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Y Extended 1.13 $ 1.12 $ 1.12 $ 1.10 $ 1.10 $ 1.09 $ 1.09 $ 1.09 $ 1.06 $ 1.05 $ 1.04 $ 1.04 $ 1.02 $ 1.01 $ 0.99 $ 0.97 $ 0.96 $ 0.96 $ 0.96 $ 0.95 $ 0.95 $
Unit Cost 0.09 0.06 0.10 0.08 0.10 0.06 0.04 0.18 0.12 0.10 0.07 0.21 0.10 0.07 0.10 0.07 0.09 0.05 0.16 0.09 0.09 0.06 0.02 0.13 0.05 0.07 0.12 0.10 0.06 0.13 0.15 0.19 0.07 0.05 0.10 0.36 0.09 0.10 0.11 0.03 0.03 0.06 0.15
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 9.44 5.88 14.60 7.88 9.99 1.38 4.03 18.15 11.77 1.15 6.53 10.37 10.15 7.20 2.98 3.48 8.75 5.33 15.93 8.64 8.64 5.89 2.08 12.78 4.91 7.12 5.95 3.12 6.27 6.63 15.41 18.96 3.70 4.88 10.43 8.95 8.89 9.96 11.32 3.37 0.92 5.62 7.64
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300000370 7300009846 7300000430 7300004970 7300002751 7300001118 7300008446 7300011898 7300002737 7300000734 7300009954 7300003337 7300009681 7300009657 7300000926 7300010145 7300009776 7300000951 7300002695 7300002037 7300002037 7300010095 7300002770 7300003547 7300000595 7300001125 7300009592 7300010264 7300000992 7300009617 7300003677 7300002354 7300010062 7300010163 7300009542 7300005637 7300004973 7300001792 7300010042 7
V
24081600-CENTRAL ALPHA-AGONISTS
88080000-VITAMIN B COMPLEX 96000000-PHARMACEUTICAL AIDS 88160000-VITAMIN D 68040000-ADRENALS 24082000-DIRECT VASODILATORS 24280800-DIHYDROPYRIDINES 68040000-ADRENALS 68040000-ADRENALS 28080800-OPIATE AGONISTS 88080000-VITAMIN B COMPLEX 88080000-VITAMIN B COMPLEX 88160000-VITAMIN D 24120800-NITRATES AND NITRITES 96000000-PHARMACEUTICAL AIDS 24280800-DIHYDROPYRIDINES 88080000-VITAMIN B COMPLEX
AHFS 24320400-ANGIOTENSIN-CONVERTING ENZYME 84040400-ANTIBACTERIALS (SKIN & MUCOUS M 24320400-ANGIOTENSIN-CONVERTING ENZYME 04080000-SECOND GENERATION ANTIHISTAMIN 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 28249200-ANXIOLYTICS, SEDATIVES & HYPNOT 12200400-CENTRALLY ACTING SKELETAL MUSC 28160492-ANTIDEPRESSANTS, MISCELLANEOU 24240000-BETA-ADRENERGIC BLOCKING AGEN 28089200-ANALGESICS AND ANTIPYRETICS, MI 28129200-ANTICONVULSANTS, MISCELLANEOU 24240000-BETA-ADRENERGIC BLOCK
U 28360800-ANTICHOLINERGIC AGENTS (CNS) 40281600-POTASSIUM-SPARING DIURETICS 24060800-HMG-COA REDUCTASE INHIBITORS 40120000-REPLACEMENT PREPARATIONS 56040000-ANTACIDS AND ADSORBENTS
DEA 240824
T CLASS IV IV IV IV
GENERIC 97206 17561 65061 27176 28274 13941 1241 2682 27174 27174 17290 7221 1554 12431 94481 870 1931 2709 16512 47110 96010 17471 16713 2683 94783
S CODE
MANUFACTURER West-Ward Pharmaceuticals Johnson & Johnson Consum Amneal Pharmaceuticals LLC Teva Pharmaceuticals USA, Inc. West-Ward Pharmaceuticals West-Ward Pharmaceuticals Johnson & Johnson Consumer Inc. Teva Pharmaceuticals USA, Gendose Pharmaceuticals, LLC Teva Pharmaceuticals USA, Teva Pharmaceuticals USA,
R Major Pharmaceuticals, Inc BluePoint Laboratories Inc. Major Pharmaceuticals, Inc Novitium Pharma LLC Safecor Health, LLC Bayer Health Care LLC. Major Pharmaceuticals, Inc Major Pharmaceuticals, Inc AvKare, Inc. KVK-Tech, Inc. American Health Packaging AvKare, Inc. Major Pharmaceuticals, Inc American Health Packaging ALTO LAB. Major Pharmaceuticals, Inc AbbVie Inc. AvKare, Inc. VALEANT/BAUSCH Major Pharmaceuticals, Inc AvKare, Inc. Actavis Pharma, Inc. Ameri
Q DOSE FORM TOPICAL OINTMENT, PACKET ORAL CAPSULE, LIQUID FILLED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, DELAYED RELEASE ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED INTRAMUSCULAR; INTRAVENOUS; SUBCUTFresenius Kabi USA, LLC ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED
ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL TABLET ORAL CAPSULE ORAL TABLET ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL TABLET ORAL CAPSULE ORAL CAPSULE ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET, CHEWABLE ORAL TABLET ORAL TABLET
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