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Y Extended 1,092.68 $ 842.84 $ 781.79 $ 645.43 $ 641.54 $ 610.19 $ 577.26 $ 518.31 $ 479.64 $ 473.77 $ 403.06 $ 398.58 $ 372.42 $ 328.93 $ 309.15 $ 301.69 $ 299.88 $ 298.11 $ 276.81 $ 273.64 $ 257.89 $ 254.88 $ 242.45
Unit Cost 64.28 210.71 781.79 92.20 64.15 305.10 41.23 129.58 22.84 236.88 1.47 28.47 33.86 21.93 28.10 50.28 49.98 15.69 55.36 54.73 128.95 25.49 80.82 32.53 18.36 1.47 60.68 36.22 35.94 17.54 19.42 85.67 21.34 23.23 10.92 49.42 35.77 181.10 4.68 12.82 25.45 60.56 29.16
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 64.28 210.71 781.79 92.20 64.15 3,050.96 206.17 129.58 228.40 2,368.83 146.57 284.70 338.57 548.22 281.04 201.12 49.98 15.69 553.61 54.73 1,289.46 254.88 80.82 780.72 459.05 146.57 60.68 181.09 898.49 438.61 194.20 85.67 213.42 232.30 273.01 494.22 357.66 181.10 140.45 12.82 254.48 60.56 29.16
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300005203 7300006801 7300010249 7300005109 7300006445 7300005341 7300009198 7300019123 7300004672 7300010110 7300010372 7300011808 7300008688 7300000079 7300010412 7300011537 UPDATED PRICE 7300008856 7300005010 7300005805 7300005421 7300011512 7300011306 7300005721 7300010110 7300001575 7300005146 7300008684 7300008680 7300005064 7300002957 7300008950 7300009195 7300018868 7300006430 7300012068 7300011120 7300010287 7300008681
V /UPDATED PRICE
AHFS 12121200-ALPHA- AND BETA-ADRENERGIC AGO 12080800-ANTIMUSCARINICS/ANTISPASMODICS 24240000-BETA-ADRENERGIC BLOCKING AGEN 28160824-PHENOTHIAZINES ANTIPSYCHOTIC A 24040404-ANTIARRHYTHMIC AGENTS, CLASS Ia 20120412-ANTICOAGULANTS, DIRECT THROMB 12040000-PARASYMPATHOMIMETIC (CHOLINER 28089200-ANALGESICS AND ANTIPYRETICS, MI 28240400-BARBITURATES (ANXIOLYTIC, SEDAT 20121800-PLATELET-AGGREGATION INHIBITOR 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 52400400-ALPHA-ADRENERGIC A
U 40120000-REPLACEMENT PREPARATIONS 52040400-ANTIBACTERIALS (EENT) 68221200-GLYCOGENOLYTIC AGENTS 20122000-THROMBOLYTIC AGENTS 08122816-ANTIBACTERIALS, GLYCOPEPTIDES 24120800-NITRATES AND NITRITES 08360000-URINARY ANTI-INFECTIVES 24120800-NITRATES AND NITRITES 28360800-ANTICHOLINERGIC AGENTS (CNS) 08122400-TETRACYCLINE ANTIBIOTICS 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS 68200816-INSULINS, LONG-ACTING
92120000-ANTIDOTES 76000000-OXYTOCICS 28100000-OPIATE ANTAGONISTS 80080000-TOXOIDS 80080000-TOXOIDS 92120000-ANTIDOTES 68040000-ADRENALS 68360400-THYROID AGENTS 88240000-VITAMIN K ACTIVITY 68040000-ADRENALS 68040000-ADRENALS 28121200-HYDANTOINS 16000000-BLOOD DERIVATIVES
DEA
T CLASS IV IV
GENERIC 19422 20188 25473 11420 19290 13922 45031 14799 1772 24618 14331 20835 4391 55389 1101 27452 39735 18500 30926 29311 12894 1772 49152 17610 94725 27354 45092 13752 40340 17037 26184 41912 30043 13072 17958 28302 99385 25060
S CODE
MANUFACTURER Baxter Healthcare Corporatio Glenmark Pharmaceutials In Dr. Reddy's Laboratories, Inc. GlaxoSmithKline Biologicals Hikma Pharmaceuticals USA Glenmark Pharmaceutials In
R APP/FRESENIUS K Alcon Laboratories, Inc. Eli Lilly and Company Akorn, Inc. GRIFOLS USA, LLC Allergan, Inc. E.R. Squibb & Sons, L.L.C. AuroMedics Pharma LLC Allergan, Inc. Sanofi-Aventis U.S. LLC GRIFOLS USA, LLC
Q DOSE FORM INTRAMUSCULAR; INTRAVENOUS; SUBCUTPar Pharmaceutical Compan INTRAVENOUS INJECTION, POWDER, LYOPMeridian Medical Technologies, Inc. AURICULAR (OTIC) SUSPENSION/ DROPS INTRAMUSCULAR INJECTION, SOLUTION, VPharmacia and Upjohn Com INTRAMUSCULAR INJECTION INTRAVENOUS INJECTION, POWDER, LYOPGenentech Inc. INTRAVENOUS INJECTION, POWDER, LYOPMylan Institutional Inc. INTRAVENOUS INJECTION INTRAMUSCULAR/INTRAVENOUS; SUBCUTA INTRAMUSCULAR SUSPENSION INTRAMUSCULAR INJECTION
VIAL KIT SUBLINGUAL TABLET ORAL POWDER SUBLINGUAL TABLET
1 9333 9334 9335 9336 9337 9338 9339 9340 9341 9342 9343 9344 9345 9346 9347 9348 9349 9350 9351 9352 9353 9354 9355 9356 9357 9358 9359 9360 9361 9362 9363 9364 9365 9366 9367 9368 9369 9370 9371 9372 9373 9374 9375
