |
| 71225-0126-06 | 10X100ML | 36F79723D0140 | X | Golden Sta | DEXMEDETOMIDINE 4MCG/ML/0.9% NACL INJ,100ML | DEXMEDETOMIDINE 4MCG/ML/0.9% NACL INJ,100ML | $245.90 | $0.00 | $0.00 |
| 24979-0181-01 | 100 | 36F79723D0140 | X | Golden Sta | DILTIAZEM HCL 60MG 12HR CAP,SA | DILTIAZEM HCL 60MG 12HR CAP,SA | $246.21 | $0.00 | $0.00 |
| 00121-0974-50 | 50X10ML | 36F79723D0140 | X | Golden Sta | SUCRALFATE 500MG/5ML SUSP,ORAL | SUCRALFATE 500MG/5ML SUSP,ORAL | $246.29 | $0.00 | $0.00 |
| 51407-0438-01 | 100 | 36F79723D0140 | X | Golden Sta | CHLORPROMAZINE HCL 200MG TAB | CHLORPROMAZINE HCL 200MG TAB | $247.52 | $0.00 | $0.00 |
| 00641-6251-10 | 10X20ML | 36F79723D0140 | X | Golden Sta | ATROPINE SO4 0.4MG/ML INJ | ATROPINE SO4 0.4MG/ML INJ | $250.00 | $0.00 | $0.00 |
| 00054-0163-29 | 500 | 36F79723D0140 | X | Golden Sta | MYCOPHENOLATE MOFETIL 250MG CAP | MYCOPHENOLATE MOFETIL 250MG CAP | $250.06 | $0.00 | $0.00 |
| 00121-0646-10 | 100X10ML | 36F79723D0140 | X | Golden Sta | AMANTADINE HCL 50MG/5ML (SF) SYRUP,10ML | AMANTADINE HCL 50MG/5ML (SF) SYRUP,10ML | $250.48 | $0.00 | $0.00 |
| 51407-0670-30 | 30 | 36F79723D0140 | X | Golden Sta | AMLODIPINE 10MG/HYDROCHLOROTHIAZIDE 12.5MG/VALSARTAN 160MG TAB | AMLODIPINE 1MG/HYDROCHLOROTHIAZIDE 12.5MG/VAL | $250.66 | $0.00 | $0.00 |
| 49884-0250-11 | 30 | 36F79723D0140 | X | Golden Sta | FLUOXETINE HCL 25MG/OLANZAPINE 6MG CAP | FLUOXETINE HCL 25MG/OLANZAPINE 6MG CAP | $252.28 | $0.00 | $0.00 |
| 49884-0251-11 | 30 | 36F79723D0140 | X | Golden Sta | FLUOXETINE HCL 50MG/OLANZAPINE 6MG CAP | FLUOXETINE HCL 50MG/OLANZAPINE 6MG CAP | $252.28 | $0.00 | $0.00 |
| 49884-0214-74 | 10X10 | 36F79723D0140 | X | Golden Sta | ALPRAZOLAM 2MG TAB,ORALLY DISINTEGRATING | ALPRAZOLAM 2MG TAB,ORALLY DISINTEGRATING | $253.97 | $0.00 | $0.00 |
| 60505-3114-08 | 1000 | 36F79723D0140 | X | Golden Sta | OLANZAPINE 15MG TAB | OLANZAPINE 15MG TAB | $256.85 | $0.00 | $0.00 |
| 60505-0014-08 | 500 | 36F79723D0140 | X | Golden Sta | DILTIAZEM (EQV-DILT-XR AB2) 120MG 24HR CAP | DILTIAZEM (EQV-DILT-XR AB2) 120MG 24HR CAP | $257.28 | $0.00 | $0.00 |
| 51672-1359-08 | 90GM | 36F79723D0140 | X | Golden Sta | OXICONAZOLE 1% CREAM,TOP | OXICONAZOLE 1% CREAM,TOP | $259.19 | $0.00 | $0.00 |
| 51407-0182-01 | 100 | 36F79723D0140 | X | Golden Sta | AZATHIOPRINE 50MG TAB | AZATHIOPRINE 50MG TAB | $261.13 | $0.00 | $0.00 |
| 51407-0366-30 | 30 | 36F79723D0140 | X | Golden Sta | BUDESONIDE 9MG TAB,SA | BUDESONIDE 9MG TAB,SA | $261.23 | $0.00 | $0.00 |
| 51407-0671-30 | 30 | 36F79723D0140 | X | Golden Sta | AMLODIPINE 10MG/HYDROCHLOROTHIAZIDE 25MG/VALSARTAN 160MG TAB | AMLODIPINE 10MG/HYDROCHLOROTHIAZIDE 25MG/VALS | $262.34 | $0.00 | $0.00 |
| 66689-0406-10 | 10X5ML | 36F79723D0140 | X | Golden Sta | PYRIDOSTIGMINE BR 60MG/5ML SYRUP | PYRIDOSTIGMINE BR 60MG/5ML SYRUP | $263.68 | $0.00 | $0.00 |
| 00054-4499-11 | 25 | 36F79723D0140 | X | Golden Sta | LEUCOVORIN CALCIUM 25MG TAB | LEUCOVORIN CALCIUM 25MG TAB | $266.25 | $0.00 | $0.00 |
| 51407-0278-01 | 100 | 36F79723D0140 | X | Golden Sta | THIOTHIXENE HCL 10MG CAP | THIOTHIXENE HCL 10MG CAP | $270.12 | $0.00 | $0.00 |
| 51672-4166-08 | 90GM | 36F79723D0140 | X | Golden Sta | CLOCORTOLONE PIVALATE 0.1% CREAM,TOP | CLOCORTOLONE PIVALATE 0.1% CREAM,TOP | $271.32 | $0.00 | $0.00 |
| 24208-0910-19 | 50X1GM | 36F79723D0140 | X | Golden Sta | ERYTHROMYCIN 0.5% OINT,OPH,PKG,1GM | ERYTHROMYCIN 0.5% OINT,OPH,PKG,1GM | $272.00 | $0.00 | $0.00 |
| 49884-0022-10 | 1000 | 36F79723D0140 | X | Golden Sta | ISOSORBIDE DINITRATE 20MG TAB,ORAL | ISOSORBIDE DINITRATE 20MG TAB,ORAL | $273.90 | $0.00 | $0.00 |
| 51672-4033-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 6MG TAB | WARFARIN NA (TARO) 6MG TAB | $274.03 | $0.00 | $0.00 |
| 24979-0182-01 | 100 | 36F79723D0140 | X | Golden Sta | DILTIAZEM HCL 90MG 12HR CAP,SA | DILTIAZEM HCL 90MG 12HR CAP,SA | $281.31 | $0.00 | $0.00 |
| 00378-8260-93 | 30 | 36F79723D0140 | X | Golden Sta | METHYLPHENIDATE 10MG/9HR PATCH | METHYLPHENIDATE 10MG/9HR PATCH | $283.31 | $0.00 | $0.00 |
| 00378-8261-93 | 30 | 36F79723D0140 | X | Golden Sta | METHYLPHENIDATE 15MG/9HR PATCH | METHYLPHENIDATE 15MG/9HR PATCH | $283.31 | $0.00 | $0.00 |
| 00378-8262-93 | 30 | 36F79723D0140 | X | Golden Sta | METHYLPHENIDATE 20MG/9HR PATCH | METHYLPHENIDATE 20MG/9HR PATCH | $283.31 | $0.00 | $0.00 |
| 00378-8263-93 | 30 | 36F79723D0140 | X | Golden Sta | METHYLPHENIDATE 30MG/9HR PATCH | METHYLPHENIDATE 30MG/9HR PATCH | $283.31 | $0.00 | $0.00 |
| 69315-0226-01 | 100 | 36F79723D0140 | X | Golden Sta | THEOPHYLLINE 300MG TAB,SA | THEOPHYLLINE 300MG TAB,SA | $286.27 | $0.00 | $0.00 |
| 69452-0209-20 | 100 | 36F79723D0140 | X | Golden Sta | NIMODIPINE 30MG CAP | NIMODIPINE 30MG CAP | $286.30 | $0.00 | $0.00 |
| 00093-3186-20 | 5GM | 36F79723D0140 | X | Golden Sta | PENCICLOVIR 1% CREAM.TOP | PENCICLOVIR 1% CREAM.TOP | $289.33 | $0.00 | $0.00 |
| 51862-0856-10 | 1000 | 36F79723D0140 | X | Golden Sta | CARBIDOPA 25MG/LEVODOPA 100MG TAB | CARBIDOPA 25MG/LEVODOPA 100MG TAB | $289.61 | $0.00 | $0.00 |
| 51672-1362-03 | 60GM | 36F79723D0140 | X | Golden Sta | NAFTIFINE HCL 1% CREAM | NAFTIFINE HCL 1% CREAM | $290.13 | $0.00 | $0.00 |
| 51672-4035-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 10MG TAB | WARFARIN NA (TARO) 10MG TAB | $296.03 | $0.00 | $0.00 |
