Pharmaceutical Catalog Search
1401 - 1500 of 1548 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 51672-1376-06 | 45GM | 36F79723D0140 | X | Golden Sta | NAFTIFINE HCL 2% GEL | NAFTIFINE HCL 2% GEL | $304.64 | $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 |
| 60505-3613-05 | 56 | 36F79723D0140 | X | Golden Sta | VARENICLINE 0.5MG TAB | VARENICLINE 0.5MG TAB | $308.29 | $0.00 | $0.00 |
| 60505-3614-05 | 56 | 36F79723D0140 | X | Golden Sta | VARENICLINE 1MG TAB | VARENICLINE 1MG TAB | $308.29 | $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 |
| 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 |
| 70748-0261-60 | 60X2ML | 36F79723D0140 | X | Golden Sta | FORMOTEROL FUMARATE 10MCG/ML SOLN,INH,2ML | FORMOTEROL FUMARATE 10MCG/ML SOLN,INH,2ML | $316.85 | $0.00 | $0.00 |
| 60505-4701-09 | 90 | 36F79723D0140 | X | Golden Sta | METFORMIN HCL (EQV-GLUMETZA) 1000MG TAB,SA | METFORMIN HCL (EQV-GLUMETZA) 1000MG TAB,SA | $319.43 | $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 |
| 00121-4948-40 | 40X15ML | 36F79723D0140 | X | Golden Sta | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,15ML | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,15M | $323.35 | $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 |
| 00121-0978-00 | 100X0ML | 36F79723D0140 | X | Golden Sta | DIPHENHYDRAMINE HCL 12.5MG/5ML ELIXIR | DIPHENHYDRAMINE HCL 12.5MG/5ML ELIXIR | $325.21 | $0.00 | $0.00 |
| 00121-0489-00 | 100X5ML | 36F79723D0140 | X | Golden Sta | DIPHENHYDRAMINE HCL 12.5MG/5ML ELIXIR | DIPHENHYDRAMINE HCL 12.5MG/5ML ELIXIR | $327.95 | $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 |
| 42543-0962-04 | 30 | 36F79723D0140 | X | Golden Sta | CINACALCET HCL 60MG TAB | CINACALCET HCL 60MG TAB | $335.66 | $0.00 | $0.00 |
| 60505-3140-08 | 1000 | 36F79723D0140 | X | Golden Sta | OLANZAPINE 20MG TAB | OLANZAPINE 20MG TAB | $340.29 | $0.00 | $0.00 |
| 51407-0481-12 | 112 | 36F79723D0140 | X | Golden Sta | TETRABENAZINE 25MG TAB | TETRABENAZINE 25MG TAB | $341.21 | $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 |
| 60429-0967-10 | 1000 | 36F79723D0140 | X | Golden Sta | DOXEPIN HCL 25MG CAP | DOXEPIN HCL 25MG CAP | $350.00 | $0.00 | $0.00 |
| 50742-0310-25 | 5X50GM | 36F79723D0140 | X | Golden Sta | MAFENIDE ACETATE 50GM/PKT PWDR,TOP | MAFENIDE ACETATE 50GM/PKT PWDR,TOP | $350.59 | $0.00 | $0.00 |
| 00121-4820-40 | 40X15ML | 36F79723D0140 | X | Golden Sta | THEOPHYLLINE,ANHYDROUS 80MG/15ML (SF) ELIXIR | THEOPHYLLINE,ANHYDROUS 80MG/15ML (SF) ELIXIR | $361.36 | $0.00 | $0.00 |
| 49884-0222-05 | 500 | 36F79723D0140 | X | Golden Sta | DOXEPIN HCL 150MG CAP | DOXEPIN HCL 150MG CAP | $364.59 | $0.00 | $0.00 |
| 00054-0425-23 | 120 | 36F79723D0140 | X | Golden Sta | RUFINAMIDE 200MG TAB | RUFINAMIDE 200MG TAB | $364.83 | $0.00 | $0.00 |
| 24979-0183-01 | 100 | 36F79723D0140 | X | Golden Sta | DILTIAZEM HCL 120MG 12HR CAP,SA | DILTIAZEM HCL 120MG 12HR CAP,SA | $369.55 | $0.00 | $0.00 |
| 60505-0015-08 | 500 | 36F79723D0140 | X | Golden Sta | DILTIAZEM (EQV-DILT-XR AB2) 180MG 24HR CAP | DILTIAZEM (EQV-DILT-XR AB2) 180MG 24HR CAP | $370.09 | $0.00 | $0.00 |
| 60505-6196-04 | 10X1GM | 36F79723D0140 | X | Golden Sta | ERTAPENEM 1GM/VIL INJ | ERTAPENEM 1GM/VIL INJ | $371.89 | $0.00 | $0.00 |
| 00054-0470-21 | 60 | 36F79723D0140 | X | Golden Sta | EVEROLIMUS 0.25MG TAB | EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25MG TAB | $372.40 | $0.00 | $0.00 |
| 51407-0676-60 | 60 | 36F79723D0140 | X | Golden Sta | POSACONAZOLE 100MG TAB,EC | POSACONAZOLE 100MG TAB,EC | $372.48 | $0.00 | $0.00 |
| 51672-4194-07 | 100GM | 36F79723D0140 | X | Golden Sta | CLINDAMYCIN PO4 1% FOAM,TOP | CLINDAMYCIN PO4 1% FOAM,TOP | $373.22 | $0.00 | $0.00 |
| 49884-0252-11 | 30 | 36F79723D0140 | X | Golden Sta | FLUOXETINE HCL 25MG/OLANZAPINE 12MG CAP | FLUOXETINE HCL 25MG/OLANZAPINE 12MG CAP | $378.09 | $0.00 | $0.00 |
| 49884-0253-11 | 30 | 36F79723D0140 | X | Golden Sta | FLUOXETINE HCL 50MG/OLANZAPINE 12MG CAP | FLUOXETINE HCL 50MG/OLANZAPINE 12MG CAP | $378.09 | $0.00 | $0.00 |
| 68094-0763-62 | 30X5ML | 36F79723D0140 | X | Golden Sta | ONDANSETRON HCL 4MG/5ML SOLN,ORAL | ONDANSETRON HCL 4MG/5ML SOLN,ORAL | $381.09 | $0.00 | $0.00 |
| 70069-0616-10 | 20X10ML | 36F79723D0140 | X | Golden Sta | GLYCOPYRROLATE 0.2MG/ML INJ | GLYCOPYRROLATE 0.2MG/ML INJ | $382.72 | $0.00 | $0.00 |
| 51672-4005-03 | 1000 | 36F79723D0140 | X | Golden Sta | CARBAMAZEPINE 200MG TAB | CARBAMAZEPINE 200MG TAB | $387.72 | $0.00 | $0.00 |
| 70756-0604-56 | 56X5ML | 36F79723D0140 | X | Golden Sta | TOBRAMYCIN 300MG/5ML SOLN,INHL,ORAL,5ML | TOBRAMYCIN 300MG/5ML SOLN,INHL,ORAL,5ML | $394.00 | $0.00 | $0.00 |
| 24979-0041-13 | 150ML | 36F79723D0140 | X | Golden Sta | MEGESTROL ACETATE 625MG/5ML SUSP,ORAL | MEGESTROL ACETATE 625MG/5ML SUSP,ORAL | $394.93 | $0.00 | $0.00 |
| 51407-0642-87 | 210ML | 36F79723D0140 | X | Golden Sta | ATOVAQUONE 750MG/5ML SUSP,ORAL | ATOVAQUONE 750MG/5ML SUSP,ORAL | $395.01 | $0.00 | $0.00 |
| 49884-0119-91 | 4X7 | 36F79723D0140 | X | Golden Sta | EVEROLIMUS 2.5MG TAB | EVEROLIMUS (ANTINEOPLASTIC) 2.5MG TAB | $404.64 | $0.00 | $0.00 |
| 51672-1376-03 | 60GM | 36F79723D0140 | X | Golden Sta | NAFTIFINE HCL 2% GEL | NAFTIFINE HCL 2% GEL | $406.99 | $0.00 | $0.00 |
| 69315-0227-01 | 100 | 36F79723D0140 | X | Golden Sta | THEOPHYLLINE 450MG TAB,SA | THEOPHYLLINE 450MG TAB,SA | $408.04 | $0.00 | $0.00 |
| 00054-0639-13 | 28 | 36F79723D0140 | X | Golden Sta | METHYLERGONOVINE MALEATE 0.2MG TAB | METHYLERGONOVINE MALEATE 0.2MG TAB | $425.12 | $0.00 | $0.00 |
| 66689-0307-08 | 175ML | 36F79723D0140 | X | Golden Sta | MYCOPHENOLATE MOFETIL (CELLCEPT) 1000MG/5ML SUSP,ORAL | MYCOPHENOLATE MOFETIL 1000MG/5ML SUSP | $429.80 | $0.00 | $0.00 |
| 60505-0016-08 | 500 | 36F79723D0140 | X | Golden Sta | DILTIAZEM (EQV-DILT-XR AB2) 240MG 24HR CAP | DILTIAZEM (EQV-DILT-XR AB2) 240MG 24HR CAP | $438.38 | $0.00 | $0.00 |
| 70010-0051-40 | 100ML | 36F79723D0140 | X | Golden Sta | VALGANCICLOVIR HCL 50MG/ML SOLN,ORAL | VALGANCICLOVIR HCL 50MG/ML SOLN,ORAL | $450.00 | $0.00 | $0.00 |
| 60505-0589-03 | 15ML | 36F79723D0140 | X | Golden Sta | BRIMONIDINE TARTRATE 0.2%/TIMOLOL MALEATE 0.5% SOLN,OPH | BRIMONIDINE TARTRATE 0.2%/TIMOLOL MALEATE 0.5 | $452.00 | $0.00 | $0.00 |
| 70954-0148-10 | 473ML | 36F79723D0140 | X | Golden Sta | PYRIDOSTIGMINE BR 60MG/5ML SYRUP | PYRIDOSTIGMINE BR 60MG/5ML SYRUP | $453.97 | $0.00 | $0.00 |
| 00378-6854-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 10MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 10MG CAP,ORAL | $464.44 | $0.00 | $0.00 |
| 00378-6855-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 20MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 20MG CAP,ORAL | $464.44 | $0.00 | $0.00 |
| 00378-6856-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 30MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 30MG CAP,ORAL | $464.44 | $0.00 | $0.00 |
| 00378-6857-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 40MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 40MG CAP,ORAL | $464.44 | $0.00 | $0.00 |
| 00378-6858-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 50MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 50MG CAP,ORAL | $464.44 | $0.00 | $0.00 |
| 00378-6859-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 60MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 60MG CAP,ORAL | $464.44 | $0.00 | $0.00 |
| 00378-6860-77 | 90 | 36F79723D0140 | X | Golden Sta | LISDEXAMFETAMINE DIMESYLATE 70MG CAP,ORAL | LISDEXAMFETAMINE DIMESYLATE 70MG CAP,ORAL | $464.44 | $0.00 | $0.00 |
| 60429-0968-10 | 1000 | 36F79723D0140 | X | Golden Sta | DOXEPIN HCL 50MG CAP | DOXEPIN HCL 50MG CAP | $465.01 | $0.00 | $0.00 |
| 00121-0974-00 | 100X10ML | 36F79723D0140 | X | Golden Sta | SUCRALFATE 500MG/5ML SUSP,ORAL | SUCRALFATE 500MG/5ML SUSP,ORAL | $466.11 | $0.00 | $0.00 |
| 49884-0125-91 | 4X7 | 36F79723D0140 | X | Golden Sta | EVEROLIMUS 5MG TAB | EVEROLIMUS (ANTINEOPLASTIC) 5MG TAB | $489.11 | $0.00 | $0.00 |
| 49884-0127-91 | 4X7 | 36F79723D0140 | X | Golden Sta | EVEROLIMUS 7.5MG TAB | EVEROLIMUS (ANTINEOPLASTIC) 7.5MG TAB | $489.11 | $0.00 | $0.00 |
| 00054-3630-63 | 500ML | 36F79723D0140 | X | Golden Sta | NAPROXEN 125MG/5ML SUSP,ORAL | NAPROXEN 125MG/5ML SUSP,ORAL | $492.41 | $0.00 | $0.00 |
| 70710-1069-03 | 30 | 36F79723D0140 | X | Golden Sta | VARDENAFIL HCL 5MG TAB | VARDENAFIL HCL 5MG TAB | $494.76 | $0.00 | $0.00 |
| 70710-1070-03 | 30 | 36F79723D0140 | X | Golden Sta | VARDENAFIL HCL 10MG TAB | VARDENAFIL HCL 10MG TAB | $495.01 | $0.00 | $0.00 |
| 00054-0166-29 | 500 | 36F79723D0140 | X | Golden Sta | MYCOPHENOLATE MOFETIL 500MG TAB | MYCOPHENOLATE MOFETIL 500MG TAB | $496.43 | $0.00 | $0.00 |
| 60505-6162-05 | 360ML | 36F79723D0140 | X | Golden Sta | MEMANTINE HCL 10MG/5ML ORAL,SOLN | MEMANTINE HCL 10MG/5ML ORAL,SOLN | $498.42 | $0.00 | $0.00 |
| 51407-0288-01 | 100 | 36F79723D0140 | X | Golden Sta | QUINIDINE GLUCONATE 324MG TAB,SA | QUINIDINE GLUCONATE 324MG TAB,SA | $500.00 | $0.00 | $0.00 |
| 42543-0963-04 | 30 | 36F79723D0140 | X | Golden Sta | CINACALCET HCL 90MG TAB | CINACALCET HCL 90MG TAB | $503.48 | $0.00 | $0.00 |
| 00054-0650-25 | 100 | 36F79723D0140 | X | Golden Sta | CODEINE 30MG/APAP 300MG/BUTALBITAL 50MG/CAFN 40MG CAP | CODEINE 30MG/APAP 300MG/BUTALBITAL 50MG/CAFN | $511.71 | $0.00 | $0.00 |
| 72664-0611-28 | 2.8ML | 36F79723D0140 | X | Golden Sta | LEUPROLIDE ACETATE 1MG/0.2ML INJ | LEUPROLIDE ACETATE 1MG/0.2ML INJ | $531.24 | $0.00 | $0.00 |
| 71225-0126-05 | 20X50ML | 36F79723D0140 | X | Golden Sta | DEXMEDETOMIDINE 4MCG/ML/0.9% NACL INJ,50ML | DEXMEDETOMIDINE 4MCG/ML/0.9% NACL INJ,50ML | $537.75 | $0.00 | $0.00 |
| 00121-0773-08 | 236ML | 36F79723D0140 | X | Golden Sta | PREDNISOLONE NA PHOSPHATE 10MG/5ML (A/F) SOLN,ORAL | PREDNISOLONE NA PHOSPHATE 10MG/5ML (A/F) SOLN | $538.54 | $0.00 | $0.00 |
| 64380-0181-01 | 60 | 36F79723D0140 | X | Golden Sta | DOXYCYCLINE MONOHYDRATE 150MG CAP | DOXYCYCLINE MONOHYDRATE 150MG CAP | $539.32 | $0.00 | $0.00 |
| 69452-0161-13 | 30 | 36F79723D0140 | X | Golden Sta | DEFERASIROX 500MG TAB,SUSP,ORAL | DEFERASIROX 500MG TAB,SUSP,ORAL | $547.12 | $0.00 | $0.00 |
| 00143-9273-10 | 10X1ML | 36F79723D0140 | X | Golden Sta | DIHYDROERGOTAMINE MESYLATE 1MG/ML INJ AMP,1ML | DIHYDROERGOTAMINE MESYLATE 1MG/ML INJ AMP,1ML | $574.95 | $0.00 | $0.00 |
| 66689-0347-02 | 60ML | 36F79723D0140 | X | Golden Sta | SIROLIMUS 1MG/ML SOLN,ORAL | SIROLIMUS 1MG/ML SOLN,ORAL | $596.40 | $0.00 | $0.00 |
| 00143-9279-01 | 50ML | 36F79723D0140 | X | Golden Sta | MITOMYCIN 20MG/VIL INJ | MITOMYCIN 20MG/VIL INJ | $628.84 | $0.00 | $0.00 |
| 00641-1397-35 | 25X1ML | 36F79723D0140 | X | Golden Sta | CHLORPROMAZINE HCL 25MG/ML INJ | CHLORPROMAZINE HCL 25MG/ML INJ | $637.48 | $0.00 | $0.00 |
| 53489-0281-01 | 100 | 36F79723D0140 | X | Golden Sta | ERGOLOID MESYLATES 1MG TAB,ORAL | ERGOLOID MESYLATES 1MG TAB,ORAL | $647.33 | $0.00 | $0.00 |
| 68308-0115-01 | 100 | 36F79723D0140 | X | Golden Sta | METHAMPHETAMINE HCL 5MG TAB | METHAMPHETAMINE HCL 5MG TAB | $696.98 | $0.00 | $0.00 |
| 51672-1402-04 | 60GM | 36F79723D0140 | X | Golden Sta | BETAMETHASONE DIPROPIONATE 0.064%/CALCIPOTRIENE 0.005% SUSP,TOP | BETAMETHASONE DIPROPIONATE 0.064%/CALCIPOTRIE | $700.53 | $0.00 | $0.00 |
| 00121-0777-08 | 237ML | 36F79723D0140 | X | Golden Sta | PREDNISOLONE NA PHOSPHATE 20MG/5ML SOLN,ORAL | PREDNISOLONE NA PHOSPHATE 20MG/5ML SOLN,ORAL | $716.65 | $0.00 | $0.00 |
| 63304-0583-60 | 60 | 36F79723D0140 | X | Golden Sta | FOSAMPRENAVIR CA 700MG TAB | FOSAMPRENAVIR CA 700MG TAB | $724.23 | $0.00 | $0.00 |
| 00054-0426-23 | 120 | 36F79723D0140 | X | Golden Sta | RUFINAMIDE 400MG TAB | RUFINAMIDE 400MG TAB | $729.67 | $0.00 | $0.00 |
| 00641-1398-35 | 25X2ML | 36F79723D0140 | X | Golden Sta | CHLORPROMAZINE HCL 25MG/ML INJ | CHLORPROMAZINE HCL 25MG/ML INJ | $730.45 | $0.00 | $0.00 |
| 13811-0701-10 | 100 | 36F79723D0140 | X | Golden Sta | HYDROMORPHONE HCL 8MG 24HR TAB,SA | HYDROMORPHONE HCL 8MG 24HR TAB,SA | $731.36 | $0.00 | $0.00 |
| 51407-0834-02 | 2X0.8ML | 36F79723D0140 | X | Golden Sta | ADALIMUMAB-FKJP 40MG/0.8ML INJ,SOLN,PEN | ADALIMUMAB-FKJP 40MG/0.8ML INJ,SOLN,PEN | $756.20 | $0.00 | $0.00 |
| 51407-0835-02 | 2X0.8ML | 36F79723D0140 | X | Golden Sta | ADALIMUMAB-FKJP 40MG/0.8ML INJ,SOLN,SYR | ADALIMUMAB-FKJP 40MG/0.8ML INJ,SOLN,SYR | $756.20 | $0.00 | $0.00 |
| 62559-0205-90 | 90 | 36F79723D0140 | X | Golden Sta | NICARDIPINE HCL 20MG CAP | NICARDIPINE HCL 20MG CAP | $765.04 | $0.00 | $0.00 |
| 49884-0009-10 | 1000 | 36F79723D0140 | X | Golden Sta | ISOSORBIDE DINITRATE 30MG TAB,ORAL | ISOSORBIDE DINITRATE 30MG TAB,ORAL | $765.36 | $0.00 | $0.00 |
| 60429-0969-10 | 1000 | 36F79723D0140 | X | Golden Sta | DOXEPIN HCL 75MG CAP | DOXEPIN HCL 75MG CAP | $770.00 | $0.00 | $0.00 |
| 51407-0601-10 | 1000 | 36F79723D0140 | X | Golden Sta | CAPTOPRIL 25MG TAB | CAPTOPRIL 25MG TAB | $771.27 | $0.00 | $0.00 |
| 51672-4174-06 | 28X0.25GM | 36F79723D0140 | X | Golden Sta | IMIQUIMOD 5% CREAM,TOP,PKT,0.25GM | IMIQUIMOD 5% CREAM,TOP,PKT,0.25GM | $776.35 | $0.00 | $0.00 |
| 00054-0471-21 | 60 | 36F79723D0140 | X | Golden Sta | EVEROLIMUS 0.5MG TAB | EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5MG TAB | $780.73 | $0.00 | $0.00 |
| 24201-0400-02 | 2ML | 36F79723D0140 | X | Golden Sta | CALCITONIN,SALMON 200UNT/ML INJ | CALCITONIN,SALMON 200UNT/ML INJ | $822.94 | $0.00 | $0.00 |
| 69315-0285-20 | 120 | 36F79723D0140 | X | Golden Sta | ETRAVIRINE 100MG TAB | ETRAVIRINE 100MG TAB | $823.66 | $0.00 | $0.00 |
| 69315-0286-06 | 60 | 36F79723D0140 | X | Golden Sta | ETRAVIRINE 200MG TAB | ETRAVIRINE 200MG TAB | $839.24 | $0.00 | $0.00 |
| 60429-0970-10 | 1000 | 36F79723D0140 | X | Golden Sta | DOXEPIN HCL 100MG CAP | DOXEPIN HCL 100MG CAP | $840.00 | $0.00 | $0.00 |
| 51672-4042-02 | 500 | 36F79723D0140 | X | Golden Sta | CLORAZEPATE DIPOTASSIUM 3.75MG TAB | CLORAZEPATE DIPOTASSIUM 3.75MG TAB | $841.98 | $0.00 | $0.00 |
| 43598-0741-01 | 100 | 36F79723D0140 | X | Golden Sta | RAMELTEON 8MG TAB | RAMELTEON 8MG TAB | $857.34 | $0.00 | $0.00 |
| 24201-0010-20 | 20ML | 36F79723D0140 | X | Golden Sta | PENTOBARBITAL NA 50MG/ML INJ | PENTOBARBITAL NA 50MG/ML INJ | $884.99 | $0.00 | $0.00 |
| 51672-4043-02 | 500 | 36F79723D0140 | X | Golden Sta | CLORAZEPATE DIPOTASSIUM 7.5MG TAB | CLORAZEPATE DIPOTASSIUM 7.5MG TAB | $915.01 | $0.00 | $0.00 |
| 51407-0602-10 | 1000 | 36F79723D0140 | X | Golden Sta | CAPTOPRIL 50MG TAB | CAPTOPRIL 50MG TAB | $942.81 | $0.00 | $0.00 |
