By Therapeutic Class
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Product Family
LUPRON >
All Therapeutic Classes
| Image | NDC Number | Product Description | List Price | WAC Price | Others |
|
00074105305
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LUPANETA 11.25 MG (3 MONTH) KIT
|
$4,449.61
|
$4,449.61
|
|
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00074105205
|
LUPANETA, 3.75 MG (1 MONTH) KIT
|
$1,483.19
|
$1,483.19
|
|
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00074347303
|
LUPRON 45MG 6MTH
|
$10,604.85
|
$10,604.85
|
|
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00074244003
|
LUPRON DEPOT PED, 15 MG PDS KIT
|
$3,567.80
|
$3,567.80
|
|
|
00074377903
|
LUPRON DEPOT PED, 3MONTH, 11.25MG
|
$9,718.03
|
$9,718.03
|
|
|
00074969403
|
LUPRON DEPOT PED, 3MONTH, 30MG
|
$10,703.43
|
$10,703.43
|
|
|
00074210803
|
LUPRON DEPOT PED, 7.5 MG PDS KIT
|
$1,784.28
|
$1,784.28
|
|
|
00074366303
|
LUPRON DEPOT, 3 MONTH 11.25 MG PDS KIT
|
$4,449.61
|
$4,449.61
|
|
|
00074334603
|
LUPRON DEPOT, 3 MONTH 22.5 MG PDS KIT
|
$5,302.34
|
$5,302.34
|
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|
00074364103
|
LUPRON DEPOT, 3.75 MG PDS KIT
|
$1,483.19
|
$1,483.19
|
|
|
00074368303
|
LUPRON DEPOT, 4 MONTH 30 MG PDS KIT
|
$7,069.80
|
$7,069.80
|
|
|
00074364203
|
LUPRON DEPOT, 7.5 MG PDS KIT
|
$1,767.45
|
$1,767.45
|
|
|
00074228203
|
LUPRON DEPOT-PED 11.25 MG PDS KIT
|
$3,239.33
|
$3,239.33
|
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