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Y Extended 266.98 $ 130.13 $ 124.54 $ 121.31 $ 72.31 $ 67.38 $ 64.81 $ 56.14 $ 39.36 $ - $ 8,587.93 $ 1,397.83 $ 743.04 $ 697.90 $ 411.36 $ 408.00 $ 306.20 $ 247.81 $ 190.97 $ 159.17 $ 128.91 $ 115.81 $ 11
Unit Cost 6.67 4.07 3.89 1.01 0.90 0.70 0.27 0.58 0.41 8.80 178.92 10.92 7.74 8.72 6.43 4.25 1.91 7.74 4.77 2.21 1.24 3.62 1.39 3.07 0.98 0.77 6.20 9.21 9.18 8.20 5.26 1.00 1.20 4.23 8.13 6.87 15.04 211.42 48.59 9.34 23.89 3.99 1.69
X $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Package Cost 166.86 40.67 97.30 25.27 22.60 17.55 13.50 14.62 10.25 264.00 4,472.88 273.01 7.74 218.10 160.69 127.50 47.84 77.44 143.23 55.27 12.39 90.48 34.66 76.75 24.38 7.71 186.00 92.14 91.77 81.98 157.80 9.99 12.03 4.23 812.96 1,373.69 180.48 211.42 1,214.73 934.23 95.56 39.94 16.88
W $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
SOURCE 7300005283 7300006236 7300008694 7300001623 7300008690 7300008748 MIS NADAC 7300008680 UPDATED PRICE UPDATED PRICE 7300018720 7300018868 UPDATED PRICE 7300005395 7300005203 UPDATED PRICE 7300008867 7300000702 7300011133 7300005988 7300001124 7300008768 7300006535 7300006497 7300005782 7300006334 UPDATED PRICE 7300005091 7300005409 7300006052 UPDATED PRICE 7300005298 7300006067 7300006214 7300003702 7300019548 7300010897 73000100
V
28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 28080800-OPIATE AGONISTS 28200400-AMPHETAMINES 28080800-OPIATE AGONISTS
AHFS 12200400-CENTRALLY ACTING SKELETAL MUSC 28049200-GENERAL ANESTHETICS, MISCELLAN 28080492-OTHER NONSTEROIDAL ANTI-INFLAM 04041200-PHENOTHIAZINE DERIVATIVES 04040400-ETHANOLAMINE DERIVATIVES 52920000-EENT DRUGS, MISCELLANEOUS 56222000-5-HT3 RECEPTOR ANTAGONISTS 12121200-ALPHA- AND BETA-ADRENERGIC AGO 12121200-ALPHA- AND BETA-ADRENERGIC AGO 40120000-REPLACEMENT PREPARATIONS 12120400-ALPHA-ADRENERGIC AGONISTS 1212120
U 68040000-ADRENALS 68040000-ADRENALS 68280000-PITUITARY 40280800-LOOP DIURETICS 24082000-DIRECT VASODILATORS 720000 - LOCAL ANESTHETICS (PARENTERAL) 40080000-ALKALINIZING AGENTS 52160000-LOCAL ANESTHETICS (EENT)
122020 121212 121204 121604 121212
DEA
T CLASS II II II II V II II IV II II IV IV
GENERIC 17881 28143 35239 14981 46013 87031 27354 37407 26184 41364 3820 20310 19430 34940 47580 1225 4163 39380 39903 12241 3751 2752 18661 32806 32806 16642 28643 30691 12892 99366 70742 40850 33820
S CODE
MANUFACTURER Nephron Pharmaceuticals Corporation Nephron Pharmaceuticals Corporation Hikma Pharmaceuticals USA Baxter Healthcare Corporatio Nephron Pharmaceuticals Corporation Baxter Healthcare Corporatio West-Ward Pharmaceuticals Baxter Healthcare Corporatio Nephron Pharmaceuticals Corporation International Medication Sys Nephron Pharmaceuticals Corporation Shire US Manufacturing Inc.
R Mylan Institutional LLC Fresenius Kabi USA, LLC Allergan, Inc. Par Pharmaceutical, Inc. SCA Par Pharmaceutical, Inc. Fresenius Kabi USA, LLC Hospira, Inc. Hospira, Inc. HOSPIRA/PFIZER SpecGx LLC UCB, Inc. QUVA PHARMA INC Lannett Company, Inc. Paddock Laboratories, LLC
OPHTHALMIC SOLUTION, DROPS INTRAVENOUS INJECTION INTRAVENOUS INJECTION INTRAVENOUS INJECTION INTRAVENOUS INJECTION INTRAVENOUS INJECTION ORAL TABLET, EXTENDED RELEASE PLASTIC BAG TOPICAL SOLUTION ORAL CAPSULE RECTAL SUPPOSITORY
Q DOSE FORM INTRAMUSCULAR; INTRAVENOUS INJECTIOWest-Ward Pharmaceuticals INTRAVENOUS INJECTION, SOLUTION INTRAMUSCULAR/INTRAVENOUS INJECTIO Pharmacia and Upjohn Com INTRAMUSCULAR INJECTION, SOLUTION INTRAMUSCULAR; INTRAVENOUS INJECTIOWest-Ward Pharmaceuticals INTRAMUSCULAR/INTRAVENOUS INJECTIO Fresenius Kabi USA, LLC INTRAMUSCULAR/INTRAVENOUS INJECTIO Fresenius Kabi USA, LLC INTRAMUSCULAR; INTRAVENOUS INJECTIOHeritage Pharmaceuticals INTRAMUSCULAR; INTRAVENOUS; SUBCUTPar Pha
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