Greenwich Hospital Price Master - CT.gov
Greenwich Hospital Price Master - CT.gov Greenwich Hospital Price Master - CT.gov
2500000523128 ACYCLOVIR SODIUM 50 MG/ML IV 0.23 4/1/2013 2500000523796 INFLIXIMAB 100 MG IV SOLUTION 452.21 4/1/2013 2500000523928 OXALIPLATIN 50 MG IV SOLUTION 38.21 4/1/2013 2500000524053 TRASTUZUMAB 440 MG IV SOLUTION 454.89 4/1/2013 2500000524435 OCTREOTIDE ACETATE 20 MG IM KIT 741.04 4/1/2013 2500000524513 EPOETIN ALFA 40,000 UNIT/ML INJECTION 58.27 4/1/2013 2500000524932 SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML IV 38.61 4/1/2013 2500000525518 CHLORAMPHENICOL SOD SUCCINATE 1 GRAM IV SOLUTION 118.38 4/1/2013 2500000527282 AMPICILLIN-SULBACTAM 1.5 GRAM IV SOLUTION 11.59 4/1/2013 2500000527431 DOXORUBICIN HCL PEGYLATED LIPOSOMAL 2 MG/ML IV 3,503.18 4/1/2013 2500000527838 SODIUM CHLORIDE 0.9 % IV 36.95 4/1/2013 2500000528149 HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML IV SYRINGE 1.05 4/1/2013 2500000528282 INSULIN GLARGINE 100 UNIT/ML SUB-Q 3.00 4/1/2013 2500000528775 BUDESONIDE 0.5 MG/2 ML NEB SUSPENSION 33.37 4/1/2013 2500000529132 IRON SUCROSE 100 MG/5 ML IRON IV 2.00 4/1/2013 2500000529302 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML ORAL SOLN 1.29 4/1/2013 2500000529396 BIVALIRUDIN 250 MG SOLUTION 28.32 4/1/2013 2500000529464 MORPHINE (PF) 0.5 MG/ML INJECTION 39.08 4/1/2013 2500000529898 IMMUNE GLOBULIN (HUMAN) (IGG) 6 GRAM IV SOLUTION 201.88 4/1/2013 2500000530510 IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML NEB SOLUTION 3.00 4/1/2013 2500000530792 HYDROMORPHONE 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE IV 15.88 4/1/2013 2500000531310 ALTEPLASE 2 MG SOLUTION FOR INJECTION 287.28 4/1/2013 2500000531688 PARICALCITOL 2 MCG/ML IV SOLUTION 18.22 4/1/2013 2500000531906 MOXIFLOXACIN 400 MG/250 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGY BACK 13.10 4/1/2013 2500000531922 ERTAPENEM 1 GRAM SOLUTION FOR INJECTION 162.76 4/1/2013 2500000532267 PEGFILGRASTIM 6 MG/0.6 ML SUB-Q SYRINGE 18,092.86 4/1/2013 2500000532470 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 17.44 4/1/2013 2500000532471 AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION 10.48 4/1/2013 2500000532700 ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION 33.34 4/1/2013 2500000532767 FULVESTRANT 250 MG/5 ML IM SYRINGE 529.33 4/1/2013 2500000535640 ZOLEDRONIC ACID 4 MG/5 ML IV 1,359.22 4/1/2013 2500000535839 BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION 273.19 4/1/2013 2500000536591 PALONOSETRON 0.25 MG/5 ML IV 106.35 4/1/2013 2500000536989 DAPTOMYCIN 500 MG IV SOLUTION 3.43 4/1/2013 2500000537894 PEMETREXED 500 MG IV SOLUTION 341.40 4/1/2013 2500000537989 CETUXIMAB 100 MG/50 ML IV 321.43 4/1/2013 2500000538022 BEVACIZUMAB 25 MG/ML IV 370.84 4/1/2013 2500000538072 RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML SYRINGE 0.30 4/1/2013 2500000538270 CYCLOPHOSPHAMIDE 1 GRAM IV SOLUTION 146.47 4/1/2013 2500000538271 CYCLOPHOSPHAMIDE 500 MG IV SOLUTION 146.46 4/1/2013 2500000539477 ADENOSINE 3 MG/ML IV SYRINGE 218.74 4/1/2013 2500000540120 NATALIZUMAB 300 MG/15 ML IV 77.80 4/1/2013 2500000540475 PACLITAXEL-PROTEIN BOUND 100 MG IV SOLUTION 59.14 4/1/2013 2500000541569 GLUCAGON (HUMAN RECOMBINANT) 1 MG SOLUTION FOR INJECTION 540.29 4/1/2013 2500000541652 TIGECYCLINE 50 MG IV SOLUTION 8.83 4/1/2013 2500000570287 ABATACEPT (WITH MALTOSE) 250 MG IV SOLUTION 140.45 4/1/2013 2500000576364 DECITABINE 50 MG IV SOLUTION 212.93 4/1/2013 2500000576963 DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION 20.01 4/1/2013 2500000577034 DARBEPOETIN ALFA 300 MCG/ML IN POLYSORBATE INJECTION 19.80 4/1/2013 2500000577195 LEVETIRACETAM 500 MG/5 ML IV 1.58 4/1/2013 2500000577412 CAFFEINE CITRATED 60 MG/3 ML (20 MG/ML) IV 5.97 4/1/2013 2500000581434 ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL AND WATER IV 1,315.85 4/1/2013 2500000581696 ECULIZUMAB 300 MG/30 ML IV 1,251.76 4/1/2013 2500000582200 FLUOROURACIL 500 MG/10 ML IV 10.60 4/1/2013 2500000582204 FLUOROURACIL 1 GRAM/20 ML IV 10.66 4/1/2013 2500000588615 DORIPENEM 500 MG IV SUSP 4.70 4/1/2013 2500000588652 IXABEPILONE 15 MG IV SOLUTION 399.38 4/1/2013 2500000588654 HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION 415.83 4/1/2013 2500000589350 PEMETREXED 100 MG IV SOLUTION 341.40 4/1/2013 2500000591055 IRINOTECAN 40 MG/2 ML IV 31.07 4/1/2013 2500000591237 CIPROFLOXACIN 200 MG/100 ML IN DEXTROSE 5 % IV PIGGY BACK 10.16 4/1/2013 2500000591278 OCTREOTIDE ACETATE 50 MCG/ML INJECTION 4.86 4/1/2013 2500000591349 KETOROLAC 60 MG/2 ML IM 0.88 4/1/2013 2500000592838 LEVOLEUCOVORIN CALCIUM 50 MG IV SOLUTION 12.43 4/1/2013 2500000593566 ROMIPLOSTIM 250 MCG SUB-Q SOLN 318.89 4/1/2013 2500000594096 ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION 1.43 4/1/2013 2500000596986 DEGARELIX 80 MG SUB-Q SOLN 30.69 4/1/2013 2500000596987 DEGARELIX 120 MG SUB-Q SOLN 61.38 4/1/2013 2500000597342 SUMATRIPTAN 6 MG/0.5 ML SUB-Q 142.69 4/1/2013 2500000599452 TOCILIZUMAB 80 MG/4 ML (20 MG/ML) IV 20.96 4/1/2013 2500000610153 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML IM 138.09 4/1/2013 2500000610512 MEASLES,MUMPS&RUBELLA VACCIN(PF) 1,000-12,500 TCID50/0.5 ML SUB-Q SOLN 315.82 4/1/2013 2500000611037 PNEUMOCOCCAL 23-VALPS VACCINE 25 MCG/0.5 ML INJECTION 364.76 4/1/2013 2500000611257 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT IM 1,185.49 4/1/2013 2500000811403 SODIUM CHLORIDE 0.9 % IRRIGATION SOLN 6.35 4/1/2013 2500000827838 SODIUM CHLORIDE 0.9 % IV 179.55 4/1/2013 2500000841463 SODIUM CHLORIDE 0.9 % INJECTION 260.35 4/1/2013 2550000110319 IOHEXOL 180 MG IODINE/ML INTRATHECAL 8.16 4/1/2013 2550000110321 IOHEXOL 240 MG IODINE/ML IV 3.00 4/1/2013 2550000110322 IOHEXOL 300 MG IODINE/ML IV 14.65 4/1/2013 2550000110330 IOTHALAMATE MEGLUMINE 17.2 % URETHRAL 1.02 4/1/2013 2550000117594 IODIXANOL 270 MG/ML IV 3.60 4/1/2013 2550000117595 IODIXANOL 320 MG/ML IV 4.49 4/1/2013 2550000191408 REGADENOSON 0.4 MG/5 ML IV SYRINGE 497.30 4/1/2013 2705000110356 OSTEORAPTOR 2.3MM CVD BLUE SA COBRAID 1,589.12 4/1/2013 2705000110484 WAND AMBIENT HIPVAC50 1,719.00 4/1/2013 2705000116239 BLADE SAW OSCILLATNG 1.27 WIDE 210.86 4/1/2013 2705000122264 GRASPER DIRECT DRIVE 5MMX35CM 309.85 4/1/2013 2705000122481 CANNULA LOW PROFILE W/OBTR 5MM 95.50 4/1/2013 2705000122509 TWIST DRILL FLEX CVD FOR 2.3SA 702.88 4/1/2013
2705000126822 TUBE VACUUM AQUILEX HIGH/LOW 477.50 4/1/2013 2705000126830 TRANSPORT CANNULA 8MM 4.5.6 MED LENGTH 343.80 4/1/2013 2705000126831 INJECTOR CARTRIDGE II CAT01857 1,126.90 4/1/2013 2705000126832 CANNULA CLEARTRAC THRD 7.0X72 COMPLETE LF 131.03 4/1/2013 2705000128359 PIN FLIPCUTTER 10MM 1,776.30 4/1/2013 2705000128371 NANOPASS CRESENT CAT01358 1,103.98 4/1/2013 2705000128383 BLADE OSCIL SAW 105MMX19X1.27 187.18 4/1/2013 2725000131191 HALO 60 ABLATION CATHETER 5,214.30 4/1/2013 2725000131213 0.62 GUIDEWIRE W TROCAR TIP 38.20 4/1/2013 2725000131214 CANNULATED DRILL BIT 3.0MM 382.00 4/1/2013 2725000131250 2.0 DRILL BIT 213.92 4/1/2013 2725000131251 2.5 DRILL BIT 213.92 4/1/2013 2725000131252 0.35 K-WIRE 95.50 4/1/2013 2725000131465 DISTRACTION PINS 14MM 508.06 4/1/2013 2725000131656 PIN 95.50 4/1/2013 2725000131696 SUTURE GRASPER 1,058.14 4/1/2013 2725000132104 NATURA COLOSTOMY 26.74 4/1/2013 2725000132226 .062 GUIDEWIRE W TROCAR TIP 38.20 4/1/2013 2725000132227 CANNULATED DRILL BIT 3.0MM 382.00 4/1/2013 2725000132292 UNIVERSAL DRAPE SYSTEM 99.32 4/1/2013 2725000133084 VSP ORTHOGNATHICS BUNDLE 3,724.50 4/1/2013 2725000133085 TWIST DRILL1.5MM X 50MM 561.54 4/1/2013 2725000133086 TWIST DRILL 1.5MM X 115MM 561.54 4/1/2013 2725000133218 MINI BIO-SUTURETAK DISPOSABLE INSTRUMENT KIT 955.00 4/1/2013 2725000133469 REGALIA XS 1.0 611.20 4/1/2013 2725000133471 PTA BALLOON 1,069.60 4/1/2013 2725000133474 STEALTH PILOT 12,968.90 4/1/2013 2725000133476 VIPER WIRE 573.00 4/1/2013 2725000133477 STABILIZER 660.86 4/1/2013 2725000133479 PTA SLEEK BALLOON 1,069.60 4/1/2013 2725000133482 PTA BALLOON 874.78 4/1/2013 2725000133522 VIPERSLIDE LUBRICANT 343.80 4/1/2013 2725000133556 HEADLESS TROCAR DRILL PIN 725.80 4/1/2013 2750000110235 SUTURE ANCHOR HEALICOIL PK 5.5 1,476.05 4/1/2013 2765000210077 LENS CRYSTALENS AT-50AO 21.25 3,629.00 4/1/2013 2765000210078 LENS CRYSTALENS AT-52AO 14.00 3,629.00 4/1/2013 2765000216516 LENS TORIC SN6AT3 15.5D 1,890.90 4/1/2013 2765000216644 LENS TORIC SN6AT4 25.5D 1,890.90 4/1/2013 2765000216848 LENS TORIC SN6AT8 13.0D 1,890.90 4/1/2013 2765000816951 LENS TORIC SN6AT7 19.0D 1,488.90 4/1/2013 2785000110036 COMPONENT TIB SZ5 POR STMD NXGN 3,219.46 4/1/2013 2785000110041 COMPONENT FEM SZ F LT GSF LPS FLEX 9,395.56 4/1/2013 2785000110043 STENT WALLFLEX DUODENAL 22X90 10,027.50 4/1/2013 2785000110047 NAIL 11X400MM 130 DEG LT CANN TROC 5,802.77 4/1/2013 2785000110066 SPACER CALIBER 10X26 8-12MM 22,087.24 4/1/2013 2785000110073 COMPONENT FEM LPS FLEX SZ F RT GSF OPTION 9,395.56 4/1/2013 2785000110107 PLATE CONDYLAR 4.5 LCP 12H LT 5,544.08 4/1/2013 2785000110112 TIBIAL ARTICULAR INSERT 9MM LT 8,900.60 4/1/2013 2785000110126 STEM FEM 10.0 STD OFST ML TPR 10,199.93 4/1/2013 2785000110146 SHELL POROUS 50MM CLUSTER 5,137.90 4/1/2013 2785000110157 HUMERAL STEM SIZE 7A 18,336.00 4/1/2013 2785000110185 SHELL ACETABULAR 48MM 12173248 W GRPTN PNCL SCTR 8,034.19 4/1/2013 2785000110186 LINER ACTB 32MMX48OD 121932448 NEUT XLINK PNCL MRTHN 4,228.82 4/1/2013 2785000110187 SHELL ACETABULAR 54MM 12173254 W GRPTN PNCL SCTR 8,096.49 4/1/2013 2785000110235 SUTURE ANCHOR HEALICOIL PK 5.5 1,405.76 4/1/2013 2785000110241 PUSH-LOCK BIOCOMP 2.9MM X 15.5 1,451.60 4/1/2013 2785000110257 SUTURE ANCHOR ROCXS 3.5X10MM 1,936.74 4/1/2013 2785000110295 SUTURE WIRE STAINLES STEEL 18G 213.69 4/1/2013 2785000110297 ACL TIGHTROPE AR-1588T 1,050.50 4/1/2013 2785000110326 STEM EXTENSION NEXG SCREW 573.00 4/1/2013 2785000116951 LENS TORIC SN6AT7 19.0D 1,890.90 4/1/2013 2785000117464 LPS FLEX ART SURF SZ EF 10MM 3,797.08 4/1/2013 2785000119302 SCREW 3X22MM CMPR SH TH HDLS 822.45 4/1/2013 2785000119676 ROD 300MM 179762300 0 2,674.00 4/1/2013 2785000120533 FEMORAL STABILIZER COMP 3 RT 6,207.50 4/1/2013 2785000120534 COMP FEM SZ6 LT PS NPOR TRTHLN 6,207.50 4/1/2013 2785000121047 CONCORDE BUL PAR 9X7X27 9,550.00 4/1/2013 2785000121471 BIOLOX CERAMIC HEAD 36 MM 3,533.50 4/1/2013 2785000121685 SCREW POLYAXIAL ELLIPSE 4.0MM 28MM 2,620.52 4/1/2013 2785000121970 TI CORT FIX MIS 5.56X40MM 5,615.40 4/1/2013 2785000121971 TI CORT FIX MIS 5.56X45MM 5,615.40 4/1/2013 2785000122055 STEM TIB PRECOAT SZ3 4,079.76 4/1/2013 2785000122056 COMPONENT FEM SZ E LT GSF LPS FLEX 9,206.20 4/1/2013 2785000122057 PATELLA NEXG PROLONG POLY 32MM 6,035.60 4/1/2013 2785000122227 NAIL SCREW TROCH 11MM/95MM - S TER 1,992.21 4/1/2013 2785000122236 PLATE LCP LAT DIST FIB 4H R 86 2.7MM/3.5MM 2,046.18 4/1/2013 2785000122251 ALLOGRAFT MAINTAIN 8M LORDOTIC 3,438.00 4/1/2013 2785000122252 ALLOGRAFT MAINTAIN 9M LORDOTIC 3,438.00 4/1/2013 2785000122274 STEM FEM 15.0 XTD OFST ML TPR 9,954.92 4/1/2013 2785000122299 CONTINUUM SHELL UNI 54 5,137.90 4/1/2013 2785000122300 LINER CONT LE ELE LNR JJ 36X54 5,065.32 4/1/2013 2785000122340 M/L TAPER HA SIZE 13.5 EXTENDE D OFFSET 31,133.00 4/1/2013 2785000122393 HUMERAL HEAD ASCEND 46MM 14,516.00 4/1/2013 2785000122394 GLENOID PEGGED SZ 44MM 7,153.71 4/1/2013 2785000122477 CATHETER SUPPORT 035 135CM ANG 653.22 4/1/2013 2785000122605 ALLOGRAFT MAINTAIN 7M LORDOTIC 3,438.00 4/1/2013 2785000125212 PLATE METAFIX 30MM RT FH01030 2,578.50 4/1/2013 2785000126067 PRE-LORDOSED ROD W/LINE 40MM 764.00 4/1/2013 2785000126068 PRE-LORDOSED ROD W/LINE 45MM 764.00 4/1/2013 2785000126087 COMP TIB SZ2.5 KEEL 129433125 NPOR MBT 5,970.66 4/1/2013
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- Page 3 and 4: 27200017 HC ELECTRODE TRANSVENOUS P
- Page 5 and 6: 27800067 HC STAPLER SKIN ROYAL 35 2
- Page 7 and 8: 30000464 HC ACTIVATED PROTEIN C RES
- Page 9 and 10: 30001771 HC CYSTIC FIBROSIS NEWBORN
- Page 11 and 12: 30100318 HC MOL DIA;SEP BY GEL E4,E
- Page 13 and 14: 30600038 HC PAPILLOMAVIRUS, HUMAN:A
- Page 15 and 16: 32000101 HC XR ANKLE 2 VIEWS 406.00
- Page 17 and 18: 36000178 HC BX BREAST NDL PERC W/GU
- Page 19 and 20: 40000043 HC US GUIDANCE INTRAOPERAT
- Page 21 and 22: 61000039 HC MRI UPR EXTREM JT W/O C
- Page 23 and 24: 98100016 HCPR REPAIR LAC SIMPLE SCA
- Page 25 and 26: 27250001628 SUTURE SILK 6-0 S1769K
- Page 27 and 28: 250000051465 CEFUROXIME SODIUM 750
- Page 29 and 30: 270500013282 INDERMIL TISSUE ADHESI
- Page 31 and 32: 272500012059 BLANKET WARMER BAIR HU
- Page 33 and 34: 272500015138 BLADE DIEGO SERRATED 4
- Page 35 and 36: 276500023575 LENSE SN60WF18.5 569.1
- Page 37 and 38: 278500015237 CUP BIPOLAR 5001-53-28
- Page 39 and 40: 278500232831 POLARIS STENT KIT 7FR
- Page 41 and 42: 637000017753 TEMAZEPAM 15 MG CAPSUL
- Page 43: 2500000433512 ESCITALOPRAM 10 MG TA
- Page 47 and 48: 6370000111218 PSYLLIUM ORAL PACKET
- Page 49 and 50: 6370000129858 METOPROLOL SUCCINATE
- Page 51 and 52: 25000005113667 SODIUM CHLORIDE 0.9
2500000523128 ACYCLOVIR SODIUM 50 MG/ML IV 0.23 4/1/2013<br />
2500000523796 INFLIXIMAB 100 MG IV SOLUTION 452.21 4/1/2013<br />
2500000523928 OXALIPLATIN 50 MG IV SOLUTION 38.21 4/1/2013<br />
2500000524053 TRASTUZUMAB 440 MG IV SOLUTION 454.89 4/1/2013<br />
2500000524435 O<strong>CT</strong>REOTIDE ACETATE 20 MG IM KIT 741.04 4/1/2013<br />
2500000524513 EPOETIN ALFA 40,000 UNIT/ML INJE<strong>CT</strong>ION 58.27 4/1/2013<br />
2500000524932 SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML IV 38.61 4/1/2013<br />
2500000525518 CHLORAMPHENICOL SOD SUCCINATE 1 GRAM IV SOLUTION 118.38 4/1/2013<br />
2500000527282 AMPICILLIN-SULBA<strong>CT</strong>AM 1.5 GRAM IV SOLUTION 11.59 4/1/2013<br />
2500000527431 DOXORUBICIN HCL PEGYLATED LIPOSOMAL 2 MG/ML IV 3,503.18 4/1/2013<br />
2500000527838 SODIUM CHLORIDE 0.9 % IV 36.95 4/1/2013<br />
2500000528149 HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML IV SYRINGE 1.05 4/1/2013<br />
2500000528282 INSULIN GLARGINE 100 UNIT/ML SUB-Q 3.00 4/1/2013<br />
2500000528775 BUDESONIDE 0.5 MG/2 ML NEB SUSPENSION 33.37 4/1/2013<br />
2500000529132 IRON SUCROSE 100 MG/5 ML IRON IV 2.00 4/1/2013<br />
2500000529302 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML ORAL SOLN 1.29 4/1/2013<br />
2500000529396 BIVALIRUDIN 250 MG SOLUTION 28.32 4/1/2013<br />
2500000529464 MORPHINE (PF) 0.5 MG/ML INJE<strong>CT</strong>ION 39.08 4/1/2013<br />
2500000529898 IMMUNE GLOBULIN (HUMAN) (IGG) 6 GRAM IV SOLUTION 201.88 4/1/2013<br />
2500000530510 IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML NEB SOLUTION 3.00 4/1/2013<br />
2500000530792 HYDROMORPHONE 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE IV 15.88 4/1/2013<br />
2500000531310 ALTEPLASE 2 MG SOLUTION FOR INJE<strong>CT</strong>ION 287.28 4/1/2013<br />
2500000531688 PARICALCITOL 2 MCG/ML IV SOLUTION 18.22 4/1/2013<br />
2500000531906 MOXIFLOXACIN 400 MG/250 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGY BACK 13.10 4/1/2013<br />
2500000531922 ERTAPENEM 1 GRAM SOLUTION FOR INJE<strong>CT</strong>ION 162.76 4/1/2013<br />
2500000532267 PEGFILGRASTIM 6 MG/0.6 ML SUB-Q SYRINGE 18,092.86 4/1/2013<br />
2500000532470 AMPICILLIN-SULBA<strong>CT</strong>AM 1.5 GRAM SOLUTION FOR INJE<strong>CT</strong>ION 17.44 4/1/2013<br />
2500000532471 AMPICILLIN-SULBA<strong>CT</strong>AM 3 GRAM SOLUTION FOR INJE<strong>CT</strong>ION 10.48 4/1/2013<br />
2500000532700 ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJE<strong>CT</strong>ION 33.34 4/1/2013<br />
2500000532767 FULVESTRANT 250 MG/5 ML IM SYRINGE 529.33 4/1/2013<br />
2500000535640 ZOLEDRONIC ACID 4 MG/5 ML IV 1,359.22 4/1/2013<br />
2500000535839 BORTEZOMIB 3.5 MG SOLUTION FOR INJE<strong>CT</strong>ION 273.19 4/1/2013<br />
2500000536591 PALONOSETRON 0.25 MG/5 ML IV 106.35 4/1/2013<br />
2500000536989 DAPTOMYCIN 500 MG IV SOLUTION 3.43 4/1/2013<br />
2500000537894 PEMETREXED 500 MG IV SOLUTION 341.40 4/1/2013<br />
2500000537989 CETUXIMAB 100 MG/50 ML IV 321.43 4/1/2013<br />
2500000538022 BEVACIZUMAB 25 MG/ML IV 370.84 4/1/2013<br />
2500000538072 RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML SYRINGE 0.30 4/1/2013<br />
2500000538270 CYCLOPHOSPHAMIDE 1 GRAM IV SOLUTION 146.47 4/1/2013<br />
2500000538271 CYCLOPHOSPHAMIDE 500 MG IV SOLUTION 146.46 4/1/2013<br />
2500000539477 ADENOSINE 3 MG/ML IV SYRINGE 218.74 4/1/2013<br />
2500000540120 NATALIZUMAB 300 MG/15 ML IV 77.80 4/1/2013<br />
2500000540475 PACLITAXEL-PROTEIN BOUND 100 MG IV SOLUTION 59.14 4/1/2013<br />
2500000541569 GLUCAGON (HUMAN RECOMBINANT) 1 MG SOLUTION FOR INJE<strong>CT</strong>ION 540.29 4/1/2013<br />
2500000541652 TIGECYCLINE 50 MG IV SOLUTION 8.83 4/1/2013<br />
2500000570287 ABATACEPT (WITH MALTOSE) 250 MG IV SOLUTION 140.45 4/1/2013<br />
2500000576364 DECITABINE 50 MG IV SOLUTION 212.93 4/1/2013<br />
2500000576963 DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJE<strong>CT</strong>ION 20.01 4/1/2013<br />
2500000577034 DARBEPOETIN ALFA 300 MCG/ML IN POLYSORBATE INJE<strong>CT</strong>ION 19.80 4/1/2013<br />
2500000577195 LEVETIRACETAM 500 MG/5 ML IV 1.58 4/1/2013<br />
2500000577412 CAFFEINE CITRATED 60 MG/3 ML (20 MG/ML) IV 5.97 4/1/2013<br />
2500000581434 ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL AND WATER IV 1,315.85 4/1/2013<br />
2500000581696 ECULIZUMAB 300 MG/30 ML IV 1,251.76 4/1/2013<br />
2500000582200 FLUOROURACIL 500 MG/10 ML IV 10.60 4/1/2013<br />
2500000582204 FLUOROURACIL 1 GRAM/20 ML IV 10.66 4/1/2013<br />
2500000588615 DORIPENEM 500 MG IV SUSP 4.70 4/1/2013<br />
2500000588652 IXABEPILONE 15 MG IV SOLUTION 399.38 4/1/2013<br />
2500000588654 HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJE<strong>CT</strong>ION 415.83 4/1/2013<br />
2500000589350 PEMETREXED 100 MG IV SOLUTION 341.40 4/1/2013<br />
2500000591055 IRINOTECAN 40 MG/2 ML IV 31.07 4/1/2013<br />
2500000591237 CIPROFLOXACIN 200 MG/100 ML IN DEXTROSE 5 % IV PIGGY BACK 10.16 4/1/2013<br />
2500000591278 O<strong>CT</strong>REOTIDE ACETATE 50 MCG/ML INJE<strong>CT</strong>ION 4.86 4/1/2013<br />
2500000591349 KETOROLAC 60 MG/2 ML IM 0.88 4/1/2013<br />
2500000592838 LEVOLEUCOVORIN CALCIUM 50 MG IV SOLUTION 12.43 4/1/2013<br />
2500000593566 ROMIPLOSTIM 250 MCG SUB-Q SOLN 318.89 4/1/2013<br />
2500000594096 ONDANSETRON HCL (PF) 4 MG/2 ML INJE<strong>CT</strong>ION 1.43 4/1/2013<br />
2500000596986 DEGARELIX 80 MG SUB-Q SOLN 30.69 4/1/2013<br />
2500000596987 DEGARELIX 120 MG SUB-Q SOLN 61.38 4/1/2013<br />
2500000597342 SUMATRIPTAN 6 MG/0.5 ML SUB-Q 142.69 4/1/2013<br />
2500000599452 TOCILIZUMAB 80 MG/4 ML (20 MG/ML) IV 20.96 4/1/2013<br />
2500000610153 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML IM 138.09 4/1/2013<br />
2500000610512 MEASLES,MUMPS&RUBELLA VACCIN(PF) 1,000-12,500 TCID50/0.5 ML SUB-Q SOLN 315.82 4/1/2013<br />
2500000611037 PNEUMOCOCCAL 23-VALPS VACCINE 25 MCG/0.5 ML INJE<strong>CT</strong>ION 364.76 4/1/2013<br />
2500000611257 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT IM 1,185.49 4/1/2013<br />
2500000811403 SODIUM CHLORIDE 0.9 % IRRIGATION SOLN 6.35 4/1/2013<br />
2500000827838 SODIUM CHLORIDE 0.9 % IV 179.55 4/1/2013<br />
2500000841463 SODIUM CHLORIDE 0.9 % INJE<strong>CT</strong>ION 260.35 4/1/2013<br />
2550000110319 IOHEXOL 180 MG IODINE/ML INTRATHECAL 8.16 4/1/2013<br />
2550000110321 IOHEXOL 240 MG IODINE/ML IV 3.00 4/1/2013<br />
2550000110322 IOHEXOL 300 MG IODINE/ML IV 14.65 4/1/2013<br />
2550000110330 IOTHALAMATE MEGLUMINE 17.2 % URETHRAL 1.02 4/1/2013<br />
2550000117594 IODIXANOL 270 MG/ML IV 3.60 4/1/2013<br />
2550000117595 IODIXANOL 320 MG/ML IV 4.49 4/1/2013<br />
2550000191408 REGADENOSON 0.4 MG/5 ML IV SYRINGE 497.30 4/1/2013<br />
2705000110356 OSTEORAPTOR 2.3MM CVD BLUE SA COBRAID 1,589.12 4/1/2013<br />
2705000110484 WAND AMBIENT HIPVAC50 1,719.00 4/1/2013<br />
2705000116239 BLADE SAW OSCILLATNG 1.27 WIDE 210.86 4/1/2013<br />
2705000122264 GRASPER DIRE<strong>CT</strong> DRIVE 5MMX35CM 309.85 4/1/2013<br />
2705000122481 CANNULA LOW PROFILE W/OBTR 5MM 95.50 4/1/2013<br />
2705000122509 TWIST DRILL FLEX CVD FOR 2.3SA 702.88 4/1/2013
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