ATTACHMENT 1 - PRICE COST SHEET.xlsx
XLSX spreadsheet 98 KB Posted
- Solicitation number
- 36C25620Q0746
About this file
This document provides details for a federal contract solicitation seeking pharmacy hazardous compounding services. The Department of Veterans Affairs Network Contracting Office 16 has a requirement for the G.V. Montgomery VA Medical Center in Jackson, Mississippi. The solicitation package for pharmacy hazardous compounding services will be available on or shortly after July 6, 2020 under solicitation number 36C25620Q0746 as an unrestricted procurement. Interested parties must be registered in SAM, VetBiz if applicable, and comply with Vet 4212 reporting if applicable. Questions regarding the solicitation should be directed to the point of contact provided.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT 5 - QUALITY ASSURANCE SURVEILLANCE PLAN (QASP).docx | DOCX document | |
| ATTACHMENT 3 - LIST OF PAST PERFORMANCE REFERENCES.docx | DOCX document | |
| 36C25620Q0746.docx | DOCX document | |
| ATTACHMENT 2 - NATIONAL PBM CSPS ASSESSMENT GUIDE.pdf | ||
| ATTACHMENT 4 - PAST PERFORMANCE QUESTIONNAIRE.docx | DOCX document |
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Text version
Price-Cost Sheet Base
| Generic Name | Brand Name | Dose | Unit | Price |
| Abatacept | Orencia 125mg 4/box | 10 | MG | |
| Abatacept | Orencia Click-Jet 125mg 4/box | 10 | MG | |
| Abatacept | Orencia 250mg | 10 | MG | |
| Abobotulinumtoxin A | Dysport 500u | IU | ||
| Adalimumab | Humira 40mg/0.8ml Pen 2/box | 20 | MG | |
| Ado-trastuzumab emtansine | Kadcyla 100mg/15ml | 1 | MG | |
| Ado-trastuzumab emtansine | Kadcyla 160mg/20ml | 1 | MG | |
| Aflibercept | Eylea 2mg | 1 | MG | |
| Alteplase | Cathflo Activase 2mg | 1 | MG | |
| Amifostine | Amifostine 500mg vial 3/bx | 500 | MG | |
| Amikacin | Amikacin Sulfate PF 500mg/2ml 10/box | 100 | MG | |
| Amphotericin B | Amphotericin B 50mg | 50 | MG | |
| Arginine | R-Gene HCL 300ml | 30 | GM | |
| Aripiprazole | Abilify Maintena 400mg Syringe | 1 | MG | |
| Arsenic | Trisenox 10mg 10/box | 1 | MG | |
| Arsenic | Trisenox 12mg 10/box | 1 | MG | |
| Asparaginase Erwinia | Erwinaze 10,000iu /vl - 5vl/box | 1000 | Unit | |
| Atezoliumab | Tecentriq 60mg/ml 20ml | 10 | MG | |
| Atropine | Atropine .4mg/mL 25/box | 0.01 | MG | |
| Atropine | Atropine 1mg/mL 25/box | 0.01 | MG | |
| Atropine | Atropine 1mg syringe 10/box | 0.01 | MG | |
| Avelumab | Bavencio 20mg/ml 10ml | 10 | MG | |
| Azacitidine | Azacitidine 100mg | 1 | MG | |
| Bacteriostatic Water | Bacteriostatic Water 30ml 25/box | 10 | ML | |
| BCG LIVE | TICE BCG 50mg | 50 | MG | |
| Belimumab | Benlysta 120mg | 10 | MG | |
| Belimumab | Benlysta 400mg | 400 | MG | |
| Bendamustine | Treanda 100mg PWD | 1 | MG | |
| Bendamustine | Treanda 25mg PWD | 1 | MG | |
| Bendamustine | Bendeka 100mg | 1 | MG | |
| Bendamustine | Bendamustine (Eagle) 100mg | 1 | MG | |
| Benralizumab | Fasenra 30mg Syr | 1 | MG | |
| Bevacizumab | Avastin 100mg | 10 | MG | |
| Bevacizumab | Avastin 400mg | 10 | MG | |
| Bevacizumab-AWWB | Mvasi 100mg | 10 | MG | |
| Bevacizumab-AWWB | Mvasi 400mg | 10 | MG | |
| Bezlotoxumab | Zinplava 1000mg | 1000 | MG | |
| Bleomycin | Bleomycin 15u | 15 | Unit | |
| Bleomycin | Bleomycin 30u | 15 | Unit | |
| Bortezomib | Velcade 3.5mg | 0.1 | MG | |
| Brentuximab Vedotin | Adcetris 50mg | 1 | MG | |
| Cabazitaxel | Jevtana 60mg | 1 | MG | |
| Calcium Gluconate | Calcium Gluc 100mg 10% 10mL 25/box | 10 | ML | |
| Calcium Gluconate | Calcium Gluconate 10% 50mL 25/box | 10 | ML | |
| Carboplatin | Carboplatin 150mg | 50 | MG | |
| Carboplatin | Carboplatin 450mg | 50 | MG | |
| Carboplatin | Carboplatin 50mg | 50 | MG | |
| Carboplatin | Carboplatin 600mg | 50 | MG | |
| Carfilzomib | Kyprolis 30mg | 1 | MG | |
| Carfilzomib | Kyprolis 60mg | 1 | MG | |
| Carmustine | BicNu 100mg | 100 | MG | |
| Carmustine in Polifeprosan | Gliadel Wafer | 7.7 | MG | |
| Cefazolin | Cefazolin 1gm 25/box | 500 | MG | |
| Cefepime | Cefepime 1gm 10/box | 500 | MG | |
| Ceftazidime | Ceftazidime 2gm 10/box | 500 | MG | |
| Ceftazidime | Tazicef 1gm 25/box | 500 | MG | |
| Ceftriaxone | Ceftriaxone 1gm 10/box | 250 | MG | |
| Certolizumab | Cimzia 200mg Syr 2/box | 1 | MG | |
| Cetuximab | Erbitux 100mg | 10 | MG | |
| Cidofovir | Cidofovir | 375 | MG | |
| Cisplatin | Cisplatin 100mg | 10 | MG | |
| Cisplatin | Cisplatin 50mg | 10 | MG | |
| Cladribine | Cladribine 10mg | 1 | MG | |
| Clindamycin | Clindamycin 300mg/50ml ea. | 300 | MG | |
| Clindamycin | Clindamycin 600mg/4ml ea. | 600 | MG | |
| Collagenase Clostridium Hist | Xiaflex 0.9mg vial | 0.01 | MG | |
| Cyanocobalamin | Cyanocobalamin 1000mcg/1ml 25/box | 1000 | MCG | |
| Cyclophosphamide | Cyclophosphamide 1gm | 100 | MG | |
| Cyclophosphamide | Cyclophosphamide 2gm | 100 | MG | |
| Cyclophosphamide | Cyclophosphamide 500mg | 100 | MG | |
| Cyclosporine | Cyclosporine 250mg/5ml 10/box | 100 | MG | |
| Cytarabine | Cytarabine 100mg 5/box | 100 | MG | |
| Cytarabine | Cytarabine 2gm | 100 | MG | |
| Cytarabine Liposomal | Depocyt 50mg | 10 | MG | |
| Dacarbazine | Dacarbazine 200mg 10/box | 100 | MG | |
| Dactinomycin | Cosmegen 0.5mg | 500 | MCG | |
| Daratumumab | Darzalex 100MG | 1 | MG | |
| Daratumumab | Darzalex 400MG | 1 | MG | |
| Daunorubicin | Daunorubicin 20mg/4mL 10/box | 10 | MG | |
| Decitabine | Dacogen 50mg | 1 | MG | |
| Deferoxamine | Deferoxamine 500mg 4/box | 500 | MG | |
| Degarelix | Firmagon 80mg | 1 | MG | |
| Degarelix | Firmagon 240mg | 1 | MG | |
| Denosumab | Prolia 60mg | 1 | MG | |
| Denosumab | Xgeva 120mg | 1 | MG | |
| Dexamethasone | Dexamethasone 10mg/mL 10mL 10/box | 1 | MG | |
| Dexamethasone | Dexamethasone 4mg/mL 1mL 25/box | 1 | MG | |
| Dexamethasone | Ozurdex Implant 0.7mg Kit (DS item 1-2 days) | 0.1 | MG | |
| Dexrazoxane | Zinecard (Dexrazoxane) 500mg | 250 | MG | |
| Diphenhydramine | Diphenhydramine 50mg 25/box | 50 | MG | |
| Docetaxel | Docetaxel 160mg/8ml (20mg/ml) | 1 | MG | |
| Docetaxel | Docetaxel 20mg/2ml (10mg/mL) | 1 | MG | |
| Docetaxel | Docetaxel 80mg/8ml (10mg/mL) | 1 | MG | |
| Doxorubicin | Adriamycin 50mg | 10 | MG | |
| Doxorubicin | Doxorubicin 10mg 10/box | 10 | MG | |
| Doxorubicin | Doxorubicin 200mg | 10 | MG | |
| Doxorubicin | Doxorubicin 20mg | 10 | MG | |
| Doxorubicin | Doxorubicin 50mg | 10 | MG | |
| Durvalumab | Imfinzi 120mg | 50 | MG | |
| Durvalumab | Imfinzi 500mg | 50 | MG | |
| Eculizumab | Soliris 300mg | 10 | MG | |
| Epinepherine | Epinepherine 1:1000 25/box | 1 | ML | |
| Epinepherine | Epinepherine 30mg vial | 0.1 | MG | |
| Epirubicin | Epirubicin 200mg | 2 | MG | |
| Epirubicin | Epirubicin 50mg | 2 | MG | |
| Epoetin | Epogen 4k unit 10/box | 1000 | Unit | |
| Epoetin | Epogen 10k unit 10/box | 1000 | Unit | |
| Epoetin | Epogen 20k unit 10/box | 1000 | Unit | |
| Epoetin | Procrit 10k unit 6/box | 1000 | Unit | |
| Epoetin | Procrit 20k unit 4/box | 1000 | Unit | |
| Epoetin | Procrit 40k unit 4/box | 1000 | Unit | |
| Epoetin Alfa EPBX | Retacrit 10k unit 10/box | 1000 | Unit | |
| Epoetin Alfa EPBX | Retacrit 40k unit 4/box | 1000 | Unit | |
| Eribulin Mesylate | Halaven 1mg | 0.1 | MG | |
| Ertapenem | Invanz 1gm 10/box | 500 | MG | |
| Etanercept | Enbrel Mini 50mg/0.98ml Cart 4/box | 25 | MG | |
| Etoposide | Etoposide 100mg | 10 | MG | |
| Etoposide | Etoposide 1gm | 10 | MG | |
| Etoposide | Etoposide 500mg | 10 | MG | |
| Famotidine | Famotidine 20mg 25/box | 10 | MG | |
| Ferric Carboxymaltose | Injectafer 750mg | 1 | MG | |
| Ferric Gluconate | Ferric Gluconate 62.5mg 10/box | 62.5 | MG | |
| Ferumoxytol | Feraheme 510mg | 1 | MG | |
| Filgrastim | Neupogen 300mcg 10/box | 300 | MCG | |
| Filgrastim | Neupogen 300mcg syringe 10/box | 300 | MCG | |
| Filgrastim | Neupogen 480mcg 10/box | 480 | MCG | |
| Filgrastim | Neupogen 480mcg syringe 10/box | 480 | MCG | |
| Filgrastim AAFI 480mcg/0.8ml Syrimge 10/box (Nivestym) | Nivestym 480mcg/0.8ml Syrimge 10/box | 480 | MCG | |
| Filgrastim-Sndz | Zarxio 300mcg syringe ea. | 300 | MCG | |
| Filgrastim-Sndz | Zarxio 480mcg syringe ea. | 480 | MCG | |
| Floxuradine | Floxuradine 500mg | 25 | MG | |
| Fludarabine | Fludarabine 50mg | 50 | MG | |
| Fluorouracil | Fluorouracil 1gm 10/box | 500 | MG | |
| Fluorouracil | Fluorouracil 2.5gm | 500 | MG | |
| Fluorouracil | Fluorouracil 500mg 10/box | 500 | MG | |
| Fluorouracil | Fluorouracil 5gm | 500 | MG | |
| Fosaprepitant | Emend 150mg | 1 | MG | |
| Foscarnet Sodium | Foscavir 6gm 10/box | 1000 | MG | |
| Fulvestrant | Faslodex 250mg 2/box | 500 | MG | |
| Furosemide | Furosemide 100mg vial 25/box | 20 | MG | |
| Furosemide | Furosemide 20mg 25/box | 20 | MG | |
| Ganciclovir | Ganciclovir 500mg (Cytovene) 25/box | 500 | MG | |
| Gemcitabine | Gemcitabine 1gm | 200 | MG | |
| Gemcitabine | Gemcitabine 1gm (100mg/ml 10ml) | 200 | MG | |
| Gemcitabine | Gemcitabine 200mg | 200 | MG | |
| Gemcitabine | Gemcitabine 200mg (100mg/ml 2ml) | 200 | MG | |
| Gemcitabine | Gemcitabine 2gm | 200 | MG | |
| Gemtuzumab Ozogamicin | Mylotarg 4.5mg | 5 | MG | |
| Gentamicin Sulfate | Gentamicin 80mg 25/box | 80 | MG | |
| Golimumab | Simponi Aria 12.5mg/ml 4ml | |||
| Granisetron | Granisetron Hydrochloride 1mg | 100 | MCG | |
| Granisetron | Granisetron Hydrochloride 4mg | 100 | MCG | |
| Heparin Sodium | Heparin Sodium 1000u/ml 1ml 25/box | 1000 | U | |
| Hyaluronate Sodium | Euflexxa 1% 20mg/2ml (20mg) syringe 3x2ml | 20 | MG | |
| Hyaluronate Sodium | Hyalgan 20mg/2ml syringe | 20 | MG | |
| Hyaluronate Sodium | Supartz 25mg/2.5ml Syringe | 25 | MG | |
| Hyaluronate Sodium | Orthovisc 30mg/2ml Syringe | 30 | MG | |
| Hyaluronate Sodium | Visco-3 10mg/ml 3x 2.5ml Syringe | 25 | MG | |
| Hyaluronate Sodium | Synvisc-One 48mg/6ml Syringe | 48 | MG | |
| Hyaluronate Sodium | Synvisc 16mg/2ml 3x2ml Syringe | 48 | MG | |
| Hyaluronate Sodium | Monovisc 22mg/ml 4ml Syringe | 88 | MG | |
| Hyaluronate Sodium | Gel-One 30mg/3ml Syringe | 30 | MG | |
| Hyaluronate Sodium | Gelsyn-3, 8.4mg/ml 2ml syringe | 16.8 | MG | |
| Hydrocortisone | Solu-Cortef 100mg | 100 | MG | |
| Idarubicin | Idarubicin 10mg | 5 | MG | |
| Idarubicin | Idarubicin 20mg | 5 | MG | |
| Idarubicin | Idarubicin 5mg | 5 | MG | |
| Ifosfamide | Ifosfamide 1gm | 1000 | MG | |
| Immune Globulin IVIG | Octagam 10% 10gm | 20 | GM | |
| Immune Globulin IVIG | Octagam 10% 20gm | 20 | GM | |
| Immune Globulin IVIG | Octagam 10% 5gm | 20 | GM | |
| Immune Globulin IVIG | Octagam 10% 2gm | 20 | GM | |
| Incobotulinumtoxin A | Xeomin PR 200u PF | 200 | IU | |
| Infliximab | Remicade 100mg | 10 | MG | |
| Infliximab-DYYB | Inflectra 100mg | 10 | MG | |
| Interferon alfa 2-b | Intron A 10mu | 1 | MU | |
| Iohexal | Omnipaque 300mg/50ml 10/box | 1 | ML | |
| Iopamidol | Isovue-300mg 61% 10x30ml | 612 | MG | |
| Ipilimumab | Yervoy 200mg | 1 | MG | |
| Ipilimumab | Yervoy 50mg | 1 | MG | |
| Irinotecan | Irinotecan 100mg | 20 | MG | |
| Irinotecan | Irinotecan 40mg | 20 | MG | |
| Iron Dextran | Infed 100mg 10/box | 50 | MG | |
| Iron Sucrose | Venofer 100mg 10/box | 1 | MG | |
| Iron Sucrose | Venofer 200mg 5/box | 1 | MG | |
| IVIG | Atgam 50mg/ml 5x5ml amp | 250 | MG | |
| IVIG | Carimune 12gm | 3000 | MG | |
| IVIG | Carimune 6gm | 500 | MG | |
| IVIG | Gammagard 10gm vial | 0.5 | GM | |
| IVIG | Gammagard 1gm vial | 0.5 | GM | |
| IVIG | Gammagard 20gm vial | 0.5 | GM | |
| IVIG | Gammagard 5gm vial | 0.5 | GM | |
| IVIG | Gammaked 10gm | 0.5 | GM | |
| IVIG | Gammaked 1gm | 0.5 | GM | |
| IVIG | Gammaked 2.5gm | 0.5 | GM | |
| IVIG | Gammaked 20gm | 0.5 | GM | |
| IVIG | Gammaked 5gm | 0.5 | GM | |
| Leucovorin | Leucovorin 100mg | 50 | MG | |
| Leucovorin | Leucovorin 350mg | 50 | MG | |
| Leuprolide Acetate | Lupron Depot 11.25mg | 3.75 | MG | |
| Leuprolide Acetate | Lupron Depot 3.75mg | 3.75 | MG | |
| Leuprolide Acetate | Leuprolide 14mg 2.8ml 14 day kit | 14 | MG | |
| Leuprolide Acetate | Eligard 22.5mg | 3.75 | MG | |
| Leuprolide Acetate | Eligard 30mg | 3.75 | MG | |
| Leuprolide Acetate | Eligard 45mg | 3.75 | MG | |
| Leuprolide Acetate | Eligard 7.5mg | 3.75 | MG | |
| Levoleucovorin | Fusilev 50mg | 0.5 | MG | |
| Lidocaine | Lidocaine 4% 40mg/ml 25x5ml | 10 | MG | |
| Liposomal Doxorubicin | Liposomal Doxorubicin 20mg | 10 | MG | |
| Liposomal Doxorubicin | Liposomal Doxorubicin 50mg | 10 | MG | |
| Liposomal Irinotecan | Onivyde 4.3mg/ml 10ml | 1 | MG | |
| Lorazepam | Lorazepam 2mg/1mL 10/box | 2 | MG | |
| Magnesium Sulfate | Magnesium Sulfate 1gm/2mL 25/box | 0.5 | GM | |
| Mannitol | Mannitol 25% 50mL each | 50 | ML | |
| Mechlorethamine | Mechlorethamine 10mg 4/box | 10 | MG | |
| Melphalan | Alkeran 50mg | 50 | MG | |
| Mepolizumab | Nucala 100mg | 1 | MG | |
| Mesna | Mesna 1gm | 200 | MG | |
| Methotrexate | Methotrexate 50mg PF 10/box | 50 | MG | |
| Methotrexate | Methotrexate PF 1gm | 50 | MG | |
| Methotrexate | Methotrexate PF 250mg 10ml | 50 | MG | |
| Methylene Blue | Provayblue 0.5% 5x10ml | 10 | ML | |
| Methylprednisolone | Solu-Medrol (A-Methapred) 125mg 25/box | 125 | MG | |
| Methylprednisolone | Solu-Medrol (Methylprednisolone 40mg) x25 | 125 | MG | |
| Metoclopramide | Metoclopramide 10mg 25/box | 10 | MG | |
| Mitomycin | Mitomycin 20mg | 5 | MG | |
| Mitomycin | Mitomycin 40mg | 5 | MG | |
| Mitomycin | Mitomycin 5mg | 5 | MG | |
| Mitoxantrone | Novantrone 20mg | 5 | MG | |
| Mitoxantrone | Novantrone 25mg | 5 | MG | |
| Mycophenolate Mofetil | Cellcept 500mg 4x20ml | 500 | MG | |
| Natalizumab | Tysabri 300mg | 1 | MG | |
| Nelarabine | Arranon SF 250mg 6/box | 250 | MG | |
| Nivolumab | Opdivo 240mg/10ml SDPF | 1 | MG | |
| Nivolumab | Opdivo 100mg/10ml SDPF | 1 | MG | |
| Nivolumab | Opdivo 40mg/4ml SDPF | 1 | MG | |
| Normal Saline | 0.9% NACL 50mL 25/box | |||
| Obinutuzumab | Gazyva 1000mg/40ml SDV PF | 1 | MG | |
| Octreotide | Octreotide 100mcg 10/box | 1 | MG | |
| Octreotide | Sandostatin LAR 10mg | 1 | MG | |
| Octreotide | Sandostatin LAR 20mg | 1 | MG | |
| Octreotide | Sandostatin LAR 30mg | 1 | MG | |
| Ofatumumab | Arzerra 20mg/ml 3x5ml | 10 | MG | |
| Ofatumumab | Arzerra 20mg/ml 1x50ml | 10 | MG | |
| Omalizumab | Xolair 150mg | 5 | MG | |
| Omalizumab | Xolair 150mg Syringe | 5 | MG | |
| Omalizumab | Xolair 75mg Syringe | 5 | MG | |
| Onabotulinumtoxina | Botox 100iu (drop ship - dr info req) | 1 | Unit | |
| Ondansetron | Ondansetron 40mg | 1 | MG | |
| Ondansetron | Ondansetron 4mg 25/box | 1 | MG | |
| Oxaliplatin | Oxaliplatin 100mg | 0.5 | MG | |
| Oxaliplatin | Oxaliplatin 50mg | 0.5 | MG | |
| Paclitaxel | Paclitaxel 100mg | 1 | MG | |
| Paclitaxel | Paclitaxel 300mg | 1 | MG | |
| Paclitaxel | Paclitaxel 30mg | 1 | MG | |
| Palifermin | Kepivance 6.25mg/ml 3/box | 6.25 | MG | |
| Palonosetron | Palonosetron 0.25mg | 25 | MCG | |
| Pamidronate | Pamidronate 30mg | 30 | MG | |
| Pamidronate | Pamidronate 90mg | 30 | MG | |
| Panitumumab | Vectibix 400 | 10 | MG | |
| Panitumumab | Vectibix 100 | 10 | MG | |
| PB Paclitaxel | Abraxane 100mg | 1 | MG | |
| Pegasparaginase | Oncaspar 3,750 units | 3750 | IU | |
| Pegfilgrastim | Neulasta 6mg syringe | 6 | MG | |
| Pegfilgrastim | Neulasta Onpro Delivery Kit 6mg | 6 | MG | |
| Pegfilgrastim | Udenyca 6mg/0.6ml syringe | 6 | MG | |
| Pegfilgrastim | Fulphila 6mg/0.6ml syringe | 6 | MG | |
| Pembrolizumab | Keytruda 100mg | 1 | MG | |
| Pemetrexed | Alimta 100mg | 10 | MG | |
| Pemetrexed | Alimta 500mg | 10 | MG | |
| Pentamidine Isethionate | Nebupent 300mg | 300 | MG | |
| Pentamidine Isethionate | Pentam 300mg 10/box | 300 | MG | |
| Pentostatin | Nipent 10mg | 10 | MG | |
| Pertuzumab | Perjeta 420mg | 1 | MG | |
| Potassium | Potassium Chloride 20meq 25/box | 2 | mEq | |
| Pralatrexate | Folotyn 20mg | 1 | MG | |
| Pralatrexate | Folotyn 40mg | 1 | MG | |
| Prochlorperazine | Prochlorperazine Edisylate 10mg 10/box | 10 | MG | |
| Promethazine | Promethazine 25mg 25/box | 50 | MG | |
| Ramucirumab | Cyramza 100mg | 5 | MG | |
| Ramucirumab | Cyramza 500mg | 5 | MG | |
| Ranibizumab | Lucentis .3mg/.05mL vial | 0.1 | MG | |
| Ranibizumab | Lucentis .5mg/.05mL vial | 0.1 | MG | |
| Ranitidine | Ranitidine 50mg/2mL 10/box | 25 | MG | |
| Rasburicase | Elitek 1.5mg 3/box | 0.5 | MG | |
| Rasburicase | Elitek 7.5mg vial | 0.5 | MG | |
| Rimabotulinumtoxinb | Myobloc 5000u/ml 1ml | 1 | Unit | |
| Risankizumab-RZAA | Skyrizi 75mg/0.83ml | 75 | MG | |
| Rituximab | Rituxan 100mg | 100 | MG | |
| Rituximab | Rituxan 500mg | 100 | MG | |
| Rituximab-ABBS | Truxima 100mg | 100 | MG | |
| Rituximab-ABBS | Truxima 500mg | 100 | MG | |
| Rituximab-PVVR | Ruxience 100mg | 100 | MG | |
| Rituximab-PVVR | Ruxience 500mg | 100 | MG | |
| Romidepsin | Istodax 10mg | 1 | MG | |
| Romiplostim | Nplate 250mcg | 10 | MCG | |
| Romiplostim | Nplate 500mcg | 10 | MCG | |
| Sodium Bicarbonate | Sodium Bicarbonate 8.4% 50mL syr 10/box | 1 | mEq | |
| Sodium Bicarbonate | Sodium Bicarbonate 8.4% 50meq vial 25/box | 1 | mEq | |
| Tacrolimus | Prograf 5mg/ml 1ml PF Amp 10/box | 5 | MG | |
| Tbo-Filgrastim | Granix 300mcg Syringe x1 | 300 | MCG | |
| Tbo-Filgrastim | Granix 480 mcg Syringe x1 | 480 | MCG | |
| Temsirolimus | Torisel 25mg | 1 | MG | |
| Testosterone | Depo-Testosterone 200mg/10ml | 200 | MG | |
| Tetracaine | Tetracaine .5% OPHT Sol 12/box | 0.5 | ML | |
| Thyrotropin | Thyrogen 1.1mg x2 | 1.1 | MG | |
| Tocilizumab | Actemra 200mg | 1 | MG | |
| Tocilizumab | Actemra 400mg | 1 | MG | |
| Tocilizumab | Actemra 80mg | 1 | MG | |
| Topotecan | Topotecan 4mg | 0.1 | MG | |
| Trabectedin | Yondelis 1mg | 1 | MG | |
| Trastuzumab | Herceptin 150mg | 10 | MG | |
| Trastuzumab-ANNS | Kanjinti 150mg | 10 | MG | |
| Trastuzumab-ANNS | Kanjinti 420mg | 10 | MG | |
| Triamcinalone PF | Triesence 40mg/1mL PF | 1 | MG | |
| Triptorelin | Trelstar 3.75mg | 3.75 | MG | |
| Valrubicin | Valstar 40mg/ml 5ml SDV 4/box | 200 | MG | |
| Vancomycin | Vancomycin 1gm 10/box | 500 | MG | |
| Vedolizumab | Entyvio 300mg 20ml SDV | 300 | MG | |
| Vinblastine | Vinblastine 10mg | 1 | MG | |
| Vincristine | Vincristine 1mg | 1 | MG | |
| Vincristine | Vincristine 2mg | 1 | MG | |
| Vinorelbine | Vinorelbine 10mg | 10 | MG | |
| Vinorelbine | Vinorelbine 50mg | 10 | MG | |
| Water | Sterile Water 10mL 25/box | 500 | ML | |
| Water | Sterile Water 50mL 25/box | 500 | ML | |
| Ziv-Afilbercept | Zaltrap 100mg | 1 | MG | |
| Ziv-Afilbercept | Zaltrap 200mg | 1 | MG | |
| Zoledronic Acid | Zoledronic Acid 4mg/5ml (Generic Zometa) | 1 | MG | |
| Zoledronic Acid | Zoledronic Acid 5mg (Generic Reclast) | 1 | MG | |
| 0.45% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 0.45% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 100ML IVBag | 1 | EA | ||
| 0.9% Sodium Chloride 10ML Flush Syringe | 1 | EA | ||
| 0.9% Sodium Chloride 150ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 50ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 50ML Vial | 1 | EA | ||
| 0.9% Sodium Chloride PF 10ML BU | 1 | EA | ||
| 0.3% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 0.3% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 0.3% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 23.4% Sodium Chloride 30ML Vial | 1 | EA | ||
| 5% Dextrose & 0.2% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.45% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.45% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.45% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.9% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.9% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.9% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 5% Dextrose 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose 100ML IV Bag | 1 | EA | ||
| 5% Dextrose 250ML IV Bag | 1 | EA | ||
| 5% Dextrose 500ML IV Bag | 1 | EA | ||
| 5% Dextrose 50ML IV BAG | 1 | EA | ||
| 5% Dextrose Flush 10ML Syringe | 1 | EA |
| SUPPLIES | QTY | UNIT | PRICE |
| 1000ML Empty IV BAG | 1 | EA | |
| 100ML Empty IV BAG | 1 | EA | |
| 150ML Empty IV BAG | 1 | EA | |
| 250ML Empty IV BAG | 1 | EA | |
| 500ML Empty IV BAG | 1 | EA | |
| ADDTO Catheter Adapter | 1 | EA | |
| Alaris SmartSite LS Primary Set 10014855A | 1 | EA | |
| Alaris SmartSite LS Secondary Set 10014881 | 1 | EA | |
| Alaris SmartSite Secondary Set 10013364 | 1 | EA | |
| Alaris SmartSite LS Primary Set 10015861A | 1 | EA | |
| Alaris SmartSite Set 2420-0007 | 1 | EA | |
| Alaris SmartSite LS Primary Set 2260-0500 | 1 | EA | |
| Alaris SmartSite LS In-Line Filter 20350E | 1 | EA | |
| B Braun Secondary Set V1921 | 1 | EA | |
| Bacteriostatic Sterile Water 30ML SDV | 1 | EA | |
| Baxter Filter Set 2C7557 | 1 | EA | |
| Baxter Filter Set 2C7558 | 1 | EA | |
| Baxter Filter Set 2C8857 | 1 | EA | |
| Baxter Set 2H8537 | 1 | EA | |
| Baxter Set 2C6537s | 1 | EA | |
| Baxter Set 2C7461 | 1 | EA | |
| Codan IV Set | 1 | EA | |
| Equashield Spike 250-1L SA1T | 1 | EA | |
| Equashield Spike 1 Unit | 1 | EA | |
| Extension Set 60 Male/Male | 1 | EA | |
| Extension Set 45 Male/Male | 1 | EA | |
| HCA Plumset Filter 11947-12 | 1 | EA | |
| HCA Plumsets 14687-28 | 1 | EA | |
| Healthline 205077MB | 1 | EA | |
| Healthline Filter Set 205077MB | 1 | EA | |
| ICU Clave CH-10 | 1 | EA | |
| ICU Set 20124-01 | 1 | EA | |
| ICU Bag Spike | 1 | EA | |
| ICU Chemolock Bag Spike and Clave Port CL3940 | 1 | EA | |
| ICU Bifuse Adaptor | 1 | EA | |
| ICU Red Cap SC2000 | 1 | EA | |
| ICU Spiro Male Connector | 1 | EA | |
| ICU Spiros Male II CH2000S-C | 1 | EA | |
| ICU Vial Cap CH-77 | 1 | EA | |
| ICU Vial Spike With Clave CH-70 | 1 | EA | |
| In-line Tubing Filter | 1 | EA | |
| Insulin Needles (Box) | 1 | EA | |
| Insulin Syringes (Box) | 1 | EA | |
| IV Catheter Tip Syringe | 1 | EA | |
| IV Diluent | 1 | EA | |
| IV Syringe | 1 | EA | |
| Kawasumi Filter Set IV-0254 | 1 | EA | |
| Kawasumi Veno-Set IV-027N | 1 | EA | |
| Lifeshield Primary Set 12668-28 | 1 | EA | |
| Light Protection Bag | 1 | EA | |
| MS-Blue Cap MSB1500 (1 UNIT) | 1 | EA | |
| Pha-Seal Injector Luer Lock (Syringe) | 1 | EA | |
| REF:FC1 Equashield Female LL Connector | 1 | EA | |
| SmartSite Infusion Set 10013182 | 1 | EA | |
| SmartSite Infusion Set 10013361T | 1 | EA | |
| SmartSite Primary Set 2420-0007 | 1 | EA | |
| SmartSite Secondary Set 10013364T | 1 | EA | |
| Sterile Water 1000ML IV Bag | 1 | EA | |
| Sterile Water 10ML Vial | 1 | EA | |
| Sterile Water 250ML IV Bag | 1 | EA | |
| Sterile Water 500ML IV Bag | 1 | EA | |
| Sterile Water Preservative Free 100ML Vial | 1 | EA | |
| Sterile Water 50 ML Vial | 1 | EA | |
| Texium Adapter | 1 | EA | |
| Texium Vial Shield | 1 | EA | |
| Triton Classic Set T090-000 | 1 | EA | |
| Triton Filter Set T090-022V | 1 | EA | |
| Triton Regular Set T090-00W | 1 | EA | |
| Triton Secondary Set T030-000 | 1 | EA | |
| Walkmed Extension Set | 1 | EA | |
| Walkmed 250ML Bag | 1 | EA |
| STANDARD PHARMACY FEE to include UPS 797/800 initiatives, Clean Room Materials/Supplies, and regulatory activities | Per Patient Order |
| Courier Fees/Shipping Fees (overnight) | Per Shipment |
Chemotherapy Embolism Fee Per Patient Order
STAT Order Per Patient Order
Exact Volume Requirement Fee Per Patient Order
Intrathecal Mixing Fee Per Patient Order
Price-Cost Sheet Option 1
| Generic Name | Brand Name | Dose | Unit | Price |
| Abatacept | Orencia 125mg 4/box | 10 | MG | |
| Abatacept | Orencia Click-Jet 125mg 4/box | 10 | MG | |
| Abatacept | Orencia 250mg | 10 | MG | |
| Abobotulinumtoxin A | Dysport 500u | IU | ||
| Adalimumab | Humira 40mg/0.8ml Pen 2/box | 20 | MG | |
| Ado-trastuzumab emtansine | Kadcyla 100mg/15ml | 1 | MG | |
| Ado-trastuzumab emtansine | Kadcyla 160mg/20ml | 1 | MG | |
| Aflibercept | Eylea 2mg | 1 | MG | |
| Alteplase | Cathflo Activase 2mg | 1 | MG | |
| Amifostine | Amifostine 500mg vial 3/bx | 500 | MG | |
| Amikacin | Amikacin Sulfate PF 500mg/2ml 10/box | 100 | MG | |
| Amphotericin B | Amphotericin B 50mg | 50 | MG | |
| Arginine | R-Gene HCL 300ml | 30 | GM | |
| Aripiprazole | Abilify Maintena 400mg Syringe | 1 | MG | |
| Arsenic | Trisenox 10mg 10/box | 1 | MG | |
| Arsenic | Trisenox 12mg 10/box | 1 | MG | |
| Asparaginase Erwinia | Erwinaze 10,000iu /vl - 5vl/box | 1000 | Unit | |
| Atezoliumab | Tecentriq 60mg/ml 20ml | 10 | MG | |
| Atropine | Atropine .4mg/mL 25/box | 0.01 | MG | |
| Atropine | Atropine 1mg/mL 25/box | 0.01 | MG | |
| Atropine | Atropine 1mg syringe 10/box | 0.01 | MG | |
| Avelumab | Bavencio 20mg/ml 10ml | 10 | MG | |
| Azacitidine | Azacitidine 100mg | 1 | MG | |
| Bacteriostatic Water | Bacteriostatic Water 30ml 25/box | 10 | ML | |
| BCG LIVE | TICE BCG 50mg | 50 | MG | |
| Belimumab | Benlysta 120mg | 10 | MG | |
| Belimumab | Benlysta 400mg | 400 | MG | |
| Bendamustine | Treanda 100mg PWD | 1 | MG | |
| Bendamustine | Treanda 25mg PWD | 1 | MG | |
| Bendamustine | Bendeka 100mg | 1 | MG | |
| Bendamustine | Bendamustine (Eagle) 100mg | 1 | MG | |
| Benralizumab | Fasenra 30mg Syr | 1 | MG | |
| Bevacizumab | Avastin 100mg | 10 | MG | |
| Bevacizumab | Avastin 400mg | 10 | MG | |
| Bevacizumab-AWWB | Mvasi 100mg | 10 | MG | |
| Bevacizumab-AWWB | Mvasi 400mg | 10 | MG | |
| Bezlotoxumab | Zinplava 1000mg | 1000 | MG | |
| Bleomycin | Bleomycin 15u | 15 | Unit | |
| Bleomycin | Bleomycin 30u | 15 | Unit | |
| Bortezomib | Velcade 3.5mg | 0.1 | MG | |
| Brentuximab Vedotin | Adcetris 50mg | 1 | MG | |
| Cabazitaxel | Jevtana 60mg | 1 | MG | |
| Calcium Gluconate | Calcium Gluc 100mg 10% 10mL 25/box | 10 | ML | |
| Calcium Gluconate | Calcium Gluconate 10% 50mL 25/box | 10 | ML | |
| Carboplatin | Carboplatin 150mg | 50 | MG | |
| Carboplatin | Carboplatin 450mg | 50 | MG | |
| Carboplatin | Carboplatin 50mg | 50 | MG | |
| Carboplatin | Carboplatin 600mg | 50 | MG | |
| Carfilzomib | Kyprolis 30mg | 1 | MG | |
| Carfilzomib | Kyprolis 60mg | 1 | MG | |
| Carmustine | BicNu 100mg | 100 | MG | |
| Carmustine in Polifeprosan | Gliadel Wafer | 7.7 | MG | |
| Cefazolin | Cefazolin 1gm 25/box | 500 | MG | |
| Cefepime | Cefepime 1gm 10/box | 500 | MG | |
| Ceftazidime | Ceftazidime 2gm 10/box | 500 | MG | |
| Ceftazidime | Tazicef 1gm 25/box | 500 | MG | |
| Ceftriaxone | Ceftriaxone 1gm 10/box | 250 | MG | |
| Certolizumab | Cimzia 200mg Syr 2/box | 1 | MG | |
| Cetuximab | Erbitux 100mg | 10 | MG | |
| Cidofovir | Cidofovir | 375 | MG | |
| Cisplatin | Cisplatin 100mg | 10 | MG | |
| Cisplatin | Cisplatin 50mg | 10 | MG | |
| Cladribine | Cladribine 10mg | 1 | MG | |
| Clindamycin | Clindamycin 300mg/50ml ea. | 300 | MG | |
| Clindamycin | Clindamycin 600mg/4ml ea. | 600 | MG | |
| Collagenase Clostridium Hist | Xiaflex 0.9mg vial | 0.01 | MG | |
| Cyanocobalamin | Cyanocobalamin 1000mcg/1ml 25/box | 1000 | MCG | |
| Cyclophosphamide | Cyclophosphamide 1gm | 100 | MG | |
| Cyclophosphamide | Cyclophosphamide 2gm | 100 | MG | |
| Cyclophosphamide | Cyclophosphamide 500mg | 100 | MG | |
| Cyclosporine | Cyclosporine 250mg/5ml 10/box | 100 | MG | |
| Cytarabine | Cytarabine 100mg 5/box | 100 | MG | |
| Cytarabine | Cytarabine 2gm | 100 | MG | |
| Cytarabine Liposomal | Depocyt 50mg | 10 | MG | |
| Dacarbazine | Dacarbazine 200mg 10/box | 100 | MG | |
| Dactinomycin | Cosmegen 0.5mg | 500 | MCG | |
| Daratumumab | Darzalex 100MG | 1 | MG | |
| Daratumumab | Darzalex 400MG | 1 | MG | |
| Daunorubicin | Daunorubicin 20mg/4mL 10/box | 10 | MG | |
| Decitabine | Dacogen 50mg | 1 | MG | |
| Deferoxamine | Deferoxamine 500mg 4/box | 500 | MG | |
| Degarelix | Firmagon 80mg | 1 | MG | |
| Degarelix | Firmagon 240mg | 1 | MG | |
| Denosumab | Prolia 60mg | 1 | MG | |
| Denosumab | Xgeva 120mg | 1 | MG | |
| Dexamethasone | Dexamethasone 10mg/mL 10mL 10/box | 1 | MG | |
| Dexamethasone | Dexamethasone 4mg/mL 1mL 25/box | 1 | MG | |
| Dexamethasone | Ozurdex Implant 0.7mg Kit (DS item 1-2 days) | 0.1 | MG | |
| Dexrazoxane | Zinecard (Dexrazoxane) 500mg | 250 | MG | |
| Diphenhydramine | Diphenhydramine 50mg 25/box | 50 | MG | |
| Docetaxel | Docetaxel 160mg/8ml (20mg/ml) | 1 | MG | |
| Docetaxel | Docetaxel 20mg/2ml (10mg/mL) | 1 | MG | |
| Docetaxel | Docetaxel 80mg/8ml (10mg/mL) | 1 | MG | |
| Doxorubicin | Adriamycin 50mg | 10 | MG | |
| Doxorubicin | Doxorubicin 10mg 10/box | 10 | MG | |
| Doxorubicin | Doxorubicin 200mg | 10 | MG | |
| Doxorubicin | Doxorubicin 20mg | 10 | MG | |
| Doxorubicin | Doxorubicin 50mg | 10 | MG | |
| Durvalumab | Imfinzi 120mg | 50 | MG | |
| Durvalumab | Imfinzi 500mg | 50 | MG | |
| Eculizumab | Soliris 300mg | 10 | MG | |
| Epinepherine | Epinepherine 1:1000 25/box | 1 | ML | |
| Epinepherine | Epinepherine 30mg vial | 0.1 | MG | |
| Epirubicin | Epirubicin 200mg | 2 | MG | |
| Epirubicin | Epirubicin 50mg | 2 | MG | |
| Epoetin | Epogen 4k unit 10/box | 1000 | Unit | |
| Epoetin | Epogen 10k unit 10/box | 1000 | Unit | |
| Epoetin | Epogen 20k unit 10/box | 1000 | Unit | |
| Epoetin | Procrit 10k unit 6/box | 1000 | Unit | |
| Epoetin | Procrit 20k unit 4/box | 1000 | Unit | |
| Epoetin | Procrit 40k unit 4/box | 1000 | Unit | |
| Epoetin Alfa EPBX | Retacrit 10k unit 10/box | 1000 | Unit | |
| Epoetin Alfa EPBX | Retacrit 40k unit 4/box | 1000 | Unit | |
| Eribulin Mesylate | Halaven 1mg | 0.1 | MG | |
| Ertapenem | Invanz 1gm 10/box | 500 | MG | |
| Etanercept | Enbrel Mini 50mg/0.98ml Cart 4/box | 25 | MG | |
| Etoposide | Etoposide 100mg | 10 | MG | |
| Etoposide | Etoposide 1gm | 10 | MG | |
| Etoposide | Etoposide 500mg | 10 | MG | |
| Famotidine | Famotidine 20mg 25/box | 10 | MG | |
| Ferric Carboxymaltose | Injectafer 750mg | 1 | MG | |
| Ferric Gluconate | Ferric Gluconate 62.5mg 10/box | 62.5 | MG | |
| Ferumoxytol | Feraheme 510mg | 1 | MG | |
| Filgrastim | Neupogen 300mcg 10/box | 300 | MCG | |
| Filgrastim | Neupogen 300mcg syringe 10/box | 300 | MCG | |
| Filgrastim | Neupogen 480mcg 10/box | 480 | MCG | |
| Filgrastim | Neupogen 480mcg syringe 10/box | 480 | MCG | |
| Filgrastim AAFI 480mcg/0.8ml Syrimge 10/box (Nivestym) | Nivestym 480mcg/0.8ml Syrimge 10/box | 480 | MCG | |
| Filgrastim-Sndz | Zarxio 300mcg syringe ea. | 300 | MCG | |
| Filgrastim-Sndz | Zarxio 480mcg syringe ea. | 480 | MCG | |
| Floxuradine | Floxuradine 500mg | 25 | MG | |
| Fludarabine | Fludarabine 50mg | 50 | MG | |
| Fluorouracil | Fluorouracil 1gm 10/box | 500 | MG | |
| Fluorouracil | Fluorouracil 2.5gm | 500 | MG | |
| Fluorouracil | Fluorouracil 500mg 10/box | 500 | MG | |
| Fluorouracil | Fluorouracil 5gm | 500 | MG | |
| Fosaprepitant | Emend 150mg | 1 | MG | |
| Foscarnet Sodium | Foscavir 6gm 10/box | 1000 | MG | |
| Fulvestrant | Faslodex 250mg 2/box | 500 | MG | |
| Furosemide | Furosemide 100mg vial 25/box | 20 | MG | |
| Furosemide | Furosemide 20mg 25/box | 20 | MG | |
| Ganciclovir | Ganciclovir 500mg (Cytovene) 25/box | 500 | MG | |
| Gemcitabine | Gemcitabine 1gm | 200 | MG | |
| Gemcitabine | Gemcitabine 1gm (100mg/ml 10ml) | 200 | MG | |
| Gemcitabine | Gemcitabine 200mg | 200 | MG | |
| Gemcitabine | Gemcitabine 200mg (100mg/ml 2ml) | 200 | MG | |
| Gemcitabine | Gemcitabine 2gm | 200 | MG | |
| Gemtuzumab Ozogamicin | Mylotarg 4.5mg | 5 | MG | |
| Gentamicin Sulfate | Gentamicin 80mg 25/box | 80 | MG | |
| Golimumab | Simponi Aria 12.5mg/ml 4ml | |||
| Granisetron | Granisetron Hydrochloride 1mg | 100 | MCG | |
| Granisetron | Granisetron Hydrochloride 4mg | 100 | MCG | |
| Heparin Sodium | Heparin Sodium 1000u/ml 1ml 25/box | 1000 | U | |
| Hyaluronate Sodium | Euflexxa 1% 20mg/2ml (20mg) syringe 3x2ml | 20 | MG | |
| Hyaluronate Sodium | Hyalgan 20mg/2ml syringe | 20 | MG | |
| Hyaluronate Sodium | Supartz 25mg/2.5ml Syringe | 25 | MG | |
| Hyaluronate Sodium | Orthovisc 30mg/2ml Syringe | 30 | MG | |
| Hyaluronate Sodium | Visco-3 10mg/ml 3x 2.5ml Syringe | 25 | MG | |
| Hyaluronate Sodium | Synvisc-One 48mg/6ml Syringe | 48 | MG | |
| Hyaluronate Sodium | Synvisc 16mg/2ml 3x2ml Syringe | 48 | MG | |
| Hyaluronate Sodium | Monovisc 22mg/ml 4ml Syringe | 88 | MG | |
| Hyaluronate Sodium | Gel-One 30mg/3ml Syringe | 30 | MG | |
| Hyaluronate Sodium | Gelsyn-3, 8.4mg/ml 2ml syringe | 16.8 | MG | |
| Hydrocortisone | Solu-Cortef 100mg | 100 | MG | |
| Idarubicin | Idarubicin 10mg | 5 | MG | |
| Idarubicin | Idarubicin 20mg | 5 | MG | |
| Idarubicin | Idarubicin 5mg | 5 | MG | |
| Ifosfamide | Ifosfamide 1gm | 1000 | MG | |
| Immune Globulin IVIG | Octagam 10% 10gm | 20 | GM | |
| Immune Globulin IVIG | Octagam 10% 20gm | 20 | GM | |
| Immune Globulin IVIG | Octagam 10% 5gm | 20 | GM | |
| Immune Globulin IVIG | Octagam 10% 2gm | 20 | GM | |
| Incobotulinumtoxin A | Xeomin PR 200u PF | 200 | IU | |
| Infliximab | Remicade 100mg | 10 | MG | |
| Infliximab-DYYB | Inflectra 100mg | 10 | MG | |
| Interferon alfa 2-b | Intron A 10mu | 1 | MU | |
| Iohexal | Omnipaque 300mg/50ml 10/box | 1 | ML | |
| Iopamidol | Isovue-300mg 61% 10x30ml | 612 | MG | |
| Ipilimumab | Yervoy 200mg | 1 | MG | |
| Ipilimumab | Yervoy 50mg | 1 | MG | |
| Irinotecan | Irinotecan 100mg | 20 | MG | |
| Irinotecan | Irinotecan 40mg | 20 | MG | |
| Iron Dextran | Infed 100mg 10/box | 50 | MG | |
| Iron Sucrose | Venofer 100mg 10/box | 1 | MG | |
| Iron Sucrose | Venofer 200mg 5/box | 1 | MG | |
| IVIG | Atgam 50mg/ml 5x5ml amp | 250 | MG | |
| IVIG | Carimune 12gm | 3000 | MG | |
| IVIG | Carimune 6gm | 500 | MG | |
| IVIG | Gammagard 10gm vial | 0.5 | GM | |
| IVIG | Gammagard 1gm vial | 0.5 | GM | |
| IVIG | Gammagard 20gm vial | 0.5 | GM | |
| IVIG | Gammagard 5gm vial | 0.5 | GM | |
| IVIG | Gammaked 10gm | 0.5 | GM | |
| IVIG | Gammaked 1gm | 0.5 | GM | |
| IVIG | Gammaked 2.5gm | 0.5 | GM | |
| IVIG | Gammaked 20gm | 0.5 | GM | |
| IVIG | Gammaked 5gm | 0.5 | GM | |
| Leucovorin | Leucovorin 100mg | 50 | MG | |
| Leucovorin | Leucovorin 350mg | 50 | MG | |
| Leuprolide Acetate | Lupron Depot 11.25mg | 3.75 | MG | |
| Leuprolide Acetate | Lupron Depot 3.75mg | 3.75 | MG | |
| Leuprolide Acetate | Leuprolide 14mg 2.8ml 14 day kit | 14 | MG | |
| Leuprolide Acetate | Eligard 22.5mg | 3.75 | MG | |
| Leuprolide Acetate | Eligard 30mg | 3.75 | MG | |
| Leuprolide Acetate | Eligard 45mg | 3.75 | MG | |
| Leuprolide Acetate | Eligard 7.5mg | 3.75 | MG | |
| Levoleucovorin | Fusilev 50mg | 0.5 | MG | |
| Lidocaine | Lidocaine 4% 40mg/ml 25x5ml | 10 | MG | |
| Liposomal Doxorubicin | Liposomal Doxorubicin 20mg | 10 | MG | |
| Liposomal Doxorubicin | Liposomal Doxorubicin 50mg | 10 | MG | |
| Liposomal Irinotecan | Onivyde 4.3mg/ml 10ml | 1 | MG | |
| Lorazepam | Lorazepam 2mg/1mL 10/box | 2 | MG | |
| Magnesium Sulfate | Magnesium Sulfate 1gm/2mL 25/box | 0.5 | GM | |
| Mannitol | Mannitol 25% 50mL each | 50 | ML | |
| Mechlorethamine | Mechlorethamine 10mg 4/box | 10 | MG | |
| Melphalan | Alkeran 50mg | 50 | MG | |
| Mepolizumab | Nucala 100mg | 1 | MG | |
| Mesna | Mesna 1gm | 200 | MG | |
| Methotrexate | Methotrexate 50mg PF 10/box | 50 | MG | |
| Methotrexate | Methotrexate PF 1gm | 50 | MG | |
| Methotrexate | Methotrexate PF 250mg 10ml | 50 | MG | |
| Methylene Blue | Provayblue 0.5% 5x10ml | 10 | ML | |
| Methylprednisolone | Solu-Medrol (A-Methapred) 125mg 25/box | 125 | MG | |
| Methylprednisolone | Solu-Medrol (Methylprednisolone 40mg) x25 | 125 | MG | |
| Metoclopramide | Metoclopramide 10mg 25/box | 10 | MG | |
| Mitomycin | Mitomycin 20mg | 5 | MG | |
| Mitomycin | Mitomycin 40mg | 5 | MG | |
| Mitomycin | Mitomycin 5mg | 5 | MG | |
| Mitoxantrone | Novantrone 20mg | 5 | MG | |
| Mitoxantrone | Novantrone 25mg | 5 | MG | |
| Mycophenolate Mofetil | Cellcept 500mg 4x20ml | 500 | MG | |
| Natalizumab | Tysabri 300mg | 1 | MG | |
| Nelarabine | Arranon SF 250mg 6/box | 250 | MG | |
| Nivolumab | Opdivo 240mg/10ml SDPF | 1 | MG | |
| Nivolumab | Opdivo 100mg/10ml SDPF | 1 | MG | |
| Nivolumab | Opdivo 40mg/4ml SDPF | 1 | MG | |
| Normal Saline | 0.9% NACL 50mL 25/box | |||
| Obinutuzumab | Gazyva 1000mg/40ml SDV PF | 1 | MG | |
| Octreotide | Octreotide 100mcg 10/box | 1 | MG | |
| Octreotide | Sandostatin LAR 10mg | 1 | MG | |
| Octreotide | Sandostatin LAR 20mg | 1 | MG | |
| Octreotide | Sandostatin LAR 30mg | 1 | MG | |
| Ofatumumab | Arzerra 20mg/ml 3x5ml | 10 | MG | |
| Ofatumumab | Arzerra 20mg/ml 1x50ml | 10 | MG | |
| Omalizumab | Xolair 150mg | 5 | MG | |
| Omalizumab | Xolair 150mg Syringe | 5 | MG | |
| Omalizumab | Xolair 75mg Syringe | 5 | MG | |
| Onabotulinumtoxina | Botox 100iu (drop ship - dr info req) | 1 | Unit | |
| Ondansetron | Ondansetron 40mg | 1 | MG | |
| Ondansetron | Ondansetron 4mg 25/box | 1 | MG | |
| Oxaliplatin | Oxaliplatin 100mg | 0.5 | MG | |
| Oxaliplatin | Oxaliplatin 50mg | 0.5 | MG | |
| Paclitaxel | Paclitaxel 100mg | 1 | MG | |
| Paclitaxel | Paclitaxel 300mg | 1 | MG | |
| Paclitaxel | Paclitaxel 30mg | 1 | MG | |
| Palifermin | Kepivance 6.25mg/ml 3/box | 6.25 | MG | |
| Palonosetron | Palonosetron 0.25mg | 25 | MCG | |
| Pamidronate | Pamidronate 30mg | 30 | MG | |
| Pamidronate | Pamidronate 90mg | 30 | MG | |
| Panitumumab | Vectibix 400 | 10 | MG | |
| Panitumumab | Vectibix 100 | 10 | MG | |
| PB Paclitaxel | Abraxane 100mg | 1 | MG | |
| Pegasparaginase | Oncaspar 3,750 units | 3750 | IU | |
| Pegfilgrastim | Neulasta 6mg syringe | 6 | MG | |
| Pegfilgrastim | Neulasta Onpro Delivery Kit 6mg | 6 | MG | |
| Pegfilgrastim | Udenyca 6mg/0.6ml syringe | 6 | MG | |
| Pegfilgrastim | Fulphila 6mg/0.6ml syringe | 6 | MG | |
| Pembrolizumab | Keytruda 100mg | 1 | MG | |
| Pemetrexed | Alimta 100mg | 10 | MG | |
| Pemetrexed | Alimta 500mg | 10 | MG | |
| Pentamidine Isethionate | Nebupent 300mg | 300 | MG | |
| Pentamidine Isethionate | Pentam 300mg 10/box | 300 | MG | |
| Pentostatin | Nipent 10mg | 10 | MG | |
| Pertuzumab | Perjeta 420mg | 1 | MG | |
| Potassium | Potassium Chloride 20meq 25/box | 2 | mEq | |
| Pralatrexate | Folotyn 20mg | 1 | MG | |
| Pralatrexate | Folotyn 40mg | 1 | MG | |
| Prochlorperazine | Prochlorperazine Edisylate 10mg 10/box | 10 | MG | |
| Promethazine | Promethazine 25mg 25/box | 50 | MG | |
| Ramucirumab | Cyramza 100mg | 5 | MG | |
| Ramucirumab | Cyramza 500mg | 5 | MG | |
| Ranibizumab | Lucentis .3mg/.05mL vial | 0.1 | MG | |
| Ranibizumab | Lucentis .5mg/.05mL vial | 0.1 | MG | |
| Ranitidine | Ranitidine 50mg/2mL 10/box | 25 | MG | |
| Rasburicase | Elitek 1.5mg 3/box | 0.5 | MG | |
| Rasburicase | Elitek 7.5mg vial | 0.5 | MG | |
| Rimabotulinumtoxinb | Myobloc 5000u/ml 1ml | 1 | Unit | |
| Risankizumab-RZAA | Skyrizi 75mg/0.83ml | 75 | MG | |
| Rituximab | Rituxan 100mg | 100 | MG | |
| Rituximab | Rituxan 500mg | 100 | MG | |
| Rituximab-ABBS | Truxima 100mg | 100 | MG | |
| Rituximab-ABBS | Truxima 500mg | 100 | MG | |
| Rituximab-PVVR | Ruxience 100mg | 100 | MG | |
| Rituximab-PVVR | Ruxience 500mg | 100 | MG | |
| Romidepsin | Istodax 10mg | 1 | MG | |
| Romiplostim | Nplate 250mcg | 10 | MCG | |
| Romiplostim | Nplate 500mcg | 10 | MCG | |
| Sodium Bicarbonate | Sodium Bicarbonate 8.4% 50mL syr 10/box | 1 | mEq | |
| Sodium Bicarbonate | Sodium Bicarbonate 8.4% 50meq vial 25/box | 1 | mEq | |
| Tacrolimus | Prograf 5mg/ml 1ml PF Amp 10/box | 5 | MG | |
| Tbo-Filgrastim | Granix 300mcg Syringe x1 | 300 | MCG | |
| Tbo-Filgrastim | Granix 480 mcg Syringe x1 | 480 | MCG | |
| Temsirolimus | Torisel 25mg | 1 | MG | |
| Testosterone | Depo-Testosterone 200mg/10ml | 200 | MG | |
| Tetracaine | Tetracaine .5% OPHT Sol 12/box | 0.5 | ML | |
| Thyrotropin | Thyrogen 1.1mg x2 | 1.1 | MG | |
| Tocilizumab | Actemra 200mg | 1 | MG | |
| Tocilizumab | Actemra 400mg | 1 | MG | |
| Tocilizumab | Actemra 80mg | 1 | MG | |
| Topotecan | Topotecan 4mg | 0.1 | MG | |
| Trabectedin | Yondelis 1mg | 1 | MG | |
| Trastuzumab | Herceptin 150mg | 10 | MG | |
| Trastuzumab-ANNS | Kanjinti 150mg | 10 | MG | |
| Trastuzumab-ANNS | Kanjinti 420mg | 10 | MG | |
| Triamcinalone PF | Triesence 40mg/1mL PF | 1 | MG | |
| Triptorelin | Trelstar 3.75mg | 3.75 | MG | |
| Valrubicin | Valstar 40mg/ml 5ml SDV 4/box | 200 | MG | |
| Vancomycin | Vancomycin 1gm 10/box | 500 | MG | |
| Vedolizumab | Entyvio 300mg 20ml SDV | 300 | MG | |
| Vinblastine | Vinblastine 10mg | 1 | MG | |
| Vincristine | Vincristine 1mg | 1 | MG | |
| Vincristine | Vincristine 2mg | 1 | MG | |
| Vinorelbine | Vinorelbine 10mg | 10 | MG | |
| Vinorelbine | Vinorelbine 50mg | 10 | MG | |
| Water | Sterile Water 10mL 25/box | 500 | ML | |
| Water | Sterile Water 50mL 25/box | 500 | ML | |
| Ziv-Afilbercept | Zaltrap 100mg | 1 | MG | |
| Ziv-Afilbercept | Zaltrap 200mg | 1 | MG | |
| Zoledronic Acid | Zoledronic Acid 4mg/5ml (Generic Zometa) | 1 | MG | |
| Zoledronic Acid | Zoledronic Acid 5mg (Generic Reclast) | 1 | MG | |
| 0.45% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 0.45% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 100ML IVBag | 1 | EA | ||
| 0.9% Sodium Chloride 10ML Flush Syringe | 1 | EA | ||
| 0.9% Sodium Chloride 150ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 50ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 50ML Vial | 1 | EA | ||
| 0.9% Sodium Chloride PF 10ML BU | 1 | EA | ||
| 0.3% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 0.3% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 0.3% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 23.4% Sodium Chloride 30ML Vial | 1 | EA | ||
| 5% Dextrose & 0.2% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.45% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.45% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.45% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.9% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.9% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.9% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 5% Dextrose 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose 100ML IV Bag | 1 | EA | ||
| 5% Dextrose 250ML IV Bag | 1 | EA | ||
| 5% Dextrose 500ML IV Bag | 1 | EA | ||
| 5% Dextrose 50ML IV BAG | 1 | EA | ||
| 5% Dextrose Flush 10ML Syringe | 1 | EA |
| SUPPLIES | QTY | UNIT | PRICE |
| 1000ML Empty IV BAG | 1 | EA | |
| 100ML Empty IV BAG | 1 | EA | |
| 150ML Empty IV BAG | 1 | EA | |
| 250ML Empty IV BAG | 1 | EA | |
| 500ML Empty IV BAG | 1 | EA | |
| ADDTO Catheter Adapter | 1 | EA | |
| Alaris SmartSite LS Primary Set 10014855A | 1 | EA | |
| Alaris SmartSite LS Secondary Set 10014881 | 1 | EA | |
| Alaris SmartSite Secondary Set 10013364 | 1 | EA | |
| Alaris SmartSite LS Primary Set 10015861A | 1 | EA | |
| Alaris SmartSite Set 2420-0007 | 1 | EA | |
| Alaris SmartSite LS Primary Set 2260-0500 | 1 | EA | |
| Alaris SmartSite LS In-Line Filter 20350E | 1 | EA | |
| B Braun Secondary Set V1921 | 1 | EA | |
| Bacteriostatic Sterile Water 30ML SDV | 1 | EA | |
| Baxter Filter Set 2C7557 | 1 | EA | |
| Baxter Filter Set 2C7558 | 1 | EA | |
| Baxter Filter Set 2C8857 | 1 | EA | |
| Baxter Set 2H8537 | 1 | EA | |
| Baxter Set 2C6537s | 1 | EA | |
| Baxter Set 2C7461 | 1 | EA | |
| Codan IV Set | 1 | EA | |
| Equashield Spike 250-1L SA1T | 1 | EA | |
| Equashield Spike 1 Unit | 1 | EA | |
| Extension Set 60 Male/Male | 1 | EA | |
| Extension Set 45 Male/Male | 1 | EA | |
| HCA Plumset Filter 11947-12 | 1 | EA | |
| HCA Plumsets 14687-28 | 1 | EA | |
| Healthline 205077MB | 1 | EA | |
| Healthline Filter Set 205077MB | 1 | EA | |
| ICU Clave CH-10 | 1 | EA | |
| ICU Set 20124-01 | 1 | EA | |
| ICU Bag Spike | 1 | EA | |
| ICU Chemolock Bag Spike and Clave Port CL3940 | 1 | EA | |
| ICU Bifuse Adaptor | 1 | EA | |
| ICU Red Cap SC2000 | 1 | EA | |
| ICU Spiro Male Connector | 1 | EA | |
| ICU Spiros Male II CH2000S-C | 1 | EA | |
| ICU Vial Cap CH-77 | 1 | EA | |
| ICU Vial Spike With Clave CH-70 | 1 | EA | |
| In-line Tubing Filter | 1 | EA | |
| Insulin Needles (Box) | 1 | EA | |
| Insulin Syringes (Box) | 1 | EA | |
| IV Catheter Tip Syringe | 1 | EA | |
| IV Diluent | 1 | EA | |
| IV Syringe | 1 | EA | |
| Kawasumi Filter Set IV-0254 | 1 | EA | |
| Kawasumi Veno-Set IV-027N | 1 | EA | |
| Lifeshield Primary Set 12668-28 | 1 | EA | |
| Light Protection Bag | 1 | EA | |
| MS-Blue Cap MSB1500 (1 UNIT) | 1 | EA | |
| Pha-Seal Injector Luer Lock (Syringe) | 1 | EA | |
| REF:FC1 Equashield Female LL Connector | 1 | EA | |
| SmartSite Infusion Set 10013182 | 1 | EA | |
| SmartSite Infusion Set 10013361T | 1 | EA | |
| SmartSite Primary Set 2420-0007 | 1 | EA | |
| SmartSite Secondary Set 10013364T | 1 | EA | |
| Sterile Water 1000ML IV Bag | 1 | EA | |
| Sterile Water 10ML Vial | 1 | EA | |
| Sterile Water 250ML IV Bag | 1 | EA | |
| Sterile Water 500ML IV Bag | 1 | EA | |
| Sterile Water Preservative Free 100ML Vial | 1 | EA | |
| Sterile Water 50 ML Vial | 1 | EA | |
| Texium Adapter | 1 | EA | |
| Texium Vial Shield | 1 | EA | |
| Triton Classic Set T090-000 | 1 | EA | |
| Triton Filter Set T090-022V | 1 | EA | |
| Triton Regular Set T090-00W | 1 | EA | |
| Triton Secondary Set T030-000 | 1 | EA | |
| Walkmed Extension Set | 1 | EA | |
| Walkmed 250ML Bag | 1 | EA |
| STANDARD PHARMACY FEE to include UPS 797/800 initiatives, Clean Room Materials/Supplies, and regulatory activities | Per Patient Order |
| Courier Fees/Shipping Fees (overnight) | Per Shipment |
Chemotherapy Embolism Fee Per Patient Order
STAT Order Per Patient Order
Exact Volume Requirement Fee Per Patient Order
Intrathecal Mixing Fee Per Patient Order
Price-Cost Sheet Option 2
| Generic Name | Brand Name | Dose | Unit | Price |
| Abatacept | Orencia 125mg 4/box | 10 | MG | |
| Abatacept | Orencia Click-Jet 125mg 4/box | 10 | MG | |
| Abatacept | Orencia 250mg | 10 | MG | |
| Abobotulinumtoxin A | Dysport 500u | IU | ||
| Adalimumab | Humira 40mg/0.8ml Pen 2/box | 20 | MG | |
| Ado-trastuzumab emtansine | Kadcyla 100mg/15ml | 1 | MG | |
| Ado-trastuzumab emtansine | Kadcyla 160mg/20ml | 1 | MG | |
| Aflibercept | Eylea 2mg | 1 | MG | |
| Alteplase | Cathflo Activase 2mg | 1 | MG | |
| Amifostine | Amifostine 500mg vial 3/bx | 500 | MG | |
| Amikacin | Amikacin Sulfate PF 500mg/2ml 10/box | 100 | MG | |
| Amphotericin B | Amphotericin B 50mg | 50 | MG | |
| Arginine | R-Gene HCL 300ml | 30 | GM | |
| Aripiprazole | Abilify Maintena 400mg Syringe | 1 | MG | |
| Arsenic | Trisenox 10mg 10/box | 1 | MG | |
| Arsenic | Trisenox 12mg 10/box | 1 | MG | |
| Asparaginase Erwinia | Erwinaze 10,000iu /vl - 5vl/box | 1000 | Unit | |
| Atezoliumab | Tecentriq 60mg/ml 20ml | 10 | MG | |
| Atropine | Atropine .4mg/mL 25/box | 0.01 | MG | |
| Atropine | Atropine 1mg/mL 25/box | 0.01 | MG | |
| Atropine | Atropine 1mg syringe 10/box | 0.01 | MG | |
| Avelumab | Bavencio 20mg/ml 10ml | 10 | MG | |
| Azacitidine | Azacitidine 100mg | 1 | MG | |
| Bacteriostatic Water | Bacteriostatic Water 30ml 25/box | 10 | ML | |
| BCG LIVE | TICE BCG 50mg | 50 | MG | |
| Belimumab | Benlysta 120mg | 10 | MG | |
| Belimumab | Benlysta 400mg | 400 | MG | |
| Bendamustine | Treanda 100mg PWD | 1 | MG | |
| Bendamustine | Treanda 25mg PWD | 1 | MG | |
| Bendamustine | Bendeka 100mg | 1 | MG | |
| Bendamustine | Bendamustine (Eagle) 100mg | 1 | MG | |
| Benralizumab | Fasenra 30mg Syr | 1 | MG | |
| Bevacizumab | Avastin 100mg | 10 | MG | |
| Bevacizumab | Avastin 400mg | 10 | MG | |
| Bevacizumab-AWWB | Mvasi 100mg | 10 | MG | |
| Bevacizumab-AWWB | Mvasi 400mg | 10 | MG | |
| Bezlotoxumab | Zinplava 1000mg | 1000 | MG | |
| Bleomycin | Bleomycin 15u | 15 | Unit | |
| Bleomycin | Bleomycin 30u | 15 | Unit | |
| Bortezomib | Velcade 3.5mg | 0.1 | MG | |
| Brentuximab Vedotin | Adcetris 50mg | 1 | MG | |
| Cabazitaxel | Jevtana 60mg | 1 | MG | |
| Calcium Gluconate | Calcium Gluc 100mg 10% 10mL 25/box | 10 | ML | |
| Calcium Gluconate | Calcium Gluconate 10% 50mL 25/box | 10 | ML | |
| Carboplatin | Carboplatin 150mg | 50 | MG | |
| Carboplatin | Carboplatin 450mg | 50 | MG | |
| Carboplatin | Carboplatin 50mg | 50 | MG | |
| Carboplatin | Carboplatin 600mg | 50 | MG | |
| Carfilzomib | Kyprolis 30mg | 1 | MG | |
| Carfilzomib | Kyprolis 60mg | 1 | MG | |
| Carmustine | BicNu 100mg | 100 | MG | |
| Carmustine in Polifeprosan | Gliadel Wafer | 7.7 | MG | |
| Cefazolin | Cefazolin 1gm 25/box | 500 | MG | |
| Cefepime | Cefepime 1gm 10/box | 500 | MG | |
| Ceftazidime | Ceftazidime 2gm 10/box | 500 | MG | |
| Ceftazidime | Tazicef 1gm 25/box | 500 | MG | |
| Ceftriaxone | Ceftriaxone 1gm 10/box | 250 | MG | |
| Certolizumab | Cimzia 200mg Syr 2/box | 1 | MG | |
| Cetuximab | Erbitux 100mg | 10 | MG | |
| Cidofovir | Cidofovir | 375 | MG | |
| Cisplatin | Cisplatin 100mg | 10 | MG | |
| Cisplatin | Cisplatin 50mg | 10 | MG | |
| Cladribine | Cladribine 10mg | 1 | MG | |
| Clindamycin | Clindamycin 300mg/50ml ea. | 300 | MG | |
| Clindamycin | Clindamycin 600mg/4ml ea. | 600 | MG | |
| Collagenase Clostridium Hist | Xiaflex 0.9mg vial | 0.01 | MG | |
| Cyanocobalamin | Cyanocobalamin 1000mcg/1ml 25/box | 1000 | MCG | |
| Cyclophosphamide | Cyclophosphamide 1gm | 100 | MG | |
| Cyclophosphamide | Cyclophosphamide 2gm | 100 | MG | |
| Cyclophosphamide | Cyclophosphamide 500mg | 100 | MG | |
| Cyclosporine | Cyclosporine 250mg/5ml 10/box | 100 | MG | |
| Cytarabine | Cytarabine 100mg 5/box | 100 | MG | |
| Cytarabine | Cytarabine 2gm | 100 | MG | |
| Cytarabine Liposomal | Depocyt 50mg | 10 | MG | |
| Dacarbazine | Dacarbazine 200mg 10/box | 100 | MG | |
| Dactinomycin | Cosmegen 0.5mg | 500 | MCG | |
| Daratumumab | Darzalex 100MG | 1 | MG | |
| Daratumumab | Darzalex 400MG | 1 | MG | |
| Daunorubicin | Daunorubicin 20mg/4mL 10/box | 10 | MG | |
| Decitabine | Dacogen 50mg | 1 | MG | |
| Deferoxamine | Deferoxamine 500mg 4/box | 500 | MG | |
| Degarelix | Firmagon 80mg | 1 | MG | |
| Degarelix | Firmagon 240mg | 1 | MG | |
| Denosumab | Prolia 60mg | 1 | MG | |
| Denosumab | Xgeva 120mg | 1 | MG | |
| Dexamethasone | Dexamethasone 10mg/mL 10mL 10/box | 1 | MG | |
| Dexamethasone | Dexamethasone 4mg/mL 1mL 25/box | 1 | MG | |
| Dexamethasone | Ozurdex Implant 0.7mg Kit (DS item 1-2 days) | 0.1 | MG | |
| Dexrazoxane | Zinecard (Dexrazoxane) 500mg | 250 | MG | |
| Diphenhydramine | Diphenhydramine 50mg 25/box | 50 | MG | |
| Docetaxel | Docetaxel 160mg/8ml (20mg/ml) | 1 | MG | |
| Docetaxel | Docetaxel 20mg/2ml (10mg/mL) | 1 | MG | |
| Docetaxel | Docetaxel 80mg/8ml (10mg/mL) | 1 | MG | |
| Doxorubicin | Adriamycin 50mg | 10 | MG | |
| Doxorubicin | Doxorubicin 10mg 10/box | 10 | MG | |
| Doxorubicin | Doxorubicin 200mg | 10 | MG | |
| Doxorubicin | Doxorubicin 20mg | 10 | MG | |
| Doxorubicin | Doxorubicin 50mg | 10 | MG | |
| Durvalumab | Imfinzi 120mg | 50 | MG | |
| Durvalumab | Imfinzi 500mg | 50 | MG | |
| Eculizumab | Soliris 300mg | 10 | MG | |
| Epinepherine | Epinepherine 1:1000 25/box | 1 | ML | |
| Epinepherine | Epinepherine 30mg vial | 0.1 | MG | |
| Epirubicin | Epirubicin 200mg | 2 | MG | |
| Epirubicin | Epirubicin 50mg | 2 | MG | |
| Epoetin | Epogen 4k unit 10/box | 1000 | Unit | |
| Epoetin | Epogen 10k unit 10/box | 1000 | Unit | |
| Epoetin | Epogen 20k unit 10/box | 1000 | Unit | |
| Epoetin | Procrit 10k unit 6/box | 1000 | Unit | |
| Epoetin | Procrit 20k unit 4/box | 1000 | Unit | |
| Epoetin | Procrit 40k unit 4/box | 1000 | Unit | |
| Epoetin Alfa EPBX | Retacrit 10k unit 10/box | 1000 | Unit | |
| Epoetin Alfa EPBX | Retacrit 40k unit 4/box | 1000 | Unit | |
| Eribulin Mesylate | Halaven 1mg | 0.1 | MG | |
| Ertapenem | Invanz 1gm 10/box | 500 | MG | |
| Etanercept | Enbrel Mini 50mg/0.98ml Cart 4/box | 25 | MG | |
| Etoposide | Etoposide 100mg | 10 | MG | |
| Etoposide | Etoposide 1gm | 10 | MG | |
| Etoposide | Etoposide 500mg | 10 | MG | |
| Famotidine | Famotidine 20mg 25/box | 10 | MG | |
| Ferric Carboxymaltose | Injectafer 750mg | 1 | MG | |
| Ferric Gluconate | Ferric Gluconate 62.5mg 10/box | 62.5 | MG | |
| Ferumoxytol | Feraheme 510mg | 1 | MG | |
| Filgrastim | Neupogen 300mcg 10/box | 300 | MCG | |
| Filgrastim | Neupogen 300mcg syringe 10/box | 300 | MCG | |
| Filgrastim | Neupogen 480mcg 10/box | 480 | MCG | |
| Filgrastim | Neupogen 480mcg syringe 10/box | 480 | MCG | |
| Filgrastim AAFI 480mcg/0.8ml Syrimge 10/box (Nivestym) | Nivestym 480mcg/0.8ml Syrimge 10/box | 480 | MCG | |
| Filgrastim-Sndz | Zarxio 300mcg syringe ea. | 300 | MCG | |
| Filgrastim-Sndz | Zarxio 480mcg syringe ea. | 480 | MCG | |
| Floxuradine | Floxuradine 500mg | 25 | MG | |
| Fludarabine | Fludarabine 50mg | 50 | MG | |
| Fluorouracil | Fluorouracil 1gm 10/box | 500 | MG | |
| Fluorouracil | Fluorouracil 2.5gm | 500 | MG | |
| Fluorouracil | Fluorouracil 500mg 10/box | 500 | MG | |
| Fluorouracil | Fluorouracil 5gm | 500 | MG | |
| Fosaprepitant | Emend 150mg | 1 | MG | |
| Foscarnet Sodium | Foscavir 6gm 10/box | 1000 | MG | |
| Fulvestrant | Faslodex 250mg 2/box | 500 | MG | |
| Furosemide | Furosemide 100mg vial 25/box | 20 | MG | |
| Furosemide | Furosemide 20mg 25/box | 20 | MG | |
| Ganciclovir | Ganciclovir 500mg (Cytovene) 25/box | 500 | MG | |
| Gemcitabine | Gemcitabine 1gm | 200 | MG | |
| Gemcitabine | Gemcitabine 1gm (100mg/ml 10ml) | 200 | MG | |
| Gemcitabine | Gemcitabine 200mg | 200 | MG | |
| Gemcitabine | Gemcitabine 200mg (100mg/ml 2ml) | 200 | MG | |
| Gemcitabine | Gemcitabine 2gm | 200 | MG | |
| Gemtuzumab Ozogamicin | Mylotarg 4.5mg | 5 | MG | |
| Gentamicin Sulfate | Gentamicin 80mg 25/box | 80 | MG | |
| Golimumab | Simponi Aria 12.5mg/ml 4ml | |||
| Granisetron | Granisetron Hydrochloride 1mg | 100 | MCG | |
| Granisetron | Granisetron Hydrochloride 4mg | 100 | MCG | |
| Heparin Sodium | Heparin Sodium 1000u/ml 1ml 25/box | 1000 | U | |
| Hyaluronate Sodium | Euflexxa 1% 20mg/2ml (20mg) syringe 3x2ml | 20 | MG | |
| Hyaluronate Sodium | Hyalgan 20mg/2ml syringe | 20 | MG | |
| Hyaluronate Sodium | Supartz 25mg/2.5ml Syringe | 25 | MG | |
| Hyaluronate Sodium | Orthovisc 30mg/2ml Syringe | 30 | MG | |
| Hyaluronate Sodium | Visco-3 10mg/ml 3x 2.5ml Syringe | 25 | MG | |
| Hyaluronate Sodium | Synvisc-One 48mg/6ml Syringe | 48 | MG | |
| Hyaluronate Sodium | Synvisc 16mg/2ml 3x2ml Syringe | 48 | MG | |
| Hyaluronate Sodium | Monovisc 22mg/ml 4ml Syringe | 88 | MG | |
| Hyaluronate Sodium | Gel-One 30mg/3ml Syringe | 30 | MG | |
| Hyaluronate Sodium | Gelsyn-3, 8.4mg/ml 2ml syringe | 16.8 | MG | |
| Hydrocortisone | Solu-Cortef 100mg | 100 | MG | |
| Idarubicin | Idarubicin 10mg | 5 | MG | |
| Idarubicin | Idarubicin 20mg | 5 | MG | |
| Idarubicin | Idarubicin 5mg | 5 | MG | |
| Ifosfamide | Ifosfamide 1gm | 1000 | MG | |
| Immune Globulin IVIG | Octagam 10% 10gm | 20 | GM | |
| Immune Globulin IVIG | Octagam 10% 20gm | 20 | GM | |
| Immune Globulin IVIG | Octagam 10% 5gm | 20 | GM | |
| Immune Globulin IVIG | Octagam 10% 2gm | 20 | GM | |
| Incobotulinumtoxin A | Xeomin PR 200u PF | 200 | IU | |
| Infliximab | Remicade 100mg | 10 | MG | |
| Infliximab-DYYB | Inflectra 100mg | 10 | MG | |
| Interferon alfa 2-b | Intron A 10mu | 1 | MU | |
| Iohexal | Omnipaque 300mg/50ml 10/box | 1 | ML | |
| Iopamidol | Isovue-300mg 61% 10x30ml | 612 | MG | |
| Ipilimumab | Yervoy 200mg | 1 | MG | |
| Ipilimumab | Yervoy 50mg | 1 | MG | |
| Irinotecan | Irinotecan 100mg | 20 | MG | |
| Irinotecan | Irinotecan 40mg | 20 | MG | |
| Iron Dextran | Infed 100mg 10/box | 50 | MG | |
| Iron Sucrose | Venofer 100mg 10/box | 1 | MG | |
| Iron Sucrose | Venofer 200mg 5/box | 1 | MG | |
| IVIG | Atgam 50mg/ml 5x5ml amp | 250 | MG | |
| IVIG | Carimune 12gm | 3000 | MG | |
| IVIG | Carimune 6gm | 500 | MG | |
| IVIG | Gammagard 10gm vial | 0.5 | GM | |
| IVIG | Gammagard 1gm vial | 0.5 | GM | |
| IVIG | Gammagard 20gm vial | 0.5 | GM | |
| IVIG | Gammagard 5gm vial | 0.5 | GM | |
| IVIG | Gammaked 10gm | 0.5 | GM | |
| IVIG | Gammaked 1gm | 0.5 | GM | |
| IVIG | Gammaked 2.5gm | 0.5 | GM | |
| IVIG | Gammaked 20gm | 0.5 | GM | |
| IVIG | Gammaked 5gm | 0.5 | GM | |
| Leucovorin | Leucovorin 100mg | 50 | MG | |
| Leucovorin | Leucovorin 350mg | 50 | MG | |
| Leuprolide Acetate | Lupron Depot 11.25mg | 3.75 | MG | |
| Leuprolide Acetate | Lupron Depot 3.75mg | 3.75 | MG | |
| Leuprolide Acetate | Leuprolide 14mg 2.8ml 14 day kit | 14 | MG | |
| Leuprolide Acetate | Eligard 22.5mg | 3.75 | MG | |
| Leuprolide Acetate | Eligard 30mg | 3.75 | MG | |
| Leuprolide Acetate | Eligard 45mg | 3.75 | MG | |
| Leuprolide Acetate | Eligard 7.5mg | 3.75 | MG | |
| Levoleucovorin | Fusilev 50mg | 0.5 | MG | |
| Lidocaine | Lidocaine 4% 40mg/ml 25x5ml | 10 | MG | |
| Liposomal Doxorubicin | Liposomal Doxorubicin 20mg | 10 | MG | |
| Liposomal Doxorubicin | Liposomal Doxorubicin 50mg | 10 | MG | |
| Liposomal Irinotecan | Onivyde 4.3mg/ml 10ml | 1 | MG | |
| Lorazepam | Lorazepam 2mg/1mL 10/box | 2 | MG | |
| Magnesium Sulfate | Magnesium Sulfate 1gm/2mL 25/box | 0.5 | GM | |
| Mannitol | Mannitol 25% 50mL each | 50 | ML | |
| Mechlorethamine | Mechlorethamine 10mg 4/box | 10 | MG | |
| Melphalan | Alkeran 50mg | 50 | MG | |
| Mepolizumab | Nucala 100mg | 1 | MG | |
| Mesna | Mesna 1gm | 200 | MG | |
| Methotrexate | Methotrexate 50mg PF 10/box | 50 | MG | |
| Methotrexate | Methotrexate PF 1gm | 50 | MG | |
| Methotrexate | Methotrexate PF 250mg 10ml | 50 | MG | |
| Methylene Blue | Provayblue 0.5% 5x10ml | 10 | ML | |
| Methylprednisolone | Solu-Medrol (A-Methapred) 125mg 25/box | 125 | MG | |
| Methylprednisolone | Solu-Medrol (Methylprednisolone 40mg) x25 | 125 | MG | |
| Metoclopramide | Metoclopramide 10mg 25/box | 10 | MG | |
| Mitomycin | Mitomycin 20mg | 5 | MG | |
| Mitomycin | Mitomycin 40mg | 5 | MG | |
| Mitomycin | Mitomycin 5mg | 5 | MG | |
| Mitoxantrone | Novantrone 20mg | 5 | MG | |
| Mitoxantrone | Novantrone 25mg | 5 | MG | |
| Mycophenolate Mofetil | Cellcept 500mg 4x20ml | 500 | MG | |
| Natalizumab | Tysabri 300mg | 1 | MG | |
| Nelarabine | Arranon SF 250mg 6/box | 250 | MG | |
| Nivolumab | Opdivo 240mg/10ml SDPF | 1 | MG | |
| Nivolumab | Opdivo 100mg/10ml SDPF | 1 | MG | |
| Nivolumab | Opdivo 40mg/4ml SDPF | 1 | MG | |
| Normal Saline | 0.9% NACL 50mL 25/box | |||
| Obinutuzumab | Gazyva 1000mg/40ml SDV PF | 1 | MG | |
| Octreotide | Octreotide 100mcg 10/box | 1 | MG | |
| Octreotide | Sandostatin LAR 10mg | 1 | MG | |
| Octreotide | Sandostatin LAR 20mg | 1 | MG | |
| Octreotide | Sandostatin LAR 30mg | 1 | MG | |
| Ofatumumab | Arzerra 20mg/ml 3x5ml | 10 | MG | |
| Ofatumumab | Arzerra 20mg/ml 1x50ml | 10 | MG | |
| Omalizumab | Xolair 150mg | 5 | MG | |
| Omalizumab | Xolair 150mg Syringe | 5 | MG | |
| Omalizumab | Xolair 75mg Syringe | 5 | MG | |
| Onabotulinumtoxina | Botox 100iu (drop ship - dr info req) | 1 | Unit | |
| Ondansetron | Ondansetron 40mg | 1 | MG | |
| Ondansetron | Ondansetron 4mg 25/box | 1 | MG | |
| Oxaliplatin | Oxaliplatin 100mg | 0.5 | MG | |
| Oxaliplatin | Oxaliplatin 50mg | 0.5 | MG | |
| Paclitaxel | Paclitaxel 100mg | 1 | MG | |
| Paclitaxel | Paclitaxel 300mg | 1 | MG | |
| Paclitaxel | Paclitaxel 30mg | 1 | MG | |
| Palifermin | Kepivance 6.25mg/ml 3/box | 6.25 | MG | |
| Palonosetron | Palonosetron 0.25mg | 25 | MCG | |
| Pamidronate | Pamidronate 30mg | 30 | MG | |
| Pamidronate | Pamidronate 90mg | 30 | MG | |
| Panitumumab | Vectibix 400 | 10 | MG | |
| Panitumumab | Vectibix 100 | 10 | MG | |
| PB Paclitaxel | Abraxane 100mg | 1 | MG | |
| Pegasparaginase | Oncaspar 3,750 units | 3750 | IU | |
| Pegfilgrastim | Neulasta 6mg syringe | 6 | MG | |
| Pegfilgrastim | Neulasta Onpro Delivery Kit 6mg | 6 | MG | |
| Pegfilgrastim | Udenyca 6mg/0.6ml syringe | 6 | MG | |
| Pegfilgrastim | Fulphila 6mg/0.6ml syringe | 6 | MG | |
| Pembrolizumab | Keytruda 100mg | 1 | MG | |
| Pemetrexed | Alimta 100mg | 10 | MG | |
| Pemetrexed | Alimta 500mg | 10 | MG | |
| Pentamidine Isethionate | Nebupent 300mg | 300 | MG | |
| Pentamidine Isethionate | Pentam 300mg 10/box | 300 | MG | |
| Pentostatin | Nipent 10mg | 10 | MG | |
| Pertuzumab | Perjeta 420mg | 1 | MG | |
| Potassium | Potassium Chloride 20meq 25/box | 2 | mEq | |
| Pralatrexate | Folotyn 20mg | 1 | MG | |
| Pralatrexate | Folotyn 40mg | 1 | MG | |
| Prochlorperazine | Prochlorperazine Edisylate 10mg 10/box | 10 | MG | |
| Promethazine | Promethazine 25mg 25/box | 50 | MG | |
| Ramucirumab | Cyramza 100mg | 5 | MG | |
| Ramucirumab | Cyramza 500mg | 5 | MG | |
| Ranibizumab | Lucentis .3mg/.05mL vial | 0.1 | MG | |
| Ranibizumab | Lucentis .5mg/.05mL vial | 0.1 | MG | |
| Ranitidine | Ranitidine 50mg/2mL 10/box | 25 | MG | |
| Rasburicase | Elitek 1.5mg 3/box | 0.5 | MG | |
| Rasburicase | Elitek 7.5mg vial | 0.5 | MG | |
| Rimabotulinumtoxinb | Myobloc 5000u/ml 1ml | 1 | Unit | |
| Risankizumab-RZAA | Skyrizi 75mg/0.83ml | 75 | MG | |
| Rituximab | Rituxan 100mg | 100 | MG | |
| Rituximab | Rituxan 500mg | 100 | MG | |
| Rituximab-ABBS | Truxima 100mg | 100 | MG | |
| Rituximab-ABBS | Truxima 500mg | 100 | MG | |
| Rituximab-PVVR | Ruxience 100mg | 100 | MG | |
| Rituximab-PVVR | Ruxience 500mg | 100 | MG | |
| Romidepsin | Istodax 10mg | 1 | MG | |
| Romiplostim | Nplate 250mcg | 10 | MCG | |
| Romiplostim | Nplate 500mcg | 10 | MCG | |
| Sodium Bicarbonate | Sodium Bicarbonate 8.4% 50mL syr 10/box | 1 | mEq | |
| Sodium Bicarbonate | Sodium Bicarbonate 8.4% 50meq vial 25/box | 1 | mEq | |
| Tacrolimus | Prograf 5mg/ml 1ml PF Amp 10/box | 5 | MG | |
| Tbo-Filgrastim | Granix 300mcg Syringe x1 | 300 | MCG | |
| Tbo-Filgrastim | Granix 480 mcg Syringe x1 | 480 | MCG | |
| Temsirolimus | Torisel 25mg | 1 | MG | |
| Testosterone | Depo-Testosterone 200mg/10ml | 200 | MG | |
| Tetracaine | Tetracaine .5% OPHT Sol 12/box | 0.5 | ML | |
| Thyrotropin | Thyrogen 1.1mg x2 | 1.1 | MG | |
| Tocilizumab | Actemra 200mg | 1 | MG | |
| Tocilizumab | Actemra 400mg | 1 | MG | |
| Tocilizumab | Actemra 80mg | 1 | MG | |
| Topotecan | Topotecan 4mg | 0.1 | MG | |
| Trabectedin | Yondelis 1mg | 1 | MG | |
| Trastuzumab | Herceptin 150mg | 10 | MG | |
| Trastuzumab-ANNS | Kanjinti 150mg | 10 | MG | |
| Trastuzumab-ANNS | Kanjinti 420mg | 10 | MG | |
| Triamcinalone PF | Triesence 40mg/1mL PF | 1 | MG | |
| Triptorelin | Trelstar 3.75mg | 3.75 | MG | |
| Valrubicin | Valstar 40mg/ml 5ml SDV 4/box | 200 | MG | |
| Vancomycin | Vancomycin 1gm 10/box | 500 | MG | |
| Vedolizumab | Entyvio 300mg 20ml SDV | 300 | MG | |
| Vinblastine | Vinblastine 10mg | 1 | MG | |
| Vincristine | Vincristine 1mg | 1 | MG | |
| Vincristine | Vincristine 2mg | 1 | MG | |
| Vinorelbine | Vinorelbine 10mg | 10 | MG | |
| Vinorelbine | Vinorelbine 50mg | 10 | MG | |
| Water | Sterile Water 10mL 25/box | 500 | ML | |
| Water | Sterile Water 50mL 25/box | 500 | ML | |
| Ziv-Afilbercept | Zaltrap 100mg | 1 | MG | |
| Ziv-Afilbercept | Zaltrap 200mg | 1 | MG | |
| Zoledronic Acid | Zoledronic Acid 4mg/5ml (Generic Zometa) | 1 | MG | |
| Zoledronic Acid | Zoledronic Acid 5mg (Generic Reclast) | 1 | MG | |
| 0.45% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 0.45% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 100ML IVBag | 1 | EA | ||
| 0.9% Sodium Chloride 10ML Flush Syringe | 1 | EA | ||
| 0.9% Sodium Chloride 150ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 50ML IV Bag | 1 | EA | ||
| 0.9% Sodium Chloride 50ML Vial | 1 | EA | ||
| 0.9% Sodium Chloride PF 10ML BU | 1 | EA | ||
| 0.3% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 0.3% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 0.3% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 23.4% Sodium Chloride 30ML Vial | 1 | EA | ||
| 5% Dextrose & 0.2% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.45% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.45% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.45% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.9% Sodium Chloride 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.9% Sodium Chloride 250ML IV Bag | 1 | EA | ||
| 5% Dextrose & 0.9% Sodium Chloride 500ML IV Bag | 1 | EA | ||
| 5% Dextrose 1000ML IV Bag | 1 | EA | ||
| 5% Dextrose 100ML IV Bag | 1 | EA | ||
| 5% Dextrose 250ML IV Bag | 1 | EA | ||
| 5% Dextrose 500ML IV Bag | 1 | EA | ||
| 5% Dextrose 50ML IV BAG | 1 | EA | ||
| 5% Dextrose Flush 10ML Syringe | 1 | EA |
| SUPPLIES | QTY | UNIT | PRICE |
| 1000ML Empty IV BAG | 1 | EA | |
| 100ML Empty IV BAG | 1 | EA | |
| 150ML Empty IV BAG | 1 | EA | |
| 250ML Empty IV BAG | 1 | EA | |
| 500ML Empty IV BAG | 1 | EA | |
| ADDTO Catheter Adapter | 1 | EA | |
| Alaris SmartSite LS Primary Set 10014855A | 1 | EA | |
| Alaris SmartSite LS Secondary Set 10014881 | 1 | EA | |
| Alaris SmartSite Secondary Set 10013364 | 1 | EA | |
| Alaris SmartSite LS Primary Set 10015861A | 1 | EA | |
| Alaris SmartSite Set 2420-0007 | 1 | EA | |
| Alaris SmartSite LS Primary Set 2260-0500 | 1 | EA | |
| Alaris SmartSite LS In-Line Filter 20350E | 1 | EA | |
| B Braun Secondary Set V1921 | 1 | EA | |
| Bacteriostatic Sterile Water 30ML SDV | 1 | EA | |
| Baxter Filter Set 2C7557 | 1 | EA | |
| Baxter Filter Set 2C7558 | 1 | EA | |
| Baxter Filter Set 2C8857 | 1 | EA | |
| Baxter Set 2H8537 | 1 | EA | |
| Baxter Set 2C6537s | 1 | EA | |
| Baxter Set 2C7461 | 1 | EA | |
| Codan IV Set | 1 | EA | |
| Equashield Spike 250-1L SA1T | 1 | EA | |
| Equashield Spike 1 Unit | 1 | EA | |
| Extension Set 60 Male/Male | 1 | EA | |
| Extension Set 45 Male/Male | 1 | EA | |
| HCA Plumset Filter 11947-12 | 1 | EA | |
| HCA Plumsets 14687-28 | 1 | EA | |
| Healthline 205077MB | 1 | EA | |
| Healthline Filter Set 205077MB | 1 | EA | |
| ICU Clave CH-10 | 1 | EA | |
| ICU Set 20124-01 | 1 | EA | |
| ICU Bag Spike | 1 | EA | |
| ICU Chemolock Bag Spike and Clave Port CL3940 | 1 | EA | |
| ICU Bifuse Adaptor | 1 | EA | |
| ICU Red Cap SC2000 | 1 | EA | |
| ICU Spiro Male Connector | 1 | EA | |
| ICU Spiros Male II CH2000S-C | 1 | EA | |
| ICU Vial Cap CH-77 | 1 | EA |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .