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Y Extended 9.35 $ 9.34 $ 9.19 $ 9.16 $ 8.95 $ 8.94 $ 8.86 $ 8.82 $ 8.58 $ 8.50 $ 8.09 $ 8.08 $ 8.05 $ 7.90 $ 7.82 $ 7.74 $ 7.61 $ 7.59 $ 7.53 $ 7.52 $ 7.50 $
Unit Cost 1.17 0.26 0.92 0.83 0.60 1.12 2.22 0.49 1.07 1.42 0.74 0.48 0.37 0.53 0.65 0.70 2.54 1.27 0.68 0.42 0.47 1.24 1.43 0.40 0.54 0.77 0.75 0.29 1.68 0.33 0.93 0.72 0.43 3.18 3.18 0.35 0.80 0.19 2.06 0.34 0.35 0.24 1.49
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 105.19 25.94 45.94 83.28 59.68 89.39 26.58 44.12 12.87 42.51 73.53 14.26 18.30 52.69 6.52 70.36 60.87 126.51 68.49 41.76 46.85 37.18 35.77 39.61 54.03 77.49 22.54 29.32 167.84 9.99 83.88 35.96 38.45 31.82 31.82 17.68 23.86 9.47 51.61 33.75 31.62 7.16 14.86
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300006925 7300011694 7300002191 7300002372 7300010177 7300009529 6770000231 7300010409 7300009005 7300000793 7300002370 7300010679 7300011695 7300000061 7300006073 7300005738 7300001703 7300009601 7300009896 7300008932 7300009843 7300004713 7300009142 7300008615 7300002838 7300001663 7300004438 7300003920 7300010311 7300002355 7300010777 7300007948 7300000942 7300007885 7300007885 7300011696 7300002827 7300007959 7300008924 7
V
68360400-THYROID AGENTS 28080800-OPIATE AGONISTS 68320000-PROGESTINS 24040800-CARDIOTONIC AGENTS 24040800-CARDIOTONIC AGENTS 28080800-OPIATE AGONISTS 08121800-QUINOLONE ANTIBIOTICS 68040000-ADRENALS 92160000-ANTIGOUT AGENTS 28080800-OPIATE AGONISTS 40100000-AMMONIA DETOXICANTS 08142800-POLYENE ANTIFUNGALS 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 68040000-ADRENALS 28080800-OPIATE AGONISTS
AHFS 28129200-ANTICONVULSANTS, MISCELLANEOU 28129200-ANTICONVULSANTS, MISCELLANEOU 28080424-NONSTEROIDAL ANTI-INFLAMMATOR 08183200-NUCLEOSIDE AND NUCLEOTIDE ANT 24240000-BETA-ADRENERGIC BLOCKING AGEN 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 24200000-ALPHA-ADRENERGIC BLOCKING AGE 24240000-BETA-ADRENERGIC BLOCKING AGEN 28129200-ANTICONVULSANTS, MISCELLANEOU 72000000-LOCAL ANESTHETICS (PARENTERAL) 24040420-ANTIARRHYTHMIC AGENTS, CLASS II 28160492-ANTIDEPRESSANTS, M
U 24060800-HMG-COA REDUCTASE INHIBITORS 40120000-REPLACEMENT PREPARATIONS 24060800-HMG-COA REDUCTASE INHIBITORS 92440000-IMMUNOSUPPRESSIVE AGENTS 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS
DEA
T CLASS II V II IV II II II II
GENERIC 26324 12486 133 48673 18754 23039 16696 132 12488 20642 45118 33431 89596 27056 20631 7071 16060 11857 10920 16384 42440 16290 20317 22697 20229 2332 28021 28021 70330 67661 32847 963 14850 13456 45122
S CODE
MANUFACTURER West-Ward Pharmaceticals Corp. Pharmaceutical Associates, Inc. Sun Pharmaceutical Industri West-Ward Pharmaceuticals West-Ward Pharmaceuticals Merck Sharp & Dohme Corp
R AbbVie Inc. American Health Packaging AvKare, Inc. Mylan Institutional Inc. American Health Packaging Major Pharmaceuticals, Inc ICU Medical Inc. Cipla USA Inc. Paddock Laboratories, LLC Major Pharmaceuticals, Inc Major Pharmaceuticals, Inc American Health Packaging AvKare, Inc. Mylan Pharmaceuticals Inc. Major Pharmaceuticals, Inc WG Critical Care, LLC American Health Packaging Amneal Pharmaceuticals of American Health Packaging Precision Dose Inc. Hospira,
Q DOSE FORM ORAL TABLET, EXTENDED RELEASE INTRAVENOUS INJECTION, SOLUTION ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED INTRAMUSCULAR/INTRAVENOUS INJECTIO Hospira, Inc. INTRAVENOUS INJECTION, SOLUTION INFILTRATION; PERINEURAL INJECTION, SO ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED, EXTENDED RAmerican Health Packaging RESPIRATORY (INHALATION) SOLUTION, UN ORAL TABLET, FILM COATED ORAL CAPSULE, EXTENDED RELEASE INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS I
ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL CAPSULE RECTAL SUPPOSITORY ORAL TABLET Oral Tablet ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL SOLUTION SOLUTION ORAL TABLET ORAL SUSPENSION ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET
1 6538 6539 6540 6541 6542 6543 6544 6545 6546 6547 6548 6549 6550 6551 6552 6553 6554 6555 6556 6557 6558 6559 6560 6561 6562 6563 6564 6565 6566 6567 6568 6569 6570 6571 6572 6573 6574 6575 6576 6577 6578 6579 6580
