|
00781-4003-32
|
1
|
36F79723D0140
|
X |
Golden Sta
|
LEUPROLIDE ACETATE 14MG/KIT INJ
|
LEUPROLIDE ACETATE 14MG/KIT INJ
|
$705.67
|
$0.00
|
$0.00
|
|
00641-1397-35
|
25X1ML
|
36F79723D0140
|
X |
Golden Sta
|
CHLORPROMAZINE HCL 25MG/ML INJ
|
CHLORPROMAZINE HCL 25MG/ML INJ
|
$715.01
|
$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
|
|
00121-1035-55
|
10X10ML
|
36F79723D0140
|
X |
Golden Sta
|
LINCOMYCIN HCL 300MG/ML INJ
|
LINCOMYCIN HCL 300MG/ML INJ
|
$718.25
|
$0.00
|
$0.00
|
|
51407-0193-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
EZETIMIBE 10MG/SIMVASTATIN 80MG TAB
|
EZETIMIBE 10MG/SIMVASTATIN 80MG TAB
|
$718.67
|
$0.00
|
$0.00
|
|
84677-0003-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
RISPERIDONE 0.5MG TAB
|
RISPERIDONE 0.5MG TAB
|
$722.79
|
$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
|
|
51672-4174-06
|
28X0.25GM
|
36F79723D0140
|
X |
Golden Sta
|
IMIQUIMOD 5% CREAM,TOP,PKT,0.25GM
|
IMIQUIMOD 5% CREAM,TOP,PKT,0.25GM
|
$728.97
|
$0.00
|
$0.00
|
|
00054-0426-23
|
120
|
36F79723D0140
|
X |
Golden Sta
|
RUFINAMIDE 400MG TAB
|
RUFINAMIDE 400MG TAB
|
$729.67
|
$0.00
|
$0.00
|
|
70748-0272-13
|
1
|
36F79723D0140
|
X |
Golden Sta
|
RISPERIDONE 50MG/VIL INJ,SUSP,SA
|
RISPERIDONE 50MG/VIL INJ,SUSP,SA
|
$730.43
|
$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
|
|
84677-0004-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
RISPERIDONE 1MG TAB
|
RISPERIDONE 1MG TAB
|
$752.11
|
$0.00
|
$0.00
|
|
60505-6188-00
|
2.4ML
|
36F79723D0140
|
X |
Golden Sta
|
TERIPARATIDE RECOMBINANT 250MCG/ML (600MCG) INJ,PEN,2.4ML
|
TERIPARATIDE RECOMBINANT 250MCG/ML (600MCG) I
|
$761.31
|
$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
|
|
69315-0285-20
|
120
|
36F79723D0140
|
X |
Golden Sta
|
ETRAVIRINE 100MG TAB
|
ETRAVIRINE 100MG TAB
|
$777.78
|
$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
|
|
00121-1016-42
|
42X5ML
|
36F79723D0140
|
X |
Golden Sta
|
ATOVAQUONE 750MG/5ML SUSP,ORAL
|
ATOVAQUONE 750MG/5ML SUSP,ORAL
|
$782.10
|
$0.00
|
$0.00
|
|
60505-4724-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
BRIVARACETAM 25MG TAB
|
BRIVARACETAM 25MG TAB
|
$787.96
|
$0.00
|
$0.00
|
|
60505-4725-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
BRIVARACETAM 50MG TAB
|
BRIVARACETAM 50MG TAB
|
$787.96
|
$0.00
|
$0.00
|
|
60505-4726-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
BRIVARACETAM 75MG TAB
|
BRIVARACETAM 75MG TAB
|
$787.96
|
$0.00
|
$0.00
|
|
60505-4727-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
BRIVARACETAM 100MG TAB
|
BRIVARACETAM 100MG TAB
|
$787.96
|
$0.00
|
$0.00
|
|
13668-0593-86
|
6
|
36F79723D0140
|
X |
Golden Sta
|
APREPITANT 125MG CAP
|
APREPITANT 125MG CAP
|
$789.91
|
$0.00
|
$0.00
|
|
69315-0286-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
ETRAVIRINE 200MG TAB
|
ETRAVIRINE 200MG TAB
|
$795.99
|
$0.00
|
$0.00
|
|
51407-0742-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
ESOMEPRAZOLE 20MG (BASE) CAP,EC
|
ESOMEPRAZOLE 20MG (BASE) CAP,EC
|
$797.56
|
$0.00
|
$0.00
|
|
51407-0743-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
ESOMEPRAZOLE 40MG (BASE) CAP,EC
|
ESOMEPRAZOLE 40MG (BASE) CAP,EC
|
$797.56
|
$0.00
|
$0.00
|
|
00121-3036-95
|
10X15ML
|
36F79723D0140
|
X |
Golden Sta
|
LACOSAMIDE 10MG/ML SOLN,ORAL
|
LACOSAMIDE 10MG/ML SOLN,ORAL
|
$800.10
|
$0.00
|
$0.00
|
|
00641-1398-35
|
25X2ML
|
36F79723D0140
|
X |
Golden Sta
|
CHLORPROMAZINE HCL 25MG/ML INJ
|
CHLORPROMAZINE HCL 25MG/ML INJ
|
$819.27
|
$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
|
$823.55
|
$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
|
|
24201-0010-20
|
20ML
|
36F79723D0140
|
X |
Golden Sta
|
PENTOBARBITAL NA 50MG/ML INJ
|
PENTOBARBITAL NA 50MG/ML INJ
|
$845.01
|
$0.00
|
$0.00
|
|
00781-3527-20
|
2X100ML
|
36F79723D0140
|
X |
Golden Sta
|
EDARAVONE 0.3MG/ML INJ,BAG,100ML
|
EDARAVONE 0.3MG/ML INJ,BAG,100ML
|
$850.02
|
$0.00
|
$0.00
|
|
73473-0309-10
|
100GM
|
36F79723D0140
|
X |
Golden Sta
|
TAZAROTENE 0.05% GEL,TOP
|
TAZAROTENE 0.05% GEL,TOP
|
$856.89
|
$0.00
|
$0.00
|
|
00054-0879-49
|
100ML
|
36F79723D0140
|
X |
Golden Sta
|
MERCAPTOPURINE 20MG/ML SUSP,ORAL
|
MERCAPTOPURINE 20MG/ML SUSP,ORAL
|
$873.10
|
$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
|
$891.74
|
$0.00
|
$0.00
|
|
73473-0310-10
|
100GM
|
36F79723D0140
|
X |
Golden Sta
|
TAZAROTENE 0.1% GEL,TOP
|
TAZAROTENE 0.1% GEL,TOP
|
$894.69
|
$0.00
|
$0.00
|
|
70954-0200-10
|
100
|
36F79723D0140
|
X |
Golden Sta
|
DIGOXIN 62.5MCG TAB
|
DIGOXIN 62.5MCG TAB
|
$903.17
|
$0.00
|
$0.00
|
|
60505-4723-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
BRIVARACETAM 10MG TAB
|
BRIVARACETAM 10MG TAB
|
$906.28
|
$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
|
|
60505-4660-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
ESLICARBAZEPINE ACETATE 600MG TAB,ORAL
|
ESLICARBAZEPINE ACETATE 600MG TAB,ORAL
|
$932.32
|
$0.00
|
$0.00
|
|
75907-0008-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
ACETAMINOPHEN 300MG/BUTALBITAL 50MG CAP
|
ACETAMINOPHEN 300MG/BUTALBITAL 50MG CAP
|
$947.45
|
$0.00
|
$0.00
|
|
00143-1171-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
CAPTOPRIL 12.5MG TAB
|
CAPTOPRIL 12.5MG TAB
|
$949.36
|
$0.00
|
$0.00
|
|
00054-0528-63
|
460ML
|
36F79723D0140
|
X |
Golden Sta
|
RUFINAMIDE 40MG/ML SUSP,ORAL
|
RUFINAMIDE 40MG/ML SUSP,ORAL
|
$961.52
|
$0.00
|
$0.00
|
|
43386-0771-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
FLUCYTOSINE 250MG CAP
|
FLUCYTOSINE 250MG CAP
|
$995.01
|
$0.00
|
$0.00
|
|
00143-9280-01
|
100ML
|
36F79723D0140
|
X |
Golden Sta
|
MITOMYCIN 40MG/VIL INJ
|
MITOMYCIN 40MG/VIL INJ
|
$997.54
|
$0.00
|
$0.00
|
|
00781-3250-89
|
12X1ML
|
36F79723D0140
|
X |
Golden Sta
|
GLATIRAMER ACETATE 40MG/ML INJ,SYR,1ML,12
|
GLATIRAMER ACETATE 40MG/ML INJ,SYR,1ML,12
|
$1,051.79
|
$0.00
|
$0.00
|
|
00121-4048-95
|
10X20ML
|
36F79723D0140
|
X |
Golden Sta
|
LACOSAMIDE 10MG/ML SOLN,ORAL
|
LACOSAMIDE 10MG/ML SOLN,ORAL
|
$1,066.79
|
$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
|
|
60505-3628-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
DASATINIB 20MG TAB
|
DASATINIB 20MG TAB
|
$1,157.74
|
$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
|
|
70954-0365-10
|
100
|
36F79723D0140
|
X |
Golden Sta
|
PHENOXYBENZAMINE HCL 10MG CAP
|
PHENOXYBENZAMINE HCL 10MG CAP
|
$1,186.42
|
$0.00
|
$0.00
|
|
43975-0315-10
|
100
|
36F79723D0140
|
X |
Golden Sta
|
BEXAROTENE 75MG CAP
|
BEXAROTENE 75MG CAP
|
$1,188.00
|
$0.00
|
$0.00
|
|
62559-0204-03
|
300ML
|
36F79723D0140
|
X |
Golden Sta
|
BACLOFEN 5MG/ML SUSP,ORAL
|
BACLOFEN 5MG/ML SUSP,ORAL
|
$1,191.30
|
$0.00
|
$0.00
|
|
51407-0191-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
EZETIMIBE 10MG/SIMVASTATIN 20MG TAB
|
EZETIMIBE 10MG/SIMVASTATIN 20MG TAB
|
$1,209.47
|
$0.00
|
$0.00
|
|
70954-0637-10
|
237ML
|
36F79723D0140
|
X |
Golden Sta
|
INDOMETHACIN 25MG/5ML SUSP,ORAL
|
INDOMETHACIN 25MG/5ML SUSP,ORAL
|
$1,221.62
|
$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
|
|
51407-0741-12
|
120
|
36F79723D0140
|
X |
Golden Sta
|
ZILEUTON 600MG TAB,SA
|
ZILEUTON 600MG TAB,SA
|
$1,465.10
|
$0.00
|
$0.00
|
|
00781-3234-34
|
30X1ML
|
36F79723D0140
|
X |
Golden Sta
|
GLATIRAMER ACETATE 20MG/ML INJ,SYR,1ML,30
|
GLATIRAMER ACETATE 20MG/ML INJ,SYR,1ML,30
|
$1,470.00
|
$0.00
|
$0.00
|
|
00054-0604-21
|
60
|
36F79723D0140
|
X |
Golden Sta
|
EVEROLIMUS 1MG TAB
|
EVEROLIMUS (IMMUNOSUPPRESSIVE) 1MG TAB
|
$1,472.09
|
$0.00
|
$0.00
|
|
84677-0005-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
RISPERIDONE 2MG TAB
|
RISPERIDONE 2MG TAB
|
$1,477.06
|
$0.00
|
$0.00
|
|
24201-0010-50
|
50ML
|
36F79723D0140
|
X |
Golden Sta
|
PENTOBARBITAL NA 50MG/ML INJ
|
PENTOBARBITAL NA 50MG/ML INJ
|
$1,500.01
|
$0.00
|
$0.00
|
|
51407-0190-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
EZETIMIBE 10MG/SIMVASTATIN 10MG TAB
|
EZETIMIBE 10MG/SIMVASTATIN 10MG TAB
|
$1,521.54
|
$0.00
|
$0.00
|
|
51407-0836-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
LURASIDONE HCL 20MG TAB
|
LURASIDONE HCL 20MG TAB
|
$1,534.50
|
$0.00
|
$0.00
|
|
51407-0837-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
LURASIDONE HCL 60MG TAB
|
LURASIDONE HCL 60MG TAB
|
$1,534.50
|
$0.00
|
$0.00
|
|
51407-0838-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
LURASIDONE HCL 1200MG TAB
|
LURASIDONE HCL 120MG TAB
|
$1,534.50
|
$0.00
|
$0.00
|
|
75907-0094-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
METHAMPHETAMINE HCL 5MG TAB
|
METHAMPHETAMINE HCL 5MG TAB
|
$1,597.35
|
$0.00
|
$0.00
|
|
62559-0173-31
|
3X10
|
36F79723D0140
|
X |
Golden Sta
|
NILUTAMIDE 150MG TAB
|
NILUTAMIDE 150MG TAB
|
$1,672.44
|
$0.00
|
$0.00
|
|
84677-0006-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
RISPERIDONE 3MG TAB
|
RISPERIDONE 3MG TAB
|
$1,736.19
|
$0.00
|
$0.00
|
|
47335-0990-02
|
30X1ML
|
36F79723D0140
|
X |
Golden Sta
|
GLATIRAMER ACETATE 20MG/ML INJ,SYR,1ML,30
|
GLATIRAMER ACETATE 20MG/ML INJ,SYR,1ML,30
|
$1,755.03
|
$0.00
|
$0.00
|
|
47335-0991-02
|
12X1ML
|
36F79723D0140
|
X |
Golden Sta
|
GLATIRAMER ACETATE 40MG/ML INJ,SYR,1ML,12
|
GLATIRAMER ACETATE 40MG/ML INJ,SYR,1ML,12
|
$1,755.03
|
$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
|
|
43386-0770-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
FLUCYTOSINE 500MG CAP
|
FLUCYTOSINE 500MG CAP
|
$1,990.00
|
$0.00
|
$0.00
|
|
00054-0438-25
|
100
|
36F79723D0140
|
X |
Golden Sta
|
LEVORPHANOL TARTRATE 2MG TAB
|
LEVORPHANOL TARTRATE 2MG TAB
|
$2,051.36
|
$0.00
|
$0.00
|
|
71357-0001-06
|
6X500ML
|
36F79723D0140
|
X |
Golden Sta
|
TROMETHAMINE 18GM/BTL INJ
|
TROMETHAMINE 18GM/BTL INJ
|
$2,054.47
|
$0.00
|
$0.00
|
|
60505-3816-03
|
30
|
36F79723D0140
|
X |
Golden Sta
|
DASATINIB 80MG TAB
|
DASATINIB 80MG TAB
|
$2,086.63
|
$0.00
|
$0.00
|
|
60505-3817-03
|
30
|
36F79723D0140
|
X |
Golden Sta
|
DASATINIB 140MG TAB
|
DASATINIB 140MG TAB
|
$2,086.63
|
$0.00
|
$0.00
|
|
60505-3631-03
|
30
|
36F79723D0140
|
X |
Golden Sta
|
DASATINIB 100MG TAB
|
DASATINIB 100MG TAB
|
$2,086.63
|
$0.00
|
$0.00
|
|
80005-0115-02
|
5
|
36F79723D0140
|
X |
Golden Sta
|
LOMUSTINE 40MG CAP
|
LOMUSTINE 40MG CAP
|
$2,099.14
|
$0.00
|
$0.00
|
|
10370-0268-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
TRETINOIN 10MG CAP
|
TRETINOIN 10MG CAP
|
$2,100.76
|
$0.00
|
$0.00
|
|
60505-3629-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
DASATINIB 50MG TAB
|
DASATINIB 50MG TAB
|
$2,315.47
|
$0.00
|
$0.00
|
|
60505-3630-06
|
60
|
36F79723D0140
|
X |
Golden Sta
|
DASATINIB 70MG TAB
|
DASATINIB 70MG TAB
|
$2,315.47
|
$0.00
|
$0.00
|
|
84677-0007-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
RISPERIDONE 4MG TAB
|
RISPERIDONE 4MG TAB
|
$2,331.11
|
$0.00
|
$0.00
|
|
51407-0984-60
|
60
|
36F79723D0140
|
X |
Golden Sta
|
NINTEDANIB 100MG CAP,ORAL
|
NINTEDANIB 100MG CAP,ORAL
|
$2,341.57
|
$0.00
|
$0.00
|
|
51407-0985-60
|
60
|
36F79723D0140
|
X |
Golden Sta
|
NINTEDANIB 150MG CAP,ORAL
|
NINTEDANIB 150MG CAP,ORAL
|
$2,347.70
|
$0.00
|
$0.00
|
|
49884-0720-08
|
120
|
36F79723D0140
|
X |
Golden Sta
|
SAPROPTERIN DIHYDROCHLORIDE 100MG TAB,SOLUBLE
|
SAPROPTERIN DIHYDROCHLORIDE 100MG TAB,SOLUBLE
|
$2,406.03
|
$0.00
|
$0.00
|
|
00378-6678-28
|
28
|
36F79723D0140
|
X |
Golden Sta
|
SUNITINIB MALATE 12.5MG CAP,ORAL
|
SUNITINIB MALATE 12.5MG CAP,ORAL
|
$2,528.52
|
$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
|
|
49884-0873-72
|
30
|
36F79723D0140
|
X |
Golden Sta
|
SAPROPTERIN DIHYDROCHLORIDE 500MG/PKT PWDR,ORAL
|
SAPROPTERIN DIHYDROCHLORIDE 500MG/PKT PWDR,OR
|
$2,849.25
|
$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
|
|
00054-0576-25
|
100
|
36F79723D0140
|
X |
Golden Sta
|
DEFERIPRONE 500MG TAB,ORAL
|
DEFERIPRONE 500MG TAB,ORAL
|
$4,138.00
|
$0.00
|
$0.00
|
|
51991-0999-17
|
10X5ML
|
36F79723D0140
|
X |
Golden Sta
|
ALCOHOL,ABSOLUTE 99% INJ
|
ALCOHOL,ABSOLUTE 99% INJ
|
$4,540.06
|
$0.00
|
$0.00
|
|
60505-4535-02
|
21
|
36F79723D0140
|
|
Golden Sta
|
LENALIDOMIDE 15MG CAP,ORAL
|
LENALIDOMIDE 15MG CAP,ORAL
|
$4,589.82
|
$0.00
|
$0.00
|
|
60505-4536-02
|
21
|
36F79723D0140
|
|
Golden Sta
|
LENALIDOMIDE 20MG CAP,ORAL
|
LENALIDOMIDE 20MG CAP,ORAL
|
$4,589.82
|
$0.00
|
$0.00
|
|
60505-4537-02
|
21
|
36F79723D0140
|
|
Golden Sta
|
LENALIDOMIDE 25MG CAP,ORAL
|
LENALIDOMIDE 25MG CAP,ORAL
|
$4,589.82
|
$0.00
|
$0.00
|
|
00054-0711-19
|
50
|
36F79723D0140
|
X |
Golden Sta
|
DEFERIPRONE 1000MG TAB,ORAL
|
DEFERIPRONE 1000MG TAB (THREE TIMES A DAY)
|
$4,900.00
|
$0.00
|
$0.00
|
|
00378-6679-28
|
28
|
36F79723D0140
|
X |
Golden Sta
|
SUNITINIB MALATE 25MG CAP,ORAL
|
SUNITINIB MALATE 25MG CAP,ORAL
|
$5,064.88
|
$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
|
|
80005-0116-02
|
5
|
36F79723D0140
|
X |
Golden Sta
|
LOMUSTINE 100MG CAP
|
LOMUSTINE 100MG CAP
|
$5,794.95
|
$0.00
|
$0.00
|
|
60505-4532-02
|
28
|
36F79723D0140
|
|
Golden Sta
|
LENALIDOMIDE 2.5MG CAP,ORAL
|
LENALIDOMIDE 2.5MG CAP,ORAL
|
$6,119.76
|
$0.00
|
$0.00
|