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Home > Generic > Product Specifications
Specifications


MAT # PRODUCT STRENGTH SIZE  NDC # SWP Rating
1005750 Acetaminophen W/Codeine Phosphate Tablets CIII 300-30mg 100 63304-0562-01 $36.14 AA
1005752 Acetaminophen W/Codeine Phosphate Tablets CIII 300-30mg 1000 63304-0562-10 $284.35 AA
1005753 Acetaminophen W/Codeine Phosphate Tablets CIII 300-60mg 100 63304-0561-01 $63.88 AA
1005754 Acetaminophen W/Codeine Phosphate Tablets CIII 300-60mg 500 63304-0561-05 $275.93 AA
1003379 Acyclovir Capsules 200mg 100 63304-0652-01 $111.95 AB
1003380 Acyclovir Capsules 200mg 500 63304-0652-05 $531.76 AB
1003374 Acyclovir Tablets 400mg 100 63304-0504-01 $216.97 AB
1003375 Acyclovir Tablets 800mg 100 63304-0505-01 $421.67 AB
1082028 Atenolol Tablets 25mg 100 63304-0621-01 $81.75 AB
1082030 Atenolol Tablets 25mg 1000 63304-0621-10 $817.50 AB
1082081 Atenolol Tablets 50mg 100 63304-0622-01 $84.65 AB
1082082 Atenolol Tablets 50mg 1000 63304-0622-10 $846.45 AB
1082083 Atenolol Tablets 100mg 100 63304-0623-01 $125.15 AB
1082084 Atenolol Tablets 100mg 1000 63304-0623-10 $1,251.50 AB
1086064 Cetirizine Hydrochloride Syrup 1mg/ml 120ml 63304-0936-04 $36.50 AB
1004285 Clindamycin HCl 150mg 100 63304-0692-01 $119.15 AB
1073802 Clindamycin HCl 150mg 500 63304-0692-05 $595.75 AB
1004820 Clindamycin HCl 300mg 16 63304-0693-16 $64.45 AB
1004286 Clindamycin HCl 300mg 100 63304-0693-01 $371.71 AB
1062641 Clorazepate Dipotassium Tablets CIV 3.75mg 100 63304-0552-01 $128.45 AB
1062643 Clorazepate Dipotassium Tablets CIV 3.75mg 500 63304-0552-05 $629.19 AB
1062644 Clorazepate Dipotassium Tablets CIV 7.5mg 100 63304-0553-01 $159.71 AB
1062645 Clorazepate Dipotassium Tablets CIV 7.5mg 500 63304-0553-05 $782.18 AB
1062646 Clorazepate Dipotassium Tablets CIV 15mg 100 63304-0554-01 $217.25 AB
1009022 Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate, & Amphetamine Sulfate Tabs CII 5mg 100 63304-0908-01 $137.16 AB
1009024 Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate, & Amphetamine Sulfate Tabs CII 10mg 100 63304-0909-01 $137.16 AB
1009025 Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate, & Amphetamine Sulfate Tabs CII 20mg 100 63304-0910-01 $137.16 AB
1009026 Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate, & Amphetamine Sulfate Tabs CII 30mg 100 63304-0911-01 $137.16 AB
1080451 Doxycycline Tablets (Monohydrate) 75mg 100 63304-0131-01 $493.40 AB
1080453 Doxycycline Tablets (Monohydrate) 100mg 50 63304-0132-50 $270.07 AB
1080454 Doxycycline Tablets (Monohydrate) 100mg 250 63304-0132-04 $1,297.77 AB
1007930 Enalapril Maleate Tablets 2.5mg 100 63304-0834-01 $80.36 AB
1007932 Enalapril Maleate Tablets 5mg 100 63304-0835-01 $102.10 AB
1088563 Felodipine Extended Release Tablets 2.5mg 100 63304-0435-01 $158.01 AB
1088564 Felodipine Extended Release Tablets 5mg 100 63304-0436-01 $158.01 AB
1088565 Felodipine Extended Release Tablets 10mg 100 63304-0437-01 $283.96 AB
1045681 Flecainide Acetate Tablets 50mg 100 63304-0794-01 $174.09 AB
1045725 Flecainide Acetate Tablets 100mg 100 63304-0795-01 $273.08 AB
1045726 Flecainide Acetate Tablets 150mg 100 63304-0796-01 $375.84 AB
1077741 Fluoxetine Capsules 10mg 30 63304-0686-30 $77.97 AB
1077742 Fluoxetine Capsules 10mg 90 63304-0686-90 $234.00 AB
1077743 Fluoxetine Capsules 20mg 30 63304-0687-30 $79.92 AB
1077744 Fluoxetine Capsules 20mg 90 63304-0687-90 $239.76 AB
1065922 Fluoxetine Capsules 40mg 30 63304-0632-30 $160.09 AB
1065924 Fluoxetine Capsules 40mg 100 63304-0632-01 $533.05 AB
1081941 Furosemide Tablets 20mg 100 63304-0624-01 $14.30 AB
1081942 Furosemide Tablets 20mg 1000 63304-0624-10 $139.90 AB
1081943 Furosemide Tablets 40mg 100 63304-0625-01 $16.30 AB
1081944 Furosemide Tablets 40mg 1000 63304-0625-10 $159.50 AB
1081945 Furosemide Tablets 80mg 100 63304-0626-01 $43.70 AB
1081946 Furosemide Tablets 80mg 500 63304-0626-05 $213.90 AB
1046111 Ganciclovir Capsules 250mg 180 63304-0636-28 $849.63 AB
1046112 Ganciclovir Capsules 500mg 180 63304-0637-28 $1,699.24 AB
1084470 Hydrochlorothiazide Tablets 25mg 100 63304-0914-01 $8.48 AB
1084601 Hydrochlorothiazide Tablets 25mg 1000 63304-0914-10 $79.44 AB
1084602 Hydrochlorothiazide Tablets 50mg 100 63304-0915-01 $16.45 AB
1084603 Hydrochlorothiazide Tablets 50mg 1000 63304-0915-10 $133.00 AB
1084976 Hydrocodone Bitartrate & Acetaminophen Tablets CIII 5mg/500mg 100 63304-0560-01 $50.65 AA
1084977 Hydrocodone Bitartrate & Acetaminophen Tablets CIII 5mg/500mg 500 63304-0560-05 $232.44 AA
1084978 Hydrocodone Bitartrate & Acetaminophen Tablets CIII 7.5mg/750mg 100 63304-0496-01 $43.78 AA
1084979 Hydrocodone Bitartrate & Acetaminophen Tablets CIII 7.5mg/750mg 500 63304-0496-05 $204.53 AA
1084980 Hydrocodone Bitartrate & Acetaminophen Tablets CIII 10mg/325mg 100 63304-0497-01 $69.89 AA
1085061 Hydrocodone Bitartrate & Acetaminophen Tablets CIII 10mg/325mg 500 63304-0497-05 $337.27 AA
1085062 Hydrocodone Bitartrate & Acetaminophen Tablets CIII 10mg/500mg 100 63304-0498-01 $53.27 AA
1085063 Hydrocodone Bitartrate & Acetaminophen Tablets CIII 10mg/500mg 500 63304-0498-05 $253.03 AA
1086586 Hydroxychloroquine Sulfate Tablets 200mg 100 63304-0296-01 $123.20 AB
1086587 Hydroxychloroquine Sulfate Tablets 200mg 500 63304-0296-05 $585.20 AB
1008493 Lisinopril Tablets 2.5mg 100 63304-0531-01 $64.85 AB
1008494 Lisinopril Tablets 5mg 100 63304-0532-01 $97.25 AB
1008495 Lisinopril Tablets 5mg 1000 63304-0532-10 $962.27 AB
1008496 Lisinopril Tablets 10mg 100 63304-0533-01 $100.42 AB
1008497 Lisinopril Tablets 10mg 1000 63304-0533-10 $994.77 AB
1008498 Lisinopril Tablets 20mg 100 63304-0534-01 $107.51 AB
1008499 Lisinopril Tablets 20mg 1000 63304-0534-10 $1,064.64 AB
1075902 Lisinopril Tablets 30mg 100 63304-0599-01 $150.76 AB
1008500 Lisinopril Tablets 40mg 100 63304-0535-01 $157.21 AB
1008501 Lisinopril Tablets 40mg 1000 63304-0535-10 $1,556.40 AB
1008490 Lisinopril HCTZ Tablets 10-12.5mg 100 63304-0536-01 $112.01 AB
1008491 Lisinopril HCTZ Tablets 20-12.5mg 100 63304-0537-01 $121.28 AB
1008492 Lisinopril HCTZ Tablets 20-25mg 100 63304-0538-01 $122.75 AB
1005800 Lorazepam Tablets CIV 0.5mg 100 63304-0772-01 $67.75 AB
1005801 Lorazepam Tablets CIV 0.5mg 500 63304-0772-05 $331.05 AB
1005802 Lorazepam Tablets CIV 1mg 100 63304-0773-01 $88.25 AB
1005803 Lorazepam Tablets CIV 1mg 500 63304-0773-05 $430.75 AB
1005804 Lorazepam Tablets CIV 1mg 1000 63304-0773-10 $843.20 AB
1005805 Lorazepam Tablets CIV 2mg 100 63304-0774-01 $128.45 AB
1005806 Lorazepam Tablets CIV 2mg 500 63304-0774-05 $628.15 AB
1088725 Metoclopramide Tablets 5mg 100 63304-0845-01 $32.00 AB
1088726 Metoclopramide Tablets 5mg 500 63304-0845-05 $138.00 AB
1088727 Metoclopramide Tablets 10mg 100 63304-0846-01 $27.50 AB
1088728 Metoclopramide Tablets 10mg 500 63304-0846-05 $130.00 AB
1088729 Metoclopramide Tablets 10mg 1000 63304-0846-10 $247.10 AB
1088509 Metoprolol Tartrate Tablets 25mg 100 63304-0579-01 $24.25 AB
1088510 Metoprolol Tartrate Tablets 25mg 1000 63304-0579-10 $235.22 AB
1088721 Metoprolol Tartrate Tablets 50mg 100 63304-0580-01 $55.50 AB
1088722 Metoprolol Tartrate Tablets 50mg 1000 63304-0580-10 $544.30 AB
1088723 Metoprolol Tartrate Tablets 100mg 100 63304-0581-01 $80.10 AB
1088724 Metoprolol Tartrate Tablets 100mg 1000 63304-0581-10 $761.30 AB
1007938 Midazolam HCL Syrup CIV 2mg 118ml 63304-0205-18 $129.50 AA
1003990 Minocycline Caps 50mg 100 63304-0694-01 $169.87 AB
1003991 Minocycline Caps 75mg 100 63304-0695-01 $197.96 AB
1003992 Minocycline Caps 100mg 50 63304-0696-50 $169.87 AB
1065921 Minocycline Caps 100mg 500 63304-0696-05 $1,664.75 AB
1003369 Nortriptyline HCI Oral Solution 10mg/5ml 16 oz. 63304-0202-01 $55.50 AA
1087973 Omeprazole Delayed Release Capsules 40mg 30 63304-0445-30 $221.86 AB
1089196 Omeprazole Delayed Release Capsules 40mg 100 63304-0445-01 $739.53 AB
1087975 Omeprazole Delayed Release Capsules 40mg 1000 63304-0445-10 $7,396.36 AB
1083311 Ondansetron Tablets 4mg 30 63304-0458-30 $743.35 AB
1083312 Ondansetron Tablets 8mg 30 63304-0459-30 $1,238.17 AB
1086063 Ranitidine Syrup 15mg/ml 16 oz. 63304-0851-16 $350.49 AA
1082383 Sertraline HCl Tablets 25mg 30 63304-0164-30 $85.54 AB
1082384 Sertraline HCl Tablets 50mg 30 63304-0165-30 $85.54 AB
1082003 Sertraline HCl Tablets 50mg 100 63304-0165-01 $285.20 AB
1082004 Sertraline HCl Tablets 50mg 500 63304-0165-05 $1,426.00 AB
1082385 Sertraline HCl Tablets 100mg 30 63304-0166-30 $85.54 AB
1082006 Sertraline HCl Tablets 100mg 100 63304-0166-01 $285.20 AB
1082007 Sertraline HCl Tablets 100mg 500 63304-0166-05 $1,426.00 AB
1082041 Sertraline HCl Suspension 20mg/ml 60ml 63304-0840-05 $67.57 AB
1080458 Simvastatin Tablets 5mg 90 63304-0789-90 $189.39 AB
1080459 Simvastatin Tablets 5mg 1000 63304-0789-10 $2,105.00 AB
1080531 Simvastatin Tablets 10mg 90 63304-0790-90 $253.81 AB
1080532 Simvastatin Tablets 10mg 1000 63304-0790-10 $2,821.00 AB
1080534 Simvastatin Tablets 20mg 90 63304-0791-90 $442.85 AB
1080535 Simvastatin Tablets 20mg 1000 63304-0791-10 $4,921.00 AB
1080538 Simvastatin Tablets 40mg 90 63304-0792-90 $442.85 AB
1080539 Simvastatin Tablets 40mg 1000 63304-0792-10 $4,921.00 AB
1077981 Simvastatin Tablets 80mg 90 63304-0793-90 $442.85 AB
1077982 Simvastatin Tablets 80mg 1000 63304-0793-10 $4,920.51 AB
1089686
 Sumatriptan Succinate Tablets
 25mg
 9 63304-0097-19
 $254.25
AB
1089687
 Sumatriptan Succinate Tablets 50mg
 9 63304-0098-19
 $226.26
AB
1089688 Sumatriptan Succinate Tablets 100mg 9 63304-0099-19 $226.26 AB
1084586 Verapamil HCl SR Tablets 120mg 100 63304-0488-01 $107.29 AB
1084587 Verapamil HCl SR Tablets 180mg 100 63304-0489-01 $143.96 AB
1084588 Verapamil HCl SR Tablets 240mg 100 63304-0490-01 $163.55 AB
1084589 Verapamil HCl SR Tablets 240mg 500 63304-0490-05 $770.55 AB
1081931 Zolpidem Tartrate Tablets CIV 5mg 100 63304-0159-01 $457.40 AB
1081932 Zolpidem Tartrate Tablets CIV 5mg 500 63304-0159-05 $2,287.00 AB
1081933 Zolpidem Tartrate Tablets CIV 10mg 100 63304-0160-01 $457.40 AB
1081934 Zolpidem Tartrate Tablets CIV 10mg 500 63304-0160-05 $2,287.00 AB
1080123 Zonisamide Capsules 100mg 100 63304-0992-01 $219.45 AB


as of 8/13/09