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Y Extended 0.62 $ 0.61 $ 0.59 $ 0.59 $ 0.58 $ 0.56 $ 0.56 $ 0.55 $ 0.54 $ 0.54 $ 0.51 $ 0.51 $ 0.50 $ 0.49 $ 0.48 $ 0.47 $ 0.45 $ 0.45 $ 0.43 $ 0.43 $ 0.40 $
Unit Cost 0.05 0.09 0.05 0.05 0.07 0.56 0.03 0.05 0.09 0.05 0.04 0.06 0.08 0.05 0.16 0.03 0.06 0.06 0.07 0.04 0.02 0.04 0.03 0.04 0.02 0.05 0.03 0.03 0.02 0.01 0.03 0.03 0.02 0.01 0.02 0.01 2.78 3,509.87 5,232.27 423.24 3,624.38 178.92 1,598.40
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 4.74 8.68 5.36 4.91 7.24 28.24 0.92 4.99 8.93 5.36 3.90 5.62 8.29 5.48 15.93 0.66 32.40 5.67 7.20 3.87 2.25 4.03 3.29 2.36 2.48 5.33 3.37 16.02 2.11 0.33 2.85 2.79 2.29 0.87 1.91 0.28 66.68 3,509.87 5,232.27 423.24 3,624.38 4,472.88 1,598.40
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300010076 7300000916 7300000559 7300000595 7300000504 7300009557 7300003724 7300009976 7300009817 7300009645 7300010052 7300010011 7300000053 7300001608 7300002695 7300011854 7300005586 7300009938 7300009657 7300010041 7300003230 7300008446 7300009804 7300000194 7300003346 7300000951 7300003036 7300003347 7300004978 7300001403 7300002756 7300002728 7300001025 7300000401 7300001755 7300011519 MIS NADAC 7300009403 7300000218 73
V
28080800-OPIATE AGONISTS 40280800-LOOP DIURETICS 24280800-DIHYDROPYRIDINES 40282000-THIAZIDE DIURETICS 20040400-IRON PREPARATIONS 24280800-DIHYDROPYRIDINES 40282000-THIAZIDE DIURETICS 88120000-VITAMIN C 56100000-ANTIFLATULENTS 20040400-IRON PREPARATIONS 40200000-CALORIC AGENTS 20122000-THROMBOLYTIC AGENTS 92320000-COMPLEMENT INHIBITORS 68280000-PITUITARY 20281600-HEMOSTATICS
AHFS 28080492-OTHER NONSTEROIDAL ANTI-INFLAM 12040000-PARASYMPATHOMIMETIC (CHOLINER 24240000-BETA-ADRENERGIC BLOCKING AGEN 28129200-ANTICONVULSANTS, MISCELLANEOU 28080424-NONSTEROIDAL ANTI-INFLAMMATOR 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 08122000-SULFONAMIDE ANTIBIOTICS (SYSTEM 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 24240000-BETA-ADRENERGIC BLOCKING AGEN 12200400-CENTRALLY ACTING SKELETAL MUSC 28120800-BENZODIAZEPINES (ANTICONVULSAN 24320400-ANGIOTENSIN-CONVERTING E
U 40120000-REPLACEMENT PREPARATIONS 24060800-HMG-COA REDUCTASE INHIBITORS 40120000-REPLACEMENT PREPARATIONS 40404 - ETHANOLAMINE DERIVATIVES 24081600-CENTRAL ALPHA-AGONISTS 56120000-CATHARTICS AND LAXATIVES 56120000-CATHARTICS AND LAXATIVES
DEA
T CLASS IV IV IV IV IV IV IV
GENERIC 35741 4302 1551 7221 780 2372 16713 90163 34962 14222 2683 34820 17470 9101 14260 2682 17471 14261 34824 4695 161 30818 15446 47142 44608 37407 99696
S CODE
MANUFACTURER Teva Pharmaceuticals USA, Mylan Consumer Healthcare West-Ward Pharmaceuticals Teva Pharmaceuticals USA, Unichem Pharmaceuticals (U Teva Pharmaceuticals USA, MCKESSON PACKAGING S Teva Pharmaceuticals USA, AmerisourceBergen (Good Neighbor Pharma Janssen Pharmaceuticals, In Par Pharmaceutical Compan
R American Health Packaging American Health Packaging Major Pharmaceuticals, Inc Actavis Pharma, Inc. Rugby Laboratories Inc. American Health Packaging American Health Packaging American Health Packaging Major Pharmaceuticals, Inc BluePoint Laboratories Inc. ALTO LAB. Major Pharmaceuticals, Inc BluePoint Laboratories Inc. American Health Packaging American Health Packaging Major Pharmaceuticals, Inc RAINBOW LIGHT Actavis Pharma, Inc. American Health Packaging Act
Q DOSE FORM ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, POWDER, FOR S INFILTRATION; INTRAMUSCULAR INJECTIO SUBCUTANEOUS INJECTION, SOLUTION, SY
ORAL TABLET ORAL TABLET ORAL CAPSULE VIAL-NEB ORAL TABLET, CHEWABLE ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL CAPSULE ORAL CAPSULE ORAL TABLET ORAL TABLET Oral Tablet ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET TABLET DR ORAL TABLET ORAL TABLET, CHEWABLE ORAL TABLET ORAL TABLET, COATED ORAL TABLET KIT, VIAL + DILUENT INTRAVENOUS
1 3270 3271 3272 3273 3274 3275 3276 3277 3278 3279 3280 3281 3282 3283 3284 3285 3286 3287 3288 3289 3290 3291 3292 3293 3294 3295 3296 3297 3298 3299 3300 3301 3302 3303 3304 3305 3306 3307 3308 3309 3310 3311 KIT 3312
