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Y Extended 41.16 $ 40.92 $ 40.18 $ 39.40 $ 39.29 $ 38.46 $ 38.28 $ 37.85 $ 37.73 $ 37.28 $ 36.79 $ 36.67 $ 36.34 $ 35.95 $ 35.84 $ 35.09 $ 34.49 $ 34.39 $ 34.06 $ 33.89 $ 32.77 $ 32.69
Unit Cost 5.88 8.18 4.02 19.70 13.10 12.82 6.38 3.78 5.39 6.21 5.26 3.06 1.51 5.99 17.92 2.06 4.31 3.44 6.81 1.78 4.68 8.17 2.02 1.29 15.89 15.89 3.89 6.20 7.74 4.41 1.61 1.32 7.38 29.16 4.83 4.09 4.77 1.68 9.51 4.07 7.03 2.53 9.21
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 5.88 409.16 120.55 236.38 13.10 12.82 127.59 90.83 26.95 6.21 315.38 30.56 96.90 59.91 215.03 51.61 43.11 85.98 6.81 17.84 140.45 196.13 60.66 103.17 158.92 158.92 38.89 62.03 77.44 110.18 16.11 13.19 73.75 29.16 115.95 122.85 47.74 16.79 28.53 40.67 7.03 63.31 92.14
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300000904 7300004315 7300011272 6770000260 7300005589 7300008681 7300010910 7300006118 7300000353 7300002817 7300011912 7300002914 MIS NADAC 7300001429 6770005541 7300008924 7300005552 7300009151 7300010440 7300006633 7300010287 7300011774 7300010233 MIS NADAC 7300002578 7300002578 7300006675 7300005613 7300000702 7300006137 7300001622 7300006378 7300001408 UPDATED PRICE 6770009805 7300011005 7300011133 7300010869 7300005961
V
92160000-ANTIGOUT AGENTS 52040400-ANTIBACTERIALS (EENT) 68040000-ADRENALS 28080800-OPIATE AGONISTS 56283600-PROTON-PUMP INHIBITORS 40281200-OSMOTIC DIURETICS 24040800-CARDIOTONIC AGENTS 28080800-OPIATE AGONISTS 40200000-CALORIC AGENTS 68290400-SOMATOSTATIN AGONISTS 88080000-VITAMIN B COMPLEX 28080800-OPIATE AGONISTS 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS
AHFS 08120708-CARBAPENEMS, MISCELLANEOUS B- 12120808-SELECTIVE BETA-1-ADRENERGIC AG 20120414-ANTICOAGULANTS, DIRECT FACTOR 12080800-ANTIMUSCARINICS/ANTISPASMODICS 72000000-LOCAL ANESTHETICS (PARENTERAL) 24289200-CALCIUM-CHANNEL BLOCKING AGEN 48100808-CORTICOSTEROIDS (RESPIRATORY T 12121200-ALPHA- AND BETA-ADRENERGIC AGO 84080000-ANTIPRURITICS AND LOCAL ANESTH 28049200-GENERAL ANESTHETICS, MISCELLAN 28049200-GENERAL ANESTHETICS, MISCELLAN 24040408-ANTIARRHYTHMIC AGENTS,
U 12120400-ALPHA-ADRENERGIC AGONISTS 40120000-REPLACEMENT PREPARATIONS 28322800-SELECTIVE SEROTONIN AGONISTS 08122820-ANTIBACTERIALS, LINCOMYCINS 40120000-REPLACEMENT PREPARATIONS 20120416-ANTICOAGULANTS, HEPARINS 20120416-ANTICOAGULANTS, HEPARINS 08120200-AMINOGLYCOSIDE ANTIBIOTICS 40120000-REPLACEMENT PREPARATIONS
DEA
T CLASS II II II
GENERIC 33540 35674 977 20310 28302 37159 41321 33935 13025 2962 62772 34532 32847 101 26151 2641 34853 17958 50272 6641 14021 14021 24221 26893 95021 35236 39962 62773 99097 98776 45117 33308 12831 41185 3751
S CODE
MANUFACTURER Par Pharmaceutical Companies, Inc. Baxter Healthcare Corporatio Wyeth Pharmaceuticals LLC Athenex Pharmaceutical Div
R Paddock Laboratories, LLC American Health Packaging Hospira, Inc. Fresenius Kabi USA, LLC Sagent Pharmaceuticals Akorn, Inc. E.R. Squibb & Sons, L.L.C. B. Braun Medical Inc. Sanofi-Aventis U.S. LLC Hospira, Inc. Hospira, Inc. Akorn, Inc. Hospira, Inc. QUVA PHARMA INC Actavis Pharma, Inc. ICU Medical Inc. Sagent Pharmaceuticals Sagent Pharmaceuticals Hospira, Inc. Sanofi-Aventis U.S. LLC Hospira, Inc. Mylan Specialty L.P. Hospira, Inc. VALEANT/BAUSCH
Q DOSE FORM OPHTHALMIC OINTMENT ORAL TABLET, FILM COATED INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION INTRAMUSCULAR/INTRAVENOUS INJECTIO Pharmacia and Upjohn Com ORAL TABLET, FILM COATED, EXTENDED RPurdue Pharmaceutical Prod INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION ORAL TABLET, FILM COATED INTRAVENOUS INJECTION, POWDER, FOR S INTRAVENOUS INJECTION, SOLUTION SUBCUTANEOUS INJECTION INTRAVENOUS INJECTION, SOLUTION INTRAMUSCULAR/INTRAVENOUS INJECTIO Exela
VIAL VIAL PLASTIC BAG TOPICAL PATCH GEL (GRAM) LIQUID
1 3399 3400 3401 3402 3403 3404 3405 3406 3407 3408 3409 3410 3411 3412 3413 3414 3415 3416 3417 3418 3419 3420 3421 3422 3423 3424 3425 3426 3427 3428 3429 3430 3431 3432 3433 3434 3435 3436 3437 3438 3439 3440 3441
