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
|
24201-0463-08
|
8X1ML
|
36F79723D0140
|
X |
Golden Sta
|
DIHYDROERGOTAMINE MESYLATE 4MG/ML SOLN,NASAL,SPRAY
|
DIHYDROERGOTAMINE MESYLATE 4MG/ML SOLN,NASAL,
|
$954.77
|
$0.00
|
$0.00
|
60505-4327-01
|
120
|
36F79723D0140
|
X |
Golden Sta
|
ABIRATERONE ACETATE 250MG TAB
|
ABIRATERONE ACETATE 250MG TAB
|
$984.92
|
$0.00
|
$0.00
|
00054-0528-63
|
460ML
|
36F79723D0140
|
X |
Golden Sta
|
RUFINAMIDE 40MG/ML SUSP,ORAL
|
RUFINAMIDE 40MG/ML SUSP,ORAL
|
$1,003.12
|
$0.00
|
$0.00
|
51407-0192-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
EZETIMIBE 10MG/SIMVASTATIN 40MG TAB
|
EZETIMIBE 10MG/SIMVASTATIN 40MG TAB
|
$1,005.64
|
$0.00
|
$0.00
|
00143-1171-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
CAPTOPRIL 12.5MG TAB
|
CAPTOPRIL 12.5MG TAB
|
$1,011.07
|
$0.00
|
$0.00
|
51862-0544-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
ACETAMINOPHEN 300MG/BUTALBITAL 50MG CAP
|
ACETAMINOPHEN 300MG/BUTALBITAL 50MG CAP
|
$1,071.24
|
$0.00
|
$0.00
|
13811-0702-10
|
100
|
36F79723D0140
|
X |
Golden Sta
|
HYDROMORPHONE HCL 12MG 24HR TAB,SA
|
HYDROMORPHONE HCL 12MG 24HR TAB,SA
|
$1,093.08
|
$0.00
|
$0.00
|
62559-0206-90
|
90
|
36F79723D0140
|
X |
Golden Sta
|
NICARDIPINE HCL 30MG CAP
|
NICARDIPINE HCL 30MG CAP
|
$1,095.71
|
$0.00
|
$0.00
|
43975-0315-10
|
100
|
36F79723D0140
|
X |
Golden Sta
|
BEXAROTENE 75MG CAP
|
BEXAROTENE 75MG CAP
|
$1,128.60
|
$0.00
|
$0.00
|
00054-0472-21
|
60
|
36F79723D0140
|
X |
Golden Sta
|
EVEROLIMUS 0.75MG TAB
|
EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75MG TAB
|
$1,166.07
|
$0.00
|
$0.00
|
51407-0193-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
EZETIMIBE 10MG/SIMVASTATIN 80MG TAB
|
EZETIMIBE 10MG/SIMVASTATIN 80MG TAB
|
$1,168.17
|
$0.00
|
$0.00
|
70954-0365-10
|
100
|
36F79723D0140
|
X |
Golden Sta
|
PHENOXYBENZAMINE HCL 10MG CAP
|
PHENOXYBENZAMINE HCL 10MG CAP
|
$1,186.42
|
$0.00
|
$0.00
|
60505-6214-01
|
3ML
|
36F79723D0140
|
X |
Golden Sta
|
ICATIBANT 10MG/ML (PF) INJ,SYRINGE,3ML
|
ICATIBANT 10MG/ML (PF) INJ,SYRINGE,3ML
|
$1,192.62
|
$0.00
|
$0.00
|
00121-1896-00
|
100X30ML
|
36F79723D0140
|
X |
Golden Sta
|
POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,30ML
|
POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,30M
|
$1,224.75
|
$0.00
|
$0.00
|
00143-9280-01
|
100ML
|
36F79723D0140
|
X |
Golden Sta
|
MITOMYCIN 40MG/VIL INJ
|
MITOMYCIN 40MG/VIL INJ
|
$1,257.68
|
$0.00
|
$0.00
|
49884-0128-91
|
4X7
|
36F79723D0140
|
X |
Golden Sta
|
EVEROLIMUS 10MG TAB
|
EVEROLIMUS (ANTINEOPLASTIC) 10MG TAB
|
$1,262.15
|
$0.00
|
$0.00
|
13811-0703-10
|
100
|
36F79723D0140
|
X |
Golden Sta
|
HYDROMORPHONE HCL 16MG 24HR TAB,SA
|
HYDROMORPHONE HCL 16MG 24HR TAB,SA
|
$1,457.44
|
$0.00
|
$0.00
|
51672-1402-08
|
2X60GM
|
36F79723D0140
|
X |
Golden Sta
|
BETAMETHASONE DIPROPIONATE 0.064%/CALCIPOTRIENE 0.005% SUSP,TOP
|
BETAMETHASONE DIPROPIONATE 0.064%/CALCIPOTRIE
|
$1,500.54
|
$0.00
|
$0.00
|
00054-0604-21
|
60
|
36F79723D0140
|
X |
Golden Sta
|
EVEROLIMUS 1MG TAB
|
EVEROLIMUS (IMMUNOSUPPRESSIVE) 1MG TAB
|
$1,516.47
|
$0.00
|
$0.00
|
60505-4552-03
|
30
|
36F79723D0140
|
|
Golden Sta
|
AMBRISENTAN 5MG TAB
|
AMBRISENTAN 5MG TAB
|
$1,593.68
|
$0.00
|
$0.00
|
60505-4553-03
|
30
|
36F79723D0140
|
|
Golden Sta
|
AMBRISENTAN 10MG TAB
|
AMBRISENTAN 10MG TAB
|
$1,593.68
|
$0.00
|
$0.00
|
60505-0406-03
|
112ML
|
36F79723D0140
|
X |
Golden Sta
|
DICLOFENAC NA 2% SOLN,TOP
|
DICLOFENAC NA 2% SOLN,TOP
|
$1,600.65
|
$0.00
|
$0.00
|
62559-0173-31
|
3X10
|
36F79723D0140
|
X |
Golden Sta
|
NILUTAMIDE 150MG TAB
|
NILUTAMIDE 150MG TAB
|
$1,602.12
|
$0.00
|
$0.00
|
24201-0010-50
|
50ML
|
36F79723D0140
|
X |
Golden Sta
|
PENTOBARBITAL NA 50MG/ML INJ
|
PENTOBARBITAL NA 50MG/ML INJ
|
$1,648.24
|
$0.00
|
$0.00
|
13811-0704-10
|
100
|
36F79723D0140
|
X |
Golden Sta
|
HYDROMORPHONE HCL 32MG 24HR TAB,SA
|
HYDROMORPHONE HCL 32MG 24HR TAB,SA
|
$1,927.55
|
$0.00
|
$0.00
|
51407-0765-90
|
90
|
36F79723D0140
|
X |
Golden Sta
|
DROXIDOPA 100MG CAP,ORAL
|
DROXIDOPA 100MG CAP,ORAL
|
$1,955.69
|
$0.00
|
$0.00
|
51407-0832-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
LURASIDONE HCL 40MG TAB
|
LURASIDONE HCL 40MG TAB
|
$2,000.00
|
$0.00
|
$0.00
|
51407-0833-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
LURASIDONE HCL 80MG TAB
|
LURASIDONE HCL 80MG TAB
|
$2,000.00
|
$0.00
|
$0.00
|
51407-0191-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
EZETIMIBE 10MG/SIMVASTATIN 20MG TAB
|
EZETIMIBE 10MG/SIMVASTATIN 20MG TAB
|
$2,056.25
|
$0.00
|
$0.00
|
10370-0268-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
TRETINOIN 10MG CAP
|
TRETINOIN 10MG CAP
|
$2,236.94
|
$0.00
|
$0.00
|
70408-0239-32
|
240ML
|
36F79723D0140
|
X |
Golden Sta
|
NITROFURANTOIN 25MG/5ML SUSP,ORAL
|
NITROFURANTOIN 25MG/5ML SUSP,ORAL
|
$2,385.01
|
$0.00
|
$0.00
|
51407-0190-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
EZETIMIBE 10MG/SIMVASTATIN 10MG TAB
|
EZETIMIBE 10MG/SIMVASTATIN 10MG TAB
|
$2,646.69
|
$0.00
|
$0.00
|
60505-4317-00
|
10
|
36F79723D0140
|
X |
Golden Sta
|
TOLVAPTAN (EQV-SAMSCA) 15MG TAB
|
TOLVAPTAN (EQV-SAMSCA) 15MG TAB
|
$2,790.04
|
$0.00
|
$0.00
|
24201-0101-04
|
4X5ML
|
36F79723D0140
|
X |
Golden Sta
|
VALRUBICIN 40MG/ML SOLN,INTRAVESICAL
|
VALRUBICIN 40MG/ML SOLN,INTRAVESICAL
|
$3,250.00
|
$0.00
|
$0.00
|
51407-0766-90
|
90
|
36F79723D0140
|
X |
Golden Sta
|
DROXIDOPA 200MG CAP,ORAL
|
DROXIDOPA 200MG CAP,ORAL
|
$3,852.21
|
$0.00
|
$0.00
|
68094-0101-10
|
10
|
36F79723D0140
|
X |
Golden Sta
|
PHENTOLAMINE MESYLATE 5MG/VIL INJ,CONC
|
PHENTOLAMINE MESYLATE 5MG/VIL INJ,CONC
|
$4,159.10
|
$0.00
|
$0.00
|
60505-4512-03
|
30
|
36F79723D0140
|
X |
Golden Sta
|
GEFITINIB 250MG TAB
|
GEFITINIB 250MG TAB
|
$4,196.48
|
$0.00
|
$0.00
|
00378-6678-28
|
28
|
36F79723D0140
|
X |
Golden Sta
|
SUNITINIB MALATE 12.5MG CAP,ORAL
|
SUNITINIB MALATE 12.5MG CAP,ORAL
|
$4,249.33
|
$0.00
|
$0.00
|
00054-0576-25
|
100
|
36F79723D0140
|
X |
Golden Sta
|
DEFERIPRONE 500MG TAB,ORAL
|
DEFERIPRONE 500MG TAB,ORAL
|
$4,402.50
|
$0.00
|
$0.00
|
00054-0711-19
|
50
|
36F79723D0140
|
X |
Golden Sta
|
DEFERIPRONE 1000MG TAB,ORAL
|
DEFERIPRONE 1000MG TAB (THREE TIMES A DAY)
|
$4,983.58
|
$0.00
|
$0.00
|
51407-0767-90
|
90
|
36F79723D0140
|
X |
Golden Sta
|
DROXIDOPA 300MG CAP,ORAL
|
DROXIDOPA 200MG CAP,ORAL
|
$5,774.68
|
$0.00
|
$0.00
|
00054-0482-13
|
30
|
36F79723D0140
|
X |
Golden Sta
|
EVEROLIMUS 10MG TAB
|
EVEROLIMUS (ANTINEOPLASTIC) 10MG TAB
|
$6,681.05
|
$0.00
|
$0.00
|
00378-6679-28
|
28
|
36F79723D0140
|
X |
Golden Sta
|
SUNITINIB MALATE 25MG CAP,ORAL
|
SUNITINIB MALATE 25MG CAP,ORAL
|
$8,469.99
|
$0.00
|
$0.00
|
51407-0760-12
|
120
|
36F79723D0140
|
X |
Golden Sta
|
SORAFENIB 200MG TAB
|
SORAFENIB 200MG TAB
|
$9,787.03
|
$0.00
|
$0.00
|
00378-6681-28
|
28
|
36F79723D0140
|
X |
Golden Sta
|
SUNITINIB MALATE 37.5MG CAP,ORAL
|
SUNITINIB MALATE 37.5MG CAP,ORAL
|
$12,661.36
|
$0.00
|
$0.00
|
00378-6680-28
|
28
|
36F79723D0140
|
X |
Golden Sta
|
SUNITINIB MALATE 50MG CAP,ORAL
|
SUNITINIB MALATE 50MG CAP,ORAL
|
$14,732.11
|
$0.00
|
$0.00
|
43598-0672-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
PYRIMETHAMINE 25MG TAB
|
PYRIMETHAMINE 25MG TAB
|
$29,249.02
|
$0.00
|
$0.00
|