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Y Extended 4.13 $ 4.03 $ 3.77 $ 3.72 $ 3.62 $ 3.36 $ 2.96 $ 2.92 $ 2.48 $ 2.36 $ 2.33 $ 2.33 $ 2.28 $ 2.26 $ 2.25 $ 2.24 $ 2.14 $ 1.42 $ 1.21 $ 1.07 $ 0.76 $
Unit Cost 0.41 0.40 3.77 0.41 0.90 0.42 0.42 0.19 2.48 0.15 0.26 0.19 2.28 0.11 1.12 0.22 0.19 0.71 0.40 0.36 0.15 0.06 0.02 0.03 0.06 0.05 0.04 0.02 169.84 1.47 33.97 9.17 5.62 4.17 3.62 8.20 8.09 4.77 7.38 4.07 2.57 3.89 5.73
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 4.13 10.07 37.72 4.13 22.60 12.60 10.56 1.94 2.48 3.69 25.94 1.94 54.65 11.32 11.25 6.71 1.94 17.80 10.07 8.95 3.80 5.89 2.08 16.02 5.88 4.91 3.90 1.72 169.84 146.57 33.97 229.28 56.24 41.73 90.48 81.98 97.14 47.74 73.75 40.67 64.22 97.30 137.63
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300000445 7300007361 7300006488 7300000445 7300008690 7300010227 7300006402 7300009148 7300001800 7300009506 7300011694 7300009148 7300007746 7300010042 7300001801 7300005280 7300009148 7300006438 7300007361 7300005637 7300000525 7300010095 7300002770 7300003347 7300009846 7300000595 7300010052 7300002803 7300011101 7300010110 7300005381 7300005234 7300005650 7300006550 7300008768 7300006052 6770009770 7300011133 7300001408 7
V
28080800-OPIATE AGONISTS 08121800-QUINOLONE ANTIBIOTICS 96000000-PHARMACEUTICAL AIDS 28080800-OPIATE AGONISTS 36180000-CARDIAC FUNCTION 24120800-NITRATES AND NITRITES 16000000-BLOOD DERIVATIVES 28100000-OPIATE ANTAGONISTS 24082000-DIRECT VASODILATORS 24120800-NITRATES AND NITRITES 68040000-ADRENALS
AHFS 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 72000000-LOCAL ANESTHETICS (PARENTERAL) 24240000-BETA-ADRENERGIC BLOCKING AGEN 12120812-ALPHA- & BETA-ADRENERGIC AGONI 72000000-LOCAL ANESTHETICS (PARENTERAL) 20121800-PLATELET-AGGREGATION INHIBITOR 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 72000000-LOCAL ANESTHETICS (PARENTERAL) 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 12080800-ANTIMUSCARINICS/ANTISPASMODICS 24240000-BETA-ADRENERGIC BLOCKING AGEN 28089200-ANALGESICS AND ANTIPY
U 56222000-5-HT3 RECEPTOR ANTAGONISTS 08121608-AMINOPENICILLIN ANTIBIOTICS 56222000-5-HT3 RECEPTOR ANTAGONISTS 04041200-PHENOTHIAZINE DERIVATIVES 20120416-ANTICOAGULANTS, HEPARINS 201204 - ANTICOAGULANTS, MISCELLANEOUS 56222000-5-HT3 RECEPTOR ANTAGONISTS 56281200-HISTAMINE H2-ANTAGONISTS 24081600-CENTRAL ALPHA-AGONISTS 20120416-ANTICOAGULANTS, HEPARINS 20120416-ANTICOAGULANTS, HEPARINS 20120416-ANTICOAGULANTS, HEPARINS
DEA
T CLASS IV II IV IV IV IV IV
GENERIC 33799 89521 14970 26424 25692 26879 18990 41681 12486 26879 52122 96010 33815 26879 99002 33799 2709 42235 14261 7221 14222 71417 99755 1772 25060 460 45132 35350 1225 18661 15509 45117 62773 12831 46952 28143 26597
S CODE
MANUFACTURER Heritage Pharmaceuticals Inc. Heritage Pharmaceuticals Inc. Becton Dickinson and Comp West-Ward Pharmaceuticals West-Ward Pharmaceuticals Johnson & Johnson Consumer Inc. Teva Pharmaceuticals USA, Teva Pharmaceuticals USA, Glenmark Pharmaceutials In Baxter Healthcare Company Athenex Pharmaceutical Div
R APP/FRESENIUS K Nephron SC Inc. American Health Packaging Hospira, Inc. Major Pharmaceuticals, Inc BluePoint Laboratories Inc. Mylan Pharmaceuticals Inc. Major Pharmaceuticals, Inc Actavis Pharma, Inc. BluePoint Laboratories Inc. Major Pharmaceuticals, Inc Astellas Pharma US, Inc. GRIFOLS USA, LLC Hospira, Inc. Hospira, Inc. Hospira, Inc. Sanofi-Aventis U.S. LLC Fresenius Kabi USA, LLC
Q DOSE FORM INTRAVENOUS INJECTION, SOLUTION INTRAMUSCULAR/INTRAVENOUS INJECTIO Fresenius Kabi USA, LLC INTRAMUSCULAR/INTRAVENOUS INJECTIO Roerig INTRAVENOUS INJECTION, SOLUTION INTRAMUSCULAR; INTRAVENOUS INJECTIOWest-Ward Pharmaceuticals EPIDURAL; INFILTRATION; INTRACAUDAL; PAuroMedics Pharma LLC INTRAVENOUS INJECTION RESPIRATORY (INHALATION) SOLUTION, UN EPIDURAL; INFILTRATION; INTRACAUDAL; PAuroMedics Pharma LLC INTRAVENOUS INJECTION, SOLUTION INTRAMUSCULAR; INTRAVENOUS IN
SYRINGE VIAL ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET SUBLINGUAL TABLET
1 4732 4733 4734 4735 4736 4737 4738 4739 4740 4741 4742 4743 4744 4745 4746 4747 4748 4749 4750 4751 4752 4753 4754 4755 4756 4757 4758 4759 4760 4761 4762 4763 4764 4765 4766 4767 4768 4769 4770 4771 4772 4773 4774
