NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
---|---|---|---|---|---|---|---|---|---|
42799-0950-01 | 100 | 36F79723D0140 | X | Golden Sta | VIGABATRIN 500MG TAB | VIGABATRIN 500MG TAB | $10,406.77 | $0.00 | $0.00 |
00378-6680-28 | 28 | 36F79723D0140 | X | Golden Sta | SUNITINIB MALATE 50MG CAP,ORAL | SUNITINIB MALATE 50MG CAP,ORAL | $11,554.04 | $0.00 | $0.00 |
60505-4665-03 | 30 | 36F79723D0140 | X | Golden Sta | TASIMELTEON 20MG CAP,ORAL | TASIMELTEON 20MG CAP,ORAL | $15,819.42 | $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 |