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Y Extended 5.65 $ 5.62 $ 5.59 $ 5.36 $ 5.36 $ 5.36 $ 5.33 $ 5.21 $ 5.19 $ 4.89 $ 4.88 $ 4.70 $ 4.67 $ 4.66 $ 4.60 $ 4.48 $ 4.47 $ 4.47 $ 4.28 $ 4.24 $ 4.22 $
Unit Cost 0.81 0.35 0.28 1.07 0.28 0.09 1.33 0.65 1.30 0.49 0.98 1.17 0.33 0.19 0.31 0.50 0.56 0.25 0.43 0.42 4.22 0.42 0.20 1.98 0.39 0.01 0.19 0.22 0.21 0.71 0.29 0.58 1.72 0.34 0.69 0.34 1.13 0.11 0.17 1.09 0.36 0.17 0.31
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 80.76 31.62 27.95 12.87 28.21 8.64 39.95 6.52 32.42 48.92 24.38 11.75 33.39 1.94 30.65 49.76 6.71 24.81 12.84 42.38 101.20 25.13 10.18 1.98 39.04 3.55 19.10 6.71 10.36 17.80 29.32 57.83 1.72 3.43 4.12 34.06 56.60 15.60 16.58 1.09 36.01 16.66 31.29
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300003981 7300000663 7300002382 7300009005 7300002008 7300002037 7300007855 7300006073 7300006896 7300003084 7300005782 MIS NADAC 7300009717 7300009148 7300001692 7300009416 7300007425 7300001851 7300019655 7300009606 6770000012 7300010032 7300010084 7300007002 7300009575 /UPDATED PRICE 7300009953 7300005280 7300001167 7300006438 7300003920 7300009668 7300009136 7300003255 7300010003 7300000938 7300001383 7300010729 7300003115
V
AHFS 24320800-ANGIOTENSIN II RECEPTOR ANTAGO 28080424-NONSTEROIDAL ANTI-INFLAMMATOR 12121200-ALPHA- AND BETA-ADRENERGIC AGO 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 72000000-LOCAL ANESTHETICS (PARENTERAL) 08120604-CEPHALOSPORINS, FIRST GENERATI 12120812-ALPHA- & BETA-ADRENERGIC AGONI 12080800-ANTIMUSCARINICS/ANTISPASMODICS 72000000-LOCAL ANESTHETICS (PARENTERAL) 12080800-ANTIMUSCARINICS/ANTISPASMODICS 24240000-BETA-ADRENERGIC BLOCKING AGEN 28129200-ANTICONVULSANTS, MISCELL
U 08121604-NATURAL PENICILLIN ANTIBIOTICS 24120800-NITRATES AND NITRITES 56080000-ANTIDIARRHEA AGENTS 40120000-REPLACEMENT PREPARATIONS 56080000-ANTIDIARRHEA AGENTS 08121800-QUINOLONE ANTIBIOTICS 28360800-ANTICHOLINERGIC AGENTS (CNS) 56040000-ANTACIDS AND ADSORBENTS 56222000-5-HT3 RECEPTOR ANTAGONISTS 56281200-HISTAMINE H2-ANTAGONISTS 56120000-CATHARTICS AND LAXATIVES 56220800-ANTIHISTAMINES (GI DRUGS) 04041200-PHENOTHIAZINE DERIVATIVES
68040000-ADRENALS 68040000-ADRENALS 84280000-KERATOLYTIC AGENTS 08140800-AZOLES 56320000-PROKINETIC AGENTS 28080800-OPIATE AGONISTS
DEA E. FOUGERA & CO., A division of Fougera P 84040400-ANTIBACTERIALS (SKIN & MUCOUS M
T CLASS IV V II
GENERIC 39055 14850 16696 27424 27174 22696 45118 68237 8370 25519 21815 19331 26879 18970 97839 10341 98806 65030 99227 47074 17621 63910 21020 39802 99002 16290 42121 9049 16905 16386 14773 17270 31810 15042 13943 34100
S CODE
MANUFACTURER Rising Pharmaceuticals, Inc. Merck Sharp & Dohme Corp Par Pharmaceutical Companies, Inc. West-Ward Pharmaceuticals West-Ward Pharmaceuticals Teva Pharmaceuticals USA, West-Ward Pharmaceuticals Hikma Pharmaceuticals USA Acella Pharmaceuticals, LLC G.D. Searle LLC Division of Dr. Reddy's Laboratories, Inc Teva Pharmaceuticals USA, West-Ward Pharmaceuticals Westminster Pharmaceutica Johnson & Johnson Consumer Inc. Taro Pharmaceuticals U.S.A Upsher-Smi
R Paddock Laboratories, LLC Nephron SC, Inc. Hospira, Inc. Hospira, Inc Arzol Chemical Company BluePoint Laboratories Inc. American Health Packaging Nomax Inc. Hospira, Inc. BluePoint Laboratories Inc. FOUGERA/SANDOZ American Health Packaging Major Pharmaceuticals, Inc BluePoint Laboratories Inc. AvKare, Inc. SpecGx LLC C.B. Fleet Company, Inc. Major Pharmaceuticals, Inc AvKare, Inc. Actavis Pharma, Inc. KVK-Tech, Inc. Major Pharmaceuticals, Inc Majo
ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED RECTAL SUPPOSITORY ORAL TABLET ORAL TABLET ORAL CAPSULE SUBCUTANEOUS INJECTION ORAL TABLET SUBLINGUAL TABLET TOPICAL STICK ORAL TABLET ORAL TABLET, FILM COATED ORAL TABLET, EFFERVESCENT ORAL TABLET ORAL CAPSULE ORAL TABLET, FILM COATED OINTMENT (G) ORAL TABLET ORAL SUSPENSION ORAL TABLET ORAL CAPSULE INTRAVENOUS INJECTION ORAL TABLET ORAL TABLET, FILM COATED RECTAL ENEMA TABLET ER RECTAL SUPPOSITORY O
Q DOSE FORM ORAL TABLET, EXTENDED RELEASE RESPIRATORY (INHALATION) SOLUTION INTRAMUSCULAR/INTRAVENOUS INJECTIO Hospira, Inc. INFILTRATION; PERINEURAL INJECTION, SO INTRAVENOUS INJECTION, POWDER, FOR S EPIDURAL; INFILTRATION; INTRACAUDAL; PAuroMedics Pharma LLC INTRAVENOUS INJECTION, SOLUTION ORAL TABLET, ORALLY DISINTEGRATING ORAL TABLET, EXTENDED RELEASE
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