|
50742-0175-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
ISOSORBIDE MONONITRATE 30MG TAB,SA
|
ISOSORBIDE MONONITRATE 30MG TAB,SA
|
$27.03
|
$0.00
|
$0.00
|
|
51672-1294-03
|
60GM
|
36F79723D0140
|
X |
Golden Sta
|
CLOBETASOL PROPIONATE 0.05% GEL,TOP
|
CLOBETASOL PROPIONATE 0.05% GEL,TOP
|
$27.10
|
$0.00
|
$0.00
|
|
51672-1407-09
|
45GM
|
36F79723D0140
|
X |
Golden Sta
|
TRETINOIN 0.025% CREAM,TOP
|
TRETINOIN 0.025% CREAM,TOP
|
$27.17
|
$0.00
|
$0.00
|
|
60429-0927-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
BENZONATATE 100MG CAP
|
BENZONATATE 100MG CAP
|
$27.25
|
$0.00
|
$0.00
|
|
68094-0054-65
|
20X10
|
36F79723D0140
|
X |
Golden Sta
|
FAMOTIDINE 20MG TAB,UD
|
FAMOTIDINE 20MG TAB,UD
|
$27.42
|
$0.00
|
$0.00
|
|
50742-0114-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
DESIPRAMINE HCL 50MG TAB
|
DESIPRAMINE HCL 50MG TAB
|
$27.55
|
$0.00
|
$0.00
|
|
51407-0880-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
METHENAMINE HIPPURATE 1GM TAB
|
METHENAMINE HIPPURATE 1GM TAB
|
$27.65
|
$0.00
|
$0.00
|
|
00054-0188-13
|
30
|
36F79723D0140
|
X |
Golden Sta
|
BUPRENORPHINE HCL 2MG/NALOXONE HCL 0.5MG TAB,SUBLINGUAL
|
BUPRENORPHINE HCL 2MG/NALOXONE HCL 0.5MG TAB,
|
$27.68
|
$0.00
|
$0.00
|
|
24208-0735-06
|
15ML
|
36F79723D0140
|
X |
Golden Sta
|
CYCLOPENTOLATE HCL 1% SOLN,OPH
|
CYCLOPENTOLATE HCL 1% SOLN,OPH
|
$27.78
|
$0.00
|
$0.00
|
|
71351-0027-25
|
25X20ML
|
36F79723D0140
|
X |
Golden Sta
|
LIDOCAINE HCL 2% INJ
|
LIDOCAINE HCL 2% INJ
|
$27.82
|
$0.00
|
$0.00
|
|
00054-8527-25
|
100
|
36F79723D0140
|
X |
Golden Sta
|
LITHIUM CARBONATE 300MG CAP
|
LITHIUM CARBONATE 300MG CAP
|
$27.86
|
$0.00
|
$0.00
|
|
00143-9725-01
|
10ML
|
36F79723D0140
|
X |
Golden Sta
|
PROGESTERONE 50MG/ML INJ (IN OIL)
|
PROGESTERONE 50MG/ML INJ (IN OIL)
|
$28.00
|
$0.00
|
$0.00
|
|
51407-0731-05
|
5ML
|
36F79723D0140
|
X |
Golden Sta
|
TRAVOPROST Z 0.004% SOLN,OPH
|
TRAVOPROST Z 0.004% SOLN,OPH
|
$28.04
|
$0.00
|
$0.00
|
|
49884-0022-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
ISOSORBIDE DINITRATE 20MG TAB,ORAL
|
ISOSORBIDE DINITRATE 20MG TAB,ORAL
|
$28.05
|
$0.00
|
$0.00
|
|
71351-0022-10
|
10X2ML
|
36F79723D0140
|
X |
Golden Sta
|
BUPIVACAINE HCL 0.75%/DEXTROSE 8.25% INJ
|
BUPIVACAINE HCL 0.75%/DEXTROSE 8.25% INJ
|
$28.06
|
$0.00
|
$0.00
|
|
71351-0026-25
|
25X20ML
|
36F79723D0140
|
X |
Golden Sta
|
LIDOCAINE HCL 1% INJ
|
LIDOCAINE HCL 1% INJ
|
$28.11
|
$0.00
|
$0.00
|
|
70710-1111-08
|
150
|
36F79723D0140
|
X |
Golden Sta
|
TIZANIDINE HCL 2MG TAB
|
TIZANIDINE HCL 2MG TAB
|
$28.15
|
$0.00
|
$0.00
|
|
50742-0505-04
|
4
|
36F79723D0140
|
X |
Golden Sta
|
SCOPOLAMINE 0.33MG/24HRS PATCH
|
SCOPOLAMINE 0.33MG/24HRS PATCH
|
$28.31
|
$0.00
|
$0.00
|
|
60505-0593-01
|
5ML
|
36F79723D0140
|
X |
Golden Sta
|
TRAVOPROST 0.004% SOLN,OPH
|
TRAVOPROST 0.004% SOLN,OPH
|
$28.37
|
$0.00
|
$0.00
|
|
51407-0892-90
|
90
|
36F79723D0140
|
X |
Golden Sta
|
LEVOCETIRIZINE DIHYDROCHLORIDE 5MG TAB
|
LEVOCETIRIZINE DIHYDROCHLORIDE 5MG TAB
|
$28.42
|
$0.00
|
$0.00
|
|
00054-0401-13
|
30
|
36F79723D0140
|
X |
Golden Sta
|
DESVENLAFAXINE (EQV-PRISTIQ) 100MG TAB,SA
|
DESVENLAFAXINE (EQV-PRISTIQ) 100MG TAB,SA
|
$28.47
|
$0.00
|
$0.00
|
|
00054-0400-13
|
30
|
36F79723D0140
|
X |
Golden Sta
|
DESVENLAFAXINE (EQV-PRISTIQ) 50MG TAB,SA
|
DESVENLAFAXINE (EQV-PRISTIQ) 50MG TAB,SA
|
$28.47
|
$0.00
|
$0.00
|
|
00054-0603-13
|
30
|
36F79723D0140
|
X |
Golden Sta
|
DESVENLAFAXINE (EQV-PRISTIQ) 25MG TAB,SA
|
DESVENLAFAXINE (EQV-PRISTIQ) 25MG TAB,SA
|
$28.47
|
$0.00
|
$0.00
|
|
70710-1112-08
|
150
|
36F79723D0140
|
X |
Golden Sta
|
TIZANIDINE HCL 4MG TAB
|
TIZANIDINE HCL 4MG TAB
|
$28.48
|
$0.00
|
$0.00
|
|
51407-0110-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
METOPROLOL TARTRATE 50MG TAB
|
METOPROLOL TARTRATE 50MG TAB
|
$28.78
|
$0.00
|
$0.00
|
|
00781-3408-95
|
10
|
36F79723D0140
|
X |
Golden Sta
|
AMPICILLIN NA 2GM/VIL INJ
|
AMPICILLIN NA 2GM/VIL INJ
|
$28.80
|
$0.00
|
$0.00
|
|
51672-4188-07
|
100GM
|
36F79723D0140
|
X |
Golden Sta
|
BETAMETHASONE VALERATE 0.12% AEROSOL,TOP
|
BETAMETHASONE VALERATE 0.12% AEROSOL,TOP
|
$28.90
|
$0.00
|
$0.00
|
|
51407-0165-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
CIPROFLOXACIN HCL 500MG TAB
|
CIPROFLOXACIN HCL 500MG TAB
|
$29.01
|
$0.00
|
$0.00
|
|
50742-0645-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
TRIAZOLAM 0.125MG TAB
|
TRIAZOLAM 0.125MG TAB
|
$29.09
|
$0.00
|
$0.00
|
|
51672-1300-05
|
225GM
|
36F79723D0140
|
X |
Golden Sta
|
AMMONIUM LACTATE 12% LOTION
|
AMMONIUM LACTATE 12% LOTION
|
$29.14
|
$0.00
|
$0.00
|
|
60429-0377-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
TACROLIMUS 0.5MG CAP
|
TACROLIMUS 0.5MG CAP
|
$29.16
|
$0.00
|
$0.00
|
|
51407-0101-30
|
30
|
36F79723D0140
|
X |
Golden Sta
|
ATOMOXETINE 18MG CAP
|
ATOMOXETINE 18MG CAP
|
$29.33
|
$0.00
|
$0.00
|
|
64380-0159-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
MEGESTROL ACETATE 40MG TAB
|
MEGESTROL ACETATE 40MG TAB
|
$29.39
|
$0.00
|
$0.00
|
|
51407-0252-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
LOVASTATIN 20MG TAB
|
LOVASTATIN 20MG TAB
|
$29.43
|
$0.00
|
$0.00
|
|
68462-0228-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
LAMOTRIGINE 5MG TAB,CHEW
|
LAMOTRIGINE 5MG TAB,CHEW
|
$29.50
|
$0.00
|
$0.00
|
|
51407-0614-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
LABETALOL HCL 100MG TAB
|
LABETALOL HCL 100MG TAB
|
$29.53
|
$0.00
|
$0.00
|
|
51672-1279-01
|
15GM
|
36F79723D0140
|
X |
Golden Sta
|
FLUOCINONIDE 0.05% GEL,TOP
|
FLUOCINONIDE 0.05% GEL,TOP
|
$29.69
|
$0.00
|
$0.00
|
|
51407-0523-30
|
30
|
36F79723D0140
|
X |
Golden Sta
|
RAMELTEON 8MG TAB
|
RAMELTEON 8MG TAB
|
$29.92
|
$0.00
|
$0.00
|
|
51672-4011-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
CLOMIPRAMINE HCL 25MG CAP
|
CLOMIPRAMINE HCL 25MG CAP
|
$29.99
|
$0.00
|
$0.00
|
|
69339-0174-41
|
4X25
|
36F79723D0140
|
X |
Golden Sta
|
NITROGLYCERIN 0.4MG TAB,SUBLINGUAL
|
NITROGLYCERIN 0.4MG TAB,SUBLINGUAL
|
$30.00
|
$0.00
|
$0.00
|
|
60429-0061-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
OXCARBAZEPINE 150MG TAB
|
OXCARBAZEPINE 150MG TAB
|
$30.00
|
$0.00
|
$0.00
|
|
51672-1275-06
|
45G
|
36F79723D0140
|
X |
Golden Sta
|
CLOTRIMAZOLE 1% CREAM,TOP
|
CLOTRIMAZOLE 1% CREAM,TOP
|
$30.15
|
$0.00
|
$0.00
|
|
51407-0104-30
|
30
|
36F79723D0140
|
X |
Golden Sta
|
ATOMOXETINE 60MG CAP
|
ATOMOXETINE 60MG CAP
|
$30.17
|
$0.00
|
$0.00
|
|
70436-0199-04
|
30
|
36F79723D0140
|
X |
Golden Sta
|
DILTIAZEM (EQV-CARDIZEM) 360MG 24HR TAB
|
DILTIAZEM (EQV-CARDIZEM) 360MG 24HR TAB
|
$30.21
|
$0.00
|
$0.00
|
|
51407-0963-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
VERAPAMIL HCL 80MG TAB
|
VERAPAMIL HCL 80MG TAB
|
$30.45
|
$0.00
|
$0.00
|
|
51407-0111-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
METOPROLOL TARTRATE 100MG TAB
|
METOPROLOL TARTRATE 100MG TAB
|
$30.46
|
$0.00
|
$0.00
|
|
68094-0600-62
|
30X5ML
|
36F79723D0140
|
X |
Golden Sta
|
IBUPROFEN 100MG/5ML SUSP,ORAL
|
CHILDREN'S IBUPROFEN 100MG/5ML SUSP,ORAL
|
$30.66
|
$0.00
|
$0.00
|
|
70710-1668-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
PROCHLORPERAZINE MALEATE 10MG TAB
|
PROCHLORPERAZINE MALEATE 10MG TAB
|
$30.69
|
$0.00
|
$0.00
|
|
00168-0268-50
|
50GM
|
36F79723D0140
|
X |
Golden Sta
|
BETAMETHASONE DIPROPIONATE 0.05% AUGMENTED OINT
|
BETAMETHASONE DIPROPIONATE 0.05% AUGMENTED OI
|
$30.80
|
$0.00
|
$0.00
|
|
68462-0229-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
LAMOTRIGINE 25MG TAB,CHEW
|
LAMOTRIGINE 25MG TAB,CHEW
|
$31.01
|
$0.00
|
$0.00
|
|
51672-1267-05
|
5G
|
36F79723D0140
|
X |
Golden Sta
|
TRIAMCINOLONE ACETONIDE 0.1% PASTE,DENTAL
|
TRIAMCINOLONE ACETONIDE 0.1% PASTE,DENTAL
|
$31.05
|
$0.00
|
$0.00
|
|
51672-1302-00
|
20GM
|
36F79723D0140
|
X |
Golden Sta
|
TERCONAZOLE 0.8% CREAM,VAG
|
TERCONAZOLE 0.8% CREAM,VAG
|
$31.10
|
$0.00
|
$0.00
|
|
51672-1304-06
|
45GM
|
36F79723D0140
|
X |
Golden Sta
|
TERCONAZOLE 0.4% CREAM,VAG
|
TERCONAZOLE 0.4% CREAM,VAG
|
$31.10
|
$0.00
|
$0.00
|
|
00121-0820-16
|
473ML
|
36F79723D0140
|
X |
Golden Sta
|
THEOPHYLLINE,ANHYDROUS 80MG/15ML (SF) ELIXIR
|
THEOPHYLLINE,ANHYDROUS 80MG/15ML (SF) ELIXIR
|
$31.14
|
$0.00
|
$0.00
|
|
00121-0654-02
|
60ML
|
36F79723D0140
|
X |
Golden Sta
|
FLUPHENAZINE HCL 0.5MG/ML ELIXIR
|
FLUPHENAZINE HCL 0.5MG/ML ELIXIR
|
$31.35
|
$0.00
|
$0.00
|
|
51407-0861-60
|
60
|
36F79723D0140
|
X |
Golden Sta
|
TICAGRELOR 90MG TAB
|
TICAGRELOR 90MG TAB
|
$31.42
|
$0.00
|
$0.00
|
|
51407-0251-10
|
1000
|
36F79723D0140
|
X |
Golden Sta
|
LOVASTATIN 10MG TAB
|
LOVASTATIN 10MG TAB
|
$31.45
|
$0.00
|
$0.00
|
|
51407-0336-18
|
180
|
36F79723D0140
|
X |
Golden Sta
|
COLESEVELAM HCL 625MG TAB
|
COLESEVELAM HCL 625MG TAB
|
$31.45
|
$0.00
|
$0.00
|
|
00143-9594-25
|
25X5ML
|
36F79723D0140
|
X |
Golden Sta
|
LIDOCAINE HCL 2% INJ
|
LIDOCAINE HCL 2% INJ
|
$31.50
|
$0.00
|
$0.00
|
|
24979-0029-07
|
90
|
36F79723D0140
|
X |
Golden Sta
|
DILTIAZEM (EQV-CARDIZEM AB3) 300MG 24HR CAP
|
DILTIAZEM (EQV-CARDIZEM AB3) 300MG 24HR CAP
|
$31.68
|
$0.00
|
$0.00
|
|
57664-0392-88
|
100
|
36F79723D0140
|
X |
Golden Sta
|
VENLAFAXINE HCL 25MG TAB
|
VENLAFAXINE HCL 25MG TAB
|
$31.68
|
$0.00
|
$0.00
|
|
51407-0467-05
|
500
|
36F79723D0140
|
X |
Golden Sta
|
METHOCARBAMOL 500MG TAB
|
METHOCARBAMOL 500MG TAB
|
$32.18
|
$0.00
|
$0.00
|
|
70954-0258-10
|
473ML
|
36F79723D0140
|
X |
Golden Sta
|
SULFAMETHOXAZOLE 200MG/TRIMETHOPRIM 40MG/5ML SUSP
|
SULFAMETHOXAZOLE 200MG/TRIMETHOPRIM 40MG/5ML
|
$32.23
|
$0.00
|
$0.00
|
|
50742-0554-05
|
5
|
36F79723D0140
|
X |
Golden Sta
|
FENTANYL 75MCG/HR PATCH
|
FENTANYL 75MCG/HR PATCH
|
$32.59
|
$0.00
|
$0.00
|
|
70954-0565-20
|
500
|
36F79723D0140
|
X |
Golden Sta
|
ESTRADIOL 1MG TAB
|
ESTRADIOL 1MG TAB
|
$32.63
|
$0.00
|
$0.00
|
|
57664-0393-88
|
100
|
36F79723D0140
|
X |
Golden Sta
|
VENLAFAXINE HCL 37.5MG TAB
|
VENLAFAXINE HCL 37.5MG TAB
|
$32.67
|
$0.00
|
$0.00
|
|
51672-1373-02
|
30GM
|
36F79723D0140
|
X |
Golden Sta
|
TAZAROTENE 0.1% CREAM,TOP
|
TAZAROTENE 0.1% CREAM,TOP
|
$32.99
|
$0.00
|
$0.00
|
|
71351-0025-30
|
30ML
|
36F79723D0140
|
X |
Golden Sta
|
LIDOCAINE HCL 2% JELLY
|
JELCAINE STERILE 2% JELLY
|
$33.01
|
$0.00
|
$0.00
|
|
00781-3156-95
|
10X100ML
|
36F79723D0140
|
X |
Golden Sta
|
ACETAMINOPHEN 10MG/ML INJ
|
ACETAMINOPHEN 10MG/ML INJ
|
$33.35
|
$0.00
|
$0.00
|
|
60505-0589-02
|
10ML
|
36F79723D0140
|
X |
Golden Sta
|
BRIMONIDINE TARTRATE 0.2%/TIMOLOL MALEATE 0.5% SOLN,OPH
|
BRIMONIDINE TARTRATE 0.2%/TIMOLOL MALEATE 0.5
|
$33.39
|
$0.00
|
$0.00
|
|
64850-0643-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
CODEINE 60MG/ACETAMINOPHEN 300MG TAB
|
CODEINE 60MG/ACETAMINOPHEN 300MG TAB
|
$33.42
|
$0.00
|
$0.00
|
|
00143-9519-10
|
10X2ML
|
36F79723D0140
|
X |
Golden Sta
|
METHOTREXATE NA 25MG/ML (PF) INJ
|
METHOTREXATE NA 25MG/ML (PF) INJ
|
$33.42
|
$0.00
|
$0.00
|
|
00641-6175-10
|
10X1ML
|
36F79723D0140
|
X |
Golden Sta
|
OCTREOTIDE ACETATE 0.1MG/ML INJ
|
OCTREOTIDE ACETATE 0.1MG/ML INJ
|
$33.44
|
$0.00
|
$0.00
|
|
70436-0200-04
|
30
|
36F79723D0140
|
X |
Golden Sta
|
DILTIAZEM (EQV-CARDIZEM) 420MG 24HR TAB
|
DILTIAZEM (EQV-CARDIZEM) 420MG 24HR TAB
|
$33.48
|
$0.00
|
$0.00
|
|
60429-0098-30
|
30
|
36F79723D0140
|
X |
Golden Sta
|
TROSPIUM CL 60MG CAP,SA
|
TROSPIUM CL 60MG CAP,SA
|
$33.49
|
$0.00
|
$0.00
|
|
68382-0591-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
PERPHENAZINE 2MG TAB
|
PERPHENAZINE 2MG TAB
|
$33.50
|
$0.00
|
$0.00
|
|
51407-0910-24
|
240ML
|
36F79723D0140
|
X |
Golden Sta
|
MEGESTROL ACETATE 200MG/5ML SUSP,ORAL
|
MEGESTROL ACETATE 200MG/5ML SUSP,ORAL
|
$33.52
|
$0.00
|
$0.00
|
|
60429-0049-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
NIFEDIPINE (EQV-XL) 90MG TAB,SA
|
NIFEDIPINE (EQV-XL) 90MG TAB,SA
|
$33.55
|
$0.00
|
$0.00
|
|
00054-0238-63
|
500ML
|
36F79723D0140
|
X |
Golden Sta
|
MORPHINE SO4 20MG/5ML SOLN,ORAL
|
MORPHINE SO4 20MG/5ML SOLN,ORAL
|
$33.58
|
$0.00
|
$0.00
|
|
57664-0394-88
|
100
|
36F79723D0140
|
X |
Golden Sta
|
VENLAFAXINE HCL 50MG TAB
|
VENLAFAXINE HCL 50MG TAB
|
$33.66
|
$0.00
|
$0.00
|
|
51672-1381-05
|
35GM
|
36F79723D0140
|
X |
Golden Sta
|
BENZOYL PEROXIDE 5%/CLINDAMYCIN PO4 1% GEL,TOP
|
BENZOYL PEROXIDE 5%/CLINDAMYCIN PO4 1% GEL PU
|
$33.67
|
$0.00
|
$0.00
|
|
61314-0308-02
|
6ML
|
36F79723D0140
|
X |
Golden Sta
|
AZELASTINE HCL 0.05% SOLN,OPH
|
AZELASTINE HCL 0.05% SOLN,OPH
|
$33.75
|
$0.00
|
$0.00
|
|
00143-9595-25
|
25X5ML
|
36F79723D0140
|
X |
Golden Sta
|
LIDOCAINE HCL 1% INJ
|
LIDOCAINE HCL 1% INJ
|
$33.80
|
$0.00
|
$0.00
|
|
51672-4225-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
BUMETANIDE 2MG TAB
|
BUMETANIDE 2MG TAB
|
$33.85
|
$0.00
|
$0.00
|
|
00121-0868-16
|
473ML
|
36F79723D0140
|
X |
Golden Sta
|
NYSTATIN 100000UNT/ML SUSP,ORAL
|
NYSTATIN 100000UNT/ML SUSP,ORAL
|
$34.21
|
$0.00
|
$0.00
|
|
42571-0360-10
|
118ML
|
36F79723D0140
|
X |
Golden Sta
|
METFORMIN HCL 500MG/5ML SOLN,ORAL
|
METFORMIN HCL 500MG/5ML SOLN,ORAL
|
$34.22
|
$0.00
|
$0.00
|
|
51672-1363-07
|
100GM
|
36F79723D0140
|
X |
Golden Sta
|
DICLOFENAC NA 3% GEL,TOP
|
DICLOFENAC NA 3% GEL,TOP
|
$34.23
|
$0.00
|
$0.00
|
|
00054-0010-21
|
60
|
36F79723D0140
|
X |
Golden Sta
|
FLECAINIDE ACETATE 50MG TAB
|
FLECAINIDE ACETATE 50MG TAB
|
$34.27
|
$0.00
|
$0.00
|
|
51407-0451-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
POTASSIUM CITRATE 15MEQ TAB,SA
|
POTASSIUM CITRATE 15MEQ TAB,SA
|
$34.29
|
$0.00
|
$0.00
|
|
70436-0054-04
|
30
|
36F79723D0140
|
X |
Golden Sta
|
MEMANTINE HCL 7MG CAP,SA
|
MEMANTINE HCL 7MG CAP,SA
|
$34.36
|
$0.00
|
$0.00
|
|
70436-0055-04
|
30
|
36F79723D0140
|
X |
Golden Sta
|
MEMANTINE HCL 14MG CAP,SA
|
MEMANTINE HCL 14MG CAP,SA
|
$34.36
|
$0.00
|
$0.00
|
|
70436-0056-04
|
30
|
36F79723D0140
|
X |
Golden Sta
|
MEMANTINE HCL 21MG CAP,SA
|
MEMANTINE HCL 21MG CAP,SA
|
$34.36
|
$0.00
|
$0.00
|
|
70436-0057-04
|
30
|
36F79723D0140
|
X |
Golden Sta
|
MEMANTINE HCL 28MG CAP,SA
|
MEMANTINE HCL 28MG CAP,SA
|
$34.36
|
$0.00
|
$0.00
|
|
70010-0111-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
AMPHETAMINE/DEXTROAMPHETAMINE 5MG TAB
|
AMPHETAMINE/DEXTROAMPHETAMINE 5MG TAB
|
$34.43
|
$0.00
|
$0.00
|
|
60505-0222-01
|
100
|
36F79723D0140
|
X |
Golden Sta
|
SOTALOL HCL 80MG TAB
|
SOTALOL HCL 80MG TAB
|
$34.52
|
$0.00
|
$0.00
|
|
51672-4227-08
|
120ML
|
36F79723D0140
|
X |
Golden Sta
|
CLOBAZAM 2.5MG/ML SUSP,ORAL
|
CLOBAZAM 2.5MG/ML SUSP,ORAL
|
$34.57
|
$0.00
|
$0.00
|
|
00641-0493-25
|
25X2ML
|
36F79723D0140
|
X |
Golden Sta
|
PHENYTOIN NA 50MG/ML INJ
|
PHENYTOIN NA 50MG/ML INJ
|
$34.60
|
$0.00
|
$0.00
|
|
70594-0034-01
|
10ML
|
36F79723D0140
|
X |
Golden Sta
|
DAPTOMYCIN 500MG/VIL INJ
|
DAPTOMYCIN 500MG/VIL INJ
|
$34.75
|
$0.00
|
$0.00
|
|
50742-0183-24
|
24
|
36F79723D0140
|
X |
Golden Sta
|
LEUCOVORIN CALCIUM 15MG TAB
|
LEUCOVORIN CALCIUM 15MG TAB
|
$34.95
|
$0.00
|
$0.00
|
|
51672-3008-03
|
50GM
|
36F79723D0140
|
X |
Golden Sta
|
LIDOCAINE 5% OINT,DENT
|
LIDOCAINE 5% OINT,DENT
|
$34.95
|
$0.00
|
$0.00
|