Brand Pharmaceutical Products Generic Pharmaceuticals Ophthalmology
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Brand Pharmaceuticals

Brand pharmaceutical products, Generic Pharmaceuticals, Antithrombin, AntiViral and Ophthalmology products available for purchase.

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Product
Size
ManufacturerMfgr
NDC#
Code*
VIP
340B
Brand Pharmaceuticals
Product: Activase®
Prescribing Information
Size: 50 mg w/ 50 mL diluent
Manufacturer: Genentech
NDC#: 50242-0044-13
Code*: J2997
VIPVIP
340BYes
Product: Activase®
Prescribing Information
Size: 100 mg w/ 100 mL diluent
Manufacturer: Genentech
NDC#: 50242-0085-27
Code*: J2997
VIPVIP
340BYes
Product: Acyclovir
Prescribing Information
Size: 500 mg/10 mL Single-Dose Vial
Manufacturer: Fresenius Kabi
NDC#: 63323-0325-10
Code*: TBD
VIPNo
340BYes
Product: Acyclovir
Prescribing Information
Size: 1000 mg/20 mL Single-Dose Vial
Manufacturer: Fresenius Kabi
NDC#: 63323-0325-20
Code*: TBD
VIPNo
340BYes
Product: Amiodarone Hydrochloride
Prescribing Information
Size: 150 mg/3 mL (50 mg/1 mL) Single-dose Vial 25 Pack
Manufacturer: Hikma Pharmaceuticals
NDC#: 00143-9875-25
Code*: J0282
VIPNo
340BYes
Product: Astero®
Prescribing Information
Size: 30 mL Pump Bottle
Manufacturer: Gensco Pharma
NDC#: 35781-2500-03
Code*: TBD
VIPVIP
340BNo
Product: Berinert®
Prescribing Information
Size: 500 IU Vial
Manufacturer: CSL Behring
NDC#: 63833-0825-02
Code*: J0597
VIPNo
340BYes
Product: ColciGel®
Prescribing Information
Size: 15 mL 1 Bottle
Manufacturer: Gensco Pharma
NDC#: 35781-0400-02
Code*: TBD
VIPNo
340BNo
Product: ColciGel®
Prescribing Information
Size: 30 mL (2 Pack 15 mL Pump Bottles)
Manufacturer: Gensco Pharma
NDC#: 35781-0400-04
Code*: TBD
VIPNo
340BNo
Product: CORVERT®
Prescribing Information
Size: 1 mg/10 mL Single-Dose Vial
Manufacturer: Pfizer
NDC#: 00009-3794-01
Code*: J1742
VIPNo
340BNo
Product: CroFab®
Prescribing Information
Size: 2 Vial pk
Manufacturer: BTG International
NDC#: 50633-0110-12
Code*: J0840
VIPVIP
340BNo
Product: Cubicin®
Prescribing Information
Size: 500 mg Single Dose Vial
Manufacturer: Merck
NDC#: 67919-0011-01
Code*: J0878
VIPVIP
340BNo
Product: Cyanokit®
Prescribing Information
Size: 5 gm Single Dose Vial
Manufacturer: Meridian Medical Technologies
NDC#: 11704-0370-01
Code*: J3490
VIPNo
340BNo
Product: DigiFab®
Prescribing Information
Size: 40 mg Vial
Manufacturer: BTG International
NDC#: 50633-0120-11
Code*: J1162
VIPNo
340BNo
Product: DIPRIVAN®
Prescribing Information
Size: 200 mg/20 mL (20 mg/1 mL) Single-Dose Vial 10-bx
Manufacturer: Fresenius Kabi
NDC#: 63323-0269-94
Code*: J2704
VIPNo
340BNo
Product: DIPRIVAN®
Prescribing Information
Size: 100 mg/10 mL (10 mg/1 mL) Single-Dose Vial 10-bx
Manufacturer: Fresenius Kabi
NDC#: 63323-0269-69
Code*: J2704
VIPNo
340BNo
Product: ELCYS™
Prescribing Information
Size: 500 mg/10 mL Single-dose Vial 10 Pack
Manufacturer: EXELA
NDC#: 51754-1007-03
Code*: J3490
VIPNo
340BYes
Product: ENTYVIO®
Prescribing Information
Size: 20 mL Single Dose Vial
Manufacturer: Takeda Pharmaceuticals
NDC#: 64764-0300-20
Code*: J3380
VIPNo
340BYes
Product: EpiPen Jr®
Prescribing Information
Size: 0.15 mg/0.3 mL
2-pk
Manufacturer: Mylan
NDC#: 49502-0501-02
Code*: J3490
VIPNo
340BNo
Product: EpiPen®
Prescribing Information
Size: 0.3 mg/0.3 mL
2-pk
Manufacturer: Mylan
NDC#: 49502-0500-02
Code*: J3490
VIPNo
340BNo
Product: ESPEROCT®
Prescribing Information
Size: 500 mcg (4 mL) Syringe
Manufacturer: Novo Nordisk
NDC#: 00169-8500-01
Code*: J7199
VIPNo
340BYes
Product: ESPEROCT®
Prescribing Information
Size: 1000 mcg (4 mL) Syringe
Manufacturer: Novo Nordisk
NDC#: 00169-8100-01
Code*: J7199
VIPNo
340BYes
Product: ESPEROCT®
Prescribing Information
Size: 1500 mcg (4 mL) Syringe
Manufacturer: Novo Nordisk
NDC#: 00169-8150-01
Code*: J7199
VIPNo
340BYes
Product: ESPEROCT®
Prescribing Information
Size: 2000 mcg (4 mL) Syringe
Manufacturer: Novo Nordisk
NDC#: 00169-8200-01
Code*: J7199
VIPNo
340BYes
Product: ESPEROCT®
Prescribing Information
Size: 3000 mcg (4 mL) Syringe
Manufacturer: Novo Nordisk
NDC#: 00169-8300-01
Code*: J7199
VIPNo
340BYes
Product: FIRAZYR®
Prescribing Information
Size: 30 mg/3 mL Pre-Filled Syringe
Manufacturer: Takeda Pharmaceuticals
NDC#: 54092-0702-02
Code*: J1744
VIPNo
340BNo
Product: FIRAZYR®
Prescribing Information
Size: 30 mg/3 mL Pre-Filled Syringe 3-pk
Manufacturer: Takeda Pharmaceuticals
NDC#: 54092-0702-03
Code*: J1744
VIPNo
340BNo
Product: Follistim® AQ Cartridge
Prescribing Information
Size: 300 IU cartridge
Manufacturer: Merck
NDC#: 00052-0313-01
Code*: S0128/ J3490
VIPNo
340BNo
Product: Follistim® AQ Cartridge
Prescribing Information
Size: 600 IU cartridge
Manufacturer: Merck
NDC#: 00052-0316-01
Code*: S0128/ J3490
VIPNo
340BNo
Product: Follistim® AQ Cartridge
Prescribing Information
Size: 900 IU cartridge
Manufacturer: Merck
NDC#: 00052-0326-01
Code*: S0128/ J3490
VIPNo
340BNo
Product: Ganirelix Acetate
Prescribing Information
Size: 250 mcg/0.5 mL Pre-Filled Syringe
Manufacturer: Merck
NDC#: 00052-0301-51
Code*: S0132/ J3490
VIPNo
340BNo
Product: GEL-FLOW™
Prescribing Information
Size: JMI 5000 IU Spray Kit (With Thrombin)
Manufacturer: Pfizer
NDC#: 00009-1040-06
Code*: J3490
VIPNo
340BNo
Product: GEL-FLOW™ NT
Prescribing Information
Size: 6 mL (Box/6 Kits) (No Thrombin)
Manufacturer: Pfizer
NDC#: 00009-2250-01
Code*: J3590
VIPNo
340BNo
Product: Inflectra™
Prescribing Information
Size: 20 mL Vial 100 mg
Manufacturer: Pfizer
NDC#: 00069-0809-01
Code*: Q5102
VIPNo
340BYes
Product: INTEGRILIN®
Prescribing Information
Size: 20 mg/mL 10 mL Vial
Manufacturer: Merck
NDC#: 00085-1177-01
Code*: J1327
VIPNo
340BNo
Product: INTEGRILIN®
Prescribing Information
Size: 75 mg/mL 100 mL Vial
Manufacturer: Merck
NDC#: 00085-1136-01
Code*: J1327
VIPNo
340BNo
Product: INTEGRILIN®
Prescribing Information
Size: 200 mg/mL 100 mL Vial
Manufacturer: Merck
NDC#: 00085-1177-02
Code*: J1327
VIPNo
340BNo
Product: KALBITOR®
Prescribing Information
Size: 10 mg/mL 3 Vials-ctn
Manufacturer: Dyax
NDC#: 47783-0101-01
Code*: J1290
VIPNo
340BNo
Product: LidoDose®
Prescribing Information
Size: 1 mL Single Dose Swabs 25 Pack
Manufacturer: Gensco Pharma
NDC#: 35781-0301-05
Code*: TBD
VIPVIP
340BNo
Product: LiDORx®
Prescribing Information
Size: 10 mL Pump
Manufacturer: Gensco Pharma
NDC#: 35781-0300-01
Code*: TBD
VIPNo
340BNo
Product: LiDORx®
Prescribing Information
Size: 30 mL Pump
Manufacturer: Gensco Pharma
NDC#: 35781-0300-03
Code*: TBD
VIPNo
340BNo
Product: LiDORx®
Prescribing Information
Size: 90 mL Pump
Manufacturer: Gensco Pharma
NDC#: 35781-0300-09
Code*: TBD
VIPNo
340BNo
Product: Miacalcin®
Prescribing Information
Size: 2 mL Multi-dose Vial
Manufacturer: Mylan
NDC#: 67457-0675-02
Code*: J0630
VIPVIP
340BYes
Product: Naropin®1
Prescribing Information
Size: 2 mg/mL (0.2%) 20 mL Single Dose Vial 25-bx
Manufacturer: Fresenius Kabi
NDC#: 63323-0285-23
Code*: J2795
VIPNo
340BNo
Product: Naropin®1
Prescribing Information
Size: 2 mg/mL (0.2%) 200 mL Single Dose Vial
Manufacturer: Fresenius Kabi
NDC#: 63323-0285-64
Code*: J2795
VIPNo
340BNo
Product: Naropin®1
Prescribing Information
Size: 5 mg/mL (0.5%) 30 mL Single Dose Vial 25-bx
Manufacturer: Fresenius Kabi
NDC#: 63323-0286-35
Code*: J2795
VIPNo
340BNo
Product: Naropin®1
Prescribing Information
Size: 5 mg/mL (0.5%) 20 mL Single Dose Vial 25-bx
Manufacturer: Fresenius Kabi
NDC#: 63323-0286-23
Code*: J2795
VIPNo
340BNo
Product: Plenamine™ 15% Amino Acids1
Prescribing Information
Size: 1000 mL Vial
Manufacturer: B. Braun Medical
NDC#: 00264-3200-55
Code*: J3490
VIPNo
340BYes
Product: Precedex
Prescribing Information
Size: 200 mcg/2 mL (100 mcg/1 mL) Single-dose Vial 25-Bx
Manufacturer: Hospira
NDC#: 00409-1638-02
Code*: J3490
VIPNo
340BNo
Product: SOTRADECOL®
Prescribing Information
Size: 1% 20 mg/2 mL 5-bx
Manufacturer: Mylan
NDC#: 67457-0162-02
Code*: J3490
VIPNo
340BYes
Product: SOTRADECOL®
Prescribing Information
Size: 3% 60 mg/2 mL 5-bx
Manufacturer: Mylan
NDC#: 67457-0163-02
Code*: J3490
VIPNo
340BYes
Product: SpeedGel Rx®
Prescribing Information
Size: 10 mL Airless Pump Bottle
Manufacturer: Gensco Pharma
NDC#: 35781-0210-01
Code*: TBD
VIPNo
340BNo
Product: SpeedGel Rx®
Prescribing Information
Size: 30 mL Airless Pump Bottle
Manufacturer: Gensco Pharma
NDC#: 35781-0210-02
Code*: TBD
VIPNo
340BNo
Product: SpeedGel Rx®
Prescribing Information
Size: 90 mL Airless Pump Bottle
Manufacturer: Gensco Pharma
NDC#: 35781-0210-09
Code*: TBD
VIPNo
340BNo
Product: Tepadina®
Prescribing Information
Size: 15 mg Single-dose Vial
Manufacturer: Amneal Pharmaceuticals
NDC#: 70121-1630-01
Code*: J9340
VIPNo
340BYes
Product: Tepadina®
Prescribing Information
Size: 100 mg Single-dose Vial
Manufacturer: Amneal Pharmaceuticals
NDC#: 70121-1631-01
Code*: J9340
VIPNo
340BYes
Product: TNKase®
Prescribing Information
Size: 50 mg vial
Manufacturer: Genentech
NDC#: 50242-0120-01
Code*: J3101
VIPVIP
340BYes
Product: TYMLOS™
Prescribing Information
Size: 3120 mcg/1.56 mL Multi-Dose Injection
Manufacturer: Radius Health Inc.
NDC#: 70539-0001-02
Code*: J3490
VIPNo
340BYes
Product: XERAVA™
Prescribing Information
Size: 50 mg/10 mL Single Dose Vial 12-pk
Manufacturer: Tetraphase Pharmaceuticals
NDC#: 71773-0050-12
Code*: J0122
VIPVIP
340BYes
Product: Xylocaine HCI 1%1
Prescribing Information
Size: 5 mL Multi-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0492-57
Code*: J3490
VIPNo
340BYes
Product: Xylocaine HCI 1%1
Prescribing Information
Size: 20 mL Multi-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0485-27
Code*: J3490
VIPNo
340BYes
Product: Xylocaine HCI 2%1
Prescribing Information
Size: 5 mL Multi-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0495-07
Code*: J3490
VIPNo
340BYes
Product: Xylocaine HCI MPF 1%1
Prescribing Information
Size: 2 mL Multi-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0492-27
Code*: J3490
VIPNo
340BYes
Product: Xylocaine HCI MPF 1%1
Prescribing Information
Size: 30 mL Multi-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0492-37
Code*: J3490
VIPNo
340BYes
Product: Xylocaine HCI MPF 2%1
Prescribing Information
Size: 40 mg/2 mL (20 mg/mL) Single-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0495-27
Code*: J3490
VIPNo
340BYes
Product: Xylocaine HCI EPI 1%1
Prescribing Information
Size: 20 mL Multi-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0482-27
Code*: J3490
VIPNo
340BYes
Product: Xylocaine HCI EPI 2%1
Prescribing Information
Size: 40 mg/2 mL (20 mg/mL) Single-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0483-27
Code*: J3490
VIPNo
340BYes
Product: Xylocaine HCI EPI MPF 2%1
Prescribing Information
Size: 40 mg/2 mL (20 mg/mL) Single-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0489-27
Code*: J3490
VIPNo
340BYes
Product: YUTIQ™
Prescribing Information
Size: 0.18 mg Intravitreal Injection
Manufacturer: EyePoint Pharmaceuticals
NDC#: 71879-0136-01
Code*: J7314
VIPTBD
340BYes
Product: Zemaira®
Prescribing Information
Size: 1000 mg Single Dose Vial
Manufacturer: CSL Behring
NDC#: 00053-7201-02
Code*: J0256
VIPNo
340BYes
Product: ZEMDRI™
Prescribing Information
Size: 500 mg/10 mL (50 mg/mL) Single Dose Vial 10-bx
Manufacturer: Cipla
NDC#: 71045-0010-02
Code*: J0291
VIPVIP
340BYes
Product: ZIRABEV™
Prescribing Information
Size: 100 mg/4 mL Single-Dose Vial
Manufacturer: Pfizer
NDC#: 00069-0315-01
Code*: TBD
VIPNo
340BYes
Product: ZIRABEV™
Prescribing Information
Size: 400 mg/16 mL Single-dose Vial
Manufacturer: Pfizer
NDC#: 00069-0342-01
Code*: TBD
VIPNo
340BYes
Product: ZERBAXA®
Prescribing Information
Size: 1.5 gm 10 vials-bx
Manufacturer: Merck
NDC#: 67919-0030-01
Code*: J0695
VIPNo
340BNo
Antiviral
Product: Rapivab®
Prescribing Information
Size: 20 mL Vial/200 mg 3-ctn
Manufacturer: Seqirus
NDC#: 61364-0181-03
Code*: J2547
VIPNo
340BNo
Product: Tamiflu® Oral Suspension
Prescribing Information
Size: 6 mg/60 mL
Manufacturer: Genentech
NDC#: 00004-0822-05
Code*: J8499
VIPNo
340BYes
Product: Tamiflu®
Prescribing Information
Size: 30 mg 10 Pack
Manufacturer: Genentech
NDC#: 00004-0802-85
Code*: G9035/G9019
VIPNo
340BYes
Product: Tamiflu®
Prescribing Information
Size: 45 mg 10 Pack
Manufacturer: Genentech
NDC#: 00004-0801-85
Code*: G9035/G9019
VIPNo
340BYes
Product: Tamiflu®
Prescribing Information
Size: 75 mg 10 Pack
Manufacturer: Genentech
NDC#: 00004-0800-85
Code*: G9035/G9019
VIPNo
340BYes
Ophthalmology
Product: DEXTENZA®
Prescribing Information
Size: 0.4 mg
Manufacturer: Ocular Therapeutix
NDC#: 70382-0204-01
Code*: C9048
VIPVIP
340BNo
Product: DEXTENZA®
Prescribing Infomation
Size: 0.4 mg 10 Pack
Manufacturer: Ocular Therapeutix
NDC#: 70382-0204-10
Code*: C9048
VIPVIP
340BNo
Product: DEXYCU®
Prescribing Information
Size: 9% 0.5 mL vial 4-ctn
Manufacturer: EyePoint Pharmaceuticals
NDC#: 71879-0001-01
Code*: J1095
VIPVIP
340BYes
Product: OMIDRIA®
Prescribing Information
Size: 0.3%-1% 4 mL vial 4-ctn
Manufacturer: Omeros
NDC#: 62225-0600-04
Code*: C9447
VIPVIP
340BYes
Product: YUTIQ®
Prescribing Information
Size: 0.18 mg Injection
Manufacturer: EyePoint Pharmaceuticals
NDC#: 71879-0136-01
Code*: J7314
VIPTBD
340BYes
*All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
VIP - Verified Inventory Program | 340B - Public Health Services 340B Pricing Available.
Order Online  
Online Catalog  
Product Catalog [PDF]  

Generic Pharmaceuticals

Product
Size
ManufacturerMfgr
NDC#
Code*
VIP
340B
Generic Pharmaceuticals
Product: Acetazolamide
Prescribing Information
Size: 500 mg Vial
Manufacturer: X-Gen
NDC#: 39822-0190-01
Code*: J1120
VIPNo
340BNo
Product: Acyclovir1
Prescribing Information
Size: 500 mg/10 mL Single-dose Vial
Manufacturer: Fresenius Kabi
NDC#: 63323-0325-10
Code*: J0133
VIPNo
340BYes
Product: Acyclovir1
Prescribing Information
Size: 1000 mg/20 mL Single-dose Vial
Manufacturer: Fresenius Kabi
NDC#: 63323-0325-20
Code*: J0133
VIPNo
340BYes
Product: Ambrisentan
Prescribing Information
Size: 5 mg Tablets 10 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 49884-0353-62
Code*: J8499
VIPNo
340BYes
Product: Ambrisentan
Prescribing Information
Size: 5 mg Tablets 30 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 49884-0353-11
Code*: J8499
VIPNo
340BYes
Product: Ambrisentan
Prescribing Information
Size: 10 mg Tablets 10 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 49884-0354-62
Code*: J8499
VIPNo
340BYes
Product: Ambrisentan
Prescribing Information
Size: 10 mg Tablets 30 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 49884-0354-11
Code*: J8499
VIPNo
340BYes
Product: Aripiprazole1
Prescribing Information
Size: 2 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor
NDC#: 48433-0120-10
Code*: TBD
VIPNo
340BNo
Product: Aripiprazole1
Prescribing Information
Size: 5 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor
NDC#: 48433-0119-10
Code*: TBD
VIPNo
340BNo
Product: Aripiprazole1
Prescribing Information
Size: 10 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor
NDC#: 48433-0118-10
Code*: TBD
VIPNo
340BNo
Product: Aripiprazole1
Prescribing Information
Size: 15 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor
NDC#: 48433-0117-10
Code*: TBD
VIPNo
340BNo
Product: Aripiprazole1
Prescribing Information
Size: 20 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor
NDC#: 48433-0116-10
Code*: TBD
VIPNo
340BNo
Product: Aripiprazole1
Prescribing Information
Size: 30 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor
NDC#: 48433-0115-10
Code*: TBD
VIPNo
340BNo
Product: Atropine Sulfate
Prescribing Information
Size: 1 mg/mL 10 mL Pre-Filled Syringe 10 Pack
Manufacturer: International Medication Systems
NDC#: 76329-3339-01
Code*: Q5101
VIPNo
340BYes
Product: Bacitracin
Prescribing Information
Size: 50,000 IU Single-dose Vial
Manufacturer: Pfizer
NDC#: 00009-0233-01
Code*: TBD
VIPNo
340BYes
Product: Bacitracin
Prescribing Information
Size: 50,000 IU Single-dose Vial 10 Pack
Manufacturer: Pfizer
NDC#: 00009-0233-03
Code*: TBD
VIPNo
340BYes
Product: Bosentan
Prescribing Information
Size: 62.5 mg Tablets 60 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 49884-0058-02
Code*: J8499
VIPNo
340BYes
Product: Bosentan
Prescribing Information
Size: 125 mg Tablets 60 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 49884-0059-02
Code*: J8499
VIPNo
340BYes
Product: Calcium Chloride
Prescribing Information
Size: 1000 mg/10 mL Single-dose Syringe 10 Pack
Manufacturer: International Medication Systems
NDC#: 76329-3304-01
Code*: J3490
VIPNo
340BYes
Product: Cefazolin1 in DUPLEX® Container
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3103-11
Code*: J0690
VIPNo
340BYes
Product: Cefazolin1 in DUPLEX® Container
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3105-11
Code*: J0690
VIPNo
340BYes
Product: Cefepime1 in DUPLEX® Container
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3193-11
Code*: J0692
VIPNo
340BYes
Product: Cefepime1 in DUPLEX® Container
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3195-11
Code*: J0692
VIPNo
340BYes
Product: Cefotaxime1
Prescribing Information
Size: 1 gm Vial 10 Pack
Manufacturer: Apollo
NDC#: 21586-0110-02
Code*: J0698
VIPNo
340BNo
Product: Cefotaxime1
Prescribing Information
Size: 2 gm Vial 10 Pack
Manufacturer: Apollo
NDC#: 21586-0120-02
Code*: J0698
VIPNo
340BNo
Product: Cefotetan1 in DUPLEX® Container
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3173-11
Code*: J3490/S0074
VIPNo
340BYes
Product: Cefotetan1 in DUPLEX® Container
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3175-11
Code*: J3490/S0074
VIPNo
340BYes
Product: Cefoxitin1 in DUPLEX® Container
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3123-11
Code*: J0694
VIPNo
340BYes
Product: Cefoxitin1 in DUPLEX® Container
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3125-11
Code*: J0694
VIPNo
340BYes
Product: Ceftazidime1 in DUPLEX® Container
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3143-11
Code*: J0713
VIPNo
340BYes
Product: Ceftazidime1 in DUPLEX® Container
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3145-11
Code*: J0713
VIPNo
340BYes
Product: Ceftriaxone1 in DUPLEX® Container
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3153-11
Code*: J0713
VIPNo
340BYes
Product: Ceftriaxone1 in DUPLEX® Container
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3155-11
Code*: J0713
VIPNo
340BYes
Product: Ceftriaxone1
Prescribing Information
Size: 250 mg
Manufacturer: Pfizer
NDC#: 00409-7337-01
Code*: J0696
VIPNo
340BYes
Product: Ceftriaxone1
Prescribing Information
Size: 500 mg
Manufacturer: Pfizer
NDC#: 00409-7338-01
Code*: J0696
VIPNo
340BYes
Product: Ceftriaxone1
Prescribing Information
Size: 1 gm
Manufacturer: Pfizer
NDC#: 00409-7332-01
Code*: J0696
VIPNo
340BYes
Product: Ceftriaxone1
Prescribing Information
Size: 10 gm
Manufacturer: Pfizer
NDC#: 00409-7334-10
Code*: J0696
VIPNo
340BYes
Product: Cisatracurium
Prescribing Information
Size: 10 mL (2 mg/1 mL) Multi-dose Vial 10-bx
Manufacturer: Sandoz
NDC#: 00781-3152-95
Code*: TBD
VIPNo
340BNo
Product: Cisatracurium
Prescribing Information
Size: 20 mL (10 mg/1 mL) Multi-dose Vial 10-bx
Manufacturer: Sandoz
NDC#: 00781-3153-95
Code*: TBD
VIPNo
340BNo
Product: Cyclophosphamide1
Prescribing Information
Size: 500 mg Single-dose Vial
Manufacturer: Baxter
NDC#: 10019-0955-01
Code*: J9070
VIPNo
340BTBD
Product: Cyclophosphamide1
Prescribing Information
Size: 1 gm Single-dose Vial
Manufacturer: Baxter
NDC#: 10019-0956-01
Code*: J9070
VIPNo
340BTBD
Product: Cyclophosphamide1
Prescribing Information
Size: 2 gm Single-dose Vial
Manufacturer: Baxter
NDC#: 10019-0957-01
Code*: J9070
VIPNo
340BTBD
Product: Dehydrated Alcohol
Prescribing Information
Size: 5 mL (0.98 mL/1 mL) Multi-dose Vial 10 Box
Manufacturer: Akorn
NDC#: 17478-0503-05
Code*: J3490
VIPNo
340BNo
Product: Dextrose
Prescribing Information
Size: 50% 25 gm/50mL 50 mL Pre-Filled Syringe
Manufacturer: International Medication Systems
NDC#: 76329-3301-01
Code*: J3490
VIPNo
340BYes
Product: DiphenhydrAMINE HCL
Prescribing Information
Size: 50 mg/mL Single Dose Vial 25-Pk
Manufacturer: Fresenius Kabi
NDC#: 63323-0664-01
Code*: J1200
VIPNo
340BYes
Product: DiphenhydrAMINE HCL
Prescribing Information
Size: 50 mg/mL Pre-Filled Syringe 24-Pk
Manufacturer: Fresenius Kabi
NDC#: 76045-0102-10
Code*: J1200
VIPNo
340BYes
Product: Divalproex1
Prescribing Information
Size: 250 mg 100 Box Unit Dose
Manufacturer: Safecor Health
NDC#: 48433-0126-10
Code*: TBD
VIPNo
340BYes
Product: Divalproex1
Prescribing Information
Size: 500 mg 100 Box Unit Dose
Manufacturer: Safecor Health
NDC#: 48433-0125-10
Code*: TBD
VIPNo
340BYes
Product: Epinephrine
Prescribing Information
Size: 0.1 mg/mL 10 mL Pre-Filled Syringe 10 Pack
Manufacturer: International Medication Systems
NDC#: 76329-3316-01
Code*: J0171
VIPNo
340BYes
Product: Hydroxychlorquine
Prescribing Information
Size: 200 mg Tablet 100 Per Bottle
Manufacturer: Rising Pharmaceuticals
NDC#: 42385-0927-01
Code*: J8499
VIPNo
340BNo
Product: Hydroxyprogesterone Caproate
Prescribing Information
Size: 1.25 gm/5 mL
(250 mg/mL)
Manufacturer: Mylan
NDC#: 67457-0886-05
Code*: J1729
VIPNo
340BYes
Product: Labetalol1
Prescribing Information
Size: 100 mg 20 mL (5 mg/mL) Multi-dose Vial
(250 mg/mL)
Manufacturer: Hikma
NDC#: 00143-9622-01
Code*: J3490
VIPNo
340BYes
Product: Lidocaine
Prescribing Information
Size: 20 mg/mL 100 mg Vial Pack 25
Manufacturer: West-Ward
NDC#: 00143-9594-25
Code*: J3490
VIPNo
340BYes
Product: Lidocaine HCL
Prescribing Information
Size: 2% Hydrochloride 20 mg/mL 100 mg 5 mL Pre-Filled Syringe
Manufacturer: International Medication Systems
NDC#: 76329-3390-01
Code*: J3490
VIPNo
340BYes
Product: Meropenem1 in DUPLEX® Container
Prescribing Information
Size: 500 mg/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3183-11
Code*: J2185
VIPNo
340BYes
Product: Meropenem1 in DUPLEX® Container
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3185-11
Code*: J2185
VIPNo
340BYes
Product: Metoprolol1
Prescribing Information
Size: 5 mg/5 mL Single Dose Vial 10 Pack
Manufacturer: Baxter
NDC#: 36000-0033-10
Code*: J3490
VIPTBD
340BYes
Product: Nitisinone
Prescribing Information
Size: 2 mg Capsule 60 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 00254-3020-02
Code*: J8499
VIPNo
340BYes
Product: Nitisinone
Prescribing Information
Size: 5 mg Capsule 60 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 00254-3021-02
Code*: J8499
VIPNo
340BYes
Product: Nitisinone
Prescribing Information
Size: 10 mg Capsule 60 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 00254-3022-02
Code*: J8499
VIPNo
340BYes
Product: Pamidronate1
Prescribing Information
Size: 30 mg/10 mL (3 mg/mL) 10 mL Single-dose Vial
Manufacturer: Mylan
NDC#: 67457-0430-10
Code*: J2430
VIPNo
340BTBD
Product: Pamidronate1
Prescribing Information
Size: 90 mg/10 mL (9 mg/mL) 10 mL Single-dose Vial
Manufacturer: Mylan
NDC#: 67457-0446-10
Code*: J2430
VIPNo
340BTBD
Product: Phenylephrine HCI
Prescribing Information
Size: 1 mL (10 mg/mL) Single-dose Vial
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6142-25
Code*: J2370
VIPNo
340BYes
Product: Phytonadione
Prescribing Information
Size: 1 mg/0.5 mL 0.5 mL Pre-Filled Syringe 10 Pack
Manufacturer: International Medication Systems
NDC#: 76329-1240-01
Code*: J3430
VIPNo
340BTBD
Product: Piperacillin & Tazobactam1
Prescribing Information
Size: 2.25 gm Vial 10 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0309-20
Code*: J2543
VIPNo
340BYes
Product: Piperacillin & Tazobactam1
Prescribing Information
Size: 3.375 gm Vial 10 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0300-30
Code*: J2543
VIPNo
340BYes
Product: Piperacillin & Tazobactam1
Prescribing Information
Size: 3.375 gm Vial 10 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0983-21
Code*: J2543
VIPNo
340BYes
Product: Piperacillin & Tazobactam1
Prescribing Information
Size: 4.5 gm Vial 10 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0982-52
Code*: J2543
VIPNo
340BYes
Product: Piperacillin & Tazobactam1
Prescribing Information
Size: 4.5 gm Vial 10 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0320-56
Code*: J2543
VIPNo
340BYes
Product: Sodium Bicarbonate1
Prescribing Information
Size: 8.4% 50 mL 20 Pack
Manufacturer: EXELA
NDC#: 51754-5001-5
Code*: TBD
VIPNo
340BYes
Product: Sodium Bicarbonate
Prescribing Information
Size: 8.4% 50 mL Pre-Filled Syringe 10 Pack
Manufacturer: International Medication Systems
NDC#: 76329-3352-01
Code*: J3490
VIPNo
340BYes
Product: Sodium Phenylacetate & Sodium Benzoate
Prescribing Information
Size: 50 mL Single Dose Vial
Manufacturer: Mylan
NDC#: 67457-0844-50
Code*: J3590
VIPNo
340BYes
Product: Sodium Phenylacetate & Sodium Benzoate
Prescribing Information
Size: 50 mL Single Dose Vial
Manufacturer: Zydus
NDC#: 68382-0396-01
Code*: J3490
VIPNo
340BYes
Product: Sodium Tetradecyl Sulfate 3%
Prescribing Information
Size: 60 mg/2 mL (30 mg/mL) Vial 5-bx
Manufacturer: Leucadia Pharmaceuticals
NDC#: 24201-0201-05
Code*: J3490
VIPTBD
340BYes
Product: Thiamine
Prescribing Information
Size: 200 mg/2 mL Multi-Dose Vial 25-Pk
Manufacturer: Fresenius Kabi
NDC#: 63323-0013-02
Code*: J3411
VIPNo
340BNo
Product: Treprostinil
Prescribing Information
Size: 20 mg/20 mL (1 mg/mL) Vial
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0206-01
Code*: J3285
VIPNo
340BYes
Product: Treprostinil
Prescribing Information
Size: 50 mg/20 mL (2.5 mg/mL) Vial
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0207-01
Code*: J3285
VIPNo
340BYes
Product: Treprostinil
Prescribing Information
Size: 100 mg/20 mL (5 mg/mL) Vial
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0208-01
Code*: J3285
VIPNo
340BYes
Product: Treprostinil
Prescribing Information
Size: 200 mg/20 mL (10 mg/mL) Vial
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0209-01
Code*: J3285
VIPNo
340BYes
Product: Vancomycin HCI1
Prescribing Information
Size: 5 gm Single Dose Vial 1-pk
Manufacturer: Fresenius Kabi
NDC#: 63323-0295-61
Code*: J3370
VIPNo
340BYes
Product: Vancomycin HCI1
Prescribing Information
Size: 10 gm 1-pk
Manufacturer: Fresenius Kabi
NDC#: 63323-0314-61
Code*: J3370
VIPNo
340BYes
Product: Vancomycin HCI1
Prescribing Information
Size: 1 gm/200 mL (Premix Ready-to-Use Bags) 12 Pack
Manufacturer: Xellia Pharmaceuticals
NDC#: 61703-0309-06
Code*: J3370
VIPNo
340BTBD
Product: Valganciclovir
Prescribing Information
Size: 450 mg Unit Dose 100 Box
Manufacturer: Safecor Health
NDC#: 48433-0124-10
Code*: TBD
VIPNo
340BNo
Product: Vincristine
Prescribing Information
Size: 2 mg/2 mL Single Dose Vial
Manufacturer: Pfizer
NDC#: 61703-0309-16
Code*: J9370
VIPNo
340BNo
Product: Vincristine
Prescribing Information
Size: 1 mg/1 mL Single Dose Vial
Manufacturer: Pfizer
NDC#: 61703-0309-06
Code*: J9370
VIPNo
340BNo
Product: Zoledronic Acid1
Prescribing Information
Size: 4 mg/5 mL Single Dose Vial
Manufacturer: Dr. Reddy's Lab
NDC#: 55111-0685-07
Code*: TBD
VIPTBD
340BTBD
*All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
VIP - Verified Inventory Program | 340B - Public Health Services 340B Pricing Available.
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