NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
---|---|---|---|---|---|---|---|---|---|
00310-0668-60 | 60 | 36F79719D0274 | X | ASTRAZENEC | OLAPARIB 100MGTAB,ORAL | LYNPARZA 100MG TAB | $6,894.94 | $0.00 | $5,793.23 |
00310-0679-60 | 60 | 36F79719D0274 | X | ASTRAZENEC | OLAPARIB 150MGTAB,ORAL | LYNPARZA 150MG TAB | $6,894.94 | $0.00 | $5,768.86 |
00310-0679-12 | 120 | 36F79719D0274 | X | ASTRAZENEC | OLAPARIB 150MGTAB,ORAL | LYNPARZA 150MG TAB | $13,789.89 | $0.00 | $11,612.75 |
00310-0668-12 | 120 | 36F79719D0274 | X | ASTRAZENEC | OLAPARIB 100MGTAB,ORAL | LYNPARZA 100MG TAB | $13,789.89 | $0.00 | $11,560.02 |