Pharmaceutical Catalog Search
1401 - 1500 of 1727 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 51407-0967-10 | 1000 | 36F79723D0140 | X | Golden Sta | DICLOFENAC NA 50MG TAB,EC | DICLOFENAC NA 50MG TAB,EC | $229.01 | $0.00 | $0.00 |
| 51407-0537-10 | 1000 | 36F79723D0140 | X | Golden Sta | DICLOFENAC NA 50MG TAB,EC | DICLOFENAC NA 50MG TAB,EC | $229.01 | $0.00 | $0.00 |
| 60505-3615-04 | 53 | 36F79723D0140 | X | Golden Sta | VARENICLINE TAB STARTER PACK,53 | VARENICLINE 0.5MG/1MG STARTER PACK,53 | $230.23 | $0.00 | $0.00 |
| 13668-0591-82 | 5 | 36F79723D0140 | X | Golden Sta | APREPITANT 40MG CAP | APREPITANT 40MG CAP | $230.35 | $0.00 | $0.00 |
| 00121-2316-50 | 50X15ML | 36F79723D0140 | X | Golden Sta | HYDROCODONE 7.5/APAP 325MG/15ML SOL 15ML | HYDROCODONE 7.5/APAP 325MG/15ML SOL 15ML | $230.66 | $0.00 | $0.00 |
| 70954-0852-10 | 100ML | 36F79723D0140 | X | Golden Sta | LEVOFLOXACIN 125MG/5ML SOLN,ORAL | LEVOFLOXACIN 125MG/5ML SOLN,ORAL | $232.94 | $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 |
| 49884-0402-91 | 7X4 | 36F79723D0140 | X | Golden Sta | RISPERIDONE 3MG TAB,ORAL DISINTEGRATING | RISPERIDONE 3MG TAB,ORAL DISINTEGRATING | $234.35 | $0.00 | $0.00 |
| 00143-9514-25 | 25X2ML | 36F79723D0140 | X | Golden Sta | DROPERIDOL 2.5MG/ML (PF) INJ | DROPERIDOL 2.5MG/ML (PF) INJ | $234.74 | $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 |
| 69315-0226-01 | 100 | 36F79723D0140 | X | Golden Sta | THEOPHYLLINE 300MG TAB,SA | THEOPHYLLINE 300MG TAB,SA | $236.08 | $0.00 | $0.00 |
| 67877-0730-93 | 28 | 36F79723D0140 | X | Golden Sta | ROFLUMILAST 250MCG TAB | ROFLUMILAST 250MCG TAB | $238.11 | $0.00 | $0.00 |
| 73473-0309-30 | 30GM | 36F79723D0140 | X | Golden Sta | TAZAROTENE 0.05% GEL,TOP | TAZAROTENE 0.05% GEL,TOP | $238.40 | $0.00 | $0.00 |
| 51672-1359-08 | 90GM | 36F79723D0140 | X | Golden Sta | OXICONAZOLE 1% CREAM,TOP | OXICONAZOLE 1% CREAM,TOP | $239.89 | $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 |
| 71656-0072-16 | 473ML | 36F79723D0140 | X | Golden Sta | LITHIUM 8MEQ/5ML SOLN,ORAL | LITHIUM 8MEQ/5ML SOLN,ORAL | $241.91 | $0.00 | $0.00 |
| 51672-4033-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 6MG TAB | WARFARIN NA (TARO) 6MG TAB | $242.10 | $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 |
| 51672-4034-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 7.5MG TAB | WARFARIN NA (TARO) 7.5MG TAB | $242.55 | $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 |
| 51407-0968-10 | 1000 | 36F79723D0140 | X | Golden Sta | DICLOFENAC NA 75MG TAB,EC | DICLOFENAC NA 75MG TAB,EC | $246.15 | $0.00 | $0.00 |
| 51407-0538-10 | 1000 | 36F79723D0140 | X | Golden Sta | DICLOFENAC NA 75MG TAB,EC | DICLOFENAC NA 75MG TAB,EC | $246.15 | $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 |
| 51407-0782-30 | 30 | 36F79723D0140 | X | Golden Sta | ESLICARBAZEPINE ACETATE 800MG TAB,ORAL | ESLICARBAZEPINE ACETATE 800MG TAB,ORAL | $249.83 | $0.00 | $0.00 |
| 51407-0779-30 | 30 | 36F79723D0140 | X | Golden Sta | ESLICARBAZEPINE ACETATE 200MG TAB,ORAL | ESLICARBAZEPINE ACETATE 200MG TAB,ORAL | $249.83 | $0.00 | $0.00 |
| 51407-0780-30 | 30 | 36F79723D0140 | X | Golden Sta | ESLICARBAZEPINE ACETATE 400MG TAB,ORAL | ESLICARBAZEPINE ACETATE 400MG TAB,ORAL | $249.83 | $0.00 | $0.00 |
| 50742-0553-05 | 5 | 36F79723D0140 | X | Golden Sta | FENTANYL 62.5MCG/HR PATCH | FENTANYL 62.5MCG/HR PATCH | $249.95 | $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 |
| 60429-0062-05 | 500 | 36F79723D0140 | X | Golden Sta | OXCARBAZEPINE 300MG TAB | OXCARBAZEPINE 300MG TAB | $250.00 | $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 |
| 73473-0310-30 | 30GM | 36F79723D0140 | X | Golden Sta | TAZAROTENE 0.1% GEL,TOP | TAZAROTENE 0.1% GEL,TOP | $252.00 | $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 |
| 51672-4035-03 | 1000 | 36F79723D0140 | X | Golden Sta | WARFARIN NA (TARO) 10MG TAB | WARFARIN NA (TARO) 10MG TAB | $252.35 | $0.00 | $0.00 |
| 51407-0975-90 | 90 | 36F79723D0140 | X | Golden Sta | ROFLUMILAST 500MCG TAB | ROFLUMILAST 500MCG TAB | $260.55 | $0.00 | $0.00 |
| 51407-0914-90 | 90 | 36F79723D0140 | X | Golden Sta | PIRFENIDONE 801MG TAB,ORAL | PIRFENIDONE801MG TAB,ORAL | $262.16 | $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 |
| 60505-0406-03 | 112ML | 36F79723D0140 | X | Golden Sta | DICLOFENAC NA 2% SOLN,TOP | DICLOFENAC NA 2% SOLN,TOP | $264.16 | $0.00 | $0.00 |
| 24979-0182-01 | 100 | 36F79723D0140 | X | Golden Sta | DILTIAZEM HCL 90MG 12HR CAP,SA | DILTIAZEM HCL 90MG 12HR CAP,SA | $264.29 | $0.00 | $0.00 |
| 51672-4166-08 | 90GM | 36F79723D0140 | X | Golden Sta | CLOCORTOLONE PIVALATE 0.1% CREAM,TOP | CLOCORTOLONE PIVALATE 0.1% CREAM,TOP | $264.99 | $0.00 | $0.00 |
| 00121-4799-50 | 50X5ML | 36F79723D0140 | X | Golden Sta | LEVETIRACETAM 100MG/ML SOLN,ORAL,5ML | LEVETIRACETAM 100MG/ML SOLN,ORAL,5ML | $265.01 | $0.00 | $0.00 |
| 00121-1012-95 | 10X5ML | 36F79723D0140 | X | Golden Sta | LACOSAMIDE 10MG/ML SOLN,ORAL | LACOSAMIDE 10MG/ML SOLN,ORAL | $266.71 | $0.00 | $0.00 |
| 51672-1362-03 | 60GM | 36F79723D0140 | X | Golden Sta | NAFTIFINE HCL 1% CREAM | NAFTIFINE HCL 1% CREAM | $268.54 | $0.00 | $0.00 |
| 00143-9094-05 | 5X10ML | 36F79723D0140 | X | Golden Sta | METHYLENE BLUE 0.5% INJ | METHYLENE BLUE 0.5% INJ | $269.43 | $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 |
| 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 |
| 60429-0379-01 | 100 | 36F79723D0140 | X | Golden Sta | TACROLIMUS 5MG CAP | TACROLIMUS 5MG CAP | $272.88 | $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 |
| 51991-0002-98 | 20ML | 36F79723D0140 | X | Golden Sta | METHADONE HCL 10MG/ML INJ | METHADONE HCL 10MG/ML INJ | $274.48 | $0.00 | $0.00 |
| 60505-0577-02 | 10ML | 36F79723D0140 | X | Golden Sta | BRIMONIDINE TARTRATE 0.1% SOLN,OPH | BRIMONIDINE TARTRATE 0.1% SOLN,OPH | $276.25 | $0.00 | $0.00 |
| 00121-4948-40 | 40X15ML | 36F79723D0140 | X | Golden Sta | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,15ML | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,15M | $278.75 | $0.00 | $0.00 |
| 00641-6266-01 | 20ML | 36F79723D0140 | X | Golden Sta | METHADONE HCL 10MG/ML INJ | METHADONE HCL 10MG/ML INJ | $283.15 | $0.00 | $0.00 |
| 69452-0209-20 | 100 | 36F79723D0140 | X | Golden Sta | NIMODIPINE 30MG CAP | NIMODIPINE 30MG CAP | $286.30 | $0.00 | $0.00 |
| 00121-0940-00 | 100X10ML | 36F79723D0140 | X | Golden Sta | MILK OF MAGNESIA,10ML | MILK OF MAGNESIA,10ML | $286.57 | $0.00 | $0.00 |
| 23155-0538-25 | 50 | 36F79723D0140 | X | Golden Sta | DOXERCALCIFEROL 0.5MCG CAP | DOXERCALCIFEROL 0.5MCG CAP | $289.85 | $0.00 | $0.00 |
| 71930-0019-13 | 1000 | 36F79723D0140 | X | Golden Sta | HYDROCODONE 5MG/ACETAMINOPHEN 325MG TAB | HYDROCODONE 5MG/ACETAMINOPHEN 325MG TAB | $294.00 | $0.00 | $0.00 |
| 69452-0160-13 | 30 | 36F79723D0140 | X | Golden Sta | DEFERASIROX 250MG TAB,SUSP,ORAL | DEFERASIROX 250MG TAB,SUSP,ORAL | $298.69 | $0.00 | $0.00 |
| 13668-0594-87 | 3 | 36F79723D0140 | X | Golden Sta | APREPITANT 125MG X1/80MG X2 CAP,PKT,3 | APREPITANT 125MG X1/80MG X2 CAP,PKT,3 | $301.39 | $0.00 | $0.00 |
| 49884-0214-74 | 10X10 | 36F79723D0140 | X | Golden Sta | ALPRAZOLAM 2MG TAB,ORALLY DISINTEGRATING | ALPRAZOLAM 2MG TAB,ORALLY DISINTEGRATING | $301.93 | $0.00 | $0.00 |
| 75907-0028-01 | 100 | 36F79723D0140 | X | Golden Sta | ESTAZOLAM 1MG TAB | ESTAZOLAM 1MG TAB | $302.40 | $0.00 | $0.00 |
| 75907-0029-01 | 100 | 36F79723D0140 | X | Golden Sta | ESTAZOLAM 2MG TAB | ESTAZOLAM 2MG TAB | $302.40 | $0.00 | $0.00 |
| 51672-1376-06 | 45GM | 36F79723D0140 | X | Golden Sta | NAFTIFINE HCL 2% GEL | NAFTIFINE HCL 2% GEL | $304.64 | $0.00 | $0.00 |
| 49884-0042-33 | 16ML | 36F79723D0140 | X | Golden Sta | GLYCOPYRROLATE 1MG/5ML SOLN,ORAL | GLYCOPYRROLATE 1MG/5ML SOLN,ORAL | $304.67 | $0.00 | $0.00 |
| 00121-0653-04 | 118ML | 36F79723D0140 | X | Golden Sta | FLUPHENAZINE HCL 5MG/ML LIQUID,ORAL | FLUPHENAZINE HCL 5MG/ML LIQUID,ORAL | $304.86 | $0.00 | $0.00 |
| 00054-3722-63 | 500ML | 36F79723D0140 | X | Golden Sta | PREDNISONE 1MG/ML SOLN,ORAL | PREDNISONE 1MG/ML SOLN,ORAL | $309.50 | $0.00 | $0.00 |
| 00054-0812-22 | 90 | 36F79723D0140 | X | Golden Sta | PYRAZINAMIDE 500MG TAB | PYRAZINAMIDE 500MG TAB | $309.75 | $0.00 | $0.00 |
| 49884-0403-91 | 7X4 | 36F79723D0140 | X | Golden Sta | RISPERIDONE 4MG TAB,ORAL DISINTEGRATING | RISPERIDONE 4MG TAB,ORAL DISINTEGRATING | $314.86 | $0.00 | $0.00 |
| 42543-0497-05 | 500 | 36F79723D0140 | X | Golden Sta | AMANTADINE HCL 100MG TAB | AMANTADINE HCL 100MG TAB | $314.95 | $0.00 | $0.00 |
| 68094-0853-61 | 10X10 | 36F79723D0140 | X | Golden Sta | NALTREXONE (EQV-REVIA) 50MG TAB | NALTREXONE (EQV-REVIA) 50MG TAB | $315.56 | $0.00 | $0.00 |
| 00121-0885-16 | 480ML | 36F79723D0140 | X | Golden Sta | PREDNISOLONE 3MG/ML SOLN,ORAL | PREDNISOLONE 3MG/ML SOLN,ORAL | $320.65 | $0.00 | $0.00 |
| 24201-0201-05 | 5X2ML | 36F79723D0140 | X | Golden Sta | SODIUM TETRADECYL SO4 3% INJ | SODIUM TETRADECYL SO4 3% INJ | $321.61 | $0.00 | $0.00 |
| 00121-4759-50 | 10X5ML | 36F79723D0140 | X | Golden Sta | PREDNISOLONE NA PHOSPHATE 15MG/5ML SOLN,ORAL | PREDNISOLONE NA PHOSPHATE 15MG/5ML SOLN,ORAL | $321.75 | $0.00 | $0.00 |
| 50742-0287-60 | 60X0.3ML | 36F79723D0140 | X | Golden Sta | TIMOLOL MALEATE 0.25% SOLN,OPH,0.3ML | TIMOLOL MALEATE 0.25% SOLN,OPH,0.3ML | $322.36 | $0.00 | $0.00 |
| 70010-0214-01 | 100 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 10MG TAB,CHEWABLE | LISDEXAMFETAMINE DIMESYLATE 10MG TAB,CHEWABLE | $323.40 | $0.00 | $0.00 |
| 70010-0215-01 | 100 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 20MG TAB,CHEWABLE | LISDEXAMFETAMINE DIMESYLATE 20MG TAB,CHEWABLE | $323.40 | $0.00 | $0.00 |
| 70010-0216-01 | 100 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 30MG TAB,CHEWABLE | LISDEXAMFETAMINE DIMESYLATE 30MG TAB,CHEWABLE | $323.40 | $0.00 | $0.00 |
| 70010-0217-01 | 100 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 40MG TAB,CHEWABLE | LISDEXAMFETAMINE DIMESYLATE 40MG TAB,CHEWABLE | $323.40 | $0.00 | $0.00 |
| 70010-0218-01 | 100 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 50MG TAB,CHEWABLE | LISDEXAMFETAMINE DIMESYLATE 50MG TAB,CHEWABLE | $323.40 | $0.00 | $0.00 |
| 70010-0219-01 | 100 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 60MG TAB,CHEWABLE | LISDEXAMFETAMINE DIMESYLATE 60MG TAB,CHEWABLE | $323.40 | $0.00 | $0.00 |
| 51862-0858-10 | 1000 | 36F79723D0140 | X | Golden Sta | CARBIDOPA 25MG/LEVODOPA 250MG TAB | CARBIDOPA 25MG/LEVODOPA 250MG TAB | $324.23 | $0.00 | $0.00 |
| 70594-0023-04 | 12X150MG | 36F79723D0140 | X | Golden Sta | COLISTIMETHATE NA (COLISTIN BASE 150MG/VIL) INJ | COLISTIMETHATE NA (COLISTIN BASE 150MG/VIL) I | $329.28 | $0.00 | $0.00 |
| 51407-0672-30 | 30 | 36F79723D0140 | X | Golden Sta | AMLODIPINE 10MG/HYDROCHLOROTHIAZIDE 25MG/VALSARTAN 320MG TAB | AMLODIPINE 10MG/HYDROCHLOROTHIAZIDE 25MG/VALS | $333.18 | $0.00 | $0.00 |
| 24979-0183-01 | 100 | 36F79723D0140 | X | Golden Sta | DILTIAZEM HCL 120MG 12HR CAP,SA | DILTIAZEM HCL 120MG 12HR CAP,SA | $337.04 | $0.00 | $0.00 |
| 00054-0812-25 | 100 | 36F79723D0140 | X | Golden Sta | PYRAZINAMIDE 500MG TAB | PYRAZINAMIDE 500MG TAB | $337.75 | $0.00 | $0.00 |
| 00527-1368-01 | 100 | 36F79723D0140 | X | Golden Sta | DANAZOL 100MG CAP | DANAZOL 100MG CAP | $339.97 | $0.00 | $0.00 |
| 00781-3290-09 | 24X50ML | 36F79723D0140 | X | Golden Sta | CLINDAMYCIN PO4 18MG/ML/DEXTROSE 5% INJ | CLINDAMYCIN PO4 18MG/ML/DEXTROSE 5% INJ | $341.02 | $0.00 | $0.00 |
| 61442-0116-05 | 500 | 36F79723D0140 | X | Golden Sta | GLIMEPIRIDE 2MG TAB | GLIMEPIRIDE 2MG TAB | $341.55 | $0.00 | $0.00 |
| 00121-0581-05 | 100X5ML | 36F79723D0140 | X | Golden Sta | HALOPERIDOL 2MG/ML SOLN,ORAL,5ML | HALOPERIDOL 2MG/ML SOLN,ORAL,5ML | $342.22 | $0.00 | $0.00 |
| 00121-0853-40 | 40X20ML | 36F79723D0140 | X | Golden Sta | SULFAMETHOXAZOLE 200MG/TRIMETHOPRIM 40MG/5ML SUSP | SULFAMETHOXAZOLE 200MG/TRIMETHOPRIM 40MG/5ML | $344.01 | $0.00 | $0.00 |
| 60505-4658-03 | 30 | 36F79723D0140 | X | Golden Sta | ESLICARBAZEPINE ACETATE 200MG TAB,ORAL | ESLICARBAZEPINE ACETATE 200MG TAB,ORAL | $344.48 | $0.00 | $0.00 |
| 00781-3409-95 | 10 | 36F79723D0140 | X | Golden Sta | AMPICILLIN NA 10GM/VIL INJ | AMPICILLIN NA 10GM/VIL INJ | $345.01 | $0.00 | $0.00 |
| 00121-1008-40 | 40x12.5ML | 36F79723D0140 | X | Golden Sta | CODEINE 12MG/ACETAMINOPHEN 120MG/5ML SOLN,ORAL | CODEINE 12MG/ACETAMINOPHEN 120MG/5ML SOLN,ORA | $345.83 | $0.00 | $0.00 |
| 00378-6854-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 10MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 10MG CAP,ORAL | $349.25 | $0.00 | $0.00 |
| 00378-6855-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 20MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 20MG CAP,ORAL | $349.25 | $0.00 | $0.00 |
| 00378-6856-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 30MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 30MG CAP,ORAL | $349.25 | $0.00 | $0.00 |
| 00378-6857-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 40MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 40MG CAP,ORAL | $349.25 | $0.00 | $0.00 |
| 00378-6858-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 50MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 50MG CAP,ORAL | $349.25 | $0.00 | $0.00 |
| 00378-6859-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 60MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 60MG CAP,ORAL | $349.25 | $0.00 | $0.00 |
| 00378-6860-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 70MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 70MG CAP,ORAL | $349.25 | $0.00 | $0.00 |
