Descriptive Drug List .xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Q517--Emergent First Fill Pharmacy Prescription Services Base plus four (4) Twelve (12) Month Option Years
Solicitation number
36C24821Q0166
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Sheet1

Drug NameDoseage FormNDCQuantityDiscount off AWPFinal Price
ACYCLOVIR 800mgTAB5140701460135
ALBUTEROL SULFATE INHAL AEROSOLORAL INHALER669930019681
AMOXICILLIN & K CLAVULANATE 875-125MGTAB6668510010020
CIPROFLOXACIN 500MGTAB6586200770114
COLCHICINE 0.6MGTAB5140700823010
DIVALPROEX SODIUM ER 500MGTAB0037804730110
HEPATITIS A VACCINE (HAVRIX, VAQTA)INJECTION581600826521
INSULIN ASPART 100 UNIT/MLINJECTION7307001001110ml
INSULIN REGULAR (HUMAN) INJ 100 UNIT/ML NOVOINJECTION0016918331110ml
LATANOPROST 0.005% OS 2.5mlOPH SOLUTION242080463252.5ml
METHYLPREDNISOLONE 4 MG DOSE PACKTAB5974600010321
MOMETASONE INHALER 220MCGORAL INHALER000851341071
ONDANSETRON HCL TAB 4 MGTAB6586201873010
SUMATRIPTAN 50MGTAB514070012096
ZOSTER VACCINE RECOMBINANT, ADJUVANTED INJ. (SHINGIRX) - ShinglesINJECTION581600819121

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