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Valley Medical Pharmacy
630 Main Street
Brawley, CA 92227

760-344-6303
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Smoking Cessation > NICODERM

  

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NICODERM CQ 14MG PAT CLEAR 14
Item Number  156893
Item Description NICODERM CQ 14 MG CLR PAT 14
NDC/UPC 00766-1430-20
Supplier Name & Number GSK CONSUMER (NR) 77623
Supplier Product Code 143020
Product Type OT
Case Quantity 12
Retail Pack Qty 1
Pack Size 14
Unit of Measure EA
Medicaid 
Orange Book ZA
Generic Code  003422
Generic Desc NICOTINE TRANSDERMAL
Generic Equiv Search
Contract Equiv Search
Therapeutic Code 129200
Therapeutic Desc MISCELLANEOUS AUTONOMIC DRUGS
$ 46.99                   
Quantity:    
NICODERM CQ 21MG CLEAR PAT 14
NICODERM CQ 21MG CLR PAT 14 Item No.: B157099 NDC/UPC No. 00766142020 AHFS No.: 129200 SUBCATEGORY: NICODERM Sub Desc: SMOKING CESSATION E4AHFS Description MISCELLANEOUS AUTONOMIC DRUGS Strength Quantity: 21 Strength Code: MG CLR Issue Form: PATCHESnit Dose: Size Quantity: 14 Size Code: Mfg. No. 77623 Order Unit:EACH Item Class: OT Case Quantity: 12 Order Package: 1 MFG.NAME: GSK CONSUMER (NON RETURNABLE)
$ 46.99                   
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NICODERM CQ 21MG PAT 7
NICODERM CQ 21MG PAT 7 Item No.: B772186 NDC/UPC No. 00766145010 AHFS No.: 129200 SUBCATEGORY: NICODERM Sub Desc: SMOKING CESSATION E4AHFS Description MISCELLANEOUS AUTONOMIC DRUGS Strength Quantity: 21 Strength Code: MG Issue Form: PATCHES Unit Dose Size Quantity: 7 Size Code: Mfg. No. 77623 Order Unit:EACH Item Class: OT Case Quantity: 12 Order Package: 1 MFG.NAME: GSK CONSUMER (NON RETURNABLE)
$ 27.99                   
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NICODERM CQ 7MG CLEAR PAT 14
NICODERM CQ 7MG CLR PAT 14 Item No.: B156638 NDC/UPC No. 00766144020 AHFS No.: 129200 SUBCATEGORY: NICODERM Sub Desc: SMOKING CESSATION E4AHFS Description MISCELLANEOUS AUTONOMIC DRUGS Strength Quantity: 7 Strength Code: MG CLR Issue Form: PATCHES Unt Dose: Size Quantity: 14 Size Code: Mfg. No. 77623 Order Unit:EACH Item Class: OT Case Quantity: 12 Order Package: 1 MFG.NAME: GSK CONSUMER (NON RETURNABLE)
$ 46.99                   
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NICOTINE GUM 2MG STR KIT 110
NICOTINE GUM 2MG STR KIT 110 Item No.: B939443 NDC/UPC No. 00536310623 AHFS No.: 129200 SUBCATEGORY: NICORETTE Sub Desc: SMOKING CESSATION E4AHFS Description MISCELLANEOUS AUTONOMIC DRUGS Strength Quantity: 2 Strength Code: MG STR Issue Form: KIT Uni Dose: Size Quantity: 110 Size Code: Mfg. No. 78246 Order Unit:EACH Item Class: OT Case Quantity: 24 Order Package: 1 MFG.NAME: WATSON/RUGBY
$ 32.99                   
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NICOTINE GUM 4MG 50
Item Number  036386
Item Description NICOTINE PCLX 4 MG REF GUM 50
NDC/UPC 00536-3107-06
Supplier Name & Number WATSON/RUGBY 78246
Supplier Product Code 310706
Product Type OT
Case Quantity 24
Retail Pack Qty 1
Pack Size 50
Unit of Measure EA
Medicaid 
Orange Book ZA
Generic Code  003201
Generic Desc NICOTINE POLACRILEX
Generic Equiv Search
Contract Equiv Search
Therapeutic Code 129200
Therapeutic Desc MISCELLANEOUS AUTONOMIC DRUGS
$ 28.99                   
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NICOTINE PCLX 4MG GUM 110
NICOTINE PCLX 4MG GUM 110 Item No.: B970499 NDC/UPC No. 00536310723 AHFS No.: 129200 SUBCATEGORY: NICORETTE Sub Desc: SMOKING CESSATION E4AHFS Description MISCELLANEOUS AUTONOMIC DRUGS Strength Quantity: 4 Strength Code: MG Issue Form: GUM Unit Dose: Size Quantity: 110 Size Code: Mfg. No. 78246 Order Unit:EACH Item Class: OT Case Quantity: 24 Order Package: 1 MFG.NAME: WATSON/RUGBY
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$ 39.99                   
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NICOTINE TRAN KIT PAT 56
NICOTINE TRAN KIT PAT 56 Item No.: B679326 NDC/UPC No. 00067604556 AHFS No.: 129200 SUBCATEGORY: NICODERM Sub Desc: SMOKING CESSATION E4AHFS Description MISCELLANEOUS AUTONOMIC DRUGS Strength Quantity: KIT Strength Code: Issue Form: PATCHES Unit Dos: Size Quantity: 56 Size Code: Mfg. No. 78552 Order Unit:EACH Item Class: OT Case Quantity: 12 Order Package: 1 MFG.NAME: NOVARTIS CONSUMER HLT INC.
$ 118.72                   
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NICOTINE TRANSDERMAL 14MG PATCHES 7
NICOTINE TRAN 14MG PAT 7 Item No.: B557736 NDC/UPC No. 00067021407 AHFS No.: 129200 SUBCATEGORY: NICODERM Sub Desc: SMOKING CESSATION E4AHFS Description MISCELLANEOUS AUTONOMIC DRUGS Strength Quantity: 14 Strength Code: MG Issue Form: PATCHES Unit Doe: Size Quantity: 7 Size Code: Mfg. No. 78552 Order Unit:EACH Item Class: OT Case Quantity: 12 Order Package: 1 MFG.NAME: NOVARTIS CONSUMER HLT INC.
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$ 18.99                   
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NICOTINE TRANSDERMAL 21MG PATCHES 7
NICOTINE TRAN 21MG PAT 7 Item No.: B556753 NDC/UPC No. 00067021507 AHFS No.: 129200 SUBCATEGORY: NICODERM Sub Desc: SMOKING CESSATION E4AHFS Description MISCELLANEOUS AUTONOMIC DRUGS Strength Quantity: 21 Strength Code: MG Issue Form: PATCHES Unit Doe: Size Quantity: 7 Size Code: Mfg. No. 78552 Order Unit:EACH Item Class: OT Case Quantity: 12 Order Package: 1 MFG.NAME: NOVARTIS CONSUMER HLT INC.
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