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Y Extended 1.12 $ 1.09 $ 1.08 $ 1.08 $ 1.07 $ 1.07 $ 1.04 $ 1.04 $ 1.02 $ 1.02 $ 1.02 $ 1.00 $ 1.00 $ 0.98 $ 0.98 $ 0.96 $ 0.95 $ 0.93 $ 0.93 $ 0.92 $ 0.92 $

Unit Cost 0.16 0.14 0.08 0.15 0.09 0.06 0.09 0.10 0.01 0.02 0.20 0.12 0.10 0.20 0.07 0.16 0.09 0.15 0.13 0.13 0.11 0.15 0.10 0.13 0.05 0.12 0.09 0.07 0.07 0.07 0.10 0.09 0.10 0.07 0.03 0.13 0.04 0.05 0.15 0.05 0.06 0.05 0.08

X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Package Cost 15.93 13.68 8.29 15.38 44.62 6.28 8.69 10.38 1.61 2.08 10.18 11.25 9.96 19.64 6.53 7.99 8.64 7.74 13.22 13.18 11.49 15.22 14.60 12.94 4.99 11.25 8.74 7.21 7.20 3.48 3.12 8.89 9.99 7.24 0.92 13.09 3.90 4.54 7.64 4.71 6.27 5.33 8.13

W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

SOURCE 7300002695 7300010124 7300000053 7300009635 7300009965 7300001654 7300000799 7300010410 7300011894 7300002770 7300010084 7300009199 7300001792 7300007985 7300009954 7300000935 7300002037 7300000249 7300001688 7300010037 7300000473 7300009766 7300000430 7300006825 7300009976 7300009199 7300000294 7300003829 7300009657 7300010145 7300010264 7300004973 7300002751 7300000504 7300003724 7300002622 7300010052 7300002284 7300003553 7
V

AHFS 28160420-ANTIDEPRESSANTS SELECTIVE SERO 24240000-BETA-ADRENERGIC BLOCKING AGEN 28160424-ANTIDEPRESSANTS SEROTONIN MOD 24240000-BETA-ADRENERGIC BLOCKING AGEN 28129200-ANTICONVULSANTS, MISCELLANEOU 28089200-ANALGESICS AND ANTIPYRETICS, MI 24289200-CALCIUM-CHANNEL BLOCKING AGEN 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 84040400-ANTIBACTERIALS (SKIN & MUCOUS M 28362008-NONERGOT-DERIV.DOPAMINE RECEP 28240800-BENZODIAZEPINES (ANXIOLYTIC,SED 24289200-CALCIUM-CHANNEL BLOCKING
U 40120000-REPLACEMENT PREPARATIONS 24060800-HMG-COA REDUCTASE INHIBITORS 08121800-QUINOLONE ANTIBIOTICS 24060800-HMG-COA REDUCTASE INHIBITORS 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS 08121800-QUINOLONE ANTIBIOTICS 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS 56040000-ANTACIDS AND ADSORBENTS 24060800-HMG-COA REDUCTASE INHIBITORS 56120000-CATHARTICS AND LAXATIVES
68320000-PROGESTINS 56080000-ANTIDIARRHEA AGENTS 24280800-DIHYDROPYRIDINES 68040000-ADRENALS 88080000-VITAMIN B COMPLEX 92160000-ANTIGOUT AGENTS 88080000-VITAMIN B COMPLEX 88080000-VITAMIN B COMPLEX 88080000-VITAMIN B COMPLEX 24280800-DIHYDROPYRIDINES

DEA 281604 281604
T CLASS IV IV IV

GENERIC 16366 20630 16391 11261 26970 47074 47110 43720 27174 94563 92872 16136 7070 97206 34104 2360 16512 65061 780 16713 8731 14222 18020 94783 16342 1554 2682
S CODE

MANUFACTURER Zydus Pharmaceuticals USA The Procter & Gamble Manu Johnson & Johnson Consumer Inc. Dr. Reddy's Laboratories, Inc Mylan Consumer Healthcare, Inc. Amneal Pharmaceuticals LLC West-Ward Pharmaceuticals McKesson Corporation dba S Alembic Pharmaceuticals Inc Mylan Consumer Healthcare, Inc. Teva Pharmaceuticals USA, Rising Pharmaceuticals, Inc. Teva Pharmaceuticals USA,

R ALTO LAB. American Health Packaging Major Pharmaceuticals, Inc Major Pharmaceuticals, Inc BluePoint Laboratories Inc. Greenstone LLC BluePoint Laboratories Inc. Actavis Pharma, Inc. BluePoint Laboratories Inc. AvKare, Inc. AvKare, Inc. American Health Packaging Major Pharmaceuticals, Inc American Health Packaging Major Pharmaceuticals, Inc American Health Packaging American Health Packaging AvKare, Inc. VALEANT/BAUSCH Mylan Institutional Inc. Safecor Health,

Q DOSE FORM TOPICAL OINTMENT, PACKET

ORAL CAPSULE ORAL TABLET, FILM COATED ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET, FILM COATED ORAL TABLET ORAL CAPSULE ORAL SUSPENSION ORAL TABLET ORAL TABLET, FILM COATED ORAL TABLET ORAL TABLET, FILM COATED ORAL CAPSULE ORAL CAPSULE ORAL TABLET, FILM COATED ORAL TABLET ORAL TABLET ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET ORAL TABLET, FILM COATED ORAL TABLET ORAL TABLET ORAL TABLET, FILM COATED ORAL TA

1 6151 6152 6153 6154 6155 6156 6157 6158 6159 6160 6161 6162 6163 6164 6165 6166 6167 6168 6169 6170 6171 6172 6173 6174 6175 6176 6177 6178 6179 6180 6181 6182 6183 6184 6185 6186 6187 6188 6189 6190 6191 6192 6193