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Y Extended 21.11 $ 21.04 $ 20.67 $ 20.02 $ 19.70 $ 19.67 $ 19.33 $ 18.75 $ 18.61 $ 18.54 $ 18.32 $ 18.13 $ 17.82 $ 17.65 $ 17.49 $ 16.87 $ 16.40 $ 16.29 $ 16.28 $ 16.27 $ 16.27 $ 16.10
Unit Cost 1.32 2.10 2.07 2.50 6.57 2.46 4.83 1.25 6.20 3.09 6.11 6.04 8.91 0.98 1.25 5.62 8.20 2.04 4.07 0.43 4.07 0.81 5.32 1.32 0.99 1.54 1.52 3.72 4.65 2.31 0.98 0.98 0.70 2.22 3.32 1.01 2.54 0.84 0.90 1.26 4.17 1.78 2.50
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 13.19 210.36 51.69 25.03 6.57 2.46 115.95 12.50 62.03 3.09 183.18 60.44 89.12 29.41 62.45 56.24 81.98 101.84 101.73 12.84 40.67 40.25 5.32 39.73 98.97 46.09 91.32 22.31 23.23 69.38 97.98 24.38 17.55 26.58 99.50 10.12 60.87 84.43 22.60 31.50 4.17 17.84 59.91
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300006378 7300003102 7300005152 7300008911 7300007551 7300000331 6770009805 7300005290 7300005613 7300003052 7300009627 7300018903 7300011079 7300019457 7300010708 7300005650 7300006052 7300000279 7300007697 7300019655 7300006236 7300009667 7300010027 7300011520 7300011131 7300001918 7300002536 7300006564 7300007752 7300010089 7300002048 7300005782 7300008748 6770000231 7300011944 7300001956 7300001703 7300001254 7300008690 7
V
AHFS 08120612-CEPHALOSPORINS, THIRD GENERAT 08120612-CEPHALOSPORINS, THIRD GENERAT 84040808-ANTIFUNGALS (SKIN, MUCOUS MEMB 28129200-ANTICONVULSANTS, MISCELLANEOU 24040408-ANTIARRHYTHMIC AGENTS, CLASS Ib 12202000-NEUROMUSCULAR BLOCKING AGENT 12121200-ALPHA- AND BETA-ADRENERGIC AGO 28129200-ANTICONVULSANTS, MISCELLANEOU 12080800-ANTIMUSCARINICS/ANTISPASMODICS 28049200-GENERAL ANESTHETICS, MISCELLAN 24240000-BETA-ADRENERGIC BLOCKING AGEN 84040400-ANTIBACTERIALS (SKIN & MUCOU
U 20120416-ANTICOAGULANTS, HEPARINS 08121616-EXTENDED-SPECTRUM PENICILLINS 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS 56920000-GI DRUGS, MISCELLANEOUS 08360000-URINARY ANTI-INFECTIVES 40120000-REPLACEMENT PREPARATIONS 24060400-BILE ACID SEQUESTRANTS 04040400-ETHANOLAMINE DERIVATIVES 40120000-REPLACEMENT PREPARATIONS 56120000-CATHARTICS AND LAXATIVES 08121800-QUINOLONE ANTIBIOTICS 04041200-PHENOTHIAZINE DERIVATIVES 08121800-QUINOLONE ANTIBIOTICS
68080000-ANDROGENS 28080800-OPIATE AGONISTS 81206 - CEPHALOSPORINS 28100000-OPIATE ANTAGONISTS 48240000-MUCOLYTIC AGENTS 28080800-OPIATE AGONISTS 08140800-AZOLE ANTIFUNGALS 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS
DEA
T CLASS II V II II IV II
GENERIC 39962 26062 25691 39963 6919 99097 34855 26893 18537 37201 97790 36349 23047 45132 18661 49001 2401 98806 12831 20632 47450 30819 20091 9920 69790 19201 26870 25793 25519 46013 33208 86211 89596 18530 14970 33823 30160 34853 47075
S CODE
MANUFACTURER Fougera Pharmaceuticals In Mylan Consumer Healthcare, Inc. Camber Pharmaceuticals, In Hikma Pharmaceuticals USA Dr. Reddy's Laboratories, Inc Athenex Pharmaceutical Div Teva Pharmaceuticals USA, Janssen Pharmaceuticals, In Bristol-Myers Squibb Pharma
R Lannett Company, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Apotex Corporation i-Health, Inc. Hospira, Inc. Hospira, Inc. AvKare, Inc. Nomax Inc. AvKare, Inc. SpecGx LLC Mylan Institutional Inc. Eon Labs, Inc. Renaissance SSA, LLC Mylan Pharmaceuticals Inc. American Health Packaging Hospira, Inc ICU Medical Inc. Sandoz Inc. Bayer HealthCare LLC. WG Critical Care, LLC Major Pharmaceuticals, Inc Paddock Laboratories, LLC Hospira, Inc. Hospira, I
Q DOSE FORM INTRAMUSCULAR/INTRAVENOUS INJECTIO Hospira, Inc INTRAVENOUS; SUBCUTANEOUS INJECTIO Pfizer Laboratories Div Pfize INTRAMUSCULAR/INTRAVENOUS INJECTIO Hospira, Inc INTRAVENOUS INJECTION, SOLUTION INTRAMUSCULAR/INTRAVENOUS; SUBCUTA INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION, CONBPI Labs, LLC INTRAMUSCULAR/INTRAVENOUS; SUBCUTA INTRAVENOUS INJECTION, SOLUTION, SING ORAL; RESPIRATORY (INHALATION) SOLUTAmerican Regent, Inc. ORAL TABLET, EFFERVES
ORAL CAPSULE TOPICAL CREAM, TUBE ORAL TABLET INTRAVENOUS INJECTION POWDER PACK ORAL CAPSULE ORAL CAPSULE ORAL TABLET TOPICAL OINTMENT ORAL TABLET, FILM COATED ORAL TABLET ORAL TABLET, FILM COATED INTRAVENOUS INJECTION TRANSDERMAL PATCH ORAL TABLET, FILM COATED ORAL TABLET ORAL TABLET TOPICAL POWDER
1 6925 6926 6927 6928 6929 VIAL 6930 6931 6932 6933 VIAL 6934 6935 6936 6937 6938 6939 6940 6941 6942 6943 6944 6945 6946 6947 6948 6949 6950 6951 6952 6953 6954 6955 6956 6957 6958 6959 6960 6961 6962 6963 6964 6965 6966 6967
