Pharmaceutical Catalog Search
1 - 72 of 72 records
| NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
|---|---|---|---|---|---|---|---|---|---|
| 69375-0013-10 | 100 | 36F79726D0030 | X | Nationwide | CYANOCOBALAMIN 500MCG TAB | CYANOCOBALAMIN 500MCG TAB | $2.13 | $0.00 | $0.00 |
| 69375-0007-10 | 100 | 36F79726D0030 | X | Nationwide | CYANOCOBALAMIN 1000MCG TAB | CYANOCOBALAMIN 1000MCG TAB | $2.13 | $0.00 | $0.00 |
| 69375-0009-10 | 100 | 36F79726D0030 | X | Nationwide | FERROUS GLUCONATE 324MG TAB | FERROUS GLUCONATE 324MG TAB | $2.97 | $0.00 | $0.00 |
| 69315-0116-01 | 100 | 36F79726D0030 | X | Nationwide | FUROSEMIDE 20MG TAB | FUROSEMIDE 20MG TAB | $3.23 | $0.00 | $0.00 |
| 69375-0008-10 | 100 | 36F79726D0030 | X | Nationwide | MAGNESIUM OXIDE 420MG TAB | MAGNESIUM OXIDE 420MG TAB | $3.40 | $0.00 | $0.00 |
| 69315-0117-01 | 100 | 36F79726D0030 | X | Nationwide | FUROSEMIDE 40MG TAB | FUROSEMIDE 40MG TAB | $3.44 | $0.00 | $0.00 |
| 69375-0014-95 | 180 | 36F79726D0030 | X | Nationwide | CHOLECALCIFEROL 25MCG (1,000UNIT) TAB | CHOLECALCIFEROL 25MCG (1,000UNIT) TAB | $3.50 | $0.00 | $0.00 |
| 69375-0012-10 | 100 | 36F79726D0030 | X | Nationwide | RIBOFLAVIN 100MG TAB | RIBOFLAVIN 100MG TAB | $3.50 | $0.00 | $0.00 |
| 69315-0306-15 | 15GM | 36F79726D0030 | X | Nationwide | NYSTATIN 100000UNT/GM PWDR,TOP | NYSTATIN 100000UNT/GM PWDR,TOP | $4.10 | $0.00 | $0.00 |
| 72578-0003-14 | 60 | 36F79726D0030 | X | Nationwide | MEMANTINE HCL 5MG TAB | MEMANTINE HCL 5MG TAB | $4.99 | $0.00 | $0.00 |
| 72578-0004-14 | 60 | 36F79726D0030 | X | Nationwide | MEMANTINE HCL 10MG TAB | MEMANTINE HCL 10MG TAB | $5.10 | $0.00 | $0.00 |
| 69315-0118-01 | 100 | 36F79726D0030 | X | Nationwide | FUROSEMIDE 80MG TAB | FUROSEMIDE 80MG TAB | $5.91 | $0.00 | $0.00 |
| 69375-0003-10 | 100 | 36F79726D0030 | X | Nationwide | FERROUS SO4 324MG TAB,EC | FERROUS SO4 324MG TAB,EC | $6.46 | $0.00 | $0.00 |
| 00054-3500-49 | 100ML | 36F79726D0030 | X | Nationwide | LIDOCAINE HCL 2% LIQUID,VISCOUS | LIDOCAINE HCL 2% LIQUID,VISCOUS | $6.99 | $0.00 | $0.00 |
| 69315-0306-30 | 30GM | 36F79726D0030 | X | Nationwide | NYSTATIN 100000UNT/GM PWDR,TOP | NYSTATIN 100000UNT/GM PWDR,TOP | $8.00 | $0.00 | $0.00 |
| 69375-0006-60 | 56.5GM | 36F79726D0030 | X | Nationwide | CAPSAICIN 0.1% CREAM,TOP | CAPSAICIN HP ARTHRITIS PAIN RELIEF CREAM 0.1% | $8.50 | $0.00 | $0.00 |
| 69375-0005-30 | 28GM | 36F79726D0030 | X | Nationwide | LIDOCAINE 4% CREAM,TOP | LIDOCAINE 4% CREAM,TOP | $8.50 | $0.00 | $0.00 |
| 00054-0709-25 | 100 | 36F79726D0030 | X | Nationwide | METHADONE HCL 5MG TAB | METHADONE HCL 5MG TAB | $9.25 | $0.00 | $0.00 |
| 45802-0141-67 | 6.6ML | 36F79726D0030 | X | Nationwide | CICLOPIROX 8% SOLN,TOP | CICLOPIROX 8% SOLN,TOP | $10.50 | $0.00 | $0.00 |
| 45802-0216-96 | 60GM | 36F79726D0030 | X | Nationwide | BENZOYL PEROXIDE 5% (WATER BASED) GEL,TOP | BENZOYL PEROXIDE 5% (WATER BASED) GEL,TOP | $11.43 | $0.00 | $0.00 |
| 69315-0306-60 | 60GM | 36F79726D0030 | X | Nationwide | NYSTATIN 100000UNT/GM PWDR,TOP | NYSTATIN 100000UNT/GM PWDR,TOP | $11.50 | $0.00 | $0.00 |
| 45802-0308-96 | 60GM | 36F79726D0030 | Nationwide | BENZOYL PEROXIDE 10% (WATER BASED) GEL,TOP | BENZOYL PEROXIDE 10% (WATER BASED) GEL,TOP | $11.70 | $0.00 | $0.00 | |
| 69315-0312-28 | 28GM | 36F79726D0030 | X | Nationwide | HYDROCORTISONE 2.5% CREAM,RTL W/APPLICATOR | PROCTO-MED HC 2.5% CREAM,RTL W/APPLICATOR | $11.86 | $0.00 | $0.00 |
| 45802-0101-96 | 60GM | 36F79726D0030 | X | Nationwide | BENZOYL PEROXIDE 2.5% GEL,TOP | BENZOYL PEROXIDE 2.5% GEL,TOP | $11.99 | $0.00 | $0.00 |
| 00054-0011-25 | 100 | 36F79726D0030 | X | Nationwide | FLECAINIDE ACETATE 100MG TAB | FLECAINIDE ACETATE 100MG TAB | $16.65 | $0.00 | $0.00 |
| 45802-0952-43 | 473ML | 36F79726D0030 | Nationwide | IBUPROFEN 100MG/5ML SUSP,ORAL | IBUPROFEN 100MG/5ML SUSP,ORAL | $21.40 | $0.00 | $0.00 | |
| 69315-0118-05 | 500 | 36F79726D0030 | X | Nationwide | FUROSEMIDE 80MG TAB | FUROSEMIDE 80MG TAB | $25.45 | $0.00 | $0.00 |
| 45802-0269-37 | 60GM | 36F79726D0030 | X | Nationwide | PERMETHRIN 5% CREAM | PERMETHRIN 5% CREAM | $25.50 | $0.00 | $0.00 |
| 00054-0709-20 | 100 | 36F79726D0030 | X | Nationwide | METHADONE HCL 5MG TAB | METHADONE HCL 5MG TAB UD | $26.14 | $0.00 | $0.00 |
| 00054-3185-44 | 30ML | 36F79726D0030 | X | Nationwide | DIAZEPAM 5MG/ML CONC,ORAL | DIAZEPAM 5MG/ML CONC,ORAL | $27.05 | $0.00 | $0.00 |
| 45802-0129-35 | 15GM | 36F79726D0030 | X | Nationwide | HALOBETASOL PROPIONATE 0.05% CREAM,TOP | HALOBETASOL PROPIONATE 0.05% CREAM,TOP | $28.05 | $0.00 | $0.00 |
| 69315-0116-10 | 1000 | 36F79726D0030 | X | Nationwide | FUROSEMIDE 20MG TAB | FUROSEMIDE 20MG TAB | $30.68 | $0.00 | $0.00 |
| 69315-0904-05 | 500 | 36F79726D0030 | X | Nationwide | LORAZEPAM 0.5MG TAB | LORAZEPAM 0.5MG TAB | $31.88 | $0.00 | $0.00 |
| 45802-0097-35 | 42.5GM | 36F79726D0030 | X | Nationwide | ESTRADIOL 0.01% CREAM,VAG | ESTRADIOL 0.01% CREAM,VAG | $32.00 | $0.00 | $0.00 |
| 69315-0117-10 | 1000 | 36F79726D0030 | X | Nationwide | FUROSEMIDE 40MG TAB | FUROSEMIDE 40MG TAB | $32.71 | $0.00 | $0.00 |
| 45802-0046-35 | 15GM | 36F79726D0030 | X | Nationwide | GENTAMICIN SO4 0.1% OINT,TOP | GENTAMICIN SO4 0.1% OINT,TOP | $33.58 | $0.00 | $0.00 |
| 45802-0056-35 | 15GM | 36F79726D0030 | X | Nationwide | GENTAMICIN SO4 0.1% CREAM,TOP | GENTAMICIN SO4 0.1% CREAM,TOP | $33.58 | $0.00 | $0.00 |
| 00054-0084-25 | 100 | 36F79726D0030 | X | Nationwide | ZALEPLON 5MG CAP | ZALEPLON 5MG CAP | $34.00 | $0.00 | $0.00 |
| 00054-0085-25 | 100 | 36F79726D0030 | X | Nationwide | ZALEPLON 10MG CAP | ZALEPLON 10MG CAP | $35.70 | $0.00 | $0.00 |
| 00054-0176-13 | 30 | 36F79726D0030 | X | Nationwide | BUPRENORPHINE HCL 2MG TAB,SUBLINGUAL | BUPRENORPHINE HCL 2MG TAB,SUBLINGUAL | $38.25 | $0.00 | $0.00 |
| 45802-0401-09 | 120ML | 36F79726D0030 | X | Nationwide | CICLOPIROX 1% SHAMPOO,TOP | CICLOPIROX 1% SHAMPOO,TOP | $38.57 | $0.00 | $0.00 |
| 45802-0437-32 | 50GM | 36F79726D0030 | X | Nationwide | CLOBETASOL PROPIONATE 0.05% FOAM,TOP | CLOBETASOL PROPIONATE 0.05% FOAM,TOP | $42.50 | $0.00 | $0.00 |
| 00054-3556-63 | 500ML | 36F79726D0030 | X | Nationwide | MEPERIDINE HCL 10MG/5ML SYRUP | MEPERIDINE HCL 10MG/5ML SYRUP | $46.97 | $0.00 | $0.00 |
| 00054-0010-20 | 100 | 36F79726D0030 | X | Nationwide | FLECAINIDE ACETATE 50MG TAB | FLECAINIDE ACETATE 50MG TAB UD | $47.81 | $0.00 | $0.00 |
| 00054-3090-36 | 2.5ML | 36F79726D0030 | X | Nationwide | BUTORPHANOL TARTRATE 10MG/ML SOLN,SPRAY,NASAL | BUTORPHANOL TARTRATE 10MG/ML SOLN,SPRAY,NASAL | $47.94 | $0.00 | $0.00 |
| 00054-3188-63 | 500ML | 36F79726D0030 | X | Nationwide | DIAZEPAM 5MG/5ML SOLN,ORAL | DIAZEPAM 5MG/5ML SOLN,ORAL | $49.09 | $0.00 | $0.00 |
| 69315-0906-05 | 500 | 36F79726D0030 | X | Nationwide | LORAZEPAM 2MG TAB | LORAZEPAM 2MG TAB | $49.94 | $0.00 | $0.00 |
| 00054-0064-47 | 50ML | 36F79726D0030 | X | Nationwide | ONDANSETRON HCL 4MG/5ML SOLN,ORAL | ONDANSETRON HCL 4MG/5ML SOLN,ORAL | $50.05 | $0.00 | $0.00 |
| 45802-0761-30 | 30GM | 36F79726D0030 | X | Nationwide | FLUOCINONIDE 0.05% GEL,TOP | FLUOCINONIDE 0.05% GEL,TOP | $50.98 | $0.00 | $0.00 |
| 45802-0098-51 | 7X60ML | 36F79726D0030 | X | Nationwide | MESALAMINE 4GM/60ML SUSP,RTL | MESALAMINE 4GM/60ML SUSP,RTL | $59.50 | $0.00 | $0.00 |
| 69315-0904-10 | 1000 | 36F79726D0030 | X | Nationwide | LORAZEPAM 0.5MG TAB | LORAZEPAM 0.5MG TAB | $62.28 | $0.00 | $0.00 |
| 45802-0056-11 | 30GM | 36F79726D0030 | X | Nationwide | GENTAMICIN SO4 0.1% CREAM,TOP | GENTAMICIN SO4 0.1% CREAM,TOP | $67.15 | $0.00 | $0.00 |
| 45802-0046-11 | 30GM | 36F79726D0030 | X | Nationwide | GENTAMICIN SO4 0.1% OINT,TOP | GENTAMICIN SO4 0.1% OINT,TOP | $67.15 | $0.00 | $0.00 |
| 72578-0003-05 | 500 | 36F79726D0030 | X | Nationwide | MEMANTINE HCL 5MG TAB | MEMANTINE HCL 5MG TAB | $68.09 | $0.00 | $0.00 |
| 00054-3545-63 | 500ML | 36F79726D0030 | X | Nationwide | MEPERIDINE HCL 50MG/5ML SYRUP | MEPERIDINE HCL 50MG/5ML SYRUP | $71.73 | $0.00 | $0.00 |
| 58657-0735-01 | 100 | 36F79726D0030 | X | Nationwide | CAPTOPRIL 12.5MG TAB | CAPTOPRIL 12.5MG TAB | $76.50 | $0.00 | $0.00 |
| 00054-3068-44 | 30ML | 36F79726D0030 | X | Nationwide | ALPRAZOLAM 1MG/ML CONC,ORAL | ALPRAZOLAM 1MG/ML CONC,ORAL | $77.88 | $0.00 | $0.00 |
| 00054-0011-20 | 100 | 36F79726D0030 | X | Nationwide | FLECAINIDE ACETATE 100MG TAB | FLECAINIDE ACETATE 100MG TAB UD | $78.14 | $0.00 | $0.00 |
| 58657-0736-01 | 100 | 36F79726D0030 | X | Nationwide | CAPTOPRIL 25MG TAB | CAPTOPRIL 25MG TAB | $80.75 | $0.00 | $0.00 |
| 72578-0004-05 | 500 | 36F79726D0030 | X | Nationwide | MEMANTINE HCL 10MG TAB | MEMANTINE HCL 10MG TAB | $86.70 | $0.00 | $0.00 |
| 69315-0906-10 | 1000 | 36F79726D0030 | X | Nationwide | LORAZEPAM 2MG TAB | LORAZEPAM 2MG TAB | $98.12 | $0.00 | $0.00 |
| 69315-0186-24 | 24 | 36F79726D0030 | X | Nationwide | LEUCOVORIN CALCIUM 15MG TAB | LEUCOVORIN CALCIUM 15MG TAB | $104.97 | $0.00 | $0.00 |
| 58657-0737-01 | 100 | 36F79726D0030 | X | Nationwide | CAPTOPRIL 50MG TAB | CAPTOPRIL 50MG TAB | $148.75 | $0.00 | $0.00 |
| 69315-0212-01 | 100 | 36F79726D0030 | X | Nationwide | NIFEDIPINE 20MG CAP | NIFEDIPINE 20MG CAP | $156.58 | $0.00 | $0.00 |
| 58657-0738-01 | 100 | 36F79726D0030 | X | Nationwide | CAPTOPRIL 100MG TAB | CAPTOPRIL 100MG TAB | $170.00 | $0.00 | $0.00 |
| 13517-0100-30 | 30ML | 36F79726D0030 | X | Nationwide | DIAZOXIDE 50MG/ML SUSP,ORAL | DIAZOXIDE 50MG/ML SUSP,ORAL | $205.61 | $0.00 | $0.00 |
| 00054-0282-59 | 4X75ML | 36F79726D0030 | X | Nationwide | ALENDRONATE 70MG/75ML SOLN,ORAL | ALENDRONATE 70MG/75ML SOLN,ORAL | $234.58 | $0.00 | $0.00 |
| 45802-0637-32 | 50GM | 36F79726D0030 | X | Nationwide | CLOBETASOL PROPIONATE 0.05% FOAM,TOP | CLOBETASOL PROPIONATE 0.05% FOAM,TOP | $238.52 | $0.00 | $0.00 |
| 45802-0436-94 | 30GM | 36F79726D0030 | X | Nationwide | TAZAROTENE 0.05% GEL,TOP | TAZAROTENE 0.05% GEL,TOP | $285.05 | $0.00 | $0.00 |
| 00054-0319-50 | 150ML | 36F79726D0030 | X | Nationwide | LINEZOLID 100MG/5ML SUSP,ORAL | LINEZOLID 100MG/5ML SUSP,ORAL | $387.57 | $0.00 | $0.00 |
| 45802-0078-30 | 30GM | 36F79726D0030 | X | Nationwide | BRIMONIDINE TARTRATE 0.33% GEL,TOP | BRIMONIDINE TARTRATE 0.33% GEL,TOP | $420.05 | $0.00 | $0.00 |
| 69315-0701-50 | 1 | 36F79726D0030 | X | Nationwide | ETHACRYNATE NA 50MG/VIL INJ | ETHACRYNATE NA 50MG/VIL INJ | $1,615.01 | $0.00 | $0.00 |
