NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
---|---|---|---|---|---|---|---|---|---|
55513-0223-01 | 1X0.25ML | 36F79721D0086 | X | Amgen USA, | ROMIPLOSTIM 125MCG/VIL INJ | NPLATE 125MCG SDV INJ | $1,180.75 | $0.00 | $832.70 |
55513-0221-01 | 1X0.5ML | 36F79721D0086 | X | Amgen USA, | ROMIPLOSTIM 250MCG/VIL INJ | NPLATE 250MCG SDV INJ | $2,361.51 | $0.00 | $1,656.06 |
55513-0222-01 | 1X1ML | 36F79721D0086 | X | Amgen USA, | ROMIPLOSTIM 500MCG/VIL INJ | NPLATE 500MCG SDV INJ | $4,722.99 | $0.00 | $3,313.31 |