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Y Extended 1.06 $ 0.95 $ 0.93 $ 0.93 $ 0.90 $ 0.89 $ 0.86 $ 0.82 $ 0.80 $ 0.79 $ 0.74 $ 0.72 $ 0.71 $ 0.67 $ 0.64 $ 0.59 $ 0.57 $ 0.51 $ 0.51 $ 0.48 $ 0.45 $
Unit Cost 0.15 0.19 0.23 0.08 0.05 0.06 0.17 0.10 0.05 0.10 0.05 0.07 0.09 0.10 0.05 0.06 0.06 0.03 0.10 0.02 0.05 0.05 0.04 0.04 0.05 0.03 0.02 0.04 0.03 0.03 0.01 0.01 2.78 280.62 101.77 102.10 163.27 33.86 96.28 38.48 30.91 17.54 10.27
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 3.80 19.10 23.32 7.72 4.74 6.34 8.56 10.29 4.99 2.98 4.91 7.21 8.93 1.15 5.33 5.89 1.38 16.02 10.13 1.71 4.54 4.99 3.90 3.71 4.90 2.70 2.08 3.87 0.92 0.66 0.87 0.33 66.68 280.62 3,053.20 1,021.04 1,632.68 338.57 96.28 2,308.84 309.10 438.61 102.67
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300000525 7300009953 7300010149 7300008074 7300010076 7300009715 7300004975 7300001460 7300009931 7300000926 7300000595 7300003829 7300009817 7300000734 7300000951 7300010095 7300001118 7300003347 7300009779 7300000448 7300002284 7300009976 7300010052 7300009732 7300002720 7300002851 7300002770 7300010041 7300003724 7300011854 7300000401 7300001403 MIS NADAC 7300010339 7300018671 7300006175 7300011583 7300011808 7300010862 73
V
/
56320000-PROKINETIC AGENTS 36580000-OCULAR DISORDERS 28080800-OPIATE AGONISTS 24280800-DIHYDROPYRIDINES 96000000-PHARMACEUTICAL AIDS 24082000-DIRECT VASODILATORS 40404 - ETHANOLAMINE DERIVATIVES 40200000-CALORIC AGENTS 80120000-VACCINES 36340000-GALLBLADDER FUNCTION 80080000-TOXOIDS 68040000-ADRENALS 68040000-ADRENALS
AHFS 12080800-ANTIMUSCARINICS/ANTISPASMODICS 28080492-OTHER NONSTEROIDAL ANTI-INFLAM 28080492-OTHER NONSTEROIDAL ANTI-INFLAM 28080492-OTHER NONSTEROIDAL ANTI-INFLAM 28080492-OTHER NONSTEROIDAL ANTI-INFLAM 28160492-ANTIDEPRESSANTS, MISCELLANEOU 08122000-SULFONAMIDE ANTIBIOTICS (SYSTEM 04080000-SECOND GENERATION ANTIHISTAMIN 24240000-BETA-ADRENERGIC BLOCKING AGEN 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 28089200-ANALGESICS AND ANTIPYRETICS, MI 12200400-CENTRALLY ACTING SKEL
U 92440000-IMMUNOSUPPRESSIVE AGENTS 04041200-PHENOTHIAZINE DERIVATIVES 56040000-ANTACIDS AND ADSORBENTS 04040400-ETHANOLAMINE DERIVATIVES 08121608-AMINOPENICILLIN ANTIBIOTICS 56120000-CATHARTICS AND LAXATIVES 08141600-ECHINOCANDIN ANTIFUNGALS 08122830-ANTIBACTERIALS, RIFAMYCINS
DEA
T CLASS IV IV IV IV
GENERIC 42235 21020 28491 35741 35744 35680 15043 35742 7221 90163 28274 2682 14261 1244 16892 18020 14222 45972 39660 13483 16713 161 33921 40092 9830 29213 24618 97472 28530 25520 27354 27350
S CODE
MANUFACTURER Teva Pharmaceuticals USA, Teva Pharmaceuticals USA, Inc. Teva Pharmaceuticals USA, Rising Pharmaceuticals, Inc. Johnson & Johnson Consum Strides Pharma Science Lim Teva Pharmaceuticals USA, Johnson & Johnson Consumer Inc. Biologicals GlaxoSmithKline Biologicals
R Mylan Pharmaceuticals Inc. Astellas Pharma US, Inc. Akorn, Inc. American Health Packaging American Health Packaging AvKare, Inc. Major Pharmaceuticals, Inc American Health Packaging American Health Packaging American Health Packaging Major Pharmaceuticals, Inc Bayer Health Care LLC. Actavis Pharma, Inc. Major Pharmaceuticals, Inc Solco Healthcare US, LLC American Health Packaging Major Pharmaceuticals, Inc Sandoz Inc. Rugby Laboratories Inc. American Health Pa
Q DOSE FORM RESPIRATORY (INHALATION) SOLUTION ORAL CAPSULE, GELATIN COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL CAPSULE, LIQUID FILLED ORAL TABLET, FILM COATED INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, POWDER, LYOPBracco Diagnostics Inc. INTRAVENOUS POWDER, FOR SOLUTION, V Allergan, Inc. INTRAMUSCULAR SUSPENSION INTRAVENOUS INJECTION, POWDER, LYOPAstellas Pharma US, Inc. INTRA-ARTICULAR; INTRALESIONAL; INTRAMylan Institutional Inc. INTRAMUS
ORAL TABLET OPHTHALMIC STRIP ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL TABLET ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL CAPSULE ORAL TABLET Oral Tablet ORAL TABLET, CHEWABLE ORAL CAPSULE ORAL TABLET, COATED TABLET DR ORAL TABLET ORAL TABLET INTRAVENOUS INJECTION
1 4001 4002 4003 4004 4005 4006 4007 4008 4009 4010 4011 4012 4013 4014 4015 4016 4017 4018 4019 4020 4021 4022 4023 4024 4025 4026 4027 4028 4029 4030 4031 4032 4033 KIT 4034 4035 4036 4037 4038 4039 4040 4041 4042 4043
