VA Price Schedule June 1 2025.xlsx

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Attached to
Q517--Amarillo (AMA) Pharmacy Compounding Oncology Federal contract opportunity
Solicitation number
36C25725Q0759
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17

About this file

Written by GovTribe AI ·

This file is a VA Price Schedule effective June 1, 2025, detailing an extensive list of pharmaceutical products and medical supplies with direct pricing. The document covers over 300 pharmaceutical items including chemotherapy drugs, IV solutions, antibiotics, immunosuppressants, and various medical supplies such as IV bags, catheter adapters, and infusion sets. The pricing structure indicates all products are priced at "Direct" with 0% rebate and 0% GPO fee, with a note that prices may change monthly and can be adjusted with written notice.

The price schedule is directly related to a VA solicitation (36C25725Q0759) for chemotherapy preparation services at the Amarillo VA Medical Center. The solicitation requires a U.S.-based contractor capable of providing chemotherapy preparation in a CETA CAG certified environment with next-day delivery capabilities. The comprehensive pricing document suggests the contractor would use these listed pharmaceuticals and supplies in preparing chemotherapy treatments, with the VA Veterans Health Administration Veterans Integrated Service Network 17 serving as the contracting agency.

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S02_36C25725Q0759.pdf PDF
36C25725Q0759_1.docx DOCX document

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20250601

VA Price Schedule
Effective Date: June 1, 2025

Products with Prices

Prod ID Updated Product Description and Billing Unit Jcode Rebate GPO Fee Price Authorized Wholesaler or Direct

DRUGS
150.45% Sodium Chloride 1000ML IV Bag:::15J70300%0%Direct
2010.45% Sodium Chloride 500ML IV Bag:::201J70400%0%Direct
120.9% Sodium Chloride 1000ML IV Bag:::12J70300%0%Direct
50.9% Sodium Chloride 100ML IV Bag:::5J70500%0%Direct
6770.9% Sodium Chloride 10ML FLUSH 10ML SYRINGE:::677J70500%0%Direct
170.9% Sodium Chloride 150ML IV Bag:::17J70500%0%Direct
10.9% Sodium Chloride 250ML IV Bag:::1J70500%0%Direct
180.9% Sodium Chloride 500ML IV Bag:::18J70400%0%Direct
80.9% Sodium Chloride 50ML IV Bag:::8J70500%0%Direct
220.9% Sodium Chloride 50ML Vial:::22J70500%0%Direct
200.9% Sodium Chloride PF 10ML BU:::20J70500%0%Direct
2113% Sodium Chloride 1000ML IV Bag:::211J70300%0%Direct
2123% Sodium Chloride 250ML IV Bag:::212J70500%0%Direct
243% Sodium Chloride 500ML IV Bag:::24J70400%0%Direct
2323.4% Sodium Chloride 30ML Vial:::23J70500%0%Direct
2095% Dextrose & 0.2% Sodium Chloride 1000ML IV Bag:::209J70700%0%Direct
515% Dextrose & 0.45% Sodium Chloride 1000ML IV Bag:::51J70700%0%Direct
495% Dextrose & 0.45% Sodium Chloride 250ML IV Bag:::49J70600%0%Direct
505% Dextrose & 0.45% Sodium Chloride 500ML IV Bag:::50J70600%0%Direct
545% Dextrose & 0.9% Sodium Chloride 1000ML IV Bag:::54J70700%0%Direct
525% Dextrose & 0.9% Sodium Chloride 250ML IV Bag:::52J70700%0%Direct
535% Dextrose & 0.9% Sodium Chloride 500ML IV Bag:::53J70700%0%Direct
595% Dextrose 1000ML IV Bag:::59J70700%0%Direct
585% Dextrose 100ML IV Bag:::58J70600%0%Direct
605% Dextrose 250ML IV Bag:::60J70600%0%Direct
565% Dextrose 500ML IV Bag:::56J70600%0%Direct
555% Dextrose 50ML IV Bag:::55J70600%0%Direct
6735% Dextrose Flush 10ML SYRINGE:::673J70700%0%Direct
1012Abatacept (Box of 4 click-jet) 125MG SYRINGE:::1012J01290%0%Direct
748Abatacept 125MG SYRINGE:::748J01290%0%Direct
597Abatacept 250MG Vial:::597J01290%0%Direct
922Abiraterone Acetate 1 Bottle:::9220%0%Direct
1054abobotulinumtoxinA 500Unit SDV:::10540%0%Direct
760Acetaminophen Tablets 1 Bottle:::7600%0%Direct
888Acetazolamide 500mg ER 500MG Bottle:::888J00000%0%Direct
986adalimumab (Humira Pen) 40mg syr / 2 per box 40MG Box:::986J01350%0%Direct
808Ado-trastuzumab emtansine 100MG Vial:::808J93540%0%Direct
815Ado-trastuzumab emtansine 160MG Vial:::815J93540%0%Direct
705Aflibercept 2MG SYRINGE:::705J01780%0%Direct
214Aldesluekin 22MU Vial:::214J90150%0%Direct
33Alemtuzumab 10MG BU:::33J90100%0%Direct
216Alemtuzumab 30MG Vial:::216J90100%0%Direct
831Alteplase 0.25MG SYRINGE:::831J29970%0%Direct
966Alteplase 0.5MG SYRINGE:::966J29970%0%Direct
742Alteplase 2MG Vial:::742J29970%0%Direct
223Amifostine 500MG Vial:::223J02070%0%Direct
833AMIKACIN 500MG Vial:::833J02780%0%Direct
849Amphotericin B 50MG Vial:::849J02850%0%Direct
926Amphotericin Intravitreal 10MCG SYRINGE:::926J02850%0%Direct
850Amphotericin Intravitreal 5MCG SYRINGE:::850J02850%0%Direct
826Ampicillin Sulbactam (Unasyn) 3000MG Vial:::826J02950%0%Direct
1016Arginine HCL 30GM SDV:::10160%0%Direct
1003ARIPiprazole Extended Release 400MG SYRINGE:::10030%0%Direct
1052Arsenic Trioxide 12MG SDV:::1052J90170%0%Direct
230Asparaginase IVDEA014 10000IU Vial:::230J90200%0%Direct
987Atezolizumab 1200MG Vial:::987J99990%0%Direct
32Atropine Sulfate 0.01MG BU:::32J04610%0%Direct
231Atropine Sulfate 1MG Vial:::231J04610%0%Direct
663Atropine Sulfate Syringe (0.1mg/ml) 1MG SYRINGE:::663J04610%0%Direct
944Atropine Sulfate 0.4MG Vial:::944J04610%0%Direct
1051Avelumab 200MG SDV:::1051J90230%0%Direct
232azaCITIDine 100MG Vial:::232J90250%0%Direct
682Azactidine SQ 100MG Vial:::682J90250%0%Direct
810BCG Live 50MG Vial:::810J90310%0%Direct
771Belimumab 120MG Vial:::771J04900%0%Direct
683Belimumab 400MG Vial:::683J04900%0%Direct
924Belinostat 500MG Vial:::924J90320%0%Direct
233Bendamustine 100MG Vial:::233J90330%0%Direct
719Bendamustine 25MG Vial:::719J90330%0%Direct
969Bendamustine HCL (Bendeka) 100MG Vial:::969J90330%0%Direct
187Bevacizumab 100MG Vial:::187J90350%0%Direct
161Bevacizumab 400MG Vial:::161J90350%0%Direct
160Bevacizumab 10MG BU:::160J90350%0%Direct
1008Bezlotoxumab 1000MG SDV:::1008J34900%0%Direct
235Bleomycin 15Unit Vial:::235J90400%0%Direct
236Bleomycin 30Unit Vial:::236J90400%0%Direct
238Bortezomib 3.5MG Vial:::238J90410%0%Direct
676Bortezomib SQ 3.5MG Vial:::676J90410%0%Direct
773Brentuximab Vedotin (Adcetris) 50MG Vial:::773J90420%0%Direct
239Cabazitaxel 60MG Vial:::239J90430%0%Direct
240Calcium Gluconate 1GM BU:::240J06100%0%Direct
241Calcium Gluconate 1GM Vial:::241J06100%0%Direct
709Calcium Gluconate 5GM Vial:::709J06100%0%Direct
757Capecitabine 150MG Each:::757J85200%0%Direct
811Capecitabine 500MG Each:::811J85200%0%Direct
34CARBOplatin 150MG Vial:::34J90450%0%Direct
242CARBOplatin 450MG Vial:::242J90450%0%Direct
35CARBOplatin 50MG BU:::35J90450%0%Direct
36CARBOplatin 50MG Vial:::36J90450%0%Direct
700Carboplatin 600MG Vial:::700J90450%0%Direct
1004Carfilzomib (Kyprolis) 30MG SDV:::1004J90470%0%Direct
749Carfilzomib (Kyprolis) 60MG Vial:::749J90470%0%Direct
832Carimune (IVIG) 12GM Vial:::832J15660%0%Direct
185Carimune (IVIG) 3GM BU:::185J15660%0%Direct
395Carimune (IVIG) 3GM Vial:::395J15660%0%Direct
396Carimune (IVIG) 6GM Vial:::396J15660%0%Direct
244Carmustine 100MG Vial:::244J90500%0%Direct
799Carmustine 7.7mg Wafer (Gliadel) 8 Box:::7990%0%Direct
961ceFAZolin 1000MG Vial:::961J06900%0%Direct
701Cefepime 1GM Vial:::701J06920%0%Direct
860cefTAZidime 1GM Vial:::860J07130%0%Direct
744cefTAZidime 2GM Vial:::744J07130%0%Direct
712cefTRIAXone 2GM Vial:::712J06960%0%Direct
802Ceftriaxone 500MG Vial:::802J06960%0%Direct
946cefTRIAXone 1GM Vial:::946J06960%0%Direct
609Certolizumab 200MG SYRINGE:::609J07170%0%Direct
245Cetuximab 100MG Vial:::245J90550%0%Direct
246Cetuximab 200MG Vial:::246J90550%0%Direct
936Cidofovir 375MG Vial:::936J07400%0%Direct
41CISplatin 100MG Vial:::41J90600%0%Direct
39CISplatin 10MG BU:::39J90600%0%Direct
263CISplatin 200MG Vial:::263J90600%0%Direct
40CISplatin 50MG Vial:::40J90600%0%Direct
42Cladribine 10MG Vial:::42J90650%0%Direct
43Cladribine 1MG BU:::43J90650%0%Direct
935Clindamycin 300MG Vial:::935J34900%0%Direct
975Clindamycin 600MG Vial:::975J34900%0%Direct
805Clofarabine Injection 20MG Vial:::805J90270%0%Direct
775Clonidine 0.2MG Tablets 0.2MG Each:::775J07350%0%Direct
997Collagenase Clostridium Histolyticum 0.9MG SDV:::997J07750%0%Direct
725Cyan 1GM Vial:::725J06960%0%Direct
266Cyanocobalamin 10000MCG Vial:::266J34200%0%Direct
264Cyanocobalamin 1000MCG BU:::264J34200%0%Direct
265Cyanocobalamin 1000MCG Vial:::265J34200%0%Direct
711Cyanocobalamin 30000MCG Vial:::711J34200%0%Direct
44Cyclophosphamide 2000MG Vial:::44J90700%0%Direct
45Cyclophosphamide 500MG Vial:::45J90700%0%Direct
46Cyclophosphamide 1000MG Vial:::46J90700%0%Direct
3Cyclophosphamide 100MG BU:::3J90700%0%Direct
806Cyclophosphamide 25mg Tablet 25MG Each:::806J85300%0%Direct
755Cyclophosphamide 50MG Capsules 50MG Each:::755J85300%0%Direct
797Cyclosporine Injection USP 250MG AMP:::797J75160%0%Direct
48Cytarabine (100mg/ml) 100MG Vial:::48J91000%0%Direct
269Cytarabine (100mg/ml) 2000MG Vial:::269J91000%0%Direct
710Cytarabine (20mg/ml) PF 100MG Vial:::710J91000%0%Direct
899Dabrafenib 75MG Each:::899J89990%0%Direct
270Dacarbazine 100MG BU:::270J91300%0%Direct
271Dacarbazine 200MG Vial:::271J91300%0%Direct
63DACTINomycin 500MCG Vial:::63J91200%0%Direct
957Daratumumab 100MG Vial:::957J99990%0%Direct
958Daratumumab 400MG Vial:::958J99990%0%Direct
272DAUNOrubicin 20MG Vial:::272J91500%0%Direct
274Decitabine 50MG Vial:::274J08940%0%Direct
903Decitabine Diluent 10ML Vial:::903J08940%0%Direct
275Deferoxamine 500MG Vial:::275J08950%0%Direct
696Deferoxamine IM 500MG Vial:::696J08950%0%Direct
747Degarelix 80MG Vial:::747J91550%0%Direct
914Degarelix 240MG SDV:::914J91550%0%Direct
202Denosumab 120MG Vial:::202J08970%0%Direct
693Denosumab 60MG Each:::693J08970%0%Direct
614Depo Testosterone 200MG Vial:::614J10800%0%Direct
767Desmopressin Acetate 40MCG Vial:::767J25970%0%Direct
684Desmopressin Acetate 4MCG AMP:::684J25970%0%Direct
277Dexamethasone (10mg/ml) 1MG BU:::277J11000%0%Direct
280Dexamethasone (4mg/ml)******* 4MG Vial:::280J11000%0%Direct
279Dexamethasone 100MG Vial:::279J11000%0%Direct
278Dexamethasone 10MG Vial:::278J11000%0%Direct
281Dexamethasone 120MG Vial:::281J11000%0%Direct
872Dexamethasone Intravitreal Implant 0.7MG SYRINGE:::872J73120%0%Direct
714Dexrazoxane 250MG Vial:::714J11900%0%Direct
715Dexrazoxane 500MG Vial:::715J11900%0%Direct
930Diazepam Tablets 5MG Box:::9300%0%Direct
68Diphenhydramine 50MG BU:::68J12000%0%Direct
283Diphenhydramine 50MG Vial:::283J12000%0%Direct
69DOCEtaxel (10mg/ml) **** 1MG BU:::69J91710%0%Direct
285DOCEtaxel (10mg/ml) 80MG Vial:::285J91710%0%Direct
964DOCEtaxel (20mg/ml) 80MG Vial:::964J91710%0%Direct
1007DOCEtaxel (20mg/ml) 20MG SDV:::1007J91710%0%Direct
638DOCEtaxel (20mg/ml) liq/liq 1MG BU:::638J91710%0%Direct
599DOCEtaxel 160MG Vial:::599J91710%0%Direct
284DOCEtaxel 20MG Vial:::284J91710%0%Direct
11DOXOrubicin 10MG BU:::11J90000%0%Direct
734Doxorubicin 10MG Vial:::734J90000%0%Direct
286DOXOrubicin 200MG Vial:::286J90000%0%Direct
750Doxorubicin 20MG Vial:::750J90000%0%Direct
72DOXOrubicin 50MG Vial:::72J90000%0%Direct
838DOXOrubicin Powder (TACE) 50MG Vial:::838J90000%0%Direct
1053Durvalumab (Imfinzi) 120MG SDV:::1053C94920%0%Direct
1046Durvalumab (Imfinzi) 500MG SDV:::1046C94920%0%Direct
829Eculizumab 300MG Vial:::829J13000%0%Direct
107Enoxaparin 30MG SYRINGE:::107J16500%0%Direct
108Enoxaparin 40MG SYRINGE:::108J16500%0%Direct
109Enoxaparin 60MG SYRINGE:::109J16500%0%Direct
613Enoxaparin 100MG SYRINGE:::613J16500%0%Direct
737Enoxaparin 120MG SYRINGE:::737J16500%0%Direct
867Enzalutamide 40mg 1 Bottle:::867C93990%0%Direct
76Epinepherine 1MG AMP:::76J01710%0%Direct
1001EPINEPHrine 1mg/ml 30ML MDV:::1001J01710%0%Direct
190Epirubicin 2MG BU:::190J91780%0%Direct
327Epirubicin 100MG Vial:::327J91780%0%Direct
328Epirubicin 200MG Vial:::328J91780%0%Direct
77Epirubicin 50MG Vial:::77J91780%0%Direct
615Epoetin Alfa (Procrit) 10000Unit Vial:::615J08850%0%Direct
692Epoetin Alfa (Procrit) 1000Unit BU:::692J08850%0%Direct
616Epoetin Alfa (Procrit) 20000Unit Vial:::616J08850%0%Direct
617Epoetin Alfa (Procrit) 40000Unit Vial:::617J08850%0%Direct
998Epoetin Alfa (EPOGEN) 10000Unit SDV:::998J08850%0%Direct
1005Epoetin Alfa (EPOGEN) 20000Unit SDV:::1005J08850%0%Direct
208Eribulin Mesylate 1MG Vial:::208J91790%0%Direct
758Erlotinib Tablets 100MG Each:::7580%0%Direct
795Erlotinib Tablets 150MG Each:::7950%0%Direct
781Ertapenem 1000MG Vial:::781J13350%0%Direct
189Etoposide 10MG BU:::189J91810%0%Direct
340Etoposide 1000MG Vial:::340J91810%0%Direct
338Etoposide 100MG Vial:::338J91810%0%Direct
339Etoposide 500MG Vial:::339J91810%0%Direct
796Everolimus 5MG Each:::796J85610%0%Direct
733Famotidine 40MG Vial:::733J34900%0%Direct
342Famotidine 20MG Vial:::342J34900%0%Direct
943Ferric Carboxymaltose 750MG Vial:::943J14390%0%Direct
600Ferric Gluconate 62.5MG Vial:::600J29160%0%Direct
198Ferumoxytol 510MG Vial:::198Q01380%0%Direct
125Filgrastim 300MCG Vial:::125J14420%0%Direct
124Filgrastim 480MCG Vial:::124J14420%0%Direct
952Filgrastim 300MCG SYRINGE:::952J14420%0%Direct
890Filgrastim 480MCG SYRINGE:::890J14420%0%Direct
976Filgrastim SNDZ 300MCG SYRINGE:::976Q51010%0%Direct
977Filgrastim SNDZ 480MCG SYRINGE:::977Q51010%0%Direct
1028Floxuridine 500MG SDV:::1028J92000%0%Direct
79Fludarabine 50MG BU:::79J91850%0%Direct
343Fludarabine 50MG Vial:::343J91850%0%Direct
735Fluorouracil 1000MG Vial:::735J91900%0%Direct
6Fluorouracil 500MG BU:::6J91900%0%Direct
191Fluorouracil 500MG Vial:::191J91900%0%Direct
345Fluorouracil 2500MG Vial:::345J91900%0%Direct
346Fluorouracil 5000MG Vial:::346J91900%0%Direct
697Fondaparinux 7.5MG SYRINGE:::697J16520%0%Direct
203Fosaprepitant 150MG Vial:::203J14530%0%Direct
184Fosaprepitant 1MG BU:::184J14530%0%Direct
967Foscarnet Sodium Inj. (FOSCAVIR) 6000MG Vial:::967J14550%0%Direct
602Fulvestrant 500MG SYRINGE:::602J93950%0%Direct
81Furosemide 40MG Vial:::81J19400%0%Direct
727Furosemide 100MG Vial:::727J19400%0%Direct
659Furosemide 20MG Vial:::659J19400%0%Direct
973Gammagard 5%S/D Vial 5GM Vial:::973J15690%0%Direct
685Gammagard 10% 10GM Vial 10GM Vial:::685J15690%0%Direct
722Gammagard 10% 1GM Vial 1GM Vial:::722J15690%0%Direct
687Gammagard 10% 20gm Vial 20GM Vial:::687J15690%0%Direct
728Gammagard 10% 5 gm vial 5GM Vial:::728J15690%0%Direct
724Gammaked ( IVIG ) 5GM Vial:::724J15610%0%Direct
686Gammaked (IVIG) 10GM Vial:::686J15610%0%Direct
756Gammaked (IVIG) 1GM BU:::756J15610%0%Direct
723Gammaked (IVIG) 1GM Vial:::723J15610%0%Direct
754Gammaked (IVIG) 2.5GM Vial:::754J15610%0%Direct
731Gammaked (IVIG) 20GM Vial:::731J15610%0%Direct
610Ganciclovir 500MG Vial:::610J15700%0%Direct
971Ganciclovir 2mg/0.1ML 2MG Each:::971J15700%0%Direct
82Gemcitabine 200MG BU:::82J92010%0%Direct
1058Gemcitabine (100mg/ml) 200MG MDV:::1058J92010%0%Direct
1057Gemcitabine(100mg/ml) 1000MG MDV:::1057J92010%0%Direct
603Gemcitabine 2000MG Vial:::603J92010%0%Direct
1009Gemtuzumab Ozogamicin 4.5MG SDV:::1009J93000%0%Direct
853Gentamicin 80MG Vial:::853J15800%0%Direct
366Goserelin acetate 10.8MG SYRINGE:::366J92020%0%Direct
365Goserelin acetate 3.6MG SYRINGE:::365J92020%0%Direct
85Granisetron 1000MCG Vial:::85J16260%0%Direct
84Granisetron 100MCG BU:::84J16260%0%Direct
367Granisetron 4000MCG Vial:::367J16260%0%Direct
604Heparin Flush 500Unit SYRINGE:::604J16440%0%Direct
764Heparin Sodium Injection 1000Unit Vial:::764J16440%0%Direct
825Hyaluronate Sodium (Euflexxa) 20mg syr / 3 per box 60MG Box:::825J73230%0%Direct
818Hyaluronate Sodium (Hyalgan) 20MG SYRINGE:::818J73210%0%Direct
816Hyaluronate Sodium (Supartz) 25MG SYRINGE:::816J73210%0%Direct
670Hyaluronidase 200IU Vial:::670J34700%0%Direct
713Hydrocortisone 100MG Vial:::713J17200%0%Direct
91Hydrocortisone PF 100MG BU:::91J17200%0%Direct
377Ibandronate 3MG SYRINGE:::377J17400%0%Direct
380IDArubicin 10MG Vial:::380J92110%0%Direct
381IDArubicin 20MG Vial:::381J92110%0%Direct
718IDArubicin 5MG Vial:::718J92110%0%Direct
92Ifosfamide 1000MG BU:::92J92080%0%Direct
382Ifosfamide 1000MG Vial:::382J92080%0%Direct
945Imatinib Mesylate 100MG Bottle:::9450%0%Direct
387inFLIXimab 100MG Vial:::387J17450%0%Direct
1002Interferon alfa-2b 10MU SDV:::1002J92140%0%Direct
651Iohexol 300 50ML Vial:::6510%0%Direct
874Iopamidol Injection 61% 30ML Vial:::874Q99670%0%Direct
885Ipilimumab 200MG Vial:::885J92280%0%Direct
631Ipilimumab 50MG Vial:::631J92280%0%Direct
93Irinotecan 100MG Vial:::93J92060%0%Direct
94Irinotecan 20MG BU:::94J92060%0%Direct
390Irinotecan 40MG Vial:::390J92060%0%Direct
95Iron Dextran 100MG Vial:::95J17500%0%Direct
96Iron Dextran 50MG BU:::96J17500%0%Direct
167Iron Sucrose 100MG Vial:::167J17560%0%Direct
394Iron Sucrose 1MG BU:::394J17560%0%Direct
778Iron sucrose 200MG Vial:::778J17560%0%Direct
178Ixabepilone 15MG Vial:::178J92070%0%Direct
177Ixabepilone 45MG Vial:::177J92070%0%Direct
956Keytruda 100MG Vial:::956J92710%0%Direct
99Lactated Ringers 1000ML IV Bag:::99J71200%0%Direct
98Lactated Ringers 250ML IV Bag:::98J71200%0%Direct
398Lactated Ringers 500ML IV Bag:::398J71200%0%Direct
100Leucovorin (10mg/ml)****** 50MG BU:::100J06400%0%Direct
101Leucovorin 100MG Vial:::101J06400%0%Direct
596Leucovorin 200MG Vial:::596J06400%0%Direct
102Leucovorin 350MG Vial:::102J06400%0%Direct
103Leucovorin 500MG Vial:::103J06400%0%Direct
640Leucovorin (20mg/ml) 50MG BU:::640J06400%0%Direct
726Leucovorin 50MG Vial:::726J06400%0%Direct
413Leuprolide Depot 11.25MG SYRINGE:::413J19500%0%Direct
414Leuprolide Depot 22.5MG SYRINGE:::414J19500%0%Direct
411Leuprolide Depot 3.75MG SYRINGE:::411J19500%0%Direct
415Leuprolide Depot 30MG SYRINGE:::415J19500%0%Direct
664Leuprolide Depot 45MG SYRINGE:::664J19500%0%Direct
412Leuprolide Depot 7.5MG SYRINGE:::412J19500%0%Direct
1006Leuprolide Acetate Injection 14MG MDV:::1006J19500%0%Direct
416Levoleucovorin 50MG Vial:::416J06410%0%Direct
929Lidocaine HCL 4% 40MG AMP:::929J20010%0%Direct
886Liposomal Cytarabine 50MG Vial:::886J90980%0%Direct
417Liposomal Doxorubicin 10MG BU:::417J90020%0%Direct
746Liposomal Doxorubicin 20MG Vial:::746Q20500%0%Direct
419Liposomal DOXOrubicin 50MG Vial:::419Q20500%0%Direct
1047Liposomal Irinotecan (Onivyde) 43MG SDV:::1047J92050%0%Direct
422LORazepam 20MG Vial:::422J20600%0%Direct
420LORazepam 2MG BU:::420J20600%0%Direct
421LORazepam 2MG Vial:::421J20600%0%Direct
809Lymphocyte IG 250MG AMP:::809J75040%0%Direct
112Magnesium Sulfate 0.5GM BU:::112J34750%0%Direct
111Magnesium Sulfate 1GM Vial:::111J34750%0%Direct
423Magnesium Sulfate 5GM Vial:::423J34750%0%Direct
425Mannitol 25% 12.5GM Vial:::425J21500%0%Direct
426Mechlorethamine 10MG Vial:::426J92300%0%Direct
115Melphalan 50MG BU:::115J92450%0%Direct
427Melphalan 50MG Vial:::427J92450%0%Direct
1073Melphalan Tabs 2MG Each:::1073J92450%0%Direct
1059Mepolizumab 100MG SDV:::1059J21820%0%Direct
429Mesna 1000MG Vial:::429J92090%0%Direct
428Mesna 200MG BU:::428J92090%0%Direct
878Methotrexate Ophthalmic Injection 400MCG BU:::878J92500%0%Direct
720Methotrexate PF 1GM Vial:::720J92600%0%Direct
431Methotrexate PF 250MG Vial:::431J92600%0%Direct
2Methotrexate PF 50MG BU:::2J92600%0%Direct
789Methotrexate PF 50MG Vial:::789J92600%0%Direct
1017Methylene Blue 50MG AMP:::1017J34900%0%Direct
433methylPREDNISolone 125MG Vial:::433J29300%0%Direct
785methylPREDNISolone 1GM Vial:::785J29300%0%Direct
432methylPREDNISolone 40MG Vial:::432J29200%0%Direct
434Metoclopramide 10MG BU:::434J27650%0%Direct
435Metoclopramide 10MG Vial:::435J27650%0%Direct
950Midazolam 2MG Vial:::950J22500%0%Direct
927Midazolam 5MG Vial:::927J22500%0%Direct
963mitoMYcin 0.01% Ophthalmic Soln 0.1MG SYRINGE:::963J92800%0%Direct
759mitoMYcin 0.02% Ophthalmic Soln 0.2MG SYRINGE:::759J92800%0%Direct
960mitoMYcin 0.03% Ophthalmic Soln 0.3MG SYRINGE:::960J92800%0%Direct
786mitoMYcin 0.04% Ophthalmic Soln 0.4MG SYRINGE:::786J92800%0%Direct
859mitoMYcin 0.05% Ophthalmic Soln 0.5MG SYRINGE:::859J92800%0%Direct
1064mitoMYcin 0.2mg/ml Intravesical 5MG BU:::1064J92800%0%Direct
1031mitoMYcin 0.4mg/ml Intravesical 5MG BU:::1031J92800%0%Direct
813mitoMYcin 0.5mg/ml Intravesical 5MG BU:::813J92800%0%Direct
770mitoMYcin 0.66MG/ML Intravesical 5MG BU:::770J92800%0%Direct
774mitoMYcin 0.8MG/ML Intravesical 5MG BU:::774J92800%0%Direct
908mitoMYcin 1.33mg/ml Intravesical 5MG BU:::908J92800%0%Direct
852mitoMYcin 1.6mg/ml Intravesical 5MG BU:::852J92800%0%Direct
679mitoMYcin 1mg/ml Intravesical 5MG BU:::679J92800%0%Direct
120mitoMYcin 20MG Vial:::120J92800%0%Direct
1049mitoMYcin 1mg/ml 5MG BU:::1049J92800%0%Direct
769mitoMYcin 2mg/ml Intravesical 5MG BU:::769J92800%0%Direct
999mitoMYcin 4MG/ML Vial:::999J92800%0%Direct
437mitoMYcin 40MG Vial:::437J92800%0%Direct
119mitoMYcin 5MG BU:::119J92800%0%Direct
436mitoMYcin 5MG Vial:::436J92800%0%Direct
438mitoXANtrone 20MG Vial:::438J92930%0%Direct
751mitoXANtrone 25MG Vial:::751J92930%0%Direct
798Mycophenolate Mofetil HCL 500MG Vial:::798J75170%0%Direct
948Nebupent-Pentamidine isethionate for Inhalation 300MG Vial:::948J25450%0%Direct
844Nilotinib 200mg / 28 CAP (BP) 1 Each:::8440%0%Direct
921Nivolumab 100MG Vial:::921J99990%0%Direct
920Nivolumab 40MG Vial:::920J99990%0%Direct
882Obinutuzumab 1000MG Vial:::882J93010%0%Direct
883Obinutuzumab 10MG BU:::883J93010%0%Direct
955Octagam 10% 10GM Vial:::955J15680%0%Direct
928Octagam 10% 20GM Vial:::928J15680%0%Direct
954Octagam 10% 5GM Vial:::954J15680%0%Direct
1022Octagam 10% 2GM Vial:::1022J15680%0%Direct
459Octreotide 100MCG Vial:::459J23540%0%Direct
708Octreotide LAR 10MG SYRINGE:::708J23530%0%Direct
141Octreotide LAR 20MG SYRINGE:::141J23530%0%Direct
457Octreotide LAR 30MG SYRINGE:::457J23530%0%Direct
643Ofatumumab 1000MG Vial:::643J93020%0%Direct
642Ofatumumab 100MG Vial:::642J93020%0%Direct
641Ofatumumab 10MG BU:::641J93020%0%Direct
979Omalizumab 150MG Vial:::979J23570%0%Direct
812OnabotulinumtoxinA 100Unit Vial:::812J05850%0%Direct
10Ondansetron 1MG BU:::10J24050%0%Direct
127Ondansetron 40MG Vial:::127J24050%0%Direct
128Ondansetron 4MG Vial:::128J24050%0%Direct
166Oxaliplatin 0.5MG BU:::166J92630%0%Direct
73Oxaliplatin 100MG Vial:::73J92630%0%Direct
74Oxaliplatin 50MG Vial:::74J92630%0%Direct
441P.B. PACLitaxel 100MG Vial:::441J92640%0%Direct
912PACLitaxel 1MG BU:::912J92670%0%Direct
130PACLitaxel 100MG Vial:::130J92670%0%Direct
132PACLitaxel 300MG Vial:::132J92670%0%Direct
131PACLitaxel 30MG Vial:::131J92670%0%Direct
968Palifermin 6.25MG Vial:::968J24250%0%Direct
197Palonosetron 25MCG BU:::197J24690%0%Direct
469Palonosetron 250MCG Vial:::469J24690%0%Direct
133Pamidronate 30MG BU:::133J24300%0%Direct
135Pamidronate 30MG Vial:::135J24300%0%Direct
134Pamidronate 90MG Vial:::134J24300%0%Direct
171Panitumumab 100MG Vial:::171J93030%0%Direct
173Panitumumab 400MG Vial:::173J93030%0%Direct
174Papillomavirus Vaccine 1 Each:::174J00000%0%Direct
483Pegaspargase 3750IU Vial:::483J92660%0%Direct
482Pegfilgrastim 6MG SYRINGE:::482J25050%0%Direct
978Pegfilgrastim Onpro Kit 6MG SYRINGE:::978J25050%0%Direct
181PEMEtrexed 100MG Vial:::181J93050%0%Direct
489PEMEtrexed 500MG Vial:::489J93050%0%Direct
980Penicillin G benzathine inj. suspension 2ML SYRINGE:::980J05610%0%Direct
947Pentam-Pentamidine isethionate for Injection 300MG Vial:::947J25450%0%Direct
948Nebupent-Pentamidine isethionate 300MG Vial:::948J25450%0%Direct
126Pentostatin 10MG BU:::126J92680%0%Direct
492Pentostatin 10MG Vial:::492J92680%0%Direct
741Pertuzumab 420MG Vial:::741J93060%0%Direct
154Phytonadione 10MG AMP:::154J34300%0%Direct
199Potassium Chloride 2mEq BU:::199J34800%0%Direct
493Potassium Chloride 20mEq Vial:::493J34800%0%Direct
206PRALAtrexate 40MG Vial:::206J93070%0%Direct
205PRALAtrexate 20MG Vial:::205J93070%0%Direct
842Prednisone 50MG Each:::842J75060%0%Direct
884Prednisone 5MG Each:::884J75060%0%Direct
496Prochlorperazine 10MG Vial:::496J07800%0%Direct
136Promethazine 25MG Vial:::136J25500%0%Direct
868Ramucirumab 500MG SDV:::868J93080%0%Direct
871Ramucirumab 100MG SDV:::871J93080%0%Direct
819Ranibizumab 0.3MG SYRINGE:::819J27780%0%Direct
702Ranibizumab 0.5MG SYRINGE:::702J27780%0%Direct
137Ranitidine 50MG Vial:::137J27800%0%Direct
703Rasburicase 1.5MG Vial:::703J27830%0%Direct
704Rasburicase 7.5MG Vial:::704J27830%0%Direct
195riTUXimab 100MG Vial:::195J93100%0%Direct
194riTUXimab 500MG Vial:::194J93100%0%Direct
787Romidepsin 10MG Vial:::787J93150%0%Direct
698romiPLOStim 250MCG Vial:::698J27960%0%Direct
675romiPLOStim 500MCG Vial:::675J27960%0%Direct
142Sargramostim 50MCG BU:::142J28200%0%Direct
510Sargramostim 250MCG Vial:::510J28200%0%Direct
951Sodium Bicarbonate 8.4% 50mEq SYRINGE:::951J34900%0%Direct
605Sodium Bicarbonate 8.4% 50mEq Vial:::605J34900%0%Direct
900SORAfenib 200MG Each:::9000%0%Direct
147Streptozocin 1000MG BU:::147J93200%0%Direct
514Streptozocin 1000MG Vial:::514J93200%0%Direct
919Tacrolimus 5MG AMP:::919J75250%0%Direct
835TBO Filgrastim 300MCG SYRINGE:::835J35900%0%Direct
856TBO Filgrastim 480MCG SYRINGE:::856J35900%0%Direct
777Temozolomide 100MG Vial:::777J93280%0%Direct
521Temsirolimus 25MG Vial:::521J93300%0%Direct
804Tetracaine 0.1% Ophthalmic Drops 1ML Bottle:::8040%0%Direct
985Tetracaine 0.5% Ophthalmic Soln 4ML Bottle:::9850%0%Direct
830Thyrotropin 2.2MG Vial:::830J32400%0%Direct
646Tocilizumab 200MG Vial:::646J32620%0%Direct
647Tocilizumab 400MG Vial:::647J32620%0%Direct
645Tocilizumab 80MG Vial:::645J32620%0%Direct
204Topotecan 0.1MG BU:::204J93510%0%Direct
196Topotecan 4MG Vial:::196J93510%0%Direct
959Trabectedin 1MG Vial:::959J99990%0%Direct
898Trametinib 2MG Each:::898J89990%0%Direct
90Trastuzumab 10MG BU:::90J93550%0%Direct
996Trastuzumab 150MG Vial:::996J93550%0%Direct
841Tretinoin 10MG Each:::8410%0%Direct
681Triamcinolone 40MG Vial:::681J33010%0%Direct
817Triamcinolone PF (Triesence) 40MG Vial:::817J33000%0%Direct
660Triptorelin 11.25MG SYRINGE:::660J33150%0%Direct
923Triptorelin 22.5MG SYRINGE:::923J33150%0%Direct
894Triptorelin 3.75MG SYRINGE:::894J33150%0%Direct
828Ustekinumab 45MG SYRINGE:::828J33570%0%Direct
892Valrubicin 200MG Vial:::892J93570%0%Direct
528Vancomycin 1000MG Vial:::528J33700%0%Direct
782Vancomycin 5000MG Vial:::782J33700%0%Direct
527Vancomycin 500MG Vial:::527J33700%0%Direct
895Vedolizumab 300MG Vial:::895J33800%0%Direct
529vinBLAStine 10MG Vial:::529J93600%0%Direct
150vinBLAStine 1MG BU:::150J93600%0%Direct
151vinCRIStine 1MG BU:::151J93700%0%Direct
152vinCRIStine 1MG Vial:::152J93700%0%Direct
530vinCRIStine 2MG Vial:::530J93700%0%Direct
153Vinorelbine 10MG BU:::153J93900%0%Direct
531Vinorelbine 10MG Vial:::531J93900%0%Direct
532Vinorelbine 50MG Vial:::532J93900%0%Direct
752Ziv-Aflibercept 100MG Vial:::752J94000%0%Direct
740Ziv-Aflibercept 200MG Vial:::740J94000%0%Direct
534Zoledronic Acid 4MG Vial:::534J34890%0%Direct
739Zoledronic acid (4 mg/100 ml) RTU vial 4MG SDV:::739J34890%0%Direct
535Zoledronic Acid 5MG Vial:::535J34890%0%Direct
SUPPLIES
5931000ml Empty IV Bag 1000ML Each:::5930%0%Direct
586100ml Cassette 1 Each:::5860%0%Direct
779100ml Homepump (100ml/hr) 1 Each:::7790%0%Direct
1018100ml Empty IV Bag 100ML Each:::10180%0%Direct
590150ml Empty IV Bag 150ML Each:::5900%0%Direct
5942000ml Empty IV Bag 2000ML Each:::5940%0%Direct
591250ml Empty IV Bag 250ML Each:::5910%0%Direct
7613000ML Empty Bag 3000ML Each:::7610%0%Direct
9724000ML Empty Bag 4000ML Each:::9720%0%Direct
780400ML Homepump (100ml/hr) 1 Each:::7800%0%Direct
970400ML Homepump (200ml/hr) 1 Each:::9700%0%Direct
592500ml Empty IV Bag 500ML Each:::5920%0%Direct
887ADDTO Catheter Adapter 1 Each:::8870%0%Direct
918Alaris Bag Hinge 1 Each:::9180%0%Direct
807Alaris Bag Spike 1 Each:::8070%0%Direct
103710014855A Alaris SmartSite LS Primary Set 1 Each:::10370%0%Direct
104510014881 Alaris SmartSite LS Secondary Set 1 Each:::10450%0%Direct
106110013364 Alaris Smartsite Secondary Set 1 Each:::10610%0%Direct
106210015861A Alaris Smartsite LS Primary Set::::10620%0%Direct
574Alaris Smartsite Set 2420-0007 1 Each:::5740%0%Direct
10412260-0500 Alaris SmartSite LS Primary Set 1 Each:::10410%0%Direct
104820350E LS In-line Filter Alaris SmartSite 1 Each:::10480%0%Direct
577B Braun Secondary Set V1921 1 Each:::5770%0%Direct
570Baxter Filter Set 2C7557 1 Each:::5700%0%Direct
572Baxter Filter Set 2C7558 1 Each:::5720%0%Direct
674Baxter Filter Set 2C8857 1 Each:::6740%0%Direct
1019Baxter Set 2H8537 1 Each:::10190%0%Direct
568Baxter Set 2C6537s 1 Each:::5680%0%Direct
661Baxter Set 2C7461 1 Each:::6610%0%Direct
589Cadd Remote Reservoir 1 Each:::5890%0%Direct
58721-7308-24 CADD Casette 250 mL 1 Each:::5870%0%Direct
105021-7002-24 CADD Casette 100 mL 1 Each:::10500%0%Direct
575CD Plumset 14242-28 1 Each:::5750%0%Direct
576CD Plumset Filter 11946-12 1 Each:::5760%0%Direct
732Codan IV set 1 Each:::7320%0%Direct
993Dosi-Fuser 4.7ml/hr 2 Day 1 Each:::9930%0%Direct
1011Dosi-Fuser Blue Pouch 1 Each:::10110%0%Direct
588Extension Set 60 Male/Male 1 Each:::588"0%0%Direct
738Extension Set 45 Male/Male 1 Each:::738"0%0%Direct
567HCA Plumset Filter 11947-12 1 Each:::5670%0%Direct
566HCA Plumsets 14687-28 1 Each:::5660%0%Direct
563Healthline 205077MB 1 Each:::5630%0%Direct
564Healthline Filter Set 205077MB 1 Each:::5640%0%Direct
667ICU Clave CH-10 1 Each:::6670%0%Direct
565ICU Set 20124-01 1 Each:::5650%0%Direct
580ICU-Bag Spike 1 Each:::5800%0%Direct
1072ICU CL3940 Chemolock Bag Spike and Clave Port 1 Each:::10720%0%Direct
581ICU-Bifuse Adaptor 1 Each:::5810%0%Direct
584ICU-Red Cap SC2000 1 Each:::5840%0%Direct
636ICU-Spiro Male Connector 1 Each:::6360%0%Direct
582ICU-Spiros Male II CH2000S-C 1 Each:::5820%0%Direct
583ICU-Vial Cap CH-77 1 Each:::5830%0%Direct
691ICU-VIAL SPIKE WITH CLAVE CH-70 1 Each:::6910%0%Direct
665In Line Tubing Filter 1 Each:::6650%0%Direct
863Insulin Needles 1 Box:::8630%0%Direct
862Insulin Syringes 1 Box:::8620%0%Direct
743IV Catheter Tip Syringe 1 Each:::7430%0%Direct
578IV Diluent 1 Each:::5780%0%Direct
579IV Syringe 1 Each:::5790%0%Direct
627Kawasumi Filter Set IV-0254 1 Each:::6270%0%Direct
628Kawasumi Veno-Set IV- 027N 1 Each:::6280%0%Direct
1010Lifeshield Primary Set 12668-28 1 Each:::10100%0%Direct
637Light Protection Bag 1 Each:::6370%0%Direct
881PhaSeal Injector Luer Lock (Syringe) 1 Each:::8810%0%Direct
1043REF:FC1 Equashield Female LL Connector 1 Unit:::10430%0%Direct
915Smart Site Infusion Set 10013182 (Cayman Island) 1 Each:::9150%0%Direct
1024smart-site Infusion Set 10013361T (VALB) 1 Each:::10240%0%Direct
574Smartsite Primary Set 2420-0007 1 Each:::5740%0%Direct
1023Smartsite Secondary Set 10013364T 1 Each:::10230%0%Direct
836Bacteriostatic Sterile Water 30ML SDV:::8360%0%Direct
143Sterile Water 1000ML IV Bag:::1430%0%Direct
146Sterile Water 10ML Vial:::1460%0%Direct
145Sterile Water 250ML IV Bag:::1450%0%Direct
144Sterile Water 500ML IV Bag:::1440%0%Direct
837Sterile Water (Preservative Free) 100ML Vial:::8370%0%Direct
512Sterile Water 50ML Vial:::5120%0%Direct
897Texium Adapter 1 Each:::8970%0%Direct
904Texium Vial Shield 1 Each:::9040%0%Direct
913Triton Classic Set (T090-000) 1 Each:::9130%0%Direct
607Triton Filter Set (T090-022V) 1 Each:::6070%0%Direct
606Triton Regular Set (T090-00W) 1 Each:::6060%0%Direct
608Triton Secondary Set (T030-000) 1 Each:::6080%0%Direct
635Walkmed Extension Set 1 Each:::6350%0%Direct
SPECIAL SERVICE FEES
695Chemotherapy Embolism Fee0%3%Direct
792Delivery Charge per unit 1 Each:::7920%0%Direct
949Exact Volume Requirement Fee 1 Each:::9490%3%Direct
632Intrathecal Mixing Fee 1 Each:::6320%3%Direct
0Per-Patient Order Admixture Fee:::90000%3%Direct
824Pharmacy Work Units Fee0%3%Direct
901USP 797 Expense 1Unit Each:::9010%3%Direct
902USP 800 Expense 1Unit Each:::9020%3%Direct
707STAT ORDER 1 Each:::7070%3%Direct

* If the Product is sold through an Authorized Wholesaler, the price is provided by Vendor to Purchaser through the Authorized Wholesaler, with the actual price paid by a Purchaser being determined by the terms of its contract with the Authorized Wholesaler. If Product is sold directly to a Purchaser, then this price is the actual cost to the Purchaser.

Exhibit A Pricing reflects Vendor pricing which changes monthly, with published pricing changes provided monthly to HPG and its Purchasers, or in the case of a change imposed on Vendor by its suppliers and distributors, with written notice to HPG and Purchasers five (5) business days prior to the start of a calendar month.

If a percentage is stated for the Rebate, then the Rebate shall be determined by multiplying the stated percentage against the price listed in this Exhibit (excluding any added freight charges, taxes, Rebates, refunds and credits on Product returns) for Products.

File details come from the government source that posted it. Updated .