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Y Extended 3.33 $ 3.32 $ 3.31 $ 3.25 $ 3.20 $ 3.19 $ 3.17 $ 3.17 $ 3.16 $ 3.13 $ 3.08 $ 3.05 $ 2.95 $ 2.93 $ 2.85 $ 2.76 $ 2.67 $ 2.59 $ 2.55 $ 2.51 $ 2.50 $
Unit Cost 0.42 0.33 0.41 0.41 0.13 0.16 0.29 0.53 0.39 0.24 0.19 0.22 0.17 0.21 0.95 0.31 0.22 0.15 0.21 0.36 0.36 1.21 0.24 0.79 0.14 0.14 0.38 0.25 0.19 0.22 0.18 0.17 0.24 0.70 0.25 0.68 0.40 0.33 0.95 0.19 0.09 0.19 0.23
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 41.59 33.24 20.71 12.20 12.78 15.93 28.86 15.87 39.49 12.04 19.27 21.75 8.66 12.54 38.00 30.65 22.27 3.80 21.29 8.95 17.84 30.33 12.09 787.84 13.68 2.85 37.90 15.10 18.75 11.00 16.48 8.38 23.74 0.70 25.48 67.67 11.97 6.57 0.95 18.96 9.44 18.83 23.32
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300003654 7300009907 7300003660 7300004820 7300003547 7300002695 7300003495 7300003475 7300009641 7300002381 7300009045 7300003349 7300010090 7300003004 7300010190 7300001692 7300007970 7300000525 7300010096 7300005637 7300001889 7300009140 7300011129 7300000619 7300010124 7300009009 7300008996 7300010321 7300007944 7300000755 7300010146 7300000721 7300008450 7300009135 7300002739 7300003506 7300000126 7300001701 7300004308 7
V
56320000-PROKINETIC AGENTS 86120400-ANTIMUSCARINICS 40280800-LOOP DIURETICS 24120800-NITRATES AND NITRITES 56283200-PROTECTANTS 96000000-PHARMACEUTICAL AIDS 24280800-DIHYDROPYRIDINES 88080000-VITAMIN B COMPLEX 68040000-ADRENALS 08121800-QUINOLONE ANTIBIOTICS 88160000-VITAMIN D
AHFS 24040412-ANTIARRHYTHMIC AGENTS, CLASS Ic 28160492-ANTIDEPRESSANTS, MISCELLANEOU 28129200-ANTICONVULSANTS, MISCELLANEOU 28129200-ANTICONVULSANTS, MISCELLANEOU 28160808-BUTYROPHENONES ANTIPSYCHOTIC 28129200-ANTICONVULSANTS, MISCELLANEOU 28129200-ANTICONVULSANTS, MISCELLANEOU 28129200-ANTICONVULSANTS, MISCELLANEOU 12080800-ANTIMUSCARINICS/ANTISPASMODICS 12160412-SELECTIVE ALPHA-1-ADRENERGIC B 12080800-ANTIMUSCARINICS/ANTISPASMODICS 08309200-ANTIPROTOZOALS, MISCELLANEO
U 40120000-REPLACEMENT PREPARATIONS 24060800-HMG-COA REDUCTASE INHIBITORS 40120000-REPLACEMENT PREPARATIONS 24060800-HMG-COA REDUCTASE INHIBITORS 56120000-CATHARTICS AND LAXATIVES 56120000-CATHARTICS AND LAXATIVES 56120000-CATHARTICS AND LAXATIVES 92440000-IMMUNOSUPPRESSIVE AGENTS 92440000-IMMUNOSUPPRESSIVE AGENTS
DEA
T CLASS
GENERIC 21021 19380 1581 12529 17290 17460 35021 48104 41586 8200 43721 36553 18970 48191 42235 2709 17322 11854 13724 16366 3253 68738 26535 94566 10342 66559 27177 415 89597 94481 28495 28491
S CODE
MANUFACTURER Teva Pharmaceuticals USA, Rising Pharmaceuticals, Inc. Teva Pharmaceuticals USA, Zydus Pharmaceuticals USA Pharmaceutical Associates, Inc. Acella Pharmaceuticals, LLC Teva Pharmaceuticals USA, Inc. West-Ward Pharmaceuticals Glenmark Pharmaceutials In Konsyl Pharmaceuticals, Inc.
R American Health Packaging AvKare, Inc. AbbVie Inc. ALTO LAB. Major Pharmaceuticals, Inc American Health Packaging Mylan Pharmaceuticals Inc. AvKare, Inc. American Health Packaging AvKare, Inc. American Health Packaging Mylan Pharmaceuticals Inc. American Health Packaging AvKare, Inc. Hospira, Inc. AvKare, Inc. Lupin Pharmaceuticals, Inc. American Health Packaging American Health Packaging American Health Packaging BluePoint Laboratories Inc. AvKare, Inc. A
Q DOSE FORM ORAL TABLET, ORALLY DISINTEGRATING ORAL TABLET, DELAYED RELEASE ORAL TABLET, EXTENDED RELEASE ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED RESPIRATORY (INHALATION) SOLUTION INTRAMUSCULAR; INTRAVENOUS; SUBCUTFresenius Kabi USA, LLC INFILTRATION; PERINEURAL INJECTION, SO ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, FILM COATED ORAL TABLET, EXTENDED RELEASE ORAL TABLET, FILM COATED ORAL CAPSULE, GELATIN COATE
ORAL TABLET ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL TABLET, CHEWABLE ORAL TABLET ORAL TABLET ORAL TABLET ORAL SOLUTION SUBLINGUAL TABLET ORAL CAPSULE ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL TABLET ORAL CAPSULE ORAL TABLET ORAL TABLET RECTAL ENEMA ORAL TABLET ORAL GRANULE ORAL LIQUID ORAL CAPSULE ORAL TABLET
1 7097 7098 7099 7100 7101 7102 7103 7104 7105 7106 7107 7108 7109 7110 7111 7112 7113 7114 7115 7116 7117 7118 7119 7120 7121 7122 7123 7124 7125 7126 7127 7128 7129 7130 7131 7132 7133 7134 7135 7136 7137 7138 7139
