Pharmaceutical Catalog Search
1601 - 1700 of 1787 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 00121-1896-40 | 40X30ML | 36F79723D0140 | X | Golden Sta | POTASSIUM CHLORIDE 40MEQ/15ML (AF/SF) LIQUID | POTASSIUM CHLORIDE 40MEQ/15ML (AF/SF) LIQUID | $408.54 | $0.00 | $0.00 |
| 70377-0139-12 | 100 | 36F79723D0140 | X | Golden Sta | TRIAMTERENE 100MG CAP | TRIAMTERENE 100MG CAP | $411.56 | $0.00 | $0.00 |
| 00121-0489-00 | 100X5ML | 36F79723D0140 | X | Golden Sta | DIPHENHYDRAMINE HCL 12.5MG/5ML ELIXIR | DIPHENHYDRAMINE HCL 12.5MG/5ML ELIXIR | $413.17 | $0.00 | $0.00 |
| 60505-0577-03 | 15ML | 36F79723D0140 | X | Golden Sta | BRIMONIDINE TARTRATE 0.1% SOLN,OPH | BRIMONIDINE TARTRATE 0.1% SOLN,OPH | $418.77 | $0.00 | $0.00 |
| 00121-4948-00 | 100X15ML | 36F79723D0140 | X | Golden Sta | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,30ML | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,30M | $423.54 | $0.00 | $0.00 |
| 70010-0786-28 | 28 | 36F79723D0140 | X | Golden Sta | METHYLERGONOVINE MALEATE 0.2MG TAB | METHYLERGONOVINE MALEATE 0.2MG TAB | $425.12 | $0.00 | $0.00 |
| 70954-0148-10 | 473ML | 36F79723D0140 | X | Golden Sta | PYRIDOSTIGMINE BR 60MG/5ML SYRUP | PYRIDOSTIGMINE BR 60MG/5ML SYRUP | $425.13 | $0.00 | $0.00 |
| 00781-3486-96 | 25X5ML | 36F79723D0140 | X | Golden Sta | IRON SUCROSE 20MG/ML INJ | IRON SUCROSE 20MG/ML INJ | $429.61 | $0.00 | $0.00 |
| 00641-6243-10 | 10X10ML | 36F79723D0140 | X | Golden Sta | DIAZEPAM 5MG/ML INJ | DIAZEPAM 5MG/ML INJ | $432.20 | $0.00 | $0.00 |
| 00121-4948-80 | 80X15ML | 36F79723D0140 | X | Golden Sta | POTASSIUM CHLORIDE 20MEQ/15ML (AF/SF) LIQUID | POTASSIUM CHLORIDE 20MEQ/15ML (AF/SF) LIQUID | $435.60 | $0.00 | $0.00 |
| 00781-6153-95 | 10 | 36F79723D0140 | X | Golden Sta | PENICILLIN G K 5MILLION UNT/VIL INJ | PENICILLIN G K 5MILLION UNT/VIL INJ | $437.74 | $0.00 | $0.00 |
| 43386-0237-70 | 4 | 36F79723D0140 | X | Golden Sta | CYANOCOBALAMIN 500MCG/0.1ML ACTUAT SPRAY,NASAL | CYANOCOBALAMIN 500MCG/0.1ML ACTUAT SPRAY,NASA | $439.82 | $0.00 | $0.00 |
| 66689-0307-08 | 175ML | 36F79723D0140 | X | Golden Sta | MYCOPHENOLATE MOFETIL (CELLCEPT) 1000MG/5ML SUSP,ORAL | MYCOPHENOLATE MOFETIL 1000MG/5ML SUSP | $447.90 | $0.00 | $0.00 |
| 50742-0354-01 | 10 | 36F79723D0140 | X | Golden Sta | MESNA 400MG TAB | MESNA 400MG TAB | $455.29 | $0.00 | $0.00 |
| 57664-0950-88 | 100 | 36F79723D0140 | X | Golden Sta | AMPHETAMINE/DEXTROAMPHETAMINE 12.5MG TRIPHASIC CAP,SA | AMPHETAMINE/DEXTROAMPHETAMINE 12.5MG TRIPHASI | $459.26 | $0.00 | $0.00 |
| 60505-4661-03 | 30 | 36F79723D0140 | X | Golden Sta | ESLICARBAZEPINE ACETATE 800MG TAB,ORAL | ESLICARBAZEPINE ACETATE 800MG TAB,ORAL | $461.65 | $0.00 | $0.00 |
| 51407-0782-30 | 30 | 36F79723D0140 | X | Golden Sta | ESLICARBAZEPINE ACETATE 800MG TAB,ORAL | ESLICARBAZEPINE ACETATE 800MG TAB,ORAL | $461.65 | $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 | $462.92 | $0.00 | $0.00 |
| 51407-0780-30 | 30 | 36F79723D0140 | X | Golden Sta | ESLICARBAZEPINE ACETATE 400MG TAB,ORAL | ESLICARBAZEPINE ACETATE 400MG TAB,ORAL | $463.09 | $0.00 | $0.00 |
| 60505-4659-03 | 30 | 36F79723D0140 | X | Golden Sta | ESLICARBAZEPINE ACETATE 400MG TAB,ORAL | ESLICARBAZEPINE ACETATE 400MG TAB,ORAL | $463.09 | $0.00 | $0.00 |
| 70954-0852-20 | 200ML | 36F79723D0140 | X | Golden Sta | LEVOFLOXACIN 125MG/5ML SOLN,ORAL | LEVOFLOXACIN 125MG/5ML SOLN,ORAL | $465.89 | $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 |
| 00121-1896-50 | 50X30ML | 36F79723D0140 | X | Golden Sta | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,30ML | POTASSIUM CHLORIDE 20MEQ/15ML LIQUID,ORAL,30M | $473.04 | $0.00 | $0.00 |
| 57664-0710-83 | 30 | 36F79723D0140 | X | Golden Sta | METHYLPHENIDATE HCL (EQV-RELEXXII) 72MG TAB,SA | METHYLPHENIDATE HCL (EQV-RELEXXII) 72MG TAB,S | $476.80 | $0.00 | $0.00 |
| 00378-4830-90 | 90GM | 36F79723D0140 | X | Golden Sta | DAPSONE 7.5% GEL,TOP | DAPSONE 7.5% GEL,TOP | $481.34 | $0.00 | $0.00 |
| 57664-0952-88 | 100 | 36F79723D0140 | X | Golden Sta | AMPHETAMINE/DEXTROAMPHETAMINE 37.5MG TRIPHASIC CAP,SA | AMPHETAMINE/DEXTROAMPHETAMINE 37.5MG TRIPHASI | $483.94 | $0.00 | $0.00 |
| 51407-0913-27 | 270 | 36F79723D0140 | X | Golden Sta | PIRFENIDONE 267MG TAB,ORAL | PIRFENIDONE 267MG TAB,ORAL | $489.02 | $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 |
| 23155-0539-25 | 50 | 36F79723D0140 | X | Golden Sta | DOXERCALCIFEROL 1MCG CAP | DOXERCALCIFEROL 1MCG CAP | $498.52 | $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 |
| 51407-0747-90 | 90 | 36F79723D0140 | X | Golden Sta | DEXLANSOPRAZOLE 60MG CAP,EC | DEXLANSOPRAZOLE 60MG CAP,EC | $505.27 | $0.00 | $0.00 |
| 13668-0592-86 | 3X2 | 36F79723D0140 | X | Golden Sta | APREPITANT 80MG CAP | APREPITANT 80MG CAP | $508.63 | $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 |
| 80005-0114-02 | 5 | 36F79723D0140 | X | Golden Sta | LOMUSTINE 10MG CAP | LOMUSTINE 10MG CAP | $524.68 | $0.00 | $0.00 |
| 69452-0161-13 | 30 | 36F79723D0140 | X | Golden Sta | DEFERASIROX 500MG TAB,SUSP,ORAL | DEFERASIROX 500MG TAB,SUSP,ORAL | $528.05 | $0.00 | $0.00 |
| 71656-0072-50 | 50X5ML | 36F79723D0140 | X | Golden Sta | LITHIUM 8MEQ/5ML SOLN,ORAL | LITHIUM 8MEQ/5ML SOLN,ORAL | $532.34 | $0.00 | $0.00 |
| 00121-2024-95 | 10X10ML | 36F79723D0140 | X | Golden Sta | LACOSAMIDE 10MG/ML SOLN,ORAL | LACOSAMIDE 10MG/ML SOLN,ORAL | $533.39 | $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 |
| 70748-0271-13 | 1 | 36F79723D0140 | X | Golden Sta | RISPERIDONE 37.5MG/VIL INJ,SUSP,SA | RISPERIDONE 37.5MG/VIL INJ,SUSP,SA | $547.99 | $0.00 | $0.00 |
| 23155-0540-25 | 50 | 36F79723D0140 | X | Golden Sta | DOXERCALCIFEROL 2.5MCG CAP | DOXERCALCIFEROL 2.5MCG CAP | $549.87 | $0.00 | $0.00 |
| 49884-0948-72 | 30 | 36F79723D0140 | X | Golden Sta | SAPROPTERIN DIHYDROCHLORIDE 100MG/PKT PWDR,ORAL | SAPROPTERIN DIHYDROCHLORIDE 100MG/PKT PWDR,OR | $556.74 | $0.00 | $0.00 |
| 00781-3531-91 | 1 | 36F79723D0140 | X | Golden Sta | PACLITAXEL PROTEIN-BOUND 100MG/VIL INJ | PACLITAXEL PROTEIN-BOUND 100MG/VIL INJ | $563.77 | $0.00 | $0.00 |
| 00527-1369-01 | 100 | 36F79723D0140 | X | Golden Sta | DANAZOL 200MG CAP | DANAZOL 200MG CAP | $566.15 | $0.00 | $0.00 |
| 57664-0951-88 | 100 | 36F79723D0140 | X | Golden Sta | AMPHETAMINE/DEXTROAMPHETAMINE 25MG TRIPHASIC CAP,SA | AMPHETAMINE/DEXTROAMPHETAMINE 25MG TRIPHASI | $587.18 | $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 |
| 00054-0449-49 | 105ML | 36F79723D0140 | X | Golden Sta | POSACONAZOLE 200MG/5ML SUSP,ORAL | POSACONAZOLE 200MG/5ML SUSP,ORAL | $597.01 | $0.00 | $0.00 |
| 57664-0953-88 | 100 | 36F79723D0140 | X | Golden Sta | AMPHETAMINE/DEXTROAMPHETAMINE 50MG TRIPHASIC CAP,SA | AMPHETAMINE/DEXTROAMPHETAMINE 50MG TRIPHASI | $597.81 | $0.00 | $0.00 |
| 00143-9279-01 | 50ML | 36F79723D0140 | X | Golden Sta | MITOMYCIN 20MG/VIL INJ | MITOMYCIN 20MG/VIL INJ | $625.68 | $0.00 | $0.00 |
| 51407-0866-60 | 60 | 36F79723D0140 | X | Golden Sta | LAMIVUDINE 100MG TAB | LAMIVUDINE 100MG TAB | $631.28 | $0.00 | $0.00 |
| 51407-0192-05 | 500 | 36F79723D0140 | X | Golden Sta | EZETIMIBE 10MG/SIMVASTATIN 40MG TAB | EZETIMIBE 10MG/SIMVASTATIN 40MG TAB | $631.38 | $0.00 | $0.00 |
| 00121-1016-18 | 18X5ML | 36F79723D0140 | X | Golden Sta | ATOVAQUONE 750MG/5ML SUSP,ORAL | ATOVAQUONE 750MG/5ML SUSP,ORAL | $634.06 | $0.00 | $0.00 |
| 51407-0975-90 | 90 | 36F79723D0140 | X | Golden Sta | ROFLUMILAST 500MCG TAB | ROFLUMILAST 500MCG TAB | $682.14 | $0.00 | $0.00 |
| 68462-0758-25 | 25X1ML | 36F79723D0140 | X | Golden Sta | PHYTONADIONE 10MG/ML INJ | PHYTONADIONE 10MG/ML INJ | $695.01 | $0.00 | $0.00 |
| 70069-0829-01 | 230ML | 36F79723D0140 | X | Golden Sta | NITROFURANTOIN 25MG/5ML SUSP,ORAL | NITROFURANTOIN 25MG/5ML SUSP,ORAL | $702.90 | $0.00 | $0.00 |
| 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 |
| 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 |
| 51672-4209-06 | 30 | 36F79723D0140 | X | Golden Sta | PERAMPANEL 12MG TAB | PERAMPANEL 12MG TAB | $738.80 | $0.00 | $0.00 |
| 51672-4205-06 | 30 | 36F79723D0140 | X | Golden Sta | PERAMPANEL 4MG TAB | PERAMPANEL 4MG TAB | $739.74 | $0.00 | $0.00 |
| 51672-4206-06 | 30 | 36F79723D0140 | X | Golden Sta | PERAMPANEL 6MG TAB | PERAMPANEL 6MG TAB | $739.85 | $0.00 | $0.00 |
| 51672-4207-06 | 30 | 36F79723D0140 | X | Golden Sta | PERAMPANEL 8MG TAB | PERAMPANEL 8MG TAB | $739.89 | $0.00 | $0.00 |
| 51672-4208-06 | 30 | 36F79723D0140 | X | Golden Sta | PERAMPANEL 10MG TAB | PERAMPANEL 10MG TAB | $741.36 | $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 |
| 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 |
| 51672-1402-04 | 60GM | 36F79723D0140 | X | Golden Sta | BETAMETHASONE DIPROPIONATE 0.064%/CALCIPOTRIENE 0.005% SUSP,TOP | BETAMETHASONE DIPROPIONATE 0.064%/CALCIPOTRIE | $828.00 | $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 |
| 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 |
| 24201-0010-20 | 20ML | 36F79723D0140 | X | Golden Sta | PENTOBARBITAL NA 50MG/ML INJ | PENTOBARBITAL NA 50MG/ML INJ | $884.99 | $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 |
| 60505-4727-06 | 60 | 36F79723D0140 | X | Golden Sta | BRIVARACETAM 100MG TAB | BRIVARACETAM 100MG TAB | $898.07 | $0.00 | $0.00 |
| 60505-4725-06 | 60 | 36F79723D0140 | X | Golden Sta | BRIVARACETAM 50MG TAB | BRIVARACETAM 50MG TAB | $899.33 | $0.00 | $0.00 |
| 60505-4724-06 | 60 | 36F79723D0140 | X | Golden Sta | BRIVARACETAM 25MG TAB | BRIVARACETAM 25MG TAB | $899.98 | $0.00 | $0.00 |
| 60505-4726-06 | 60 | 36F79723D0140 | X | Golden Sta | BRIVARACETAM 75MG TAB | BRIVARACETAM 75MG TAB | $900.35 | $0.00 | $0.00 |
| 84677-0002-05 | 500 | 36F79723D0140 | X | Golden Sta | RISPERIDONE 0.25MG TAB | RISPERIDONE 0.25MG TAB | $902.18 | $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 |
