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Y Extended 13.78 $ 11.03 $ 11.03 $ 9.15 $ 5.96 $ 4.83 $ 2.58 $ 2.30 $ 2.22 $ 1.90 $ 1.29 $ 1,347.23 $ 625.59 $ 606.96 $ 578.85 $ 483.75 $ 445.95 $ 134.99 $ 108.70 $ 97.14 $ 86.25 $ 57.28 $
Unit Cost 1.25 11.03 11.03 9.15 5.96 4.83 1.29 2.30 2.22 1.90 1.29 64.15 5.96 16.86 11.35 10.75 49.55 5.62 6.04 16.19 7.19 3.18 4.81 16.86 11.35 10.75 5.96 49.55 8.67 2.57 5.62 6.04 16.19 7.19 2.05 4.81 3.18 10.69 2.96 2.46 3.90 4.02 1.81
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 30.07 154.42 154.42 219.59 71.54 115.96 30.96 27.54 26.67 22.80 30.96 64.15 119.16 421.50 283.75 322.50 49.55 140.61 60.39 194.28 179.68 31.82 4.81 421.50 283.75 322.50 119.16 49.55 86.66 64.22 140.61 60.39 194.28 179.68 20.49 4.81 31.82 106.95 29.59 24.59 97.62 40.17 18.11
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE MIS NADAC MIS NADAC MIS NADAC MIS NADAC 6770006039 MIS NADAC MIS NADAC MIS NADAC 7300005109 7300002564 7300007439 7300010623 7300012362 7300018849 7300005650 7300000693 6770009770 7300005137 7300007885 7300007439 7300010623 7300012362 7300002564 7300018849 7300011833 7300005818 7300005650 7300000693 6770009770 7300005137 7300008578 7300007885 7300009415 7300000577 7300006405 7300012201 7300006508 7300002577
V /UPDATED PRICE /UPDATED PRICE /UPDATED PRICE /UPDATED PRICE /UPDATED PRICE
20120400-ANTICOAGULANTS
AHFS 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 68221200-GLYCOGENOLYTIC AGENTS 28049200-GENERAL ANESTHETICS, MISCELLAN 28249200-ANXIOLYTICS, SEDATIVES & HYPNOT 12080800-ANTIMUSCARINICS/ANTISPASMODICS 12120812-ALPHA- & BETA-ADRENERGIC AGONI 52160
U 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS 28100000-OPIATE ANTAGONISTS 24120800-NITRATES AND NITRITES 52320000-VASOCONSTRICTORS 20281600-HEMOSTATICS 20120416-ANTICOAGULANTS, HEPARINS 28100000-OPIATE ANTAGONIST
DEA 120400 120400
T CLASS
GENERIC 2962 4290 4290 62660 2840 99573 2840 6931 6960 99573 38585 14021 42360 19121 22913 17150 50502 18678 28021 34062 42360 19121 14021 22913 30912 46952 17150 50502 18678 19768 34062 28021 18160 37201 26885 97837 19670 14021
S CODE
MANUFACTURER Baxter Healthcare Corporatio Baxter Healthcare Corporatio Nephron Pharmaceuticals Corporation Baxter Healthcare Company Nephron Pharmaceuticals Corporation Baxter Healthcare Company Baxter Healthcare Corporatio
R B. Braun Medical Inc. Fenwal, Inc. B. Braun Medical Inc. Hospira, Inc. B. Braun Medical Inc. B. Braun Medical Inc. B. Braun Medical Inc. B. Braun Medical Inc. B. Braun Medical Inc. Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Akorn, Inc. American Regent, Inc. Fresenius Kabi USA, LLC Perrigo New York Inc Fresenius Kabi USA, LLC AuroMedics Pharma LLC Akorn, Inc. American Regent, Inc. Hospira, Inc. Perrigo New York Inc Fresenius Kabi USA, LLC Hospira,
INTRAVENOUS SOLUTION INTRAVENOUS INJECTION INTRAVENOUS SOLUTION INTRAVENOUS SOLUTION TOPICAL JELLY INTRAVENOUS INJECTION NASAL SPRAY TOPICAL JELLY INTRAVENOUS INJECTION NASAL SPRAY
Q DOSE FORM INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, EMULSION INTRAVENOUS INJECTION, SOLUTION, CONPar Pharmaceutical, Inc. INTRAMUSCULAR; INTRAVENOUS INJECTIOSomerset Therapeutics, LLC RESPIRATORY (INHALATION) AEROSOL, ME GlaxoSmithKline LLC INTRAMUSCULAR; INTRAVENOUS; S
1 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 KIT 1991 1992 1993 1994 SYRINGE 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 SYRINGE 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022
