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Y Extended 260.24 $ 213.51 $ 192.46 $ 167.49 $ 148.27 $ 127.91 $ 120.61 $ 116.35 $ 109.93 $ 109.83 $ 109.21 $ 107.30 $ 106.71 $ 85.20 $ 81.35 $ 78.60 $ 77.23 $ 74.08 $ 73.59 $ 71.00 $ 68.46 $ 67.58 $
Unit Cost 32.53 9.70 64.15 15.23 49.42 3.76 112.40 14.54 1.47 15.69 10.92 35.77 21.34 10.65 16.27 6.05 4.83 2.96 5.26 7.10 181.10 4.83 6.67 7.38 3.07 10.72 3.14 1.47 6.42 5.73 9.55 3.77 5.62 27.87 13.35 5.33 26.62 5.88 10.45 8.63 5.15 12.82 5.05
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 780.72 873.45 64.15 167.49 494.22 37.62 112.40 145.44 146.57 15.69 273.01 357.66 213.42 10.65 178.98 302.30 48.27 29.63 315.38 213.00 181.10 48.27 200.03 73.75 30.70 32.15 62.70 123.77 64.21 172.01 114.55 37.72 168.68 334.41 400.61 159.97 26.62 5.88 104.52 258.89 308.96 12.82 302.72
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300011306 7300011635 7300005109 7300019547 7300006430 7300008693 7300011465 7300001404 7300010110 UPDATED PRICE 7300018868 7300012068 7300008950 UPDATED PRICE 7300019546 7300010596 7300005469 7300010434 7300011912 7300009563 7300011120 7300005469 7300009613 7300001408 7300000988 7300010023 7300010118 MIS NADAC 7300011039 7300001848 7300018793 7300006488 7300010858 7300011815 7300010901 7300010789 7300010926 7300000904 73000086
V
AHFS 28089200-ANALGESICS AND ANTIPYRETICS, MI 08120716-MONOBACTAMS, MISCELLANEOUS B 12121200-ALPHA- AND BETA-ADRENERGIC AGO 24040420-ANTIARRHYTHMIC AGENTS, CLASS II 12209200-SKELETAL MUSCLE RELAXANTS, MIS 20120414-ANTICOAGULANTS, DIRECT FACTOR 24060500-CHOLESTEROL ABSORPTION INHIBIT 12209200-SKELETAL MUSCLE RELAXANTS, MIS 12040000-PARASYMPATHOMIMETIC (CHOLINER 24040420-ANTIARRHYTHMIC AGENTS, CLASS II 56360000-ANTI-INFLAMMATORY AGENTS (GI DR 08120708-CARBAPENEMS, MISCE
U 40181900-PHOSPHATE-REMOVING AGENTS 68221200-GLYCOGENOLYTIC AGENTS 40181800-POTASSIUM-REMOVING AGENTS 68200804-INSULINS, RAPID-ACTING 20120416-ANTICOAGULANTS, HEPARINS 24120800-NITRATES AND NITRITES 08122400-TETRACYCLINE ANTIBIOTICS 40181800-POTASSIUM-REMOVING AGENTS 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS 08122816-ANTIBACTERIALS, GLYCOPEPTIDES 68200816-INSULINS, LONG-ACTING 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS 20120416-ANTICOAGULANTS, HEPARINS 20120416-ANTICOAGULA
68040000-ADRENALS 28080800-OPIATE AGONISTS 86120400-ANTIMUSCARINICS 94000000-DEVICES 56283200-PROTECTANTS 68040000-ADRENALS 201204 - Anticoagulants
DEA
T CLASS II
GENERIC 29311 27483 25473 44775 41912 5679 62771 1772 26184 30043 40340 44774 20173 25545 33935 18387 13072 18538 62773 70022 48790 37158 2962 33205 12264 29417 89521 98640 30039 99418 97842 23685 30314 29385 28302
S CODE
MANUFACTURER Dr. Reddy's Laboratories, Inc AstraZeneca Pharmaceutica Glenmark Pharmaceutials In AstraZeneca Pharmaceutica Pfizer Laboratories Div Pfize Wyeth Pharmaceuticals LLC GEBAUER COMPANY Par Pharmaceutical Companies, Inc. AstraZeneca Pharmaceutica Boehringer Ingelheim Pharmaceuticals Inc.
R Eli Lilly and Company Sanofi-Aventis U.S. LLC Major Pharmaceuticals, Inc E.R. Squibb & Sons, L.L.C. Major Pharmaceuticals, Inc Sanofi-Aventis U.S. LLC Major Pharmaceuticals, Inc Sanofi-Aventis U.S. LLC Sanofi-Aventis U.S. LLC B. Braun Medical Inc. Major Pharmaceuticals, Inc Alcon Laboratories, Inc. Sandoz Inc. American Health Packaging Precision Dose Inc.
Q DOSE FORM INTRAVENOUS INJECTION, SOLUTION, VIALMallinckrodt Hospital Produc ORAL POWDER, FOR SUSPENSION ORAL POWDER, FOR SUSPENSION INTRAMUSCULAR/INTRAVENOUS INJECTIO E.R. Squibb & Sons, L.L.C. INTRAMUSCULAR/INTRAVENOUS INJECTIO Sagent Pharmaceuticals INTRAVENOUS; SUBCUTANEOUS INJECTIO Eli Lilly and Company SUBCUTANEOUS INJECTION INTRAMUSCULAR; INTRAVENOUS; SUBCUTPar Pharmaceutical Compan INTRAVENOUS INJECTION, SOLUTION, BAGBaxter Healthcare Corporatio INTRAVENOUS INJECTIO
KIT SUBLINGUAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET SPRAY VIAL ORAL SUSPENSION ORAL TABLET ORAL CAPSULE
1 4044 4045 4046 4047 4048 4049 4050 4051 4052 4053 4054 4055 4056 4057 4058 4059 4060 4061 4062 4063 4064 4065 4066 4067 4068 4069 4070 4071 4072 4073 4074 4075 4076 4077 4078 4079 4080 4081 4082 4083 4084 4085 4086
