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Y Extended 5.99 $ 5.64 $ 5.51 $ 5.37 $ 5.34 $ 4.54 $ 4.36 $ 4.04 $ 3.09 $ 2.93 $ 2.76 $ 2.59 $ 2.58 $ 2.51 $ 2.43 $ 2.43 $ 2.37 $ 2.14 $ 2.10 $ 1.95 $ 1.95 $
Unit Cost 1.00 0.40 2.76 0.41 1.78 1.51 4.36 0.24 0.77 0.98 0.21 1.30 1.29 1.25 1.21 1.21 2.37 0.71 0.42 0.98 0.98 0.98 0.65 1.21 0.11 0.06 0.04 0.02 0.03 0.06 731.56 265.13 116.78 129.58 56.91 64.15 33.86 50.63 72.93 54.73 30.91 28.10 17.54
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 9.99 10.07 27.56 4.13 17.80 96.90 61.06 9.52 7.71 24.38 21.20 32.42 30.96 30.07 30.33 30.33 28.44 17.80 12.63 24.38 24.38 24.38 6.52 30.33 11.32 1.38 3.87 2.08 0.92 6.36 731.56 265.13 1,167.76 129.58 569.08 64.15 338.57 506.32 729.31 54.73 309.10 281.04 438.61
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300005298 7300007361 7300008761 7300000445 7300001155 MIS NADAC MIS NADAC 7300010088 7300006334 7300005782 7300010125 7300006896 MIS NADAC 7300009140 7300009140 7300006438 7300011065 7300005782 7300005782 7300005782 7300006073 7300009140 7300010042 7300001118 7300010041 7300002770 7300003724 7300009742 7300003486 7300005307 7300005184 7300009198 7300002448 7300005109 7300011808 7300005687 7300008878 7300005010 7300000079 7300
V /UPDATED PRICE /UPDATED PRICE /
28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 40200000-CALORIC AGENTS 96000000-PHARMACEUTICAL AIDS 92120000-ANTIDOTES 68160400-ESTROGENS 20122000-THROMBOLYTIC AGENTS 80120000-VACCINES 80080000-TOXOIDS 68040000-ADRENALS 80080000-TOXOIDS 68040000-ADRENALS
AHFS 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 28049200-GENERAL ANESTHETICS, MISCELLAN 24240000-BETA-ADRENERGIC BLOCKING AGEN 08120604-CEPHALOSPORINS, FIRST GENERATI 72000000-LOCAL ANESTHETICS (PARENTERAL) 72000000-LOCAL ANESTHETICS (PARENTERAL) 72000000-LOCAL ANESTHETICS (PARENTERAL) 20121800-PLATELET-AGGREGATION INHIBITOR 08120604-CEPHALOSPORINS, FIRST GENERATI 08120604-CEPHALOSPORINS, FIRST GENERATI 08120604-CEPHALOSPORINS, FIRST GENERATI 28240800-BENZODIAZEPINES (ANXIO
U 56222000-5-HT3 RECEPTOR ANTAGONISTS 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 52160000-LOCAL ANESTHETICS (EENT) 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 56281200-HISTAMINE H2-ANTAGONISTS 08121604-NATURAL PENICILLIN ANTIBIOTICS 68221200-GLYCOGENOLYTIC AGENTS 08121604-NATURAL PENICILLIN ANTIBIOTICS
DEA
T CLASS II IV III II II IV
GENERIC 32806 33799 12852 33309 2962 2961 11941 12241 25519 70491 68237 99573 2962 11854 11854 2962 99002 17157 25519 25519 25519 45118 11854 96010 16713 17734 10890 82782 13922 98819 25473 24618 50463 18439 27452 25520 20835 27354
S CODE
MANUFACTURER Heritage Pharmaceuticals Inc. Baxter Healthcare Corporatio Hi-Tech Pharmacal Co., Inc. Athenex Pharmaceutical Div Rhodes Pharmaceuticals L.P West-Ward Pharmaceuticals Johnson & Johnson Consumer Inc. X-GEN Pharmaceuticals, Inc. GlaxoSmithKline Biologicals
R B. Braun Medical Inc. Hospira, Inc Hospira, Inc. B. Braun Medical Inc. B. Braun Medical Inc. Hospira, Inc. Hospira, Inc. B. Braun Medical Inc. Eli Lilly and Company Hospira, Inc Hospira, Inc Hospira, Inc Hospira, Inc. Major Pharmaceuticals, Inc Bayer Health Care LLC. American Health Packaging Rugby Laboratories Inc. Major Pharmaceuticals, Inc Eli Lilly and Company Akorn Inc. E.R. Squibb & Sons, L.L.C. GE Healthcare Inc. GRIFOLS USA, LLC
ORAL; TOPICAL SOLUTION ORAL TABLET INTRAVENOUS SOLUTION INTRAVENOUS INJECTION ORAL TABLET, FILM COATED ORAL TABLET ORAL TABLET Oral Tablet ORAL TABLET ORAL TABLET, CHEWABLE ORAL TABLET INTRAMUSCULAR SUSPENSION INTRAVENOUS INJECTION INTRAVENOUS INJECTION INTRAMUSCULAR INJECTION
Q DOSE FORM INTRAMUSCULAR/INTRAVENOUS INJECTIO Hospira, Inc. INTRAMUSCULAR/INTRAVENOUS INJECTIO Fresenius Kabi USA, LLC INTRAMUSCULAR; INTRAVENOUS INJECTIOWest-Ward Pharmaceuticals INTRAVENOUS INJECTION, SOLUTION INTRAMUSCULAR/INTRAVENOUS INJECTIO Hospira, Inc. INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, POWDER, FOR S INFILTRATION; PERINEURAL INJECTION, SO INTRAVENOUS INJECTION, SOLUTION INFILTRATION;
1 2926 2927 2928 2929 2930 2931 2932 2933 2934 2935 2936 2937 2938 2939 2940 2941 2942 2943 2944 2945 2946 2947 2948 2949 2950 2951 2952 2953 2954 2955 VIAL 2956 2957 2958 2959 2960 KIT 2961 2962 2963 2964 2965 2966 2967 2968
