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Y Extended 57.89 $ 57.35 $ 57.33 $ 54.57 $ 53.60 $ 53.34 $ 53.32 $ 52.59 $ 51.40 $ 50.45 $ 49.70 $ 49.45 $ 48.94 $ 48.63 $ 47.93 $ 47.88 $ 47.24 $ 46.97 $ 46.06 $ 45.89 $ 44.38 $ 44.25
Unit Cost 2.89 5.73 5.73 9.10 7.66 2.96 5.33 5.26 3.21 5.05 7.10 3.09 3.50 3.04 5.99 11.97 4.72 2.76 9.21 9.18 4.93 7.38 1.43 3.95 3.21 1.51 6.20 9.21 12.05 1.32 1.24 5.73 1.47 4.77 4.17 3.31 3.31 2.07 6.42 1.78 1.68 2.28 5.22
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 28.94 137.63 344.00 90.95 76.58 29.63 159.97 52.59 321.23 302.72 213.00 3.09 104.88 30.39 59.91 119.70 141.72 82.88 552.78 91.77 98.62 73.75 128.94 39.50 160.37 96.90 62.03 92.14 60.26 13.19 1.24 172.01 123.77 47.74 41.73 3.31 3.31 51.69 64.21 17.80 16.79 54.65 313.03
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300000972 6770006375 7300019104 7300000033 7300005250 7300010434 7300010789 7300005820 7300003497 7300011283 7300009563 7300003052 7300002106 7300005882 7300001429 7300005655 7300009745 7300000352 7300011057 7300005409 7300002788 7300001408 7300002077 7300006207 7300000034 MIS NADAC 7300005613 7300005091 7300010061 7300006378 7300001124 7300001848 MIS NADAC 7300011133 7300006550 7300000900 7300000900 7300005152 7300011039 730
V
40200000-CALORIC AGENTS 201204 - Anticoagulants 81206 - CEPHALOSPORINS 40080000-ALKALINIZING AGENTS 28121200-HYDANTOINS 28080800-OPIATE AGONISTS 86120400-ANTIMUSCARINICS 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 08121800-QUINOLONE ANTIBIOTICS
AHFS 20120414-ANTICOAGULANTS, DIRECT FACTOR 20120414-ANTICOAGULANTS, DIRECT FACTOR 56360000-ANTI-INFLAMMATORY AGENTS (GI DR 12121200-ALPHA- AND BETA-ADRENERGIC AGO 86160000-RESPIRATORY SMOOTH MUSCLE RE 24060500-CHOLESTEROL ABSORPTION INHIBIT 24320800-ANGIOTENSIN II RECEPTOR ANTAGO 28160808-BUTYROPHENONES ANTIPSYCHOTIC 12202000-NEUROMUSCULAR BLOCKING AGENT 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 28129200-ANTICONVULSANTS, MISCELLANEOU 28208000-WAKEFULNESS-PROMOTING AGE
U 08121292-OTHER MACROLIDE ANTIBIOTICS 20120416-ANTICOAGULANTS, HEPARINS 08122816-ANTIBACTERIALS, GLYCOPEPTIDES 20120416-ANTICOAGULANTS, HEPARINS 08121204-MACROLIDES, ERYTHROMYCINS 20120416-ANTICOAGULANTS, HEPARINS 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 20120416-ANTICOAGULANTS, HEPARINS 08122816-ANTIBACTERIALS, GLYCOPEPTIDES
DEA
T CLASS IV V IV II II II
GENERIC 48795 26597 36934 15494 6771 25545 97842 19411 325 18387 73543 15490 62772 40730 13845 14338 2751 26101 62773 47262 43396 99557 2962 26893 3751 19203 39962 47580 12264 2962 45117 35350 25691 33205 33309 33308 52122 30239
S CODE
MANUFACTURER Janssen Pharmaceuticals, In Dr. Reddy's Laboratories, Inc Boehringer Ingelheim Pharmaceuticals Inc. Patriot Pharmaceuticals, LLC AstraZeneca Pharmaceuticals LP AstraZeneca Pharmaceuticals LP
R Fresenius Kabi USA, LLC Hospira, Inc. American Health Packaging Endo Pharmaceuticals, Inc. Major Pharmaceuticals, Inc Apotex Corporation Mylan Pharmaceuticals Inc. Sanofi-Aventis U.S. LLC Arbor Pharmaceuticals, Inc. Major Pharmaceuticals, Inc UCB, Inc. Hospira, Inc. AvKare, Inc. Sanofi-Aventis U.S. LLC Almatica Pharma Inc. American Health Packaging B. Braun Medical Inc. Hospira, Inc. Hospira, Inc. Mylan Pharmaceuticals Inc. Hospira, Inc. Major Pharmace
ORAL TABLET, FILM COATED SUBCUTANEOUS INJECTION ORAL TABLET, DELAYED RELEASE ORAL CAPSULE ORAL TABLET ORAL TABLET INTRAMUSCULAR INJECTION SUBCUTANEOUS INJECTION ORAL TABLET, DELAYED RELEASE ORAL CAPSULE ORAL TABLET, FILM COATED ORAL TABLET SUBCUTANEOUS INJECTION ORAL TABLET ORAL SUSPENSION TRANSDERMAL PATCH ORAL TABLET, FILM COATED
Q DOSE FORM INTRAVENOUS INJECTION, POWDER, LYOPPfizer Laboratories Div Pfize INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, POWDER, LYOPHospira, Inc. ENDOTRACHEAL; INTRACARDIAC; INTRAVEHospira, Inc. ORAL CAPSULE, EXTENDED RELEASE INTRAMUSCULAR; INTRAVENOUS; PARENTSandoz Inc. INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION, VIALAuroMedics Pharma LLC INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRA
1 6366 6367 6368 6369 6370 6371 6372 6373 6374 6375 6376 VIAL 6377 6378 6379 6380 6381 6382 6383 6384 6385 6386 6387 6388 6389 6390 6391 6392 6393 6394 6395 6396 6397 6398 6399 6400 VIAL 6401 VIAL 6402 6403 6404 6405 6406 6407 6408
