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Standard Packs and Prices for Ready Prepared Pharmaceutical Benefits

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Item code Drug name
Form and Strength
Pack size Price Manufacturer
1003T ACICLOVIRaciclovir 200 mg tablet, 25 25 $8.12 HX
12360M ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $869.70 VE
12374G ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $869.70 VE
12419P ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $869.70 VE
12426B ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $869.70 VE
12448E ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $878.08 VE
12449F ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $878.08 VE
12450G ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $869.70 VE
12339K ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $869.70 VE
12372E ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $869.70 VE
12393G ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $869.70 VE
12395J ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $878.08 VE
12408C ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $878.08 VE
12409D ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $869.70 VE
12524E ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $869.70 VE
12332C ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $457.82 XT
12350B ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $457.82 XT
12351C ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $457.82 XT
12354F ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $457.82 XT
12357J ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $457.82 XT
12436M ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $457.82 XT
12440R ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $457.82 XT
12380N ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes 2 $869.70 VE
12382Q ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes 2 $869.70 VE
12453K ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes 2 $869.70 VE
12455M ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes 2 $869.70 VE
12347W ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $869.70 VE
12381P ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $869.70 VE
12383R ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $878.08 VE
12414J ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $878.08 VE
12432H ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $869.70 VE
12433J ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $869.70 VE
12454L ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $869.70 VE
12330Y ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $878.08 PK,RF,SZ,XT
12356H ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $869.70 PK,RF,SZ,XT
12369B ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $878.08 PK,RF,SZ,XT
12370C ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $869.70 PK,RF,SZ,XT
12385W ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $878.08 PK,RF,SZ,XT
12386X ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $869.70 PK,RF,SZ,XT
12388B ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $869.70 PK,RF,SZ,XT
12402R ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $869.70 PK,RF,SZ,XT
12331B ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes 2 $869.70 PK,RF,SZ,XT
12333D ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes 2 $869.70 PK,RF,SZ,XT
12387Y ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes 2 $869.70 PK,RF,SZ,XT
12416L ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes 2 $869.70 PK,RF,SZ,XT
12655C ADRENALINE (EPINEPHRINE)adrenaline (epinephrine) 500 microgram/0.3 mL injection, 0.3 mL pen device 1 $75.51 XT
8697R ADRENALINE (EPINEPHRINE)adrenaline (epinephrine) 150 microgram/0.3 mL injection, 0.3 mL pen device 1 $75.51 AF,AL,XT
8698T ADRENALINE (EPINEPHRINE)adrenaline (epinephrine) 300 microgram/0.3 mL injection, 0.3 mL pen device 1 $75.51 AF,AL,XT
13032X AMIFAMPRIDINEamifampridine 10 mg tablet, 100 100 $2226.12 OJ
1486F AMILORIDE + HYDROCHLOROTHIAZIDEamiloride hydrochloride dihydrate 5 mg + hydrochlorothiazide 50 mg tablet, 50 50 $7.23 AS
11331J AMINO ACID FORMULA SUPPLEMENTED WITH PREBIOTICS, PROBIOTICS AND LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $41.06 SB
11340W AMINO ACID FORMULA SUPPLEMENTED WITH PREBIOTICS, PROBIOTICS AND LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $41.06 SB
11343B AMINO ACID FORMULA SUPPLEMENTED WITH PREBIOTICS, PROBIOTICS AND LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $41.09 SB
12072J AMINO ACID FORMULA WITH CARBOHYDRATE WITHOUT PHENYLALANINEamino acid formula with carbohydrate without phenylalanine modified release tablet, 6 x 77 1 $328.49 OH
10806R AMINO ACID FORMULA WITH CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS WITHOUT PHENYLALANINEamino acid formula with carbohydrate, vitamins, minerals and trace elements without phenylalanine powder for oral liquid, 30 x 20 g sachets 1 $237.16 OH
12006X AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT METHIONINEamino acid formula with fat, carbohydrate without methionine modified release tablet, 6 x 77 1 $590.72 OH
10683G AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT PHENYLALANINEamino acid formula with fat, carbohydrate without phenylalanine tablet: modified release, 4 x 110 g 1 $263.07 OH
12015J AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with fat, carbohydrate without phenylalanine and tyrosine modified release tablet, 6 x 77 1 $598.40 OH
12014H AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with fat, carbohydrate without valine, leucine and isoleucine modified release tablet, 6 x 77 1 $590.72 OH
3417W AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS WITHOUT METHIONINE AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACIDamino acid formula with fat, carbohydrate, vitamins, minerals and trace elements without methionine and supplemented with docosahexaenoic acid oral liquid, 36 x 125 mL bottles 1 $543.16 SB
10632N AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS WITHOUT PHENYLALANINEamino acid formula with fat, carbohydrate, vitamins, minerals and trace elements without phenylalanine oral liquid: powder for, 30 x 34 g bottles 1 $363.71 OH
9330C AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS WITHOUT PHENYLALANINE AND TYROSINE, AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACIDamino acid formula with fat, carbohydrate, vitamins, minerals and trace elements without phenylalanine and tyrosine, and supplemented with docosahexaenoic acid oral liquid, 36 x 125 mL bottles 1 $543.16 SB
10934L AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS, WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with fat, carbohydrate, vitamins, minerals and trace elements, without phenylalanine and tyrosine powder for oral liquid, 30 x 34 g bottles 1 $704.42 OH
10522T AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 400 g 1 $41.90 NT
10527C AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 400 g 1 $41.90 NT
11161K AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 400 g 1 $41.90 SB
11183N AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 400 g 1 $41.90 SB
12643K AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 800 g 1 $81.86 QH
12650T AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 800 g 1 $81.86 QH
10715Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHANamino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 30 x 18 g sachets 1 $227.87 NU
2650L AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHANamino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 400 g 1 $82.24 SB
10466W AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHANamino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 500 g 1 $295.68 SB
9438R AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHANamino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 30 x 24 g sachets 1 $455.74 VF
5484P AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHANamino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 30 x 25 g sachets 1 $681.34 VF
2639X AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine oral liquid, 30 x 87 mL sachets 1 $433.66 VF
2640Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine oral liquid, 30 x 174 mL sachets 1 $837.62 VF
10693T AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine oral liquid: powder for, 30 x 36 g sachets 1 $433.66 NU
8417B AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine powder for oral liquid, 400 g 1 $78.12 SB
1548L AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine oral liquid, 30 x 125 mL pouches 1 $850.41 SB
9133Q AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine oral liquid, 30 x 130 mL pouches 1 $637.81 VF
8416Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine powder for oral liquid, 500 g 1 $278.95 SB
8677Q AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine powder for oral liquid, 30 x 24 g sachets 1 $433.66 VF
8744F AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine powder for oral liquid, 30 x 25 g sachets 1 $637.81 VF
12273Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine powder for oral liquid, 30 x 29 g sachets 1 $837.62 SB
10730R AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINEamino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 30 x 18 g sachets 1 $216.82 NU
8058D AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINEamino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 400 g 1 $78.12 SB
8061G AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINEamino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 500 g 1 $278.95 SB
3444G AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINEamino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 30 x 24 g sachets 1 $433.66 VF
3443F AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINEamino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 30 x 25 g sachets 1 $637.81 VF
2739E AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 500 g 1 $137.55 SB
8555G AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 24 g sachets 1 $214.85 VF
8591E AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 25 g sachets 1 $315.41 VF
2806Q AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral semi-solid, 36 x 109 g tubs 1 $503.84 SB
1909L AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 34 g sachets 1 $420.79 VF
12136R AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 28 g sachets 1 $415.96 SB
5483N AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 85 g sachets 1 $214.85 VF
9021T AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 125 mL pouches 1 $415.96 SB
10258X AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid: powder for, 30 x 36 g sachets 1 $215.09 SB
9396M AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 36 x 125 mL bottles 1 $258.15 SB
8846N AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 130 mL pouches 1 $315.24 VF
10411Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 174 mL pouches 1 $420.79 VF
2474F AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 174 mL pouches 1 $420.79 VF
8746H AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 18 x 250 mL 18 $213.64 SB
9397N AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 60 x 62.5 mL pouches 1 $429.99 SB
2382J AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 87 mL pouches 1 $210.12 VF
8445L AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 400 g 1 $78.12 SB
1547K AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine oral liquid, 30 x 125 mL pouches 1 $850.41 SB
9132P AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine oral liquid, 30 x 130 mL pouches 1 $637.81 VF
3078B AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 500 g 1 $278.95 SB
8631G AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 30 x 24 g sachets 1 $433.66 VF
8667E AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 30 x 25 g sachets 1 $637.81 VF
2674R AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine oral liquid, 30 x 87 mL pouches 1 $433.66 VF
2701E AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine oral liquid, 30 x 174 mL pouches 1 $837.62 VF
10260B AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine oral liquid: powder for, 30 x 36 g sachets 1 $433.66 SB
12274B AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 30 x 28 g sachets 1 $837.62 SB
2380G AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 400 g 1 $78.12 SB
1546J AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid, 30 x 125 mL pouches 1 $850.41 SB
2375B AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid, 30 x 130 mL pouches 1 $637.81 VF
8057C AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 500 g 1 $278.95 SB
8310J AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 500 g 1 $551.22 SB
8592F AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 30 x 24 g sachets 1 $433.66 VF
8632H AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 30 x 25 g sachets 1 $637.81 VF
2651M AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid, 30 x 87 mL pouches 1 $433.66 VF
2654Q AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid, 30 x 174 mL pouches 1 $837.62 VF
10259Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid: powder for, 30 x 36 g sachets 1 $433.66 SB
12285N AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 30 x 28 g sachets 1 $837.62 SB
9499Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINE WITH FAT, CARBOHYDRATE AND TRACE ELEMENTS AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACIDamino acid formula with vitamins and minerals without valine, leucine and isoleucine with fat, carbohydrate and trace elements and supplemented with docosahexaenoic acid oral liquid, 36 x 125 mL bottles 1 $543.16 SB
11185Q AMINO ACID FORMULA WITH VITAMINS AND MINERALS, LOW PHENYLALANINE AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACID AND ARACHIDONIC ACIDamino acid formula with vitamins and minerals, low phenylalanine and supplemented with docosahexaenoic acid and arachidonic acid powder for oral liquid, 30 x 12.5 g sachets 1 $124.45 SB
11859E AMINO ACID FORMULA WITH VITAMINS AND MINERALS, LOW PHENYLALANINE AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACID AND ARACHIDONIC ACIDamino acid formula with vitamins and minerals, low phenylalanine and supplemented with docosahexaenoic acid and arachidonic acid powder for oral liquid, 30 x 12.5 g sachets 1 $124.45 VF
11836Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS, LOW PHENYLALANINE AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACID AND ARACHIDONIC ACIDamino acid formula with vitamins and minerals, low phenylalanine and supplemented with docosahexaenoic acid and arachidonic acid powder for oral liquid, 30 x 25 g sachets 1 $248.89 VF
11653H AMINO ACID FORMULA WITH VITAMINS, MINERALS AND LONG CHAIN POLYUNSATURATED FATTY ACIDS WITHOUT PHENYLALANINEamino acid formula with vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine powder for oral liquid, 400 g 1 $75.94 VF
8479G AMINO ACID FORMULA WITH VITAMINS, MINERALS AND LONG CHAIN POLYUNSATURATED FATTY ACIDS WITHOUT PHENYLALANINEamino acid formula with vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine powder for oral liquid, 400 g 1 $71.38 SB
8678R AMINO ACID FORMULA WITHOUT PHENYLALANINEamino acid formula without phenylalanine 1 g tablet, 75 1 $48.40 SB
10161T AMINO ACID FORMULA WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula without valine, leucine and isoleucine containing 5 g of protein equivalent powder for oral liquid, 30 x 6 g sachets 1 $246.49 VF
1180D AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.81 SB
1192R AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.81 SB
1521C AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.84 SB
2250K AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.84 AB
8574G AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.81 AB
8575H AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.81 AB
2246F AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $38.46 SB
2560R AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $38.46 SB
9339M AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $38.46 AB
9340N AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $38.46 AB
1545H AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g 1 $38.49 SB
2900P AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g 1 $38.46 NT
2928D AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g 1 $38.46 NT
5466Q AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g 1 $38.46 SB
5467R AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g 1 $38.46 SB
8736T AMISULPRIDEamisulpride 100 mg/mL oral liquid, 60 mL 1 $67.58 SW
11998L AMOXICILLINamoxicillin 250 mg capsule, 20 20 $4.87 AF,AL,RF,TX
11998L AMOXICILLINamoxicillin 250 mg capsule, 20 20 $9.55 AS
11947T AMOXICILLINamoxicillin 500 mg capsule, 20 20 $4.87 AF,AL,GQ,RF,SZ,TX,VO
11947T AMOXICILLINamoxicillin 500 mg capsule, 20 20 $9.54 AS
13179P AMOXICILLIN + CLAVULANIC ACIDamoxicillin 875 mg + clavulanic acid 125 mg tablet, 20 20 $49.47 DZ
13190F AMOXICILLIN + CLAVULANIC ACIDamoxicillin 875 mg + clavulanic acid 125 mg tablet, 20 20 $49.47 DZ
11941L AMOXICILLIN + CLAVULANIC ACIDamoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 10 $5.17 AF,EA,RW,SZ,TW,TX,TY,XT
11941L AMOXICILLIN + CLAVULANIC ACIDamoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 10 $10.58 AS
11933C AMOXICILLIN + CLAVULANIC ACIDamoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 10 $5.47 AF,EA,HQ,RW,SZ,TW,TX,XT
11933C AMOXICILLIN + CLAVULANIC ACIDamoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 10 $12.25 AS
12320K APOMORPHINEapomorphine hydrochloride hemihydrate 20 mg/2 mL injection, 5 x 2 mL ampoules 5 $90.59 TD
12306Q APOMORPHINEapomorphine hydrochloride hemihydrate 50 mg/5 mL injection, 5 x 5 mL ampoules 5 $226.96 TD
12137T APOMORPHINEapomorphine hydrochloride hemihydrate 30 mg/3 mL injection, 5 x 3 mL pen devices 5 $137.08 TD
12142C APOMORPHINEapomorphine hydrochloride hemihydrate 100 mg/20 mL injection, 5 x 20 mL vials 5 $421.16 PF
12319J APOMORPHINEapomorphine hydrochloride hemihydrate 50 mg/10 mL injection, 5 x 10 mL syringes 5 $226.96 TD
12133N APOMORPHINEapomorphine hydrochloride hemihydrate 30 mg/3 mL injection, 5 x 3 mL cartridges 5 $137.08 PF
10036F ARACHIDONIC ACID AND DOCOSAHEXAENOIC ACID WITH CARBOHYDRATEarachidonic acid and docosahexaenoic acid with carbohydrate containing 200 mg arachidonic acid and 100 mg docosahexaenoic acid powder for oral liquid, 30 x 4 g sachets 1 $86.20 VF
10093F ARGININE WITH CARBOHYDRATEarginine with carbohydrate containing 5 g arginine powder for oral liquid, 30 x 7.6 g sachets 1 $218.11 VF
5482M ARGININE WITH CARBOHYDRATEarginine with carbohydrate containing 2 g arginine powder for oral liquid, 30 x 4 g sachets 1 $164.80 VF
9437Q ARGININE WITH CARBOHYDRATEarginine with carbohydrate containing 500 mg arginine powder for oral liquid, 30 x 4 g sachets 1 $109.81 VF
10922W ARMODAFINILarmodafinil 50 mg tablet, 30 30 $47.21 TB
9092M ATOMOXETINEatomoxetine 10 mg capsule, 28 28 $33.00 SZ,TX
9092M ATOMOXETINEatomoxetine 10 mg capsule, 28 28 $34.99 LY
9093N ATOMOXETINEatomoxetine 18 mg capsule, 28 28 $33.00 SZ,TX
9093N ATOMOXETINEatomoxetine 18 mg capsule, 28 28 $34.99 LY
9094P ATOMOXETINEatomoxetine 25 mg capsule, 28 28 $33.00 SZ,TX
9094P ATOMOXETINEatomoxetine 25 mg capsule, 28 28 $34.99 LY
9095Q ATOMOXETINEatomoxetine 40 mg capsule, 28 28 $33.00 SZ,TX
9095Q ATOMOXETINEatomoxetine 40 mg capsule, 28 28 $34.99 LY
9096R ATOMOXETINEatomoxetine 60 mg capsule, 28 28 $33.00 SZ,TX
9096R ATOMOXETINEatomoxetine 60 mg capsule, 28 28 $34.99 LY
10539Q AXITINIBaxitinib 1 mg tablet, 28 28 $530.82 PF
10572K AXITINIBaxitinib 1 mg tablet, 28 28 $530.82 PF
10540R AXITINIBaxitinib 5 mg tablet, 28 28 $2470.73 PF
10556N AXITINIBaxitinib 5 mg tablet, 28 28 $2470.73 PF
1775K BENZYLPENICILLINbenzylpenicillin 600 mg injection, 1 vial 1 $6.37 CS
3398W BENZYLPENICILLINbenzylpenicillin 600 mg injection, 1 vial 1 $6.37 CS
2647H BENZYLPENICILLINbenzylpenicillin 3 g injection, 1 vial 1 $10.01 CS
3399X BENZYLPENICILLINbenzylpenicillin 3 g injection, 1 vial 1 $10.01 CS
10800K BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $9.37 OQ
10800K BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $6.92 OV
10801L BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $8.83 OQ
10801L BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $6.38 OV
10802M BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $8.72 OQ
10802M BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $6.27 OV
10813D BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $9.01 OQ
10813D BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $6.56 OV
10824Q BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $10.45 OQ
10824Q BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g 1 $8.00 OV
10795E BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $10.45 OQ
10795E BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $8.00 OV
10816G BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $8.83 OQ
10816G BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $6.38 OV
10820L BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $9.37 OQ
10820L BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $6.92 OV
10821M BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $9.01 OQ
10821M BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $6.56 OV
10823P BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $8.72 OQ
10823P BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g 1 $6.27 OV
2812B BETAMETHASONE VALERATEbetamethasone (as valerate) 0.02% cream, 100 g 1 $9.90 LN,OV
2812B BETAMETHASONE VALERATEbetamethasone (as valerate) 0.02% cream, 100 g 1 $12.89 AS
2812B BETAMETHASONE VALERATEbetamethasone (as valerate) 0.02% cream, 100 g 1 $12.40 OQ
10794D BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $6.33 AS
10794D BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $3.77 LN
10799J BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $7.41 AS
10799J BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $4.85 LN
10807T BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $5.79 AS
10807T BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $3.23 LN
10808W BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $5.97 AS
10808W BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $3.41 LN
10810Y BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $5.68 AS
10810Y BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g 1 $3.12 LN
11948W BINIMETINIBbinimetinib 15 mg tablet, 84 84 $3693.84 FB
11961M BINIMETINIBbinimetinib 15 mg tablet, 84 84 $3693.84 FB
1260H BISACODYLbisacodyl 10 mg suppository, 10 1 $6.08 VZ
1260H BISACODYLbisacodyl 10 mg suppository, 10 1 $5.65 PP
1258F BISACODYLbisacodyl 10 mg suppository, 12 1 $5.20 PP
11980M BRIGATINIBbrigatinib 30 mg tablet, 28 28 $1701.64 TK
1443Y BROMOCRIPTINEbromocriptine 2.5 mg tablet, 30 30 $13.03 SZ
10024N BUDESONIDE + FORMOTEROL (EFORMOTEROL)budesonide 50 microgram/actuation + formoterol (eformoterol) fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations 1 $19.54 AP
12100W BUDESONIDE + FORMOTEROL (EFORMOTEROL)budesonide 50 microgram/actuation + formoterol (eformoterol) fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations 1 $19.54 AP
10015D BUDESONIDE + FORMOTEROL (EFORMOTEROL)budesonide 100 microgram/actuation + formoterol (eformoterol) fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations 1 $20.35 AP
12042T BUDESONIDE + FORMOTEROL (EFORMOTEROL)budesonide 100 microgram/actuation + formoterol (eformoterol) fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations 1 $20.35 AP
12089G BUDESONIDE + FORMOTEROL (EFORMOTEROL)budesonide 100 microgram/actuation + formoterol (eformoterol) fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations 1 $20.35 AP
10018G BUDESONIDE + FORMOTEROL (EFORMOTEROL)budesonide 200 microgram/actuation + formoterol (eformoterol) fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations 1 $32.13 AP
12082X BUDESONIDE + FORMOTEROL (EFORMOTEROL)budesonide 200 microgram/actuation + formoterol (eformoterol) fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations 1 $32.13 AP
2997R CALCITONIN SALMON (SALCATONIN)calcitonin salmon (salcatonin) 100 units/mL injection, 5 x 1 mL ampoules 5 $39.75 EU
11726E CALCIUMcalcium carbonate 1.25 g (calcium 500 mg) chewable tablet, 120 120 $10.09 PP
2422L CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 100 $8.04 SZ
2422L CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 100 $9.54 NV
5039F CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 100 $8.04 SZ
5039F CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 100 $9.54 NV
1706T CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 100 $11.98 SZ
1706T CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 100 $13.46 NV
1724R CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 100 $11.98 SZ
1724R CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 100 $13.46 NV
1153Q CARBIMAZOLEcarbimazole 5 mg tablet, 100 100 $15.95 GH
8369L CARBOHYDRATE, FAT, VITAMINS, MINERALS AND TRACE ELEMENTScarbohydrate, fat, vitamins, minerals and trace elements powder for oral liquid, 400 g 1 $31.24 SB
10039J CARBOHYDRATES, FAT, VITAMINS, MINERALS, TRACE ELEMENTS AND SUPPLEMENTED WITH ARACHIDONIC ACID AND DOCOSAHEXAENOIC ACIDcarbohydrates, fat, vitamins, minerals, trace elements and supplemented with arachidonic acid and docosahexaenoic acid providing 200 kilocalories powder for oral liquid, 30 x 43 g sachets 1 $111.49 VF
5502N CARBOMER-974Pcarbomer-974P 0.3% eye gel, 30 x 500 mg unit doses 1 $8.42 AQ
8514D CARBOMER-974Pcarbomer-974P 0.3% eye gel, 30 x 500 mg unit doses 1 $8.42 AQ
5504Q CARBOMER-980carbomer-980 0.2% eye drops, 30 x 0.6 mL unit doses 1 $10.04 UO
8578L CARBOMER-980carbomer-980 0.2% eye drops, 30 x 0.6 mL unit doses 1 $10.04 UO
2324H CARMELLOSE SODIUMcarmellose sodium 1% eye drops, 30 x 0.4 mL unit doses 1 $9.37 AG
2324H CARMELLOSE SODIUMcarmellose sodium 1% eye drops, 30 x 0.4 mL unit doses 1 $7.30 PP
5505R CARMELLOSE SODIUMcarmellose sodium 1% eye drops, 30 x 0.4 mL unit doses 1 $9.37 AG
5505R CARMELLOSE SODIUMcarmellose sodium 1% eye drops, 30 x 0.4 mL unit doses 1 $7.30 PP
2338C CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 30 x 0.4 mL unit doses 1 $9.37 AG
2338C CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 30 x 0.4 mL unit doses 1 $7.30 PP
5506T CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 30 x 0.4 mL unit doses 1 $9.37 AG
5506T CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 30 x 0.4 mL unit doses 1 $7.30 PP
11963P CEFALEXINcefalexin 250 mg capsule, 20 20 $4.87 AF,TX
11963P CEFALEXINcefalexin 250 mg capsule, 20 20 $9.59 AS
2655R CEFALEXINcefalexin 250 mg capsule, 20 20 $4.87 AF,TX
2655R CEFALEXINcefalexin 250 mg capsule, 20 20 $9.59 AS
10778G CEFALEXINcefalexin 500 mg capsule, 20 20 $4.87 AF,CR,GQ,SZ,TX,VO
10778G CEFALEXINcefalexin 500 mg capsule, 20 20 $11.15 AS
11934D CEFALEXINcefalexin 500 mg capsule, 20 20 $4.87 AF,CR,GQ,SZ,TX,VO
11934D CEFALEXINcefalexin 500 mg capsule, 20 20 $11.15 AS
1256D CEFAZOLINcefazolin 500 mg injection, 5 vials 5 $5.85 AE
5477G CEFAZOLINcefazolin 500 mg injection, 5 vials 5 $5.85 AE
13080K CEFAZOLINcefazolin 2 g injection, 5 vials 5 $18.77 AE
13097H CEFAZOLINcefazolin 2 g injection, 5 vials 5 $18.77 AE
1797N CEFAZOLINcefazolin 1 g injection, 5 vials 5 $6.46 AE
1799Q CEFAZOLINcefazolin 1 g injection, 5 vials 5 $6.46 AE
8315P CEFEPIMEcefepime 1 g injection, 1 vial 1 $4.44 AE,AF,OE,PK
8316Q CEFEPIMEcefepime 2 g injection, 1 vial 1 $6.02 AE,AF,OE,PK
1784X CEFTRIAXONEceftriaxone 1 g injection, 1 vial 1 $3.60 AE
1783W CEFTRIAXONEceftriaxone 500 mg injection, 1 vial 1 $3.55 AE
1785Y CEFTRIAXONEceftriaxone 2 g injection, 1 vial 1 $3.62 AE
12112L CEFTRIAXONEceftriaxone 2 g injection, 10 vials 10 $36.27 AF
12114N CEFTRIAXONEceftriaxone 1 g injection, 10 vials 10 $36.06 AF
10904X CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes 2 $1003.29 UC
10905Y CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes 2 $1003.29 UC
10909E CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes 2 $1003.29 UC
12063X CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes 2 $1003.29 UC
11319R CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices 2 $1003.29 UC
11322X CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices 2 $1003.29 UC
11323Y CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices 2 $1003.29 UC
12027B CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices 2 $1003.29 UC
1163F CHLORAMBUCILchlorambucil 2 mg tablet, 25 25 $31.90 AS
1585K CHLORTALIDONEchlortalidone 25 mg tablet, 50 50 $6.10 GH
8657P CICLOSPORINciclosporin 10 mg capsule, 60 60 $42.16 NV
8660T CICLOSPORINciclosporin 100 mg capsule, 30 30 $137.79 NV,SZ,TX
8658Q CICLOSPORINciclosporin 25 mg capsule, 30 30 $33.19 NV,SZ,TX
8659R CICLOSPORINciclosporin 50 mg capsule, 30 30 $67.46 NV,SZ,TX
8661W CICLOSPORINciclosporin 100 mg/mL oral liquid, 50 mL 1 $356.18 NV
1217C CIPROFLOXACINciprofloxacin 0.3% eye drops, 5 mL 1 $11.75 NM
1217C CIPROFLOXACINciprofloxacin 0.3% eye drops, 5 mL 1 $13.93 NV
5564W CIPROFLOXACINciprofloxacin 0.3% eye drops, 5 mL 1 $11.75 NM
5564W CIPROFLOXACINciprofloxacin 0.3% eye drops, 5 mL 1 $13.93 NV
2091C CITRIC ACID + LAURYL SULFOACETATE SODIUM + SORBITOLsodium citrate dihydrate 450 mg/5 mL + lauryl sulfoacetate sodium 45 mg/5 mL + sorbitol 3.125 g/5 mL enema, 12 x 5 mL 1 $11.29 AE
5481L CITRULLINE WITH CARBOHYDRATEcitrulline with carbohydrate containing 1 g citrulline powder for oral liquid, 30 x 4 g sachets 1 $109.81 VF
11604R CLADRIBINEcladribine 10 mg tablet, 4 4 $15408.89 SG
3138E CLINDAMYCINclindamycin 150 mg capsule, 24 24 $7.70 BZ,RW,TX
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