Browse by Standard Packs

Standard Packs and Prices for Ready Prepared Pharmaceutical Benefits

Previous Page | Next Page | 9 of 15
Item code Drug name
Form and Strength 		Pack size Price Manufacturer
14052N LAMOTRIGINElamotrigine 100 mg tablet, 56 56 $10.89 HX,ZS
11289E LANREOTIDElanreotide 120 mg/0.5 mL injection, 0.5 mL syringe 1 $1310.76 GH,IS
11513Y LANREOTIDElanreotide 120 mg/0.5 mL injection, 0.5 mL syringe 1 $1290.76 GH,IS
11527Q LANREOTIDElanreotide 120 mg/0.5 mL injection, 0.5 mL syringe 1 $1310.76 GH,IS
11736Q LANREOTIDElanreotide 120 mg/0.5 mL injection, 0.5 mL syringe 1 $1310.76 GH,IS
5779E LANREOTIDElanreotide 120 mg/0.5 mL injection, 0.5 mL syringe 1 $1290.76 GH,IS
6425E LANREOTIDElanreotide 120 mg/0.5 mL injection, 0.5 mL syringe 1 $1310.76 GH,IS
11315M LANREOTIDElanreotide 60 mg/0.5 mL injection, 0.5 mL syringe 1 $869.73 GH,IS
5777C LANREOTIDElanreotide 60 mg/0.5 mL injection, 0.5 mL syringe 1 $849.73 GH,IS
6423C LANREOTIDElanreotide 60 mg/0.5 mL injection, 0.5 mL syringe 1 $869.73 GH,IS
11316N LANREOTIDElanreotide 90 mg/0.5 mL injection, 0.5 mL syringe 1 $1150.87 GH,IS
5778D LANREOTIDElanreotide 90 mg/0.5 mL injection, 0.5 mL syringe 1 $1130.87 GH,IS
6424D LANREOTIDElanreotide 90 mg/0.5 mL injection, 0.5 mL syringe 1 $1150.87 GH,IS
14448K LANSOPRAZOLElansoprazole 15 mg enteric capsule, 30 30 $6.22 AF
12284M LANSOPRAZOLElansoprazole 30 mg enteric capsule, 28 28 $6.76 AF,RA,TX
14302R LANSOPRAZOLElansoprazole 30 mg enteric capsule, 28 28 $6.76 AF,RA,TX
14304W LANSOPRAZOLElansoprazole 30 mg enteric capsule, 28 28 $5.53 AF,RA,TX
14340R LANSOPRAZOLElansoprazole 30 mg enteric capsule, 28 28 $6.76 AF,RA,TX
14374M LANSOPRAZOLElansoprazole 15 mg orally disintegrating tablet, 28 28 $6.14 AF,GQ,TX
14374M LANSOPRAZOLElansoprazole 15 mg orally disintegrating tablet, 28 28 $10.94 PF
12276D LANSOPRAZOLElansoprazole 30 mg orally disintegrating tablet, 28 28 $6.76 AF,GQ,TX
12276D LANSOPRAZOLElansoprazole 30 mg orally disintegrating tablet, 28 28 $11.44 PF
14339Q LANSOPRAZOLElansoprazole 30 mg orally disintegrating tablet, 28 28 $5.53 AF,GQ,TX
14339Q LANSOPRAZOLElansoprazole 30 mg orally disintegrating tablet, 28 28 $10.21 PF
14342W LANSOPRAZOLElansoprazole 30 mg orally disintegrating tablet, 28 28 $6.76 AF,GQ,TX
14342W LANSOPRAZOLElansoprazole 30 mg orally disintegrating tablet, 28 28 $11.44 PF
14406F LANSOPRAZOLElansoprazole 30 mg orally disintegrating tablet, 28 28 $6.76 AF,GQ,TX
14406F LANSOPRAZOLElansoprazole 30 mg orally disintegrating tablet, 28 28 $11.44 PF
14060B LANTHANUMlanthanum 500 mg chewable tablet, 2 x 45 90 $186.69 TK
5780F LANTHANUMlanthanum 500 mg chewable tablet, 2 x 45 90 $165.40 TK
9635D LANTHANUMlanthanum 500 mg chewable tablet, 2 x 45 90 $172.02 TK
13986D LANTHANUMlanthanum 750 mg chewable tablet, 6 x 15 90 $281.92 TK
5781G LANTHANUMlanthanum 750 mg chewable tablet, 6 x 15 90 $249.76 TK
9636E LANTHANUMlanthanum 750 mg chewable tablet, 6 x 15 90 $259.75 TK
13874F LANTHANUMlanthanum 1 g chewable tablet, 6 x 15 90 $317.38 TK
5782H LANTHANUMlanthanum 1 g chewable tablet, 6 x 15 90 $281.17 TK
9637F LANTHANUMlanthanum 1 g chewable tablet, 6 x 15 90 $292.42 TK
11251E LAPATINIBlapatinib 250 mg tablet, 70 70 $1100.97 NV
9148L LAPATINIBlapatinib 250 mg tablet, 70 70 $1100.97 NV
14453Q LATANOPROSTlatanoprost 0.005% eye drops, 2.5 mL 1 $6.76 AF,AS,SZ,TX
14350G LATANOPROST + TIMOLOLlatanoprost 0.005% + timolol 0.5% eye drops, 2.5 mL 1 $10.61 AF,AS,TX
13940Q LEFLUNOMIDEleflunomide 10 mg tablet, 30 30 $13.37 AF,HQ,RW,SW,SZ,TX,WG
14068K LEFLUNOMIDEleflunomide 10 mg tablet, 30 30 $13.37 AF,HQ,SW,SZ,TX,WG
13998R LEFLUNOMIDEleflunomide 20 mg tablet, 30 30 $19.07 AF,HQ,SW,SZ,TX,WG
14069L LEFLUNOMIDEleflunomide 20 mg tablet, 30 30 $19.07 AF,HQ,RW,SW,SZ,TX,WG
11638M LENVATINIBlenvatinib 4 mg capsule, 30 30 $2051.35 EI
13252L LENVATINIBlenvatinib 4 mg capsule, 30 30 $2068.01 EI
13290L LENVATINIBlenvatinib 4 mg capsule, 30 30 $2068.01 EI
10965D LENVATINIBlenvatinib 10 mg capsule, 30 30 $2077.03 EI
13253M LENVATINIBlenvatinib 10 mg capsule, 30 30 $2077.03 EI
13283D LENVATINIBlenvatinib 10 mg capsule, 30 30 $2077.03 EI
13411W LERCANIDIPINElercanidipine hydrochloride 10 mg tablet, 28 28 $5.17 AL,RW,TX,WG
13411W LERCANIDIPINElercanidipine hydrochloride 10 mg tablet, 28 28 $8.65 GO
13412X LERCANIDIPINElercanidipine hydrochloride 20 mg tablet, 28 28 $6.22 AL,RW,TX,WG
13412X LERCANIDIPINElercanidipine hydrochloride 20 mg tablet, 28 28 $9.72 GO
13507X LERCANIDIPINE + ENALAPRILlercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 28 $7.44 GO
13477H LERCANIDIPINE + ENALAPRILlercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 28 $8.22 GO
13939P LETROZOLEletrozole 2.5 mg tablet, 30 30 $10.58 AF,CR,HQ,SZ,WG,XT,ZS
13939P LETROZOLEletrozole 2.5 mg tablet, 30 30 $18.08 NV
13993L LEVETIRACETAMlevetiracetam 100 mg/mL oral liquid, 300 mL 1 $67.83 AE,GQ,TX,UC,ZS
13937M LEVETIRACETAMlevetiracetam 1 g tablet, 60 60 $30.16 GQ,MQ,RW,SZ,TX,UC,WG,ZS
13992K LEVETIRACETAMlevetiracetam 250 mg tablet, 60 60 $10.18 GQ,MQ,RW,SZ,TX,UC,WG,ZS
14034P LEVETIRACETAMlevetiracetam 500 mg tablet, 60 60 $15.32 AL,GQ,MQ,RW,SZ,TX,UC,WG,ZS
14525L LEVODOPA + BENSERAZIDElevodopa 100 mg + benserazide 25 mg modified release capsule, 100 100 $22.09 RO
14551W LEVODOPA + BENSERAZIDElevodopa 200 mg + benserazide 50 mg capsule, 100 100 $28.49 RO
14388G LEVODOPA + BENSERAZIDElevodopa 50 mg + benserazide 12.5 mg capsule, 100 100 $14.17 RO
14552X LEVODOPA + BENSERAZIDElevodopa 100 mg + benserazide 25 mg dispersible tablet, 100 100 $24.27 RO
14356N LEVODOPA + BENSERAZIDElevodopa 50 mg + benserazide 12.5 mg dispersible tablet, 100 100 $14.17 RO
14455T LEVODOPA + BENSERAZIDElevodopa 100 mg + benserazide 25 mg tablet, 100 100 $18.53 RO
14428J LEVODOPA + BENSERAZIDElevodopa 200 mg + benserazide 50 mg tablet, 100 100 $28.49 RO
14387F LEVODOPA + BENSERAZIDElevodopa 100 mg + benserazide 25 mg capsule, 100 100 $18.53 RO
11910W LEVODOPA + CARBIDOPAlevodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL 7 $1452.00 VE
11913B LEVODOPA + CARBIDOPAlevodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL 7 $1442.00 VE
11919H LEVODOPA + CARBIDOPAlevodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL 7 $1473.75 VE
8970D LEVODOPA + CARBIDOPAlevodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL 7 $1461.26 VE
9743T LEVODOPA + CARBIDOPAlevodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL 7 $1442.00 VE
9744W LEVODOPA + CARBIDOPAlevodopa 20 mg/mL + carbidopa monohydrate 5 mg/mL intestinal gel, 7 x 100 mL 7 $1447.00 VE
14427H LEVODOPA + CARBIDOPAlevodopa 100 mg + carbidopa 25 mg tablet, 100 100 $21.44 AF,AL,OX,RW,TX
14322T LEVODOPA + CARBIDOPAlevodopa 200 mg + carbidopa 50 mg modified release tablet, 100 100 $58.61 AL
14454R LEVODOPA + CARBIDOPAlevodopa 250 mg + carbidopa 25 mg tablet, 100 100 $25.87 AL,RW,TX
14498C LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 75 mg + carbidopa 18.75 mg + entacapone 200 mg tablet, 100 100 $47.16 HX,SZ,TB,TX
9344T LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 75 mg + carbidopa 18.75 mg + entacapone 200 mg tablet, 100 100 $47.40 HX,SZ,TB,TX
14554B LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 100 mg + carbidopa 25 mg + entacapone 200 mg tablet, 100 100 $49.81 HX,SZ,TB,TX
8798C LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 100 mg + carbidopa 25 mg + entacapone 200 mg tablet, 100 100 $49.92 HX,SZ,TB,TX
14527N LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 125 mg + carbidopa 31.25 mg + entacapone 200 mg tablet, 100 100 $51.69 HX,SZ,TB,TX
9345W LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 125 mg + carbidopa 31.25 mg + entacapone 200 mg tablet, 100 100 $51.71 HX,SZ,TB,TX
14357P LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 150 mg + carbidopa 37.5 mg + entacapone 200 mg tablet, 100 100 $54.53 HX,SZ,TB,TX
8799D LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 150 mg + carbidopa 37.5 mg + entacapone 200 mg tablet, 100 100 $54.50 HX,SZ,TB,TX
14457X LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 200 mg + carbidopa 50 mg + entacapone 200 mg tablet, 100 100 $58.86 HX,SZ,TB,TX
9292C LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 200 mg + carbidopa 50 mg + entacapone 200 mg tablet, 100 100 $58.84 HX,SZ,TB,TX
14456W LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 50 mg + carbidopa 12.5 mg + entacapone 200 mg tablet, 100 100 $45.09 HX,SZ,TB,TX
8797B LEVODOPA + CARBIDOPA + ENTACAPONElevodopa 50 mg + carbidopa 12.5 mg + entacapone 200 mg tablet, 100 100 $45.42 HX,SZ,TB,TX
13954K LINAGLIPTINlinagliptin 5 mg tablet, 30 30 $43.70 BY
13959Q LINAGLIPTIN + METFORMINlinagliptin 2.5 mg + metformin hydrochloride 500 mg tablet, 60 60 $45.72 BY
14065G LINAGLIPTIN + METFORMINlinagliptin 2.5 mg + metformin hydrochloride 850 mg tablet, 60 60 $46.55 BY
13879L LINAGLIPTIN + METFORMINlinagliptin 2.5 mg + metformin hydrochloride 1 g tablet, 60 60 $47.03 BY
13966C LIOTHYRONINEliothyronine sodium 20 microgram tablet, 100 100 $46.75 AS
14352J LIQUID PARAFFIN + GLYCEROL + TYLOXAPOL + POLOXAMER-188 + TROMETAMOL HYDROCHLORIDE + TROMETAMOL + CETALKONIUM CHLORIDEliquid paraffin + glycerol + tyloxapol + poloxamer-188 + trometamol hydrochloride + trometamol + cetalkonium chloride eye drops, 10 mL 1 $24.80 CS
13584Y LISINOPRILlisinopril 10 mg tablet, 30 30 $6.22 AL,RW,SZ,TX,WG
13584Y LISINOPRILlisinopril 10 mg tablet, 30 30 $11.06 IX
13402J LISINOPRILlisinopril 20 mg tablet, 30 30 $6.54 AL,RW,SZ,TX,WG
13402J LISINOPRILlisinopril 20 mg tablet, 30 30 $11.37 IX
13583X LISINOPRILlisinopril 5 mg tablet, 30 30 $5.18 AL,RW,SZ,TX,WG
13583X LISINOPRILlisinopril 5 mg tablet, 30 30 $10.00 IX
8290H LITHIUM CARBONATElithium carbonate 450 mg modified release tablet, 100 100 $36.29 AS
10889D LOPERAMIDEloperamide hydrochloride 2 mg capsule, 12 12 $2.47 AS,CR
10327M LOPINAVIR + RITONAVIRlopinavir 400 mg/5 mL + ritonavir 100 mg/5 mL oral liquid, 60 mL 1 $84.77 VE
10272P LOPINAVIR + RITONAVIRlopinavir 200 mg + ritonavir 50 mg tablet, 120 120 $450.08 VE
15052F LUMASIRANLumasiran 94.5 mg/0.5 mL injection, 0.5 mL vial 1 $98017.38 WM
15060P LUMASIRANLumasiran 94.5 mg/0.5 mL injection, 0.5 mL vial 1 $98017.38 WM
10465T LUTROPIN ALFAlutropin alfa 75 units injection [1 vial] (&) inert substance diluent [1 mL vial], 1 pack 1 $96.20 SG
14341T MACROGOL-3350macrogol-3350 1 g/g powder for oral liquid, 510 g 1 $11.93 KY
5426N MACROGOL-3350macrogol-3350 1 g/g powder for oral liquid, 510 g 1 $11.93 KY
14408H MACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDEmacrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets 1 $16.37 GX,OW,RF,RW,TX
5389P MACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDEmacrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets 1 $16.37 GX,OW,RF,RW,TX
2008Q MANNITOLmannitol 40 mg powder for inhalation, 280 capsules 1 $457.30 HT
2015C MANNITOLmannitol 40 mg powder for inhalation, 280 capsules 1 $447.30 HT
10318C MARAVIROCmaraviroc 150 mg tablet, 60 60 $608.48 IX,VI
10355B MARAVIROCmaraviroc 300 mg tablet, 60 60 $608.48 IX,VI
14856X MARIBAVIRmaribavir 200 mg tablet, 28 28 $7050.00 TK
14865J MARIBAVIRmaribavir 200 mg tablet, 28 28 $7060.00 TK
14866K MARIBAVIRmaribavir 200 mg tablet, 28 28 $7060.00 TK
9327X MEDIUM CHAIN TRIGLYCERIDESmedium chain triglycerides oral liquid, 250 mL bottle 1 $20.25 SB
3128P MEDIUM CHAIN TRIGLYCERIDESmedium chain triglycerides oral oil, 500 mL 1 $53.01 SB
13849X MEDROXYPROGESTERONEmedroxyprogesterone acetate 10 mg tablet, 30 30 $16.03 PF
13849X MEDROXYPROGESTERONEmedroxyprogesterone acetate 10 mg tablet, 30 30 $9.33 FZ
13928C MEDROXYPROGESTERONEmedroxyprogesterone acetate 10 mg tablet, 100 100 $32.06 PF
13928C MEDROXYPROGESTERONEmedroxyprogesterone acetate 10 mg tablet, 100 100 $25.36 FZ
14067J MEDROXYPROGESTERONEmedroxyprogesterone acetate 100 mg tablet, 100 100 $76.53 PF
13881N MEDROXYPROGESTERONEmedroxyprogesterone acetate 200 mg tablet, 60 60 $87.29 PF
13961T MEDROXYPROGESTERONEmedroxyprogesterone acetate 250 mg tablet, 60 60 $89.94 PF
13956M MEDROXYPROGESTERONEmedroxyprogesterone acetate 5 mg tablet, 56 56 $12.52 PF
13956M MEDROXYPROGESTERONEmedroxyprogesterone acetate 5 mg tablet, 56 56 $7.94 FZ
1598D MERCAPTOPURINEmercaptopurine monohydrate 50 mg tablet, 25 25 $40.17 LM
1598D MERCAPTOPURINEmercaptopurine monohydrate 50 mg tablet, 25 25 $42.03 AS
13356Y MESALAZINEmesalazine 1.2 g modified release tablet, 120 120 $165.08 RA
12463Y MESALAZINEmesalazine 1.6 g enteric tablet, 60 60 $72.57 EU
13395B MESALAZINEmesalazine 1.6 g enteric tablet, 60 60 $72.60 EU
13422K MESALAZINEmesalazine 800 mg enteric tablet, 90 90 $68.89 EU
11554D MESALAZINEmesalazine 1 g enteric tablet, 60 60 $64.60 FD
13394Y MESALAZINEmesalazine 1 g enteric tablet, 60 60 $64.63 FD
13456F MESALAZINEmesalazine 4 g modified release granules, 30 sachets 30 $120.86 FP
13518L MESALAZINEmesalazine 3 g modified release granules, 30 sachets 30 $92.57 FD
13355X MESALAZINEmesalazine 1 g modified release granules, 100 sachets 100 $98.14 FP
13398E MESALAZINEmesalazine 1 g modified release granules, 100 sachets 100 $107.15 FD
14843F MESALAZINEmesalazine 1 g suppository, 30 30 $90.64 FD
13460K MESALAZINEmesalazine 1.5 g modified release granules, 60 sachets 60 $92.57 FD
13361F MESALAZINEmesalazine 500 mg modified release granules, 100 sachets 100 $57.31 FD
8598M MESALAZINEmesalazine 500 mg modified release granules, 100 sachets 100 $57.29 FD
13397D MESALAZINEmesalazine 2 g modified release granules, 60 sachets 60 $120.86 FP
14850N MESALAZINEmesalazine 1 g suppository, 28 28 $73.11 FP
13576M MESALAZINEmesalazine 1 g modified release tablet, 60 60 $64.29 FP
3413P MESALAZINEmesalazine 1 g modified release tablet, 60 60 $64.27 FP
13487W MESALAZINEmesalazine 1.2 g modified release tablet, 60 60 $82.54 NQ,TK,TN
9353G MESALAZINEmesalazine 1.2 g modified release tablet, 60 60 $82.52 NQ,TK,TN
13423L MESALAZINEmesalazine 250 mg enteric tablet, 100 100 $34.10 GO
13362G MESALAZINEmesalazine 500 mg enteric tablet, 100 100 $57.31 FD
8731M MESALAZINEmesalazine 500 mg enteric tablet, 100 100 $57.29 FD
13396C MESALAZINEmesalazine 500 mg modified release tablet, 100 100 $57.31 FP
2214M MESALAZINEmesalazine 500 mg modified release tablet, 100 100 $57.29 FP
14848L MESALAZINEmesalazine 1 g/100 mL enema, 7 x 100 mL 1 $51.69 FP
8753Q MESALAZINEmesalazine 1 g/100 mL enema, 7 x 100 mL 1 $51.68 FP
14838Y MESALAZINEmesalazine 2 g/60 mL enema, 7 x 60 mL 1 $51.69 FD
8616L MESALAZINEmesalazine 2 g/60 mL enema, 7 x 60 mL 1 $51.68 FD
14847K MESALAZINEmesalazine 4 g/60 mL enema, 7 x 60 mL 1 $80.87 FD
8617M MESALAZINEmesalazine 4 g/60 mL enema, 7 x 60 mL 1 $80.86 FD
14840C MESALAZINEmesalazine 1 g/application foam, 14 applications 1 $59.83 FD
8768L MESALAZINEmesalazine 1 g/application foam, 14 applications 1 $59.82 FD
14056T METFORMINmetformin hydrochloride 1 g tablet, 90 90 $6.76 AF,BG,HQ,MQ,RW,SZ,TY,WG,ZS
14056T METFORMINmetformin hydrochloride 1 g tablet, 90 90 $11.65 AL
13847T METFORMINmetformin hydrochloride 1 g modified release tablet, 60 60 $6.76 AF,BG,CR,GQ,MQ,RF,SZ,TX,WG
13847T METFORMINmetformin hydrochloride 1 g modified release tablet, 60 60 $12.10 AL
13976N METFORMINmetformin hydrochloride 500 mg tablet, 100 100 $5.69 AF,BG,HQ,MQ,RF,SZ,TY,WG,ZS
13976N METFORMINmetformin hydrochloride 500 mg tablet, 100 100 $11.16 AL
13899M METFORMINmetformin hydrochloride 500 mg modified release tablet, 120 120 $6.76 BG,CR,GQ,MQ,RW,SZ,TX,WG
13899M METFORMINmetformin hydrochloride 500 mg modified release tablet, 120 120 $12.10 AL
13952H METFORMINmetformin hydrochloride 850 mg tablet, 60 60 $5.69 AF,BG,MQ,RF,SZ,TY,WG,ZS
13952H METFORMINmetformin hydrochloride 850 mg tablet, 60 60 $11.16 AL
14193B METHADONEmethadone hydrochloride 10 mg/mL injection, 5 x 1 mL vials 5 $37.21 AS
13333R METHADONEmethadone hydrochloride 5 mg/mL oral liquid, 1 L 1000 $36.52 AS,MW
13334T METHADONEmethadone hydrochloride 5 mg/mL oral liquid, 200 mL 200 $8.70 AS,MW
12520Y METHADONEmethadone hydrochloride 10 mg tablet, 20 20 $6.12 AE,AS
14005D METHENAMINE HIPPURATEmethenamine hippurate 1 g tablet, 100 100 $20.76 AS,IL,RW,TX
11295L METHOTREXATEmethotrexate 25 mg/0.5 mL injection, 0.5 mL syringe 1 $20.58 LM
11275K METHOTREXATEmethotrexate 7.5 mg/0.15 mL injection, 0.15 mL syringe 1 $20.58 LM
14091P METHOTREXATEmethotrexate 7.5 mg/0.15 mL injection, 0.15 mL syringe 1 $20.58 LM
11283W METHOTREXATEmethotrexate 10 mg/0.2 mL injection, 0.2 mL syringe 1 $20.58 LM
14089M METHOTREXATEmethotrexate 10 mg/0.2 mL injection, 0.2 mL syringe 1 $20.58 LM
11268C METHOTREXATEmethotrexate 15 mg/0.3 mL injection, 0.3 mL syringe 1 $20.58 LM
11288D METHOTREXATEmethotrexate 20 mg/0.4 mL injection, 0.4 mL syringe 1 $20.58 LM
13882P METHOTREXATEmethotrexate 50 mg/2 mL injection, 5 x 2 mL vials 5 $29.88 PF
Previous Page | Next Page | 9 of 15