|
|
|
Alphanate
|
All Sizes
|
$0.67/IU
|
|
AlphaNine SD
|
All Sizes
|
$0.72/IU
|
|
BeneFIX
|
All Sizes
|
$0.90/IU
|
Feiba VH |
All Sizes |
$1.25/IU |
Helixate
FS |
All Sizes |
$0.99/IU |
|
Hemofil
|
All Sizes |
$0.71/IU |
|
Humate-P
|
All Sizes
|
$0.80/IU
|
|
Koate DVI
|
All Sizes
|
$0.50/IU
|
|
Kogenate FS
|
All Sizes
|
$0.91/IU
|
|
Monarc-M
|
All Sizes
|
$0.50/IU
|
|
Monoclate-P
|
All Sizes
|
$0.65/IU
|
|
Mononine
|
All Sizes
|
$0.86/IU
|
|
NovoSeven
|
All Sizes
|
$0.99/IU
|
|
Profilnine
|
All Sizes
|
$0.49/IU
|
Recombinate |
All Sizes
|
$1.05/IU
|
|
ReFacto
|
All Sizes
|
$1.18/IU
|
|
Thrombate III
|
All Sizes
|
$1.67/IU
|
|
|
|
|
1 mL
|
$127.00/kit
|
|
Tisseel
|
2 mL
|
$226.00/kit
|
|
Tisseel
|
5 mL
|
$551.00/kit
|
Tisseel Value Pack |
1 mL |
$721.00/kit |
Tisseel Value Pack |
2 mL |
$1,280.00/kit |
Tisseel Value Pack |
5 mL |
$3,133.00/kit |
|
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|
|
|
BayHep/HyperHep B |
0.5 mL/sfty syr |
$58.50/syr |
BayHep/HyperHep B |
1 mL |
$108.50/syr |
BayHep/HyperHep B |
5 mL |
$505.00/vl |
BayRab/HyperRab |
2 mL |
$146.00/vl |
BayRab/HyperRab |
10 mL |
$716.00/vl |
BayRho-D/HyperRho D |
1 mL/sfty syr |
$79.25/syr |
BayRho-D/HyperRho D |
0.17 mL/sfty syr |
$265.95/bx |
BayTet/HyperTet |
250 units/sfty syr |
$102.00/syr |
Rhophylac |
300 µg syr
|
$84.00/syr
|
Rhophylac |
300 µg syr/10pk
|
$830.00/pk
|
WinRho SDF |
120 µg |
$120.50/vl |
WinRho SDF |
300 µg |
$272.60/vl |
|
WinRho SDF |
1000 µg
|
$908.00/vl
|
Immune Globulin Intramuscular
|
| BayGam |
2 mL |
$25.55/vl |
BayGam |
10 mL |
$105.96/vl |
Immune
Globulin |
2 mL
|
$29.55/vl
|
|
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|
|
COMVAX
|
10 single-dose 0.5 mL vls
|
|
Fluzone 2006 |
0.25 mL box of 10 PFS |
$136.13/bx |
Fluzone 2006 |
5 mL vl |
$111.98/vl |
Fluzone 2006 |
0.5 mL SDV 10/box |
$146.63/bx |
Fluzone 2006 |
0.5 mL box of 10 PFS |
$146.63/bx |
Fluvirin 2006 |
5 mL vl |
$110.90/vl |
Fluvirin 2006 |
0.5 mL box of 10 PFS |
$134.93/bx |
Fluarix 2006 |
0.5 mL box of 5 |
$67.50bx |
Gamastan |
2 mL |
$25.55/vl |
Gamastan |
10 mL |
$105.96/vl |
Gamastan |
2 mL, 10 pk |
$255.50 |
Gamastan |
10 mL, 10 pk |
$1,015.10 |
|
IPOL
|
5 mL 10-dose vl
|
$237.45/vl
|
|
JE-VAX
|
3 single-dose vls & diluent
|
$287.91/pkg
|
|
M-M-R II
|
1 single-dose 0.5 vl & diluent
|
$46.95/vl
|
|
M-M-R II
|
10 single-dose 0.5 mL vls
|
$457.95/pkg
|
|
PNEUMOVAX 23
|
1 five-dose 2.5 mL vl
|
$141.20/vl
|
|
PNEUMOVAX 23
|
10 single-dose 0.5 mL vls
|
$315.80/pkg
|
|
RECOMBIVAX HB
|
5 µg 1 single-dose 0.5 mL vl
|
$27.08/vl
|
|
RECOMBIVAX HB
|
10 µg 1 single-dose 1 mL vl
|
$66.33/vl
|
|
Tubersol
|
1 mL/10-test vl
|
$26.00/vl
|
|
Tubersol
|
5 mL/50-test vl
|
$94.56/vl
|
TYPHIM VI
|
single-dose PFS
|
$45.85/syr
|
|
VAQTA
|
50 U 1 single-dose 1 mL vl
|
$69.73/vl
|
|
VARIVAX
|
1 single-dose 0.5 mL vl & diluent
|
$83.30/vl
|
|
VARIVAX
|
10 single-dose 0.5 mL vls & diluent
|
$793.60/pkg |
|
|
