Brand Pharmaceuticals & Generic Pharmaceutical Products

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

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Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Brand Pharmaceuticals
Product: Acthar® Gel 2
Prescribing Information
Size: 0.5 mL Pre-Filled Syringe 10 Box
Manufacturer: Mallinckrodt
NDC#: 63004-8710-01
Code*: J0800
RNINo
340BYes
Product: Activase®
Prescribing Information
Size: 50 mg w/ 50 mL diluent
Manufacturer: Genentech
NDC#: 50242-0044-13
Code*: J2997
RNIRNI
340BYes
Product: Activase®
Prescribing Information
Size: 100 mg w/ 100 mL diluent
Manufacturer: Genentech
NDC#: 50242-0085-27
Code*: J2997
RNIRNI
340BYes
Product: Ablysinol® 2
Prescribing Information
Size: 5 mL Single-dose Ampule 10 Box
Manufacturer: BPI Labs
NDC#: 54288-0105-15
Code*: J3490
RNINo
340BNo
Product: ANAVIP®
Prescribing Information
Size: 12 mg/20 mL Single-dose Vial
Manufacturer: Rare Disease Therapeutics
NDC#: 66621-0790-02
Code*: J0841
RNIRNI
340BYes
Product: Berinert®
Prescribing Information
Size: 500 IU Vial
Manufacturer: CSL Behring
NDC#: 63833-0825-02
Code*: J0597
RNINo
340BYes
Product: CIMZIA®
Prescribing Information
Size: 200 mg Single-dose Pre-filled Syringe
Manufacturer: UCB
NDC#: 50474-0710-79
Code*: J0717
RNINo
340BYes
Product: CIMZIA®
Prescribing Information
Size: 200 mg Single-dose Pre-filled Syringe Pack of 6
Manufacturer: UCB
NDC#: 50474-0710-81
Code*: J0717
RNINo
340BYes
Product: CIMZIA®
Prescribing Information
Size: 200 mg Single-dose Vial
Manufacturer: UCB
NDC#: 50474-0700-62
Code*: J0717
RNINo
340BYes
Product: CORVERT®
Prescribing Information
Size: 1 mg/10 mL Single-Dose Vial
Manufacturer: Pfizer
NDC#: 00009-3794-01
Code*: J1742
RNINo
340BYes
Product: CroFab®
Prescribing Information
Size: 2 Vial pk
Manufacturer: BTG International
NDC#: 50633-0110-12
Code*: J0840
RNIRNI
340BYes
Product: CYANOKIT® 2
Prescribing Information
Size: 5 gm Single Dose Vial 1 Carton
Manufacturer: BTG International
NDC#: 50633-0310-11
Code*: J3490
RNINo
340BNo
Product: DigiFab®
Prescribing Information
Size: 40 mg Vial
Manufacturer: BTG International
NDC#: 50633-0120-11
Code*: J1162
RNINo
340BNo
Product: DIPRIVAN® 1
Prescribing Information
Size: 1% 100 mg/10 mL (10 mg/1 mL) Single-Dose Vial 10 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0269-10
Code*: J2704
RNINo
340BYes
Product: DIPRIVAN® 1
Prescribing Information
Size: 1% 200 mg/20 mL (20 mg/1 mL) Single-Dose Vial 10 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0269-29
Code*: J2704
RNINo
340BYes
Product: DIPRIVAN® 1
Prescribing Information
Size: 1% 500 mg/50 mL (10 mg/1 mL) Single-Dose Vial 20 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0269-50
Code*: J2704
RNINo
340BYes
Product: DIPRIVAN® 1
Prescribing Information
Size: 1% 1000 mg/100 mL (10 mg/1 mL) Single-Dose Vial 10 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0269-65
Code*: J2704
RNINo
340BYes
Product: ELCYS™
Prescribing Information
Size: 500 mg/10 mL Single-dose Vial 10 Pack
Manufacturer: Exela Pharma Sciences
NDC#: 51754-1007-03
Code*: J3490
RNINo
340BYes
Product: ENTYVIO®
Prescribing Information
Size: 20 mL Single Dose Vial
Manufacturer: Takeda Pharmaceuticals
NDC#: 64764-0300-20
Code*: J3380
RNINo
340BYes
Product: EpinephrineSnap™-V Kit
Prescribing Information
Instructions for Use
Size: 1 mg/1 mL Single-dose Vial
Manufacturer: Snap Medical Industries
NDC#: 71923-0200-20
Code*: J0171
RNINo
340BNo
Product: EpinephrineSnap™-EMS Kit
Prescribing Information
Instructions for Use
Size: 1 mg/1 mL Single-dose Vial
Manufacturer: Snap Medical Industries
NDC#: 71923-0100-20
Code*: J0171
RNINo
340BNo
Product: EpiPen Jr®
Prescribing Information
Size: 0.15 mg/0.3 mL
2-pk
Manufacturer: Mylan
NDC#: 49502-0501-02
Code*: J3490
RNINo
340BNo
Product: EpiPen®
Prescribing Information
Size: 0.3 mg/0.3 mL
2-pk
Manufacturer: Mylan
NDC#: 49502-0500-02
Code*: J3490
RNINo
340BNo
Product: EVKEEZA™
Prescribing Information
Size: 345 mg/2.3 mL (150 mg/mL) Single-dose Vial
Manufacturer: Regeneron
NDC#: 61755-0013-01
Code*: TBD
RNINo
340BYes
Product: EVKEEZA™
Prescribing Information
Size: 1200 mg/8 mL (150 mg/mL) Single-dose Vial
Manufacturer: Regeneron
NDC#: 61755-0010-01
Code*: TBD
RNINo
340BYes
Product: FIRAZYR®
Prescribing Information
Size: 30 mg/3 mL Pre-Filled Syringe
Manufacturer: Takeda Pharmaceuticals
NDC#: 54092-0702-02
Code*: J1744
RNINo
340BNo
Product: FIRAZYR®
Prescribing Information
Size: 30 mg/3 mL Pre-Filled Syringe 3-pk
Manufacturer: Takeda Pharmaceuticals
NDC#: 54092-0702-03
Code*: J1744
RNINo
340BNo
Product: GLYRX-PF™ 2
Prescribing Information
Size: 0.2 mg/1 mL Single-dose Vial 25 Pack
Manufacturer: Exela Pharma Sciences
NDC#: 51754-6000-04
Code*: J3490
RNITBD
340BYes
Product: GLYRX-PF™ 2
Prescribing Information
Size: 0.4 mg/2 mL Single-dose Vial 25 Pack
Manufacturer: Exela Pharma Sciences
NDC#: 51754-6001-04
Code*: J3490
RNITBD
340BYes
Product: Inflectra™
Prescribing Information
Size: 20 mL Vial 100 mg
Manufacturer: Pfizer
NDC#: 00069-0809-01
Code*: Q5102
RNINo
340BYes
Product: INTEGRILIN®
Prescribing Information
Size: 20 mg/mL 10 mL Vial
Manufacturer: Merck
NDC#: 00085-1177-01
Code*: J1327
RNINo
340BNo
Product: Iodixanol
Prescribing Information
Size: 270 mg/100 mL Single-dose Bottle 10 Box
Manufacturer: Fresenius Kabi
NDC#: 65219-0381-10
Code*: TBD
RNINo
340BNo
Product: Iodixanol
Prescribing Information
Size: 270 mg/200 mL Single-dose Bottle 10 Box
Manufacturer: Fresenius Kabi
NDC#: 65219-0381-50
Code*: TBD
RNINo
340BNo
Product: Iodixanol
Prescribing Information
Size: 320 mg/50 mL Single-dose Bottle 10 Box
Manufacturer: Fresenius Kabi
NDC#: 65219-0383-05
Code*: TBD
RNINo
340BNo
Product: Iodixanol
Prescribing Information
Size: 320 mg/100 mL Single-dose Bottle 10 Box
Manufacturer: Fresenius Kabi
NDC#: 65219-0383-10
Code*: TBD
RNINo
340BNo
Product: Iodixanol
Prescribing Information
Size: 320 mg/150 mL Single-dose Bottle 10 Box
Manufacturer: Fresenius Kabi
NDC#: 65219-0383-50
Code*: TBD
RNINo
340BNo
Product: Iodixanol
Prescribing Information
Size: 320 mg/200 mL Single-dose Bottle 10 Box
Manufacturer: Fresenius Kabi
NDC#: 65219-0383-70
Code*: TBD
RNINo
340BNo
Product: KALBITOR®
Prescribing Information
Size: 10 mg/mL 3 Vials-ctn
Manufacturer: Dyax
NDC#: 47783-0101-01
Code*: J1290
RNINo
340BNo
Product: KEPPRA®
Prescribing Information
Size: 250 mg Tablet Bottle of 120
Manufacturer: UCB
NDC#: 50474-0594-40
Code*: J8499
RNINo
340BYes
Product: KEPPRA®
Prescribing Information
Size: 500 mg Tablet Bottle of 120
Manufacturer: UCB
NDC#: 50474-0595-40
Code*: J8499
RNINo
340BYes
Product: KEPPRA®
Prescribing Information
Size: 750 mg Tablet Bottle of 120
Manufacturer: UCB
NDC#: 50474-0596-40
Code*: J8499
RNINo
340BYes
Product: KEPPRA®
Prescribing Information
Size: 1000 mg Tablet Bottle of 60
Manufacturer: UCB
NDC#: 50474-0597-66
Code*: J3490
RNINo
340BYes
Product: KEPPRA®
Prescribing Information
Size: 100 mg/1 mL Oral Solution
Manufacturer: UCB
NDC#: 50474-0001-48
Code*: J8499
RNINo
340BYes
Product: KEPPRA®
Prescribing Information
Size: 500 mg/5 mL Single-use Vial Carton of 10
Manufacturer: UCB
NDC#: 50474-0002-63
Code*: J1953
RNINo
340BYes
Product: KEPPRA XR®
Prescribing Information
Size: 500 mg Tablet Bottle of 60
Manufacturer: UCB
NDC#: 50474-0598-66
Code*: J8499
RNINo
340BYes
Product: KEPPRA XR®
Prescribing Information
Size: 750 mg Tablet Bottle of 60
Manufacturer: UCB
NDC#: 50474-0599-66
Code*: J8499
RNINo
340BYes
Product: Miacalcin®
Prescribing Information
Size: 2 mL Multi-dose Vial
Manufacturer: Mylan
NDC#: 67457-0675-02
Code*: J0630
RNINo
340BYes
Product: Naropin® 1
Prescribing Information
Size: 5 mg/mL (0.5%) 20 mL Single Dose Vial 25 Box
Manufacturer: Fresenius Kabi
NDC#: 63323-0286-23
Code*: J2795
RNINo
340BNo
Product: NEUPRO®
Prescribing Information
Size: 1 mg/24 hours Patch 30 Carton
Manufacturer: UCB
NDC#: 50474-0801-03
Code*: J3490
RNINo
340BYes
Product: NEUPRO®
Prescribing Information
Size: 2 mg/24 hours Patch 30 Carton
Manufacturer: UCB
NDC#: 50474-0802-03
Code*: J3490
RNINo
340BYes
Product: NEUPRO®
Prescribing Information
Size: 3 mg/24 hours Patch 30 Carton
Manufacturer: UCB
NDC#: 50474-0803-03
Code*: J3490
RNINo
340BYes
Product: NEUPRO®
Prescribing Information
Size: 4 mg/24 hours Patch 30 Carton
Manufacturer: UCB
NDC#: 50474-0804-03
Code*: J3490
RNINo
340BYes
Product: NEUPRO®
Prescribing Information
Size: 6 mg/24 hours Patch 30 Carton
Manufacturer: UCB
NDC#: 50474-0805-03
Code*: J3490
RNINo
340BYes
Product: NEUPRO®
Prescribing Information
Size: 8 mg/24 hours Patch 30 Carton
Manufacturer: UCB
NDC#: 50474-0806-03
Code*: J3490
RNINo
340BYes
Product: NIPRIDE® RTU 2
Prescribing Information
Size: 20 mg/100 mL Single-dose Fliptop Vial
Manufacturer: Exela
NDC#: 51754-1029-01
Code*: J3490
RNITBD
340BTBD
Product: Pitocin® 2
Prescribing Information
Size: 10 mL Multi-dose Vial Carton of 25
Manufacturer: Par Pharmaceutical
NDC#: 42023-0116-02
Code*: J2590
VIPNo
340BNo
Product: Plenamine™ 15% Amino Acids 1
Prescribing Information
Size: 1000 mL Flexible Plastic Bag
Manufacturer: B. Braun Medical
NDC#: 00264-4500-00
Code*: J3490
RNINo
340BYes
Product: Protonix® 1
Prescribing Information
Size: 40 mg Single-dose Vial 10 Pack
Manufacturer: Pfizer
NDC#: 00008-0923-55
Code*: J3490
RNINo
340BNo
Product: Protonix® 1
Prescribing Information
Size: 40 mg Single-dose Vial 10 Pack
Manufacturer: Pfizer
NDC#: 00008-4001-10
Code*: J3490
RNINo
340BNo
Product: Protonix® 1
Prescribing Information
Size: 40 mg Single-dose Vial 25 Pack
Manufacturer: Pfizer
NDC#: 00008-4001-25
Code*: J3490
RNINo
340BNo
Product: RYPLAZIM® 1
Prescribing Information
Size: 40 mg Single-dose Vial 25 Pack
Manufacturer: Kedrion
NDC#: 70573-0099-02
Code*: J3590
RNINo
340BNo
Product: Sensorcaine® MPF 1
Prescribing Information
Size: 0.25% 10 mL Single-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0464-17
Code*: J3490
RNINo
340BYes
Product: Sensorcaine® MPF 1
Prescribing Information
Size: 0.25% 30 mL Single-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0464-37
Code*: J3490
RNINo
340BYes
Product: Sensorcaine® MPF 1
Prescribing Information
Size: 0.5% 10 mL Single-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0466-17
Code*: J3490
RNINo
340BYes
Product: Sensorcaine® MPF 1
Prescribing Information
Size: 0.5% 30 mL Single-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0466-37
Code*: J3490
RNINo
340BYes
Product: Sensorcaine® MPF w/Epinephrine 1
Prescribing Information
Size: 0.25% 30 mL Single-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0468-37
Code*: J3490
RNINo
340BYes
Product: Sensorcaine® MPF w/Epinephrine 1
Prescribing Information
Size: 0.5% 30 mL Single-dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0462-37
Code*: J3490
RNINo
340BYes
Product: SOTRADECOL®
Prescribing Information
Size: 1% 20 mg/2 mL 5 Box
Manufacturer: Mylan
NDC#: 67457-0162-02
Code*: J3490
RNINo
340BYes
Product: SOTRADECOL®
Prescribing Information
Size: 3% 60 mg/2 mL 5 Box
Manufacturer: Mylan
NDC#: 67457-0163-02
Code*: J3490
RNINo
340BYes
Product: TERLIVAZ®
Prescribing Information
Size: 0.85 mg Single-dose Vial
Manufacturer: Mallinckrodt
NDC#: 43825-0200-01
Code*: TBD
RNINo
340BNo
Product: TNKase®
Prescribing Information
Size: 50 mg vial
Manufacturer: Genentech
NDC#: 50242-0120-47
Code*: J3101
RNIRNI
340BYes
Product: TrophAmine® 10%
Prescribing Information
Size: 500 mL Flexible Plastic Bag 12 Case
Manufacturer: B. Braun Medical
NDC#: 00264-1933-10
Code*: TBD
RNINo
340BYes
Product: TYMLOS™ 2
Prescribing Information
Size: 3120 mcg/1.56 mL Multi-Dose Injection
Manufacturer: Radius Health Inc.
NDC#: 70539-0001-02
Code*: J3490
RNINo
340BYes
Product: VAZCULEP® 2
Prescribing Information
Size: 50 mg/5 mL Single-dose Vial 10 Pack
Manufacturer: Exela Pharma Sciences
NDC#: 51754-4000-03
Code*: J2370
RNITBD
340BYes
Product: VAZCULEP® 2
Prescribing Information
Size: 100 mg/10 mL Single-dose Vial
Manufacturer: Exela Pharma Sciences
NDC#: 51754-4020-01
Code*: J2370
RNITBD
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
RNINo
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
RNINo
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
RNINo
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
RNINo
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
RNINo
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
RNINo
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
RNINo
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
RNINo
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
RNINo
340BYes
Product: Zemaira®
Prescribing Information
Size: 1000 mg Single Dose Vial
Manufacturer: CSL Behring
NDC#: 00053-7201-02
Code*: J0256
RNINo
340BYes
Product: ZEMDRI™
Prescribing Information
Size: 500 mg/10 mL (50 mg/mL) Single Dose Vial 10/Carton
Manufacturer: Achaogen Inc.
NDC#: 69097-0820-96
Code*: J0291
RNIRNI
340BYes
Product: ZERBAXA®
Prescribing Information
Size: 1.5 gm Single-dose Vial 10 Box
Manufacturer: Merck
NDC#: 67919-0030-01
Code*: J0695
RNINo
340BNo
Product: ZIRABEV™
Prescribing Information
Size: 100 mg/4 mL Single-Dose Vial
Manufacturer: Pfizer
NDC#: 00069-0315-01
Code*: TBD
RNINo
340BYes
Product: ZIRABEV™
Prescribing Information
Size: 400 mg/16 mL Single-dose Vial
Manufacturer: Pfizer
NDC#: 00069-0342-01
Code*: TBD
RNINo
340BYes
Antiviral
Product: Tamiflu® Oral Suspension
Prescribing Information
Size: 6 mg/60 mL Vial
Manufacturer: Genentech
NDC#: 00004-0822-05
Code*: J8499
RNINo
340BYes
Product: Tamiflu®
Prescribing Information
Size: 75 mg Capsules 10 Pack
Manufacturer: Genentech
NDC#: 00004-0800-85
Code*: G9035/G9019
RNINo
340BYes
Ophthalmology
Product: DEXTENZA®
Prescribing Information
Size: 0.4 mg
Manufacturer: Ocular Therapeutix
NDC#: 70382-0204-01
Code*: C9048
RNIRNI
340BYes
Product: DEXTENZA®
Prescribing Infomation
Size: 0.4 mg 10 Pack
Manufacturer: Ocular Therapeutix
NDC#: 70382-0204-10
Code*: C9048
RNIRNI
340BYes
Product: DEXYCU® 9%
Prescribing Information
Size: 0.5 mL vial 4-ctn
Manufacturer: EyePoint Pharmaceuticals
NDC#: 71879-0001-01
Code*: J1095
RNIRNI
340BYes
Product: OMIDRIA®
Prescribing Information
Size: 0.3%-1% 4 mL vial 4-ctn
Manufacturer: Omeros
NDC#: 62225-0600-04
Code*: C9447
RNIRNI
340BYes
Product: YUTIQ®
Prescribing Information
Size: 0.18 mg Injection
Manufacturer: EyePoint Pharmaceuticals
NDC#: 71879-0136-01
Code*: J7314
RNINo
340BYes
* All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
2 Call for eligibility.
RNI - RightNow Inventory™ Eligible Products | 340B - Public Health Services 340B Pricing Available.
Order Online  
Online Catalog  
Product Catalog [PDF]  

Generic Pharmaceuticals

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Generic Pharmaceuticals
Product: Acetaminophen Injection IV 2
Prescribing Information
Size: 500 mg/50 mL (10 mg/mL) Container 24 Case
Manufacturer: B. Braun Medical
NDC#: 00264-4050-80
Code*: J0131
RNIRNI
340BYes
Product: Acetaminophen Injection IV 2
Prescribing Information
Size: 1000 mg/100 mL (10 mg/mL) Container 24 Per Case
Manufacturer: B. Braun Medical
NDC#: 00264-4100-90
Code*: J0131
RNIRNI
340BYes
Product: Ambrisentan
Prescribing Information
Size: 5 mg Tablets 30 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 49884-0353-11
Code*: J8499
RNINo
340BYes
Product: Ambrisentan
Prescribing Information
Size: 10 mg Tablets 10 Pack
Manufacturer: PAR Pharmaceutical
NDC#: 49884-0354-62
Code*: J8499
RNINo
340BYes
Product: Aminocaproic Acid
Prescribing Information
Size: 5 gm/20 mL Single-dose Fliptop Vial 25 Pack
Manufacturer: Pfizer
NDC#: 00409-4346-73
Code*: J3490
RNINo
340BTBD
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
RNINo
340BYes
Product: Argatroban Injection
Prescribing Information
Size: 250 mg/2.5 mL Single-dose Vial
Manufacturer: Par Pharmaceutical
NDC#: 42023-0182-01
Code*: J0883
RNINo
340BNo
Product: Aripiprazole 1
Prescribing Information
Size: 2 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor Health
NDC#: 48433-0115-10
Code*: TBD
RNINo
340BNo
Product: Aripiprazole 1
Prescribing Information
Size: 10 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor Health
NDC#: 48433-0117-10
Code*: TBD
RNINo
340BNo
Product: Aripiprazole 1
Prescribing Information
Size: 15 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor Health
NDC#: 48433-0118-10
Code*: TBD
RNINo
340BNo
Product: Aripiprazole 1
Prescribing Information
Size: 30 mg tab 100-bx
Manufacturer: Apotex – Repackaged by Safecor Health
NDC#: 48433-0120-10
Code*: TBD
RNINo
340BNo
Product: Atropine Sulfate 1
Prescribing Information
Size: 1 mg/mL 10 mL Luer-Jet™ Luer-Lock Pre-Filled Syringe 10 Pack
Manufacturer: International Medication Systems
NDC#: 76329-3340-01
Code*: J0461
RNINo
340BYes
Product: Azithromycin
Prescribing Information
Size: 500 mg/5 mL (100 mg/1 mL) Single-Dose Vial 10 Pack
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0019-82
Code*: J0456
RNIRNI
340BNo
Product: Caffeine Citrate Oral Solution 2
Prescribing Information
Size: 60 mg/3 mL Single-Use Vial 10 Pack
Manufacturer: Exela Pharma Sciences
NDC#: 51754-0501-03
Code*: J8499
RNITBD
340BYes
Product: Calcitonin Salmon
Prescribing Information
Size: 2 mL (400 USP) Multi-dose Vial
Manufacturer: Leucadia Pharmaceuticals
NDC#: 24201-0400-02
Code*: J0630
RNIRNI
340BNo
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
RNINo
340BYes
Product: Cefazolin 1
Prescribing Information
Size: 1 gm/10 mL Single-dose Vial 25 Pack
Manufacturer: Apotex
NDC#: 60505-6142-05
Code*: J0690
RNINo
340BYes
Product: Cefazolin 1
Prescribing Information
Size: 10 gm/100 mL Single-dose Vial 10 Pack
Manufacturer: Apotex
NDC#: 60505-6143-04
Code*: J0690
RNINo
340BYes
Product: Cefazolin in DUPLEX® Container 1
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3103-11
Code*: J0690
RNINo
340BYes
Product: Cefazolin in DUPLEX® Container 1
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3105-11
Code*: J0690
RNINo
340BYes
Product: Cefepime 1
Prescribing Information
Size: 1 gm/20 mL Single-dose Vial
Manufacturer: Apotex
NDC#: 60505-6146-00
Code*: J0692
RNINo
340BYes
Product: Cefepime 1
Prescribing Information
Size: 2 gm/20 mL Single-dose Vial
Manufacturer: Apotex
NDC#: 60505-6147-00
Code*: J0692
RNINo
340BYes
Product: Cefepime 1
Prescribing Information
Size: 1 gm/20 mL Single-dose Vial 10 Box
Manufacturer: Apotex
NDC#: 60505-6146-04
Code*: J0692
RNINo
340BYes
Product: Cefepime 1
Prescribing Information
Size: 2 gm/20 mL Single-dose Vial 10 Box
Manufacturer: Apotex
NDC#: 60505-6147-04
Code*: J0692
RNINo
340BYes
Product: Cefepime 1
Prescribing Information
Size: 1 gm/15 mL Single-dose Vial 10 Box
Manufacturer: Sagent Pharmaceuticals
NDC#: 25021-0121-20
Code*: J0692
RNINo
340BNo
Product: Cefepime in DUPLEX® Container 1
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3193-11
Code*: J0692
RNINo
340BYes
Product: Cefepime in DUPLEX® Container 1
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3195-11
Code*: J0692
RNINo
340BYes
Product: Cefoxitin in DUPLEX® Container 1
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3123-11
Code*: J0694
RNINo
340BYes
Product: Cefoxitin in DUPLEX® Container 1
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3125-11
Code*: J0694
RNINo
340BYes
Product: Ceftriaxone 1
Prescribing Information
Size: 1 gm/20 mL Single-dose Vial 10 Pack
Manufacturer: Apotex
NDC#: 60505-6148-04
Code*: J0696
RNINo
340BYes
Product: Ceftriaxone 1
Prescribing Information
Size: 2 gm/20 mL Single-dose Vial 10 Pack
Manufacturer: Apotex
NDC#: 60505-6149-04
Code*: J0696
RNINo
340BYes
Product: Ceftriaxone 1
Prescribing Information
Size: 250 mg/10 mL Single-dose Vial
Manufacturer: Apotex
NDC#: 60505-6151-04
Code*: J0696
RNINo
340BYes
Product: Ceftriaxone 1
Prescribing Information
Size: 250 mg/10 mL Single-dose Vial 10 Pack
Manufacturer: Apotex
NDC#: 60505-6151-01
Code*: J0696
RNINo
340BYes
Product: Ceftriaxone 1
Prescribing Information
Size: 500 mg/10 mL Single-dose Vial
Manufacturer: Apotex
NDC#: 60505-6152-04
Code*: J0696
RNINo
340BYes
Product: Ceftriaxone 1
Prescribing Information
Size: 500 mg/10 mL Single-dose Vial 10 Pack
Manufacturer: Apotex
NDC#: 60505-6152-01
Code*: J0696
RNINo
340BYes
Product: Ceftriaxone in DUPLEX® Container 1
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3153-11
Code*: J0713
RNINo
340BYes
Product: Ceftriaxone in DUPLEX® Container 1
Prescribing Information
Size: 2 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3155-11
Code*: J0713
RNINo
340BYes
Product: Ceftriaxone 1
Prescribing Information
Size: 10 gm
Manufacturer: Pfizer
NDC#: 00409-7334-10
Code*: J0696
RNINo
340BYes
Product: Chloroquine Phosphate
Prescribing Information
Size: 250 mg Tablet 50 Per Bottle
Manufacturer: Rising Pharma
NDC#: 64980-0177-50
Code*: TBD
RNINo
340BNo
Product: Chloroquine Phosphate
Prescribing Information
Size: 500 mg Tablet 25 Per Bottle
Manufacturer: Rising Pharma
NDC#: 64980-0178-02
Code*: TBD
RNINo
340BNo
Product: Dexmedetomidine HCL
Prescribing Information
Size: 200 mcg/50 mL GALAXY Container 24 Ready-to-Use Bags
Manufacturer: Baxter
NDC#: 00338-9555-24
Code*: J3490
RNINo
340BYes
Product: Dexmedetomidine HCL
Prescribing Information
Size: 400 mcg/100 mL GALAXY Container 12 Ready-to-Use Bags
Manufacturer: Baxter
NDC#: 00338-9557-12
Code*: J3490
RNINo
340BYes
Product: Dextrose
Prescribing Information
Size: 25 gm 50 mL Pre-filled Syringe 10 Carton
Manufacturer: International Medication Systems
NDC#: 76329-3302-01
Code*: J7042
RNINo
340BTBD
Product: DiphenhydrAMINE HCL
Prescribing Information
Size: 50 mg/mL Single Dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0664-01
Code*: J1200
RNINo
340BYes
Product: DiphenhydrAMINE HCL
Prescribing Information
Size: 50 mg/mL Pre-Filled Syringe 24 Pack
Manufacturer: Fresenius Kabi
NDC#: 76045-0102-10
Code*: J1200
RNINo
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
RNINo
340BYes
Product: Fosfomycin Tromethamine
Prescribing Information
Size: 5.631 gm Single-dose Sachet [Packet]
Manufacturer: Zambon
NDC#: 82036-4274-01
Code*: TBD
RNINo
340BNo
Product: Heparin Sodium 1
Prescribing Information
Size: 0.45% Sodium Chloride 250 mL Single-dose freeflex® Bag 24 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0517-74
Code*: J1644
RNINo
340BYes
Product: Heparin Sodium 1
Prescribing Information
Size: 0.45% Sodium Chloride 500 mL Single-dose freeflex® Bag 24 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0518-77
Code*: J1644
RNINo
340BYes
Product: Heparin Sodium 1
Prescribing Information
Size: 5% Dextrose 250 mL Single-dose freeflex® Bag 24 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0523-74
Code*: J1644
RNINo
340BYes
Product: Heparin Sodium 1
Prescribing Information
Size: 5% Dextrose 500 mL Single-dose freeflex® Bag 24 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0522-77
Code*: J1644
RNINo
340BYes
Product: Hydroxychlorquine
Prescribing Information
Size: 200 mg Tablet 100 Per Bottle
Manufacturer: Rising Pharmaceuticals
NDC#: 42385-0927-01
Code*: J8499
RNINo
340BNo
Product: Hydroxychlorquine
Prescribing Information
Size: 200 mg Tablet 500 Per Bottle
Manufacturer: Rising Pharmaceuticals
NDC#: 42385-0927-05
Code*: J8499
RNINo
340BNo
Product: Hydroxychlorquine 1
Prescribing Information
Size: 200 mg Tablet 500 Per Bottle
Manufacturer: Sandoz
NDC#: 00781-5994-05
Code*: J8499
RNINo
340BNo
Product: Ketorolac Tromethamine
Prescribing Information
Size: 30 mg/1 mL Single-dose Vial 25 Carton
Manufacturer: Almaject
NDC#: 72611-0722-25
Code*: J1885
RNINo
340BNo
Product: Lanreotide Injection 1
Prescribing Information
Size: 120 mg/0.5 mL Pre-filled Syringe
Manufacturer: Cipla USA
NDC#: 69097-0870-67
Code*: J1930
RNITBD
340BTBD
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
RNINo
340BYes
Product: Meropenem in DUPLEX® Container 1
Prescribing Information
Size: 500 mg/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3183-11
Code*: J2185
RNINo
340BYes
Product: Meropenem in DUPLEX® Container 1
Prescribing Information
Size: 1 gm/50 mL
Manufacturer: B. Braun Medical
NDC#: 00264-3185-11
Code*: J2185
RNINo
340BYes
Product: Methylene Blue
Prescribing Information
Size: 100 mg/10 mL Single-dose Vial
Manufacturer: BPI Labs
NDC#: 54288-0147-01
Code*: J3490
RNINo
340BNo
Product: Methylprednisolone Acetate
Prescribing Information
Size: 40 mg/1 mL Single-dose Vial
Manufacturer: Amneal Pharmaceuticals
NDC#: 70121-1573-01
Code*: J1030
RNINo
340BNo
Product: Methylprednisolone Acetate
Prescribing Information
Size: 40 mg/1 mL Single-dose Vial Carton of 25
Manufacturer: Amneal Pharmaceuticals
NDC#: 70121-1573-05
Code*: J1030
RNINo
340BNo
Product: Methylprednisolone Acetate
Prescribing Information
Size: 80 mg/1 mL Single-dose Vial
Manufacturer: Amneal Pharmaceuticals
NDC#: 70121-1574-01
Code*: J1040
RNINo
340BNo
Product: Methylprednisolone Acetate
Prescribing Information
Size: 80 mg/1 mL Single-dose Vial Carton of 25
Manufacturer: Amneal Pharmaceuticals
NDC#: 70121-1574-05
Code*: J1040
RNINo
340BNo
Product: Metoprolol 1
Prescribing Information
Size: 5 mg/5 mL Single Dose Vial 10 Pack
Manufacturer: Baxter
NDC#: 36000-0033-10
Code*: J3490
RNITBD
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
RNINo
340BTBD
Product: Piperacillin & Tazobactam 1
Prescribing Information
Size: 3.375 gm Vial 10 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0983-21
Code*: J2543
RNINo
340BYes
Product: Pyrimethamine
Prescribing Information
Size: 25 mg Tablet 100 Bottle
Manufacturer: Alvogen
NDC#: 47781-0925-01
Code*: J3490
RNITBD
340BTBD
Product: Rocuronium Bromide
Prescribing Information
Size: 50 mg/5 mL Multi-dose Vial 10 Carton
Manufacturer: Almaject
NDC#: 72611-0756-10
Code*: J3490
RNINo
340BNo
Product: Rocuronium Bromide
Prescribing Information
Size: 100 mg/10 mL Multi-dose Vial 10 Carton
Manufacturer: Almaject
NDC#: 72611-0757-10
Code*: J3490
RNINo
340BNo
Product: Sodium Bicarbonate 1
Prescribing Information
Size: 8.4% 50 mL 20 Pack
Manufacturer: Exela Pharma Sciences
NDC#: 51754-5001-05
Code*: J3490
RNINo
340BYes
Product: Sodium Bicarbonate 1
Prescribing Information
Size: 8.4% 50 mL Pre-Filled Syringe 10 Pack
Manufacturer: International Medication Systems
NDC#: 76329-3352-01
Code*: J3490
RNINo
340BYes
Product: Sodium Chloride 1
Prescribing Information
Size: 0.9% 20 mL Single-dose Vial Box of 25
Manufacturer: Pfizer
NDC#: 00409-4888-20
Code*: A4216
RNINo
340BYes
Product: Sodium Chloride 1
Prescribing Information
Size: 0.9% 50 mL Single-dose Vial Box of 25
Manufacturer: Pfizer
NDC#: 00409-4888-50
Code*: A4216
RNINo
340BYes
Product: Sodium Phenylacetate & Sodium Benzoate
Prescribing Information
Size: 50 mL Single Dose Vial
Manufacturer: Zydus
NDC#: 68382-0396-01
Code*: J3490
RNINo
340BYes
Product: Sodium Tetradecyl Sulfate 3%
Prescribing Information
Size: 60 mg/2 mL (30 mg/mL) Vial 5 Box
Manufacturer: Leucadia Pharmaceuticals
NDC#: 24201-0201-05
Code*: J3490
RNIRNI
340BYes
Product: Sulfamethoxazole and Trimethoprim
Prescribing Information
Size: 5 mL Single-dose Vial 10 Pack
Manufacturer: Somerset Therapeutics
NDC#: 70069-0361-10
Code*: J3490
RNINo
340BYes
Product: Sulfamethoxazole and Trimethoprim
Prescribing Information
Size: 10 mL Multi-dose Vial 10 Pack
Manufacturer: Somerset Therapeutics
NDC#: 70069-0362-10
Code*: J3490
RNINo
340BYes
Product: Sulfamethoxazole and Trimethoprim
Prescribing Information
Size: 30 mL Multi-dose Vial
Manufacturer: Somerset Therapeutics
NDC#: 70069-0363-01
Code*: J3490
RNINo
340BYes
Product: Thiamine
Prescribing Information
Size: 200 mg/2 mL Multi-Dose Vial 25 Pack
Manufacturer: Fresenius Kabi
NDC#: 63323-0013-02
Code*: J3411
RNINo
340BYes
Product: Tranexamic Acid in 0.7% Sodium Chloride 2
Prescribing Information
Size: 1000 mg/100 mL Single-dose (IV) Bag
Manufacturer: Exela Pharma Sciences
NDC#: 51754-0108-03
Code*: J3490
RNITBD
340BYes
Product: Treprostinil
Prescribing Information
Size: 20 mg/20 mL (1 mg/mL) Vial
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0206-01
Code*: J3285
RNINo
340BYes
Product: Treprostinil
Prescribing Information
Size: 50 mg/20 mL (2.5 mg/mL) Vial
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0207-01
Code*: J3285
RNINo
340BYes
Product: Treprostinil
Prescribing Information
Size: 100 mg/20 mL (5 mg/mL) Vial
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0208-01
Code*: J3285
RNINo
340BYes
Product: Treprostinil
Prescribing Information
Size: 200 mg/20 mL (10 mg/mL) Vial
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0209-01
Code*: J3285
RNINo
340BYes
Product: Vancomycin HCI 1
Prescribing Information
Size: 5 gm Single Dose Vial 1-pk
Manufacturer: Fresenius Kabi
NDC#: 63323-0295-61
Code*: J3370
RNINo
340BYes
Product: Vancomycin HCI 1
Prescribing Information
Size: 10 gm 1-pk
Manufacturer: Fresenius Kabi
NDC#: 63323-0314-61
Code*: J3370
RNINo
340BYes
Product: Verapamil 2
Prescribing Information
Size: 5 mg 2 mL Single-dose Vial 5 Carton
Manufacturer: Exela Pharma Sciences
NDC#: 51754-0203-02
Code*: J3490
RNITBD
340BYes
Product: Verapamil 2
Prescribing Information
Size: 5 mg 2 mL Single-dose Vial 25 Carton
Manufacturer: Exela Pharma Sciences
NDC#: 51754-0203-04
Code*: J3490
RNITBD
340BYes
Product: Verapamil 2
Prescribing Information
Size: 5 mg 2 mL Single-dose Vial 25 Carton
Manufacturer: Exela Pharma Sciences
NDC#: 51754-0204-04
Code*: J3490
RNITBD
340BYes
Product: Vincristine
Prescribing Information
Size: 2 mg/2 mL Single Dose Vial
Manufacturer: Pfizer
NDC#: 61703-0309-16
Code*: J9370
RNINo
340BNo
Product: Vincristine
Prescribing Information
Size: 1 mg/1 mL Single Dose Vial
Manufacturer: Pfizer
NDC#: 61703-0309-06
Code*: J9370
RNINo
340BNo
* All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
2 Call for eligibility.
RNI - RightNow Inventory™ Eligible Products | 340B - Public Health Services 340B Pricing Available.
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